Table: enrolled_medi_cal_fee_for_service_ffs_providers , legal_name like V*

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

objectid	provider_source	provider_number	npi	owner_number	service_location_number	legal_name	enroll_status_eff_dt	provider_taxonomy	nemt_nmt_provider_type	anc_provider_type	fi_provider_type_cd	fi_provider_type	provider_license	fi_provider_specialty_cd	fi_provider_specialty	out_of_state_indicator	in_out_state	address_attention	address	address2	city	state	zip	zip_4	dhcs_county_cd	fips_county_cd	latitude	longitude	countyname
39	Fee-for-Service	1184062267	1184062267	1	1	VICKERS, AROUCHA DO	10/11/2022	2084N0400X	NA	Neurology	026	PHYSICIANS	-	None	None	1	Border provider	None	2020 WELLNESS WAY	#300	LAS VEGAS	NV	89106	4145	00	None	36.16163146	-115.1686755	Clark County
55	Fee-for-Service	1144266750	1144266750	1	1	VONS COMPANIES INC	8/25/1997	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	3027 RANCHO VISTA BLVD	None	PALMDALE	CA	93551	3582	19	06037	34.60188906	-118.1846656	Los Angeles County
70	Fee-for-Service	1104132158	1104132158	1	1	VEDANTAM, SAMIRA MD	1/19/2022	207R00000X	NA	Other	026	PHYSICIANS	174207	None	None	0	In state provider	None	2734 EL CAMINO REAL	None	SANTA CLARA	CA	95051	3007	43	06085	37.35228637	-121.9754073	Santa Clara County
82	Fee-for-Service	1003334939	1003334939	1	1	VO, NICOLE-HA PT	5/16/2020	2251X0800X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	270 INTERNATIONAL CIR	None	SAN JOSE	CA	95119	1130	43	06085	37.24047903	-121.7998157	Santa Clara County
154	Fee-for-Service	1073700894	1073700894	1	1	VOIGT-RUBIO, ROSE LMFT	8/14/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	734 W OAK AVE	None	VISALIA	CA	93291	6036	54	06107	36.332118	-119.2998195	Tulare County
189	Fee-for-Service	1760553903	1760553903	1	1	VIRARAGHAVAN, ROOPA MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	85550	None	None	0	In state provider	None	17100 EUCLID ST	None	FOUNTAIN VALLEY	CA	92708	4004	30	06059	33.715035	-117.936993	Orange County
234	Fee-for-Service	1376544874	1376544874	1	2	VINCENT, PAMELA L MD	6/9/2021	2084N0400X	NA	Neurology	026	PHYSICIANS	145852	None	None	0	In state provider	None	2960 CAMINO DIABLO	105	WALNUT CREEK	CA	94597	3988	07	06013	37.89859467	-122.0843018	Contra Costa County
242	Fee-for-Service	1154651735	1154651735	1	1	VARSHNEY, ANSHUL MD APC	1/26/2010	207W00000X	NA	Ophthalmology	026	PHYSICIANS	84378	18	Ophthalmology	0	In state provider	None	13768 ROSWELL AVE	STE 108	CHINO	CA	91710	1401	36	06071	34.0038	-117.7218555	San Bernardino County
250	Fee-for-Service	1952350647	1952350647	1	1	VO, CAU V MD	10/31/1986	No Taxonomy Provided	NA	None	026	PHYSICIANS	43680	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	14024 MAGNOLIA ST	STE 104	WESTMINSTER	CA	92683	4766	30	06059	33.75841062	-117.9723816	Orange County
275	Fee-for-Service	1376544874	1376544874	1	3	VINCENT, PAMELA MD	1/4/2024	2084A0401X	NA	Psychiatry	086	MEDICAL DIRECTORS	145852	-	NOT APPLICABLE	0	In state provider	None	4 7TH ST	B	EUREKA	CA	95501	0226	12	06023	40.79955969	-124.1707557	Humboldt County
323	Fee-for-Service	1629136965	1629136965	1	1	VASQUEZ & CARROLL MDS	1/1/1979	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	None	243 GREEN VALLEY RD	STE A	FREEDOM	CA	95019	3133	44	06087	36.93890175	-121.7705457	Santa Cruz County
331	Fee-for-Service	1003104548	1003104548	1	1	VAZQUEZ, CATHIA MD	8/11/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	126312	01	General Practice	0	In state provider	None	4733 W SUNSET BOULEVARD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
361	Fee-for-Service	1508912189	1508912189	1	1	VOGEL, JODY A MD	6/14/2021	207P00000X	NA	Other	026	PHYSICIANS	171318	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
378	Fee-for-Service	1740815505	1740815505	1	1	VROTSOS, JOANNA OD	7/25/2023	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	8105 MORRO RD	SUITE A	ATASCADERO	CA	93422	3911	40	06079	35.47338669	-120.6685149	San Luis Obispo County
413	Fee-for-Service	1295992592	1295992592	1	1	VISHNEVSKAYA, ZHANNA MD	9/16/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	105630	08	Family Practice	0	In state provider	None	901 NEVIN AVE	None	RICHMOND	CA	94801	3143	07	06013	37.93684848	-122.361345	Contra Costa County
424	Fee-for-Service	1104963008	1104963008	1	1	VALENTIC, JOHN P MD	8/1/1983	No Taxonomy Provided	NA	None	026	PHYSICIANS	43288	07	Dermatology	0	In state provider	None	145 HOSPITAL DR	None	UKIAH	CA	95482	4591	23	06045	39.15125756	-123.2033275	Mendocino County
494	Fee-for-Service	1639311731	1639311731	1	1	VAHIDI, KIARASH	8/15/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	107066	30	Radiology	0	In state provider	None	1601 YGNACIO VALLEY RD	None	WALNUT CREEK	CA	94598	3122	07	06013	37.9141514	-122.0422089	Contra Costa County
599	Fee-for-Service	1922037951	1922037951	1	1	VONS COMPANIES, INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	4550 ATLANTIC AVE	None	LONG BEACH	CA	90807	1513	19	06037	33.84102335	-118.183932	Los Angeles County
607	Fee-for-Service	1407966377	1407966377	1	1	VOGELSANG, PHILIP J MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	59363	22	Pathology (M.D. only)	0	In state provider	None	3800 JANES RD	None	ARCATA	CA	95521	4742	12	06023	40.89645172	-124.0930637	Humboldt County
653	Fee-for-Service	1942318928	1942318928	1	1	VELAYOS, FERNANDOS S MD	6/1/2000	207R00000X	NA	Other	026	PHYSICIANS	68203	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
829	Fee-for-Service	1265591911	1265591911	1	1	VICENCIO, GERINO P MD	1/31/1985	No Taxonomy Provided	NA	None	026	PHYSICIANS	37139	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
922	Fee-for-Service	1508068768	1508068768	1	1	VON HAGEN, ERIK D MD	7/29/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	110764	41	Internal Medicine	0	In state provider	None	3330 LOMITA BLVD	None	TORRANCE	CA	90505	5073	19	06037	33.81253631	-118.3435557	Los Angeles County
931	Fee-for-Service	1013334481	1013334481	1	1	VARGAS, PATRICIA R LMFT	9/19/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	8788 ELK GROVE BLVD	STE M	ELK GROVE	CA	95624	1768	34	06067	38.408382	-121.3770645	Sacramento County
942	Fee-for-Service	1023417615	1023417615	1	1	VOORHEES, MATTHEW B	2/23/2015	No Taxonomy Provided	NA	None	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
1035	Fee-for-Service	1710221965	1710221965	1	1	VICKERS, LORI A LMFT	9/27/2019	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	28991 OLD TOWN FRONT ST	102	TEMECULA	CA	92590	2858	33	06065	33.48435441	-117.1437755	Riverside County
1039	Fee-for-Service	1558922443	1558922443	1	1	VARTANIAN, SUZANNE R NP	10/14/2019	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	7575 N CEDAR AVE	STE 101	FRESNO	CA	93720	2693	10	06019	36.84611202	-119.7569009	Fresno County
1115	Fee-for-Service	1265591911	1265591911	1	1	VICENCIO, GERINO P MD	1/31/1985	No Taxonomy Provided	NA	None	026	PHYSICIANS	37139	45	Nephrology (Renal-Kidney)	0	In state provider	None	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
1125	Fee-for-Service	1992812333	1992812333	1	1	VAIL CLINIC, INC	5/16/2008	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	181 W MEADOW DRIVE	None	VAIL	CO	81657	5058	00	None	39.64289182	-106.382142	Eagle County
1135	Fee-for-Service	1497985683	1497985683	1	1	VENADO ESTRADA, AIDA A MD	9/28/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	137303	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
1268	Fee-for-Service	1417797275	1417797275	1	1	VITUITY-NEVADA MEDICAL SERVI	7/9/2024	193200000X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	1	Border provider	None	4980 W SAHARA AVE STE 10	None	LAS VEGAS	NV	89146	3435	00	None	36.14463148	-115.2088605	Clark County
1275	Fee-for-Service	1346845476	1346845476	1	1	VISALIA KIDNEY CENTER LLC	7/1/2021	No Taxonomy Provided	NA	None	042	CHRONIC DIALYSIS CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	3446 SOUTH MOONEY BLVD	None	VISALIA	CA	93277	7772	54	06107	36.298935	-119.311758	Tulare County
1300	Fee-for-Service	1912460353	1912460353	1	1	VO, TIEN MD	11/6/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	179117	None	None	0	In state provider	None	4435 BROCKTON AVE	STE B	RIVERSIDE	CA	92501	4004	33	06065	33.97779042	-117.3837878	Riverside County
1301	Fee-for-Service	1720015753	1720015753	1	1	VARNER, JANE C MD	8/4/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	73255	01	General Practice	0	In state provider	None	2734 EL CAMINO REAL	None	SANTA CLARA	CA	95051	3041	43	06085	37.35228637	-121.9754073	Santa Clara County
1404	Fee-for-Service	1083198782	1083198782	1	1	VANESSA VILLASENOR LICENSED	8/16/2021	101YM0800X	NA	Other	104	LICENSED PROFESSIONAL CLINICAL COUNSELOR - GROUP	-	-	NOT APPLICABLE	0	In state provider	None	591 CAMINO DE LA REINA	802	SAN DIEGO	CA	92108	3102	37	06073	32.76632791	-117.1616245	San Diego County
1412	Fee-for-Service	1306100102	1306100102	1	1	VARGAS, ANNA L	9/24/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4624 ARLINGTON AVE	None	RIVERSIDE	CA	92504	2702	33	06065	33.94615854	-117.40365	Riverside County
1413	Fee-for-Service	1992812333	1992812333	1	1	VAIL CLINIC, INC	5/16/2008	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	181 W MEADOW DRIVE	None	VAIL	CO	81657	5058	00	None	39.64289182	-106.382142	Eagle County
1482	Fee-for-Service	1962820241	1962820241	1	1	VU, THANH-GIANG MD	8/29/2019	207L00000X	NA	Other	026	PHYSICIANS	140217	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
1515	Fee-for-Service	1285070888	1285070888	1	1	VERKLER, TERRY D	7/8/2017	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	3151 BRINDLEY WAY	None	RANCHO CORDOVA	CA	95670	6259	34	06067	38.584359	-121.2779565	Sacramento County
1520	Fee-for-Service	1225878085	1225878085	1	1	VITUITY-NEVADA MEDICAL SERVI	7/9/2024	193200000X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	1	Border provider	CES KOURY & PARTNERS PC	1550 W CRAIG RD STE 100	None	NORTH LAS VEGAS	NV	89032	0329	00	None	36.2395135	-115.162875	Clark County
1537	Fee-for-Service	1861417552	1861417552	1	1	VILLARREAL, DAVID H MD	9/12/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	70344	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
1586	Fee-for-Service	1720265937	1720265937	1	1	VONROGOV, PETER A MD APC	10/1/1983	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	None	2100 WEBSTER ST	STE 300	SAN FRANCISCO	CA	94115	2376	38	06075	37.7904826	-122.4324477	San Francisco County
1692	Fee-for-Service	1083198782	1083198782	1	1	VANESSA VILLASENOR LICENSED	7/23/2021	101YM0800X	NA	Other	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	None	591 CAMINO DE LA REINA	802	SAN DIEGO	CA	92108	3102	37	06073	32.76632791	-117.1616245	San Diego County
1761	Fee-for-Service	1184729212	1184729212	1	1	VADLAMUDI, GAUTAM MD	12/7/1992	No Taxonomy Provided	NA	None	026	PHYSICIANS	51500	08	Family Practice	0	In state provider	None	501 NUT TREE CT	None	VACAVILLE	CA	95687	3353	48	06095	38.36230979	-121.94902	Solano County
1830	Fee-for-Service	1861157091	1861157091	1	1	VAGA MEDICAL	10/23/2023	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	19531 VENTURA BLVD	UNIT 9	TARZANA	CA	91356	2957	19	06037	34.17281748	-118.5590745	Los Angeles County
1874	Fee-for-Service	1730411091	1730411091	1	1	VLASSOVA, NATALIA MD	11/10/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	139732	07	Dermatology	0	In state provider	None	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
1970	Fee-for-Service	1720860406	1720860406	1	1	VAZQUEZ VIDAL, VANESSA NP	12/1/2023	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	222 WEST HENDERSON AVE	None	PORTERVILLE	CA	93257	1731	54	06107	36.0804034	-119.0217006	Tulare County
1989	Fee-for-Service	1083198782	1083198782	1	1	VANESSA VILLASENOR LICENSED	8/30/2021	101YM0800X	NA	Other	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	None	591 CAMINO DE LA REINA	802	SAN DIEGO	CA	92108	3102	37	06073	32.76632791	-117.1616245	San Diego County
2041	Fee-for-Service	1083837058	1083837058	1	1	VONGTAMA, ROY MD	4/10/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	78334	78	Neoplastic Diseases/Oncology	0	In state provider	None	200 MEDICAL PLAZA	STE B265	LOS ANGELES	CA	90021	0000	19	06037	34.06527974	-118.4462792	Los Angeles County
2075	Fee-for-Service	1447036397	1447036397	1	1	VASQUEZ, OLIVIA A	10/23/2023	237700000X	NA	Other	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	30250 RANCHO VIEJO RD	SUITE A	SAN JUAN CAPISTRA	CA	92675	1555	30	06059	33.52319034	-117.6657717	Orange County
2165	Fee-for-Service	1881157501	1881157501	1	1	VALDOVINOS, MICAELA	10/31/2023	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1200 DISCOVERY DR	None	BAKERSFIELD	CA	93309	7032	15	06029	35.36397746	-119.0589062	Kern County
2223	Fee-for-Service	1912134305	1912134305	1	1	VALLABHANENI, KAMALA MD	4/26/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	114513	40	Pediatrics	0	In state provider	None	10833 LE CONTE AVE	12-411 MDCC	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
2261	Fee-for-Service	1295598571	1295598571	1	1	VIVA MED CENTER PC	9/25/2024	207R00000X	NA	Other	026	PHYSICIANS	None	70	Clinic (mixed specialty)	0	In state provider	None	17609 VENTURA BLVD	STE 203	ENCINO	CA	91316	5121	19	06037	34.16197507	-118.5167485	Los Angeles County
2270	Fee-for-Service	1801974779	1801974779	1	1	VANGEEM, THOMAS A MD	12/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	54706	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	2220 LYNN RD	STE 108	THOUSAND OAKS	CA	91360	8012	56	06111	34.20863046	-118.8852156	Ventura County
2329	Fee-for-Service	1083837058	1083837058	1	1	VONGTAMA, ROY MD	4/10/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	78334	30	Radiology	0	In state provider	None	200 MEDICAL PLAZA	STE B265	LOS ANGELES	CA	90021	0000	19	06037	34.06527974	-118.4462792	Los Angeles County
2577	Fee-for-Service	1457654949	1457654949	1	1	VANG, KAO DO	8/6/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	11566	01	General Practice	0	In state provider	None	3800 DALE ROAD	None	MODESTO	CA	95356	8627	50	06099	37.69395556	-121.0499498	Stanislaus County
2693	Fee-for-Service	1922186576	1922186576	1	1	VON KOCH, CORNELIA S MD	7/28/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	69898	14	Neurological Surgery	0	In state provider	None	1001 POTRERO AVE	RM 4M39	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
2747	Fee-for-Service	1497001226	1497001226	1	5	VIA CARE COMMUNITY HEALTH	3/18/2021	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	1301 AVENIDA CESAR CHAVE	BLDG ST HLTH CNTR F5-302	MONTEREY PARK	CA	91754	6001	19	06037	34.03890536	-118.1478741	Los Angeles County
2787	Fee-for-Service	1881621639	1881621639	1	1	VINCENT, THOMAS H DPM II	7/5/1994	213ES0103X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	440 W TEFFT ST	None	NIPOMO	CA	93444	9067	40	06079	35.0376529	-120.48328	San Luis Obispo County
2852	Fee-for-Service	1225229578	1225229578	1	1	VAZQUEZ, MARIA-ISABEL LMFT	8/4/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	595 E COLORADO BLVD STE	None	PASADENA	CA	91101	2021	19	06037	34.14588202	-118.1380722	Los Angeles County
2911	Fee-for-Service	1659841195	1659841195	1	1	VUU, CYNDI INC	6/4/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	16152 BEACH BLVD	STE 265	HUNTINGTON BEACH	CA	92647	3806	30	06059	33.72889962	-117.9891397	Orange County
2937	Fee-for-Service	1285665091	1285665091	1	1	VONS COMPANIES INC	8/25/1997	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	20445 YORBA LINDA BLVD	None	YORBA LINDA	CA	92886	3042	30	06059	33.893271	-117.7755795	Orange County
2953	Fee-for-Service	1477654770	1477654770	1	1	VEDALA, UMA MD	5/1/2020	208M00000X	NA	Other	026	PHYSICIANS	149157	41	Internal Medicine	0	In state provider	None	4501 SAND CREEK ROAD	None	ANTIOCH	CA	94531	8577	07	06013	37.94947636	-121.7752571	Contra Costa County
3034	Fee-for-Service	1497001226	1497001226	1	5	VIA CARE COMMUNITY HEALTH	3/18/2021	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	1301 AVENIDA CESAR CHAVE	BLDG ST HLTH CNTR F5-302	MONTEREY PARK	CA	91754	6001	19	06037	34.03890536	-118.1478741	Los Angeles County
3277	Fee-for-Service	1770833121	1770833121	1	1	VERACYTE LABS SD CORPORATION	12/4/2020	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	None	6925 LUSK BLVD	200	SAN DIEGO	CA	92121	2789	37	06073	32.90059664	-117.2080986	San Diego County
3310	Fee-for-Service	1285653683	1285653683	1	1	VERDER, TINA B MD	11/30/1994	No Taxonomy Provided	NA	None	026	PHYSICIANS	71902	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	11165 SEPULVEDA BLVD	None	MISSION HILLS	CA	91345	1113	19	06037	34.2738618	-118.4678337	Los Angeles County
3326	Fee-for-Service	1518016682	1518016682	1	1	VELOSA, LUIS H MD	4/8/2020	2084P0804X	NA	Psychiatry	026	PHYSICIANS	29911	36	Psychiatry	0	In state provider	None	2215 TRUXTUN AVE	STE 100	BAKERSFIELD	CA	93301	3602	15	06029	35.37327448	-119.0278665	Kern County
3441	Fee-for-Service	1750792941	1750792941	1	1	VERMONT HEALTHCARE CENTER	10/1/2014	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	LLC	22035 S VERMONT AVENUE	None	TORRANCE	CA	90502	2120	19	06037	33.826977	-118.290377	Los Angeles County
3494	Fee-for-Service	1639174063	1639174063	2	1	VANDER LAAN, THOMAS L MD	6/30/1990	174400000X	NA	Other	026	PHYSICIANS	44443	02	General Surgery	0	In state provider	None	50 BELLEFONTAINE ST	STE 303	PASADENA	CA	91105	3132	19	06037	34.13155953	-118.1517525	Los Angeles County
3614	Fee-for-Service	1518016682	1518016682	1	1	VELOSA, LUIS H MD	4/8/2020	2084P0804X	NA	Psychiatry	026	PHYSICIANS	29911	26	Psychiatry (child)	0	In state provider	None	2215 TRUXTUN AVE	STE 100	BAKERSFIELD	CA	93301	3602	15	06029	35.37327448	-119.0278665	Kern County
3621	Fee-for-Service	1780036103	1780036103	1	1	VAVRICEK, SAMANTHA J OD	10/28/2016	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1524 EUREKA RD	SUITE 100	ROSEVILLE	CA	95661	3040	31	06061	38.7497045	-121.2490063	Placer County
3686	Fee-for-Service	1356630370	1356630370	1	1	VASSEF, PARISSA I MD	7/1/2017	2084N0400X	NA	Neurology	026	PHYSICIANS	137186	13	Neurology (M.D. only)	0	In state provider	None	400 W PUEBLO ST	None	SANTA BARBARA	CA	93105	4353	42	06083	34.42887662	-119.7237878	Santa Barbara County
3701	Fee-for-Service	1861925869	1861925869	1	1	VARGAS, GARY O MD	11/29/2022	2083X0100X	NA	Adult Primary Care	026	PHYSICIANS	157411	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
3715	Fee-for-Service	1659449668	1659449668	1	1	VILLELA, GILBERT J MD	11/24/2015	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	69562	-	NOT APPLICABLE	0	In state provider	None	982 MISSION ST	None	SAN FRANCISCO	CA	94103	2911	38	06075	37.7813638	-122.4082438	San Francisco County
3727	Fee-for-Service	1710277611	1710277611	1	1	VALI BETTS, ELHAM MD	6/3/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	129841	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
3787	Fee-for-Service	1639174063	1639174063	2	1	VANDER LAAN, THOMAS L MD	6/30/1990	174400000X	NA	Other	026	PHYSICIANS	44443	66	Emergency Medicine (Urgent Care)	0	In state provider	None	50 BELLEFONTAINE ST	STE 303	PASADENA	CA	91105	3132	19	06037	34.13155953	-118.1517525	Los Angeles County
3902	Fee-for-Service	1518016682	1518016682	1	1	VELOSA, LUIS H MD	4/8/2020	2084P0804X	NA	Psychiatry	026	PHYSICIANS	29911	27	Psychiatry Neurology (D.O. only)	0	In state provider	None	2215 TRUXTUN AVE	STE 100	BAKERSFIELD	CA	93301	3602	15	06029	35.37327448	-119.0278665	Kern County
3978	Fee-for-Service	1851564868	1851564868	1	1	VM TRANSPORT INC	3/13/2008	No Taxonomy Provided	NEMT Provider	None	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	5054 PIER DR	None	STOCKTON	CA	95206	6159	39	06077	37.898568	-121.3217645	San Joaquin County
4096	Fee-for-Service	1356599310	1356599310	1	1	VELTMAN, JENNIFER A MD	7/9/2019	207RI0200X	NA	HIV/AIDS/Infectious Disease	026	PHYSICIANS	121822	41	Internal Medicine	0	In state provider	None	11370 ANDERSON ST	None	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
4120	Fee-for-Service	1386085710	1386085710	1	1	VALENCIA, MIGUEL A DO	9/10/2021	261QM1102X	NA	Other	026	PHYSICIANS	12917	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
4220	Fee-for-Service	1346824786	1346824786	1	1	VAA, SABRINA A NP	5/13/2021	363LP0222X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
4320	Fee-for-Service	1033150594	1033150594	1	1	VAN ENK, MARC A PHD	2/13/2009	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	1370 VALLEY VISTA DR	STE 104	DIAMOND BAR	CA	91765	3950	19	06037	33.99742278	-117.8381087	Los Angeles County
4385	Fee-for-Service	1356599310	1356599310	1	1	VELTMAN, JENNIFER A MD	7/9/2019	207RI0200X	NA	HIV/AIDS/Infectious Disease	026	PHYSICIANS	121822	77	Infectious Disease	0	In state provider	None	11370 ANDERSON ST	None	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
4410	Fee-for-Service	1386136646	1386136646	1	1	VIEN, LINDA P MD	5/30/2024	207RP1001X	NA	Pulmonology	026	PHYSICIANS	174899	41	Internal Medicine	0	In state provider	None	2625 W ALAMEDA AVE	300, 322	BURBANK	CA	91505	4819	19	06037	34.1577056	-118.329779	Los Angeles County
4478	Fee-for-Service	1134126501	1134126501	1	1	VARJAVAND, BAHRAM MD	7/8/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	62527	30	Radiology	0	In state provider	None	6600 MADISON AVE	STE 11	CARMICHAEL	CA	95608	0645	34	06067	38.663028	-121.310271	Sacramento County
4539	Fee-for-Service	1265461461	1265461461	1	1	VEISS, ANDRIS LORENZO PT	8/3/2020	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1430 HIGH	None	DELANO	CA	93215	1715	15	06029	35.77510842	-119.2483794	Kern County
4550	Fee-for-Service	1104261106	1104261106	1	1	VARGHESE, SARAT J MD	1/26/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	132403	01	General Practice	0	In state provider	None	1680 E 120TH STREET	None	LOS ANGELES	CA	90059	3026	19	06037	33.92456051	-118.2417525	Los Angeles County
4562	Fee-for-Service	1093853103	1093853103	1	1	VICTOR, MARIO W LCSW	1/28/2016	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	795 EL CAMINO REAL	None	PALO ALTO	CA	94301	2302	43	06085	37.43920432	-122.162109	Santa Clara County
4574	Fee-for-Service	1104362441	1104362441	1	1	VALDEZ, JENNIFER R LCSW	2/20/2025	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	13993 PARK AVE	None	VICTORVILLE	CA	92392	2485	36	06071	34.50503628	-117.3265137	San Bernardino County
4598	Fee-for-Service	1598080400	1598080400	1	1	VARGAS, JEREMY A LMFT	2/18/2020	101YM0800X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4624 ARLINGTON AVE.	None	RIVERSIDE	CA	92504	2702	33	06065	33.94615854	-117.40365	Riverside County
4616	Fee-for-Service	1184049314	1184049314	1	1	VASENDIN, CAROLINE MD	9/17/2018	2084P0800X	NA	Psychiatry	026	PHYSICIANS	-	36	Psychiatry	1	Border provider	None	1155 MILL ST	None	RENO	NV	89502	1576	00	None	39.52483792	-119.7968314	Washoe County
4685	Fee-for-Service	1801994181	1801994181	2	1	VAN DE WETERING, KIMBERLY	4/10/2015	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	3975 OLD REDWOOD HWY	None	SANTA ROSA	CA	95403	1719	49	06097	38.484045	-122.7376395	Sonoma County
4687	Fee-for-Service	1285897421	1285897421	1	1	VISWANATHAN, DUSHYANT A MD	6/30/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	128469	41	Internal Medicine	0	In state provider	None	10 WOODLAND ROAD	None	SAINT HELENA	CA	94574	9554	28	06055	38.54196972	-122.4751787	Napa County
4695	Fee-for-Service	1386136646	1386136646	1	1	VIEN, LINDA P MD	5/30/2024	207RP1001X	NA	Pulmonology	026	PHYSICIANS	174899	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	2625 W ALAMEDA AVE	300, 322	BURBANK	CA	91505	4819	19	06037	34.1577056	-118.329779	Los Angeles County
4712	Fee-for-Service	1992754899	1992754899	1	1	VACHIRAKORNTONG, VIRUCH	5/26/2004	No Taxonomy Provided	NA	None	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	MD INC	705 E VIRGINIA WAY	STE L	BARSTOW	CA	92311	3978	36	06071	34.88815781	-117.018543	San Bernardino County
4786	Fee-for-Service	1548618648	1548618648	1	1	VAJDA, DEREK L MD	2/21/2025	204E00000X	NA	Dental Provider	026	PHYSICIANS	169638	02	General Surgery	0	In state provider	None	10833 LECONTE AVENUE	None	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
4965	Fee-for-Service	1164500856	1164500856	1	1	VILLALOBOS,JOCELYN B MD	10/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	85571	40	Pediatrics	0	In state provider	None	160 E N ST	None	BENICIA	CA	94510	2734	48	06095	38.05493077	-122.1533372	Solano County
4998	Fee-for-Service	1992754899	1992754899	1	1	VACHIRAKORNTONG, VIRUCH	5/1/1998	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	52656	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	MD INC	705 E VIRGINIA WAY	STE L	BARSTOW	CA	92311	3978	36	06071	34.88815781	-117.018543	San Bernardino County
5012	Fee-for-Service	1356892517	1356892517	1	1	VIA CARE COMMUNITY HEALTH	10/13/2016	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	4755 E CESAR E CHAVEZ AV	None	LOS ANGELES	CA	90022	1267	19	06037	34.0406247	-118.1628543	Los Angeles County
5025	Fee-for-Service	1851553879	1851553879	1	1	VALENTA, DOUGLAS MD	4/28/2021	2084V0102X	NA	Neurology	026	PHYSICIANS	161297	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
5067	Fee-for-Service	1174552194	1174552194	1	1	VONS COMPANIES, INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	7789 FOOTHILL BLVD	None	TUJUNGA	CA	91042	2195	19	06037	34.25856597	-118.3021164	Los Angeles County
5126	Fee-for-Service	1689094757	1689094757	1	1	VENTURA, GLORIA	3/27/2024	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	144192	None	None	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
5182	Fee-for-Service	1215972179	1215972179	1	1	VIJAYAN, RADHIKA MD	5/18/2022	2080P0204X	NA	Other	026	PHYSICIANS	150236	None	None	0	In state provider	None	8731 W PICO BLVD	None	LOS ANGELES	CA	90035	2205	19	06037	34.05456946	-118.3824636	Los Angeles County
5212	Fee-for-Service	1457496879	1457496879	1	1	VALLEY TUMOR MEDICAL GROUP	5/27/2009	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	1517 NORTH DOWNS	None	RIDGECREST	CA	93555	2456	15	06029	35.648658	-117.6877955	Kern County
5238	Fee-for-Service	1922114107	1922114107	1	1	VOTH, MARCUS T MD	9/10/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	81140	66	Emergency Medicine (Urgent Care)	0	In state provider	None	350 TERRACINA BLVD	None	REDLANDS	CA	92373	4850	36	06071	34.03717616	-117.2046115	San Bernardino County
5300	Fee-for-Service	1356892517	1356892517	1	1	VIA CARE COMMUNITY HEALTH	10/13/2016	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	4755 E CESAR E CHAVEZ AV	None	LOS ANGELES	CA	90022	1267	19	06037	34.0406247	-118.1628543	Los Angeles County
5308	Fee-for-Service	1760495147	1760495147	1	1	VOS TRANSPORTATION, LLC	12/10/2009	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	MEDICAL PRODUCT SUPPLIER	3030 W. TEMPLE ST	STE 108	LOS ANGELES	CA	90026	4529	19	06037	34.07473939	-118.2799912	Los Angeles County
5315	Fee-for-Service	1962638767	1962638767	1	1	VO, HONG-NGOC MD	1/26/2021	208600000X	NA	General Surgery	026	PHYSICIANS	129025	None	None	0	In state provider	None	1800 NORTH CALIFORNIA ST	None	STOCKTON	CA	95204	6019	39	06077	37.97026329	-121.2890849	San Joaquin County
5371	Fee-for-Service	1619565488	1619565488	1	1	VERTU PSYCHIATRY INC., A PRO	8/12/2023	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	FESSIONAL NURSING CORPOR	415 W RT 66	STE 202	GLENDORA	CA	91740	4335	19	06037	34.12883848	-117.869958	Los Angeles County
5409	Fee-for-Service	1992734917	1992734917	1	1	VONS COMPANIES, INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	9000 MING AVE	None	BAKERSFIELD	CA	93311	1318	15	06029	35.33989328	-119.1034715	Kern County
5412	Fee-for-Service	1356912208	1356912208	1	1	VIELMA, MAIRA L NP	4/11/2023	363L00000X	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
5433	Fee-for-Service	1891838272	1891838272	1	1	VIP PHARMACY, INC	10/9/2007	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	13193 CENTRAL AVE	None	CHINO	CA	91710	4179	36	06071	34.01406506	-117.6891684	San Bernardino County
5453	Fee-for-Service	1215425343	1215425343	1	1	VENDITTI, SARAH A MD	10/10/2019	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	164782	08	Family Practice	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
5536	Fee-for-Service	1275716532	1275716532	1	2	VU, TRAM B LCSW	1/25/2024	104100000X	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
5617	Fee-for-Service	1083707822	1083707822	1	1	VITREO RETINAL MEDICAL GROUP	2/1/1988	207W00000X	NA	Ophthalmology	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	RETINAL CONSULTANTS MED	3555 DEER PARK DR	SUITE 180	STOCKTON	CA	95219	2378	39	06077	37.98695468	-121.3523032	San Joaquin County
5640	Fee-for-Service	1245265495	1245265495	1	1	VALDEZ, ANTHONY A MD	7/28/1984	No Taxonomy Provided	NA	None	026	PHYSICIANS	44403	41	Internal Medicine	0	In state provider	None	3807 UNION AVE	None	BAKERSFIELD	CA	93305	2400	15	06029	35.394102	-119.0030165	Kern County
5649	Fee-for-Service	1720710676	1720710676	1	1	VALLEY DIALYSIS ACCESS SURGE	7/25/2022	2086S0129X	NA	General Surgery	022	PHYSICIANS GROUP	-	None	None	0	In state provider	RY ASSOCIATES, INC.	6101 N FRESNO ST	STE, 101	FRESNO	CA	93710	8606	10	06019	36.82494	-119.7814375	Fresno County
5679	Fee-for-Service	1295706448	1295706448	1	1	VIERRA, MARK ALAN MD	8/31/1990	No Taxonomy Provided	NA	None	026	PHYSICIANS	59649	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1350 WILLOW RD	STE 202	MENLO PARK	CA	94025	1516	41	06081	37.47713734	-122.1521704	San Mateo County
5721	Fee-for-Service	1437555265	1437555265	1	3	VALLEY CHILDREN'S MEDICAL GR	1/9/2018	193200000X	NA	Other	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	OUP	1792 TRIBUTE RD	SUITE 200	SACRAMENTO	CA	95815	4305	34	06067	38.598219	-121.445964	Sacramento County
5723	Fee-for-Service	1689014466	1689014466	1	1	VELAZQUEZ, AMANDA MD	9/11/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	149502	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
5781	Fee-for-Service	1174009245	1174009245	1	1	VIKOR SCIENTIFIC LLC	9/27/2021	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	2	Out of state provider	None	22 WESTEDGE STREET	SUITE 800	CHARLESTON	SC	29403	4702	00	None	32.787369	-79.9566435	Charleston County
5784	Fee-for-Service	1902069404	1902069404	1	1	VAZIRNEZAMI, MASOUD	8/3/2010	No Taxonomy Provided	NA	None	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	1767 E MAIN STREET	None	EL CAJON	CA	92021	5219	37	06073	32.81439596	-116.9170171	San Diego County
5797	Fee-for-Service	1285788398	1285788398	1	1	VALLEY PEDIATRIC	8/2/2006	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	29	Pulmonary Diseases (M.D. only)	0	In state provider	PULMONARY MEDICAL CORP	9300 VALLEY CHILDRENS PL	None	MADERA	CA	93636	8761	20	06039	36.88437894	-119.8003484	Madera County
5915	Fee-for-Service	1366978173	1366978173	1	1	VAN NIEUWENHUIZEN, PATRICK H	5/7/2024	207R00000X	NA	Other	026	PHYSICIANS	169201	41	Internal Medicine	0	In state provider	MD	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
5942	Fee-for-Service	1992884415	1992884415	1	1	VOLLRATH, ANNETTE M MD	7/1/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	80445	41	Internal Medicine	0	In state provider	None	4311 THIRD AVE	None	SAN DIEGO	CA	92103	1407	37	06073	32.758578	-117.1637685	San Diego County
5953	Fee-for-Service	1366869406	1366869406	1	1	VAN HAL, MICHELE A MD	10/1/2020	207L00000X	NA	Other	026	PHYSICIANS	146254	05	Anesthesiology	0	In state provider	None	603 E LATHAM AVE	None	HEMET	CA	92543	4342	33	06065	33.74933852	-116.96598	Riverside County
6085	Fee-for-Service	1285788398	1285788398	1	1	VALLEY PEDIATRIC	8/2/2006	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	PULMONARY MEDICAL CORP	9300 VALLEY CHILDRENS PL	None	MADERA	CA	93636	8761	20	06039	36.88437894	-119.8003484	Madera County
6156	Fee-for-Service	1689627085	1689627085	1	1	VENKATESH, VIJAY B MD	6/30/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	94476	None	None	0	In state provider	None	8881 FLETCHER PKWY	STE 102	LA MESA	CA	91942	3129	37	06073	32.78442148	-117.0073814	San Diego County
6175	Fee-for-Service	1174725006	1174725006	1	1	VU, MICHAEL V DO	4/8/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	9674	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
6180	Fee-for-Service	1891512448	1891512448	1	1	VAZQUEZ, ELIZABETH CCC-SLP	2/10/2025	No Taxonomy Provided	NA	None	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	2440 W. SHAW AVE	STE 209	FRESNO	CA	93711	3300	10	06019	36.80840874	-119.8363001	Fresno County
6231	Fee-for-Service	1992884415	1992884415	1	1	VOLLRATH, ANNETTE M MD	7/1/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	80445	38	Geriatrics	0	In state provider	None	4311 THIRD AVE	None	SAN DIEGO	CA	92103	1407	37	06073	32.758578	-117.1637685	San Diego County
6241	Fee-for-Service	1710698741	1710698741	1	1	VELASQUEZ, MELANIE GEMMA	5/25/2023	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
6272	Fee-for-Service	1134446719	1134446719	1	1	VORSANGER MATTHEW	6/1/2021	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	462 FIRST AVENUE 27TH ST	None	NEW YORK	NY	10016	9196	00	None	40.739544	-73.9763325	New York County
6275	Fee-for-Service	1154847747	1154847747	1	1	VISITING FAMILY COUNSELORS	9/18/2017	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	INC	18345 VENTURA BLVD	SUITE 320	TARZANA	CA	91356	4242	19	06037	34.16738049	-118.5325057	Los Angeles County
6283	Fee-for-Service	1487260360	1487260360	1	1	VERANDA HOME HEALTH CARE INC	5/29/2024	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	1220 WEST GLENOAKS BLVD	STE 204A	GLENDALE	CA	91201	2231	19	06037	34.16551419	-118.2821828	Los Angeles County
6284	Fee-for-Service	1699472191	1699472191	1	1	VANGUARD VEIN CENTERS	10/23/2023	2086S0129X	NA	General Surgery	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	10884 SANTA MONICA BLVD	STE 403	LOS ANGELES	CA	90025	7639	19	06037	34.04943699	-118.4375804	Los Angeles County
6325	Fee-for-Service	1376562587	1376562587	1	1	VALAN, MICHAEL N MD	4/1/2004	103T00000X	NA	Mental Health Outpatient Services	026	PHYSICIANS	66996	36	Psychiatry	0	In state provider	None	2340 CLAY ST	FL 7	SAN FRANCISCO	CA	94115	1932	38	06075	37.79101969	-122.43208	San Francisco County
6344	Fee-for-Service	1396243127	1396243127	1	1	VRABEL, STEPHANIE L LMFT	8/27/2019	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	5871 PINE AVE	SUITE 230	CHINO HILLS	CA	91709	6545	36	06071	33.94767013	-117.6754339	San Bernardino County
6371	Fee-for-Service	1073992624	1073992624	1	1	VILCHEZ PARRA, VALERY C MD	8/22/2022	208600000X	NA	General Surgery	026	PHYSICIANS	173053	None	None	0	In state provider	None	101 CITY DR S	# B10	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
6392	Fee-for-Service	1750842977	1750842977	1	1	VU, CHRISTINA T MD	6/10/2022	208M00000X	NA	Other	026	PHYSICIANS	177365	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
6414	Fee-for-Service	1407914021	1407914021	1	1	VOERGE, JOANN	9/11/2012	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	320 LENNON LANE	None	WALNUT CREEK	CA	94598	2419	07	06013	37.92699561	-122.0292732	Contra Costa County
6430	Fee-for-Service	1104316827	1104316827	1	1	VARGO PHYSICAL THERAPY, INC	8/1/2019	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	3425 W VICTORY BLVD	None	BURBANK	CA	91505	1545	19	06037	34.18475147	-118.34856	Los Angeles County
6585	Fee-for-Service	1790118248	1790118248	1	1	VAN NUYS SERENITY HOSPICE &	2/16/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	PALLIATIVE CARE INC	6314 VAN NUYS BLVD	SUITE 216	VAN NUYS	CA	91401	2625	19	06037	34.18518362	-118.4487146	Los Angeles County
6602	Fee-for-Service	1750590188	1750590188	1	1	VIPOND, GREGORY J MD	2/25/2011	207YS0123X	NA	ENT/Otolaryngology	026	PHYSICIANS	100020	24	Plastic Surgery	0	In state provider	None	300 W HUNTINGTON DR	None	ARCADIA	CA	91007	3402	19	06037	34.13489987	-118.0424069	Los Angeles County
6644	Fee-for-Service	1861768285	1861768285	1	1	VANDEBOGART, RACHAEL M MD	5/4/2022	208M00000X	NA	Other	026	PHYSICIANS	133247	None	None	0	In state provider	None	180 ROWLAND WAY	None	NOVATO	CA	94945	5009	21	06041	38.09825699	-122.5598561	Marin County
6655	Fee-for-Service	1316272859	1316272859	1	1	VILLA, MICHELLE MFT	9/28/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	770 MAGNOLIA AVE	STE 1F	CORONA	CA	92879	3121	33	06065	33.85936872	-117.5534605	Riverside County
6674	Fee-for-Service	1437555265	1437555265	1	1	VALLEY CHILDREN'S MEDICAL GR	5/22/2015	193200000X	NA	Other	022	PHYSICIANS GROUP	-	10	Gastroenterology (M.D. only)	0	In state provider	None	1524 MCHENRY AVE	SUITES 550, 570	MODESTO	CA	95350	4500	50	06099	37.666233	-120.993933	Stanislaus County
6710	Fee-for-Service	1275354490	1275354490	1	1	VII FOUNDATION	12/12/2024	251V00000X	NA	Other	108	COMMUNITY BASED ORGANIZATIONS	-	-	NOT APPLICABLE	0	In state provider	None	1195 LINDA VISTA DR	H	SAN MARCOS	CA	92078	3824	37	06073	33.1377261	-117.1917742	San Diego County
6715	Fee-for-Service	1801963798	1801963798	1	1	VANDERHULST, JOHN C MD	1/1/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	31896	01	General Practice	0	In state provider	None	9400 E ROSECRANS BLVD	None	BELLFLOWER	CA	90706	0000	19	06037	33.9040752	-118.1328995	Los Angeles County
6725	Fee-for-Service	1396083929	1396083929	1	1	VALLE-SMITH, CHRISTINA M CRN	3/22/2018	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	A	1411 E 31ST ST	None	OAKLAND	CA	94602	1018	01	06001	37.79926205	-122.2314248	Alameda County
6747	Fee-for-Service	1750862884	1750862884	1	1	VELASQUEZ, IRENE B LMFT	10/9/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	300 MONTGOMERY	STE 204	SAN FRANCISCO	CA	94104	1902	38	06075	37.7923269	-122.4026145	San Francisco County
6786	Fee-for-Service	1962580795	1962580795	1	1	VERMA, RAJEEV MD	10/30/1990	No Taxonomy Provided	NA	None	026	PHYSICIANS	49570	40	Pediatrics	0	In state provider	None	4785 N 1ST ST	None	FRESNO	CA	93726	0513	10	06019	36.80478	-119.7724585	Fresno County
6820	Fee-for-Service	1609477207	1609477207	1	1	VITUITY - NEVADA KOURY & PAR	1/4/2021	193200000X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	1	Border provider	TNERS PLLC	4980 W SAHARA AVE	None	LAS VEGAS	NV	89146	3402	00	None	36.14463148	-115.2088605	Clark County
6828	Fee-for-Service	1326267824	1326267824	1	1	VELASCO, KRIS C LCSW	11/17/2015	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3555 WHIPPLE ROAD	None	UNION CITY	CA	94587	1507	01	06001	37.60574038	-122.0836254	Alameda County
6845	Fee-for-Service	1689727315	1689727315	1	1	VALLEY VILLAGE	1/9/1987	315P00000X	NA	Intermediate Care Faciltiy	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	20661 LEMARSH ST	None	CHATSWORTH	CA	91311	3219	19	06037	34.25546555	-118.5839851	Los Angeles County
6871	Fee-for-Service	1790118248	1790118248	1	1	VAN NUYS SERENITY HOSPICE &	2/16/2019	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	PALLIATIVE CARE INC	6314 VAN NUYS BLVD	SUITE 216	VAN NUYS	CA	91401	2625	19	06037	34.18518362	-118.4487146	Los Angeles County
6883	Fee-for-Service	1336671544	1336671544	1	1	VUCHKOV, KATHERINE M MD	7/19/2021	207P00000X	NA	Other	026	PHYSICIANS	157604	None	None	0	In state provider	None	2823 FRESNO ST	None	FRESNO	CA	93721	1324	10	06019	36.7423511	-119.7834688	Fresno County
6890	Fee-for-Service	1750590188	1750590188	1	1	VIPOND, GREGORY J MD	2/25/2011	207YS0123X	NA	ENT/Otolaryngology	026	PHYSICIANS	100020	04	Otology, Laryngology, Rhinology	0	In state provider	None	300 W HUNTINGTON DR	None	ARCADIA	CA	91007	3402	19	06037	34.13489987	-118.0424069	Los Angeles County
6901	Fee-for-Service	1477327161	1477327161	1	1	VALENZUELA, RUBY Y RCP	1/26/2024	227900000X	NA	Other	056	RESPIRATORY CARE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	1777 W YOSEMITE AVE	None	MANTECA	CA	95337	5130	39	06077	37.79735946	-121.2461325	San Joaquin County
6909	Fee-for-Service	1992957013	1992957013	1	1	VERBECK, MARY E NP	2/9/2010	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	200 W ARBOR DRIVE	8201	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
6945	Fee-for-Service	1437139771	1437139771	1	1	VEDDER, ARTHUR K MD	6/11/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	36793	01	General Practice	0	In state provider	None	2025 SOQUEL AVE	None	SANTA CRUZ	CA	95062	1323	44	06087	36.98191238	-121.9975767	Santa Cruz County
6963	Fee-for-Service	1437555265	1437555265	1	1	VALLEY CHILDREN'S MEDICAL GR	11/25/2020	193200000X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	1524 MCHENRY AVE	SUITES 550, 570	MODESTO	CA	95350	4500	50	06099	37.666233	-120.993933	Stanislaus County
7052	Fee-for-Service	1740238104	1740238104	1	1	VAUX, KEITH K MD	10/18/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	87297	38	Geriatrics	0	In state provider	None	3020 CHILDRENS WAY	None	SAN DIEGO	CA	92123	4223	37	06073	32.798691	-117.150829	San Diego County
7090	Fee-for-Service	1902224025	1902224025	1	1	VO, LAM DO MD	7/1/2018	207R00000X	NA	Other	026	PHYSICIANS	15954	41	Internal Medicine	0	In state provider	None	450 STANYAN ST	None	SAN FRANCISCO	CA	94117	1019	38	06075	37.7738933	-122.4544685	San Francisco County
7095	Fee-for-Service	1386484103	1386484103	1	1	VIHARSH, LLC	6/25/2024	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	13362 POWAY RD	None	POWAY	CA	92064	4626	37	06073	32.9565813	-117.0415854	San Diego County
7108	Fee-for-Service	1609477207	1609477207	1	1	VITUITY - NEVADA KOURY & PAR	7/21/2022	193200000X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	1	Border provider	TNERS PLLC	4980 W SAHARA AVE	None	LAS VEGAS	NV	89146	3402	00	None	36.14463148	-115.2088605	Clark County
7161	Fee-for-Service	1407869373	1407869373	1	1	VALENCIA ASC, LLC	9/4/2019	261QA1903X	NA	Other	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	24355 LYONS AVE	120	SANTA CLARITA	CA	91321	2300	19	06037	34.37868281	-118.5605291	Los Angeles County
7246	Fee-for-Service	1619086568	1619086568	1	1	VAN SCOY-MOSHER, MICHAEL	1/16/1974	207RX0202X	NA	Oncology	026	PHYSICIANS	22248	41	Internal Medicine	0	In state provider	MD	8631 W 3RD ST	STE 600E	LOS ANGELES	CA	90048	5910	19	06037	34.07361928	-118.3803143	Los Angeles County
7250	Fee-for-Service	1437555265	1437555265	1	1	VALLEY CHILDREN'S MEDICAL GR	5/22/2015	193200000X	NA	Other	022	PHYSICIANS GROUP	-	67	Endocrinology	0	In state provider	None	1524 MCHENRY AVE	SUITES 550, 570	MODESTO	CA	95350	4500	50	06099	37.666233	-120.993933	Stanislaus County
7260	Fee-for-Service	1346339785	1346339785	1	1	VERMA, DINISH MD	3/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	55159	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	130 INDEPENDENCE CIR	# 1	CHICO	CA	95973	4918	04	06007	39.77157762	-121.8747816	Butte County
7285	Fee-for-Service	1760642540	1760642540	1	1	VISCARRA, ANTONIO MD	7/13/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	101926	08	Family Practice	0	In state provider	None	2601 E MAIN ST	STE 104	VENTURA	CA	93003	2801	56	06111	34.27443821	-119.2609368	Ventura County
7338	Fee-for-Service	1740238104	1740238104	1	1	VAUX, KEITH K MD	10/18/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	87297	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
7374	Fee-for-Service	1205866407	1205866407	1	1	VAN ZYL, CARIN MD	5/16/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	86223	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
7390	Fee-for-Service	1770888505	1770888505	1	1	VADAPARAMPIL, JANET G MD	10/14/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	138988	None	None	0	In state provider	None	9939 MAGNOLIA AVENUE	None	RIVERSIDE	CA	92503	3528	33	06065	33.91571158	-117.4549231	Riverside County
7402	Fee-for-Service	1275685638	1275685638	1	1	VIDHUN, JAYAKUMAR R MD	2/16/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	92267	41	Internal Medicine	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
7427	Fee-for-Service	1770520595	1770520595	1	1	VALLEY ASSOCIATED	7/5/1995	208800000X	NA	Other	022	PHYSICIANS GROUP	-	36	Psychiatry	0	In state provider	UROLOGY MED GRP INC	1541 FLORIDA AVE	STE 306	MODESTO	CA	95350	4439	50	06099	37.666863	-120.9962775	Stanislaus County
7465	Fee-for-Service	1487708871	1487708871	1	1	VOEDISCH, AMY J MD	5/11/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	90460	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
7480	Fee-for-Service	1629406897	1629406897	1	1	VIZCARRA, JOAN B LMFT	10/4/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	410 S GLENDORA AVE	STE 130	GLENDORA	CA	91741	6210	19	06037	34.13122731	-117.863713	Los Angeles County
7535	Fee-for-Service	1982848727	1982848727	1	1	VEMURI, SWAPNA MD	7/1/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	125457	18	Ophthalmology	0	In state provider	None	101 THE CITY DRIVE SOUTH	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
7541	Fee-for-Service	1437555265	1437555265	1	1	VALLEY CHILDREN'S MEDICAL GR	11/1/2018	193200000X	NA	Other	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	1524 MCHENRY AVE	SUITES 550, 570	MODESTO	CA	95350	4500	50	06099	37.666233	-120.993933	Stanislaus County
7573	Fee-for-Service	1760642540	1760642540	1	1	VISCARRA, ANTONIO MD	7/13/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	101926	01	General Practice	0	In state provider	None	2601 E MAIN ST	STE 104	VENTURA	CA	93003	2801	56	06111	34.27443821	-119.2609368	Ventura County
7627	Fee-for-Service	1609118041	1609118041	1	3	VO MEDICAL CENTER	10/27/2022	208D00000X	NA	Adult Primary Care	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	None	81812 DOCTOR CARREON BLV	None	INDIO	CA	92201	0607	33	06065	33.70742848	-116.236728	Riverside County
7638	Fee-for-Service	1841653193	1841653193	1	1	VALENTINE, SEDONA T MD	3/10/2020	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	153699	08	Family Practice	0	In state provider	None	25825 VERMONT AVE	None	HARBOR CITY	CA	90710	3518	19	06037	33.78673844	-118.2965289	Los Angeles County
7689	Fee-for-Service	1770281057	1770281057	1	1	VAEWSORN, ARIANNA LCSW	11/30/2023	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
7795	Fee-for-Service	1982059077	1982059077	1	1	VARNER, SAMANTHA MD	11/30/2021	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	168893	None	None	0	In state provider	None	1411 E 31ST ST	None	OAKLAND	CA	94602	1018	01	06001	37.79926205	-122.2314248	Alameda County
7812	Fee-for-Service	1801926068	1801926068	1	1	VOYER, SARAH LCSW	2/6/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	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
7825	Fee-for-Service	1437555265	1437555265	1	1	VALLEY CHILDREN'S MEDICAL GR	5/22/2015	193200000X	NA	Other	022	PHYSICIANS GROUP	-	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	1524 MCHENRY AVE	SUITES 550, 570	MODESTO	CA	95350	4500	50	06099	37.666233	-120.993933	Stanislaus County
7841	Fee-for-Service	1932402716	1932402716	2	1	VICTORY EMERGENCY PHYSICIANS	8/2/2011	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	MEDICAL GROUP INC	1720 E CESAR E CHAVEZ AV	None	LOS ANGELES	CA	90033	2414	19	06037	34.04925	-118.2177405	Los Angeles County
7915	Fee-for-Service	1609118041	1609118041	1	3	VO MEDICAL CENTER	6/7/2023	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	81812 DOCTOR CARREON BLV	None	INDIO	CA	92201	0607	33	06065	33.70742848	-116.236728	Riverside County
8094	Fee-for-Service	1659483154	1659483154	1	1	VIERRA, BRIAN J MD	2/22/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	70901	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
8125	Fee-for-Service	1588879050	1588879050	1	1	VENKER, MARGO L CCC-SLP	4/3/2025	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	3518 JEFFERSON AVE	None	REDWOOD CITY	CA	94062	3136	41	06081	37.46715891	-122.2492205	San Mateo County
8140	Fee-for-Service	1144207945	1144207945	1	1	VENTURA, MICHAEL S OD	6/16/2008	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1400 E PALOMAR ST	None	CHULA VISTA	CA	91913	1800	37	06073	32.62382113	-116.9960539	San Diego County
8162	Fee-for-Service	1184795155	1184795155	1	1	VIGIL, DANIEL V MD	2/28/1992	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	76613	02	General Surgery	0	In state provider	None	4747 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
8201	Fee-for-Service	1093270183	1093270183	1	1	VOGEL, LAURA LCSW	5/4/2021	101YM0800X	NA	Other	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	29748 RANCHO CALIFORNIA	RD	TEMECULA	CA	92591	5286	33	06065	33.50662849	-117.1428887	Riverside County
8204	Fee-for-Service	1609118041	1609118041	1	3	VO MEDICAL CENTER	6/27/2023	208D00000X	NA	Adult Primary Care	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	None	81812 DOCTOR CARREON BLV	None	INDIO	CA	92201	0607	33	06065	33.70742848	-116.236728	Riverside County
8355	Fee-for-Service	1225668940	1225668940	1	1	VILLALPANDO, ERICA LCSW	10/8/2024	101YM0800X	NA	Other	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
8386	Fee-for-Service	1659300689	1659300689	1	1	VONS COMPANIES INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	22451 ANTONIO PKWY	None	RANCHO SANTA MARG	CA	92688	2813	30	06059	33.63642761	-117.5907276	Orange County
8420	Fee-for-Service	1992739957	1992739957	1	1	VIZEL, MIKHAIL MD INC	2/1/2005	207R00000X	NA	Other	026	PHYSICIANS	53626	None	None	0	In state provider	None	5000 VAN NUYS BLVD	STE 200	SHERMAN OAKS	CA	91403	1717	19	06037	34.16148087	-118.4486642	Los Angeles County
8450	Fee-for-Service	1184795155	1184795155	1	1	VIGIL, DANIEL V MD	2/28/1992	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	76613	08	Family Practice	0	In state provider	None	4747 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
8473	Fee-for-Service	1326207911	1326207911	1	1	VARUGHESE, MARY J MD	3/22/2022	207R00000X	NA	Other	026	PHYSICIANS	173052	None	None	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
8474	Fee-for-Service	1770512477	1770512477	1	1	VANVOOREN, EDWARD C DO	6/13/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	30	Radiology	1	Border provider	None	2020 PALOMINO LANE	SUITE 100	LAS VEGAS	NV	89106	4894	00	None	36.16257648	-115.170696	Clark County
8494	Fee-for-Service	1609118041	1609118041	1	3	VO MEDICAL CENTER	12/13/2021	208D00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	None	81812 DOCTOR CARREON BLV	None	INDIO	CA	92201	0607	33	06065	33.70742848	-116.236728	Riverside County
8508	Fee-for-Service	1255618039	1255618039	2	1	VICTORY 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	5500 VAN NUYS BLVD	None	SHERMAN OAKS	CA	91401	5500	19	06037	34.170939	-118.448693	Los Angeles County
8605	Fee-for-Service	1457662025	1457662025	1	1	VILLANO, JANNA H MD	6/1/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	124584	66	Emergency Medicine (Urgent Care)	0	In state provider	None	3020 CHILDREN'S WAY	MC5069	SAN DIEGO	CA	92123	4223	37	06073	32.798691	-117.150829	San Diego County
8701	Fee-for-Service	1588291553	1588291553	1	1	VO, SYDNIE B MD	5/22/2024	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	181152	08	Family Practice	0	In state provider	None	2601 ALAMEDA AVE	412	BURBANK	CA	91505	4800	19	06037	34.15783817	-118.3293969	Los Angeles County
8736	Fee-for-Service	1083024145	1083024145	1	1	VITANTONIO, DANIEL S MD	12/5/2019	2084N0400X	NA	Neurology	026	PHYSICIANS	143344	13	Neurology (M.D. only)	0	In state provider	None	300 MEDICAL PLAZA # B200	None	LOS ANGELES	CA	90095	8346	19	06037	34.06473399	-118.445865	Los Angeles County
8782	Fee-for-Service	1609118041	1609118041	1	3	VO MEDICAL CENTER	12/13/2023	208D00000X	NA	Adult Primary Care	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	81812 DOCTOR CARREON BLV	None	INDIO	CA	92201	0607	33	06065	33.70742848	-116.236728	Riverside County
8792	Fee-for-Service	1750714796	1750714796	1	1	VIANU, IAN LMFT	7/20/2017	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	99388	-	NOT APPLICABLE	0	In state provider	None	20094 MISSION BOULEVARD	None	HAYWARD	CA	94541	1237	01	06001	37.68697869	-122.1024518	Alameda County
8795	Fee-for-Service	1255618039	1255618039	2	1	VICTORY HOSPICE CARE INC	8/17/2015	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	5500 VAN NUYS BLVD	None	SHERMAN OAKS	CA	91401	5500	19	06037	34.170939	-118.448693	Los Angeles County
8826	Fee-for-Service	1710911078	1710911078	1	1	VAN DER REIS, WILLIAM L	10/19/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	81476	20	Orthopedic Surgery	0	In state provider	None	653 CAMINO DE LOS MARES	STE 109	SAN CLEMENTE	CA	92673	2808	30	06059	33.45767098	-117.6495718	Orange County
8870	Fee-for-Service	1700356169	1700356169	1	1	VENTRIGLIA-ROGERS, LEANN PT	8/14/2024	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	12 UPPER RAGSDALE	None	MONTEREY	CA	93940	5730	27	06053	36.57482436	-121.8101797	Monterey County
8899	Fee-for-Service	1518131515	1518131515	1	1	VAN DEN HEUVEL, KELLY L	7/18/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	103948	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	2918 FIFTH AVE	STE 300	SAN DIEGO	CA	92103	5910	37	06073	32.735826	-117.1603565	San Diego County
8991	Fee-for-Service	1457856734	1457856734	1	1	VAN HORN, CHRISTINE MD	9/17/2024	208800000X	NA	Other	026	PHYSICIANS	None	34	Urology and Urological Surgery	0	In state provider	None	1805 N CALIFORNIA ST	201	STOCKTON	CA	95204	6032	39	06077	37.9711691	-121.2894221	San Joaquin County
9025	Fee-for-Service	1346750999	1346750999	1	1	VOGL, CATHERINE B PSYD	1/26/2022	106H00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	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
9069	Fee-for-Service	1609118041	1609118041	1	3	VO MEDICAL CENTER	12/13/2021	208D00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	None	81812 DOCTOR CARREON BLV	None	INDIO	CA	92201	0607	33	06065	33.70742848	-116.236728	Riverside County
9092	Fee-for-Service	1104289651	1104289651	1	1	VO, DAVID T MD	10/1/2020	207L00000X	NA	Other	026	PHYSICIANS	154490	05	Anesthesiology	0	In state provider	None	1401 S GRAND AVE	None	LOS ANGELES	CA	90015	3010	19	06037	34.03719097	-118.2654105	Los Angeles County
9117	Fee-for-Service	1467873232	1467873232	1	1	VANDERLINDEN, MARGARET A CCC	11/14/2022	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	-SLP	2025 MORSE AVE	None	SACRAMENTO	CA	95825	2115	34	06067	38.602089	-121.3925895	Sacramento County
9194	Fee-for-Service	1750375580	1750375580	1	1	VAN, DA-THUY T DO	10/28/2022	207W00000X	NA	Ophthalmology	026	PHYSICIANS	20148	None	None	0	In state provider	None	975 SERENO DR	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
9251	Fee-for-Service	1497707186	1497707186	1	1	VALDEZ, CHRISTOPHER F CRNA	2/8/2015	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	100 W CALIFORNIA BLVD	None	PASADENA	CA	91105	3010	19	06037	34.133598	-118.1534895	Los Angeles County
9552	Fee-for-Service	1063552602	1063552602	1	1	VISALIA UNIFIED SCH DIST	4/8/1993	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	None	5000 W CYPRESS AVE	None	VISALIA	CA	93277	8300	54	06107	36.324207	-119.3463225	Tulare County
9617	Fee-for-Service	1578709416	1578709416	1	1	VEEH, ERICA A MD	9/19/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	106328	40	Pediatrics	0	In state provider	None	1115 S SUNSET AVE	None	WEST COVINA	CA	91790	3940	19	06037	34.062852	-117.9446658	Los Angeles County
9671	Fee-for-Service	1063482842	1063482842	1	2	VIDRIH, JOHN MD	7/21/2022	207R00000X	NA	Other	026	PHYSICIANS	171245	None	None	0	In state provider	None	ONE MARCELA DRIVE	None	WILLITS	CA	95490	5769	23	06045	39.3901086	-123.339055	Mendocino County
9687	Fee-for-Service	1366023897	1366023897	1	1	VANG, DIA CNP	5/18/2023	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	165 N CLARK ST	None	FRESNO	CA	93701	2108	10	06019	36.74454278	-119.786043	Fresno County
9792	Fee-for-Service	1861413304	1861413304	1	1	VANDE WYDEVEN, ANTHONY J	5/1/1998	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	WESTSIDE OPTOMETRIC GRP	10522 VENICE BLVD	None	CULVER CITY	CA	90232	3308	19	06037	34.01950546	-118.4053445	Los Angeles County
9860	Fee-for-Service	1942074927	1942074927	1	1	VIEN, ELIZA T DPM	2/26/2025	213ES0103X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	13690 E 14TH ST	SUITE 220	SAN LEANDRO	CA	94578	2582	01	06001	37.71615361	-122.1438999	Alameda County
9920	Fee-for-Service	1629428792	1629428792	1	1	VOHRA, SAHIL DO	9/23/2022	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	16058	None	None	0	In state provider	None	147 BRENT ST	None	VENTURA	CA	93003	2809	56	06111	34.2746295	-119.2573399	Ventura County
9939	Fee-for-Service	1821431479	1821431479	1	1	VU, DUC M MD	7/31/2017	390200000X	NA	Other	026	PHYSICIANS	None	13	Neurology (M.D. only)	0	In state provider	None	101 THE CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
9940	Fee-for-Service	1730638792	1730638792	1	1	VOONG, LILLIAN OD	3/3/2017	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	140 W VALLEY BLVD	STE 115	SAN GABRIEL	CA	91776	3760	19	06037	34.07958215	-118.1021957	Los Angeles County
9942	Fee-for-Service	1750534988	1750534988	1	1	VARGAS, ROSALIA LMFT	5/16/2020	101YM0800X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	19000 HOMESTEAD RD	None	CUPERTINO	CA	95014	0712	43	06085	37.33773494	-122.0043395	Santa Clara County
10089	Fee-for-Service	1760548945	1760548945	1	1	VAHAMAKI, VEKO J DO	8/14/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	9132	08	Family Practice	0	In state provider	None	301 OLD SAN FRANCISCO RD	None	SUNNYVALE	CA	94086	6386	43	06085	37.36797679	-122.0297112	Santa Clara County
10093	Fee-for-Service	1902803372	1902803372	1	1	VERMA, ADITYA MD	2/19/2001	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	50526	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	5400 W HILLSDALE AVE	None	VISALIA	CA	93291	8222	54	06107	36.330327	-119.351943	Tulare County
10137	Fee-for-Service	1780638726	1780638726	1	1	VU, TAN D OD INC	11/14/2008	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	34859 FREDERICK ST	STE 109	WILDOMAR	CA	92595	7007	33	06065	33.61451817	-117.2580864	Riverside County
10200	Fee-for-Service	1518909142	1518909142	1	1	VARGO-KITE, AMY M	12/10/2013	No Taxonomy Provided	NA	None	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	7300 WYNDHAM DR	None	SACRAMENTO	CA	95823	4913	34	06067	38.467854	-121.4188155	Sacramento County
10598	Fee-for-Service	1972515971	1972515971	1	1	VERCOUTERE, ANN L MD	12/1/1984	174400000X	NA	Other	026	PHYSICIANS	42601	02	General Surgery	0	In state provider	None	1363 S ELISEO DR	STE A	GREENBRAE	CA	94904	2012	21	06041	37.94506413	-122.5373483	Marin County
10600	Fee-for-Service	1760864847	1760864847	1	1	VILLARREAL, JESSICA LCSW	6/19/2024	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
10631	Fee-for-Service	1861798332	1861798332	1	1	VAGHASIA, PRAMIL B MD	2/5/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	137848	41	Internal Medicine	0	In state provider	None	1600 EUREKA ROAD	None	ROSEVILLE	CA	95661	3027	31	06061	38.746836	-121.250529	Placer County
10633	Fee-for-Service	1275792020	1275792020	1	1	VENICE FAMILY CLINIC	4/1/1991	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	905 VENICE BLVD	None	VENICE	CA	90291	4904	19	06037	33.9933918	-118.4542921	Los Angeles County
10691	Fee-for-Service	1487842738	1487842738	1	1	VENICE PHARMACY INC	1/23/2008	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	1511 VERMONT	#1	LOS ANGELES	CA	90006	4505	19	06037	34.044921	-118.2916365	Los Angeles County
10759	Fee-for-Service	1699767582	1699767582	1	1	VITEK, JAN A PHD	4/10/2013	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	3646 GRAND AVE	None	OAKLAND	CA	94610	2008	01	06001	37.81583189	-122.2455793	Alameda County
10886	Fee-for-Service	1437555265	1437555265	1	2	VALLEY CHILDREN'S MEDICAL GR	7/1/2017	208000000X	NA	Pediatric Primary Care	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	OUP	1122 S STREET	None	FRESNO	CA	93721	1498	10	06019	36.74185388	-119.7823667	Fresno County
10974	Fee-for-Service	1780692889	1780692889	1	1	VALENTINE, CARMEN G LMFT	8/10/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1024 IRON POINT RD	STE 100-1495	FOLSOM	CA	95630	8133	34	06067	38.643246	-121.1794245	Sacramento County
11013	Fee-for-Service	1174552111	1174552111	1	1	VONS COMPANIES INC	12/7/2004	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	38995 SKY CANYON DR	None	MURRIETA	CA	92563	2617	33	06065	33.55419166	-117.1377125	Riverside County
11226	Fee-for-Service	1952975930	1952975930	1	1	VANEZA VILLAGOMEZ A LMFT MAR	6/7/2021	106H00000X	NA	Mental Health Outpatient Services	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	RIAGE & FAMILY THERAPY P	93B CASTILIAN DR	None	GOLETA	CA	93117	3026	42	06083	34.43340218	-119.8617194	Santa Barbara County
11242	Fee-for-Service	1093313413	1093313413	1	1	VACA, DANIELLE N LMFT	1/28/2025	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	743 SHELL BLVD	APT 104	FOSTER CITY	CA	94404	2536	41	06081	37.55606352	-122.2666344	San Mateo County
11283	Fee-for-Service	1346028917	1346028917	1	1	VALLEY SILVERTOWN, INC	1/3/2024	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	6833 FALLBROOK AVE	None	WEST HILLS	CA	91307	2511	19	06037	34.194627	-118.6234475	Los Angeles County
11287	Fee-for-Service	1639663495	1639663495	1	1	VITUITY - NEVADA KOURY & PAR	10/5/2018	193200000X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	1	Border provider	TNERS PLLC	3001 SAINT ROSE PKWY	None	HENDERSON	NV	89052	3839	00	None	36.00555274	-115.1163108	Clark County
11289	Fee-for-Service	1992819163	1992819163	1	1	VIERRA, ANTHONY WR MD	12/15/2011	207L00000X	NA	Other	026	PHYSICIANS	83466	05	Anesthesiology	0	In state provider	None	869 NORTH CHERRY STREET	None	TULARE	CA	93274	2207	54	06107	36.220932	-119.337698	Tulare County
11291	Fee-for-Service	1104167832	1104167832	1	1	VITEMB, SHAYNE A LMFT	10/14/2018	101YM0800X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	302 W GRAND AVE	SUITE 7	EL SEGUNDO	CA	90245	5112	19	06037	33.91893152	-118.4187035	Los Angeles County
11354	Fee-for-Service	1386993806	1386993806	1	1	VIEAUX, JULES P MD	1/23/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	145321	41	Internal Medicine	0	In state provider	None	3701 BROADWAY	None	OAKLAND	CA	96411	5613	01	06001	37.82533768	-122.258094	Alameda County
11418	Fee-for-Service	1154723203	1154723203	1	1	VARGAS, KRISTINE J	5/29/2018	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	4501 SAND CREEK ROAD	None	ANTIOCH	CA	94531	8687	07	06013	37.94947636	-121.7752571	Contra Costa County
11490	Fee-for-Service	1265618300	1265618300	1	1	VO, STACY OD INC	2/3/2009	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	16481 MAGNOLIA STREET	None	WESTMINSTER	CA	92683	7827	30	06059	33.72334854	-117.9719942	Orange County
11545	Fee-for-Service	1780658773	1780658773	1	1	VILLENA, FELIPE D DO	10/11/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	10074	05	Anesthesiology	0	In state provider	None	2025 MORSE AVE	None	SACRAMENTO	CA	95825	2115	34	06067	38.602089	-121.3925895	Sacramento County
11575	Fee-for-Service	1639663495	1639663495	1	1	VITUITY - NEVADA KOURY & PAR	7/21/2022	193200000X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	1	Border provider	TNERS PLLC	3001 SAINT ROSE PKWY	None	HENDERSON	NV	89052	3839	00	None	36.00555274	-115.1163108	Clark County
11639	Fee-for-Service	1427506856	1427506856	1	1	VAN TIENDEREN, MICHAEL M DO	5/31/2023	207L00000X	NA	Other	026	PHYSICIANS	19832	None	None	0	In state provider	None	757 WESTWOOD PLZ	None	LOS ANGELES	CA	90095	8358	19	06037	34.06633051	-118.4452686	Los Angeles County
11643	Fee-for-Service	1326403312	1326403312	1	1	VAZQUEZ, FATIMA LPCC	4/12/2024	101YP2500X	NA	Other	103	LICENSED PROFESSIONAL CLINICAL COUNSELOR - INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1357 WEST SHAW AVENUE	100	FRESNO	CA	93711	3618	10	06019	36.80824094	-119.8162512	Fresno County
11832	Fee-for-Service	1538252242	1538252242	1	1	VAID, RAJESH R MD	11/19/2021	2085N0700X	NA	MRI Provider	026	PHYSICIANS	71419	None	None	0	In state provider	None	1303 E HERNDON AVE	None	FRESNO	CA	93720	3309	10	06019	36.83626596	-119.7674879	Fresno County
11876	Fee-for-Service	1558701409	1558701409	1	1	VARGAS, PAULA R LMFT	4/9/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	41 E FOOTHILL BLVD	SUITE 102	ARCADIA	CA	91006	2361	19	06037	34.15102394	-118.0297543	Los Angeles County
11890	Fee-for-Service	1578121224	1578121224	1	1	VANGUILDER, MARISSA CRNA	12/1/2019	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	2615 EYE ST	None	BAKERSFIELD	CA	93301	2006	15	06029	35.38291587	-119.0199632	Kern County
11994	Fee-for-Service	1053825471	1053825471	1	1	VERDUZCO, JUDITH	5/25/2023	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3156 FOOTHILL BLVD	SUITE C	LA CRESCENTA	CA	91214	4261	19	06037	34.22918771	-118.2480953	Los Angeles County
12020	Fee-for-Service	1700119450	1700119450	1	1	VOGT, CHRISTOPHER R LCSW	5/16/2020	104100000X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4141 GEARY BLVD	None	SAN FRANCISCO	CA	94118	3109	38	06075	37.78096053	-122.4637512	San Francisco County
12025	Fee-for-Service	1851442610	1851442610	1	1	VALLEY VILLAGE	2/15/1996	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	12769 GLADSTONE AVE	None	SYLMAR	CA	91342	4839	19	06037	34.30238514	-118.4188899	Los Angeles County
12080	Fee-for-Service	1174763643	1174763643	1	1	VITO, COURTNEY A MD	7/21/2009	208600000X	NA	General Surgery	026	PHYSICIANS	108301	02	General Surgery	0	In state provider	None	1510 SAN PABLO ST	STE 514	LOS ANGELES	CA	90033	5324	19	06037	34.06287152	-118.2029433	Los Angeles County
12096	Fee-for-Service	1982231056	1982231056	1	1	VIRMANI, NILESH MD	1/7/2025	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
12123	Fee-for-Service	1720003478	1720003478	1	1	VELEZ, DANIEL A MD	2/5/2024	208G00000X	NA	General Surgery	026	PHYSICIANS	-	None	None	2	Out of state provider	None	1919 E THOMAS RD	None	PHOENIX	AZ	85016	7710	00	None	33.478749	-112.0426515	Maricopa County
12130	Fee-for-Service	1497117790	1497117790	1	1	VANMALI, ATISH A MD	7/19/2022	207PE0004X	NA	Other	026	PHYSICIANS	161169	None	None	0	In state provider	None	38600 MEDICAL CENTER	None	PALMDALE	CA	93551	4483	19	06037	34.58364037	-118.1441012	Los Angeles County
12143	Fee-for-Service	1689275281	1689275281	1	1	VITUITY - NEVADA KOURY & PAR	7/21/2022	207P00000X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	1	Border provider	TNERS PLLC	9880 W FLAMINGO RD	STE 100	LAS VEGAS	NV	89147	8085	00	None	36.11523146	-115.3080718	Clark County
12180	Fee-for-Service	1578856381	1578856381	1	1	VERHOEVEN, AIMEE	6/1/2011	No Taxonomy Provided	NA	None	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1111 WEST 6TH STREET	SUITE 111	LOS ANGELES	CA	90017	1823	19	06037	34.05416748	-118.2622848	Los Angeles County
12253	Fee-for-Service	1942086756	1942086756	1	1	VITREO-RETINAL MEDICAL GROUP	9/8/2023	207WX0107X	NA	Ophthalmology	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	GROUP	3185 M ST	STE 220	MERCED	CA	95348	2404	24	06047	37.32144555	-120.4784415	Merced County
12288	Fee-for-Service	1104343946	1104343946	1	1	VILLASENOR, RUTH A LCSW	3/29/2021	104100000X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	5838 EDISON PL	None	CARLSBAD	CA	92008	5520	37	06073	33.12181055	-117.2840499	San Diego County
12368	Fee-for-Service	1972181493	1972181493	1	1	VASCULAR CARE SPECIALISTS OF	2/16/2023	2086S0129X	NA	General Surgery	022	PHYSICIANS GROUP	-	None	None	0	In state provider	LOS ANGELES	488 E SANTA CLARA ST	STE #303	ARCADIA	CA	91006	7231	19	06037	34.14235063	-118.0211625	Los Angeles County
12386	Fee-for-Service	1821592668	1821592668	1	1	VUONG-GOLDSHEAR, ASHLEY C MD	3/3/2022	207P00000X	NA	Other	026	PHYSICIANS	166754	None	None	0	In state provider	None	757 WESTWOOD PLAZA	STE 1517	LOS ANGELES	CA	90095	7402	19	06037	34.06633051	-118.4452686	Los Angeles County
12431	Fee-for-Service	1689275281	1689275281	1	1	VITUITY - NEVADA KOURY & PAR	1/4/2021	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	1	Border provider	TNERS PLLC	9880 W FLAMINGO RD	STE 100	LAS VEGAS	NV	89147	8085	00	None	36.11523146	-115.3080718	Clark County
12475	Fee-for-Service	1134481864	1134481864	1	1	VERGARA FINGER, ANDREA O MD	6/26/2023	193200000X	NA	Other	026	PHYSICIANS	159116	None	None	0	In state provider	None	15725 POMERADO RD	None	POWAY	CA	92064	2068	37	06073	33.00037882	-117.0580735	San Diego County
12538	Fee-for-Service	1548301963	1548301963	1	1	VIRAY, THU A OD	8/5/2014	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	3772 HOWE STREET	None	OAKLAND	CA	94611	5311	01	06001	37.8243542	-122.2566075	Alameda County
12572	Fee-for-Service	1881702868	1881702868	1	2	VICENTE PADILLA, RODOLFO E M	6/20/2022	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	84814	None	None	0	In state provider	None	1101 CHERRY ST	None	TULARE	CA	93274	2231	54	06107	36.22333808	-119.337575	Tulare County
12822	Fee-for-Service	1396795985	1396795985	1	1	VARELA, GILBERT R MD	3/27/1996	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	74665	08	Family Practice	0	In state provider	None	5970 S CENTRAL AVE	None	LOS ANGELES	CA	90001	1150	19	06037	33.985584	-118.256433	Los Angeles County
12924	Fee-for-Service	1083916373	1083916373	1	1	VALLEJO EMERGENCY PHYSICIANS	1/1/2011	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	MEDICAL GROUP INC	300 HOSPITAL DRIVE	None	VALLEJO	CA	94589	2594	48	06095	38.13070051	-122.237307	Solano County
13016	Fee-for-Service	1699845537	1699845537	1	1	VARGAS, CHRISTOPHER OD	7/15/2005	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	INC	947 S ANAHEIM BLVD	STE 230	ANAHEIM	CA	92805	5591	30	06059	33.82164135	-117.909385	Orange County
13085	Fee-for-Service	1245361930	1245361930	1	1	VELASQUEZ, JAMES LCSW	6/6/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	8329 BRIMHALL RD	804	BAKERSFIELD	CA	93312	2243	15	06029	35.366706	-119.0959425	Kern County
13209	Fee-for-Service	1992789200	1992789200	1	1	VHS ACQUISTION CORP	9/1/2000	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	5102 W CAMPBELL AVE	None	PHOENIX	AZ	85031	1703	00	None	33.502932	-112.171095	Maricopa County
13242	Fee-for-Service	1629496781	1629496781	1	1	VENKATESH, PRASHANTH MD	7/28/2022	207RA0002X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	149068	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
13310	Fee-for-Service	1205378643	1205378643	1	1	VON DOEREN, NYSSA LMFT	4/27/2022	101YM0800X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1500 PALMA DR FL 2	None	VENTURA	CA	93003	6451	56	06111	34.25975064	-119.2276657	Ventura County
13312	Fee-for-Service	1265820112	1265820112	1	1	VAN NIEKERK, ANNA K DO	8/31/2018	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	15206	08	Family Practice	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
13327	Fee-for-Service	1710263470	1710263470	1	1	VIJ ABHINAV	6/1/2021	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	462 FIRST AVENUE 27TH ST	None	NEW YORK	NY	10016	9196	00	None	40.739544	-73.9763325	New York County
13355	Fee-for-Service	1578725610	1578725610	1	1	VIRK, BIBANJEET K MD	11/8/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	114903	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
13368	Fee-for-Service	1831284207	1831284207	1	1	VIELMA, ISAAC H MD	1/21/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	90584	08	Family Practice	0	In state provider	None	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
13372	Fee-for-Service	1861540759	1861540759	1	1	VILLAROSA, MARIA I MD	5/27/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	73377	36	Psychiatry	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
13474	Fee-for-Service	1255653986	1255653986	1	1	VISALIA VASCULAR INSTITUTE	9/16/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	53484	30	Radiology	0	In state provider	None	119 S LOCUST ST	STE A	VISALIA	CA	93291	6251	54	06107	36.329382	-119.2937355	Tulare County
13497	Fee-for-Service	1992789200	1992789200	1	1	VHS ACQUISTION CORP	1/1/1999	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	5102 W CAMPBELL AVE	None	PHOENIX	AZ	85031	1703	00	None	33.502932	-112.171095	Maricopa County
13506	Fee-for-Service	1114009107	1114009107	1	1	VALENCIA, RAINILDA P	12/1/1997	No Taxonomy Provided	NA	None	026	PHYSICIANS	53787	40	Pediatrics	0	In state provider	None	12677 HESPERIA RD	STE 160	VICTORVILLE	CA	92395	7735	36	06071	34.48148078	-117.2906175	San Bernardino County
13507	Fee-for-Service	1861897670	1861897670	1	1	VARGAS, ALEXANDRO	11/18/2024	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	11801 PIERCE ST	SUITE 200	RIVERSIDE	CA	92505	4408	33	06065	33.90100297	-117.49363	Riverside County
13563	Fee-for-Service	1902889751	1902889751	1	1	VITALE, ANNE M PHD	2/25/2010	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	610 D ST	STE D	SAN RAFAEL	CA	94901	3708	21	06041	37.97030652	-122.5324786	Marin County
13693	Fee-for-Service	1003957895	1003957895	1	1	VILLARAMA, EDUARDO T MD	11/29/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	95813	None	None	0	In state provider	None	847 W CHILDS AVE	None	MERCED	CA	95341	0000	24	06047	37.28825369	-120.4963159	Merced County
13727	Fee-for-Service	1316917479	1316917479	1	1	VAN BUSKIRK, RICHARD OD	11/16/2008	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	817 COURT ST	STE 10	JACKSON	CA	95642	2156	03	06005	38.35288237	-120.7662416	Amador County
13783	Fee-for-Service	1740478502	1740478502	1	1	VALERY D. TARASENKO, MD,INC	6/17/2022	163WP0000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	TITUTE	200 BUTCHER ROAD	None	VACAVILLE	CA	95687	5616	48	06095	38.3447158	-121.9988681	Solano County
13989	Fee-for-Service	1043318512	1043318512	1	1	VANLEY, CHRISTOPHER T MD	5/31/1989	No Taxonomy Provided	NA	None	026	PHYSICIANS	38111	22	Pathology (M.D. only)	0	In state provider	None	31872 COAST HWY	None	LAGUNA BEACH	CA	92651	6773	30	06059	33.49961197	-117.7420867	Orange County
13994	Fee-for-Service	1194755959	1194755959	1	1	VAKKALANKA, LALITHA M	5/3/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	53202	None	None	0	In state provider	None	360 DARDANELLI LN	STE 2D	LOS GATOS	CA	95032	1421	43	06085	37.26304857	-121.9672608	Santa Clara County
14209	Fee-for-Service	1558397067	1558397067	1	1	VENICE FAMILY CLINIC	9/25/1996	207Q00000X	NA	Adult Primary Care	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	2509 PICO BLVD	None	SANTA MONICA	CA	90405	1828	19	06037	34.02287459	-118.4631175	Los Angeles County
14219	Fee-for-Service	1013473636	1013473636	1	1	VENTURA ORTHOPEDICS MEDICAL	10/2/2019	174400000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	3901 LAS POSAS RD	STE. 4	CAMARILLO	CA	93010	1502	56	06111	34.2415821	-119.0183756	Ventura County
14224	Fee-for-Service	1699975821	1699975821	1	1	VU, HUONG T OD	10/3/2019	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	24250 POSTAL AVE	100	MORENO VALLEY	CA	92553	7722	33	06065	33.94038473	-117.239417	Riverside County
14238	Fee-for-Service	1245599489	1245599489	1	1	VALASSIS, DOUG T MD	6/6/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	133604	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1515 EAST OCEAN AVENUE	None	LOMPOC	CA	93436	7092	42	06083	34.63941491	-120.4393023	Santa Barbara County
14273	Fee-for-Service	1386246197	1386246197	1	1	VITALIZE BEHAVIORAL HEALTH A	12/26/2024	103T00000X	NA	Mental Health Outpatient Services	022	PHYSICIANS GROUP	-	None	None	0	In state provider	ND PSYCHOMETRICS INC.	2491 ALLUVIAL AVE	400	CLOVIS	CA	93611	9587	10	06019	36.84477477	-119.6688867	Fresno County
14310	Fee-for-Service	1760536841	1760536841	1	1	VAN ETTEN, RICHARD A MD	1/21/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	128304	68	Hematology	0	In state provider	None	101 THE CITY DRIVE SOUTH	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
14370	Fee-for-Service	1376635870	1376635870	1	1	VAEZI, PEYMAN DC	2/8/2015	No Taxonomy Provided	NA	None	006	CHIROPRACTORS	-	-	NOT APPLICABLE	0	In state provider	None	1940 CROWS LANDING RD	STE 4	MODESTO	CA	95358	6125	50	06099	37.60084315	-120.9935166	Stanislaus County
14388	Fee-for-Service	1588149207	1588149207	1	1	VAN PYKEREN, KRISTI LMFT	5/29/2020	101YM0800X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	19000 HOMESTEAD RD	None	CUPERTINO	CA	95014	0712	43	06085	37.33773494	-122.0043395	Santa Clara County
14499	Fee-for-Service	1558397067	1558397067	1	1	VENICE FAMILY CLINIC	9/25/1996	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	2509 PICO BLVD	None	SANTA MONICA	CA	90405	1828	19	06037	34.02287459	-118.4631175	Los Angeles County
14561	Fee-for-Service	1386246197	1386246197	1	1	VITALIZE BEHAVIORAL HEALTH A	12/7/2020	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	ND PSYCHOMETRICS INC.	2491 ALLUVIAL AVE	400	CLOVIS	CA	93611	9587	10	06019	36.84477477	-119.6688867	Fresno County
14598	Fee-for-Service	1760536841	1760536841	1	1	VAN ETTEN, RICHARD A MD	1/21/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	128304	78	Neoplastic Diseases/Oncology	0	In state provider	None	101 THE CITY DRIVE SOUTH	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
14633	Fee-for-Service	1487952370	1487952370	1	1	VOTC, INC	1/15/2014	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	3617 RICARDO AVE	SUITE 1 & 9	REDDING	CA	96002	2653	45	06089	40.5536888	-122.3576882	Shasta County
14735	Fee-for-Service	1558739078	1558739078	1	2	VILLA OPTOMETRY, INC.	4/13/2022	152W00000X	NA	Other	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	523 TELEGRAPH CANYON RD.	None	CHULA VISTA	CA	91910	6436	37	06073	32.62831507	-117.0394091	San Diego County
14788	Fee-for-Service	1487255089	1487255089	1	1	VITUITY - NEVADA KOURY & PAR	7/16/2021	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	1	Border provider	TNERS PLLC	1550 W CRAIG RD	STE 100	LAS VEGAS	NV	89032	0329	00	None	36.2395135	-115.162875	Clark County
14793	Fee-for-Service	1780342394	1780342394	1	1	VITAL AESTHETICS AND MEDICAL	5/23/2022	261Q00000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	CENTRE INC	1403 LOMITA BLVD.	307	HARBOR CITY	CA	90710	2085	19	06037	33.79783692	-118.30188	Los Angeles County
14836	Fee-for-Service	1922112135	1922112135	1	1	VANSONNENBERG, ERIC MD	6/26/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	47170	30	Radiology	0	In state provider	None	1700 MT VERNON AVE	None	BAKERSFIELD	CA	93306	4018	15	06029	35.382555	-118.970757	Kern County
15005	Fee-for-Service	1609118041	1609118041	1	1	VO MEDICAL CENTER	2/11/2020	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	1590 SOUTH IMPERIAL AVE	None	EL CENTRO	CA	92243	4241	13	06025	32.77950118	-115.5697279	Imperial County
15079	Fee-for-Service	1487255089	1487255089	1	1	VITUITY - NEVADA KOURY & PAR	7/21/2022	207P00000X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	1	Border provider	TNERS PLLC	1550 W CRAIG RD	STE 100	LAS VEGAS	NV	89032	0329	00	None	36.2395135	-115.162875	Clark County
15125	Fee-for-Service	1922112135	1922112135	1	1	VANSONNENBERG, ERIC MD	6/26/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	47170	41	Internal Medicine	0	In state provider	None	1700 MT VERNON AVE	None	BAKERSFIELD	CA	93306	4018	15	06029	35.382555	-118.970757	Kern County
15136	Fee-for-Service	1922319698	1922319698	1	1	VAN DE LEUV, JONATHAN D MD	3/13/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	131393	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
15232	Fee-for-Service	1285670893	1285670893	1	1	VONS COMPANIES, INC	8/25/1997	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	13255 BLACK MOUNTAIN RD	None	SAN DIEGO	CA	92129	2658	37	06073	32.95881607	-117.1266381	San Diego County
15271	Fee-for-Service	1053608570	1053608570	1	1	VILLA, EDGAR A LCSW	9/20/2016	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	61051	-	NOT APPLICABLE	0	In state provider	None	1525 E 17TH ST	SUITE B	SANTA ANA	CA	92705	8521	30	06059	33.75994151	-117.846612	Orange County
15294	Fee-for-Service	1609118041	1609118041	1	1	VO MEDICAL CENTER	2/21/2018	193200000X	NA	Other	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	None	1590 SOUTH IMPERIAL AVE	None	EL CENTRO	CA	92243	4241	13	06025	32.77950118	-115.5697279	Imperial County
15492	Fee-for-Service	1336536895	1336536895	1	2	VAN HOFF, JOHN P MD	5/24/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	144863	40	Pediatrics	0	In state provider	None	747 52ND STREET	None	OAKLAND	CA	94609	1809	01	06001	37.83734639	-122.2672128	Alameda County
15566	Fee-for-Service	1609924646	1609924646	1	1	VASCO, AGNES A MD	4/12/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	64690	08	Family Practice	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
15581	Fee-for-Service	1609118041	1609118041	1	1	VO MEDICAL CENTER	12/13/2023	193200000X	NA	Other	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1590 SOUTH IMPERIAL AVE	None	EL CENTRO	CA	92243	4241	13	06025	32.77950118	-115.5697279	Imperial County
15685	Fee-for-Service	1255407292	1255407292	1	1	VNA OF GREATER	3/1/2006	251E00000X	NA	Other	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	LOS ANGELES, INC	2500 EAST COLORADO BLVD	SUITE 240	PASADENA	CA	91107	6619	19	06037	34.14607247	-118.098405	Los Angeles County
15803	Fee-for-Service	1255987491	1255987491	1	1	VERGA, KENDRA E MD	9/13/2024	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	184501	08	Family Practice	0	In state provider	None	1900 DRESDEN	None	LINCOLN	CA	95648	8803	31	06061	38.85524393	-121.2946284	Placer County
15843	Fee-for-Service	1053507467	1053507467	1	1	VADO, PRISCILLA F LCSW	11/3/2020	225400000X	NA	Other	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	15497 W SAND ST	None	VICTORVILLE	CA	92392	2910	36	06071	34.51312455	-117.325854	San Bernardino County
15856	Fee-for-Service	1558801829	1558801829	1	1	VANGUARD MEDICAL CORPORATION	2/8/2018	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	845 7TH ST	None	WASCO	CA	93280	1919	15	06029	35.59415148	-119.3348766	Kern County
15869	Fee-for-Service	1609118041	1609118041	1	1	VO MEDICAL CENTER	2/21/2018	193200000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1590 SOUTH IMPERIAL AVE	None	EL CENTRO	CA	92243	4241	13	06025	32.77950118	-115.5697279	Imperial County
15892	Fee-for-Service	1285758573	1285758573	1	1	VISITING HOME NURSES, INC	5/25/1997	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	10630 TOWN CENTER DR	SUITE 120	RANCHO CUCAMONGA	CA	91730	6805	36	06071	34.11112305	-117.5729644	San Bernardino County
15918	Fee-for-Service	1710081443	1710081443	1	1	VENTURA ENDOSCOPY CENTER LLC	5/8/2017	261QA1903X	NA	Other	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	5810 RALSTON STREET	SUITE 101	VENTURA	CA	93003	5900	56	06111	34.26090336	-119.2124503	Ventura County
15984	Fee-for-Service	1336162676	1336162676	1	1	VANDERLINDEN, JOSEPH L MD	9/3/2009	208600000X	NA	General Surgery	026	PHYSICIANS	80388	02	General Surgery	0	In state provider	None	399 E HIGHLAND AVE	STE 329	SAN BERNARDINO	CA	92404	3861	36	06071	34.1358627	-117.2757898	San Bernardino County
16004	Fee-for-Service	1427124999	1427124999	1	1	VONS COMPANIES INC	2/2/2007	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	1291 S VICTORIA AVE	None	OXNARD	CA	93035	1292	56	06111	34.188363	-119.221387	Ventura County
16026	Fee-for-Service	1871332742	1871332742	1	1	VASHI, SALONI T	6/3/2024	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	27200 CALAROGA AVE	None	HAYWARD	CA	94545	4339	01	06001	37.63347961	-122.0897735	Alameda County
16057	Fee-for-Service	1891146643	1891146643	1	1	VU, CHRISTOPHER DO	8/29/2019	207R00000X	NA	Other	026	PHYSICIANS	16730	41	Internal Medicine	0	In state provider	None	225 NORTH JACKSON AVE	None	SAN JOSE	CA	95116	1603	43	06085	37.36217918	-121.8472051	Santa Clara County
16125	Fee-for-Service	1689950578	1689950578	1	1	VITALE, CAROLYN A LMFT	8/29/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	501 MISSION ST	None	SANTA CRUZ	CA	95060	4243	44	06087	36.97537906	-122.0333979	Santa Cruz County
16130	Fee-for-Service	1568426740	1568426740	1	1	VU, VINH H MD	4/23/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	52540	41	Internal Medicine	0	In state provider	None	11420 WARNER AVE	None	FOUNTAIN VALLEY	CA	92708	2529	30	06059	33.71633952	-117.929061	Orange County
16147	Fee-for-Service	1558801829	1558801829	1	1	VANGUARD MEDICAL CORPORATION	2/8/2018	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	845 7TH ST	None	WASCO	CA	93280	1919	15	06029	35.59415148	-119.3348766	Kern County
16155	Fee-for-Service	1609118041	1609118041	1	1	VO MEDICAL CENTER	10/27/2022	193200000X	NA	Other	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	None	1590 SOUTH IMPERIAL AVE	None	EL CENTRO	CA	92243	4241	13	06025	32.77950118	-115.5697279	Imperial County
16328	Fee-for-Service	1871521930	1871521930	1	1	VOTAW, LANI L LMFT	3/20/2021	101YM0800X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	106 W MISSION ST	None	SANTA BARBARA	CA	93101	2819	42	06083	34.42956037	-119.7161039	Santa Barbara County
16340	Fee-for-Service	1508937533	1508937533	1	1	VANEFSKY, MARC A MD	11/1/1995	207T00000X	NA	General Surgery	026	PHYSICIANS	71399	14	Neurological Surgery	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
16362	Fee-for-Service	1346440922	1346440922	1	1	VILLANUEVA, HEIDEE D DO	4/29/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	9467	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
16445	Fee-for-Service	1609118041	1609118041	1	1	VO MEDICAL CENTER	2/21/2018	193200000X	NA	Other	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1590 SOUTH IMPERIAL AVE	None	EL CENTRO	CA	92243	4241	13	06025	32.77950118	-115.5697279	Imperial County
16461	Fee-for-Service	1083424287	1083424287	1	1	VILLEGAS MEDICAL CORPORATION	1/22/2025	207RC0200X	NA	Other	026	PHYSICIANS	None	89	Surgery-Traumatic	0	In state provider	None	751 MEDICAL CENTER CT	None	CHULA VISTA	CA	91911	6617	37	06073	32.61822301	-117.0234938	San Diego County
16493	Fee-for-Service	1891852661	1891852661	1	1	VINE, LISA S LCSW	3/22/2016	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2185 W GRANT LINE RD	None	TRACY	CA	95377	7309	39	06077	37.75425686	-121.4567805	San Joaquin County
16525	Fee-for-Service	1639213747	1639213747	1	1	VITAS HEALTHCARE CORPORATION	3/16/2000	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	OF CALIFORNIA	990 W 190TH ST	SUITE 550	TORRANCE	CA	90502	4461	19	06037	33.85828652	-118.29492	Los Angeles County
16545	Fee-for-Service	1528234200	1528234200	1	1	VAUGHN, ERIN MD	7/31/2023	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	186374	None	None	0	In state provider	None	1524 MCHENRY AVE	SUITES 550, 570	MODESTO	CA	95350	4500	50	06099	37.666233	-120.993933	Stanislaus County
16585	Fee-for-Service	1730666108	1730666108	1	1	VITUITY HOSPITALISTS PC	10/1/2018	193200000X	NA	Other	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	None	2175 ROSALINE AVE	None	REDDING	CA	96001	2549	45	06089	40.57278686	-122.3958519	Shasta County
16595	Fee-for-Service	1164718235	1164718235	1	1	VILLARRUEL, GEORGE CPO	12/18/2013	224P00000X	NA	Other	029	PROSTHETISTS	-	-	NOT APPLICABLE	0	In state provider	None	3814 AUBURN BLVD	STE 75	SACRAMENTO	CA	95821	2123	34	06067	38.639034	-121.375305	Sacramento County
16655	Fee-for-Service	1619948882	1619948882	1	1	VERMA, SARAL K MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	42431	30	Radiology	0	In state provider	None	445 W EATON AVE	None	TRACY	CA	95376	3420	39	06077	37.743354	-121.432495	San Joaquin County
16728	Fee-for-Service	1598951964	1598951964	2	1	VELEHRADSKA, MARKETA LCSW	9/4/2018	101YM0800X	NA	Other	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3171 LOS FELIZ BLVD	STE 311 B	LOS ANGELES	CA	90039	1527	19	06037	34.12369709	-118.2682266	Los Angeles County
16731	Fee-for-Service	1922648948	1922648948	1	1	VERTEXRX PHARMACY INCORPORAT	2/18/2020	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	11273 LAUREL CANYON BLVD	4	SAN FERNANDO	CA	91340	4359	19	06037	34.27498293	-118.4494282	Los Angeles County
16734	Fee-for-Service	1609118041	1609118041	1	1	VO MEDICAL CENTER	6/27/2023	193200000X	NA	Other	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	None	1590 SOUTH IMPERIAL AVE	None	EL CENTRO	CA	92243	4241	13	06025	32.77950118	-115.5697279	Imperial County
16811	Fee-for-Service	1639213747	1639213747	1	1	VITAS HEALTHCARE CORPORATION	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	OF CALIFORNIA	990 W 190TH ST	SUITE 550	TORRANCE	CA	90502	4461	19	06037	33.85828652	-118.29492	Los Angeles County
16873	Fee-for-Service	1730666108	1730666108	1	1	VITUITY HOSPITALISTS PC	10/1/2018	193200000X	NA	Other	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	None	2175 ROSALINE AVE	None	REDDING	CA	96001	2549	45	06089	40.57278686	-122.3958519	Shasta County
16942	Fee-for-Service	1932692142	1932692142	1	1	VIETOR, GERALD	8/6/2021	237700000X	NA	Other	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	1150 W ORANGEBURG AVE	None	MODESTO	CA	95350	4042	50	06099	37.66396236	-121.0095829	Stanislaus County
16943	Fee-for-Service	1619948882	1619948882	1	1	VERMA, SARAL K MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	42431	01	General Practice	0	In state provider	None	445 W EATON AVE	None	TRACY	CA	95376	3420	39	06077	37.743354	-121.432495	San Joaquin County
16999	Fee-for-Service	1881014686	1881014686	1	1	VORA, SHRUTI S MD	5/5/2017	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	139847	40	Pediatrics	0	In state provider	None	101 THE CITY DR S	BLDG 29	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
17020	Fee-for-Service	1609118041	1609118041	1	1	VO MEDICAL CENTER	2/21/2018	193200000X	NA	Other	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	None	1590 SOUTH IMPERIAL AVE	None	EL CENTRO	CA	92243	4241	13	06025	32.77950118	-115.5697279	Imperial County
17081	Fee-for-Service	1467530923	1467530923	1	1	VEENSTRA, TIMOTHY MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	5633 N LIDGERWOOD ST	None	SPOKANE	WA	99208	1224	00	None	47.709423	-117.406944	Spokane County
17093	Fee-for-Service	1790769891	1790769891	1	1	VU, BACH T MD	7/1/1996	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	81142	None	None	0	In state provider	None	309 W BEVERLY BLVD	None	MONTEBELLO	CA	90640	4308	19	06037	34.01597577	-118.1003516	Los Angeles County
17108	Fee-for-Service	1114027943	1114027943	1	1	VARGAS, MARIA T	10/17/2006	No Taxonomy Provided	NA	None	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	904 W TOWN AND COUNTRY R	None	ORANGE	CA	92868	4721	30	06059	33.77651249	-117.861444	Orange County
17163	Fee-for-Service	1730666108	1730666108	1	1	VITUITY HOSPITALISTS PC	5/9/2023	193200000X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	2175 ROSALINE AVE	None	REDDING	CA	96001	2549	45	06089	40.57278686	-122.3958519	Shasta County
17170	Fee-for-Service	1831642594	1831642594	1	1	VAN WAGENEN, ELIZABETH	9/19/2016	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	143 BROWNS VALLEY RD	None	WATSONVILLE	CA	95076	0325	44	06087	36.99104345	-121.8003121	Santa Cruz County
17218	Fee-for-Service	1922181213	1922181213	1	1	VOLLUCCI, MARIA M DO	9/24/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	7120	08	Family Practice	0	In state provider	None	520 N PROSPECT	SUITE 103	REDONDO BEACH	CA	90277	3033	19	06037	33.8529819	-118.3802954	Los Angeles County
17383	Fee-for-Service	1770894784	1770894784	1	1	VAHALI, SIMRAN S MD	8/17/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	132620	66	Emergency Medicine (Urgent Care)	0	In state provider	None	901 NEVIN AVENUE	None	RICHMOND	CA	94801	3143	07	06013	37.93684848	-122.361345	Contra Costa County
17433	Fee-for-Service	1740794122	1740794122	1	1	VAN DE KERCKHOVE, CHRISTINE	11/19/2021	101Y00000X	NA	Other	103	LICENSED PROFESSIONAL CLINICAL COUNSELOR - INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	L LPCC	7300 WYNDHAM	None	SACRAMENTO	CA	95823	4913	34	06067	38.467854	-121.4188155	Sacramento County
17452	Fee-for-Service	1164532446	1164532446	1	1	VILLANUEVA, JUVENTINO MD	5/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	46207	40	Pediatrics	0	In state provider	None	2657 E WASHINGTON BLVD	None	PASADENA	CA	91107	1412	19	06037	34.16913905	-118.0957228	Los Angeles County
17453	Fee-for-Service	1831642594	1831642594	1	1	VAN WAGENEN, ELIZABETH	9/19/2016	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	143 BROWNS VALLEY RD	None	WATSONVILLE	CA	95076	0325	44	06087	36.99104345	-121.8003121	Santa Cruz County
17601	Fee-for-Service	1922646330	1922646330	1	1	VIZCARRA, DAVID PT	5/4/2020	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	31515 RANCHO PUEBLO RD	SUITE 101	TEMECULA	CA	92592	0000	33	06065	33.47922478	-117.1107757	Riverside County
17617	Fee-for-Service	1720348816	1720348816	1	1	VUONG, KATHERINE MD	1/25/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	138827	41	Internal Medicine	0	In state provider	None	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
17633	Fee-for-Service	1760494314	1760494314	1	1	VAHDAT, SHADI MD	1/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	70964	None	None	0	In state provider	None	170 ALAMEDA DE LAS PULGA	None	REDWOOD CITY	CA	94062	2751	41	06081	37.48093988	-122.2531826	San Mateo County
17682	Fee-for-Service	1104279595	1104279595	1	1	VIKRAM JALA	4/18/2024	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	27800 HIGHWAY 290	None	CYPRESS	TX	77433	5302	00	None	29.98565014	-95.73263471	Harris County
17711	Fee-for-Service	1255458170	1255458170	1	1	VALLEY HOME HEALTH CARE	2/25/2009	251E00000X	NA	Other	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	AGENCY, INC	5530 CORBIN AVE	SUITE 112	TARZANA	CA	91356	6048	19	06037	34.171812	-118.5621935	Los Angeles County
17717	Fee-for-Service	1104975713	1104975713	1	1	VASCULAR ASSOCIATES OF SAN	9/23/2009	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	23	Peripheral Vascular Disease or Surgery (D.O. only)	0	In state provider	DIEGO	8860 CENTER DR	STE 450	LA MESA	CA	91942	3068	37	06073	32.78189749	-117.0075062	San Diego County
17721	Fee-for-Service	1467451880	1467451880	1	1	VASSALLI, LUCA MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	71049	04	Otology, Laryngology, Rhinology	0	In state provider	None	2552 WALNUT AVE	STE 130	TUSTIN	CA	92780	6970	30	06059	33.71693486	-117.8083143	Orange County
17743	Fee-for-Service	1811316805	1811316805	1	1	VILLALUZ, JOSEPH E MD	4/24/2020	390200000X	NA	Other	026	PHYSICIANS	142701	05	Anesthesiology	0	In state provider	None	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
17773	Fee-for-Service	1437651874	1437651874	1	1	VN HOME HEALTH SERVICES INC	11/15/2019	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	14435 HAMLIN STREET	STE 103	VAN NUYS	CA	91401	6205	19	06037	34.18869947	-118.447731	Los Angeles County
17784	Fee-for-Service	1821181850	1821181850	1	1	VITREO RETINAL MED GRP	2/1/1988	207W00000X	NA	Ophthalmology	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	RETINAL CONSULTANTS MED	3939 J ST	STE 104	SACRAMENTO	CA	95819	3670	34	06067	38.570211	-121.45374	Sacramento County
17786	Fee-for-Service	1881009124	1881009124	1	1	VINSON, JENNIFER M DO	10/2/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	14823	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
17838	Fee-for-Service	1912933326	1912933326	1	1	VICARIO, DANIEL MD	6/30/1986	207RH0003X	NA	Oncology	026	PHYSICIANS	43512	01	General Practice	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
17854	Fee-for-Service	1588731350	1588731350	1	1	VASHISHTHA, SATYA N MD	8/13/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	41147	10	Gastroenterology (M.D. only)	0	In state provider	None	550 B ST	None	YUBA CITY	CA	95991	5067	51	06101	39.13299265	-121.6155493	Sutter County
18010	Fee-for-Service	1467451880	1467451880	1	1	VASSALLI, LUCA MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	71049	21	Pathologic Anatomy: Clinical Pathology (D.O. only)	0	In state provider	None	2552 WALNUT AVE	STE 130	TUSTIN	CA	92780	6970	30	06059	33.71693486	-117.8083143	Orange County
18012	Fee-for-Service	1396795985	1396795985	1	2	VARELA, GILBERT R MD	2/20/2018	No Taxonomy Provided	NA	None	086	MEDICAL DIRECTORS	74665	-	NOT APPLICABLE	0	In state provider	None	1731 MENLO AVE	None	LOS ANGELES	CA	90006	4613	19	06037	34.04181332	-118.2906202	Los Angeles County
18117	Fee-for-Service	1700231750	1700231750	1	1	VU, BAO JOSEPH MD	2/20/2024	207R00000X	NA	Other	026	PHYSICIANS	154222	None	None	0	In state provider	None	18035 BROOKHURST ST	SUITE 1300	FOUNTAIN VALLEY	CA	92708	6738	30	06059	33.701184	-117.9544385	Orange County
18140	Fee-for-Service	1588731350	1588731350	1	1	VASHISHTHA, SATYA N MD	8/13/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	41147	41	Internal Medicine	0	In state provider	None	550 B ST	None	YUBA CITY	CA	95991	5067	51	06101	39.13299265	-121.6155493	Sutter County
18163	Fee-for-Service	1750773248	1750773248	1	1	VIDA 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	21671 GATEWAY CENTER DR	STE 104	DIAMOND BAR	CA	91765	2463	19	06037	33.99996376	-117.8347693	Los Angeles County
18182	Fee-for-Service	1063646651	1063646651	1	1	VANKIPURAM, SHOBANA S MD	8/1/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	116787	08	Family Practice	0	In state provider	None	5154 HILL RD EAST	STE 5116	LAKEPORT	CA	95453	6300	17	06033	39.10440698	-122.9088533	Lake County
18184	Fee-for-Service	1043417454	1043417454	1	1	VALDES, NADESDYE LMFT	5/13/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3454 HILLCREST AVE	None	ANTIOCH	CA	94531	8238	07	06013	37.98739901	-121.7808007	Contra Costa County
18407	Fee-for-Service	1295481877	1295481877	1	1	VANLERBERG, LAURINE NP	2/25/2025	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
18410	Fee-for-Service	1124492970	1124492970	1	1	VESTA HOME HEALTH CARE	2/21/2019	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	512 S BRAND BLVD	SUITE 204	SAN FERNANDO	CA	91340	4957	19	06037	34.2791567	-118.4429798	Los Angeles County
18446	Fee-for-Service	1033245584	1033245584	1	1	VRITTAMANI, LATHA B MD	8/7/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	79308	40	Pediatrics	0	In state provider	None	725 WELCH ROAD	None	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
18448	Fee-for-Service	1871997502	1871997502	1	1	VARGAS, MAURICIO E MD	4/21/2021	207W00000X	NA	Ophthalmology	026	PHYSICIANS	131357	None	None	0	In state provider	None	23861 MCBEAN PKWY	E12	VALENCIA	CA	91355	2058	19	06037	34.39567343	-118.5542698	Los Angeles County
18452	Fee-for-Service	1750773248	1750773248	1	1	VIDA HOSPICE SERVICES INC	5/7/2018	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	21671 GATEWAY CENTER DR	STE 104	DIAMOND BAR	CA	91765	2463	19	06037	33.99996376	-117.8347693	Los Angeles County
18459	Fee-for-Service	1457393100	1457393100	1	1	VALDIVIA, LEOPOLDO E DO	4/24/1997	No Taxonomy Provided	NA	None	026	PHYSICIANS	7040	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	SOUTH VALLEY WOMEN'S HEA	1068 N CHERRY ST	None	TULARE	CA	93274	2251	54	06107	36.22362991	-119.3373326	Tulare County
18508	Fee-for-Service	1457362527	1457362527	1	1	VARMA, USHA K MD	6/1/1984	173000000X	NA	Other	026	PHYSICIANS	32655	40	Pediatrics	0	In state provider	None	416 W LAS TUNAS DR	STE 201	SAN GABRIEL	CA	91776	1236	19	06037	34.10243845	-118.1046106	Los Angeles County
18516	Fee-for-Service	1467768788	1467768788	1	1	VIGGIANI, SANDRA I PHD	2/28/2025	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	9829 BLUE LARKSPUR LN	SUITE 2	MONTEREY	CA	93940	6535	27	06053	36.57109892	-121.8021077	Monterey County
18575	Fee-for-Service	1437387594	1437387594	1	1	VU, QUYNH DO	9/21/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	10845	41	Internal Medicine	0	In state provider	None	625 LINCOLN AVE	None	SAN JOSE	CA	95126	3705	43	06085	37.31809479	-121.9082315	Santa Clara County
18603	Fee-for-Service	1366758294	1366758294	1	1	VELASCO, IRENE L LMFT	7/31/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	301 GEORGIA ST	STE 125	VALLEJO	CA	94590	5984	48	06095	38.10109387	-122.2578133	Solano County
18668	Fee-for-Service	1962665034	1962665034	1	2	VARGAS, DORYS P OD	6/29/2019	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1800 N PERRIS BLVD	None	PERRIS	CA	92571	7201	33	06065	33.806115	-117.229473	Riverside County
18793	Fee-for-Service	1437435963	1437435963	1	1	VALDERRAMA, CHAD M MD	3/17/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	118841	66	Emergency Medicine (Urgent Care)	0	In state provider	None	354 SANTA FE DR	None	ENCINITAS	CA	92023	5142	37	06073	33.03623896	-117.2837308	San Diego County
18797	Fee-for-Service	1457362527	1457362527	1	1	VARMA, USHA K MD	6/1/1984	173000000X	NA	Other	026	PHYSICIANS	32655	01	General Practice	0	In state provider	None	416 W LAS TUNAS DR	STE 201	SAN GABRIEL	CA	91776	1236	19	06037	34.10243845	-118.1046106	Los Angeles County
18809	Fee-for-Service	1316401607	1316401607	1	1	VAPHIDES, RACHAEL	3/26/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	6203 SAN IGNACIO AVENUE	SUITE 110	SAN JOSE	CA	95119	1325	43	06085	37.23598537	-121.7783065	Santa Clara County
18816	Fee-for-Service	1972123677	1972123677	1	1	VIJ, PRIYANKA MD	9/1/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	185602	None	None	0	In state provider	None	1900 DRESDEN	None	LINCOLN	CA	95648	8803	31	06061	38.85524393	-121.2946284	Placer County
18876	Fee-for-Service	1487824975	1487824975	1	1	VILLANUEVA, LEE C MD	12/26/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	104912	08	Family Practice	0	In state provider	None	401 PARADISE ROAD	STE E	MODESTO	CA	95351	3163	50	06099	37.62692973	-121.0131742	Stanislaus County
18892	Fee-for-Service	1992876890	1992876890	1	1	VAUGHN, LYNN E MD	6/30/1988	207W00000X	NA	Ophthalmology	026	PHYSICIANS	53794	18	Ophthalmology	0	In state provider	BLDG #29 UNIV OF CA	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
18899	Fee-for-Service	1396882205	1396882205	1	1	VANDERBILT UNIVERSITY	1/12/2001	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	MEDICAL CENTER	1211 22ND AVE S	None	NASHVILLE	TN	37232	0004	00	None	36.13865585	-86.80182387	Davidson County
18905	Fee-for-Service	1124449269	1124449269	1	1	VASQUEZ, SHERRY HILLER LMFT	12/5/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	245 E OLIVE AVE	SUITE 400	BURBANK	CA	91502	1214	19	06037	34.18145335	-118.3081834	Los Angeles County
18906	Fee-for-Service	1609483684	1609483684	1	1	VASQUEZ, ARTHUR RCP	10/5/2020	227900000X	NA	Other	056	RESPIRATORY CARE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	401 BICENTENNIAL WAY	None	SANTA ROSA	CA	95403	2149	49	06097	38.471625	-122.7259935	Sonoma County
18932	Fee-for-Service	1831726140	1831726140	1	1	VALLEJO, ANDREW MD	8/13/2024	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	189872	09	Gynecology (D.O. only)	0	In state provider	None	15107 VANOWEN ST	None	VAN NUYS	CA	91405	4542	19	06037	34.19395645	-118.463265	Los Angeles County
19023	Fee-for-Service	1124064746	1124064746	1	1	VONS COMPANIES INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	7 PENINSULA CENTER	None	ROLLING HILLS EST	CA	90274	3506	19	06037	33.77513263	-118.3757485	Los Angeles County
19165	Fee-for-Service	1114418779	1114418779	1	1	VEERKAMP, KATE LCSW	6/14/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	839 9TH STREET	None	ARCATA	CA	95521	6229	12	06023	40.86915005	-124.0872548	Humboldt County
19185	Fee-for-Service	1396882205	1396882205	1	1	VANDERBILT UNIVERSITY	1/12/2001	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	MEDICAL CENTER	1211 22ND AVE S	None	NASHVILLE	TN	37232	0004	00	None	36.13865585	-86.80182387	Davidson County
19218	Fee-for-Service	1831726140	1831726140	1	1	VALLEJO, ANDREW MD	8/13/2024	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	189872	15	Obstetrics (D.O. only)	0	In state provider	None	15107 VANOWEN ST	None	VAN NUYS	CA	91405	4542	19	06037	34.19395645	-118.463265	Los Angeles County
19233	Fee-for-Service	1326328790	1326328790	1	1	VALDELLON, MELISSA A OD	7/7/2015	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1411 E 31ST ST	None	OAKLAND	CA	94602	1018	01	06001	37.79926205	-122.2314248	Alameda County
19279	Fee-for-Service	1487154472	1487154472	1	2	VERIO HEALTHCARE, INC	9/30/2021	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	3160 CHICAGO AVE	None	RIVERSIDE	CA	92507	0000	33	06065	33.984333	-117.3484305	Riverside County
19340	Fee-for-Service	1396722799	1396722799	1	1	VIEN, DEREK S MD	10/3/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	87844	30	Radiology	0	In state provider	None	2025 MORSE AVENUE	None	SACRAMENTO	CA	95825	2115	34	06067	38.602089	-121.3925895	Sacramento County
19374	Fee-for-Service	1891723607	1891723607	1	1	VASCULAR & GENERAL SURG	2/1/1989	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	02	General Surgery	0	In state provider	ASSOCIATES	3791 KATELLA AVE	STE 201	LOS ALAMITOS	CA	90720	2016	30	06059	33.80318449	-118.0672965	Orange County
19473	Fee-for-Service	1376551424	1376551424	1	1	VALLIER, GARRY T MD	10/31/1992	No Taxonomy Provided	NA	None	026	PHYSICIANS	55736	20	Orthopedic Surgery	0	In state provider	None	800 3RD ST	None	MARYSVILLE	CA	95901	5831	58	06115	39.13757487	-121.5949642	Yuba County
19597	Fee-for-Service	1598842445	1598842445	1	1	VENKATESH, PRIYA MD	7/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	77519	36	Psychiatry	0	In state provider	None	900 KIELY BLVD	None	SANTA CLARA	CA	95051	5329	43	06085	37.34234284	-121.9776787	Santa Clara County
19684	Fee-for-Service	1235157207	1235157207	1	1	VEMULAKONDA, GURUNADH A MD	1/14/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	105147	18	Ophthalmology	0	In state provider	None	795 EL CAMINO REAL	None	PALO ALTO	CA	94301	2302	43	06085	37.43920432	-122.162109	Santa Clara County
19716	Fee-for-Service	1558552331	1558552331	1	1	VALLE, RONALD S PHD	10/31/2019	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	10801 NATIONAL BLVD	STE 611	LOS ANGELES	CA	90064	4170	19	06037	34.03101398	-118.4202342	Los Angeles County
19733	Fee-for-Service	1639464357	1639464357	1	1	VITHALANI, PUJA D MD	10/29/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	127166	01	General Practice	0	In state provider	None	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
19842	Fee-for-Service	1588782395	1588782395	1	1	VANNESS, MICHELLE LMFT	10/21/2022	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
19846	Fee-for-Service	1447296645	1447296645	1	1	VASQUEZ, NORA P	8/31/1989	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	68556	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1225 15TH ST	None	SANTA MONICA	CA	90404	1101	19	06037	34.02683888	-118.4870127	Los Angeles County
19880	Fee-for-Service	1053194977	1053194977	1	1	VALDEZ, NICOLAS CCC-SLP	3/12/2025	No Taxonomy Provided	NA	None	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	2340 CLAY ST	5TH FLOOR	SAN FRANCISCO	CA	94115	1932	38	06075	37.79101969	-122.43208	San Francisco County
19884	Fee-for-Service	1285625517	1285625517	1	1	VANOWEN MED ASSOC MED GR	9/22/1982	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	None	15211 VANOWEN ST	STE 100	VAN NUYS	CA	91405	3628	19	06037	34.19395411	-118.4642527	Los Angeles County
19899	Fee-for-Service	1881188662	1881188662	1	1	VERMONT CARE CENTER INC	12/4/2020	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	1316 S VERMONT AVE	None	LOS ANGELES	CA	90006	4502	19	06037	34.046595	-118.291581	Los Angeles County
20136	Fee-for-Service	1083050900	1083050900	1	1	VAN, HAILEE H MD	8/31/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	136843	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
20158	Fee-for-Service	1487795811	1487795811	1	1	VU, HUNG T MD	6/19/2008	390200000X	NA	Other	026	PHYSICIANS	103408	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
20271	Fee-for-Service	1558328104	1558328104	1	1	VIDYARTHI, ARPANA R MD	11/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	76671	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
20288	Fee-for-Service	1225645831	1225645831	1	1	VENTURA HOSPICE INC	5/5/2022	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	14621 TITUS ST	STE 200	PANORAMA CITY	CA	91402	4967	19	06037	34.21972652	-118.451799	Los Angeles County
20332	Fee-for-Service	1336135912	1336135912	1	1	VALLEY HEALTH CENTER	11/1/2003	261QF0400X	NA	Federally Qualified Health Center	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	2400 MOORPARK AVE	None	SAN JOSE	CA	95128	2631	43	06085	37.3160785	-121.937121	Santa Clara County
20399	Fee-for-Service	1609281310	1609281310	1	1	VANGUARD MEDICAL CORPORATION	7/1/2014	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	565 KERN ST	None	SHAFTER	CA	93263	2133	15	06029	35.50407235	-119.2715704	Kern County
20444	Fee-for-Service	1396492963	1396492963	1	1	VITAL ANESTHESIA, INC	9/9/2022	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	23 UPPER RAGSDALE DR STE	None	MONTEREY	CA	93940	7849	27	06053	36.57529358	-121.8101334	Monterey County
20577	Fee-for-Service	1225645831	1225645831	1	1	VENTURA HOSPICE INC	5/5/2022	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	14621 TITUS ST	STE 200	PANORAMA CITY	CA	91402	4967	19	06037	34.21972652	-118.451799	Los Angeles County
20621	Fee-for-Service	1336135912	1336135912	1	1	VALLEY HEALTH CENTER	11/1/2003	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	2400 MOORPARK AVE	None	SAN JOSE	CA	95128	2631	43	06085	37.3160785	-121.937121	Santa Clara County
20662	Fee-for-Service	1952832032	1952832032	1	1	VINCENT V. SOUN MD, INC.	4/16/2018	261QP2300X	NA	Other	026	PHYSICIANS	None	08	Family Practice	0	In state provider	None	529 PINE AVE	None	HOLTVILLE	CA	92250	1121	13	06025	32.81164753	-115.3814157	Imperial County
20684	Fee-for-Service	1609281310	1609281310	1	1	VANGUARD MEDICAL CORPORATION	7/1/2014	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	565 KERN ST	None	SHAFTER	CA	93263	2133	15	06029	35.50407235	-119.2715704	Kern County
20731	Fee-for-Service	1912933797	1912933797	1	1	VONS COMPANIES INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	57590 29 PALMS HWY	None	YUCCA VALLEY	CA	92284	2934	36	06071	34.12539561	-116.4079258	San Bernardino County
20760	Fee-for-Service	1053757997	1053757997	1	1	VINCENT, LAUREN C	7/26/2019	207RE0101X	NA	Endocrinology	026	PHYSICIANS	134303	41	Internal Medicine	0	In state provider	None	4004 BEYER BLVD	None	SAN YSIDRO	CA	92173	2007	37	06073	32.55831005	-117.0475102	San Diego County
20781	Fee-for-Service	1073722369	1073722369	1	1	VICENTE, RIZALINO G MD	5/21/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	34431	01	General Practice	0	In state provider	None	8534 ROSECRANS AVE	None	PARAMOUNT	CA	90723	3644	19	06037	33.9036267	-118.1503206	Los Angeles County
20836	Fee-for-Service	1851373310	1851373310	1	1	VOSKANIAN, ALEN MD	11/15/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	76432	08	Family Practice	0	In state provider	None	6255 W SUNSET BLVD	STE 2100	LOS ANGELES	CA	90028	7403	19	06037	34.09802749	-118.3255515	Los Angeles County
20856	Fee-for-Service	1366520959	1366520959	1	1	VOSTREJS, MICHAEL MD	6/18/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	85280	20	Orthopedic Surgery	0	In state provider	None	1150 VETERANS BLVD	None	REDWOOD CITY	CA	94063	2037	41	06081	37.48948529	-122.2232468	San Mateo County
20905	Fee-for-Service	1043771330	1043771330	1	1	VOLETI, KAVYA MD	7/1/2022	208M00000X	NA	Other	026	PHYSICIANS	179814	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
20939	Fee-for-Service	1457358111	1457358111	1	1	VERMA, SUNEET MD	6/6/2020	207RN0300X	NA	Nephrology	026	PHYSICIANS	54748	41	Internal Medicine	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
20967	Fee-for-Service	1487954798	1487954798	1	1	VORA, BANSI N M D INC	10/6/2011	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	38008	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1351 W AVE J	None	LANCASTER	CA	93534	2935	19	06037	34.6894863	-118.1564077	Los Angeles County
21003	Fee-for-Service	1912553983	1912553983	1	3	VU D TRAN MD INC	3/4/2022	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	16111 BEACH BLVD	STE A1	HUNTINGTON BEACH	CA	92647	3804	30	06059	33.728436	-117.989407	Orange County
21031	Fee-for-Service	1518339712	1518339712	1	1	VIDA RAMA LLC	1/12/2016	343900000X	NEMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	45895 OASIS ST	STE F	INDIO	CA	92201	4500	33	06065	33.715827	-116.2208665	Riverside County
21082	Fee-for-Service	1205489333	1205489333	1	1	VADEHRA, KUMKUM MD	5/12/2023	207ZP0102X	NA	Other	026	PHYSICIANS	182308	None	None	0	In state provider	None	10833 LECONTE AVENUE	None	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
21117	Fee-for-Service	1164400719	1164400719	1	1	VARRAS, JOHN A MD	10/20/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	41	Internal Medicine	1	Border provider	None	1707 W CHARLESTON BLVD	STE 230	LAS VEGAS	NV	89102	2353	00	None	36.15879353	-115.1643015	Clark County
21214	Fee-for-Service	1700551231	1700551231	1	1	VILLALUZ, ERICA L CNP	11/15/2021	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	8850 VALLEY VIEW ST	None	BUENA PARK	CA	90620	3562	30	06059	33.833988	-118.0282915	Orange County
21218	Fee-for-Service	1821442807	1821442807	1	1	VOGEL, MICHAEL A LMFT	10/20/2017	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	301 E CARRILLO STREET	STE A	SANTA BARBARA	CA	93101	1410	42	06083	34.42479033	-119.6983878	Santa Barbara County
21259	Fee-for-Service	1306345640	1306345640	1	1	VALLEY VIEW OPTOMETRY	8/8/2018	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	190 S MAAG AVE	STE G	OAKDALE	CA	95361	9622	50	06099	37.77030547	-120.8296267	Stanislaus County
21290	Fee-for-Service	1396794509	1396794509	1	1	VOGEL, JOANNE MD	12/24/2018	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	64880	16	Obstetrics-Gynecology (M.D. Only) Neonatal	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
21379	Fee-for-Service	1851786552	1851786552	1	1	VENTURA LOPEZ, MIRNA M LMFT	10/2/2019	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
21520	Fee-for-Service	1811105919	1811105919	2	1	VIRGINIA D RASO	11/28/2017	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	16624 SUNBURST ST	None	NORTH HILLS	CA	91343	4031	19	06037	34.23474521	-118.4948625	Los Angeles County
21527	Fee-for-Service	1497276034	1497276034	1	1	V & V HOME HEALTH INC	11/18/2019	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	356 W COLORADO ST	STE A	GLENDALE	CA	91204	1603	19	06037	34.14250251	-118.2603915	Los Angeles County
21611	Fee-for-Service	1497001226	1497001226	1	3	VIA CARE COMMUNITY HEALTH	11/15/2019	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	280 S ATLANTIC BLVD	None	LOS ANGELES	CA	90022	1733	19	06037	34.03253104	-118.1532018	Los Angeles County
21721	Fee-for-Service	1659059970	1659059970	1	1	VALENZUELA, STEVEN CRNA	12/21/2023	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1117 E DEVONSHIRE AVE	None	HEMET	CA	92543	3083	33	06065	33.75116909	-116.9601666	Riverside County
21736	Fee-for-Service	1326077371	1326077371	1	1	VONS COMPANIES INC	8/30/2000	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	450 S VENTURA RD	None	OXNARD	CA	93030	6557	56	06111	34.19840042	-119.194659	Ventura County
21750	Fee-for-Service	1043778343	1043778343	1	1	VIVAT SKILLED NURSING INC	8/16/2021	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	411 N CENTRAL AVE	SUITE 302	GLENDALE	CA	91203	3110	19	06037	34.15248444	-118.2579448	Los Angeles County
21791	Fee-for-Service	1528142148	1528142148	1	1	VICTOR, TARA L PHD	1/21/2009	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	760 WESTWOOD PLAZA	None	LOS ANGELES	CA	90095	8353	19	06037	34.07067	-118.4432445	Los Angeles County
21799	Fee-for-Service	1649497868	1649497868	1	1	VERMA, RAKHEE W MD	8/24/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	92902	30	Radiology	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
21833	Fee-for-Service	1568474815	1568474815	1	1	VINCE, KELLY G MD	10/31/1985	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	57328	20	Orthopedic Surgery	0	In state provider	None	501 E HARDY ST	STE 200	INGLEWOOD	CA	90301	4057	19	06037	33.9491005	-118.348857	Los Angeles County
21839	Fee-for-Service	1356695621	1356695621	1	1	VUONG, VIET Q DO	7/1/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	12524	None	None	0	In state provider	None	420 34TH STREET	None	BAKERSFIELD	CA	93301	2237	15	06029	35.39052148	-119.0070765	Kern County
21887	Fee-for-Service	1558948505	1558948505	1	1	VU, JAMES C DO	11/7/2024	390200000X	NA	Other	026	PHYSICIANS	22937	41	Internal Medicine	0	In state provider	None	4101 TORRANCE BLVD	None	TORRANCE	CA	90503	4607	19	06037	33.83760674	-118.3572569	Los Angeles County
21900	Fee-for-Service	1497001226	1497001226	1	3	VIA CARE COMMUNITY HEALTH	1/1/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	280 S ATLANTIC BLVD	None	LOS ANGELES	CA	90022	1733	19	06037	34.03253104	-118.1532018	Los Angeles County
22112	Fee-for-Service	1831125087	1831125087	1	1	VIA CHRISTI HOSPITAL	11/21/2010	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	PITTSBURG INC	1 MT CARMEL WAY	None	PITTSBURG	KS	66762	7587	00	None	37.38064104	-94.68386502	Crawford County
22193	Fee-for-Service	1679992309	1679992309	1	1	VELOSA, MARGARITA LCSW	1/21/2025	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2821 CROW CANYON RD	STE 202	SAN RAMON	CA	94583	1659	07	06013	37.77494135	-121.9805388	Contra Costa County
22266	Fee-for-Service	1942543699	1942543699	1	1	VERCAMMEN-GRANDJEAN,	12/11/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	135720	41	Internal Medicine	0	In state provider	CHRISTOPHER D MD	4300 ROSE DR	None	YORBA LINDA	CA	92886	2026	30	06059	33.89815111	-117.8419708	Orange County
22290	Fee-for-Service	1740304211	1740304211	1	1	VACCARO, PETER MD	1/1/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	56384	40	Pediatrics	0	In state provider	None	25845 BARTON ROAD	STE F	LOMA LINDA	CA	92354	3857	36	06071	34.04824949	-117.2401425	San Bernardino County
22402	Fee-for-Service	1831125087	1831125087	1	1	VIA CHRISTI HOSPITAL	11/21/2010	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	PITTSBURG INC	1 MT CARMEL WAY	None	PITTSBURG	KS	66762	7587	00	None	37.38064104	-94.68386502	Crawford County
22404	Fee-for-Service	1285419226	1285419226	1	1	VITAL VEHICLES LLC	11/28/2023	No Taxonomy Provided	NEMT Provider	None	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	2379 VINEYARD ST	None	UPLAND	CA	91786	3570	36	06071	34.10468807	-117.6975244	San Bernardino County
22594	Fee-for-Service	1154873230	1154873230	1	1	VALLEY WOMEN'S HEALTHCARE ME	12/29/2016	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	DICAL GROUP, INC	5293 N FIRST STREET	None	FRESNO	CA	93710	7007	10	06019	36.81400939	-119.7725216	Fresno County
22600	Fee-for-Service	1649052218	1649052218	1	1	VITALITY URGENT CARE A MEDIC	7/19/2024	261QU0200X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	None	29738 RANCHO CALIFORNIA	SUITE B	TEMECULA	CA	92591	5322	33	06065	33.50612116	-117.1438774	Riverside County
22735	Fee-for-Service	1033571708	1033571708	1	1	VOLUNTEERS OF AMERICA OF	4/29/2016	324500000X	NA	Other	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	LOS ANGELES	2521 LONG BEACH AVE	None	LOS ANGELES	CA	90058	1324	19	06037	34.01372454	-118.2432255	Los Angeles County
22785	Fee-for-Service	1396180758	1396180758	1	1	VAN, CHAU Y MD	8/1/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	132948	41	Internal Medicine	0	In state provider	None	2501 E CHAPMAN AVE	None	ORANGE	CA	92869	3204	30	06059	33.78785649	-117.8276715	Orange County
22810	Fee-for-Service	1891862728	1891862728	1	1	VADEHRA, NIPPON D MD	4/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	81009	05	Anesthesiology	0	In state provider	None	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
22848	Fee-for-Service	1598251977	1598251977	1	1	VERDUSCO, ALEXIS	6/28/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	6800 INDIANA AVE	130	RIVERSIDE	CA	92506	4266	33	06065	33.94303679	-117.391856	Riverside County
22885	Fee-for-Service	1871072553	1871072553	1	1	VAN ARSDELL, GLEN S MD	9/10/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	61576	33	Thoracic Surgery	0	In state provider	None	10833 LE CONTE AVENUE	None	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
23073	Fee-for-Service	1396180758	1396180758	1	1	VAN, CHAU Y MD	8/1/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	132948	40	Pediatrics	0	In state provider	None	2501 E CHAPMAN AVE	None	ORANGE	CA	92869	3204	30	06059	33.78785649	-117.8276715	Orange County
23229	Fee-for-Service	1447650080	1447650080	1	1	VO, MY K OD	5/26/2015	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	6731 WESTMINSTER	SUITE 102	WESTMINSTER	CA	92683	3792	30	06059	33.75912651	-118.010655	Orange County
23260	Fee-for-Service	1689787327	1689787327	1	1	VOLKOV, SUNCICA MD	10/12/2021	207RR0500X	NA	Other	026	PHYSICIANS	174342	None	None	0	In state provider	None	200 MEDICAL PLAZA	SUITE 420	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
23264	Fee-for-Service	1609118041	1609118041	1	2	VO MEDICAL CENTER	12/13/2023	208D00000X	NA	Adult Primary Care	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	222 E COLE BLVD	None	CALEXICO	CA	92231	3211	13	06025	32.69391949	-115.495038	Imperial County
23360	Fee-for-Service	1699858035	1699858035	1	1	VARGAS, ANA P OD	10/26/2009	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	4445 SUNSET BLVD	None	LOS ANGELES	CA	90027	6017	19	06037	34.09772372	-118.2863833	Los Angeles County
23369	Fee-for-Service	1659816130	1659816130	1	1	VAP DIAGNOSTICS LABORATORY I	11/15/2017	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	NC	25901 COMMERCENTRE DR	None	LAKE FOREST	CA	92630	8805	30	06059	33.66448331	-117.6786128	Orange County
23451	Fee-for-Service	1376544874	1376544874	1	1	VINCENT, PAMELA L MD	6/9/2021	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	145852	-	NOT APPLICABLE	0	In state provider	None	2960 CAMINO DIABLO	105	WALNUT CREEK	CA	94597	3988	07	06013	37.89859467	-122.0843018	Contra Costa County
23465	Fee-for-Service	1093210080	1093210080	1	1	VERMA, SHAWN S MD	12/2/2023	2084P0804X	NA	Psychiatry	026	PHYSICIANS	174275	None	None	0	In state provider	None	2677 N MAIN ST	STE 110	SANTA ANA	CA	92705	6663	30	06059	33.77224313	-117.8672259	Orange County
23496	Fee-for-Service	1003102724	1003102724	1	1	VINH, JOHN B OD	6/10/2020	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	207 S SANTA ANITA ST	SUITE P-25	SAN GABRIEL	CA	91776	1145	19	06037	34.10072807	-118.1066296	Los Angeles County
23518	Fee-for-Service	1366001042	1366001042	1	1	VECEREK, NATALIA M MD	8/7/2023	207N00000X	NA	Dermatology	026	PHYSICIANS	181266	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
23553	Fee-for-Service	1609118041	1609118041	1	2	VO MEDICAL CENTER	2/7/2020	208D00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	None	222 E COLE BLVD	None	CALEXICO	CA	92231	3211	13	06025	32.69391949	-115.495038	Imperial County
23600	Fee-for-Service	1205929296	1205929296	1	1	VU, ROBERT H MD	10/21/2009	2083X0100X	NA	Adult Primary Care	026	PHYSICIANS	88090	None	None	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
23630	Fee-for-Service	1821251406	1821251406	1	1	VAN NOSTRAND, KERIANN M MD	7/18/2023	207RP1001X	NA	Pulmonology	026	PHYSICIANS	185447	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
23659	Fee-for-Service	1770222960	1770222960	1	1	VENTURA THERAPY COLLECTIVE	6/19/2024	106H00000X	NA	Mental Health Outpatient Services	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	None	5550 TELEGRAPH RD	C3	VENTURA	CA	93003	4263	56	06111	34.27717324	-119.2199411	Ventura County
23682	Fee-for-Service	1043326432	1043326432	1	1	VON DIPPE, PATRICK B MD	9/4/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	66	Emergency Medicine (Urgent Care)	1	Border provider	None	1775 THOMPSON ROAD	None	COOS BAY	OR	97420	2125	00	None	43.383456	-124.2330435	Coos County
23688	Fee-for-Service	1891250197	1891250197	1	1	VELOSA, PAOLA NP	5/20/2019	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1262 E NORTH ST	None	MANTECA	CA	95336	4962	39	06077	37.80103784	-121.1964105	San Joaquin County
23768	Fee-for-Service	1447362439	1447362439	2	1	VJ PHARMACY INC	12/21/2022	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	CY	6942 BROCKTON AVE	None	RIVERSIDE	CA	92506	3802	33	06065	33.94762845	-117.3967238	Riverside County
23841	Fee-for-Service	1609118041	1609118041	1	2	VO MEDICAL CENTER	6/27/2023	208D00000X	NA	Adult Primary Care	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	None	222 E COLE BLVD	None	CALEXICO	CA	92231	3211	13	06025	32.69391949	-115.495038	Imperial County
23916	Fee-for-Service	1619165057	1619165057	1	1	VANHUSE, CHERIE A MD	9/1/2001	282N00000X	NA	Hospitals	026	PHYSICIANS	69322	41	Internal Medicine	0	In state provider	None	260 INTERNATIONAL CIR	None	SAN JOSE	CA	95119	1130	43	06085	37.24047903	-121.7998157	Santa Clara County
23927	Fee-for-Service	1972689495	1972689495	1	1	VONGEHR, ANN L MD	1/1/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	39106	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
23945	Fee-for-Service	1770222960	1770222960	1	1	VENTURA THERAPY COLLECTIVE	3/21/2025	101YM0800X	NA	Other	104	LICENSED PROFESSIONAL CLINICAL COUNSELOR - GROUP	-	-	NOT APPLICABLE	0	In state provider	None	5550 TELEGRAPH RD	C3	VENTURA	CA	93003	4263	56	06111	34.27717324	-119.2199411	Ventura County
23989	Fee-for-Service	1265084990	1265084990	1	1	VN CARE PHARMACY INC	10/29/2019	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	12505 BEACH BLVD	A-2	STANTON	CA	90680	4020	30	06059	33.78069704	-117.992997	Orange County
24021	Fee-for-Service	1679703599	1679703599	1	1	VARMA, NAMRATA DO	10/12/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	14105	17	Ophthalmology, Otolaryngology, Rhinology (D.O.only)	0	In state provider	None	433 E WARDLOW RD	None	LONG BEACH	CA	90807	4507	19	06037	33.81894073	-118.1875504	Los Angeles County
24038	Fee-for-Service	1619935103	1619935103	1	1	VENTURA OPTOMETRIC VISION	6/29/2018	152W00000X	NA	Other	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	CARE INC	1280 S VICTORIA AVE	STE 100	VENTURA	CA	93003	6550	56	06111	34.26344767	-119.2119344	Ventura County
24129	Fee-for-Service	1609118041	1609118041	1	2	VO MEDICAL CENTER	10/27/2022	208D00000X	NA	Adult Primary Care	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	None	222 E COLE BLVD	None	CALEXICO	CA	92231	3211	13	06025	32.69391949	-115.495038	Imperial County
24172	Fee-for-Service	1215981303	1215981303	1	1	VICKSBURG HEALTH CARE LLC	7/12/2007	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	2100 HIGHWAY 61 N	None	VICKSBURG	MS	39183	8211	00	None	32.374251	-90.8247105	Warren County
24196	Fee-for-Service	1285672741	1285672741	1	1	VILLOSIS, MARIA FE B MD	8/5/2008	2080N0001X	NA	Pediatric Primary Care	026	PHYSICIANS	89786	40	Pediatrics	0	In state provider	None	13652 CANTARA STREET	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
24198	Fee-for-Service	1538553755	1538553755	1	1	VILLA, STEPHEN E JR MD	3/6/2019	No Taxonomy Provided	NA	None	026	PHYSICIANS	145811	66	Emergency Medicine (Urgent Care)	0	In state provider	None	757 WESTWOOD PLAZA	STE 1517	LOS ANGELES	CA	90095	7402	19	06037	34.06633051	-118.4452686	Los Angeles County
24233	Fee-for-Service	1770222960	1770222960	1	1	VENTURA THERAPY COLLECTIVE	1/14/2025	101YM0800X	NA	Other	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	None	5550 TELEGRAPH RD	C3	VENTURA	CA	93003	4263	56	06111	34.27717324	-119.2199411	Ventura County
24303	Fee-for-Service	1356898449	1356898449	1	1	VANOVER, BROOKE C LCSW	10/29/2018	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3655 ALAMO STREET	STE 202	SIMI VALLEY	CA	93063	2187	56	06111	34.28646704	-118.7257456	Ventura County
24319	Fee-for-Service	1881077725	1881077725	1	1	VALDEZ, JESSICA	9/16/2019	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4520 BUSINESS CENTER DR	200	FAIRFIELD	CA	94534	6888	48	06095	38.22519621	-122.1327459	Solano County
24410	Fee-for-Service	1205913654	1205913654	1	1	VO, PHAC VAN MD	11/17/1986	No Taxonomy Provided	NA	None	026	PHYSICIANS	43290	01	General Practice	0	In state provider	None	611 E ANAHEIM ST	None	LONG BEACH	CA	90813	3301	19	06037	33.78263452	-118.1842695	Los Angeles County
24416	Fee-for-Service	1609118041	1609118041	1	2	VO MEDICAL CENTER	2/7/2020	208D00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	None	222 E COLE BLVD	None	CALEXICO	CA	92231	3211	13	06025	32.69391949	-115.495038	Imperial County
24461	Fee-for-Service	1215981303	1215981303	1	1	VICKSBURG HEALTH CARE LLC	7/12/2007	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	2100 HIGHWAY 61 N	None	VICKSBURG	MS	39183	8211	00	None	32.374251	-90.8247105	Warren County
24554	Fee-for-Service	1336288919	1336288919	1	1	VASQUEZ, NELIDA E PHD	7/7/2014	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	275 VICTORIA STREET	SUITE 2A	COSTA MESA	CA	92627	1906	30	06059	33.6526055	-117.910746	Orange County
24704	Fee-for-Service	1609118041	1609118041	1	2	VO MEDICAL CENTER	6/7/2023	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	222 E COLE BLVD	None	CALEXICO	CA	92231	3211	13	06025	32.69391949	-115.495038	Imperial County
24894	Fee-for-Service	1861769408	1861769408	1	1	VORA, ALPA N MD	11/18/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	126353	41	Internal Medicine	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
25009	Fee-for-Service	1184885972	1184885972	1	1	VENICE FAMILY CLINIC	4/28/1997	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	604 ROSE AVE	None	VENICE	CA	90291	2767	19	06037	33.99891527	-118.4714129	Los Angeles County
25147	Fee-for-Service	1265534580	1265534580	1	1	VALDES, IGNACIO A MD	3/23/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	62465	None	None	0	In state provider	None	1500 S CENTRAL AVE	STE 210	GLENDALE	CA	91204	2579	19	06037	34.12736888	-118.257777	Los Angeles County
25195	Fee-for-Service	1053446310	1053446310	1	1	VEALE, JEFFREY L MD	2/14/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	91958	34	Urology and Urological Surgery	0	In state provider	None	10833 LE CONTE AVE	None	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
25212	Fee-for-Service	1528449519	1528449519	1	1	VAZIRNIA, ARIA	11/12/2020	207N00000X	NA	Dermatology	026	PHYSICIANS	146870	07	Dermatology	0	In state provider	None	6605 NANCY RIDGE DR	None	SAN DIEGO	CA	92121	2253	37	06073	32.88682438	-117.1796133	San Diego County
25218	Fee-for-Service	1225290331	1225290331	1	1	VENTURONI, MANUELA MD	4/20/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	109395	41	Internal Medicine	0	In state provider	None	1600 NORTH ROSE AVE	None	OXNARD	CA	93030	3722	56	06111	34.21700406	-119.1582582	Ventura County
25300	Fee-for-Service	1720412547	1720412547	1	1	VERA, ELVA V LMFT	1/4/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	282 LANDIS AVE	None	CHULA VISTA	CA	91910	2627	37	06073	32.64168665	-117.0812298	San Diego County
25532	Fee-for-Service	1376649871	1376649871	1	1	VERNON, JENNIFER N. MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	3033 S PARKER RD	STE 800	AURORA	CO	80014	2938	00	None	39.6612	-104.8603095	Arapahoe County
25588	Fee-for-Service	1881772515	1881772515	1	1	VELJI, ANVARALI M MD	1/1/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	31847	01	General Practice	0	In state provider	None	2025 MORSE AVE	None	SACRAMENTO	CA	95825	2115	34	06067	38.602089	-121.3925895	Sacramento County
25603	Fee-for-Service	1154873230	1154873230	1	3	VALLEY WOMEN'S HEALTHCARE ME	12/29/2016	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	DICAL GROUP, INC	1187 E HERNDON AVE	106	FRESNO	CA	93720	3166	10	06019	36.83640179	-119.7674647	Fresno County
25647	Fee-for-Service	1073558235	1073558235	1	1	VOURNAS, JORGE T MD	12/1/1997	207P00000X	NA	Other	026	PHYSICIANS	56035	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
25683	Fee-for-Service	1922042092	1922042092	1	1	VAEZAZIZI, REZA MD	1/12/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	66886	66	Emergency Medicine (Urgent Care)	0	In state provider	None	36485 INLAND VALLEY DR	None	WILDOMAR	CA	92595	9681	33	06065	33.591699	-117.2368285	Riverside County
25695	Fee-for-Service	1548493182	1548493182	1	1	VIRDI, RAVI PAUL SINGH MD	4/14/2022	207RP1001X	NA	Pulmonology	026	PHYSICIANS	125310	None	None	0	In state provider	None	1508 ALHAMBRA BLVD	200	SACRAMENTO	CA	95816	6510	34	06067	38.567007	-121.468068	Sacramento County
25721	Fee-for-Service	1447591110	1447591110	1	1	VRAJ PHARMACY LLC	4/10/2013	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	8790 CUYAMACA ST	STE B	SANTEE	CA	92071	4295	37	06073	32.83583009	-116.9839098	San Diego County
25771	Fee-for-Service	1730285073	1730285073	1	1	VALLEY WOUND HEALING CENTER	12/20/2017	No Taxonomy Provided	NA	None	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	INC	4335 N STAR WAY	SUITE A	MODESTO	CA	95356	8628	50	06099	37.70244	-121.0023465	Stanislaus County
25811	Fee-for-Service	1972642239	1972642239	1	1	VALERO FONSECA, JAVIER MD	3/19/2018	2084N0400X	NA	Neurology	026	PHYSICIANS	153203	79	Neurology-Child	0	In state provider	None	1524 MCHENRY AVE	SUITES 550, 570	MODESTO	CA	95350	4500	50	06099	37.666233	-120.993933	Stanislaus County
26052	Fee-for-Service	1033144811	1033144811	1	1	VANDENBERG, DAVID L MD	11/30/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	25696	66	Emergency Medicine (Urgent Care)	0	In state provider	None	492 3RD AVE	STE 105	CHULA VISTA	CA	91910	4614	37	06073	32.63490965	-117.0774465	San Diego County
26077	Fee-for-Service	1942615737	1942615737	1	1	VO, HUY Q CRNA	1/27/2015	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	757 WESTWOOD PLAZA	None	LOS ANGELES	CA	90095	8358	19	06037	34.06633051	-118.4452686	Los Angeles County
26095	Fee-for-Service	1326609124	1326609124	1	1	VASCULAR NEUROLOGY OF SOUTHE	10/19/2023	2085R0204X	NA	Other	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	RN CALIFORNIA INC	2190 LYNN RD	SUITE 380	THOUSAND OAKS	CA	91360	1856	56	06111	34.20728091	-118.8855456	Ventura County
26100	Fee-for-Service	1891159729	1891159729	1	1	VILLA BLANCA HOSPICE, INC	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	16120 SHERMAN WAY	None	VAN NUYS	CA	91406	3907	19	06037	34.20114453	-118.4845995	Los Angeles County
26204	Fee-for-Service	1619003142	1619003142	1	1	VETTER, CHRISTINE L MD	6/19/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	84135	30	Radiology	0	In state provider	None	2581 SAMARITAN DR	STE 100	SAN JOSE	CA	95124	4112	43	06085	37.25305684	-121.9507351	Santa Clara County
26300	Fee-for-Service	1841339546	1841339546	1	1	VASUDEVAN, PRIYA MD	2/27/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	80971	41	Internal Medicine	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
26322	Fee-for-Service	1033603006	1033603006	1	1	VARUGHESE, ELIZABETH	8/25/2023	2084N0400X	NA	Neurology	026	PHYSICIANS	179820	None	None	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
26358	Fee-for-Service	1376770255	1376770255	1	1	VALERIN, JENNIFER B MD	3/18/2020	207RX0202X	NA	Oncology	026	PHYSICIANS	115744	68	Hematology	0	In state provider	None	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
26387	Fee-for-Service	1891159729	1891159729	1	1	VILLA BLANCA HOSPICE, INC	11/13/2018	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	16120 SHERMAN WAY	None	VAN NUYS	CA	91406	3907	19	06037	34.20114453	-118.4845995	Los Angeles County
26467	Fee-for-Service	1164733564	1164733564	1	1	VITAL MEDICAL OXYGEN &	9/1/2011	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	SUPPLIES INC	13781 ROSEWELL AVE	SUITE A	CHINO	CA	91710	5475	36	06071	34.00240379	-117.721769	San Bernardino County
26554	Fee-for-Service	1033795711	1033795711	1	1	VIEN, SANDY MD	7/19/2024	390200000X	NA	Other	026	PHYSICIANS	183251	41	Internal Medicine	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
26557	Fee-for-Service	1720064868	1720064868	1	1	VERCH, DANA R MD	11/16/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	76299	20	Orthopedic Surgery	0	In state provider	None	2575 EAST BIDWELL STREET	STE 250	FOLSOM	CA	95630	6447	34	06067	38.658888	-121.1303835	Sacramento County
26609	Fee-for-Service	1407036726	1407036726	1	1	VALLEY WOMEN'S CENTER INC	8/30/2013	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	22110 ROSCOE BLVD	SUITE 204	CANOGA PARK	CA	91304	3862	19	06037	34.21957849	-118.6082685	Los Angeles County
26634	Fee-for-Service	1518160894	1518160894	1	1	VAN WINKLE, PATRICK J MD	1/13/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	77077	40	Pediatrics	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
26646	Fee-for-Service	1376770255	1376770255	1	1	VALERIN, JENNIFER B MD	3/18/2020	207RX0202X	NA	Oncology	026	PHYSICIANS	115744	41	Internal Medicine	0	In state provider	None	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
26674	Fee-for-Service	1487263083	1487263083	1	1	VITAS HOSPICE CARE INC	8/16/2021	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	6741 VAN NUYS BLVD	SUITE 208	VAN NUYS	CA	91405	4632	19	06037	34.19331814	-118.4487786	Los Angeles County
26877	Fee-for-Service	1679937759	1679937759	1	1	VIGLIETTA, SAMUEL B MD	6/28/2022	2084P0800X	NA	Psychiatry	026	PHYSICIANS	168577	None	None	0	In state provider	None	20 ALLEN ST	None	MARTINEZ	CA	94553	2681	07	06013	38.00771973	-122.1331484	Contra Costa County
26910	Fee-for-Service	1780302372	1780302372	1	1	VALENZUELA, ALYSSA OD	9/16/2022	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	425 W BONITA AVE	STE 110B	SAN DIMAS	CA	91773	2541	19	06037	34.10669347	-117.814932	Los Angeles County
26961	Fee-for-Service	1487263083	1487263083	1	1	VITAS HOSPICE CARE INC	8/16/2021	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	6741 VAN NUYS BLVD	SUITE 208	VAN NUYS	CA	91405	4632	19	06037	34.19331814	-118.4487786	Los Angeles County
26968	Fee-for-Service	1831284777	1831284777	1	1	VENKATARAMAN, KALYANASUN	4/24/1987	No Taxonomy Provided	NA	None	026	PHYSICIANS	26371	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	10833 LE CONTE AVE	None	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
27195	Fee-for-Service	1134782717	1134782717	1	1	VAQUERO RAMIREZ, CARLOS A MD	2/21/2023	207R00000X	NA	Other	026	PHYSICIANS	180694	None	None	0	In state provider	None	9375 SAN FERNANDO RD	None	SUN VALLEY	CA	91352	1418	19	06037	34.2395322	-118.3939944	Los Angeles County
27228	Fee-for-Service	1275681066	1275681066	1	1	VAN, CATHERINE T MD	9/30/1995	207R00000X	NA	Other	026	PHYSICIANS	81475	41	Internal Medicine	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
27245	Fee-for-Service	1275794885	1275794885	1	1	VALENZUELA, ROLANDO G MD	6/1/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	121092	66	Emergency Medicine (Urgent Care)	0	In state provider	None	420 34TH STREET	None	BAKERSFIELD	CA	93301	2237	15	06029	35.39052148	-119.0070765	Kern County
27572	Fee-for-Service	1326297839	1326297839	2	1	VONS COMPANIES INC	1/9/2014	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	1745 EASTLAKE PARKWAY	STE 104	CHULA VISTA	CA	91915	2033	37	06073	32.61933394	-116.9619239	San Diego County
27642	Fee-for-Service	1215213103	1215213103	1	1	VASAK, RICHARD J MD	7/10/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	125307	89	Surgery-Traumatic	0	In state provider	None	100 W CALIFORNIA STREET	None	PASADENA	CA	91105	3010	19	06037	34.133598	-118.1534895	Los Angeles County
27671	Fee-for-Service	1063031771	1063031771	1	1	VAN BAARSEL, ERIC D MD	11/5/2024	207L00000X	NA	Other	026	PHYSICIANS	None	05	Anesthesiology	0	In state provider	None	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
27694	Fee-for-Service	1588121479	1588121479	1	1	VOONG CHUANG INC	2/27/2020	261QP1100X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	DIATRY	317 LOS GATOS SARATOGA R	None	LOS GATOS	CA	95030	5310	43	06085	37.23068619	-121.983597	Santa Clara County
27743	Fee-for-Service	1962520965	1962520965	1	1	VASANWALA, RESHMA DO	4/7/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	7607	41	Internal Medicine	0	In state provider	None	2450 ASHBY AVE	RM 1002	BERKELEY	CA	94705	2067	01	06001	37.85646136	-122.2573894	Alameda County
27762	Fee-for-Service	1962847095	1962847095	1	1	VOOGD, JACOB LMFT	6/19/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	13200 CROSSROADS PKWY	STE 335	CITY OF INDUSTRY	CA	91746	3409	19	06037	34.03038726	-118.0130115	Los Angeles County
27925	Fee-for-Service	1245375039	1245375039	1	1	VANCE, ROBERT B II DO	2/8/2015	207R00000X	NA	Other	026	PHYSICIANS	-	41	Internal Medicine	1	Border provider	None	8440 W LAKE MEAD	STE 210	LAS VEGAS	NV	89128	7648	00	None	36.19817166	-115.2793624	Clark County
27990	Fee-for-Service	1487034310	1487034310	1	1	VAID, CHANDNI MD	4/13/2021	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	155152	None	None	0	In state provider	None	4601 DALE ROAD	None	MODESTO	CA	95356	9718	50	06099	37.706508	-121.052457	Stanislaus County
28001	Fee-for-Service	1720757537	1720757537	1	1	VYRLAN, SVETLANA	9/23/2021	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	10529 DOLECETTO DR	None	RANCHO CORDOVA	CA	95670	3709	34	06067	38.599785	-121.299984	Sacramento County
28050	Fee-for-Service	1730203282	1730203282	1	1	VIDALES, LETICIA T LMFT	6/6/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	922 SAPPHIRE CIR	None	VENTURA	CA	93004	4005	56	06111	34.27066466	-119.1882469	Ventura County
28062	Fee-for-Service	1699086876	1699086876	1	1	VASAN, R S M D A	8/10/2011	207RH0003X	NA	Oncology	026	PHYSICIANS	33733	41	Internal Medicine	0	In state provider	PROFESSIONAL CORPORATION	15243 VANOWEN ST	STE 210	VAN NUYS	CA	91405	3627	19	06037	34.19394848	-118.4654115	Los Angeles County
28130	Fee-for-Service	1548452766	1548452766	1	1	VUONG, LINH-UYEN C MD	8/1/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	97446	01	General Practice	0	In state provider	None	21311 MADRONA AVE	SUITE 100-C	TORRANCE	CA	90503	5790	19	06037	33.835599	-118.3450965	Los Angeles County
28162	Fee-for-Service	1477781193	1477781193	1	1	VANDE GRIEND, ZACHARY P MD	8/25/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	135617	04	Otology, Laryngology, Rhinology	0	In state provider	None	116 S PALISADE DRIVE	STE 206	SANTA MARIA	CA	93454	8906	42	06083	34.9523869	-120.4120717	Santa Barbara County
28211	Fee-for-Service	1023283413	1023283413	1	2	VISION CARE CENTER A MED	11/3/2005	No Taxonomy Provided	NA	None	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	GROUP INC	2719 CINEMA WAY	None	SELMA	CA	93662	2662	10	06019	36.57383008	-119.6242065	Fresno County
28214	Fee-for-Service	1003243577	1003243577	1	1	VISTA BEHAVIORAL HOSPITAL	4/8/2016	283Q00000X	NA	Hospitals	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	LLC	5900 BROCKTON AVE	None	RIVERSIDE	CA	92506	1862	33	06065	33.96263615	-117.395639	Riverside County
28244	Fee-for-Service	1821550559	1821550559	1	1	VAN PRATT LEVIN, AISHA M MD	12/7/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	184947	None	None	0	In state provider	None	1809 NATIONAL AVE	None	SAN DIEGO	CA	92113	2113	37	06073	32.70162897	-117.1465065	San Diego County
28246	Fee-for-Service	1548434335	1548434335	1	1	VENKATESAN, PRIYA MD	9/21/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	112551	07	Dermatology	0	In state provider	None	3701 BROADWAY	None	OAKLAND	CA	94611	5613	01	06001	37.82533768	-122.258094	Alameda County
28290	Fee-for-Service	1720757537	1720757537	1	1	VYRLAN, SVETLANA	9/23/2021	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	10529 DOLECETTO DR	None	RANCHO CORDOVA	CA	95670	3709	34	06067	38.599785	-121.299984	Sacramento County
28418	Fee-for-Service	1548452766	1548452766	1	1	VUONG, LINH-UYEN C MD	8/1/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	97446	08	Family Practice	0	In state provider	None	21311 MADRONA AVE	SUITE 100-C	TORRANCE	CA	90503	5790	19	06037	33.835599	-118.3450965	Los Angeles County
28426	Fee-for-Service	1427159649	1427159649	1	2	VALLEY FAMILY HEALTH CTR	3/1/2007	261QR1300X	NA	Rural Health Center	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	MATERNAL & CHILD CARE CT	2357 W TAHOE AVE	None	CARUTHERS	CA	93609	0543	10	06019	36.54170344	-119.8338188	Fresno County
28430	Fee-for-Service	1841833027	1841833027	1	1	VANN, MELANIE R LCSW	11/8/2024	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	104495	-	NOT APPLICABLE	0	In state provider	None	2180 JOHNSON AVE	1ST FLOOR	SAN LUIS OBISPO	CA	93401	4513	40	06079	35.27488974	-120.6468257	San Luis Obispo County
28499	Fee-for-Service	1285070888	1285070888	1	2	VERKLER, TERRY D	7/8/2017	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	3151 BRINDLEY WAY	None	RANCHO CORDOVA	CA	95670	6259	34	06067	38.584359	-121.2779565	Sacramento County
28583	Fee-for-Service	1508285693	1508285693	1	1	VARADARAJAN, VARUN MD	9/26/2023	207YX0901X	NA	ENT/Otolaryngology	026	PHYSICIANS	188996	None	None	0	In state provider	None	1111 EXPOSITION BLVD	BLDG 700	SACRAMENTO	CA	95815	4300	34	06067	38.598876	-121.4502885	Sacramento County
28586	Fee-for-Service	1144632951	1144632951	1	1	VAHDATI NIA, BEHNAM DO	12/4/2019	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	14359	08	Family Practice	0	In state provider	None	632 W GIBSON RD	None	WOODLAND	CA	95695	5169	57	06113	38.66314048	-121.794696	Yolo County
28604	Fee-for-Service	1346955929	1346955929	1	1	VU, KALENA CNP	4/20/2024	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	15420 CRENSHAW BLVD	None	GARDENA	CA	90249	4524	19	06037	33.8903685	-118.3264725	Los Angeles County
28615	Fee-for-Service	1174838189	1174838189	1	1	VALLE, ERICA LCSW	7/2/2021	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2401 MERCED ST	None	SAN LEANDRO	CA	94577	4228	01	06001	37.70670062	-122.1696327	Alameda County
28621	Fee-for-Service	1740252592	1740252592	1	1	VHS ACQUISITION SUBSIDIARY	10/25/2010	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	NUMBER 9 INC	115 LINCOLN ST	None	FRAMINGHAM	MA	01701	9167	00	None	42.285429	-71.4186	Middlesex County
28640	Fee-for-Service	1881648038	1881648038	1	1	VALLA DJAFARI, M.D.	9/10/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	4010 SANDY BROOK DR	STE 105	ROUND ROCK	TX	78665	1517	00	None	30.566529	-97.665039	Williamson County
28641	Fee-for-Service	1164865572	1164865572	1	1	VIGILANT ANESTHETIX PC	11/1/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	53465	05	Anesthesiology	0	In state provider	None	1720 E CESAR E CHAVEZ	None	LOS ANGELES	CA	90033	2414	19	06037	34.04925	-118.2177405	Los Angeles County
28652	Fee-for-Service	1851904270	1851904270	1	1	VITA LUXE HOSPICE CARE, INC.	12/4/2024	251G00000X	NA	Other	034	MEDICARE CROSSOVER PROVIDER ONLY	-	-	NOT APPLICABLE	0	In state provider	None	417 ARDEN AVE	STE 208	GLENDALE	CA	91203	4047	19	06037	34.15847866	-118.2621835	Los Angeles County
28684	Fee-for-Service	1225074834	1225074834	1	1	VONS COMPANIES, INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	535 N MCKINLEY ST	None	CORONA	CA	92879	1297	33	06065	33.89076759	-117.5213749	Riverside County
28692	Fee-for-Service	1386077600	1386077600	1	1	VASWANI, DEEPTI H LMFT	7/10/2019	390200000X	NA	Other	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	1902 ORANGE TREE LN	SUITE 200	REDLANDS	CA	92374	2888	36	06071	34.06785293	-117.2179967	San Bernardino County
28699	Fee-for-Service	1437307444	1437307444	1	1	VIGNA, ANGELA H PHD	1/13/2015	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	4715 VIEWRIDGE AVE	STE 230	SAN DIEGO	CA	92123	1680	37	06073	32.82422034	-117.1210743	San Diego County
28725	Fee-for-Service	1447409370	1447409370	1	1	VEA, YOLANDA MD	3/9/2010	2086S0129X	NA	General Surgery	026	PHYSICIANS	83191	02	General Surgery	0	In state provider	None	1 SHRADER STREET	# 600	SAN FRANCISCO	CA	94117	1018	38	06075	37.77467326	-122.4529451	San Francisco County
28899	Fee-for-Service	1396746368	1396746368	1	1	VIRGINIA MOLLERAN MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	234 GOODMAN ST	None	CINCINNATI	OH	45219	2364	00	None	39.13677965	-84.5023814	Hamilton County
28910	Fee-for-Service	1740252592	1740252592	1	1	VHS ACQUISITION SUBSIDIARY	7/10/2002	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	NUMBER 9 INC	115 LINCOLN ST	None	FRAMINGHAM	MA	01701	9167	00	None	42.285429	-71.4186	Middlesex County
28924	Fee-for-Service	1699453209	1699453209	1	1	VITAL MEDICAL TRANSPORTATION	7/12/2023	343900000X	NEMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	LLC	659 WEST SHAW AVE	SUITE D	FRESNO	CA	93704	2442	10	06019	36.8083206	-119.8056888	Fresno County
28938	Fee-for-Service	1033415237	1033415237	1	1	VANI VELKURU, MD INC.	3/15/2022	207RR0500X	NA	Other	026	PHYSICIANS	None	None	None	0	In state provider	None	1999 MOWRY AVE	SUITE 2 - I	FREMONT	CA	94538	1738	01	06001	37.55783419	-121.9808484	Alameda County
28990	Fee-for-Service	1700924180	1700924180	1	1	VALLE VERDE PHARMACY	2/23/1981	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	240 GREEN VALLEY RD	None	FREEDOM	CA	95019	3137	44	06087	36.93777813	-121.7711905	Santa Cruz County
28999	Fee-for-Service	1932360971	1932360971	1	1	VALENZUELA, STEPHANIE M MD	8/1/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	119456	05	Anesthesiology	0	In state provider	None	28062 BAXTER RD	None	MURRIETA	CA	92563	1401	33	06065	33.61350847	-117.1691225	Riverside County
29069	Fee-for-Service	1922156868	1922156868	1	1	VALENZUELA, VINCENTE MD	3/20/2008	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	88612	40	Pediatrics	0	In state provider	III	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
29116	Fee-for-Service	1386841963	1386841963	1	1	VIR K NANDA M D INC	12/31/1987	No Taxonomy Provided	NA	None	026	PHYSICIANS	38883	None	None	0	In state provider	None	18523 CORWIN RD	STE C	APPLE VALLEY	CA	92307	2300	36	06071	34.54095703	-117.2601143	San Bernardino County
29123	Fee-for-Service	1275987653	1275987653	1	1	VO, VIVIAN M DPM	10/30/2021	213E00000X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	2500 MERCED STREET	None	SAN LEANDRO	CA	94577	4201	01	06001	37.706364	-122.165163	Alameda County
29136	Fee-for-Service	1497880546	1497880546	1	1	VELOSO, MARILOU D MD	7/28/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	88298	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
29145	Fee-for-Service	1831717735	1831717735	1	1	VALENZUELA, MALINDA M NP	5/24/2022	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	126 AVOCADO AVE	SUITE 106	PERRIS	CA	92571	2605	33	06065	33.8102395	-117.2244465	Riverside County
29229	Fee-for-Service	1952485641	1952485641	1	2	VALENZUELA MEDICAL GROUP I,	7/1/2002	193400000X	NA	Other	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	SUNNYMEAD	24226 SUNNYMEAD BLVD	None	MORENO VALLEY	CA	92553	7739	33	06065	33.93909391	-117.2399351	Riverside County
29243	Fee-for-Service	1154350106	1154350106	1	1	VONS COMPANIES, INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	3645 MIDWAY DR	None	SAN DIEGO	CA	92110	5202	37	06073	32.75267717	-117.2161336	San Diego County
29244	Fee-for-Service	1689758674	1689758674	1	1	VIDAURRI, DAVID M MD	12/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	55501	25	Physical Medicine and Rehabilitation	0	In state provider	None	401 BICENTENNIAL WAY	None	SANTA ROSA	CA	95403	2149	49	06097	38.471625	-122.7259935	Sonoma County
29303	Fee-for-Service	1851473557	1851473557	1	1	VO, DAI MD	1/31/1990	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	43167	40	Pediatrics	0	In state provider	None	355 E 21ST ST	STE D	SAN BERNARDINO	CA	92404	4851	36	06071	34.13404548	-117.2779515	San Bernardino County
29316	Fee-for-Service	1700918091	1700918091	1	2	VU, TUONGVY N OD	6/30/2006	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	18285 COLLIER AVENUE	SUITE 1F	LAKE ELSINORE	CA	92530	2786	33	06065	33.69116429	-117.3413517	Riverside County
29458	Fee-for-Service	1427134717	1427134717	1	1	VISTA DRUG	12/11/1986	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	821 W 19TH ST	None	COSTA MESA	CA	92627	3594	30	06059	33.64332211	-117.9333021	Orange County
29542	Fee-for-Service	1982129912	1982129912	1	1	VOLTAIRE, JAMILA LMFT	8/2/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	901 NEVIN AVE	None	RICHMOND	CA	94801	3143	07	06013	37.93684848	-122.361345	Contra Costa County
29708	Fee-for-Service	1093996530	1093996530	1	1	VASQUEZ, KATHRYN D	11/20/2023	237700000X	NA	Other	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	780 W OLIVE AVE	100	MERCED	CA	95348	2437	24	06047	37.31916174	-120.4814268	Merced County
29735	Fee-for-Service	1003323023	1003323023	1	1	VEJBY, AINE T	4/5/2018	No Taxonomy Provided	NA	None	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
29781	Fee-for-Service	1437120656	1437120656	1	1	VERMA, SANJIV	1/1/1979	No Taxonomy Provided	NA	None	026	PHYSICIANS	30241	None	None	0	In state provider	None	2925 SYCAMORE DR	STE 201	SIMI VALLEY	CA	93065	1208	56	06111	34.288398	-118.7439175	Ventura County
29795	Fee-for-Service	1023215647	1023215647	1	1	VARGAS, MARIA E LMFT	1/19/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	10722 ARROW RTE	314-316	RANCHO CUCAMONGA	CA	91730	4811	36	06071	34.09917725	-117.5708877	San Bernardino County
29853	Fee-for-Service	1629632658	1629632658	1	1	VALENTINE, AMY LCSW	8/15/2019	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	725 WELCH RD	None	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
29896	Fee-for-Service	1629398862	1629398862	1	1	VO, THAO MD	8/2/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	111702	40	Pediatrics	0	In state provider	None	1700 MT VERNON AVE	None	BAKERSFIELD	CA	93306	4018	15	06029	35.382555	-118.970757	Kern County
29899	Fee-for-Service	1528059300	1528059300	1	1	VICTOR, ROBERT M DPM	3/12/2018	213E00000X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	6585 CLARK ROAD	SUITE 120	PARADISE	CA	95969	3500	04	06007	39.77567026	-121.5925667	Butte County
29926	Fee-for-Service	1457735060	1457735060	1	1	VALLEJO, LUIS J MD	4/15/2020	2084P0800X	NA	Psychiatry	026	PHYSICIANS	161174	36	Psychiatry	0	In state provider	None	8700 BEVERLY BLVD	None	WEST HOLLYWOOD	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
29979	Fee-for-Service	1174702484	1174702484	1	1	VONS COMPANIES, INC.	12/11/2008	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	2495 TRUXTON ROAD	STE 100	SAN DIEGO	CA	92106	6159	37	06073	32.73722316	-117.2163815	San Diego County
29995	Fee-for-Service	1619146156	1619146156	1	1	VANNESS, JENNIFER S MD	7/5/2020	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	167665	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1600 EUREKA RD	None	ROSEVILLE	CA	95661	3027	31	06061	38.746836	-121.250529	Placer County
30024	Fee-for-Service	1215974241	1215974241	1	1	VAZQUEZ, ALICIA MD INC	1/21/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	54367	40	Pediatrics	0	In state provider	None	2820 ALUM ROCK AVE	STE 50	SAN JOSE	CA	95127	5608	43	06085	37.3631929	-121.8334108	Santa Clara County
30099	Fee-for-Service	1588697122	1588697122	1	1	VALLEY MEDICAL CONSULTANTS	5/2/2012	207RN0300X	NA	Nephrology	022	PHYSICIANS GROUP	-	None	None	0	In state provider	INC	200 JOSE FIGUERES AVE	SUITE 255	SAN JOSE	CA	95116	1500	43	06085	37.36122014	-121.8505998	Santa Clara County
30130	Fee-for-Service	1083842843	1083842843	1	1	VILLALON, RACHEL M MD	7/20/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	127041	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1860 PENNSYLVANIA AVE	STE 300	FAIRFIELD	CA	94533	3552	48	06095	38.261952	-122.0498745	Solano County
30143	Fee-for-Service	1336953892	1336953892	1	1	VALMARROSA, GILDA D BIRTH DO	4/17/2025	No Taxonomy Provided	NA	None	106	DOULA INDIVIDUAL PROVIDER	-	-	NOT APPLICABLE	0	In state provider	Addresses not published for Doula Providers	N/A	N/A	N/A	N/A	N/A	N/A	37	06073	0	0	None
30291	Fee-for-Service	1316146749	1316146749	1	1	VERDUN, MATTHEW	6/9/2019	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	9171 WILSHIRE BLVD STE 5	None	BEVERLY HILLS	CA	90210	5536	19	06037	34.06708753	-118.391751	Los Angeles County
30382	Fee-for-Service	1952559015	1952559015	1	1	VALDOVINOS, MICHAEL PSYD	7/24/2023	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	3883 AIRWAY DR	202	SANTA ROSA	CA	95403	1671	49	06097	38.483226	-122.739705	Sonoma County
30472	Fee-for-Service	1942668215	1942668215	1	1	VANOVER, JANUARY NP	3/16/2021	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1355 EAST ST	SUITE 200	REDDING	CA	96001	0801	45	06089	40.58628506	-122.3887911	Shasta County
30785	Fee-for-Service	1821311952	1821311952	1	1	VO, CHRISTINE A DO	8/4/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	11125	08	Family Practice	0	In state provider	None	400 N PEPPER AVE	None	COLTON	CA	92324	1801	36	06071	34.073505	-117.3505995	San Bernardino County
30800	Fee-for-Service	1790732543	1790732543	1	1	VINCENTI, FLAVIO G MD	1/1/1995	207RN0300X	NA	Nephrology	026	PHYSICIANS	36967	45	Nephrology (Renal-Kidney)	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
30808	Fee-for-Service	1609296813	1609296813	1	1	VINCENT, WILLIAM K MD	2/6/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	148303	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
30852	Fee-for-Service	1174601843	1174601843	1	1	VAZQUEZ, ANTONIO E MD	9/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	85562	30	Radiology	0	In state provider	None	1305 TOMMYDON ST	None	STOCKTON	CA	95210	3364	39	06077	38.01883046	-121.29624	San Joaquin County
30921	Fee-for-Service	1932269826	1932269826	1	1	VROOMEN, KATHRYN A H LMFT	8/7/2018	101YP2500X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4113 SCOTTS VALLEY DR	STE 104	SCOTTS VALLEY	CA	95066	4547	44	06087	37.04534733	-122.0217086	Santa Cruz County
31000	Fee-for-Service	1225352677	1225352677	1	1	VYAS, RUPALI B PT	9/16/2019	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	582 S SUNNYVALE AVE	None	SUNNYVALE	CA	94086	6215	43	06085	37.36886669	-122.0316101	Santa Clara County
31074	Fee-for-Service	1508802109	1508802109	1	1	VONS COMPANIES, INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	2250 OTAY LAKES RD	None	CHULA VISTA	CA	91915	1000	37	06073	32.645754	-116.9664165	San Diego County
31090	Fee-for-Service	1124397708	1124397708	1	1	VERMA, BEETA R MD	11/7/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	143524	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
31141	Fee-for-Service	1174601843	1174601843	1	1	VAZQUEZ, ANTONIO E MD	9/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	85562	42	Nuclear Medicine	0	In state provider	None	1305 TOMMYDON ST	None	STOCKTON	CA	95210	3364	39	06077	38.01883046	-121.29624	San Joaquin County
31172	Fee-for-Service	1164447603	1164447603	1	1	VAUGHAN, CHRISTOPHER MD	9/20/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	41892	05	Anesthesiology	0	In state provider	None	5776 STONERIDGE MALL RD	STE 380	PLEASANTON	CA	94588	2870	01	06001	37.69272221	-121.9305836	Alameda County
31179	Fee-for-Service	1073775482	1073775482	1	1	VAUGHN, JENNIFER A MD	11/18/2020	2085N0700X	NA	MRI Provider	026	PHYSICIANS	-	None	None	2	Out of state provider	None	1919 E THOMAS RD	None	PHOENIX	AZ	85016	7710	00	None	33.478749	-112.0426515	Maricopa County
31245	Fee-for-Service	1144357567	1144357567	2	1	VINCE TRANSPORTATION LLC	7/23/2009	No Taxonomy Provided	NEMT Provider	None	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	260 FRANCISCAN AVE	None	STOCKTON	CA	95210	1307	39	06077	38.03173883	-121.3129378	San Joaquin County
31293	Fee-for-Service	1881924199	1881924199	1	1	VOORHIES, MICHAEL E CRNA	12/18/2020	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1100 MAGELLAN DR.	None	TEHACHAPI	CA	93561	1380	15	06029	35.14690796	-118.4506925	Kern County
31306	Fee-for-Service	1083142004	1083142004	1	1	VEREMENKO-LOBENBERG, LIDIA	10/10/2017	No Taxonomy Provided	NA	None	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
31503	Fee-for-Service	1205360831	1205360831	1	1	VELEZ, CHIARA MD	3/28/2024	2080P0203X	NA	Other	026	PHYSICIANS	-	None	None	1	Border provider	None	1800 W CHARLESTON BLVD	None	LAS VEGAS	NV	89102	2329	00	None	36.1590063	-115.1674415	Clark County
31510	Fee-for-Service	1891171526	1891171526	1	1	VIDA VIBRANTE TRANSITIONAL	11/30/2015	208D00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	CARE GROUP INC	3110 WAGNER HEIGHTS RD	None	STOCKTON	CA	95209	4848	39	06077	38.03201267	-121.356616	San Joaquin County
31514	Fee-for-Service	1477652121	1477652121	1	1	VALLEY FAMILY HEALTH CTR	3/22/2004	261QR1300X	NA	Rural Health Center	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	MATERNAL & CHILD CARE CT	351 MALL DR	STE A	HANFORD	CA	93230	5950	16	06031	36.32707473	-119.6684584	Kings County
31543	Fee-for-Service	1669875001	1669875001	1	1	VENETOS, LAUREN D LCSW	7/11/2017	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
31652	Fee-for-Service	1386957520	1386957520	1	1	VU, ALICE T OD A	2/11/2011	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	PROFESSIONAL CORPORATION	1553 LANDESS AVE	None	MILPITAS	CA	95035	6901	43	06085	37.4158278	-121.8761339	Santa Clara County
31752	Fee-for-Service	1699705822	1699705822	1	1	VALENZUELA, EFREN S MD	5/31/1990	No Taxonomy Provided	NA	None	026	PHYSICIANS	40381	40	Pediatrics	0	In state provider	None	12954 HAWTHORNE BLVD	STE 104	HAWTHORNE	CA	90250	4418	19	06037	33.91447388	-118.3523875	Los Angeles County
31767	Fee-for-Service	1417121971	1417121971	1	1	VOLLER, STEPHANNIE M MD	10/5/2023	2080N0001X	NA	Pediatric Primary Care	026	PHYSICIANS	191382	None	None	0	In state provider	None	3020 CHILDREN'S WAY	MC 5069	SAN DIEGO	CA	92123	4223	37	06073	32.798691	-117.150829	San Diego County
31797	Fee-for-Service	1891171526	1891171526	1	1	VIDA VIBRANTE TRANSITIONAL	11/30/2015	208D00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	CARE GROUP INC	3110 WAGNER HEIGHTS RD	None	STOCKTON	CA	95209	4848	39	06077	38.03201267	-121.356616	San Joaquin County
31810	Fee-for-Service	1205832813	1205832813	1	1	VAN METER, THOMAS A MD	1/1/1979	No Taxonomy Provided	NA	None	026	PHYSICIANS	25370	07	Dermatology	0	In state provider	None	334 S PATTERSON AVE	STE 208	SANTA BARBARA	CA	93111	2400	42	06083	34.43376368	-119.8092445	Santa Barbara County
31839	Fee-for-Service	1154873230	1154873230	1	4	VALLEY WOMEN'S HEALTHCARE ME	8/23/2023	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	DICAL GROUP, INC	650 W ALLUVIAL AVE	#101	FRESNO	CA	93711	5507	10	06019	36.84470615	-119.8046407	Fresno County
31845	Fee-for-Service	1851653307	1851653307	1	1	VASQUEZ, CHEYENNE D LMFT	9/15/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	350 10TH AVE	SUITE 1000	SAN DIEGO	CA	92101	7496	37	06073	32.708898	-117.1555415	San Diego County
32041	Fee-for-Service	1619047545	1619047545	1	1	VARON, SHIRA MD	11/17/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	96901	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
32054	Fee-for-Service	1073541991	1073541991	1	1	VERNON, ARLENE M MD	2/8/1988	207P00000X	NA	Other	026	PHYSICIANS	62292	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1720 BROOKLYN AVE	None	LOS ANGELES	CA	90033	2462	19	06037	34.040502	-118.191954	Los Angeles County
32067	Fee-for-Service	1760183008	1760183008	1	1	VU, TOM CCC-SLP	6/3/2024	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1710 PLUM LN	SUITE C	REDLANDS	CA	92374	0100	36	06071	34.06896096	-117.2134285	San Bernardino County
32071	Fee-for-Service	1275648958	1275648958	1	1	VANVALKENBURGH, MARY K	6/19/2019	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4182 N VIKING WAY	#205	LONG BEACH	CA	90808	1491	19	06037	33.83328678	-118.1259324	Los Angeles County
32098	Fee-for-Service	1558388066	1558388066	1	1	VERHOOG, NORMAN M MD	12/31/1985	No Taxonomy Provided	NA	None	026	PHYSICIANS	57945	20	Orthopedic Surgery	0	In state provider	None	1230 EAST ST	None	REDDING	CA	96001	0821	45	06089	40.58780752	-122.3894896	Shasta County
32152	Fee-for-Service	1649288416	1649288416	1	1	VOROBIOF, GABRIEL MD	3/17/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	106608	41	Internal Medicine	0	In state provider	None	101 THE CITY DRIVE SOUTH	None	ORANGE	CA	92868	3298	30	06059	33.78674051	-117.8888713	Orange County
32187	Fee-for-Service	1174238356	1174238356	1	1	VALENZUELA, CANDACE	6/21/2024	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
32330	Fee-for-Service	1033312681	1033312681	1	1	VALLEY ADULT DAY HEALTH CARE	8/4/2003	No Taxonomy Provided	NA	None	001	ADULT DAY HEALTH CARE CENTERS	-	-	NOT APPLICABLE	0	In state provider	CENTER INC	1052 C STREET	None	FRESNO	CA	93706	3245	10	06019	36.72900599	-119.7987412	Fresno County
32395	Fee-for-Service	1386755403	1386755403	1	1	VERMA, AJAY K MD	12/12/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	43439	68	Hematology	0	In state provider	None	2175 ROSALINE AVE	None	REDDING	CA	96001	2549	45	06089	40.57278686	-122.3958519	Shasta County
32436	Fee-for-Service	1982668133	1982668133	1	1	VALLEY VIEW HOSPITAL	2/17/2002	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	ASSOCIATION	1906 BLAKE AVE	None	GLENWOOD SPRINGS	CO	81601	4227	00	None	39.5325491	-107.3227821	Garfield County
32456	Fee-for-Service	1508895558	1508895558	1	1	VONS COMPANIES, INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	4733 E PALM CANYON DR	None	PALM SPRINGS	CA	92264	5201	33	06065	33.79304492	-116.4942569	Riverside County
32519	Fee-for-Service	1699504282	1699504282	1	1	VALENTINA PARK MD, PROFESSIO	3/3/2025	2084P0800X	NA	Psychiatry	026	PHYSICIANS	None	36	Psychiatry	0	In state provider	NAL CORPORATION	23700 CAMINO DEL SOL	None	TORRANCE	CA	90505	5017	19	06037	33.8102385	-118.3441185	Los Angeles County
32536	Fee-for-Service	1720331309	1720331309	1	1	VELASQUEZ, ADRIANA LMFT	9/20/2021	101Y00000X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST 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
32673	Fee-for-Service	1922251024	1922251024	1	1	VON FISCHER, NATHANIEL D MD	6/5/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	123439	30	Radiology	0	In state provider	None	1200 EL CAMINO REAL	None	S SAN FRANCISCO	CA	94080	3208	41	06081	37.65894608	-122.440161	San Mateo County
32684	Fee-for-Service	1386755403	1386755403	1	1	VERMA, AJAY K MD	12/12/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	43439	78	Neoplastic Diseases/Oncology	0	In state provider	None	2175 ROSALINE AVE	None	REDDING	CA	96001	2549	45	06089	40.57278686	-122.3958519	Shasta County
32691	Fee-for-Service	1104440742	1104440742	1	1	VASUDEVAN, SREELAKSHMI MD	9/8/2023	207R00000X	NA	Other	026	PHYSICIANS	185716	None	None	0	In state provider	None	1 QUALITY DR	None	VACAVILLE	CA	95688	9494	48	06095	38.38851772	-121.9382798	Solano County
32725	Fee-for-Service	1982668133	1982668133	1	1	VALLEY VIEW HOSPITAL	2/17/2002	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	ASSOCIATION	1906 BLAKE AVE	None	GLENWOOD SPRINGS	CO	81601	4227	00	None	39.5325491	-107.3227821	Garfield County
32774	Fee-for-Service	1336692474	1336692474	1	1	VANG, SOPHIE	6/10/2021	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2825 CAPITOL AVENUE	None	SACRAMENTO	CA	95816	6039	34	06067	38.570805	-121.4696385	Sacramento County
32792	Fee-for-Service	1104169093	1104169093	1	1	VASAVADA, RAHUL MD	5/10/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	135629	41	Internal Medicine	0	In state provider	None	200 MEDICAL PLAZA	SUITE 365, 420, 120	LOS ANGELES	CA	90045	5631	19	06037	34.06527974	-118.4462792	Los Angeles County
32817	Fee-for-Service	1285194068	1285194068	1	1	VAN DER GREEFF, STUART J	7/11/2023	207L00000X	NA	Other	026	PHYSICIANS	187102	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
32823	Fee-for-Service	1740703412	1740703412	1	1	VIRUPAKSHAIAH, AKASH MD	11/21/2024	2084N0402X	NA	Neurology	026	PHYSICIANS	179309	13	Neurology (M.D. only)	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
32957	Fee-for-Service	1184650871	1184650871	1	1	VETSA, SUREKHA S MD AMC	8/3/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	90010	38	Geriatrics	0	In state provider	None	150 N JACKSON AVENUE	STE 105	SAN JOSE	CA	95116	1907	43	06085	37.36190683	-121.8468659	Santa Clara County
33079	Fee-for-Service	1902821648	1902821648	1	1	VENZON, MERLIN T MD	10/20/2010	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	52015	40	Pediatrics	0	In state provider	None	32142 ALVARADO BLVD.	None	UNION CITY	CA	94587	4000	01	06001	37.58874858	-122.0676696	Alameda County
33116	Fee-for-Service	1083726699	1083726699	1	1	VIAL, CONRAD M MD	7/25/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	60823	33	Thoracic Surgery	0	In state provider	None	795 EL CAMINO REAL	None	PALO ALTO	CA	94301	2302	43	06085	37.43920432	-122.162109	Santa Clara County
33238	Fee-for-Service	1578735213	1578735213	1	1	VON RYDINGSVARD, M R MD	12/5/1986	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	17330	08	Family Practice	0	In state provider	None	15 CANYON LAKE DR	None	PORT COSTA	CA	94569	0000	07	06013	38.046095	-122.1838727	Contra Costa County
33247	Fee-for-Service	1184650871	1184650871	1	1	VETSA, SUREKHA S MD AMC	8/3/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	90010	41	Internal Medicine	0	In state provider	None	150 N JACKSON AVENUE	STE 105	SAN JOSE	CA	95116	1907	43	06085	37.36190683	-121.8468659	Santa Clara County
33290	Fee-for-Service	1285728071	1285728071	1	1	VAN NATTA, JOHN W JR MD	1/1/1979	No Taxonomy Provided	NA	None	026	PHYSICIANS	21505	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
33358	Fee-for-Service	1619242807	1619242807	1	1	VIDMAR, ALAINA P MD	6/22/2018	2080P0205X	NA	Endocrinology	026	PHYSICIANS	136174	67	Endocrinology	0	In state provider	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
33406	Fee-for-Service	1083726699	1083726699	1	1	VIAL, CONRAD M MD	7/25/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	60823	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	795 EL CAMINO REAL	None	PALO ALTO	CA	94301	2302	43	06085	37.43920432	-122.162109	Santa Clara County
33473	Fee-for-Service	1851081871	1851081871	1	1	VENICE BEACH HOLDINGS LLC	6/30/2023	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	10625 LEFFINGWELL ROAD	None	NORWALK	CA	90650	3434	19	06037	33.90474848	-118.1075328	Los Angeles County
33524	Fee-for-Service	1033421920	1033421920	1	1	VOLZ, SARAH R DO	11/13/2018	2080N0001X	NA	Pediatric Primary Care	026	PHYSICIANS	16303	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
33537	Fee-for-Service	1538346523	1538346523	1	1	VESEK POLAK CHILDRENS	11/1/2006	261QC1500X	NA	Other	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	CLINIC FAMILY HEALTH CTR	1057 PINE AVE	None	LONG BEACH	CA	90813	3118	19	06037	33.7801197	-118.1924041	Los Angeles County
33565	Fee-for-Service	1790743359	1790743359	2	1	VILLAGOMEZ, SILVIA M MD	4/8/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	71593	10	Gastroenterology (M.D. only)	0	In state provider	None	1411 EAST 31ST ST	None	OAKLAND	CA	94602	1018	01	06001	37.79926205	-122.2314248	Alameda County
33588	Fee-for-Service	1649400920	1649400920	1	2	VALLEY OPTOMETRY EYECARE CEN	7/27/2022	152W00000X	NA	Other	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	TER INC	19636 SHERMAN WAY	None	RESEDA	CA	91335	3647	19	06037	34.20100854	-118.5613965	Los Angeles County
33639	Fee-for-Service	1821433624	1821433624	1	1	VAUGHN, JESSICA A MD	8/14/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	132433	05	Anesthesiology	0	In state provider	None	8700 BEVERLY BLVD	STE 8211	WEST HOLLYWOOD	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
33666	Fee-for-Service	1902065204	1902065204	1	1	VICENT HUNTSBURGER	1/9/2019	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	520 S 3RD AVE	None	SANDPOINT	ID	83864	0000	00	None	48.268386	-116.550378	Bonner County
33889	Fee-for-Service	1366472326	1366472326	1	1	VALLEY C STACI MD	3/11/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1500 E MEDICAL CTR DR	None	ANN ARBOR	MI	48109	5352	00	None	42.28391347	-83.72716554	Washtenaw County
33890	Fee-for-Service	1275562282	1275562282	1	1	VONS COMPANIES, INC	8/25/1997	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	3550 MURPHY CANYON RD	None	SAN DIEGO	CA	92123	2656	37	06073	32.80792564	-117.1150773	San Diego County
33952	Fee-for-Service	1235949843	1235949843	1	1	VILLAFANA, CARISSA M BIRTH D	3/10/2025	374J00000X	NA	Other	106	DOULA INDIVIDUAL PROVIDER	-	-	NOT APPLICABLE	0	In state provider	Addresses not published for Doula Providers	N/A	N/A	N/A	N/A	N/A	N/A	56	06111	0	0	None
34205	Fee-for-Service	1548646185	1548646185	1	1	VATS, GAURI NP	5/24/2021	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1650 RESPONSE ROAD	None	SACRAMENTO	CA	95815	4807	34	06067	38.596581	-121.4303535	Sacramento County
34216	Fee-for-Service	1285028167	1285028167	1	1	VOSS, KRISTINA MD	7/9/2019	207W00000X	NA	Ophthalmology	026	PHYSICIANS	161196	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
34250	Fee-for-Service	1225178353	1225178353	1	1	VILLALBA, JENNIFER E LCSW	4/22/2019	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	954 WEST FOOTHILL BLVD	SUITE A	UPLAND	CA	91786	3782	36	06071	34.10675048	-117.6646365	San Bernardino County
34282	Fee-for-Service	1487117800	1487117800	1	1	VEGA HOSPICE INC	12/23/2019	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	14621 TITUS ST	STE 120	PANORAMA CITY	CA	91402	4904	19	06037	34.21972652	-118.451799	Los Angeles County
34340	Fee-for-Service	1053897561	1053897561	1	1	VELASQUEZ SALDARRIAGA, JOSE	3/18/2022	390200000X	NA	Other	026	PHYSICIANS	173446	None	None	0	In state provider	MD	4955 VAN NUYS BLVD	SUITE 308	SHERMAN OAKS	CA	91403	1811	19	06037	34.160805	-118.4487295	Los Angeles County
34463	Fee-for-Service	1518203025	1518203025	1	1	VAN DEN HAAK, ERICA L MD	11/10/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	123519	40	Pediatrics	0	In state provider	None	975 SERENO DR	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
34477	Fee-for-Service	1407967730	1407967730	1	1	VARMA, CHANDRASEKHAR P	8/9/1988	207RE0101X	NA	Endocrinology	026	PHYSICIANS	32416	41	Internal Medicine	0	In state provider	MD	735 E OHIO AVE	STE 203	ESCONDIDO	CA	92025	3437	37	06073	33.12613803	-117.0724437	San Diego County
34569	Fee-for-Service	1487117800	1487117800	1	1	VEGA HOSPICE INC	12/23/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	14621 TITUS ST	STE 120	PANORAMA CITY	CA	91402	4904	19	06037	34.21972652	-118.451799	Los Angeles County
34725	Fee-for-Service	1114395688	1114395688	1	1	VERAN-TAGUIBAO, SONIA G MD	6/24/2020	390200000X	NA	Other	026	PHYSICIANS	151907	22	Pathology (M.D. only)	0	In state provider	None	101 THE CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
34767	Fee-for-Service	1407967730	1407967730	1	1	VARMA, CHANDRASEKHAR P	8/9/1988	207RE0101X	NA	Endocrinology	026	PHYSICIANS	32416	67	Endocrinology	0	In state provider	MD	735 E OHIO AVE	STE 203	ESCONDIDO	CA	92025	3437	37	06073	33.12613803	-117.0724437	San Diego County
34878	Fee-for-Service	1437555265	1437555265	1	5	VALLEY CHILDREN'S MEDICAL GR	12/5/2022	208000000X	NA	Pediatric Primary Care	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	OUP	9900 STOCKDALE HWY	STE 104	BAKERSFIELD	CA	93311	3633	15	06029	35.35412167	-119.1124089	Kern County
34938	Fee-for-Service	1912336827	1912336827	1	1	VALLES, JACQUELYN E LCSW	1/28/2022	101YM0800X	NA	Other	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	W	147 N BRENT ST	None	VENTURA	CA	93003	2809	56	06111	34.2746295	-119.2573399	Ventura County
34971	Fee-for-Service	1457582157	1457582157	2	1	VALLEY HOME HEALTH CARE INC	2/1/2014	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	1545 N VERDUGO RD	SUITE 207	GLENDALE	CA	91208	2848	19	06037	34.16921698	-118.2280083	Los Angeles County
35025	Fee-for-Service	1053601328	1053601328	1	1	VARGAS-PAREDES, VERONICA	8/27/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	LMFT	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
35050	Fee-for-Service	1649417411	1649417411	1	1	VERGARA, CELESTE T	8/22/2011	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	4201 W CHAPMAN AVE	None	ORANGE	CA	92868	1505	30	06059	33.78900343	-117.8985235	Orange County
35102	Fee-for-Service	1194219956	1194219956	1	1	VITUITY - NEVADA KOURY & PAR	10/5/2018	193200000X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	1	Border provider	TNERS PLLC	102 E LAKE MEAD PKWY	None	HENDERSON	NV	89015	5575	00	None	36.03815706	-114.9842287	Clark County
35121	Fee-for-Service	1235685611	1235685611	1	1	VILLA SIENA	2/23/2017	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	1855 MIRAMONTE AVE	None	MOUNTAIN VIEW	CA	94040	4029	43	06085	37.370619	-122.0870435	Santa Clara County
35163	Fee-for-Service	1205804671	1205804671	1	1	VALAMANESH, DARYOOSH MD	10/14/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	53061	None	None	0	In state provider	None	1904 N ORANGE GROVE AVE	None	POMONA	CA	91767	3008	19	06037	34.07852627	-117.7481309	Los Angeles County
35167	Fee-for-Service	1437555265	1437555265	1	5	VALLEY CHILDREN'S MEDICAL GR	10/27/2021	208000000X	NA	Pediatric Primary Care	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	OUP	9900 STOCKDALE HWY	STE 104	BAKERSFIELD	CA	93311	3633	15	06029	35.35412167	-119.1124089	Kern County
35195	Fee-for-Service	1356838387	1356838387	1	1	VARELA, BELINDA M LMFT	1/10/2023	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	134417	-	NOT APPLICABLE	0	In state provider	None	2049 SKYLINE DR	None	LEMON GROVE	CA	91945	4221	37	06073	32.72729271	-117.0254695	San Diego County
35242	Fee-for-Service	1346517315	1346517315	1	1	VERMA, NISHA R MD	12/1/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	126152	41	Internal Medicine	0	In state provider	None	200 N ROBERTSON BLVD	None	BEVERLY HILLS	CA	90211	1769	19	06037	34.069509	-118.383743	Los Angeles County
35307	Fee-for-Service	1962829259	1962829259	1	1	VEPPUMTHARA, ABE T MD	9/5/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	148304	66	Emergency Medicine (Urgent Care)	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
35377	Fee-for-Service	1861530115	1861530115	1	1	VARTAPETYAN, MIRIAN	12/8/2005	No Taxonomy Provided	NEMT Provider	None	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	3171 LOS FELIZ BLVD	STE 220	LOS ANGELES	CA	90039	1527	19	06037	34.12369709	-118.2682266	Los Angeles County
35387	Fee-for-Service	1194219956	1194219956	1	1	VITUITY - NEVADA KOURY & PAR	7/21/2022	193200000X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	1	Border provider	TNERS PLLC	102 E LAKE MEAD PKWY	None	HENDERSON	NV	89015	5575	00	None	36.03815706	-114.9842287	Clark County
35430	Fee-for-Service	1114172152	1114172152	1	1	VOTH, ROCHELLE D PHD	12/9/2008	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	200 WEST ARBOR DRIVE	None	SAN DIEGO	CA	92103	1911	37	06073	32.7537975	-117.1658298	San Diego County
35433	Fee-for-Service	1790925071	1790925071	1	1	VALLEY HOSPITALIST MEDICAL	4/6/2010	193400000X	NA	Other	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	GROUP INC	400 W MINERAL KING AVE	None	VISALIA	CA	93291	6237	54	06107	36.327888	-119.294919	Tulare County
35448	Fee-for-Service	1669450128	1669450128	1	1	VIECO, PEDRO MD	11/2/2023	2085N0700X	NA	MRI Provider	026	PHYSICIANS	173165	None	None	0	In state provider	None	15031 RINALDI ST	None	MISSION HILLS	CA	91345	1207	19	06037	34.27904453	-118.459944	Los Angeles County
35456	Fee-for-Service	1437555265	1437555265	1	5	VALLEY CHILDREN'S MEDICAL GR	8/8/2018	208000000X	NA	Pediatric Primary Care	022	PHYSICIANS GROUP	-	10	Gastroenterology (M.D. only)	0	In state provider	OUP	9900 STOCKDALE HWY	STE 104	BAKERSFIELD	CA	93311	3633	15	06029	35.35412167	-119.1124089	Kern County
35486	Fee-for-Service	1457349938	1457349938	1	1	VETTER, WILLIAM R MD	10/18/1971	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	11188	41	Internal Medicine	0	In state provider	None	5025 J ST	None	SACRAMENTO	CA	95819	3839	34	06067	38.566773	-121.441851	Sacramento County
35571	Fee-for-Service	1497923361	1497923361	1	1	VANDERGRIFF, CLAYTON L MD	8/15/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	127453	30	Radiology	0	In state provider	None	100 W CALIFORNIA BLVD	None	PASADENA	CA	91105	3010	19	06037	34.133598	-118.1534895	Los Angeles County
35607	Fee-for-Service	1689898397	1689898397	1	1	VISWANATHAN, MOHAN N MD	5/5/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	80904	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	300 PASTEUR DR	MC 5548	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
35715	Fee-for-Service	1629273651	1629273651	1	1	VIERRA, HEATHER A MD	5/11/2005	207R00000X	NA	Other	026	PHYSICIANS	84765	41	Internal Medicine	0	In state provider	None	4860 Y ST	None	SACRAMENTO	CA	95817	2307	34	06067	38.552211	-121.449429	Sacramento County
35776	Fee-for-Service	1457349938	1457349938	1	1	VETTER, WILLIAM R MD	10/18/1971	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	11188	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	5025 J ST	None	SACRAMENTO	CA	95819	3839	34	06067	38.566773	-121.441851	Sacramento County
35824	Fee-for-Service	1942349642	1942349642	1	1	VELEZ, CYNTHIA MD	12/1/1997	207R00000X	NA	Other	026	PHYSICIANS	79561	41	Internal Medicine	0	In state provider	None	4747 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
35839	Fee-for-Service	1033306220	1033306220	1	1	VALENZUELA, GLENN A MD	7/21/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	93968	05	Anesthesiology	0	In state provider	None	3600 BROADWAY	None	OAKLAND	CA	94611	5730	01	06001	37.8237837	-122.2590026	Alameda County
35908	Fee-for-Service	1508813510	1508813510	1	1	VUONG, AN H MD INC	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	87923	None	None	0	In state provider	None	17150 EUCLID ST	STE 319	FOUNTAIN VALLEY	CA	92708	4092	30	06059	33.714171	-117.9369905	Orange County
35910	Fee-for-Service	1467770263	1467770263	1	1	VICTORIA ONE HOSPICE INC	7/1/2014	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	510 E FOOTHILL BLVD	SUITE 106	SAN DIMAS	CA	91773	1254	19	06037	34.12305749	-117.7979452	Los Angeles County
35979	Fee-for-Service	1619062320	1619062320	1	1	VOORA, SIVASIA MD	4/30/1992	207L00000X	NA	Other	026	PHYSICIANS	48239	05	Anesthesiology	0	In state provider	None	3152 N MILLBROOK AVE	STE D	FRESNO	CA	93703	1459	10	06019	36.779166	-119.7634925	Fresno County
35983	Fee-for-Service	1427489285	1427489285	1	1	VALDEZ, KAREN LCSW	6/8/2018	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
36005	Fee-for-Service	1639175490	1639175490	2	1	VELASQUEZ, JOEL Q MD	3/3/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	51953	08	Family Practice	0	In state provider	None	12677 HESPERIA ROAD	SUITE 130	VICTORVILLE	CA	92395	7735	36	06071	34.48148078	-117.2906175	San Bernardino County
36052	Fee-for-Service	1265496533	1265496533	1	1	VO, DUYET C MD	9/20/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	83078	None	None	0	In state provider	None	1667 S MISSION RD	STE E&F	FALLBROOK	CA	92028	4113	37	06073	33.362262	-117.2493485	San Diego County
36115	Fee-for-Service	1720132137	1720132137	1	1	VANDERZEE, SCOTT LCSW	8/20/2018	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	6282	-	NOT APPLICABLE	0	In state provider	None	2055 SAVIERS ROAD	STE A	OXNARD	CA	93033	3608	56	06111	34.179219	-119.1776065	Ventura County
36201	Fee-for-Service	1467770263	1467770263	1	1	VICTORIA ONE HOSPICE INC	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	510 E FOOTHILL BLVD	SUITE 106	SAN DIMAS	CA	91773	1254	19	06037	34.12305749	-117.7979452	Los Angeles County
36228	Fee-for-Service	1518467802	1518467802	1	1	VARELA, JESUS E CRNA	2/28/2018	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1150 N INDIAN CANYON DR	None	PALM SPRINGS	CA	92262	4872	33	06065	33.838623	-116.542737	Riverside County
36267	Fee-for-Service	1619062320	1619062320	1	1	VOORA, SIVASIA MD	4/30/1992	207L00000X	NA	Other	026	PHYSICIANS	48239	66	Emergency Medicine (Urgent Care)	0	In state provider	None	3152 N MILLBROOK AVE	STE D	FRESNO	CA	93703	1459	10	06019	36.779166	-119.7634925	Fresno County
36289	Fee-for-Service	1396882205	1396882205	1	2	VANDERBILT UNIVERSITY	7/24/2017	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	MEDICAL CENTER	2200 CHILDRENS WAY	None	NASHVILLE	TN	37232	9900	00	None	36.146205	-86.806269	Davidson County
36293	Fee-for-Service	1811319635	1811319635	1	1	VARICOSE VEIN SOLUTIONS, MED	7/17/2024	2086S0129X	NA	General Surgery	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	ICAL CORPORATION	18840 VENTURA BLVD	STE 100B	TARZANA	CA	91356	3301	19	06037	34.17204394	-118.5442921	Los Angeles County
36312	Fee-for-Service	1750714796	1750714796	1	2	VIANU, IAN LMFT	7/16/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2006 DWIGHT WAY	SUITE 103	BERKELEY	CA	94704	2633	01	06001	37.86367103	-122.2693938	Alameda County
36325	Fee-for-Service	1922175744	1922175744	1	1	VU, DENNIS DO	1/5/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	7512	01	General Practice	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
36371	Fee-for-Service	1417007576	1417007576	1	1	VEENA MUMMANENI & AFSHAN	8/27/2004	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	GHIAI OB/GYN MED GRP INC	1700 N ROSE AVE	STE 350	OXNARD	CA	93030	7627	56	06111	34.21746	-119.155545	Ventura County
36445	Fee-for-Service	1093743601	1093743601	1	1	VIIRRE ERIK S MD	12/8/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	82354	13	Neurology (M.D. only)	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	1911	37	06073	32.7537975	-117.1658298	San Diego County
36470	Fee-for-Service	1649759317	1649759317	1	1	VERDE, JASON NP	11/11/2022	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
36578	Fee-for-Service	1396882205	1396882205	1	2	VANDERBILT UNIVERSITY	7/24/2017	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	MEDICAL CENTER	2200 CHILDRENS WAY	None	NASHVILLE	TN	37232	9900	00	None	36.146205	-86.806269	Davidson County
36612	Fee-for-Service	1205869849	1205869849	1	3	VASTI, ERNEST J MD	10/23/2020	207QA0401X	NA	Adult Primary Care	086	MEDICAL DIRECTORS	54133	-	NOT APPLICABLE	0	In state provider	None	10089 FOLSOM BLVD	SUITES A & C	RANCHO CORDOVA	CA	95670	1935	34	06067	38.583045	-121.3178355	Sacramento County
36699	Fee-for-Service	1376562629	1376562629	1	1	VORA, SAMIR N MD	2/28/1991	No Taxonomy Provided	NA	None	026	PHYSICIANS	45949	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	1860 MOWRY AVE	STE 310	FREMONT	CA	94538	1730	01	06001	37.55887933	-121.9797796	Alameda County
36746	Fee-for-Service	1073964185	1073964185	1	1	VORA, HALLEY P MD	9/1/2021	208600000X	NA	General Surgery	026	PHYSICIANS	143377	None	None	0	In state provider	None	11370 ANDERSON ST	STE 2100	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
36813	Fee-for-Service	1740973924	1740973924	1	1	V R, CHRISTINA	6/7/2023	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	6641 W CELESTE AVE	None	FRESNO	CA	93723	8113	10	06019	36.8211255	-119.9098485	Fresno County
36865	Fee-for-Service	1487329876	1487329876	1	1	VEYTSMAN, ELINA PHD	1/3/2024	103TC2200X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	300 UCLA MEDICAL PLZ	None	LOS ANGELES	CA	90095	8346	19	06037	34.06465655	-118.4461	Los Angeles County
36922	Fee-for-Service	1235457649	1235457649	1	1	VENKATESAN, ARUNA MD	3/18/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	113635	07	Dermatology	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
36925	Fee-for-Service	1023601689	1023601689	1	1	VERMEL HOSPICE INC	11/18/2022	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	8119 FOOTHILL BLVD	STE 6	SUNLAND	CA	91040	2981	19	06037	34.2596885	-118.3099545	Los Angeles County
36987	Fee-for-Service	1376562629	1376562629	1	1	VORA, SAMIR N MD	2/28/1991	No Taxonomy Provided	NA	None	026	PHYSICIANS	45949	41	Internal Medicine	0	In state provider	None	1860 MOWRY AVE	STE 310	FREMONT	CA	94538	1730	01	06001	37.55887933	-121.9797796	Alameda County
37102	Fee-for-Service	1740973924	1740973924	1	1	V R, CHRISTINA	6/7/2023	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	6641 W CELESTE AVE	None	FRESNO	CA	93723	8113	10	06019	36.8211255	-119.9098485	Fresno County
37147	Fee-for-Service	1780942243	1780942243	1	1	VONG, ANGELA MD	6/19/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	147814	04	Otology, Laryngology, Rhinology	0	In state provider	None	2521 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2207	34	06067	38.55204	-121.455387	Sacramento County
37211	Fee-for-Service	1023601689	1023601689	1	1	VERMEL HOSPICE INC	11/18/2022	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	8119 FOOTHILL BLVD	STE 6	SUNLAND	CA	91040	2981	19	06037	34.2596885	-118.3099545	Los Angeles County
37275	Fee-for-Service	1831128867	1831128867	1	1	VONS COMPANIES INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	1110 W ALAMEDA AVE	None	BURBANK	CA	91506	2806	19	06037	34.16282395	-118.3142996	Los Angeles County
37372	Fee-for-Service	1457432221	1457432221	1	1	VORSTER, GRANT OD	5/17/2005	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	82227 US HIGHWAY 111	None	INDIO	CA	92201	5667	33	06065	33.71471443	-116.2312195	Riverside County
37394	Fee-for-Service	1124000633	1124000633	1	1	VIERO-DOTHAGE, LAURA MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	12303 DEPAUL DRIVE	None	BRIDGETON, MO	MO	63044	2512	00	None	38.750967	-90.4336785	St. Louis County
37454	Fee-for-Service	1760634778	1760634778	1	2	VU, KEVIN A MD	8/3/2018	207R00000X	NA	Other	026	PHYSICIANS	105487	41	Internal Medicine	0	In state provider	None	6830 STOCKTON BLVD	SUITE 155	SACRAMENTO	CA	95823	2392	34	06067	38.502711	-121.4329725	Sacramento County
37489	Fee-for-Service	1962927475	1962927475	1	1	VARASTEH, ALI MD	11/20/2020	207R00000X	NA	Other	026	PHYSICIANS	165992	None	None	0	In state provider	None	800 SOUTH MAIN ST	None	CORONA	CA	92882	3420	33	06065	33.872958	-117.568359	Riverside County
37570	Fee-for-Service	1720828585	1720828585	1	1	VITUITY-NEVADA MEDICAL SERVI	7/9/2024	193200000X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	1	Border provider	None	8280 WARM SPRINGS RD	None	LAS VEGAS	NV	89113	3612	00	None	36.057384	-115.2721395	Clark County
37631	Fee-for-Service	1710212782	1710212782	1	1	VITREO RETINAL MEDICAL GROUP	3/8/2010	207W00000X	NA	Ophthalmology	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	INC	1548 N TRACY BLVD	None	TRACY	CA	95376	2903	39	06077	37.7458189	-121.4349385	San Joaquin County
37701	Fee-for-Service	1861978371	1861978371	1	1	VAZQUEZ, VICENTE MD	8/11/2021	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	173455	None	None	0	In state provider	None	3634 ELIZABETH ST	None	RIVERSIDE	CA	92506	2506	33	06065	33.95782448	-117.3904065	Riverside County
37708	Fee-for-Service	1700069598	1700069598	1	1	VEVAINA, ZENA	12/18/2019	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	91332	-	NOT APPLICABLE	0	In state provider	None	2218 N FIRST ST	None	SAN JOSE	CA	95131	2007	43	06085	37.37769052	-121.9213491	Santa Clara County
37720	Fee-for-Service	1841744190	1841744190	1	1	VIVERETTE, APRIL	8/9/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	11801 PIERCE ST	SUITE 200	RIVERSIDE	CA	92505	4408	33	06065	33.90100297	-117.49363	Riverside County
37761	Fee-for-Service	1417052226	1417052226	1	2	VAN KIRK, SAMUEL D MD	3/30/2021	174400000X	NA	Other	026	PHYSICIANS	86026	01	General Practice	0	In state provider	None	2139 AIRPARK DRIVE	None	REDDING	CA	96001	2433	45	06089	40.57450183	-122.4048785	Shasta County
37763	Fee-for-Service	1619024908	1619024908	1	1	VYHMEISTER, JUDITH C MD	7/23/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	41275	35	Pediatric Cardiology (M.D. only)	0	In state provider	None	101 HOSPITAL RD	None	SONORA	CA	95370	5227	55	06109	37.9744944	-120.3778743	Tuolumne County
37842	Fee-for-Service	1922042779	1922042779	1	1	VILKE, GARY M MD	9/30/1993	207P00000X	NA	Other	026	PHYSICIANS	78057	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
37863	Fee-for-Service	1407234206	1407234206	1	1	VERA, DANIEL CRNA	6/8/2015	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	465 W PUTNAM AVE	None	PORTERVILLE	CA	93257	3320	54	06107	36.06953472	-119.0273379	Tulare County
37975	Fee-for-Service	1396803367	1396803367	1	1	VO, JUSTIN TUAT VAN DC	5/11/2007	No Taxonomy Provided	NA	None	006	CHIROPRACTORS	-	-	NOT APPLICABLE	0	In state provider	HEALTHY CHOICE CHIRO CLI	373 9TH ST	STE 202	OAKLAND	CA	94607	6515	01	06001	37.80008607	-122.2714059	Alameda County
38049	Fee-for-Service	1083994677	1083994677	1	1	VALE, NICOLE M PSYD	6/6/2016	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	275 VICTORIA STREET	SUITE 2A	COSTA MESA	CA	92627	1906	30	06059	33.6526055	-117.910746	Orange County
38066	Fee-for-Service	1205921905	1205921905	1	1	VANWYK, MARGARET N MD	10/4/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	86702	05	Anesthesiology	0	In state provider	None	6235 N FRESNO ST	STE 103	FRESNO	CA	93710	5269	10	06019	36.82733123	-119.7814229	Fresno County
38315	Fee-for-Service	1356466320	1356466320	1	1	VALENTO, SHARON	2/8/2010	No Taxonomy Provided	NA	None	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	50 E FOOTHILL BLVD	STE 100	ARCADIA	CA	91006	2314	19	06037	34.15096965	-118.0295442	Los Angeles County
38369	Fee-for-Service	1609118041	1609118041	1	4	VO MEDICAL CENTER	12/13/2023	208D00000X	NA	Adult Primary Care	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	690 OTAY LAKES RD	125	CHULA VISTA	CA	91910	8904	37	06073	32.6476566	-117.0042986	San Diego County
38608	Fee-for-Service	1215973839	1215973839	1	1	VONS COMPANIES, INC	6/12/1998	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	14200 PALM DR	None	DESERT HOT SPRING	CA	92240	6873	33	06065	33.94538937	-116.5012248	Riverside County
38657	Fee-for-Service	1609118041	1609118041	1	4	VO MEDICAL CENTER	12/22/2022	208D00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	None	690 OTAY LAKES RD	125	CHULA VISTA	CA	91910	8904	37	06073	32.6476566	-117.0042986	San Diego County
38734	Fee-for-Service	1255324885	1255324885	1	1	VAN NATTA, TIMOTHY L MD	6/30/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	87765	33	Thoracic Surgery	0	In state provider	None	1000 WEST CARSON STREET	None	TORRANCE	CA	90502	2004	19	06037	33.83155851	-118.2920625	Los Angeles County
38826	Fee-for-Service	1093027989	1093027989	1	1	VERMA, ATUL MD	10/11/2021	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	137113	None	None	0	In state provider	None	1517 KNICKERBOCKER	None	STOCKTON	CA	95210	3119	39	06077	38.02415455	-121.2934722	San Joaquin County
38832	Fee-for-Service	1255795159	1255795159	1	1	VANG, MAY NP	5/24/2024	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1310 STEWART DR	STE 301	ORANGE	CA	92868	3854	30	06059	33.78236048	-117.8664975	Orange County
38856	Fee-for-Service	1942338389	1942338389	1	1	VANN, SARAH T LCSW	12/20/2019	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	76675	-	NOT APPLICABLE	0	In state provider	None	1904 RICHLAND AVE	None	CERES	CA	95307	9440	50	06099	37.60031128	-120.9658226	Stanislaus County
38865	Fee-for-Service	1588722946	1588722946	1	1	VARALLO, MARK F MD	2/26/2008	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	8108	08	Family Practice	0	In state provider	None	1236 N MAGNOLIA AVE	None	ANAHEIM	CA	92801	2607	30	06059	33.8508897	-117.9761562	Orange County
38931	Fee-for-Service	1023069481	1023069481	1	1	VILLANO,MICHAEL MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	431 NE BEVERE AVE	STE 110	BEND	OR	97701	0000	00	None	44.06762649	-121.299939	Deschutes County
38947	Fee-for-Service	1609118041	1609118041	1	4	VO MEDICAL CENTER	6/7/2023	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	690 OTAY LAKES RD	125	CHULA VISTA	CA	91910	8904	37	06073	32.6476566	-117.0042986	San Diego County
38953	Fee-for-Service	1356979355	1356979355	1	1	VUONG, AIDAN X DO	8/11/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	19543	None	None	0	In state provider	None	1441 FLORIDA AVE	None	MODESTO	CA	95350	4405	50	06099	37.66508443	-120.9962589	Stanislaus County
39040	Fee-for-Service	1407019367	1407019367	1	1	VILLARI-LEE, ANNE E MD	8/4/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	128500	36	Psychiatry	0	In state provider	None	710 S BROADWAY ST	None	WALNUT CREEK	CA	94596	5294	07	06013	37.89702115	-122.0569066	Contra Costa County
39052	Fee-for-Service	1932602646	1932602646	1	1	VELASQUEZ BRIONES, JULIANA	11/22/2024	231H00000X	NA	Other	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	AU	1630 E SHAW AVE	None	FRESNO	CA	93710	8105	10	06019	36.8088456	-119.7572815	Fresno County
39226	Fee-for-Service	1992250542	1992250542	1	1	VOYTILLA, LINDSEY D OT	9/16/2019	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	11838 BERNARDO PLAZA CT	SUITE 110	SAN DIEGO	CA	92128	2413	37	06073	33.02037119	-117.0760729	San Diego County
39234	Fee-for-Service	1609118041	1609118041	1	4	VO MEDICAL CENTER	6/27/2023	208D00000X	NA	Adult Primary Care	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	None	690 OTAY LAKES RD	125	CHULA VISTA	CA	91910	8904	37	06073	32.6476566	-117.0042986	San Diego County
39260	Fee-for-Service	1720217888	1720217888	1	1	VU, LINH N DO	1/13/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	7513	41	Internal Medicine	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
39419	Fee-for-Service	1174140685	1174140685	1	1	VASILCHUK, PAVEL PT	9/28/2020	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	11960 HERITAGE OAK PL	19	AUBURN	CA	95603	2401	31	06061	38.94072856	-121.0989265	Placer County
39485	Fee-for-Service	1407907140	1407907140	1	1	VOSLER, ANNE T	12/7/2016	No Taxonomy Provided	NA	None	005	CERTIFIED NURSE MIDWIFE	-	None	None	0	In state provider	None	975 SERENO DR	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
39519	Fee-for-Service	1609118041	1609118041	1	4	VO MEDICAL CENTER	12/22/2022	208D00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	None	690 OTAY LAKES RD	125	CHULA VISTA	CA	91910	8904	37	06073	32.6476566	-117.0042986	San Diego County
39539	Fee-for-Service	1467886697	1467886697	1	1	VANOVER, MELISSA A MD	7/15/2020	208600000X	NA	General Surgery	026	PHYSICIANS	134338	02	General Surgery	0	In state provider	None	2221 STOCKTON BLVD	None	SACRAMENTO	CA	95817	1418	34	06067	38.556288	-121.458474	Sacramento County
39586	Fee-for-Service	1477903987	1477903987	1	1	VELASQUEZ, NATHALIA	7/8/2024	207YX0602X	NA	ENT/Otolaryngology	026	PHYSICIANS	None	84	Surgery-Head and Neck	0	In state provider	None	39400 PASEO PADRE PKWY	None	FREMONT	CA	94538	2310	01	06001	37.55102172	-121.9759026	Alameda County
39590	Fee-for-Service	1336750421	1336750421	1	1	VDMD MEDICAL INC	10/27/2020	207R00000X	NA	Other	026	PHYSICIANS	None	None	None	0	In state provider	None	1477 GROVE ST	None	SAN FRANCISCO	CA	94117	1421	38	06075	37.7755254	-122.4408282	San Francisco County
39694	Fee-for-Service	1710219662	1710219662	1	1	VENTURA EYE INSTITUTE	12/28/2010	207W00000X	NA	Ophthalmology	022	PHYSICIANS GROUP	-	24	Plastic Surgery	0	In state provider	INCORPORATED	3801 LAS POSAS RD	STE 112	CAMARILLO	CA	93010	1477	56	06111	34.24138914	-119.0191887	Ventura County
39723	Fee-for-Service	1457572281	1457572281	1	1	VASHISHTHA, ANSHU MD	10/6/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	78979	41	Internal Medicine	0	In state provider	None	24451 HEALTH CENTER DR	None	LAGUNA HILLS	CA	92653	3689	30	06059	33.60848903	-117.7079742	Orange County
39725	Fee-for-Service	1457390130	1457390130	1	1	VARA,THOMAS M. MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	777 WEST STATE ST	None	COLUMBUS	OH	43222	0000	00	None	39.95771446	-83.02091018	Franklin County
39741	Fee-for-Service	1568510527	1568510527	1	1	VEGESNA, SACHIDEVI MD	10/31/1986	No Taxonomy Provided	NA	None	026	PHYSICIANS	37264	40	Pediatrics	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
39852	Fee-for-Service	1285455311	1285455311	1	1	VILLASENOR, ABEL LCSW	11/16/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
39892	Fee-for-Service	1437555265	1437555265	1	6	VALLEY CHILDREN'S MEDICAL GR	4/20/2022	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	15	Obstetrics (D.O. only)	0	In state provider	OUP, WARNER WOMEN'S HEAL	1187 HERNDON AVE	106	FRESNO	CA	93720	3166	10	06019	36.83640179	-119.7674647	Fresno County
39982	Fee-for-Service	1710219662	1710219662	1	1	VENTURA EYE INSTITUTE	12/28/2010	207W00000X	NA	Ophthalmology	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	INCORPORATED	3801 LAS POSAS RD	STE 112	CAMARILLO	CA	93010	1477	56	06111	34.24138914	-119.0191887	Ventura County
40011	Fee-for-Service	1235254228	1235254228	1	1	VIRIK, PRITBIR S DO	8/27/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	10169	66	Emergency Medicine (Urgent Care)	0	In state provider	None	4733 W SUNSET BOULEVARD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
40040	Fee-for-Service	1710946009	1710946009	2	1	VILLAR, HERMILITO L MD	8/10/1988	No Taxonomy Provided	NA	None	026	PHYSICIANS	41795	01	General Practice	0	In state provider	None	9849 TABOR ST	STE 5	LOS ANGELES	CA	90034	3937	19	06037	34.02800142	-118.4016537	Los Angeles County
40135	Fee-for-Service	1861780462	1861780462	1	1	VORA, FARHA M MD	7/1/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	121094	40	Pediatrics	0	In state provider	None	25845 BARTON ROAD	STE F	LOMA LINDA	CA	92354	3450	36	06071	34.04824949	-117.2401425	San Bernardino County
40153	Fee-for-Service	1821406323	1821406323	1	1	VARADARAJALU NAIDU, YOGEETA	8/7/2024	207RP1001X	NA	Pulmonology	026	PHYSICIANS	None	29	Pulmonary Diseases (M.D. only)	0	In state provider	MD	1800 CALIFORNIA ST	None	STOCKTON	CA	95204	6019	39	06077	37.97026329	-121.2890849	San Joaquin County
40180	Fee-for-Service	1437555265	1437555265	1	6	VALLEY CHILDREN'S MEDICAL GR	4/20/2022	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	09	Gynecology (D.O. only)	0	In state provider	OUP, WARNER WOMEN'S HEAL	1187 HERNDON AVE	106	FRESNO	CA	93720	3166	10	06019	36.83640179	-119.7674647	Fresno County
40190	Fee-for-Service	1700511292	1700511292	1	1	VU, YVES PT	3/3/2023	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	39400 PASEO PADRE PKWY	None	FREMONT	CA	94538	2310	01	06001	37.55102172	-121.9759026	Alameda County
40246	Fee-for-Service	1598127318	1598127318	1	1	VILLAR, JENNIFER LMFT	6/17/2019	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	110996	-	NOT APPLICABLE	0	In state provider	None	100 EAST WARDLOW ROAD	None	LONG BEACH	CA	90807	4417	19	06037	33.8188341	-118.1923297	Los Angeles County
40297	Fee-for-Service	1639103781	1639103781	1	1	VANDERWALL, KAREN J MD	2/28/1995	207L00000X	NA	Other	026	PHYSICIANS	77187	08	Family Practice	0	In state provider	None	3626 RUFFIN RD	None	SAN DIEGO	CA	92123	1810	37	06073	32.80975208	-117.1193406	San Diego County
40331	Fee-for-Service	1710946009	1710946009	2	1	VILLAR, HERMILITO L MD	8/10/1988	No Taxonomy Provided	NA	None	026	PHYSICIANS	41795	40	Pediatrics	0	In state provider	None	9849 TABOR ST	STE 5	LOS ANGELES	CA	90034	3937	19	06037	34.02800142	-118.4016537	Los Angeles County
40348	Fee-for-Service	1962437277	1962437277	1	1	VOHRA, MEENA P MD	10/9/2002	2080P0203X	NA	Other	026	PHYSICIANS	-	40	Pediatrics	1	Border provider	None	1800 W CHARLESTON BLVD	None	LAS VEGAS	NV	89102	2329	00	None	36.1590063	-115.1674415	Clark County
40384	Fee-for-Service	1225081953	1225081953	1	1	VU, STEVE T MD	3/16/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	64785	02	General Surgery	0	In state provider	None	5524 MISSION BLVD	None	RIVERSIDE	CA	92509	4515	33	06065	33.99605244	-117.4052012	Riverside County
40596	Fee-for-Service	1144554411	1144554411	1	1	VU, CLAMON Q MD	7/27/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	109331	01	General Practice	0	In state provider	None	7761 GARDEN GROVE BLVD	None	GARDEN GROVE	CA	92841	4200	30	06059	33.77387145	-117.9966555	Orange County
40675	Fee-for-Service	1225081953	1225081953	1	1	VU, STEVE T MD	3/16/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	64785	24	Plastic Surgery	0	In state provider	None	5524 MISSION BLVD	None	RIVERSIDE	CA	92509	4515	33	06065	33.99605244	-117.4052012	Riverside County
40711	Fee-for-Service	1750344636	1750344636	1	1	VILLANUEVA, ANTHONY L MD	3/20/2008	207W00000X	NA	Ophthalmology	026	PHYSICIANS	39828	18	Ophthalmology	0	In state provider	None	901 CAMPUS DRIVE	STE 203	DALY CITY	CA	94015	4930	41	06081	37.66535778	-122.4763793	San Mateo County
40814	Fee-for-Service	1750499521	1750499521	1	1	VOLKOVA, NATALIA MD	2/26/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	80017	41	Internal Medicine	0	In state provider	None	445 S CEDAR AVE	None	FRESNO	CA	93702	2907	10	06019	36.7382512	-119.7543688	Fresno County
40821	Fee-for-Service	1942560321	1942560321	1	1	VORA, RONAK R DO	8/28/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	None	13	Neurology (M.D. only)	0	In state provider	None	26800 CROWN VALLEY PKWY	STE 250	MISSION VIEJO	CA	92691	8033	30	06059	33.56286021	-117.6673449	Orange County
40979	Fee-for-Service	1982800397	1982800397	1	1	VILLAGE HOSPITAL	4/15/2013	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	250 WESTMORELAND RD	None	GREER	SC	29651	9013	00	None	34.86366206	-82.21842471	Spartanburg County
41020	Fee-for-Service	1164478277	1164478277	1	1	VALLEJO OPEN MRI CENTER	12/14/2006	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	155 GLEN COVE MARINA RD	STE 101	VALLEJO	CA	94591	7284	48	06095	38.07026311	-122.2123223	Solano County
41044	Fee-for-Service	1023017571	1023017571	1	1	VU, DAN MD	3/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	62391	30	Radiology	0	In state provider	None	1100 W STEWART DRIVE	None	ORANGE	CA	92868	3849	30	06059	33.78236558	-117.8648414	Orange County
41045	Fee-for-Service	1528152428	1528152428	1	1	VADIVEL, UMA M MD	9/26/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	93225	40	Pediatrics	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
41186	Fee-for-Service	1063873032	1063873032	1	1	VITALICH, WENDY J 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
41219	Fee-for-Service	1376047985	1376047985	1	1	VO, NHI MD	9/1/2024	2085R0204X	NA	Other	026	PHYSICIANS	None	None	None	0	In state provider	None	2000 MOWRY AVE	None	FREMONT	CA	94538	1716	01	06001	37.55769729	-121.9808861	Alameda County
41267	Fee-for-Service	1982800397	1982800397	1	1	VILLAGE HOSPITAL	4/15/2013	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	250 WESTMORELAND RD	None	GREER	SC	29651	9013	00	None	34.86366206	-82.21842471	Spartanburg County
41270	Fee-for-Service	1932276862	1932276862	1	1	VASHISHTHA, NAINA	10/9/1990	No Taxonomy Provided	NA	None	026	PHYSICIANS	48735	41	Internal Medicine	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
41410	Fee-for-Service	1891029393	1891029393	1	1	VINSON, LYNN M LCSW	4/13/2021	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	5189 HOSPITAL RD	None	MARIPOSA	CA	95338	9524	22	06043	37.50033166	-119.9769163	Mariposa County
41561	Fee-for-Service	1932276862	1932276862	1	1	VASHISHTHA, NAINA	10/9/1990	No Taxonomy Provided	NA	None	026	PHYSICIANS	48735	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
41596	Fee-for-Service	1801816319	1801816319	1	1	VAZIRANI, SONDRA S MD	8/1/1997	207R00000X	NA	Other	026	PHYSICIANS	55092	01	General Practice	0	In state provider	None	200 MEDICAL PLAZA	None	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
41648	Fee-for-Service	1508190497	1508190497	1	1	VELLICHOR, MARISSA LCSW	2/28/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	818 MOUNTAIN AVE	UNIT 203	UPLAND	CA	91786	4167	36	06071	34.10424442	-117.6701797	San Bernardino County
41678	Fee-for-Service	1326022765	1326022765	1	2	VHS OF ARROWHEAD INC	1/5/2017	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	1930 E THOMAS ROAD	None	PHOENIX	AZ	85016	7711	00	None	33.480774	-112.0396095	Maricopa County
41756	Fee-for-Service	1619047891	1619047891	1	1	VERNACCHIA, FRED MD	12/31/1985	No Taxonomy Provided	NA	None	026	PHYSICIANS	51923	01	General Practice	0	In state provider	None	1010 MURRAY ST	None	SAN LUIS OBISPO	CA	93405	8800	40	06079	35.29101669	-120.6663647	San Luis Obispo County
41896	Fee-for-Service	1831693639	1831693639	1	1	VARNISHUNG, CHARLES MD	6/21/2023	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	187016	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
41916	Fee-for-Service	1538435276	1538435276	1	1	VAN KUIKEN, MICHELLE E MD	8/14/2020	2088F0040X	NA	Other	026	PHYSICIANS	155491	34	Urology and Urological Surgery	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
41921	Fee-for-Service	1982633905	1982633905	1	1	VONS COMPANIES INC	9/1/2000	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	520 W TEFFT ST	None	NIPOMO	CA	93444	8946	40	06079	35.03620272	-120.4858527	San Luis Obispo County
41966	Fee-for-Service	1326022765	1326022765	1	2	VHS OF ARROWHEAD INC	1/5/2017	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	1930 E THOMAS ROAD	None	PHOENIX	AZ	85016	7711	00	None	33.480774	-112.0396095	Maricopa County
42044	Fee-for-Service	1619047891	1619047891	1	1	VERNACCHIA, FRED MD	12/31/1985	No Taxonomy Provided	NA	None	026	PHYSICIANS	51923	30	Radiology	0	In state provider	None	1010 MURRAY ST	None	SAN LUIS OBISPO	CA	93405	8800	40	06079	35.29101669	-120.6663647	San Luis Obispo County
42083	Fee-for-Service	1669123717	1669123717	1	1	VISALIA HEARING CENTER, INC.	10/25/2022	231H00000X	NA	Other	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	2316 W WHITENDALE AVE	STE. A	VISALIA	CA	93277	6131	54	06107	36.306486	-119.3164605	Tulare County
42087	Fee-for-Service	1538522669	1538522669	1	1	VU, PRISCILLA Q MD	5/16/2022	207W00000X	NA	Ophthalmology	026	PHYSICIANS	151403	None	None	0	In state provider	None	100 E CALIFORNIA BLVD	None	PASADENA	CA	91105	3205	19	06037	34.1357725	-118.148301	Los Angeles County
42088	Fee-for-Service	1447498225	1447498225	1	1	VAIDYA, VIJAY S MD	4/5/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	100369	41	Internal Medicine	0	In state provider	None	8536 WILSHIRE BLVD	None	LOS ANGELES	CA	90211	3103	19	06037	34.06550726	-118.3775199	Los Angeles
42094	Fee-for-Service	1750709440	1750709440	1	1	VEHIAN, ARA MD	8/23/2018	207L00000X	NA	Other	026	PHYSICIANS	140469	05	Anesthesiology	0	In state provider	None	1 HOAG DR	None	NEWPORT BEACH	CA	92663	4162	30	06059	33.62421676	-117.9309656	Orange County
42187	Fee-for-Service	1407981889	1407981889	1	1	VAGEL0S, RANDALL H MD	5/31/1988	207RC0200X	NA	Other	026	PHYSICIANS	59381	01	General Practice	0	In state provider	None	1350 WILLOW RD	STE 202	MENLO PARK	CA	94025	1516	41	06081	37.47713734	-122.1521704	San Mateo County
42214	Fee-for-Service	1346542586	1346542586	1	1	VU, HA N MD	3/7/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	114781	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
42227	Fee-for-Service	1194251793	1194251793	1	1	VISWANATHAN, SAHITYAN MD	7/20/2022	207RN0300X	NA	Nephrology	026	PHYSICIANS	-	None	None	1	Border provider	None	2545 S BRUCE ST	STE 200	LAS VEGAS	NV	89169	1731	00	None	36.143271	-115.1254975	Clark County
42241	Fee-for-Service	1922113836	1922113836	1	1	VARGAS, EDUARDO MD	5/21/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	89025	01	General Practice	0	In state provider	None	17051 SIERRA LAKES PKWY	STE 101	FONTANA	CA	92336	1274	36	06071	34.13797332	-117.4324372	San Bernardino County
42400	Fee-for-Service	1023004173	1023004173	1	1	VOGLER, ELIZABETH M MD	12/1/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	60179	None	None	0	In state provider	None	1100 LAS TABLAS RD	None	TEMPLETON	CA	93465	9704	40	06079	35.55442648	-120.719754	San Luis Obispo County
42441	Fee-for-Service	1326114117	1326114117	1	1	VIGIL, CHRISTINA	2/8/2015	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1178 EL CAMINO REAL	None	SAN BRUNO	CA	94066	2406	41	06081	37.637235	-122.418567	San Mateo County
42522	Fee-for-Service	1851371595	1851371595	2	1	VILLARICA, SHIRLEY R MD	9/4/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	32139	40	Pediatrics	0	In state provider	None	1135 S SUNSET AVE	SUITE 410	WEST COVINA	CA	91790	3965	19	06037	34.06215064	-117.9453997	Los Angeles County
42568	Fee-for-Service	1215431887	1215431887	1	1	VACHON, DANIELLE M	7/20/2022	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	176723	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
42618	Fee-for-Service	1437555265	1437555265	1	4	VALLEY CHILDREN'S MEDICAL GR	8/8/2018	208000000X	NA	Pediatric Primary Care	022	PHYSICIANS GROUP	-	10	Gastroenterology (M.D. only)	0	In state provider	OUP	220 S AKERS ST	None	VISALIA	CA	93291	5178	54	06107	36.328095	-119.3489685	Tulare County
42624	Fee-for-Service	1841411758	1841411758	1	1	VAN HOUTEN, PETER D MD	1/31/1980	No Taxonomy Provided	NA	None	026	PHYSICIANS	43114	08	Family Practice	0	In state provider	None	15301 TYLER FOOTE RD	None	NEVADA CITY	CA	95959	9318	29	06057	39.36622661	-121.0368658	Nevada County
42641	Fee-for-Service	1972532927	1972532927	1	1	VONS COMPANIES,INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	26022 MARGUERITE PKWY	None	MISSION VIEJO	CA	92692	3262	30	06059	33.585984	-117.6576165	Orange County
42750	Fee-for-Service	1730280959	1730280959	1	1	VALLEY FAMILY HEALTH CTR	3/22/2004	261QR1300X	NA	Rural Health Center	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	MATERNAL & CHILD CARE CT	10769 14TH AVE	None	ARMONA	CA	93202	9600	16	06031	36.317349	-119.7089835	Kings County
42758	Fee-for-Service	1699954636	1699954636	1	1	VICTOR GO	8/1/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	620 SKYLINE DR	None	JACKSON	TN	38301	3923	00	None	35.63721	-88.831359	Madison County
42799	Fee-for-Service	1306345160	1306345160	1	1	VORA, JINAL PT	10/2/2020	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	12411 POWAY RD	STE 202B	POWAY	CA	92064	4302	37	06073	32.95170468	-117.0621893	San Diego County
42845	Fee-for-Service	1912116856	1912116856	1	1	VERCIO, CHAD J MD	5/21/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	97349	40	Pediatrics	0	In state provider	None	12860 BANYAN STREET	None	ETIWANDA	CA	91739	9466	36	06071	34.1433033	-117.524443	San Bernardino County
42941	Fee-for-Service	1083810410	1083810410	1	1	VILCHIS, CAROLINE J MD	1/21/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	104518	34	Urology and Urological Surgery	0	In state provider	None	3609 VISTA WAY	None	OCEANSIDE	CA	92056	4522	37	06073	33.18154968	-117.3096017	San Diego County
42954	Fee-for-Service	1215015987	1215015987	1	1	VOEGELI, THOMAS L MD	5/31/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	48057	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2025 MORSE AVE	None	SACRAMENTO	CA	95825	2115	34	06067	38.602089	-121.3925895	Sacramento County
43134	Fee-for-Service	1912116856	1912116856	1	1	VERCIO, CHAD J MD	7/1/2023	No Taxonomy Provided	NA	None	080	CA CHILDRENS SERVICES/GENETICALLY HANDICAPPED PERSONS PROGRAM NON- INSTITUTIONAL	-	-	NOT APPLICABLE	0	In state provider	None	12860 BANYAN STREET	None	ETIWANDA	CA	91739	9466	36	06071	34.1433033	-117.524443	San Bernardino County
43152	Fee-for-Service	1528351897	1528351897	1	1	VAZQUEZ, JAMIE R LMFT	8/1/2019	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4050 KATELLA AVE	103	LOS ALAMITOS	CA	90720	3434	30	06059	33.80296949	-118.061964	Orange County
43228	Fee-for-Service	1033566096	1033566096	1	1	VITREO RETINAL MEDICAL GROUP	8/4/2016	207W00000X	NA	Ophthalmology	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	INC	2330 E BIDWELL STREET	SUITE 200	FOLSOM	CA	95630	3875	34	06067	38.666529	-121.1407065	Sacramento County
43238	Fee-for-Service	1023278561	1023278561	1	1	VIGNAUD, RHODAN	4/28/2014	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	3559 ROUNDBARN BLVD	None	SANTA ROSA	CA	95403	1763	49	06097	38.47813376	-122.7279674	Sonoma County
43240	Fee-for-Service	1801563077	1801563077	1	1	VALLEY OAKS POST ACUTE LLC	8/16/2021	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	830 E CHAPEL STREET	None	SANTA MARIA	CA	93454	4610	42	06083	34.95423149	-120.4232535	Santa Barbara County
43310	Fee-for-Service	1023402872	1023402872	1	1	VICTORY HEMATOLOGY AND	1/4/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	107300	41	Internal Medicine	0	In state provider	ONCOLOGY INC	4940 VAN NUYS BLVD	STE 207	SHERMAN OAKS	CA	91403	1700	19	06037	34.160589	-118.4486715	Los Angeles County
43485	Fee-for-Service	1508902172	1508902172	1	1	VALERA, AUGUSTO B JR MD	7/25/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	82269	01	General Practice	0	In state provider	None	1800 SULLIVAN AVE	RM 405	DALY CITY	CA	94015	2224	41	06081	37.68077723	-122.4728941	San Mateo County
43502	Fee-for-Service	1932145265	1932145265	1	1	VANCE, WARREN T MD	9/30/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	72739	20	Orthopedic Surgery	0	In state provider	None	4300 GOLDEN CENTER DR	STE C	PLACERVILLE	CA	95667	6278	09	06017	38.70657265	-120.82856	El Dorado County
43601	Fee-for-Service	1023402872	1023402872	1	1	VICTORY HEMATOLOGY AND	1/4/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	107300	68	Hematology	0	In state provider	ONCOLOGY INC	4940 VAN NUYS BLVD	STE 207	SHERMAN OAKS	CA	91403	1700	19	06037	34.160589	-118.4486715	Los Angeles County
43604	Fee-for-Service	1326091679	1326091679	1	1	VYAS, KIRANKUMAR MD	10/31/1985	No Taxonomy Provided	NA	None	026	PHYSICIANS	41194	05	Anesthesiology	0	In state provider	None	16520 HARBOR BLVD	None	FOUNTAIN VALLEY	CA	92708	1360	30	06059	33.7234142	-117.919744	Orange County
43615	Fee-for-Service	1982851127	1982851127	1	1	VARTANIAN, JOCELYN R PT	10/31/2022	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	6770 N WEST AVE	101A	FRESNO	CA	93711	1399	10	06019	36.83680641	-119.8262494	Fresno County
43748	Fee-for-Service	1265149942	1265149942	1	1	VIDYA PHARMA INC	1/9/2023	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	23928 LYONS AVE	110	NEWHALL	CA	91321	2454	19	06037	34.37895689	-118.5532505	Los Angeles County
43771	Fee-for-Service	1588129621	1588129621	1	1	VALENTINO, DENISE LMFT	12/12/2019	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
43845	Fee-for-Service	1730346529	1730346529	1	2	VU, PHONG T MD INC	4/6/2017	207L00000X	NA	Other	026	PHYSICIANS	71476	05	Anesthesiology	0	In state provider	None	13153 BROOKHURST ST	None	GARDEN GROVE	CA	92843	1080	30	06059	33.77168846	-117.9551894	Orange County
43882	Fee-for-Service	1841647328	1841647328	1	1	VINELAND HOME HEALTH CARE	11/9/2018	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	INC	6005 VINELAND AVE	SUITE 213	NORTH HOLLYWOOD	CA	91606	4982	19	06037	34.179921	-118.3703275	Los Angeles County
43887	Fee-for-Service	1023402872	1023402872	1	1	VICTORY HEMATOLOGY AND	1/4/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	107300	78	Neoplastic Diseases/Oncology	0	In state provider	ONCOLOGY INC	4940 VAN NUYS BLVD	STE 207	SHERMAN OAKS	CA	91403	1700	19	06037	34.160589	-118.4486715	Los Angeles County
43962	Fee-for-Service	1366452484	1366452484	1	1	VANATTA, JASON M MD	9/7/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	90760	02	General Surgery	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
43971	Fee-for-Service	1255325296	1255325296	1	1	VU, DAWN T OD	12/8/2011	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	445 W PALMDALE BLVD	STE B	PALMDALE	CA	93551	4509	19	06037	34.58309663	-118.1375142	Los Angeles County
43995	Fee-for-Service	1952399180	1952399180	1	1	VIJUNGCO, JOSEPH D. MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	6750 E BAYWOOD AVE	STE 506	MESA	AZ	85206	1749	00	None	33.411195	-111.685365	Maricopa County
44080	Fee-for-Service	1710058151	1710058151	1	1	VALLEY CHILDRENS HOSPITAL	7/30/1996	251E00000X	NA	Other	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	5085 E MCKINKEY AVE	None	FRESNO	CA	93727	1964	10	06019	36.7652715	-119.724345	Fresno County
44083	Fee-for-Service	1053357640	1053357640	1	1	VONS COMPANIES, INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	2101 N ROSE AVE	None	OXNARD	CA	93036	2682	56	06111	34.221969	-119.1618045	Ventura County
44152	Fee-for-Service	1629359757	1629359757	1	1	VISION CENTRE OF VICTOR	2/3/2016	No Taxonomy Provided	NA	None	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	VALLEY INC	14400 BEAR VALLEY RD	STE 204	VICTORVILLE	CA	92392	5406	36	06071	34.473717	-117.347913	San Bernardino County
44189	Fee-for-Service	1578666129	1578666129	1	1	VILLAROSA, DANIEL M MD	10/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	50281	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	18145 HWY 18	STE F	APPLE VALLEY	CA	92307	2200	36	06071	34.5404119	-117.2678454	San Bernardino County
44276	Fee-for-Service	1083743652	1083743652	1	1	VENTURA COUNTY OB/GYN	1/1/1979	193400000X	NA	Other	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	MED GRP INC	2795 LOMA VISTA RD	None	VENTURA	CA	93003	1544	56	06111	34.27524405	-119.2586712	Ventura County
44279	Fee-for-Service	1194218735	1194218735	1	1	VU, THERESA MD	11/19/2021	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	173768	None	None	0	In state provider	None	3553 WHIPPLE RD	None	UNION CITY	CA	94587	1507	01	06001	37.60573981	-122.0835989	Alameda County
44319	Fee-for-Service	1619985215	1619985215	1	1	VILLARREAL, BRANDON L MD	3/22/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	60466	02	General Surgery	0	In state provider	None	3700 EAST SOUTH ST	None	LAKEWOOD	CA	90712	1419	19	06037	33.8601747	-118.148313	Los Angeles County
44377	Fee-for-Service	1821362567	1821362567	1	1	VELAZQUEZ GONZALEZ, MEGAN L	9/15/2022	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	12159	None	None	0	In state provider	MD	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
44380	Fee-for-Service	1629108824	1629108824	1	1	VILLALVAZO, ANTONIO MD	1/4/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	52080	08	Family Practice	0	In state provider	INC	6191 N FRESNO STREET	STE 101	FRESNO	CA	93710	8612	10	06019	36.82635798	-119.7814289	Fresno County
44556	Fee-for-Service	1033601083	1033601083	1	1	VERDE, EDWARD W MD INC	7/11/2018	207L00000X	NA	Other	026	PHYSICIANS	None	05	Anesthesiology	0	In state provider	None	1441 FLORIDA AVE	None	MODESTO	CA	95350	4418	50	06099	37.66508443	-120.9962589	Stanislaus County
44604	Fee-for-Service	1619985215	1619985215	1	1	VILLARREAL, BRANDON L MD	3/22/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	60466	05	Anesthesiology	0	In state provider	None	3700 EAST SOUTH ST	None	LAKEWOOD	CA	90712	1419	19	06037	33.8601747	-118.148313	Los Angeles County
44607	Fee-for-Service	1114955135	1114955135	1	1	VASILIAUKAS, ERIC MD	6/11/1998	174400000X	NA	Other	026	PHYSICIANS	68962	68	Hematology	0	In state provider	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
44674	Fee-for-Service	1912006404	1912006404	1	1	VALLEY FAMILY HEALTH CTR	3/22/2004	261QR1300X	NA	Rural Health Center	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	MATERNAL & CHILD CARE CT	275 S MADERA AVE	STE 201	KERMAN	CA	93630	1401	10	06019	36.73165922	-120.0602617	Fresno County
44708	Fee-for-Service	1902295686	1902295686	1	1	VISTA HOME HEALTH CARE INC	4/30/2018	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	7200 VINELAND BLVD	SUITE 204B	SUN VALLEY	CA	91352	5089	19	06037	34.2016328	-118.3703012	Los Angeles County
44776	Fee-for-Service	1336805787	1336805787	1	1	VISTA HOME HEALTH	10/2/2023	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	7335 TOPANGA CANYON BLVD	STE 200	CANOGA PARK	CA	91303	3392	19	06037	34.20396	-118.6059855	Los Angeles County
44798	Fee-for-Service	1689742058	1689742058	2	1	VERNON CENTRAL BOTICA	12/4/2018	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	PHARMACY	4375 S CENTRAL AVE	None	LOS ANGELES	CA	90011	3526	19	06037	34.004097	-118.2565155	Los Angeles County
44857	Fee-for-Service	1407208226	1407208226	1	1	VAJAPEY, SWETHA PSYD	10/20/2016	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	5755 COTTLE ROAD	None	SAN JOSE	CA	95123	3640	43	06085	37.246896	-121.8040865	Santa Clara County
44895	Fee-for-Service	1114955135	1114955135	1	1	VASILIAUKAS, ERIC MD	6/11/1998	174400000X	NA	Other	026	PHYSICIANS	68962	78	Neoplastic Diseases/Oncology	0	In state provider	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
44972	Fee-for-Service	1912553983	1912553983	1	2	VU D TRAN MD INC	5/9/2022	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	None	None	None	0	In state provider	None	714 HARBOR BLVD	A	SANTA ANA	CA	92704	2337	30	06059	33.73777075	-117.9201704	Orange County
45056	Fee-for-Service	1396862116	1396862116	1	1	VENTURA ADVANCED SURGICAL AS	1/7/2020	174400000X	NA	Other	022	PHYSICIANS GROUP	-	02	General Surgery	0	In state provider	SOCIATES, PROFESSIONAL M	3200 TELEGRAPH RD	None	VENTURA	CA	93003	3232	56	06111	34.27239076	-119.2522635	Ventura County
45069	Fee-for-Service	1285795559	1285795559	1	1	VALLEY MEMORIAL HOSPITAL	11/29/1988	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	1111 E STANLEY BLVD	None	LIVERMORE	CA	94550	4199	01	06001	37.67881307	-121.7823992	Alameda County
45150	Fee-for-Service	1154736494	1154736494	1	1	VAN SANT, LAUREN M	2/13/2024	2086S0127X	NA	General Surgery	026	PHYSICIANS	14449	None	None	0	In state provider	None	300 HILLMONT AVE STE 401	None	VENTURA	CA	93003	1651	56	06111	34.27771547	-119.2540344	Ventura County
45189	Fee-for-Service	1952749418	1952749418	1	1	VASAN, NINA MD	9/5/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	124117	36	Psychiatry	0	In state provider	None	300 PASTEUR DRIVE	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
45202	Fee-for-Service	1568752889	1568752889	1	1	VISHWASRAO, PRACHI P MD	11/19/2020	207RC0200X	NA	Other	026	PHYSICIANS	137379	None	None	0	In state provider	None	600 COFFEE RD	None	MODESTO	CA	95355	4201	50	06099	37.653219	-120.975542	Stanislaus County
45251	Fee-for-Service	1598052524	1598052524	1	1	VALERIO, GABRIEL S MD	6/11/2019	207W00000X	NA	Ophthalmology	026	PHYSICIANS	162299	18	Ophthalmology	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
45277	Fee-for-Service	1104555937	1104555937	1	1	VERDUGO LOGISTICS LLC	7/6/2023	343900000X	NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	4900 CALIFORNIA AVE	210-B	BAKERSFIELD	CA	93309	7080	15	06029	35.36440586	-119.0562732	Kern County
45394	Fee-for-Service	1669409157	1669409157	1	1	VAZQUEZ, ROBERT JR MD	11/18/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	61736	01	General Practice	0	In state provider	None	2 WEST FERN ST	None	REDLANDS	CA	92373	5916	36	06071	34.05016907	-117.1793443	San Bernardino County
45428	Fee-for-Service	1346529435	1346529435	1	1	VALLES, HORTENCIA LMFT	5/18/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	901 NEVIN AVE	None	RICHMOND	CA	94801	3143	07	06013	37.93684848	-122.361345	Contra Costa County
45474	Fee-for-Service	1184891707	1184891707	1	1	VAN BRADEN, SONIA CNM	8/16/2017	367A00000X	NA	Certified Nurse Midwife	005	CERTIFIED NURSE MIDWIFE	-	None	None	0	In state provider	None	1411 E 31ST ST	None	OAKLAND	CA	94602	1018	01	06001	37.79926205	-122.2314248	Alameda County
45620	Fee-for-Service	1659413714	1659413714	1	1	VERENA S GRIECO MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1959 NE PACIFIC ST	None	SEATTLE	WA	98195	0001	00	None	47.65080692	-122.3081828	King County
45639	Fee-for-Service	1396808119	1396808119	1	1	VOSSOS, MANDY CNM	5/18/2017	No Taxonomy Provided	NA	None	005	CERTIFIED NURSE MIDWIFE	-	None	None	0	In state provider	None	276 INTERNATIONAL CIR	None	SAN JOSE	CA	95119	1130	43	06085	37.2402111	-121.8021684	Santa Clara County
45805	Fee-for-Service	1669005799	1669005799	1	1	VISALIA REHAB GROUP INC	11/6/2020	208100000X	NA	Physical Medicine and Rehabilitation	026	PHYSICIANS	None	25	Physical Medicine and Rehabilitation	0	In state provider	None	840 S AKERS ST	None	VISALIA	CA	93277	8309	54	06107	36.322398	-119.3484285	Tulare County
45958	Fee-for-Service	1497822902	1497822902	2	1	VELEZ, JUAN M MD	9/10/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	67887	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	805 W LA VETA	STE 101	ORANGE	CA	92868	3928	30	06059	33.78064152	-117.8606475	Orange County
45975	Fee-for-Service	1629070610	1629070610	1	1	VASCULAR AND INTERVENTIONAL	9/1/2002	2086S0129X	NA	General Surgery	022	PHYSICIANS GROUP	-	02	General Surgery	0	In state provider	SPECIALISTS OF ORANGE CO	1010 W. LA VETA AVENUE	SUITE 320	ORANGE	CA	92868	4218	30	06059	33.78028244	-117.8635552	Orange County
46033	Fee-for-Service	1225099526	1225099526	1	1	VASSANTACHART, PRAKOB B	9/30/1989	207L00000X	NA	Other	026	PHYSICIANS	61725	05	Anesthesiology	0	In state provider	None	20750 VENTURA BLVD	STE 210	WOODLAND HILLS	CA	91364	6235	19	06037	34.16652116	-118.5855291	Los Angeles County
46049	Fee-for-Service	1205940228	1205940228	1	1	VELETTO, TONY D MD	11/30/1989	No Taxonomy Provided	NA	None	026	PHYSICIANS	58852	41	Internal Medicine	0	In state provider	None	1025 W OLYMPIC BLVD	None	LOS ANGELES	CA	90015	1329	19	06037	34.04624254	-118.267606	Los Angeles County
46060	Fee-for-Service	1538191366	1538191366	1	1	VONS COMPANIES, INC	12/20/2000	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	4226 WOODRUFF AVE	None	LAKEWOOD	CA	90713	3143	19	06037	33.835068	-118.116513	Los Angeles County
46207	Fee-for-Service	1952789810	1952789810	1	1	VAN, EUGENE T DO	8/13/2021	207R00000X	NA	Other	026	PHYSICIANS	19015	None	None	0	In state provider	None	555 E HARDY ST	IRA KAUFMAN PAVILION	INGLEWOOD	CA	90301	4106	19	06037	33.94909549	-118.3481595	Los Angeles County
46227	Fee-for-Service	1225181241	1225181241	1	1	VAIDYANATHAN, HEMA L MD	10/1/1984	No Taxonomy Provided	NA	None	026	PHYSICIANS	33370	08	Family Practice	0	In state provider	None	32144 AGOURA RD	STE 106	WESTLAKE VILLAGE	CA	91361	4040	19	06037	34.14848408	-118.8208595	Los Angeles County
46232	Fee-for-Service	1568417525	1568417525	1	1	VINN, NORMAN E DO	5/30/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	4210	01	General Practice	0	In state provider	None	260 CALLE CAMPESINO	None	SAN CLEMENTE	CA	92672	4553	30	06059	33.39668737	-117.5964297	Orange County
46626	Fee-for-Service	1619032083	1619032083	1	1	VERDERAME, PHILIP J MD	3/28/2018	2084P0800X	NA	Psychiatry	026	PHYSICIANS	None	27	Psychiatry Neurology (D.O. only)	0	In state provider	None	1524 MCHENRY AVE	SUITE 370	MODESTO	CA	95350	4500	50	06099	37.666233	-120.993933	Stanislaus County
46642	Fee-for-Service	1073576658	1073576658	1	1	VOGEL, DAVID L MD	7/31/1990	2080N0001X	NA	Pediatric Primary Care	026	PHYSICIANS	50662	40	Pediatrics	0	In state provider	None	3680 E IMPERIAL HWY	STE 200	LYNWOOD	CA	90262	2663	19	06037	33.93211641	-118.2011728	Los Angeles County
46792	Fee-for-Service	1366628604	1366628604	1	1	VUJJENI, VALLI A MD INC	1/23/2008	193400000X	NA	Other	026	PHYSICIANS	93139	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	2101 FOREST AVE	STE 120	SAN JOSE	CA	95128	1472	43	06085	37.3270795	-121.93731	Santa Clara County
46825	Fee-for-Service	1467459180	1467459180	1	1	VORA, SANJAY DO	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	15520 19 MILE RD	STE 480	CLINTON TWP	MI	48038	6332	00	None	42.61249099	-82.96818269	Macomb County
46920	Fee-for-Service	1497001226	1497001226	1	1	VIA CARE COMMUNITY HEALTH	6/13/2013	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	CENTER INC	507 S. ATLANTIC BLVD	None	LOS ANGELES	CA	90022	3211	19	06037	34.0269721	-118.1553658	Los Angeles County
46955	Fee-for-Service	1548465222	1548465222	1	1	VISION CARE CENTER OF	1/1/1979	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	SOUTHEASTERN CALIFORNIA	260 MAIN STREET	None	BRAWLEY	CA	92227	2351	13	06025	32.97860352	-115.5380805	Imperial County
47096	Fee-for-Service	1841367844	1841367844	1	1	VERDERAME, MARIA G MD	12/6/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	48425	36	Psychiatry	0	In state provider	None	25825 VERMONT AVE	None	HARBOR CITY	CA	90710	3518	19	06037	33.78673844	-118.2965289	Los Angeles County
47128	Fee-for-Service	1669654885	1669654885	1	1	VARGAS, CAROLYN J MD	7/11/2022	207R00000X	NA	Other	026	PHYSICIANS	76158	None	None	0	In state provider	None	1600 S GAFFEY ST	None	SAN PEDRO	CA	90731	4628	19	06037	33.729498	-118.292351	Los Angeles County
47153	Fee-for-Service	1326466079	1326466079	1	1	VORVOLAKOS, TASOULA DO	10/3/2019	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	12727	40	Pediatrics	0	In state provider	None	345 CAMINO DEL REMEDIO	None	SANTA BARBARA	CA	93110	1332	42	06083	34.444782	-119.7794675	Santa Barbara County
47187	Fee-for-Service	1205851425	1205851425	1	1	VALDA GIBSON M.D.	9/21/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1000 JOHNSON FERRY RD	None	ATLANTA	GA	30342	1606	00	None	33.90791732	-84.3540509	Fulton County
47209	Fee-for-Service	1497001226	1497001226	1	1	VIA CARE COMMUNITY HEALTH	6/13/2013	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	CENTER INC	507 S. ATLANTIC BLVD	None	LOS ANGELES	CA	90022	3211	19	06037	34.0269721	-118.1553658	Los Angeles County
47303	Fee-for-Service	1710431614	1710431614	1	1	VELASCO, ROQUE A NP	7/24/2018	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1695 NORTH SUNRISE WAY	None	PALM SPRINGS	CA	92262	3701	33	06065	33.844239	-116.5282075	Riverside County
47319	Fee-for-Service	1366932360	1366932360	1	1	VAN PERRE, KIMREY A MD	12/18/2024	207RI0200X	NA	HIV/AIDS/Infectious Disease	026	PHYSICIANS	163893	77	Infectious Disease	0	In state provider	None	4860 Y ST	None	SACRAMENTO	CA	95817	2307	34	06067	38.552211	-121.449429	Sacramento County
47396	Fee-for-Service	1851565832	1851565832	1	1	VOGEL-STONE, CARLA C PSYD	10/30/2023	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	3505 BROADWAY	None	OAKLAND	CA	94611	5714	01	06001	37.82263926	-122.2597946	Alameda County
47459	Fee-for-Service	1700918372	1700918372	1	1	VLAHOS, JONATHAN W MD	8/13/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	92689	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1150 VETERANS BLVD	None	REDWOOD CITY	CA	94063	2037	41	06081	37.48948529	-122.2232468	San Mateo County
47494	Fee-for-Service	1497001226	1497001226	1	1	VIA CARE COMMUNITY HEALTH	6/13/2013	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	CENTER INC	507 S. ATLANTIC BLVD	None	LOS ANGELES	CA	90022	3211	19	06037	34.0269721	-118.1553658	Los Angeles County
47499	Fee-for-Service	1093770539	1093770539	1	1	VALENCIA MRI LLC	7/13/2005	No Taxonomy Provided	NA	None	045	CLINIC EXEMP FROM LICENSURE	-	-	NOT APPLICABLE	0	In state provider	None	25775 MCBEAN PKWY	STE 100	VALENCIA	CA	91355	3702	19	06037	34.40042013	-118.5511416	Los Angeles County
47538	Fee-for-Service	1568625523	1568625523	1	1	VIKRAM BISEN	10/21/2019	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	7255 OLD OAK BLVD	STE C208	CLEVELAND	OH	44130	3300	00	None	41.369229	-81.83352401	Cuyahoga County
47697	Fee-for-Service	1528662954	1528662954	1	1	VSC HBO LLC	4/1/2021	No Taxonomy Provided	NA	None	065	PEDIATRIC SUBACUTE CARE/LTC	-	-	NOT APPLICABLE	0	In state provider	None	393 S TUSTIN ST	None	ORANGE	CA	92866	2501	30	06059	33.782724	-117.835713	Orange County
47739	Fee-for-Service	1184890444	1184890444	1	1	VEGA, JOSE C MD	11/18/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	109311	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
47765	Fee-for-Service	1306000740	1306000740	1	1	VALIA, RINA AU	3/6/2020	237700000X	NA	Other	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	2907 S EL CAMINO REAL	None	SAN MATEO	CA	94403	2730	41	06081	37.54066552	-122.3015918	San Mateo County
47784	Fee-for-Service	1447449699	1447449699	1	1	VAN REMOORTERE, KIER C MD	5/28/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	101670	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	2915 TELEGRAPH AVE	STE 200	BERKELEY	CA	94705	2030	01	06001	37.85719633	-122.2595246	Alameda County
47787	Fee-for-Service	1851626923	1851626923	1	1	VICEDO, LELALEE C LCSW	1/16/2020	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	None	-	NOT APPLICABLE	0	In state provider	None	1670 E 120TH ST	STE 1003, 1E04, 2E07, 21	LOS ANGELES	CA	90059	3026	19	06037	33.92456051	-118.2417525	Los Angeles County
47792	Fee-for-Service	1346277159	1346277159	1	1	VU, GIAO V MD	10/11/1989	No Taxonomy Provided	NA	None	026	PHYSICIANS	46581	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1863 ALUM ROCK AVE	STE D	SAN JOSE	CA	95116	1397	43	06085	37.35412711	-121.8528521	Santa Clara County
47934	Fee-for-Service	1154450302	1154450302	1	1	VO, STEVEN PHUC MD INC	8/21/1996	No Taxonomy Provided	NA	None	026	PHYSICIANS	56302	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	2114 SENTER RD	STE 10	SAN JOSE	CA	95112	2608	43	06085	37.31161529	-121.8513661	Santa Clara County
47945	Fee-for-Service	1336178383	1336178383	1	1	VONS COMPANIES INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	5500 WOODRUFF AVE	None	LAKEWOOD	CA	90713	1535	19	06037	33.85687042	-118.1170346	Los Angeles County
47982	Fee-for-Service	1427360700	1427360700	1	1	VHS HARPER HUTZEL HOSPITAL	6/11/2011	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	3990 JOHN R STREET	None	DETROIT	MI	48201	2097	00	None	42.35049844	-83.05726467	Wayne County
47986	Fee-for-Service	1528662954	1528662954	1	1	VSC HBO LLC	4/1/2021	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	393 S TUSTIN ST	None	ORANGE	CA	92866	2501	30	06059	33.782724	-117.835713	Orange County
48044	Fee-for-Service	1588171383	1588171383	1	1	VALLEY HEALTH TEAM, INC	3/19/2019	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	888 N ALTA AVE	None	DINUBA	CA	93618	3001	54	06107	36.552825	-119.395071	Tulare County
48209	Fee-for-Service	1013288273	1013288273	1	1	VAIDYA, NOAMAN N MD	7/1/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	119787	30	Radiology	0	In state provider	None	200 W ARBOR DRIVE	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
48242	Fee-for-Service	1164486726	1164486726	1	1	VIRGINA GAY HOSPITAL	8/15/2022	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	502 N 9TH AVE	None	VINTON	IA	52349	2299	00	None	42.173541	-92.01334455	Benton County
48248	Fee-for-Service	1487617361	1487617361	1	1	VILLANUEVA, ANTHONY L MD	9/1/1983	207W00000X	NA	Ophthalmology	026	PHYSICIANS	39828	18	Ophthalmology	0	In state provider	INC	901 CAMPUS DR	STE 203	DALY CITY	CA	94015	4930	41	06081	37.66535778	-122.4763793	San Mateo County
48249	Fee-for-Service	1942521174	1942521174	1	1	VON INS, SAMANTHA M MD	12/9/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	117579	01	General Practice	0	In state provider	None	5451 LA PALMA AVE	SUITE 19	LA PALMA	CA	90623	1728	30	06059	33.84643146	-118.038843	Orange County
48257	Fee-for-Service	1871794719	1871794719	1	1	VARZGAH, ALI MD	7/1/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	92846	None	None	0	In state provider	None	1328 22ND ST	None	SANTA MONICA	CA	90404	2032	19	06037	34.03122319	-118.4797185	Los Angeles County
48267	Fee-for-Service	1912930678	1912930678	1	1	VENKATASUBRAMANIAN	2/2/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	84449	13	Neurology (M.D. only)	0	In state provider	CHITRA MD	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
48271	Fee-for-Service	1427360700	1427360700	1	1	VHS HARPER HUTZEL HOSPITAL	6/11/2011	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	3990 JOHN R STREET	None	DETROIT	MI	48201	2097	00	None	42.35049844	-83.05726467	Wayne County
48273	Fee-for-Service	1528662954	1528662954	1	1	VSC HBO LLC	4/1/2021	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	393 S TUSTIN ST	None	ORANGE	CA	92866	2501	30	06059	33.782724	-117.835713	Orange County
48294	Fee-for-Service	1427409572	1427409572	1	1	VAN DYKE, SUSANNAH L LMFT	10/20/2016	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	84859	-	NOT APPLICABLE	0	In state provider	None	4141 PACIFIC HIGHWAY	None	SAN DIEGO	CA	92110	2030	37	06073	32.7444541	-117.1921543	San Diego County
48311	Fee-for-Service	1912684325	1912684325	1	1	VINER, CHARLOTTE PT	3/5/2025	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	8901 ACTIVITY	200	SAN DIEGO	CA	92126	4432	37	06073	32.8960193	-117.1345934	San Diego County
48333	Fee-for-Service	1588171383	1588171383	1	1	VALLEY HEALTH TEAM, INC	9/18/2018	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	888 N ALTA AVE	None	DINUBA	CA	93618	3001	54	06107	36.552825	-119.395071	Tulare County
48438	Fee-for-Service	1326609124	1326609124	1	2	VASCULAR NEUROLOGY OF SOUTHE	6/14/2024	2085R0204X	NA	Other	022	PHYSICIANS GROUP	-	13	Neurology (M.D. only)	0	In state provider	RN CALIFORNIA INC	2403 CASTILLO ST	STE 203	SANTA BARBARA	CA	93105	0001	42	06083	34.43053648	-119.7243139	Santa Barbara County
48443	Fee-for-Service	1023283413	1023283413	1	1	VISION CARE CENTER A MED	9/1/1994	No Taxonomy Provided	NA	None	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	GROUP INC	7075 N SHARON AVE	None	FRESNO	CA	93720	3329	10	06019	36.83882737	-119.7590708	Fresno County
48586	Fee-for-Service	1215322698	1215322698	1	1	VILENDRER, STACIE M MD	6/13/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	145376	41	Internal Medicine	0	In state provider	None	300 PASTEUR DRIVE	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
48596	Fee-for-Service	1710020490	1710020490	1	2	VAUGHN WILLIAMS, GINA M LCSW	10/28/2020	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	28554	-	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
48621	Fee-for-Service	1588171383	1588171383	1	1	VALLEY HEALTH TEAM, INC	9/18/2018	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	888 N ALTA AVE	None	DINUBA	CA	93618	3001	54	06107	36.552825	-119.395071	Tulare County
48628	Fee-for-Service	1972983526	1972983526	1	1	VAFAEI, PANIZ MD	8/7/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	145152	01	General Practice	0	In state provider	None	3701 BROADWAY	None	OAKLAND	CA	94611	5613	01	06001	37.82533768	-122.258094	Alameda County
48640	Fee-for-Service	1619135845	1619135845	1	1	VALENTE, MICHAEL E MD	8/1/2008	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	100064	40	Pediatrics	0	In state provider	None	4650 SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
48734	Fee-for-Service	1669485132	1669485132	1	1	VOLLMER, TIMOTHY MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	13611 E COLFAX AVE	None	AURORA	CO	80045	5701	00	None	39.74039327	-104.8302052	Adams County
48751	Fee-for-Service	1962512384	1962512384	1	1	VALLEY EMERGENCY PHYS	11/30/2004	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	GLENN EMERGENCY PHYS MED	1133 W SYCAMORE ST	None	WILLOWS	CA	95988	2601	11	06021	39.5205105	-122.2082775	Glenn County
48910	Fee-for-Service	1588171383	1588171383	1	1	VALLEY HEALTH TEAM, INC	10/1/2018	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	888 N ALTA AVE	None	DINUBA	CA	93618	3001	54	06107	36.552825	-119.395071	Tulare County
48939	Fee-for-Service	1598180283	1598180283	1	1	VIGNARAJAN, NIRUPA MD INC	12/15/2014	261QP2300X	NA	Other	026	PHYSICIANS	54107	41	Internal Medicine	0	In state provider	None	1030 SOUTH GLENDALE AVE	STE 309	GLENDALE	CA	91205	2866	19	06037	34.13381535	-118.2519184	Los Angeles County
49115	Fee-for-Service	1871372508	1871372508	1	1	VISTA TRANS LLC	11/23/2023	343900000X	Both NEMT & NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	2150 N 1ST ST	471	SAN JOSE	CA	95131	2020	43	06085	37.37699728	-121.9208292	Santa Clara County
49162	Fee-for-Service	1821431685	1821431685	1	1	VUONG, PHOENIX MD	6/5/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	153703	02	General Surgery	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
49194	Fee-for-Service	1417386756	1417386756	1	1	VALERIO, REGALADO A CRNA	2/26/2018	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	2131 W 3RD ST	None	LOS ANGELES	CA	90057	1901	19	06037	34.06324759	-118.2737045	Los Angeles County
49254	Fee-for-Service	1255563268	1255563268	1	1	VILLEGAS, CATALINA V MD	3/3/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	109156	36	Psychiatry	0	In state provider	None	2060 FAIRMONT DRIVE	None	SAN LEANDRO	CA	94578	1001	01	06001	37.71083326	-122.1208841	Alameda County
49291	Fee-for-Service	1740287978	1740287978	1	1	VARMA, GEETHA N MD	9/21/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	51653	78	Neoplastic Diseases/Oncology	0	In state provider	None	505 E ROMIE LANE	SUITE A	SALINAS	CA	93901	4031	27	06053	36.65998191	-121.6461895	Monterey County
49335	Fee-for-Service	1831851039	1831851039	1	1	VEEDHATA OM LLC	3/8/2023	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	2	Out of state provider	None	3386 GREYSTONE WAY	None	VALDOSTA	GA	31605	1096	00	None	30.88261741	-83.29586253	Lowndes County
49424	Fee-for-Service	1518270040	1518270040	1	1	VILLANUEVA, RANDY M DO	2/7/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	11659	41	Internal Medicine	0	In state provider	None	975 SERENO DR	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
49485	Fee-for-Service	1588638407	1588638407	1	1	VISION QUEST OPTOMETRY INC	5/31/2016	No Taxonomy Provided	NA	None	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	937 W HUNTINGTON DR	None	MONROVIA	CA	91016	3111	19	06037	34.14029165	-118.0194679	Los Angeles County
49489	Fee-for-Service	1750469417	1750469417	1	1	VINSON, DAVID R MD	2/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	71903	08	Family Practice	0	In state provider	None	2025 MORSE AVE	None	SACRAMENTO	CA	95825	2115	34	06067	38.602089	-121.3925895	Sacramento County
49525	Fee-for-Service	1083885826	1083885826	1	1	VU, JACK B MD	8/21/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	98922	08	Family Practice	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
49535	Fee-for-Service	1124364336	1124364336	1	1	VIP HOSPICE CARE	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	16200 VENTURA BLVD	SUITE 311	ENCINO	CA	91436	2205	19	06037	34.15659457	-118.485532	Los Angeles County
49579	Fee-for-Service	1740287978	1740287978	1	1	VARMA, GEETHA N MD	9/21/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	51653	68	Hematology	0	In state provider	None	505 E ROMIE LANE	SUITE A	SALINAS	CA	93901	4031	27	06053	36.65998191	-121.6461895	Monterey County
49650	Fee-for-Service	1215046024	1215046024	1	1	VERA, MARK J	11/10/2005	No Taxonomy Provided	NA	None	021	ORTHOTISTS	-	-	NOT APPLICABLE	0	In state provider	None	3520 E SHIELDS AVE	STE 102	FRESNO	CA	93726	6923	10	06019	36.77947947	-119.765781	Fresno County
49692	Fee-for-Service	1457340291	1457340291	1	1	VANDERBILT, DOUGLAS L MD	10/2/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	75123	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
49759	Fee-for-Service	1013623073	1013623073	1	1	VISTA LA MESA SENIOR LIVING	4/6/2023	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	5480 MARENGO AVE	None	LA MESA	CA	91942	2408	37	06073	32.77758696	-117.0230262	San Diego County
49775	Fee-for-Service	1750469417	1750469417	1	1	VINSON, DAVID R MD	2/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	71903	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2025 MORSE AVE	None	SACRAMENTO	CA	95825	2115	34	06067	38.602089	-121.3925895	Sacramento County
49822	Fee-for-Service	1124364336	1124364336	1	1	VIP HOSPICE CARE	7/1/2014	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	16200 VENTURA BLVD	SUITE 311	ENCINO	CA	91436	2205	19	06037	34.15659457	-118.485532	Los Angeles County
49826	Fee-for-Service	1356652820	1356652820	1	1	VU, QUI MD	6/13/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	135477	18	Ophthalmology	0	In state provider	None	855 W FOOTHILL BLVD	None	MONROVIA	CA	91016	1938	19	06037	34.1511692	-118.0177106	Los Angeles County
49866	Fee-for-Service	1740287978	1740287978	1	1	VARMA, GEETHA N MD	9/21/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	51653	41	Internal Medicine	0	In state provider	None	505 E ROMIE LANE	SUITE A	SALINAS	CA	93901	4031	27	06053	36.65998191	-121.6461895	Monterey County
49876	Fee-for-Service	1568444214	1568444214	1	1	VIDOVSZKY, TAMAS MD	12/16/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	85000	02	General Surgery	0	In state provider	None	2221 STOCKTON BLVD	None	SACRAMENTO	CA	95817	1418	34	06067	38.556288	-121.458474	Sacramento County
49906	Fee-for-Service	1538301841	1538301841	1	1	VILLATORO, JASMIN A MD	3/7/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	123154	02	General Surgery	0	In state provider	None	4126 N MAINE AVE	None	BALDWIN PARK	CA	91706	3306	19	06037	34.08740223	-117.9603532	Los Angeles County
49927	Fee-for-Service	1629329263	1629329263	1	1	VELO, TATIANNE K MD	10/21/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	128762	01	General Practice	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
50039	Fee-for-Service	1477652584	1477652584	1	1	VILLABLANCA, JUDITH ANNE	7/1/1996	2080P0207X	NA	Hematology	026	PHYSICIANS	53947	68	Hematology	0	In state provider	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
50052	Fee-for-Service	1578289963	1578289963	1	1	VATTEROTT, MIRANDA R	1/6/2025	104100000X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	231 N EUCLID AVE	None	UPLAND	CA	91786	4359	36	06071	34.096779	-117.6513275	San Bernardino County
50238	Fee-for-Service	1518611987	1518611987	1	1	VIP MEDICAL SUPPLY	4/28/2023	332BC3200X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	7220 OWENSMOUTH AVE	107	CANOGA PARK	CA	91303	1516	19	06037	34.201791	-118.601531	Los Angeles County
50256	Fee-for-Service	1396716791	1396716791	1	1	VU, TRINH L MD	8/31/1996	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	60192	40	Pediatrics	0	In state provider	None	1412 ROSEMARIE LN	STE A	STOCKTON	CA	95207	6970	39	06077	37.98626725	-121.3220502	San Joaquin County
50327	Fee-for-Service	1477652584	1477652584	1	1	VILLABLANCA, JUDITH ANNE	7/1/1996	2080P0207X	NA	Hematology	026	PHYSICIANS	53947	78	Neoplastic Diseases/Oncology	0	In state provider	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
50347	Fee-for-Service	1609960434	1609960434	1	1	VILLANUEVA, MARIA E CNP	2/15/2019	363LP0200X	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
50403	Fee-for-Service	1073639043	1073639043	1	1	VICTOR, SYLVIA D LMFT	3/28/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1213 COFFEE AVE	STE P	MODESTO	CA	95355	4229	50	06099	37.660401	-120.975669	Stanislaus County
50488	Fee-for-Service	1114000999	1114000999	1	1	VESKOVIC, KATARINA MD	3/18/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	89106	41	Internal Medicine	0	In state provider	None	1045 ATLANTIC AVE	STE 505	LONG BEACH	CA	90813	3422	19	06037	33.780267	-118.1850795	Los Angeles County
50531	Fee-for-Service	1376721217	1376721217	1	1	VOSKANIAN, NATALIE N MD	7/21/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	100333	20	Orthopedic Surgery	0	In state provider	None	200 W ARBOR DRIVE	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
50545	Fee-for-Service	1396716791	1396716791	1	1	VU, TRINH L MD	8/31/1996	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	60192	01	General Practice	0	In state provider	None	1412 ROSEMARIE LN	STE A	STOCKTON	CA	95207	6970	39	06077	37.98626725	-121.3220502	San Joaquin County
50561	Fee-for-Service	1285967893	1285967893	1	1	VIRA, DARSHNI D MD	8/25/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	111980	84	Surgery-Head and Neck	0	In state provider	None	1200 EL CAMINO REAL	None	S SAN FRANCISCO	CA	94080	3208	41	06081	37.65894608	-122.440161	San Mateo County
50655	Fee-for-Service	1841983202	1841983202	1	1	VU NGUYEN DPM P.C.	9/12/2023	213ES0103X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	18035 BROOKHURST ST	1100	FOUNTAIN VALLEY	CA	92708	6738	30	06059	33.701184	-117.9544385	Orange County
50808	Fee-for-Service	1386400034	1386400034	1	1	VATANIMAN, LAUREN PHD	3/4/2024	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	30495 CANWOOD	101	AGOURA HILLS	CA	91301	4331	19	06037	34.14698794	-118.7853623	Los Angeles County
50874	Fee-for-Service	1790218550	1790218550	1	1	VARDERESSIAN, NOUBAR DPM	10/9/2020	213ES0103X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	5365 WALNUT AVE	STE M	CHINO	CA	91710	2622	36	06071	34.02626051	-117.6883155	San Bernardino County
50895	Fee-for-Service	1205237955	1205237955	1	1	VALLEJO, GUILLERMO I CRNA	12/11/2014	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	101 THE CITY DR SOUTH	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
50908	Fee-for-Service	1285795542	1285795542	1	1	VOAK, SUSSI	11/26/2012	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	3701 BROADWAY	None	OAKLAND	CA	94611	5613	01	06001	37.82533768	-122.258094	Alameda County
50939	Fee-for-Service	1497001226	1497001226	1	2	VIA CARE COMMUNITY HEALTH	10/13/2016	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	5015 WHITTIER BLVD	None	LOS ANGELES	CA	90022	3116	19	06037	34.02129255	-118.1613094	Los Angeles County
50970	Fee-for-Service	1902152242	1902152242	1	1	VERMA, ANN P MD	11/16/2019	2084P0804X	NA	Psychiatry	026	PHYSICIANS	155456	36	Psychiatry	0	In state provider	None	4510 E PACIFIC COAST	STE 120	LONG BEACH	CA	90804	6939	19	06037	33.78815204	-118.1400821	Los Angeles County
51030	Fee-for-Service	1669969960	1669969960	1	1	VITREO-RETINAL MEDICAL GROUP	5/2/2018	207WX0107X	NA	Ophthalmology	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	GROUP	1680 E ROSEVILLE PKWY	STE 140	ROSEVILLE	CA	95661	3988	31	06061	38.74724349	-121.2374438	Placer County
51076	Fee-for-Service	1871171041	1871171041	1	1	VIJAYALAKSHMI, SHRUTHI	11/7/2024	208M00000X	NA	Other	026	PHYSICIANS	None	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
51171	Fee-for-Service	1134640899	1134640899	1	1	VERETENNIKOV, SERGEY V MD	8/16/2022	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	180890	None	None	0	In state provider	None	2101 STONE BLVD	STE 190	WEST SACRAMENTO	CA	95691	4055	57	06113	38.56318049	-121.5379228	Yolo County
51214	Fee-for-Service	1184660797	1184660797	1	1	VONS COMPANIES,INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	727 VINE ST	None	LOS ANGELES	CA	90038	3713	19	06037	34.084539	-118.3266365	Los Angeles County
51226	Fee-for-Service	1497001226	1497001226	1	2	VIA CARE COMMUNITY HEALTH	10/13/2016	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	5015 WHITTIER BLVD	None	LOS ANGELES	CA	90022	3116	19	06037	34.02129255	-118.1613094	Los Angeles County
51310	Fee-for-Service	1750623211	1750623211	1	1	VER, SUSIE CNP	7/20/2020	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	192 BEACON ST	None	SOUTH SAN FRANCIS	CA	94080	6913	41	06081	37.63966055	-122.4022905	San Mateo County
51315	Fee-for-Service	1821084443	1821084443	1	1	VAN DYKE, BYRON J MD	4/19/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	69012	07	Dermatology	0	In state provider	None	901 NEVIN AVE	None	RICHMOND	CA	94801	3143	07	06013	37.93684848	-122.361345	Contra Costa County
51376	Fee-for-Service	1255523189	1255523189	1	1	VU, PHONG OD	9/6/2023	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	800 TRANCAS ST	SUITE A	NAPA	CA	94558	3044	28	06055	38.32419306	-122.2923825	Napa County
51473	Fee-for-Service	1467482174	1467482174	1	1	VANGROW, JACK S MD	7/14/1976	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	29135	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	14591 NEWPORT AVE	STE 20	TUSTIN	CA	92780	6001	30	06059	33.7317307	-117.8285651	Orange County
51515	Fee-for-Service	1760863997	1760863997	1	1	VU, FRANCIS N OD	5/10/2017	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	318 E COMPTON BLVD	None	COMPTON	CA	90221	3206	19	06037	33.89597324	-118.2191747	Los Angeles County
51525	Fee-for-Service	1922176403	1922176403	1	1	VANCE, BRANDON J MD	12/2/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	83474	36	Psychiatry	0	In state provider	None	20 ALLEN STREET	None	MARTINEZ	CA	94553	2681	07	06013	38.00771973	-122.1331484	Contra Costa County
51591	Fee-for-Service	1356737530	1356737530	1	1	VAZE, ADITYA V MD	8/9/2019	390200000X	NA	Other	026	PHYSICIANS	155492	41	Internal Medicine	0	In state provider	None	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
51649	Fee-for-Service	1093983066	1093983066	1	1	VU, KHOA D MD	12/16/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	102500	41	Internal Medicine	0	In state provider	None	1777 W YOSEMITE AVE	None	MANTECA	CA	95337	5130	39	06077	37.79735946	-121.2461325	San Joaquin County
51705	Fee-for-Service	1588276539	1588276539	1	1	VIP NON EMERGENCY MEDICAL TR	11/3/2022	343900000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	T	755 N PEACH AVE	D-12 AND D-11	CLOVIS	CA	93611	7257	10	06019	36.843633	-119.7201405	Fresno County
51761	Fee-for-Service	1467482174	1467482174	1	1	VANGROW, JACK S MD	7/14/1976	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	29135	41	Internal Medicine	0	In state provider	None	14591 NEWPORT AVE	STE 20	TUSTIN	CA	92780	6001	30	06059	33.7317307	-117.8285651	Orange County
51778	Fee-for-Service	1801368105	1801368105	1	1	VANESSA HO MD	2/27/2019	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	None	3660 PARK SIERRA DR	STE 110	RIVERSIDE	CA	92505	3071	33	06065	33.90330693	-117.4707039	Riverside County
51792	Fee-for-Service	1972869253	1972869253	1	1	VAKANI, RAVI MD	9/25/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	149648	13	Neurology (M.D. only)	0	In state provider	None	200 N ROBERTSON BLVD	None	BEVERLY HILLS	CA	90211	1769	19	06037	34.069509	-118.383743	Los Angeles County
51925	Fee-for-Service	1275716532	1275716532	1	1	VU, TRAM B LCSW	10/25/2021	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	76967	-	NOT APPLICABLE	0	In state provider	None	6203 SAN IGNACIO AVE	SUITE 150	SAN JOSE	CA	95119	1371	43	06085	37.23598537	-121.7783065	Santa Clara County
51966	Fee-for-Service	1679628317	1679628317	1	1	VOLK, MICHAEL L MD	1/13/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	133515	02	General Surgery	0	In state provider	None	11370 ANDERSON ST	STE B100	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
51994	Fee-for-Service	1588276539	1588276539	1	1	VIP NON EMERGENCY MEDICAL TR	9/15/2020	343900000X	Both NEMT & NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	T	755 N PEACH AVE	D-12 AND D-11	CLOVIS	CA	93611	7257	10	06019	36.843633	-119.7201405	Fresno County
52016	Fee-for-Service	1255838256	1255838256	1	1	VIDAL, ELYOR MD	5/12/2021	390200000X	NA	Other	026	PHYSICIANS	164956	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
52023	Fee-for-Service	1144376286	1144376286	1	1	VENEGAS, ROSE J	12/31/1988	207ZC0500X	NA	Other	026	PHYSICIANS	55054	01	General Practice	0	In state provider	None	1711 W TEMPLE ST	None	LOS ANGELES	CA	90026	5421	19	06037	34.06891181	-118.2638033	Los Angeles County
52065	Fee-for-Service	1801368105	1801368105	1	1	VANESSA HO MD	2/27/2019	207Q00000X	NA	Adult Primary Care	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	3660 PARK SIERRA DR	STE 110	RIVERSIDE	CA	92505	3071	33	06065	33.90330693	-117.4707039	Riverside County
52149	Fee-for-Service	1790291565	1790291565	1	1	VO, ANDREW M OD	9/25/2018	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	225 DICKINSON ST	None	SAN DIEGO	CA	92103	1910	37	06073	32.75514083	-117.1655414	San Diego County
52173	Fee-for-Service	1699128223	1699128223	1	1	VORNETTA S POWELL NP	10/19/2016	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	2600 SAINT MICHAEL DR	None	TEXARKANA	TX	75503	5220	00	None	33.464106	-94.0755105	Bowie County
52340	Fee-for-Service	1780238451	1780238451	1	1	VALLE ALERHAND, AXEL PSYD	11/16/2021	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
52394	Fee-for-Service	1740314244	1740314244	1	1	VITALAB PHARMACY INC	1/23/2015	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	1	Border provider	None	4045 E BELL ROAD	STE 163	PHOENIX	AZ	85032	2240	00	None	33.639642	-111.9948705	Maricopa County
52422	Fee-for-Service	1750660734	1750660734	1	1	VINAY NIDADAVOLU	4/2/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	4003 KRESGE WAY	STE 312	LOUISVILLE	KY	40207	4652	00	None	38.23910403	-85.63971444	Jefferson County
52442	Fee-for-Service	1992575682	1992575682	1	1	VIVIDLIFE KETAMINE CLINIC	1/10/2025	261QH0100X	NA	Other	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	None	5167 CLAYTON ROAD	SUITE H	CONCORD	CA	94521	3170	07	06013	37.95557623	-121.9667432	Contra Costa County
52465	Fee-for-Service	1285099879	1285099879	1	1	VELASCO, DANIELA M LCSW	5/3/2023	104100000X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1055 EAST COLORADO BLVD	None	PASADENA	CA	91188	2375	19	06037	34.14595648	-118.1287575	Los Angeles County
52493	Fee-for-Service	1508302407	1508302407	1	1	VENAGLIA, SARA L POSTPARTUM	5/29/2024	374J00000X	NA	Other	106	DOULA INDIVIDUAL PROVIDER	-	-	NOT APPLICABLE	0	In state provider	Addresses not published for Doula Providers	N/A	N/A	N/A	N/A	N/A	N/A	30	06059	0	0	None
52540	Fee-for-Service	1518177104	1518177104	1	1	VARSHNEY, ANUJ MD	2/1/2023	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	117539	None	None	0	In state provider	None	2300 W SUNNYSIDE AVE	None	VISALIA	CA	93277	7287	54	06107	36.303597	-119.316294	Tulare County
52622	Fee-for-Service	1699032367	1699032367	1	1	VALLES, FRANCISCO E MD	7/24/2020	2085R0204X	NA	Other	026	PHYSICIANS	161889	30	Radiology	0	In state provider	None	1700 S COURT ST	STE F	VISALIA	CA	93277	4931	54	06107	36.315108	-119.2916925	Tulare County
52660	Fee-for-Service	1639691298	1639691298	1	1	VAUGHN, JESSICA DO	2/24/2024	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	16893	40	Pediatrics	0	In state provider	None	1400 E CHURCH ST	None	SANTA MARIA	CA	93454	5906	42	06083	34.95203385	-120.4131707	Santa Barbara County
52687	Fee-for-Service	1932268596	1932268596	1	1	VASSANTACHART, PRASIT MD	11/19/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	58667	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
52773	Fee-for-Service	1235206798	1235206798	1	1	VU, KENNETH K MD	3/5/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	51321	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	2025 MORSE AVE	None	SACRAMENTO	CA	95825	2115	34	06067	38.602089	-121.3925895	Sacramento County
52822	Fee-for-Service	1114973765	1114973765	1	1	VOSSEL, KEITH A MD	6/25/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	100445	13	Neurology (M.D. only)	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
52892	Fee-for-Service	1992754899	1992754899	1	2	VACHIRAKORNTONG, VIRUCH	2/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	52656	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	MD INC	15998 QUANTICO RD	STE A	APPLE VALLEY	CA	92307	1302	36	06071	34.54175393	-117.270808	San Bernardino County
52960	Fee-for-Service	1265782577	1265782577	1	1	VANHEEL, GOLDIE PSYD	4/26/2020	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	3825 HOPYARD	STE 140	PLEASANTON	CA	94588	8530	01	06001	37.683009	-121.9036935	Alameda County
52975	Fee-for-Service	1932268596	1932268596	1	1	VASSANTACHART, PRASIT MD	11/19/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	58667	41	Internal Medicine	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
53001	Fee-for-Service	1851690671	1851690671	1	1	VAZQUEZ, ORLANDO C	4/29/2014	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	101 HEBER AVE	None	CALEXICO	CA	92231	2838	13	06025	32.6656653	-115.4935761	Imperial County
53041	Fee-for-Service	1275566689	1275566689	1	1	VESA, ALLIN C MD	8/1/2022	207P00000X	NA	Other	026	PHYSICIANS	56199	None	None	0	In state provider	None	140 CENTENNIAL WAY	None	TUSTIN	CA	92780	3711	30	06059	33.74496	-117.818857	Orange County
53139	Fee-for-Service	1386136430	1386136430	1	1	VALLEY RIVER ORTHOPEDICS AND	2/26/2019	207XX0005X	NA	Orthopedic Surgery	026	PHYSICIANS	None	20	Orthopedic Surgery	0	In state provider	SPORTS MEDICINE	3329 G ST	A	MERCED	CA	95340	1005	24	06047	37.32376785	-120.4693349	Merced County
53196	Fee-for-Service	1538422704	1538422704	1	1	VEGA, FRANCISCO MD	11/23/2020	2086S0129X	NA	General Surgery	026	PHYSICIANS	130863	02	General Surgery	0	In state provider	None	3660 PARK SIERRA DRIVE	SUITE 105	RIVERSIDE	CA	92505	3071	33	06065	33.90330693	-117.4707039	Riverside County
53261	Fee-for-Service	1447770268	1447770268	1	1	VALENTINE, NICOLE LCSW	10/14/2022	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1515 NEWELL	None	WALNUT CREEK	CA	94596	5120	07	06013	37.89281357	-122.0598728	Contra Costa County
53274	Fee-for-Service	1558397067	1558397067	1	2	VENICE FAMILY CLINIC	7/16/2020	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	601 PICO BLVD	None	SANTA MONICA	CA	90405	1224	19	06037	34.01131392	-118.4850334	Los Angeles County
53431	Fee-for-Service	1689083222	1689083222	1	1	VERNA, TIMOTHY J PHD	8/23/2018	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	13193 CENTRAL AVENUE	SUITE 200	CHINO	CA	91710	4179	36	06071	34.01406506	-117.6891684	San Bernardino County
53523	Fee-for-Service	1518910496	1518910496	1	1	VOWELS, JOHN A MD	1/11/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	80535	None	None	0	In state provider	None	9985 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.07253232	-117.4356028	San Bernardino County
53563	Fee-for-Service	1558397067	1558397067	1	2	VENICE FAMILY CLINIC	7/16/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	601 PICO BLVD	None	SANTA MONICA	CA	90405	1224	19	06037	34.01131392	-118.4850334	Los Angeles County
53570	Fee-for-Service	1710020490	1710020490	1	1	VAUGHN WILLIAMS, GINA M LCSW	2/11/2019	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	490 S FARRELL DR	STE C208	PALM SPRINGS	CA	92262	7944	33	06065	33.81651	-116.5180015	Riverside County
53588	Fee-for-Service	1992911309	1992911309	1	1	VIRK-DULAI, AMNEET MD	9/1/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	117190	83	Rheumatology	0	In state provider	None	2335 E KASHIAN LANE	STE 301	FRESNO	CA	93701	2234	10	06019	36.74333844	-119.7831874	Fresno County
53633	Fee-for-Service	1184433716	1184433716	1	1	VOSBERG, ALICIA A	4/1/2025	374J00000X	NA	Other	106	DOULA INDIVIDUAL PROVIDER	-	-	NOT APPLICABLE	0	In state provider	Addresses not published for Doula Providers	N/A	N/A	N/A	N/A	N/A	N/A	01	06001	0	0	None
53644	Fee-for-Service	1033895750	1033895750	1	1	VU, THU OT	1/18/2024	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1561 ONTARIO	SUITE 101	CORONA	CA	92881	6662	33	06065	33.84257433	-117.5332788	Riverside County
53706	Fee-for-Service	1184163081	1184163081	1	1	VARGAS, BRANDE N LCSW	2/20/2019	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	21 N EL CIRCULO AVE	None	PATTERSON	CA	95363	2535	50	06099	37.47121868	-121.1322863	Stanislaus County
53716	Fee-for-Service	1841926060	1841926060	1	1	VALENZUELA, BRENDA	10/25/2023	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	6203 SAN IGNACIO AVENUE	SUITE 110	SAN JOSE	CA	95119	1325	43	06085	37.23598537	-121.7783065	Santa Clara County
53720	Fee-for-Service	1366523565	1366523565	1	1	VONG, CHENH M OD	2/8/2015	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	20/20 FAMILY EYE CARE	141 N CITRUS AVE	None	COVINA	CA	91723	2002	19	06037	34.08722427	-117.8901919	Los Angeles County
53738	Fee-for-Service	1013391929	1013391929	1	1	VELAZQUEZ, JESSE M LCSW	4/18/2019	104100000X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	101 THE CITY DR S	None	ORANGE	CA	92868	3298	30	06059	33.78674051	-117.8888713	Orange County
53793	Fee-for-Service	1265061261	1265061261	1	1	VIJAYAVEL, NIRMAL K MD	6/9/2023	208M00000X	NA	Other	026	PHYSICIANS	186538	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
53869	Fee-for-Service	1982960829	1982960829	1	1	VERMA, DHRUV MD	3/26/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	119984	None	None	0	In state provider	None	2238 GEARY BLVD	None	SAN FRANCISCO	CA	94115	3416	38	06075	37.78324881	-122.4405738	San Francisco County
53940	Fee-for-Service	1386179281	1386179281	1	1	VILLANUEVA, JESUS ROZEL O MD	11/3/2020	208M00000X	NA	Other	026	PHYSICIANS	167191	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
54112	Fee-for-Service	1366869695	1366869695	1	1	VELASQUEZ, DEBRA A LMFT	1/28/2022	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
54131	Fee-for-Service	1912665027	1912665027	1	1	VASU TORAM PROFESSIONAL CORP	2/6/2024	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	14966 TERRENO DE FLORES	None	LOS GATOS	CA	95032	2023	43	06085	37.2511094	-121.952781	Santa Clara County
54236	Fee-for-Service	1780908509	1780908509	1	1	VENKATESAN, KALPATHY V MD	7/29/2010	261QX0200X	NA	Other	026	PHYSICIANS	38108	68	Hematology	0	In state provider	INC	365 N PEARSON DRIVE	STE 5	PORTERVILLE	CA	93257	3360	54	06107	36.07242539	-119.0276799	Tulare County
54256	Fee-for-Service	1770897365	1770897365	1	1	VISNYEI, KOPPANY MD	8/5/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	125224	41	Internal Medicine	0	In state provider	None	7855 HASKELL AVENUE	SUITE 302	VAN NUYS	CA	91406	1902	19	06037	34.213572	-118.4749495	Los Angeles County
54413	Fee-for-Service	1396817755	1396817755	1	1	VEGAS, CAROLINA S. MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	3200 SW 60TH CT	STE 206	MIAMI	FL	33155	4070	00	None	25.74153817	-80.29306992	Miami-Dade County
54417	Fee-for-Service	1194258533	1194258533	1	1	VAZIRI, SANAZ MD	12/20/2024	2080P0214X	NA	Pulmonology	026	PHYSICIANS	169615	40	Pediatrics	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
54481	Fee-for-Service	1609042811	1609042811	1	1	VIERRA, ERIC K OD	8/14/2017	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	3925 OLD REDWOOD HIGHWAY	None	SANTA ROSA	CA	95403	1719	49	06097	38.482839	-122.7357945	Sonoma County
54526	Fee-for-Service	1780908509	1780908509	1	1	VENKATESAN, KALPATHY V MD	7/29/2010	261QX0200X	NA	Other	026	PHYSICIANS	38108	41	Internal Medicine	0	In state provider	INC	365 N PEARSON DRIVE	STE 5	PORTERVILLE	CA	93257	3360	54	06107	36.07242539	-119.0276799	Tulare County
54540	Fee-for-Service	1730416561	1730416561	1	1	VASANTHARAM, BINA MD	9/1/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	129211	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2025 MORSE AVENUE	None	SACRAMENTO	CA	95825	2115	34	06067	38.602089	-121.3925895	Sacramento County
54654	Fee-for-Service	1982139499	1982139499	1	1	VALLE, LUCA F MD	6/21/2022	2085R0001X	NA	Other	026	PHYSICIANS	158869	None	None	0	In state provider	None	200 MEDICAL PLAZA	STE B265	LOS ANGELES	CA	90024	0000	19	06037	34.06527974	-118.4462792	Los Angeles County
54802	Fee-for-Service	1295275154	1295275154	1	1	VU, DIANA PT	11/21/2019	2251P0200X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1360 S ANAHEIM BLVD	150	ANAHEIM	CA	92805	6205	30	06059	33.8143261	-117.9066647	Orange County
54811	Fee-for-Service	1568821551	1568821551	1	1	VETERANS ALCOHOL	4/4/2016	324500000X	NA	Other	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	REHABILITATION PROGRAM	1135 NORTH D ST	None	SAN BERNARDINO	CA	92410	3425	36	06071	34.120035	-117.291892	San Bernardino County
54814	Fee-for-Service	1780908509	1780908509	1	1	VENKATESAN, KALPATHY V MD	7/29/2010	261QX0200X	NA	Other	026	PHYSICIANS	38108	78	Neoplastic Diseases/Oncology	0	In state provider	INC	365 N PEARSON DRIVE	STE 5	PORTERVILLE	CA	93257	3360	54	06107	36.07242539	-119.0276799	Tulare County
54888	Fee-for-Service	1609210160	1609210160	1	1	VALAND, RONAK J MD	8/26/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	123372	41	Internal Medicine	0	In state provider	None	3687 MT DIABLO BLVD	#200	LAFAYETTE	CA	94549	3746	07	06013	37.8898926	-122.1304235	Contra Costa County
54949	Fee-for-Service	1992964746	1992964746	1	1	VENICE FAMILY CLINIC	9/8/2006	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	COLEN FAMILY HEALTH CTR	4700 INGLEWOOD BLVD	SUITE 102	CULVER CITY	CA	90230	5896	19	06037	33.99315523	-118.4151866	Los Angeles County
54981	Fee-for-Service	1659791234	1659791234	1	1	VANALLEN, SUSAN Y CSW	11/3/2021	101YM0800X	NA	Other	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
55017	Fee-for-Service	1023190741	1023190741	1	1	VONBARTHELD, SONIA B MD	2/5/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	40	Pediatrics	1	Border provider	None	75 PRINGLE WAY	STE 300	RENO	NV	89502	8426	00	None	39.52621891	-119.7944075	Washoe County
55028	Fee-for-Service	1831727940	1831727940	1	1	VERTELNEY, HALEY MD	3/22/2024	207P00000X	NA	Other	026	PHYSICIANS	189546	None	None	0	In state provider	None	2500 MERCED STREET	None	SAN LEANDRO	CA	94577	4201	01	06001	37.706364	-122.165163	Alameda County
55069	Fee-for-Service	1326022765	1326022765	1	1	VHS OF ARROWHEAD INC	9/14/2016	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	18701 N 67TH AVE	None	GLENDALE	AZ	85308	7100	00	None	33.655734	-112.201416	Maricopa County
55221	Fee-for-Service	1932449642	1932449642	1	1	VICIOSO, MICHAEL J NP	12/30/2014	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2700 N BELLFLOWER BLVD	SUITE 112	LONG BEACH	CA	90815	1100	19	06037	33.805692	-118.1251805	Los Angeles County
55272	Fee-for-Service	1710058201	1710058201	1	1	VALDES HUCKABEE, GUILLERMINA	10/4/2019	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	G LMFT	3551 WHIPPLE ROAD	None	UNION CITY	CA	94587	1507	01	06001	37.6057383	-122.0834562	Alameda County
55307	Fee-for-Service	1487190286	1487190286	1	1	VAN DYKE, ELIZABETH E MD	7/29/2019	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	155898	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
55308	Fee-for-Service	1255592150	1255592150	1	1	VENNER, ALLISON W MD	11/17/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	10	Gastroenterology (M.D. only)	1	Border provider	None	1385 VISTA LANE	None	CARSON CITY	NV	89703	4643	00	None	39.197718	-119.781	Consolidated Municipality of Carson City
55316	Fee-for-Service	1255696175	1255696175	1	1	VENIEXPRESS INC	7/21/2014	No Taxonomy Provided	NA	None	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	None	309 S MAPLE STREET	None	ESCONDIDO	CA	92025	4122	37	06073	33.11901002	-117.0815204	San Diego County
55357	Fee-for-Service	1326022765	1326022765	1	1	VHS OF ARROWHEAD INC	9/14/2016	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	18701 N 67TH AVE	None	GLENDALE	AZ	85308	7100	00	None	33.655734	-112.201416	Maricopa County
55502	Fee-for-Service	1992866982	1992866982	1	1	VERNUSKY, FRANK J	1/11/2013	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1635 DIVISADERO STREET	None	SAN FRANCISCO	CA	94115	3036	38	06075	37.78487142	-122.4398095	San Francisco County
55675	Fee-for-Service	1063029007	1063029007	1	1	VO, NGHI NP	1/11/2023	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	15975 HARBOR BOULEVARD	None	FOUNTAIN VALLEY	CA	92708	1303	30	06059	33.73140379	-117.9200162	Orange County
55676	Fee-for-Service	1275645558	1275645558	1	1	VARMA, ANSHU MD	11/7/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	158604	01	General Practice	0	In state provider	None	2335 EAST KASHIAN LANE	SUITE 280	FRESNO	CA	93701	2211	10	06019	36.74333844	-119.7831874	Fresno County
55678	Fee-for-Service	1609890748	1609890748	1	1	VACHHANI, ATUL B MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	67917	41	Internal Medicine	0	In state provider	None	525 E PLAZA DR	STE 307	SANTA MARIA	CA	93454	6955	42	06083	34.9373822	-120.4296004	Santa Barbara County
55759	Fee-for-Service	1932462785	1932462785	1	1	VERA, ABIGAIL M NP	5/25/2017	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
55776	Fee-for-Service	1013079953	1013079953	1	1	VARNIE, CARRON S S LMFT	11/7/2018	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	100016	-	NOT APPLICABLE	0	In state provider	None	100 EAST WARDLOW ROAD	None	LONG BEACH	CA	90503	1727	19	06037	33.8188341	-118.1923297	Los Angeles County
55813	Fee-for-Service	1134192305	1134192305	1	1	VELEZ, PAULINE M MD	6/30/1989	2086S0129X	NA	General Surgery	026	PHYSICIANS	57839	02	General Surgery	0	In state provider	None	1425 S MAIN ST	None	WALNUT CREEK	CA	94596	5318	07	06013	37.89189148	-122.057999	Contra Costa County
55874	Fee-for-Service	1487866042	1487866042	1	1	VANALLEN, PAMELA PHD	10/28/2013	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	1305 TOMMYDON STREET	None	STOCKTON	CA	95210	3364	39	06077	38.01883046	-121.29624	San Joaquin County
55910	Fee-for-Service	1932285392	1932285392	1	1	VICKREY, JENNY T MD	2/13/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	74283	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	7373 WEST LN	None	STOCKTON	CA	95210	3377	39	06077	38.017701	-121.297869	San Joaquin County
55935	Fee-for-Service	1710086376	1710086376	1	1	VALLERO, JUDITH C MD	4/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	74837	None	None	0	In state provider	None	2020 SUTTER PL	None	DAVIS	CA	95616	6201	57	06113	38.56287659	-121.7715536	Yolo County
55961	Fee-for-Service	1972709376	1972709376	1	1	VANDER LAAN, THOMAS L MD AMC	9/1/1999	193200000X	NA	Other	026	PHYSICIANS	44443	66	Emergency Medicine (Urgent Care)	0	In state provider	None	50 BELLEFONTAINE ST	STE 303	PASADENA	CA	91105	3132	19	06037	34.13155953	-118.1517525	Los Angeles County
55963	Fee-for-Service	1275645558	1275645558	1	1	VARMA, ANSHU MD	11/7/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	158604	41	Internal Medicine	0	In state provider	None	2335 EAST KASHIAN LANE	SUITE 280	FRESNO	CA	93701	2211	10	06019	36.74333844	-119.7831874	Fresno County
55965	Fee-for-Service	1609890748	1609890748	1	1	VACHHANI, ATUL B MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	67917	10	Gastroenterology (M.D. only)	0	In state provider	None	525 E PLAZA DR	STE 307	SANTA MARIA	CA	93454	6955	42	06083	34.9373822	-120.4296004	Santa Barbara County
55978	Fee-for-Service	1871930529	1871930529	1	1	VARGHESE, SHEABA	4/1/2024	207LP3000X	NA	Other	026	PHYSICIANS	-	40	Pediatrics	2	Out of state provider	None	3333 BURNET AVENUE	None	CINCINNATI	OH	45229	3039	00	None	39.14105892	-84.50040782	Hamilton County
56003	Fee-for-Service	1982996708	1982996708	1	1	VISWANATHAN, LAVANYA MD	10/28/2019	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	156541	10	Gastroenterology (M.D. only)	0	In state provider	None	975 SERENO DR	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
56031	Fee-for-Service	1104222660	1104222660	1	1	VASSILIAN, COLETTE DO	11/27/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	14283	40	Pediatrics	0	In state provider	None	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
56065	Fee-for-Service	1740233493	1740233493	2	1	VARDAYO, JOSEPH F MD	11/20/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	43961	01	General Practice	0	In state provider	None	701 E 28TH ST	STE 113	LONG BEACH	CA	90806	2781	19	06037	33.80803441	-118.1847137	Los Angeles County
56083	Fee-for-Service	1528352598	1528352598	1	1	VENIGALLA, PRAVEEN MD	8/30/2019	207R00000X	NA	Other	026	PHYSICIANS	159845	41	Internal Medicine	0	In state provider	None	4929 VAN NUYS BLVD	None	SHERMAN OAKS	CA	91403	1702	19	06037	34.1602022	-118.4487313	Los Angeles County
56245	Fee-for-Service	1760136469	1760136469	1	1	VASHER, KYLE MARVIN PT	3/7/2022	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	4004 PANAMA LN	100	BAKERSFIELD	CA	93313	3769	15	06029	35.29595752	-119.0472075	Kern County
56249	Fee-for-Service	1972709376	1972709376	1	1	VANDER LAAN, THOMAS L MD AMC	9/1/1999	193200000X	NA	Other	026	PHYSICIANS	44443	02	General Surgery	0	In state provider	None	50 BELLEFONTAINE ST	STE 303	PASADENA	CA	91105	3132	19	06037	34.13155953	-118.1517525	Los Angeles County
56264	Fee-for-Service	1376966861	1376966861	1	1	VALE OPERATING COMPANY, LP	10/1/2018	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	13484 SAN PABLO AVE	None	SAN PABLO	CA	94806	3904	07	06013	37.95525748	-122.3352645	Contra Costa County
56265	Fee-for-Service	1265052534	1265052534	1	1	VISITING ANGELS OF LA	5/5/2022	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	HOSPICE INC	13615 VICTORY BLVD	STE 224	VAN NUYS	CA	91401	1763	19	06037	34.18671049	-118.429353	Los Angeles County
56266	Fee-for-Service	1871930529	1871930529	1	1	VARGHESE, SHEABA	4/1/2024	207LP3000X	NA	Other	026	PHYSICIANS	-	05	Anesthesiology	2	Out of state provider	None	3333 BURNET AVENUE	None	CINCINNATI	OH	45229	3039	00	None	39.14105892	-84.50040782	Hamilton County
56352	Fee-for-Service	1740233493	1740233493	2	1	VARDAYO, JOSEPH F MD	11/20/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	43961	02	General Surgery	0	In state provider	None	701 E 28TH ST	STE 113	LONG BEACH	CA	90806	2781	19	06037	33.80803441	-118.1847137	Los Angeles County
56407	Fee-for-Service	1295719219	1295719219	1	1	VEDANTHAM, KUMAR MD	12/15/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	55201	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
56409	Fee-for-Service	1568690253	1568690253	1	1	VISHWAS, MELLEKATE S MD	9/22/2022	2084N0400X	NA	Neurology	026	PHYSICIANS	181471	None	None	0	In state provider	None	2823 FRESNO ST	None	FRESNO	CA	93721	1324	10	06019	36.7423511	-119.7834688	Fresno County
56534	Fee-for-Service	1558430223	1558430223	1	1	VAID, MEENU MD	7/11/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	113707	41	Internal Medicine	0	In state provider	None	1441 CONSTITUTION BLVD	None	SALINAS	CA	93906	3100	27	06053	36.696987	-121.633164	Monterey County
56554	Fee-for-Service	1265052534	1265052534	1	1	VISITING ANGELS OF LA	5/5/2022	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	HOSPICE INC	13615 VICTORY BLVD	STE 224	VAN NUYS	CA	91401	1763	19	06037	34.18671049	-118.429353	Los Angeles County
56634	Fee-for-Service	1013060672	1013060672	1	1	VASCULAR ASSOC OF NORTH-	9/1/1995	2086S0129X	NA	General Surgery	022	PHYSICIANS GROUP	-	06	Cardiovascular Disease (M.D. only)	0	In state provider	ERN CALIFORNIA	2512 SAMARITAN CT	STE E	SAN JOSE	CA	95124	4002	43	06085	37.25087737	-121.9503926	Santa Clara County
56639	Fee-for-Service	1134776107	1134776107	1	1	VNEX REHAB, INC.	9/2/2020	174400000X	NA	Other	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	2390 E. FLORIDA AVE.	SUITE 201	HEMET	CA	92544	4707	33	06065	33.7477405	-116.94681	Riverside County
56664	Fee-for-Service	1982865457	1982865457	1	1	VITKOVITSKY, IRENA V MD	10/5/2018	207P00000X	NA	Other	026	PHYSICIANS	-	66	Emergency Medicine (Urgent Care)	1	Border provider	None	8280 W WARM SPRINGS RD	None	LAS VEGAS	NV	89113	3612	00	None	36.057384	-115.2721395	Clark County
56853	Fee-for-Service	1215281373	1215281373	3	1	VALUE RX PHARMACY	1/11/2024	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	22 ODYSSEY	STE 135	IRVINE	CA	92618	3193	30	06059	33.66719598	-117.7642461	Orange County
56908	Fee-for-Service	1255690798	1255690798	1	1	VASANI, DHWANISHIVA R MD	8/31/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	135242	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
56922	Fee-for-Service	1013060672	1013060672	1	1	VASCULAR ASSOC OF NORTH-	9/1/1995	2086S0129X	NA	General Surgery	022	PHYSICIANS GROUP	-	02	General Surgery	0	In state provider	ERN CALIFORNIA	2512 SAMARITAN CT	STE E	SAN JOSE	CA	95124	4002	43	06085	37.25087737	-121.9503926	Santa Clara County
56931	Fee-for-Service	1568005478	1568005478	1	1	VARMA, KIRTI CNP	12/15/2020	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
56937	Fee-for-Service	1487952370	1487952370	1	3	VOTC, INC	9/7/2021	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	3617 RICARDO AVE.	1, 8, & 9	REDDING	CA	96002	2653	45	06089	40.5536888	-122.3576882	Shasta County
56966	Fee-for-Service	1720111073	1720111073	1	1	VALLES, LIONEL LMFT	10/25/2022	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	300 HILLMONT AVE	None	VENTURA	CA	93003	3099	56	06111	34.27771547	-119.2540344	Ventura County
56985	Fee-for-Service	1922592716	1922592716	1	1	VANG, CHI NP	9/7/2018	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
57078	Fee-for-Service	1255315222	1255315222	1	1	VRAHAS, MARK S MD	12/13/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	145660	20	Orthopedic Surgery	0	In state provider	None	8700 BEVERLY BLVD	None	WEST HOLLYWOOD	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
57155	Fee-for-Service	1699011569	1699011569	1	1	VENTURA COUNTY NEUROSURGERY	4/8/2013	207T00000X	NA	General Surgery	022	PHYSICIANS GROUP	-	14	Neurological Surgery	0	In state provider	ASSOCIATES MEDICAL GROUP	168 N BRENT ST	STE 408	VENTURA	CA	93003	2817	56	06111	34.27448266	-119.2572489	Ventura County
57175	Fee-for-Service	1407036288	1407036288	1	1	VASCULAR AND ENDOVASCULAR	1/6/2012	2086S0129X	NA	General Surgery	026	PHYSICIANS	52537	06	Cardiovascular Disease (M.D. only)	0	In state provider	INSTITUTE OF ORANGE	16100 SAND CANYON AVE	STE 350	IRVINE	CA	92618	3717	30	06059	33.6632187	-117.7721984	Orange County
57250	Fee-for-Service	1154512093	1154512093	1	1	VALCARCEL, ELIZABETH LMFT	7/7/2023	101Y00000X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	311 CALIFORNIA	#750	SAN FRANCISCO	CA	94104	2602	38	06075	37.79316768	-122.4002529	San Francisco County
57307	Fee-for-Service	1679884068	1679884068	1	1	VITALE, CHRISTOPHER R DO	8/20/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	14021	20	Orthopedic Surgery	0	In state provider	None	7901 FROST ST	None	SAN DIEGO	CA	92123	2701	37	06073	32.8002375	-117.1546269	San Diego County
57380	Fee-for-Service	1689779415	1689779415	1	1	VERDON, LISA C OD	2/8/2015	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1365 SOLANO AVE	None	ALBANY	CA	94706	1830	01	06001	37.89075879	-122.2908086	Alameda County
57393	Fee-for-Service	1114094489	1114094489	1	1	VAKALCIC, MARK E MD	11/30/1987	No Taxonomy Provided	NA	None	026	PHYSICIANS	48309	05	Anesthesiology	0	In state provider	None	20 ALLEN ST	None	MARTINEZ	CA	94553	2681	07	06013	38.00771973	-122.1331484	Contra Costa County
57438	Fee-for-Service	1497389928	1497389928	1	1	VAZQUEZ, GRECIA LMFT	7/12/2023	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	17111 BEACH BLVD	STE 205	HUNTINGTON BEACH	CA	92647	5947	30	06059	33.713937	-117.9892085	Orange County
57440	Fee-for-Service	1639722440	1639722440	1	1	VAZQUEZ-CUTLER, SARA LMFT	2/12/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	6777 N WILLOW AVE	None	FRESNO	CA	93710	5900	10	06019	36.83465436	-119.7311422	Fresno County
57462	Fee-for-Service	1407036288	1407036288	1	1	VASCULAR AND ENDOVASCULAR	1/6/2012	2086S0129X	NA	General Surgery	026	PHYSICIANS	52537	02	General Surgery	0	In state provider	INSTITUTE OF ORANGE	16100 SAND CANYON AVE	STE 350	IRVINE	CA	92618	3717	30	06059	33.6632187	-117.7721984	Orange County
57467	Fee-for-Service	1467983791	1467983791	1	1	VALENZUELA RIVEROS, LUISA F	6/28/2023	2080P0205X	NA	Endocrinology	026	PHYSICIANS	157068	None	None	0	In state provider	MD	725 WELCH RD	None	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
57500	Fee-for-Service	1013473636	1013473636	1	2	VENTURA ORTHOPEDICS MEDICAL	10/10/2019	174400000X	NA	Other	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	3901 LAS POSAS RD	STE 8	CAMARILLO	CA	93010	1502	56	06111	34.2415821	-119.0183756	Ventura County
57514	Fee-for-Service	1508952383	1508952383	1	1	VICKERS SANCHEZ, AIMEE V PHD	7/3/2018	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	2547 W SHAW AVE	STE 117	FRESNO	CA	93711	3321	10	06019	36.80804173	-119.8385565	Fresno County
57599	Fee-for-Service	1063237089	1063237089	1	1	VO, MATTHEW AU	1/21/2025	231H00000X	NA	Other	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	3601 S HARBOR BLVD	SUITE 100	SANTA ANA	CA	92704	6924	30	06059	33.698367	-117.9194115	Orange County
57667	Fee-for-Service	1053984047	1053984047	1	1	VONG, CHRISTINE AU	1/27/2023	237600000X	NA	Other	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	7300 WYNDHAM	None	SACRAMENTO	CA	95823	4913	34	06067	38.467854	-121.4188155	Sacramento County
57787	Fee-for-Service	1013473636	1013473636	1	2	VENTURA ORTHOPEDICS MEDICAL	10/10/2019	174400000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	3901 LAS POSAS RD	STE 8	CAMARILLO	CA	93010	1502	56	06111	34.2415821	-119.0183756	Ventura County
57858	Fee-for-Service	1235382052	1235382052	1	1	VELASCO, WENDY MD	7/2/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	120444	66	Emergency Medicine (Urgent Care)	0	In state provider	None	47111 MONROE ST	None	INDIO	CA	92201	6739	33	06065	33.70620698	-116.2339008	Riverside County
57935	Fee-for-Service	1982121331	1982121331	1	1	VERITAS ANESTHESIA A	10/16/2017	193400000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	PROFESSIONAL NURSING COR	901 OLIVE DR	None	BAKERSFIELD	CA	93308	4137	15	06029	35.41225153	-119.0396655	Kern County
57975	Fee-for-Service	1710071089	1710071089	1	1	VAZIRI, NOSRATOLA D MD	12/26/1996	No Taxonomy Provided	NA	None	026	PHYSICIANS	25083	45	Nephrology (Renal-Kidney)	0	In state provider	None	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
58007	Fee-for-Service	1881756039	1881756039	1	1	VITALI G MIRONOV MD	1/8/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	747 BROADWAY	None	SEATTLE	WA	98122	4379	00	None	47.608326	-122.3207985	King County
58055	Fee-for-Service	1154789485	1154789485	1	1	VALENCIA HOME HEALTH CARE	3/15/2019	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	LLC	18333 DOLAN WAY	STE 206	CANYON COUNTRY	CA	91387	5423	19	06037	34.4194879	-118.45315	Los Angeles County
58059	Fee-for-Service	1285263558	1285263558	1	1	VALENTINE, DANIEL LMFT	1/31/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	11900 ARTESIA BLVD	None	ARTESIA	CA	90701	4039	19	06037	33.87297352	-118.078848	Los Angeles County
58076	Fee-for-Service	1013473636	1013473636	1	2	VENTURA ORTHOPEDICS MEDICAL	10/10/2019	174400000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	3901 LAS POSAS RD	STE 8	CAMARILLO	CA	93010	1502	56	06111	34.2415821	-119.0183756	Ventura County
58099	Fee-for-Service	1659020550	1659020550	1	1	VILLAFUERTE, GABRIELA U NP	5/13/2024	207Q00000X	NA	Adult Primary Care	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	3151 AIRWAY AVE	SUITE T-3	COSTA MESA	CA	92626	4627	30	06059	33.67783408	-117.8720921	Orange County
58110	Fee-for-Service	1649276015	1649276015	1	1	VOYLES, WYATT MD	7/20/2009	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
58258	Fee-for-Service	1538277660	1538277660	1	1	VARELA, VICTOR MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	4403 HARRISON BLVD	STE 1635	OGDEN	UT	84403	3272	00	None	41.18328	-111.9536955	Weber County
58293	Fee-for-Service	1467537126	1467537126	1	1	VASWANI, KIRAN R G MD	9/15/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	80077	41	Internal Medicine	0	In state provider	None	222 W 39TH AVE	None	SAN MATEO	CA	94403	4364	41	06081	37.53039072	-122.2987772	San Mateo County
58294	Fee-for-Service	1124590484	1124590484	1	1	VENTURA, JOSEPH LMFT	5/17/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	300 UCLA MEDICAL PLAZA	3300	LOS ANGELES	CA	90095	8346	19	06037	34.06465655	-118.4461	Los Angeles County
58297	Fee-for-Service	1538310586	1538310586	1	1	VILLEGAS, GUILLERMO A LCSW	5/24/2017	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
58307	Fee-for-Service	1467929265	1467929265	1	1	VARDANYAN, GALINA G OD	5/7/2024	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	2005 W ALAMEDA AVE	None	BURBANK	CA	91506	2932	19	06037	34.15987696	-118.3232526	Los Angeles County
58318	Fee-for-Service	1427227008	1427227008	1	1	VALLEY VIEW SANITARIUM	3/12/2009	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	3080 MINOA WAY	None	SAN DIEGO	CA	92139	3722	37	06073	32.6664236	-117.0542656	San Diego County
58320	Fee-for-Service	1770733156	1770733156	1	1	VARGAS, SHANNON R MD	8/12/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	126352	05	Anesthesiology	0	In state provider	None	401 BICENTENNIAL WAY	None	SANTA ROSA	CA	95403	2149	49	06097	38.471625	-122.7259935	Sonoma County
58324	Fee-for-Service	1306070545	1306070545	1	1	VELASCO, LUZ S MD	11/12/2018	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	119007	08	Family Practice	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
58391	Fee-for-Service	1063456564	1063456564	1	1	VYAS, RAJASHREE C MD	9/22/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	30	Radiology	1	Border provider	None	2020 PALOMINO LANE	SUITE 100	LAS VEGAS	NV	89106	4812	00	None	36.16257648	-115.170696	Clark County
58400	Fee-for-Service	1366412462	1366412462	1	1	VERTULLO, DAVID A. MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1930 E THOMAS RD	None	PHOENIX	AZ	85016	7711	00	None	33.480774	-112.0396095	Maricopa County
58505	Fee-for-Service	1770696478	1770696478	1	1	VINCENT, CYNTHIA L PSYD	4/6/2021	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	909 15TH ST	SUITE 8	MODESTO	CA	95354	1130	50	06099	37.64355442	-120.9949898	Stanislaus County
58741	Fee-for-Service	1528146347	1528146347	1	2	VANOOY, D MICHELLE M MD	7/6/2017	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	68693	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	45 NIELSON ST	None	WATSONVILLE	CA	95076	2468	44	06087	36.9282117	-121.7925859	Santa Cruz County
58833	Fee-for-Service	1619289998	1619289998	2	1	VHS DETROIT RECEIVING HOSPIT	4/1/2019	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	UNIVERSITY HEALTH CENTE	4201 SAINT ANTOINE ST	None	DETROIT	MI	48201	2153	00	None	42.35393793	-83.05340648	Wayne County
58866	Fee-for-Service	1104932516	1104932516	1	1	VILARDO, ELIZABETH M MD	6/1/1987	207R00000X	NA	Other	026	PHYSICIANS	59828	41	Internal Medicine	0	In state provider	None	2925 PALO VERDE AVE	None	LONG BEACH	CA	90815	1552	19	06037	33.809751	-118.1079275	Los Angeles County
59004	Fee-for-Service	1679799498	1679799498	1	1	VILLA, JENNIFER A MD	10/23/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	124911	41	Internal Medicine	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
59067	Fee-for-Service	1548655087	1548655087	1	1	VALDOVINOS, ERICA M MD	8/9/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	147374	66	Emergency Medicine (Urgent Care)	0	In state provider	None	275 HOSPITAL DR	None	UKIAH	CA	95482	4531	23	06045	39.15305697	-123.2037774	Mendocino County
59120	Fee-for-Service	1619289998	1619289998	2	1	VHS DETROIT RECEIVING HOSPIT	4/1/2019	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	UNIVERSITY HEALTH CENTE	4201 SAINT ANTOINE ST	None	DETROIT	MI	48201	2153	00	None	42.35393793	-83.05340648	Wayne County
59176	Fee-for-Service	1831393255	1831393255	1	1	VACAVILLE URGENT CARE	1/9/2009	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	MEDICAL GROUP INC	1001 NUT TREE ROAD	SUITE 220	VACAVILLE	CA	95687	4166	48	06095	38.3564252	-121.9532031	Solano County
59181	Fee-for-Service	1952363103	1952363103	1	1	VU, CHRISTOPHER S MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	90762	01	General Practice	0	In state provider	None	420 34TH STREET	None	BAKERSFIELD	CA	93301	2237	15	06029	35.39052148	-119.0070765	Kern County
59203	Fee-for-Service	1174102438	1174102438	1	1	VOKOS, CAROLINE MD	8/1/2024	207P00000X	NA	Other	026	PHYSICIANS	None	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1400 EAST CHURCH ST	None	SANTA MARIA	CA	93454	5906	42	06083	34.95203385	-120.4131707	Santa Barbara County
59317	Fee-for-Service	1629382890	1629382890	1	1	VO, DAN B DO	11/28/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	11520	41	Internal Medicine	0	In state provider	None	400 N PEPPER AVE	None	COLTON	CA	92324	1801	36	06071	34.073505	-117.3505995	San Bernardino County
59349	Fee-for-Service	1316428808	1316428808	2	1	VENTURA PHARM INC	11/16/2022	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	375 ROLLING OAKS DR	STE 150	THOUSAND OAKS	CA	91361	1026	56	06111	34.17433197	-118.8706258	Ventura County
59356	Fee-for-Service	1912087750	1912087750	1	1	VAISHNAV, SUKETU B MD	12/23/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	94182	20	Orthopedic Surgery	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
59373	Fee-for-Service	1013220722	1013220722	1	1	VAN DYKE YUN MEDICAL GROUP	10/24/2011	207N00000X	NA	Dermatology	022	PHYSICIANS GROUP	-	07	Dermatology	0	In state provider	PACIFIC DERMATOPATHOLOGY	11500 W OLYMPIC BLVD	STE 352	LOS ANGELES	CA	90064	1525	19	06037	34.03617514	-118.4445122	Los Angeles County
59384	Fee-for-Service	1265618300	1265618300	1	2	VO, STACY OD INC	8/27/2012	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1550 BARTON RD	None	REDLANDS	CA	92373	5456	36	06071	34.04685329	-117.2071146	San Bernardino County
59409	Fee-for-Service	1013927896	1013927896	1	1	VO, KIMHONG N DC	2/8/2015	No Taxonomy Provided	NA	None	006	CHIROPRACTORS	-	-	NOT APPLICABLE	0	In state provider	None	650 N WINCHESTER BLVD	STE 1B	SAN JOSE	CA	95128	1511	43	06085	37.328166	-121.950211	Santa Clara County
59424	Fee-for-Service	1083656441	1083656441	1	1	VAPNIK, TANYA PHD	2/24/2004	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	760 WESTWOOD PLZ	None	LOS ANGELES	CA	90095	8353	19	06037	34.07067	-118.4432445	Los Angeles County
59460	Fee-for-Service	1831393255	1831393255	1	1	VACAVILLE URGENT CARE	1/9/2009	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	MEDICAL GROUP INC	1001 NUT TREE ROAD	SUITE 220	VACAVILLE	CA	95687	4166	48	06095	38.3564252	-121.9532031	Solano County
59467	Fee-for-Service	1952363103	1952363103	1	1	VU, CHRISTOPHER S MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	90762	66	Emergency Medicine (Urgent Care)	0	In state provider	None	420 34TH STREET	None	BAKERSFIELD	CA	93301	2237	15	06029	35.39052148	-119.0070765	Kern County
59468	Fee-for-Service	1376538132	1376538132	1	1	VALLEY PHYSICIANS MED	9/15/1983	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	GRP INC	841 W VALLEY BLVD	STE 104	ALHAMBRA	CA	91803	3251	19	06037	34.07803221	-118.1327862	Los Angeles County
59538	Fee-for-Service	1477287258	1477287258	1	1	VIZCARRA, SOFIA N PT	8/12/2022	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1620 E SECOND ST	I, J	BEAUMONT	CA	92223	3171	33	06065	33.92359885	-116.9480354	Riverside County
59544	Fee-for-Service	1083840920	1083840920	1	1	VAIDYA, KAMALA MD	10/16/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	124814	40	Pediatrics	0	In state provider	None	3020 CHILDREN'S WAY	MC 5069	SAN DIEGO	CA	92123	4223	37	06073	32.798691	-117.150829	San Diego County
59560	Fee-for-Service	1205885951	1205885951	1	1	VALLETTA, DAMION D DO	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	8171	None	None	0	In state provider	VALLETTA ORTHOPAEDIC	2918 FIFTH AVE	STE 100	SAN DIEGO	CA	92103	5910	37	06073	32.735826	-117.1603565	San Diego County
59588	Fee-for-Service	1609128461	1609128461	1	1	VELASQUEZ, MARIA D LCSW	9/21/2020	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	41 E FOOTHILL BLVD	SUITE 102	ARCADIA	CA	91006	2361	19	06037	34.15102394	-118.0297543	Los Angeles County
59664	Fee-for-Service	1144596016	1144596016	1	1	VELAZQUEZ, ELENA A CRNA	1/5/2020	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	2615 EYE ST	None	BAKERSFIELD	CA	93301	2006	15	06029	35.38291587	-119.0199632	Kern County
59696	Fee-for-Service	1083702120	1083702120	1	1	VOLPP, HEATHER S MD	4/10/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	81147	03	Allergy	0	In state provider	None	2067 W VISTA WAY	STE 140	VISTA	CA	92083	6032	37	06073	33.18505594	-117.285958	San Diego County
59735	Fee-for-Service	1306941430	1306941430	1	1	VAN AKEN, TERRELL B MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	57837	08	Family Practice	0	In state provider	None	171 BUTCHER RD	None	VACAVILLE	CA	95687	5656	48	06095	38.34394876	-121.9980023	Solano County
59809	Fee-for-Service	1083093033	1083093033	1	1	VUONG, YEN N MD	2/9/2022	207L00000X	NA	Other	026	PHYSICIANS	173660	None	None	0	In state provider	None	401 BICENTENNIAL WAY	None	SANTA ROSA	CA	95403	2149	49	06097	38.471625	-122.7259935	Sonoma County
59947	Fee-for-Service	1932100070	1932100070	1	1	VALENCIA PULMONARY	8/9/1991	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	MEDICAL GROUP, INC.	23928 LYONS AVE	STE 203	NEWHALL	CA	91321	2454	19	06037	34.37895689	-118.5532505	Los Angeles County
59970	Fee-for-Service	1134296049	1134296049	1	1	VOUNG, NGUYET T MD	9/27/1994	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	77676	08	Family Practice	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
60118	Fee-for-Service	1427735307	1427735307	1	1	VORUGANTI, INDU MD	5/24/2024	2085R0001X	NA	Other	026	PHYSICIANS	187580	32	Radiation Therapy (D.O. only)	0	In state provider	None	3800 HOMESTEAD RD	None	SANTA CLARA	CA	95051	4542	43	06085	37.3377485	-122.001453	Santa Clara County
60424	Fee-for-Service	1477847630	1477847630	1	1	VINEYARD, JENNIFER M DO	7/31/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	13465	None	None	0	In state provider	None	4101 TORRANCE BLVD	None	TORRANCE	CA	90503	4607	19	06037	33.83760674	-118.3572569	Los Angeles County
60439	Fee-for-Service	1003226838	1003226838	1	1	VOGELSONG, MELISSA A MD	7/16/2020	207L00000X	NA	Other	026	PHYSICIANS	137781	05	Anesthesiology	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
60526	Fee-for-Service	1437574894	1437574894	1	1	VISTA CARE HOME INC	7/23/2014	No Taxonomy Provided	NA	None	059	HOME AND COMMUNITY BASED SERVICES NURSING FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	10949 BURNETTE AVENUE	None	MISSION HILLS	CA	91345	1505	19	06037	34.26852726	-118.4611226	Los Angeles County
60527	Fee-for-Service	1215211305	1215211305	1	1	V & E MANAGEMENT LLC	1/15/2012	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	EXECUTIVE DIRECTOR	245 SOUTH EL MOLINO AVE	None	PASADENA	CA	91101	2905	19	06037	34.14157753	-118.1368927	Los Angeles County
60542	Fee-for-Service	1730234493	1730234493	1	1	VETS HOME CA CHULA VISTA	10/1/2000	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	VH CA CHULA VISTA PHARM	700 E NAPLES CT	None	CHULA VISTA	CA	91911	6821	37	06073	32.62121159	-117.0241408	San Diego County
60635	Fee-for-Service	1144781113	1144781113	1	1	VONASEK, AUSTIN W DPM	9/18/2023	213ES0103X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	2500 HILBORN RD.	None	FAIRFIELD	CA	94534	1097	48	06095	38.27621282	-122.0523491	Solano County
60730	Fee-for-Service	1073507711	1073507711	1	1	VARAPRASATHAN, G I MD	9/30/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	25869	22	Pathology (M.D. only)	0	In state provider	None	23845 MCBEAN PKWY	None	VALENCIA	CA	91355	2001	19	06037	34.39696803	-118.5525278	Los Angeles County
60805	Fee-for-Service	1174574081	1174574081	1	1	VOLK, DEBORAH ANN MD	7/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	79237	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2550 N HOLLYWOOD WAY	STE 209	BURBANK	CA	91505	5019	19	06037	34.195086	-118.348892	Los Angeles County
60815	Fee-for-Service	1295775336	1295775336	1	1	VEA, HERNY W. MD	3/19/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1015 NW 22ND AVE	None	PORTLAND	OR	97210	3025	00	None	45.53024175	-122.6966202	Multnomah County
60832	Fee-for-Service	1013250323	1013250323	1	1	VON FELDT, RICHARD H	10/23/2013	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	800 SERENO DR	None	VALLEJO	CA	94589	2411	48	06095	38.12792924	-122.2506587	Solano County
60861	Fee-for-Service	1003276239	1003276239	1	1	VANG, SIA THAO	4/19/2017	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	2148 W CORNELL AVENUE	None	FRESNO	CA	93705	3601	10	06019	36.77765575	-119.8365306	Fresno County
60948	Fee-for-Service	1255659298	1255659298	1	1	VANCE, AUBREE N LCSW	11/7/2019	101YM0800X	NA	Other	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	480B TESCONI CIR	None	SANTA ROSA	CA	95401	4691	49	06097	38.44950583	-122.7351601	Sonoma County
60971	Fee-for-Service	1821247149	1821247149	1	1	VARGAS, MARIBEL LCSW	2/23/2024	101Y00000X	NA	Other	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1305 TOMMYDON	None	STOCKTON	CA	95210	3364	39	06077	38.01883046	-121.29624	San Joaquin County
61066	Fee-for-Service	1124678263	1124678263	1	1	VECTOR REMOTE CARE, LLC	7/13/2021	293D00000X	NA	Other	034	MEDICARE CROSSOVER PROVIDER ONLY	-	-	NOT APPLICABLE	2	Out of state provider	None	2807 JACKSON AVE FL 5	None	LONG ISLAND CITY	NY	11101	3459	00	None	40.748616	-73.9388835	Queens County
61070	Fee-for-Service	1538655840	1538655840	1	1	VALDEZ, SUSANA LCSW	12/13/2024	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
61148	Fee-for-Service	1003276239	1003276239	1	1	VANG, SIA THAO	4/19/2017	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	2148 W CORNELL AVENUE	None	FRESNO	CA	93705	3601	10	06019	36.77765575	-119.8365306	Fresno County
61164	Fee-for-Service	1801039490	1801039490	1	1	VEERAPONG, JULA MD	8/8/2017	2086X0206X	NA	General Surgery	026	PHYSICIANS	149942	02	General 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
61256	Fee-for-Service	1669796355	1669796355	1	1	VILLALOBOS, JAVIER E OD	10/24/2018	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	14425 CHASE ST	None	PANORAMA CITY	CA	91402	3017	19	06037	34.22478036	-118.4477576	Los Angeles County
61305	Fee-for-Service	1750466421	1750466421	1	1	VYKUNTA, RAGINI MD	12/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	76914	41	Internal Medicine	0	In state provider	None	39400 PASEO PADRE PKWY	None	FREMONT	CA	94538	2310	01	06001	37.55102172	-121.9759026	Alameda County
61384	Fee-for-Service	1073554317	1073554317	1	1	VALCOUR, VICTOR MD	9/13/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	52388	38	Geriatrics	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
61412	Fee-for-Service	1962017228	1962017228	1	1	VIRTUE HOSPICE CARE	6/2/2022	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	416 S ROSEMEAD BLVD	SUITE D	PASADENA	CA	91107	4965	19	06037	34.139277	-118.073202	Los Angeles County
61530	Fee-for-Service	1942401807	1942401807	1	1	VIKRAM BOOLCHAND SINGH	1/21/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	20100 N 51ST AVE	STE F620	GLENDALE	AZ	85308	5084	00	None	33.666507	-112.1696865	Maricopa County
61534	Fee-for-Service	1437319282	1437319282	1	1	VANDSE, RASHMI MD	9/16/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	137957	05	Anesthesiology	0	In state provider	None	11370 ANDERSON ST	STE B-100	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
61701	Fee-for-Service	1962017228	1962017228	1	1	VIRTUE HOSPICE CARE	6/2/2022	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	416 S ROSEMEAD BLVD	SUITE D	PASADENA	CA	91107	4965	19	06037	34.139277	-118.073202	Los Angeles County
61714	Fee-for-Service	1801851258	1801851258	1	1	VIRGINIA MASON MEDICAL	6/14/2017	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	CENTER	925 SENECA ST	None	SEATTLE	WA	98101	2742	00	None	47.61015671	-122.3278115	King County
61746	Fee-for-Service	1417580325	1417580325	1	1	VENTURA ORTHOPEDICS MEDICAL	3/26/2020	174400000X	NA	Other	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1145 LINDERO CANYON RD	C1	WESTLAKE VILLAGE	CA	91362	5475	56	06111	34.184952	-118.788264	Ventura County
61754	Fee-for-Service	1073670212	1073670212	1	1	VARMA, ROHIT MD	7/31/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	52885	None	None	0	In state provider	None	1700 E TAHQUITZ CANYON W	None	PALM SPRINGS	CA	92262	7158	33	06065	33.82321446	-116.527293	Riverside County
61755	Fee-for-Service	1619285244	1619285244	1	1	VELEZ, LIBERTY S LMFT	5/11/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3900 BROADWAY	None	OAKLAND	CA	94611	5616	01	06001	37.82664697	-122.25721	Alameda County
61765	Fee-for-Service	1356321384	1356321384	1	1	VILAYSANE, KETSANA MD	6/20/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	84750	08	Family Practice	0	In state provider	None	275 W HERNDON AVE	None	CLOVIS	CA	93612	0204	10	06019	36.83766747	-119.715174	Fresno County
61790	Fee-for-Service	1609136605	1609136605	1	1	VAMPOLA, STEPHEN P MD	7/2/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	122879	None	None	0	In state provider	None	200 W ARBOR DRIVE	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
61806	Fee-for-Service	1184690273	1184690273	1	1	VALBUENA-PADILLA, MARIA	8/31/1987	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	48307	40	Pediatrics	0	In state provider	None	1127 N AVALON BLVD	None	WILMINGTON	CA	90744	3501	19	06037	33.78567703	-118.2629206	Los Angeles County
61891	Fee-for-Service	1245450691	1245450691	1	1	VIACRUCIS, RINA S	12/13/2016	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	3701 BROADWAY	None	OAKLAND	CA	94611	5613	01	06001	37.82533768	-122.258094	Alameda County
62002	Fee-for-Service	1801851258	1801851258	1	1	VIRGINIA MASON MEDICAL	6/14/2017	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	CENTER	925 SENECA ST	None	SEATTLE	WA	98101	2742	00	None	47.61015671	-122.3278115	King County
62198	Fee-for-Service	1437812302	1437812302	1	2	VIVA MEDCARE TRANS INC	11/25/2021	343900000X	Both NEMT & NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	15303 VENTURA BLVD	STE 918	SHERMAN OAKS	CA	91403	3110	19	06037	34.15411652	-118.4678308	Los Angeles County
62213	Fee-for-Service	1811092687	1811092687	1	1	VALDEZ, THOMAS C JR DPM	12/31/1993	213E00000X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	1850 SULLIVAN AVE	STE 310	DALY CITY	CA	94015	2204	41	06081	37.68085904	-122.4728842	San Mateo County
62231	Fee-for-Service	1427057645	1427057645	1	1	VICTORIA VENTURA	1/1/2004	314000000X	NA	Skilled Nursing Facility	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	HEALTHCARE LLC	5445 EVERGLADES ST	None	VENTURA	CA	93003	6523	56	06111	34.25887824	-119.2165504	Ventura County
62232	Fee-for-Service	1396432951	1396432951	1	1	VICTORIA COMMUNITY COUNSELIN	6/23/2023	104100000X	NA	Mental Health Outpatient Services	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	G, LCSWC	3600 LIME ST	BUILDING 2/SUITE 103	RIVERSIDE	CA	92501	2971	33	06065	33.98276147	-117.3693188	Riverside County
62283	Fee-for-Service	1417175035	1417175035	1	2	VINELAND SCHOOL DISTRICT	1/1/2021	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	None	14713 WEEDPATCH HWY	None	BAKERSFIELD	CA	93307	9653	15	06029	35.221563	-118.9144645	Kern County
62302	Fee-for-Service	1912997313	1912997313	1	1	VUONG, TUYEN Q MD	6/21/2000	207L00000X	NA	Other	026	PHYSICIANS	35924	05	Anesthesiology	0	In state provider	None	2140 COTNER AVE	None	LOS ANGELES	CA	90025	5714	19	06037	34.03972174	-118.4396878	Los Angeles County
62489	Fee-for-Service	1073763157	1073763157	1	1	VERMA, VIMMI R	10/26/2010	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	101 S 1ST ST	STE 1800	BURBANK	CA	91502	1959	19	06037	34.17942444	-118.3096895	Los Angeles County
62518	Fee-for-Service	1215089677	1215089677	1	1	VO, PHI Q MD	5/6/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	77696	08	Family Practice	0	In state provider	None	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
62520	Fee-for-Service	1396432951	1396432951	1	1	VICTORIA COMMUNITY COUNSELIN	3/18/2025	104100000X	NA	Mental Health Outpatient Services	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	G, LCSWC	3600 LIME ST	BUILDING 2/SUITE 103	RIVERSIDE	CA	92501	2971	33	06065	33.98276147	-117.3693188	Riverside County
62528	Fee-for-Service	1578671905	1578671905	1	1	VAGHAR, FOROUZAN MD	12/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	63086	41	Internal Medicine	0	In state provider	None	2105 FOREST AVE	None	SAN JOSE	CA	95128	1425	43	06085	37.32710433	-121.9386474	Santa Clara County
62552	Fee-for-Service	1578081089	1578081089	1	1	VF ALLIANCE, A MEDICAL CORPO	3/1/2019	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	None	969 S. SANTA FE AVE	A	VISTA	CA	92083	6910	37	06073	33.1927833	-117.2316819	San Diego County
62671	Fee-for-Service	1700270261	1700270261	1	2	VEMALA, SHASHANK MD	4/12/2023	207R00000X	NA	Other	026	PHYSICIANS	179363	None	None	0	In state provider	None	2025 MORSE AVE	None	SACRAMENTO	CA	95825	2115	34	06067	38.602089	-121.3925895	Sacramento County
62681	Fee-for-Service	1144259193	1144259193	1	1	VONS COMPANIES,INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	2355 E COLORADO BLVD	None	PASADENA	CA	91107	3644	19	06037	34.14762	-118.102077	Los Angeles County
62727	Fee-for-Service	1326420845	1326420845	1	1	VARVIS, NATHAN LMFT	1/5/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	71687 HIGHWAY 111	SUITE 205	RANCHO MIRAGE	CA	92270	4515	33	06065	33.74279697	-116.4137932	Riverside County
62804	Fee-for-Service	1144480773	1144480773	1	1	VALLEY CENTRAL IMAGING	6/30/2008	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	INC	450 N GREENFIELD AVE	None	HANFORD	CA	93230	3513	16	06031	36.328968	-119.6582195	Kings County
62818	Fee-for-Service	1730302886	1730302886	1	1	VALVERDE, ULDA LMFT	1/24/2025	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	522 BROADWAY STREET	#D	KING CITY	CA	93939	0000	27	06053	36.21109736	-121.1298997	Monterey County
62837	Fee-for-Service	1174550438	1174550438	1	1	VAN DEN HELDER, THEO MD	4/30/1996	207L00000X	NA	Other	026	PHYSICIANS	63559	05	Anesthesiology	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
62921	Fee-for-Service	1710065388	1710065388	1	1	VADDE, VINUTHA MD	4/22/2016	207L00000X	NA	Other	026	PHYSICIANS	85789	05	Anesthesiology	0	In state provider	None	1205 E NORTH STREET	None	MANTECA	CA	95336	4932	39	06077	37.80110374	-121.1974853	San Joaquin County
62933	Fee-for-Service	1568536183	1568536183	1	1	VOVAN, BRIAN T MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	74673	01	General Practice	0	In state provider	None	9559 BOLSA AVE	STE D	WESTMINSTER	CA	92683	5986	30	06059	33.74500952	-117.9617175	Orange County
62940	Fee-for-Service	1396157590	1396157590	1	1	VITYUK, MARYNA	9/20/2022	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	145302	None	None	0	In state provider	None	200 MUIR RD	None	MARTINEZ	CA	94553	4614	07	06013	37.99430233	-122.1107194	Contra Costa County
63048	Fee-for-Service	1730474768	1730474768	1	1	VARDI, KALYA MD	7/11/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	135721	36	Psychiatry	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	1911	37	06073	32.7537975	-117.1658298	San Diego County
63081	Fee-for-Service	1427168830	1427168830	1	1	VOGT, KIMBERELY MD	3/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	71571	41	Internal Medicine	0	In state provider	None	21840 NORMANDIE AVE	None	TORRANCE	CA	90502	2047	19	06037	33.82982744	-118.2991395	Los Angeles County
63148	Fee-for-Service	1710098595	1710098595	1	1	VAN SURKSUM, JANA L PT	3/6/2020	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1045 W REDONDO BEACH BLV	130	GARDENA	CA	90247	4129	19	06037	33.89247044	-118.2931941	Los Angeles County
63155	Fee-for-Service	1093737199	1093737199	1	1	VAN TASSEL, EDWARD L DO	11/29/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	06	Cardiovascular Disease (M.D. only)	1	Border provider	None	2200 BRYANT WILLIAMS DR	FL 1	KLAMATH FALLS	OR	97601	1121	00	None	42.25198664	-121.7841082	Klamath County
63220	Fee-for-Service	1568536183	1568536183	1	1	VOVAN, BRIAN T MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	74673	40	Pediatrics	0	In state provider	None	9559 BOLSA AVE	STE D	WESTMINSTER	CA	92683	5986	30	06059	33.74500952	-117.9617175	Orange County
63243	Fee-for-Service	1154350197	1154350197	1	1	VONS COMPANIES INC	11/12/1997	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	931 LOMAS SANTA FE DR	None	SOLANA BEACH	CA	92075	1502	37	06073	32.99565254	-117.2544159	San Diego County
63244	Fee-for-Service	1770809154	1770809154	1	1	VANCE, STANLEY R JR MD	11/30/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	118709	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
63265	Fee-for-Service	1891256467	1891256467	1	1	VEYSEH, MAEDEH MD	10/7/2024	207R00000X	NA	Other	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	None	3553 WHIPPLE RD	None	UNION CITY	CA	94587	1507	01	06001	37.60573981	-122.0835989	Alameda County
63336	Fee-for-Service	1730474768	1730474768	1	1	VARDI, KALYA MD	7/11/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	135721	13	Neurology (M.D. only)	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	1911	37	06073	32.7537975	-117.1658298	San Diego County
63357	Fee-for-Service	1013552553	1013552553	1	1	VILLATUYA, DARLENE ALEXANDRI	5/1/2020	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	A R PT	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
63359	Fee-for-Service	1700299260	1700299260	1	1	VINAYAGASUNDARAM, UMA MD	10/12/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	148843	40	Pediatrics	0	In state provider	None	39400 PASEO PADRE PKWY	None	FREMONT	CA	94538	2310	01	06001	37.55102172	-121.9759026	Alameda County
63378	Fee-for-Service	1639359318	1639359318	1	1	VIDES-BOELKE, NATALIE N LCSW	12/16/2015	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	7373 WEST LANE	None	STOCKTON	CA	95210	3377	39	06077	38.017701	-121.297869	San Joaquin County
63443	Fee-for-Service	1023299021	1023299021	2	1	VITAL REMEDIES INC	5/30/2013	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	522 S VERDUGO DR	None	BURBANK	CA	91502	2344	19	06037	34.16978109	-118.3120139	Los Angeles County
63455	Fee-for-Service	1558874669	1558874669	1	1	VALLE DE SALINAS BEHAVIORAL	4/29/2022	106H00000X	NA	Mental Health Outpatient Services	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	HEALTH	150 GABILAN ST	3	SALINAS	CA	93901	2689	27	06053	36.67501939	-121.6598107	Monterey County
63500	Fee-for-Service	1598838633	1598838633	1	1	VIN-CHRISTIAN, KIRSTEN K	1/1/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	81084	07	Dermatology	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
63515	Fee-for-Service	1780810796	1780810796	1	1	VARGHESE, JENNIFER M MD	12/10/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	120860	40	Pediatrics	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
63532	Fee-for-Service	1710925631	1710925631	1	1	VAN BOERUM, DREW H. MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	DBA ORTHO SPEC/TOSH	5169 S COTTONWOOD ST	None	MURRAY	UT	84107	6774	00	None	40.658895	-111.891447	Salt Lake County
63621	Fee-for-Service	1124204383	1124204383	1	1	VILLANI, HEATHER R MD	7/31/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	98341	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
63669	Fee-for-Service	1962425124	1962425124	1	1	VENTURA-LOPEZ, ALICIA C	3/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	60306	08	Family Practice	0	In state provider	None	1330 NATIVIDAD RD	None	SALINAS	CA	93906	3101	27	06053	36.696996	-121.633173	Monterey County
63730	Fee-for-Service	1760117865	1760117865	1	1	VISTO, MACARIO J PT	7/26/2022	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	8800 STOCKDALE HWY	150	BAKERSFIELD	CA	93311	1012	15	06029	35.35448783	-119.0995578	Kern County
63740	Fee-for-Service	1538782438	1538782438	1	1	VITALITY FIRST HOME HEALTH	10/20/2021	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	CARE	5250 LANKERSHIM BLVD	STE 546	NORTH HOLLYWOOD	CA	91601	7416	19	06037	34.1665161	-118.3755868	Los Angeles County
63829	Fee-for-Service	1326115148	1326115148	1	1	VU, KEVIN MD	4/1/1999	207R00000X	NA	Other	026	PHYSICIANS	64520	01	General Practice	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
63851	Fee-for-Service	1104994573	1104994573	1	1	VALENCIA, MIGUEL PHD	5/25/2016	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	10221	-	NOT APPLICABLE	0	In state provider	None	614 TULLY ROAD	None	SAN JOSE	CA	95111	1048	43	06085	37.30851705	-121.8465917	Santa Clara County
63936	Fee-for-Service	1215920889	1215920889	1	1	VORA, SWATI S MD	2/25/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	52388	79	Neurology-Child	0	In state provider	None	9300 VALLEY CHILDRENS PL	SC05	MADERA	CA	93636	8761	20	06039	36.88437894	-119.8003484	Madera County
63941	Fee-for-Service	1215952056	1215952056	1	1	VALLEJO, MIEL M MD	8/5/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	77518	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
63987	Fee-for-Service	1689963902	1689963902	1	1	VILLAR, JULIAN MD	9/1/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	124687	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1200 B GALE WILSON BLVD	None	FAIRFIELD	CA	94533	3552	48	06095	38.26109552	-122.0470245	Solano County
64024	Fee-for-Service	1215002449	1215002449	1	1	VERMA, RAHUL MD	9/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	75754	41	Internal Medicine	0	In state provider	None	795 EL CAMINO REAL	None	PALO ALTO	CA	94301	2302	43	06085	37.43920432	-122.162109	Santa Clara County
64112	Fee-for-Service	1619359718	1619359718	1	1	VARGAS, JACLYN F MD	8/26/2021	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	144447	None	None	0	In state provider	None	7910 FROST ST	STE 350	SAN DIEGO	CA	92123	2753	37	06073	32.80027449	-117.153846	San Diego County
64203	Fee-for-Service	1851509244	1851509244	1	1	VAN PETTEN, CAROL J.MD.	3/31/2007	2084N0400X	NA	Neurology	026	PHYSICIANS	59609	01	General Practice	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
64205	Fee-for-Service	1407909146	1407909146	1	1	VALLEY VILLAGE	7/1/2013	No Taxonomy Provided	NA	None	059	HOME AND COMMUNITY BASED SERVICES NURSING FACILITY	-	-	NOT APPLICABLE	0	In state provider	ASTORIA HOUSE	14185 ASTORIA ST	None	SYLMAR	CA	91342	4250	19	06037	34.30851017	-118.4421497	Los Angeles County
64230	Fee-for-Service	1073542098	1073542098	1	1	VONS COMPANIES INC	8/31/2000	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	1020 COAST VILLAGE RD	None	MONTECITO	CA	93108	2715	42	06083	34.42210198	-119.651682	Santa Barbara County
64245	Fee-for-Service	1669931614	1669931614	1	1	VARGAS, KRISTA N	12/28/2022	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	180722	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
64264	Fee-for-Service	1629345509	1629345509	1	1	VIRTUDES, JUCEVI C NP	5/19/2016	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	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
64269	Fee-for-Service	1679794481	1679794481	1	1	VIEJO, PAOLO C C	4/16/2013	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	2648 MAIN STREET	SUITE B AND C	CHULA VISTA	CA	91911	4664	37	06073	32.5948443	-117.0761526	San Diego County
64303	Fee-for-Service	1952857344	1952857344	3	1	VOXMED PHARMACY	8/16/2022	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	18436 BROOKHURST ST	None	FOUNTAIN VALLEY	CA	92708	6706	30	06059	33.69477323	-117.9540469	Orange County
64353	Fee-for-Service	1700822582	1700822582	1	1	VONS COMPANIES INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	2048 E AVENIDA DE LOS AR	None	THOUSAND OAKS	CA	91362	1356	56	06111	34.21127806	-118.8412358	Ventura County
64358	Fee-for-Service	1326022732	1326022732	1	1	VHS ACQUISITION SUBSIDIARY	9/14/2000	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	NUMBER 1 INC	3929 E BELL RD	None	PHOENIX	AZ	85032	2112	00	None	33.639579	-111.996918	Maricopa County
64363	Fee-for-Service	1992331854	1992331854	1	1	VU, YALAN MD	7/1/2024	207P00000X	NA	Other	026	PHYSICIANS	None	66	Emergency Medicine (Urgent Care)	0	In state provider	None	309 WEST BEVERLY BLVD	None	MONTEBELLO	CA	90640	4308	19	06037	34.01597577	-118.1003516	Los Angeles County
64374	Fee-for-Service	1780166207	1780166207	1	1	VILLA ESPERANZA SERVICES	8/24/2021	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	1920 E VILLA ST	None	PASADENA	CA	91107	2333	19	06037	34.15435008	-118.1108628	Los Angeles County
64460	Fee-for-Service	1164714002	1164714002	1	1	VISHNU SURAPANENI MD	5/17/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1300 ANNE ST NW	None	BEMIDJI	MN	56601	5103	00	None	47.50502202	-94.89949542	Beltrami County
64475	Fee-for-Service	1154515963	1154515963	1	1	VATS, DIVYA MD	7/9/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	107303	01	General Practice	0	In state provider	None	4760 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6063	19	06037	34.09811852	-118.293408	Los Angeles County
64567	Fee-for-Service	1578068219	1578068219	1	1	VU, TIMOTHY MD	7/30/2021	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	164762	None	None	0	In state provider	None	26795 PORTOLA PARKWAY	None	FOOTHILL RANCH	CA	92610	1713	30	06059	33.67841042	-117.6624735	Orange County
64571	Fee-for-Service	1174832554	1174832554	1	1	VAN WERT, RYAN J F MD	9/1/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	113289	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	300 PASTEUR DRIVE	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
64633	Fee-for-Service	1124053012	1124053012	1	1	VALDEZ, AMELIA B MD	6/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	52626	01	General Practice	0	In state provider	None	1850 SULLIVAN AVE	STE 420	DALY CITY	CA	94015	2204	41	06081	37.68085904	-122.4728842	San Mateo County
64643	Fee-for-Service	1326022732	1326022732	1	1	VHS ACQUISITION SUBSIDIARY	9/14/2000	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	NUMBER 1 INC	3929 E BELL RD	None	PHOENIX	AZ	85032	2112	00	None	33.639579	-111.996918	Maricopa County
64675	Fee-for-Service	1992893945	1992893945	1	1	VAKIL, NIRALI MD	9/10/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	53650	40	Pediatrics	0	In state provider	None	6041 CADILLAC AVENUE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
64744	Fee-for-Service	1861960288	1861960288	1	1	VEGA, SUSANA LMFT	2/27/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
64782	Fee-for-Service	1356502496	1356502496	1	1	VEPEMA MEDICAL GROUP	12/1/2008	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	825 DELBON AVE	None	TURLOCK	CA	95382	2016	50	06099	37.51052943	-120.8386573	Stanislaus County
64808	Fee-for-Service	1619403136	1619403136	1	1	VASSAR, RACHEL L MD	8/28/2023	2084N0402X	NA	Neurology	026	PHYSICIANS	160538	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
64846	Fee-for-Service	1174671127	1174671127	1	1	VEMURI, SWARAJYA L MD	12/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	67318	78	Neoplastic Diseases/Oncology	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
64860	Fee-for-Service	1174832554	1174832554	1	1	VAN WERT, RYAN J F MD	9/1/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	113289	41	Internal Medicine	0	In state provider	None	300 PASTEUR DRIVE	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
64903	Fee-for-Service	1962633198	1962633198	1	1	VAUGHN, CHRISTOPHER M MD	9/6/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	116568	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
65077	Fee-for-Service	1942378773	1942378773	1	1	VIRK, JASWANT G S MD	6/27/2016	207R00000X	NA	Other	026	PHYSICIANS	116251	41	Internal Medicine	0	In state provider	None	11600 EDUCATION STREET	None	AUBURN	CA	95602	2468	31	06061	38.94384696	-121.1061469	Placer County
65135	Fee-for-Service	1174671127	1174671127	1	1	VEMURI, SWARAJYA L MD	12/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	67318	01	General Practice	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
65294	Fee-for-Service	1730115338	1730115338	1	1	VENUGOPAL, SANDHYA MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	5555 W THUNDERBIRD RD	None	GLENDALE	AZ	85306	4622	00	None	33.609294	-112.1797485	Maricopa County
65405	Fee-for-Service	1063438927	1063438927	1	1	VON KOHORN, ISABELLE MD	9/5/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	91179	40	Pediatrics	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
65406	Fee-for-Service	1760859334	1760859334	1	1	VISALIA AMBULATORY SURGICAL	10/25/2018	261QA1903X	NA	Other	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	CENTER LLC	105 E NOBLE AVE	None	VISALIA	CA	93277	2717	54	06107	36.326124	-119.291841	Tulare County
65425	Fee-for-Service	1174671127	1174671127	1	1	VEMURI, SWARAJYA L MD	12/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	67318	68	Hematology	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
65435	Fee-for-Service	1790815058	1790815058	1	1	VAN DER HEUSEN, FRANK J	3/12/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	84604	05	Anesthesiology	0	In state provider	MD	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
65639	Fee-for-Service	1750729208	1750729208	2	1	VANEGAS, ELIZABETH J	2/2/2022	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	FT	78-150 CALLE TAMPICO	SUITE 200M	LA QUINTA	CA	92253	2907	33	06065	33.678153	-116.293729	Riverside County
65763	Fee-for-Service	1588770416	1588770416	1	1	VALLEY MEDICAL FACILITY	12/1/1998	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	SEWICKLY VALLEY HOSP	720 BLACKBURN RD	None	SEWICKLEY	PA	15143	1459	00	None	40.54363503	-80.17849975	Allegheny County
65797	Fee-for-Service	1942498886	1942498886	1	1	VIGILANCE ANESTHESIA MED	2/14/2008	193400000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	GROUP, A PROF MED CORP	3700 E SOUTH ST	None	LAKEWOOD	CA	90702	1419	19	06037	33.8601747	-118.148313	Los Angeles County
65952	Fee-for-Service	1609927136	1609927136	1	1	VALLEY VILLAGE	1/7/1991	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	9258 HAYVENHURST AVE	None	NORTH HILLS	CA	91343	3607	19	06037	34.239186	-118.4937415	Los Angeles County
65956	Fee-for-Service	1871818096	1871818096	1	1	VO, KATHY T MD	8/1/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	121388	66	Emergency Medicine (Urgent Care)	0	In state provider	None	180 ROWLAND WAY	None	NOVATO	CA	94945	5009	21	06041	38.09825699	-122.5598561	Marin County
65984	Fee-for-Service	1942475538	1942475538	1	1	VOSCOPOULOS, CHRISTOPHER J	12/27/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	103576	66	Emergency Medicine (Urgent Care)	0	In state provider	None	595 CENTER ST	SUITE 300	MARTINEZ	CA	94553	4633	07	06013	37.99313048	-122.1189497	Contra Costa County
66051	Fee-for-Service	1588770416	1588770416	1	1	VALLEY MEDICAL FACILITY	7/8/2010	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	SEWICKLY VALLEY HOSP	720 BLACKBURN RD	None	SEWICKLEY	PA	15143	1459	00	None	40.54363503	-80.17849975	Allegheny County
66122	Fee-for-Service	1285292813	1285292813	1	2	VITALINE TRANS, INC.	9/19/2021	343900000X	Both NEMT & NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	2033 GATEWAY	SUITE 500	SAN JOSE	CA	95110	3709	43	06085	37.37182372	-121.9248711	Santa Clara County
66167	Fee-for-Service	1659593606	1659593606	1	1	VICTORIO, ANTHONY R MD	8/7/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	86106	22	Pathology (M.D. only)	0	In state provider	None	2625 COFFEE RD	STE S	MODESTO	CA	95355	2050	50	06099	37.67888506	-120.9759048	Stanislaus County
66183	Fee-for-Service	1528352440	1528352440	1	1	VASWANI, PRASHANT MD	8/1/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	116473	None	None	0	In state provider	None	1600 N ROSE AVE	None	OXNARD	CA	93030	4836	56	06111	34.21700406	-119.1582582	Ventura County
66273	Fee-for-Service	1942475538	1942475538	1	1	VOSCOPOULOS, CHRISTOPHER J	12/27/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	103576	05	Anesthesiology	0	In state provider	None	595 CENTER ST	SUITE 300	MARTINEZ	CA	94553	4633	07	06013	37.99313048	-122.1189497	Contra Costa County
66373	Fee-for-Service	1326234493	1326234493	1	1	VYAS, BAVNA B MD	12/12/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	147615	38	Geriatrics	0	In state provider	None	4647 ZION AVENUE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
66380	Fee-for-Service	1588145882	1588145882	1	1	VELASCO MIRANDA, EURIDICE B	3/13/2025	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	LMFT	1500 PALMA DR FL 2	None	VENTURA	CA	93003	6451	56	06111	34.25975064	-119.2276657	Ventura County
66395	Fee-for-Service	1891351979	1891351979	1	1	VIJAYENDRA, POOJA DO	9/13/2022	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	19712	None	None	0	In state provider	None	701 E EL CAMINO REAL	None	MOUNTAIN VIEW	CA	94040	2833	43	06085	37.37715796	-122.0651926	Santa Clara County
66452	Fee-for-Service	1477983989	1477983989	1	1	VALLEY NEUROSURGICAL INSTITU	3/13/2014	193400000X	NA	Other	022	PHYSICIANS GROUP	-	14	Neurological Surgery	0	In state provider	TE INC	1300 N VERMONT AVE	SUITE 600	LOS ANGELES	CA	90027	6098	19	06037	34.0956033	-118.2916918	Los Angeles County
66459	Fee-for-Service	1225106735	1225106735	1	1	VOLLRATH, KATHAN H MD	12/1/1995	207R00000X	NA	Other	026	PHYSICIANS	77487	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
66500	Fee-for-Service	1417029166	1417029166	1	1	VALENTINE,PAMELA M MD	12/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	68301	01	General Practice	0	In state provider	None	1330 CUTTING BLVD	None	RICHMOND	CA	94804	2555	07	06013	37.92518651	-122.3564715	Contra Costa County
66604	Fee-for-Service	1447966312	1447966312	1	1	VILLAGOMEZ, JOSHUA LMFT	3/7/2023	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	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
66660	Fee-for-Service	1326234493	1326234493	1	1	VYAS, BAVNA B MD	12/12/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	147615	41	Internal Medicine	0	In state provider	None	4647 ZION AVENUE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
66677	Fee-for-Service	1821383506	1821383506	1	1	VIRANI, SOPHIA A MD	9/28/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	123733	41	Internal Medicine	0	In state provider	None	3701 BROADWAY	None	OAKLAND	CA	94611	5613	01	06001	37.82533768	-122.258094	Alameda County
66682	Fee-for-Service	1730995390	1730995390	1	1	VINOGRADOVA, DARIA	12/29/2024	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	41	06081	0	0	None
66763	Fee-for-Service	1639563158	1639563158	1	1	VO, ANDREA MD	11/14/2018	2080P0204X	NA	Other	026	PHYSICIANS	148962	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
66786	Fee-for-Service	1689131708	1689131708	1	1	VINCENT, JACQUELINE A PT	1/5/2020	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	949 S STATE ST	None	HEMET	CA	92543	7182	33	06065	33.73230496	-116.9716029	Riverside County
66801	Fee-for-Service	1639776479	1639776479	1	1	VENERABLE HOSPICE CARE	7/11/2023	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	512 E WILSON AVE	STE 202	GLENDALE	CA	91206	4821	19	06037	34.14813015	-118.2494202	Los Angeles County
66877	Fee-for-Service	1831140813	1831140813	1	1	VINCENT, H HUGH MD	1/17/1973	207L00000X	NA	Other	026	PHYSICIANS	23427	05	Anesthesiology	0	In state provider	None	900 HYDE ST	None	SAN FRANCISCO	CA	94109	4806	38	06075	37.78956486	-122.417072	San Francisco County
66884	Fee-for-Service	1275975138	1275975138	1	1	VALLEY REGIONAL HOME HEALTH	8/15/2014	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	INC	6311 N FRESNO ST	SUITE 102	FRESNO	CA	93710	5290	10	06019	36.82866273	-119.7814168	Fresno County
66904	Fee-for-Service	1265893671	1265893671	1	1	VALDEZ, MARY LOU C LCSW	11/8/2017	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	7300 WYNDHAM DRIVE	None	SACRAMENTO	CA	95823	4913	34	06067	38.467854	-121.4188155	Sacramento County
67044	Fee-for-Service	1386908218	1386908218	1	1	VATTEROTT, PHILIP C MD	8/16/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	41	Internal Medicine	2	Out of state provider	None	13199 E MONTVIEW BLVD	None	AURORA	CO	80045	7201	00	None	39.748041	-104.834673	Adams County
67088	Fee-for-Service	1639776479	1639776479	1	1	VENERABLE HOSPICE CARE	7/11/2023	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	512 E WILSON AVE	STE 202	GLENDALE	CA	91206	4821	19	06037	34.14813015	-118.2494202	Los Angeles County
67090	Fee-for-Service	1912190760	1912190760	1	1	VAZQUEZ GARCIA, YADIRA PSYD	11/10/2021	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	13200 CROSSROADS PARKWAY	SUITE 335	CITY OF INDUSTRY	CA	91746	3409	19	06037	34.03038726	-118.0130115	Los Angeles County
67138	Fee-for-Service	1922466036	1922466036	1	1	VILLALOBOS STUTZ, HANNAH LC	6/16/2023	1041C0700X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	SW	2810 E DEL MAR BLVD	None	PASADENA	CA	91107	4320	19	06037	34.14212984	-118.092328	Los Angeles County
67235	Fee-for-Service	1942842984	1942842984	2	1	VITREO-RETINAL MEDICAL GROUP	4/17/2020	207WX0107X	NA	Ophthalmology	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	GROUP	3 PARKCENTER DR	STE 100	SACRAMENTO	CA	95825	8340	34	06067	38.572632	-121.4154135	Sacramento County
67284	Fee-for-Service	1356805691	1356805691	1	1	VETRONE, VINCENT PT	4/26/2020	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
67341	Fee-for-Service	1295894954	1295894954	1	1	VELARDE, EDWARD C MD	9/30/1989	No Taxonomy Provided	NA	None	026	PHYSICIANS	67709	08	Family Practice	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
67422	Fee-for-Service	1821135237	1821135237	1	1	VEPA, SANJAY N MD	9/22/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	91880	35	Pediatric Cardiology (M.D. only)	0	In state provider	None	1600 EUREKA ROAD	None	ROSEVILLE	CA	95661	3027	31	06061	38.746836	-121.250529	Placer County
67445	Fee-for-Service	1356535066	1356535066	1	1	VOGEL, LORIN E OD	1/22/2014	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	5105 W GOLDLEAF CIRCLE	None	LOS ANGELES	CA	90056	1269	19	06037	33.9878918	-118.3672336	Los Angeles County
67459	Fee-for-Service	1962748574	1962748574	1	1	VARTEVAN, ALYSHA K DO	11/10/2021	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	19194	None	None	0	In state provider	None	455 HICKEY DRIVE	SUITE 200	DALY CITY	CA	94015	2630	41	06081	37.66383747	-122.4671404	San Mateo County
67541	Fee-for-Service	1669418513	1669418513	1	1	VENICE FAMILY CLINIC	4/1/1991	207Q00000X	NA	Adult Primary Care	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	604 ROSE AVE	None	VENICE	CA	90291	2767	19	06037	33.99891527	-118.4714129	Los Angeles County
67601	Fee-for-Service	1023467883	1023467883	1	1	VALINE-FOLEY, MARILEE	1/15/2025	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	15260 VENTURA BLVD	1200	SHERMAN OAKS	CA	91403	5307	19	06037	34.15370926	-118.4656644	Los Angeles County
67619	Fee-for-Service	1790714731	1790714731	1	1	VONS COMPANIES INC, THE	7/9/1997	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	3900 BROAD ST	None	SAN LUIS OBISPO	CA	93401	7015	40	06079	35.24966646	-120.643747	San Luis Obispo County
67676	Fee-for-Service	1952435166	1952435166	1	1	VARGO PHYSICAL THERAPY, INC	8/1/2019	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	25830 MCBEAN PKWY	None	VALENICIA	CA	91355	2004	19	06037	34.40360638	-118.5522028	Los Angeles County
67707	Fee-for-Service	1093069478	1093069478	1	1	VALASKANTJIS, MARGITSA PHD	4/20/2024	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	750 B	2870	SAN DIEGO	CA	92101	8114	37	06073	32.71782447	-117.157905	San Diego County
67771	Fee-for-Service	1346311297	1346311297	1	1	VOGLUND, JOSEPH A	4/25/2006	No Taxonomy Provided	NA	None	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	5842 E 2ND ST	None	LONG BEACH	CA	90803	5045	19	06037	33.75626418	-118.1203171	Los Angeles County
67830	Fee-for-Service	1669418513	1669418513	1	1	VENICE FAMILY CLINIC	4/1/1991	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	604 ROSE AVE	None	VENICE	CA	90291	2767	19	06037	33.99891527	-118.4714129	Los Angeles County
67838	Fee-for-Service	1922277698	1922277698	1	1	VALLEY VIEW SANITARIUM	1/26/2016	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	1382 TOBIAS DR	None	CHULA VISTA	CA	91911	4452	37	06073	32.60692253	-117.0551696	San Diego County
67901	Fee-for-Service	1134534308	1134534308	1	1	VARGHESE, SHINY M MD	3/8/2021	207R00000X	NA	Other	026	PHYSICIANS	145929	None	None	0	In state provider	None	1211 W LA PALMA AVE	STE 207	ANAHEIM	CA	92801	2139	30	06059	33.84718298	-117.933758	Orange County
67985	Fee-for-Service	1093947996	1093947996	1	1	VITOROVIC, DANILO MD	2/1/2021	2084N0400X	NA	Neurology	026	PHYSICIANS	170056	None	None	0	In state provider	None	11370 ANDERSON ST	STE B100	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
68085	Fee-for-Service	1588734164	1588734164	1	1	VISTA PACIFICA ENTERPRISES	7/1/1988	314000000X	NA	Skilled Nursing Facility	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	3674 PACIFIC AVE	None	JURUPA	CA	92509	1948	33	06065	34.00581017	-117.4203585	Riverside County
68140	Fee-for-Service	1417614892	1417614892	1	1	VILORIA, EDUARDO B	12/18/2021	343900000X	NEMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	1421 N EL DORADO ST	None	STOCKTON	CA	95202	1018	39	06077	37.96694849	-121.2936953	San Joaquin County
68175	Fee-for-Service	1720842545	1720842545	1	1	VK AUDIOLOGY, INC	4/3/2024	237600000X	NA	Other	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	18725 GALE AVE	STE 209	CITY OF INDUSTRY	CA	91748	1358	19	06037	33.99452087	-117.8945676	Los Angeles County
68312	Fee-for-Service	1366146805	1366146805	1	1	VIGLIOTTI, BRIAN PT	3/31/2023	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	215 S. HICKORY ST.	UNIT 112	ESCONDIDO	CA	92025	4359	37	06073	33.12335985	-117.0753842	San Diego County
68463	Fee-for-Service	1962407460	1962407460	1	2	VERITAS HEALTH SERV, INC	3/31/2010	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	5451 WALNUT AVENUE	None	CHINO	CA	91710	2609	36	06071	34.02626886	-117.6858645	San Bernardino County
68532	Fee-for-Service	1518084011	1518084011	1	1	VARAPRASATHAN, GITA A MD	4/25/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	86454	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
68541	Fee-for-Service	1952900094	1952900094	1	1	VIJ, GEETANJALI LPCC	1/8/2025	101YM0800X	NA	Other	103	LICENSED PROFESSIONAL CLINICAL COUNSELOR - INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
68549	Fee-for-Service	1992728620	1992728620	1	1	VALENCIA-WILSON,VANESSA O MD	6/8/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	49261	41	Internal Medicine	0	In state provider	None	39141 CIVIC CENTER DR	STE 130	FREMONT	CA	94538	5831	01	06001	37.55436307	-121.9764708	Alameda County
68575	Fee-for-Service	1407885452	1407885452	1	1	VONS COMPANIES, INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	4145 30TH ST	None	SAN DIEGO	CA	92104	1905	37	06073	32.753079	-117.130173	San Diego County
68601	Fee-for-Service	1770250938	1770250938	1	1	VAZQUEZ-GUERRERO, VIANEY LM	11/22/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	FT	11801 PIERCE ST	SUITE 200	RIVERSIDE	CA	92505	4408	33	06065	33.90100297	-117.49363	Riverside County
68657	Fee-for-Service	1376546424	1376546424	1	1	VANDER WOUDE, MATTHEW DO	9/18/2007	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
68727	Fee-for-Service	1063473882	1063473882	1	1	VAKIL, AMANOLLAH H MD	6/10/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	52182	05	Anesthesiology	0	In state provider	None	1830 FLOWER ST	None	BAKERSFIELD	CA	93305	4144	15	06029	35.3818329	-118.9710228	Kern County
68744	Fee-for-Service	1285786632	1285786632	1	1	VALLADOLID, IVAN C CRNA	9/23/2009	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	607 N CENTRAL AVENUE	None	GLENDALE	CA	91203	1804	19	06037	34.153974	-118.2579675	Los Angeles County
68747	Fee-for-Service	1780631432	1780631432	1	1	VISALIA MED CLINIC INC	8/1/2000	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	5400 W HILLSDALE AVE	None	VISALIA	CA	93291	8222	54	06107	36.330327	-119.351943	Tulare County
68827	Fee-for-Service	1578797460	1578797460	1	1	VORA, NIRALI MD	7/7/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	114115	13	Neurology (M.D. only)	0	In state provider	None	300 PASTEUR DR	MC 5548	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
68880	Fee-for-Service	1508210238	1508210238	1	1	VONGCHAICHINSRI, COLBY MD	11/9/2020	207L00000X	NA	Other	026	PHYSICIANS	151903	None	None	0	In state provider	None	8700 BEVERLY BLVD	STE 8211	WEST HOLLYWOOD	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
68887	Fee-for-Service	1477601334	1477601334	1	1	VERKLEEREN, JOHN L MD	4/30/1992	No Taxonomy Provided	NA	None	026	PHYSICIANS	31680	41	Internal Medicine	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
69033	Fee-for-Service	1780631432	1780631432	1	1	VISALIA MED CLINIC INC	1/1/1979	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	None	5400 W HILLSDALE AVE	None	VISALIA	CA	93291	8222	54	06107	36.330327	-119.351943	Tulare County
69060	Fee-for-Service	1790848208	1790848208	1	1	VERBANSKY, BECKY L LMFT	2/9/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	9431 HAVEN AVE	STE 215	RANCHO CUCAMONGA	CA	91730	5878	36	06071	34.082244	-117.5756135	San Bernardino County
69104	Fee-for-Service	1225134232	1225134232	1	1	VAHDAT, ARASH MD	1/6/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	73458	41	Internal Medicine	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
69176	Fee-for-Service	1477601334	1477601334	1	1	VERKLEEREN, JOHN L MD	4/30/1992	No Taxonomy Provided	NA	None	026	PHYSICIANS	31680	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
69303	Fee-for-Service	1558824896	1558824896	1	1	VONGSACHANG, HURNAN MD	1/31/2024	207P00000X	NA	Other	026	PHYSICIANS	182309	None	None	0	In state provider	None	5971 VENICE BLVD	None	LOS ANGELES	CA	90034	1713	19	06037	34.03833368	-118.3726622	Los Angeles County
69320	Fee-for-Service	1003474321	1003474321	1	1	VALENZUELA, JESUS O NP	8/9/2019	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	436 S RIVERSIDE AVE	None	RIALTO	CA	92376	6523	36	06071	34.093089	-117.3703775	San Bernardino County
69353	Fee-for-Service	1073880126	1073880126	1	1	VALLEY HEALTH TEAM INC	1/11/2012	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	942 S MADERA AVENUE	None	KERMAN	CA	93630	1743	10	06019	36.721242	-120.0601105	Fresno County
69378	Fee-for-Service	1194245563	1194245563	1	1	VU, ALBERT H MD	8/4/2020	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	158260	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
69407	Fee-for-Service	1003243577	1003243577	1	2	VISTA BEHAVIORAL HOSPITAL	1/1/2016	No Taxonomy Provided	NA	None	072	MENTAL HEALTH INPATIENT SERVICES	-	-	NOT APPLICABLE	0	In state provider	LLC	5900 BROCKTON AVE	None	RIVERSIDE	CA	92506	1862	33	06065	33.96263615	-117.395639	Riverside County
69412	Fee-for-Service	1013074061	1013074061	1	1	VALLEY GENERAL HOSPITAL	2/6/2006	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	14701 179TH AVE SE	None	MONROE	WA	98272	1152	00	None	47.86409054	-121.990689	Snohomish County
69445	Fee-for-Service	1841528742	1841528742	1	1	VALENZUELA, MEGAN PT	10/7/2024	2251P0200X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	3002 DOW AVE STE 114	None	TUSTIN	CA	92780	7247	30	06059	33.70954889	-117.8043627	Orange County
69531	Fee-for-Service	1982764874	1982764874	1	1	VAN LAAR, SONJA T PHD	2/26/2013	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	4601 DALE ROAD	None	MODESTO	CA	95356	9718	50	06099	37.706508	-121.052457	Stanislaus County
69641	Fee-for-Service	1073880126	1073880126	1	1	VALLEY HEALTH TEAM INC	1/11/2012	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	942 S MADERA AVENUE	None	KERMAN	CA	93630	1743	10	06019	36.721242	-120.0601105	Fresno County
69648	Fee-for-Service	1699063370	1699063370	1	1	VERDUGO VISTA OPERATING	11/1/2011	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	COMPANY LP	3050 MONTROSE AVE	None	LA CRESCENTA	CA	91214	3619	19	06037	34.21969933	-118.2460304	Los Angeles County
69686	Fee-for-Service	1598292047	1598292047	1	1	VON STEIN, ERICA L MD	6/20/2022	2084N0400X	NA	Neurology	026	PHYSICIANS	161864	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
69698	Fee-for-Service	1013074061	1013074061	1	1	VALLEY GENERAL HOSPITAL	2/6/2006	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	14701 179TH AVE SE	None	MONROE	WA	98272	1152	00	None	47.86409054	-121.990689	Snohomish County
69733	Fee-for-Service	1659630572	1659630572	1	1	VOSSLER, JOHN D MD	3/1/2024	208G00000X	NA	General Surgery	026	PHYSICIANS	None	None	None	0	In state provider	None	3020 CHILDREN'S WAY	MC 5069	SAN DIEGO	CA	92123	4223	37	06073	32.798691	-117.150829	San Diego County
69846	Fee-for-Service	1730610817	1730610817	1	1	VASANT, KRIS K MD	9/27/2023	207L00000X	NA	Other	026	PHYSICIANS	167425	None	None	0	In state provider	None	3626 RUFFIN RD	None	SAN DIEGO	CA	92123	1810	37	06073	32.80975208	-117.1193406	San Diego County
69878	Fee-for-Service	1891758587	1891758587	1	1	VELEZ, LARISSA I. MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	5323 HARRY HINES BLVD	None	DALLAS	TX	75390	7201	00	None	32.812245	-96.841584	Dallas County
69928	Fee-for-Service	1073880126	1073880126	1	1	VALLEY HEALTH TEAM INC	1/11/2012	No Taxonomy Provided	NA	None	041	COMMUNITY CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	942 S MADERA AVENUE	None	KERMAN	CA	93630	1743	10	06019	36.721242	-120.0601105	Fresno County
70031	Fee-for-Service	1134193675	1134193675	1	1	VARSANYI, GYORGY MD	11/10/2020	207L00000X	NA	Other	026	PHYSICIANS	-	None	None	1	Border provider	None	2450 W CHARLESTON BLVD	None	LAS VEGAS	NV	89102	2179	00	None	36.15900951	-115.175853	Clark County
70034	Fee-for-Service	1386246197	1386246197	1	3	VITALIZE BEHAVIORAL HEALTH A	9/9/2022	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	ND PSYCHOMETRICS INC	1100 W SHAW AVE	SUITE 112	FRESNO	CA	93711	3708	10	06019	36.80852149	-119.811303	Fresno County
70061	Fee-for-Service	1023391216	1023391216	1	1	VAVAO, JOLI A NP	10/17/2018	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	300 PASTEUR DRIVE	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
70116	Fee-for-Service	1104372176	1104372176	1	1	VALLEY RECOVERY RESOURCES	5/14/2018	324500000X	NA	Other	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	TER	416 CORSON AVE	None	MODESTO	CA	95350	5408	50	06099	37.65814153	-120.9872075	Stanislaus County
70272	Fee-for-Service	1467480251	1467480251	1	1	VANDEWEGHE, HEATHERLY S MD	1/12/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	67145	40	Pediatrics	0	In state provider	None	14445 OLIVE VIEW DR	COTTAGE S	SYLMAR	CA	91342	1437	19	06037	34.32450186	-118.4456317	Los Angeles County
70276	Fee-for-Service	1598936320	1598936320	1	1	VERDE, NEAL A	5/16/2011	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
70322	Fee-for-Service	1386246197	1386246197	1	3	VITALIZE BEHAVIORAL HEALTH A	4/25/2024	103T00000X	NA	Mental Health Outpatient Services	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	ND PSYCHOMETRICS INC	1100 W SHAW AVE	SUITE 112	FRESNO	CA	93711	3708	10	06019	36.80852149	-119.811303	Fresno County
70335	Fee-for-Service	1043268055	1043268055	1	1	VANDENBERG, SCOTT R MD	6/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	43859	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
70371	Fee-for-Service	1821416157	1821416157	1	1	VELEZ IRIZARRY, LAURA I MD	11/18/2020	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	151939	None	None	0	In state provider	None	447 W EATON AVE	None	TRACY	CA	95376	3420	39	06077	37.74338833	-121.432305	San Joaquin County
70431	Fee-for-Service	1043233869	1043233869	1	1	VANEK, ZEBA F MD	11/1/1999	2084N0400X	NA	Neurology	026	PHYSICIANS	55444	13	Neurology (M.D. only)	0	In state provider	None	300 UCLA MEDICAL PLZ	# B200	LOS ANGELES	CA	90095	8346	19	06037	34.06465655	-118.4461	Los Angeles County
70471	Fee-for-Service	1629377890	1629377890	1	1	VANDER WYST, CRAIG M MD	7/1/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	40	Pediatrics	2	Out of state provider	None	1919 E THOMAS ROAD	None	PHOENIX	AZ	85016	7710	00	None	33.478749	-112.0426515	Maricopa County
70533	Fee-for-Service	1326417056	1326417056	1	1	VANTAGE POINT CENTER FOR PSY	4/8/2019	101YM0800X	NA	Other	031	PSYCHOLOGISTS	-	None	None	0	In state provider	CHOTHERAPY	2131 CAPITOL AVE	SUITE 206	SACRAMENTO	CA	95816	5755	34	06067	38.573073	-121.4788005	Sacramento County
70534	Fee-for-Service	1174843866	1174843866	1	1	VALLE, EVAN J MD	6/26/2018	390200000X	NA	Other	026	PHYSICIANS	147393	02	General Surgery	0	In state provider	None	101 CITY DR S	# B10	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
70610	Fee-for-Service	1386246197	1386246197	1	3	VITALIZE BEHAVIORAL HEALTH A	12/26/2024	103T00000X	NA	Mental Health Outpatient Services	022	PHYSICIANS GROUP	-	None	None	0	In state provider	ND PSYCHOMETRICS INC	1100 W SHAW AVE	SUITE 112	FRESNO	CA	93711	3708	10	06019	36.80852149	-119.811303	Fresno County
70620	Fee-for-Service	1043268055	1043268055	1	1	VANDENBERG, SCOTT R MD	6/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	43859	90	Pathology-Forensic	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
70661	Fee-for-Service	1861093908	1861093908	1	1	VICTORY PLACE HOSPICE INC	11/26/2022	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	14618 VICTORY BLVD	STE A	VAN NUYS	CA	91411	1656	19	06037	34.18662851	-118.4515875	Los Angeles County
70782	Fee-for-Service	1629066220	1629066220	1	1	VAFAI, DAVOOD MD	2/8/2015	207RH0003X	NA	Oncology	026	PHYSICIANS	50294	41	Internal Medicine	0	In state provider	None	39000 BOB HOPE DR	None	RANCHO MIRAGE	CA	92270	3221	33	06065	33.763572	-116.4056895	Riverside County
70820	Fee-for-Service	1326417056	1326417056	1	1	VANTAGE POINT CENTER FOR PSY	4/8/2019	101YM0800X	NA	Other	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	CHOTHERAPY	2131 CAPITOL AVE	SUITE 206	SACRAMENTO	CA	95816	5755	34	06067	38.573073	-121.4788005	Sacramento County
70834	Fee-for-Service	1861585150	1861585150	1	1	VERGARA, ERVIN T NP	11/3/2022	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2055 KELLOGG AVE	None	CORONA	CA	92879	3111	33	06065	33.85626255	-117.5559289	Riverside County
70865	Fee-for-Service	1700069598	1700069598	1	2	VEVAINA, ZENA J LMFT	12/18/2019	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	None	-	NOT APPLICABLE	0	In state provider	None	2202 N 1ST ST	STE 2210	SAN JOSE	CA	95131	2007	43	06085	37.37749791	-121.921213	Santa Clara County
70947	Fee-for-Service	1861093908	1861093908	1	1	VICTORY PLACE HOSPICE INC	11/26/2022	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	14618 VICTORY BLVD	STE A	VAN NUYS	CA	91411	1656	19	06037	34.18662851	-118.4515875	Los Angeles County
70953	Fee-for-Service	1780070508	1780070508	1	1	VELLA, MAYA MD	6/2/2020	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	148407	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
70956	Fee-for-Service	1487326021	1487326021	1	1	VIVANTI HOME HEALTH INC.	12/19/2023	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	1619 W GARVEY AVE NORTH	SUITE 104A	WEST COVINA	CA	91790	2146	19	06037	34.07272709	-117.9404871	Los Angeles County
71052	Fee-for-Service	1609562610	1609562610	1	1	VILARINHO, MANOELA PT	5/31/2024	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	975 SERENO DR	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
71069	Fee-for-Service	1629066220	1629066220	1	1	VAFAI, DAVOOD MD	2/8/2015	207RH0003X	NA	Oncology	026	PHYSICIANS	50294	78	Neoplastic Diseases/Oncology	0	In state provider	None	39000 BOB HOPE DR	None	RANCHO MIRAGE	CA	92270	3221	33	06065	33.763572	-116.4056895	Riverside County
71107	Fee-for-Service	1407112048	1407112048	1	1	VAN BIBBER, DANIEL B MD	9/16/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	66	Emergency Medicine (Urgent Care)	1	Border provider	None	235 W 6TH ST	None	RENO	NV	89503	4548	00	None	39.53165987	-119.8181899	Washoe County
71199	Fee-for-Service	1972732584	1972732584	1	1	VELASQUEZ, SHARON F MD	8/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	71304	08	Family Practice	0	In state provider	None	3291 LOMA VISTA RD	None	VENTURA	CA	93003	3099	56	06111	34.27623479	-119.2520218	Ventura County
71230	Fee-for-Service	1023487386	1023487386	1	1	VALLADARES SARAVIA, JACKELYN	7/14/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	136061	40	Pediatrics	0	In state provider	L MD	4650 SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
71309	Fee-for-Service	1417259326	1417259326	2	1	VG WELLNESS PHARMACY, INC.	10/25/2021	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	440 S. VERMONT AVENUE	STE. 109	LOS ANGELES	CA	90020	1987	19	06037	34.065765	-118.2916325	Los Angeles County
71359	Fee-for-Service	1629066220	1629066220	1	1	VAFAI, DAVOOD MD	2/8/2015	207RH0003X	NA	Oncology	026	PHYSICIANS	50294	68	Hematology	0	In state provider	None	39000 BOB HOPE DR	None	RANCHO MIRAGE	CA	92270	3221	33	06065	33.763572	-116.4056895	Riverside County
71400	Fee-for-Service	1477641934	1477641934	1	1	VUE, PAHOUA X OD	2/8/2015	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1011 W OLIVE AVE	None	MERCED	CA	95348	2422	24	06047	37.3193427	-120.4857863	Merced County
71419	Fee-for-Service	1770787004	1770787004	1	2	VALERIE C. ALTAVAS MD A MEDI	6/28/2019	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	CAL CORPORATION	655 EUCLID AVE	209	NATIONAL CITY	CA	91950	2970	37	06073	32.68353398	-117.082625	San Diego County
71495	Fee-for-Service	1649782541	1649782541	1	1	VITALITY RX	9/28/2018	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	210 BLUE RAVINE RD	STE 170	FOLSOM	CA	95630	4748	34	06067	38.656341	-121.1732955	Sacramento County
71552	Fee-for-Service	1144698648	1144698648	1	1	VARGAS, SHARON O LCSW	10/13/2023	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
71565	Fee-for-Service	1215255765	1215255765	1	1	VARGAS, DAVID R MD	9/2/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	118383	36	Psychiatry	0	In state provider	None	5601 DE SOTO AVENUE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
71636	Fee-for-Service	1902115066	1902115066	1	1	VENNE, MELANIE H	8/19/2016	No Taxonomy Provided	NA	None	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	2815 CAMINO DEL RIO S	STE 220	SAN DIEGO	CA	92108	3817	37	06073	32.77000054	-117.1343627	San Diego County
71679	Fee-for-Service	1285821108	1285821108	1	1	VALENTINE, DEBRA L LMFT	9/20/2017	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	52213	-	NOT APPLICABLE	0	In state provider	None	1100 N D STREET	None	SAN BERNARDINO	CA	92410	3524	36	06071	34.119711	-117.291936	San Bernardino County
71844	Fee-for-Service	1588807341	1588807341	1	1	VALLEY HEALTH CARE SERVICE	5/1/2009	No Taxonomy Provided	NA	None	001	ADULT DAY HEALTH CARE CENTERS	-	-	NOT APPLICABLE	0	In state provider	INC	7400 VAN NUYS BLVD	None	VAN NUYS	CA	91405	1966	19	06037	34.205454	-118.448724	Los Angeles County
71852	Fee-for-Service	1932758034	1932758034	1	1	VURAL, MEHMET MD	7/24/2023	207R00000X	NA	Other	026	PHYSICIANS	183733	None	None	0	In state provider	None	1800 CALIFORNIA ST	None	STOCKTON	CA	95204	6019	39	06077	37.97026329	-121.2890849	San Joaquin County
71907	Fee-for-Service	1861029118	1861029118	1	1	VEGA, SHAYNA MD	12/13/2024	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	187443	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	3779 PIEDMONT	None	OAKLAND	CA	94611	5347	01	06001	37.82384659	-122.2558913	Alameda County
72059	Fee-for-Service	1346279395	1346279395	1	1	VONS COMPANIES, INC	11/7/2002	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	81 W FOOTHILL BLVD	None	UPLAND	CA	91786	3846	36	06071	34.10708151	-117.6528285	San Bernardino County
72118	Fee-for-Service	1407059314	1407059314	1	1	VARGAS, ALEXANDER D MD	10/1/2010	208800000X	NA	Other	022	PHYSICIANS GROUP	-	34	Urology and Urological Surgery	0	In state provider	FACS INC	11480 BROOKSHIRE AVENUE	#201	DOWNEY	CA	90241	5020	19	06037	33.93622932	-118.1311752	Los Angeles County
72190	Fee-for-Service	1417332842	1417332842	1	1	VILLANUEVA, MARILOU	3/20/2015	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	1385 W. 33RD STREET	None	LONG BEACH	CA	90810	2544	19	06037	33.81712558	-118.210709	Los Angeles County
72278	Fee-for-Service	1629296041	1629296041	1	1	VISTA COMM CLINIC	12/2/1997	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	1000 VALE TERRACE DR	None	VISTA	CA	92084	5213	37	06073	33.20904502	-117.2286439	San Diego County
72442	Fee-for-Service	1770015240	1770015240	1	1	VALENTI, ALYSSA MD	7/19/2024	2086S0122X	NA	General Surgery	026	PHYSICIANS	None	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
72468	Fee-for-Service	1285115600	1285115600	1	1	VALLEY COMMUNITY HOSPICE INC	7/27/2021	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	12501 CHANDLER BLVD	STE 105	VALLEY VILLAGE	CA	91607	1957	19	06037	34.16870346	-118.4056065	Los Angeles County
72477	Fee-for-Service	1417332842	1417332842	1	1	VILLANUEVA, MARILOU	3/20/2015	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	1385 W. 33RD STREET	None	LONG BEACH	CA	90810	2544	19	06037	33.81712558	-118.210709	Los Angeles County
72539	Fee-for-Service	1881919942	1881919942	1	1	VAIRAVAMURHTY, JENANAN P MD	12/4/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	136222	30	Radiology	0	In state provider	None	1500 SAN PABLO ST	None	LOS ANGELES	CA	90033	5313	19	06037	34.06238259	-118.2030986	Los Angeles County
72588	Fee-for-Service	1134521099	1134521099	1	1	VALENTINE, ZARIA	12/29/2018	171100000X	NA	Other	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	None	1 QUALITY DR	None	VACAVILLE	CA	95688	9494	48	06095	38.38851772	-121.9382798	Solano County
72600	Fee-for-Service	1023262185	1023262185	1	1	VAN, LIVIA MD	6/14/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	137354	07	Dermatology	0	In state provider	None	276 INTERNATIONAL CIRCLE	None	SAN JOSE	CA	95119	1130	43	06085	37.2402111	-121.8021684	Santa Clara County
72681	Fee-for-Service	1275577173	1275577173	1	1	VU, THIENKHAI MD	3/16/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	76966	30	Radiology	0	In state provider	None	1001 POTRERO AVE	RM 1X	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
72754	Fee-for-Service	1285115600	1285115600	1	1	VALLEY COMMUNITY HOSPICE INC	7/27/2021	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	12501 CHANDLER BLVD	STE 105	VALLEY VILLAGE	CA	91607	1957	19	06037	34.16870346	-118.4056065	Los Angeles County
72836	Fee-for-Service	1083745491	1083745491	1	1	VAQUERANO, JULIO E MD	1/1/1999	302R00000X	NA	Other	026	PHYSICIANS	65735	66	Emergency Medicine (Urgent Care)	0	In state provider	None	27400 HESPERIAN BLVD	None	HAYWARD	CA	94545	4235	01	06001	37.63011596	-122.0960694	Alameda County
72858	Fee-for-Service	1497011241	1497011241	1	1	VALVO, MARIO J LCSW	7/6/2018	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3160 TELEGRAPH RD	STE 200	VENTURA	CA	93003	3250	56	06111	34.27228149	-119.2529119	Ventura County
72960	Fee-for-Service	1558564880	1558564880	1	1	VOHWINKEL, CHRISTINE U H MD	7/1/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	66	Emergency Medicine (Urgent Care)	2	Out of state provider	None	13199 E MONTVIEW BLVD	None	AURORA	CO	80045	7201	00	None	39.748041	-104.834673	Adams County
73101	Fee-for-Service	1699333542	1699333542	1	1	VALLEY PERFORMANCE PHYSICAL	12/16/2019	261QP2000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	THERAPY, INC.	1180 W. OLIVE AVE	SUITE I	MERCED	CA	95348	1900	24	06047	37.31910454	-120.4885665	Merced County
73115	Fee-for-Service	1962509216	1962509216	1	2	VESCIO, ROBERT A MD	3/6/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	63211	78	Neoplastic Diseases/Oncology	0	In state provider	None	8700 BEVERLY BLVD	AC-1049	LOS ANGELES	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
73119	Fee-for-Service	1841678232	1841678232	1	1	VAN STAVERN, KAILYNE A MD	5/6/2018	390200000X	NA	Other	026	PHYSICIANS	146961	40	Pediatrics	0	In state provider	None	101 THE CITY DR S	BLDG 29	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
73142	Fee-for-Service	1538349501	1538349501	1	1	VIVES, GLENN J MD	5/27/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	74838	08	Family Practice	0	In state provider	None	200 MUIR ROAD	None	MARTINEZ	CA	94553	4614	07	06013	37.99430233	-122.1107194	Contra Costa County
73183	Fee-for-Service	1265768980	1265768980	1	1	VALLEY PERINATAL & GENETICS	1/4/2010	207SG0201X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	DIAGNOSTIC CENTER	1617 N CALIFORNIA	STE 2E	STOCKTON	CA	95204	6117	39	06077	37.9697906	-121.2890104	San Joaquin County
73196	Fee-for-Service	1871848515	1871848515	1	1	VUE, VA Y DO	11/30/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	14142	01	General Practice	0	In state provider	None	1550 GATEWAY BLVD	None	FAIRFIELD	CA	94533	6901	48	06095	38.2629133	-122.0560176	Solano County
73247	Fee-for-Service	1558564880	1558564880	1	1	VOHWINKEL, CHRISTINE U H MD	7/1/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	40	Pediatrics	2	Out of state provider	None	13199 E MONTVIEW BLVD	None	AURORA	CO	80045	7201	00	None	39.748041	-104.834673	Adams County
73253	Fee-for-Service	1336553106	1336553106	1	1	VU, LAN H DO	9/5/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	14683	05	Anesthesiology	0	In state provider	None	2185 CITRACADO PKWY	None	ESCONDIDO	CA	92029	4159	37	06073	33.12123297	-117.1199417	San Diego County
73258	Fee-for-Service	1003279068	1003279068	1	1	VU, VAN T MD	9/25/2024	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	152512	08	Family Practice	0	In state provider	None	301 OLD SAN FRANCISCO RD	None	SUNNYVALE	CA	94086	6386	43	06085	37.36797679	-122.0297112	Santa Clara County
73290	Fee-for-Service	1235177742	1235177742	1	1	VED, NEEPA J MD	8/24/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	67164	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1107 W POPLAR AVE	None	PORTERVILLE	CA	93257	5839	54	06107	36.05128153	-119.0422344	Tulare County
73299	Fee-for-Service	1093723678	1093723678	1	2	VALENCIA, FRANCISCO J MD	12/11/2018	207L00000X	NA	Other	026	PHYSICIANS	54764	None	None	0	In state provider	None	2224 MEDICAL CENTER DR	None	PERRIS	CA	92571	2638	33	06065	33.8123212	-117.2217309	Riverside County
73390	Fee-for-Service	1699333542	1699333542	1	1	VALLEY PERFORMANCE PHYSICAL	3/25/2021	261QP2000X	NA	Physical Therapist	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	THERAPY, INC.	1180 W. OLIVE AVE	SUITE I	MERCED	CA	95348	1900	24	06047	37.31910454	-120.4885665	Merced County
73403	Fee-for-Service	1962509216	1962509216	1	2	VESCIO, ROBERT A MD	3/6/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	63211	68	Hematology	0	In state provider	None	8700 BEVERLY BLVD	AC-1049	LOS ANGELES	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
73529	Fee-for-Service	1912513250	1912513250	1	1	VONIZUKA, CHARLES S PT	4/5/2024	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	2200 E. MAPLE AVE	None	EL SEGUNDO	CA	90245	6507	19	06037	33.92690475	-118.3857342	Los Angeles County
73578	Fee-for-Service	1235177742	1235177742	1	1	VED, NEEPA J MD	8/24/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	67164	40	Pediatrics	0	In state provider	None	1107 W POPLAR AVE	None	PORTERVILLE	CA	93257	5839	54	06107	36.05128153	-119.0422344	Tulare County
73596	Fee-for-Service	1558701748	1558701748	1	1	VAIDYA, GAURANG MD	9/3/2023	207RA0001X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	162316	None	None	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
73691	Fee-for-Service	1962509216	1962509216	1	2	VESCIO, ROBERT A MD	3/6/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	63211	41	Internal Medicine	0	In state provider	None	8700 BEVERLY BLVD	AC-1049	LOS ANGELES	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
73741	Fee-for-Service	1164803318	1164803318	1	1	VALLEY HEART HOSPICE CARE	11/20/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	INC	20953 DEVONSHIRE STREET	STE 3B	CHATSWORTH	CA	91311	2367	19	06037	34.25728152	-118.5904935	Los Angeles County
73751	Fee-for-Service	1902225337	1902225337	1	1	VOSSLER, STEPHEN R MD	7/16/2019	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	138137	30	Radiology	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
73779	Fee-for-Service	1992891295	1992891295	1	1	VILTRAKIS, STEPHEN L MD	10/1/1999	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	72357	30	Radiology	0	In state provider	None	3302 RENNER DR	None	FORTUNA	CA	95540	3120	12	06023	40.5823206	-124.1359965	Humboldt County
73879	Fee-for-Service	1952352734	1952352734	1	1	VENUGOPAL, BALASUBRAMANI	1/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	67362	40	Pediatrics	0	In state provider	None	1045 W REDONDO BEACH BLV	None	GARDENA	CA	90247	4128	19	06037	33.89247044	-118.2931941	Los Angeles County
74028	Fee-for-Service	1164803318	1164803318	1	1	VALLEY HEART HOSPICE CARE	11/20/2019	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	INC	20953 DEVONSHIRE STREET	STE 3B	CHATSWORTH	CA	91311	2367	19	06037	34.25728152	-118.5904935	Los Angeles County
74067	Fee-for-Service	1952776643	1952776643	1	1	VU, ANDREW A MD	8/14/2022	207RC0001X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	139225	None	None	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
74078	Fee-for-Service	1215463732	1215463732	1	1	VARGAS, AMANDA MD	4/8/2020	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	16927	08	Family Practice	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
74273	Fee-for-Service	1871788901	1871788901	1	1	VOLKOV, KATE	9/17/2007	164X00000X	NA	Other	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	3726 W NIELSEN AVE	None	FRESNO	CA	93706	1106	10	06019	36.74272744	-119.8602992	Fresno County
74314	Fee-for-Service	1174157812	1174157812	1	1	VIDAL, PETER PAUL	11/18/2021	237700000X	NA	Other	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	19367 VICTORY BLVD	SUITE 14	TARZANA	CA	91335	6302	19	06037	34.18658599	-118.5557169	Los Angeles County
74330	Fee-for-Service	1710926282	1710926282	1	1	VARGAS, MICHAEL J MD	11/12/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	32208	42	Nuclear Medicine	0	In state provider	ST LUKE CARDIOVASCULAR	36450 INLAND VALLEY DR	STE 112	WILDOMAR	CA	92595	7720	33	06065	33.591168	-117.2367715	Riverside County
74345	Fee-for-Service	1881213452	1881213452	1	1	VIJAY, ANDREA MD	1/9/2025	390200000X	NA	Other	026	PHYSICIANS	189401	05	Anesthesiology	0	In state provider	None	4101 TORRANCE BLVD	None	TORRANCE	CA	90503	4607	19	06037	33.83760674	-118.3572569	Los Angeles County
74476	Fee-for-Service	1568756096	1568756096	3	1	VALLEY MRI AND RADIOLOGY INC	4/3/2017	193200000X	NA	Other	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	546 E PINE ST	None	STOCKTON	CA	95204	5525	39	06077	37.97459526	-121.2889389	San Joaquin County
74494	Fee-for-Service	1528441086	1528441086	1	1	VONG, ALFRED F OD	10/24/2016	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	200 MINOR HALL	None	BERKELEY	CA	94720	0001	01	06001	37.87133398	-122.2545466	Alameda County
74551	Fee-for-Service	1356429054	1356429054	1	1	VENKATARAMAN, SRIVIDYA	5/26/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	55317	01	General Practice	0	In state provider	None	3816 WOODRUFF AVE	STE 406	LONG BEACH	CA	90808	2146	19	06037	33.828102	-118.1165525	Los Angeles County
74623	Fee-for-Service	1710926282	1710926282	1	1	VARGAS, MICHAEL J MD	11/12/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	32208	06	Cardiovascular Disease (M.D. only)	0	In state provider	ST LUKE CARDIOVASCULAR	36450 INLAND VALLEY DR	STE 112	WILDOMAR	CA	92595	7720	33	06065	33.591168	-117.2367715	Riverside County
74635	Fee-for-Service	1215374434	1215374434	1	2	VALLEY CENTER HEARING CLINIC	12/9/2019	193200000X	NA	Other	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	341 TRES PINOS RD	STE 203	HOLLISTER	CA	95023	5582	35	06069	36.83950082	-121.3962522	San Benito County
74647	Fee-for-Service	1245950088	1245950088	1	1	VENTRESCA, MARINEH N NP	1/10/2023	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	726 MEDICAL CENTER DR E	221	CLOVIS	CA	93611	6811	10	06019	36.84186593	-119.6624867	Fresno County
74707	Fee-for-Service	1407263155	1407263155	1	1	VALENZUELA, ELIZABETH I LCSW	12/20/2022	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1717 CALIFORNIA STREET	1	HUNTINGTON BEACH	CA	92648	3145	30	06059	33.67288856	-117.9941203	Orange County
74742	Fee-for-Service	1598898694	1598898694	1	1	VILLARTA, MICHELLE C MD	8/11/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	137888	40	Pediatrics	0	In state provider	None	39400 PASEO PADRE PKWY	None	FREMONT	CA	94538	2310	01	06001	37.55102172	-121.9759026	Alameda County
74798	Fee-for-Service	1659532448	1659532448	1	1	VENICE FAMILY CLINIC	9/25/1996	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	BURKE HEALTH CENTER	2509 PICO BLVD	None	SANTA MONICA	CA	90405	1828	19	06037	34.02287459	-118.4631175	Los Angeles County
74837	Fee-for-Service	1356429054	1356429054	1	1	VENKATARAMAN, SRIVIDYA	5/26/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	55317	08	Family Practice	0	In state provider	None	3816 WOODRUFF AVE	STE 406	LONG BEACH	CA	90808	2146	19	06037	33.828102	-118.1165525	Los Angeles County
74865	Fee-for-Service	1750369211	1750369211	1	1	VANDERHEIDEN, SCOTT M MD	5/18/2023	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	82270	None	None	0	In state provider	None	830 2ND ST	STE A	SANTA ROSA	CA	95404	4620	49	06097	38.440746	-122.7085605	Sonoma County
74894	Fee-for-Service	1144338237	1144338237	1	1	VU, GENTRY J	5/24/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	90011	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1801 E MARCH LN	STE C320	STOCKTON	CA	95210	6676	39	06077	38.00315652	-121.2868715	San Joaquin County
74907	Fee-for-Service	1710926282	1710926282	1	1	VARGAS, MICHAEL J MD	11/12/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	32208	41	Internal Medicine	0	In state provider	ST LUKE CARDIOVASCULAR	36450 INLAND VALLEY DR	STE 112	WILDOMAR	CA	92595	7720	33	06065	33.591168	-117.2367715	Riverside County
74925	Fee-for-Service	1215374434	1215374434	1	2	VALLEY CENTER HEARING CLINIC	12/9/2019	193200000X	NA	Other	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	341 TRES PINOS RD	STE 203	HOLLISTER	CA	95023	5582	35	06069	36.83950082	-121.3962522	San Benito County
75024	Fee-for-Service	1801243720	1801243720	1	1	VANDERZEE, REBEKAH A LCSW	7/26/2016	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	28390	-	NOT APPLICABLE	0	In state provider	None	9718 HARVARD ST	None	BELLFLOWER	CA	90706	3635	19	06037	33.88840012	-118.1268132	Los Angeles County
75061	Fee-for-Service	1679837645	1679837645	1	1	VENTURA COUNTY ANESTHESIA	8/2/2012	193400000X	NA	Other	022	PHYSICIANS GROUP	-	05	Anesthesiology	0	In state provider	MEDICAL	3291 LOMA VISTA ROAD	None	VENTURA	CA	93003	3099	56	06111	34.27623479	-119.2520218	Ventura County
75150	Fee-for-Service	1306077037	1306077037	1	1	VALLEY PRESCRIPTION &	8/13/2009	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	COMPOUNDING PHARMACY	330 E 13TH ST	None	MERCED	CA	95341	6212	24	06047	37.29253231	-120.4733513	Merced County
75170	Fee-for-Service	1811689706	1811689706	1	1	VALDOVINOS, MIGDALIA CNP	10/1/2023	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	726 4TH ST	None	MARYSVILLE	CA	95901	5656	58	06115	39.13872267	-121.5944372	Yuba County
75172	Fee-for-Service	1538217484	1538217484	1	1	VAUX, CATHY J CNM	12/2/2013	No Taxonomy Provided	NA	None	005	CERTIFIED NURSE MIDWIFE	-	None	None	0	In state provider	None	17140 BERNARDO CENTER DR	STE 100	SAN DIEGO	CA	92128	2088	37	06073	33.0249487	-117.0758524	San Diego County
75259	Fee-for-Service	1194925123	1194925123	1	1	VU, QUIN H MD	3/24/2014	207L00000X	NA	Other	026	PHYSICIANS	101624	05	Anesthesiology	0	In state provider	None	4077 5TH AVE	None	SAN DIEGO	CA	92103	2105	37	06073	32.75034388	-117.161023	San Diego County
75313	Fee-for-Service	1588743249	1588743249	1	1	VASHI, SUREKHA V MD INC	11/1/2004	207L00000X	NA	Other	026	PHYSICIANS	32556	05	Anesthesiology	0	In state provider	None	1509 WILSON TERRACE	None	GLENDALE	CA	91206	4007	19	06037	34.14950866	-118.2311155	Los Angeles County
75528	Fee-for-Service	1558752097	1558752097	1	1	VAKILI, SHARIF MD	8/7/2022	207R00000X	NA	Other	026	PHYSICIANS	178915	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
75610	Fee-for-Service	1386062669	1386062669	1	1	VELASQUEZ, JONATHAN MD	4/22/2024	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	142862	08	Family Practice	0	In state provider	None	26777 AGOURA RD	STE 4	CALABASAS	CA	91302	2967	19	06037	34.13998921	-118.7070142	Los Angeles County
75811	Fee-for-Service	1215374434	1215374434	1	1	VALLEY CENTER HEARING CLINIC	12/9/2019	171R00000X	NA	Other	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	920 PARK ROW	None	SALINAS	CA	93901	2407	27	06053	36.66409481	-121.6592738	Monterey County
75968	Fee-for-Service	1427339035	1427339035	1	1	VAN BRUNT, MAGDA LMFT	8/30/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	906 G ST	None	SACRAMENTO	CA	95814	1800	34	06067	38.583468	-121.49289	Sacramento County
75979	Fee-for-Service	1538508841	1538508841	1	1	VU, CHAU M MD	6/4/2021	208VP0014X	NA	Other	026	PHYSICIANS	168780	None	None	0	In state provider	None	416 AVIATION BLVD	SUITE B	SANTA ROSA	CA	95403	1032	49	06097	38.51406287	-122.7847603	Sonoma County
76026	Fee-for-Service	1609397413	1609397413	1	1	VALCHECK, WILLIAM V MD	5/17/2021	208M00000X	NA	Other	026	PHYSICIANS	-	None	None	1	Border provider	None	1155 MILL ST	None	RENO	NV	89502	1576	00	None	39.52483792	-119.7968314	Washoe County
76077	Fee-for-Service	1033604236	1033604236	1	1	VIRK, JASJEET S MD	9/6/2021	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	174128	None	None	0	In state provider	None	1901 TOWN AND COUNTRY DR	SUITE 104	NORCO	CA	92860	3611	33	06065	33.92721419	-117.561448	Riverside County
76098	Fee-for-Service	1215374434	1215374434	1	1	VALLEY CENTER HEARING CLINIC	12/9/2019	171R00000X	NA	Other	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	920 PARK ROW	None	SALINAS	CA	93901	2407	27	06053	36.66409481	-121.6592738	Monterey County
76204	Fee-for-Service	1861449985	1861449985	1	1	VAKIL, MAYANK J MD	5/13/2008	174400000X	NA	Other	026	PHYSICIANS	46053	41	Internal Medicine	0	In state provider	None	130 W ROUTE 66	SUITE 216	GLENDORA	CA	91740	6207	19	06037	34.12865951	-117.8651745	Los Angeles County
76321	Fee-for-Service	1497889810	1497889810	1	2	VAZQUEZ, LORENZO M MD	3/4/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	None	08	Family Practice	0	In state provider	None	1840 N HACIENDA BLVD	#10	LA PUENTE	CA	91744	1143	19	06037	34.05164127	-117.9426446	Los Angeles County
76491	Fee-for-Service	1164861456	1164861456	1	1	VARGAS, JENNIFER V MD	9/23/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	139195	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
76492	Fee-for-Service	1861449985	1861449985	1	1	VAKIL, MAYANK J MD	5/13/2008	174400000X	NA	Other	026	PHYSICIANS	46053	78	Neoplastic Diseases/Oncology	0	In state provider	None	130 W ROUTE 66	SUITE 216	GLENDORA	CA	91740	6207	19	06037	34.12865951	-117.8651745	Los Angeles County
76600	Fee-for-Service	1245381961	1245381961	1	1	VALLEY VILLAGE	2/3/1989	315P00000X	NA	Intermediate Care Faciltiy	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	10415 LURLINE AVE	None	CHATSWORTH	CA	91311	2442	19	06037	34.25957167	-118.584272	Los Angeles County
76644	Fee-for-Service	1700807310	1700807310	1	3	VIERRA, JESSICA J LCSW	5/13/2019	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	16798	-	NOT APPLICABLE	0	In state provider	None	12490 ALTA MESA ROAD	None	HERALD	CA	95638	8409	34	06067	38.300265	-121.229739	Sacramento County
76672	Fee-for-Service	1730593559	1730593559	1	1	VAR, SUSETTE K MD	8/2/2017	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	148565	08	Family Practice	0	In state provider	None	5525 GROSSMONT CENTER DR	None	LA MESA	CA	91942	3009	37	06073	32.781195	-117.0070695	San Diego County
76741	Fee-for-Service	1902148380	1902148380	1	1	VYDRO, LEONID MD	8/26/2024	207RE0101X	NA	Endocrinology	026	PHYSICIANS	133221	67	Endocrinology	0	In state provider	None	2335 E KASHIAN LANE	SUITE 280	FRESNO	CA	93701	2211	10	06019	36.74333844	-119.7831874	Fresno County
76779	Fee-for-Service	1861449985	1861449985	1	1	VAKIL, MAYANK J MD	5/13/2008	174400000X	NA	Other	026	PHYSICIANS	46053	68	Hematology	0	In state provider	None	130 W ROUTE 66	SUITE 216	GLENDORA	CA	91740	6207	19	06037	34.12865951	-117.8651745	Los Angeles County
76891	Fee-for-Service	1972601037	1972601037	1	1	VU, HANGNGA MD	3/7/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	89475	41	Internal Medicine	0	In state provider	DR BANUELOS	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
77013	Fee-for-Service	1427622174	1427622174	1	1	VOLOSENKO, VOLODYMYR NP	6/27/2021	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	4900 BROADWAY	STE 2800	SACRAMENTO	CA	95820	1536	34	06067	38.546091	-121.447305	Sacramento County
77024	Fee-for-Service	1578529285	1578529285	1	1	VALLEY PRESBYTERIAN HOSP	12/1/1977	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	15107 VANOWEN ST	None	VAN NUYS	CA	91405	4597	19	06037	34.19395645	-118.463265	Los Angeles County
77058	Fee-for-Service	1568756096	1568756096	3	2	VALLEY MRI AND RADIOLOGY INC	4/3/2017	193200000X	NA	Other	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	801 S HAM LANE	SUITE Q AND R	LODI	CA	95242	7501	39	06077	38.124495	-121.2882875	San Joaquin County
77074	Fee-for-Service	1669461414	1669461414	1	1	VILLA, OTTO F MD	4/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	134908	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	1033 LOS PALOS DR	None	SALINAS	CA	93901	7759	27	06053	36.65911769	-121.6448024	Monterey County
77121	Fee-for-Service	1417481227	1417481227	1	1	VON PLATO, MICHAEL W MD	5/12/2021	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	158377	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
77126	Fee-for-Service	1659785780	1659785780	1	1	VANDEVREDE, LAWREN A MD	6/27/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	154148	13	Neurology (M.D. only)	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
77127	Fee-for-Service	1376564278	1376564278	1	1	VONBERG, MARC	11/1/1994	207L00000X	NA	Other	026	PHYSICIANS	39787	05	Anesthesiology	0	In state provider	None	955 BLANCO CIR	STE A	SALINAS	CA	93901	4452	27	06053	36.65564507	-121.6367659	Monterey County
77152	Fee-for-Service	1154366730	1154366730	1	1	VOLPE, LIANA	7/31/1984	No Taxonomy Provided	NA	None	026	PHYSICIANS	41796	01	General Practice	0	In state provider	None	15243 VANOWEN ST	STE 102	VAN NUYS	CA	91405	3634	19	06037	34.19394848	-118.4654115	Los Angeles County
77246	Fee-for-Service	1396258141	1396258141	1	1	VU, JENNY M NP	4/8/2020	363LW0102X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	18600 SOUTH FIGUEROA ST	None	GARDENA	CA	90248	4505	19	06037	33.861339	-118.281473	Los Angeles County
77302	Fee-for-Service	1215166640	1215166640	1	1	VILLARICO, ELIZABETH E MD	9/17/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	121521	08	Family Practice	0	In state provider	None	3800 DALE ROAD	None	MODESTO	CA	95356	8627	50	06099	37.69395556	-121.0499498	Stanislaus County
77312	Fee-for-Service	1578529285	1578529285	1	1	VALLEY PRESBYTERIAN HOSP	12/1/1977	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	15107 VANOWEN ST	None	VAN NUYS	CA	91405	4597	19	06037	34.19395645	-118.463265	Los Angeles County
77318	Fee-for-Service	1245593458	1245593458	1	1	VAHRATYAN, RAFAYEL DO	10/27/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	12975	41	Internal Medicine	0	In state provider	None	400 N PEPPER AVE	None	COLTON	CA	92324	1801	36	06071	34.073505	-117.3505995	San Bernardino County
77322	Fee-for-Service	1033164330	1033164330	1	1	VAHDAT, OMID MD	8/3/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	64306	06	Cardiovascular Disease (M.D. only)	0	In state provider	ADVANCED CARDIAC CARE IN	3801 KATELLA AVE	STE 310	LOS ALAMITOS	CA	90720	3366	30	06059	33.80318951	-118.066068	Orange County
77344	Fee-for-Service	1306098017	1306098017	1	1	VALEESWARAN, CHANDINI MD	4/17/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	None	7300 N FRESNO ST	None	FRESNO	CA	93720	2941	10	06019	36.84133078	-119.7824983	Fresno County
77362	Fee-for-Service	1669461414	1669461414	1	1	VILLA, OTTO F MD	4/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	134908	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1033 LOS PALOS DR	None	SALINAS	CA	93901	7759	27	06053	36.65911769	-121.6448024	Monterey County
77368	Fee-for-Service	1003047531	1003047531	1	1	VEDAMANI, SHAWN R MD	8/9/2018	207L00000X	NA	Other	026	PHYSICIANS	116063	05	Anesthesiology	0	In state provider	None	47111 MONROE ST	None	INDIO	CA	92201	6739	33	06065	33.70620698	-116.2339008	Riverside County
77423	Fee-for-Service	1073577896	1073577896	1	1	VAZIRI, MEHRDAD CRNA	12/8/2023	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1400 REYNOLDS AVE	125	IRVINE	CA	92614	5559	30	06059	33.6957272	-117.8542013	Orange County
77440	Fee-for-Service	1528251378	1528251378	1	1	VASQUEZ, REBECKAH R	10/7/2010	No Taxonomy Provided	NA	None	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
77501	Fee-for-Service	1891724811	1891724811	1	1	VONS COMPANIES INC	6/19/2000	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	10016 SCRIPPS RANCH BLVD	None	SAN DIEGO	CA	92131	1222	37	06073	32.90394335	-117.0999314	San Diego County
77528	Fee-for-Service	1881107639	1881107639	1	1	VAN KLAVEREN, REBECCA J PT	12/22/2017	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	4318 SPYRES WAY	None	MODESTO	CA	95356	9259	50	06099	37.70194177	-120.9988293	Stanislaus County
77537	Fee-for-Service	1952669715	1952669715	1	1	VONG, JENNIFER DO MD	8/9/2018	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	15528	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	6969 BROCKTON AVE	SUITE A-B	RIVERSIDE	CA	92506	3809	33	06065	33.94701	-117.396786	Riverside County
77561	Fee-for-Service	1073544888	1073544888	1	1	VONS COMPANIES, INC	1/30/1998	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	10675 SCRIPPS POWAY PKWY	None	SAN DIEGO	CA	92131	3919	37	06073	32.93695035	-117.0979638	San Diego County
77563	Fee-for-Service	1679909923	1679909923	1	1	VALLEY VIEW HOSPICE INC	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	15477 VENTURA BLVD	SUITE 201	SHERMAN OAKS	CA	91403	3006	19	06037	34.15468022	-118.4712272	Los Angeles County
77611	Fee-for-Service	1033164330	1033164330	1	1	VAHDAT, OMID MD	8/3/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	64306	41	Internal Medicine	0	In state provider	ADVANCED CARDIAC CARE IN	3801 KATELLA AVE	STE 310	LOS ALAMITOS	CA	90720	3366	30	06059	33.80318951	-118.066068	Orange County
77628	Fee-for-Service	1689038374	1689038374	1	1	VERHAM, JANICE MD	2/12/2018	390200000X	NA	Other	026	PHYSICIANS	151139	02	General Surgery	0	In state provider	None	4733 SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
77631	Fee-for-Service	1083668032	1083668032	1	1	VARGAS, JUAN E MD	5/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	76002	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
77693	Fee-for-Service	1477575694	1477575694	1	1	VALENZUALS-GAMM, MONICA A DO	8/3/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	8687	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1310 SAN BERNARDINO ROAD	SUITE 201	UPLAND	CA	91786	4985	36	06071	34.10260261	-117.6332582	San Bernardino County
77835	Fee-for-Service	1528036910	1528036910	1	1	VANYO, LORI L MD	8/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	55042	02	General Surgery	0	In state provider	None	138 HARVARD AVE	None	CLAREMONT	CA	91711	4716	19	06037	34.095258	-117.716361	Los Angeles County
77849	Fee-for-Service	1679909923	1679909923	1	1	VALLEY VIEW HOSPICE INC	9/1/2015	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	15477 VENTURA BLVD	SUITE 201	SHERMAN OAKS	CA	91403	3006	19	06037	34.15468022	-118.4712272	Los Angeles County
78060	Fee-for-Service	1164262929	1164262929	1	1	VITUITY-NEVADA MEDICAL SERVI	7/9/2024	193200000X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	1	Border provider	None	4855 BLUE DIAMOND RD STE	None	LAS VEGAS	NV	89139	7602	00	None	36.03258913	-115.2074608	Clark County
78071	Fee-for-Service	1548333602	1548333602	1	1	VU, BRIAN MD	9/24/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	73194	30	Radiology	0	In state provider	None	1001 POTRERO AVE	RM 1X	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
78192	Fee-for-Service	1841679289	1841679289	1	1	VEP MLK EMERGENCY MEDICAL	6/29/2015	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	GROUP INC	1680 EAST 120TH ST	None	LOS ANGELES	CA	90059	3026	19	06037	33.92456051	-118.2417525	Los Angeles County
78249	Fee-for-Service	1477755635	1477755635	1	1	VUU, KIEN Q MD	4/5/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	104740	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
78308	Fee-for-Service	1720249816	1720249816	1	1	VILLALON, MARK L MD	7/18/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	129668	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	3443 VILLA LANE	SUITE 2	NAPA	CA	94558	6417	28	06055	38.3259594	-122.2945735	Napa County
78326	Fee-for-Service	1841255668	1841255668	1	1	VARGHESE,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	5323 HARRY HINES BLVD	None	DALLAS	TX	75390	7208	00	None	32.812245	-96.841584	Dallas County
78348	Fee-for-Service	1184911877	1184911877	1	1	VHS BROWNSVILLE HOSPITAL COM	6/12/2020	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	R BROWNSVILLE	1040 W JEFFERSON ST	None	BROWNSVILLE	TX	78520	6338	00	None	25.91746835	-97.51145378	Cameron County
78501	Fee-for-Service	1396229548	1396229548	1	2	VICTORIA'S CARE HOME, INC	9/5/2019	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	6736 N WESTERN AVE	None	FRESNO	CA	93722	3664	10	06019	36.8360725	-119.8864709	Fresno County
78508	Fee-for-Service	1386806081	1386806081	1	1	VU, KELVIN K DO	7/30/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	11060	08	Family Practice	0	In state provider	None	2020 SUTTER PLACE	None	DAVIS	CA	95616	6217	57	06113	38.56287659	-121.7715536	Yolo County
78535	Fee-for-Service	1578919874	1578919874	1	1	VASSANTACHART, JANNA M MD	9/8/2021	207N00000X	NA	Dermatology	026	PHYSICIANS	153498	None	None	0	In state provider	None	14135 MAIN ST	301	HESPERIA	CA	92345	8092	36	06071	34.42669852	-117.354483	San Bernardino County
78615	Fee-for-Service	1255445722	1255445722	1	1	VILLANUEVA, DIANNA M LMFT	8/27/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
78635	Fee-for-Service	1184911877	1184911877	1	1	VHS BROWNSVILLE HOSPITAL COM	6/12/2020	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	R BROWNSVILLE	1040 W JEFFERSON ST	None	BROWNSVILLE	TX	78520	6338	00	None	25.91746835	-97.51145378	Cameron County
78688	Fee-for-Service	1558396028	1558396028	1	1	VERDER-BAUTISTA, PAMELA MD	5/31/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	76841	None	None	0	In state provider	FAAP	1207 FAIRCHILD CT	None	WOODLAND	CA	95695	4321	57	06113	38.6657551	-121.7922645	Yolo County
78763	Fee-for-Service	1063856276	1063856276	1	1	VU, THOMAS K MD	2/22/2022	207P00000X	NA	Other	026	PHYSICIANS	170286	None	None	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
78846	Fee-for-Service	1649308446	1649308446	1	1	VARTANIAN, SHANT M MD	8/9/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	91607	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
78988	Fee-for-Service	1700378395	1700378395	1	1	VALERIO, DALLAS L DPM	8/3/2021	213E00000X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
78993	Fee-for-Service	1508421843	1508421843	1	1	VIAMONTES, DANIELA MD	12/19/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	182474	None	None	0	In state provider	None	901 OLIVE DR	None	BAKERSFIELD	CA	93308	4137	15	06029	35.41225153	-119.0396655	Kern County
79033	Fee-for-Service	1972691590	1972691590	1	1	VELLANKI, VIJAYA V MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	STRAUB CLINIC HOSPITAL	888 SOUTH KING ST	None	HONOLULU	HI	96813	0000	00	None	21.30218603	-157.8505732	Honolulu County
79049	Fee-for-Service	1144761271	1144761271	1	1	VALLEY SLEEP DIAGNOSTICS INC	5/9/2018	261QS1200X	NA	Other	084	INDEPENDENT DIAGNOSTIC TESTING FACILITY XOVER PROV ONLY	-	-	NOT APPLICABLE	0	In state provider	None	7455 N FRESNO ST	SUITE 301	FRESNO	CA	93720	2480	10	06019	36.84569956	-119.7839	Fresno County
79122	Fee-for-Service	1962579789	1962579789	1	1	VANDERGAST, THOMAS V MD	1/1/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	36355	34	Urology and Urological Surgery	0	In state provider	None	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
79168	Fee-for-Service	1174738389	1174738389	1	1	VAMSI ROKKAM	10/31/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	13677 W MCDOWELL RD	None	GOODYEAR	AZ	85395	2635	00	None	33.461982	-112.3535475	Maricopa County
79241	Fee-for-Service	1013411149	1013411149	1	1	VU, THUY-ANH MD	10/28/2021	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	174520	None	None	0	In state provider	None	1285 S. STATE ST.	None	HEMET	CA	92543	7976	33	06065	33.727887	-116.971567	Riverside County
79411	Fee-for-Service	1962579789	1962579789	1	1	VANDERGAST, THOMAS V MD	1/1/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	36355	02	General Surgery	0	In state provider	None	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
79415	Fee-for-Service	1386220630	1386220630	1	1	VALLEY NEWBORN ASSOCIATES, I	4/27/2021	2080N0001X	NA	Pediatric Primary Care	026	PHYSICIANS	None	None	None	0	In state provider	NC.	12000 GAZEBO CT	None	BAKERSFIELD	CA	93311	8759	15	06029	35.32457128	-119.135323	Kern County
79475	Fee-for-Service	1447301213	1447301213	1	1	VALLEY VILLAGE	1/25/1999	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	LANARK HOUSE	8033 MATILIJA AVE	None	PANORAMA CITY	CA	91402	6126	19	06037	34.21721803	-118.4329293	Los Angeles County
79525	Fee-for-Service	1598075814	1598075814	1	1	VANAELSTYN, DANA J LCSW	3/10/2016	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1660 E ROSEVILLE PARKWAY	SUITE 160	ROSEVILLE	CA	95661	3988	31	06061	38.74827146	-121.2397281	Placer County
79528	Fee-for-Service	1255621413	1255621413	1	1	VAZQUEZ, GIZELLE M MFT	9/28/2015	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	46724	-	NOT APPLICABLE	0	In state provider	None	1525 E 17TH ST	SUITE B	SANTA ANA	CA	92705	8521	30	06059	33.75994151	-117.846612	Orange County
79544	Fee-for-Service	1629346259	1629346259	2	1	VICTOR ROYALE LLC	8/20/2014	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	120 E LAUREL ST	None	GLENDALE	CA	91205	3113	19	06037	34.12754954	-118.253835	Los Angeles County
79609	Fee-for-Service	1871522821	1871522821	1	1	VONS COMPANIES, INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	481 OLD MAMMOTH RD	None	MAMMOTH LAKES	CA	93546	0000	26	06051	37.63851578	-118.9666226	Mono County
79652	Fee-for-Service	1588007033	1588007033	1	1	VASOYA, KRYSTAL C MD	11/3/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	125308	40	Pediatrics	0	In state provider	None	747 52ND ST	None	OAKLAND	CA	94609	1809	01	06001	37.83734639	-122.2672128	Alameda County
79653	Fee-for-Service	1205923224	1205923224	1	2	VALDEZ, MICHAEL S MD	12/2/2020	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	79406	-	NOT APPLICABLE	0	In state provider	None	18612 SANTA ANA AVENUE	None	BLOOMINGTON	CA	92316	2636	36	06071	34.05589949	-117.3981915	San Bernardino County
79661	Fee-for-Service	1407051782	1407051782	1	1	VALLADOLID, EFRAIN T MD	7/18/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	61474	None	None	0	In state provider	None	584 E ST	None	CHULA VISTA	CA	91910	2348	37	06073	32.64149715	-117.0926857	San Diego County
79752	Fee-for-Service	1811137144	1811137144	1	1	VADI, MARISSA G MD	8/27/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	106030	05	Anesthesiology	0	In state provider	None	11234 ANDERSON ST	None	LOMA LINDA	CA	92359	2808	36	06071	34.049547	-117.264078	San Bernardino County
79865	Fee-for-Service	1497889810	1497889810	1	1	VAZQUEZ, LORENZO M MD	12/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	70384	08	Family Practice	0	In state provider	CLIN MED LAT DE MORENO	24805 ALESSANDRO BLVD	STE 8	MORENO VALLEY	CA	92553	6101	33	06065	33.91717325	-117.2299351	Riverside County
79903	Fee-for-Service	1912058454	1912058454	1	1	VICTOR ELEM SD	1/10/1995	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	None	15579 8TH ST	None	VICTORVILLE	CA	92395	3360	36	06071	34.53438083	-117.2933422	San Bernardino County
80007	Fee-for-Service	1144700071	1144700071	1	1	VONGSAVATH, MANILATH RCP	10/16/2018	227800000X	NA	Other	056	RESPIRATORY CARE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
80079	Fee-for-Service	1518029693	1518029693	1	1	VISENDI, PETER S OD	5/27/2023	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	2213 SHATTUCK AVE	None	BERKELEY	CA	94704	1307	01	06001	37.86917066	-122.2677712	Alameda County
80119	Fee-for-Service	1316011703	1316011703	1	1	VO, TRIEU LONG DPM	3/1/2002	213EP1101X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	14124 FOOTHILL BLVD	None	SYLMAR	CA	91342	8049	19	06037	34.31598785	-118.4413895	Los Angeles County
80179	Fee-for-Service	1134759376	1134759376	1	1	VUE, ANNA CNP	11/19/2021	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2900 N SEPULVEDA BLVD	None	MANHATTAN BEACH	CA	90266	2730	19	06037	33.896799	-118.3959415	Los Angeles County
80191	Fee-for-Service	1669782595	1669782595	1	1	VELASQUEZ, JOEL Q MD INC	3/26/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	51953	None	None	0	In state provider	None	12677 HESPERIA ROAD	SUITE 130	VICTORVILLE	CA	92395	7735	36	06071	34.48148078	-117.2906175	San Bernardino County
80192	Fee-for-Service	1891848669	1891848669	1	1	VAN DE RIJN, JAN M MD	9/30/1993	207ZP0102X	NA	Other	026	PHYSICIANS	48323	22	Pathology (M.D. only)	0	In state provider	None	2680 HANOVER ST	STE 100	PALO ALTO	CA	94304	1117	43	06085	37.41744418	-122.1474815	Santa Clara County
80218	Fee-for-Service	1497918668	1497918668	1	1	VO, KIM Y MD	12/22/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	113570	08	Family Practice	0	In state provider	None	500 W HOSPITAL RD	None	FRENCH CAMP	CA	95231	9693	39	06077	37.88652418	-121.2820956	San Joaquin County
80292	Fee-for-Service	1255412219	1255412219	1	1	VARMA, KAREN N LMFT	1/2/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	5250 CLAREMONT AVENUE	SUITE 235	STOCKTON	CA	95207	5700	39	06077	37.99861886	-121.3102123	San Joaquin County
80396	Fee-for-Service	1710571153	1710571153	1	2	VESTA TELEMEDICINE SOLUTIONS	7/26/2023	2085R0202X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	, PC	495 BIRCH ST	B	CALEXICO	CA	92231	2374	13	06025	32.6794317	-115.4928454	Imperial County
80468	Fee-for-Service	1760521322	1760521322	1	2	VAZQUEZ, LORENZO M MD	3/2/2020	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	70384	08	Family Practice	0	In state provider	None	24805 ALESSANDRO BLVD ST	None	MORENO VALLEY	CA	92553	6101	33	06065	33.91717325	-117.2299351	Riverside County
80520	Fee-for-Service	1740839810	1740839810	1	1	VONGTHONGKHAM, LINDA LMFT	3/3/2025	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
80533	Fee-for-Service	1003265596	1003265596	1	1	VAN DER LIST, LENA CLAIRE	6/17/2020	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	17025	40	Pediatrics	0	In state provider	None	2521 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2207	34	06067	38.55204	-121.455387	Sacramento County
80548	Fee-for-Service	1679653380	1679653380	1	1	VALENZUELA, GLORIA M LCSW	7/16/2018	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4004 BEYER BLVD	None	SAN YSIDRO	CA	92173	2007	37	06073	32.55831005	-117.0475102	San Diego County
80554	Fee-for-Service	1043714090	1043714090	1	1	VAN MECL, AMANDA R DO	4/7/2023	207RC0200X	NA	Other	026	PHYSICIANS	18969	None	None	0	In state provider	None	1800 CALIFORNIA ST	None	STOCKTON	CA	95204	6019	39	06077	37.97026329	-121.2890849	San Joaquin County
80563	Fee-for-Service	1962407460	1962407460	1	1	VERITAS HEALTH SERV, INC	4/7/2001	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	5451 WALNUT AVE	None	CHINO	CA	91710	2609	36	06071	34.02626886	-117.6858645	San Bernardino County
80573	Fee-for-Service	1104861012	1104861012	1	2	VALLEY MEDICAL ONCOLOGY	6/12/2003	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	78	Neoplastic Diseases/Oncology	0	In state provider	CONSULTANTS INC	1999 MOWRY AVE	STE H	FREMONT	CA	94538	1723	01	06001	37.55783419	-121.9808484	Alameda County
80604	Fee-for-Service	1528447760	1528447760	1	1	VIA PLUS HOME HEALTH INC	7/23/2018	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	239 E ALAMEDA AVE	SUITE 103	BURBANK	CA	91502	1557	19	06037	34.17541398	-118.2988703	Los Angeles County
80642	Fee-for-Service	1174119010	1174119010	1	1	VITAL HOSPICE INC	3/22/2022	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	25 WHEELER AVE	STE N	ARCADIA	CA	91006	3208	19	06037	34.14120547	-118.0301953	Los Angeles County
80681	Fee-for-Service	1407840317	1407840317	1	1	VALDRIGHI, JOHN B MD	9/30/1992	207L00000X	NA	Other	026	PHYSICIANS	49119	05	Anesthesiology	0	In state provider	None	1900 POINT WEST WAY	STE 222	SACRAMENTO	CA	95815	4704	34	06067	38.599677	-121.431447	Sacramento County
80773	Fee-for-Service	1356784672	1356784672	1	1	VASHISHTA, RISHI MD	8/3/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	154493	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
80827	Fee-for-Service	1396703179	1396703179	1	3	VALLEY RADIOLOGY MEDICAL	10/1/1998	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	801 BREWSTER AVE	STE 125	REDWOOD CITY	CA	94063	1589	41	06081	37.48853111	-122.2341386	San Mateo County
80860	Fee-for-Service	1588292247	1588292247	1	1	VEMULA, RIDHIMA MD	9/9/2024	390200000X	NA	Other	026	PHYSICIANS	None	09	Gynecology (D.O. only)	0	In state provider	None	1515 NEWELL	None	WALNUT CREEK	CA	94596	5120	07	06013	37.89281357	-122.0598728	Contra Costa County
80861	Fee-for-Service	1104861012	1104861012	1	2	VALLEY MEDICAL ONCOLOGY	6/12/2003	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	68	Hematology	0	In state provider	CONSULTANTS INC	1999 MOWRY AVE	STE H	FREMONT	CA	94538	1723	01	06001	37.55783419	-121.9808484	Alameda County
80873	Fee-for-Service	1720286636	1720286636	1	1	VOSTREJS, DANIEL J MD	11/25/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	100682	40	Pediatrics	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
80929	Fee-for-Service	1174119010	1174119010	1	1	VITAL HOSPICE INC	3/22/2022	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	25 WHEELER AVE	STE N	ARCADIA	CA	91006	3208	19	06037	34.14120547	-118.0301953	Los Angeles County
80947	Fee-for-Service	1750901658	1750901658	1	1	VAN WIEREN, ANNIKA	3/26/2025	207P00000X	NA	Other	026	PHYSICIANS	None	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1100 W STEWART DR	None	ORANGE	CA	92868	3849	30	06059	33.78236558	-117.8648414	Orange County
80955	Fee-for-Service	1235106782	1235106782	1	1	VALLEY SURGERY CENTER AT MOD	5/8/2020	261QA1903X	NA	Other	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	ESTO, LLC	1300 MABLE AVE	SUITE 1	MODESTO	CA	95355	1120	50	06099	37.69607582	-120.9757068	Stanislaus County
80970	Fee-for-Service	1851677694	1851677694	2	1	VALLEY OXYGEN	12/30/2014	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	44444 16TH ST W	STE 204	LANCASTER	CA	93534	2840	19	06037	34.6906044	-118.1584844	Los Angeles County
81075	Fee-for-Service	1003802265	1003802265	1	1	VINCENT, ALIX MD	11/30/1989	No Taxonomy Provided	NA	None	026	PHYSICIANS	57947	30	Radiology	0	In state provider	None	5470 JEFFERSON AVE	None	CHINO	CA	91710	3517	36	06071	34.02470949	-117.685854	San Bernardino County
81107	Fee-for-Service	1174237481	1174237481	1	1	VISELLI, ANTHONY CRNA	2/6/2023	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	2767 OLIVE HWY	None	OROVILLE	CA	95966	6118	04	06007	39.506454	-121.5412785	Butte County
81108	Fee-for-Service	1811197015	1811197015	1	1	VINSON, NIKA M MD	10/28/2019	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	149983	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
81129	Fee-for-Service	1558807032	1558807032	1	1	VENTURA, STEPHANIE LMFT	1/21/2025	1041C0700X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
81146	Fee-for-Service	1588292247	1588292247	1	1	VEMULA, RIDHIMA MD	9/9/2024	390200000X	NA	Other	026	PHYSICIANS	None	15	Obstetrics (D.O. only)	0	In state provider	None	1515 NEWELL	None	WALNUT CREEK	CA	94596	5120	07	06013	37.89281357	-122.0598728	Contra Costa County
81258	Fee-for-Service	1407904469	1407904469	1	1	VARKEY, TINA T DO	11/23/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	8343	08	Family Practice	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
81427	Fee-for-Service	1033598412	1033598412	1	2	VALLEY HEALTH TEAM INC	8/14/2018	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	601 S FIRST ST	None	KERMAN	CA	93620	1322	10	06019	36.72565802	-120.0652896	Fresno County
81467	Fee-for-Service	1013911049	1013911049	2	1	VERMA, ASHOK K MD	2/22/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	38632	41	Internal Medicine	0	In state provider	None	900 W 7TH STREET	STE 104	HANFORD	CA	93230	4928	16	06031	36.32523152	-119.6588925	Kings County
81523	Fee-for-Service	1750322517	1750322517	1	1	VAN HOESEN, KAREN B MD	9/30/1990	207P00000X	NA	Other	026	PHYSICIANS	49233	None	None	0	In state provider	None	400 E 4TH ST	None	NATIONAL CITY	CA	91950	1350	37	06073	32.68038513	-117.1040623	San Diego County
81525	Fee-for-Service	1023065257	1023065257	1	1	VAN METER, BLAKE H MD	4/26/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	05	Anesthesiology	2	Out of state provider	BEND ANESTHESIOLOGY GRP	2500 NE NEFF RD	None	BEND	OR	97701	6015	00	None	44.067735	-121.268187	Deschutes County
81576	Fee-for-Service	1285617720	1285617720	1	1	VAUGHN, DOUGLAS W MD	9/22/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	131395	05	Anesthesiology	0	In state provider	None	101 THE CITY DRIVE SOUTH	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
81629	Fee-for-Service	1447438999	1447438999	1	1	VERNON HEALTHCARE CENTER LLC	5/1/2007	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	1037 WEST VERNON AVE	None	LOS ANGELES	CA	90037	2415	19	06037	34.00370947	-118.2927555	Los Angeles County
81680	Fee-for-Service	1497308100	1497308100	1	1	VALDEZ-GUZMAN, MARY CATHERIN	10/18/2022	207R00000X	NA	Other	026	PHYSICIANS	181605	None	None	0	In state provider	E M MD	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
81694	Fee-for-Service	1952745812	1952745812	1	1	VENOSTA, LYNDEE M LMFT	8/26/2019	390200000X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	5871 PINE AVE	SUITE 230	CHINO HILLS	CA	91709	6545	36	06071	33.94767013	-117.6754339	San Bernardino County
81716	Fee-for-Service	1033598412	1033598412	1	2	VALLEY HEALTH TEAM INC	8/14/2018	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	601 S FIRST ST	None	KERMAN	CA	93620	1322	10	06019	36.72565802	-120.0652896	Fresno County
81718	Fee-for-Service	1710653472	1710653472	1	1	VALADEZ, ANAJERY LPCC	2/25/2025	101YP2500X	NA	Other	103	LICENSED PROFESSIONAL CLINICAL COUNSELOR - 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
81725	Fee-for-Service	1528612967	1528612967	1	1	VAN HEERDEN, KATHERINE LMFT	8/1/2019	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	None	-	NOT APPLICABLE	0	In state provider	None	9431 ALDERBURY ST.	None	CYPRESS	CA	90630	5458	30	06059	33.82530417	-118.0507332	Orange County
81784	Fee-for-Service	1689631384	1689631384	1	1	VORA, LALIT H MD	10/18/1994	No Taxonomy Provided	NA	None	026	PHYSICIANS	29755	30	Radiology	0	In state provider	None	4060 WHITTIER BLVD	None	LOS ANGELES	CA	90023	2526	19	06037	34.02390148	-118.184319	Los Angeles County
81882	Fee-for-Service	1871007724	1871007724	1	1	VALLEY VILLAGE HOME CARE INC	4/20/2020	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	5940 1/2 LAUREL CANYON	BLVD	VALLEY VILLAGE	CA	91607	1208	19	06037	34.17845897	-118.3964453	Los Angeles County
81977	Fee-for-Service	1275506693	1275506693	1	1	VENN-WATSON, ERIC J MD	12/11/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	82236	01	General Practice	0	In state provider	None	5575 RUFFIN ROAD	STE 100	SAN DIEGO	CA	92123	1380	37	06073	32.83605627	-117.1266464	San Diego County
82003	Fee-for-Service	1073603544	1073603544	2	1	VOLLERS, AGATA J MD	1/7/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	05	Anesthesiology	1	Border provider	None	2450 W CHARLESTON BLVD	None	LAS VEGAS	NV	89102	2179	00	None	36.15900951	-115.175853	Clark County
82090	Fee-for-Service	1417307208	1417307208	1	1	VASQUEZ, CECILIA	6/3/2024	101YP2500X	NA	Other	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	11801 PIERCE ST	SUITE 200	RIVERSIDE	CA	92505	4408	33	06065	33.90100297	-117.49363	Riverside County
82292	Fee-for-Service	1104997550	1104997550	1	1	VO, JUSTIN C MD	7/11/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	82596	05	Anesthesiology	0	In state provider	None	7417 N CEDAR AVE	None	FRESNO	CA	93720	3637	10	06019	36.844227	-119.7568975	Fresno County
82295	Fee-for-Service	1184717167	1184717167	1	1	VITREO-RETINAL MEDICAL GROUP	2/28/1992	207W00000X	NA	Ophthalmology	022	PHYSICIANS GROUP	-	None	None	0	In state provider	CHICO RETINA CENTER	19 ILAHEE LN	None	CHICO	CA	95973	7205	04	06007	39.75194382	-121.8698981	Butte County
82321	Fee-for-Service	1326595117	1326595117	1	1	VANIK & ARSEN, LLC	10/23/2019	No Taxonomy Provided	NA	None	059	HOME AND COMMUNITY BASED SERVICES NURSING FACILITY	-	-	NOT APPLICABLE	0	In state provider	G HEALTH FACILITY	250 VILLA AVE	None	CLOVIS	CA	93612	0854	10	06019	36.82735577	-119.7135195	Fresno County
82324	Fee-for-Service	1689758526	1689758526	1	1	VALLE, HERMINIGILDO V MD	11/30/1991	No Taxonomy Provided	NA	None	026	PHYSICIANS	50188	41	Internal Medicine	0	In state provider	None	1850 SULLIVAN AVE	STE 510	DALY CITY	CA	94015	2230	41	06081	37.68085904	-122.4728842	San Mateo County
82368	Fee-for-Service	1750576245	1750576245	1	1	VIDAD, ALELI F MD	3/12/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	41	Internal Medicine	1	Border provider	None	1600 MEDICAL PARKWAY	None	CARSON CITY	NV	89703	4625	00	None	39.202263	-119.7841095	Consolidated Municipality of Carson City
82471	Fee-for-Service	1609978766	1609978766	1	1	VENTURA COUNTY CCS	9/22/1993	261QR0400X	NA	Physical Therapist	046	REHABILITATION CLINIC	-	-	NOT APPLICABLE	0	In state provider	SIMI VALLEY MTU	2250 TRACY AVE	None	SIMI VALLEY	CA	93063	2753	56	06111	34.27621107	-118.7239251	Ventura County
82495	Fee-for-Service	1457374050	1457374050	1	1	VARGAS, GABRIEL A MD	1/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	66591	36	Psychiatry	0	In state provider	None	760 WESTWOOD PLAZA	None	LOS ANGELES	CA	90095	8353	19	06037	34.07067	-118.4432445	Los Angeles County
82504	Fee-for-Service	1417024308	1417024308	1	1	VU, LONG HOANG MD	1/1/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	34272	30	Radiology	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
82574	Fee-for-Service	1427132620	1427132620	2	1	VILLANUEVA, GEORGE DO	11/30/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	6023	01	General Practice	0	In state provider	None	126 AVOCADO AVE	STE 207	PERRIS	CA	92571	2605	33	06065	33.8102395	-117.2244465	Riverside County
82614	Fee-for-Service	1689758526	1689758526	1	1	VALLE, HERMINIGILDO V MD	11/30/1991	No Taxonomy Provided	NA	None	026	PHYSICIANS	50188	23	Peripheral Vascular Disease or Surgery (D.O. only)	0	In state provider	None	1850 SULLIVAN AVE	STE 510	DALY CITY	CA	94015	2230	41	06081	37.68085904	-122.4728842	San Mateo County
82635	Fee-for-Service	1699891184	1699891184	1	1	VALINE, BRANDON S MD	9/5/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	111512	05	Anesthesiology	0	In state provider	None	4601 DALE ROAD	None	MODESTO	CA	95356	9718	50	06099	37.706508	-121.052457	Stanislaus County
82872	Fee-for-Service	1407257041	1407257041	1	1	VEGA, MONIQUE L LCSW	7/2/2020	101YM0800X	NA	Other	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	5005 LAMART DR	100B3	RIVERSIDE	CA	92507	8902	33	06065	33.959493	-117.3322255	Riverside County
82935	Fee-for-Service	1982696571	1982696571	1	1	VYHMEISTER, EDGAR O MD	12/1/1997	207XX0801X	NA	Orthopedic Surgery	026	PHYSICIANS	30543	20	Orthopedic Surgery	0	In state provider	None	WEST 5TH & ESPLANADE	None	CHICO	CA	95370	5288	04	06007	39.741948	-121.848921	Butte County
83031	Fee-for-Service	1659526317	1659526317	1	1	VEMULAPALLI, J MD INC	1/6/2009	208800000X	NA	Other	026	PHYSICIANS	52973	34	Urology and Urological Surgery	0	In state provider	None	751 WEST LEGION RD	SUITE 201	BRAWLEY	CA	92227	7755	13	06025	32.95996012	-115.5538196	Imperial County
83068	Fee-for-Service	1760411797	1760411797	1	1	VONS COMPANIES, INC	7/16/2001	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	15740 LA FORGE ST	None	WHITTIER	CA	90603	2334	19	06037	33.9411181	-117.9940744	Los Angeles County
83071	Fee-for-Service	1023659786	1023659786	1	1	VALLEY VIEW COMPREHENSIVE CA	4/27/2021	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	RE	1280 MARSHALL ST	None	CRESCENT CITY	CA	95531	2217	08	06015	41.76858461	-124.2003575	Del Norte County
83147	Fee-for-Service	1972928786	1972928786	1	1	VENICE FAMILY CLINIC	4/3/2014	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	2509 PICO BLVD	2ND FLOOR	SANTA MONICA	CA	90405	1828	19	06037	34.02287459	-118.4631175	Los Angeles County
83270	Fee-for-Service	1689279432	1689279432	1	1	VAN AALSBURG, JODIE LCSW	7/19/2023	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	6038 SOUTH ST	None	LAKEWOOD	CA	90713	1312	19	06037	33.85808157	-118.1140116	Los Angeles County
83341	Fee-for-Service	1063479665	1063479665	1	1	VO, QUOC L DO	6/13/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	8596	09	Gynecology (D.O. only)	0	In state provider	None	1 SHRADER ST	STE 450	SAN FRANCISCO	CA	94117	1016	38	06075	37.77467326	-122.4529451	San Francisco County
83567	Fee-for-Service	1235546300	1235546300	1	1	VALLEY CAREIDENCE OPCO LLC	3/20/2015	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	VALLEY CARE CENTER LLC	661 W POPLAR AVE	None	PORTERVILLE	CA	93257	5926	54	06107	36.05129248	-119.032029	Tulare County
83579	Fee-for-Service	1891976189	1891976189	1	1	VAISMAN, MARK MD	2/8/2015	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	38899	01	General Practice	0	In state provider	COMMUNITY MEDICAL CENTER	11724 VENTURA BLVD	STE A	STUDIO CITY	CA	91604	2621	19	06037	34.14161869	-118.3885541	Los Angeles County
83612	Fee-for-Service	1366959876	1366959876	1	1	VILLA DEL RIO INC	2/9/2018	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	7002 E GAGE AVE	None	BELL GARDENS	CA	90201	2014	19	06037	33.97242797	-118.132794	Los Angeles County
83921	Fee-for-Service	1487232856	1487232856	1	1	VALVERDE, CINDY Y MD	10/1/2024	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	184965	08	Family Practice	0	In state provider	None	25455 BARTON RD	STE 108A	LOMA LINDA	CA	92354	3129	36	06071	34.04805253	-117.249534	San Bernardino County
83923	Fee-for-Service	1164097804	1164097804	1	1	VASQUEZ, HELLEN	9/1/2024	208M00000X	NA	Other	026	PHYSICIANS	191969	41	Internal Medicine	0	In state provider	None	1200 B GALE WILSON BLVD	None	FAIRFIELD	CA	94533	3552	48	06095	38.26109552	-122.0470245	Solano County
84035	Fee-for-Service	1316232846	1316232846	1	1	VIGUE, MICHAEL DO	11/6/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	01	General Practice	1	Border provider	None	3001 SAINT ROSE PKWY	None	HENDERSON	NV	89052	3839	00	None	36.00555274	-115.1163108	Clark County
84059	Fee-for-Service	1265438857	1265438857	1	1	VALLEY ORTHOPEDIC	7/1/1996	222Z00000X	NA	Other	029	PROSTHETISTS	-	-	NOT APPLICABLE	0	In state provider	None	3520 E SHIELDS AVE	STE 102	FRESNO	CA	93726	6923	10	06019	36.77947947	-119.765781	Fresno County
84071	Fee-for-Service	1003992520	1003992520	1	1	VYAS, SABIHA R MD	10/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	71971	41	Internal Medicine	0	In state provider	None	260 INTERNATIONAL CIR	None	SAN JOSE	CA	95119	1130	43	06085	37.24047903	-121.7998157	Santa Clara County
84183	Fee-for-Service	1689772261	1689772261	1	1	VILLALVAZO, ANTONIO MD	12/13/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	52080	08	Family Practice	0	In state provider	FAMILY CARE CLINIC OF FR	5359 N FRESNO ST	STE 108F	FRESNO	CA	93710	6864	10	06019	36.815031	-119.7813855	Fresno County
84272	Fee-for-Service	1891052189	1891052189	1	1	VENKATAKRISHINAN, PRABHAKAR	2/10/2023	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	PT	4601 DALE ROAD	None	MODESTO	CA	95356	9718	50	06099	37.706508	-121.052457	Stanislaus County
84323	Fee-for-Service	1194869750	1194869750	1	1	VITAS HEALTHCARE CORPORATION	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	OF CALIFORNIA	16830 VENTURA BLVD	STE 315	ENCINO	CA	91436	2731	19	06037	34.1591416	-118.5007148	Los Angeles County
84347	Fee-for-Service	1265438857	1265438857	1	1	VALLEY ORTHOPEDIC	7/1/2004	No Taxonomy Provided	NA	None	080	CA CHILDRENS SERVICES/GENETICALLY HANDICAPPED PERSONS PROGRAM NON- INSTITUTIONAL	-	-	NOT APPLICABLE	0	In state provider	None	3520 E SHIELDS AVE	STE 102	FRESNO	CA	93726	6923	10	06019	36.77947947	-119.765781	Fresno County
84444	Fee-for-Service	1407889819	1407889819	2	1	VALLEY MEDICAL PHARMACY	4/23/2020	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	Y	5795 N 1ST	None	FRESNO	CA	93710	6203	10	06019	36.82267128	-119.7724044	Fresno County
84541	Fee-for-Service	1700064409	1700064409	1	1	VUKOV, JUDITH A MD INC	4/30/1985	No Taxonomy Provided	NA	None	026	PHYSICIANS	38036	36	Psychiatry	0	In state provider	None	121 W LEXINGTON DR	STE 210	GLENDALE	CA	91203	2203	19	06037	34.1517575	-118.2560706	Los Angeles County
84573	Fee-for-Service	1932147840	1932147840	1	1	VICHINSKY, ELLIOT MD	3/31/1982	2080P0207X	NA	Hematology	026	PHYSICIANS	38667	40	Pediatrics	0	In state provider	None	51ST & GROVE STS	None	OAKLAND	CA	94609	0000	01	06001	37.83637691	-122.2678962	Alameda County
84596	Fee-for-Service	1174990030	1174990030	1	1	VISTA CARE PHARMACY INC	6/28/2016	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	12351 MARIPOSA ROAD	STE 11	VICTORVILLE	CA	92395	6013	36	06071	34.475166	-117.3393405	San Bernardino County
84610	Fee-for-Service	1194869750	1194869750	1	1	VITAS HEALTHCARE CORPORATION	6/6/1995	251G00000X	NA	Other	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	OF CALIFORNIA	16830 VENTURA BLVD	STE 315	ENCINO	CA	91436	2731	19	06037	34.1591416	-118.5007148	Los Angeles County
84687	Fee-for-Service	1346599966	1346599966	1	1	VISENIO, MARIA KATRINA D MD	5/4/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	133977	40	Pediatrics	0	In state provider	None	1186 LELAND AVENUE	None	TULARE	CA	93274	7811	54	06107	36.23014473	-119.3277192	Tulare County
84744	Fee-for-Service	1558529545	1558529545	1	1	VOROSHILOVSKY, OLGA MD	10/27/2008	207R00000X	NA	Other	026	PHYSICIANS	81570	06	Cardiovascular Disease (M.D. only)	0	In state provider	A PROF CORP	8635 W 3RD STREET	#750W	LOS ANGELES	CA	90048	6169	19	06037	34.07361928	-118.3803143	Los Angeles County
84747	Fee-for-Service	1235166075	1235166075	1	1	VENICK, ROBERT S MD	4/3/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	77078	40	Pediatrics	0	In state provider	None	25845 BARTON RD	STE F	LOMA LINDA	CA	92354	3899	36	06071	34.04824949	-117.2401425	San Bernardino County
84809	Fee-for-Service	1366600975	1366600975	1	1	VAN ROESSEL, PETER J MD	4/20/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	146979	36	Psychiatry	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
84913	Fee-for-Service	1124639232	1124639232	1	1	VALERI HOME HEALTH INC	8/25/2021	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	8622 RESEDA BLVD	SUITE 214	NORTHRIDGE	CA	91324	4036	19	06037	34.22719786	-118.5360442	Los Angeles County
84975	Fee-for-Service	1194489666	1194489666	1	1	VAZQUEZ, MARJORY PSYD	1/17/2022	103TC1900X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	901 NEVIN AVE	None	RICHMOND	CA	94801	3143	07	06013	37.93684848	-122.361345	Contra Costa County
85030	Fee-for-Service	1285044669	1285044669	1	1	VAEZEAFSHAR, REZA MD	3/26/2020	207Y00000X	NA	ENT/Otolaryngology	026	PHYSICIANS	144953	04	Otology, Laryngology, Rhinology	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
85032	Fee-for-Service	1558529545	1558529545	1	1	VOROSHILOVSKY, OLGA MD	10/27/2008	207R00000X	NA	Other	026	PHYSICIANS	81570	41	Internal Medicine	0	In state provider	A PROF CORP	8635 W 3RD STREET	#750W	LOS ANGELES	CA	90048	6169	19	06037	34.07361928	-118.3803143	Los Angeles County
85036	Fee-for-Service	1235166075	1235166075	1	1	VENICK, ROBERT S MD	4/3/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	77078	10	Gastroenterology (M.D. only)	0	In state provider	None	25845 BARTON RD	STE F	LOMA LINDA	CA	92354	3899	36	06071	34.04824949	-117.2401425	San Bernardino County
85128	Fee-for-Service	1477560035	1477560035	1	1	VISITING NURSE & HOSPICE	12/1/1977	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	CARE OF SANTA BARBARA	512 EAST GUTIERREZ ST	SUITE B	SANTA BARBARA	CA	93103	5220	42	06083	34.42139186	-119.6882648	Santa Barbara County
85144	Fee-for-Service	1588790554	1588790554	1	1	VAN MEURS, KRISA P MD	9/30/1989	2080N0001X	NA	Pediatric Primary Care	026	PHYSICIANS	68881	40	Pediatrics	0	In state provider	None	1350 WILLOW RD	STE 202	MENLO PARK	CA	94025	1516	41	06081	37.47713734	-122.1521704	San Mateo County
85217	Fee-for-Service	1821675547	1821675547	1	1	VMAX PHYSICAL THERAPY, INC	12/21/2023	261QP2000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1480 COLORADO BLVD	STE 130	LOS ANGELES	CA	90041	2373	19	06037	34.13925431	-118.1972852	Los Angeles County
85223	Fee-for-Service	1992150791	1992150791	1	1	VALDOVINOS-PERDOMO, HAYDEE Y	10/4/2018	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	NP	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
85284	Fee-for-Service	1316083421	1316083421	1	1	VARICH, LAURA J MD	4/1/1998	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	80587	30	Radiology	0	In state provider	None	300 PASTEUR DR	None	PALO ALTO	CA	94304	2203	43	06085	37.43304542	-122.1759654	Santa Clara County
85292	Fee-for-Service	1265786404	1265786404	1	1	VAH, ELIZABETH LCSW	3/12/2024	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
85323	Fee-for-Service	1235166075	1235166075	1	1	VENICK, ROBERT S MD	4/3/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	77078	85	Surgery-Pediatric	0	In state provider	None	25845 BARTON RD	STE F	LOMA LINDA	CA	92354	3899	36	06071	34.04824949	-117.2401425	San Bernardino County
85374	Fee-for-Service	1316905672	1316905672	1	1	VAUGHAN, PATRICK J MD	11/10/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	45794	01	General Practice	0	In state provider	None	685 MORRO AVE	None	MORRO BAY	CA	93442	2233	40	06079	35.364564	-120.8511755	San Luis Obispo County
85383	Fee-for-Service	1104294214	1104294214	1	1	VARGAS, JOANNA Q LCSW	5/29/2020	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	14500 ROSCOE BLVD	STE 400	PANORAMA CITY	CA	91402	4194	19	06037	34.2215055	-118.44918	Los Angeles County
85401	Fee-for-Service	1558405134	1558405134	1	2	VITAS HEALTHCARE CORPORATION	6/25/2012	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	2480 HILBORN RD	STE 105	FAIRFIELD	CA	94534	1857	48	06095	38.275713	-122.052241	Solano County
85445	Fee-for-Service	1790852440	1790852440	1	1	VALDIVIA, ALYSSIA A LMFT	5/8/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4125 BANGS AVE	None	MODESTO	CA	95356	8713	50	06099	37.70451024	-121.0709696	Stanislaus County
85558	Fee-for-Service	1033598412	1033598412	1	3	VALLEY HEALTH TEAM INC	12/18/2023	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	3961 AVENUE 400	ROOM 1A	KINGSBURG	CA	93631	9660	54	06107	36.51759736	-119.4865521	Tulare County
85573	Fee-for-Service	1619933686	1619933686	2	1	VALLEY MEDICAL TRANSPORTATIO	10/16/2012	No Taxonomy Provided	Both NEMT & NMT Provider	None	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	INC	222 S TIPTON ST	None	VISALIA	CA	93292	6462	54	06107	36.32841	-119.286495	Tulare County
85633	Fee-for-Service	1225636210	1225636210	1	1	VALLEY CREEK HOME HEALTH	7/26/2022	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	6005 VINELAND AVE	STE 214	NORTH HOLLYWOOD	CA	91606	4982	19	06037	34.179921	-118.3703275	Los Angeles County
85649	Fee-for-Service	1043934664	1043934664	1	1	VISTA HILL FOUNDATION	11/3/2022	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	CENTER.	1005 47TH ST	None	SAN DIEGO	CA	92102	3626	37	06073	32.715981	-117.0935515	San Diego County
85688	Fee-for-Service	1558405134	1558405134	1	2	VITAS HEALTHCARE CORPORATION	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	2480 HILBORN RD	STE 105	FAIRFIELD	CA	94534	1857	48	06095	38.275713	-122.052241	Solano County
85801	Fee-for-Service	1851413272	1851413272	1	1	VAN DERWOOD, SHARON LCSW	3/3/2022	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	5170 GOLDEN FOOTHILL PKW	None	EL DORADO HILLS	CA	95762	9608	09	06017	38.64013136	-121.0681138	El Dorado County
85824	Fee-for-Service	1336101153	1336101153	1	1	VELASQUEZ, CESAR P LCSW	8/6/2019	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	9696 STEPHENS ST	None	DELHI	CA	95315	9550	24	06047	37.42956785	-120.7755208	Merced County
85846	Fee-for-Service	1033598412	1033598412	1	3	VALLEY HEALTH TEAM INC	12/18/2023	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	3961 AVENUE 400	ROOM 1A	KINGSBURG	CA	93631	9660	54	06107	36.51759736	-119.4865521	Tulare County
85853	Fee-for-Service	1043614639	1043614639	1	1	VALDIVIA, CECELIA LMFT	7/6/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
85870	Fee-for-Service	1780613737	1780613737	1	1	VONS COMPANIES, INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	6155 EL CAJON BLVD	None	SAN DIEGO	CA	92115	3915	37	06073	32.76195612	-117.0659781	San Diego County
85971	Fee-for-Service	1245424589	1245424589	1	1	VIKING TRANSPORT INC	11/14/2007	No Taxonomy Provided	NEMT Provider	None	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	3930 GEARY BLVD	#1	SAN FRANCISCO	CA	94118	3219	38	06075	37.78123969	-122.461667	San Francisco County
85990	Fee-for-Service	1831647551	1831647551	1	1	VENTIMIGLIA, ARIELLE LCSW	8/10/2022	101YM0800X	NA	Other	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4401 SEPULVEDA BLVD	210	SHERMAN OAKS	CA	91403	3934	19	06037	34.150356	-118.467397	Los Angeles County
85995	Fee-for-Service	1528359304	1528359304	1	1	VUKASIN, PETAR MD INC	5/23/2011	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	222 W. EULALIA ST.	SUITE 100A	GLENDALE	CA	91204	2508	19	06037	34.12653215	-118.257121	Los Angeles County
86033	Fee-for-Service	1053717785	1053717785	1	1	VALENCIA RELATIONSHIP INSTIT	1/10/2020	1041C0700X	NA	Mental Health Outpatient Services	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	UTE	28494 WESTINGHOUSE PL	SUITE 213	VALENCIA	CA	91355	0930	19	06037	34.44221561	-118.5989564	Los Angeles County
86043	Fee-for-Service	1265461271	1265461271	1	1	VONS COMPANIES INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	8010 E SANTA ANA CANYON	None	ANAHEIM	CA	92808	1110	30	06059	33.86837414	-117.7518096	Orange County
86150	Fee-for-Service	1861644551	1861644551	1	1	VAN ENK, MARC A PSYD	1/26/2007	193400000X	NA	Other	031	PSYCHOLOGISTS	-	None	None	0	In state provider	A PSYCHOLOGICAL CORP	3703 LONG BEACH BLVD	SUITE D1	LONG BEACH	CA	90807	3330	19	06037	33.824106	-118.189378	Los Angeles County
86172	Fee-for-Service	1881628451	1881628451	1	1	VEERAPPAN, ANNAMALAI	6/11/1998	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	49347	41	Internal Medicine	0	In state provider	None	1860 MOWRY AVE	STE 406	FREMONT	CA	94538	1730	01	06001	37.55887933	-121.9797796	Alameda County
86268	Fee-for-Service	1548009137	1548009137	1	1	VEDANT HEALTH PHARMACY PC	6/20/2024	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	2820 ALUM ROCK AVE	43	SAN JOSE	CA	95127	5608	43	06085	37.3631929	-121.8334108	Santa Clara County
86283	Fee-for-Service	1750318390	1750318390	1	1	VAN GUNDY, JEFF C MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	43154	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1098 SUNRISE AVE	STE 190	ROSEVILLE	CA	95661	4470	31	06061	38.72750802	-121.2720952	Placer County
86322	Fee-for-Service	1053717785	1053717785	1	1	VALENCIA RELATIONSHIP INSTIT	1/10/2020	1041C0700X	NA	Mental Health Outpatient Services	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	UTE	28494 WESTINGHOUSE PL	SUITE 213	VALENCIA	CA	91355	0930	19	06037	34.44221561	-118.5989564	Los Angeles County
86369	Fee-for-Service	1447490230	1447490230	1	1	VARUGHESE, JAY I MD	7/2/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	105937	41	Internal Medicine	0	In state provider	None	200 W ARBOR DRIVE	None	SAN DIEGO	CA	92103	1911	37	06073	32.7537975	-117.1658298	San Diego County
86462	Fee-for-Service	1881628451	1881628451	1	1	VEERAPPAN, ANNAMALAI	6/11/1998	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	49347	10	Gastroenterology (M.D. only)	0	In state provider	None	1860 MOWRY AVE	STE 406	FREMONT	CA	94538	1730	01	06001	37.55887933	-121.9797796	Alameda County
86569	Fee-for-Service	1750318390	1750318390	1	1	VAN GUNDY, JEFF C MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	43154	35	Pediatric Cardiology (M.D. only)	0	In state provider	None	1098 SUNRISE AVE	STE 190	ROSEVILLE	CA	95661	4470	31	06061	38.72750802	-121.2720952	Placer County
86602	Fee-for-Service	1841242559	1841242559	1	1	VUKSINICH, GREGORY S MD	10/31/1988	207L00000X	NA	Other	026	PHYSICIANS	41691	05	Anesthesiology	0	In state provider	None	301 E 13TH ST	None	MERCED	CA	95340	6211	24	06047	37.29248035	-120.4730619	Merced County
86678	Fee-for-Service	1598139883	1598139883	1	1	VALLEY PEDIATRIC HEALTH	2/12/2016	193400000X	NA	Other	026	PHYSICIANS	123164	None	None	0	In state provider	None	1271 ROSS AVENUE	None	EL CENTRO	CA	92243	4304	13	06025	32.78145047	-115.5673098	Imperial County
86724	Fee-for-Service	1982816237	1982816237	1	1	VISHWANATH, ANU MD	10/16/2024	2080P0205X	NA	Endocrinology	026	PHYSICIANS	None	67	Endocrinology	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
86746	Fee-for-Service	1558407510	1558407510	1	1	VAN NOORD, BRANDON A	1/12/2022	208VP0014X	NA	Other	026	PHYSICIANS	113568	None	None	0	In state provider	None	3969 4TH AVE	STE 208	SAN DIEGO	CA	92103	3165	37	06073	32.74948151	-117.1615826	San Diego County
86773	Fee-for-Service	1467547604	1467547604	2	1	VAN HEUKELOM, JON MD	3/25/2021	207P00000X	NA	Other	026	PHYSICIANS	-	None	None	2	Out of state provider	None	200 HAWKINS DRIVE	None	IOWA CITY	IA	52242	1009	00	None	41.659929	-91.548099	Johnson County
86839	Fee-for-Service	1558520536	1558520536	1	1	VINE MEDICAL SUPPLIES	1/21/1999	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	ADZHEMYAN, ANAIT	7406 SANTA MONICA BLVD	None	WEST HOLLYWOOD	CA	90046	5605	19	06037	34.0907097	-118.3513472	Los Angeles County
86853	Fee-for-Service	1154968477	1154968477	1	1	VAZQUEZ, NIDIA E	12/11/2019	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	448 W BIRCH ST	None	OXNARD	CA	93033	3214	56	06111	34.18528676	-119.1824078	Ventura County
86898	Fee-for-Service	1437221199	1437221199	1	1	VONARB, JENNIFER L	2/8/2018	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	90 E THOUSAND OAKS BLVD	SUITE 200	THOUSAND OAKS	CA	91360	5716	56	06111	34.17902886	-118.8749335	Ventura County
87012	Fee-for-Service	1982816237	1982816237	1	1	VISHWANATH, ANU MD	10/16/2024	2080P0205X	NA	Endocrinology	026	PHYSICIANS	None	40	Pediatrics	0	In state provider	None	11370 ANDERSON ST	STE B-100	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
87025	Fee-for-Service	1629074877	1629074877	1	1	VAN NATTA, BRUCE MD	6/30/1984	No Taxonomy Provided	NA	None	026	PHYSICIANS	39931	06	Cardiovascular Disease (M.D. only)	0	In state provider	UCI MEDICAL GRP MEDICINE	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
87118	Fee-for-Service	1588911259	1588911259	1	1	VANDENMOOTER, SYNDA M MD	1/30/2023	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	172543	None	None	0	In state provider	None	1150 INDIAN CANYON	None	PALM SPRINGS	CA	92262	4872	33	06065	33.838623	-116.542737	Riverside County
87128	Fee-for-Service	1841261633	1841261633	1	1	VANDERGRIFT-CURTIS, C MD	7/31/1996	No Taxonomy Provided	NA	None	026	PHYSICIANS	55808	40	Pediatrics	0	In state provider	None	400 S SEPULVEDA BLVD	STE 210	MANHATTAN BEACH	CA	90266	6877	19	06037	33.87583364	-118.3958985	Los Angeles County
87142	Fee-for-Service	1154968477	1154968477	1	1	VAZQUEZ, NIDIA E	12/11/2019	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	448 W BIRCH ST	None	OXNARD	CA	93033	3214	56	06111	34.18528676	-119.1824078	Ventura County
87212	Fee-for-Service	1275541625	1275541625	1	1	VALENCIA, MARILES F MD	7/16/1995	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	54929	40	Pediatrics	0	In state provider	None	655 EUCLID AVE	STE 302	NATIONAL CITY	CA	91950	2973	37	06073	32.68353398	-117.082625	San Diego County
87221	Fee-for-Service	1881181972	1881181972	1	1	VARGAS, BRITTANEY B MD	4/22/2021	390200000X	NA	Other	026	PHYSICIANS	163518	None	None	0	In state provider	RGAS MD	85 SIERRA PARK	None	MAMMOTH LAKES	CA	93546	2073	26	06051	37.64575895	-118.9638914	Mono County
87272	Fee-for-Service	1659303980	1659303980	1	1	VEMURI, NIRUPAMA MD	1/22/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	52775	45	Nephrology (Renal-Kidney)	0	In state provider	None	263 PEARSON DR	STE 200	PORTERVILLE	CA	93257	3333	54	06107	36.07050297	-119.0277645	Tulare County
87281	Fee-for-Service	1851326946	1851326946	1	1	VERTSON, MARTIN A	3/25/2016	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	5 JOURNEY	SUITE 100	ALISO VIEJO	CA	92656	5330	30	06059	33.56960395	-117.7278975	Orange County
87315	Fee-for-Service	1629074877	1629074877	1	1	VAN NATTA, BRUCE MD	6/30/1984	No Taxonomy Provided	NA	None	026	PHYSICIANS	39931	41	Internal Medicine	0	In state provider	UCI MEDICAL GRP MEDICINE	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
87346	Fee-for-Service	1043285141	1043285141	1	1	VISWANATHAN NAGARAJAN MD	5/9/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	2776 CLEVELAND AVE	None	FORT MYERS	FL	33901	5864	00	None	26.628237	-81.873945	Lee County
87364	Fee-for-Service	1528164514	1528164514	1	1	VALLEE, JOHN H MD	1/11/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	32469	08	Family Practice	0	In state provider	None	317 WEST PUEBLO ST	None	SANTA BARBARA	CA	93105	4365	42	06083	34.42967671	-119.7228362	Santa Barbara County
87412	Fee-for-Service	1538105176	1538105176	1	1	VONS COMPANIES INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	11030 JEFFERSON BLVD	None	CULVER CITY	CA	90230	5520	19	06037	33.9966	-118.395332	Los Angeles County
87421	Fee-for-Service	1215223193	1215223193	1	1	VAGTS, MICHAEL H	8/30/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	122112	36	Psychiatry	0	In state provider	None	222 WEST 39TH AVE	None	SAN MATEO	CA	94403	4364	41	06081	37.53039072	-122.2987772	San Mateo County
87555	Fee-for-Service	1659303980	1659303980	1	1	VEMURI, NIRUPAMA MD	1/22/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	52775	41	Internal Medicine	0	In state provider	None	263 PEARSON DR	STE 200	PORTERVILLE	CA	93257	3333	54	06107	36.07050297	-119.0277645	Tulare County
87567	Fee-for-Service	1427547389	1427547389	1	1	VARTANYAN, LILY MD	9/1/2022	207P00000X	NA	Other	026	PHYSICIANS	167006	None	None	0	In state provider	None	5971 VENICE BLVD	None	LOS ANGELES	CA	90034	1713	19	06037	34.03833368	-118.3726622	Los Angeles County
87650	Fee-for-Service	1902311863	1902311863	1	1	VILLANUEVA, DONNA LMFT	10/13/2023	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	99690	-	NOT APPLICABLE	0	In state provider	None	105 HOSPITAL ROAD	None	SONORA	CA	95370	5227	55	06109	37.9746569	-120.3783281	Tuolumne County
87835	Fee-for-Service	1316901648	1316901648	1	1	VARDANEGA, RONALD J OD	1/31/1991	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1287 BROADWAY	None	PLACERVILLE	CA	95667	5805	09	06017	38.73166761	-120.783958	El Dorado County
87855	Fee-for-Service	1124130430	1124130430	1	1	VYDRO, ALEKSANDR MD	5/9/2006	2084P0800X	NA	Psychiatry	026	PHYSICIANS	54990	None	None	0	In state provider	None	1060 W SIERRA AVE	STE 105	FRESNO	CA	93711	2063	10	06019	36.83009575	-119.8099386	Fresno County
87943	Fee-for-Service	1023659786	1023659786	1	2	VALLEY VIEW COMPREHENSIVE CA	4/27/2021	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	RE	1400 CIRCLE CITY DR	None	CORONA	CA	92879	1642	30	06059	33.87170974	-117.5490491	Riverside County
87980	Fee-for-Service	1194726042	1194726042	1	2	VILLA, DEBORAH J MD	8/31/2017	207RX0202X	NA	Oncology	026	PHYSICIANS	79043	41	Internal Medicine	0	In state provider	None	715 TANK FARM RD	STE C	SAN LUIS OBISPO	CA	93401	7068	40	06079	35.24853234	-120.642458	San Luis Obispo County
88137	Fee-for-Service	1215162193	1215162193	1	1	VAHI, RITU MD	10/3/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	114512	45	Nephrology (Renal-Kidney)	0	In state provider	None	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
88149	Fee-for-Service	1487706131	1487706131	1	1	VIAZZOLI, CLAUDIA R PHD	9/11/2012	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	820 LAS GALLINAS	None	SAN RAFAEL	CA	94903	3410	21	06041	38.00702954	-122.5471567	Marin County
88267	Fee-for-Service	1376046680	1376046680	1	1	VIBAL-POASTER, MARIA KHRISTI	10/7/2024	363LC0200X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	NA NP	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
88354	Fee-for-Service	1306868328	1306868328	1	1	VECCHIONE, RANDAL J MD	7/1/1983	No Taxonomy Provided	NA	None	026	PHYSICIANS	34154	24	Plastic Surgery	0	In state provider	None	2542 2ND AVE	None	SAN DIEGO	CA	92103	6537	37	06073	32.731974	-117.1630585	San Diego County
88371	Fee-for-Service	1154320158	1154320158	1	1	VOLK, PETER F MD	11/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	05	Anesthesiology	1	Border provider	None	6130 ELTON AVE	None	LAS VEGAS	NV	89107	2538	00	None	36.17198653	-115.225452	Clark County
88403	Fee-for-Service	1427347053	1427347053	1	1	VELEZ, MARIEL MD	11/29/2017	390200000X	NA	Other	026	PHYSICIANS	122200	13	Neurology (M.D. only)	0	In state provider	None	2100 WEBSTER ST	115	SAN FRANCISCO	CA	94115	2373	38	06075	37.7904826	-122.4324477	San Francisco County
88424	Fee-for-Service	1215162193	1215162193	1	1	VAHI, RITU MD	10/3/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	114512	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
88451	Fee-for-Service	1508325234	1508325234	1	1	VEGA, TRACY LCSW	3/14/2025	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
88488	Fee-for-Service	1487759064	1487759064	1	1	VICTOR A. ROBERTS, M.D.	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	3401 W GORE BLVD	None	LAWTON	OK	73505	6332	00	None	34.60892764	-98.4361565	Comanche County
88577	Fee-for-Service	1235127515	1235127515	1	1	VERA TAPIA, EDGARD M MD	10/22/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	79177	45	Nephrology (Renal-Kidney)	0	In state provider	None	12675 HESPERIA RD	None	VICTORVILLE	CA	92395	5878	36	06071	34.48143043	-117.2906246	San Bernardino County
88579	Fee-for-Service	1295847598	1295847598	1	1	VICTORY CARE MEDICAL	2/14/2007	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	SUPPLY INC	6342 COLDWATER CANYON AV	None	NORTH HOLLYWOOD	CA	91606	2911	19	06037	34.186149	-118.4137745	Los Angeles County
88640	Fee-for-Service	1306868328	1306868328	1	1	VECCHIONE, RANDAL J MD	7/1/1983	No Taxonomy Provided	NA	None	026	PHYSICIANS	34154	46	Hand Surgery	0	In state provider	None	2542 2ND AVE	None	SAN DIEGO	CA	92103	6537	37	06073	32.731974	-117.1630585	San Diego County
88666	Fee-for-Service	1437834603	1437834603	1	1	VILLASIS JR, NAPOLEON E CNP	3/7/2025	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
88668	Fee-for-Service	1518910355	1518910355	1	1	VIELA, MINDAUGAS MD	4/9/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	55955	05	Anesthesiology	0	In state provider	None	1812 VERDUGO BLVD	None	GLENDALE	CA	91208	1407	19	06037	34.20560177	-118.216054	Los Angeles County
88690	Fee-for-Service	1306102520	1306102520	1	1	VOLPE, KATHERINE A MD	2/19/2021	2088F0040X	NA	Other	026	PHYSICIANS	147847	None	None	0	In state provider	None	1441 CONSTITUTION BLVD	None	SALINAS	CA	93906	3100	27	06053	36.696987	-121.633164	Monterey County
88725	Fee-for-Service	1497245047	1497245047	1	1	VANAM, SAI P MD	7/14/2021	208M00000X	NA	Other	026	PHYSICIANS	164141	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
88727	Fee-for-Service	1407267826	1407267826	1	1	VARMA, ROSS MD	10/16/2023	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	184766	None	None	0	In state provider	None	38600 MEDICAL CENTER DR	None	PALMDALE	CA	93351	4483	19	06037	34.58364037	-118.1441012	Los Angeles County
88768	Fee-for-Service	1790935740	1790935740	1	1	VARGAS, LIZBETH	12/27/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2275 S. MAIN ST.	SUITE 201	CORONA	CA	92882	5303	33	06065	33.85511663	-117.5694892	Riverside County
88814	Fee-for-Service	1336511849	1336511849	1	1	VIAVANT, MAYA MD	10/17/2024	207RP1001X	NA	Pulmonology	026	PHYSICIANS	173252	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
88863	Fee-for-Service	1235127515	1235127515	1	1	VERA TAPIA, EDGARD M MD	10/22/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	79177	41	Internal Medicine	0	In state provider	None	12675 HESPERIA RD	None	VICTORVILLE	CA	92395	5878	36	06071	34.48143043	-117.2906246	San Bernardino County
88959	Fee-for-Service	1669557310	1669557310	1	1	VANHORNE, ANN M DO	7/1/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	40	Pediatrics	2	Out of state provider	None	13199 E MONTVIEW BLVD	None	AURORA	CO	80045	7201	00	None	39.748041	-104.834673	Adams County
88998	Fee-for-Service	1578586004	1578586004	1	1	VINCENT, NEDRA A MD	10/31/1988	207P00000X	NA	Other	026	PHYSICIANS	55889	66	Emergency Medicine (Urgent Care)	0	In state provider	None	999 SAN BERNARDINO RD	None	UPLAND	CA	91786	4920	36	06071	34.1010559	-117.6369445	San Bernardino County
89014	Fee-for-Service	1932308970	1932308970	1	1	VICARY, CHRISTINE M MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	350 N WILMOT	None	TUCSON	AZ	85711	2602	00	None	32.227209	-110.8556595	Pima County
89101	Fee-for-Service	1336511849	1336511849	1	1	VIAVANT, MAYA MD	10/17/2024	207RP1001X	NA	Pulmonology	026	PHYSICIANS	173252	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
89114	Fee-for-Service	1265510333	1265510333	1	1	VIJ, PANKAJ K MD	1/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	77015	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
89223	Fee-for-Service	1689862575	1689862575	1	1	VALLOTA, ENRIQUE H MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	32287	08	Family Practice	0	In state provider	None	1636 W 8TH ST	STE 101	LOS ANGELES	CA	90017	2121	19	06037	34.05270628	-118.2730531	Los Angeles County
89268	Fee-for-Service	1144389974	1144389974	1	1	VISS-SCHURAWEL, VERA T LMFT	10/24/2018	1041C0700X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	5855 E NAPLES PLZ	STE 301	LONG BEACH	CA	90803	5091	19	06037	33.75591002	-118.119711	Los Angeles County
89297	Fee-for-Service	1942430004	1942430004	1	1	VANKIRK, CHRISTINA S. MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	372 S 9TH ST	None	DAVID CITY	NE	68632	2116	00	None	41.2468008	-97.12300313	Butler County
89368	Fee-for-Service	1487066502	1487066502	1	1	VERTEX HOSPICE CARE, INC.	1/26/2019	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	28436 CONSTELLATION RD	SUITE 100	SANTA CLARITA	CA	91355	5081	19	06037	34.45366635	-118.5775631	Los Angeles County
89390	Fee-for-Service	1134144595	1134144595	1	1	VU, BACH LAN LINDA MD	6/13/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	71033	18	Ophthalmology	0	In state provider	EYE ZONE MEDICAL INC	848 E GARVEY AVE	STE B	MONTEREY PARK	CA	91755	3064	19	06037	34.06247991	-118.1103709	Los Angeles County
89409	Fee-for-Service	1326640707	1326640707	1	1	VALLEY VILLAGE CARE CENTER	3/1/2021	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	LLC	13000 VICTORY BLVD	None	NORTH HOLLYWOOD	CA	91606	2926	19	06037	34.18665348	-118.416456	Los Angeles County
89510	Fee-for-Service	1689862575	1689862575	1	1	VALLOTA, ENRIQUE H MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	32287	40	Pediatrics	0	In state provider	None	1636 W 8TH ST	STE 101	LOS ANGELES	CA	90017	2121	19	06037	34.05270628	-118.2730531	Los Angeles County
89646	Fee-for-Service	1659934214	1659934214	1	1	VAPNIK, JOSHUA S MD	10/2/2023	208M00000X	NA	Other	026	PHYSICIANS	187455	None	None	0	In state provider	None	15107 VANOWEN STREET	None	VAN NUYS	CA	91405	4542	19	06037	34.19395645	-118.463265	Los Angeles County
89655	Fee-for-Service	1487066502	1487066502	1	1	VERTEX HOSPICE CARE, INC.	10/15/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	28436 CONSTELLATION RD	SUITE 100	SANTA CLARITA	CA	91355	5081	19	06037	34.45366635	-118.5775631	Los Angeles County
89753	Fee-for-Service	1710284427	1710284427	1	1	VU, HOA MD INC	3/29/2011	207RN0300X	NA	Nephrology	026	PHYSICIANS	62459	45	Nephrology (Renal-Kidney)	0	In state provider	None	7223 CHURCH STREET	SUITE A20	HIGHLAND	CA	92346	5869	36	06071	34.122888	-117.1737945	San Bernardino County
89792	Fee-for-Service	1033129614	1033129614	1	1	VELEK, RACHEL F MD	10/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	74670	40	Pediatrics	0	In state provider	None	975 SERENO DR	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
89885	Fee-for-Service	1871354035	1871354035	1	1	VALLEY CENTRAL TRANSPORTATIO	1/31/2024	343900000X	NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	N CORP.	3126 FOGARTY LN	None	STOCKTON	CA	95212	9359	39	06077	38.04769502	-121.2750712	San Joaquin County
89943	Fee-for-Service	1487066502	1487066502	1	1	VERTEX HOSPICE CARE, INC.	10/15/2019	251G00000X	NA	Other	034	MEDICARE CROSSOVER PROVIDER ONLY	-	-	NOT APPLICABLE	0	In state provider	None	28436 CONSTELLATION RD	SUITE 100	SANTA CLARITA	CA	91355	5081	19	06037	34.45366635	-118.5775631	Los Angeles County
89948	Fee-for-Service	1760542450	1760542450	1	1	VARAMINI, NADEREH MD	1/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	70876	40	Pediatrics	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
90016	Fee-for-Service	1861768202	1861768202	1	1	VARDANYAN, MARINA MD	8/1/2017	207L00000X	NA	Other	026	PHYSICIANS	149601	05	Anesthesiology	0	In state provider	None	BUENA VISTA & ALAMEDA ST	None	BURBANK	CA	91505	4809	19	06037	34.158213	-118.328112	Los Angeles County
90093	Fee-for-Service	1225334097	1225334097	1	1	VAZIRIAN, MOHSEN MD	12/22/2022	2084P0800X	NA	Psychiatry	026	PHYSICIANS	155693	None	None	0	In state provider	None	1441 CONSTITUTION BLVD	None	SALINAS	CA	93906	3100	27	06053	36.696987	-121.633164	Monterey County
90153	Fee-for-Service	1669674966	1669674966	1	1	VAN MEINES, NIAMH I NP	4/25/2022	363LA2200X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1200 B GALE WILSON BLVD	None	FAIRFIELD	CA	94533	3552	48	06095	38.26109552	-122.0470245	Solano County
90158	Fee-for-Service	1982763686	1982763686	1	1	VELASCO, ABNER F OD	5/27/2014	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	27350 IRIS AVE	MOB 1	MORENO VALLEY	CA	92555	4802	33	06065	33.897402	-117.1860255	Riverside County
90227	Fee-for-Service	1083717607	1083717607	2	1	VALPONI & WAGNER PHYSICAL	1/1/2019	261QP2000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	THERAPY INC	1430 ESPLANADE	STE 8	CHICO	CA	95926	3366	04	06007	39.74156774	-121.8480966	Butte County
90271	Fee-for-Service	1497856512	1497856512	1	1	VON PINNON, PAMELA	1/1/1979	No Taxonomy Provided	NA	None	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	1275 LINCOLN AVE	STE 6B	SAN JOSE	CA	95125	3007	43	06085	37.30538617	-121.8989098	Santa Clara County
90276	Fee-for-Service	1033466230	1033466230	1	1	VAPOREAN-BUSSEY, EBONY C LMF	1/20/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	T	9455 CLAIREMONT MESA BLV	None	SAN DIEGO	CA	92123	1297	37	06073	32.83133206	-117.1252363	San Diego County
90298	Fee-for-Service	1376733881	1376733881	1	1	VALLEJO, SHARIECE M DO	8/24/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	10529	08	Family Practice	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
90323	Fee-for-Service	1760067961	1760067961	1	1	VALINE COURT SENIOR CARE INC	3/30/2021	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	966 43RD AVENUE	None	SACRAMENTO	CA	95831	1313	34	06067	38.5155	-121.523499	Sacramento County
90328	Fee-for-Service	1598744856	1598744856	1	9	VHS SAN ANTONIO PARTNERS LLC	11/4/2017	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	8811 VILLAGE DRIVE	None	SAN ANTONIO	TX	78217	5415	00	None	29.52050008	-98.42777396	Bexar County
90357	Fee-for-Service	1619492436	1619492436	1	1	VILLANUEVA, NANCY K CNP	11/8/2022	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	3327 ROSECRANS ST	None	SAN DIEGO	CA	92110	4223	37	06073	32.74779742	-117.2076448	San Diego County
90373	Fee-for-Service	1588106041	1588106041	1	1	VISHNEVSKY, RICHARD G LMFT	9/10/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3333 SKY PARK DR	STE 220	TORRANCE	CA	90505	5023	19	06037	33.81036565	-118.3466218	Los Angeles County
90382	Fee-for-Service	1184717167	1184717167	1	2	VITREO-RETINAL MEDICAL GROUP	11/14/2022	207W00000X	NA	Ophthalmology	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	None	2460 BEACON STREET	None	CHICO	CA	95928	9224	04	06007	39.72949641	-121.7890685	Butte County
90420	Fee-for-Service	1205923224	1205923224	1	1	VALDEZ, MICHAEL S MD	11/9/2015	No Taxonomy Provided	NA	None	086	MEDICAL DIRECTORS	79406	-	NOT APPLICABLE	0	In state provider	None	600 3RD STREET	SUITE C	LAKE ELSINORE	CA	92530	2748	33	06065	33.68739553	-117.336692	Riverside County
90609	Fee-for-Service	1124189576	1124189576	1	1	VELASCO, PENELOPE MD	4/18/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	74761	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
90615	Fee-for-Service	1598744856	1598744856	1	9	VHS SAN ANTONIO PARTNERS LLC	11/4/2017	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	8811 VILLAGE DRIVE	None	SAN ANTONIO	TX	78217	5415	00	None	29.52050008	-98.42777396	Bexar County
90652	Fee-for-Service	1952608580	1952608580	1	1	VANE, JACKSON MD	1/19/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	120394	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
90691	Fee-for-Service	1356598825	1356598825	1	4	VALLEY CARE MEDICAL	1/13/2009	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	FOUNDATION INC	5575 W LAS POSITAS	SUITE 130	PLEASANTON	CA	94588	5802	01	06001	37.69214859	-121.8796532	Alameda County
90722	Fee-for-Service	1558405134	1558405134	1	1	VITAS HEALTHCARE CORPORATION	11/12/2004	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	2710 GATEWAY OAKS DRIVE	SUITE 100 SOUTH	SACRAMENTO	CA	95833	4306	34	06067	38.61612	-121.5161055	Sacramento County
90730	Fee-for-Service	1245490499	1245490499	1	1	VON TROSCHKE, ANDREA V LMFT	10/22/2019	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	11911 SAN VICENTE BLVD	280	LOS ANGELES	CA	90049	6611	19	06037	34.05286226	-118.4701315	Los Angeles County
90775	Fee-for-Service	1821296211	1821296211	1	1	VILLAFLOR, CHRISTIAN J MD	8/31/2010	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
90800	Fee-for-Service	1699027037	1699027037	1	1	VARUN CHAKRAVORTY	5/21/2020	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	16601 N 40TH ST	STE 204	PHOENIX	AZ	85032	3356	00	None	33.637356	-111.995514	Maricopa County
90847	Fee-for-Service	1508808387	1508808387	1	1	VALENTINE, CARLA C MD	5/12/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	77013	66	Emergency Medicine (Urgent Care)	0	In state provider	None	351 S PATTERSON AVE	None	SANTA BARBARA	CA	93111	2403	42	06083	34.43295562	-119.8098287	Santa Barbara County
90861	Fee-for-Service	1780761965	1780761965	1	1	VAN, HOHAI T MD	4/4/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	76001	41	Internal Medicine	0	In state provider	None	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
90904	Fee-for-Service	1700125739	1700125739	1	1	VERHEUL, MARGARET A PT	9/26/2019	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	401 W LACEY BLVD	None	HANFORD	CA	93230	4437	16	06031	36.32798351	-119.6511508	Kings County
90959	Fee-for-Service	1356598825	1356598825	1	2	VALLEY CARE MEDICAL	1/13/2009	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	FOUNDATION INC	1133 E STANLEY	SUITE 101	LIVERMORE	CA	94550	4270	01	06001	37.67914693	-121.7810206	Alameda County
90975	Fee-for-Service	1356598825	1356598825	1	4	VALLEY CARE MEDICAL	1/13/2009	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	FOUNDATION INC	5575 W LAS POSITAS	SUITE 130	PLEASANTON	CA	94588	5802	01	06001	37.69214859	-121.8796532	Alameda County
91001	Fee-for-Service	1154594562	1154594562	1	1	VALLERA, CRISTIANNA MD	6/25/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	95379	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
91012	Fee-for-Service	1558405134	1558405134	1	1	VITAS HEALTHCARE CORPORATION	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	2710 GATEWAY OAKS DRIVE	SUITE 100 SOUTH	SACRAMENTO	CA	95833	4306	34	06067	38.61612	-121.5161055	Sacramento County
91044	Fee-for-Service	1285821108	1285821108	1	2	VALENTINE, DEBRA L LMFT	3/10/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	5871 PINE AVE	SUITE 230	CHINO HILLS	CA	91709	6545	36	06071	33.94767013	-117.6754339	San Bernardino County
91110	Fee-for-Service	1356661235	1356661235	1	1	VO, BAOTRAN N MD	7/1/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	119053	08	Family Practice	0	In state provider	None	101 THE CITY DRIVE SOUTH	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
91139	Fee-for-Service	1083878078	1083878078	1	1	VENKATACHALAM, SUKANYA P MD	9/19/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	112695	36	Psychiatry	0	In state provider	None	2081 ARENA BLVD	STE 160	SACRAMENTO	CA	95834	2309	34	06067	38.647737	-121.510467	Sacramento County
91152	Fee-for-Service	1750529418	1750529418	1	1	VALLEYS BEST HOME HEALTH INC	4/25/2016	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	130 COOK AVE	SUITE 105	PASADENA	CA	91107	3390	19	06037	34.14844073	-118.0997605	Los Angeles County
91160	Fee-for-Service	1518694173	1518694173	1	1	VP ANESTHESIA PARTNERS INC	8/8/2023	207L00000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	15107 VANOWEN ST	None	VAN NUYS	CA	91405	4542	19	06037	34.19395645	-118.463265	Los Angeles County
91162	Fee-for-Service	1225215155	1225215155	1	1	VANDER KOOI, DOUGLAS C MD	9/15/2021	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	171575	None	None	0	In state provider	None	1125 E SPRUCE AVE	STE #103	FRESNO	CA	93720	3385	10	06019	36.839817	-119.7616905	Fresno County
91237	Fee-for-Service	1770548596	1770548596	1	1	VU, KHAI T	12/5/2009	207RH0003X	NA	Oncology	026	PHYSICIANS	68534	None	None	0	In state provider	None	11190 WARNER AVE	STE 401	FOUNTAIN VALLEY	CA	92708	4054	30	06059	33.714	-117.9333585	Orange County
91263	Fee-for-Service	1356598825	1356598825	1	4	VALLEY CARE MEDICAL	1/13/2009	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	29	Pulmonary Diseases (M.D. only)	0	In state provider	FOUNDATION INC	5575 W LAS POSITAS	SUITE 130	PLEASANTON	CA	94588	5802	01	06001	37.69214859	-121.8796532	Alameda County
91308	Fee-for-Service	1699094409	1699094409	1	1	VENTANA ANESTHESIA	6/21/2010	207L00000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	ASSOCIATES INC	23625 WR HOLMAN HIGHWAY	None	MONTEREY	CA	93940	5902	27	06053	36.5785911	-121.9150013	Monterey County
91326	Fee-for-Service	1912604083	1912604083	1	1	VARGHESE, ROSHAN PT	11/15/2023	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	425 DIAMOND DR.,	101	LAKE ELSINORE	CA	92530	0000	33	06065	33.65802263	-117.3002985	Riverside County
91375	Fee-for-Service	1962949446	1962949446	1	1	VAN DYKE, CORINNE M CCC-SLP	9/10/2021	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	99 MONTECILLO RD	None	SAN RAFAEL	CA	94903	3308	21	06041	38.00450116	-122.5540001	Marin County
91379	Fee-for-Service	1033365911	1033365911	1	1	VILLASENOR, ESTELA	3/24/2025	No Taxonomy Provided	NA	None	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	8958 CORBIN AVE	None	NORTHRIDGE	CA	91324	3311	19	06037	34.23337673	-118.5622875	Los Angeles County
91404	Fee-for-Service	1003948340	1003948340	1	1	VALLEY NEPHROLOGY ASSOC	12/7/2004	207RN0300X	NA	Nephrology	022	PHYSICIANS GROUP	-	45	Nephrology (Renal-Kidney)	0	In state provider	A MED CORPORATION	608 E ORANGEBURG AVE	None	MODESTO	CA	95350	5513	50	06099	37.66359354	-120.985569	Stanislaus County
91430	Fee-for-Service	1649334822	1649334822	1	1	VICKI S. KNIGHT, M.D	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	2800 E AJO WAY	SOUTH CAMPUS	TUCSON	AZ	85713	0000	00	None	32.175801	-110.9306925	Pima County
91448	Fee-for-Service	1518694173	1518694173	1	1	VP ANESTHESIA PARTNERS INC	9/1/2022	207L00000X	NA	Other	022	PHYSICIANS GROUP	-	05	Anesthesiology	0	In state provider	None	15107 VANOWEN ST	None	VAN NUYS	CA	91405	4542	19	06037	34.19395645	-118.463265	Los Angeles County
91521	Fee-for-Service	1396703179	1396703179	1	1	VALLEY RADIOLOGY MEDICAL	3/31/1997	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	ASSOCIATES	123 DISALVO AVE	STE A	SAN JOSE	CA	95128	1717	43	06085	37.32628785	-121.9371289	Santa Clara County
91582	Fee-for-Service	1396700852	1396700852	1	1	VAHDAT, NOUSHIN MD	9/19/2022	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	54356	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
91603	Fee-for-Service	1104457480	1104457480	1	1	VALHALLA HOSPICE LLC	9/11/2023	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	301 W BASTANCHURY RD	SUITE 100	FULLERTON	CA	92835	3427	30	06059	33.89397383	-117.9316737	Orange County
91629	Fee-for-Service	1023126505	1023126505	1	1	VALLE, CEASAR A MD	2/11/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	68619	40	Pediatrics	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
91717	Fee-for-Service	1851903587	1851903587	1	1	VEECARE HOSPICE CARE INC	10/1/2021	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	5236 COLODNY DRIVE	SUITE 206D	AGOURA HILLS	CA	91303	4913	19	06037	34.14403336	-118.742661	Los Angeles County
91765	Fee-for-Service	1336715176	1336715176	1	1	VALERIOTE, JONATHON	8/27/2024	207R00000X	NA	Other	026	PHYSICIANS	191776	41	Internal Medicine	0	In state provider	None	770 MASON ST	None	VACAVILLE	CA	95688	4646	48	06095	38.35504697	-121.983852	Solano County
91785	Fee-for-Service	1366507212	1366507212	1	1	VIPUL, FAIZA OD	4/18/2020	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1799 FOURTH ST	E	BERKELEY	CA	94710	1741	01	06001	37.87050809	-122.3007764	Alameda County
91847	Fee-for-Service	1669418513	1669418513	1	4	VENICE FAMILY CLINIC	6/8/2023	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1091 SOUTH LA BREA AVE	None	INGLEWOOD	CA	90301	3817	19	06037	33.94926	-118.3527675	Los Angeles County
91883	Fee-for-Service	1811251465	1811251465	1	1	VANDERWEIL, STEFAN MD	10/18/2018	207N00000X	NA	Dermatology	026	PHYSICIANS	155714	07	Dermatology	0	In state provider	None	3900 LAKEVILLE HWY	None	PETALUMA	CA	94954	5698	49	06097	38.2304311	-122.5827918	Sonoma County
91890	Fee-for-Service	1104457480	1104457480	1	1	VALHALLA HOSPICE LLC	9/11/2023	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	301 W BASTANCHURY RD	SUITE 100	FULLERTON	CA	92835	3427	30	06059	33.89397383	-117.9316737	Orange County
91911	Fee-for-Service	1699770719	1699770719	1	1	VALLEY DERMATOLOGIC MED	1/1/1979	207N00000X	NA	Dermatology	022	PHYSICIANS GROUP	-	07	Dermatology	0	In state provider	GROUP INC	18364 CLARK ST	None	TARZANA	CA	91356	3502	19	06037	34.16975482	-118.5331876	Los Angeles County
91913	Fee-for-Service	1629512140	1629512140	1	1	VARIANTYX INC	6/20/2023	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	2	Out of state provider	None	1671 WORCESTER RD	300	FRAMINGHAM	MA	01701	5400	00	None	42.297525	-71.4826845	Middlesex County
92004	Fee-for-Service	1851903587	1851903587	1	1	VEECARE HOSPICE CARE INC	10/1/2021	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	5236 COLODNY DRIVE	SUITE 206D	AGOURA HILLS	CA	91303	4913	19	06037	34.14403336	-118.742661	Los Angeles County
92063	Fee-for-Service	1538608716	1538608716	1	1	VERDE VALLEY MEDICAL CENTER	8/13/2022	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	-SEDONA	3700 W HIGHWAY 89A	None	SEDONA	AZ	86336	4937	00	None	34.85623146	-111.822347	Yavapai County
92071	Fee-for-Service	1104936293	1104936293	1	1	VALENTINE, JAMES C MD	12/27/2007	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	101089	08	Family Practice	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
92134	Fee-for-Service	1669418513	1669418513	1	4	VENICE FAMILY CLINIC	11/1/2021	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1091 SOUTH LA BREA AVE	None	INGLEWOOD	CA	90301	3817	19	06037	33.94926	-118.3527675	Los Angeles County
92214	Fee-for-Service	1467995498	1467995498	1	1	VASKO, ROBERT MD	6/17/2019	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	154006	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
92217	Fee-for-Service	1417158221	1417158221	1	1	VALLEY FAMILY HEALTH CTR	3/10/1992	261QP2300X	NA	Other	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	MATERNAL & CHILD CARE	337 E KINGS ST	None	AVENAL	CA	93204	1630	16	06031	36.00253508	-120.1335979	Kings County
92267	Fee-for-Service	1649363375	1649363375	1	1	VISTA COMM CLINIC-WEST	2/1/1996	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	818 PIER VIEW WAY	None	OCEANSIDE	CA	92054	2803	37	06073	33.19841599	-117.3774812	San Diego County
92349	Fee-for-Service	1538608716	1538608716	1	1	VERDE VALLEY MEDICAL CENTER	8/13/2022	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	-SEDONA	3700 W HIGHWAY 89A	None	SEDONA	AZ	86336	4937	00	None	34.85623146	-111.822347	Yavapai County
92364	Fee-for-Service	1922257831	1922257831	1	1	VO, JOSEPHINE K OD	6/16/2009	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	3133 MARCH LANE	STE 2020	STOCKTON	CA	95219	2361	39	06077	37.98412533	-121.3519903	San Joaquin County
92423	Fee-for-Service	1669418513	1669418513	1	4	VENICE FAMILY CLINIC	11/1/2021	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1091 SOUTH LA BREA AVE	None	INGLEWOOD	CA	90301	3817	19	06037	33.94926	-118.3527675	Los Angeles County
92430	Fee-for-Service	1780779736	1780779736	1	2	VALLEY ORTHOPEDIC ASSOCIATES	1/13/2025	213ES0103X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	MEDICAL GROUP	627 E. FOOTHILL BLVD	None	SAN DIMAS	CA	91773	1208	19	06037	34.12276912	-117.7952106	Los Angeles County
92455	Fee-for-Service	1982029260	1982029260	1	1	VILLAUME, LAILA	9/26/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	614 GRAND AVE	SUITE 203	OAKLAND	CA	94610	3554	01	06001	37.80970653	-122.2493811	Alameda County
92502	Fee-for-Service	1417158221	1417158221	1	1	VALLEY FAMILY HEALTH CTR	3/10/1992	261QP2300X	NA	Other	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	MATERNAL & CHILD CARE	337 E KINGS ST	None	AVENAL	CA	93204	1630	16	06031	36.00253508	-120.1335979	Kings County
92553	Fee-for-Service	1649363375	1649363375	1	1	VISTA COMM CLINIC-WEST	2/1/1996	261QF0400X	NA	Federally Qualified Health Center	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	818 PIER VIEW WAY	None	OCEANSIDE	CA	92054	2803	37	06073	33.19841599	-117.3774812	San Diego County
92564	Fee-for-Service	1861854846	1861854846	1	1	VAZQUEZ, BERENICE E NP	10/10/2017	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
92617	Fee-for-Service	1407843345	1407843345	1	1	VALLEY OAK PEDIATRIC	5/25/2005	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	ASSOCIATES MEDICAL CORP	4120 PRESCOTT RD	None	MODESTO	CA	95356	8418	50	06099	37.69891977	-121.0317078	Stanislaus County
92619	Fee-for-Service	1720465446	1720465446	1	1	VYAS, SHRILAKSHMI V MD	6/17/2020	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	147101	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
92662	Fee-for-Service	1609897222	1609897222	1	1	VISTA PACIFICA	7/1/1988	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	ENTERPRISES INC	3662 PACIFIC AVE	None	RIVERSIDE	CA	92509	1923	33	06065	34.00581017	-117.4203585	Riverside County
92686	Fee-for-Service	1477537363	1477537363	1	1	VHS OF PHOENIX INC	8/14/2016	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	2000 W BETHANY HOME RD	None	PHOENIX	AZ	85015	2443	00	None	33.525405	-112.102461	Maricopa County
92717	Fee-for-Service	1780779736	1780779736	1	2	VALLEY ORTHOPEDIC ASSOCIATES	1/13/2025	207XX0005X	NA	Orthopedic Surgery	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	MEDICAL GROUP	627 E. FOOTHILL BLVD	None	SAN DIMAS	CA	91773	1208	19	06037	34.12276912	-117.7952106	Los Angeles County
92725	Fee-for-Service	1497953244	1497953244	1	1	VON TRAMPE, CARL F MD	7/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	78197	66	Emergency Medicine (Urgent Care)	0	In state provider	None	PUEBLO AT BATH	None	SANTA BARBARA	CA	93105	0000	42	06083	34.430526	-119.72196	Santa Barbara County
92758	Fee-for-Service	1407843345	1407843345	1	2	VALLEY OAK PEDIATRIC	8/28/2015	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	ASSOCIATES MEDICAL CORP	1425 W H STREET	SUITE 330	OAKDALE	CA	95361	3588	50	06099	37.75771796	-120.8627767	Stanislaus County
92768	Fee-for-Service	1902957756	1902957756	1	1	VALLEY VILLAGE	12/1/1993	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	10141 VARIEL AVE	None	CHATSWORTH	CA	91311	3051	19	06037	34.25489268	-118.5929914	Los Angeles County
92842	Fee-for-Service	1649363375	1649363375	1	1	VISTA COMM CLINIC-WEST	2/1/1996	261QF0400X	NA	Federally Qualified Health Center	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	818 PIER VIEW WAY	None	OCEANSIDE	CA	92054	2803	37	06073	33.19841599	-117.3774812	San Diego County
92863	Fee-for-Service	1548484124	1548484124	2	1	VALLEY WOMENS INSTITUTE	1/9/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	37895	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	18370 BURBANK BLVD	STE 309	TARZANA	CA	91356	2849	19	06037	34.17173059	-118.5331881	Los Angeles County
92903	Fee-for-Service	1245944081	1245944081	1	1	VILLARREAL MALDONADO, PATRIC	7/1/2024	174N00000X	NA	Other	106	DOULA INDIVIDUAL PROVIDER	-	-	NOT APPLICABLE	0	In state provider	Addresses not published for Doula Providers	N/A	N/A	N/A	N/A	N/A	N/A	36	06071	0	0	None
92905	Fee-for-Service	1699196238	1699196238	1	1	VOGLER, KATHERINE NP	1/21/2021	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
92938	Fee-for-Service	1184145666	1184145666	1	1	VARGAS, ANGELA W CNM	6/1/2023	367A00000X	NA	Certified Nurse Midwife	005	CERTIFIED NURSE MIDWIFE	-	None	None	0	In state provider	None	905 MAPLE ST	None	REDWOOD CITY	CA	94063	0000	41	06081	37.48767797	-122.223049	San Mateo County
92972	Fee-for-Service	1477537363	1477537363	1	1	VHS OF PHOENIX INC	8/14/2016	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	2000 W BETHANY HOME RD	None	PHOENIX	AZ	85015	2443	00	None	33.525405	-112.102461	Maricopa County
92987	Fee-for-Service	1467789792	1467789792	1	1	VALDERRAMOS, STEPHANIE L MD	9/3/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	115281	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
93132	Fee-for-Service	1649363375	1649363375	1	1	VISTA COMM CLINIC-WEST	1/2/1997	261QF0400X	NA	Federally Qualified Health Center	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	818 PIER VIEW WAY	None	OCEANSIDE	CA	92054	2803	37	06073	33.19841599	-117.3774812	San Diego County
93172	Fee-for-Service	1962504233	1962504233	1	1	VANDUIVENBODE, LAURIE A AU	1/26/2021	231H00000X	NA	Other	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	2054 W AVENUE K	None	LANCASTER	CA	93536	5216	19	06037	34.6749447	-118.16784	Los Angeles County
93243	Fee-for-Service	1497998660	1497998660	1	1	VANESSA KIZZIER-CARNAHAN	12/22/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	3333 RIVERBEND DR	None	SPRINGFIELD	OR	97477	8800	00	None	44.08199228	-123.0283538	Lane County
93246	Fee-for-Service	1033790605	1033790605	1	1	VENTUS HOME HEALTH CARE INC	10/9/2023	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	3000 EL CAMINO REAL	BLDG 4 STE 249	PALO ALTO	CA	94306	2100	43	06085	37.420857	-122.1413355	Santa Clara County
93300	Fee-for-Service	1154685758	1154685758	1	1	VARTANIANS, VARTAN M MD	2/23/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	60837	30	Radiology	0	In state provider	None	8700 BEVERLY BLVD	SUITE M-335	WEST HOLLYWOOD	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
93308	Fee-for-Service	1437820313	1437820313	1	1	VOGT, ALEXANDRA PT	7/26/2022	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1635 DIVISADERO ST	None	SAN FRANCISCO	CA	94115	3036	38	06075	37.78487142	-122.4398095	San Francisco County
93395	Fee-for-Service	1972251924	1972251924	1	1	VLAHOS, CASSANDRA L LMFT	8/9/2024	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	147364	-	NOT APPLICABLE	0	In state provider	None	20301 FLANAGAN ROAD	20331 & 20371	TRABUCO CANYON	CA	92679	0975	30	06059	33.66754509	-117.5843188	Orange County
93520	Fee-for-Service	1700323482	1700323482	1	1	VACHHANI, AVANI K MD	6/17/2022	2080N0001X	NA	Pediatric Primary Care	026	PHYSICIANS	155896	None	None	0	In state provider	None	1201 W LA VETA AVE	None	ORANGE	CA	92868	4203	30	06059	33.78034779	-117.8655767	Orange County
93559	Fee-for-Service	1053667261	1053667261	1	1	VERT SAN FERNANDO VALLEY INC	3/28/2014	193400000X	NA	Other	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	18420 HART STREET	None	RESEDA	CA	91335	4317	19	06037	34.19745251	-118.534095	Los Angeles County
93617	Fee-for-Service	1073032504	1073032504	1	1	VANDROSS, JULIA K CNP	7/14/2021	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
93659	Fee-for-Service	1275703076	1275703076	1	1	VIRK, NAVNEET MD	4/2/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	102063	68	Hematology	0	In state provider	None	6555 COYLE AVE	SUITE 301	CARMICHAEL	CA	95608	0303	34	06067	38.66859	-121.3118055	Sacramento County
93669	Fee-for-Service	1093804767	1093804767	1	1	VERMA, JINNU A MD	6/17/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	79306	41	Internal Medicine	0	In state provider	None	435 H ST	None	CHULA VISTA	CA	91910	4307	37	06073	32.63282707	-117.0829101	San Diego County
93675	Fee-for-Service	1225685613	1225685613	1	1	VERO DIAGNOSTICS	1/1/2021	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	2	Out of state provider	None	3216 S ALSTON AVE	None	DURHAM	NC	27713	1514	00	None	35.940807	-78.883848	Durham County
93925	Fee-for-Service	1972769792	1972769792	1	1	VASA, MITEN MD	7/28/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	104911	41	Internal Medicine	0	In state provider	None	3701 BROADWAY	None	OAKLAND	CA	94611	5613	01	06001	37.82533768	-122.258094	Alameda County
93929	Fee-for-Service	1093337438	1093337438	1	1	VANDEVEGTE, LISA OT	12/26/2023	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	9455 CLAIREMONT MESA BLV	None	SAN DIEGO	CA	92123	1297	37	06073	32.83133206	-117.1252363	San Diego County
93961	Fee-for-Service	1932594793	1932594793	1	1	VARGAS, ANDREW MD	6/11/2019	390200000X	NA	Other	026	PHYSICIANS	149015	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
93978	Fee-for-Service	1427069293	1427069293	1	1	VALERIE ROSENTHAL MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	4401 MASTHEAD ST NE	STE 120	ALBUQUERQUE	NM	87109	4497	00	None	35.16611204	-106.5950398	Bernalillo County
94106	Fee-for-Service	1326377367	1326377367	1	1	VASSANTACHART, BETHANEE V	10/31/2014	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	2295 S VINEYARD	BLDG A	ONTARIO	CA	91761	7925	36	06071	34.031889	-117.608112	San Bernardino County
94165	Fee-for-Service	1720531726	1720531726	1	1	VIRK, INDERPREET S MD	2/25/2022	2084P0800X	NA	Psychiatry	026	PHYSICIANS	161644	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
94203	Fee-for-Service	1457700528	1457700528	1	1	VIVIAN HOME HEALTH INC	10/25/2018	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	818 N MOUNTAIN AVE	SUITE 205	UPLAND	CA	91786	4165	36	06071	34.10424442	-117.6701797	San Bernardino County
94234	Fee-for-Service	1194740431	1194740431	1	1	VANG, NHIA K MD	9/6/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	91834	08	Family Practice	0	In state provider	None	830 SCENIC DR	None	MODESTO	CA	95350	6131	50	06099	37.64720049	-120.982338	Stanislaus County
94237	Fee-for-Service	1285128041	1285128041	1	1	VITUITY - NEVADA KOURY & PAR	7/21/2022	207P00000X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	1	Border provider	TNERS PLLC	8280 W WARM SPRINGS RD	None	LAS VEGAS	NV	89113	3612	00	None	36.057384	-115.2721395	Clark County
94282	Fee-for-Service	1356598825	1356598825	1	10	VALLEY CARE MEDICAL	4/22/2009	193200000X	NA	Other	022	PHYSICIANS GROUP	-	04	Otology, Laryngology, Rhinology	0	In state provider	None	5725 W LAS POSITAS BLVD	STE 210	PLEASANTON	CA	94588	4000	01	06001	37.688107	-121.8861427	Alameda County
94303	Fee-for-Service	1679005219	1679005219	1	1	VAHEDI, SINA MD	7/7/2023	207W00000X	NA	Ophthalmology	026	PHYSICIANS	186884	18	Ophthalmology	0	In state provider	None	4860 Y ST	None	SACRAMENTO	CA	95817	2307	34	06067	38.552211	-121.449429	Sacramento County
94380	Fee-for-Service	1578560496	1578560496	1	1	VU, DANIEL T OD	2/7/2014	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1843 1/2 S LA CIENEGA BL	None	LOS ANGELES	CA	90035	4603	19	06037	34.04410366	-118.3768223	Los Angeles County
94410	Fee-for-Service	1962773523	1962773523	1	1	VERNON, JUSTEN LCSW	1/15/2025	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4110 EDISON AVE	206A	CHINO	CA	91710	8417	36	06071	33.99723746	-117.7140555	San Bernardino County
94482	Fee-for-Service	1497917579	1497917579	1	1	VELTMAN, YEVGENIY MD	2/24/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	124270	34	Urology and Urological Surgery	0	In state provider	None	401 BICENTENNIAL WY	None	SANTA ROSA	CA	95403	2149	49	06097	38.471625	-122.7259935	Sonoma County
94524	Fee-for-Service	1285128041	1285128041	1	1	VITUITY - NEVADA KOURY & PAR	10/5/2018	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	1	Border provider	TNERS PLLC	8280 W WARM SPRINGS RD	None	LAS VEGAS	NV	89113	3612	00	None	36.057384	-115.2721395	Clark County
94525	Fee-for-Service	1982709572	1982709572	1	1	VALLARINE DENTAL CORPORATION	6/29/2006	No Taxonomy Provided	NA	None	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	2828 FRESNO ST	STE 100	FRESNO	CA	93721	1327	10	06019	36.7418099	-119.7838487	Fresno County
94556	Fee-for-Service	1497724611	1497724611	1	1	VARGAS, LIZ NP	11/1/2013	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	3830 MARTIN LUTHER KING	None	LYNWOOD	CA	90262	3625	19	06037	33.92753236	-118.1975459	Los Angeles County
94562	Fee-for-Service	1932336955	1932336955	1	1	VOLKMANN, ELIZABETH R MD	10/28/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	113376	83	Rheumatology	0	In state provider	None	200 MEDICAL PLAZA	STE 365, 420, 120	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
94571	Fee-for-Service	1356598825	1356598825	1	10	VALLEY CARE MEDICAL	4/22/2009	193200000X	NA	Other	022	PHYSICIANS GROUP	-	67	Endocrinology	0	In state provider	None	5725 W LAS POSITAS BLVD	STE 210	PLEASANTON	CA	94588	4000	01	06001	37.688107	-121.8861427	Alameda County
94608	Fee-for-Service	1760509897	1760509897	1	1	VANG, CHA J MD	5/5/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	106064	41	Internal Medicine	0	In state provider	None	7300 N FRESNO STREET	None	FRESNO	CA	93720	2941	10	06019	36.84133078	-119.7824983	Fresno County
94702	Fee-for-Service	1194721738	1194721738	1	1	VEERAGANDHAM, SUMAN P MD	2/26/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	88030	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	27212 CALAROGA AVE	None	HAYWARD	CA	94545	4349	01	06001	37.63229023	-122.0896425	Alameda County
94721	Fee-for-Service	1750458519	1750458519	1	1	VILEISIS, ELIZABETH CRNA	4/5/2011	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	4867 W SUNSET BLVD	None	LOS ANGELES	CA	90027	5969	19	06037	34.0981755	-118.295055	Los Angeles County
94820	Fee-for-Service	1700346046	1700346046	1	1	VUONG, IRIS MD	6/17/2022	390200000X	NA	Other	026	PHYSICIANS	176354	None	None	0	In state provider	None	4860 Y ST	None	SACRAMENTO	CA	95817	2307	34	06067	38.552211	-121.449429	Sacramento County
94846	Fee-for-Service	1932336955	1932336955	1	1	VOLKMANN, ELIZABETH R MD	10/28/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	113376	41	Internal Medicine	0	In state provider	None	200 MEDICAL PLAZA	STE 365, 420, 120	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
94865	Fee-for-Service	1568617108	1568617108	1	1	VIETS, RYAN B MD	8/19/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	125809	30	Radiology	0	In state provider	None	5555 GROSSMONT CENTER DR	None	LA MESA	CA	91942	3019	37	06073	32.781483	-117.007182	San Diego County
95056	Fee-for-Service	1073884045	1073884045	1	1	VITREO RETINAL MEDICAL GROUP	2/10/2012	207W00000X	NA	Ophthalmology	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	INC	5 MEDICAL PLAZA DR	STE 180	ROSEVILLE	CA	95661	2867	31	06061	38.76604411	-121.2466761	Placer County
95066	Fee-for-Service	1891833125	1891833125	1	1	VISTA HILL FOUNDATION	3/27/2014	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	4990 WILLIAMS AVE	None	LA MESA	CA	91942	7409	37	06073	32.76933362	-117.0371085	San Diego County
95105	Fee-for-Service	1841376670	1841376670	1	1	VILLARICA, JOSE D MD	1/1/1979	No Taxonomy Provided	NA	None	026	PHYSICIANS	23227	01	General Practice	0	In state provider	None	5491 CARLSON DR	None	SACRAMENTO	CA	95819	2435	34	06067	38.572749	-121.4327745	Sacramento County
95154	Fee-for-Service	1447270418	1447270418	1	1	VICTORIA, XANTHE Z MD	8/4/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	94865	08	Family Practice	0	In state provider	None	10230 ARTESIA BLVD	STE 102	BELLFLOWER	CA	90706	6768	19	06037	33.8728276	-118.1160403	Los Angeles County
95155	Fee-for-Service	1568617108	1568617108	1	1	VIETS, RYAN B MD	8/19/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	125809	13	Neurology (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
95157	Fee-for-Service	1184057879	1184057879	1	1	VUE, JUAVA	8/22/2017	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	167 W RIALTO AVE	None	CLOVIS	CA	93612	4312	10	06019	36.80305552	-119.7128745	Fresno County
95236	Fee-for-Service	1326605965	1326605965	1	1	VON WUNSCH, INA LMFT	8/25/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
95305	Fee-for-Service	1689992489	1689992489	1	1	VYAS, NEIL M MD	7/17/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	130645	18	Ophthalmology	0	In state provider	None	100 STEIN PLAZA	SUITE 1-340	LOS ANGELES	CA	90095	7065	19	06037	34.06489065	-118.4443287	Los Angeles County
95389	Fee-for-Service	1972557569	1972557569	1	1	VACAVILLE IMAGING CENTER	11/1/1998	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	MEDICAL GROUP	600 NUT TREE RD	STE 110	VACAVILLE	CA	95687	4656	48	06095	38.36133624	-121.9496789	Solano County
95391	Fee-for-Service	1841376670	1841376670	1	1	VILLARICA, JOSE D MD	1/1/1979	No Taxonomy Provided	NA	None	026	PHYSICIANS	23227	33	Thoracic Surgery	0	In state provider	None	5491 CARLSON DR	None	SACRAMENTO	CA	95819	2435	34	06067	38.572749	-121.4327745	Sacramento County
95397	Fee-for-Service	1053701839	1053701839	1	1	VILLANUEVA, DEBORAH LCSW	9/17/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
95435	Fee-for-Service	1457609802	1457609802	1	1	VASQUEZ, JASON PHD	3/21/2023	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	2810 E DEL MAR BLVD	None	PASADENA	CA	91107	4320	19	06037	34.14212984	-118.092328	Los Angeles County
95437	Fee-for-Service	1760642623	1760642623	1	1	VERGARA-LLURI, MARIA E MD	10/17/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	107424	22	Pathology (M.D. only)	0	In state provider	None	1441 EASTLAKE	None	LOS ANGELES	CA	90089	0112	19	06037	34.06169385	-118.2044698	Los Angeles County
95446	Fee-for-Service	1184057879	1184057879	1	1	VUE, JUAVA	8/22/2017	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	167 W RIALTO AVE	None	CLOVIS	CA	93612	4312	10	06019	36.80305552	-119.7128745	Fresno County
95507	Fee-for-Service	1629480272	1629480272	1	1	VALDEZ, KRYSTAL ANGELI A MD	9/25/2018	207RE0101X	NA	Endocrinology	026	PHYSICIANS	156854	67	Endocrinology	0	In state provider	None	35 CASA ST	SUITE 130	SAN LUIS OBISPO	CA	93405	1887	40	06079	35.29359615	-120.6654304	San Luis Obispo County
95594	Fee-for-Service	1942336474	1942336474	1	1	VAMVAKAS, ELEFTHERIOS C	7/25/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	50996	22	Pathology (M.D. only)	0	In state provider	MD	8700 BEVERLY BLVD	None	WEST HOLLYWOOD	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
95637	Fee-for-Service	1255627295	1255627295	1	1	VASA, PUNEETA S MD	3/30/2020	207ZP0102X	NA	Other	026	PHYSICIANS	141806	22	Pathology (M.D. only)	0	In state provider	None	795 EL CAMINO REAL	None	PALO ALTO	CA	94301	2302	43	06085	37.43920432	-122.162109	Santa Clara County
95737	Fee-for-Service	1881019701	1881019701	1	1	VAN SUNDER, TALLI PT	9/17/2018	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	581 LIGHTHOUSE AVE	None	PACIFIC GROVE	CA	93950	2646	27	06053	36.62106225	-121.9179244	Monterey County
95767	Fee-for-Service	1376778928	1376778928	1	1	VILLAR, IRENE DE AQUINO	2/8/2010	No Taxonomy Provided	NA	None	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	50 E FOOTHILL BLVD	STE 100	ARCADIA	CA	91006	2314	19	06037	34.15096965	-118.0295442	Los Angeles County
95791	Fee-for-Service	1699448969	1699448969	1	1	VO, JENNA N CNP	9/26/2022	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	17782 COWAN STE A	None	IRVINE	CA	92614	6041	30	06059	33.69590054	-117.862371	Orange County
95794	Fee-for-Service	1598909574	1598909574	1	1	VIJAYAN, TARA MD	5/30/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	107177	77	Infectious Disease	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
95828	Fee-for-Service	1376750059	1376750059	1	1	VEMIREDDY, ROOPA MD	7/23/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	120478	30	Radiology	0	In state provider	None	300 PASTEUR DRIVE	MC: 5500	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
95833	Fee-for-Service	1659561512	1659561512	1	1	VO, DUC DINH M D INC	11/1/1986	261QP2300X	NA	Other	026	PHYSICIANS	43289	01	General Practice	0	In state provider	None	2418 ULRIC ST	None	SAN DIEGO	CA	92111	6040	37	06073	32.78696964	-117.1712215	San Diego County
95896	Fee-for-Service	1225244775	1225244775	1	1	VU, COLLIN C MD	2/3/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	95382	41	Internal Medicine	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
95921	Fee-for-Service	1710972427	1710972427	1	1	VEERAGANDHAM, RAMESH S	1/2/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	51477	33	Thoracic Surgery	0	In state provider	MD	5401 NORRIS CANYON RD	STE 202	SAN RAMON	CA	94583	5406	07	06013	37.77752374	-121.9579277	Contra Costa County
96025	Fee-for-Service	1942413463	1942413463	1	1	VARSHNEY, NAKUL MD	11/30/1995	2084P0800X	NA	Psychiatry	026	PHYSICIANS	50441	None	None	0	In state provider	None	2001 DWIGHT WAY	None	BERKELEY	CA	94704	2608	01	06001	37.86379498	-122.2689084	Alameda County
96083	Fee-for-Service	1598909574	1598909574	1	1	VIJAYAN, TARA MD	5/30/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	107177	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
96197	Fee-for-Service	1134118995	1134118995	1	1	VALENZUELA, SHANNON 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	13460 N. 94TH DRIVE	SUITE L	PEORIA	AZ	85381	0000	00	None	33.60663	-112.26321	Maricopa County
96211	Fee-for-Service	1710972427	1710972427	1	1	VEERAGANDHAM, RAMESH S	1/2/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	51477	06	Cardiovascular Disease (M.D. only)	0	In state provider	MD	5401 NORRIS CANYON RD	STE 202	SAN RAMON	CA	94583	5406	07	06013	37.77752374	-121.9579277	Contra Costa County
96238	Fee-for-Service	1306073952	1306073952	1	1	VANDERBERG, SHANNON LMFT	2/13/2025	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
96314	Fee-for-Service	1942355540	1942355540	1	1	VALDES, ANN C MD	2/26/2016	No Taxonomy Provided	NA	None	086	MEDICAL DIRECTORS	63357	-	NOT APPLICABLE	0	In state provider	None	130 S FIG ST	None	ESCONDIDO	CA	92025	4401	37	06073	33.12414891	-117.072507	San Diego County
96318	Fee-for-Service	1225222557	1225222557	1	1	VEGA, DESIREE E LMFT	9/4/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	LMFT	11145 TAMPA AVE STE 15A	None	NORTHRIDGE	CA	91326	2254	19	06037	34.27373836	-118.5564202	Los Angeles County
96343	Fee-for-Service	1336752740	1336752740	1	1	VALLEY SIDE HOSPICE, INC	4/3/2023	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	14120 VICTORY BLVD	STE 102	VAN NUYS	CA	91401	1927	19	06037	34.18663554	-118.440702	Los Angeles County
96412	Fee-for-Service	1861577538	1861577538	1	1	VALOIS, KATHERINE K MD	1/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	80995	40	Pediatrics	0	In state provider	None	7300 N FRESNO ST	None	FRESNO	CA	93720	2941	10	06019	36.84133078	-119.7824983	Fresno County
96434	Fee-for-Service	1376607036	1376607036	1	1	VON DRYGALSKI, ANNETTE MD	6/3/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	100681	78	Neoplastic Diseases/Oncology	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
96468	Fee-for-Service	1295150530	1295150530	1	1	VALLOT, NATALIE L CRNA	4/12/2022	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1411 E 31ST ST	None	OAKLAND	CA	94602	1018	01	06001	37.79926205	-122.2314248	Alameda County
96516	Fee-for-Service	1144470279	1144470279	1	1	VAENE LEE, ALANYA PSYD	4/11/2023	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	3609 SACRAMENTO ST	None	SAN FRANCISCO	CA	94118	1709	38	06075	37.78748183	-122.4522257	San Francisco County
96632	Fee-for-Service	1336752740	1336752740	1	1	VALLEY SIDE HOSPICE, INC	4/3/2023	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	14120 VICTORY BLVD	STE 102	VAN NUYS	CA	91401	1927	19	06037	34.18663554	-118.440702	Los Angeles County
96647	Fee-for-Service	1629019039	1629019039	1	1	VASUDEVA, ARUN K MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	50493	41	Internal Medicine	0	In state provider	None	3605 HOSPITAL RD	STE B	ATWATER	CA	95301	5173	24	06047	37.36678073	-120.576731	Merced County
96721	Fee-for-Service	1376607036	1376607036	1	1	VON DRYGALSKI, ANNETTE MD	6/3/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	100681	68	Hematology	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
96774	Fee-for-Service	1366488975	1366488975	1	1	VONS COMPANIES, INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	3461 W 3RD ST	None	LOS ANGELES	CA	90020	1621	19	06037	34.06908046	-118.290924	Los Angeles County
96790	Fee-for-Service	1578148730	1578148730	1	1	VALERIO, ALICIA NP	9/10/2021	363LP0222X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
96887	Fee-for-Service	1801974688	1801974688	1	1	VILLA, SUSAN M MD	5/31/1993	No Taxonomy Provided	NA	None	026	PHYSICIANS	61232	41	Internal Medicine	0	In state provider	None	2417 CENTRAL AVE	None	ALAMEDA	CA	94501	4515	01	06001	37.76389996	-122.2420612	Alameda County
96933	Fee-for-Service	1851311617	1851311617	1	1	VISTA WAY OB GYN MED GRP	1/1/1979	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	3998 VISTA WAY	STE C202	OCEANSIDE	CA	92056	4518	37	06073	33.18370179	-117.292963	San Diego County
96955	Fee-for-Service	1447587290	1447587290	1	1	VENKAT, PAVITHRA MD	9/1/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	111773	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	2999 REGENT ST	STE 301	BERKELEY	CA	94705	2118	01	06001	37.85592021	-122.2566436	Alameda County
96993	Fee-for-Service	1104086131	1104086131	1	1	VARUPUTOOR, MADHAVI MD	11/7/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	105317	41	Internal Medicine	0	In state provider	None	1200 EL CAMINO REAL	None	S SAN FRANCISCO	CA	94080	3208	41	06081	37.65894608	-122.440161	San Mateo County
97024	Fee-for-Service	1407142292	1407142292	1	1	VEZERIDIS, ALEXANDER M MD	3/4/2019	No Taxonomy Provided	NA	None	026	PHYSICIANS	137288	30	Radiology	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
97182	Fee-for-Service	1740740877	1740740877	1	1	VAUGHN, ARIEL	12/11/2023	208M00000X	NA	Other	026	PHYSICIANS	20197	None	None	0	In state provider	None	14860 ROSCOE BLVD	#200	PANORAMA CITY	CA	91402	4683	19	06037	34.2214515	-118.4573205	Los Angeles County
97189	Fee-for-Service	1497834931	1497834931	1	1	VISION CARE SURGERY CTR	8/1/1992	261QA1903X	NA	Other	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	7075 N SHARON AVE	None	FRESNO	CA	93720	3329	10	06019	36.83882737	-119.7590708	Fresno County
97500	Fee-for-Service	1235183278	1235183278	1	1	VUTHOORI, SRINIVAS MD	9/17/2021	207R00000X	NA	Other	026	PHYSICIANS	54634	None	None	0	In state provider	None	604 E HOBSONWAY	None	BLYTHE	CA	92225	1739	33	06065	33.61044501	-114.5901967	Riverside County
97538	Fee-for-Service	1316973324	1316973324	1	1	VELOSO, VIRGINIA MD INC	6/21/2000	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	33637	08	Family Practice	0	In state provider	None	1510 S CENTRAL AVE	STE 140	GLENDALE	CA	91204	3857	19	06037	34.12709764	-118.2577911	Los Angeles County
97605	Fee-for-Service	1437214467	1437214467	1	1	VITAL, THOMAS S CRNA	6/2/2004	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	260 INTERNATIONAL CIR	None	SAN JOSE	CA	95119	1130	43	06085	37.24047903	-121.7998157	Santa Clara County
97625	Fee-for-Service	1518996560	1518996560	1	1	VONS COMPANIES INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	745 W NAOMI AVE	None	ARCADIA	CA	91007	7517	19	06037	34.12373262	-118.0574689	Los Angeles County
97628	Fee-for-Service	1891002044	1891002044	1	1	VASILE, CRISTIANA G MD	8/8/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	122457	18	Ophthalmology	0	In state provider	None	200 WEST ARBOR DRIVE	None	SAN DIEGO	CA	92103	1911	37	06073	32.7537975	-117.1658298	San Diego County
97650	Fee-for-Service	1386609725	1386609725	1	1	VENTURA CO RADIAT/ONCOLO	11/12/1987	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	32	Radiation Therapy (D.O. only)	0	In state provider	MED GROUP	1700 N ROSE AVE	STE 120	OXNARD	CA	93030	7631	56	06111	34.21746	-119.155545	Ventura County
97686	Fee-for-Service	1154384022	1154384022	1	1	VANCE, DONALD A MD INC	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	34997	08	Family Practice	0	In state provider	None	4201 SWEETWATER RD	None	BONITA	CA	91902	1415	37	06073	32.66530274	-117.0392789	San Diego County
97717	Fee-for-Service	1366476673	1366476673	1	1	VAN DER HAGEN, LOIS J MD	5/31/1991	No Taxonomy Provided	NA	None	026	PHYSICIANS	69026	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1150 VETERANS BLVD	None	REDWOOD CITY	CA	94063	2037	41	06081	37.48948529	-122.2232468	San Mateo County
97851	Fee-for-Service	1497243034	1497243034	1	1	VILLEGAS, NATACHA C MD	9/28/2022	207W00000X	NA	Ophthalmology	026	PHYSICIANS	163510	None	None	0	In state provider	None	9455 CLAIREMONT MESA BLV	None	SAN DIEGO	CA	92123	1297	37	06073	32.83133206	-117.1252363	San Diego County
97966	Fee-for-Service	1629522867	1629522867	1	1	VILLANUEVA, OLGA LCSW	4/3/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	18191 VON KARMAN AVE	100	IRVINE	CA	92612	7103	30	06059	33.67831005	-117.852138	Orange County
97973	Fee-for-Service	1740437920	1740437920	1	1	VITREO-RETINAL MEDICAL G	9/11/2008	207W00000X	NA	Ophthalmology	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	None	9381 E STOCKTON BLVD	STE 106	ELK GROVE	CA	95624	5069	34	06067	38.416689	-121.3915185	Sacramento County
98003	Fee-for-Service	1528083383	1528083383	1	1	VALLEY INFANT	7/31/1995	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	AND PEDIATRIC CARE MED	1359 W AVENUE J	None	LANCASTER	CA	93534	2935	19	06037	34.68945451	-118.156581	Los Angeles County
98084	Fee-for-Service	1023191285	1023191285	1	1	VAIL, LISA G MD	8/18/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	88389	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
98087	Fee-for-Service	1396703179	1396703179	1	7	VALLEY RADIOLOGY MEDICAL	7/14/2008	2471M2300X	NA	Other	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	ASSOCIATES, INC	125 CIRO AVE	STE 220	SAN JOSE	CA	95128	1671	43	06085	37.32634135	-121.9382543	Santa Clara County
98088	Fee-for-Service	1912213141	1912213141	1	1	VISHAL VASAVADA	5/18/2021	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	830 KEMPSVILLE RD	None	NORFOLK	VA	23502	3920	00	None	36.85158194	-76.19077823	Norfolk city
98129	Fee-for-Service	1386771517	1386771517	1	1	VANRIPER, MARK C	11/8/2017	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	3400 DELTA FAIR BLVD	None	ANTIOCH	CA	94509	4004	07	06013	38.00403417	-121.8422798	Contra Costa County
98131	Fee-for-Service	1417976440	1417976440	1	1	VU, LINH N MD	11/9/2019	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	155997	08	Family Practice	0	In state provider	None	7373 WEST LN	None	STOCKTON	CA	95210	3377	39	06077	38.017701	-121.297869	San Joaquin County
98202	Fee-for-Service	1225476955	1225476955	1	1	VILLALOBOS, GRISELDA LMFT	11/7/2018	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	100013	-	NOT APPLICABLE	0	In state provider	None	1303 WEST WALNUT PARKWAY	None	COMPTON	CA	90220	5030	19	06037	33.87724562	-118.2446904	Los Angeles County
98238	Fee-for-Service	1437350014	1437350014	1	1	VERMONT FAMILY CARE MEDICAL	4/13/2015	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	None	None	0	In state provider	CLINIC INC	640 N ARDEN BLVD	None	LOS ANGELES	CA	90004	1202	19	06037	34.082937	-118.325984	Los Angeles County
98273	Fee-for-Service	1699107045	1699107045	1	1	VASCONCELOS, SONIA	8/8/2013	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	14950 BADGER FLAT ROAD	None	LOS BANOS	CA	93635	9737	24	06047	37.07252825	-120.876546	Merced County
98292	Fee-for-Service	1528083383	1528083383	1	1	VALLEY INFANT	7/31/1995	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	AND PEDIATRIC CARE MED	1359 W AVENUE J	None	LANCASTER	CA	93534	2935	19	06037	34.68945451	-118.156581	Los Angeles County
98362	Fee-for-Service	1063422053	1063422053	1	1	VALLEY MEDICAL FACILITIES	8/2/2011	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	INC	1000 DUTCH RIDGE RD	None	BEAVER	PA	15009	9727	00	None	40.712247	-80.322093	Beaver County
98376	Fee-for-Service	1427170653	1427170653	1	1	VUJJENI, VALLI A MD	11/6/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	93139	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
98385	Fee-for-Service	1215497615	1215497615	1	1	VASE, TABITHA R MD	1/6/2023	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	179736	None	None	0	In state provider	None	2200 OFARRELL ST	None	SAN FRANCISCO	CA	94115	3357	38	06075	37.78224789	-122.4412946	San Francisco County
98487	Fee-for-Service	1821780461	1821780461	1	1	VALLEY FOOT AND ANKLE SPECIA	4/24/2024	193200000X	NA	Other	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	LTY PROVIDERS	6145 N THESTA ST	None	FRESNO	CA	93710	5266	10	06019	36.82545273	-119.7831405	Fresno County
98511	Fee-for-Service	1326070723	1326070723	1	1	VERCIO, RAYMOND L MD	12/21/2020	207L00000X	NA	Other	026	PHYSICIANS	55888	None	None	0	In state provider	None	975 SOUTH FAIRMONT AVE	None	LODI	CA	95240	5118	39	06077	38.12188356	-121.285872	San Joaquin County
98546	Fee-for-Service	1124668918	1124668918	1	1	VICTORIN, LEILA CCC-SLP	10/27/2020	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	25102 JEFFERSON AVE	SUITE D	MURRIETA	CA	92562	1708	33	06065	33.55467403	-117.2033542	Riverside County
98562	Fee-for-Service	1699107045	1699107045	1	1	VASCONCELOS, SONIA	8/8/2013	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	14950 BADGER FLAT ROAD	None	LOS BANOS	CA	93635	9737	24	06047	37.07252825	-120.876546	Merced County
98563	Fee-for-Service	1902245012	1902245012	1	1	VENTURA CARE PARTNERS APC	3/31/2020	207RH0002X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	4080 LOMA VISTA RD	SUITE F	VENTURA	CA	93003	1811	56	06111	34.27783933	-119.2407168	Ventura County
98570	Fee-for-Service	1457311128	1457311128	1	1	VIDAL, JOSEPH M OD INC	8/1/1983	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	7090 PARKWAY DR	None	LA MESA	CA	91942	1596	37	06073	32.77342457	-117.043671	San Diego County
98580	Fee-for-Service	1528083383	1528083383	1	1	VALLEY INFANT	7/31/1995	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	AND PEDIATRIC CARE MED	1359 W AVENUE J	None	LANCASTER	CA	93534	2935	19	06037	34.68945451	-118.156581	Los Angeles County
98652	Fee-for-Service	1841495678	1841495678	1	1	VALCO, VAL MD	11/13/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	101669	41	Internal Medicine	0	In state provider	None	13652 CANTARA STREET	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
98657	Fee-for-Service	1063422053	1063422053	1	1	VALLEY MEDICAL FACILITIES	8/2/2011	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	INC	1000 DUTCH RIDGE RD	None	BEAVER	PA	15009	9727	00	None	40.712247	-80.322093	Beaver County
98765	Fee-for-Service	1710156583	1710156583	1	1	VOULGARIS, GEORGIOS	12/19/2016	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	8311 FLORENCE AVE	None	DOWNEY	CA	90240	3928	19	06037	33.95103918	-118.1247373	Los Angeles County
98775	Fee-for-Service	1821780461	1821780461	1	1	VALLEY FOOT AND ANKLE SPECIA	4/24/2024	213E00000X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	LTY PROVIDERS	6145 N THESTA ST	None	FRESNO	CA	93710	5266	10	06019	36.82545273	-119.7831405	Fresno County
98808	Fee-for-Service	1760895023	1760895023	1	1	VANG, PAULA OD	1/11/2021	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	811 GRAND AVE	SUITE B	SACRAMENTO	CA	95838	3466	34	06067	38.637621	-121.4470125	Sacramento County
98827	Fee-for-Service	1942970124	1942970124	1	1	VANGUARD MEDICAL CORPORATION	9/26/2023	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	1100 BEAR MOUNTAIN BLVD	None	ARVIN	CA	93203	1345	15	06029	35.2091733	-118.8366281	Kern County
98842	Fee-for-Service	1649562513	1649562513	1	1	VERRETT, ZELDA M LMFT	11/7/2019	101YM0800X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1003 E COOLEY DR,	STE 207	COLTON	CA	92324	3907	36	06071	34.05460945	-117.3107565	San Bernardino County
98865	Fee-for-Service	1043923188	1043923188	1	1	VIKIKA'S NON-EMERGENCY MEDIC	4/21/2023	347C00000X	NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	AL TRANSPORTATION LLC	36282 ENNIS RD	None	SQUAW VALLEY	CA	93675	9631	10	06019	36.69112977	-119.215863	Fresno County
98942	Fee-for-Service	1639267214	1639267214	1	2	VIJAY ARORA MD INC	2/26/2024	193400000X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	16167 SISKIYOU ROAD	SUITE A	APPLE VALLEY	CA	92307	0837	36	06071	34.54496692	-117.2664417	San Bernardino County
98967	Fee-for-Service	1609800747	1609800747	1	1	VERWEST, JAMES L	11/30/1990	207P00000X	NA	Other	026	PHYSICIANS	25003	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1303 E HERNDON AVE	None	FRESNO	CA	93720	3309	10	06019	36.83626596	-119.7674879	Fresno County
98984	Fee-for-Service	1295155687	1295155687	1	1	VO, KHANG H MD	8/4/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	139806	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
99006	Fee-for-Service	1376712141	1376712141	1	1	VENUGOPAL, GUHAPRIYA A	4/25/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	70289	08	Family Practice	0	In state provider	MD	3760 ATLANTIC AVE	None	LONG BEACH	CA	90807	3409	19	06037	33.826347	-118.1850025	Los Angeles County
99036	Fee-for-Service	1780779736	1780779736	1	1	VALLEY ORTHOPEDIC ASSOCIATES	7/17/2024	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	1334 W COVINA BLVD 105	None	SAN DIMAS	CA	91773	3211	19	06037	34.097067	-117.833751	Los Angeles County
99083	Fee-for-Service	1558541235	1558541235	1	1	VILLEGAS, ALEJANDRO M MD	7/1/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	144036	66	Emergency Medicine (Urgent Care)	0	In state provider	None	751 MEDICAL CENTER COURT	None	CHULA VISTA	CA	91911	6617	37	06073	32.61822301	-117.0234938	San Diego County
99099	Fee-for-Service	1245213438	1245213438	1	1	VOGT, JUDITH K L MD	11/16/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	65190	01	General Practice	0	In state provider	None	3460 KATELLA AVENUE	None	LOS ALAMITOS	CA	90720	2334	30	06059	33.8029707	-118.073517	Orange County
99115	Fee-for-Service	1942970124	1942970124	1	1	VANGUARD MEDICAL CORPORATION	9/26/2023	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	1100 BEAR MOUNTAIN BLVD	None	ARVIN	CA	93203	1345	15	06029	35.2091733	-118.8366281	Kern County
99128	Fee-for-Service	1649562513	1649562513	1	1	VERRETT, ZELDA M LMFT	11/7/2019	101YM0800X	NA	Other	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	None	1003 E COOLEY DR,	STE 207	COLTON	CA	92324	3907	36	06071	34.05460945	-117.3107565	San Bernardino County
99201	Fee-for-Service	1497473961	1497473961	1	1	VILORIA, LAUREN OT	3/28/2024	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	18600 SOUTH FIGUEROA ST	None	GARDENA	CA	90248	4505	19	06037	33.861339	-118.281473	Los Angeles County
99232	Fee-for-Service	1639267214	1639267214	1	2	VIJAY ARORA MD INC	10/30/2020	193400000X	NA	Other	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	16167 SISKIYOU ROAD	SUITE A	APPLE VALLEY	CA	92307	0837	36	06071	34.54496692	-117.2664417	San Bernardino County
99260	Fee-for-Service	1295822658	1295822658	1	1	VISTA COMM CLINIC	3/1/1993	261QF0400X	NA	Federally Qualified Health Center	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	1000 VALE TERRACE DR	None	VISTA	CA	92084	5218	37	06073	33.20904502	-117.2286439	San Diego County
99268	Fee-for-Service	1891721676	1891721676	1	1	VONS COMPANIES INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	311 LOS FELIZ BLVD	None	GLENDALE	CA	91204	0000	19	06037	34.12866049	-118.2585153	Los Angeles County
99278	Fee-for-Service	1467705376	1467705376	1	1	VU, KHOA D	10/21/2013	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	975 SERENO DRIVE	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
99314	Fee-for-Service	1912300773	1912300773	1	1	VOLZ, MONICA M NP	11/25/2014	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
99322	Fee-for-Service	1013227172	1013227172	1	1	VAZQUEZ, ANGELA Y LMFT	6/6/2024	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
99326	Fee-for-Service	1780779736	1780779736	1	1	VALLEY ORTHOPEDIC ASSOCIATES	3/22/2024	207X00000X	NA	Orthopedic Surgery	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	None	1334 W COVINA BLVD 105	None	SAN DIMAS	CA	91773	3211	19	06037	34.097067	-117.833751	Los Angeles County
99352	Fee-for-Service	1962728121	1962728121	1	1	VALONE, FRANK H III MD	5/9/2017	207XS0117X	NA	Orthopedic Surgery	026	PHYSICIANS	120523	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
99371	Fee-for-Service	1558541235	1558541235	1	1	VILLEGAS, ALEJANDRO M MD	7/1/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	144036	77	Infectious Disease	0	In state provider	None	751 MEDICAL CENTER COURT	None	CHULA VISTA	CA	91911	6617	37	06073	32.61822301	-117.0234938	San Diego County
99416	Fee-for-Service	1396229548	1396229548	1	3	VICTORIA'S CARE HOME, INC	9/5/2019	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	5161 W PALO ALTO AVE	None	FRESNO	CA	93722	3607	10	06019	36.83347894	-119.8835807	Fresno County
99417	Fee-for-Service	1649562513	1649562513	1	1	VERRETT, ZELDA M LMFT	11/7/2019	101YM0800X	NA	Other	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	None	1003 E COOLEY DR,	STE 207	COLTON	CA	92324	3907	36	06071	34.05460945	-117.3107565	San Bernardino County
99473	Fee-for-Service	1578562005	1578562005	1	1	VILLAR, PAMELA G MD	1/21/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	128653	40	Pediatrics	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
99548	Fee-for-Service	1295822658	1295822658	1	1	VISTA COMM CLINIC	3/1/1993	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	1000 VALE TERRACE DR	None	VISTA	CA	92084	5218	37	06073	33.20904502	-117.2286439	San Diego County
99571	Fee-for-Service	1346809084	1346809084	1	1	VERBIT, PAULA LMFT	12/1/2023	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4100 W ALAMEDA AVE FL 3	STE 365	BURBANK	CA	91505	4191	19	06037	34.1526111	-118.3447742	Los Angeles County
99743	Fee-for-Service	1982767596	1982767596	1	1	VIVANCO, JENNIFER L	2/8/2015	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	10600 SEPULVEDA BLVD	STE 111	MISSION HILLS	CA	91345	1971	19	06037	34.263036	-118.467243	Los Angeles County
99762	Fee-for-Service	1831370329	1831370329	1	1	VOGEL, JON D OD APC	7/22/2008	193200000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1069 BROXTON AVE	None	LOS ANGELES	CA	90024	2803	19	06037	34.0613204	-118.4461441	Los Angeles County
99833	Fee-for-Service	1295822658	1295822658	1	1	VISTA COMM CLINIC	1/2/1997	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	1000 VALE TERRACE DR	None	VISTA	CA	92084	5218	37	06073	33.20904502	-117.2286439	San Diego County
99875	Fee-for-Service	1164535001	1164535001	1	1	VIDATO, LISA D MD, INC	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	68685	05	Anesthesiology	0	In state provider	None	1328 22ND ST	None	SANTA MONICA	CA	90404	2032	19	06037	34.03122319	-118.4797185	Los Angeles County
99915	Fee-for-Service	1568938413	1568938413	1	1	VASQUEZ, BENJAMIN P PT	11/19/2018	2251N0400X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
99974	Fee-for-Service	1073181087	1073181087	1	1	VALENTINE, KEARA E PSYD	10/12/2021	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
100120	Fee-for-Service	1295822658	1295822658	1	1	VISTA COMM CLINIC	7/1/1994	261QF0400X	NA	Federally Qualified Health Center	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	1000 VALE TERRACE DR	None	VISTA	CA	92084	5218	37	06073	33.20904502	-117.2286439	San Diego County
100128	Fee-for-Service	1023120078	1023120078	1	1	VONLINTIG, FRIEDERIKE MD	12/6/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	84284	41	Internal Medicine	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
100159	Fee-for-Service	1437144912	1437144912	1	1	VARSHNEY, NEERAD MD	8/1/1987	207L00000X	NA	Other	026	PHYSICIANS	32258	05	Anesthesiology	0	In state provider	None	11601 SANTA MONICA BLVD	None	LOS ANGELES	CA	90025	2907	19	06037	34.04458879	-118.4542015	Los Angeles County
100188	Fee-for-Service	1477992535	1477992535	1	1	VENKATARAMANI, RANJANI MD	7/9/2022	207LC0200X	NA	Other	026	PHYSICIANS	146700	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
100192	Fee-for-Service	1750310785	1750310785	1	1	VONS COMPANIES, INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	155 W CALIFORNIA BLVD	None	PASADENA	CA	91105	3005	19	06037	34.13579917	-118.1534676	Los Angeles County
100232	Fee-for-Service	1548868318	1548868318	1	1	VALLEY CREEK HOSPICE CARE	5/10/2022	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	6005 VINELAND AVE	STE 215	NORTH HOLLYWOOD	CA	91606	4983	19	06037	34.179921	-118.3703275	Los Angeles County
100269	Fee-for-Service	1972009892	1972009892	1	2	VALENCIA MEDICAL TRANSPORTAT	1/26/2022	343900000X	Both NEMT & NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	ION INC.	6356 VAN NUYS BLVD	STE 225	LOS ANGELES	CA	91402	2601	19	06037	34.185861	-118.4487045	Los Angeles County
100286	Fee-for-Service	1891781993	1891781993	1	1	VILLANUEVA, JUANITO S MD	11/30/1987	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	61893	30	Radiology	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
100338	Fee-for-Service	1043848898	1043848898	1	1	VEMIREDDY, VAMSI MD	8/8/2023	207R00000X	NA	Other	026	PHYSICIANS	186499	None	None	0	In state provider	None	18035 BROOKHURST ST	SUITE 1300	FOUNTAIN VALLEY	CA	92708	6738	30	06059	33.701184	-117.9544385	Orange County
100429	Fee-for-Service	1023004561	1023004561	2	1	VIA FLORES HOME LLC	11/26/2007	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	17096 VIA FLORES	None	SAN LORENZO	CA	94580	2915	01	06001	37.67463059	-122.1279102	Alameda County
100519	Fee-for-Service	1548868318	1548868318	1	1	VALLEY CREEK HOSPICE CARE	5/10/2022	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	6005 VINELAND AVE	STE 215	NORTH HOLLYWOOD	CA	91606	4983	19	06037	34.179921	-118.3703275	Los Angeles County
100574	Fee-for-Service	1891781993	1891781993	1	1	VILLANUEVA, JUANITO S MD	11/30/1987	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	61893	01	General Practice	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
100578	Fee-for-Service	1679994776	1679994776	1	1	VAN LEUVEN, ANDREW T PT	7/2/2019	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1600 DOVE ST.	100	NEWPORT BEACH	CA	92660	2438	30	06059	33.66447676	-117.8660248	Orange County
100629	Fee-for-Service	1386010304	1386010304	1	1	VALENZUELA, CARVEL A LCSW	11/5/2020	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1055 EAST COLORADO BLVD	None	PASADENA	CA	91188	2375	19	06037	34.14595648	-118.1287575	Los Angeles County
100642	Fee-for-Service	1114989282	1114989282	1	1	VERMUND, ANITA T PHD	1/3/2019	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	19742 MACARTHUR BLVD	STE 235	IRVINE	CA	92612	2446	30	06059	33.65738766	-117.8625556	Orange County
100708	Fee-for-Service	1841347515	1841347515	1	1	VOSS, JAMES W LMFT	9/10/2020	101YM0800X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1430 EAST AVE	4-C	CHICO	CA	95926	1628	04	06007	39.76116577	-121.8188568	Butte County
100765	Fee-for-Service	1386386167	1386386167	1	1	VALDEZ, CHRISTINA L LMFT	9/4/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	MILY THERAPY	1010 N H ST	None	LOMPOC	CA	93436	3305	42	06083	34.65440771	-120.457617	Santa Barbara County
100766	Fee-for-Service	1043691371	1043691371	2	1	VALLEY GRACE HOME INC	8/18/2021	No Taxonomy Provided	NA	None	059	HOME AND COMMUNITY BASED SERVICES NURSING FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	16052 CHASE ST	None	NORTH HILLS	CA	91343	6308	19	06037	34.2247165	-118.482588	Los Angeles County
100950	Fee-for-Service	1760709166	1760709166	1	1	VO, VICTORIA MD	8/22/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	115002	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
101028	Fee-for-Service	1508398793	1508398793	1	1	VO, JOSLYN N DO	8/9/2021	207R00000X	NA	Other	026	PHYSICIANS	16932	None	None	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
101040	Fee-for-Service	1184201394	1184201394	1	1	VAN VELZER, BECKY LCSW	4/20/2021	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	510 PLAZA DRIVE	STE 170	FOLSOM	CA	95630	4790	34	06067	38.65716	-121.1738175	Sacramento County
101109	Fee-for-Service	1508992223	1508992223	1	1	VARGAS, LINDA MD	9/1/2020	207W00000X	NA	Ophthalmology	026	PHYSICIANS	51986	18	Ophthalmology	0	In state provider	None	11370 ANDERSON ST	STE 1800	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
101293	Fee-for-Service	1972534774	1972534774	1	1	VONS COMPANIES, INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	1135 LINDERO CANYON RD	None	THOUSAND OAKS	CA	91362	5473	56	06111	34.184133	-118.788336	Ventura County
101306	Fee-for-Service	1912478645	1912478645	1	1	VERITAS HOME HEALTH CARE INC	8/30/2022	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	502 W ROUTE 66	# 18B	GLENDORA	CA	91740	4343	19	06037	34.12866451	-117.871146	Los Angeles County
101355	Fee-for-Service	1639220163	1639220163	1	1	VALLEY VILLAGE	4/8/1991	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	6542 BAIRD AVE	None	RESEDA	CA	91335	6033	19	06037	34.18935844	-118.537596	Los Angeles County
101407	Fee-for-Service	1841785656	1841785656	1	1	VAGHA, SAHIL R DO	8/13/2021	207R00000X	NA	Other	026	PHYSICIANS	18004	None	None	0	In state provider	None	1200 B GALE WILSON BLVD	None	FAIRFIELD	CA	94533	3552	48	06095	38.26109552	-122.0470245	Solano County
101527	Fee-for-Service	1891206264	1891206264	1	1	VENTURA COUNTY COMMUNITY	2/9/2018	261QS1000X	NA	Other	045	CLINIC EXEMP FROM LICENSURE	-	-	NOT APPLICABLE	0	In state provider	COLLEGE DISTRICT	4000 S ROSE AVENUE	None	OXNARD	CA	93033	6699	56	06111	34.16469604	-119.1593294	Ventura County
101590	Fee-for-Service	1235384637	1235384637	1	1	VOLK, WILLIAM R MD	8/17/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	131279	20	Orthopedic Surgery	0	In state provider	None	870 W 7TH STREET	None	HANFORD	CA	93230	4926	16	06031	36.32522548	-119.6583345	Kings County
101619	Fee-for-Service	1669815023	1669815023	1	1	VARGAS, JASON E MD	9/25/2019	2080P0203X	NA	Other	026	PHYSICIANS	-	40	Pediatrics	1	Border provider	None	1800 W CHARLESTON BLVD	None	LAS VEGAS	NV	89102	2329	00	None	36.1590063	-115.1674415	Clark County
101709	Fee-for-Service	1285652289	1285652289	2	1	VISELMAN, EDWARD H MD	12/22/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	18920	05	Anesthesiology	0	In state provider	None	7300 MEDICAL CENTER DR	None	WEST HILLS	CA	91307	1902	19	06037	34.20289797	-118.6294006	Los Angeles County
101749	Fee-for-Service	1710344890	1710344890	1	1	VIRGIN, CARLA P OT	10/25/2022	225XP0200X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	805 AEROVISTA PL	SUITE 101	SAN LUIS OBISPO	CA	93401	7919	40	06079	35.24101691	-120.643055	San Luis Obispo County
101782	Fee-for-Service	1477560035	1477560035	1	2	VISITING NURSE & HOSPICE	6/8/2016	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	2029 VILLAGE RD	SUITE 103	SOLVANG	CA	93463	2714	42	06083	34.60090393	-120.126788	Santa Barbara County
101816	Fee-for-Service	1891206264	1891206264	1	1	VENTURA COUNTY COMMUNITY	2/13/2018	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	COLLEGE DISTRICT	4000 S ROSE AVENUE	None	OXNARD	CA	93033	6699	56	06111	34.16469604	-119.1593294	Ventura County
101879	Fee-for-Service	1306819768	1306819768	1	1	VANDERHOEK, CORNELIS MD	1/20/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	40869	35	Pediatric Cardiology (M.D. only)	0	In state provider	OWENS PEAK MED CLINIC	815 N DOWNS ST	STE B	RIDGECREST	CA	93555	3386	15	06029	35.63595104	-117.6877519	Kern County
101888	Fee-for-Service	1639262561	1639262561	1	1	VASQUEZ, JULIO N MD	12/5/2008	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	45461	01	General Practice	0	In state provider	None	14860 ROSCOE BLVD	STE 304	PANORAMA CITY	CA	91402	4695	19	06037	34.2214515	-118.4573205	Los Angeles County
101992	Fee-for-Service	1780827170	1780827170	1	1	VAFIADES, CHRISTOPHER PT	2/26/2020	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1200 41ST AVE	SUITE H	CAPITOLA	CA	95010	3900	44	06087	36.969003	-121.964871	Santa Cruz County
101999	Fee-for-Service	1063784106	1063784106	1	1	VALENCIA, GRISELDA S LMFT	9/18/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	734 W OAK AVE	None	VISALIA	CA	93291	6036	54	06107	36.332118	-119.2998195	Tulare County
102049	Fee-for-Service	1205221355	1205221355	2	1	VUU, LINDA MD	5/4/2023	207R00000X	NA	Other	026	PHYSICIANS	156362	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
102141	Fee-for-Service	1508165754	1508165754	1	1	VANJANI, RACHNA MD	10/12/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	136442	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	20 ALLEN STREET	None	MARTINEZ	CA	94553	2681	07	06013	38.00771973	-122.1331484	Contra Costa County
102171	Fee-for-Service	1306819768	1306819768	1	1	VANDERHOEK, CORNELIS MD	1/20/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	40869	41	Internal Medicine	0	In state provider	OWENS PEAK MED CLINIC	815 N DOWNS ST	STE B	RIDGECREST	CA	93555	3386	15	06029	35.63595104	-117.6877519	Kern County
102207	Fee-for-Service	1639172794	1639172794	1	1	VERGARA, CLEOFEMARIE S MD	5/1/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	41	Internal Medicine	1	Border provider	None	4880 WYNN ROAD	None	LAS VEGAS	NV	89103	5406	00	None	36.10169134	-115.1953733	Clark County
102226	Fee-for-Service	1417224007	1417224007	1	1	VICTOR VALLEY EMERGENCY	12/23/2011	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	MEDICAL ASSOCIATES INC	15248 ELEVENTH STREET	None	VICTORVILLE	CA	92395	3704	36	06071	34.52825401	-117.2925587	San Bernardino County
102232	Fee-for-Service	1487842894	1487842894	1	1	VALLYATHAN, LEKSHMI MD	2/8/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	118521	41	Internal Medicine	0	In state provider	None	2500 MERCED ST	None	SAN LEANDRO	CA	94577	4201	01	06001	37.706364	-122.165163	Alameda County
102259	Fee-for-Service	1821393026	1821393026	1	1	VARGAS, NASTASSJA R LCSW	6/6/2019	171M00000X	NA	Other	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	8775 AERO DRIVE	STE 238	SAN DIEGO	CA	92123	1756	37	06073	32.80965551	-117.1391563	San Diego County
102280	Fee-for-Service	1629018379	1629018379	1	1	VISITACION VALLEY PHCY	2/27/1985	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	100 LELAND AVE	None	SAN FRANCISCO	CA	94134	2806	38	06075	37.71201667	-122.4057367	San Francisco County
102338	Fee-for-Service	1619557667	1619557667	1	1	VALLEY VIEW HOSPICE &	4/10/2024	251G00000X	NA	Other	034	MEDICARE CROSSOVER PROVIDER ONLY	-	-	NOT APPLICABLE	0	In state provider	PALLIATIVE CARE LLC	120 INDEPENDENCE CIR	STE A	CHICO	CA	95973	4925	04	06007	39.77238185	-121.8739834	Butte County
102356	Fee-for-Service	1407611650	1407611650	1	1	VICTORY NON-EMERGENCY MEDICA	7/29/2024	343900000X	NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	L TRANSPORT	2031 ROSEMARY DR	None	HOLLISTER	CA	95023	6559	35	06069	0	0	None
102432	Fee-for-Service	1720337397	1720337397	1	2	VISAL NGA DO INC	8/5/2016	No Taxonomy Provided	NA	None	086	MEDICAL DIRECTORS	10947	-	NOT APPLICABLE	0	In state provider	None	2501 ATLANTIC AVENUE	None	LONG BEACH	CA	90806	2708	19	06037	33.802659	-118.185059	Los Angeles County
102452	Fee-for-Service	1447887138	1447887138	1	1	VO, JESSICA N MD	8/8/2023	207R00000X	NA	Other	026	PHYSICIANS	185203	None	None	0	In state provider	None	18035 BROOKHURST ST	SUITE 1300	FOUNTAIN VALLEY	CA	92708	6738	30	06059	33.701184	-117.9544385	Orange County
102455	Fee-for-Service	1306819768	1306819768	1	1	VANDERHOEK, CORNELIS MD	1/20/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	40869	45	Nephrology (Renal-Kidney)	0	In state provider	OWENS PEAK MED CLINIC	815 N DOWNS ST	STE B	RIDGECREST	CA	93555	3386	15	06029	35.63595104	-117.6877519	Kern County
102506	Fee-for-Service	1821314246	1821314246	1	1	VAHDAT, SALOOMEH MD	10/25/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	137229	22	Pathology (M.D. only)	0	In state provider	None	1401 S GRAND AVE	None	LOS ANGELES	CA	90015	3010	19	06037	34.03719097	-118.2654105	Los Angeles County
102519	Fee-for-Service	1508150723	1508150723	1	1	VAKHARIA, KAVITA MD	9/23/2024	208200000X	NA	General Surgery	026	PHYSICIANS	155866	24	Plastic Surgery	0	In state provider	None	1500 E DUARTE RD	None	DUARTE	CA	91010	3012	19	06037	34.129683	-117.970857	Los Angeles County
102522	Fee-for-Service	1538120944	1538120944	1	1	VAZQUEZ, ROBERT C MD	2/28/1995	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	55113	08	Family Practice	0	In state provider	None	3620 ARMY ST	None	SAN FRANCISCO	CA	94110	4315	38	06075	37.74816319	-122.4218657	San Francisco County
102548	Fee-for-Service	1497910335	1497910335	1	1	VAN LOON, KATHERINE J MD	4/26/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	108398	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
102570	Fee-for-Service	1689618209	1689618209	1	1	VELLING, THOMAS E MD	9/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	71050	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
102624	Fee-for-Service	1619557667	1619557667	1	1	VALLEY VIEW HOSPICE &	2/9/2024	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	PALLIATIVE CARE LLC	120 INDEPENDENCE CIR	STE A	CHICO	CA	95973	4925	04	06007	39.77238185	-121.8739834	Butte County
102626	Fee-for-Service	1215655238	1215655238	1	1	VINCENT ALARCON PHYSICAL THE	6/5/2023	225100000X	NA	Physical Therapist	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	RAPIST PC	2230 W SUNNYSIDE AVE	STE 1	VISALIA	CA	93277	7269	54	06107	36.303912	-119.3156595	Tulare County
102751	Fee-for-Service	1104844398	1104844398	1	1	VILLENA, TONY MD	8/27/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	187402	None	None	0	In state provider	None	2417 CENTRAL AVE	None	ALAMEDA	CA	94501	4515	01	06001	37.76389996	-122.2420612	Alameda County
102837	Fee-for-Service	1497910335	1497910335	1	1	VAN LOON, KATHERINE J MD	4/26/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	108398	78	Neoplastic Diseases/Oncology	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
102913	Fee-for-Service	1619557667	1619557667	1	1	VALLEY VIEW HOSPICE &	2/9/2024	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	PALLIATIVE CARE LLC	120 INDEPENDENCE CIR	STE A	CHICO	CA	95973	4925	04	06007	39.77238185	-121.8739834	Butte County
102917	Fee-for-Service	1215655238	1215655238	1	1	VINCENT ALARCON PHYSICAL THE	6/5/2023	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	RAPIST PC	2230 W SUNNYSIDE AVE	STE 1	VISALIA	CA	93277	7269	54	06107	36.303912	-119.3156595	Tulare County
103077	Fee-for-Service	1124413869	1124413869	1	1	VOHRA, JASPREET K MD	7/29/2018	207P00000X	NA	Other	026	PHYSICIANS	148493	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1411 EAST 31ST STREET	None	OAKLAND	CA	94602	1018	01	06001	37.79926205	-122.2314248	Alameda County
103078	Fee-for-Service	1851300123	1851300123	1	1	VISTA COMMUNITY CLINIC	1/2/1997	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	134 GRAPEVINE ROAD	None	VISTA	CA	92083	4004	37	06073	33.191415	-117.2751055	San Diego County
103144	Fee-for-Service	1790017960	1790017960	1	1	VORASUBIN, NOPAWAN MD	5/4/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	115728	04	Otology, Laryngology, Rhinology	0	In state provider	None	4733 W SUNSET BOULEVARD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
103165	Fee-for-Service	1326244427	1326244427	1	1	VERPUKHOVSKIY, YURIY MD INC	9/16/2009	2084N0400X	NA	Neurology	026	PHYSICIANS	76392	13	Neurology (M.D. only)	0	In state provider	None	14860 ROSCOE BLVD	STE 306	PANORAMA CITY	CA	91402	4665	19	06037	34.2214515	-118.4573205	Los Angeles County
103172	Fee-for-Service	1124312681	1124312681	1	1	VOYTKO, CHRISTINA A CCC-SLP	6/6/2022	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	633 WEST FIFTH STREET	OFFICE #2876B	LOS ANGELES	CA	90071	2005	19	06037	34.05071143	-118.25466	Los Angeles County
103186	Fee-for-Service	1588966352	1588966352	1	1	VINN, VANESSA S DO	9/26/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	11473	41	Internal Medicine	0	In state provider	None	400 N PEPPER AVE	None	COLTON	CA	92324	1801	36	06071	34.073505	-117.3505995	San Bernardino County
103190	Fee-for-Service	1124521018	1124521018	1	2	VIPMD	1/26/2025	193200000X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	4000 PHYSICIANS BLVD	101	BAKERSFIELD	CA	93301	1282	15	06029	35.39685986	-119.0093834	Kern County
103192	Fee-for-Service	1144394453	1144394453	1	1	VELA-VICTA, POLY M MD	1/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	73001	66	Emergency Medicine (Urgent Care)	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
103241	Fee-for-Service	1770598377	1770598377	1	1	VASAN, SOWMITHRI MD	8/8/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	138276	41	Internal Medicine	0	In state provider	None	2500 MERCED STREET	None	SAN LEANDRO	CA	94577	4201	01	06001	37.706364	-122.165163	Alameda County
103249	Fee-for-Service	1124139399	1124139399	1	1	VERMEERSCH, DAVID A PHD	1/11/2007	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	11130 ANDERSON ST	STE 102	LOMA LINDA	CA	92354	2802	36	06071	34.05167746	-117.2614612	San Bernardino County
103358	Fee-for-Service	1295715126	1295715126	1	1	VUONG, REED H DO	1/29/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	7608	08	Family Practice	0	In state provider	None	8120 TIMBERLAKE WY	STE 207	SACRAMENTO	CA	95823	5414	34	06067	38.461023	-121.41414	Sacramento County
103366	Fee-for-Service	1851300123	1851300123	1	1	VISTA COMMUNITY CLINIC	3/1/1993	261QF0400X	NA	Federally Qualified Health Center	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	134 GRAPEVINE ROAD	None	VISTA	CA	92083	4004	37	06073	33.191415	-117.2751055	San Diego County
103370	Fee-for-Service	1093156671	1093156671	1	1	VIDANA, MICHELLE L LPCC	10/8/2019	101YM0800X	NA	Other	103	LICENSED PROFESSIONAL CLINICAL COUNSELOR - INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	9666 BUSINESSPARK AVENUE	SUITE 207	SAN DIEGO	CA	92131	1646	37	06073	32.89839401	-117.1124102	San Diego County
103398	Fee-for-Service	1386084663	1386084663	1	1	VALDEZ, VERA DO	5/29/2018	207R00000X	NA	Other	026	PHYSICIANS	13719	41	Internal Medicine	0	In state provider	None	147 N BRENT ST	None	VENTURA	CA	93003	2809	56	06111	34.2746295	-119.2573399	Ventura County
103479	Fee-for-Service	1124521018	1124521018	1	2	VIPMD	1/26/2025	193200000X	NA	Other	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	None	4000 PHYSICIANS BLVD	101	BAKERSFIELD	CA	93301	1282	15	06029	35.39685986	-119.0093834	Kern County
103502	Fee-for-Service	1003313677	1003313677	1	1	VALADEZ, MARIA G MD	6/4/2021	208600000X	NA	General Surgery	026	PHYSICIANS	None	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
103569	Fee-for-Service	1316600729	1316600729	1	1	VOS, NICOLE L CRNA	2/27/2023	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
103653	Fee-for-Service	1851300123	1851300123	1	1	VISTA COMMUNITY CLINIC	7/1/1994	261QF0400X	NA	Federally Qualified Health Center	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	134 GRAPEVINE ROAD	None	VISTA	CA	92083	4004	37	06073	33.191415	-117.2751055	San Diego County
103672	Fee-for-Service	1508996182	1508996182	1	1	VERREAULT, SUZANNE PSYD	11/2/2016	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	21881	-	NOT APPLICABLE	0	In state provider	None	30500 ARRASTRE CANYON RD	None	ACTON	CA	93510	1521	19	06037	34.449291	-118.1973465	Los Angeles County
103684	Fee-for-Service	1104861012	1104861012	1	3	VALLEY MEDICAL ONCOLOGY	6/11/2003	193200000X	NA	Other	022	PHYSICIANS GROUP	-	68	Hematology	0	In state provider	CONSULTANTS INC	5725 W LAS POSITAS BLVD	STE 100	PLEASANTON	CA	94588	4084	01	06001	37.688107	-121.8861427	Alameda County
103777	Fee-for-Service	1043432206	1043432206	1	1	VARGAS, RAFAEL MD	9/30/2008	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	101742	30	Radiology	0	In state provider	None	600 COFFEE RD	None	MODESTO	CA	95355	4201	50	06099	37.653219	-120.975542	Stanislaus County
103942	Fee-for-Service	1851300123	1851300123	1	1	VISTA COMMUNITY CLINIC	3/1/1993	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	134 GRAPEVINE ROAD	None	VISTA	CA	92083	4004	37	06073	33.191415	-117.2751055	San Diego County
103963	Fee-for-Service	1629400445	1629400445	1	1	VILLARIN, JASON J	10/21/2013	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	3701 BROADWAY	None	OAKLAND	CA	94611	5613	01	06001	37.82533768	-122.258094	Alameda County
103973	Fee-for-Service	1104861012	1104861012	1	3	VALLEY MEDICAL ONCOLOGY	6/11/2003	193200000X	NA	Other	022	PHYSICIANS GROUP	-	78	Neoplastic Diseases/Oncology	0	In state provider	CONSULTANTS INC	5725 W LAS POSITAS BLVD	STE 100	PLEASANTON	CA	94588	4084	01	06001	37.688107	-121.8861427	Alameda County
104006	Fee-for-Service	1083700264	1083700264	1	1	VALCARENGHI, MAURICE MD	1/14/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	38236	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1405 MAGNOLIA AVE	STE A	CHICO	CA	95926	3226	04	06007	39.74046859	-121.8497839	Butte County
104013	Fee-for-Service	1932144599	1932144599	1	1	VORA, RATHIN N MD	6/18/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	119457	01	General Practice	0	In state provider	None	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
104040	Fee-for-Service	1649341546	1649341546	1	1	VOLLUCCI, PAUL A DO	11/6/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	7257	08	Family Practice	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
104047	Fee-for-Service	1174779573	1174779573	1	1	VOSE, LAUREN L CNM	10/26/2017	No Taxonomy Provided	NA	None	005	CERTIFIED NURSE MIDWIFE	-	None	None	0	In state provider	None	276 INTERNATIONAL CIRCLE	None	SAN JOSE	CA	95119	1130	43	06085	37.2402111	-121.8021684	Santa Clara County
104114	Fee-for-Service	1902835945	1902835945	1	1	VONS COMPANIES, INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	24160 LYONS AVE	None	NEWHALL	CA	91321	2442	19	06037	34.37872109	-118.5572162	Los Angeles County
104132	Fee-for-Service	1144286725	1144286725	1	1	VILLABONA, BEATRIZ MD	12/6/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	54426	40	Pediatrics	0	In state provider	None	7373 WEST LN	None	STOCKTON	CA	95210	3377	39	06077	38.017701	-121.297869	San Joaquin County
104152	Fee-for-Service	1861060352	1861060352	1	1	VO, TIMOTHY DPM	8/1/2024	213ES0103X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	110 NEW STINE RD	None	BAKERSFIELD	CA	93309	2605	15	06029	35.35333762	-119.0610348	Kern County
104174	Fee-for-Service	1427166107	1427166107	1	1	VEGA, ELOISA MD	7/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	35890	01	General Practice	0	In state provider	None	2750 E SLAUSON AVE	None	HUNTINGTON PARK	CA	90255	3063	19	06037	33.98916573	-118.2210574	Los Angeles County
104213	Fee-for-Service	1447564513	1447564513	1	1	VO, HONG P MD	8/26/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	124637	41	Internal Medicine	0	In state provider	None	5957 W RAMSEY ST	None	BANNING	CA	92220	3058	33	06065	33.92937645	-116.942463	Riverside County
104232	Fee-for-Service	1235551425	1235551425	1	1	VASQUEZ, GARY LCSW	8/10/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	18672 FLORIDA ST	#100	HUNTINGTON BEACH	CA	92648	1917	30	06059	33.691185	-117.9910425	Orange County
104257	Fee-for-Service	1114063831	1114063831	3	2	VASQUEZ OPTICAL AND HEARING	8/13/2024	193400000X	NA	Other	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	IONS	5138 GEARY BLVD	None	SAN FRANCISCO	CA	94118	2816	38	06075	37.78062909	-122.4746273	San Francisco County
104291	Fee-for-Service	1437195211	1437195211	1	1	VONS COMPANIES, INC	12/19/2001	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	33644 YUCAIPA BLVD	None	YUCAIPA	CA	92399	2071	36	06071	34.03405949	-117.070083	San Bernardino County
104329	Fee-for-Service	1861996274	1861996274	1	1	VONG, DAVID MD	8/16/2022	390200000X	NA	Other	026	PHYSICIANS	164520	None	None	0	In state provider	None	4101 TORRANCE BLVD	None	TORRANCE	CA	90503	4607	19	06037	33.83760674	-118.3572569	Los Angeles County
104336	Fee-for-Service	1437135977	1437135977	1	1	VALLEY HOME HEALTH INC	7/27/2016	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	6422 BELLINGHAM AVE	SUITE 210	N HOLLYWOOD	CA	91606	1417	19	06037	34.187391	-118.398713	Los Angeles County
104372	Fee-for-Service	1477567402	1477567402	1	1	VANDE ZANDSCHULP, CORY MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	501 N GRAHAM ST	None	PORTLAND	OR	97227	1654	00	None	45.54285348	-122.671035	Multnomah County
104411	Fee-for-Service	1104551639	1104551639	1	1	VITUITY HOSPITALISTS PC	10/27/2022	193200000X	NA	Other	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	None	1911 JOHNSON AVE	None	SAN LUIS OBISPO	CA	93401	4131	40	06079	35.27851417	-120.6501092	San Luis Obispo County
104460	Fee-for-Service	1427166107	1427166107	1	1	VEGA, ELOISA MD	7/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	35890	08	Family Practice	0	In state provider	None	2750 E SLAUSON AVE	None	HUNTINGTON PARK	CA	90255	3063	19	06037	33.98916573	-118.2210574	Los Angeles County
104518	Fee-for-Service	1326492760	1326492760	1	1	VAN DYK, DRIES DO	8/1/2018	207P00000X	NA	Other	026	PHYSICIANS	None	66	Emergency Medicine (Urgent Care)	0	In state provider	None	115 MALL DRIVE	None	HANFORD	CA	93230	5786	16	06031	36.32396253	-119.6688834	Kings County
104561	Fee-for-Service	1083643027	1083643027	1	1	VONS COMPANIES INC	11/15/2004	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	6170 HAMNER AVE	None	MIRA LOMA	CA	91752	3121	33	06065	33.9764878	-117.5582535	Riverside County
104610	Fee-for-Service	1598744856	1598744856	1	10	VHS SAN ANTONIO PARTNERS LLC	7/11/2021	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	111 DALLAS ST	None	SAN ANTONIO	TX	78205	1201	00	None	29.43317376	-98.49236007	Bexar County
104634	Fee-for-Service	1255926978	1255926978	1	1	VERDUGO MEDICAL SUPPLY	8/4/2022	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	2837 HONOLULU AVE	None	VERDUGO CITY	CA	91046	0000	19	06037	34.21225099	-118.2412094	Los Angeles County
104697	Fee-for-Service	1104551639	1104551639	1	1	VITUITY HOSPITALISTS PC	10/27/2022	193200000X	NA	Other	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	None	1911 JOHNSON AVE	None	SAN LUIS OBISPO	CA	93401	4131	40	06079	35.27851417	-120.6501092	San Luis Obispo County
104752	Fee-for-Service	1063553600	1063553600	1	1	VALIANT MEDICAL GROUP	5/1/2012	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	None	None	None	0	In state provider	A PROFESSIONAL MEDICAL	8239 ROCHESTER AVE	STE 120	RANCHO CUCAMONGA	CA	91730	0715	36	06071	34.103961	-117.543177	San Bernardino County
104878	Fee-for-Service	1235332701	1235332701	1	1	VERGHESE, GEORGE R MD	3/3/2022	2080P0202X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	176201	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
104897	Fee-for-Service	1598744856	1598744856	1	10	VHS SAN ANTONIO PARTNERS LLC	7/11/2021	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	111 DALLAS ST	None	SAN ANTONIO	TX	78205	1201	00	None	29.43317376	-98.49236007	Bexar County
104953	Fee-for-Service	1639264419	1639264419	1	1	VISTA FAMILY HEALTH CENTER A	5/2/2008	261QC1800X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	MEDICAL CORPORATION	1070 S SANTA FE AVE	STE 9	VISTA	CA	92084	7010	37	06073	33.19120588	-117.2283618	San Diego County
104975	Fee-for-Service	1639227440	1639227440	1	1	VERTELNEY, EVA S MD	4/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	68262	41	Internal Medicine	0	In state provider	ATTN MGA OFFICE	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
105026	Fee-for-Service	1942931134	1942931134	1	1	VERDE, REUEL LYLE Q PT	3/16/2023	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	500 N CENTRAL AVE	850	GLENDALE	CA	91203	3905	19	06037	34.15321627	-118.2578985	Los Angeles County
105057	Fee-for-Service	1104861012	1104861012	1	4	VALLEY MEDICAL ONCOLOGY	3/19/2010	193200000X	NA	Other	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	2940 WHIPPLE AVENUE	#B	REDWOOD CITY	CA	94062	2856	41	06081	37.47840623	-122.2549871	San Mateo County
105091	Fee-for-Service	1467485573	1467485573	1	1	VOTEY, SCOTT R MD	11/30/1984	207PE0004X	NA	Other	026	PHYSICIANS	50757	01	General Practice	0	In state provider	None	1711 W TEMPLE ST	None	LOS ANGELES	CA	90026	5421	19	06037	34.06891181	-118.2638033	Los Angeles County
105094	Fee-for-Service	1033598412	1033598412	1	1	VALLEY HEALTH TEAM INC	11/9/2018	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	121 WEST SIERRA STREET	None	KINGSBURG	CA	93631	1756	10	06019	36.51803701	-119.5675489	Fresno County
105139	Fee-for-Service	1932242526	1932242526	1	1	VUONG, CHI L OD	2/14/2006	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	VUONG OPTOMETRY	13143 CENTURY BLVD	None	GARDEN GROVE	CA	92843	1211	30	06059	33.77204537	-117.9423678	Orange County
105181	Fee-for-Service	1508215716	1508215716	1	1	VORA, SHIVANI	12/23/2022	207RC0200X	NA	Other	026	PHYSICIANS	158699	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
105281	Fee-for-Service	1639334592	1639334592	1	1	VAQUER-RHODES, MARGA LMFT	10/17/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	555 SOQUEL AVENUE	260	SANTA CRUZ	CA	95062	2336	44	06087	36.97623386	-122.0170137	Santa Cruz County
105322	Fee-for-Service	1255894028	1255894028	1	1	VO, JACQUELINE T DO	9/8/2023	207P00000X	NA	Other	026	PHYSICIANS	18638	None	None	0	In state provider	None	975 SERENO DR	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
105323	Fee-for-Service	1104861012	1104861012	1	4	VALLEY MEDICAL ONCOLOGY	3/19/2010	193200000X	NA	Other	022	PHYSICIANS GROUP	-	78	Neoplastic Diseases/Oncology	0	In state provider	None	2940 WHIPPLE AVENUE	#B	REDWOOD CITY	CA	94062	2856	41	06081	37.47840623	-122.2549871	San Mateo County
105357	Fee-for-Service	1942743174	1942743174	1	1	VO, HUY	1/2/2019	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	41	Internal Medicine	0	In state provider	None	14221 EUCLID ST	STE F	GARDEN GROVE	CA	92843	4991	30	06059	33.757191	-117.937638	Orange County
105377	Fee-for-Service	1063627362	1063627362	1	1	VEMULAPALLI, MADHAVI D MD	8/11/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	108156	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1200 B GALE WILSON BLVD	None	FAIRFIELD	CA	94533	3552	48	06095	38.26109552	-122.0470245	Solano County
105379	Fee-for-Service	1467485573	1467485573	1	1	VOTEY, SCOTT R MD	11/30/1984	207PE0004X	NA	Other	026	PHYSICIANS	50757	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1711 W TEMPLE ST	None	LOS ANGELES	CA	90026	5421	19	06037	34.06891181	-118.2638033	Los Angeles County
105381	Fee-for-Service	1033598412	1033598412	1	1	VALLEY HEALTH TEAM INC	1/14/2016	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	121 WEST SIERRA STREET	None	KINGSBURG	CA	93631	1756	10	06019	36.51803701	-119.5675489	Fresno County
105563	Fee-for-Service	1932360476	1932360476	1	1	VERMA, NISHEETH MD	8/6/2013	207L00000X	NA	Other	026	PHYSICIANS	106460	41	Internal Medicine	0	In state provider	None	1441 FLORIDA AVENUE	None	MODESTO	CA	95350	4405	50	06099	37.66508443	-120.9962589	Stanislaus County
105613	Fee-for-Service	1104861012	1104861012	1	4	VALLEY MEDICAL ONCOLOGY	3/19/2010	193200000X	NA	Other	022	PHYSICIANS GROUP	-	68	Hematology	0	In state provider	None	2940 WHIPPLE AVENUE	#B	REDWOOD CITY	CA	94062	2856	41	06081	37.47840623	-122.2549871	San Mateo County
105668	Fee-for-Service	1609413756	1609413756	1	1	VAQUERA, PEGGY LPCC	11/28/2023	101YM0800X	NA	Other	103	LICENSED PROFESSIONAL CLINICAL COUNSELOR - INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	818 MOUNTAIN AVE	STE 203	UPLAND	CA	91786	4165	36	06071	34.10424442	-117.6701797	San Bernardino County
105671	Fee-for-Service	1033598412	1033598412	1	1	VALLEY HEALTH TEAM INC	1/14/2016	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	121 WEST SIERRA STREET	None	KINGSBURG	CA	93631	1756	10	06019	36.51803701	-119.5675489	Fresno County
105734	Fee-for-Service	1366612699	1366612699	1	1	VYAS, SHUCHI I MD	10/19/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	109604	41	Internal Medicine	0	In state provider	None	10800 MAGNOLIA AVENUE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
105908	Fee-for-Service	1053643783	1053643783	1	1	VISALIA CHILDRENS DENTAL	12/22/2010	261QA1903X	NA	Other	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	SURGERY CENTER INC	136 ASPEN COURT	SUITE A	VISALIA	CA	93291	5175	54	06107	36.32887484	-119.3528574	Tulare County
105959	Fee-for-Service	1033598412	1033598412	1	1	VALLEY HEALTH TEAM INC	1/14/2016	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	121 WEST SIERRA STREET	None	KINGSBURG	CA	93631	1756	10	06019	36.51803701	-119.5675489	Fresno County
106055	Fee-for-Service	1992716435	1992716435	1	1	VESPA,PAUL M MD	4/1/1994	No Taxonomy Provided	NA	None	026	PHYSICIANS	79459	13	Neurology (M.D. only)	0	In state provider	None	300 UCLA PLAZA DR	STE B200	LOS ANGELES	CA	90024	0000	19	06037	34.06465655	-118.4461	Los Angeles County
106056	Fee-for-Service	1881819019	1881819019	1	1	VANZANDER, JOELLEN L MD	5/2/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	102997	07	Dermatology	0	In state provider	None	1300 CRANE STREET	None	MENLO PARK	CA	94025	4260	41	06081	37.45264069	-122.1878743	San Mateo County
106057	Fee-for-Service	1982758637	1982758637	1	1	VANHISE, LASSIA Z R MD	11/7/1979	No Taxonomy Provided	NA	None	026	PHYSICIANS	34457	01	General Practice	0	In state provider	None	1910 FINNELL RD	None	YOUNTVILLE	CA	94599	9467	28	06055	38.4048239	-122.3583755	Napa County
106181	Fee-for-Service	1184467599	1184467599	1	1	VAUGHAN, PAIGE C CCC-SLP	6/20/2024	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	3687 MT DIABLO	SUITE 100	LAFAYETTE	CA	94549	3717	07	06013	37.8898926	-122.1304235	Contra Costa County
106210	Fee-for-Service	1073908158	1073908158	1	1	VANG CHILDRENS URGENT CARE	8/31/2015	261QP2300X	NA	Other	026	PHYSICIANS	83557	40	Pediatrics	0	In state provider	INC	4615 N 1ST STREET	None	FRESNO	CA	93726	0904	10	06019	36.802152	-119.772449	Fresno County
106302	Fee-for-Service	1598825259	1598825259	1	1	VALENCIA, BENITO O JR MD	6/8/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	50955	41	Internal Medicine	0	In state provider	None	39141 CIVIC CENTER DR	STE 130	FREMONT	CA	94538	5831	01	06001	37.55436307	-121.9764708	Alameda County
106315	Fee-for-Service	1538368725	1538368725	1	1	VU, MINH-CHAU MD	11/17/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	85244	30	Radiology	0	In state provider	None	9400 ROSECRANS AVENUE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
106344	Fee-for-Service	1982758637	1982758637	1	1	VANHISE, LASSIA Z R MD	11/7/1979	No Taxonomy Provided	NA	None	026	PHYSICIANS	34457	08	Family Practice	0	In state provider	None	1910 FINNELL RD	None	YOUNTVILLE	CA	94599	9467	28	06055	38.4048239	-122.3583755	Napa County
106347	Fee-for-Service	1669403549	1669403549	1	1	VAN GIESON, HENRY MD	5/26/1992	No Taxonomy Provided	NA	None	026	PHYSICIANS	74156	41	Internal Medicine	0	In state provider	None	2898 LINDEN AVE	None	LONG BEACH	CA	90806	1627	19	06037	33.809688	-118.1868115	Los Angeles County
106355	Fee-for-Service	1508978909	1508978909	1	1	VUNNAMADALA, SYAM P MD	8/1/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	64189	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	1121 W LA PALMA AVE	STE 209	ANAHEIM	CA	92801	2804	30	06059	33.8472213	-117.932445	Orange County
106369	Fee-for-Service	1992741508	1992741508	1	1	VONS COMPANIES,INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	8969 SANTA MONICA BLVD	None	WEST HOLLYWOOD	CA	90069	4911	19	06037	34.08326871	-118.386603	Los Angeles County
106436	Fee-for-Service	1457679706	1457679706	1	1	VISHWANATH, VIJAY MD	7/18/2019	2084N0402X	NA	Neurology	026	PHYSICIANS	162442	79	Neurology-Child	0	In state provider	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
106473	Fee-for-Service	1669418513	1669418513	1	3	VENICE FAMILY CLINIC	11/1/2021	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	270 E 223RD ST	None	CARSON	CA	90745	3804	19	06037	33.82418448	-118.272663	Los Angeles County
106512	Fee-for-Service	1578565792	1578565792	1	1	VOELKEL, A GENE MD	1/1/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	38051	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	130 LA CASA VIA	None	WALNUT CREEK	CA	94598	3045	07	06013	37.91175467	-122.0414101	Contra Costa County
106530	Fee-for-Service	1689603615	1689603615	1	1	VONS COMPANIES INC	11/7/2000	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	7390 CHERRY AVE	None	FONTANA	CA	92336	4204	36	06071	34.12000116	-117.4886648	San Bernardino County
106636	Fee-for-Service	1669403549	1669403549	1	1	VAN GIESON, HENRY MD	5/26/1992	No Taxonomy Provided	NA	None	026	PHYSICIANS	74156	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	2898 LINDEN AVE	None	LONG BEACH	CA	90806	1627	19	06037	33.809688	-118.1868115	Los Angeles County
106644	Fee-for-Service	1508978909	1508978909	1	1	VUNNAMADALA, SYAM P MD	8/1/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	64189	33	Thoracic Surgery	0	In state provider	None	1121 W LA PALMA AVE	STE 209	ANAHEIM	CA	92801	2804	30	06059	33.8472213	-117.932445	Orange County
106701	Fee-for-Service	1588666481	1588666481	1	1	VANGUILDER, TANYA L OD	8/8/2019	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1668 E 2ND ST	STE B	BEAUMONT	CA	92223	3168	33	06065	33.92359885	-116.9480354	Riverside County
106714	Fee-for-Service	1356600555	1356600555	1	1	VILLALOBOS, ROCIO LCSW	8/28/2018	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
106763	Fee-for-Service	1669418513	1669418513	1	3	VENICE FAMILY CLINIC	11/1/2021	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	270 E 223RD ST	None	CARSON	CA	90745	3804	19	06037	33.82418448	-118.272663	Los Angeles County
106801	Fee-for-Service	1407121080	1407121080	1	1	VALLEY EMERGENCY MEDICAL	10/23/2014	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	ASSOCIATES INC	14850 ROSCOE BLVD	None	PANORAMA CITY	CA	91402	4618	19	06037	34.22145548	-118.4566005	Los Angeles County
106804	Fee-for-Service	1740392992	1740392992	1	1	VENTURA COUNTY CCS	9/22/1993	No Taxonomy Provided	NA	None	046	REHABILITATION CLINIC	-	-	NOT APPLICABLE	0	In state provider	PENFIELD MTU	640 JAZMIN AVE	None	VENTURA	CA	93004	1828	56	06111	34.28591209	-119.1612275	Ventura County
106831	Fee-for-Service	1437258175	1437258175	1	1	VALLEY FAMILY HEALTH CTR	3/22/2004	261QR1300X	NA	Rural Health Center	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	MATERNAL & CHILD CARE CT	1026 CHASE AVE	None	CORCORAN	CA	93212	2334	16	06031	36.09829118	-119.5610193	Kings County
106954	Fee-for-Service	1285755280	1285755280	1	1	VU, DANNY D OD	8/8/2022	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1540 W FOOTHILL BLVD	None	UPLAND	CA	91786	3653	36	06071	34.10688347	-117.6784002	San Bernardino County
106969	Fee-for-Service	1811158603	1811158603	1	1	VENICE FAMILY CLINIC	4/28/1997	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	905 VENICE BLVD	None	VENICE	CA	90291	4904	19	06037	33.9933918	-118.4542921	Los Angeles County
107011	Fee-for-Service	1861426058	1861426058	1	1	VALERIUS MEDICAL GROUP	10/27/2004	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	& RESEARCH CENTER	340 GOLDEN SHR	STE 100	LONG BEACH	CA	90802	4237	19	06037	33.76405848	-118.1995605	Los Angeles County
107054	Fee-for-Service	1669418513	1669418513	1	3	VENICE FAMILY CLINIC	7/18/2023	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	270 E 223RD ST	None	CARSON	CA	90745	3804	19	06037	33.82418448	-118.272663	Los Angeles County
107076	Fee-for-Service	1063616779	1063616779	1	1	VAN ROSSUM, LAURA S CRNA	4/25/2011	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	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
107085	Fee-for-Service	1487343208	1487343208	1	1	VIDA DACANAY	9/26/2023	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	4290 LAYLA WAY	None	SAN DIEGO	CA	92154	3835	37	06073	32.57135677	-117.0419973	San Diego County
107086	Fee-for-Service	1013984442	1013984442	1	1	VANDENHOVEN, MICHELE D MD	8/1/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	79116	05	Anesthesiology	0	In state provider	None	11234 ANDERSON ST	None	LOMA LINDA	CA	92354	2804	36	06071	34.049547	-117.264078	San Bernardino County
107092	Fee-for-Service	1750703237	1750703237	1	1	VALLEY HEALTH TEAM INC	8/25/2014	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	180 W SHAW AVENUE	SUITE B	CLOVIS	CA	93612	3746	10	06019	36.80839548	-119.712699	Fresno County
107157	Fee-for-Service	1518906940	1518906940	1	1	VIRTUOX INC	7/30/2018	No Taxonomy Provided	NA	None	084	INDEPENDENT DIAGNOSTIC TESTING FACILITY XOVER PROV ONLY	-	-	NOT APPLICABLE	0	In state provider	None	150 EXECUTIVE PARK BLVD	STE 3210	SAN FRANCISCO	CA	94134	3331	38	06075	37.71132498	-122.393362	San Francisco County
107215	Fee-for-Service	1063953388	1063953388	1	1	VIDAR, EVAN N MD	3/23/2021	207R00000X	NA	Other	026	PHYSICIANS	157033	None	None	0	In state provider	None	555 EAST HARDY STREET	None	INGLEWOOD	CA	90301	4111	19	06037	33.94909549	-118.3481595	Los Angeles County
107234	Fee-for-Service	1982630794	1982630794	1	1	VOGEL, JON D MD	10/1/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	02	General Surgery	2	Out of state provider	None	13199 E MONTVIEW BLVD	None	AURORA	CO	80045	7201	00	None	39.748041	-104.834673	Adams County
107246	Fee-for-Service	1518008358	1518008358	1	1	VARNER, CHELSIA L MD	2/5/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	100444	05	Anesthesiology	0	In state provider	None	1200 N STATE ST	14-901	LOS ANGELES	CA	90033	1083	19	06037	34.05855992	-118.209755	Los Angeles County
107252	Fee-for-Service	1659790939	1659790939	1	1	VALLEY HILLS HOME HEALTH	8/4/2016	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	CARE, INC	17915 VENTURA BLVD	SUITE 220	ENCINO	CA	91316	4810	19	06037	34.16385429	-118.522817	Los Angeles County
107300	Fee-for-Service	1861426058	1861426058	1	1	VALERIUS MEDICAL GROUP	10/27/2004	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	83	Rheumatology	0	In state provider	& RESEARCH CENTER	340 GOLDEN SHR	STE 100	LONG BEACH	CA	90802	4237	19	06037	33.76405848	-118.1995605	Los Angeles County
107302	Fee-for-Service	1679173736	1679173736	1	1	VISTA COMMUNITY HOSPICE INC	12/1/2021	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	830 E VISTA WAY	STE 111	VISTA	CA	92084	5216	37	06073	33.21010765	-117.2343677	San Diego County
107318	Fee-for-Service	1669920559	1669920559	1	1	VELASCO, ELIA L	1/19/2017	No Taxonomy Provided	NA	None	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1625 STOCKTON BLVD	None	SACRAMENTO	CA	95816	7053	34	06067	38.56554	-121.4664615	Sacramento County
107348	Fee-for-Service	1932790920	1932790920	1	1	VALENTINI, ELISE NP	9/18/2024	363LP0200X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2521 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2207	34	06067	38.55204	-121.455387	Sacramento County
107380	Fee-for-Service	1750703237	1750703237	1	1	VALLEY HEALTH TEAM INC	6/2/2014	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	180 W SHAW AVENUE	SUITE B	CLOVIS	CA	93612	3746	10	06019	36.80839548	-119.712699	Fresno County
107409	Fee-for-Service	1710900394	1710900394	1	1	VAN STRALEN, DAVID MD	8/1/2019	No Taxonomy Provided	NA	None	080	CA CHILDRENS SERVICES/GENETICALLY HANDICAPPED PERSONS PROGRAM NON- INSTITUTIONAL	-	-	NOT APPLICABLE	0	In state provider	None	11175 CAMPUS STREET	COLEMAN PVL RM 11120	LOMA LINDA	CA	92350	1700	36	06071	34.049547	-117.2656245	San Bernardino County
107423	Fee-for-Service	1689910135	1689910135	1	1	VIZCARRA, BRAD A CRNA	1/22/2013	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
107431	Fee-for-Service	1144671983	1144671983	1	1	VAN DONSELAAR, KATY G DO	7/28/2020	207P00000X	NA	Other	026	PHYSICIANS	18350	66	Emergency Medicine (Urgent Care)	0	In state provider	None	825 DELBON AVE	None	TURLOCK	CA	95382	2016	50	06099	37.51052943	-120.8386573	Stanislaus County
107437	Fee-for-Service	1275118457	1275118457	1	1	VERMA, ANIRUDDH NP	11/15/2024	163WP0808X	NA	Other	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	415 KNOLLCREST DR	STE 101	REDDING	CA	96002	0181	45	06089	40.57267376	-122.3643496	Shasta County
107485	Fee-for-Service	1720298672	1720298672	1	1	VERCIO, AIMEE M MD	6/19/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	93099	08	Family Practice	0	In state provider	None	400 N PEPPER AVE	None	COLTON	CA	92324	1801	36	06071	34.073505	-117.3505995	San Bernardino County
107586	Fee-for-Service	1679173736	1679173736	1	1	VISTA COMMUNITY HOSPICE INC	12/1/2021	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	830 E VISTA WAY	STE 111	VISTA	CA	92084	5216	37	06073	33.21010765	-117.2343677	San Diego County
107614	Fee-for-Service	1568001162	1568001162	1	1	VMKJ HEALTHCARE LLC	2/15/2021	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	1303 W VALENCIA DR	STE 204	FULLERTON	CA	92833	4034	30	06059	33.86657337	-117.9478854	Orange County
107667	Fee-for-Service	1750703237	1750703237	1	1	VALLEY HEALTH TEAM INC	6/2/2014	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	180 W SHAW AVENUE	SUITE B	CLOVIS	CA	93612	3746	10	06019	36.80839548	-119.712699	Fresno County
107674	Fee-for-Service	1386607174	1386607174	1	1	VALDEZ, JOSE L MD	12/31/1988	No Taxonomy Provided	NA	None	026	PHYSICIANS	45658	08	Family Practice	0	In state provider	None	1125 E 17TH ST	STE E-224	SANTA ANA	CA	92701	2201	30	06059	33.76004145	-117.854838	Orange County
107681	Fee-for-Service	1790712164	1790712164	1	1	VO, MICHAEL H MD	1/24/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	79118	30	Radiology	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
107696	Fee-for-Service	1710900394	1710900394	1	1	VAN STRALEN, DAVID MD	8/31/1994	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	57176	40	Pediatrics	0	In state provider	None	11175 CAMPUS STREET	COLEMAN PVL RM 11120	LOMA LINDA	CA	92350	1700	36	06071	34.049547	-117.2656245	San Bernardino County
107728	Fee-for-Service	1407330236	1407330236	1	1	VALADEZ, ANA P LCSW	5/30/2024	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
107901	Fee-for-Service	1568001162	1568001162	1	1	VMKJ HEALTHCARE LLC	2/15/2021	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	1303 W VALENCIA DR	STE 204	FULLERTON	CA	92833	4034	30	06059	33.86657337	-117.9478854	Orange County
107914	Fee-for-Service	1457451262	1457451262	1	1	VANSOMPHONE, BOUNGKHONG D MD	12/17/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	53921	41	Internal Medicine	0	In state provider	None	444 BRUCE ST	None	YREKA	CA	96097	3450	47	06093	41.71863548	-122.6458755	Siskiyou County
107956	Fee-for-Service	1750703237	1750703237	1	1	VALLEY HEALTH TEAM INC	6/2/2014	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	180 W SHAW AVENUE	SUITE B	CLOVIS	CA	93612	3746	10	06019	36.80839548	-119.712699	Fresno County
107961	Fee-for-Service	1316410657	1316410657	1	1	VECCHIONE, LORIE MAE G NP	3/22/2022	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	450 6TH AVE	None	SAN FRANCISCO	CA	94118	3010	38	06075	37.7802547	-122.4642049	San Francisco County
107981	Fee-for-Service	1154445260	1154445260	1	1	VALDIVIA, AIDA H LMFT	9/4/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	13652 CANTARA STREET	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
108016	Fee-for-Service	1184183212	1184183212	1	1	VILLANUEVA, JONATHAN Y MD	6/16/2023	207L00000X	NA	Other	026	PHYSICIANS	181464	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
108247	Fee-for-Service	1407915150	1407915150	1	1	VASILEV, STEVEN ANATOL	7/31/1989	No Taxonomy Provided	NA	None	026	PHYSICIANS	56061	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1500 DUARTE RD	None	DUARTE	CA	91010	3012	19	06037	34.129683	-117.970857	Los Angeles County
108290	Fee-for-Service	1760010367	1760010367	1	1	VAISHNAV, NEIL H MD	9/19/2023	208M00000X	NA	Other	026	PHYSICIANS	189057	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
108315	Fee-for-Service	1043837941	1043837941	1	1	VARGAS, FREDDIE M LMFT	3/5/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	19000 HOMESTEAD RD	None	CUPERTINO	CA	95014	0712	43	06085	37.33773494	-122.0043395	Santa Clara County
108392	Fee-for-Service	1669859567	1669859567	1	1	VALLEY POINTEIDENCE OPCO LLC	12/31/2014	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	20090 STANTON AVE	None	CASTRO VALLEY	CA	94546	5203	01	06001	37.69755637	-122.0910315	Alameda County
108412	Fee-for-Service	1083857759	1083857759	1	1	VULETICH, WILLIAM C.O.	6/10/2008	No Taxonomy Provided	NA	None	080	CA CHILDRENS SERVICES/GENETICALLY HANDICAPPED PERSONS PROGRAM NON- INSTITUTIONAL	-	-	NOT APPLICABLE	0	In state provider	None	5365 WALNUT AVE	SUITE K	CHINO	CA	91710	2622	36	06071	34.02626051	-117.6883155	San Bernardino County
108442	Fee-for-Service	1558327106	1558327106	1	1	VANDERSCHELDEN, PHILIPPE	6/26/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	52596	30	Radiology	0	In state provider	MD	FRESNO & R STREETS	None	FRESNO	CA	93721	0000	10	06019	36.741663	-119.7841005	Fresno County
108459	Fee-for-Service	1619153855	1619153855	1	1	VILLALBA, SABRINA R MD	12/23/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	102108	08	Family Practice	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
108484	Fee-for-Service	1003967415	1003967415	1	1	VAN LEUVEN, KAREN ANN NP	12/1/2008	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	4100 REDWOOD ROAD	SUITE 328	OAKLAND	CA	94618	2363	01	06001	37.79783782	-122.1832794	Alameda County
108523	Fee-for-Service	1356345797	1356345797	1	1	VARIED, THOMAS 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	5215 HOLY CROSS PKWY	None	MISHAWAKA	IN	46545	1469	00	None	41.707305	-86.174298	St. Joseph County
108543	Fee-for-Service	1255447041	1255447041	1	1	VASQUEZ, MIGUEL MD	1/1/1982	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	33076	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	200 GREEN VALLEY RD	None	FREEDOM	CA	95019	3135	44	06087	36.93746313	-121.7713841	Santa Cruz County
108583	Fee-for-Service	1225028236	1225028236	1	1	VISUAL EDGE OPTOMETRIC	1/8/2004	No Taxonomy Provided	NA	None	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	GROUP, INC	8050 SANTA TERESA BLVD	STE 110	GILROY	CA	95020	3862	43	06085	37.0147937	-121.5994338	Santa Clara County
108721	Fee-for-Service	1316480916	1316480916	1	1	VIVALON	5/18/2017	343900000X	Both NEMT & NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	930 TAMALPAIS AVE	None	SAN RAFAEL	CA	94901	3325	21	06041	37.97190978	-122.5230801	Marin County
108929	Fee-for-Service	1891329868	1891329868	1	1	VALDES, MELISSA CNP	9/11/2024	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	95 3RD ST	STE 293	SAN FRANCISCO	CA	94103	3103	38	06075	37.78653271	-122.402286	San Francisco County
109066	Fee-for-Service	1023071925	1023071925	1	1	VARNER, ALBERT A MD	5/4/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	27697	10	Gastroenterology (M.D. only)	0	In state provider	None	1350 S ELISEO DR	STE 130	GREENBRAE	CA	94904	2011	21	06041	37.94490653	-122.537021	Marin County
109080	Fee-for-Service	1801283858	1801283858	1	1	VICTORY COMPASSION HOSPICE	10/10/2018	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	INC	8622 RESEDA BLVD	SUITE 212	NORTHRIDGE	CA	91324	4036	19	06037	34.22719786	-118.5360442	Los Angeles County
109132	Fee-for-Service	1457985095	1457985095	1	1	VALENZUELA, TARA CNP	6/11/2020	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1707 EYE ST	100	BAKERSFIELD	CA	93301	5208	15	06029	35.37461686	-119.020062	Kern County
109204	Fee-for-Service	1013540616	1013540616	1	1	VALENZUELA, JUAN R LCSW	12/7/2022	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1717 CALIFORNIA STREET	1	HUNTINGTON BEACH	CA	92648	3145	30	06059	33.67288856	-117.9941203	Orange County
109207	Fee-for-Service	1033598412	1033598412	1	4	VALLEY HEALTH TEAM INC	5/9/2023	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	340 EAST KERN STREET	None	DINUBA	CA	93618	2300	54	06107	36.5421518	-119.3860781	Tulare County
109254	Fee-for-Service	1366709156	1366709156	1	1	VASQUEZ, CARLOS A CRNA	5/12/2014	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
109263	Fee-for-Service	1588614531	1588614531	1	1	VILLEDA, RAFAEL A MD	7/12/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	83727	05	Anesthesiology	0	In state provider	None	20103 LAKE CHABOT RD	None	CASTRO VALLEY	CA	94546	5305	01	06001	37.698264	-122.090112	Alameda County
109272	Fee-for-Service	1285730820	1285730820	1	1	VIKSTROM, BRIAN G MD	6/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	69795	None	None	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
109327	Fee-for-Service	1538520036	1538520036	1	1	VENEGAS, CRYSTAL LMFT	6/7/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	11801 PIERCE ST	200	RIVERSIDE	CA	92505	4400	33	06065	33.90100297	-117.49363	Riverside County
109369	Fee-for-Service	1801283858	1801283858	1	1	VICTORY COMPASSION HOSPICE	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	INC	8622 RESEDA BLVD	SUITE 212	NORTHRIDGE	CA	91324	4036	19	06037	34.22719786	-118.5360442	Los Angeles County
109383	Fee-for-Service	1003979543	1003979543	1	1	VISITING ANGELS HOME HEALTH	3/1/2019	No Taxonomy Provided	NA	None	093	CARE COORDINATOR AGENCIES (CCA)	-	-	NOT APPLICABLE	0	In state provider	CARE, INC	225 E BROADWAY	STE 111	GLENDALE	CA	91205	1008	19	06037	34.14633765	-118.2529554	Los Angeles County
109418	Fee-for-Service	1245639616	1245639616	1	1	VISTA 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	550 W VISTA WAY	STE 310	VISTA	CA	92083	5717	37	06073	33.19564771	-117.2534095	San Diego County
109494	Fee-for-Service	1932230810	1932230810	1	1	VU, LAN T MD	6/1/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	90884	40	Pediatrics	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
109495	Fee-for-Service	1316206899	1316206899	1	1	VAN BUREN, NICOLE R MD	1/26/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	125021	01	General Practice	0	In state provider	None	4733 W SUNSET BOULEVARD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
109497	Fee-for-Service	1033598412	1033598412	1	4	VALLEY HEALTH TEAM INC	5/9/2023	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	340 EAST KERN STREET	None	DINUBA	CA	93618	2300	54	06107	36.5421518	-119.3860781	Tulare County
109532	Fee-for-Service	1457301608	1457301608	1	1	VELASTEGUI, ROMEL E	11/13/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	82687	None	None	0	In state provider	None	777 CAMPUS COMMONS RD	STE 120	SACRAMENTO	CA	95825	8343	34	06067	38.571021	-121.416786	Sacramento County
109554	Fee-for-Service	1699831214	1699831214	1	1	VANTASSEL, JIMMY D LCSW	3/30/2016	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4125 BANGS AVE	None	MODESTO	CA	95356	8713	50	06099	37.70451024	-121.0709696	Stanislaus County
109671	Fee-for-Service	1003979543	1003979543	1	1	VISITING ANGELS HOME HEALTH	2/23/2008	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	CARE, INC	225 E BROADWAY	STE 111	GLENDALE	CA	91205	1008	19	06037	34.14633765	-118.2529554	Los Angeles County
109705	Fee-for-Service	1245639616	1245639616	1	1	VISTA HOSPICE CARE INC	12/21/2017	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	550 W VISTA WAY	STE 310	VISTA	CA	92083	5717	37	06073	33.19564771	-117.2534095	San Diego County
109781	Fee-for-Service	1932230810	1932230810	1	1	VU, LAN T MD	6/1/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	90884	02	General Surgery	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
109894	Fee-for-Service	1689808099	1689808099	1	1	VESCIAL, KAREN ANN	2/8/2015	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	12881 KNOTT ST	STE 109	GARDEN GROVE	CA	92841	3928	30	06059	33.77542911	-118.0080111	Orange County
109919	Fee-for-Service	1568010650	1568010650	1	1	VALMONT CARE CENTER	2/18/2020	No Taxonomy Provided	NA	None	059	HOME AND COMMUNITY BASED SERVICES NURSING FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	7331 VALMONT STREET	None	TUJUNGA	CA	91042	2213	19	06037	34.2523685	-118.292256	Los Angeles County
109943	Fee-for-Service	1003053398	1003053398	1	1	VIGIL, CARLOS R DO A	1/29/2014	261QP2300X	NA	Other	026	PHYSICIANS	7446	41	Internal Medicine	0	In state provider	PROFESSIONAL CORPORATION	7974 HAVEN AVENUE	SUITE 210	RANCHO CUCAMONGA	CA	91730	3052	36	06071	34.10875445	-117.5759905	San Bernardino County
110019	Fee-for-Service	1730494816	1730494816	1	1	VIERA HOSPITAL INC	6/23/2012	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	8745 N WICKHAM RD	None	MELBOURNE	FL	32940	5997	00	None	28.22963391	-80.72895317	Brevard County
110072	Fee-for-Service	1205897568	1205897568	1	3	VALLEY RADIOLOGY CONSULTANTS	11/1/2000	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	MEDICAL GROUP INC	355 E GRAND AVE	STE 3	ESCONDIDO	CA	92025	3313	37	06073	33.12354429	-117.0775982	San Diego County
110079	Fee-for-Service	1629062005	1629062005	1	1	VASHISTHA, KRISHAN K MD	8/31/1980	No Taxonomy Provided	NA	None	026	PHYSICIANS	31642	40	Pediatrics	0	In state provider	INC	27141 HIDAWAY AVE	STE 105	CANYON COUNTRY	CA	91351	4137	19	06037	34.41483	-118.469039	Los Angeles County
110123	Fee-for-Service	1710571153	1710571153	1	3	VESTA TELEMEDICINE SOLUTIONS	7/26/2023	2085R0202X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	, PC	1271 ROSS AVE	None	EL CENTRO	CA	92243	4304	13	06025	32.78145047	-115.5673098	Imperial County
110140	Fee-for-Service	1437425204	1437425204	1	1	VAN LOON, PATRICK J DC	11/25/2020	111N00000X	NA	Other	006	CHIROPRACTORS	-	-	NOT APPLICABLE	0	In state provider	None	27620 LANDAU BLVD	STE 1	CATHEDRAL CITY	CA	92234	5540	33	06065	33.84709854	-116.4757864	Riverside County
110214	Fee-for-Service	1780048447	1780048447	1	1	VELEZ, ERIK M MD	4/20/2022	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	151509	None	None	0	In state provider	None	3161 L ST	None	SACRAMENTO	CA	95816	5234	34	06067	38.570958	-121.4642295	Sacramento County
110269	Fee-for-Service	1598984213	1598984213	1	1	VIA REAL PHYSICAL THERAPY IN	2/17/2023	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	5432-34 CARPINTERIA AVE	None	CARPINTERIA	CA	93013	1423	42	06083	34.394733	-119.513288	Santa Barbara County
110278	Fee-for-Service	1629443734	1629443734	1	1	VELASCO, ELIANA LMFT	3/18/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	16800 DEVONSHIRE ST	212	GRANADA HILLS	CA	91344	7403	19	06037	34.25745651	-118.4982159	Los Angeles County
110279	Fee-for-Service	1750873113	1750873113	1	1	VENTURA COUNTY COMMUNITY	7/18/2018	251300000X	NA	Other	045	CLINIC EXEMP FROM LICENSURE	-	-	NOT APPLICABLE	0	In state provider	COLLEGE DISTRICT	7075 CAMPUS ROAD	None	MOORPARK	CA	93021	1605	56	06111	34.301133	-118.8345735	Ventura County
110309	Fee-for-Service	1730494816	1730494816	1	1	VIERA HOSPITAL INC	6/23/2012	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	8745 N WICKHAM RD	None	MELBOURNE	FL	32940	5997	00	None	28.22963391	-80.72895317	Brevard County
110493	Fee-for-Service	1194348466	1194348466	1	1	VANCE, AMANDA CRNA	12/10/2021	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	500 W HOSPITAL ROAD	None	FRENCH CAMP	CA	95231	9693	39	06077	37.88652418	-121.2820956	San Joaquin County
110556	Fee-for-Service	1073514261	1073514261	2	1	VIGNARAJAN, NIRUPA MD	4/10/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	54107	41	Internal Medicine	0	In state provider	None	1030 S GLENDALE AVE	STE 309	GLENDALE	CA	91205	2866	19	06037	34.13381535	-118.2519184	Los Angeles County
110566	Fee-for-Service	1750873113	1750873113	1	1	VENTURA COUNTY COMMUNITY	7/1/2017	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	COLLEGE DISTRICT	7075 CAMPUS ROAD	None	MOORPARK	CA	93021	1605	56	06111	34.301133	-118.8345735	Ventura County
110646	Fee-for-Service	1245399088	1245399088	1	1	VAN WYK, ADRIAAN F LMFT	10/16/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	9667 HIGHWAY 29	SUITE 102	LOWER LAKE	CA	95457	0000	17	06033	38.91012553	-122.612985	Lake County
110684	Fee-for-Service	1669978292	1669978292	1	1	VAN DER WYK, BRIAN D OT	2/13/2024	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
110855	Fee-for-Service	1750873113	1750873113	1	1	VENTURA COUNTY COMMUNITY	7/2/2018	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	COLLEGE DISTRICT	7075 CAMPUS ROAD	None	MOORPARK	CA	93021	1605	56	06111	34.301133	-118.8345735	Ventura County
110880	Fee-for-Service	1265685069	1265685069	1	1	VOIGT, MICHELLE R MD	9/15/2011	390200000X	NA	Other	026	PHYSICIANS	107179	66	Emergency Medicine (Urgent Care)	0	In state provider	None	4002 VISTA WAY	None	OCEANSIDE	CA	92056	3622	37	06073	33.1857	-117.290538	San Diego County
110947	Fee-for-Service	1265187215	1265187215	1	1	VERSOZA, NATHANIEL G PT	7/4/2022	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	137 S LAS POSAS RD	STE 254	SAN MARCOS	CA	92078	2475	37	06073	33.14138594	-117.1924065	San Diego County
111042	Fee-for-Service	1366975237	1366975237	1	1	VESELY, KARA J LMFT	9/16/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	18672 FLORIDA ST	#100	HUNTINGTON BEACH	CA	92648	1917	30	06059	33.691185	-117.9910425	Orange County
111067	Fee-for-Service	1295720050	1295720050	1	1	VASSANTACHART, P MD INC	5/16/1984	207R00000X	NA	Other	026	PHYSICIANS	44008	01	General Practice	0	In state provider	None	841 W VALLEY BLVD	STE 104	ALHAMBRA	CA	91803	3251	19	06037	34.07803221	-118.1327862	Los Angeles County
111162	Fee-for-Service	1912955881	1912955881	2	1	VALLEY INSTITUTE	10/7/2011	No Taxonomy Provided	NA	None	029	PROSTHETISTS	-	-	NOT APPLICABLE	0	In state provider	PROSTHETICS & ORTHOTICS	1524 21ST ST	#B	BAKERSFIELD	CA	93301	4002	15	06029	35.3781555	-119.0195505	Kern County
111179	Fee-for-Service	1376934539	1376934539	1	1	VAN ARSDELL, KAITLYN M MD	5/21/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	134310	01	General Practice	0	In state provider	None	3701 BROADWAY	None	OAKLAND	CA	94611	5613	01	06001	37.82533768	-122.258094	Alameda County
111304	Fee-for-Service	1578545307	1578545307	1	1	VERHEY,MARGARET H MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	411 LAUREL STREET	SK A250	DES MOINES	IA	50314	0000	00	None	41.59741487	-93.62409305	Polk County
111331	Fee-for-Service	1821034430	1821034430	1	1	VONS COMPANIES INC	10/1/2000	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	522 ORANGE ST	None	REDLANDS	CA	92374	3208	36	06071	34.060041	-117.182552	San Bernardino County
111368	Fee-for-Service	1104877026	1104877026	1	1	VILLARREAL, NORALISA MD	5/28/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	75065	08	Family Practice	0	In state provider	None	6226 E SPRING ST	STE 100	LONG BEACH	CA	90815	1442	19	06037	33.81040053	-118.1102715	Los Angeles County
111381	Fee-for-Service	1699931360	1699931360	1	1	VARGHESE, BENSON K MD	9/6/2018	207RP1001X	NA	Pulmonology	026	PHYSICIANS	155877	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
111416	Fee-for-Service	1881168771	1881168771	1	1	VERTINSKI, MARY PHD	7/12/2019	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	111 SMITH RANCH ROAD	None	SAN RAFAEL	CA	94903	1939	21	06041	38.01951576	-122.5315893	Marin County
111438	Fee-for-Service	1750595443	1750595443	1	1	VELURU, CHANDRA S MD	2/2/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	131382	10	Gastroenterology (M.D. only)	0	In state provider	None	550 B STREET	None	YUBA CITY	CA	95991	5067	51	06101	39.13299265	-121.6155493	Sutter County
111535	Fee-for-Service	1154631141	1154631141	1	1	VILLEGAS, BRENDA G	9/26/2016	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
111586	Fee-for-Service	1124070743	1124070743	1	1	VANDEWALKER, KRISTEN M	3/16/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	82271	22	Pathology (M.D. only)	0	In state provider	MD	3301 C ST	STE 200E	SACRAMENTO	CA	95816	3363	34	06067	38.579877	-121.456143	Sacramento County
111594	Fee-for-Service	1710991997	1710991997	1	2	VAN, MARCUS MD	3/27/2025	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	83208	30	Radiology	0	In state provider	None	465 N ROXBURY DR	STE 101&715	BEVERLY HILLS	CA	90210	4206	19	06037	34.06832918	-118.4072114	Los Angeles County
111629	Fee-for-Service	1972679959	1972679959	1	1	VENUGOPAL, CHANDRASEKAR	10/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	73401	30	Radiology	0	In state provider	MD	FRESNO & R STREET	None	FRESNO	CA	93701	0000	10	06019	36.741663	-119.7841005	Fresno County
111688	Fee-for-Service	1770148603	1770148603	1	1	VILLANUEVA, CLARITO D NP	1/30/2021	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	25000 AVENUE STANFORD	167	VALENCIA	CA	91355	4553	19	06037	34.43847322	-118.5729968	Los Angeles County
111705	Fee-for-Service	1811493737	1811493737	1	1	VAN WICKLE, JONATHAN MD	5/23/2023	2085R0001X	NA	Other	026	PHYSICIANS	183334	None	None	0	In state provider	None	1213 E OCEAN AVE	100	LOMPOC	CA	93436	7047	42	06083	34.6388755	-120.442995	Santa Barbara County
111792	Fee-for-Service	1225109259	1225109259	1	1	VIPOND, BERTRAND H MD	12/31/1986	No Taxonomy Provided	NA	None	026	PHYSICIANS	51641	41	Internal Medicine	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
111910	Fee-for-Service	1770819781	1770819781	1	1	VIEJAS BAND OF KUMEYAAY	3/2/2010	No Taxonomy Provided	NEMT Provider	None	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	INDIANS	1 VIEJAS GRADE RD	None	ALPINE	CA	91901	1605	37	06073	32.855922	-116.6888025	San Diego County
111932	Fee-for-Service	1104044452	1104044452	1	1	VILLAFANE, MIGDALIA	4/17/2023	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	10200 SEPULVEDA BLVD	100	MISSION HILLS	CA	91345	2755	19	06037	34.25572562	-118.4673156	Los Angeles County
112038	Fee-for-Service	1417595422	1417595422	1	1	VANG, KAEO LCSW	2/28/2020	101YM0800X	NA	Other	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	906 G ST	None	SACRAMENTO	CA	95814	1800	34	06067	38.583468	-121.49289	Sacramento County
112100	Fee-for-Service	1295704112	1295704112	1	1	VITRIKAS, KIRSTEN R MD	7/1/2021	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	169337	None	None	0	In state provider	None	4860 Y ST	None	SACRAMENTO	CA	95817	2307	34	06067	38.552211	-121.449429	Sacramento County
112281	Fee-for-Service	1669418513	1669418513	1	6	VENICE FAMILY CLINIC	11/1/2021	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	742 W GARDENA BLVD	None	GARDENA	CA	90247	5024	19	06037	33.88165193	-118.2885204	Los Angeles County
112363	Fee-for-Service	1124187638	1124187638	1	1	VU, XIA Y LCSW	12/30/2015	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4785 N FIRST ST	None	FRESNO	CA	93726	0513	10	06019	36.80478	-119.7724585	Fresno County
112567	Fee-for-Service	1669418513	1669418513	1	6	VENICE FAMILY CLINIC	11/1/2021	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	742 W GARDENA BLVD	None	GARDENA	CA	90247	5024	19	06037	33.88165193	-118.2885204	Los Angeles County
112697	Fee-for-Service	1093156671	1093156671	1	2	VIDANA, MICHELLE L LPCC	2/1/2021	101YM0800X	NA	Other	103	LICENSED PROFESSIONAL CLINICAL COUNSELOR - INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2030 ONTARIO CT	None	EL CAJON	CA	92019	4231	37	06073	32.75653383	-116.9106703	San Diego County
112793	Fee-for-Service	1609631662	1609631662	1	1	VALLEY VILLAGE PHARMACY, INC	4/10/2024	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	12626 RIVERSIDE DR	STE. 100	NORTH HOLLYWOOD	CA	91607	3447	19	06037	34.15758449	-118.408131	Los Angeles County
112795	Fee-for-Service	1730403072	1730403072	1	1	VIDAL, GREGORY A MD	9/12/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	110613	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
112843	Fee-for-Service	1588689905	1588689905	2	1	VU, PAUL H OD	5/1/1996	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1013 E CAPITOL EXPY	None	SAN JOSE	CA	95121	2415	43	06085	37.29895883	-121.8236374	Santa Clara County
112856	Fee-for-Service	1669418513	1669418513	1	6	VENICE FAMILY CLINIC	6/8/2023	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	742 W GARDENA BLVD	None	GARDENA	CA	90247	5024	19	06037	33.88165193	-118.2885204	Los Angeles County
112950	Fee-for-Service	1316576424	1316576424	1	1	VAKOS, AMANDA MD	2/28/2025	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
112951	Fee-for-Service	1770266751	1770266751	1	1	VEL PRIMUS RX LLC	1/30/2024	3336L0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	4230 KIERNAN AVE	SUITE 220	MODESTO	CA	95356	9321	50	06099	37.71094054	-121.07376	Stanislaus County
112958	Fee-for-Service	1790925329	1790925329	1	1	VALESKY, WALTER W MD	6/23/2022	207P00000X	NA	Other	026	PHYSICIANS	176907	None	None	0	In state provider	None	101 THE CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
112988	Fee-for-Service	1891952057	1891952057	1	1	VAN DYK, NATHAN T MD	12/2/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	110246	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1200 B GALE WILSON BLVD	None	FAIRFIELD	CA	94533	3552	48	06095	38.26109552	-122.0470245	Solano County
113008	Fee-for-Service	1780355438	1780355438	1	1	VAN DOC HOME CARE	8/25/2023	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	758 E COLORADO BLVD	SUITE 206	PASADENA	CA	91101	2127	19	06037	34.14585851	-118.1346975	Los Angeles County
113044	Fee-for-Service	1922762806	1922762806	1	1	VITAL LUNGS ASSOCIATES OF SO	12/10/2021	207RP1001X	NA	Pulmonology	022	PHYSICIANS GROUP	-	None	None	0	In state provider	UTHERN CALIFORNIA	18300 ROSCOE BLVD	None	NORTHRIDGE	CA	91325	4105	19	06037	34.22073847	-118.532988	Los Angeles County
113062	Fee-for-Service	1679220545	1679220545	1	1	VAZQUEZ FAMILY THERAPY, INC.	7/19/2022	104100000X	NA	Mental Health Outpatient Services	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	None	4433 VILLAGE RD	STE G	LONG BEACH	CA	90808	1505	19	06037	33.83397238	-118.1408189	Los Angeles County
113069	Fee-for-Service	1295790459	1295790459	1	1	VAIDYA, SHRIKRISHNA V. MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	400 FAIRVIEW AVE	STE 10	PONCA CITY	OK	74601	1910	00	None	36.7252088	-97.06983577	Kay County
113259	Fee-for-Service	1518965714	1518965714	1	1	VELAZQUEZ, CARMEN MD	11/17/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	56153	41	Internal Medicine	0	In state provider	None	4004 BEYER BLVD	None	SAN YSIDRO	CA	92173	2007	37	06073	32.55831005	-117.0475102	San Diego County
113315	Fee-for-Service	1821528829	1821528829	1	1	VENTURA CARE, INC	2/11/2019	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	1464 E LOS ANGELES AVE	STE 2	SIMI VALLEY	CA	93065	2889	56	06111	34.2716007	-118.7707603	Ventura County
113349	Fee-for-Service	1679220545	1679220545	1	1	VAZQUEZ FAMILY THERAPY, INC.	7/19/2022	104100000X	NA	Mental Health Outpatient Services	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	None	4433 VILLAGE RD	STE G	LONG BEACH	CA	90808	1505	19	06037	33.83397238	-118.1408189	Los Angeles County
113398	Fee-for-Service	1871686733	1871686733	1	1	VANDENBOSCH, MARK J MD	11/13/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	05	Anesthesiology	1	Border provider	None	2450 W CHARLESTON BLVD	None	LAS VEGAS	NV	89102	2179	00	None	36.15900951	-115.175853	Clark County
113407	Fee-for-Service	1356815930	1356815930	1	1	VANESSA HOME HEALTH SERVICES	12/18/2020	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	LLC	18740 VENTURA BLVD	STE 209	TARZANA	CA	91356	6354	19	06037	34.17115254	-118.5420873	Los Angeles County
113426	Fee-for-Service	1154380582	1154380582	1	1	VILLAFLOR, VICTORIA M MD	12/10/2020	207RX0202X	NA	Oncology	026	PHYSICIANS	170847	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
113466	Fee-for-Service	1770721789	1770721789	1	1	VANG, MANG CRNA	3/4/2014	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
113490	Fee-for-Service	1659702454	1659702454	1	2	VILLAGOMEZ, VANEZA X LMFT	6/7/2021	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	93B CASTILIAN DR	None	GOLETA	CA	93117	3026	42	06083	34.43340218	-119.8617194	Santa Barbara County
113569	Fee-for-Service	1730477142	1730477142	1	1	VYAS, URVI P MD	4/21/2020	207R00000X	NA	Other	026	PHYSICIANS	138287	67	Endocrinology	0	In state provider	None	790 E BONITA AVE	FL 2	POMONA	CA	91767	1906	19	06037	34.09621447	-117.737406	Los Angeles County
113591	Fee-for-Service	1932343829	1932343829	1	1	VAN GELDER, HOWARD J MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	106699	41	Internal Medicine	0	In state provider	None	1045 ATLANTIC AVENUE	SUITE 708	LONG BEACH	CA	90813	3410	19	06037	33.780267	-118.1850795	Los Angeles County
113611	Fee-for-Service	1356598825	1356598825	1	1	VALLEY CARE MEDICAL	1/13/2009	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	FOUNDATION INC	5575 W LAS POSITAS	SUITE 210	PLEASANTON	CA	94588	5802	01	06001	37.69214859	-121.8796532	Alameda County
113733	Fee-for-Service	1538522941	1538522941	1	1	VIZENOR, CASEY CNM	6/12/2023	367A00000X	NA	Certified Nurse Midwife	005	CERTIFIED NURSE MIDWIFE	-	None	None	0	In state provider	None	1515 NEWELL	None	WALNUT CREEK	CA	94596	5120	07	06013	37.89281357	-122.0598728	Contra Costa County
113750	Fee-for-Service	1558455816	1558455816	1	1	VAJGRT, DUANE J MD	4/30/1994	No Taxonomy Provided	NA	None	026	PHYSICIANS	69443	30	Radiology	0	In state provider	None	1328 22ND ST	None	SANTA MONICA	CA	90404	2032	19	06037	34.03122319	-118.4797185	Los Angeles County
113752	Fee-for-Service	1164050043	1164050043	1	1	VONG, VINSON MD	2/13/2023	390200000X	NA	Other	026	PHYSICIANS	179194	None	None	0	In state provider	None	2055 KELLOGG AVE	None	CORONA	CA	92879	3111	33	06065	33.85626255	-117.5559289	Riverside County
113769	Fee-for-Service	1396703179	1396703179	1	6	VALLEY RADIOLOGY MEDICAL	3/31/1997	2471M2300X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	2581 SAMARITAN DR	STE 206	SAN JOSE	CA	95124	4112	43	06085	37.25305684	-121.9507351	Santa Clara County
113794	Fee-for-Service	1649344722	1649344722	1	1	V. NICHOLAS BATRA M.D. INC.	8/17/2022	207W00000X	NA	Ophthalmology	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	None	15051 HESPERIAN BLVD	SUITE A	SAN LEANDRO	CA	94578	3536	01	06001	37.703457	-122.130096	Alameda County
113825	Fee-for-Service	1487019790	1487019790	1	1	VFP HOMES, LLC	2/2/2016	No Taxonomy Provided	NA	None	059	HOME AND COMMUNITY BASED SERVICES NURSING FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	6005 HARTMAN AVENUE	None	BAKERSFIELD	CA	93309	1925	15	06029	35.35528699	-119.0697991	Kern County
113857	Fee-for-Service	1730477142	1730477142	1	1	VYAS, URVI P MD	4/21/2020	207R00000X	NA	Other	026	PHYSICIANS	138287	41	Internal Medicine	0	In state provider	None	790 E BONITA AVE	FL 2	POMONA	CA	91767	1906	19	06037	34.09621447	-117.737406	Los Angeles County
113888	Fee-for-Service	1114919099	1114919099	1	1	VNA HOSPICE AND PALLIATIVE	2/26/1988	251G00000X	NA	Other	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	CARE OF SOUTHERN CA	2151 E CONVENTION CTR WA	STE 100	ONTARIO	CA	91764	5449	36	06071	34.065585	-117.6042555	San Bernardino County
113892	Fee-for-Service	1720309610	1720309610	1	1	VO, NGOC TRAM DO	6/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	11185	36	Psychiatry	0	In state provider	None	1201 W LA VETA AVE	None	ORANGE	CA	92868	4203	30	06059	33.78034779	-117.8655767	Orange County
113909	Fee-for-Service	1194873091	1194873091	1	1	VYAS, SUJATA B MD	11/21/1988	No Taxonomy Provided	NA	None	026	PHYSICIANS	45527	05	Anesthesiology	0	In state provider	None	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
113928	Fee-for-Service	1700807310	1700807310	1	1	VIERRA, JESSICA J LCSW	5/15/2017	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	6600 BRUCEVILLE ROAD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
113945	Fee-for-Service	1730113242	1730113242	2	1	VU, DINH MD	7/15/2024	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	69276	09	Gynecology (D.O. only)	0	In state provider	None	2720 S BRISTOL ST	SUITE 110	SANTA ANA	CA	92704	6207	30	06059	33.710463	-117.8854565	Orange County
114021	Fee-for-Service	1437183498	1437183498	1	1	VILLAMIL, CATRIEN H LMFT	3/16/2020	101YM0800X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	441 S BEVERLY DR	11	BEVERLY HILLS	CA	90212	4427	19	06037	34.05828951	-118.3976435	Los Angeles County
114043	Fee-for-Service	1760432801	1760432801	1	1	VAGEFI, REZA M MD	5/5/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	84915	17	Ophthalmology, Otolaryngology, Rhinology (D.O.only)	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94122	2721	38	06075	37.76386986	-122.4568084	San Francisco County
114051	Fee-for-Service	1366797581	1366797581	1	1	VALLEY WOMENS CARE APC	10/12/2021	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	None	None	None	0	In state provider	None	2501 E CHAPMAN AVE	UNIT 107	FULLERTON	CA	92831	3135	30	06059	33.87431052	-117.8869896	Orange County
114078	Fee-for-Service	1295352474	1295352474	1	1	VITAL HEALTH, INC	10/27/2021	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	1217 BUENA VISTA ST	SUITE 103B	DUARTE	CA	91010	2411	19	06037	34.139052	-117.977578	Los Angeles County
114112	Fee-for-Service	1124871629	1124871629	1	1	VERISSIMO, TAYLOR PT	5/9/2024	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	600 PALM AVE	126	IMPERIAL BEACH	CA	91932	1246	37	06073	32.5839813	-117.1207525	San Diego County
114137	Fee-for-Service	1013092766	1013092766	2	1	VU, TIEN T MD	8/23/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	40	Pediatrics	2	Out of state provider	None	13199 E MONTVIEW BLVD	None	AURORA	CO	80045	7201	00	None	39.748041	-104.834673	Adams County
114176	Fee-for-Service	1114919099	1114919099	1	1	VNA HOSPICE AND PALLIATIVE	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	CARE OF SOUTHERN CA	2151 E CONVENTION CTR WA	STE 100	ONTARIO	CA	91764	5449	36	06071	34.065585	-117.6042555	San Bernardino County
114194	Fee-for-Service	1356303432	1356303432	1	1	VAN VOOREN, MARY E DPM	2/8/2015	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	1045 ATLANTIC AVE	STE 807	LONG BEACH	CA	90813	3414	19	06037	33.780267	-118.1850795	Los Angeles County
114274	Fee-for-Service	1679708499	1679708499	1	1	VALENTINE, CORD R MD	2/24/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	106698	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
114278	Fee-for-Service	1407907744	1407907744	1	1	VO, TRI MINH MD	1/1/1988	No Taxonomy Provided	NA	None	026	PHYSICIANS	43116	01	General Practice	0	In state provider	None	10107 VALLEY BLVD	None	EL MONTE	CA	91731	2329	19	06037	34.07809532	-118.0503922	Los Angeles County
114312	Fee-for-Service	1578272415	1578272415	1	1	VALLEY REGIONAL ANESTHESIA A	1/18/2023	207L00000X	NA	Other	022	PHYSICIANS GROUP	-	05	Anesthesiology	0	In state provider	SSOCIATES INC	465 PUTNAM AVE	None	PORTERVILLE	CA	93257	3320	54	06107	36.06953472	-119.0273379	Tulare County
114355	Fee-for-Service	1104861012	1104861012	1	5	VALLEY MEDICAL ONCOLOGY	9/15/2010	193200000X	NA	Other	022	PHYSICIANS GROUP	-	78	Neoplastic Diseases/Oncology	0	In state provider	None	1133 EAST STANLEY BLVD	SUITE 117	LIVERMORE	CA	94550	4243	01	06001	37.67914693	-121.7810206	Alameda County
114418	Fee-for-Service	1598818239	1598818239	1	1	VALLEY VILLAGE	6/29/1994	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	12902 ALTANO ST	None	SYLMAR	CA	91342	3403	19	06037	34.30570077	-118.4138915	Los Angeles County
114463	Fee-for-Service	1114919099	1114919099	1	1	VNA HOSPICE AND PALLIATIVE	12/1/1977	251E00000X	NA	Other	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	CARE OF SOUTHERN CA	2151 E CONVENTION CTR WA	STE 100	ONTARIO	CA	91764	5449	36	06071	34.065585	-117.6042555	San Bernardino County
114469	Fee-for-Service	1629334206	1629334206	1	1	VO, JOHN L MD	8/25/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	129312	41	Internal Medicine	0	In state provider	None	200 MEDICAL PLAZA	SUITE 365,120,420	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
114495	Fee-for-Service	1851658173	1851658173	1	1	VANICHSARN, CHRISTOPHER T MD	8/31/2020	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	129210	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	1955 W CITRACADO PKWY	SUITE 300	ESCONDIDO	CA	92029	4113	37	06073	33.11301099	-117.1202081	San Diego County
114527	Fee-for-Service	1710571153	1710571153	1	1	VESTA TELEMEDICINE SOLUTIONS	9/10/2022	2085R0202X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	, PC	38600 MEDICAL CENTER DR	None	PALMDALE	CA	93351	4483	19	06037	34.58364037	-118.1441012	Los Angeles County
114556	Fee-for-Service	1952879348	1952879348	1	1	VU, VICTORIA THI	2/13/2023	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	911 BERN CT	STE 140	SAN JOSE	CA	95112	1242	43	06085	37.37594797	-121.8941096	Santa Clara County
114576	Fee-for-Service	1679581094	1679581094	1	2	VU, QUYNH-NHU T OD	8/25/2018	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	18285 COLLIER AVENUE	SUITE 1F	LAKE ELSINORE	CA	92530	2786	33	06065	33.69116429	-117.3413517	Riverside County
114602	Fee-for-Service	1578272415	1578272415	1	1	VALLEY REGIONAL ANESTHESIA A	1/18/2023	207L00000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	SSOCIATES INC	465 PUTNAM AVE	None	PORTERVILLE	CA	93257	3320	54	06107	36.06953472	-119.0273379	Tulare County
114643	Fee-for-Service	1104861012	1104861012	1	5	VALLEY MEDICAL ONCOLOGY	9/15/2010	193200000X	NA	Other	022	PHYSICIANS GROUP	-	68	Hematology	0	In state provider	None	1133 EAST STANLEY BLVD	SUITE 117	LIVERMORE	CA	94550	4243	01	06001	37.67914693	-121.7810206	Alameda County
114647	Fee-for-Service	1770751828	1770751828	1	1	VYAS, RAJ M MD	1/13/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	131446	24	Plastic Surgery	0	In state provider	None	555 TACHEVAH DR	3W105	PALM SPRINGS	CA	92262	5750	33	06065	33.83753681	-116.5424435	Riverside County
114664	Fee-for-Service	1568576627	1568576627	1	1	VALLEY OAK FAMILY	8/1/1993	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	PRACTICE MED GROUP INC	1202 MARICOPA HWY	STE C	OJAI	CA	93023	3129	56	06111	34.44210296	-119.2631971	Ventura County
114684	Fee-for-Service	1770787004	1770787004	1	1	VALERIE C. ALTAVAS MD A MEDI	5/15/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	52243	41	Internal Medicine	0	In state provider	A MEDICAL CORP	655 EUCLID AVE	STE 209	NATIONAL CITY	CA	91950	2970	37	06073	32.68353398	-117.082625	San Diego County
114762	Fee-for-Service	1053336701	1053336701	1	1	VASCULAR MEDICAL CENTER INC	3/16/2010	193400000X	NA	Other	026	PHYSICIANS	20877	22	Pathology (M.D. only)	0	In state provider	None	1745 SOUTH IMPERIAL AVE	STE B	EL CENTRO	CA	92243	4252	13	06025	32.77792365	-115.569499	Imperial County
114788	Fee-for-Service	1598324055	1598324055	1	1	VERMEULEN, ARTHUR MD	12/6/2024	207R00000X	NA	Other	026	PHYSICIANS	178323	41	Internal Medicine	0	In state provider	None	26777 AGOURA RD	STE 4	CALABASAS	CA	91302	2967	19	06037	34.13998921	-118.7070142	Los Angeles County
114792	Fee-for-Service	1457522757	1457522757	1	1	VICUNA, KAREN LCSW	4/23/2019	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2261 ST. GEORGE LN.	E	CHICO	CA	95926	1359	04	06007	39.75587696	-121.8463385	Butte County
114816	Fee-for-Service	1699023937	1699023937	1	1	VILLARRAGA, GINA P LCSW	6/12/2017	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
114891	Fee-for-Service	1780003400	1780003400	1	1	VALENZUELA, ASHLEY OT	3/5/2022	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1535 RIVER PARK DR	STE 1000	SACRAMENTO	CA	95815	4601	34	06067	38.600334	-121.4361675	Sacramento County
114917	Fee-for-Service	1003912668	1003912668	1	1	VADAREVU, PHANI KUMAR MD	8/2/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	83555	41	Internal Medicine	0	In state provider	None	6555 COYLE AVE	None	CARMICHAEL	CA	95608	0302	34	06067	38.66859	-121.3118055	Sacramento County
114930	Fee-for-Service	1104861012	1104861012	1	5	VALLEY MEDICAL ONCOLOGY	9/15/2010	193200000X	NA	Other	022	PHYSICIANS GROUP	-	32	Radiation Therapy (D.O. only)	0	In state provider	None	1133 EAST STANLEY BLVD	SUITE 117	LIVERMORE	CA	94550	4243	01	06001	37.67914693	-121.7810206	Alameda County
114979	Fee-for-Service	1477578250	1477578250	1	1	VALDEZ, JULIA W MD INC	1/27/2006	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	None	16031 TUSCOLA RD	None	APPLE VALLEY	CA	92307	1319	36	06071	34.542648	-117.2692615	San Bernardino County
115002	Fee-for-Service	1013900851	1013900851	1	1	VADALI, MAITRAYEE S MD	7/15/2020	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	130662	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	2820 N ONTARIO ST	None	BURBANK	CA	91504	2015	19	06037	34.20335077	-118.3443845	Los Angeles County
115013	Fee-for-Service	1063476026	1063476026	1	1	VENTURA, LEONARDO N MD	2/21/1995	207L00000X	NA	Other	026	PHYSICIANS	38385	05	Anesthesiology	0	In state provider	None	17101 ARMSTRONG AVE	STE 201	IRVINE	CA	92614	5742	30	06059	33.69524989	-117.8444582	Orange County
115036	Fee-for-Service	1871005876	1871005876	1	1	VAHDATI, GELAREH MD	10/7/2022	207U00000X	NA	Other	026	PHYSICIANS	175751	None	None	0	In state provider	None	3600 BROADWAY	None	OAKLAND	CA	94611	5730	01	06001	37.8237837	-122.2590026	Alameda County
115047	Fee-for-Service	1053336701	1053336701	1	1	VASCULAR MEDICAL CENTER INC	3/16/2010	193400000X	NA	Other	026	PHYSICIANS	20877	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	1745 SOUTH IMPERIAL AVE	STE B	EL CENTRO	CA	92243	4252	13	06025	32.77792365	-115.569499	Imperial County
115082	Fee-for-Service	1124050216	1124050216	1	1	VU, JOHN D MD	4/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	77271	41	Internal Medicine	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
115115	Fee-for-Service	1205826104	1205826104	1	1	VALDOVINOS-CAMPA, A MD	12/1/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	62181	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1150 VETERANS BLVD	None	REDWOOD CITY	CA	94063	2037	41	06081	37.48948529	-122.2232468	San Mateo County
115153	Fee-for-Service	1750726774	1750726774	1	1	VUONG, CHRISTOPHER D MD	8/5/2020	207Y00000X	NA	ENT/Otolaryngology	026	PHYSICIANS	141327	04	Otology, Laryngology, Rhinology	0	In state provider	None	11370 ANDERSON ST	STE 2100	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
115158	Fee-for-Service	1598793507	1598793507	1	1	VONGTAMA, VITUNE MD INC	1/1/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	None	78	Neoplastic Diseases/Oncology	0	In state provider	None	4722 QUAIL LAKES DR	None	STOCKTON	CA	95207	5244	39	06077	37.98644944	-121.3399768	San Joaquin County
115204	Fee-for-Service	1003912668	1003912668	1	1	VADAREVU, PHANI KUMAR MD	8/2/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	83555	38	Geriatrics	0	In state provider	None	6555 COYLE AVE	None	CARMICHAEL	CA	95608	0302	34	06067	38.66859	-121.3118055	Sacramento County
115208	Fee-for-Service	1376988303	1376988303	1	1	VANDIVER, MATTHEW MD	6/6/2019	207L00000X	NA	Other	026	PHYSICIANS	154301	05	Anesthesiology	0	In state provider	None	757 WESTWOOD PLZ	None	LOS ANGELES	CA	90095	8358	19	06037	34.06633051	-118.4452686	Los Angeles County
115212	Fee-for-Service	1588710818	1588710818	1	1	VANSTONE, MICHELLE MD	6/26/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	147822	40	Pediatrics	0	In state provider	None	3020 CHILDRENS WAY	MC 5069	SAN DIEGO	CA	92123	4223	37	06073	32.798691	-117.150829	San Diego County
115214	Fee-for-Service	1790970812	1790970812	1	1	VO, BRYANT L OD	5/4/2014	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1509 NORTH MAIN STREET	SUITE J	SANTA ANA	CA	92701	7418	30	06059	33.75824797	-117.8675575	Orange County
115221	Fee-for-Service	1639118656	1639118656	1	1	VANLEY, GREGORY T MD	4/30/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	32565	30	Radiology	0	In state provider	None	16453 COLORADO AVE	None	PARAMOUNT	CA	90723	5011	19	06037	33.8848803	-118.1614216	Los Angeles County
115297	Fee-for-Service	1588758031	1588758031	2	1	VAN RX INC	6/22/2019	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	14441 BROOKHURST ST	4	GARDEN GROVE	CA	92843	4646	30	06059	33.752871	-117.955026	Orange County
115312	Fee-for-Service	1770512204	1770512204	1	1	VALENZUELA, PETER M MD	1/1/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	56187	08	Family Practice	0	In state provider	None	3883 AIRWAY DR	#201	SANTA ROSA	CA	95403	1671	49	06097	38.483226	-122.739705	Sonoma County
115361	Fee-for-Service	1326205915	1326205915	1	1	VALLERIE, AMY M MD	8/17/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	133935	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	3779 PIEDMONT AVENUE	None	OAKLAND	CA	94611	5347	01	06001	37.82384659	-122.2558913	Alameda County
115367	Fee-for-Service	1699818278	1699818278	1	1	VALLEY MISSION MEDICAL	8/1/1996	2080A0000X	NA	Pediatric Primary Care	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	A MEDICAL CORPORATION	6410 VAN NUYS BLVD	STE B	VAN NUYS	CA	91401	1449	19	06037	34.187085	-118.4487115	Los Angeles County
115453	Fee-for-Service	1598714107	1598714107	2	1	VALIVETI, VINOD K MD	9/1/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	73845	38	Geriatrics	0	In state provider	None	1700 N ROSE AVE	STE 300	OXNARD	CA	93030	3790	56	06111	34.21746	-119.155545	Ventura County
115501	Fee-for-Service	1881601722	1881601722	1	1	VOLZ, ERIKA R LCSW	7/2/2018	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	24800 CHRISANTA DR	STE 220	MISSION VIEJO	CA	92691	3015	30	06059	33.60239643	-117.6735464	Orange County
115525	Fee-for-Service	1194804666	1194804666	1	1	VANBLARCOM,JEFFERY MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	100 N MEDICAL DR	None	SALT LAKE CITY	UT	84113	1103	00	None	40.77069459	-111.8370155	Salt Lake County
115553	Fee-for-Service	1518300045	1518300045	1	1	VAYUPAKPARNONDE, RUNGSIMA MD	2/24/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	122279	40	Pediatrics	0	In state provider	None	25845 BARTON RD	SUITE F	LOMA LINDA	CA	92354	3450	36	06071	34.04824949	-117.2401425	San Bernardino County
115655	Fee-for-Service	1699818278	1699818278	1	1	VALLEY MISSION MEDICAL	8/1/1996	2080A0000X	NA	Pediatric Primary Care	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	A MEDICAL CORPORATION	6410 VAN NUYS BLVD	STE B	VAN NUYS	CA	91401	1449	19	06037	34.187085	-118.4487115	Los Angeles County
115723	Fee-for-Service	1356652838	1356652838	1	1	VELLA, MEISHA R LCSW	1/27/2025	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	395 HICKEY BLVD	None	DALY CITY	CA	94015	2770	41	06081	37.66312028	-122.4631592	San Mateo County
115739	Fee-for-Service	1598714107	1598714107	2	1	VALIVETI, VINOD K MD	9/1/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	73845	41	Internal Medicine	0	In state provider	None	1700 N ROSE AVE	STE 300	OXNARD	CA	93030	3790	56	06111	34.21746	-119.155545	Ventura County
115748	Fee-for-Service	1811003411	1811003411	1	1	VAPNEK, EVAN M MD	3/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	75357	66	Emergency Medicine (Urgent Care)	0	In state provider	None	4033 3RD AVE	None	SAN DIEGO	CA	92103	2117	37	06073	32.75053781	-117.1627168	San Diego County
115820	Fee-for-Service	1508809856	1508809856	1	1	VIZEL, DAVID MD	9/4/2008	207R00000X	NA	Other	026	PHYSICIANS	64218	41	Internal Medicine	0	In state provider	None	6221 WILSHIRE BLVD	STE 312	LOS ANGELES	CA	90048	5225	19	06037	34.06329534	-118.3640031	Los Angeles County
115876	Fee-for-Service	1477585933	1477585933	1	1	VEMURI, MYTILEE P MD	2/23/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	85568	36	Psychiatry	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
115957	Fee-for-Service	1164905857	1164905857	1	1	VERBARENDSE, KAITLYN PSYD	11/9/2023	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	311 CALIFORNIA	#750	SAN FRANCISCO	CA	94104	2602	38	06075	37.79316768	-122.4002529	San Francisco County
115984	Fee-for-Service	1831702406	1831702406	1	1	VERA HOSPICE & PALLIATIVE	3/8/2022	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	CARE INC	14545 FRIAR STREET	STE 280	VAN NUYS	CA	91411	2397	19	06037	34.18570347	-118.450386	Los Angeles County
116037	Fee-for-Service	1811003411	1811003411	1	1	VAPNEK, EVAN M MD	3/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	75357	34	Urology and Urological Surgery	0	In state provider	None	4033 3RD AVE	None	SAN DIEGO	CA	92103	2117	37	06073	32.75053781	-117.1627168	San Diego County
116073	Fee-for-Service	1174681431	1174681431	1	1	VASEY, HILLARY L LMFT	8/28/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1347 GRANT ST	None	RED BLUFF	CA	96080	2366	52	06103	40.18355103	-122.2401731	Tehama County
116087	Fee-for-Service	1013270867	1013270867	1	1	VON KRIEGENBERGH, KATRINA M	5/7/2018	207LP2900X	NA	Other	026	PHYSICIANS	150193	05	Anesthesiology	0	In state provider	MD	3330 LOMITA BLVD	None	TORRANCE	CA	90505	5002	19	06037	33.81253631	-118.3435557	Los Angeles County
116101	Fee-for-Service	1306829064	1306829064	1	1	VARDANIAN, SVETLANA T MD	5/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	74071	41	Internal Medicine	0	In state provider	None	5810 JAMESON CT	None	CARMICHAEL	CA	95608	0881	34	06067	38.650878	-121.329036	Sacramento County
116120	Fee-for-Service	1336196708	1336196708	1	1	VISOTH CHHIAP, M.D. A PROFES	2/15/2024	207N00000X	NA	Dermatology	026	PHYSICIANS	None	07	Dermatology	0	In state provider	SIONAL CORPORATION	18550 DE PAUL DRIVE	SUITE 204	MORGAN HILL	CA	95037	2911	43	06085	37.15297169	-121.6473528	Santa Clara County
116158	Fee-for-Service	1841834694	1841834694	1	1	VORTEX MENTAL HEALTH	4/10/2023	2084P0800X	NA	Psychiatry	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	1760 TERMINO AVE	100	LONG BEACH	CA	90804	2182	19	06037	33.78889871	-118.1458784	Los Angeles County
116260	Fee-for-Service	1487138459	1487138459	1	1	VIVIDCITY PHARMACY LLC	6/15/2020	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	12504 MAGNOLIA BLVD	None	VALLEY VILLAGE	CA	91607	2306	19	06037	34.1648545	-118.4056875	Los Angeles County
116272	Fee-for-Service	1831702406	1831702406	1	1	VERA HOSPICE & PALLIATIVE	3/8/2022	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	CARE INC	14545 FRIAR STREET	STE 280	VAN NUYS	CA	91411	2397	19	06037	34.18570347	-118.450386	Los Angeles County
116273	Fee-for-Service	1134361405	1134361405	1	1	VIOLA, DINADELLE B MD	9/1/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	41	Internal Medicine	1	Border provider	None	1600 MEDICAL PKWY	None	CARSON CITY	NV	89703	4625	00	None	39.202263	-119.7841095	Consolidated Municipality of Carson City
116318	Fee-for-Service	1942343785	1942343785	1	1	VALLEY MISSION MEDICAL, A ME	4/1/1996	2080A0000X	NA	Pediatric Primary Care	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	EDICAL CORPORATION	220 N MACLAY AVE	STE 2	SAN FERNANDO	CA	91340	2909	19	06037	34.28545456	-118.4382977	Los Angeles County
116319	Fee-for-Service	1427717180	1427717180	1	1	VLN HOME HEALTH INC	12/6/2023	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	14545 FRIAR STREET	SUITE 114	VAN NUYS	CA	91411	4712	19	06037	34.18570347	-118.450386	Los Angeles County
116435	Fee-for-Service	1528236791	1528236791	1	1	VENTURA CO MEDICAL CTR	1/1/1994	No Taxonomy Provided	NA	None	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	None	3291 LOMA VISTA RD	None	VENTURA	CA	93003	3099	56	06111	34.27623479	-119.2520218	Ventura County
116438	Fee-for-Service	1750046694	1750046694	1	1	VALEO HOME HEALTH CARE INC	3/18/2024	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	2139 E TAPO ST	SUITE 222	SIMI VALLEY	CA	93063	3477	56	06111	34.27388603	-118.7089725	Ventura County
116447	Fee-for-Service	1841834694	1841834694	1	1	VORTEX MENTAL HEALTH	1/13/2023	2084P0800X	NA	Psychiatry	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	None	1760 TERMINO AVE	100	LONG BEACH	CA	90804	2182	19	06037	33.78889871	-118.1458784	Los Angeles County
116488	Fee-for-Service	1336159755	1336159755	1	1	VOGEL, EMILY L OD	6/28/2011	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	450 N ROXBURY DR	3RD FL	BEVERLY HILLS	CA	90210	4321	19	06037	34.06820793	-118.4070317	Los Angeles County
116582	Fee-for-Service	1578656971	1578656971	1	1	VIGILANTE, CORINNE L NP	6/5/2017	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
116584	Fee-for-Service	1780891994	1780891994	1	1	VALENCIA, LEOPOLDO C	4/25/1995	No Taxonomy Provided	NEMT Provider	None	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	GOD FIRST TRANSPORT	4228 77TH ST	None	SACRAMENTO	CA	95820	3627	34	06067	38.536461	-121.4145765	Sacramento County
116605	Fee-for-Service	1942343785	1942343785	1	1	VALLEY MISSION MEDICAL, A ME	4/1/1996	2080A0000X	NA	Pediatric Primary Care	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	EDICAL CORPORATION	220 N MACLAY AVE	STE 2	SAN FERNANDO	CA	91340	2909	19	06037	34.28545456	-118.4382977	Los Angeles County
116613	Fee-for-Service	1629119946	1629119946	1	1	VONHABSBURG, MICHAEL R LMFT	9/14/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
116734	Fee-for-Service	1841834694	1841834694	1	1	VORTEX MENTAL HEALTH	1/13/2023	2084P0800X	NA	Psychiatry	022	PHYSICIANS GROUP	-	36	Psychiatry	0	In state provider	None	1760 TERMINO AVE	100	LONG BEACH	CA	90804	2182	19	06037	33.78889871	-118.1458784	Los Angeles County
116796	Fee-for-Service	1356598825	1356598825	1	7	VALLEY CARE MEDICAL	1/13/2009	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	FOUNDATION INC	5575 W LAS POSITAS	SUITE 220	PLEASANTON	CA	94558	5802	01	06001	37.69214859	-121.8796532	Alameda County
116837	Fee-for-Service	1811044027	1811044027	1	1	VROUVAS, SUSY B OD	1/11/2013	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1635 DIVISADERO STREET	None	SAN FRANCISCO	CA	94115	3036	38	06075	37.78487142	-122.4398095	San Francisco County
116853	Fee-for-Service	1104861012	1104861012	1	1	VALLEY MEDICAL ONCOLOGY	1/3/1992	193200000X	NA	Other	022	PHYSICIANS GROUP	-	78	Neoplastic Diseases/Oncology	0	In state provider	CONSULTANTS	20055 LAKE CHABOT RD	STE 130	CASTRO VALLEY	CA	94546	5332	01	06001	37.69836512	-122.0873587	Alameda County
116926	Fee-for-Service	1902813470	1902813470	1	1	VILLEGAS III, RAMON B	2/8/2015	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	12841 TOWNE CENTER DR	None	CERRITOS	CA	90703	8585	19	06037	33.86841921	-118.0589636	Los Angeles County
116981	Fee-for-Service	1770711830	1770711830	1	1	VINOCUR, DANIEL N MD	8/1/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	115727	30	Radiology	0	In state provider	None	7901 FROST ST	None	SAN DIEGO	CA	92123	2701	37	06073	32.8002375	-117.1546269	San Diego County
116985	Fee-for-Service	1174798805	1174798805	1	1	VU-JAMES, HONGHA T	9/14/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	143635	10	Gastroenterology (M.D. only)	0	In state provider	None	1450 TREAT BLVD	STE 200	WALNUT CREEK	CA	94597	2168	07	06013	37.92643968	-122.0521822	Contra Costa County
117026	Fee-for-Service	1609150283	1609150283	1	1	VO-VU, JEANETTE T LCSW	4/29/2021	104100000X	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
117057	Fee-for-Service	1477592939	1477592939	1	1	VINSON, MARSHA H OD	1/17/2014	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	8250 WOODMAN AVE	None	PANORAMA CITY	CA	91402	5437	19	06037	34.22078654	-118.4326211	Los Angeles County
117108	Fee-for-Service	1205380334	1205380334	1	1	VUONG, JOANNA OD	3/29/2019	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	18525 S WESTERN AVE	None	GARDENA	CA	90248	3830	19	06037	33.86241877	-118.3091794	Los Angeles County
117136	Fee-for-Service	1154734515	1154734515	1	1	VARSHNEY, ANUBODH MD	8/7/2023	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	177999	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
117141	Fee-for-Service	1104861012	1104861012	1	1	VALLEY MEDICAL ONCOLOGY	1/3/1992	193200000X	NA	Other	022	PHYSICIANS GROUP	-	68	Hematology	0	In state provider	CONSULTANTS	20055 LAKE CHABOT RD	STE 130	CASTRO VALLEY	CA	94546	5332	01	06001	37.69836512	-122.0873587	Alameda County
117205	Fee-for-Service	1609829746	1609829746	1	1	VANGSNESS, CARLETON T MD	2/8/2015	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	56949	20	Orthopedic Surgery	0	In state provider	None	1510 SAN PABLO ST	STE 322	LOS ANGELES	CA	90033	5305	19	06037	34.06287152	-118.2029433	Los Angeles County
117297	Fee-for-Service	1487117339	1487117339	1	1	VU, QUAN DO	8/16/2022	207R00000X	NA	Other	026	PHYSICIANS	19896	None	None	0	In state provider	None	2823 FRESNO ST	None	FRESNO	CA	93721	1324	10	06019	36.7423511	-119.7834688	Fresno County
117336	Fee-for-Service	1447448519	1447448519	1	1	VINA HOLDINGS, INC	10/26/2009	251E00000X	NA	Other	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	13800 ARIZONA ST	SUITE 200	WESTMINSTER	CA	92683	3951	30	06059	33.76180389	-117.9953564	Orange County
117442	Fee-for-Service	1023216918	1023216918	1	1	VASQUEZ, EVALYNN C MD	6/27/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	143219	34	Urology and Urological Surgery	0	In state provider	None	4650 SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
117456	Fee-for-Service	1669418513	1669418513	1	5	VENICE FAMILY CLINIC	11/1/2021	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	2114 ARTESIA BLVD	None	REDONDO BEACH	CA	90278	3014	19	06037	33.8727555	-118.3735395	Los Angeles County
117459	Fee-for-Service	1598139883	1598139883	1	2	VALLEY PEDIATRIC HEALTH	3/26/2019	208000000X	NA	Pediatric Primary Care	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	None	1446 W. PICO AVE	SUITE 1	EL CENTRO	CA	92243	1377	13	06025	32.80570392	-115.5686925	Imperial County
117477	Fee-for-Service	1356598825	1356598825	1	3	VALLEY CARE MEDICAL	1/13/2009	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	FOUNDATION INC	5575 W LAS POSITAS	SUITE 330	PLEASANTON	CA	94588	5804	01	06001	37.69214859	-121.8796532	Alameda County
117569	Fee-for-Service	1184746414	1184746414	1	1	VENKATAKRISHNAN, VIVEK MD	2/26/2021	207R00000X	NA	Other	026	PHYSICIANS	168052	None	None	0	In state provider	None	3400 DELTA FAIR BLVD	None	ANTIOCH	CA	94509	4004	07	06013	38.00403417	-121.8422798	Contra Costa County
117590	Fee-for-Service	1003868308	1003868308	1	1	VARNEY, ROBERT R MD	6/30/1988	No Taxonomy Provided	NA	None	026	PHYSICIANS	60206	30	Radiology	0	In state provider	None	25405 HANCOCK AVE	STE 107	MURRIETA	CA	92562	5978	33	06065	33.5580833	-117.1850127	Riverside County
117671	Fee-for-Service	1104299734	1104299734	1	1	VAN LAEKEN, KEVIN M	4/12/2024	103K00000X	NA	Other	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	809 MCCLOUD AVE	None	MOUNT SHASTA	CA	96067	9603	47	06093	41.31222185	-122.3009402	Siskiyou County
117679	Fee-for-Service	1922303783	1922303783	1	1	VON TERSCH, ELISE PHD	3/19/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	THERAPY	218 DELTA AVE	None	BRENTWOOD	CA	94513	1603	07	06013	37.93013486	-121.6916308	Contra Costa County
117724	Fee-for-Service	1851365134	1851365134	1	1	VIERRA, DAVID J MD	4/30/1993	174400000X	NA	Other	026	PHYSICIANS	73116	None	None	0	In state provider	None	2525 STOCKTON BLVD	STE 2008	SACRAMENTO	CA	95817	2207	34	06067	38.551311	-121.454433	Sacramento County
117743	Fee-for-Service	1669418513	1669418513	1	5	VENICE FAMILY CLINIC	11/1/2021	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	2114 ARTESIA BLVD	None	REDONDO BEACH	CA	90278	3014	19	06037	33.8727555	-118.3735395	Los Angeles County
117747	Fee-for-Service	1598139883	1598139883	1	2	VALLEY PEDIATRIC HEALTH	3/26/2019	208000000X	NA	Pediatric Primary Care	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	1446 W. PICO AVE	SUITE 1	EL CENTRO	CA	92243	1377	13	06025	32.80570392	-115.5686925	Imperial County
117784	Fee-for-Service	1568579415	1568579415	1	1	VAY, AGNIESZKA MD	2/24/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	78194	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1310 TARA HILLS DR	STE A	PINOLE	CA	94564	2533	07	06013	37.99581609	-122.3050212	Contra Costa County
117815	Fee-for-Service	1689065666	1689065666	1	1	VAN DAM, MATTHEW N DO	9/16/2020	207L00000X	NA	Other	026	PHYSICIANS	17126	05	Anesthesiology	0	In state provider	None	1200 B GALE WILSON BLVD	None	FAIRFIELD	CA	94533	3522	48	06095	38.26109552	-122.0470245	Solano County
117842	Fee-for-Service	1891949319	1891949319	1	1	VELASCO, ERLINDA C MD	7/1/2008	193400000X	NA	Other	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	INC	711 N ALVARADO	STE 106	LOS ANGELES	CA	90026	4075	19	06037	34.07424293	-118.2655575	Los Angeles County
117874	Fee-for-Service	1104864024	1104864024	1	1	VAN TASSELL, GORDON DO	2/13/2024	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	6929	None	None	0	In state provider	None	26777 AGOURA RD	STE 4	CALABASAS	CA	91302	2967	19	06037	34.13998921	-118.7070142	Los Angeles County
118005	Fee-for-Service	1700084175	1700084175	1	1	VEMULA, PADMAJA MD	7/18/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	96632	41	Internal Medicine	0	In state provider	None	225 N JACKSON AVE	None	SAN JOSE	CA	95116	1603	43	06085	37.36217918	-121.8472051	Santa Clara County
118032	Fee-for-Service	1669418513	1669418513	1	5	VENICE FAMILY CLINIC	7/18/2023	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	2114 ARTESIA BLVD	None	REDONDO BEACH	CA	90278	3014	19	06037	33.8727555	-118.3735395	Los Angeles County
118033	Fee-for-Service	1841278306	1841278306	1	1	VAN HISE, MILTON MD	5/18/2023	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	55200	None	None	0	In state provider	None	15031 RINALDI ST	None	MISSION HILLS	CA	91345	1207	19	06037	34.27904453	-118.459944	Los Angeles County
118047	Fee-for-Service	1164483517	1164483517	1	1	VO-NGUYEN, TRANG T MD	7/11/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	60198	17	Ophthalmology, Otolaryngology, Rhinology (D.O.only)	0	In state provider	None	1180 N INDIAN CANYON DR	STE E311	PALM SPRINGS	CA	92262	4800	33	06065	33.839505	-116.5455735	Riverside County
118067	Fee-for-Service	1821462912	1821462912	1	1	VEMULAPALLI, J R MD INC	12/8/2015	193400000X	NA	Other	026	PHYSICIANS	52973	34	Urology and Urological Surgery	0	In state provider	None	207 W LEGION RD	None	BRAWLEY	CA	92227	7780	13	06025	32.95809	-115.5537045	Imperial County
118098	Fee-for-Service	1841061447	1841061447	1	1	VANMALI, ROSHANI PSYD	4/5/2024	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	2001 JUNIPERO SERRA BLVD	STE 650	DALY CITY	CA	94014	3891	41	06081	37.70124814	-122.4706974	San Mateo County
118100	Fee-for-Service	1265765754	1265765754	1	1	VINLUAN-FAN, RENITA R NP	11/16/2022	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1450 TREAT BLVD	STE 120A	WALNUT CREEK	CA	92597	2168	07	06013	37.92643968	-122.0521822	Contra Costa County
118129	Fee-for-Service	1891949319	1891949319	1	1	VELASCO, ERLINDA C MD	7/1/2008	193400000X	NA	Other	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	INC	711 N ALVARADO	STE 106	LOS ANGELES	CA	90026	4075	19	06037	34.07424293	-118.2655575	Los Angeles County
118229	Fee-for-Service	1649395385	1649395385	1	1	VARGAS, ELLEN LCSW	8/17/2018	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	6333 TELEGRAPH AVE	STE 200	OAKLAND	CA	94609	1359	01	06001	37.84914135	-122.260702	Alameda County
118246	Fee-for-Service	1336219930	1336219930	1	1	VAN FOSSAN, DONALD D JR	4/30/1990	No Taxonomy Provided	NA	None	026	PHYSICIANS	57742	13	Neurology (M.D. only)	0	In state provider	None	201 CLINTON RD	STE 106	JACKSON	CA	95642	2678	03	06005	38.34202831	-120.7638813	Amador County
118364	Fee-for-Service	1821499260	1821499260	1	1	VASCULAR LAB OF SAN JOSE LP	5/4/2015	193200000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	1174 CASTRO ST	SUITE 200	MOUNTAIN VIEW	CA	94040	2569	43	06085	37.3822628	-122.0861276	Santa Clara County
118390	Fee-for-Service	1942268958	1942268958	1	1	VERDUGO HILLS URGENT	12/24/1996	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	CARE MEDICAL GROUP INC	544 N GLENDALE AVE	None	GLENDALE	CA	91206	3311	19	06037	34.15454904	-118.2429872	Los Angeles County
118477	Fee-for-Service	1366802696	1366802696	1	1	VISTA POST ACUTE CENTER, LLC	2/10/2016	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	247 E BOBIER DR	None	VISTA	CA	92084	3026	37	06073	33.22132551	-117.2420381	San Diego County
118492	Fee-for-Service	1922422930	1922422930	1	1	VALLEY CARDIOLOGY AND	9/24/2014	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	9791	41	Internal Medicine	0	In state provider	VASCULAR ASSOCIATES INC	4305 TORRANCE BLVD	500	TORRANCE	CA	90503	4405	19	06037	33.83759546	-118.359342	Los Angeles County
118494	Fee-for-Service	1760739296	1760739296	1	1	VULCHI, MANASA MD	6/5/2019	207R00000X	NA	Other	026	PHYSICIANS	161037	41	Internal Medicine	0	In state provider	None	3555 ROUND BARN CIRCLE	None	SANTA ROSA	CA	95403	1757	49	06097	38.478717	-122.729715	Sonoma County
118500	Fee-for-Service	1982740932	1982740932	1	1	VANCE TRUP, MELINDA R	2/8/2015	No Taxonomy Provided	NA	None	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	6720 FAIR OAKS BLVD	STE 103	CARMICHAEL	CA	95608	3826	34	06067	38.623068	-121.3279695	Sacramento County
118650	Fee-for-Service	1457380461	1457380461	1	1	VONS COMPANIES, INC	4/30/1999	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	4033 W AVENUE L	None	LANCASTER	CA	93536	4213	19	06037	34.66025545	-118.202391	Los Angeles County
118677	Fee-for-Service	1942268958	1942268958	1	1	VERDUGO HILLS URGENT	12/24/1996	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	CARE MEDICAL GROUP INC	544 N GLENDALE AVE	None	GLENDALE	CA	91206	3311	19	06037	34.15454904	-118.2429872	Los Angeles County
118718	Fee-for-Service	1700815743	1700815743	1	1	VONS COMPANIES INC	12/17/2004	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	2938 TAPO CANYON RD	None	SIMI VALLEY	CA	93063	2171	56	06111	34.287723	-118.715364	Ventura County
118759	Fee-for-Service	1255792099	1255792099	1	1	VELORIA, DENISE DO	7/20/2020	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	18237	15	Obstetrics (D.O. only)	0	In state provider	None	100 HOSPITAL DR	STE 200	VALLEJO	CA	94589	2580	48	06095	38.13100118	-122.2403008	Solano County
118779	Fee-for-Service	1922422930	1922422930	1	1	VALLEY CARDIOLOGY AND	9/24/2014	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	9791	06	Cardiovascular Disease (M.D. only)	0	In state provider	VASCULAR ASSOCIATES INC	4305 TORRANCE BLVD	500	TORRANCE	CA	90503	4405	19	06037	33.83759546	-118.359342	Los Angeles County
118795	Fee-for-Service	1760944227	1760944227	1	1	VIDA WHOLENESS FAMILY THERAP	7/21/2022	104100000X	NA	Mental Health Outpatient Services	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	Y COP	1875 W REDONDO BEACH BLV	STE 303	GARDENA	CA	90247	3644	19	06037	33.8879044	-118.3111113	Los Angeles County
118861	Fee-for-Service	1184691677	1184691677	1	1	VU, HUGH L MD	2/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	61905	24	Plastic Surgery	0	In state provider	None	2221 STOCKTON BLVD	None	SACRAMENTO	CA	95817	1418	34	06067	38.556288	-121.458474	Sacramento County
118891	Fee-for-Service	1639637200	1639637200	1	1	VITA HOME HEALTH SERVICES	10/27/2020	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	INC	24404 VERMONT AVE	STE 309A	HARBOR CITY	CA	90710	2324	19	06037	33.80302968	-118.2902917	Los Angeles County
118913	Fee-for-Service	1255835930	1255835930	1	1	VU, MICHAEL N MD	10/22/2021	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	164789	None	None	0	In state provider	None	276 INTERNATIONAL CIR	None	SAN JOSE	CA	95119	1130	43	06085	37.2402111	-121.8021684	Santa Clara County
118965	Fee-for-Service	1942268958	1942268958	1	1	VERDUGO HILLS URGENT	12/24/1996	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	CARE MEDICAL GROUP INC	544 N GLENDALE AVE	None	GLENDALE	CA	91206	3311	19	06037	34.15454904	-118.2429872	Los Angeles County
118987	Fee-for-Service	1346576469	1346576469	1	1	VIBBARD, CAITHNESS A MD	4/12/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	109744	08	Family Practice	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
119071	Fee-for-Service	1205004678	1205004678	1	1	VAN BOLDRIK, ANNETTE OT	2/24/2020	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	725 WELCH RD	None	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
119080	Fee-for-Service	1760944227	1760944227	1	1	VIDA WHOLENESS FAMILY THERAP	7/21/2022	104100000X	NA	Mental Health Outpatient Services	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	Y COP	1875 W REDONDO BEACH BLV	STE 303	GARDENA	CA	90247	3644	19	06037	33.8879044	-118.3111113	Los Angeles County
119103	Fee-for-Service	1487982096	1487982096	1	1	VAN BEEVER, WILLIAM T DO	8/27/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	11029	40	Pediatrics	0	In state provider	None	275 W HERNDON AVE	None	CLOVIS	CA	93612	0204	10	06019	36.83766747	-119.715174	Fresno County
119140	Fee-for-Service	1053476176	1053476176	1	1	VALENCIA, SIMON R MD INC	1/1/1979	207RE0101X	NA	Endocrinology	026	PHYSICIANS	29972	41	Internal Medicine	0	In state provider	None	1234 N VERMONT AVE	None	LOS ANGELES	CA	90029	1704	19	06037	34.093971	-118.2917315	Los Angeles County
119161	Fee-for-Service	1528590718	1528590718	1	1	VISWANATHAN, DIVYA R MD	9/10/2021	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	174396	None	None	0	In state provider	None	370 DISTEL CIRCLE	None	LOS ALTOS	CA	94022	1404	43	06085	37.39572142	-122.1051204	Santa Clara County
119179	Fee-for-Service	1497799589	1497799589	1	1	VIGIL, ANASTACIO MD	7/1/1987	No Taxonomy Provided	NA	None	026	PHYSICIANS	43696	08	Family Practice	0	In state provider	None	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
119210	Fee-for-Service	1336205558	1336205558	1	1	VILLARROEL, SARAH A DO	8/3/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	9338	40	Pediatrics	0	In state provider	None	3020 CHILDREN'S WAY	None	SAN DIEGO	CA	92123	4223	37	06073	32.798691	-117.150829	San Diego County
119227	Fee-for-Service	1093192486	1093192486	1	1	VALENTINE, DAVID A MD	3/17/2021	2084N0400X	NA	Neurology	026	PHYSICIANS	169237	None	None	0	In state provider	None	630 S RAYMOND AVE	STE 310	PASADENA	CA	91105	3278	19	06037	34.13505223	-118.1487761	Los Angeles County
119230	Fee-for-Service	1457465502	1457465502	1	1	VARELA, DEBRA CRNA	4/23/2024	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	465 PUTNAM AVE	None	PORTERVILLE	CA	93257	3320	54	06107	36.06953472	-119.0273379	Tulare County
119255	Fee-for-Service	1508092545	1508092545	1	1	VARUDU, SYAMA S MD	10/18/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	113569	41	Internal Medicine	0	In state provider	None	6501 COYLE AVE	None	CARMICHAEL	CA	95608	0306	34	06067	38.669562	-121.31379	Sacramento County
119280	Fee-for-Service	1205897568	1205897568	1	5	VALLEY RADIOLOGY CONSULTANTS	4/1/1999	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	MEDICAL GROUP INC	15615 POMERADO RD	None	POWAY	CA	92064	2405	37	06073	32.99706	-117.05544	San Diego County
119446	Fee-for-Service	1972698371	1972698371	1	1	VERDUGO, INC	2/27/2003	183500000X	NA	Other	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	11914 VENTURA BLVD	None	STUDIO CITY	CA	91604	2606	19	06037	34.14288929	-118.3913199	Los Angeles County
119467	Fee-for-Service	1497799589	1497799589	1	1	VIGIL, ANASTACIO MD	7/1/1987	No Taxonomy Provided	NA	None	026	PHYSICIANS	43696	01	General Practice	0	In state provider	None	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
119567	Fee-for-Service	1205897568	1205897568	1	5	VALLEY RADIOLOGY CONSULTANTS	4/1/1999	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	02	General Surgery	0	In state provider	MEDICAL GROUP INC	15615 POMERADO RD	None	POWAY	CA	92064	2405	37	06073	32.99706	-117.05544	San Diego County
119640	Fee-for-Service	1669418513	1669418513	1	2	VENICE FAMILY CLINIC	11/1/2021	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	323 N PRAIRIE AVE	STE 210	INGLEWOOD	CA	90301	4502	19	06037	33.966333	-118.3439975	Los Angeles County
119648	Fee-for-Service	1215991286	1215991286	1	1	VON POSERN, FABIAN MD	2/8/2015	207L00000X	NA	Other	026	PHYSICIANS	77675	05	Anesthesiology	0	In state provider	None	320 SANTA FE DR	STE 100	ENCINITAS	CA	92024	5139	37	06073	33.038847	-117.285579	San Diego County
119691	Fee-for-Service	1801965462	1801965462	1	1	VILLENA, JOSEPH M PT	7/1/2020	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1600 OWENS ST	None	SAN FRANCISCO	CA	94158	2261	38	06075	37.76850146	-122.3949365	San Francisco County
119703	Fee-for-Service	1184706863	1184706863	1	1	VARPETIAN, AROUSIAK MD	5/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	61829	41	Internal Medicine	0	In state provider	None	7601 EAST IMPERIAL HWY	None	LOS ANGELES	CA	90030	0220	19	06037	33.9309663	-118.4309476	Los Angeles County
119767	Fee-for-Service	1811943046	1811943046	1	1	VAN HOUTEN, JOHN P MD	12/10/1996	2080N0001X	NA	Pediatric Primary Care	026	PHYSICIANS	73189	None	None	0	In state provider	None	147 N BRENT ST	None	VENTURA	CA	93003	2809	56	06111	34.2746295	-119.2573399	Ventura County
119821	Fee-for-Service	1861810830	1861810830	1	1	VU, PETER MD	7/9/2020	207RH0003X	NA	Oncology	026	PHYSICIANS	149741	41	Internal Medicine	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
119925	Fee-for-Service	1669418513	1669418513	1	2	VENICE FAMILY CLINIC	11/1/2021	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	323 N PRAIRIE AVE	STE 210	INGLEWOOD	CA	90301	4502	19	06037	33.966333	-118.3439975	Los Angeles County
120000	Fee-for-Service	1184706863	1184706863	1	1	VARPETIAN, AROUSIAK MD	5/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	61829	13	Neurology (M.D. only)	0	In state provider	None	7601 EAST IMPERIAL HWY	None	LOS ANGELES	CA	90030	0220	19	06037	33.9309663	-118.4309476	Los Angeles County
120029	Fee-for-Service	1215227368	1215227368	1	1	VILLANUEVA-MEYER, JAVIER E	6/8/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	123893	30	Radiology	0	In state provider	MD	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
120112	Fee-for-Service	1023044476	1023044476	1	1	VAYUVEGULA, BAHARATHI S	6/1/2001	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	73424	01	General Practice	0	In state provider	MD	10691 VALLEY BLVD	None	EL MONTE	CA	91731	2404	19	06037	34.07667609	-118.039798	Los Angeles County
120113	Fee-for-Service	1063573962	1063573962	1	1	VALLEY CHILDRENS HOSPITAL	9/22/2004	261QR1300X	NA	Rural Health Center	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	41169 GOODWIN WAY	RM 100	MADERA	CA	93638	8766	20	06039	36.88577349	-119.800021	Madera County
120132	Fee-for-Service	1811185986	1811185986	1	1	VERGARA, CYNTHIA L LMFT	4/27/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4141 GEARY BLVD	None	SAN FRANCISCO	CA	94118	3109	38	06075	37.78096053	-122.4637512	San Francisco County
120134	Fee-for-Service	1174917314	1174917314	1	1	VAN DRIEL, ROCHELLE LMFT	2/18/2025	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	8421 AUBURN BLVD	SUITE 110	CITRUS HEIGHTS	CA	95610	0359	34	06067	38.719026	-121.291335	Sacramento County
120215	Fee-for-Service	1669418513	1669418513	1	2	VENICE FAMILY CLINIC	7/18/2023	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	323 N PRAIRIE AVE	STE 210	INGLEWOOD	CA	90301	4502	19	06037	33.966333	-118.3439975	Los Angeles County
120369	Fee-for-Service	1710571153	1710571153	1	4	VESTA TELEMEDICINE SOLUTIONS	7/26/2023	2085R0202X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	, PC	1415 ROSS AVE	None	EL CENTRO	CA	92243	4306	13	06025	32.78144947	-115.568541	Imperial County
120401	Fee-for-Service	1063573962	1063573962	1	1	VALLEY CHILDRENS HOSPITAL	9/22/2004	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	41169 GOODWIN WAY	RM 100	MADERA	CA	93638	8766	20	06039	36.88577349	-119.800021	Madera County
120420	Fee-for-Service	1598128118	1598128118	1	1	VERSHA, UNKNOWN MD	9/9/2019	207R00000X	NA	Other	026	PHYSICIANS	158011	41	Internal Medicine	0	In state provider	None	1800 N CALIFORNIA ST	None	STOCKTON	CA	95204	0001	39	06077	37.97026329	-121.2890849	San Joaquin County
120462	Fee-for-Service	1427183417	1427183417	1	1	VILLATORO, CHRISTINA I LMFT	8/27/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
120478	Fee-for-Service	1528146230	1528146230	1	1	VAUGHAN, RUSSELL N MD	1/31/1985	No Taxonomy Provided	NA	None	026	PHYSICIANS	48406	01	General Practice	0	In state provider	None	1305 TOMMYDON ST	None	STOCKTON	CA	95210	3364	39	06077	38.01883046	-121.29624	San Joaquin County
120539	Fee-for-Service	1144049420	1144049420	1	1	VELIOVA, RADINA CCC-SLP	11/2/2024	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	10536 CULVER BLVD	None	CULVER CITY	CA	90232	3423	19	06037	34.01457616	-118.4017676	Los Angeles County
120560	Fee-for-Service	1821059957	1821059957	1	1	VU, NANCY T MD	7/31/1992	2084N0400X	NA	Neurology	026	PHYSICIANS	50663	None	None	0	In state provider	None	14571 MAGNOLIA ST	STE 201	WESTMINSTER	CA	92683	5575	30	06059	33.75097286	-117.9723502	Orange County
120564	Fee-for-Service	1770585192	1770585192	1	1	VELASQUEZ, JUAN MD	7/5/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	64498	01	General Practice	0	In state provider	None	400 N PEPPER AVE	None	COLTON	CA	92324	1801	36	06071	34.073505	-117.3505995	San Bernardino County
120611	Fee-for-Service	1780791939	1780791939	1	1	VICENTE, JOAN M MD	5/18/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	98893	08	Family Practice	0	In state provider	None	200 S WELLS RD	STE 100	VENTURA	CA	93004	1378	56	06111	34.29321532	-119.1597424	Ventura County
120739	Fee-for-Service	1154446664	1154446664	1	1	VYAS, DEVASH MD	3/21/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	77937	18	Ophthalmology	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
120756	Fee-for-Service	1932711918	1932711918	1	1	VLASIS, CHRISTINA D LMFT	1/5/2023	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	7839 UNIVERSITY AVE	None	LA MESA	CA	91942	0478	37	06073	32.7629622	-117.0287692	San Diego County
120823	Fee-for-Service	1649896184	1649896184	1	1	VALDEZ, RACHEL R NP	9/6/2020	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2633 PACIFIC AVE	None	STOCKTON	CA	95204	4429	39	06077	37.97483455	-121.3028311	San Joaquin County
120828	Fee-for-Service	1568930675	1568930675	1	1	VALMONTE, FERDINAND B RCP	2/22/2019	227900000X	NA	Other	056	RESPIRATORY CARE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
120867	Fee-for-Service	1225728991	1225728991	1	1	VIP PHARMACY INC	9/27/2023	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	1600 E CITRUS AVE	STE K	REDLANDS	CA	92374	4218	36	06071	34.05557272	-117.1468659	San Bernardino County
120922	Fee-for-Service	1912979642	1912979642	1	1	VERLENDEN, W LANE MD	9/30/1983	No Taxonomy Provided	NA	None	026	PHYSICIANS	23505	66	Emergency Medicine (Urgent Care)	0	In state provider	None	950 CASS ST	None	MONTEREY	CA	93940	4546	27	06053	36.59271384	-121.8962446	Monterey County
121037	Fee-for-Service	1447773072	1447773072	1	1	VELASQUEZ, PRISCILLA CNM	3/8/2023	367A00000X	NA	Certified Nurse Midwife	005	CERTIFIED NURSE MIDWIFE	-	None	None	0	In state provider	None	2055 KELLOGG AVE	None	CORONA	CA	92879	3111	33	06065	33.85626255	-117.5559289	Riverside County
121088	Fee-for-Service	1841515574	1841515574	1	1	VO, YEN TRANG X DO	3/16/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	12252	01	General Practice	0	In state provider	None	19270 SONOMA HWY	STE 12	SONOMA	CA	95476	5414	49	06097	38.29871411	-122.4751509	Sonoma County
121138	Fee-for-Service	1639650666	1639650666	1	1	VRT HOME HEALTH CARE	2/24/2021	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	517 COMMERCIAL ST	SUITE A & C	GLENDALE	CA	91203	1509	19	06037	34.15293268	-118.2735546	Los Angeles County
121145	Fee-for-Service	1346568383	1346568383	1	1	VENKATESH, RAVI M MD	5/6/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	115223	30	Radiology	0	In state provider	None	101 THE CITY DRIVE SOUTH	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
121176	Fee-for-Service	1447751193	1447751193	1	1	VENITZ, CATHERINE B	4/17/2022	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1650 LOS GAMOS DR	None	SAN RAFAEL	CA	94903	1850	21	06041	38.02105246	-122.5420674	Marin County
121212	Fee-for-Service	1912979642	1912979642	1	1	VERLENDEN, W LANE MD	9/30/1983	No Taxonomy Provided	NA	None	026	PHYSICIANS	23505	02	General Surgery	0	In state provider	None	950 CASS ST	None	MONTEREY	CA	93940	4546	27	06053	36.59271384	-121.8962446	Monterey County
121296	Fee-for-Service	1982154308	1982154308	1	1	VENICE FAMILY CLINIC	2/21/2017	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	4700 INGLEWOOD AVE	SUITE 102	CULVER CITY	CA	90230	5896	19	06037	33.99315523	-118.4151866	Los Angeles County
121322	Fee-for-Service	1619045176	1619045176	1	1	VITAL PLUS HOME HEALTH CARE	4/1/2007	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	1051 N MACLAY AVE	None	SAN FERNANDO	CA	91340	1347	19	06037	34.29460696	-118.425908	Los Angeles County
121325	Fee-for-Service	1417947490	1417947490	1	1	VALLEY HEALTH MED CTR	12/1/1977	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	1	Border provider	PATIENT ACCOUNTS	620 SHADOW LN	None	LAS VEGAS	NV	89106	4119	00	None	36.163269	-115.1654465	Clark County
121503	Fee-for-Service	1285855403	1285855403	1	1	VIEGAS, MELITA L MD	12/11/2024	208G00000X	NA	General Surgery	026	PHYSICIANS	111061	33	Thoracic Surgery	0	In state provider	None	8700 BEVERLY BLVD	None	LOS ANGELES	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
121569	Fee-for-Service	1407455108	1407455108	1	1	VILINSKAS, CHELSEA PSYD	5/17/2022	103G00000X	NA	Other	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	4141 GEARY BLVD	None	SAN FRANCISCO	CA	94118	3109	38	06075	37.78096053	-122.4637512	San Francisco County
121609	Fee-for-Service	1619045176	1619045176	1	1	VITAL PLUS HOME HEALTH CARE	8/8/2016	No Taxonomy Provided	NA	None	093	CARE COORDINATOR AGENCIES (CCA)	-	-	NOT APPLICABLE	0	In state provider	None	1051 N MACLAY AVE	None	SAN FERNANDO	CA	91340	1347	19	06037	34.29460696	-118.425908	Los Angeles County
121612	Fee-for-Service	1417947490	1417947490	1	1	VALLEY HEALTH MED CTR	12/1/1977	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	1	Border provider	PATIENT ACCOUNTS	620 SHADOW LN	None	LAS VEGAS	NV	89106	4119	00	None	36.163269	-115.1654465	Clark County
121639	Fee-for-Service	1659720449	1659720449	1	1	VAN PUTTEN, LAUREN MD	5/1/2020	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	153484	08	Family Practice	0	In state provider	None	2 W FERN AVE	None	REDLANDS	CA	92373	5916	36	06071	34.05016907	-117.1793443	San Bernardino County
121670	Fee-for-Service	1558655589	1558655589	1	1	VERCELES, IRA NACINO	1/10/2024	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	801 W VALLEY BLVD	SUITE 204	ALHAMBRA	CA	91803	3257	19	06037	34.07808133	-118.1319851	Los Angeles County
121792	Fee-for-Service	1467530543	1467530543	1	1	VERGARA, FELIX A MD	7/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	74444	41	Internal Medicine	0	In state provider	None	3400 DELTA FAIR BLVD	None	ANTIOCH	CA	94509	4004	07	06013	38.00403417	-121.8422798	Contra Costa County
121872	Fee-for-Service	1114206976	1114206976	1	1	VITAL CARE HEALTH SYSTEMS	7/13/2012	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	444 CAMINO DEL RIO SOUTH	STE 219	SAN DIEGO	CA	92108	3587	37	06073	32.76110658	-117.1609954	San Diego County
121900	Fee-for-Service	1417947490	1417947490	1	1	VALLEY HEALTH MED CTR	12/21/2016	No Taxonomy Provided	NA	None	072	MENTAL HEALTH INPATIENT SERVICES	-	-	NOT APPLICABLE	1	Border provider	PATIENT ACCOUNTS	620 SHADOW LN	None	LAS VEGAS	NV	89106	4119	00	None	36.163269	-115.1654465	Clark County
121952	Fee-for-Service	1700105087	1700105087	1	1	VINH, PHILLIP P OD	6/8/2010	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	11226	32	Radiation Therapy (D.O. only)	0	In state provider	None	400 PARNASSUS AVE	0648	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
122025	Fee-for-Service	1770501066	1770501066	1	1	VOSKUHL, RHONDA R MD	6/1/1995	2084N0400X	NA	Neurology	026	PHYSICIANS	81891	01	General Practice	0	In state provider	None	PO BOX 200	None	LOS ANGELES	CA	90053	0200	19	06037	0	0	None
122083	Fee-for-Service	1457513731	1457513731	1	1	VONG, KEVIN P DO	8/12/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	12153	66	Emergency Medicine (Urgent Care)	0	In state provider	None	250 HOSPITAL PARKWAY	None	SAN JOSE	CA	95119	1103	43	06085	37.23948065	-121.8005798	Santa Clara County
122224	Fee-for-Service	1891841144	1891841144	1	1	VAZQUEZ, JESUS MD	7/19/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	121093	None	None	0	In state provider	None	500 S VIRGIL AVE	STE 200	LOS ANGELES	CA	90020	1448	19	06037	34.064964	-118.2870335	Los Angeles County
122227	Fee-for-Service	1457854861	1457854861	1	1	VU, MONICA P CCC-SLP	3/5/2021	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	280 HOSPITAL PKWY	None	SAN JOSE	CA	95119	1103	43	06085	37.23931375	-121.8014189	Santa Clara County
122286	Fee-for-Service	1174170039	1174170039	1	1	VITALE, LAURA L CNP	1/16/2020	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	3930 FOURTH AVE	STE 200	SAN DIEGO	CA	92103	3119	37	06073	32.74892723	-117.1616459	San Diego County
122308	Fee-for-Service	1770501066	1770501066	1	1	VOSKUHL, RHONDA R MD	6/1/1995	2084N0400X	NA	Neurology	026	PHYSICIANS	81891	08	Family Practice	0	In state provider	None	PO BOX 200	None	LOS ANGELES	CA	90053	0200	19	06037	0	0	None
122310	Fee-for-Service	1447299177	1447299177	1	1	VOGEL,DEBORAH MD	12/10/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1700 E 19TH ST	None	DALLAS	OR	97058	0000	00	None	45.58806554	-121.164498	Wasco County
122316	Fee-for-Service	1477899094	1477899094	1	1	VENTURA COUNTY BEHAVIORAL	1/13/2014	251S00000X	NA	Other	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	HEALTH ALCOHOL AND DRUG	1402 JANSS ROAD	None	THOUSAND OAKS	CA	91362	2133	56	06111	34.19964827	-118.8541386	Ventura County
122352	Fee-for-Service	1255863726	1255863726	1	1	VALLEY ORTHOPEDIC TECHNOLOGY	5/2/2017	335E00000X	NA	Other	029	PROSTHETISTS	-	-	NOT APPLICABLE	0	In state provider	INC	15243 VANOWEN ST	STE 208	VAN NUYS	CA	91405	2133	19	06037	34.19394848	-118.4654115	Los Angeles County
122371	Fee-for-Service	1609389550	1609389550	1	1	VASCONEZ, KATIE NP	10/21/2020	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	7999 GATEWAY BLVD	SUITE 200	NEWARK	CA	94560	1188	01	06001	37.53814232	-122.0629661	Alameda County
122646	Fee-for-Service	1518031566	1518031566	1	1	VENABLES, STEPHAN O PT	11/26/2012	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	99 MONTECILLO RD	None	SAN RAFAEL	CA	94903	3308	21	06041	38.00450116	-122.5540001	Marin County
122654	Fee-for-Service	1770191884	1770191884	1	1	VERITY HOME HEALTH INC	3/11/2022	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	17620 SHERMAN WAY	STE 101	VAN NUYS	CA	91406	3527	19	06037	34.20105176	-118.5171046	Los Angeles County
122726	Fee-for-Service	1144302829	1144302829	1	1	VICTOROFF, JEFF MD	7/5/1988	2084N0400X	NA	Neurology	026	PHYSICIANS	63291	36	Psychiatry	0	In state provider	None	10833 LE CONTE AVE	None	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
122754	Fee-for-Service	1518001791	1518001791	1	1	VAN DAM, JACQUES MD	6/12/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	50435	41	Internal Medicine	0	In state provider	None	300 PASTEUR DR	None	PALO ALTO	CA	94304	2203	43	06085	37.43304542	-122.1759654	Santa Clara County
122842	Fee-for-Service	1730814237	1730814237	1	1	VISTA VIEW POST ACUTE	8/16/2022	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	304 N. MELROSE DR	None	VISTA	CA	92083	4814	37	06073	33.20079055	-117.2555424	San Diego County
122843	Fee-for-Service	1396137212	1396137212	1	1	VITAL, JESSICA M OT	5/21/2020	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	810 LAWRENCE DR.	SUITE 100, UNIT C	NEWBURY PARK	CA	91320	0000	56	06111	34.189578	-118.9299045	Ventura County
122886	Fee-for-Service	1144511262	1144511262	1	1	VILLANUEVA, FARAH J DO	1/8/2019	No Taxonomy Provided	NA	None	026	PHYSICIANS	12479	79	Neurology-Child	0	In state provider	None	4101 TORRANCE BLVD	None	TORRANCE	CA	90503	4607	19	06037	33.83760674	-118.3572569	Los Angeles County
122890	Fee-for-Service	1558501882	1558501882	1	1	VANSTONE, KYLE R MD	2/7/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	123649	66	Emergency Medicine (Urgent Care)	0	In state provider	None	4077 FIFTH AVE	None	SAN DIEGO	CA	92103	2105	37	06073	32.75034388	-117.161023	San Diego County
122970	Fee-for-Service	1508478850	1508478850	1	1	VISION SPECIALISTS OF CALIFO	8/20/2021	207WX0009X	NA	Ophthalmology	026	PHYSICIANS	None	None	None	0	In state provider	RNIA, PC	233 LEWIS ST	None	SAN DIEGO	CA	92103	2122	37	06073	32.75182998	-117.1624746	San Diego County
123012	Fee-for-Service	1144302829	1144302829	1	1	VICTOROFF, JEFF MD	7/5/1988	2084N0400X	NA	Neurology	026	PHYSICIANS	63291	13	Neurology (M.D. only)	0	In state provider	None	10833 LE CONTE AVE	None	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
123170	Fee-for-Service	1114009552	1114009552	1	1	VINJAMURY, SIVARAMA P LAC	1/22/2019	171100000X	NA	Other	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	None	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
123383	Fee-for-Service	1851631923	1851631923	1	1	VALENTINE, BLANCA NP	4/16/2024	363LN0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
123412	Fee-for-Service	1952076697	1952076697	1	1	VO, KEVIN N OD	6/21/2023	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	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
123508	Fee-for-Service	1932402807	1932402807	1	1	VARGHESE, NIDHY P MD	10/1/2020	2080P0214X	NA	Pulmonology	026	PHYSICIANS	-	None	None	2	Out of state provider	None	6621 FANNIN STREET	None	HOUSTON	TX	77030	2303	00	None	29.70724683	-95.4026169	Harris County
123553	Fee-for-Service	1144457375	1144457375	1	1	VANGURI, POORNIMA MD	8/5/2020	208C00000X	NA	General Surgery	026	PHYSICIANS	166381	02	General Surgery	0	In state provider	None	365 LENNON LN	STE 290	WALNUT CREEK	CA	94598	5915	07	06013	37.92784983	-122.0301444	Contra Costa County
123594	Fee-for-Service	1033493036	1033493036	1	1	VAN DEVENTER, DANIELLE W PHD	10/7/2015	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	24448	-	NOT APPLICABLE	0	In state provider	None	2560 PULGAS AVE	None	EAST PALO ALTO	CA	94303	1323	41	06081	37.47530197	-122.1318685	San Mateo County
123691	Fee-for-Service	1467441246	1467441246	1	1	VATER, THOMAS L DO	8/20/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	20	Orthopedic Surgery	1	Border provider	None	7455 W WASHINGTON AVE	SUITE 160	LAS VEGAS	NV	89128	4337	00	None	36.17919	-115.255971	Clark County
123696	Fee-for-Service	1144580465	1144580465	1	1	VORA, CHIRAG H DO	10/2/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	13234	25	Physical Medicine and Rehabilitation	0	In state provider	None	9333 IMPERIAL HWY	None	DOWNEY	CA	90242	2812	19	06037	33.918975	-118.1291985	Los Angeles County
123747	Fee-for-Service	1265997993	1265997993	1	1	VERCI JEWELRY CORP	12/4/2018	No Taxonomy Provided	NA	None	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	20812 VENTURA BOULEVARD	SUITE 108	WOODLAND HILLS	CA	91364	2335	19	06037	34.1663428	-118.5865029	Los Angeles County
123774	Fee-for-Service	1619362548	1619362548	1	1	VERMA, ROHAN MD	8/9/2021	207W00000X	NA	Ophthalmology	026	PHYSICIANS	145838	None	None	0	In state provider	None	1135 S SUNSET AVE	SUITE 210	WEST COVINA	CA	91790	3937	19	06037	34.06215064	-117.9453997	Los Angeles County
123807	Fee-for-Service	1134110828	1134110828	1	1	VANN, PETER W. MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	2000 W BETHANY HOME RD	None	PHOENIX	AZ	85015	2443	00	None	33.525405	-112.102461	Maricopa County
123842	Fee-for-Service	1306440938	1306440938	1	1	VICTORIA, ALEXANDER C PT	1/13/2021	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	4151 FOOTHILL ROAD	None	SANTA BARBARA	CA	93110	1110	42	06083	34.45144647	-119.7604485	Santa Barbara County
123913	Fee-for-Service	1952346769	1952346769	1	1	VAMOS, COLLEEN E DO	12/1/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	41	Internal Medicine	1	Border provider	None	6900 N DURANGO DR	None	LAS VEGAS	NV	89149	4409	00	None	36.28701289	-115.2877045	Clark County
123928	Fee-for-Service	1699759266	1699759266	2	1	VUKOV, JUDITH A MD	10/1/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	38036	36	Psychiatry	0	In state provider	None	633 N CENTRAL AVENUE	SUITE 311	GLENDALE	CA	91203	1822	19	06037	34.155054	-118.2579675	Los Angeles County
123945	Fee-for-Service	1457385163	1457385163	1	1	VISALIA HEALTH CARE CTR	3/1/1997	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	2611 N DINUBA BLVD	None	VISALIA	CA	93291	9003	54	06107	36.352935	-119.297565	Tulare County
124057	Fee-for-Service	1205049376	1205049376	1	1	VENIGALLA, SRIDEVI MD	9/25/2008	390200000X	NA	Other	026	PHYSICIANS	103762	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	2425 SAMARITAN DR	None	SAN JOSE	CA	95124	3908	43	06085	37.25111017	-121.9465891	Santa Clara County
124091	Fee-for-Service	1073213294	1073213294	1	1	VISTA LA MESA SENIOR LIVING	6/7/2023	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	INC	4960 MILLS STREET	None	LA MESA	CA	91942	9310	37	06073	32.7691137	-117.0217167	San Diego County
124143	Fee-for-Service	1841495496	1841495496	1	1	VEY, CARRIE G MD	10/5/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	112552	08	Family Practice	0	In state provider	None	3291 LOMA VISTA RD	None	VENTURA	CA	93003	3099	56	06111	34.27623479	-119.2520218	Ventura County
124148	Fee-for-Service	1396703179	1396703179	1	10	VALLEY RADIOLOGY MEDICAL	5/27/2015	261QR0200X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	ASSOCIATES	2375 MONTPELIER DR	SUITE 30	SAN JOSE	CA	95116	1614	43	06085	37.36538363	-121.8473408	Santa Clara County
124181	Fee-for-Service	1982752952	1982752952	1	1	VASWANI, SANJAY M MD	6/2/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	75912	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
124233	Fee-for-Service	1457385163	1457385163	1	1	VISALIA HEALTH CARE CTR	3/1/1996	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	2611 N DINUBA BLVD	None	VISALIA	CA	93291	9003	54	06107	36.352935	-119.297565	Tulare County
124247	Fee-for-Service	1003314774	1003314774	1	1	VILLAROSA, CHRISTINE P CNP	5/8/2023	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2767 OLIVE HWY	None	OROVILLE	CA	95966	6118	04	06007	39.506454	-121.5412785	Butte County
124252	Fee-for-Service	1164622577	1164622577	1	1	VON ALVENSLEBEN, JOHANNES MD	7/1/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	35	Pediatric Cardiology (M.D. only)	2	Out of state provider	None	13199 E MONTVIEW BLVD	None	AURORA	CO	80045	7201	00	None	39.748041	-104.834673	Adams County
124290	Fee-for-Service	1730237520	1730237520	1	1	VENNE, CHAD M MD	1/31/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	79097	66	Emergency Medicine (Urgent Care)	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
124310	Fee-for-Service	1992077978	1992077978	1	1	VO GROUP	2/11/2014	193400000X	NA	Other	026	PHYSICIANS	97959	33	Thoracic Surgery	0	In state provider	None	250 NEWPORT CENTER DRIVE	#M101	NEWPORT BEACH	CA	92660	7515	30	06059	33.61268945	-117.8743963	Orange County
124370	Fee-for-Service	1811910797	1811910797	1	1	VARGO PHYSICAL THERAPY, INC	8/1/2019	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	19239 GOLDEN VALLEY RD	None	SANTA CLARITA	CA	91387	1472	19	06037	34.3922042	-118.4672521	Los Angeles County
124371	Fee-for-Service	1659488922	1659488922	1	1	VERDE VALLEY AMBULANCE CO.	9/9/2008	No Taxonomy Provided	NEMT Provider	None	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	345 E MINGUS AVE	None	COTTONWOOD	AZ	86326	3670	00	None	34.739028	-112.024548	Yavapai County
124384	Fee-for-Service	1578695185	1578695185	1	1	VANDENBERG, DENAI F LMFT	8/22/2019	174400000X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1242 PARK ST	SUITE C	ALAMEDA	CA	94501	5500	01	06001	37.76187672	-122.2447503	Alameda County
124508	Fee-for-Service	1073542023	1073542023	1	1	VONS COMPANIES, INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	16450 BEACH BLVD	None	WESTMINSTER	CA	92683	7859	30	06059	33.72426	-117.9890615	Orange County
124520	Fee-for-Service	1457385163	1457385163	1	1	VISALIA HEALTH CARE CTR	3/1/1996	261QF0400X	NA	Federally Qualified Health Center	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	2611 N DINUBA BLVD	None	VISALIA	CA	93291	9003	54	06107	36.352935	-119.297565	Tulare County
124533	Fee-for-Service	1932287067	1932287067	1	1	VAN GUNDY, DEBORAH A MD	10/31/1987	No Taxonomy Provided	NA	None	026	PHYSICIANS	42866	01	General Practice	0	In state provider	None	4785 N 1ST ST	None	FRESNO	CA	93726	0513	10	06019	36.80478	-119.7724585	Fresno County
124574	Fee-for-Service	1598059594	1598059594	1	1	VENDRAME, ELENA MD	6/10/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	129667	41	Internal Medicine	0	In state provider	None	701 E EL CAMINO REAL	None	MOUNTAIN VIEW	CA	94040	2833	43	06085	37.37715796	-122.0651926	Santa Clara County
124604	Fee-for-Service	1265809859	1265809859	1	1	VEENSTRA, AMY L PHD	10/19/2016	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	1201 W LA VETA AVE	None	ORANGE	CA	92868	4203	30	06059	33.78034779	-117.8655767	Orange County
124664	Fee-for-Service	1902973829	1902973829	1	1	VOGEL, STEVEN A MD	12/1/1987	No Taxonomy Provided	NA	None	026	PHYSICIANS	31799	05	Anesthesiology	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
124702	Fee-for-Service	1114989472	1114989472	1	1	VOGE, CHRISTIAN J MD	8/31/1987	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	62208	01	General Practice	0	In state provider	None	1235 OSOS ST	None	SAN LUIS OBISPO	CA	93401	3600	40	06079	35.27979518	-120.6596361	San Luis Obispo County
124731	Fee-for-Service	1710178926	1710178926	1	1	VAN WAARDENBURG, SUNNI M LMF	3/21/2019	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	41690 ENTERPRISE CIR N	204	TEMECULA	CA	92590	5616	33	06065	33.51949343	-117.1693521	Riverside County
124802	Fee-for-Service	1295822658	1295822658	1	7	VISTA COMM CLINIC	11/27/2019	No Taxonomy Provided	NA	None	041	COMMUNITY CLINIC	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	120 HANNALEI DR	ROOM OFFICE 6	VISTA	CA	92083	7625	37	06073	33.17836136	-117.2157974	San Diego County
124808	Fee-for-Service	1457385163	1457385163	1	1	VISALIA HEALTH CARE CTR	3/1/1996	261QF0400X	NA	Federally Qualified Health Center	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	2611 N DINUBA BLVD	None	VISALIA	CA	93291	9003	54	06107	36.352935	-119.297565	Tulare County
124826	Fee-for-Service	1336432442	1336432442	1	3	VOYLES, LINDSAY LMFT	6/12/2023	101YM0800X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	654 N COAST HWY	None	LAGUNA BEACH	CA	92651	1513	30	06059	33.54635851	-117.7946339	Orange County
124828	Fee-for-Service	1063786788	1063786788	1	1	VONLOSSBERG, GINA LCSW	12/13/2024	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	97464	-	NOT APPLICABLE	0	In state provider	None	44505 90TH ST W	None	LANCASTER	CA	93536	7705	19	06037	34.6920208	-118.2892539	Los Angeles County
124887	Fee-for-Service	1447463500	1447463500	1	1	VICTORIA, EDWARD S MD	4/25/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	01	General Practice	1	Border provider	None	3186 S MARYLAND PKWY	None	LAS VEGAS	NV	89109	2317	00	None	36.132948	-115.136874	Clark County
124956	Fee-for-Service	1992910954	1992910954	1	1	VALIKA, AZIZ K MD	10/14/2022	207RN0300X	NA	Nephrology	026	PHYSICIANS	175413	None	None	0	In state provider	None	2222 EAST STREET	STE 305	CONCORD	CA	94520	2066	07	06013	37.98125538	-122.0329375	Contra Costa County
124958	Fee-for-Service	1861722621	1861722621	1	1	VALDELLON, MELISSA A NP	1/22/2018	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
125166	Fee-for-Service	1184997835	1184997835	1	1	VONS COMPANIES INC	3/28/2012	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	515 W WASHINGTON ST	None	SAN DIEGO	CA	92103	2200	37	06073	32.74978816	-117.168151	San Diego County
125181	Fee-for-Service	1740827872	1740827872	1	1	VIDANEZ, CHRISTINA LIEZL L C	7/5/2023	363LP2300X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	NP	26357 MCBEAN PKWY	SUITE 210	SANTA CLARITA	CA	91355	4497	19	06037	34.41257644	-118.5597683	Los Angeles County
125209	Fee-for-Service	1336292069	1336292069	1	1	VALLEY VILLAGE	3/25/1991	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	23801 ARCHWOOD ST	None	WEST HILLS	CA	91307	3004	19	06037	34.19166031	-118.6448637	Los Angeles County
125245	Fee-for-Service	1295822658	1295822658	1	4	VISTA COMM CLINIC	11/27/2019	No Taxonomy Provided	NA	None	041	COMMUNITY CLINIC	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1370 OAK DR	NEXT TO PRINCIPAL OFFICE	VISTA	CA	92084	4001	37	06073	33.21793597	-117.221887	San Diego County
125313	Fee-for-Service	1699782243	1699782243	1	1	VIRAPONGSE, ANUNTA MD	8/21/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	41	Internal Medicine	2	Out of state provider	None	13199 E MONTVIEW BLVD	None	AURORA	CO	80045	7201	00	None	39.748041	-104.834673	Adams County
125359	Fee-for-Service	1417386251	1417386251	1	1	VASQUEZ, REENA P CRNA	3/6/2014	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	531 W COLLEGE ST	None	LOS ANGELES	CA	90012	2315	19	06037	34.0645892	-118.2391033	Los Angeles County
125399	Fee-for-Service	1962907808	1962907808	1	1	VU, CHRISTINE U DO	8/9/2021	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	18044	None	None	0	In state provider	None	955 W IMPERIAL HWY	SUITE 110	BREA	CA	92821	3812	30	06059	33.91745451	-117.9133065	Orange County
125424	Fee-for-Service	1356598825	1356598825	1	12	VALLEY CARE MEDICAL	12/10/2009	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	None	5565 W LAS POSITAS BLVD	SUITE 260	PLEASANTON	CA	94588	5806	01	06001	37.69215143	-121.8800337	Alameda County
125472	Fee-for-Service	1104812486	1104812486	1	1	VIJAY YELDANDI MD	3/30/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1740 W TAYLOR ST	None	CHICAGO	IL	60612	7232	00	None	41.8692353	-87.67061005	Cook County
125499	Fee-for-Service	1043285216	1043285216	1	1	VERREES, JAMES F MD	2/29/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	1	Border provider	None	3196 S MARYLAND PARKWAY	SUITE 209	LAS VEGAS	NV	89109	2313	00	None	36.13194	-115.136873	Clark County
125649	Fee-for-Service	1992837892	1992837892	1	1	VARGAS JARAMILLO, MARIA	4/16/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	86961	None	None	0	In state provider	MD	100 W CONGRESS ST	None	PASADENA	CA	91105	3010	19	06037	34.13395172	-118.1534955	Los Angeles County
125695	Fee-for-Service	1598744856	1598744856	1	8	VHS SAN ANTONIO PARTNERS LLC	6/9/2016	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	520 MADISON OAK DR	None	SAN ANTONIO	TX	78258	3913	00	None	29.62127927	-98.49119067	Bexar County
125699	Fee-for-Service	1639511843	1639511843	1	1	VERMA, RICHA MD	3/19/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	142979	40	Pediatrics	0	In state provider	None	821 TEXAS AVE	None	LOS BANOS	CA	93635	3453	24	06047	37.06376226	-120.860675	Merced County
125748	Fee-for-Service	1275681165	1275681165	1	1	VAIAS, LYDIA J MD	3/25/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	65812	02	General Surgery	0	In state provider	None	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
125762	Fee-for-Service	1356598825	1356598825	1	8	VALLEY CARE MEDICAL	1/13/2009	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	FOUNDATION INC	1133 E STANLEY BLVD	SUITE 201	LIVERMORE	CA	94550	4246	01	06001	37.67914693	-121.7810206	Alameda County
125766	Fee-for-Service	1386734150	1386734150	1	1	VANDEVILLE, BETRAND A	4/15/2013	207R00000X	NA	Other	026	PHYSICIANS	7255	41	Internal Medicine	0	In state provider	DO	250 BON AIR ROAD	None	GREENBRAE	CA	94904	1702	21	06041	37.9469952	-122.5373892	Marin County
125775	Fee-for-Service	1639250194	1639250194	1	1	VAN, JOANNA T DO	12/19/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	9355	41	Internal Medicine	0	In state provider	None	400 N PEPPER AVE	None	COLTON	CA	92324	1801	36	06071	34.073505	-117.3505995	San Bernardino County
125826	Fee-for-Service	1356598825	1356598825	1	11	VALLEY CARE MEDICAL	12/10/2009	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	None	5565 W LAS POSITAS BLVD	SUITE 230	PLEASANTON	CA	94588	5806	01	06001	37.69215143	-121.8800337	Alameda County
125837	Fee-for-Service	1265492987	1265492987	1	1	VALENTINE, LEE S MD	11/27/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	88116	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	4929 VAN NUYS BLVD	None	SHERMAN OAKS	CA	91403	1702	19	06037	34.1602022	-118.4487313	Los Angeles County
125898	Fee-for-Service	1881981553	1881981553	1	1	VO, DIEM H DO	10/19/2018	2083X0100X	NA	Adult Primary Care	026	PHYSICIANS	13901	39	Preventive (M.D. only)	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
125960	Fee-for-Service	1609077759	1609077759	1	1	VELASCO, AMEE Y PSYD	2/20/2020	101YM0800X	NA	Other	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	521 1/2 S MYRTLE AVE	STE 9/10	MONROVIA	CA	91016	5131	19	06037	34.14635952	-118.0010148	Los Angeles County
125981	Fee-for-Service	1598744856	1598744856	1	8	VHS SAN ANTONIO PARTNERS LLC	6/9/2016	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	520 MADISON OAK DR	None	SAN ANTONIO	TX	78258	3913	00	None	29.62127927	-98.49119067	Bexar County
125983	Fee-for-Service	1710599345	1710599345	1	1	VILLANUEVA, ALEXANDRIA T NP	12/16/2020	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	27141 HIDAWAY AVE	204	SANTA CLARITA	CA	91351	4147	19	06037	34.41483	-118.469039	Los Angeles County
125997	Fee-for-Service	1427284066	1427284066	1	1	VANCHINATHAN, VEENA MD	12/17/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	126251	07	Dermatology	0	In state provider	None	200 UCLA MED PLAZA	STE 450	LOS ANGELES	CA	90095	6957	19	06037	34.065126	-118.446237	Los Angeles County
126027	Fee-for-Service	1205595170	1205595170	1	1	VINCENT, CHRISTINE	3/9/2022	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1301 E BIDWELL ST	#101	FOLSOM	CA	95630	3452	34	06067	38.66841	-121.151025	Sacramento County
126049	Fee-for-Service	1356598825	1356598825	1	8	VALLEY CARE MEDICAL	1/13/2009	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	FOUNDATION INC	1133 E STANLEY BLVD	SUITE 201	LIVERMORE	CA	94550	4246	01	06001	37.67914693	-121.7810206	Alameda County
126075	Fee-for-Service	1215699046	1215699046	1	1	VINCENT, PARKER R PT	10/8/2024	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	137 E THOUSAND OAKS BLVD	None	THOUSAND OAKS	CA	91360	1985	56	06111	34.17919939	-118.8745721	Ventura County
126084	Fee-for-Service	1518054501	1518054501	1	1	VALDERRAMA, ARTURO H MD	1/25/2018	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	74152	-	NOT APPLICABLE	0	In state provider	None	750 MEDICAL CENTER CT	STE 6	CHULA VISTA	CA	91911	6634	37	06073	32.61830281	-117.0237339	San Diego County
126091	Fee-for-Service	1265492987	1265492987	1	1	VALENTINE, LEE S MD	11/27/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	88116	41	Internal Medicine	0	In state provider	None	4929 VAN NUYS BLVD	None	SHERMAN OAKS	CA	91403	1702	19	06037	34.1602022	-118.4487313	Los Angeles County
126115	Fee-for-Service	1356598825	1356598825	1	11	VALLEY CARE MEDICAL	12/10/2009	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	10	Gastroenterology (M.D. only)	0	In state provider	None	5565 W LAS POSITAS BLVD	SUITE 230	PLEASANTON	CA	94588	5806	01	06001	37.69215143	-121.8800337	Alameda County
126144	Fee-for-Service	1356541197	1356541197	1	1	VELASCO MASSON, JAIME L MD	11/1/2020	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	-	None	None	2	Out of state provider	None	6621 FANNIN STREET	None	HOUSTON	TX	77030	2303	00	None	29.70724683	-95.4026169	Harris County
126154	Fee-for-Service	1437248630	1437248630	1	1	VIDAL, MARTHA G MD	3/27/2020	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	78069	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	3203 E FLORENCE AVE	None	HUNTINGTON PARK	CA	90255	5831	19	06037	33.97264641	-118.2101997	Los Angeles County
126212	Fee-for-Service	1659451854	1659451854	1	1	VELASQUEZ, RUBEN S MD	7/31/1990	207R00000X	NA	Other	026	PHYSICIANS	26381	41	Internal Medicine	0	In state provider	None	1460 N CAMINO ALTO	STE 106	VALLEJO	CA	94589	2567	48	06095	38.13262019	-122.2386804	Solano County
126345	Fee-for-Service	1841469129	1841469129	1	1	VOGEL, RICHARD M MFT	6/19/2015	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	23547 MOULTON PARKWAY	STE 209	LAGUNA HILLS	CA	92653	1975	30	06059	33.62034959	-117.7316952	Orange County
126371	Fee-for-Service	1518054501	1518054501	1	1	VALDERRAMA, ARTURO H MD	12/18/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	74152	None	None	0	In state provider	None	750 MEDICAL CENTER CT	STE 6	CHULA VISTA	CA	91911	6634	37	06073	32.61830281	-117.0237339	San Diego County
126510	Fee-for-Service	1285262857	1285262857	1	1	VINODKUMAR, ANITHA M MD	12/27/2023	208M00000X	NA	Other	026	PHYSICIANS	190068	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
126592	Fee-for-Service	1366493280	1366493280	1	1	VERDE, ALVA T MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	37885	05	Anesthesiology	0	In state provider	None	1025 S ANAHEIM BLVD	None	ANAHEIM	CA	92805	5806	30	06059	33.81994338	-117.9087416	Orange County
126634	Fee-for-Service	1942901947	1942901947	1	1	VASQUEZ GARCIA, KELLY NP	3/22/2023	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	31720 TEMECULA PKWY	203	TEMECULA	CA	92592	5895	33	06065	33.4799323	-117.1033702	Riverside County
126693	Fee-for-Service	1629275474	1629275474	1	1	VIGILIA, LARRY P MD	2/28/1982	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	38814	01	General Practice	0	In state provider	None	9700 LAS TUNAS DR	STE 110	TEMPLE CITY	CA	91780	2242	19	06037	34.10704578	-118.0579785	Los Angeles County
126720	Fee-for-Service	1912327651	1912327651	1	1	VU, THOMAS T D MD	7/18/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	143508	41	Internal Medicine	0	In state provider	None	200 MEDICAL PLAZA	STE 365, 420, 120	LOS ANGELES	CA	90024	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
126738	Fee-for-Service	1447859020	1447859020	1	1	VILLAGE MENTAL HEALTH GROUP	12/6/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	THERAPY AND FAMILY COUNS	3200 GUASTI	100	ONTARIO	CA	91761	8660	36	06071	34.06518	-117.5822055	San Bernardino County
126818	Fee-for-Service	1508937483	1508937483	1	1	VERHAM, RON P MD	10/31/1993	No Taxonomy Provided	NA	None	026	PHYSICIANS	69187	02	General Surgery	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
126846	Fee-for-Service	1972945954	1972945954	1	1	VILLAS AT TOPANGA TERRACE	3/25/2014	No Taxonomy Provided	NA	None	059	HOME AND COMMUNITY BASED SERVICES NURSING FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	22123 ROSCOE BLVD	None	CANOGA PARK	CA	91304	3839	19	06037	34.21962945	-118.6088085	Los Angeles County
126859	Fee-for-Service	1053863654	1053863654	1	1	VELASCO, CHRISTINA NP	2/21/2020	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1055 EAST COLORADO BLVD	None	PASADENA	CA	91188	2375	19	06037	34.14595648	-118.1287575	Los Angeles County
126865	Fee-for-Service	1720391667	1720391667	1	1	VALEUR, NATALIE S MD	9/21/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	140248	30	Radiology	0	In state provider	None	3600 BROADWAY	None	OAKLAND	CA	94611	2834	01	06001	37.8237837	-122.2590026	Alameda County
126871	Fee-for-Service	1194754184	1194754184	1	1	VELESRUBIO, FELISA U MD	9/30/2008	207RI0200X	NA	HIV/AIDS/Infectious Disease	026	PHYSICIANS	86758	41	Internal Medicine	0	In state provider	APC	122 ESCONDIDO AVE	STE 101	VISTA	CA	92084	6055	37	06073	33.19129432	-117.2369533	San Diego County
126927	Fee-for-Service	1225207871	1225207871	1	1	VUONG, PHONG D MD	5/28/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	99414	30	Radiology	0	In state provider	None	1111 W LA PALMA AVE	None	ANAHEIM	CA	92801	2804	30	06059	33.84718298	-117.933758	Orange County
126979	Fee-for-Service	1104881747	1104881747	1	1	VALLEY RADIOLOGICAL	7/31/1987	2085R0202X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	42	Nuclear Medicine	0	In state provider	ASSOCIATES MEDICAL GROUP	10 WOODLAND RD	None	SAINT HELENA	CA	94574	9554	28	06055	38.54196972	-122.4751787	Napa County
126982	Fee-for-Service	1629275474	1629275474	1	1	VIGILIA, LARRY P MD	2/28/1982	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	38814	41	Internal Medicine	0	In state provider	None	9700 LAS TUNAS DR	STE 110	TEMPLE CITY	CA	91780	2242	19	06037	34.10704578	-118.0579785	Los Angeles County
127106	Fee-for-Service	1508937483	1508937483	1	1	VERHAM, RON P MD	10/31/1993	No Taxonomy Provided	NA	None	026	PHYSICIANS	69187	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
127109	Fee-for-Service	1043318199	1043318199	1	1	VIDEEN, JOHN S MD	10/5/2005	207RN0300X	NA	Nephrology	026	PHYSICIANS	59271	41	Internal Medicine	0	In state provider	None	752 MEDICAL CENTER CT	STE 210	CHULA VISTA	CA	91911	6600	37	06073	32.61800405	-117.0232585	San Diego County
127116	Fee-for-Service	1275000341	1275000341	1	1	VAZQUEZ, JOSE L RCP	10/31/2018	227900000X	NA	Other	056	RESPIRATORY CARE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
127157	Fee-for-Service	1194754184	1194754184	1	1	VELESRUBIO, FELISA U MD	9/30/2008	207RI0200X	NA	HIV/AIDS/Infectious Disease	026	PHYSICIANS	86758	77	Infectious Disease	0	In state provider	APC	122 ESCONDIDO AVE	STE 101	VISTA	CA	92084	6055	37	06073	33.19129432	-117.2369533	San Diego County
127159	Fee-for-Service	1669569950	1669569950	1	1	VAZQUEZ, ROBERT D MD	8/10/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	61736	08	Family Practice	0	In state provider	None	903 E DEVONSHIRE AVE	STE E	HEMET	CA	92543	3097	33	06065	33.75116958	-116.9627485	Riverside County
127177	Fee-for-Service	1376848408	1376848408	1	1	VITAL HOME HEALTH CARE LLC	2/8/2013	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	1090 LA PLAYA DRIVE	SUITE 288	HAYWARD	CA	94545	2142	01	06001	37.6478302	-122.1056016	Alameda County
127242	Fee-for-Service	1598744856	1598744856	1	11	VHS SAN ANTONIO PARTNERS LLC	4/12/2022	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	7930 FLOYD CURL DR.	None	SAN ANTONIO	TX	78229	3925	00	None	29.51157346	-98.57548112	Bexar County
127255	Fee-for-Service	1053499632	1053499632	1	1	VANDERVEEN, MATTHEW L MD	9/7/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	67163	None	None	0	In state provider	None	1600 EUREKA RD	None	ROSEVILLE	CA	95661	3027	31	06061	38.746836	-121.250529	Placer County
127266	Fee-for-Service	1104881747	1104881747	1	1	VALLEY RADIOLOGICAL	7/31/1987	2085R0202X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	06	Cardiovascular Disease (M.D. only)	0	In state provider	ASSOCIATES MEDICAL GROUP	10 WOODLAND RD	None	SAINT HELENA	CA	94574	9554	28	06055	38.54196972	-122.4751787	Napa County
127328	Fee-for-Service	1306489760	1306489760	1	1	VOSWINKEL, NIKOLAUS V CNP	1/26/2022	363LP2300X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	3910 VISTA WAY	106	OCEANSIDE	CA	92056	4513	37	06073	33.18382239	-117.2937426	San Diego County
127332	Fee-for-Service	1841822145	1841822145	1	1	VIVO HOSPICE INC	11/29/2020	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	5535 BALBOA BLVD	STE 104	ENCINO	CA	91316	1522	19	06037	34.171632	-118.5011955	Los Angeles County
127333	Fee-for-Service	1952969388	1952969388	1	1	VANG, YEE L NP	12/16/2022	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2345 FAIR OAKS BLVD	None	SACRAMENTO	CA	95825	4708	34	06067	38.57535	-121.407633	Sacramento County
127369	Fee-for-Service	1568568582	1568568582	1	1	VO, QUANG D MD	5/27/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	84479	41	Internal Medicine	0	In state provider	None	2699 ATLANTIC AVE	None	LONG BEACH	CA	90806	2710	19	06037	33.805971	-118.1850555	Los Angeles County
127393	Fee-for-Service	1043318199	1043318199	1	1	VIDEEN, JOHN S MD	10/5/2005	207RN0300X	NA	Nephrology	026	PHYSICIANS	59271	13	Neurology (M.D. only)	0	In state provider	None	752 MEDICAL CENTER CT	STE 210	CHULA VISTA	CA	91911	6600	37	06073	32.61800405	-117.0232585	San Diego County
127396	Fee-for-Service	1467644138	1467644138	1	1	VASQUEZ, LISA M MD	9/20/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	102998	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	2603 VIA CAMPO	None	MONTEBELLO	CA	90640	1807	19	06037	34.03277459	-118.1241507	Los Angeles County
127483	Fee-for-Service	1831854975	1831854975	1	1	VALLEY HEALTH PARTNERS APC	6/17/2022	207RN0300X	NA	Nephrology	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	1550 N IMPERIAL AVE	STE 1	EL CENTRO	CA	92243	6304	13	06025	32.80696546	-115.5702795	Imperial County
127521	Fee-for-Service	1861905895	1861905895	1	1	VO, NGUYEN H CRNA	3/11/2021	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
127524	Fee-for-Service	1932280054	1932280054	1	1	VAN HOOSE, MARC C OD	4/5/2005	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	4065 OCEANSIDE BLVD	STE C	OCEANSIDE	CA	92056	5824	37	06073	33.20508886	-117.2915613	San Diego County
127529	Fee-for-Service	1598744856	1598744856	1	11	VHS SAN ANTONIO PARTNERS LLC	4/12/2022	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	7930 FLOYD CURL DR.	None	SAN ANTONIO	TX	78229	3925	00	None	29.51157346	-98.57548112	Bexar County
127532	Fee-for-Service	1538524673	1538524673	1	1	VALLUZZI, JESSICA A	2/2/2018	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	760 WESTWOOD PLAZA	None	LOS ANGELES	CA	90045	5631	19	06037	34.07067	-118.4432445	Los Angeles County
127556	Fee-for-Service	1104881747	1104881747	1	1	VALLEY RADIOLOGICAL	7/31/1987	2085R0202X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	ASSOCIATES MEDICAL GROUP	10 WOODLAND RD	None	SAINT HELENA	CA	94574	9554	28	06055	38.54196972	-122.4751787	Napa County
127619	Fee-for-Service	1841822145	1841822145	1	1	VIVO HOSPICE INC	11/29/2020	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	5535 BALBOA BLVD	STE 104	ENCINO	CA	91316	1522	19	06037	34.171632	-118.5011955	Los Angeles County
127677	Fee-for-Service	1346762457	1346762457	1	1	VARGAS, CRISTINA M MD	6/30/2020	2251P0200X	NA	Physical Therapist	026	PHYSICIANS	156861	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
127682	Fee-for-Service	1396229548	1396229548	1	1	VICTORIA'S CARE HOME, INC	9/5/2019	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	6722 N DELBERT AVE	None	FRESNO	CA	93722	8309	10	06019	36.83585051	-119.8878166	Fresno County
127701	Fee-for-Service	1780667162	1780667162	1	1	VENTURA, EVANGELINE A	2/16/2018	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	39400 PASEO PADRE PKWY	None	FREMONT	CA	94538	2310	01	06001	37.55102172	-121.9759026	Alameda County
127730	Fee-for-Service	1679501738	1679501738	1	1	VOLETI, VASANTI MD	10/31/1994	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	52687	40	Pediatrics	0	In state provider	None	414 N BOYLE AVE	None	LOS ANGELES	CA	90033	2410	19	06037	34.05043205	-118.2180396	Los Angeles County
127774	Fee-for-Service	1831854975	1831854975	1	1	VALLEY HEALTH PARTNERS APC	6/17/2022	207RN0300X	NA	Nephrology	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1550 N IMPERIAL AVE	STE 1	EL CENTRO	CA	92243	6304	13	06025	32.80696546	-115.5702795	Imperial County
127936	Fee-for-Service	1578264404	1578264404	1	1	VALENZUELA, PRISCILLA BIRTH	11/7/2024	374J00000X	NA	Other	106	DOULA INDIVIDUAL PROVIDER	-	-	NOT APPLICABLE	0	In state provider	Addresses not published for Doula Providers	N/A	N/A	N/A	N/A	N/A	N/A	33	06065	0	0	None
127956	Fee-for-Service	1467517615	1467517615	1	1	VENTURA CO SUPER OF SCH	2/1/1993	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	None	5189 VERDUGO WAY	None	CAMARILLO	CA	93012	8603	56	06111	34.21404429	-118.9996591	Ventura County
127972	Fee-for-Service	1235445859	1235445859	1	1	VARR, BRANDON MD	9/12/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	113372	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
127999	Fee-for-Service	1306371182	1306371182	1	1	VALADEZ, ZACHARY G MD	8/13/2020	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	169478	08	Family Practice	0	In state provider	None	1901 TOWN AND COUNTRY DR	SUITE 104	NORCO	CA	92860	3611	33	06065	33.92721419	-117.561448	Riverside County
128026	Fee-for-Service	1689963654	1689963654	1	2	VENTURA TRANSIT SYSTEM,INC.	10/2/2020	343900000X	Both NEMT & NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	280 SKYWAY DR	None	CAMARILLO	CA	93010	8573	56	06111	34.20616523	-119.0776296	Ventura County
128060	Fee-for-Service	1831854975	1831854975	1	1	VALLEY HEALTH PARTNERS APC	4/18/2023	207RN0300X	NA	Nephrology	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	1550 N IMPERIAL AVE	STE 1	EL CENTRO	CA	92243	6304	13	06025	32.80696546	-115.5702795	Imperial County
128065	Fee-for-Service	1013202829	1013202829	2	1	VANGS PHARMACY INC	4/1/2022	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	7260 E SOUTHGATE DRIVE	E	SACRAMENTO	CA	95823	2627	34	06067	38.493999	-121.438395	Sacramento County
128140	Fee-for-Service	1639165368	1639165368	1	1	VEILLE, JEAN-CLAUDE L MD	10/10/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	37270	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	5301 F ST	STE 313	SACRAMENTO	CA	95819	3222	34	06067	38.571354	-121.4368695	Sacramento County
128161	Fee-for-Service	1174569784	1174569784	1	1	VONS COMPANIES, INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	8011 UNIVERSITY AVE	None	LA MESA	CA	91941	5020	37	06073	32.76600931	-117.02485	San Diego County
128175	Fee-for-Service	1538759899	1538759899	1	1	VAN DER WOERD, BENJAMIN MD	8/17/2021	207Y00000X	NA	ENT/Otolaryngology	026	PHYSICIANS	171313	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
128223	Fee-for-Service	1144351636	1144351636	1	1	VALDES, MARIA L MD	10/2/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	41330	36	Psychiatry	0	In state provider	None	770 MAGNOLIA AVE	SUITE 1F	CORONA	CA	92879	3121	33	06065	33.85936872	-117.5534605	Riverside County
128271	Fee-for-Service	1508871385	1508871385	1	1	VERDUGO HILLS ANESTHESIA	5/8/1992	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	MEDICAL GROUP	1812 VERDUGO BLVD	None	GLENDALE	CA	91208	1407	19	06037	34.20560177	-118.216054	Los Angeles County
128297	Fee-for-Service	1194123802	1194123802	1	1	VAN C. WILLIAMS	10/22/2019	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	Y	1988 PARK MARINA DR	None	REDDING	CA	96001	0912	45	06089	40.58439914	-122.3745941	Shasta County
128415	Fee-for-Service	1740741891	1740741891	1	1	VILLACORTA, JOSE M MD	11/8/2022	207P00000X	NA	Other	026	PHYSICIANS	182696	None	None	0	In state provider	None	38600 MEDICAL CENTER	None	PALMDALE	CA	93551	4483	19	06037	34.58364037	-118.1441012	Los Angeles County
128430	Fee-for-Service	1003126830	1003126830	1	1	VAN DYK, GRIETJE MD	10/29/2020	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	61231	None	None	0	In state provider	None	3851 KATELLA AVENUE	SUITE 150	LOS ALAMITOS	CA	90720	3363	30	06059	33.80319053	-118.0657305	Orange County
128462	Fee-for-Service	1245314038	1245314038	1	1	VILLARAMA, JOSEPHINE A	12/15/2002	No Taxonomy Provided	NA	None	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
128579	Fee-for-Service	1992067458	1992067458	1	1	VAHEDI, DAVID MD	1/6/2020	207LP2900X	NA	Other	026	PHYSICIANS	147608	05	Anesthesiology	0	In state provider	None	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
128722	Fee-for-Service	1114412582	1114412582	1	1	VU, THOMAS K DO	12/15/2022	207P00000X	NA	Other	026	PHYSICIANS	20453	None	None	0	In state provider	None	3630 E IMPERIAL HWY	None	LYNWOOD	CA	90262	2609	19	06037	33.93112671	-118.2035532	Los Angeles County
128766	Fee-for-Service	1952692188	1952692188	1	1	VORHIES, JOHN S MD	8/7/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	123240	20	Orthopedic Surgery	0	In state provider	None	300 PASTEUR DRIVE	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
128773	Fee-for-Service	1902109432	1902109432	1	1	VAN HORN-GATLIN, HILLARY PHD	2/11/2013	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
128818	Fee-for-Service	1538131214	1538131214	1	1	VHS ACQUISITION SUBSIDIARY	11/1/2008	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	NUMBER 7, INC	123 SUMMER STREET	None	WORCESTER	MA	01608	1200	00	None	42.264657	-71.7970005	Worcester County
128880	Fee-for-Service	1942358304	1942358304	1	1	VAUGHN, ANN MARIE LMFT	8/8/2024	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	108237	-	NOT APPLICABLE	0	In state provider	None	2180 JOHNSON AVE	1ST FLOOR	SAN LUIS OBISPO	CA	93401	4513	40	06079	35.27488974	-120.6468257	San Luis Obispo County
128982	Fee-for-Service	1356647887	1356647887	1	1	VIP HEALTHCARE SERVICES LLC	5/7/2015	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	12125 DAY STREET	SUITE H308	MORENO VALLEY	CA	92557	6702	33	06065	33.945057	-117.279008	Riverside County
128985	Fee-for-Service	1336740927	1336740927	1	1	VITUITY - NEVADA KOURY & PAR	1/4/2021	193200000X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	1	Border provider	TNERS PLLC	4855 BLUE DIAMOND RD	None	LAS VEGAS	NV	89139	7602	00	None	36.03258913	-115.2074608	Clark County
128994	Fee-for-Service	1396895199	1396895199	1	1	VELASQUEZ, LISA M MD	10/7/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	81608	08	Family Practice	0	In state provider	None	3900 LAKEVILLE HWY	None	PETALUMA	CA	94954	5698	49	06097	38.2304311	-122.5827918	Sonoma County
129005	Fee-for-Service	1790189223	1790189223	1	1	VONS COMPANIES INC	1/7/2015	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	3439 VIA MONTEBELLO	None	CARLSBAD	CA	92009	8487	37	06073	33.08171662	-117.2327511	San Diego County
129010	Fee-for-Service	1992329130	1992329130	1	1	VU, PHUONG	10/10/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	185381	None	None	0	In state provider	None	3612 DALE RD	None	MODESTO	CA	95356	0500	50	06099	37.69097901	-121.0498748	Stanislaus County
129044	Fee-for-Service	1952692188	1952692188	1	1	VORHIES, JOHN S MD	4/1/2018	No Taxonomy Provided	NA	None	080	CA CHILDRENS SERVICES/GENETICALLY HANDICAPPED PERSONS PROGRAM NON- INSTITUTIONAL	-	-	NOT APPLICABLE	0	In state provider	None	300 PASTEUR DRIVE	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
129107	Fee-for-Service	1538131214	1538131214	1	1	VHS ACQUISITION SUBSIDIARY	11/1/2008	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	NUMBER 7, INC	123 SUMMER STREET	None	WORCESTER	MA	01608	1200	00	None	42.264657	-71.7970005	Worcester County
129110	Fee-for-Service	1801162227	1801162227	1	1	VAZQUEZ, ARLENE V MD	9/26/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	126597	01	General Practice	0	In state provider	None	1301 MISSION ST	None	SANTA CRUZ	CA	95060	3528	44	06087	36.96817615	-122.0381947	Santa Cruz County
129118	Fee-for-Service	1396108197	1396108197	1	1	VALDEZ, XUAN H MD	5/29/2020	207R00000X	NA	Other	026	PHYSICIANS	150588	41	Internal Medicine	0	In state provider	None	3330 LOMITA BLVD	CARDIOLOGY DEPARTMENT	TORRANCE	CA	90505	5002	19	06037	33.81253631	-118.3435557	Los Angeles County
129124	Fee-for-Service	1740254325	1740254325	1	1	VU, MAN Q MD	8/2/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	79098	38	Geriatrics	0	In state provider	None	10666 N TORREY PINES RD	None	LA JOLLA	CA	92037	1027	37	06073	32.89687721	-117.2418677	San Diego County
129139	Fee-for-Service	1861425589	1861425589	1	1	VATAKENCHERRY, GEORGE MD	8/14/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	83475	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
129188	Fee-for-Service	1508996182	1508996182	1	2	VERREAULT, SUZANNE PSYD	6/7/2021	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	10722 ARROW RTE	314-316	RANCHO CUCAMONGA	CA	91730	4811	36	06071	34.09917725	-117.5708877	San Bernardino County
129246	Fee-for-Service	1831587989	1831587989	1	1	VAUGHN, JANET L CRNA	1/20/2015	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	2635 G STREET	None	BAKERSFIELD	CA	93301	2813	15	06029	35.38360448	-119.0223416	Kern County
129273	Fee-for-Service	1336740927	1336740927	1	1	VITUITY - NEVADA KOURY & PAR	7/21/2022	193200000X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	1	Border provider	TNERS PLLC	4855 BLUE DIAMOND RD	None	LAS VEGAS	NV	89139	7602	00	None	36.03258913	-115.2074608	Clark County
129429	Fee-for-Service	1861425589	1861425589	1	1	VATAKENCHERRY, GEORGE MD	8/14/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	83475	41	Internal Medicine	0	In state provider	None	10833 LE CONTE AVE	None	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
129458	Fee-for-Service	1447444856	1447444856	1	1	VERDUGO VLY SKILLED NURSING	1/15/2008	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	& WELLNESS CENTRE, LLC	2635 HONOLULU AVE	None	MONTROSE	CA	91020	1706	19	06037	34.2095316	-118.2368602	Los Angeles County
129494	Fee-for-Service	1902953862	1902953862	1	1	VAN SCHAACK, LESLIE A MD	10/13/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	121754	40	Pediatrics	0	In state provider	None	15400 LOS GATOS BLVD	None	LOS GATOS	CA	95032	2502	43	06085	37.24572659	-121.957997	Santa Clara County
129495	Fee-for-Service	1497784441	1497784441	1	1	VONS COMPANIES, INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	750 N IMPERIAL AVE	None	EL CENTRO	CA	92243	1914	13	06025	32.79886547	-115.5699885	Imperial County
129596	Fee-for-Service	1588611990	1588611990	1	1	VINCENT, MAURICE M MD	8/15/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	54497	01	General Practice	0	In state provider	None	14350 WHITTIER BLVD	STE 100	WHITTIER	CA	90605	2122	19	06037	33.95501294	-118.0185665	Los Angeles County
129629	Fee-for-Service	1821107749	1821107749	1	1	VO, QUANG T MD	3/7/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	97959	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	11190 WARNER AVE	STE 303	FOUNTAIN VALLEY	CA	92708	4047	30	06059	33.714	-117.9333585	Orange County
129753	Fee-for-Service	1497846638	1497846638	1	1	VAISMAN, SOFIA MD	3/31/1985	207QA0505X	NA	Adult Primary Care	026	PHYSICIANS	36979	01	General Practice	0	In state provider	None	22600 VENTURA BLVD	STE 101	WOODLAND HILLS	CA	91364	1430	19	06037	34.16733862	-118.6190131	Los Angeles County
129779	Fee-for-Service	1659584019	1659584019	1	1	VEMULAKONDA, SRILAKSHMI	6/23/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	103128	None	None	0	In state provider	MD	26520 CACTUS AVE	None	MORENO VALLEY	CA	92555	3927	33	06065	33.912117	-117.195849	Riverside County
129827	Fee-for-Service	1790160794	1790160794	1	1	VILLALTA, KEVIN A LCSW	5/5/2024	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
129883	Fee-for-Service	1588611990	1588611990	1	1	VINCENT, MAURICE M MD	8/15/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	54497	08	Family Practice	0	In state provider	None	14350 WHITTIER BLVD	STE 100	WHITTIER	CA	90605	2122	19	06037	33.95501294	-118.0185665	Los Angeles County
129915	Fee-for-Service	1821107749	1821107749	1	1	VO, QUANG T MD	3/7/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	97959	33	Thoracic Surgery	0	In state provider	None	11190 WARNER AVE	STE 303	FOUNTAIN VALLEY	CA	92708	4047	30	06059	33.714	-117.9333585	Orange County
130023	Fee-for-Service	1295822658	1295822658	1	8	VISTA COMM CLINIC	4/22/2024	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	465 LA TORTUGA DRIVE	None	VISTA	CA	92081	4320	37	06073	33.19017005	-117.2584668	San Diego County
130035	Fee-for-Service	1528516341	1528516341	1	1	VIDART, DANIELLE M LCSW	6/23/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	41 E FOOTHILL BLVD	SUITE 102	ARCADIA	CA	91006	2361	19	06037	34.15102394	-118.0297543	Los Angeles County
130078	Fee-for-Service	1083812960	1083812960	1	1	VARNUM, DENISA R PT	6/8/2010	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	3401 S HARBOR BLVD	None	SANTA ANA	CA	92704	7933	30	06059	33.701166	-117.9194305	Orange County
130105	Fee-for-Service	1245792514	1245792514	1	1	VUONG, TU LCSW	11/1/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	818 MOUNTAIN AVE	STE 203	UPLAND	CA	91786	4165	36	06071	34.10424442	-117.6701797	San Bernardino County
130106	Fee-for-Service	1104881747	1104881747	1	3	VALLEY RADIOLOGICAL	1/1/1985	2085R0202X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	SSOCIATED MEDICAL GROUP	15630 18TH AVE	None	CLEARLAKE	CA	95422	9336	17	06033	38.93612361	-122.6201499	Lake County
130138	Fee-for-Service	1003229436	1003229436	1	1	VILLARREAL, JOSEPH MD	10/28/2017	390200000X	NA	Other	026	PHYSICIANS	141108	66	Emergency Medicine (Urgent Care)	0	In state provider	None	101 THE CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
130140	Fee-for-Service	1962629824	1962629824	1	1	VAN DYNE, TIMOTHY A DPM INC	1/1/1979	No Taxonomy Provided	NA	None	026	PHYSICIANS	None	None	None	0	In state provider	None	5777 N FRESNO ST	STE 102	FRESNO	CA	93710	6065	10	06019	36.82251	-119.7813585	Fresno County
130201	Fee-for-Service	1336716992	1336716992	1	1	VIETEN, CASSANDRA E PHD	1/3/2023	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
130219	Fee-for-Service	1356801963	1356801963	1	1	VITAL MEDICAL SOLUTIONS	6/8/2020	332BC3200X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	3176 PULLMAN ST	SUITE 104	COSTA MESA	CA	92626	3317	30	06059	33.68380491	-117.8742918	Orange County
130226	Fee-for-Service	1639557754	1639557754	1	1	VEGA, MARIA F LCSW	4/14/2023	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	12669 ENCINITAS AVE	None	SYLMAR	CA	91342	3635	19	06037	34.29981583	-118.473722	Los Angeles County
130249	Fee-for-Service	1205855285	1205855285	1	1	VALDEZ, JULIA W MD	3/1/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	53489	40	Pediatrics	0	In state provider	None	320 E BUENA VISTA ST	None	BARSTOW	CA	92311	2806	36	06071	34.89557815	-117.0235915	San Bernardino County
130272	Fee-for-Service	1548201122	1548201122	1	1	VU, MICHAEL T MD	1/31/1990	No Taxonomy Provided	NA	None	026	PHYSICIANS	60092	18	Ophthalmology	0	In state provider	None	8860 BOLSA AVE	STE B2	WESTMINSTER	CA	92683	5499	30	06059	33.74480721	-117.9741089	Orange County
130286	Fee-for-Service	1528523313	1528523313	1	1	VALLEY CARE MEDICAL SUPPLY,	11/14/2019	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	INC.	12916 SHERMAN WAY	None	NORTH HOLLYWOOD	CA	91605	4953	19	06037	34.20116453	-118.4140845	Los Angeles County
130289	Fee-for-Service	1720168586	1720168586	1	1	VANROY, RONALD L MD	1/1/1982	2085R0001X	NA	Other	026	PHYSICIANS	30218	30	Radiology	0	In state provider	None	1144 SONOMA AVE	STE 108	SANTA ROSA	CA	95405	4812	49	06097	38.441097	-122.6989755	Sonoma County
130310	Fee-for-Service	1295822658	1295822658	1	8	VISTA COMM CLINIC	4/22/2024	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	465 LA TORTUGA DRIVE	None	VISTA	CA	92081	4320	37	06073	33.19017005	-117.2584668	San Diego County
130420	Fee-for-Service	1588624522	1588624522	1	1	VAN DEN BOGAERDE, JAMES	8/14/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	67663	20	Orthopedic Surgery	0	In state provider	None	1001 RIVERSIDE AVE	None	ROSEVILLE	CA	95678	5134	31	06061	38.72845186	-121.2904134	Placer County
130468	Fee-for-Service	1104892413	1104892413	1	1	VIPUL SHAH	4/18/2022	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	234 E 149TH ST	None	BRONX	NY	10451	5504	00	None	40.817538	-73.9240965	Bronx County
130481	Fee-for-Service	1700137429	1700137429	1	1	VALENZUELA, LEONARDO M	4/29/2013	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	18081 BEACH BLVD	None	HUNTINGTON BEACH	CA	92648	1304	30	06059	33.69987737	-117.9892394	Orange County
130513	Fee-for-Service	1760510879	1760510879	1	1	VOCI, TATIANA MD	8/3/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	75320	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
130516	Fee-for-Service	1891731402	1891731402	1	1	VONS COMPANIES INC	8/25/1997	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	600 E BROADWAY	None	LONG BEACH	CA	90802	5124	19	06037	33.76866146	-118.1843496	Los Angeles County
130538	Fee-for-Service	1205855285	1205855285	1	1	VALDEZ, JULIA W MD	3/1/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	53489	18	Ophthalmology	0	In state provider	None	320 E BUENA VISTA ST	None	BARSTOW	CA	92311	2806	36	06071	34.89557815	-117.0235915	San Bernardino County
130561	Fee-for-Service	1720582042	1720582042	1	1	VIDA NON-EMERGENCY TRANSPORT	1/25/2020	343900000X	NEMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	ATION SERVICES INC.	1180 W OLIVE AVE	K1	MERCED	CA	95348	1900	24	06047	37.31910454	-120.4885665	Merced County
130585	Fee-for-Service	1831266030	1831266030	1	1	VALENTINI, DANIEL L MD	1/1/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	32509	41	Internal Medicine	0	In state provider	None	9400 E ROSECRANS BLVD	None	BELLFLOWER	CA	90706	0000	19	06037	33.9040752	-118.1328995	Los Angeles County
130602	Fee-for-Service	1306531249	1306531249	1	1	VALSAINT, JOSIANE CD	10/18/2024	374J00000X	NA	Other	106	DOULA INDIVIDUAL PROVIDER	-	-	NOT APPLICABLE	0	In state provider	Addresses not published for Doula Providers	N/A	N/A	N/A	N/A	N/A	N/A	37	06073	0	0	None
130628	Fee-for-Service	1154716199	1154716199	1	2	VEGA, SARAH MD	4/16/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	144123	None	None	0	In state provider	None	747 52ND ST	None	OAKLAND	CA	94609	1809	01	06001	37.83734639	-122.2672128	Alameda County
130683	Fee-for-Service	1932566155	1932566155	1	1	VISNIC, ZACHARY R CRNA	11/29/2021	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1150 INDIAN CANYON	None	PALM SPRINGS	CA	92262	4872	33	06065	33.838623	-116.542737	Riverside County
130733	Fee-for-Service	1700807310	1700807310	1	2	VIERRA, JESSICA J LCSW	5/13/2019	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	16798	-	NOT APPLICABLE	0	In state provider	None	8400 FAIR OAKS BLVD	None	CARMICHAEL	CA	95608	2502	34	06067	38.636055	-121.306491	Sacramento County
130762	Fee-for-Service	1770983603	1770983603	1	1	VILLEGAS, SARAH S NP	10/30/2023	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	3701 J STREET	SUITE 109	SACRAMENTO	CA	95815	5542	34	06067	38.571237	-121.4566245	Sacramento County
130778	Fee-for-Service	1033350103	1033350103	1	1	VERA, MARIO E MD	8/10/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	102999	08	Family Practice	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
130840	Fee-for-Service	1689725657	1689725657	1	1	VANNIER, MICHAEL MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	5841 S MARYLAND AVENUE	None	CHICAGO	IL	60675	0001	00	None	41.788431	-87.60489252	Cook County
130885	Fee-for-Service	1629279401	1629279401	1	1	VAWTER, BETH NP	3/20/2024	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	400 N PEPPER AVE	FL 6	COLTON	CA	92324	1801	36	06071	34.073505	-117.3505995	San Bernardino County
130950	Fee-for-Service	1730567199	1730567199	1	1	VISTA HILL FOUNDATION	6/30/2015	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	220 EUCLID AVENUE	SUITE 40 AND 50	SAN DIEGO	CA	92114	3617	37	06073	32.706387	-117.085098	San Diego County
130975	Fee-for-Service	1225693344	1225693344	1	1	VU, CAROLYN DO	7/27/2022	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	19960	None	None	0	In state provider	None	1441 FLORIDA AVE	None	MODESTO	CA	95350	4405	50	06099	37.66508443	-120.9962589	Stanislaus County
130995	Fee-for-Service	1114359502	1114359502	1	1	VEGA, JEANETTE LCSW	9/15/2017	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	90505	3043	33	06065	33.904782	-117.469323	Riverside County
131139	Fee-for-Service	1528180205	1528180205	1	1	VELARDE, VOLTAIRE S MD	7/1/1995	193400000X	NA	Other	026	PHYSICIANS	49569	66	Emergency Medicine (Urgent Care)	0	In state provider	INC	3431 NAPA VALLEJO HWY	STE A2	AMERICAN CANYON	CA	94503	1228	28	06055	0	0	None
131195	Fee-for-Service	1356598825	1356598825	1	6	VALLEY CARE MEDICAL	1/13/2009	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	FOUNDATION INC	87 FENTON STREET	SUITE 100	LIVERMORE	CA	94550	4183	01	06001	37.676565	-121.7834555	Alameda County
131229	Fee-for-Service	1205225208	1205225208	1	1	VO, AMANDA NP	6/16/2021	363LX0001X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
131248	Fee-for-Service	1326200783	1326200783	1	1	VANWINDEN MAEKAWA, KRISTI R	5/18/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	115069	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	MD	2020 ZONAL AVE	IRD 220	LOS ANGELES	CA	90089	0121	19	06037	34.06069697	-118.2076361	Los Angeles County
131287	Fee-for-Service	1942543517	1942543517	1	1	VU, TAM M DO	6/2/2022	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	19205	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
131301	Fee-for-Service	1811386246	1811386246	1	1	VALLOT NURSE ANESTHESIA APC	1/12/2015	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	2550 SISTER MARY COLUMBA	None	RED BLUFF	CA	96080	4327	52	06103	40.14847323	-122.2180997	Tehama County
131339	Fee-for-Service	1770843336	1770843336	1	1	VALDEZ, STACEY DPM	5/24/2018	213E00000X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	3616 E 1ST ST	None	LOS ANGELES	CA	90063	2326	19	06037	34.03597969	-118.1884647	Los Angeles County
131485	Fee-for-Service	1356598825	1356598825	1	9	VALLEY CARE MEDICAL	4/22/2009	207RC0000X	NA	Cardiology/Interventional Cardiology	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	None	5725 W LAS POSITAS BLVD	STE 110	PLEASANTON	CA	94588	4000	01	06001	37.688107	-121.8861427	Alameda County
131500	Fee-for-Service	1578870416	1578870416	1	1	VIGIL, PAULETTE L LMFT	4/26/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2008 MORSE	None	SACRAMENTO	CA	95825	2135	34	06067	38.601801	-121.391613	Sacramento County
131571	Fee-for-Service	1972670743	1972670743	1	1	VEGA-BARATTI, JUDITH M NP	12/2/2013	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	27300 IRIS AVE	None	MORENO VALLEY	CA	92555	4802	33	06065	33.89552551	-117.186021	Riverside County
131650	Fee-for-Service	1396816377	1396816377	1	1	VALENCIA, JULIE A MD	2/10/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	71302	40	Pediatrics	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
131775	Fee-for-Service	1356598825	1356598825	1	9	VALLEY CARE MEDICAL	4/22/2009	207RC0000X	NA	Cardiology/Interventional Cardiology	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	None	5725 W LAS POSITAS BLVD	STE 110	PLEASANTON	CA	94588	4000	01	06001	37.688107	-121.8861427	Alameda County
131898	Fee-for-Service	1720337397	1720337397	1	1	VISAL NGA DO INC	3/19/2014	261QM2500X	NA	Other	026	PHYSICIANS	10947	41	Internal Medicine	0	In state provider	None	1269 E ANAHEIM ST	None	LONG BEACH	CA	90813	3709	19	06037	33.78264053	-118.175796	Los Angeles County
132022	Fee-for-Service	1962964700	1962964700	1	1	VINCENT, MATTHEW J MD	5/6/2024	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	None	20	Orthopedic Surgery	0	In state provider	None	1225 15TH ST	2100	SANTA MONICA	CA	90404	1101	19	06037	34.02683888	-118.4870127	Los Angeles County
132054	Fee-for-Service	1043243462	1043243462	2	1	VALLEY MEDICAL SUPPLY INC	9/24/2009	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	7130 VAN NUYS BLVD	None	VAN NUYS	CA	91405	3063	19	06037	34.20031652	-118.4487431	Los Angeles County
132097	Fee-for-Service	1366462871	1366462871	1	1	VAN HERLE, KATJA A MD	9/30/1995	207RE0101X	NA	Endocrinology	026	PHYSICIANS	60467	41	Internal Medicine	0	In state provider	None	200 MEDICAL PLAZA	None	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
132258	Fee-for-Service	1770732760	1770732760	1	1	VIRUEZ CORONA, MARCO J	3/9/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	105548	41	Internal Medicine	0	In state provider	MD	10800 PARAMOUNT BLVD	SUITE 406	DOWNEY	CA	90241	3336	19	06037	33.94604301	-118.1354831	Los Angeles County
132303	Fee-for-Service	1871514786	1871514786	1	1	VUSTAR, MIRJANA MD	1/31/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	52021	05	Anesthesiology	0	In state provider	None	955 BLANCO CIR	STE A	SALINAS	CA	93901	4452	27	06053	36.65564507	-121.6367659	Monterey County
132310	Fee-for-Service	1013916279	1013916279	1	1	VERMANI, VIMAL MD	8/19/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	84999	45	Nephrology (Renal-Kidney)	0	In state provider	None	1900 OUTLET CENTER DRIVE	None	OXNARD	CA	93036	0677	56	06111	34.22014556	-119.1484924	Ventura County
132318	Fee-for-Service	1447804844	1447804844	1	1	VISTA CENTER FOR THE BLIND	9/23/2019	No Taxonomy Provided	NA	None	041	COMMUNITY CLINIC	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	101 N BASCOM AVE	ROOM 210	SAN JOSE	CA	95128	1805	43	06085	37.32572758	-121.9320665	Santa Clara County
132374	Fee-for-Service	1477601201	1477601201	1	1	VELASCO, ROBERTO U MD	4/12/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	38287	20	Orthopedic Surgery	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
132598	Fee-for-Service	1013916279	1013916279	1	1	VERMANI, VIMAL MD	8/19/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	84999	41	Internal Medicine	0	In state provider	None	1900 OUTLET CENTER DRIVE	None	OXNARD	CA	93036	0677	56	06111	34.22014556	-119.1484924	Ventura County
132624	Fee-for-Service	1912743444	1912743444	1	1	VELAZQUEZ, CYNTHIA BIRTH DO	10/24/2024	374J00000X	NA	Other	106	DOULA INDIVIDUAL PROVIDER	-	-	NOT APPLICABLE	0	In state provider	Addresses not published for Doula Providers	N/A	N/A	N/A	N/A	N/A	N/A	19	06037	0	0	None
132626	Fee-for-Service	1295822658	1295822658	1	6	VISTA COMM CLINIC	11/27/2019	No Taxonomy Provided	NA	None	041	COMMUNITY CLINIC	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1 PANTHER WAY	ROOM D1	VISTA	CA	92084	3128	37	06073	33.223635	-117.2380545	San Diego County
132758	Fee-for-Service	1669496832	1669496832	1	1	VILLICANA, RAFAEL JR MD	8/29/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	83031	45	Nephrology (Renal-Kidney)	0	In state provider	None	11370 ANDERSON ST	STE B-100	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
132778	Fee-for-Service	1811513773	1811513773	1	1	VARGHESE, JOMY MD	8/2/2024	207L00000X	NA	Other	026	PHYSICIANS	None	05	Anesthesiology	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
132854	Fee-for-Service	1215374434	1215374434	1	3	VALLEY CENTER HEARING CLINIC	12/9/2019	193200000X	NA	Other	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	880 CASS ST	STE 101	MONTEREY	CA	93940	2948	27	06053	36.59354661	-121.8957685	Monterey County
132955	Fee-for-Service	1427353911	1427353911	1	1	VILLANUEVA, CHELSEY L	5/25/2020	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	143841	08	Family Practice	0	In state provider	None	1 QUALITY DRIVE	None	VACAVILLE	CA	95688	9494	48	06095	38.38851772	-121.9382798	Solano County
133022	Fee-for-Service	1699216044	1699216044	1	1	VAN DIEPEN, PAMELA LMFT	12/28/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	17744 SKY PARK CIRCLE	285	IRVINE	CA	92614	4461	30	06059	33.68866483	-117.8555287	Orange County
133048	Fee-for-Service	1669496832	1669496832	1	1	VILLICANA, RAFAEL JR MD	8/29/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	83031	41	Internal Medicine	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
133087	Fee-for-Service	1124123062	1124123062	1	1	VAN BUSKIRK, MICHAEL MD	1/1/1982	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	34865	08	Family Practice	0	In state provider	None	1087 DEVONSHIRE DR	STE 200	ENCINITAS	CA	92024	5122	37	06073	33.03835533	-117.285863	San Diego County
133238	Fee-for-Service	1578827077	1578827077	1	1	VERMAIRE, HOPE DO	11/12/2019	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	16705	09	Gynecology (D.O. only)	0	In state provider	None	200 MED PLAZA STE 430	None	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
133239	Fee-for-Service	1598966491	1598966491	1	1	VALLEY FAMILY HEALTH CTR	9/1/1998	261QP2300X	NA	Other	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	MEDICAL GROUP INC	10769 14TH AVE	None	ARMONA	CA	93202	9600	16	06031	36.317349	-119.7089835	Kings County
133371	Fee-for-Service	1962673657	1962673657	1	1	VALENTINE, ALLISON MD	7/12/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	148276	None	None	0	In state provider	None	7111 FRESNO ST	STE 200	FRESNO	CA	93720	2965	10	06019	36.83951763	-119.7815709	Fresno County
133405	Fee-for-Service	1649305772	1649305772	1	1	VAUGHN, ZACKARY D MD	3/14/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	93305	20	Orthopedic Surgery	0	In state provider	None	900 KIELY BLVD	None	SANTA CLARA	CA	95051	5329	43	06085	37.34234284	-121.9776787	Santa Clara County
133450	Fee-for-Service	1134583719	1134583719	1	1	VUONG, CHRISTINE L DO	12/18/2018	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	16043	08	Family Practice	0	In state provider	None	3460 E LA PALMA AVE	None	ANAHEIM	CA	92806	9999	30	06059	33.85429451	-117.8446551	Orange County
133455	Fee-for-Service	1386195535	1386195535	1	1	VELASQUEZ, FERNANDO NP	12/20/2021	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
133501	Fee-for-Service	1538508627	1538508627	1	1	VANNEMAN, MATTHEW W MD	6/30/2020	207L00000X	NA	Other	026	PHYSICIANS	168103	05	Anesthesiology	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
133508	Fee-for-Service	1477081966	1477081966	1	1	VILLALON LANDEROS, MARIA N M	7/14/2020	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	157942	08	Family Practice	0	In state provider	D	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
133512	Fee-for-Service	1295122273	1295122273	1	1	VIRK, PARAMJIT S	6/9/2023	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	510 PLAZA DRIVE	STE 170	FOLSOM	CA	95630	4790	34	06067	38.65716	-121.1738175	Sacramento County
133530	Fee-for-Service	1578827077	1578827077	1	1	VERMAIRE, HOPE DO	11/12/2019	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	16705	15	Obstetrics (D.O. only)	0	In state provider	None	200 MED PLAZA STE 430	None	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
133542	Fee-for-Service	1780692939	1780692939	1	1	VILLALONA CALERO, MIGUEL A M	8/20/2020	207RX0202X	NA	Oncology	026	PHYSICIANS	169492	41	Internal Medicine	0	In state provider	D	1500 E DUARTE RD	None	DUARTE	CA	91010	3012	19	06037	34.129683	-117.970857	Los Angeles County
133610	Fee-for-Service	1982273611	1982273611	1	1	VALLEY VILLAGE SENIOR LIVING	9/16/2021	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	5541 VANTAGE AVE	None	VALLEY VILLAGE	CA	91607	2009	19	06037	34.17154028	-118.3982211	Los Angeles County
133730	Fee-for-Service	1073654570	1073654570	1	1	VAIDYA, CHIRAG K MD	6/17/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	111164	41	Internal Medicine	0	In state provider	None	536 EAST FOOTHILL BLVD	STE B	UPLAND	CA	91786	3988	36	06071	34.10683091	-117.6438976	San Bernardino County
133777	Fee-for-Service	1790221703	1790221703	1	1	VALLEY HEALTHCARE CENTERS	5/17/2019	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	590 W PUTNAM AVE	None	PORTERVILLE	CA	93257	3257	54	06107	36.06962449	-119.030337	Tulare County
133832	Fee-for-Service	1780692939	1780692939	1	1	VILLALONA CALERO, MIGUEL A M	8/20/2020	207RX0202X	NA	Oncology	026	PHYSICIANS	169492	68	Hematology	0	In state provider	D	1500 E DUARTE RD	None	DUARTE	CA	91010	3012	19	06037	34.129683	-117.970857	Los Angeles County
133842	Fee-for-Service	1174002786	1174002786	1	1	VARNUSKA, LAUREN LMFT	11/2/2023	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	28100 BOUQUET CANYON RD.	SUITE 218	SANTA CLARITA	CA	91350	2009	19	06037	34.45052733	-118.497654	Los Angeles County
133896	Fee-for-Service	1770874299	1770874299	1	1	VALMONTE, LESLIE	6/19/2012	No Taxonomy Provided	NA	None	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1301 W PROVIDENCE	None	ORANGE	CA	92868	3808	30	06059	33.78142951	-117.866583	Orange County
133908	Fee-for-Service	1538324876	1538324876	1	1	VAN KEUREN-PARENT, KORINNE S	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
134018	Fee-for-Service	1073654570	1073654570	1	1	VAIDYA, CHIRAG K MD	6/17/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	111164	45	Nephrology (Renal-Kidney)	0	In state provider	None	536 EAST FOOTHILL BLVD	STE B	UPLAND	CA	91786	3988	36	06071	34.10683091	-117.6438976	San Bernardino County
134019	Fee-for-Service	1922274570	1922274570	1	1	VEDANTHAM, VASANTH MD	5/28/2010	207RC0001X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	87207	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
134064	Fee-for-Service	1790221703	1790221703	1	1	VALLEY HEALTHCARE CENTERS	4/1/2017	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	590 W PUTNAM AVE	None	PORTERVILLE	CA	93257	3257	54	06107	36.06962449	-119.030337	Tulare County
134070	Fee-for-Service	1386938546	1386938546	1	1	VILLENA, DIANA C LCSW	12/3/2020	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	14500 ROSCOE BLVD	STE 400	PANORAMA CITY	CA	91402	4194	19	06037	34.2215055	-118.44918	Los Angeles County
134100	Fee-for-Service	1396714358	1396714358	1	1	VENKATASWAMY, PRATHIBHA	8/1/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	92785	41	Internal Medicine	0	In state provider	MD	3901 LONE TREE WAY	None	ANTIOCH	CA	94509	6200	07	06013	37.98252	-121.8030615	Contra Costa County
134104	Fee-for-Service	1114967841	1114967841	1	1	VOVAN, ANDRE T MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	62060	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1 HOAG DR	None	NEWPORT BEACH	CA	92663	4162	30	06059	33.62421676	-117.9309656	Orange County
134128	Fee-for-Service	1780046672	1780046672	1	1	VELAZQUEZ, CARMEN MD INC	6/5/2017	207R00000X	NA	Other	026	PHYSICIANS	56153	41	Internal Medicine	0	In state provider	None	2527 E 8TH ST	None	NATIONAL CITY	CA	91950	2913	37	06073	32.68331617	-117.0804584	San Diego County
134292	Fee-for-Service	1154594349	1154594349	1	1	VALLEY ORTHOPEDIC INC	5/9/2012	No Taxonomy Provided	NA	None	029	PROSTHETISTS	-	-	NOT APPLICABLE	0	In state provider	None	5603 W HILLSDALE AVE	None	VISALIA	CA	93291	5136	54	06107	36.329364	-119.353545	Tulare County
134307	Fee-for-Service	1922274570	1922274570	1	1	VEDANTHAM, VASANTH MD	5/28/2010	207RC0001X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	87207	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
134353	Fee-for-Service	1790221703	1790221703	1	1	VALLEY HEALTHCARE CENTERS	4/1/2017	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	590 W PUTNAM AVE	None	PORTERVILLE	CA	93257	3257	54	06107	36.06962449	-119.030337	Tulare County
134390	Fee-for-Service	1114967841	1114967841	1	1	VOVAN, ANDRE T MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	62060	41	Internal Medicine	0	In state provider	None	1 HOAG DR	None	NEWPORT BEACH	CA	92663	4162	30	06059	33.62421676	-117.9309656	Orange County
134403	Fee-for-Service	1427308733	1427308733	1	1	VELLEMAN, DAVID J PHD	9/21/2017	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	20 ALLEN ST	None	MARTINEZ	CA	94553	2681	07	06013	38.00771973	-122.1331484	Contra Costa County
134414	Fee-for-Service	1518134543	1518134543	1	1	VILLANUEVA, JOHN A MD	12/26/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	121420	05	Anesthesiology	0	In state provider	None	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
134471	Fee-for-Service	1346506920	1346506920	1	1	VAHABZADEH-HAGH, ANDREW M MD	7/6/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	128938	04	Otology, Laryngology, Rhinology	0	In state provider	None	200 MEDICAL PLAZA	STE 550	LOS ANGELES	CA	90024	0000	19	06037	34.06527974	-118.4462792	Los Angeles County
134501	Fee-for-Service	1316983927	1316983927	1	1	VONS COMPANIES, INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	11986 BERNARDO PLAZA DR	None	SAN DIEGO	CA	92128	2538	37	06073	33.0201502	-117.0740264	San Diego County
134525	Fee-for-Service	1831740422	1831740422	1	1	VANO, NATALIE M NP	2/5/2021	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	99 MONTECILLO RD	None	SAN RAFAEL	CA	94903	3308	21	06041	38.00450116	-122.5540001	Marin County
134539	Fee-for-Service	1154852010	1154852010	1	1	VAZQUEZ ESCALANTE, ALAN C MD	12/10/2024	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	164000	08	Family Practice	0	In state provider	None	1840 N. HACIENDA BLVD.	STE. 3	LA PUENTE	CA	91744	1143	19	06037	34.05164127	-117.9426446	Los Angeles County
134637	Fee-for-Service	1821171133	1821171133	1	1	VONHERZEN, JOSEPHINE L MD	10/8/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	23216	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1809 NATIONAL AVENUE	None	SAN DIEGO	CA	92113	2196	37	06073	32.70162897	-117.1465065	San Diego County
134699	Fee-for-Service	1124521018	1124521018	1	1	VIPMD	4/3/2020	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	None	5300 LENNOX AVE	105	BAKERSFIELD	CA	93309	1662	15	06029	35.35899025	-119.0625824	Kern County
134700	Fee-for-Service	1922041920	1922041920	1	1	VINING, JACK MD	12/29/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	EMG MED ASSC MCMINNVILLE	2700 SE STRATUS AVE	None	MCMINNVILLE	OR	97128	6251	00	None	45.20010494	-123.1656951	Yamhill County
134703	Fee-for-Service	1518134543	1518134543	1	1	VILLANUEVA, JOHN A MD	12/26/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	121420	25	Physical Medicine and Rehabilitation	0	In state provider	None	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
134886	Fee-for-Service	1487611638	1487611638	1	1	VOGELBACH, KARL H MD INC	10/1/1984	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	29514	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	1060 E GREEN ST	STE 105	PASADENA	CA	91106	2413	19	06037	34.14454353	-118.1282715	Los Angeles County
134945	Fee-for-Service	1356657993	1356657993	1	1	VALENZUELA, SANDRA L NP	10/17/2016	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
134986	Fee-for-Service	1124521018	1124521018	1	1	VIPMD	7/26/2021	207Q00000X	NA	Adult Primary Care	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	5300 LENNOX AVE	105	BAKERSFIELD	CA	93309	1662	15	06029	35.35899025	-119.0625824	Kern County
135070	Fee-for-Service	1134564693	1134564693	1	1	VIBRA HOSPITAL OF SACRAMENTO	9/1/2013	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	LLC	330 MONTROSE DRIVE	None	FOLSOM	CA	95630	2720	34	06067	38.681253	-121.1589405	Sacramento County
135100	Fee-for-Service	1619907284	1619907284	1	1	VINES, STEVEN M DPM	7/1/1983	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	2957 LOMA VISTA RD	None	VENTURA	CA	93003	2915	56	06111	34.27555639	-119.2565838	Ventura County
135108	Fee-for-Service	1184702656	1184702656	1	1	VARON, DAVID N MD	7/13/1977	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	25949	10	Gastroenterology (M.D. only)	0	In state provider	None	2485 HIGH SCHOOL AVE	STE 306	CONCORD	CA	94520	1818	07	06013	37.98507961	-122.034189	Contra Costa County
135189	Fee-for-Service	1811361926	1811361926	1	1	VALLEY VILLAGE HOME HEALTH	5/25/2018	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	INC	12722 RIVERSIDE DR	STE 207	VALLEY VILLAGE	CA	91607	3326	19	06037	34.15758454	-118.410318	Los Angeles County
135200	Fee-for-Service	1689088999	1689088999	1	1	VINJAMOORI, ANANT H MD	12/4/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	151353	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
135246	Fee-for-Service	1932301074	1932301074	1	1	VOLKERS, LORRAINE A MD	7/19/2022	207L00000X	NA	Other	026	PHYSICIANS	175982	None	None	0	In state provider	None	1441 CONSTITUTION BLVD	None	SALINAS	CA	93906	3100	27	06053	36.696987	-121.633164	Monterey County
135250	Fee-for-Service	1134412547	1134412547	1	1	VICKERS, HEATHER E MD	3/10/2021	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	124538	None	None	0	In state provider	None	399 E HIGHLAND AVE	SUITE 329	SAN BERNARDINO	CA	92404	3861	36	06071	34.1358627	-117.2757898	San Bernardino County
135290	Fee-for-Service	1427051259	1427051259	1	1	VRANNA, LEE E MD	1/2/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	58584	25	Physical Medicine and Rehabilitation	0	In state provider	None	1135 WHISKEYTOWN CT	None	REDDING	CA	96001	0227	45	06089	40.58505078	-122.4126253	Shasta County
135330	Fee-for-Service	1699332429	1699332429	1	1	VADODARIA, DIGISHA MD	10/18/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	184643	None	None	0	In state provider	None	3601 S HARBOR BLVD	SUITE 100	SANTA ANA	CA	92704	6924	30	06059	33.698367	-117.9194115	Orange County
135349	Fee-for-Service	1649895186	1649895186	1	1	VALLEY ANESTHESIA PHYSICIANS	5/13/2021	207L00000X	NA	Other	022	PHYSICIANS GROUP	-	05	Anesthesiology	0	In state provider	MEDICAL GROUP INC	18300 ROSCOE BLVD	None	NORTHRIDGE	CA	91325	4105	19	06037	34.22073847	-118.532988	Los Angeles County
135351	Fee-for-Service	1760874747	1760874747	1	1	VIENNA HOSPICE AND	3/15/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	PALLIATIVE CARE INC	26811 SECO CANYON ROAD	SUITE C	SANTA CLARITA	CA	91350	2263	19	06037	34.43366591	-118.531598	Los Angeles County
135357	Fee-for-Service	1134564693	1134564693	1	1	VIBRA HOSPITAL OF SACRAMENTO	9/1/2013	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	LLC	330 MONTROSE DRIVE	None	FOLSOM	CA	95630	2720	34	06067	38.681253	-121.1589405	Sacramento County
135384	Fee-for-Service	1437265360	1437265360	2	1	VERDUCCI, DENNIS J MD	11/1/1983	No Taxonomy Provided	NA	None	026	PHYSICIANS	37110	41	Internal Medicine	0	In state provider	None	670 3RD ST W	None	SONOMA	CA	95476	6805	49	06097	38.28967008	-122.4639063	Sonoma County
135429	Fee-for-Service	1043426851	1043426851	1	1	VORA, SUDHIR R MD	11/17/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	106940	78	Neoplastic Diseases/Oncology	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
135439	Fee-for-Service	1104356559	1104356559	1	1	VERANYAN, SHUSHAN MD	7/14/2020	390200000X	NA	Other	026	PHYSICIANS	166516	41	Internal Medicine	0	In state provider	None	869 N CHERRY ST	None	TULARE	CA	93274	2207	54	06107	36.220932	-119.337698	Tulare County
135506	Fee-for-Service	1346401080	1346401080	1	1	VAISHAMPAYAN, JULIE K MD	3/5/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	53831	77	Infectious Disease	0	In state provider	None	1601 E HAZELTON AVE	None	STOCKTON	CA	95205	6229	39	06077	37.9501034	-121.2684501	San Joaquin County
135509	Fee-for-Service	1801535000	1801535000	1	1	VO, HUYEN T LCSW	9/13/2022	104100000X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	725 WELCH RD	None	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
135639	Fee-for-Service	1285124743	1285124743	1	1	VELVIN, STACEN MD	8/21/2023	2084P0800X	NA	Psychiatry	026	PHYSICIANS	177925	None	None	0	In state provider	None	1411 E 31ST ST	None	OAKLAND	CA	94602	1018	01	06001	37.79926205	-122.2314248	Alameda County
135641	Fee-for-Service	1760874747	1760874747	1	1	VIENNA HOSPICE AND	3/15/2019	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	PALLIATIVE CARE INC	26811 SECO CANYON ROAD	SUITE C	SANTA CLARITA	CA	91350	2263	19	06037	34.43366591	-118.531598	Los Angeles County
135771	Fee-for-Service	1487225033	1487225033	1	1	VP PHARMACIES INC	3/31/2022	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	9927 COMMERCE AVE	None	TUJUNGA	CA	91042	2301	19	06037	34.24940774	-118.2886602	Los Angeles County
135773	Fee-for-Service	1952449001	1952449001	1	1	VAHID, BOBBAK MD	7/9/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	97958	None	None	0	In state provider	None	700 FREDERICK ST	STE 203	SANTA CRUZ	CA	95062	2239	44	06087	36.98031434	-122.004438	Santa Cruz County
135776	Fee-for-Service	1477569093	1477569093	1	1	VANEK, DIANE DPM	4/15/2011	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	12001 W WASHINGTON BLVD	None	LOS ANGELES	CA	90066	5801	19	06037	33.99760695	-118.4228296	Los Angeles County
135877	Fee-for-Service	1790231553	1790231553	1	1	VU, KHANH NP	2/22/2019	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
135880	Fee-for-Service	1295822658	1295822658	1	5	VISTA COMM CLINIC	11/27/2019	No Taxonomy Provided	NA	None	041	COMMUNITY CLINIC	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	2245 FOOTHILL DR	ROOM AP OFFICE VCC	VISTA	CA	92084	5806	37	06073	33.20412634	-117.204986	San Diego County
135906	Fee-for-Service	1750572244	1750572244	1	1	VAN T LY OD INC	11/18/2004	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	16341 HARBOR BLVD	None	FOUNTAIN VALLEY	CA	92708	1311	30	06059	33.72554763	-117.9199184	Orange County
135942	Fee-for-Service	1508671827	1508671827	1	1	VONGFAK, HAMMINA	2/14/2025	374J00000X	NA	Other	106	DOULA INDIVIDUAL PROVIDER	-	-	NOT APPLICABLE	0	In state provider	Addresses not published for Doula Providers	N/A	N/A	N/A	N/A	N/A	N/A	19	06037	0	0	None
136027	Fee-for-Service	1881729721	1881729721	1	1	VALCESCHINI, GREGORY M MD	8/7/2000	207QS0010X	NA	Adult Primary Care	026	PHYSICIANS	60595	01	General Practice	0	In state provider	None	1345 A PAUL BUNYAN RD	None	SUSANVILLE	CA	96130	3159	18	06035	40.43531297	-120.6557201	Lassen County
136044	Fee-for-Service	1285000588	1285000588	1	1	VONG, LYNNE	5/3/2019	207R00000X	NA	Other	026	PHYSICIANS	15140	41	Internal Medicine	0	In state provider	None	9201 BIG HORN BLVD	None	ELK GROVE	CA	95758	1240	34	06067	38.425365	-121.4068185	Sacramento County
136078	Fee-for-Service	1568729168	1568729168	1	1	VILLA, PHILIP	11/26/2012	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	975 SERENO DR	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
136207	Fee-for-Service	1619057619	1619057619	1	1	VUONG, HAU DUC MD INC	7/1/1996	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	31856	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	9091 EDINGER AVE	STE A	WESTMINSTER	CA	92683	7585	30	06059	33.73034951	-117.9706005	Orange County
136304	Fee-for-Service	1447975875	1447975875	1	1	VANG, SAM T NP	8/8/2024	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1633 S COURT ST	None	VISALIA	CA	93277	4945	54	06107	36.315972	-119.292237	Tulare County
136312	Fee-for-Service	1881729721	1881729721	1	1	VALCESCHINI, GREGORY M MD	8/7/2000	207QS0010X	NA	Adult Primary Care	026	PHYSICIANS	60595	08	Family Practice	0	In state provider	None	1345 A PAUL BUNYAN RD	None	SUSANVILLE	CA	96130	3159	18	06035	40.43531297	-120.6557201	Lassen County
136383	Fee-for-Service	1518318872	1518318872	1	1	VILLA, BLANCA Y LCSW	8/15/2020	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
136468	Fee-for-Service	1720371545	1720371545	1	1	VALLE, ANGELA T MD	8/9/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	116943	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1328 16TH STREET	2ND FLOOR	SANTA MONICA	CA	90404	1804	19	06037	34.02632404	-118.4846904	Los Angeles County
136499	Fee-for-Service	1821059205	1821059205	1	1	VANDEHOEF, SCOTT A MD	7/6/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	62650	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1100 MARSHALL WAY	None	PLACERVILLE	CA	95667	6533	09	06017	38.72453536	-120.7921649	El Dorado County
136505	Fee-for-Service	1619155991	1619155991	1	1	VARSHNEY, ANSHUL MD	3/22/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	84378	18	Ophthalmology	0	In state provider	None	13768 ROSWELL AVE	SUITE 108	CHINO	CA	91710	1401	36	06071	34.0038	-117.7218555	San Bernardino County
136513	Fee-for-Service	1275615510	1275615510	1	1	VAUCHER, YVONNE E MD	9/1/1998	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	25444	40	Pediatrics	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
136672	Fee-for-Service	1811939747	1811939747	1	1	VERMA,SHIV K MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	30	Radiology	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	PHOENIX MEMORIAL HOSP	1201 S. 7TH AVE	None	PHOENIX	AZ	85007	3995	00	None	33.4359	-112.0814325	Maricopa County
136694	Fee-for-Service	1265894497	1265894497	1	1	VALDEZ, DAVID MD	9/5/2024	207L00000X	NA	Other	026	PHYSICIANS	155218	05	Anesthesiology	0	In state provider	None	2425 SAMARITAN DRIVE	None	SAN JOSE	CA	95124	3908	43	06085	37.25111017	-121.9465891	Santa Clara County
136695	Fee-for-Service	1982843561	1982843561	1	1	VINCA, AARTHI B MD	1/6/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	145125	18	Ophthalmology	0	In state provider	None	3553 WHIPPLE RD	None	UNION CITY	CA	94587	1507	01	06001	37.60573981	-122.0835989	Alameda County
136815	Fee-for-Service	1720344062	1720344062	1	1	VARGAS, ERIKA A MD	9/21/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	128810	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
137046	Fee-for-Service	1699512384	1699512384	1	1	VENKATARAMAN, KAPILA E LMFT	9/3/2024	101YM0800X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	300 MONTGOMERY	STE 204	SAN FRANCISCO	CA	94104	1902	38	06075	37.7923269	-122.4026145	San Francisco County
137206	Fee-for-Service	1417993023	1417993023	1	1	VONS COMPANIES, INC	7/5/2001	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	29530 RANCHO CALIFORNIA	None	TEMECULA	CA	92591	5294	33	06065	33.50413145	-117.1468262	Riverside County
137211	Fee-for-Service	1023520095	1023520095	1	1	VULPE, HORIA MD	5/5/2023	2085R0001X	NA	Other	026	PHYSICIANS	185646	None	None	0	In state provider	None	7373 WEST LN	None	STOCKTON	CA	95210	3377	39	06077	38.017701	-121.297869	San Joaquin County
137235	Fee-for-Service	1033417464	1033417464	1	1	VALENCIA, IRMA MFT	8/21/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
137259	Fee-for-Service	1053765453	1053765453	1	1	VOTC, INC	6/9/2016	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	3640 3642 3644 3646 3648	3650 3652 EL PORTAL DR	REDDING	CA	96002	3133	45	06089	0	0	None
137324	Fee-for-Service	1932677036	1932677036	1	1	VASQUEZ, ZAIRA G LMFT	5/3/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	18600 SOUTH FIGUEROA ST	None	GARDENA	CA	90248	4505	19	06037	33.861339	-118.281473	Los Angeles County
137450	Fee-for-Service	1609950666	1609950666	1	1	VAN+SPEYBROECK, ALEXANDER M	5/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	71134	66	Emergency Medicine (Urgent Care)	0	In state provider	D MPH	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
137506	Fee-for-Service	1699717462	1699717462	1	1	VILLAGOMEZ, JOSE L MD	2/28/1997	No Taxonomy Provided	NA	None	026	PHYSICIANS	61283	66	Emergency Medicine (Urgent Care)	0	In state provider	None	309 WEST BEVERLY BLVD	None	MONTEBELLO	CA	90640	4308	19	06037	34.01597577	-118.1003516	Los Angeles County
137700	Fee-for-Service	1972802767	1972802767	1	1	VANDER MEULEN, MICHAEL MD	11/2/2021	207P00000X	NA	Other	026	PHYSICIANS	171391	None	None	0	In state provider	None	15107 VANOWEN ST	None	VAN NUYS	CA	91405	4542	19	06037	34.19395645	-118.463265	Los Angeles County
137788	Fee-for-Service	1134666886	1134666886	1	1	VASTIS LLC	10/30/2017	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	22641 LAKE FOREST DR	STE B12	LAKE FOREST	CA	92630	1780	30	06059	33.63375086	-117.7106548	Orange County
137827	Fee-for-Service	1427133347	1427133347	1	1	VU, NGUYEN-STEVE	1/16/2025	207RP1001X	NA	Pulmonology	026	PHYSICIANS	186055	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
137852	Fee-for-Service	1548361181	1548361181	1	1	VU, THONG DUY MD	1/1/1992	207LP2900X	NA	Other	026	PHYSICIANS	62583	05	Anesthesiology	0	In state provider	None	415 E HARVARD ST	STE 101	GLENDALE	CA	91205	1045	19	06037	34.14448348	-118.250604	Los Angeles County
137857	Fee-for-Service	1811071517	1811071517	1	1	VOLKER, ROSWITHA MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	24789	01	General Practice	0	In state provider	None	216 N AZUSA AVE	None	AZUSA	CA	91702	3524	19	06037	34.12510326	-117.9075517	Los Angeles County
137881	Fee-for-Service	1407981186	1407981186	1	1	VICTORINO, GREGORY P MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	76525	89	Surgery-Traumatic	0	In state provider	None	1411 E 31ST ST	None	OAKLAND	CA	94602	1018	01	06001	37.79926205	-122.2314248	Alameda County
137936	Fee-for-Service	1548363989	1548363989	1	1	VICTORIA, RAFAELITO S MD	9/30/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	50351	41	Internal Medicine	0	In state provider	None	10230 ARTESIA BLVD	STE 102	BELLFLOWER	CA	90706	6768	19	06037	33.8728276	-118.1160403	Los Angeles County
138145	Fee-for-Service	1811071517	1811071517	1	1	VOLKER, ROSWITHA MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	24789	08	Family Practice	0	In state provider	None	216 N AZUSA AVE	None	AZUSA	CA	91702	3524	19	06037	34.12510326	-117.9075517	Los Angeles County
138176	Fee-for-Service	1407981186	1407981186	1	1	VICTORINO, GREGORY P MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	76525	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1411 E 31ST ST	None	OAKLAND	CA	94602	1018	01	06001	37.79926205	-122.2314248	Alameda County
138266	Fee-for-Service	1497249155	1497249155	1	1	VICTORVILLE PEDIATRICS, INC	8/17/2019	208000000X	NA	Pediatric Primary Care	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	None	15237 ELEVENTH ST	STE A	VICTORVILLE	CA	92395	3736	36	06071	34.52804997	-117.2925096	San Bernardino County
138308	Fee-for-Service	1316141740	1316141740	1	1	VILLAMATER, JOEL P	3/18/2011	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1014 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06343528	-117.9856963	Los Angeles County
138438	Fee-for-Service	1861451700	1861451700	1	1	VERDEGEM, THOMAS D	10/1/1994	207RP1001X	NA	Pulmonology	026	PHYSICIANS	52860	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	420 W ROWLAND ST	None	COVINA	CA	91723	2943	19	06037	34.078949	-117.8963031	Los Angeles County
138463	Fee-for-Service	1407981186	1407981186	1	1	VICTORINO, GREGORY P MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	76525	02	General Surgery	0	In state provider	None	1411 E 31ST ST	None	OAKLAND	CA	94602	1018	01	06001	37.79926205	-122.2314248	Alameda County
138501	Fee-for-Service	1467629931	1467629931	1	1	VALERO, CRISTINA MD	2/8/2015	207R00000X	NA	Other	026	PHYSICIANS	94140	41	Internal Medicine	0	In state provider	None	12586 AVE 408	None	OROSI	CA	93647	9454	54	06107	36.53030229	-119.2915122	Tulare County
138508	Fee-for-Service	1861829541	1861829541	1	1	VAN ACKER, SARA A CNM	9/16/2014	No Taxonomy Provided	NA	None	005	CERTIFIED NURSE MIDWIFE	-	None	None	0	In state provider	None	583 SUMMERFIELD ROAD	None	SANTA ROSA	CA	95405	5239	49	06097	38.45268	-122.672088	Sonoma County
138562	Fee-for-Service	1043423460	1043423460	1	1	VALLEY PEDIATRICS APMC	3/13/2002	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	PREMIER PEDIATRICS MED	14901 RINALDI ST	STE 330	MISSION HILLS	CA	91345	1250	19	06037	34.27903452	-118.457433	Los Angeles County
138590	Fee-for-Service	1124096250	1124096250	1	1	VIESSELMAN, JOHN O MD	10/21/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	25102	36	Psychiatry	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
138715	Fee-for-Service	1891873576	1891873576	1	1	VENTO, ALEXANDER R MD	8/31/1987	No Taxonomy Provided	NA	None	026	PHYSICIANS	52282	24	Plastic Surgery	0	In state provider	None	1860 PENNSYLVANIA AVE	None	FAIRFIELD	CA	94533	3590	48	06095	38.261952	-122.0498745	Solano County
138764	Fee-for-Service	1932292364	1932292364	1	1	VADREVU, VIJAYALAKSHMI L	2/28/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	52114	18	Ophthalmology	0	In state provider	None	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
138779	Fee-for-Service	1649747965	1649747965	1	1	VANEYCKE, DIANNA LMFT	1/23/2025	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	740 FRONT STREET	SUITE 340	SANTA CRUZ	CA	95060	4561	44	06087	36.97547419	-122.0254852	Santa Cruz County
138856	Fee-for-Service	1780762468	1780762468	1	1	VITANGCOL, RODERICK V MD	5/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	63499	08	Family Practice	0	In state provider	None	2025 MORSE AVE	None	SACRAMENTO	CA	95825	2115	34	06067	38.602089	-121.3925895	Sacramento County
138898	Fee-for-Service	1295836773	1295836773	1	1	VALDEZMAGUIRE, GRACIELA NP	5/4/2017	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	517 S MYRTLE AVE	SUITE 101	MONROVIA	CA	91016	6100	19	06037	34.14639513	-118.0009744	Los Angeles County
138920	Fee-for-Service	1700049558	1700049558	1	1	VENEPALLI, PREETHI K MD	12/27/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	119131	40	Pediatrics	0	In state provider	None	9300 VALLEY CHILDREN'S	PL	MADERA	CA	93636	8762	20	06039	36.88437894	-119.8003484	Madera County
138925	Fee-for-Service	1427003938	1427003938	1	1	VO, SONY THANH MD	2/1/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	49788	41	Internal Medicine	0	In state provider	None	4551 EL CAJON BLVD	None	SAN DIEGO	CA	92115	4316	37	06073	32.75544216	-117.0963872	San Diego County
139007	Fee-for-Service	1225328156	1225328156	1	2	VIETHUONG TRAN, MARY THERESE	11/9/2019	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	131817	40	Pediatrics	0	In state provider	None	4601 DALE ROAD	None	MODESTO	CA	95356	9718	50	06099	37.706508	-121.052457	Stanislaus County
139051	Fee-for-Service	1710588314	1710588314	1	1	VITUITY - NEVADA KOURY & PAR	5/11/2021	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	1	Border provider	TNERS PLLC	880 ALDER AVE	None	INCLINE VILLAGE	NV	89451	8335	00	None	39.25092003	-119.9543846	Washoe County
139078	Fee-for-Service	1558350108	1558350108	1	1	VALLADOLID, SARA G MD	3/1/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	87566	40	Pediatrics	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
139108	Fee-for-Service	1043537806	1043537806	1	1	VAN ROOYEN, KRISTEN R	6/1/2010	No Taxonomy Provided	NA	None	080	CA CHILDRENS SERVICES/GENETICALLY HANDICAPPED PERSONS PROGRAM NON- INSTITUTIONAL	-	-	NOT APPLICABLE	0	In state provider	None	3160 LAS LUNAS STREET	None	PASADENA	CA	91107	2047	19	06037	34.15616287	-118.085238	Los Angeles County
139128	Fee-for-Service	1619355138	1619355138	1	1	VASAN, SARAYU MD	7/6/2020	2084P0800X	NA	Psychiatry	026	PHYSICIANS	150493	27	Psychiatry Neurology (D.O. only)	0	In state provider	None	1700 MT VERNON AVE	None	BAKERSFIELD	CA	93306	4018	15	06029	35.382555	-118.970757	Kern County
139202	Fee-for-Service	1558515445	1558515445	1	1	VADIVEL, PUSHPA N MD	2/26/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	105920	40	Pediatrics	0	In state provider	None	27212 CALAROGA AVE	None	HAYWARD	CA	94545	4339	01	06001	37.63229023	-122.0896425	Alameda County
139220	Fee-for-Service	1194802868	1194802868	1	1	VISION CARE CENTER A MEDICAL	9/1/1994	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	GROUP INC	7075 N SHARON AVE	None	FRESNO	CA	93720	3329	10	06019	36.83882737	-119.7590708	Fresno County
139345	Fee-for-Service	1881251403	1881251403	1	1	VAN, CHERI NP	12/27/2022	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
139364	Fee-for-Service	1578881272	1578881272	1	1	VO, DANG-KHOA MD	8/20/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	136527	20	Orthopedic Surgery	0	In state provider	None	1520 SAN PABLO ST	None	LOS ANGELES	CA	90033	5310	19	06037	34.06269295	-118.2030006	Los Angeles County
139387	Fee-for-Service	1598744856	1598744856	1	12	VHS SAN ANTONIO PARTNERS LLC	6/19/2022	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	AL	3333 RESEARCH PLZ	None	SAN ANTONIO	TX	78235	5154	00	None	29.34357325	-98.43726829	Bexar County
139415	Fee-for-Service	1124319611	1124319611	1	1	VASQUEZ, DIBANNI MD	2/2/2022	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	156759	None	None	0	In state provider	None	2790 ATLANTIC AVENUE	None	LONG BEACH	CA	90806	1701	19	06037	33.807708	-118.185004	Los Angeles County
139486	Fee-for-Service	1407892011	1407892011	1	1	VONS COMPANIES INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	16830 SAN FERNANDO MISSI	None	GRANADA HILLS	CA	91344	4247	19	06037	34.27201051	-118.500093	Los Angeles County
139529	Fee-for-Service	1407572407	1407572407	1	1	VISHWANATH, PRIYA M CNP	2/1/2023	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1050 LINDEN AVENUE	None	LONG BEACH	CA	90813	3321	19	06037	33.78003775	-118.1866604	Los Angeles County
139531	Fee-for-Service	1013919687	1013919687	2	1	VIHA PHARMA INC	4/11/2023	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	716 E MISSION BLVD	STE A	POMONA	CA	91766	7203	19	06037	34.05523981	-117.743173	Los Angeles County
139534	Fee-for-Service	1316204332	1316204332	1	1	VIJAYASARATHI, ARVIND MD	7/19/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	143129	30	Radiology	0	In state provider	None	10833 LE CONTE	None	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
139543	Fee-for-Service	1447437991	1447437991	1	1	VALLAMDAS, USHA MD	7/14/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	102549	41	Internal Medicine	0	In state provider	None	1510 FLORIDA AVE	None	MODESTO	CA	95350	4437	50	06099	37.666053	-120.996222	Stanislaus County
139545	Fee-for-Service	1992183669	1992183669	1	5	VALLEY HEALTH TEAM INC	7/15/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	6171 SOUTH DANIELS AVE	None	TRANQUILITY	CA	93668	9765	10	06019	36.64436376	-120.2533282	Fresno County
139547	Fee-for-Service	1073508594	1073508594	1	1	VANDE STEEG, ROBERT L	2/8/2015	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	THE VISTA GROUP INC	5500 E ATHERTON ST	STE 310	LONG BEACH	CA	90815	4022	19	06037	33.7885453	-118.1236854	Los Angeles County
139583	Fee-for-Service	1679702211	1679702211	2	1	VISTA PHARMA INC	11/27/2019	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	15434 BROOKHURST ST	None	WESTMINSTER	CA	92683	7057	30	06059	33.738408	-117.9547231	Orange County
139584	Fee-for-Service	1457440083	1457440083	1	1	VASILOMANOLAKIS, E MIKE MD	2/28/1991	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	41023	06	Cardiovascular Disease (M.D. only)	0	In state provider	INC	1760 TERMINO AVE	STE 314	LONG BEACH	CA	90804	2198	19	06037	33.78889871	-118.1458784	Los Angeles County
139596	Fee-for-Service	1396142766	1396142766	1	1	VISION TO LEARN	7/27/2021	251V00000X	NA	Other	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	12100 WILSHIRE BLVD.	SUITE 1275	LOS ANGELES	CA	90025	7143	19	06037	34.04370122	-118.4678993	Los Angeles County
139642	Fee-for-Service	1932501996	1932501996	1	1	VALLEY COMMUNITY HEALTHCARE	3/20/2015	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	APCC	9119 HASKELL AVENUE	None	NORTH HILLS	CA	91343	3114	19	06037	34.236351	-118.476357	Los Angeles County
139653	Fee-for-Service	1003532987	1003532987	1	1	VILLAS, NITA A	11/28/2022	237700000X	NA	Other	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	2201 BROADWAY	STE M2	OAKLAND	CA	94612	3048	01	06001	37.81102599	-122.267067	Alameda County
139655	Fee-for-Service	1740533868	1740533868	1	1	VANG, SAI CNP	6/21/2021	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	115 MALL DRIVE	None	HANFORD	CA	93230	5786	16	06031	36.32396253	-119.6688834	Kings County
139657	Fee-for-Service	1124100425	1124100425	1	1	VIBHAKAR, NEHA I MD	11/30/1995	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	78471	30	Radiology	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
139675	Fee-for-Service	1598744856	1598744856	1	12	VHS SAN ANTONIO PARTNERS LLC	6/19/2022	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	AL	3333 RESEARCH PLZ	None	SAN ANTONIO	TX	78235	5154	00	None	29.34357325	-98.43726829	Bexar County
139834	Fee-for-Service	1992183669	1992183669	1	5	VALLEY HEALTH TEAM INC	7/15/2020	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	6171 SOUTH DANIELS AVE	None	TRANQUILITY	CA	93668	9765	10	06019	36.64436376	-120.2533282	Fresno County
139899	Fee-for-Service	1699853192	1699853192	1	1	VO, PHONG H MD	11/21/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	92630	01	General Practice	0	In state provider	None	39400 PASEO PADRE PKWY	None	FREMONT	CA	94538	2310	01	06001	37.55102172	-121.9759026	Alameda County
139932	Fee-for-Service	1932501996	1932501996	1	1	VALLEY COMMUNITY HEALTHCARE	3/20/2015	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	APCC	9119 HASKELL AVENUE	None	NORTH HILLS	CA	91343	3114	19	06037	34.236351	-118.476357	Los Angeles County
139974	Fee-for-Service	1144839747	1144839747	1	1	VISITING ANGELS HOSPICE CARE	6/24/2021	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	INC	5958 VINELAND AVE	UNIT L-1	NORTH HOLLYWOOD	CA	91601	1329	19	06037	34.179174	-118.370272	Los Angeles County
139981	Fee-for-Service	1124868989	1124868989	1	1	VITUITY-NEVADA MEDICAL SERVI	7/9/2024	193200000X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	1	Border provider	CES KOURY & PARTNERS PC	9880 W FLAMINGO RD STE 1	None	LAS VEGAS	NV	89147	8085	00	None	36.11523146	-115.3080718	Clark County
140043	Fee-for-Service	1205897568	1205897568	1	6	VALLEY RADIOLOGY CONSULTANTS	6/19/2007	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	MEDICAL GROUP, INC	15611 POMERADO RD	None	POWAY	CA	92064	2437	37	06073	32.99706	-117.05544	San Diego County
140121	Fee-for-Service	1558540526	1558540526	1	1	VANDESTREEK, PENNY R DO	5/31/1992	No Taxonomy Provided	NA	None	026	PHYSICIANS	6232	42	Nuclear Medicine	0	In state provider	INC	1 MEDICAL PLAZA DR	None	ROSEVILLE	CA	95661	3037	31	06061	38.76553806	-121.2497067	Placer County
140171	Fee-for-Service	1215330139	1215330139	1	1	VASQUEZ, DAVID M	1/7/2019	237700000X	NA	Other	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	5138 GEARY BLVD	None	SAN FRANCISCO	CA	94118	2816	38	06075	37.78062909	-122.4746273	San Francisco County
140220	Fee-for-Service	1932501996	1932501996	1	1	VALLEY COMMUNITY HEALTHCARE	7/27/2015	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	APCC	9119 HASKELL AVENUE	None	NORTH HILLS	CA	91343	3114	19	06037	34.236351	-118.476357	Los Angeles County
140262	Fee-for-Service	1144839747	1144839747	1	1	VISITING ANGELS HOSPICE CARE	6/24/2021	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	INC	5958 VINELAND AVE	UNIT L-1	NORTH HOLLYWOOD	CA	91601	1329	19	06037	34.179174	-118.370272	Los Angeles County
140265	Fee-for-Service	1619173952	1619173952	1	1	VLASKOVITS, JOSEPH C MD	3/30/2021	2084P0800X	NA	Psychiatry	086	MEDICAL DIRECTORS	113932	-	NOT APPLICABLE	0	In state provider	None	1911 WILLIAMS DRIVE	None	OXNARD	CA	93036	2612	56	06111	34.219566	-119.1539365	Ventura County
140336	Fee-for-Service	1275549438	1275549438	1	1	VU, THIENNU H MD	1/1/2000	207RP1001X	NA	Pulmonology	026	PHYSICIANS	75665	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1001 POTRERO AVE	None	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
140475	Fee-for-Service	1013332527	1013332527	1	1	VALDERRAMA, MAGGIE M LCSW	11/30/2018	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
140503	Fee-for-Service	1558318857	1558318857	1	1	VILTER, STEVEN J MD	4/1/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	50117	08	Family Practice	0	In state provider	None	151 N SUNRISE AVE	STE 1201A	ROSEVILLE	CA	95661	2924	31	06061	38.74746043	-121.2655348	Placer County
140609	Fee-for-Service	1144329715	1144329715	1	1	VU, NGOC H MD	6/20/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	85037	40	Pediatrics	0	In state provider	None	9281 OFFICE PARK CIR	STE 120	ELK GROVE	CA	95758	8069	34	06067	38.418264	-121.39641	Sacramento County
140622	Fee-for-Service	1275549438	1275549438	1	1	VU, THIENNU H MD	1/1/2000	207RP1001X	NA	Pulmonology	026	PHYSICIANS	75665	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	1001 POTRERO AVE	None	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
140681	Fee-for-Service	1417035817	1417035817	1	1	VERHEY, PETER TAYLOR MD	11/19/2007	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	-	None	None	1	Border provider	None	1155 MILL ST	None	RENO	NV	89502	1576	00	None	39.52483792	-119.7968314	Washoe County
140781	Fee-for-Service	1912929316	1912929316	1	1	VIGIL, ROGER R MD	1/1/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	32934	66	Emergency Medicine (Urgent Care)	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
140793	Fee-for-Service	1295822658	1295822658	1	3	VISTA COMM CLINIC	7/6/2020	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1910 MISSION AVE	SUITE 4	OCEANSIDE	CA	92058	7129	37	06073	33.20377956	-117.3653012	San Diego County
140834	Fee-for-Service	1508443268	1508443268	1	1	VANEK, MARTIN MD	9/17/2024	208M00000X	NA	Other	026	PHYSICIANS	-	41	Internal Medicine	1	Border provider	None	2825 E BARNETT RD	None	MEDFORD	OR	97504	8332	00	None	42.31650147	-122.8306005	Jackson County
140852	Fee-for-Service	1629248380	1629248380	1	1	VADERA, SUMEET MD	8/7/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	131921	14	Neurological Surgery	0	In state provider	None	101 THE CITY DRIVE SOUTH	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
140905	Fee-for-Service	1700036290	1700036290	1	1	VAN LOU INVESTMENTS INC.	12/5/2008	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	LAKE VIEW PHARMACY	31571 CANYON ESTATE DR	STE 118	LAKE ELSINORE	CA	92530	0424	33	06065	33.66699166	-117.300986	Riverside County
140921	Fee-for-Service	1538448881	1538448881	1	1	VASSALLO, LINDA K AU	1/29/2021	231H00000X	NA	Other	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	2054 W AVENUE K	None	LANCASTER	CA	93536	5216	19	06037	34.6749447	-118.16784	Los Angeles County
140969	Fee-for-Service	1962757211	1962757211	1	1	VASQUEZ, KATE T LMFT	8/13/2019	101YM0800X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	190 SIERRA COURT	SUITE A6-306	PALMDALE	CA	93550	7607	19	06037	34.64013337	-118.1280539	Los Angeles County
141018	Fee-for-Service	1356578272	1356578272	1	1	VIDELOCK, ELIZABETH J MD	5/16/2023	207R00000X	NA	Other	026	PHYSICIANS	125309	None	None	0	In state provider	None	100 MEDICAL PLAZA	None	LOS ANGELES	CA	90095	0001	19	06037	34.06544724	-118.4459249	Los Angeles County
141081	Fee-for-Service	1295822658	1295822658	1	3	VISTA COMM CLINIC	7/6/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1910 MISSION AVE	SUITE 4	OCEANSIDE	CA	92058	7129	37	06073	33.20377956	-117.3653012	San Diego County
141144	Fee-for-Service	1376070250	1376070250	1	1	VILLAMIZAR-ROSALES, CARLOS A	9/7/2021	2084N0400X	NA	Neurology	026	PHYSICIANS	172416	None	None	0	In state provider	MD	1001 POTRERO AVE	RM 4M62	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
141149	Fee-for-Service	1326880642	1326880642	1	1	VITREO-RETINAL MEDICAL GROUP	6/28/2024	207WX0107X	NA	Ophthalmology	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	GROUP	615 INTERNATIONAL PARKWA	SUITE 103	TRACY	CA	95377	8922	39	06077	37.72353316	-121.5314079	San Joaquin County
141173	Fee-for-Service	1205897568	1205897568	1	3	VALLEY RADIOLOGY CONSULTANTS	11/1/2000	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	02	General Surgery	0	In state provider	MEDICAL GROUP INC	355 E GRAND AVE	STE 3	ESCONDIDO	CA	92025	3313	37	06073	33.12354429	-117.0775982	San Diego County
141279	Fee-for-Service	1770261075	1770261075	1	1	VALLEY HEALTH PRIMARY CARE	2/15/2024	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	8720 HARRIS RD	104	BAKERSFIELD	CA	93311	9837	15	06029	35.30345052	-119.100204	Kern County
141329	Fee-for-Service	1811213267	1811213267	1	1	VU, JEROME B MD	6/1/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	125479	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2215 TRUXTUN AVENUE	None	BAKERSFIELD	CA	93301	3602	15	06029	35.37327448	-119.0278665	Kern County
141474	Fee-for-Service	1932438843	1932438843	1	2	VNA OF ORANGE COUNTY LLC	6/1/2010	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	17682 MITCHELL N	SUITE 100	IRVINE	CA	92614	6037	30	06059	33.692886	-117.8584185	Orange County
141529	Fee-for-Service	1194802868	1194802868	1	4	VISION CARE CENTER A MEDICAL	4/23/2024	152W00000X	NA	Other	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	None	7075 SHARON AVE	None	FRESNO	CA	93720	3329	10	06019	36.83882737	-119.7590708	Fresno County
141592	Fee-for-Service	1871837344	1871837344	1	1	VENICE FAMILY CLINIC	3/29/2013	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	604 ROSE AVE	None	VENICE	CA	90291	2767	19	06037	33.99891527	-118.4714129	Los Angeles County
141617	Fee-for-Service	1942445440	1942445440	1	1	VERA, DAVID R CO	1/1/1997	No Taxonomy Provided	NA	None	021	ORTHOTISTS	-	-	NOT APPLICABLE	0	In state provider	None	400 E KETTLEMAN LN	#1	LODI	CA	95240	5955	39	06077	38.11601911	-121.264153	San Joaquin County
141679	Fee-for-Service	1023167665	1023167665	1	1	VOGENSEN, APRIL PHD	2/11/2013	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	801 TRAEGER AVE	STE 209	SAN BRUNO	CA	94066	3048	41	06081	37.62782298	-122.4223337	San Mateo County
141726	Fee-for-Service	1013588250	1013588250	1	1	VITUITY - URGENT CARE SERVIC	2/11/2022	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	None	4062 FLYING C RD	STE 41	CAMERON PARK	CA	95682	9664	09	06017	38.65476716	-120.9977643	El Dorado County
141817	Fee-for-Service	1194802868	1194802868	1	4	VISION CARE CENTER A MEDICAL	4/23/2024	152W00000X	NA	Other	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	7075 SHARON AVE	None	FRESNO	CA	93720	3329	10	06019	36.83882737	-119.7590708	Fresno County
141862	Fee-for-Service	1215149463	1215149463	1	1	VASSILY T ELIOPOULOS MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	2551 W 84TH AVE	None	WEST MINSTER	CO	80031	0000	00	None	39.84905501	-105.0182452	Adams County
141888	Fee-for-Service	1174785695	1174785695	1	1	VYAS, ANANT K MD	11/24/2009	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	109332	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	1540 FLORIDA AVENUE	SUITE 100	MODESTO	CA	95350	4430	50	06099	37.667115	-120.9962205	Stanislaus County
141938	Fee-for-Service	1437168531	1437168531	1	1	VARUGHESE, BIJU MD	1/14/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	83343	08	Family Practice	0	In state provider	None	6555 COYLE AVE	None	CARMICHAEL	CA	95608	0302	34	06067	38.66859	-121.3118055	Sacramento County
141998	Fee-for-Service	1952437659	1952437659	1	1	VASQUEZ, ROSALINE MD	11/30/1987	207R00000X	NA	Other	026	PHYSICIANS	43115	None	None	0	In state provider	None	243 GREEN VALLEY RD	None	FREEDOM	CA	95019	3133	44	06087	36.93890175	-121.7705457	Santa Cruz County
142015	Fee-for-Service	1013588250	1013588250	1	1	VITUITY - URGENT CARE SERVIC	2/11/2022	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	None	4062 FLYING C RD	STE 41	CAMERON PARK	CA	95682	9664	09	06017	38.65476716	-120.9977643	El Dorado County
142033	Fee-for-Service	1992175004	1992175004	1	1	VALENZUELA, MERCY D CNM	9/19/2016	367A00000X	NA	Certified Nurse Midwife	005	CERTIFIED NURSE MIDWIFE	-	None	None	0	In state provider	None	207 W LEGION RD	None	BRAWLEY	CA	92227	7780	13	06025	32.95809	-115.5537045	Imperial County
142071	Fee-for-Service	1083230957	1083230957	1	1	VILLAFRANCA PASCUA, ALEJANDR	10/20/2023	207R00000X	NA	Other	026	PHYSICIANS	187322	None	None	0	In state provider	O J MD	9375 SAN FERNANDO RD	None	SUN VALLEY	CA	91352	1418	19	06037	34.2395322	-118.3939944	Los Angeles County
142085	Fee-for-Service	1356870638	1356870638	1	1	VUTESCU, EMIL S MD	8/29/2024	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	None	20	Orthopedic Surgery	0	In state provider	None	1411 E 31ST ST	None	OAKLAND	CA	94602	1018	01	06001	37.79926205	-122.2314248	Alameda County
142087	Fee-for-Service	1295261873	1295261873	1	1	VELEZ VELEZ, MARIA A MD	5/8/2024	207RH0003X	NA	Oncology	026	PHYSICIANS	169636	41	Internal Medicine	0	In state provider	None	100 MEDICAL PLAZA	None	LOS ANGELES	CA	90095	0001	19	06037	34.06544724	-118.4459249	Los Angeles County
142113	Fee-for-Service	1891754164	1891754164	1	1	VESELICKY,KENNETH 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 STADIUM DRIVE	None	MORGANTOWN	WV	26505	0708	00	None	39.65345878	-79.95562791	Monongalia County
142202	Fee-for-Service	1306118963	1306118963	1	1	VIRANI, FARAH PSYD	2/14/2025	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
142305	Fee-for-Service	1013588250	1013588250	1	1	VITUITY - URGENT CARE SERVIC	2/11/2022	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	None	4062 FLYING C RD	STE 41	CAMERON PARK	CA	95682	9664	09	06017	38.65476716	-120.9977643	El Dorado County
142371	Fee-for-Service	1295261873	1295261873	1	1	VELEZ VELEZ, MARIA A MD	5/8/2024	207RH0003X	NA	Oncology	026	PHYSICIANS	169636	68	Hematology	0	In state provider	None	100 MEDICAL PLAZA	None	LOS ANGELES	CA	90095	0001	19	06037	34.06544724	-118.4459249	Los Angeles County
142392	Fee-for-Service	1902251945	1902251945	1	1	VINCENT LY PHARMACY INC	8/29/2016	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	701 S ATLANTIC BLVD	SUITE 168	MONTEREY PARK	CA	91754	3866	19	06037	34.05382447	-118.1363489	Los Angeles County
142436	Fee-for-Service	1467471144	1467471144	1	1	VOLLERO, WILLIAM E MD	9/21/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	28181	36	Psychiatry	0	In state provider	None	300 W HUNTINGTON DR	None	ARCADIA	CA	91007	3402	19	06037	34.13489987	-118.0424069	Los Angeles County
142491	Fee-for-Service	1508918202	1508918202	1	1	VERMA-ALAG, ALPANA MD	3/2/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	77771	41	Internal Medicine	0	In state provider	None	900 KIELY BLVD	None	SANTA CLARA	CA	95051	5329	43	06085	37.34234284	-121.9776787	Santa Clara County
142518	Fee-for-Service	1538506167	1538506167	1	1	VO, CLEMENTINE H DO	7/10/2017	207L00000X	NA	Other	026	PHYSICIANS	14497	05	Anesthesiology	0	In state provider	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
142558	Fee-for-Service	1124119771	1124119771	1	1	VITUG, ANGELIQUE F MD	10/16/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	121755	41	Internal Medicine	0	In state provider	None	3285 CLAREMONT WAY	None	NAPA	CA	94558	3313	28	06055	38.32103673	-122.3025002	Napa County
142883	Fee-for-Service	1962034199	1962034199	1	1	VONGPHOE, JI EUN NP	8/7/2020	363LP2300X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1818 N ORANGE GROVE AVE	# 204	POMONA	CA	91767	3028	19	06037	34.07694934	-117.7489598	Los Angeles County
142927	Fee-for-Service	1740339555	1740339555	1	1	VO, DONG TA MD	7/31/1992	No Taxonomy Provided	NA	None	026	PHYSICIANS	42271	08	Family Practice	0	In state provider	None	1855 ALUM ROCK AVE	STE A1	SAN JOSE	CA	95116	1398	43	06085	37.35399602	-121.8531134	Santa Clara County
143113	Fee-for-Service	1306287347	1306287347	1	1	VANG, CHENG PHD	5/22/2023	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	3609 SACRAMENTO ST	None	SAN FRANCISCO	CA	94118	1709	38	06075	37.78748183	-122.4522257	San Francisco County
143114	Fee-for-Service	1881793396	1881793396	1	1	VERBINSKI, STEVEN G MD	5/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	64011	41	Internal Medicine	0	In state provider	None	27200 CALAROGA AVE	None	HAYWARD	CA	94545	4339	01	06001	37.63347961	-122.0897735	Alameda County
143130	Fee-for-Service	1104389931	1104389931	1	2	VENTURA ORTHOPEDICS MEDICAL	10/2/2019	174400000X	NA	Other	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	None	137 E THOUSAND OAKS BLVD	None	THOUSAND OAKS	CA	91360	1985	56	06111	34.17919939	-118.8745721	Ventura County
143165	Fee-for-Service	1457450959	1457450959	1	1	VALLEY FAMILY HEALTH CTR	3/22/2004	261QR1300X	NA	Rural Health Center	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	1239 ROSE AVE	None	SELMA	CA	93662	3227	10	06019	36.56881133	-119.6003362	Fresno County
143255	Fee-for-Service	1750419743	1750419743	1	1	VO, HOAI-TRINH	2/8/2015	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	MAC ARTHUR OPTOMETRY	2781 W MAC ARTHUR BLVD	STE G3	SANTA ANA	CA	92704	7012	30	06059	33.70002748	-117.906399	Orange County
143296	Fee-for-Service	1184937021	1184937021	1	1	VALENZUELA, DAVID M MD	5/29/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	121131	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
143313	Fee-for-Service	1093736548	1093736548	2	1	VEGA, CESAR A MD	7/16/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	76791	08	Family Practice	0	In state provider	None	18433 ROSCOE BLVD	SUITE 103	NORTHRIDGE	CA	91325	4126	19	06037	34.22076747	-118.534725	Los Angeles County
143416	Fee-for-Service	1104389931	1104389931	1	2	VENTURA ORTHOPEDICS MEDICAL	9/16/2021	174400000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	137 E THOUSAND OAKS BLVD	None	THOUSAND OAKS	CA	91360	1985	56	06111	34.17919939	-118.8745721	Ventura County
143588	Fee-for-Service	1053473934	1053473934	1	1	VELKURU, HYMAVATHI MDINC	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	31704	40	Pediatrics	0	In state provider	None	301 W HUNTINGTON DR	STE 327	ARCADIA	CA	91007	1501	19	06037	34.13481053	-118.0425638	Los Angeles County
143608	Fee-for-Service	1376515742	1376515742	1	1	VILLARD, CHRISTOPHER MD	12/31/1981	No Taxonomy Provided	NA	None	026	PHYSICIANS	39785	07	Dermatology	0	In state provider	None	1027 N DEMAREE ST	None	VISALIA	CA	93291	4117	54	06107	36.338382	-119.3333175	Tulare County
143706	Fee-for-Service	1104389931	1104389931	1	2	VENTURA ORTHOPEDICS MEDICAL	7/2/2020	174400000X	NA	Other	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	137 E THOUSAND OAKS BLVD	None	THOUSAND OAKS	CA	91360	1985	56	06111	34.17919939	-118.8745721	Ventura County
143738	Fee-for-Service	1225052996	1225052996	1	1	VONHAVEN, ROBIN DO	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	401 W POPLAR ST	None	WALLA WALLA	WA	99362	2846	00	None	46.06269104	-118.3437284	Walla Walla County
143775	Fee-for-Service	1003232331	1003232331	1	1	VANDEN BERGE, NATHAN J MD	11/17/2019	207P00000X	NA	Other	026	PHYSICIANS	150586	66	Emergency Medicine (Urgent Care)	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
143807	Fee-for-Service	1154577484	1154577484	1	1	VERA, STEVEN C CP	2/6/2002	No Taxonomy Provided	NA	None	029	PROSTHETISTS	-	-	NOT APPLICABLE	0	In state provider	None	400 E KETTLEMAN LN	#1	LODI	CA	95240	5955	39	06077	38.11601911	-121.264153	San Joaquin County
143841	Fee-for-Service	1114010949	1114010949	1	1	VITREO-RETINAL MEDICAL GROUP	1/1/1990	207W00000X	NA	Ophthalmology	022	PHYSICIANS GROUP	-	None	None	0	In state provider	MODESTO RETINA CENTER	1401 SPANOS CT	STE 223	MODESTO	CA	95355	2816	50	06099	37.66975543	-120.9724048	Stanislaus County
143895	Fee-for-Service	1376515742	1376515742	1	1	VILLARD, CHRISTOPHER MD	12/31/1981	No Taxonomy Provided	NA	None	026	PHYSICIANS	39785	18	Ophthalmology	0	In state provider	None	1027 N DEMAREE ST	None	VISALIA	CA	93291	4117	54	06107	36.338382	-119.3333175	Tulare County
143898	Fee-for-Service	1699798082	1699798082	1	1	VANICHSOMBAT, ARTIT MD	8/18/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	77014	05	Anesthesiology	0	In state provider	None	3931 MACARTHUR BLVD	STE 105	NEWPORT BEACH	CA	92660	3012	30	06059	33.65770891	-117.8628645	Orange County
143957	Fee-for-Service	1215476189	1215476189	1	1	VAZQUEZ, MICHELLE LMFT	11/13/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	300 MONTGOMERY	STE 204	SAN FRANCISCO	CA	94104	1902	38	06075	37.7923269	-122.4026145	San Francisco County
143968	Fee-for-Service	1851320881	1851320881	1	1	VONS COMPANIES, INC	12/21/2000	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	1190 N MAIN ST	None	BISHOP	CA	93514	2410	14	06027	37.373499	-118.3914765	Inyo County
144085	Fee-for-Service	1932233640	1932233640	1	1	VASCONIS PHARMACY	1/1/1966	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	1381 MAIN ST	None	SAINT HELENA	CA	94574	1904	28	06055	38.50516504	-122.4701679	Napa County
144121	Fee-for-Service	1619971439	1619971439	1	1	VERMA, YASH P MD	2/4/1980	No Taxonomy Provided	NA	None	026	PHYSICIANS	39061	01	General Practice	0	In state provider	None	1850 WHITSON ST	None	SELMA	CA	93662	3609	10	06019	36.56566086	-119.612893	Fresno County
144197	Fee-for-Service	1568582609	1568582609	1	1	VILLANUEVA, DOLORES LCSW	5/19/2017	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
144213	Fee-for-Service	1053081240	1053081240	1	1	VICTORVILLE HOME HEALTH	11/21/2023	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	14360 ST ANDREWS DR	STE 4A	VICTORVILLE	CA	92395	4341	36	06071	34.51166521	-117.3165076	San Bernardino County
144322	Fee-for-Service	1487060240	1487060240	1	1	VILLEGAS, JACQUELINE LCSW	9/23/2021	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	41 E FOOTHILL BLVD	SUITE 102	ARCADIA	CA	91006	2361	19	06037	34.15102394	-118.0297543	Los Angeles County
144395	Fee-for-Service	1538423454	1538423454	1	1	VILLANUEVA, TRINA L LMFT	8/28/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4785 N FIRST STREET	None	FRESNO	CA	93726	0513	10	06019	36.80478	-119.7724585	Fresno County
144401	Fee-for-Service	1578653457	1578653457	1	1	VOGEL, MARK W MD	8/14/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	33393	34	Urology and Urological Surgery	0	In state provider	None	8635 W 3RD ST	STE 1060W	LOS ANGELES	CA	90048	6105	19	06037	34.07361928	-118.3803143	Los Angeles County
144499	Fee-for-Service	1992183669	1992183669	1	3	VALLEY HEALTH TEAM INC	1/12/2021	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	MOBILE	459 W LINE ST	None	BISHOP	CA	93514	3333	14	06027	37.36140652	-118.398942	Inyo County
144643	Fee-for-Service	1548899032	1548899032	1	1	VANHOOSER, ALLYSSA K LMFT	1/18/2024	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
144713	Fee-for-Service	1609280767	1609280767	1	1	VAN NUYS URGENT CARE FAMILY	7/20/2015	261QU0200X	NA	Other	026	PHYSICIANS	97912	01	General Practice	0	In state provider	MEDICINE INC	7211 VAN NUYS BLVD	None	VAN NUYS	CA	91405	2256	19	06037	34.20181593	-118.4487631	Los Angeles County
144727	Fee-for-Service	1558592360	1558592360	2	1	VAUGHN, GINGER MD	2/6/2025	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	None	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1100 BUTTE ST	None	REDDING	CA	96001	0852	45	06089	40.5853603	-122.3869865	Shasta County
144772	Fee-for-Service	1144434622	1144434622	1	1	VITALE, STEVEN T	3/21/2017	No Taxonomy Provided	NA	None	029	PROSTHETISTS	-	-	NOT APPLICABLE	0	In state provider	None	1005 W ORANGEBURG AVE	STE A	MODESTO	CA	95350	4139	50	06099	37.66394847	-121.006089	Stanislaus County
144787	Fee-for-Service	1992183669	1992183669	1	3	VALLEY HEALTH TEAM INC	1/12/2021	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	MOBILE	459 W LINE ST	None	BISHOP	CA	93514	3333	14	06027	37.36140652	-118.398942	Inyo County
144889	Fee-for-Service	1396208286	1396208286	1	1	VALLIS, GRAHAM A MD	3/29/2023	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	180387	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
144938	Fee-for-Service	1942569223	1942569223	1	1	VIEIRA, MARCUS A L DO	9/9/2016	207L00000X	NA	Other	026	PHYSICIANS	14699	05	Anesthesiology	0	In state provider	None	1441 FLORIDA AVE	None	MODESTO	CA	95350	4405	50	06099	37.66508443	-120.9962589	Stanislaus County
145001	Fee-for-Service	1609280767	1609280767	1	1	VAN NUYS URGENT CARE FAMILY	7/20/2015	261QU0200X	NA	Other	026	PHYSICIANS	97912	66	Emergency Medicine (Urgent Care)	0	In state provider	MEDICINE INC	7211 VAN NUYS BLVD	None	VAN NUYS	CA	91405	2256	19	06037	34.20181593	-118.4487631	Los Angeles County
145482	Fee-for-Service	1013028521	1013028521	1	1	VELKY, THOMAS S MD	2/19/2023	208600000X	NA	General Surgery	026	PHYSICIANS	48939	None	None	0	In state provider	None	838 NORDAHL RD	SUITE 270	SAN MARCOS	CA	92069	3513	37	06073	33.13569751	-117.1191477	San Diego County
145489	Fee-for-Service	1366622698	1366622698	1	1	VOLK, JONATHAN E MD	5/15/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	101242	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
145515	Fee-for-Service	1154998839	1154998839	1	1	VON ZIMMERMAN, MATTHEW DO	3/6/2025	207P00000X	NA	Other	026	PHYSICIANS	23596	66	Emergency Medicine (Urgent Care)	0	In state provider	None	354 SANTA FE DR	None	ENCINITAS	CA	92024	5142	37	06073	33.03623896	-117.2837308	San Diego County
145531	Fee-for-Service	1467780106	1467780106	1	1	VICTOR K GRANDT DPM INC	1/6/2010	193400000X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	4946 W MINERAL KING AVE	None	VISALIA	CA	93291	5243	54	06107	36.328032	-119.3460075	Tulare County
145672	Fee-for-Service	1902239718	1902239718	1	1	VELASCO, ALTHEA C NP	5/31/2016	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	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
145676	Fee-for-Service	1760631485	1760631485	1	1	VILLARREAL, RANDEE M OT	2/21/2025	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1510 FLORIDA AVE	STE B	MODESTO	CA	95350	4437	50	06099	37.666053	-120.996222	Stanislaus County
145692	Fee-for-Service	1013144724	1013144724	1	1	VILORIA, JOYCE ANN C MD	10/16/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	114415	41	Internal Medicine	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
145763	Fee-for-Service	1245804020	1245804020	1	1	VINE IMAGING PARTNERS MEDICA	7/22/2019	174400000X	NA	Other	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	L GROUP, INC.	1031 S FAIRMONT AVE	None	LODI	CA	95240	5112	39	06077	38.12070793	-121.2858317	San Joaquin County
145775	Fee-for-Service	1366622698	1366622698	1	1	VOLK, JONATHAN E MD	5/15/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	101242	77	Infectious Disease	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
145849	Fee-for-Service	1457769309	1457769309	1	1	VELASCO, MARIE LCSW	11/2/2021	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	6203 SAN IGNACIO AVENUE	SUITE 110	SAN JOSE	CA	95119	1325	43	06085	37.23598537	-121.7783065	Santa Clara County
145854	Fee-for-Service	1326077363	1326077363	1	1	VONS COMPANIES INC	5/6/1998	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	7544 GIRARD AVE	None	LA JOLLA	CA	92037	5101	37	06073	32.84185671	-117.2729557	San Diego County
146051	Fee-for-Service	1932729738	1932729738	1	1	VIRAY, LEO MD	9/1/2023	207P00000X	NA	Other	026	PHYSICIANS	186544	None	None	0	In state provider	None	1001 NORTH TUSTIN AVE	None	SANTA ANA	CA	92705	3502	30	06059	33.75363187	-117.8341886	Orange County
146133	Fee-for-Service	1902334766	1902334766	1	1	VIJANDERAN, LAKSHMI D CCC-SL	5/18/2020	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	P	3701 BROADWAY	None	OAKLAND	CA	94611	5613	01	06001	37.82533768	-122.258094	Alameda County
146237	Fee-for-Service	1578502464	1578502464	1	1	VINH, QUY MD	5/25/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	83099	41	Internal Medicine	0	In state provider	None	81893 DR CARREON BLVD	STE 1	INDIO	CA	92201	5592	33	06065	33.7073755	-116.2355895	Riverside County
146254	Fee-for-Service	1568788917	1568788917	1	1	VERMA, KUSHAGRA MD	8/3/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	135128	20	Orthopedic Surgery	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2201	38	06075	37.76344756	-122.4581992	San Francisco County
146320	Fee-for-Service	1124295738	1124295738	1	1	VISALIA CARDIOVASCULAR	7/25/2008	193200000X	NA	Other	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	AND MEDICAL CENTER, INC	101 E NOBLE AVE	None	VISALIA	CA	93277	2717	54	06107	36.326115	-119.29203	Tulare County
146407	Fee-for-Service	1285262568	1285262568	1	1	VAIL, DANIEL G MD	6/24/2024	207W00000X	NA	Ophthalmology	026	PHYSICIANS	None	18	Ophthalmology	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
146448	Fee-for-Service	1316563083	1316563083	1	1	VAZQUEZ, CLAUDIA NP	1/1/2022	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	4900 BROADWAY	STE 2800	SACRAMENTO	CA	95820	1536	34	06067	38.546091	-121.447305	Sacramento County
146480	Fee-for-Service	1386818284	1386818284	1	1	VEERAVAGU, ANAND MD	9/10/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	113373	14	Neurological Surgery	0	In state provider	None	300 PASTEUR DRIVE	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
146485	Fee-for-Service	1063986081	1063986081	1	1	VIDA CARE HOME HEALTH INC	5/8/2020	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	7502 FOOTHILL BLVD	SUITE 204	TUJUNGA	CA	91042	3817	19	06037	34.25295017	-118.2957018	Los Angeles County
146565	Fee-for-Service	1255405783	1255405783	1	1	VANNUCCI, STEPHEN A MD	1/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	71303	07	Dermatology	0	In state provider	None	251 COHASSET RD	STE 240	CHICO	CA	95926	2235	04	06007	39.75090044	-121.8522609	Butte County
146601	Fee-for-Service	1780677690	1780677690	1	1	VERGARA,THERESA M MD	11/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	66	Emergency Medicine (Urgent Care)	1	Border provider	None	3186 S MARYLAND PKWY	None	LAS VEGAS	NV	89109	2317	00	None	36.132948	-115.136874	Clark County
146607	Fee-for-Service	1124295738	1124295738	1	1	VISALIA CARDIOVASCULAR	7/25/2008	193200000X	NA	Other	022	PHYSICIANS GROUP	-	06	Cardiovascular Disease (M.D. only)	0	In state provider	AND MEDICAL CENTER, INC	101 E NOBLE AVE	None	VISALIA	CA	93277	2717	54	06107	36.326115	-119.29203	Tulare County
146716	Fee-for-Service	1700642758	1700642758	1	1	VITUITY HEALTHCARE SERVICES	4/12/2024	193200000X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	400 N PEPPER AVE	None	COLTON	CA	92324	1801	36	06071	34.073505	-117.3505995	San Bernardino County
146727	Fee-for-Service	1114147402	1114147402	1	1	VILLASENOR, MARIA D MD	6/8/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	89680	08	Family Practice	0	In state provider	None	3291 LOMA VISTA RD	None	VENTURA	CA	93003	3099	56	06111	34.27623479	-119.2520218	Ventura County
146758	Fee-for-Service	1053765453	1053765453	1	2	VOTC, INC	10/1/2019	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	3617 RICARDO AVE	#6 #7	REDDING	CA	96002	2627	45	06089	40.5536888	-122.3576882	Shasta County
146774	Fee-for-Service	1922463439	1922463439	1	2	VIVIAN ROSE PRICE	5/12/2022	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	311 BALTIC SEA CT	None	PITTSBURG	CA	94565	3532	07	06013	38.02194151	-121.9203621	Contra Costa County
146889	Fee-for-Service	1780677690	1780677690	1	1	VERGARA,THERESA M MD	11/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	40	Pediatrics	1	Border provider	None	3186 S MARYLAND PKWY	None	LAS VEGAS	NV	89109	2317	00	None	36.132948	-115.136874	Clark County
147004	Fee-for-Service	1700642758	1700642758	1	1	VITUITY HEALTHCARE SERVICES	4/12/2024	193200000X	NA	Other	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	None	400 N PEPPER AVE	None	COLTON	CA	92324	1801	36	06071	34.073505	-117.3505995	San Bernardino County
147030	Fee-for-Service	1629152616	1629152616	1	1	VON FRANQUE, OTTO A MD	3/31/1992	No Taxonomy Provided	NA	None	026	PHYSICIANS	76075	40	Pediatrics	0	In state provider	None	975 SERENO DR	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
147121	Fee-for-Service	1396245312	1396245312	1	1	VICTORIA, ENRIQUE N CNP	10/8/2020	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	43360 MISSION BLVD	SUITE 100	FREMONT	CA	94539	5829	01	06001	37.53249631	-121.9198141	Alameda County
147293	Fee-for-Service	1700642758	1700642758	1	1	VITUITY HEALTHCARE SERVICES	4/12/2024	193200000X	NA	Other	022	PHYSICIANS GROUP	-	39	Preventive (M.D. only)	0	In state provider	None	400 N PEPPER AVE	None	COLTON	CA	92324	1801	36	06071	34.073505	-117.3505995	San Bernardino County
147340	Fee-for-Service	1861166548	1861166548	1	1	VU, KIMBERLY OT	8/24/2021	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1055 E COLORADO BLVD	STE 500	PASADENA	CA	91106	2380	19	06037	34.14595648	-118.1287575	Los Angeles County
147362	Fee-for-Service	1982617452	1982617452	1	1	VALLEY ANESTHESIA ASSOCIATES	4/17/2007	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	2615 EYE ST	None	BAKERSFIELD	CA	93301	2006	15	06029	35.38291587	-119.0199632	Kern County
147400	Fee-for-Service	1013961598	1013961598	1	2	VAYSER, DEAN J DPM	12/5/2018	213E00000X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	6260 EL CAMINO REAL	None	CARLSBAD	CA	92009	1603	37	06073	33.12215813	-117.266659	San Diego County
147444	Fee-for-Service	1144332628	1144332628	1	1	VALLEY RETINA PC	11/17/2006	193400000X	NA	Other	026	PHYSICIANS	48531	18	Ophthalmology	0	In state provider	None	200 EAST GRANGER AVE	None	MODESTO	CA	95350	4303	50	06099	37.66724447	-120.990708	Stanislaus County
147516	Fee-for-Service	1720061633	1720061633	1	1	VIRADIA, PIYUSH R MD	11/30/1984	No Taxonomy Provided	NA	None	026	PHYSICIANS	39926	66	Emergency Medicine (Urgent Care)	0	In state provider	None	3660 ARLINGTON AVE	None	RIVERSIDE	CA	92506	3912	33	06065	33.94621853	-117.3953655	Riverside County
147532	Fee-for-Service	1275612673	1275612673	1	1	VALLEY CHILDRENS HOSP PH	11/1/2000	3336H0001X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	5085 E MCKINLEY AVE	RM 129	FRESNO	CA	93727	1964	10	06019	36.7652715	-119.724345	Fresno County
147601	Fee-for-Service	1174568026	1174568026	1	1	VOLLGER, HELMUTH F MD	4/30/1988	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	63491	01	General Practice	0	In state provider	None	2925 PALO VERDE AVE	None	LONG BEACH	CA	90815	1552	19	06037	33.809751	-118.1079275	Los Angeles County
147606	Fee-for-Service	1861940546	1861940546	1	1	VALDEZ, EDWARD JASON	1/24/2023	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
147651	Fee-for-Service	1982617452	1982617452	1	1	VALLEY ANESTHESIA ASSOCIATES	2/2/2018	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	2615 EYE ST	None	BAKERSFIELD	CA	93301	2006	15	06029	35.38291587	-119.0199632	Kern County
147711	Fee-for-Service	1912919358	1912919358	1	1	VALLEY PODIATRY GROUP	4/19/2004	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	INC	3031 W MARCH LN	STE 310	STOCKTON	CA	95219	6562	39	06077	37.9842796	-121.3494311	San Joaquin County
147766	Fee-for-Service	1073957718	1073957718	1	1	VU, JASON T MD	8/1/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	137093	41	Internal Medicine	0	In state provider	None	31700 TEMECULA PKWY	None	TEMECULA	CA	92592	5896	33	06065	33.481134	-117.1060515	Riverside County
147773	Fee-for-Service	1245218817	1245218817	1	1	VENKATESHA REDDY M.D.	8/10/2016	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
147783	Fee-for-Service	1093749491	1093749491	1	1	VERNE, ALLEN Z MD INC	9/30/1988	207W00000X	NA	Ophthalmology	026	PHYSICIANS	29473	18	Ophthalmology	0	In state provider	None	491 30TH ST	STE 102	OAKLAND	CA	94609	3235	01	06001	37.81935528	-122.2667902	Alameda County
147855	Fee-for-Service	1861570764	1861570764	1	1	VO, CHRISTINA T MD	2/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	68065	41	Internal Medicine	0	In state provider	None	800 DOUGLAS RD	None	STOCKTON	CA	95207	3607	39	06077	38.00786919	-121.3210892	San Joaquin County
147911	Fee-for-Service	1386743078	1386743078	1	1	VAILLANCOURT, KURT	10/18/2024	103TC0700X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	15260 VENTURA BLVD	1200	SHERMAN OAKS	CA	91403	5307	19	06037	34.15370926	-118.4656644	Los Angeles County
148017	Fee-for-Service	1518332030	1518332030	1	1	VMC HOME CARE, LLC	4/3/2024	No Taxonomy Provided	NA	None	066	PERSONAL CARE AGENCY	-	-	NOT APPLICABLE	0	In state provider	None	8911 LA MESA BLVD	STE 104	LA MESA	CA	91942	9000	37	06073	32.77394512	-117.0048638	San Diego County
148057	Fee-for-Service	1932364577	1932364577	1	1	VOJDANI, ELROY MD	9/1/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	110763	30	Radiology	0	In state provider	None	4640 ADMIRALTY WAY	SUITE 102	MARINA DEL REY	CA	90292	6629	19	06037	33.98120707	-118.4409729	Los Angeles County
148273	Fee-for-Service	1265874523	1265874523	1	1	VALENZUELA, SARAH LMFT	11/5/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	10722 ARROW RTE	314-316	RANCHO CUCAMONGA	CA	91730	4811	36	06071	34.09917725	-117.5708877	San Bernardino County
148274	Fee-for-Service	1023185931	1023185931	1	1	VIRAMONTES, BLANCA E MD	5/3/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	80016	10	Gastroenterology (M.D. only)	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
148275	Fee-for-Service	1922091107	1922091107	1	1	VASINDA'S AROUND THE CLOCK	1/16/1997	251E00000X	NA	Other	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	5251 OFFICE PARK DR	STE 400	BAKERSFIELD	CA	93309	0667	15	06029	35.36594362	-119.0610068	Kern County
148314	Fee-for-Service	1457549685	1457549685	1	1	VALIKHANI, MOHAMMAD MD	3/7/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	119639	None	None	0	In state provider	None	225 NORTH JACKSON AVE	None	SAN JOSE	CA	95116	1603	43	06085	37.36217918	-121.8472051	Santa Clara County
148318	Fee-for-Service	1952317273	1952317273	2	1	VLS CAPITOL DRUGS INC	12/2/2015	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	8578 SANTA MONICA BLVD	None	WEST HOLLYWOOD	CA	90069	4119	19	06037	34.08791294	-118.3790586	Los Angeles County
148395	Fee-for-Service	1811910532	1811910532	1	1	VARGO, JEFFREY P MD	9/14/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	109067	30	Radiology	0	In state provider	None	29101 HOSPITAL ROAD	None	LAKE ARROWHEAD	CA	92352	9706	36	06071	34.26577765	-117.1695461	San Bernardino County
148459	Fee-for-Service	1750479168	1750479168	1	1	VACHHANI, KISHOR D MD	2/1/1997	207R00000X	NA	Other	026	PHYSICIANS	49663	40	Pediatrics	0	In state provider	None	81833 DR CARREON BLVD	STE 7	INDIO	CA	92201	5590	33	06065	33.70737252	-116.2365255	Riverside County
148474	Fee-for-Service	1003472085	1003472085	1	1	VALDEZ, MICHAEL C MD	7/26/2024	207R00000X	NA	Other	026	PHYSICIANS	179939	41	Internal Medicine	0	In state provider	None	4300 ROSE DR	None	YORBA LINDA	CA	92886	2026	30	06059	33.89815111	-117.8419708	Orange County
148561	Fee-for-Service	1023185931	1023185931	1	1	VIRAMONTES, BLANCA E MD	5/3/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	80016	41	Internal Medicine	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
148659	Fee-for-Service	1750167482	1750167482	1	1	VICTORIA CARE HOME 2 INC	11/2/2023	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	5056 W. ROBERTS AVENUE	None	FRESNO	CA	93722	7706	10	06019	36.81980915	-119.8817402	Fresno County
148683	Fee-for-Service	1356427892	1356427892	1	1	VALLEY DIAGNOSTICS INC	12/13/2016	207ZP0105X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	None	7275 N 1ST ST	STE 103	FRESNO	CA	93720	2977	10	06019	36.84277747	-119.7748349	Fresno County
148719	Fee-for-Service	1255533857	1255533857	1	1	VOGEL, ALEXANDER R MD	5/5/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	116663	None	None	0	In state provider	None	1702 ESPLANADE	None	CHICO	CA	95926	3315	04	06007	39.74458257	-121.8503103	Butte County
148748	Fee-for-Service	1750479168	1750479168	1	1	VACHHANI, KISHOR D MD	2/1/1997	207R00000X	NA	Other	026	PHYSICIANS	49663	41	Internal Medicine	0	In state provider	None	81833 DR CARREON BLVD	STE 7	INDIO	CA	92201	5590	33	06065	33.70737252	-116.2365255	Riverside County
148838	Fee-for-Service	1700812583	1700812583	1	1	VONS COMPANIES INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	7311 N FIGUEROA ST	None	LOS ANGELES	CA	90041	2512	19	06037	34.13587598	-118.1885219	Los Angeles County
149046	Fee-for-Service	1255774956	1255774956	1	1	VANCE, CHELSEA M LCSW	2/28/2018	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1400 E COOLEY DR	SUITE 200A	COLTON	CA	92324	3939	36	06071	34.05447652	-117.305298	San Bernardino County
149062	Fee-for-Service	1336353879	1336353879	1	1	VOTAW, JANETTE Y LAC	3/11/2024	171100000X	NA	Other	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	None	1560 HUMBOLDT RD	STE. 5	CHICO	CA	95928	9101	04	06007	39.73644421	-121.8121391	Butte County
149090	Fee-for-Service	1164695359	1164695359	1	1	VALLEY ORTHOPEDIC INC	5/9/2012	No Taxonomy Provided	NA	None	029	PROSTHETISTS	-	-	NOT APPLICABLE	0	In state provider	None	1247 E ALLUVIAL AVE	SUITE 103	FRESNO	CA	93720	2686	10	06019	36.84470048	-119.7606195	Fresno County
149131	Fee-for-Service	1275694184	1275694184	1	1	VALLEY CHILDRENS HOSPITAL	11/1/1984	282NC2000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	9300 VALLEY CHILDRENS PL	None	MADERA	CA	93636	8762	20	06039	36.88437894	-119.8003484	Madera County
149142	Fee-for-Service	1467030619	1467030619	1	1	VIERRA, DAVID R MD	8/22/2024	208M00000X	NA	Other	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	None	400 N MCDOWELL BLVD	None	PETALUMA	CA	95954	2339	49	06097	38.25477	-122.63175	Sonoma County
149148	Fee-for-Service	1609879345	1609879345	1	1	VOTTERI, BERNHARD A MD	7/30/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	21753	66	Emergency Medicine (Urgent Care)	0	In state provider	None	170 ALAMEDA DE LAS PULGA	None	REDWOOD CITY	CA	94062	2751	41	06081	37.48093988	-122.2531826	San Mateo County
149198	Fee-for-Service	1568610483	1568610483	1	1	VADECHA, NINA N MD	12/17/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	101002	08	Family Practice	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
149214	Fee-for-Service	1881603843	1881603843	1	1	VIZZARD, ROBERT MD	12/31/1985	No Taxonomy Provided	NA	None	026	PHYSICIANS	30828	66	Emergency Medicine (Urgent Care)	0	In state provider	None	726 4TH ST	None	MARYSVILLE	CA	95901	5656	58	06115	39.13872267	-121.5944372	Yuba County
149276	Fee-for-Service	1558638601	1558638601	1	1	VALLEY HEALTH TEAM INC	3/12/2012	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	689 N STREET	None	FIREBAUGH	CA	93622	2156	10	06019	36.86210601	-120.4616211	Fresno County
149335	Fee-for-Service	1255774956	1255774956	1	1	VANCE, CHELSEA M LCSW	5/19/2020	101YM0800X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1400 E COOLEY DR	SUITE 200A	COLTON	CA	92324	3939	36	06071	34.05447652	-117.305298	San Bernardino County
149436	Fee-for-Service	1609879345	1609879345	1	1	VOTTERI, BERNHARD A MD	7/30/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	21753	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	170 ALAMEDA DE LAS PULGA	None	REDWOOD CITY	CA	94062	2751	41	06081	37.48093988	-122.2531826	San Mateo County
149496	Fee-for-Service	1558528612	1558528612	1	1	VEESENMEYER, ANGELA F MD	8/2/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	144093	40	Pediatrics	0	In state provider	None	9300 VALLEY CHILDRENS PL	SC05	MADERA	CA	93636	8761	20	06039	36.88437894	-119.8003484	Madera County
149563	Fee-for-Service	1558638601	1558638601	1	1	VALLEY HEALTH TEAM INC	3/12/2012	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	689 N STREET	None	FIREBAUGH	CA	93622	2156	10	06019	36.86210601	-120.4616211	Fresno County
149600	Fee-for-Service	1316392335	1316392335	1	1	VIPANI, AARSHI MD	9/3/2019	207R00000X	NA	Other	026	PHYSICIANS	155894	41	Internal Medicine	0	In state provider	None	200 N ROBERTSON BLVD	None	BEVERLY HILLS	CA	90211	1769	19	06037	34.069509	-118.383743	Los Angeles County
149604	Fee-for-Service	1326642034	1326642034	1	1	VISHNJA, EMILY NP	6/13/2024	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
149621	Fee-for-Service	1154375616	1154375616	1	1	VILLELA, TERESA DE JESUS	10/31/1992	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	71124	08	Family Practice	0	In state provider	None	1001 POTRERO AVE	None	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
149638	Fee-for-Service	1144338609	1144338609	1	1	VISHTEH, ARASH G MD	2/8/2015	207T00000X	NA	General Surgery	026	PHYSICIANS	-	14	Neurological Surgery	2	Out of state provider	None	21 E 6TH STREET	STE 304	TEMPE	AZ	85281	3683	00	None	33.424092	-111.938742	Maricopa County
149671	Fee-for-Service	1457794802	1457794802	1	1	VIVERO, ANGELICA MD	8/1/2019	207ZP0102X	NA	Other	026	PHYSICIANS	142453	21	Pathologic Anatomy: Clinical Pathology (D.O. only)	0	In state provider	None	4650 SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
149764	Fee-for-Service	1295403376	1295403376	1	1	VANDER MEULEN, KELSEY A CRNA	9/18/2021	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	8700 BEVERLY BLVD	TSB-290	WEST HOLLYWOOD	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
149852	Fee-for-Service	1558638601	1558638601	1	1	VALLEY HEALTH TEAM INC	6/18/2013	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	689 N STREET	None	FIREBAUGH	CA	93622	2156	10	06019	36.86210601	-120.4616211	Fresno County
149854	Fee-for-Service	1396126728	1396126728	1	1	VALENCIA, CLARISSE A MD	12/12/2019	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	147949	08	Family Practice	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
149874	Fee-for-Service	1467632273	1467632273	1	1	VALDERRAMA MD INC	12/18/2007	207R00000X	NA	Other	026	PHYSICIANS	74152	None	None	0	In state provider	None	360 H ST	None	CHULA VISTA	CA	91910	5511	37	06073	32.63366842	-117.0797493	San Diego County
149906	Fee-for-Service	1093440828	1093440828	1	1	VAZQUEZ, JOANNA L	4/18/2023	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1550 N IMPERIAL AVE	STE 1	EL CENTRO	CA	92243	6304	13	06025	32.80696546	-115.5702795	Imperial County
149991	Fee-for-Service	1497812895	1497812895	1	1	VELAZQUEZ, JUAN C MD	9/25/2020	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	53203	41	Internal Medicine	0	In state provider	None	1590 SOUTH IMPERIAL AVE	None	EL CENTRO	CA	92243	4241	13	06025	32.77950118	-115.5697279	Imperial County
150018	Fee-for-Service	1689185985	1689185985	1	1	VALDOVINOS, JACQUELINE LMFT	8/9/2022	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
150032	Fee-for-Service	1659900322	1659900322	1	1	VISRODIA, PARTH MD	6/2/2023	207R00000X	NA	Other	026	PHYSICIANS	184412	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
150043	Fee-for-Service	1558449264	1558449264	1	1	VALLERO, ROMMEL P MD	4/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	67481	66	Emergency Medicine (Urgent Care)	0	In state provider	None	280 W MACARTHUR BLVD	None	OAKLAND	CA	94611	5642	01	06001	37.8242017	-122.2578306	Alameda County
150108	Fee-for-Service	1629272380	1629272380	1	1	VAN, HOAN DPM	5/5/2014	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	2169 CALEB CT	None	SAN JOSE	CA	95121	1411	43	06085	37.30449596	-121.7958215	Santa Clara County
150141	Fee-for-Service	1558638601	1558638601	1	1	VALLEY HEALTH TEAM INC	3/20/2014	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	689 N STREET	None	FIREBAUGH	CA	93622	2156	10	06019	36.86210601	-120.4616211	Fresno County
150150	Fee-for-Service	1811941909	1811941909	1	1	VO, HUU D MD INC	4/30/1981	No Taxonomy Provided	NA	None	026	PHYSICIANS	34486	40	Pediatrics	0	In state provider	None	1182 E HOLT AVE	STE B	POMONA	CA	91767	5833	19	06037	34.06288808	-117.7271378	Los Angeles County
150152	Fee-for-Service	1740690718	1740690718	1	1	VANG, NATALIYA MD	9/6/2019	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	152759	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	2505 W HAMMER LN	None	STOCKTON	CA	95209	2839	39	06077	38.02139448	-121.347738	San Joaquin County
150281	Fee-for-Service	1184821712	1184821712	1	1	VIERA, MONICA E CNM	12/2/2013	No Taxonomy Provided	NA	None	005	CERTIFIED NURSE MIDWIFE	-	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
150379	Fee-for-Service	1982714838	1982714838	1	1	VINTCH, JANINE R E MD	5/31/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	79475	01	General Practice	0	In state provider	None	21840 NORMANDIE AVE	STE 100	TORRANCE	CA	90502	2047	19	06037	33.82982744	-118.2991395	Los Angeles County
150434	Fee-for-Service	1548313174	1548313174	1	1	VOLPONI, JAMES E OD	8/5/2021	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	254 S. LIVERMORE AVE.	None	LIVERMORE	CA	94550	4652	01	06001	37.68110458	-121.766915	Alameda County
150435	Fee-for-Service	1811941909	1811941909	1	1	VO, HUU D MD INC	4/30/1981	No Taxonomy Provided	NA	None	026	PHYSICIANS	34486	01	General Practice	0	In state provider	None	1182 E HOLT AVE	STE B	POMONA	CA	91767	5833	19	06037	34.06288808	-117.7271378	Los Angeles County
150558	Fee-for-Service	1386908408	1386908408	1	1	VERCI JEWELRY CORP	1/19/2012	No Taxonomy Provided	NA	None	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	8958 CORBIN AVE	None	NORTHRIDGE	CA	91324	3311	19	06037	34.23337673	-118.5622875	Los Angeles County
150622	Fee-for-Service	1790156917	1790156917	1	1	VENICE FAMILY CLINIC	7/21/2016	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	4700 INGLEWOOD BLVD	SUITE 101	LOS ANGELES	CA	90230	5896	19	06037	33.99315523	-118.4151866	Los Angeles County
150626	Fee-for-Service	1316367469	1316367469	1	1	VEGA, ERICA M DO	10/30/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	14421	36	Psychiatry	0	In state provider	None	18880 CHERRY VALLEY BLVD	None	TUOLUMNE	CA	95379	0000	55	06109	37.96511668	-120.2399015	Tuolumne County
150628	Fee-for-Service	1265108195	1265108195	1	1	VALENCIA, CAROL LMFT	8/30/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3434 MENDOCINO AVE	A	SANTA ROSA	CA	95403	2274	49	06097	38.472156	-122.7241935	Sonoma County
150630	Fee-for-Service	1164450524	1164450524	1	1	VITALE, DANA S DO	11/3/2008	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
150666	Fee-for-Service	1982714838	1982714838	1	1	VINTCH, JANINE R E MD	5/31/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	79475	41	Internal Medicine	0	In state provider	None	21840 NORMANDIE AVE	STE 100	TORRANCE	CA	90502	2047	19	06037	33.82982744	-118.2991395	Los Angeles County
150724	Fee-for-Service	1811941909	1811941909	1	1	VO, HUU D MD INC	4/30/1981	No Taxonomy Provided	NA	None	026	PHYSICIANS	34486	08	Family Practice	0	In state provider	None	1182 E HOLT AVE	STE B	POMONA	CA	91767	5833	19	06037	34.06288808	-117.7271378	Los Angeles County
150756	Fee-for-Service	1194802868	1194802868	1	2	VISION CARE CENTER A MEDICAL	11/3/2005	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	None	2719 CINEMA WAY	None	SELMA	CA	93662	2662	10	06019	36.57383008	-119.6242065	Fresno County
150841	Fee-for-Service	1205897568	1205897568	1	1	VALLEY RADIOLOGY CONSULTANTS	3/1/2000	193200000X	NA	Other	022	PHYSICIANS GROUP	-	02	General Surgery	0	In state provider	MEDICAL GROUP, INC	488 E VALLEY PKWY	None	ESCONDIDO	CA	92025	3363	37	06073	33.12523814	-117.0769715	San Diego County
150868	Fee-for-Service	1104885094	1104885094	1	1	VELASCO, SARA MD	11/1/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	51394	08	Family Practice	0	In state provider	None	14600 SHERMAN WAY	STE 300	VAN NUYS	CA	91405	2272	19	06037	34.20025916	-118.4500763	Los Angeles County
150881	Fee-for-Service	1609033547	1609033547	1	1	VILLEGAS, REBECCA E LMFT	8/28/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
150908	Fee-for-Service	1790156917	1790156917	1	1	VENICE FAMILY CLINIC	7/21/2016	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	4700 INGLEWOOD BLVD	SUITE 101	LOS ANGELES	CA	90230	5896	19	06037	33.99315523	-118.4151866	Los Angeles County
150916	Fee-for-Service	1316367469	1316367469	1	1	VEGA, ERICA M DO	10/30/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	14421	13	Neurology (M.D. only)	0	In state provider	None	18880 CHERRY VALLEY BLVD	None	TUOLUMNE	CA	95379	0000	55	06109	37.96511668	-120.2399015	Tuolumne County
151043	Fee-for-Service	1194802868	1194802868	1	2	VISION CARE CENTER A MEDICAL	11/3/2005	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	2719 CINEMA WAY	None	SELMA	CA	93662	2662	10	06019	36.57383008	-119.6242065	Fresno County
151075	Fee-for-Service	1215155262	1215155262	1	1	VILLARANDA, RUTH P LMFT	7/19/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	29748 RANCHO CALIFORNIA	RD	TEMECULA	CA	92591	5286	33	06065	33.50662849	-117.1428887	Riverside County
151126	Fee-for-Service	1205897568	1205897568	1	1	VALLEY RADIOLOGY CONSULTANTS	3/1/2000	193200000X	NA	Other	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	MEDICAL GROUP, INC	488 E VALLEY PKWY	None	ESCONDIDO	CA	92025	3363	37	06073	33.12523814	-117.0769715	San Diego County
151178	Fee-for-Service	1396188397	1396188397	1	1	VILLA ESPERANZA SERVICES	6/5/2015	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	1115 N CHESTER AVE	None	PASADENA	CA	91104	2946	19	06037	34.16525259	-118.1244609	Los Angeles County
151255	Fee-for-Service	1982633921	1982633921	1	1	VONS COMPANIES, INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	2345 E VALLEY PKWY	None	ESCONDIDO	CA	92027	2715	37	06073	33.14045456	-117.0453396	San Diego County
151285	Fee-for-Service	1306011127	1306011127	1	1	VANHORN, RICHARD D MD	8/1/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	102996	66	Emergency Medicine (Urgent Care)	0	In state provider	None	155 GLASSON WAY	None	GRASS VALLEY	CA	95945	5723	29	06057	39.22820863	-121.0465856	Nevada County
151290	Fee-for-Service	1568436772	1568436772	1	1	VINTER, ANNA E MD	12/12/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	93216	36	Psychiatry	0	In state provider	None	2008 MORSE AVENUE	None	SACRAMENTO	CA	95825	2135	34	06067	38.601801	-121.391613	Sacramento County
151300	Fee-for-Service	1295148245	1295148245	1	1	VASANI, SALIMA S MD	10/13/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	150108	41	Internal Medicine	0	In state provider	None	1020 29TH STREET	SUITE 120	SACRAMENTO	CA	95816	5173	34	06067	38.572803	-121.4685	Sacramento County
151332	Fee-for-Service	1760886196	1760886196	1	1	VEROMA HOME HEALTH INC	3/23/2017	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	17915 VENTURA BLVD	SUITE 210	ENCINO	CA	91316	4805	19	06037	34.16385429	-118.522817	Los Angeles County
151405	Fee-for-Service	1174027791	1174027791	1	1	VICENTE, ERIKA D MD	4/25/2024	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	165676	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
151407	Fee-for-Service	1629302088	1629302088	1	1	VIVEROS, ROSE M LCSW	5/11/2018	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3600 BROADWAY	None	OAKLAND	CA	94611	5730	01	06001	37.8237837	-122.2590026	Alameda County
151545	Fee-for-Service	1235231986	1235231986	1	1	VO, THAI D MD	12/5/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	91960	41	Internal Medicine	0	In state provider	None	825 DELBON AVE	None	TURLOCK	CA	95382	2016	50	06099	37.51052943	-120.8386573	Stanislaus County
151638	Fee-for-Service	1962038208	1962038208	1	1	VANA HOSPICE INC	6/10/2021	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	11755 VICTORY BLVD	SUITE 210	NORTH HOLLYWOOD	CA	91606	3454	19	06037	34.18670448	-118.389699	Los Angeles County
151640	Fee-for-Service	1881015550	1881015550	1	1	VARGAS, YASHIA LCSW	8/10/2022	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3020 CHILDREN'S WAY	MC 5069	SAN DIEGO	CA	92123	4223	37	06073	32.798691	-117.150829	San Diego County
151746	Fee-for-Service	1114010949	1114010949	1	2	VITREO-RETINAL MEDICAL GROUP	2/2/2022	207WX0107X	NA	Ophthalmology	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	None	4712 STODDARD RD	None	MODESTO	CA	95356	9404	50	06099	37.706487	-121.0695196	Stanislaus County
151804	Fee-for-Service	1487836409	1487836409	1	1	VUCESCU, RALUCA I MD	8/10/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	111618	41	Internal Medicine	0	In state provider	None	710 LAWRENCE EXPWY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
151831	Fee-for-Service	1255399267	1255399267	1	1	VENKAT, ARUN MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	MIDWEST CARDIOVASCULAR	12266 DE PAUL DRIVE	SUITE 205	BRIDGETON	MO	63044	0000	00	None	38.74959844	-90.43138942	St. Louis County
151917	Fee-for-Service	1326098047	1326098047	1	1	VIERRA, DANA A MD	7/1/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	84963	66	Emergency Medicine (Urgent Care)	0	In state provider	None	52ND AND F ST	None	SACRAMENTO	CA	95819	0000	34	06067	38.570607	-121.439502	Sacramento County
151925	Fee-for-Service	1962038208	1962038208	1	1	VANA HOSPICE INC	6/10/2021	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	11755 VICTORY BLVD	SUITE 210	NORTH HOLLYWOOD	CA	91606	3454	19	06037	34.18670448	-118.389699	Los Angeles County
151968	Fee-for-Service	1881812089	1881812089	1	1	VALLEY MEDICAL TRANSPORT LLC	10/23/2006	No Taxonomy Provided	Both NEMT & NMT Provider	None	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	LLC	2240 MAIN ST	STE 19	CHULA VISTA	CA	91911	4657	37	06073	32.59488048	-117.0852435	San Diego County
152069	Fee-for-Service	1295025187	1295025187	1	1	VLADESCU, ILINCA A MD	11/2/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	136482	None	None	0	In state provider	None	354 SANTA FE DR	None	ENCINITAS	CA	92024	5142	37	06073	33.03623896	-117.2837308	San Diego County
152087	Fee-for-Service	1548245640	1548245640	1	1	VAN AMBURG, JANA M MD	7/13/2020	208600000X	NA	General Surgery	026	PHYSICIANS	77111	02	General Surgery	0	In state provider	None	1935 WHARF RD	None	CAPITOLA	CA	95010	2606	44	06087	36.97749193	-121.957344	Santa Cruz County
152130	Fee-for-Service	1255410320	1255410320	1	1	VO, NGHI NP	10/16/2024	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	23181 VERDUGO DR	STE 103A	LAGUNA HILLS	CA	92653	1313	30	06059	33.62609529	-117.7293191	Orange County
152150	Fee-for-Service	1073577458	1073577458	2	1	VAN, THU KIM DPM	8/26/1994	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	12902 BROOKHURST ST	STE B	GARDEN GROVE	CA	92840	4881	30	06059	33.77536084	-117.9555967	Orange County
152282	Fee-for-Service	1477702165	1477702165	1	1	VELLORE GOVARDHAN, SHILPA M	7/1/2020	2080P0203X	NA	Other	026	PHYSICIANS	121935	40	Pediatrics	0	In state provider	D	3020 CHILDREN'S WAY	MC 5069	SAN DIEGO	CA	92123	4223	37	06073	32.798691	-117.150829	San Diego County
152295	Fee-for-Service	1235464967	1235464967	1	1	VARDAYO, JOSEPH F MD INC	10/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	43961	02	General Surgery	0	In state provider	None	701 E 28TH ST	STE 113	LONG BEACH	CA	90806	2781	19	06037	33.80803441	-118.1847137	Los Angeles County
152342	Fee-for-Service	1467667154	1467667154	1	1	VILLA ESPERANZA SERVICES	5/29/1992	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	1370 DOMINION STREET	None	PASADENA	CA	91104	2708	19	06037	34.16971669	-118.1142724	Los Angeles County
152381	Fee-for-Service	1811929128	1811929128	1	1	VASQUEZ, MABEL MD	9/26/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	74668	None	None	0	In state provider	None	1355 SAN PABLO ST	None	LOS ANGELES	CA	90033	1035	19	06037	34.06080447	-118.203734	Los Angeles County
152447	Fee-for-Service	1073532529	1073532529	1	1	VAN GUNDY, KARL MD	3/31/1987	207RP1001X	NA	Pulmonology	026	PHYSICIANS	42584	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	4005 N FRESNO ST	None	FRESNO	CA	93726	4040	10	06019	36.79072698	-119.7814525	Fresno County
152475	Fee-for-Service	1083698526	1083698526	1	1	VARGAS, AXEL MD	8/20/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	51873	05	Anesthesiology	0	In state provider	None	2700 DOLBEER ST	None	EUREKA	CA	95501	4736	12	06023	40.78355148	-124.1420294	Humboldt County
152477	Fee-for-Service	1437439437	1437439437	1	1	VAN BEEK, DANIEL S PHD	4/26/2020	251S00000X	NA	Other	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	710 S BROADWAY	None	WALNUT CREEK	CA	94596	5294	07	06013	37.89702115	-122.0569066	Contra Costa County
152492	Fee-for-Service	1912083650	1912083650	1	1	VALLO, MICHAEL R	6/30/1990	No Taxonomy Provided	NA	None	026	PHYSICIANS	69087	66	Emergency Medicine (Urgent Care)	0	In state provider	None	27400 HESPERIAN BLVD	None	HAYWARD	CA	94545	4235	01	06001	37.63011596	-122.0960694	Alameda County
152497	Fee-for-Service	1083277859	1083277859	1	1	VILLA, JESSENIA MD	2/3/2023	390200000X	NA	Other	026	PHYSICIANS	182509	None	None	0	In state provider	None	975 SERENO DR	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
152569	Fee-for-Service	1477702165	1477702165	1	1	VELLORE GOVARDHAN, SHILPA M	7/1/2020	2080P0203X	NA	Other	026	PHYSICIANS	121935	47	Miscellaneous	0	In state provider	D	3020 CHILDREN'S WAY	MC 5069	SAN DIEGO	CA	92123	4223	37	06073	32.798691	-117.150829	San Diego County
152584	Fee-for-Service	1235464967	1235464967	1	1	VARDAYO, JOSEPH F MD INC	10/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	43961	01	General Practice	0	In state provider	None	701 E 28TH ST	STE 113	LONG BEACH	CA	90806	2781	19	06037	33.80803441	-118.1847137	Los Angeles County
152646	Fee-for-Service	1780974410	1780974410	1	1	VAZQUEZ, CAROLINA MD APC	2/6/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	81758	08	Family Practice	0	In state provider	None	6501 EASTERN AVENUE	STE A	BELL GARDENS	CA	90201	3003	19	06037	33.97424833	-118.1640067	Los Angeles County
152712	Fee-for-Service	1659715092	1659715092	1	1	VAN LOY, JENNIFER LCSW	2/1/2024	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
152777	Fee-for-Service	1912902552	1912902552	2	1	VALLEY HOME MEDICAL SUPPLY	1/29/2018	332BX2000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	960 ENCHANTED WAY	STE 101	SIMI VALLEY	CA	93065	0909	56	06111	34.28409738	-118.782709	Ventura County
152824	Fee-for-Service	1477745586	1477745586	1	1	VELASCO, DIANA L LMFT	11/20/2019	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	22231 MULHOLLAND HWY	202	CALABASAS	CA	91302	5123	19	06037	34.14821793	-118.6123368	Los Angeles County
152839	Fee-for-Service	1760825756	1760825756	1	1	VIRK, MRIGENDER S MD	5/2/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	146351	22	Pathology (M.D. only)	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
152850	Fee-for-Service	1851402358	1851402358	1	1	VU, TONI D DO	8/3/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	7999	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1310 SAN BERNARDINO ROAD	SUITE 201	UPLAND	CA	91786	4985	36	06071	34.10260261	-117.6332582	San Bernardino County
152856	Fee-for-Service	1346236973	1346236973	2	2	VERMONT V.O. PHARMACY, INC.	6/7/2017	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	2655 W OLYMPIC BLVD	STE. 104	LOS ANGELES	CA	90006	2800	19	06037	34.05243121	-118.289956	Los Angeles County
152946	Fee-for-Service	1326131079	1326131079	1	1	VALLE VERDE PEDIATRICS	1/1/1979	174400000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	15525 POMERADO RD	STE B-1	POWAY	CA	92064	2425	37	06073	32.99479918	-117.0579468	San Diego County
152984	Fee-for-Service	1801058730	1801058730	1	1	VAINSTEIN, DAYNA S LMFT	8/14/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1114 STATE ST	STE 301	SANTA BARBARA	CA	93101	6705	42	06083	34.42272735	-119.7035573	Santa Barbara County
152993	Fee-for-Service	1396072500	1396072500	1	1	VANFOSSEN, BRIAN PHD	6/2/2021	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	3434 MIDWAY DRIVE	SUITE 2001	SAN DIEGO	CA	92110	4924	37	06073	32.75065153	-117.2126147	San Diego County
153009	Fee-for-Service	1649660077	1649660077	1	1	VIANI, CHRISTINA G LMFT	2/12/2021	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	104409	-	NOT APPLICABLE	0	In state provider	None	222 W VALERIO ST	REAR BUILDING	SANTA BARBARA	CA	93101	2930	42	06083	34.42532284	-119.7137898	Santa Barbara County
153121	Fee-for-Service	1821146853	1821146853	1	1	VOS, LAURIE L MD	1/14/2008	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	89748	08	Family Practice	0	In state provider	None	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
153131	Fee-for-Service	1457713091	1457713091	1	1	VIERLING, CHRISTINA L MD	6/17/2020	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	153523	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2075 SAN JOAQUIN HILLS R	None	NEWPORT BEACH	CA	92660	6505	30	06059	33.61676129	-117.869325	Orange County
153139	Fee-for-Service	1295027613	1295027613	1	1	VENTOCILLA, MARK OD INC	5/31/2011	152W00000X	NA	Other	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
153182	Fee-for-Service	1356568349	1356568349	1	1	VO, DARLINE T PSYD	11/27/2023	103TC2200X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
153211	Fee-for-Service	1235253097	1235253097	1	1	VANA, MILTON JR MD	7/1/1983	208G00000X	NA	General Surgery	026	PHYSICIANS	24029	33	Thoracic Surgery	0	In state provider	None	31873 CIRCLE DR	None	LAGUNA BEACH	CA	92651	6860	30	06059	33.49922693	-117.7431309	Orange County
153256	Fee-for-Service	1124229174	1124229174	1	1	VICTORIA BELMES	3/1/2004	164X00000X	NA	Other	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	1014 TIMBERWOOD	None	IRVINE	CA	92620	0273	30	06059	33.72901671	-117.7531863	Orange County
153258	Fee-for-Service	1932126802	1932126802	1	1	VLACHOS, KATRINA MD	1/3/2024	208100000X	NA	Physical Medicine and Rehabilitation	026	PHYSICIANS	68888	None	None	0	In state provider	None	5215 TORRANCE BLVD	210	TORRANCE	CA	90503	4009	19	06037	33.83760237	-118.3692467	Los Angeles County
153276	Fee-for-Service	1699979740	1699979740	1	1	VAZIRANI, LOIS M LCSW	5/19/2017	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	25825 VERMONT AVE	None	HARBOR CITY	CA	90710	3518	19	06037	33.78673844	-118.2965289	Los Angeles County
153416	Fee-for-Service	1922043587	1922043587	1	1	VELEZ, CESAR A MD	1/1/1997	208D00000X	NA	Adult Primary Care	026	PHYSICIANS	53490	08	Family Practice	0	In state provider	None	4500 TWEEDY BLVD	None	SOUTH GATE	CA	90280	6334	19	06037	33.94274481	-118.192551	Los Angeles County
153432	Fee-for-Service	1053623546	1053623546	1	1	VASUDEVAN, RAM R MD	9/11/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	96697	14	Neurological Surgery	0	In state provider	None	300 PASTEUR DRIVE	MC:5500	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
153497	Fee-for-Service	1881347789	1881347789	1	1	VAGHANI, DRASHTI PT	2/9/2022	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	27200 CALAROGA AVE	None	HAYWARD	CA	94545	4339	01	06001	37.63347961	-122.0897735	Alameda County
153526	Fee-for-Service	1215178207	1215178207	1	1	VANDORDAKLOU, NEGEAN MD	4/29/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	116606	66	Emergency Medicine (Urgent Care)	0	In state provider	None	101 THE CITY DR S	None	ORANGE	CA	90051	3266	30	06059	33.78674051	-117.8888713	Orange County
153564	Fee-for-Service	1104008887	1104008887	1	1	VU, GENTRY MD INC	12/12/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	90011	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	534 E MAPLE STREET	None	STOCKTON	CA	95204	6112	39	06077	37.96948196	-121.28765	San Joaquin County
153571	Fee-for-Service	1205966447	1205966447	1	1	VANDENBOS, MONIQUE A LMFT	4/20/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1550 GATEWAY BLVD	None	FAIRFIELD	CA	94533	6901	48	06095	38.2629133	-122.0560176	Solano County
153620	Fee-for-Service	1447493432	1447493432	1	1	VASEGHI, MARMAR MD	8/2/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	87382	41	Internal Medicine	0	In state provider	None	200 MEDICAL PLAZA	#365	LOS ANGELES	CA	90024	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
153705	Fee-for-Service	1922043587	1922043587	1	1	VELEZ, CESAR A MD	1/1/1997	208D00000X	NA	Adult Primary Care	026	PHYSICIANS	53490	01	General Practice	0	In state provider	None	4500 TWEEDY BLVD	None	SOUTH GATE	CA	90280	6334	19	06037	33.94274481	-118.192551	Los Angeles County
153737	Fee-for-Service	1114180965	1114180965	1	1	VANORE, JOHN F MD INC	5/24/1980	No Taxonomy Provided	NA	None	026	PHYSICIANS	29478	41	Internal Medicine	0	In state provider	None	1700 E CESAR E CHAVEZ AV	2500	LOS ANGELES	CA	90033	2410	19	06037	34.05101259	-118.217259	Los Angeles County
153771	Fee-for-Service	1376589986	1376589986	1	1	VONS COMPANIES, INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	130 W FOOTHILL BLVD	None	MONROVIA	CA	91016	2171	19	06037	34.1512797	-118.0022275	Los Angeles County
153803	Fee-for-Service	1447324843	1447324843	1	1	VANGTHAO, VALERIE LMFT	8/1/2023	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	None	-	NOT APPLICABLE	0	In state provider	None	560 COHASSET ROAD	STE 165	CHICO	CA	95926	2460	04	06007	39.7519137	-121.8477606	Butte County
153846	Fee-for-Service	1104807809	1104807809	1	1	VANSUCH, JOSEPH OD INC	2/8/2015	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	128 E KATELLA AVE	STE 5	ORANGE	CA	92867	4836	30	06059	33.80907053	-117.8521245	Orange County
153905	Fee-for-Service	1447493432	1447493432	1	1	VASEGHI, MARMAR MD	8/2/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	87382	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	200 MEDICAL PLAZA	#365	LOS ANGELES	CA	90024	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
153911	Fee-for-Service	1962098640	1962098640	1	2	VIA CARE COMMUNITY HEALTH	5/1/2024	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	10230 ARTESIA BLVD	STE 207,208,209,211,218	BELLFLOWER	CA	90706	6763	19	06037	33.8728276	-118.1160403	Los Angeles County
153981	Fee-for-Service	1730613266	1730613266	1	1	VALLEY VIEW CONGREGATE	6/14/2017	No Taxonomy Provided	NA	None	059	HOME AND COMMUNITY BASED SERVICES NURSING FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	6451 GILSON AVE	None	NORTH HOLLYWOOD	CA	91606	1222	19	06037	34.18782714	-118.4108456	Los Angeles County
154026	Fee-for-Service	1114180965	1114180965	1	1	VANORE, JOHN F MD INC	5/24/1980	No Taxonomy Provided	NA	None	026	PHYSICIANS	29478	04	Otology, Laryngology, Rhinology	0	In state provider	None	1700 E CESAR E CHAVEZ AV	2500	LOS ANGELES	CA	90033	2410	19	06037	34.05101259	-118.217259	Los Angeles County
154096	Fee-for-Service	1679616395	1679616395	1	1	VOERMANEK, SILVIA LMFT	6/5/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1400 VETERANS BLVD	None	REDWOOD CITY	CA	94063	2612	41	06081	37.48892015	-122.218747	San Mateo County
154105	Fee-for-Service	1356598825	1356598825	1	5	VALLEY CARE MEDICAL	1/13/2009	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	FOUNDATION INC	1133 E STANLEY	SUITE 205	LIVERMORE	CA	94550	4270	01	06001	37.67914693	-121.7810206	Alameda County
154138	Fee-for-Service	1073822573	1073822573	1	1	VAN DYK, ALYSSA MD	6/18/2018	207VX0000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	132809	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	ONE HOAG DR	6100	NEWPORT BEACH	CA	92658	6100	30	06059	33.62421676	-117.9309656	Orange County
154198	Fee-for-Service	1962098640	1962098640	1	2	VIA CARE COMMUNITY HEALTH	5/1/2024	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	10230 ARTESIA BLVD	STE 207,208,209,211,218	BELLFLOWER	CA	90706	6763	19	06037	33.8728276	-118.1160403	Los Angeles County
154225	Fee-for-Service	1437599164	1437599164	1	1	VITAE DIAGNOSTICS INCORPORAT	9/15/2019	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	None	3838 DEL AMO BLVD	STE 202	TORRANCE	CA	90503	7710	19	06037	33.84857952	-118.354941	Los Angeles County
154230	Fee-for-Service	1730287970	1730287970	1	1	VILLONA, BARBRA U MD	11/1/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	136260	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2700 DOLBEER ST	None	EUREKA	CA	95501	4736	12	06023	40.78355148	-124.1420294	Humboldt County
154243	Fee-for-Service	1053765453	1053765453	1	3	VOTC, INC	10/1/2019	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	3647 RICARDO AVE	None	REDDING	CA	96002	2627	45	06089	40.55302414	-122.3576656	Shasta County
154351	Fee-for-Service	1184044695	1184044695	1	1	VOLETI, SONIA L MD	10/1/2020	2080P0202X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	170044	06	Cardiovascular Disease (M.D. only)	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
154401	Fee-for-Service	1093755274	1093755274	1	1	VANDIAN,VARDGES DO	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	19829 N 27TH AVE	None	PHOENIX	AZ	85351	0000	00	None	33.665616	-112.116267	Maricopa County
154419	Fee-for-Service	1679107536	1679107536	1	1	VOGELSANG, NICOLE LMFT	7/29/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	244 CALIFORNIA	STE 300	SAN FRANCISCO	CA	94111	4302	38	06075	37.79331375	-122.3995607	San Francisco County
154440	Fee-for-Service	1679657985	1679657985	1	1	VANDERBILT, JOHN J	9/14/2006	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	VANDERBILT PHYSICAL THER	107 S HARDING BLVD	STE B	ROSEVILLE	CA	95678	3354	31	06061	38.74363607	-121.2742304	Placer County
154444	Fee-for-Service	1942567136	1942567136	1	1	VOROUS, MONIQUE A PHD	8/21/2013	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	6600 BRUCEVILLE ROAD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
154472	Fee-for-Service	1952835514	1952835514	1	1	VU, KENNEY DO	9/6/2023	2084P0800X	NA	Psychiatry	026	PHYSICIANS	-	None	None	1	Border provider	None	5400 SOUTH RAINBOW BLVD.	None	LAS VEGAS	NV	89118	1859	00	None	36.090072	-115.2405585	Clark County
154479	Fee-for-Service	1134501109	1134501109	1	1	VU, JERRY PSYD	7/7/2015	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	275 VICTORIA STREET	STE 2A	COSTA MESA	CA	92627	1906	30	06059	33.6526055	-117.910746	Orange County
154546	Fee-for-Service	1134209471	1134209471	1	1	VICK, GILES W MD	8/1/2021	2080P0202X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	-	None	None	2	Out of state provider	None	6621 FANNIN STREET	None	HOUSTON	TX	77030	2303	00	None	29.70724683	-95.4026169	Harris County
154563	Fee-for-Service	1639893985	1639893985	1	1	VIP NEMT LLC	1/26/2023	343900000X	Both NEMT & NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	1624 K ST	E	MERCED	CA	95340	4814	24	06047	37.30026066	-120.4821318	Merced County
154638	Fee-for-Service	1184044695	1184044695	1	1	VOLETI, SONIA L MD	10/1/2020	2080P0202X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	170044	40	Pediatrics	0	In state provider	None	11370 ANDERSON ST	STE B-100	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
154723	Fee-for-Service	1619188950	1619188950	1	1	VALENCIA, ARMIDA LMFT	8/23/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
154757	Fee-for-Service	1205090933	1205090933	1	1	VICTA, OLGA ARMIE G MD	5/18/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	144699	36	Psychiatry	0	In state provider	None	4785 N FIRST STREET	None	FRESNO	CA	93726	0513	10	06019	36.80478	-119.7724585	Fresno County
154760	Fee-for-Service	1265517924	1265517924	1	1	VELEK, DAVID J MD	8/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	67165	41	Internal Medicine	0	In state provider	None	901 NEVIN AVE	None	RICHMOND	CA	94801	3143	07	06013	37.93684848	-122.361345	Contra Costa County
154846	Fee-for-Service	1104469998	1104469998	1	1	VACHON-LAGUARDIA, BRITNEY K	8/3/2020	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	LCSW	7293 DUMOSA AVE	SUITE 5, 7 & 8	YUCCA VALLEY	CA	92284	3700	36	06071	34.12094334	-116.4177385	San Bernardino County
154849	Fee-for-Service	1275796633	1275796633	1	1	VARAV, KALLE MD APC	7/29/2008	193400000X	NA	Other	026	PHYSICIANS	61783	05	Anesthesiology	0	In state provider	None	3800 JANES ROAD	None	ARCATA	CA	95521	4742	12	06023	40.89645172	-124.0930637	Humboldt County
154983	Fee-for-Service	1538614391	1538614391	2	1	VAN NUYS MEDICAL PHARMACY	12/14/2018	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	8737 VAN NUYS BLVD	UNIT B	PANORAMA CITY	CA	91402	2401	19	06037	34.2284967	-118.4502302	Los Angeles County
155005	Fee-for-Service	1922139716	1922139716	1	1	VINEY, GEORGE MFT	6/20/2016	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	84763	-	NOT APPLICABLE	0	In state provider	None	15305 RAYEN STREET	None	NORTH HILLS	CA	91343	5117	19	06037	34.23191048	-118.4657625	Los Angeles County
155048	Fee-for-Service	1225143084	1225143084	1	1	VAN TESSEL, JASON R MD	12/22/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	79305	84	Surgery-Head and Neck	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
155059	Fee-for-Service	1548365869	1548365869	1	1	VILLANUEVA, GAIL L Z PHD	12/3/2015	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	13861	-	NOT APPLICABLE	0	In state provider	None	110 LA PAZ AVENUE	None	SANTA BARBARA	CA	93101	1905	42	06083	34.42780141	-119.7075735	Santa Barbara County
155237	Fee-for-Service	1275614786	1275614786	1	1	VINK, AMY PA	2/8/2015	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1601 W SAINT MARYS RD	None	TUCSON	AZ	85745	2623	00	None	32.228199	-111.0000825	Pima County
155406	Fee-for-Service	1902469828	1902469828	1	1	VIRGO HOSPICE INC	2/28/2020	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	1740 HUNTINGTON DR	STE 205	DUARTE	CA	91010	2580	19	06037	34.13957386	-117.9675577	Los Angeles County
155475	Fee-for-Service	1073999470	1073999470	1	1	VISTA MONTANA SENIOR LIVING	5/20/2016	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	LLC	155 N GIRARD ST	None	HEMET	CA	92544	4624	33	06065	33.749208	-116.9543285	Riverside County
155609	Fee-for-Service	1497748081	1497748081	2	1	VIBRA HOSPITAL OF SAN BERNAR	7/1/2008	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	1760 WEST 16TH STREET	None	SAN BERNARDINO	CA	92411	1160	36	06071	34.12857759	-117.3252109	San Bernardino County
155620	Fee-for-Service	1700838018	1700838018	1	1	VU, YEN P OD	10/11/2006	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	12081 EUCLID ST	None	GARDEN GROVE	CA	92840	3332	30	06059	33.7874727	-117.9413069	Orange County
155635	Fee-for-Service	1215591920	1215591920	1	1	VENTURA COUNTY PODIATRIC MED	7/6/2020	213ES0103X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	711 N A STREET	None	OXNARD	CA	93030	4309	56	06111	34.209063	-119.1784975	Ventura County
155659	Fee-for-Service	1578616520	1578616520	1	1	VAIDYA, NADEEM N MD	12/17/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	117865	18	Ophthalmology	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
155678	Fee-for-Service	1477836039	1477836039	1	1	VILLANUEVA DIALYSIS LLC	10/10/2012	No Taxonomy Provided	NA	None	042	CHRONIC DIALYSIS CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	17207 JASMINE STREET	None	VICTORVILLE	CA	92395	7786	36	06071	34.47489969	-117.2865767	San Bernardino County
155693	Fee-for-Service	1902469828	1902469828	1	1	VIRGO HOSPICE INC	2/28/2020	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	1740 HUNTINGTON DR	STE 205	DUARTE	CA	91010	2580	19	06037	34.13957386	-117.9675577	Los Angeles County
155712	Fee-for-Service	1407381320	1407381320	1	1	VIBRA REHABILITATION	11/2/2018	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	SOUTHERN CALIFORNIA LLC	70077 RAMON RD	None	RANCHO MIRAGE	CA	92270	5201	33	06065	33.81587854	-116.4396933	Riverside County
155754	Fee-for-Service	1649588252	1649588252	1	1	VILLANUEVA, MARY ANN NP	2/6/2017	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	14011 PARK AVENUE	None	VICTORVILLE	CA	92392	2413	36	06071	34.505647	-117.3265457	San Bernardino County
155895	Fee-for-Service	1588721385	1588721385	1	1	VENDIOLA KOKMEYER,	3/30/2004	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	MARILOU CRNA	250 HOSPITAL PKWY	None	SAN JOSE	CA	95119	1103	43	06085	37.23948065	-121.8005798	Santa Clara County
155899	Fee-for-Service	1497748081	1497748081	2	1	VIBRA HOSPITAL OF SAN BERNAR	7/1/2008	283X00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	1760 WEST 16TH STREET	None	SAN BERNARDINO	CA	92411	1160	36	06071	34.12857759	-117.3252109	San Bernardino County
155909	Fee-for-Service	1720116320	1720116320	1	1	VAZQUEZ, MANUEL R LMFT	11/11/2019	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	818 N MOUNTAIN AVE	STE 219	UPLAND	CA	91786	4165	36	06071	34.10424442	-117.6701797	San Bernardino County
155971	Fee-for-Service	1942737473	1942737473	1	1	VOLTZ, KELLY OD	10/12/2022	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
155999	Fee-for-Service	1407381320	1407381320	1	1	VIBRA REHABILITATION	11/2/2018	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	SOUTHERN CALIFORNIA LLC	70077 RAMON RD	None	RANCHO MIRAGE	CA	92270	5201	33	06065	33.81587854	-116.4396933	Riverside County
156020	Fee-for-Service	1932117116	1932117116	1	1	VANDEVORT, KURT A MD	7/29/1996	No Taxonomy Provided	NA	None	026	PHYSICIANS	83277	41	Internal Medicine	0	In state provider	None	401 OLD SAN FRANCISCO RD	None	SUNNYVALE	CA	94086	6387	43	06085	37.36777579	-122.0276404	Santa Clara County
156045	Fee-for-Service	1306257613	1306257613	1	1	VAKANI, VISHAL MD	12/20/2024	208M00000X	NA	Other	026	PHYSICIANS	None	08	Family Practice	0	In state provider	None	1303 E HERNDON AVE	None	FRESNO	CA	93720	3309	10	06019	36.83626596	-119.7674879	Fresno County
156130	Fee-for-Service	1356568919	1356568919	1	1	VALLEY MULTI SPECIALTY SURG	11/22/2010	No Taxonomy Provided	NA	None	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	CENTER	7012 RESEDA BLVD	STE D	RESEDA	CA	91335	4219	19	06037	34.197975	-118.5360215	Los Angeles County
156198	Fee-for-Service	1205897568	1205897568	1	4	VALLEY RADIOLOGY CONSULTANTS	1/1/2000	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	02	General Surgery	0	In state provider	MEDICAL GROUP, INC	15725 POMERADO RD	None	POWAY	CA	92064	2068	37	06073	33.00037882	-117.0580735	San Diego County
156282	Fee-for-Service	1316976368	1316976368	1	1	VONS COMPANIES INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	3610 ADAMS AVE	None	SAN DIEGO	CA	92116	2212	37	06073	32.76335447	-117.1146375	San Diego County
156369	Fee-for-Service	1134235989	1134235989	1	1	VICTOR E TUCKLER, MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1415 TULANE AVE	None	NEW ORLEANS	LA	70112	2600	00	None	29.95527949	-90.07612766	Orleans Parish
156400	Fee-for-Service	1417297912	1417297912	1	1	VOLK, CHARLES	8/1/2019	207R00000X	NA	Other	026	PHYSICIANS	133229	41	Internal Medicine	0	In state provider	None	435 H ST	None	CHULA VISTA	CA	91910	4307	37	06073	32.63282707	-117.0829101	San Diego County
156486	Fee-for-Service	1205897568	1205897568	1	4	VALLEY RADIOLOGY CONSULTANTS	1/1/2000	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	MEDICAL GROUP, INC	15725 POMERADO RD	None	POWAY	CA	92064	2068	37	06073	33.00037882	-117.0580735	San Diego County
156510	Fee-for-Service	1982607750	1982607750	2	1	VEGA, RICARDO R MD	10/20/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	65736	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	200 WEST ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
156622	Fee-for-Service	1487430997	1487430997	1	1	VACA NAVARRO, GRACIELA BIRT	9/24/2023	374J00000X	NA	Other	106	DOULA INDIVIDUAL PROVIDER	-	-	NOT APPLICABLE	0	In state provider	Addresses not published for Doula Providers	N/A	N/A	N/A	N/A	N/A	N/A	01	06001	0	0	None
156662	Fee-for-Service	1386678845	1386678845	1	1	VUKICEVIC, JELENA V MD	2/28/1991	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	48868	40	Pediatrics	0	In state provider	None	1350 WILLOW RD	STE 202	MENLO PARK	CA	94025	1516	41	06081	37.47713734	-122.1521704	San Mateo County
156767	Fee-for-Service	1275630162	1275630162	1	1	VRADENBURG-HAWORTH, J MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	74822	08	Family Practice	0	In state provider	None	372 W CYPRESS AVE	None	REEDLEY	CA	93654	2113	10	06019	36.60784193	-119.4520057	Fresno County
156770	Fee-for-Service	1174941991	1174941991	1	1	VISSA, MADHAV MD	6/9/2021	2080P0207X	NA	Hematology	026	PHYSICIANS	154321	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
156852	Fee-for-Service	1750408589	1750408589	1	1	VAGT, LEE H DC	7/3/1980	No Taxonomy Provided	NA	None	006	CHIROPRACTORS	-	-	NOT APPLICABLE	0	In state provider	None	461 N STATE ST	None	UKIAH	CA	95482	4421	23	06045	39.15304128	-123.2081297	Mendocino County
156893	Fee-for-Service	1194912741	1194912741	1	1	VALLEY VIEW FAMILY	9/10/1986	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	MEDICAL GROUP	14400 ROSCOE BLVD	STE B	PANORAMA CITY	CA	91402	3001	19	06037	34.2215399	-118.4475682	Los Angeles County
157019	Fee-for-Service	1134507486	1134507486	1	1	VILLEGAS, LUIS MD	8/1/2019	207P00000X	NA	Other	026	PHYSICIANS	160813	66	Emergency Medicine (Urgent Care)	0	In state provider	None	800 S MAIN ST	None	CORONA	CA	92882	3420	33	06065	33.872958	-117.568359	Riverside County
157068	Fee-for-Service	1386050557	1386050557	1	1	VALLEY PHARMACY EXPRESS LLC	3/20/2016	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	835 C STREET	SUITE 180	GALT	CA	95632	2801	34	06067	38.253969	-121.2992235	Sacramento County
157074	Fee-for-Service	1831704147	1831704147	1	1	VU, TU-ANH T OD	5/16/2023	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	12100 WILSHIRE BLVD.	SUITE 1275	LOS ANGELES	CA	90025	7143	19	06037	34.04370122	-118.4678993	Los Angeles County
157118	Fee-for-Service	1881018604	1881018604	1	2	VILLAREAL, MARIA C A CRNA	6/12/2014	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	825 DELBON AVE	None	TURLOCK	CA	95382	2016	50	06099	37.51052943	-120.8386573	Stanislaus County
157130	Fee-for-Service	1447329834	1447329834	1	1	VAUGHN, KEVIN PT	5/12/2020	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1044 MANGROVE AVE	None	CHICO	CA	95926	3509	04	06007	39.74053676	-121.8373879	Butte County
157303	Fee-for-Service	1801130398	1801130398	1	1	VALADEZ, ANDREA M MD	7/7/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	122732	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
157316	Fee-for-Service	1770635229	1770635229	1	1	VICTOR CALCOTE	5/3/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	3109 BIENVILLE BLVD	None	OCEAN SPRINGS	MS	39564	4361	00	None	30.41253796	-88.78115264	Jackson County
157388	Fee-for-Service	1992836985	1992836985	1	1	VEGA, BRENDA B	2/2/2009	No Taxonomy Provided	NA	None	005	CERTIFIED NURSE MIDWIFE	-	None	None	0	In state provider	None	18300 HIGHWAY 18	None	APPLE VALLEY	CA	92307	0725	36	06071	34.5406159	-117.2658221	San Bernardino County
157389	Fee-for-Service	1710321328	1710321328	1	1	VALLEY PHYSICIANS SURGERY CE	1/23/2023	261QA1903X	NA	Other	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	NTER	18330 ROSCOE BLVD	None	NORTHRIDGE	CA	91325	4105	19	06037	34.2207147	-118.5329907	Los Angeles County
157424	Fee-for-Service	1609006410	1609006410	1	1	VILLAGRA DIAZ, MIGUEL A MD	10/19/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	41	Internal Medicine	1	Border provider	None	235 W 6TH ST	None	RENO	NV	89503	4548	00	None	39.53165987	-119.8181899	Washoe County
157489	Fee-for-Service	1386171791	1386171791	1	1	VENKATESWARAN, APARAJIT MD	6/28/2024	390200000X	NA	Other	026	PHYSICIANS	162208	41	Internal Medicine	0	In state provider	None	9850 GENESEE AVE	STE 560	LA JOLLA	CA	92037	1229	37	06073	32.882913	-117.226341	San Diego County
157581	Fee-for-Service	1265767636	1265767636	1	1	VIRK, RICK LMFT	5/25/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4785 N FIRST STREET	None	FRESNO	CA	93726	0513	10	06019	36.80478	-119.7724585	Fresno County
157595	Fee-for-Service	1184829129	1184829129	1	1	VAND VEGTE, KAREN L	7/6/2010	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	4510 VIEWRIDGE AVENUE	None	SAN DIEGO	CA	92123	1637	37	06073	32.82283469	-117.1248707	San Diego County
157660	Fee-for-Service	1588896807	1588896807	1	1	VEIN CLINIC INC	1/26/2010	193400000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	1671 W MAIN STREET	SUITE A	EL CENTRO	CA	92243	5420	13	06025	32.79277051	-115.5732165	Imperial County
157779	Fee-for-Service	1588118822	1588118822	1	1	VASCO, CATHERINE M LCSW	3/19/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	725 WELCH RD	None	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
157828	Fee-for-Service	1285892117	1285892117	1	1	VAID, SHALINI K MD	5/14/2018	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	140118	08	Family Practice	0	In state provider	None	350 30TH ST	100	OAKLAND	CA	94609	3422	01	06001	37.81892183	-122.2640154	Alameda County
157987	Fee-for-Service	1396887980	1396887980	1	1	VAZQUEZ, FANNY LMFT	12/6/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4433 E VILLAGE RD	STE G	LONG BEACH	CA	90808	1505	19	06037	33.83397238	-118.1408189	Los Angeles County
158028	Fee-for-Service	1447267562	1447267562	1	1	VIP EXPRESS TRANSPORT	10/22/2004	No Taxonomy Provided	NEMT Provider	None	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	INC	4621 FOOTHILL BLVD	None	OAKLAND	CA	94601	4635	01	06001	37.77337875	-122.2091087	Alameda County
158056	Fee-for-Service	1427760982	1427760982	1	1	VERDE, GODLAND P NP	11/14/2024	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
158077	Fee-for-Service	1255352431	1255352431	1	1	VO, THUAN H MD AMC	5/20/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	63971	41	Internal Medicine	0	In state provider	None	9024 BOLSA AVE	None	WESTMINSTER	CA	92683	5531	30	06059	33.74469237	-117.9712944	Orange County
158081	Fee-for-Service	1548615487	1548615487	1	1	VISTA HILL FOUNDATION	5/6/2016	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	6905 SKYLINE DRIVE	None	SAN DIEGO	CA	92114	5928	37	06073	32.70261252	-117.048231	San Diego County
158156	Fee-for-Service	1073726832	1073726832	1	1	VASANAWALA, MINAL S MD	9/10/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	89618	42	Nuclear Medicine	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
158158	Fee-for-Service	1841657020	1841657020	1	1	VARGAS, JAZMIN E LMFT	6/23/2023	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1835 SUNNYCREST DR	None	FULLERTON	CA	92835	3616	30	06059	33.89224326	-117.9312781	Orange County
158240	Fee-for-Service	1881823797	1881823797	1	1	VELEZ, MICHAEL D MD	11/6/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	115589	None	None	0	In state provider	None	9333 IMPERIAL HWY	None	DOWNEY	CA	90242	2812	19	06037	33.918975	-118.1291985	Los Angeles County
158316	Fee-for-Service	1689878225	1689878225	1	1	VITTO, VINCENZO DO	11/8/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	10844	25	Physical Medicine and Rehabilitation	0	In state provider	None	99 MONTECILLO RD	None	SAN RAFAEL	CA	94903	3308	21	06041	38.00450116	-122.5540001	Marin County
158326	Fee-for-Service	1851754998	1851754998	1	1	VAKILI, VESAL LMFT	4/8/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	17782 COWAN STE A	None	IRVINE	CA	92614	6041	30	06059	33.69590054	-117.862371	Orange County
158366	Fee-for-Service	1003322199	1003322199	1	1	VALDEZ, JANICE H LMFT	7/15/2022	101YA0400X	NA	Other	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
158416	Fee-for-Service	1033416557	1033416557	1	1	VELOSO, AUDREY M V MD	10/29/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	155475	01	General Practice	0	In state provider	None	2 WEST FERN	None	REDLANDS	CA	92373	5916	36	06071	34.05016907	-117.1793443	San Bernardino County
158584	Fee-for-Service	1407158348	1407158348	1	1	VAISMAN, G INC	7/6/2011	193400000X	NA	Other	026	PHYSICIANS	37005	01	General Practice	0	In state provider	None	2299 POST ST	STE 201	SAN FRANCISCO	CA	94415	3473	38	06075	37.78434298	-122.4392033	San Francisco County
158588	Fee-for-Service	1831101872	1831101872	1	1	VANSTRUM, GLENN MD	10/31/1982	207L00000X	NA	Other	026	PHYSICIANS	44718	66	Emergency Medicine (Urgent Care)	0	In state provider	None	5565 GROSSMONT CENTER DR	None	LA MESA	CA	91942	3020	37	06073	32.77978322	-117.0094766	San Diego County
158614	Fee-for-Service	1083759195	1083759195	1	1	VICTOR VALLEY NEUROLOGY, INC	6/5/2023	2084N0400X	NA	Neurology	026	PHYSICIANS	None	None	None	0	In state provider	None	16167 SISKIYOU RD	SUITE B	APPLE VALLEY	CA	92307	0836	36	06071	34.54496692	-117.2664417	San Bernardino County
158645	Fee-for-Service	1639798952	1639798952	1	1	VEEN, JULIA C DO	10/16/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	22165	None	None	0	In state provider	None	892 AEROVISTA PLACE	210	SAN LUIS OBISPO	CA	93401	8252	40	06079	35.24277125	-120.6405941	San Luis Obispo County
158665	Fee-for-Service	1922142496	1922142496	1	1	VALLIER, CHRISTOPHER A LCSW	4/5/2023	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	190 SIERRA CT	STE 319 BLDG A6	PALMDALE	CA	93550	7606	19	06037	34.64013337	-118.1280539	Los Angeles County
158707	Fee-for-Service	1457962011	1457962011	1	1	VAZQUEZ, CHRISTOPHER CRNA	5/22/2023	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1700 MT VERNON AVE	None	BAKERSFIELD	CA	93306	4018	15	06029	35.382555	-118.970757	Kern County
158788	Fee-for-Service	1942279880	1942279880	1	1	VEERAMACHANENI, SURESH	6/21/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	74669	41	Internal Medicine	0	In state provider	None	1310 W STEWART DR	STE 410	ORANGE	CA	92868	3855	30	06059	33.78236048	-117.8664975	Orange County
158790	Fee-for-Service	1356360804	1356360804	1	1	VEMPILLY, JOSE J MD	3/24/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	93681	41	Internal Medicine	0	In state provider	None	445 S CEDAR AVE	None	FRESNO	CA	93702	2907	10	06019	36.7382512	-119.7543688	Fresno County
158793	Fee-for-Service	1689283251	1689283251	1	1	VERMA, KRISTY LPCC	4/14/2023	101YM0800X	NA	Other	103	LICENSED PROFESSIONAL CLINICAL COUNSELOR - INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	5850 EL CAMINO REAL	None	ATASCADERO	CA	93422	3318	40	06079	35.48962035	-120.670989	San Luis Obispo County
158835	Fee-for-Service	1831932052	1831932052	1	1	VASQUEZ LOPEZ, DALIA L BIRTH	9/21/2024	374J00000X	NA	Other	106	DOULA INDIVIDUAL PROVIDER	-	-	NOT APPLICABLE	0	In state provider	Addresses not published for Doula Providers	N/A	N/A	N/A	N/A	N/A	N/A	38	06075	0	0	None
158894	Fee-for-Service	1750824504	1750824504	1	1	VILLARROEL, MELANIE OT	1/27/2020	225XP0200X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1301 W ARROW HWY	130	SAN DIMAS	CA	91773	2330	19	06037	34.10677054	-117.8331379	Los Angeles County
158969	Fee-for-Service	1932289626	1932289626	1	1	VAUGHAN, JOHN C MD	2/8/2015	207YX0901X	NA	ENT/Otolaryngology	026	PHYSICIANS	39897	04	Otology, Laryngology, Rhinology	0	In state provider	None	9850 GENESEE AVE	STE 650	LA JOLLA	CA	92037	1231	37	06073	32.882913	-117.226341	San Diego County
159051	Fee-for-Service	1740573013	1740573013	1	1	VARGAS CUESTA, VICTOR M MD	2/6/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	99927	40	Pediatrics	0	In state provider	None	290 N WAYTE LN	None	FRESNO	CA	93701	2124	10	06019	36.74643429	-119.7837416	Fresno County
159077	Fee-for-Service	1356360804	1356360804	1	1	VEMPILLY, JOSE J MD	3/24/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	93681	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	445 S CEDAR AVE	None	FRESNO	CA	93702	2907	10	06019	36.7382512	-119.7543688	Fresno County
159092	Fee-for-Service	1396740536	1396740536	1	1	VELASCO, ALFONSO MD	12/21/2011	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	29360	08	Family Practice	0	In state provider	None	4011 N FRESNO ST	STE 101	FRESNO	CA	93726	4028	10	06019	36.79061495	-119.7814544	Fresno County
159093	Fee-for-Service	1881718088	1881718088	1	1	VALADEZ, IBETH A LCSW	2/13/2018	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	445 E ANAHEIM ST	None	WILMINGTON	CA	90744	4600	19	06037	33.78025372	-118.2579305	Los Angeles County
159114	Fee-for-Service	1548616667	1548616667	1	1	VANTRESS, NIAMBI NP	12/16/2024	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	7677 CENTER AVE	SUITE 214	HUNTINGTON BEACH	CA	92647	3074	30	06059	33.736257	-117.995535	Orange County
159158	Fee-for-Service	1669521621	1669521621	1	1	VENTURINA, ARTURO MD	3/31/1991	No Taxonomy Provided	NA	None	026	PHYSICIANS	42566	08	Family Practice	0	In state provider	#205	430 E AVENIDA DE LOS ARB	None	THOUSAND OAKS	CA	91360	3017	56	06111	34.21786948	-118.8693896	Ventura County
159180	Fee-for-Service	1851476865	1851476865	1	1	VAZAGOV, KOZUR I OD	12/8/2008	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	4566 FLORENCE AVE	STE 6	CUDAHY	CA	90201	4347	19	06037	33.97004595	-118.1858787	Los Angeles County
159315	Fee-for-Service	1659324077	1659324077	1	1	VINUELA, FERNANDO MD	4/30/1991	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	50014	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
159482	Fee-for-Service	1699394734	1699394734	1	1	VU, ANTHONY MD	8/23/2023	390200000X	NA	Other	026	PHYSICIANS	185330	None	None	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
159484	Fee-for-Service	1457060642	1457060642	1	1	VON RITTER, CATHERINE	1/17/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	6203 SAN IGNACIO AVENUE	SUITE 110	SAN JOSE	CA	95119	1325	43	06085	37.23598537	-121.7783065	Santa Clara County
159487	Fee-for-Service	1407953243	1407953243	1	1	VENTURA CENTRAL PHARMACY INC	8/30/2004	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	16661 VENTURA BLVD	STE 111	ENCINO	CA	91436	1920	19	06037	34.15820737	-118.496492	Los Angeles County
159545	Fee-for-Service	1235595265	1235595265	1	1	VONS COMPANIES INC	7/6/2016	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	671 S RANCHO SANTA FE	None	SAN MARCOS	CA	92078	3973	37	06073	33.13300154	-117.2071291	San Diego County
159597	Fee-for-Service	1558472720	1558472720	1	1	VALLE VERDE MED GROUP IN	10/1/2001	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	1332 NATIVIDAD RD	STE C	SALINAS	CA	93906	3133	27	06053	36.69909137	-121.635247	Monterey County
159636	Fee-for-Service	1720033301	1720033301	1	1	VISALIA ANESTHESIA	11/30/1995	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	05	Anesthesiology	0	In state provider	None	400 W MINERAL KING AVE	None	VISALIA	CA	93291	6237	54	06107	36.327888	-119.294919	Tulare County
159807	Fee-for-Service	1124649496	1124649496	1	1	VINCENT, VANESSA C CCC-SLP	5/26/2023	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	9455 CLAIREMONT MESA BLV	None	SAN DIEGO	CA	92123	1297	37	06073	32.83133206	-117.1252363	San Diego County
159851	Fee-for-Service	1639670714	1639670714	1	1	VAN BARNEVELD, AMY H LMFT	9/5/2019	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	13400 RIVERSIDE DR	#318	SHERMAN OAKS	CA	91423	2501	19	06037	34.1575865	-118.4247405	Los Angeles County
159880	Fee-for-Service	1699020644	1699020644	1	1	VILLASENOR, VANESSA D LMFT	4/4/2022	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	591 CAMINO DE LA REINA U	802	SAN DIEGO	CA	92108	3102	37	06073	32.76632791	-117.1616245	San Diego County
159900	Fee-for-Service	1821450727	1821450727	1	1	VILLALOBOS, GABRIELA LPCC	1/27/2024	101Y00000X	NA	Other	103	LICENSED PROFESSIONAL CLINICAL COUNSELOR - INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1400 VETERANS BLVD	None	REDWOOD CITY	CA	94063	2612	41	06081	37.48892015	-122.218747	San Mateo County
159932	Fee-for-Service	1598850562	1598850562	1	1	VO, CHRISTINA S MD	3/7/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	81265	40	Pediatrics	0	In state provider	None	5700 TELEGRAPH AVE	SUITE 100	OAKLAND	CA	94609	1710	01	06001	37.84323585	-122.2614659	Alameda County
159952	Fee-for-Service	1831258573	1831258573	1	1	VILLICANA, RODOLFO A MD	12/26/2007	207R00000X	NA	Other	026	PHYSICIANS	89180	41	Internal Medicine	0	In state provider	None	441 N LAKEVIEW AVENUE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
160195	Fee-for-Service	1760723191	1760723191	1	1	VARMA, MEKHLA MD	9/13/2022	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	180789	None	None	0	In state provider	None	50 S SAN MATEO DR	SUITE 180	SAN MATEO	CA	94401	3859	41	06081	37.56634141	-122.3261145	San Mateo County
160291	Fee-for-Service	1518126010	1518126010	1	1	VAN DUSEN, ELI M PSYD	11/2/2021	106H00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	5838 EDISON PL	None	CARLSBAD	CA	92008	5520	37	06073	33.12181055	-117.2840499	San Diego County
160296	Fee-for-Service	1750545406	1750545406	2	1	VALLEY CENTER OPTOMETRY APC	8/1/2013	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	29115 VALLEY CENTER RD	STE E	VALLEY CENTER	CA	92082	7366	37	06073	33.2311462	-117.0256705	San Diego County
160308	Fee-for-Service	1346223443	1346223443	1	1	VEMULAPALLI, SHAILAJA MD	8/8/2022	207R00000X	NA	Other	026	PHYSICIANS	81351	None	None	0	In state provider	None	1617 RAMIREZ ST	None	MARYSVILLE	CA	95901	4334	58	06115	39.15378567	-121.5832911	Yuba County
160393	Fee-for-Service	1720378581	1720378581	1	1	VERMA, SUNITA MD	3/23/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	146900	41	Internal Medicine	0	In state provider	None	500 W HOSPITAL ROAD	None	FRENCH CAMP	CA	95231	9693	39	06077	37.88652418	-121.2820956	San Joaquin County
160419	Fee-for-Service	1962936237	1962936237	1	1	VERA, LUIS A MD	8/10/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	179188	None	None	0	In state provider	None	555 TACHEVAH DR	SUITE 2E-107	PALM SPRINGS	CA	92262	5752	33	06065	33.83753681	-116.5424435	Riverside County
160443	Fee-for-Service	1942775101	1942775101	1	1	VELAZQUEZ, JESUS LPCC	8/9/2024	101YP2500X	NA	Other	103	LICENSED PROFESSIONAL CLINICAL COUNSELOR - INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	41593 WINCHESTER RD	215	TEMECULA	CA	92590	4860	33	06065	33.52030169	-117.1659061	Riverside County
160505	Fee-for-Service	1598821027	1598821027	1	1	VALLEY HEALTH TEAM INC	2/1/1995	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	SAN JOAQUIN HEALTH CTR	21890 COLORADO AVE	None	SAN JOAQUIN	CA	93660	0737	10	06019	36.60503136	-120.1850897	Fresno County
160549	Fee-for-Service	1669966164	1669966164	1	1	VINCENTI, LISA M CNM	3/26/2021	367A00000X	NA	Certified Nurse Midwife	005	CERTIFIED NURSE MIDWIFE	-	None	None	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
160646	Fee-for-Service	1093205312	1093205312	1	2	VIKRAM UDANI MD INC	4/8/2021	207T00000X	NA	General Surgery	026	PHYSICIANS	None	14	Neurological Surgery	0	In state provider	None	11199 SORRENTO VALLEY RD	203	SAN DIEGO	CA	92121	1334	37	06073	32.90581788	-117.2274599	San Diego County
160656	Fee-for-Service	1376034009	1376034009	1	1	VIVANCO, ARNALDO NP	11/13/2024	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	4601 DALE ROAD	None	MODESTO	CA	95356	9718	50	06099	37.706508	-121.052457	Stanislaus County
160793	Fee-for-Service	1598821027	1598821027	1	1	VALLEY HEALTH TEAM INC	2/1/1995	207Q00000X	NA	Adult Primary Care	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	SAN JOAQUIN HEALTH CTR	21890 COLORADO AVE	None	SAN JOAQUIN	CA	93660	0737	10	06019	36.60503136	-120.1850897	Fresno County
160813	Fee-for-Service	1962466078	1962466078	1	1	VEVE, ROBERT MD	11/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	79641	22	Pathology (M.D. only)	0	In state provider	None	624 E ELDER ST	None	FALLBROOK	CA	92028	3004	37	06073	33.38020455	-117.2446307	San Diego County
160847	Fee-for-Service	1447636030	1447636030	1	1	VELA, MEGHANN	11/29/2022	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1648 DRUMMOND LN	None	LINCOLN	CA	95648	2935	31	06061	38.87900946	-121.312215	Placer County
161015	Fee-for-Service	1346674041	1346674041	1	1	VENGEL, DAVID PSYD	7/24/2024	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	1530 FIFTH STREET	None	BERKELEY	CA	94710	1713	01	06001	37.87403522	-122.3008602	Alameda County
161052	Fee-for-Service	1891222618	1891222618	1	1	VILLANO, SVETLANA DO	6/3/2022	207R00000X	NA	Other	026	PHYSICIANS	18295	None	None	0	In state provider	None	8641 WILSHIRE BLVD	SUITE 300	BEVERLY HILLS	CA	90211	2921	19	06037	34.06614972	-118.3798912	Los Angeles County
161061	Fee-for-Service	1437228970	1437228970	1	1	VINCENT, NICOLE R PHD	10/20/2015	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	1201 W ORANGE AVE	None	ORANGE	CA	92868	4203	30	06059	33.7963083	-117.8928546	Orange
161067	Fee-for-Service	1437529765	1437529765	1	1	VO, AJA C	11/10/2015	No Taxonomy Provided	NA	None	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	304 W CERRITOS AVE	None	ANAHEIM	CA	92805	6549	30	06059	33.809904	-117.908676	Orange County
161082	Fee-for-Service	1598821027	1598821027	1	1	VALLEY HEALTH TEAM INC	3/1/1997	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	SAN JOAQUIN HEALTH CTR	21890 COLORADO AVE	None	SAN JOAQUIN	CA	93660	0737	10	06019	36.60503136	-120.1850897	Fresno County
161103	Fee-for-Service	1265478804	1265478804	1	1	VONS COMPANIES INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	40044 HIGHWAY 49	None	OAKHURST	CA	93644	8875	20	06039	37.330533	-119.6591805	Madera County
161269	Fee-for-Service	1932965415	1932965415	1	1	VU, TRISHA P RCP	8/30/2024	227800000X	NA	Other	056	RESPIRATORY CARE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	3601 S HARBOR BLVD	SUITE 100	SANTA ANA	CA	92704	6924	30	06059	33.698367	-117.9194115	Orange County
161315	Fee-for-Service	1518266584	1518266584	1	1	VASQUEZ, MIRELY M LMFT	1/29/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
161323	Fee-for-Service	1366072415	1366072415	1	1	VITALMED MEDICAL SUPPLIES, L	10/7/2020	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	LC	13071 BROOKHURST ST	160	GARDEN GROVE	CA	92843	1024	30	06059	33.77319252	-117.9551609	Orange County
161349	Fee-for-Service	1578660684	1578660684	1	1	VALLONE, MELCHIOR P DPM	1/1/1979	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	ACHILLES PODIATRY CENTER	5129 GARFIELD ST	None	LA MESA	CA	91941	5103	37	06073	32.77203706	-117.0059214	San Diego County
161369	Fee-for-Service	1598821027	1598821027	1	1	VALLEY HEALTH TEAM INC	7/1/1994	207Q00000X	NA	Adult Primary Care	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	SAN JOAQUIN HEALTH CTR	21890 COLORADO AVE	None	SAN JOAQUIN	CA	93660	0737	10	06019	36.60503136	-120.1850897	Fresno County
161478	Fee-for-Service	1386689479	1386689479	1	1	VYASABATTU, MAHENDER MD	10/29/2024	208M00000X	NA	Other	026	PHYSICIANS	179354	41	Internal Medicine	0	In state provider	None	6655 ALVARADO RD	None	SAN DIEGO	CA	92120	5208	37	06073	32.77718098	-117.0571332	San Diego County
161527	Fee-for-Service	1326225376	1326225376	1	1	VALDEZ, ESAU J LMFT	2/23/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	41 E FOOTHILL BLVD	SUITE 102	ARCADIA	CA	91006	2361	19	06037	34.15102394	-118.0297543	Los Angeles County
161551	Fee-for-Service	1124269667	1124269667	1	1	VAN VLEIT, LANI E	12/10/2014	No Taxonomy Provided	NA	None	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	621 W MICHELTORENA	STE B	SANTA BARBARA	CA	93101	4195	42	06083	34.41914194	-119.7157341	Santa Barbara County
161574	Fee-for-Service	1225196991	1225196991	1	1	VELPURI, ANUPAMA MD	2/26/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	96631	08	Family Practice	0	In state provider	None	27212 CALAROGA AVE	None	HAYWARD	CA	94545	4349	01	06001	37.63229023	-122.0896425	Alameda County
161764	Fee-for-Service	1043283542	1043283542	1	1	VALLURUPALLI, VEDAVATHY MD	4/18/2013	207L00000X	NA	Other	026	PHYSICIANS	54232	05	Anesthesiology	0	In state provider	None	3291 LOMA VISTA RD	None	VENTURA	CA	93003	3099	56	06111	34.27623479	-119.2520218	Ventura County
161774	Fee-for-Service	1194756825	1194756825	2	1	VOUIS, STEVE J MD	7/10/2019	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	36925	09	Gynecology (D.O. only)	0	In state provider	None	9080 COLIMA ROAD	None	WHITTIER	CA	90605	1600	19	06037	33.95062799	-118.0051627	Los Angeles County
161795	Fee-for-Service	1790876456	1790876456	1	1	VO, PHUONG THAO MD	10/25/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	81606	08	Family Practice	0	In state provider	None	795 EL CAMINO REAL	None	PALO ALTO	CA	94301	2302	43	06085	37.43920432	-122.162109	Santa Clara County
161812	Fee-for-Service	1811174428	1811174428	1	1	VELKURU, VANI MD	3/15/2022	207RR0500X	NA	Other	026	PHYSICIANS	96902	None	None	0	In state provider	None	1999 MOWRY AVE	SUITE 2 - I	FREMONT	CA	94538	1738	01	06001	37.55783419	-121.9808484	Alameda County
161818	Fee-for-Service	1306157094	1306157094	1	1	VIET, CHI T MD	12/30/2019	1223S0112X	NA	Dental Provider	026	PHYSICIANS	153114	04	Otology, Laryngology, Rhinology	0	In state provider	None	400 N PEPPER AVE	None	COLTON	CA	92324	1801	36	06071	34.073505	-117.3505995	San Bernardino County
161868	Fee-for-Service	1467582106	1467582106	1	1	VIDOR, IRA A MD	3/29/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	108065	18	Ophthalmology	0	In state provider	None	1900 E WASHINGTON ST	None	COLTON	CA	92324	4614	36	06071	34.04839685	-117.2950602	San Bernardino County
161926	Fee-for-Service	1639642465	1639642465	1	1	VIRIN, ANNA CNP	12/11/2020	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	3680 INDUSTRIAL BLVD	STE 550-H	WEST SACRAMENTO	CA	95691	6500	57	06113	38.57331162	-121.566125	Yolo County
162063	Fee-for-Service	1194756825	1194756825	2	1	VOUIS, STEVE J MD	7/10/2019	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	36925	15	Obstetrics (D.O. only)	0	In state provider	None	9080 COLIMA ROAD	None	WHITTIER	CA	90605	1600	19	06037	33.95062799	-118.0051627	Los Angeles County
162138	Fee-for-Service	1689614562	1689614562	1	1	VALLEY HEART ASSOCIATES	1/1/1979	207RC0000X	NA	Cardiology/Interventional Cardiology	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	1540 FLORIDA AVE	STE 100	MODESTO	CA	95350	4430	50	06099	37.667115	-120.9962205	Stanislaus County
162173	Fee-for-Service	1851503239	1851503239	1	1	VILLARREAL, STEVEN J MD	7/1/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	57663	01	General Practice	0	In state provider	None	731 S BEACON STREET	None	SAN PEDRO	CA	90731	3738	19	06037	33.73713	-118.2804675	Los Angeles County
162342	Fee-for-Service	1922391788	1922391788	1	1	VOET, AMY G DO	10/26/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	14062	05	Anesthesiology	0	In state provider	None	2700 DOLBEER ST	None	EUREKA	CA	95501	4736	12	06023	40.78355148	-124.1420294	Humboldt County
162466	Fee-for-Service	1639355944	1639355944	1	1	VILLIVALAM, ARUN K MD	10/7/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	75320	08	Family Practice	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
162525	Fee-for-Service	1841834694	1841834694	1	1	VORTEX MENTAL HEALTH	1/13/2023	2084P0800X	NA	Psychiatry	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	None	1760 TERMINO AVE	100	LONG BEACH	CA	90804	2182	19	06037	33.78889871	-118.1458784	Los Angeles County
162750	Fee-for-Service	1790052876	1790052876	1	1	VERLASKY, ASHLEY G LCSW	1/18/2022	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3020 CHILDREN'S WAY	MC 5069	SAN DIEGO	CA	92123	4223	37	06073	32.798691	-117.150829	San Diego County
162835	Fee-for-Service	1447395926	1447395926	1	1	VANONI, MARIA K LCSW	1/31/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	345 CAMINO DEL REMEDIO	None	SANTA BARBARA	CA	93110	1332	42	06083	34.444782	-119.7794675	Santa Barbara County
162918	Fee-for-Service	1063959310	1063959310	1	1	VASCULAR INTERVENTION SPECIA	11/16/2021	2085R0204X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	LISTS INC	19231 VICTORY BLVD	155	RESEDA	CA	91335	0600	19	06037	34.18659852	-118.552221	Los Angeles County
162947	Fee-for-Service	1154341691	1154341691	1	1	VASCULAR SURG ASSOC MED	12/3/1979	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	A PROF CORP	8631 W 3RD ST	STE 615E	LOS ANGELES	CA	90048	5910	19	06037	34.07361928	-118.3803143	Los Angeles County
163045	Fee-for-Service	1982915468	1982915468	1	1	VARGAS, LAURA C MD	4/7/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	124287	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
163128	Fee-for-Service	1497079099	1497079099	1	2	VILLEGAS, RICHARD F MD	12/19/2023	363LP0222X	NA	Nurse Practitioner	026	PHYSICIANS	138150	None	None	0	In state provider	None	3626 RUFFIN RD	None	SAN DIEGO	CA	92123	1810	37	06073	32.80975208	-117.1193406	San Diego County
163163	Fee-for-Service	1528416245	1528416245	1	1	VELA, ROBERT J DO	7/21/2020	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	16029	08	Family Practice	0	In state provider	None	18310 US HWY 18	STE 100	APPLE VALLEY	CA	92307	2206	36	06071	34.54034956	-117.2645069	San Bernardino County
163309	Fee-for-Service	1558438960	1558438960	1	1	VO, TRUONG M	1/30/2013	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	3555 WHIPPLE ROAD	None	UNION CITY	CA	94587	1507	01	06001	37.60574038	-122.0836254	Alameda County
163326	Fee-for-Service	1437312832	1437312832	1	1	VANESIAN, BRYAN D OD A	4/14/2016	152W00000X	NA	Other	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	PROFESSIONAL OPTOMETRY C	12100 PALMDALE RD	STE B-10	ADELANTO	CA	92301	6709	36	06071	34.50671749	-117.4015485	San Bernardino County
163435	Fee-for-Service	1235196171	1235196171	1	1	VUREK, MICHAEL W LCSW	6/13/1999	No Taxonomy Provided	NA	None	034	MEDICARE CROSSOVER PROVIDER ONLY	-	-	NOT APPLICABLE	0	In state provider	None	895 SIR FRANCIS DRAKE BL	None	SAN ANSELMO	CA	94960	1916	21	06041	37.98020048	-122.5654847	Marin County
163479	Fee-for-Service	1356617070	1356617070	1	1	VARMA, RADHIKA MD	10/12/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	11964	08	Family Practice	0	In state provider	None	1501 TROUSDALE DRIVE	3RD FLOOR	BURLINGAME	CA	94010	4506	41	06081	37.592811	-122.382351	San Mateo County
163568	Fee-for-Service	1083801450	1083801450	1	1	VANDER WALDE, ARI M MD	8/1/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	97490	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
163653	Fee-for-Service	1528274503	1528274503	1	1	VYAS, DINESH MD	10/2/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	151872	02	General Surgery	0	In state provider	None	500 W HOSPITAL RD	None	FRENCH CAMP	CA	95231	9693	39	06077	37.88652418	-121.2820956	San Joaquin County
163680	Fee-for-Service	1356869200	1356869200	1	1	VARTANIAN, ZHINA MSW LCSW	3/15/2019	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	954 WEST FOOTHILL BLVD	SUITE A	UPLAND	CA	91786	3782	36	06071	34.10675048	-117.6646365	San Bernardino County
163721	Fee-for-Service	1477842201	1477842201	1	1	VICTOR, JOY J MD	11/20/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	151381	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
163783	Fee-for-Service	1598112864	1598112864	1	1	VISTA DEL SOL POSTACUTE CARE	7/1/2015	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	180 STARR AVE	None	TURLOCK	CA	95380	3323	50	06099	37.50241157	-120.8467744	Stanislaus County
163849	Fee-for-Service	1699270827	1699270827	1	1	VAYSMAN, TETYANA MD	11/5/2021	207R00000X	NA	Other	026	PHYSICIANS	174198	None	None	0	In state provider	None	1700 MT VERNON AVE	None	BAKERSFIELD	CA	93306	4018	15	06029	35.382555	-118.970757	Kern County
163857	Fee-for-Service	1083801450	1083801450	1	1	VANDER WALDE, ARI M MD	8/1/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	97490	68	Hematology	0	In state provider	None	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
163898	Fee-for-Service	1689614158	1689614158	1	1	VANDALSEM, VOLNEY F MD	7/31/1982	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	34259	30	Radiology	0	In state provider	None	2500 GRANT RD	None	MOUNTAIN VIEW	CA	94040	4302	43	06085	37.36893518	-122.0779448	Santa Clara County
164009	Fee-for-Service	1083813380	1083813380	1	1	VAUGHN, LEROY W MD DBA	2/2/1984	No Taxonomy Provided	NA	None	026	PHYSICIANS	30576	18	Ophthalmology	0	In state provider	EYE CARE FOR DIABETICS	323 N PRAIRIE AVE	STE 217	INGLEWOOD	CA	90301	4504	19	06037	33.966333	-118.3439975	Los Angeles County
164123	Fee-for-Service	1750784583	1750784583	1	1	VICTORIA, EDWARD S PLLC	8/3/2015	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	-	01	General Practice	1	Border provider	None	2701 N TENAYA WAY	STE 230	LAS VEGAS	NV	89128	0478	00	None	36.20974196	-115.2494818	Clark County
164146	Fee-for-Service	1083801450	1083801450	1	1	VANDER WALDE, ARI M MD	8/1/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	97490	78	Neoplastic Diseases/Oncology	0	In state provider	None	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
164169	Fee-for-Service	1962012401	1962012401	1	1	VICTORY CARE HOSPICE	4/30/2024	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	1254 S WATERMAN AVE	STE 54	SAN BERNARDINO	CA	92408	2859	36	06071	34.07886	-117.278817	San Bernardino County
164189	Fee-for-Service	1093160194	1093160194	1	1	VANDERKRAAN, VERALYN R DO	7/1/2020	207P00000X	NA	Other	026	PHYSICIANS	16809	66	Emergency Medicine (Urgent Care)	0	In state provider	None	6601 WHITE FEATHER RD	None	JOSHUA TREE	CA	92252	6607	36	06071	34.13189479	-116.2767026	San Bernardino County
164231	Fee-for-Service	1144523226	1144523226	1	1	VINER, JENNIFER A NP	6/19/2017	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
164241	Fee-for-Service	1295170678	1295170678	1	1	VADOOTHKER, SAUJANYA MD	1/15/2019	207WX0120X	NA	Ophthalmology	026	PHYSICIANS	156489	18	Ophthalmology	0	In state provider	None	480 4TH AVE	STE 201	CHULA VISTA	CA	91910	4412	37	06073	32.63411298	-117.0816772	San Diego County
164256	Fee-for-Service	1871547315	1871547315	2	1	VENTURA ORTHOPEDICS MEDICAL	10/2/2019	174400000X	NA	Other	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	None	3525 LOMA VISTA ROAD	SUITE A	VENTURA	CA	93003	3165	56	06111	34.27680789	-119.2480851	Ventura County
164395	Fee-for-Service	1356387963	1356387963	1	1	VONS COMPANIES, INC	8/25/1997	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	12199 HESPERIA RD	None	VICTORVILLE	CA	92395	4756	36	06071	34.47228373	-117.291759	San Bernardino County
164425	Fee-for-Service	1285628933	1285628933	1	1	VANDEVENTER, GARY M MD	6/30/1989	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	39157	41	Internal Medicine	0	In state provider	None	221 W PUEBLO ST	STE B	SANTA BARBARA	CA	93105	0000	42	06083	34.431101	-119.7212764	Santa Barbara County
164441	Fee-for-Service	1063919249	1063919249	1	1	VELAZQUEZ, MIRIAM DO	8/15/2024	390200000X	NA	Other	026	PHYSICIANS	19380	21	Pathologic Anatomy: Clinical Pathology (D.O. only)	0	In state provider	None	999 SAN BERNARDINO RD	None	UPLAND	CA	91786	4920	36	06071	34.1010559	-117.6369445	San Bernardino County
164457	Fee-for-Service	1962012401	1962012401	1	1	VICTORY CARE HOSPICE	4/30/2024	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	1254 S WATERMAN AVE	STE 54	SAN BERNARDINO	CA	92408	2859	36	06071	34.07886	-117.278817	San Bernardino County
164468	Fee-for-Service	1619990553	1619990553	2	1	VLS CAPITOL DRUGS INC	12/2/2015	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	4454 VAN NUYS BLVD	STE J	SHERMAN OAKS	CA	91403	2912	19	06037	34.152597	-118.448672	Los Angeles County
164473	Fee-for-Service	1316973811	1316973811	1	1	VERNEUIL, ANDREW C MD	1/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	65142	04	Otology, Laryngology, Rhinology	0	In state provider	None	27800 MEDICAL CENTER RD	STE 324	MISSION VIEJO	CA	92691	6409	30	06059	33.55952733	-117.6645199	Orange County
164479	Fee-for-Service	1083650626	1083650626	1	1	VON COMPANIES INC	11/2/1998	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	3650 S BRISTOL ST	None	SANTA ANA	CA	92704	7302	30	06059	33.698862	-117.885627	Orange County
164500	Fee-for-Service	1053815027	1053815027	1	1	VALLEY BEST CARE INC	10/7/2020	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	6742 VAN NUYS BLVD	STE 200A	VAN NUYS	CA	91405	4611	19	06037	34.19343344	-118.4487213	Los Angeles County
164503	Fee-for-Service	1508036179	1508036179	1	1	VANDER ZWART, VICKI J LMFT	9/13/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3536 CAMINO DEL RIO S	STE 205	SAN DIEGO	CA	92108	3902	37	06073	32.77787978	-117.1179634	San Diego County
164523	Fee-for-Service	1063810430	1063810430	1	2	VALLE, JAMIE LCSW	11/3/2021	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
164547	Fee-for-Service	1871547315	1871547315	2	1	VENTURA ORTHOPEDICS MEDICAL	1/8/2024	174400000X	NA	Other	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	3525 LOMA VISTA ROAD	SUITE A	VENTURA	CA	93003	3165	56	06111	34.27680789	-119.2480851	Ventura County
164576	Fee-for-Service	1952768376	1952768376	1	1	VANG, MAI C MD	8/31/2020	208M00000X	NA	Other	026	PHYSICIANS	157409	08	Family Practice	0	In state provider	None	8120 TIMBERLAKE WAY	SUITE 107	SACRAMENTO	CA	95823	5413	34	06067	38.461023	-121.41414	Sacramento County
164585	Fee-for-Service	1598119679	1598119679	1	1	VRLA, MICHAEL MD	7/13/2022	207XX0005X	NA	Orthopedic Surgery	026	PHYSICIANS	151437	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
164614	Fee-for-Service	1205194149	1205194149	1	1	VARGHIS, NEAL A MD	7/12/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	126596	25	Physical Medicine and Rehabilitation	0	In state provider	None	3000 Q STREET	None	SACRAMENTO	CA	95816	7058	34	06067	38.564991	-121.4696565	Sacramento County
164617	Fee-for-Service	1821272071	1821272071	1	1	VISHWANATH, ANITA P MD	4/14/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	107425	66	Emergency Medicine (Urgent Care)	0	In state provider	None	101 THE CITY DRIVE SOUTH	None	ORANGE	CA	92868	3298	30	06059	33.78674051	-117.8888713	Orange County
164688	Fee-for-Service	1639254394	1639254394	1	1	VANDERLEEST, ROBERT MD	8/31/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	46075	07	Dermatology	0	In state provider	None	39400 PASEO PADRE PKWY	None	FREMONT	CA	94538	2310	01	06001	37.55102172	-121.9759026	Alameda County
164760	Fee-for-Service	1366195778	1366195778	1	1	VALDIVIA, ALEXANDRO LCSW	1/31/2025	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	18191 VON KARMAN AVE	100	IRVINE	CA	92612	7103	30	06059	33.67831005	-117.852138	Orange County
164788	Fee-for-Service	1053815027	1053815027	1	1	VALLEY BEST CARE INC	10/7/2020	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	6742 VAN NUYS BLVD	STE 200A	VAN NUYS	CA	91405	4611	19	06037	34.19343344	-118.4487213	Los Angeles County
164796	Fee-for-Service	1518151497	1518151497	1	1	VATANPARAST, ROHAM MD	9/7/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	100019	None	None	0	In state provider	None	2700 DOLBEER ST	None	EUREKA	CA	95501	4736	12	06023	40.78355148	-124.1420294	Humboldt County
164810	Fee-for-Service	1609301688	1609301688	1	1	VARMA, VIVEK R MD	8/20/2024	207L00000X	NA	Other	026	PHYSICIANS	None	05	Anesthesiology	0	In state provider	None	757 WESTWOOD PLZ	None	LOS ANGELES	CA	90095	8358	19	06037	34.06633051	-118.4452686	Los Angeles County
164932	Fee-for-Service	1134985427	1134985427	1	1	VANESSA ACERO PSYCHOLOGICAL	7/15/2024	101Y00000X	NA	Other	103	LICENSED PROFESSIONAL CLINICAL COUNSELOR - INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	INC	893 PATRIOT DR	SUITE A	MOORPARK	CA	93021	3357	56	06111	34.27852938	-118.8627331	Ventura County
164946	Fee-for-Service	1609983220	1609983220	1	1	VALLEY CARDIAC SURGERY	11/14/2006	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	33	Thoracic Surgery	0	In state provider	MEDICAL GROUP	1903 EAST FIR	STE 101	FRESNO	CA	93720	3862	10	06019	36.83910853	-119.7480285	Fresno County
164960	Fee-for-Service	1871960963	1871960963	1	1	VILCHIS, JASMIN LCSW	12/18/2023	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
164964	Fee-for-Service	1346773504	1346773504	1	1	VAN BEZOOYEN, JACK MD	9/30/2021	2084P0800X	NA	Psychiatry	026	PHYSICIANS	171751	None	None	0	In state provider	None	20 ALLEN ST	None	MARTINEZ	CA	94553	2681	07	06013	38.00771973	-122.1331484	Contra Costa County
164968	Fee-for-Service	1609484641	1609484641	1	1	VU, MINH QUAN MD	11/22/2024	208G00000X	NA	General Surgery	026	PHYSICIANS	None	33	Thoracic Surgery	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
165005	Fee-for-Service	1609294909	1609294909	1	1	VAISBERG, EKATERINA E MD	12/11/2017	No Taxonomy Provided	NA	None	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
165134	Fee-for-Service	1922172840	1922172840	1	1	VISCUSI, CHAD D MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	2800 E AJO WAY	None	TUCSON	AZ	85713	6204	00	None	32.175801	-110.9306925	Pima County
165143	Fee-for-Service	1427442086	1427442086	1	1	VEGA, CAROLINA MD	7/31/2024	2080P0204X	NA	Other	026	PHYSICIANS	None	66	Emergency Medicine (Urgent Care)	0	In state provider	None	3020 CHILDREN'S WAY	MC 5069	SAN DIEGO	CA	92123	4223	37	06073	32.798691	-117.150829	San Diego County
165160	Fee-for-Service	1669571220	1669571220	1	1	VERHAAG, DAVID A MD	12/1/1987	No Taxonomy Provided	NA	None	026	PHYSICIANS	24735	01	General Practice	0	In state provider	None	3 MEDICAL PLAZA DR	None	ROSEVILLE	CA	95661	3087	31	06061	38.76566391	-121.2457432	Placer County
165209	Fee-for-Service	1811201643	1811201643	1	1	VALLEY VILLAGE VEIN CLINIC	8/21/2017	193200000X	NA	Other	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	PC	12840 RIVERSIDE DRIVE	STE 300	VALLEY VILLAGE	CA	91607	3337	19	06037	34.15759054	-118.4129775	Los Angeles County
165230	Fee-for-Service	1609983220	1609983220	1	1	VALLEY CARDIAC SURGERY	11/14/2006	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	06	Cardiovascular Disease (M.D. only)	0	In state provider	MEDICAL GROUP	1903 EAST FIR	STE 101	FRESNO	CA	93720	3862	10	06019	36.83910853	-119.7480285	Fresno County
165397	Fee-for-Service	1326503665	1326503665	1	1	VAN DYKE YUN DERMATOLOGY	7/14/2020	207N00000X	NA	Dermatology	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	12403 VENTURA CT	A	STUDIO CITY	CA	91604	2470	19	06037	34.14333559	-118.4031447	Los Angeles County
165434	Fee-for-Service	1427442086	1427442086	1	1	VEGA, CAROLINA MD	7/31/2024	2080P0204X	NA	Other	026	PHYSICIANS	None	40	Pediatrics	0	In state provider	None	3020 CHILDREN'S WAY	MC 5069	SAN DIEGO	CA	92123	4223	37	06073	32.798691	-117.150829	San Diego County
165447	Fee-for-Service	1669571220	1669571220	1	1	VERHAAG, DAVID A MD	12/1/1987	No Taxonomy Provided	NA	None	026	PHYSICIANS	24735	08	Family Practice	0	In state provider	None	3 MEDICAL PLAZA DR	None	ROSEVILLE	CA	95661	3087	31	06061	38.76566391	-121.2457432	Placer County
165497	Fee-for-Service	1811201643	1811201643	1	1	VALLEY VILLAGE VEIN CLINIC	8/21/2017	193200000X	NA	Other	022	PHYSICIANS GROUP	-	33	Thoracic Surgery	0	In state provider	PC	12840 RIVERSIDE DRIVE	STE 300	VALLEY VILLAGE	CA	91607	3337	19	06037	34.15759054	-118.4129775	Los Angeles County
165595	Fee-for-Service	1073887501	1073887501	1	1	VIJ, ANGELA R MD	2/11/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	120733	41	Internal Medicine	0	In state provider	None	1 QUALITY DRIVE	None	VACAVILLE	CA	95688	9494	48	06095	38.38851772	-121.9382798	Solano County
165696	Fee-for-Service	1477524197	1477524197	1	1	VASQUEZ, TONY MD	4/30/1986	No Taxonomy Provided	NA	None	026	PHYSICIANS	52980	42	Nuclear Medicine	0	In state provider	None	1950 COURT ST	None	REDDING	CA	96001	1830	45	06089	40.57884166	-122.3939309	Shasta County
165783	Fee-for-Service	1811201643	1811201643	1	1	VALLEY VILLAGE VEIN CLINIC	8/21/2017	193200000X	NA	Other	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	PC	12840 RIVERSIDE DRIVE	STE 300	VALLEY VILLAGE	CA	91607	3337	19	06037	34.15759054	-118.4129775	Los Angeles County
165870	Fee-for-Service	1629607908	1629607908	1	1	VILLEGAS, GIOVANNI DO	3/4/2025	No Taxonomy Provided	NA	None	026	PHYSICIANS	22304	27	Psychiatry Neurology (D.O. only)	0	In state provider	None	2401 E KATELLA AVE	625	ANAHEIM	CA	92806	5995	30	06059	33.80588529	-117.8828675	Orange County
165871	Fee-for-Service	1598336877	1598336877	1	1	VALVERDE, LILIANA PT	12/11/2024	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	289 W. HUNTINGTON DR.	STE 103	ARCADIA	CA	91007	3492	19	06037	34.13549119	-118.0419175	Los Angeles County
165956	Fee-for-Service	1992183669	1992183669	1	2	VALLEY HEALTH TEAM INC	11/9/2018	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	4711 WEST ASHLAN AVENUE	None	FRESNO	CA	93722	4307	10	06019	36.79351233	-119.8783911	Fresno County
165962	Fee-for-Service	1811547383	1811547383	1	1	VERONA HOSPICE INC	10/13/2020	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	9608 VAN NUYS BLVD	SUITE 204A	PANORAMA CITY	CA	91402	6213	19	06037	34.24485892	-118.4502135	Los Angeles County
166020	Fee-for-Service	1942221346	1942221346	1	1	VU, TONY D OD	7/1/2000	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	2446 W WHITTIER BLVD	None	MONTEBELLO	CA	90640	3041	19	06037	34.01449625	-118.1287912	Los Angeles County
166044	Fee-for-Service	1508961426	1508961426	1	1	VAJIHUDDIN, TAHER H MD	9/1/1994	No Taxonomy Provided	NA	None	026	PHYSICIANS	78888	41	Internal Medicine	0	In state provider	None	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
166057	Fee-for-Service	1962992610	1962992610	1	1	VASSANTACHART, APRIL MD	2/21/2023	2085R0001X	NA	Other	026	PHYSICIANS	166611	None	None	0	In state provider	None	5522 SEPULVEDA BLVD	None	SHERMAN OAKS	CA	91411	3437	19	06037	34.171092	-118.466131	Los Angeles County
166135	Fee-for-Service	1801812664	1801812664	1	1	VU, KY T MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	73556	None	None	0	In state provider	None	17100 EUCLID ST	None	FOUNTAIN VALLEY	CA	92708	4004	30	06059	33.715035	-117.936993	Orange County
166167	Fee-for-Service	1326643818	1326643818	1	1	VILLEGAS, NORMA CCC-SLP	6/28/2021	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	4300 GREEN RIVER ROAD	114	CORONA	CA	92878	2306	33	06065	33.87886214	-117.6493182	Riverside County
166169	Fee-for-Service	1659499945	1659499945	1	1	VALVERDE	11/18/2004	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	7600 VANALDEN AVE	None	RESEDA	CA	91335	1752	19	06037	34.20878744	-118.5491541	Los Angeles County
166243	Fee-for-Service	1992183669	1992183669	1	2	VALLEY HEALTH TEAM INC	11/13/2017	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	4711 WEST ASHLAN AVENUE	None	FRESNO	CA	93722	4307	10	06019	36.79351233	-119.8783911	Fresno County
166251	Fee-for-Service	1811547383	1811547383	1	1	VERONA HOSPICE INC	10/13/2020	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	9608 VAN NUYS BLVD	SUITE 204A	PANORAMA CITY	CA	91402	6213	19	06037	34.24485892	-118.4502135	Los Angeles County
166272	Fee-for-Service	1235133711	1235133711	1	1	VIBRANTCARE OUTPATIENT REHAB	6/15/2023	261QP2000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	ILITATION OF CALIFORNIA	2160 APPIAN WAY	STE 101	PINOLE	CA	94564	2524	07	06013	37.99585174	-122.3021549	Contra Costa County
166274	Fee-for-Service	1093002859	1093002859	1	1	VASQUEZ, JASMINE A	12/10/2018	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4221 WILSHIRE BLVD	SUITE 290	LOS ANGELES	CA	90010	3540	19	06037	34.06177566	-118.320844	Los Angeles County
166310	Fee-for-Service	1346332343	1346332343	1	1	VORA, BANSI N MD	2/13/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	38008	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	43112 15TH STREET WEST	STE 305	LANCASTER	CA	93534	6219	19	06037	34.66467	-118.1567445	Los Angeles County
166330	Fee-for-Service	1508961426	1508961426	1	1	VAJIHUDDIN, TAHER H MD	9/1/1994	No Taxonomy Provided	NA	None	026	PHYSICIANS	78888	08	Family Practice	0	In state provider	None	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
166475	Fee-for-Service	1457593006	1457593006	1	1	VAN GUILDER, KIM J MD	8/8/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	113186	41	Internal Medicine	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
166531	Fee-for-Service	1992183669	1992183669	1	2	VALLEY HEALTH TEAM INC	11/13/2017	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	4711 WEST ASHLAN AVENUE	None	FRESNO	CA	93722	4307	10	06019	36.79351233	-119.8783911	Fresno County
166544	Fee-for-Service	1952968794	1952968794	1	1	VELA, ANDREA	1/13/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2155 IRON POINT RD	None	FOLSOM	CA	95630	8707	34	06067	38.644479	-121.1349735	Sacramento County
166556	Fee-for-Service	1699487835	1699487835	1	1	VALENZUELA, STEPHANIE M LMFT	5/3/2023	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
166583	Fee-for-Service	1073626503	1073626503	1	1	VUTHOORI, SURENDER MDINC	1/1/1979	No Taxonomy Provided	NA	None	026	PHYSICIANS	33804	06	Cardiovascular Disease (M.D. only)	0	In state provider	HI DESERT MED CTR	63532 29 PALMS HWY	STE A	JOSHUA TREE	CA	92252	0000	36	06071	34.13510347	-116.277102	San Bernardino County
166760	Fee-for-Service	1720122831	1720122831	1	1	VITAS HEALTHCARE CORPORATION	8/17/2004	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	OF CALIFORNIA	355 LENNON LN	SUITE 150	WALNUT CREEK	CA	94598	9949	07	06013	37.92784983	-122.0301444	Contra Costa County
166781	Fee-for-Service	1003260647	1003260647	1	1	VENTURA AYALA, ARIANA LCSW	6/10/2024	101YM0800X	NA	Other	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
166819	Fee-for-Service	1992183669	1992183669	1	2	VALLEY HEALTH TEAM INC	11/13/2017	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	4711 WEST ASHLAN AVENUE	None	FRESNO	CA	93722	4307	10	06019	36.79351233	-119.8783911	Fresno County
166833	Fee-for-Service	1043771413	1043771413	1	1	VALLURUPALLI, VIVEK MD	8/17/2023	207L00000X	NA	Other	026	PHYSICIANS	182469	None	None	0	In state provider	None	1328 22ND ST	None	SANTA MONICA	CA	90404	2032	19	06037	34.03122319	-118.4797185	Los Angeles County
166868	Fee-for-Service	1205897568	1205897568	1	7	VALLEY RADIOLOGY CONSULTANTS	3/8/2013	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	10225 AUSTIN DR	STE 105	SPRING VALLEY	CA	91978	1521	37	06073	32.73081646	-116.9707735	San Diego County
166956	Fee-for-Service	1013143643	1013143643	1	2	VALLEY URGENT CARE MEDICAL	4/16/2009	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	None	9346 CORBIN AVE	None	NORTHRIDGE	CA	91324	2405	19	06037	34.240563	-118.562272	Los Angeles County
167004	Fee-for-Service	1396205092	1396205092	1	1	VUONG-DAC, MAI-ANH MD	10/11/2022	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	179403	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
167025	Fee-for-Service	1790863280	1790863280	1	1	VATANNIA, SHAMSI M MD	11/28/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	96343	None	None	0	In state provider	None	7300 N FRESNO ST	None	FRESNO	CA	93720	2941	10	06019	36.84133078	-119.7824983	Fresno County
167045	Fee-for-Service	1720122831	1720122831	1	1	VITAS HEALTHCARE CORPORATION	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	OF CALIFORNIA	355 LENNON LN	SUITE 150	WALNUT CREEK	CA	94598	9949	07	06013	37.92784983	-122.0301444	Contra Costa County
167109	Fee-for-Service	1922116870	1922116870	1	1	VANZURA,YALANL L MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	171 ASHLEY AVE	None	CHARLESTON	SC	29425	0001	00	None	32.78556	-79.9467075	Charleston County
167200	Fee-for-Service	1417957341	1417957341	1	1	VAN TASSELL, VANCE J MD	7/31/1991	207P00000X	NA	Other	026	PHYSICIANS	73627	66	Emergency Medicine (Urgent Care)	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
167219	Fee-for-Service	1225082084	1225082084	1	1	VALENTINE, DANNY L MD	11/16/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	113826	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
167229	Fee-for-Service	1659326403	1659326403	1	1	VACCA, DANTE T MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	14	Neurological Surgery	1	Border provider	SIERRA NEUROSURGERY GRP	85 KIRMAN AVE	None	RENO	NV	89502	1339	00	None	39.52624763	-119.7984127	Washoe County
167237	Fee-for-Service	1013143643	1013143643	1	2	VALLEY URGENT CARE MEDICAL	4/16/2009	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	None	9346 CORBIN AVE	None	NORTHRIDGE	CA	91324	2405	19	06037	34.240563	-118.562272	Los Angeles County
167251	Fee-for-Service	1942319702	1942319702	2	1	VLS CLAYWORTH PHARMACY INC	7/29/2013	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	20353 LAKE CHABOT RD	STE 101	CASTRO VALLEY	CA	94546	5342	01	06001	37.69640865	-122.0867448	Alameda County
167302	Fee-for-Service	1760496574	1760496574	1	1	VO, THUONG D MD	4/22/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	104152	05	Anesthesiology	0	In state provider	None	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
167329	Fee-for-Service	1841205523	1841205523	1	1	VALENCIA, ARLYN M MD	5/19/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	13	Neurology (M.D. only)	1	Border provider	None	3131 LA CANADA ST	STE 101	LAS VEGAS	NV	89169	2592	00	None	36.13267814	-115.132162	Clark County
167462	Fee-for-Service	1578889531	1578889531	1	1	VICTORY IMAGING NETWORK INC	8/8/2012	No Taxonomy Provided	NA	None	084	INDEPENDENT DIAGNOSTIC TESTING FACILITY XOVER PROV ONLY	-	-	NOT APPLICABLE	0	In state provider	None	815 S CENTRAL AVE	STE 15	GLENDALE	CA	91204	2084	19	06037	34.13606127	-118.2578932	Los Angeles County
167502	Fee-for-Service	1871547315	1871547315	2	2	VENTURA ORTHOPEDICS MEDICAL	10/10/2019	174400000X	NA	Other	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	3525 LOMA VISTA RD	SUITE C	VENTURA	CA	93003	3165	56	06111	34.27680789	-119.2480851	Ventura County
167539	Fee-for-Service	1124673017	1124673017	1	1	VAZQUEZ, ELIZABETH	11/18/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	11801 PIERCE ST	SUITE 200	RIVERSIDE	CA	92505	4408	33	06065	33.90100297	-117.49363	Riverside County
167570	Fee-for-Service	1740553411	1740553411	1	1	VIGILANCE PERIOPERATIVE	4/19/2012	193400000X	NA	Other	022	PHYSICIANS GROUP	-	05	Anesthesiology	0	In state provider	MEDICAL GROUP	3700 EAST SOUTH STREET	None	LAKEWOOD	CA	90712	1419	19	06037	33.8601747	-118.148313	Los Angeles County
167662	Fee-for-Service	1639257363	1639257363	1	1	VILA, ANDY H MD	12/5/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	92935	08	Family Practice	0	In state provider	None	9201 BIG HORN BLVD	None	ELK GROVE	CA	95758	1240	34	06067	38.425365	-121.4068185	Sacramento County
167790	Fee-for-Service	1871547315	1871547315	2	2	VENTURA ORTHOPEDICS MEDICAL	10/10/2019	174400000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	3525 LOMA VISTA RD	SUITE C	VENTURA	CA	93003	3165	56	06111	34.27680789	-119.2480851	Ventura County
167820	Fee-for-Service	1417986464	1417986464	1	1	VONS COMPANIES, INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	27220 SUN CITY BLVD	None	SUN CITY	CA	92586	2566	33	06065	33.71273441	-117.1937643	Riverside County
167888	Fee-for-Service	1497203541	1497203541	1	9	VISTA COMMUNITY CLINIC	5/22/2024	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	321 EAST ALVARADO ST	None	FALLBROOK	CA	92028	2912	37	06073	33.38200789	-117.2493602	San Diego County
167907	Fee-for-Service	1821467804	1821467804	1	1	VERIO HEALTHCARE, INC	9/30/2021	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	19517 PAULING	None	FOOTHILL RANCH	CA	92610	2619	30	06059	33.67859707	-117.6536874	Orange County
168003	Fee-for-Service	1932251733	1932251733	1	1	VOSS, JAMES M MD	10/5/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	91676	08	Family Practice	0	In state provider	None	10725 INTERNATIONAL DR	None	RANCHO CORDOVA	CA	95670	7967	34	06067	38.576079	-121.2938325	Sacramento County
168063	Fee-for-Service	1942576681	1942576681	1	1	VARENIKA, VANJA MD	6/19/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	128939	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
168081	Fee-for-Service	1871547315	1871547315	2	2	VENTURA ORTHOPEDICS MEDICAL	12/19/2019	174400000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	3525 LOMA VISTA RD	SUITE C	VENTURA	CA	93003	3165	56	06111	34.27680789	-119.2480851	Ventura County
168090	Fee-for-Service	1134750292	1134750292	1	1	V.S. MANAGEMENT FIRM, INC.	7/11/2021	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	2622 WEST OLIVE AVE	None	FULLERTON	CA	92833	3540	30	06059	33.86231102	-117.9738817	Orange County
168173	Fee-for-Service	1497203541	1497203541	1	9	VISTA COMMUNITY CLINIC	1/27/2023	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	321 EAST ALVARADO ST	None	FALLBROOK	CA	92028	2912	37	06073	33.38200789	-117.2493602	San Diego County
168179	Fee-for-Service	1558324913	1558324913	1	1	VAGILARSKY, IVAYLO A MD	8/10/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	90756	41	Internal Medicine	0	In state provider	None	20041 W VALLEY BLVD	STE 2	TEHACHAPI	CA	93561	6746	15	06029	35.12453048	-118.487709	Kern County
168198	Fee-for-Service	1528135431	1528135431	1	1	VNA OF GREATER	3/1/2006	251G00000X	NA	Other	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	LOS ANGELES, INC	8665 WILSHIRE BLVD	SUITE 308	BEVERLY HILLS	CA	90211	2932	19	06037	34.06625528	-118.380319	Los Angeles County
168217	Fee-for-Service	1396068029	1396068029	1	1	VIETH, TERI L MD	9/8/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	103176	66	Emergency Medicine (Urgent Care)	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
168273	Fee-for-Service	1972294346	1972294346	1	1	VIRAMONTES, SANDRA BIRTH DO	7/11/2023	374J00000X	NA	Other	106	DOULA INDIVIDUAL PROVIDER	-	-	NOT APPLICABLE	0	In state provider	Addresses not published for Doula Providers	N/A	N/A	N/A	N/A	N/A	N/A	19	06037	0	0	None
168390	Fee-for-Service	1225814379	1225814379	1	1	VALENCIA, APRIL JOY ALDANA	9/19/2023	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	1445 WINDCHIME AVE	None	CHULA VISTA	CA	91913	2978	37	06073	32.62424455	-116.9833657	San Diego County
168407	Fee-for-Service	1497897532	1497897532	1	1	VITREO RETINAL MED GRP	3/15/2007	207W00000X	NA	Ophthalmology	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	INC	2470 HILBORN RD	STE 150	FAIRFIELD	CA	94534	1072	48	06095	38.27531165	-122.0522555	Solano County
168415	Fee-for-Service	1760561286	1760561286	1	1	VENEGAS, LETTA B LCSW	12/4/2018	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1139 N BRAND BLVD	STE A	GLENDALE	CA	91202	3012	19	06037	34.162839	-118.2550895	Los Angeles County
168462	Fee-for-Service	1497203541	1497203541	1	9	VISTA COMMUNITY CLINIC	1/27/2023	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	321 EAST ALVARADO ST	None	FALLBROOK	CA	92028	2912	37	06073	33.38200789	-117.2493602	San Diego County
168463	Fee-for-Service	1346669389	1346669389	1	1	VAZIRIAN, SAMRA MD	4/21/2025	2084N0400X	NA	Neurology	026	PHYSICIANS	153417	27	Psychiatry Neurology (D.O. only)	0	In state provider	None	14860 ROSCOE BLVD	#200	PANORAMA CITY	CA	91402	4683	19	06037	34.2214515	-118.4573205	Los Angeles County
168468	Fee-for-Service	1417199688	1417199688	1	1	VOLPE, ALEXANDRA LCSW	5/2/2016	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	24514	-	NOT APPLICABLE	0	In state provider	None	22245 MAIN STREET	SUITE 200	HAYWARD	CA	94541	4028	01	06001	37.67674766	-122.0863181	Alameda County
168479	Fee-for-Service	1871888917	1871888917	1	1	VAN ECK, CAROLA F MD	3/19/2022	207XX0005X	NA	Orthopedic Surgery	026	PHYSICIANS	141544	None	None	0	In state provider	None	2300 W SUNNYSIDE AVE	None	VISALIA	CA	93277	7287	54	06107	36.303597	-119.316294	Tulare County
168485	Fee-for-Service	1528135431	1528135431	1	1	VNA OF GREATER	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	LOS ANGELES, INC	8665 WILSHIRE BLVD	SUITE 308	BEVERLY HILLS	CA	90211	2932	19	06037	34.06625528	-118.380319	Los Angeles County
168519	Fee-for-Service	1770742108	1770742108	1	1	VAKS, YANA MD	8/1/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	109482	40	Pediatrics	0	In state provider	None	2425 SAMARITAN DRIVE	None	SAN JOSE	CA	95124	3908	43	06085	37.25111017	-121.9465891	Santa Clara County
168567	Fee-for-Service	1285451328	1285451328	1	1	VAUGHN, TAYLOR PT	10/1/2024	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	2251 COUNTRY CLUB LN	None	SELMA	CA	93662	3859	10	06019	36.5662241	-119.5996308	Fresno County
168642	Fee-for-Service	1659415222	1659415222	1	3	VITAS HEALTHCARE CORPORATION	6/13/2019	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	OF CALIFORNIA	1388 SUTTER ST	STE 700	SAN FRANCISCO	CA	94109	5427	38	06075	37.78741923	-122.4230191	San Francisco County
168680	Fee-for-Service	1225814379	1225814379	1	1	VALENCIA, APRIL JOY ALDANA	9/19/2023	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	1445 WINDCHIME AVE	None	CHULA VISTA	CA	91913	2978	37	06073	32.62424455	-116.9833657	San Diego County
168715	Fee-for-Service	1922463439	1922463439	1	1	VIVIAN ROSE PRICE	1/14/2019	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	2237 LYNBROOK DR	None	PITTSBURG	CA	94565	5303	07	06013	38.00720854	-121.877613	Contra Costa County
168751	Fee-for-Service	1497203541	1497203541	1	9	VISTA COMMUNITY CLINIC	2/21/2024	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	321 EAST ALVARADO ST	None	FALLBROOK	CA	92028	2912	37	06073	33.38200789	-117.2493602	San Diego County
168824	Fee-for-Service	1679927420	1679927420	1	1	VENNAT, MARYJANE J MD	9/16/2019	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	152324	40	Pediatrics	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
168932	Fee-for-Service	1225476534	1225476534	1	1	VERMONT FAMILY AND WOMENS	2/14/2014	208D00000X	NA	Adult Primary Care	026	PHYSICIANS	52544	01	General Practice	0	In state provider	CLINIC INC	1211 N VERMONT AVE	STE 207	LOS ANGELES	CA	90029	1748	19	06037	34.093836	-118.2917885	Los Angeles County
168939	Fee-for-Service	1891452637	1891452637	1	1	VA HOME HEALTH CARE INC	7/17/2024	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	15053 VENTURA BLVD	STE 202B	SHERMAN OAKS	CA	91403	2498	19	06037	34.15306161	-118.4615488	Los Angeles County
168959	Fee-for-Service	1053362319	1053362319	1	1	VIDERSHAYN ALEXANDER	6/1/2021	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	462 FIRST AVENUE 27TH ST	None	NEW YORK	NY	10016	9196	00	None	40.739544	-73.9763325	New York County
168966	Fee-for-Service	1548901747	1548901747	1	1	VESUNA, SAM MD	8/1/2024	390200000X	NA	Other	026	PHYSICIANS	190022	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
169113	Fee-for-Service	1508935594	1508935594	1	1	VANDERPOOL, LE ETTA L	5/5/1996	No Taxonomy Provided	NA	None	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1301 PROVIDENCE AVE	None	ORANGE	CA	92868	3892	30	06059	33.78142951	-117.866583	Orange County
169152	Fee-for-Service	1295158152	1295158152	1	1	VAZQUEZ REYES, CITLALLI LCS	1/14/2020	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	W	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
169240	Fee-for-Service	1902842511	1902842511	1	1	VONS COMPANIES INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	5949 E SPRING ST	None	LONG BEACH	CA	90808	3752	19	06037	33.81061551	-118.115649	Los Angeles County
169246	Fee-for-Service	1386784114	1386784114	1	1	VONGTAMA, VITUNE MD INC	2/8/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	29753	78	Neoplastic Diseases/Oncology	0	In state provider	ST TERESA COMP CANC CTR	4722 QUAIL LAKES DR	None	STOCKTON	CA	95207	5244	39	06077	37.98644944	-121.3399768	San Joaquin County
169253	Fee-for-Service	1023070885	1023070885	1	2	VOGUE PROSTHETIC AND ORTHOTI	12/13/2021	335E00000X	NA	Other	029	PROSTHETISTS	-	-	NOT APPLICABLE	0	In state provider	C CENTER, INC.	18250 ROSCOE	250	NORTHRIDGE	CA	91325	4226	19	06037	34.22076142	-118.5313223	Los Angeles County
169311	Fee-for-Service	1700822343	1700822343	1	1	VONS COMPANIES, INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	6951 EL CAMINO REAL	None	CARLSBAD	CA	92009	4146	37	06073	33.10361009	-117.2668384	San Diego County
169344	Fee-for-Service	1124438106	1124438106	1	1	VENUGOPAL, VIJAY D DO	12/15/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	15706	01	General Practice	0	In state provider	None	3800 DALE RD	None	MODESTO	CA	95356	8627	50	06099	37.69395556	-121.0499498	Stanislaus County
169383	Fee-for-Service	1396307070	1396307070	1	1	VAULT, KALISHA KORAN A LCSW	8/10/2023	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4193 FLAT ROCK DR	STE 200	RIVERSIDE	CA	92505	7111	33	06065	33.90361212	-117.4930456	Riverside County
169549	Fee-for-Service	1891858429	1891858429	1	1	VALLEY CHILDRENS HOSPITAL	1/1/2011	282NC2000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	9300 VALLEY CHILDRENS PL	None	MADERA	CA	93636	8761	20	06039	36.88437894	-119.8003484	Madera County
169564	Fee-for-Service	1548694185	1548694185	1	1	VALLEY CREST HOSPICE INC	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	18531 ROSCOE BLVD	SUITE 208	NORTHRIDGE	CA	91324	5461	19	06037	34.22075552	-118.5373395	Los Angeles County
169585	Fee-for-Service	1831384981	1831384981	1	1	VALLEY CARE MEDICAL GROUP	8/31/2010	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	INC	777 E HAWKEYE AVE	STE 3	TURLOCK	CA	95380	7507	50	06099	37.50732554	-120.8402304	Stanislaus County
169644	Fee-for-Service	1295199503	1295199503	1	1	VYAS, SHEELA P MD	5/26/2022	207R00000X	NA	Other	026	PHYSICIANS	161539	None	None	0	In state provider	None	9455 CLAIREMONT MESA BLV	None	SAN DIEGO	CA	92123	1297	37	06073	32.83133206	-117.1252363	San Diego County
169646	Fee-for-Service	1306847124	1306847124	1	1	VALADEZ, MARIA L MD	10/15/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	75208	08	Family Practice	0	In state provider	None	4200 CHINO HILLS PKWY	STE 905	CHINO HILLS	CA	91709	3784	36	06071	33.98274451	-117.7129305	San Bernardino County
169782	Fee-for-Service	1306262431	1306262431	1	1	VALLEY LIVING CENTER INC	8/8/2014	No Taxonomy Provided	NA	None	059	HOME AND COMMUNITY BASED SERVICES NURSING FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	7054 VANSCOY AVENUE	None	NORTH HOLLYWOOD	CA	91605	5357	19	06037	34.19925497	-118.4062495	Los Angeles County
169850	Fee-for-Service	1548694185	1548694185	1	1	VALLEY CREST HOSPICE INC	6/30/2015	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	18531 ROSCOE BLVD	SUITE 208	NORTHRIDGE	CA	91324	5461	19	06037	34.22075552	-118.5373395	Los Angeles County
169871	Fee-for-Service	1801837299	1801837299	1	1	VALLEY EMERGENCY MEDICAL	10/13/1993	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	ASSOCIATES	14850 ROSCOE BLVD	None	PANORAMA CITY	CA	91402	4677	19	06037	34.22145548	-118.4566005	Los Angeles County
169967	Fee-for-Service	1194137661	1194137661	1	1	VARSANI, POONAM D OD	5/2/2016	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	718 N DIAMOND BAR BLVD	None	DIAMOND BAR	CA	91765	4510	19	06037	34.03167081	-117.8089198	Los Angeles County
169998	Fee-for-Service	1104979475	1104979475	1	1	VANN, AMANDA LCSW	1/12/2021	106H00000X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	14075 HESPERIA ROAD	SUITE 101	VICTORVILLE	CA	92395	4500	36	06071	34.50679185	-117.296399	San Bernardino County
170162	Fee-for-Service	1477142891	1477142891	1	1	VILLARREAL, CARISSA CRNA	4/8/2021	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	8700 BEVERLY BLVD	TSB-290	WEST HOLLYWOOD	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
170202	Fee-for-Service	1295043388	1295043388	1	1	VYAS, DHWANIL V MD	7/26/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	125364	45	Nephrology (Renal-Kidney)	0	In state provider	None	752 MEDICAL CENTER CT	SUITE 302	CHULA VISTA	CA	91911	6661	37	06073	32.61800405	-117.0232585	San Diego County
170271	Fee-for-Service	1225300718	1225300718	1	1	VAN HOUTEN, STEPHANIE L LCSW	3/7/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
170327	Fee-for-Service	1619949476	1619949476	1	1	VAZQUEZ, WALTER D MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	83488	02	General Surgery	0	In state provider	None	3030 CHILDRENS WAY	STE 401	SAN DIEGO	CA	92123	4228	37	06073	32.798889	-117.150826	San Diego County
170458	Fee-for-Service	1376100859	1376100859	1	1	VIRTUAL BENEFIT SOLUTIONS IN	1/4/2021	231H00000X	NA	Other	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	C HEARING CLINIC	39899 BALENTINE	200	NEWARK	CA	94560	5355	01	06001	37.52205657	-121.993549	Alameda County
170503	Fee-for-Service	1164120770	1164120770	1	1	VARGAS, BRIANNA	4/24/2023	374J00000X	NA	Other	106	DOULA INDIVIDUAL PROVIDER	-	-	NOT APPLICABLE	0	In state provider	Addresses not published for Doula Providers	N/A	N/A	N/A	N/A	N/A	N/A	37	06073	0	0	None
170608	Fee-for-Service	1154481968	1154481968	1	1	VARMA, RAJEEV K MD	5/1/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	96630	30	Radiology	0	In state provider	None	21828 NORMANDIE	None	TORRANCE	CA	90502	2047	19	06037	33.829101	-118.299183	Los Angeles County
170615	Fee-for-Service	1619949476	1619949476	1	1	VAZQUEZ, WALTER D MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	83488	40	Pediatrics	0	In state provider	None	3030 CHILDRENS WAY	STE 401	SAN DIEGO	CA	92123	4228	37	06073	32.798889	-117.150826	San Diego County
170628	Fee-for-Service	1770738825	1770738825	1	1	VEGASANA, RAVI KIRAN MD	12/14/2017	207RN0300X	NA	Nephrology	026	PHYSICIANS	129459	45	Nephrology (Renal-Kidney)	0	In state provider	None	608 E ORANGEBURG AVE	None	MODESTO	CA	95350	5513	50	06099	37.66359354	-120.985569	Stanislaus County
170724	Fee-for-Service	1497360549	1497360549	1	1	VAN NUYS HOSPICE, INC	11/29/2021	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	1102 SAN FERNANDO RD	STE 209	SAN FERNANDO	CA	91340	3299	19	06037	34.28299646	-118.4418413	Los Angeles County
170839	Fee-for-Service	1497729495	1497729495	1	1	VAN NESS, DAWN E MD	6/4/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	86845	40	Pediatrics	0	In state provider	None	10862 CALLE VERDE	None	LA MESA	CA	91941	7338	37	06073	32.74823231	-116.9602609	San Diego County
170880	Fee-for-Service	1366513251	1366513251	1	1	VICHIT, VADAKAN V MD	1/1/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	30540	40	Pediatrics	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
170982	Fee-for-Service	1629290853	1629290853	1	1	VENUS ADULT DAY HEALTH	7/22/2002	No Taxonomy Provided	NA	None	001	ADULT DAY HEALTH CARE CENTERS	-	-	NOT APPLICABLE	0	In state provider	CARE CENTER	1634 N SAN FERNANDO BLVD	None	BURBANK	CA	91504	4122	19	06037	34.19167453	-118.3247235	Los Angeles County
171015	Fee-for-Service	1497360549	1497360549	1	1	VAN NUYS HOSPICE, INC	11/29/2021	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	1102 SAN FERNANDO RD	STE 209	SAN FERNANDO	CA	91340	3299	19	06037	34.28299646	-118.4418413	Los Angeles County
171080	Fee-for-Service	1437218195	1437218195	1	1	VICTOR, NOEL S MD	2/1/1995	208600000X	NA	General Surgery	026	PHYSICIANS	51613	02	General Surgery	0	In state provider	None	9851 MAGNOLIA AVE	None	RIVERSIDE	CA	92503	3528	33	06065	33.918192	-117.4547295	Riverside County
171090	Fee-for-Service	1659415222	1659415222	1	1	VITAS HEALTHCARE CORPORATION	2/14/2002	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	OF CALIFORNIA	670 N MCCARTHY BLVD	STE 220	MILPITAS	CA	95035	5113	43	06085	37.43469545	-121.9226241	Santa Clara County
171327	Fee-for-Service	1841338480	1841338480	1	1	VASANT, KRISHNA K MD	11/30/1994	261QM2500X	NA	Other	026	PHYSICIANS	35059	47	Miscellaneous	0	In state provider	None	40285 WINCHESTER RD	STE 102	TEMECULA	CA	92591	5547	33	06065	33.53330454	-117.1488732	Riverside County
171379	Fee-for-Service	1659415222	1659415222	1	1	VITAS HEALTHCARE CORPORATION	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	OF CALIFORNIA	670 N MCCARTHY BLVD	STE 220	MILPITAS	CA	95035	5113	43	06085	37.43469545	-121.9226241	Santa Clara County
171383	Fee-for-Service	1861931230	1861931230	1	1	VASQUEZ, STEPHANIE N CNP	4/15/2018	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1335 N WATERMAN AVENUE	None	SAN BERNARDINO	CA	92404	5385	36	06071	34.124274	-117.2787625	San Bernardino County
171400	Fee-for-Service	1891179321	1891179321	1	1	VILLALOBOS, CRYSTAL LMFT	10/22/2021	101YM0800X	NA	Other	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
171403	Fee-for-Service	1518544360	1518544360	1	1	VUONG, CARESSE L MD	7/24/2024	207P00000X	NA	Other	026	PHYSICIANS	None	66	Emergency Medicine (Urgent Care)	0	In state provider	None	207 W LEGION RD	None	BRAWLEY	CA	92227	7780	13	06025	32.95809	-115.5537045	Imperial County
171441	Fee-for-Service	1265477871	1265477871	1	1	VERMONT MEDICAL SUPPLY	3/15/2010	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	MASH	2681 W OLYMPIC BLVD	STE 101	LOS ANGELES	CA	90006	2883	19	06037	34.05247511	-118.290851	Los Angeles County
171480	Fee-for-Service	1053366393	1053366393	1	1	VO, STACY K OD	8/28/2018	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1550 BARTON ROAD	None	REDLANDS	CA	92373	5456	36	06071	34.04685329	-117.2071146	San Bernardino County
171541	Fee-for-Service	1811187859	1811187859	1	1	VENKATESAN, SRINIVASAN MD	8/10/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	41	Internal Medicine	1	Border provider	None	1707 WEST CHARLESTON BLD	STE 230	LAS VEGAS	NV	89102	2357	00	None	36.15879353	-115.1643015	Clark County
171551	Fee-for-Service	1326727959	1326727959	1	1	VISION Y COMPROMISO	6/17/2024	172V00000X	NA	Other	108	COMMUNITY BASED ORGANIZATIONS	-	-	NOT APPLICABLE	0	In state provider	None	1000 N ALAMEDA ST	None	LOS ANGELES	CA	90012	1804	19	06037	34.05918432	-118.2368288	Los Angeles County
171622	Fee-for-Service	1346394095	1346394095	1	1	VAN WOY, LANCE DPM	11/1/2000	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	975 SERENO DR	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
171696	Fee-for-Service	1790117083	1790117083	1	1	VINAYAGAM, SANGEETHA MD	10/20/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	138484	01	General Practice	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
171754	Fee-for-Service	1306924204	1306924204	1	1	VU, PHU TIEN MD	8/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	76105	08	Family Practice	0	In state provider	None	1305 TOMMYDON ST	None	STOCKTON	CA	95210	3364	39	06077	38.01883046	-121.29624	San Joaquin County
171759	Fee-for-Service	1033773379	1033773379	1	1	VANDERHYDE, HOLLY CNP	7/7/2023	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2221 LINCOLN PARK	None	LOS ANGELES	CA	90031	2920	19	06037	34.07105982	-118.202527	Los Angeles County
171763	Fee-for-Service	1295195147	1295195147	1	1	VALE ROAD PHARMACY LLC	5/16/2016	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	2023 VALE ROAD	SUITE 101	SAN PABLO	CA	94806	3891	07	06013	37.95369824	-122.3378493	Contra Costa County
171774	Fee-for-Service	1437562097	1437562097	1	1	VILLANUEVA, ROGER DO	10/2/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	14231	08	Family Practice	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
171775	Fee-for-Service	1467595447	1467595447	1	1	VALADEZ, AGUSTIN LMFT	4/11/2023	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3609 SACRAMENTO ST	None	SAN FRANCISCO	CA	94118	1709	38	06075	37.78748183	-122.4522257	San Francisco County
171854	Fee-for-Service	1881792166	1881792166	1	1	VIRTUAL RADIOLOGIC	5/18/2015	193400000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	PROFESSIONALS OF CA PA	29101 HOSPITAL ROAD	None	LAKE ARROWHEAD	CA	92352	9706	36	06071	34.26577765	-117.1695461	San Bernardino County
171903	Fee-for-Service	1437262821	1437262821	1	1	VALENTINO, JOSEPH F MD	3/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	74336	08	Family Practice	0	In state provider	None	43839 15TH ST W	None	LANCASTER	CA	93534	4756	19	06037	34.678791	-118.156867	Los Angeles County
171907	Fee-for-Service	1184932204	1184932204	1	1	VAUGHN, SARAH D DO	7/20/2018	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	10728	66	Emergency Medicine (Urgent Care)	0	In state provider	None	447 W EATON AVE	None	TRACY	CA	95376	3420	39	06077	37.74338833	-121.432305	San Joaquin County
171994	Fee-for-Service	1114091436	1114091436	1	1	VANIER, VANCE K MD	1/26/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	77270	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2425 GEARY BLVD	None	SAN FRANCISCO	CA	94115	3358	38	06075	37.78272203	-122.4433297	San Francisco County
172014	Fee-for-Service	1497832190	1497832190	1	1	VANSPEYBROECK, JOHN A MD	12/12/1981	208600000X	NA	General Surgery	026	PHYSICIANS	28829	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	2456 BUHNE ST	None	EUREKA	CA	95501	3207	12	06023	40.78590706	-124.139941	Humboldt County
172033	Fee-for-Service	1104855139	1104855139	1	1	VONS COMPANIES INC	4/22/2002	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	351 W FELICITA AVE	HWY 395	ESCONDIDO	CA	92025	6515	37	06073	33.10418223	-117.0740089	San Diego County
172101	Fee-for-Service	1174867154	1174867154	1	1	VITAL PHYSICAL THERAPY INC	7/14/2014	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	5353 MISSION CENTER ROAD	SUITE 120	SAN DIEGO	CA	92108	1304	37	06073	32.77207362	-117.154699	San Diego County
172200	Fee-for-Service	1841765385	1841765385	1	1	VARGAS, STEPHANIE A	11/29/2018	No Taxonomy Provided	NA	None	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	41769 ENTERPRISE CIR N	STE 104	TEMECULA	CA	92590	5626	33	06065	33.51823541	-117.1701538	Riverside County
172217	Fee-for-Service	1427430990	1427430990	1	1	VAIDYA, NIYATI V MD	12/20/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	155567	None	None	0	In state provider	None	26585 W AGOURA ROAD	330	CALABASAS	CA	91302	1958	19	06037	34.14240621	-118.7027109	Los Angeles County
172252	Fee-for-Service	1326668534	1326668534	1	1	VONG, CHRISTY MD	6/29/2023	207P00000X	NA	Other	026	PHYSICIANS	183955	None	None	0	In state provider	None	1800 N CALIFORNIA ST	None	STOCKTON	CA	95204	6019	39	06077	37.97026329	-121.2890849	San Joaquin County
172360	Fee-for-Service	1104067925	1104067925	1	1	VU, KHUE N MD	8/25/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	105939	None	None	0	In state provider	None	11705 SLATE AVE	None	RIVERSIDE	CA	92505	5196	33	06065	33.9027276	-117.4928061	Riverside County
172558	Fee-for-Service	1720143175	1720143175	1	1	VIRNICH, DANIEL E JR MD	12/26/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	97664	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
172609	Fee-for-Service	1215638598	1215638598	1	1	V. CRAIG FAMILY THERAPY INC.	3/21/2024	106H00000X	NA	Mental Health Outpatient Services	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	None	14420 CIVIC DR	4	VICTORVILLE	CA	92392	2928	36	06071	34.51268102	-117.3236867	San Bernardino County
172626	Fee-for-Service	1952329245	1952329245	1	1	VICKREY, BARBARA MD	7/8/1993	2084N0400X	NA	Neurology	026	PHYSICIANS	64465	13	Neurology (M.D. only)	0	In state provider	NEUROLOGY GROUP	300 UCLA MEDICAL PLZ	None	LOS ANGELES	CA	90095	8346	19	06037	34.06465655	-118.4461	Los Angeles County
172630	Fee-for-Service	1275906430	1275906430	1	1	VARTANYAN, JESSICA LMFT	10/29/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	13200 CROSSROADS PKWY	SUITE 335	CITY OF INDUSTRY	CA	91745	3409	19	06037	34.03038726	-118.0130115	Los Angeles County
172784	Fee-for-Service	1497192645	1497192645	1	1	VU, PETER MD INC	3/17/2014	208000000X	NA	Pediatric Primary Care	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	9191 WESTMINSTER AVE	STE 106	GARDEN GROVE	CA	92844	2751	30	06059	33.75946879	-117.9688437	Orange County
172848	Fee-for-Service	1609115021	1609115021	1	1	VIDA HEALTHCARE SYSTEMS LLC	7/28/2016	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	5100 N SIXTH ST	SUITE 112	FRESNO	CA	93710	7506	10	06019	36.810666	-119.763204	Fresno County
172872	Fee-for-Service	1861762619	1861762619	1	1	VODKIN, IRINE MD	9/24/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	113664	41	Internal Medicine	0	In state provider	None	200 WEST ARBOR DRIVE	None	SAN DIEGO	CA	92103	1911	37	06073	32.7537975	-117.1658298	San Diego County
172902	Fee-for-Service	1316031107	1316031107	1	1	VAN BOCKEL, SHAWN R MD	6/30/1987	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	50905	01	General Practice	0	In state provider	None	2585 SAMARITAN DR	STE 103	SAN JOSE	CA	95124	4107	43	06085	37.25083752	-121.9503884	Santa Clara County
172946	Fee-for-Service	1295147809	1295147809	1	1	VASUDEVAN NAIR, JAYASREE MD	1/5/2020	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	155858	40	Pediatrics	0	In state provider	None	100 MISSION BLVD	STE 2600	JACKSON	CA	95642	2536	03	06005	38.35163001	-120.7670107	Amador County
173000	Fee-for-Service	1073509642	1073509642	1	1	VALLE, LISA M DO	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	8420	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	805 WEST LA VETA	STE 101	ORANGE	CA	92868	3901	30	06059	33.78064152	-117.8606475	Orange County
173029	Fee-for-Service	1447717210	1447717210	1	1	VANASSE, TRISTA M CRNA	6/2/2019	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1411 E 31ST ST	None	OAKLAND	CA	94602	1018	01	06001	37.79926205	-122.2314248	Alameda County
173096	Fee-for-Service	1851473003	1851473003	1	1	VLACHONASSIOS	10/1/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	52738	06	Cardiovascular Disease (M.D. only)	0	In state provider	KONSTANTINO D MD	10720 PARAMOUNT BLVD	STE 20	DOWNEY	CA	90241	3346	19	06037	33.94732999	-118.1345312	Los Angeles County
173109	Fee-for-Service	1386107928	1386107928	1	1	VITAL TOTAL HEALTH MEDICAL G	2/9/2021	261QM1300X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	ROUP, INC.	710 S BROADWAY	STE 212	WALNUT CREEK	CA	94596	5219	07	06013	37.89702115	-122.0569066	Contra Costa County
173140	Fee-for-Service	1417580184	1417580184	1	1	VIVIANI, ALICIA D LMFT	2/15/2025	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2615 ASHBY AVE	None	BERKELEY	CA	94705	2200	01	06001	37.85685511	-122.2547897	Alameda County
173155	Fee-for-Service	1790969616	1790969616	1	1	VIJAYARAGHAVAN, MAYA MD	8/25/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	108623	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
173175	Fee-for-Service	1578100608	1578100608	1	1	VILLANUEVA, MELISSA LCSW	9/1/2023	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	906 G ST	None	SACRAMENTO	CA	95814	1800	34	06067	38.583468	-121.49289	Sacramento County
173233	Fee-for-Service	1639108640	1639108640	1	1	VONS COMPANIES, INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	710 BROADWAY	None	SANTA MONICA	CA	90401	2608	19	06037	34.01758438	-118.4904934	Los Angeles County
173252	Fee-for-Service	1164669511	1164669511	1	1	VERMA, VARUN K MD	7/1/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	126116	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
173264	Fee-for-Service	1407543267	1407543267	1	1	VAUGHAN, KAYLA NP	5/2/2023	363LP0200X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
173285	Fee-for-Service	1760156244	1760156244	1	1	VIVIANA BUNTING A MARRIAGE A	11/9/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	ND FAMILY THERAPY CORPOR	27851 BRADLEY RD	130L	MENIFEE	CA	92586	2282	33	06065	33.71630969	-117.1904696	Riverside County
173362	Fee-for-Service	1740368562	1740368562	1	1	VELLUCCI, GEORGE A MD	10/1/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	36001	01	General Practice	0	In state provider	None	3285 CLAREMONT WAY	None	NAPA	CA	94558	3313	28	06055	38.32103673	-122.3025002	Napa County
173384	Fee-for-Service	1851473003	1851473003	1	1	VLACHONASSIOS	10/1/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	52738	41	Internal Medicine	0	In state provider	KONSTANTINO D MD	10720 PARAMOUNT BLVD	STE 20	DOWNEY	CA	90241	3346	19	06037	33.94732999	-118.1345312	Los Angeles County
173400	Fee-for-Service	1104101310	1104101310	1	1	VAN KONINGSVELD, SARA R. LP	1/7/2024	101YM0800X	NA	Other	103	LICENSED PROFESSIONAL CLINICAL COUNSELOR - INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	CC	11835 WEST OLYMPIC BLVD	SUITE 815E	LOS ANGELES	CA	90064	5056	19	06037	34.03273663	-118.4516927	Los Angeles County
173415	Fee-for-Service	1174589501	1174589501	1	1	VILLANUEVA, MIRKO MD	5/16/2022	207RC0200X	NA	Other	026	PHYSICIANS	54123	None	None	0	In state provider	None	1800 CALIFORNIA ST	None	STOCKTON	CA	95204	6019	39	06077	37.97026329	-121.2890849	San Joaquin County
173655	Fee-for-Service	1811081797	1811081797	1	2	VALLEY PATHOLOGY MEDICAL	4/30/1991	207ZP0102X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	ASSOCIATES INC	15615 POMERADO RD	None	POWAY	CA	92064	2405	37	06073	32.99706	-117.05544	San Diego County
173675	Fee-for-Service	1891780342	1891780342	1	1	VINCENT KOLCTAR MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	2478 13TH ST SE	None	SALEM	OR	97302	2522	00	None	44.917146	-123.0289425	Marion County
173982	Fee-for-Service	1184923609	1184923609	1	1	VILLASENOR, MAUREEN V MD	7/9/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	115452	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
174028	Fee-for-Service	1962098640	1962098640	1	1	VIA CARE COMMUNITY HEALTH	6/23/2023	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	4476 TWEEDY BLVD	SUITE B	SOUTH GATE	CA	90280	6359	19	06037	33.94280053	-118.1931037	Los Angeles County
174099	Fee-for-Service	1386397917	1386397917	1	1	VERA DERMATOLOGY INC	11/28/2022	207N00000X	NA	Dermatology	026	PHYSICIANS	None	None	None	0	In state provider	None	981 W FOOTHILL BLVD	None	CLAREMONT	CA	91711	3304	19	06037	34.10713449	-117.733491	Los Angeles County
174111	Fee-for-Service	1245692771	1245692771	1	1	VAJDA, LAUREN K MD	4/12/2023	207L00000X	NA	Other	026	PHYSICIANS	152639	None	None	0	In state provider	None	757 WESTWOOD PLZ	None	LOS ANGELES	CA	90095	8358	19	06037	34.06633051	-118.4452686	Los Angeles County
174214	Fee-for-Service	1497098545	1497098545	1	1	VICTORY HOSPICE	3/15/2017	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	14349 VICTORY BLVD	SUITE 202	VAN NUYS	CA	91401	6520	19	06037	34.18669646	-118.4460435	Los Angeles County
174274	Fee-for-Service	1013676667	1013676667	1	1	VAN LEUVEN, SARAH NP	3/14/2022	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2601 E. CHAPMAN AVE	None	ORANGE	CA	92869	3206	30	06059	33.78785251	-117.826365	Orange County
174316	Fee-for-Service	1962098640	1962098640	1	1	VIA CARE COMMUNITY HEALTH	7/9/2024	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	4476 TWEEDY BLVD	SUITE B	SOUTH GATE	CA	90280	6359	19	06037	33.94280053	-118.1931037	Los Angeles County
174332	Fee-for-Service	1346677192	1346677192	1	1	VILLA REDONDO CARE HOME	10/3/2019	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	237 REDONDO AVENUE	None	LONG BEACH	CA	90803	5951	19	06037	33.765435	-118.152459	Los Angeles County
174333	Fee-for-Service	1578598330	1578598330	1	1	VASSALLO, CHARLES J MD	5/3/2019	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	136749	30	Radiology	0	In state provider	None	29101 HOSPITAL RD	None	LAKE ARROWHEAD	CA	92352	9706	36	06071	34.26577765	-117.1695461	San Bernardino County
174337	Fee-for-Service	1952436354	1952436354	1	2	VENKAT, ARUN P MD	3/6/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	125103	07	Dermatology	0	In state provider	None	3629 VISTA WAY	None	OCEANSIDE	CA	92056	4522	37	06073	33.1814285	-117.3093613	San Diego County
174410	Fee-for-Service	1457066847	1457066847	1	1	VELVET CARE	3/16/2023	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	15731 LEMARSH ST	None	NORTH HILLS	CA	91343	1511	19	06037	34.2554998	-118.4750952	Los Angeles County
174423	Fee-for-Service	1376711440	1376711440	1	1	VENICE CULVER MARINA MED	4/1/1995	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	GROUP INC	12095 W WASHINGTON BLVD	STE 105	LOS ANGELES	CA	90066	5826	19	06037	33.99749606	-118.4238235	Los Angeles County
174454	Fee-for-Service	1922018647	1922018647	1	2	VILLANUEVA, GLEN A MD	10/16/2015	No Taxonomy Provided	NA	None	086	MEDICAL DIRECTORS	6969	-	NOT APPLICABLE	0	In state provider	None	2000 W BRIGGSMORE AVE	SUITE I	MODESTO	CA	95350	3839	50	06099	37.67139252	-121.0281273	Stanislaus County
174457	Fee-for-Service	1528041092	1528041092	1	1	VU, HOA D MD	6/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	62459	45	Nephrology (Renal-Kidney)	0	In state provider	None	399 E HIGHLAND AVE	STE 100	SAN BERNARDINO	CA	92404	3841	36	06071	34.1358627	-117.2757898	San Bernardino County
174503	Fee-for-Service	1497098545	1497098545	1	1	VICTORY HOSPICE	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	14349 VICTORY BLVD	SUITE 202	VAN NUYS	CA	91401	6520	19	06037	34.18669646	-118.4460435	Los Angeles County
174509	Fee-for-Service	1528109360	1528109360	1	1	VERT WESTSIDE LLC	3/28/2014	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	3011 WILSHIRE BOULEVARD	None	SANTA MONICA	CA	90403	2301	19	06037	34.03944052	-118.4733044	Los Angeles County
174516	Fee-for-Service	1114594579	1114594579	1	2	VANDELON HOMECARE INC	9/16/2021	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	1335 E WHITTIER AVE	None	HEMET	CA	92543	1399	33	06065	33.73669454	-116.95806	Riverside County
174540	Fee-for-Service	1932501996	1932501996	1	2	VALLEY COMMUNITY HEALTHCARE	8/26/2019	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	5800 FULTON AVE	BUILDING STUDENT UNION	VALLEY GLEN	CA	91401	4062	19	06037	34.175484	-118.420164	Los Angeles County
174605	Fee-for-Service	1962098640	1962098640	1	1	VIA CARE COMMUNITY HEALTH	6/23/2023	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	4476 TWEEDY BLVD	SUITE B	SOUTH GATE	CA	90280	6359	19	06037	33.94280053	-118.1931037	Los Angeles County
174641	Fee-for-Service	1053365940	1053365940	1	1	VARMA, RUPA MD	6/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	73143	40	Pediatrics	0	In state provider	None	1107 W POPLAR AVE	None	PORTERVILLE	CA	93257	5839	54	06107	36.05128153	-119.0422344	Tulare County
174749	Fee-for-Service	1528041092	1528041092	1	1	VU, HOA D MD	6/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	62459	41	Internal Medicine	0	In state provider	None	399 E HIGHLAND AVE	STE 100	SAN BERNARDINO	CA	92404	3841	36	06071	34.1358627	-117.2757898	San Bernardino County
174760	Fee-for-Service	1245988161	1245988161	1	1	VASCONCELOS B BORBA PONTUAL,	2/5/2024	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	EMANUELLE NP	2238 GEARY BLVD	None	SAN FRANCISCO	CA	94115	3416	38	06075	37.78324881	-122.4405738	San Francisco County
174807	Fee-for-Service	1619339306	1619339306	1	1	VENTURA POST ACUTE LLC	3/1/2016	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	4020 LOMA VISTA ROAD	None	VENTURA	CA	93003	1801	56	06111	34.27770964	-119.2416038	Ventura County
174813	Fee-for-Service	1104950187	1104950187	1	1	VASQUEZ, CLAUDIA M LMFT	7/30/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	855 N LARK ELLEN AVE	STE B	WEST COVINA	CA	91791	1099	19	06037	34.087707	-117.9166385	Los Angeles County
174828	Fee-for-Service	1932501996	1932501996	1	2	VALLEY COMMUNITY HEALTHCARE	8/26/2019	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	5800 FULTON AVE	BUILDING STUDENT UNION	VALLEY GLEN	CA	91401	4062	19	06037	34.175484	-118.420164	Los Angeles County
174978	Fee-for-Service	1528229556	1528229556	1	1	VERMEULEN,MARSIA	6/13/2021	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	462 FIRST AVE 27TH ST	None	NEW YORK	NY	10016	9196	00	None	40.739544	-73.9763325	New York County
175007	Fee-for-Service	1174078075	1174078075	1	1	VPRP, INC.	6/13/2024	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	17821 SANTIAGO BLVD	None	VILLA PARK	CA	92861	4133	30	06059	33.81409239	-117.8210803	Orange County
175047	Fee-for-Service	1275533929	1275533929	1	1	VISTA WOODS HEALTH	10/1/2003	314000000X	NA	Skilled Nursing Facility	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	ASSOCIATES	2000 WESTWOOD RD	None	VISTA	CA	92083	5123	37	06073	33.1921648	-117.2862668	San Diego County
175062	Fee-for-Service	1962638536	1962638536	1	1	VAHIA, IPSIT MD	11/1/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	100236	36	Psychiatry	0	In state provider	None	200 W ARBOR DRIVE	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
175095	Fee-for-Service	1578337440	1578337440	1	1	VEDA COUNSELING	1/14/2024	163WP0807X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2372 MORSE AVE	#358	IRVINE	CA	92614	6234	30	06059	33.68143383	-117.8487181	Orange County
175162	Fee-for-Service	1891893848	1891893848	1	1	VIDEEN, JOHN S MD INC	10/5/2005	207RN0300X	NA	Nephrology	026	PHYSICIANS	59271	13	Neurology (M.D. only)	0	In state provider	None	752 MEDICAL CENTER CT	STE 210	CHULA VISTA	CA	91911	6660	37	06073	32.61800405	-117.0232585	San Diego County
175259	Fee-for-Service	1801980172	1801980172	1	1	VAKHARIA, SHERMEEN B MD	9/16/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	51322	05	Anesthesiology	0	In state provider	None	101 THE CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
175338	Fee-for-Service	1780978320	1780978320	1	1	VOGT, ANN J MD	8/2/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	123416	08	Family Practice	0	In state provider	None	3291 LOMA VISTA ROAD	None	VENTURA	CA	93003	3099	56	06111	34.27623479	-119.2520218	Ventura County
175365	Fee-for-Service	1295999589	1295999589	1	1	VALENTINE, NASA MD	11/1/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	102256	08	Family Practice	0	In state provider	None	1145 W REDONDO BEACH BLV	None	GARDENA	CA	90247	3528	19	06037	33.89242734	-118.2947128	Los Angeles County
175397	Fee-for-Service	1225058159	1225058159	1	1	VESGA, LIANA MD	9/19/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	81977	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
175400	Fee-for-Service	1750804712	1750804712	1	1	VALLEY REGIONAL HOSPICE, INC	1/20/2019	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	6311 N FRESNO ST	STE 103	FRESNO	CA	93710	5290	10	06019	36.82866273	-119.7814168	Fresno County
175433	Fee-for-Service	1306247994	1306247994	1	1	VERGARA, RUTH LCSW	1/7/2022	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	300 UCLA MEDICAL PLAZA	3300	LOS ANGELES	CA	90095	8346	19	06037	34.06465655	-118.4461	Los Angeles County
175452	Fee-for-Service	1891893848	1891893848	1	1	VIDEEN, JOHN S MD INC	10/5/2005	207RN0300X	NA	Nephrology	026	PHYSICIANS	59271	41	Internal Medicine	0	In state provider	None	752 MEDICAL CENTER CT	STE 210	CHULA VISTA	CA	91911	6660	37	06073	32.61800405	-117.0232585	San Diego County
175479	Fee-for-Service	1801117874	1801117874	1	1	VARTIVARIAN, MHER DPM	12/23/2014	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	2299 POST STREET	SUITE 205	SAN FRANCISCO	CA	94115	3473	38	06075	37.78434298	-122.4392033	San Francisco County
175688	Fee-for-Service	1750804712	1750804712	1	1	VALLEY REGIONAL HOSPICE, INC	1/20/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	6311 N FRESNO ST	STE 103	FRESNO	CA	93710	5290	10	06019	36.82866273	-119.7814168	Fresno County
175738	Fee-for-Service	1891893848	1891893848	1	1	VIDEEN, JOHN S MD INC	10/5/2005	207RN0300X	NA	Nephrology	026	PHYSICIANS	59271	66	Emergency Medicine (Urgent Care)	0	In state provider	None	752 MEDICAL CENTER CT	STE 210	CHULA VISTA	CA	91911	6660	37	06073	32.61800405	-117.0232585	San Diego County
175777	Fee-for-Service	1902061716	1902061716	1	1	VECHVITVARAKUL, SUTTATIP MD	1/15/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	135920	02	General Surgery	0	In state provider	None	15030 7TH STREET	None	VICTORVILLE	CA	92395	3811	36	06071	34.52471945	-117.3042336	San Bernardino County
175787	Fee-for-Service	1740725639	1740725639	1	1	VIVIAN INSUA-LOPEZ, PSY.D, P	8/8/2019	103T00000X	NA	Mental Health Outpatient Services	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	SYCHOLOGIST, INC	15455 SAN FERNANDO MISSO	#300	MISSION HILLS	CA	91345	1353	19	06037	34.27194157	-118.469079	Los Angeles County
175811	Fee-for-Service	1992978290	1992978290	1	1	VENTURINI, ANDRE A MD	1/4/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	112784	08	Family Practice	0	In state provider	None	333 MERCY AVE	None	MERCED	CA	95340	8319	24	06047	37.33875148	-120.467457	Merced County
175887	Fee-for-Service	1114956141	1114956141	1	1	VONS COMPANIES INC	1/23/2002	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	1790 N MOORPARK RD	None	THOUSAND OAKS	CA	91360	5133	56	06111	34.201521	-118.868212	Ventura County
176046	Fee-for-Service	1619073863	1619073863	1	1	VERMA, MARY A MD	8/17/1994	No Taxonomy Provided	NA	None	026	PHYSICIANS	53442	08	Family Practice	0	In state provider	None	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
176072	Fee-for-Service	1740725639	1740725639	1	1	VIVIAN INSUA-LOPEZ, PSY.D, P	8/8/2019	103T00000X	NA	Mental Health Outpatient Services	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	SYCHOLOGIST, INC	15455 SAN FERNANDO MISSO	#300	MISSION HILLS	CA	91345	1353	19	06037	34.27194157	-118.469079	Los Angeles County
176116	Fee-for-Service	1598051575	1598051575	1	1	VAYNBERG, DINA MD	1/10/2020	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	132247	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	333 MERCY AVE	None	MERCED	CA	95340	8319	24	06047	37.33875148	-120.467457	Merced County
176123	Fee-for-Service	1104122050	1104122050	1	1	VALERIO-SANDOVAL, CRYSTAL L	11/3/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	MFT	2275 S. MAIN ST.	SUITE 201	CORONA	CA	92882	5303	33	06065	33.85511663	-117.5694892	Riverside County
176185	Fee-for-Service	1568540193	1568540193	1	1	VANDERMOLEN, LOUIS A	4/8/2010	207RH0003X	NA	Oncology	026	PHYSICIANS	51429	78	Neoplastic Diseases/Oncology	0	In state provider	ORANGE COAST ONCOLOGY	4000 WEST PAC COAST HGWY	SUITE 3-A	NEWPORT BEACH	CA	92663	0000	30	06059	33.62161506	-117.9321246	Orange County
176200	Fee-for-Service	1780817270	1780817270	1	1	VLADA, CLAUDIU A MD	8/15/2018	390200000X	NA	Other	026	PHYSICIANS	154999	02	General Surgery	0	In state provider	None	1082 GLENDON AVE	None	LOS ANGELES	CA	90024	2908	19	06037	34.06109265	-118.4443071	Los Angeles County
176219	Fee-for-Service	1730295924	1730295924	1	1	VU, PETER H MD	1/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	68450	40	Pediatrics	0	In state provider	None	9191 WESTMINSTER AVE	None	GARDEN GROVE	CA	92844	2751	30	06059	33.75946879	-117.9688437	Orange County
176251	Fee-for-Service	1871230771	1871230771	1	1	VEIN ABOUT YOU A PROF PHYSIC	12/2/2022	363AS0400X	NA	Physician Assistant	034	MEDICARE CROSSOVER PROVIDER ONLY	-	-	NOT APPLICABLE	0	In state provider	IAN ASSISTANT CORP	2777 PACIFIC AVE STE 206	None	LONG BEACH	CA	90806	2627	19	06037	33.80761478	-118.193744	Los Angeles County
176258	Fee-for-Service	1902336076	1902336076	1	1	VIKESLAND, RYAN J OD	7/6/2018	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	15336 DEVONSHIRE ST	STE 4	LOS ANGELES	CA	91345	2763	19	06037	34.25726849	-118.4664285	Los Angeles County
176306	Fee-for-Service	1760544134	1760544134	1	1	VALLEY GERIATIC MEDICAL	3/21/1987	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	38	Geriatrics	0	In state provider	GROUP	5000 VAN NUYS BLVD	STE 110	SHERMAN OAKS	CA	91403	1717	19	06037	34.16148087	-118.4486642	Los Angeles County
176331	Fee-for-Service	1245263664	1245263664	1	1	VALIVETI, VINOD K MD INC	7/13/2013	207RG0300X	NA	Adult Primary Care	026	PHYSICIANS	73845	None	None	0	In state provider	None	1901 OUTLET CENTER DR	STE 250	VENTURA	CA	93036	0668	56	06111	34.21965581	-119.1491337	Ventura
176345	Fee-for-Service	1992042147	1992042147	1	1	VILLALOBOS, SOFIA LMFT	1/8/2019	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
176362	Fee-for-Service	1740725639	1740725639	1	1	VIVIAN INSUA-LOPEZ, PSY.D, P	10/18/2022	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	SYCHOLOGIST, INC	15455 SAN FERNANDO MISSO	#300	MISSION HILLS	CA	91345	1353	19	06037	34.27194157	-118.469079	Los Angeles County
176367	Fee-for-Service	1235206061	1235206061	1	1	VALKOVA-ABBAS, IORDANKA	4/22/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	96342	40	Pediatrics	0	In state provider	D MD	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
176368	Fee-for-Service	1649417353	1649417353	1	1	VIGG, AVANTI MD	12/6/2023	207R00000X	NA	Other	026	PHYSICIANS	192209	None	None	0	In state provider	None	1221 E SPRUCE AVE	None	FRESNO	CA	93720	3374	10	06019	36.84197867	-119.761714	Fresno County
176397	Fee-for-Service	1881261667	1881261667	1	1	VUONG, PETER DO	8/8/2023	207P00000X	NA	Other	026	PHYSICIANS	21078	None	None	0	In state provider	None	1441 FLORIDA AVE	None	MODESTO	CA	95350	4405	50	06099	37.66508443	-120.9962589	Stanislaus County
176405	Fee-for-Service	1205817061	1205817061	1	1	VIJAY K DEWAN	5/10/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	987400 NEBRASKA MEDICAL	None	OMAHA	NE	68198	7400	00	None	0	0	None
176425	Fee-for-Service	1679526701	1679526701	1	1	VESALI, FARIBA MD	12/11/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	92049	25	Physical Medicine and Rehabilitation	0	In state provider	None	1313 W 8TH ST	STE 100	LOS ANGELES	CA	90017	4420	19	06037	34.05048998	-118.269586	Los Angeles County
176444	Fee-for-Service	1790812253	1790812253	1	1	VALLEY IMAGING WEST COVINA	4/9/2014	No Taxonomy Provided	NA	None	084	INDEPENDENT DIAGNOSTIC TESTING FACILITY XOVER PROV ONLY	-	-	NOT APPLICABLE	0	In state provider	PET LLC	1401 W MERCED AVE	STE 101	WEST COVINA	CA	91760	3415	19	06037	34.061711	-117.9466197	Los Angeles County
176480	Fee-for-Service	1568540193	1568540193	1	1	VANDERMOLEN, LOUIS A	4/8/2010	207RH0003X	NA	Oncology	026	PHYSICIANS	51429	68	Hematology	0	In state provider	ORANGE COAST ONCOLOGY	4000 WEST PAC COAST HGWY	SUITE 3-A	NEWPORT BEACH	CA	92663	0000	30	06059	33.62161506	-117.9321246	Orange County
176488	Fee-for-Service	1104386549	1104386549	1	1	VO, ANH HUAN H MD	6/7/2023	207T00000X	NA	General Surgery	026	PHYSICIANS	186093	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
176502	Fee-for-Service	1366520645	1366520645	1	1	VITTAL, BAILEY V MD INC	1/1/1979	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	25286	10	Gastroenterology (M.D. only)	0	In state provider	None	150 N JACKSON AVE	STE 107	SAN JOSE	CA	95116	1908	43	06085	37.36190683	-121.8468659	Santa Clara County
176692	Fee-for-Service	1114594579	1114594579	1	1	VANDELON HOMECARE INC	7/20/2021	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	1365 E WHITTIER AVE	None	HEMET	CA	92543	8748	33	06065	33.73668948	-116.957844	Riverside County
176731	Fee-for-Service	1194870220	1194870220	1	1	VICTORIA, RAFAEL S JR MD	9/26/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	52387	40	Pediatrics	0	In state provider	None	345 CAMINO DEL REMEDIO	None	SANTA BARBARA	CA	93110	1332	42	06083	34.444782	-119.7794675	Santa Barbara County
176752	Fee-for-Service	1881198273	1881198273	1	1	VU, DAVID M MD	3/20/2024	390200000X	NA	Other	026	PHYSICIANS	163810	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
176765	Fee-for-Service	1568540193	1568540193	1	1	VANDERMOLEN, LOUIS A	4/8/2010	207RH0003X	NA	Oncology	026	PHYSICIANS	51429	41	Internal Medicine	0	In state provider	ORANGE COAST ONCOLOGY	4000 WEST PAC COAST HGWY	SUITE 3-A	NEWPORT BEACH	CA	92663	0000	30	06059	33.62161506	-117.9321246	Orange County
176789	Fee-for-Service	1366520645	1366520645	1	1	VITTAL, BAILEY V MD INC	1/1/1979	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	25286	41	Internal Medicine	0	In state provider	None	150 N JACKSON AVE	STE 107	SAN JOSE	CA	95116	1908	43	06085	37.36190683	-121.8468659	Santa Clara County
176898	Fee-for-Service	1295706901	1295706901	1	1	VASCULAR & THORACIC	1/1/1979	193400000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	ASS0CIATES OF LOS ANGELE	3680 EAST IMPERIAL HWY	STE 502	LYNWOOD	CA	90262	2659	19	06037	33.93211641	-118.2011728	Los Angeles County
177019	Fee-for-Service	1194870220	1194870220	1	1	VICTORIA, RAFAEL S JR MD	9/26/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	52387	41	Internal Medicine	0	In state provider	None	345 CAMINO DEL REMEDIO	None	SANTA BARBARA	CA	93110	1332	42	06083	34.444782	-119.7794675	Santa Barbara County
177079	Fee-for-Service	1528454907	1528454907	1	1	VAUGHAN, VICTORIA C MD	11/21/2022	207ZD0900X	NA	Other	026	PHYSICIANS	183297	None	None	0	In state provider	None	183 E 8TH AVE	None	CHICO	CA	95926	2341	04	06007	39.74568757	-121.8498156	Butte County
177089	Fee-for-Service	1083640866	1083640866	1	1	VONS COMPANIES, INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	5688 TELEPHONE RD	None	VENTURA	CA	93003	5326	56	06111	34.26489851	-119.2152357	Ventura County
177132	Fee-for-Service	1811652035	1811652035	1	1	VALHALLA SURGERY CENTER, LLC	10/25/2022	261QA1903X	NA	Other	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	4472 BROAD ST STE 150	None	SAN LUIS OBISPO	CA	93401	7990	40	06079	35.24211197	-120.6389543	San Luis Obispo County
177170	Fee-for-Service	1184747040	1184747040	1	1	VU, KHANH H MD	6/16/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	85244	30	Radiology	0	In state provider	None	14571 MAGNOLIA ST	STE 101	WESTMINSTER	CA	92683	5575	30	06059	33.75097286	-117.9723502	Orange County
177185	Fee-for-Service	1033148838	1033148838	1	1	VADMAL, VEENA MD	11/15/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	77147	01	General Practice	0	In state provider	None	11211 SEPULVEDA BLVD	None	MISSION HILLS	CA	91345	1115	19	06037	34.27497644	-118.4679634	Los Angeles County
177303	Fee-for-Service	1811450992	1811450992	1	1	VAN NIEKERK, PHILIPPUS DO	2/20/2025	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	19722	08	Family Practice	0	In state provider	None	9455 CLAIREMONT MESA BLV	None	SAN DIEGO	CA	92123	1297	37	06073	32.83133206	-117.1252363	San Diego County
177317	Fee-for-Service	1558629485	1558629485	1	1	VONG, MICHAEL MD	9/7/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	126480	41	Internal Medicine	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
177378	Fee-for-Service	1790356053	1790356053	1	1	VELOCITY PHYSICAL THERAPY AN	8/4/2021	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	D WELLNESS INC	12384 SARATOGA SUNNYVALE	None	SARATOGA	CA	95070	3084	43	06085	37.28863159	-122.0323434	Santa Clara County
177462	Fee-for-Service	1982923306	1982923306	1	1	VOGTMAN, ERIN N DPM	11/18/2014	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
177532	Fee-for-Service	1205897568	1205897568	1	2	VALLEY RADIOLOGY CONSULTANTS	1/1/1979	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	02	General Surgery	0	In state provider	GRP INC/SPLIT RAD	555 E VALLEY PKWY	None	ESCONDIDO	CA	92025	3048	37	06073	33.12542915	-117.0764725	San Diego County
177693	Fee-for-Service	1972605772	1972605772	1	1	VAN HIRTUM, MICHELE M MD	8/20/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	73193	79	Neurology-Child	0	In state provider	None	10833 LE CONTE AVE	None	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
177710	Fee-for-Service	1316059553	1316059553	1	1	VENTURA COUNTY CCS	9/14/1993	No Taxonomy Provided	NA	None	046	REHABILITATION CLINIC	-	-	NOT APPLICABLE	0	In state provider	BOSWELL MTU	5190 LOMA VISTA RD	None	VENTURA	CA	93003	2112	56	06111	34.28025417	-119.2255577	Ventura County
177720	Fee-for-Service	1992303275	1992303275	1	1	VW PHYSICAL THERAPY, INC.	8/13/2021	261QP2000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	AND PILATES	81 CERNON ST.	None	VACAVILLE	CA	95688	2803	48	06095	38.36102104	-121.9906107	Solano County
177721	Fee-for-Service	1396781167	1396781167	1	1	VONS COMPANIES INC	7/11/2002	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	21181 NEWPORT COAST DR	None	NEWPORT COAST	CA	92657	1123	30	06059	33.60637856	-117.8269899	Orange County
177739	Fee-for-Service	1770512709	1770512709	1	1	VONS COMPANIES INC	10/1/2000	332B00000X	NA	Other	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	1650 HERNDON AVE	None	CLOVIS	CA	93611	0505	10	06019	36.83737407	-119.6849821	Fresno County
177783	Fee-for-Service	1437237179	1437237179	1	1	VAN VORIS, KIRSTEN E MD	12/21/2005	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	2025 MORSE AVE	None	SACRAMENTO	CA	95825	2115	34	06067	38.602089	-121.3925895	Sacramento County
177803	Fee-for-Service	1154356293	1154356293	1	1	VANPUTTEN, CLIFTON O MD	10/31/1987	207L00000X	NA	Other	026	PHYSICIANS	62792	None	None	0	In state provider	None	2823 FRESNO STREET	None	FRESNO	CA	93721	1324	10	06019	36.7423511	-119.7834688	Fresno County
177835	Fee-for-Service	1558698670	1558698670	1	1	VILLACIS, MARIA F	3/7/2014	No Taxonomy Provided	NA	None	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	747 52ND ST	None	OAKLAND	CA	94609	6000	01	06001	37.83734639	-122.2672128	Alameda County
177843	Fee-for-Service	1437245412	1437245412	1	1	VISTA COMMUNITY CLINIC	2/14/2007	261QF0400X	NA	Federally Qualified Health Center	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	HORNE	517 N HORNE ST	None	OCEANSIDE	CA	92054	2518	37	06073	33.20130263	-117.3784497	San Diego County
177875	Fee-for-Service	1043704877	1043704877	1	1	VARIS, MARIELA MD	7/21/2021	163WG0000X	NA	Other	026	PHYSICIANS	164185	None	None	0	In state provider	None	451 W GONZALES RD	STE 230	OXNARD	CA	93036	0719	56	06111	34.21921445	-119.1816945	Ventura County
177950	Fee-for-Service	1033133103	1033133103	1	1	VALLEY PRESBYTERIAN EMER	7/19/2006	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	MEDICAL ASSOC	15107 VANOWEN ST	None	VAN NUYS	CA	91405	4542	19	06037	34.19395645	-118.463265	Los Angeles County
177979	Fee-for-Service	1972605772	1972605772	1	1	VAN HIRTUM, MICHELE M MD	8/20/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	73193	40	Pediatrics	0	In state provider	None	10833 LE CONTE AVE	None	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
178001	Fee-for-Service	1861541385	1861541385	1	1	VILLA, MARIA THERESA O. MD	3/21/2011	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	86224	08	Family Practice	0	In state provider	None	655 SATURN BLVD.	STE J	SAN DIEGO	CA	92154	4734	37	06073	32.58472439	-117.0925745	San Diego County
178129	Fee-for-Service	1437245412	1437245412	1	1	VISTA COMMUNITY CLINIC	11/8/2005	261QF0400X	NA	Federally Qualified Health Center	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	HORNE	517 N HORNE ST	None	OCEANSIDE	CA	92054	2518	37	06073	33.20130263	-117.3784497	San Diego County
178161	Fee-for-Service	1053517532	1053517532	1	1	VALDES, SANTIAGO O MD	5/1/2020	2080P0202X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	-	None	None	2	Out of state provider	None	6621 FANNIN STREET	None	HOUSTON	TX	77030	2303	00	None	29.70724683	-95.4026169	Harris County
178224	Fee-for-Service	1912096371	1912096371	1	1	VALCARENGHI, GERARD R MD	10/31/1985	207RP1001X	NA	Pulmonology	026	PHYSICIANS	35867	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	130 INDEPENDENCE CIR	None	CHICO	CA	95973	4918	04	06007	39.77157762	-121.8747816	Butte County
178248	Fee-for-Service	1275639791	1275639791	1	1	VORA, NAYANA MD	1/1/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	31439	30	Radiology	0	In state provider	None	1500 DUARTE RD	None	DUARTE	CA	91010	3012	19	06037	34.129683	-117.970857	Los Angeles County
178269	Fee-for-Service	1922135086	1922135086	1	1	VU, HOANG-CHUONG MD	7/18/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	75777	None	None	0	In state provider	None	8426 CALIFORNIA AVE	None	SOUTH GATE	CA	90280	2414	19	06037	33.9592432	-118.2052109	Los Angeles County
178310	Fee-for-Service	1316496466	1316496466	1	1	VITAL EXPERIENCES	9/27/2018	103TC0700X	NA	Mental Health Outpatient Services	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	None	15500 W SAND ST	STE 4	VICTORVILLE	CA	92392	2906	36	06071	34.51317572	-117.3255013	San Bernardino County
178363	Fee-for-Service	1336466747	1336466747	1	1	VO, DANNY H MD	10/25/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	118541	41	Internal Medicine	0	In state provider	None	1165 MONTGOMERY AVE	None	SANTA ROSA	CA	95405	4801	49	06097	38.443806	-122.701374	Sonoma County
178374	Fee-for-Service	1801822689	1801822689	1	1	VONS COMPANIES INC	9/17/1999	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	1260 W REDONDO BEACH BLV	None	GARDENA	CA	90247	3411	19	06037	33.89200144	-118.2982685	Los Angeles County
178420	Fee-for-Service	1437245412	1437245412	1	1	VISTA COMMUNITY CLINIC	8/18/2008	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	HORNE	517 N HORNE ST	None	OCEANSIDE	CA	92054	2518	37	06073	33.20130263	-117.3784497	San Diego County
178427	Fee-for-Service	1497287098	1497287098	1	1	VERKUIL, LANA D MD	10/4/2022	207WX0110X	NA	Ophthalmology	026	PHYSICIANS	179486	None	None	0	In state provider	None	3772 HOWE ST	None	OAKLAND	CA	94611	5311	01	06001	37.8243542	-122.2566075	Alameda County
178557	Fee-for-Service	1932114535	1932114535	2	1	VIA LIDO DRUG CORPORATION	7/2/2018	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	3445 VIA LIDO	None	NEWPORT BEACH	CA	92663	3903	30	06059	33.61824589	-117.929181	Orange County
178595	Fee-for-Service	1316496466	1316496466	1	1	VITAL EXPERIENCES	9/27/2018	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	15500 W SAND ST	STE 4	VICTORVILLE	CA	92392	2906	36	06071	34.51317572	-117.3255013	San Bernardino County
178709	Fee-for-Service	1437245412	1437245412	1	1	VISTA COMMUNITY CLINIC	11/8/2005	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	HORNE	517 N HORNE ST	None	OCEANSIDE	CA	92054	2518	37	06073	33.20130263	-117.3784497	San Diego County
178729	Fee-for-Service	1164715439	1164715439	1	1	VU, MICHELLE P M MD	9/23/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	121920	41	Internal Medicine	0	In state provider	None	9333 IMPERIAL HWY	None	DOWNEY	CA	90242	2812	19	06037	33.918975	-118.1291985	Los Angeles County
178798	Fee-for-Service	1982806436	1982806436	1	1	VYAS, ARPITA MD	9/23/2019	2080P0205X	NA	Endocrinology	026	PHYSICIANS	154249	40	Pediatrics	0	In state provider	None	500 W HOSPITAL ROAD	None	FRENCH CAMP	CA	95231	9693	39	06077	37.88652418	-121.2820956	San Joaquin County
178923	Fee-for-Service	1013115492	1013115492	1	1	VEMULAPALLI,TEJO MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	2800 E AJO WAY	None	TUCSON	AZ	85713	6204	00	None	32.175801	-110.9306925	Pima County
178954	Fee-for-Service	1225514359	1225514359	1	1	VELASCO, MELISSA N AU	2/19/2020	231H00000X	NA	Other	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	2055 KELLOGG AVE	None	CORONA	CA	92879	3111	33	06065	33.85626255	-117.5559289	Riverside County
179030	Fee-for-Service	1407091671	1407091671	1	1	VOLTERRA, ANGELICA S	6/30/1990	No Taxonomy Provided	NA	None	026	PHYSICIANS	40912	07	Dermatology	0	In state provider	None	2900 WHIPPLE AVE	None	REDWOOD CITY	CA	94062	2843	41	06081	37.4783072	-122.2551089	San Mateo County
179066	Fee-for-Service	1790219475	1790219475	1	1	VILLALPANDO, CATHERINE LMFT	9/11/2023	101YM0800X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4401 SEPULVEDA BLVD	210	SHERMAN OAKS	CA	91403	3934	19	06037	34.150356	-118.467397	Los Angeles County
179330	Fee-for-Service	1760131213	1760131213	1	1	VO, MAI QUE N DO	1/29/2025	390200000X	NA	Other	026	PHYSICIANS	21854	08	Family Practice	0	In state provider	None	1001 BROADWAY	STE 302	MILLBRAE	CA	94030	1978	41	06081	37.60544641	-122.3978603	San Mateo County
179342	Fee-for-Service	1194874750	1194874750	1	1	VENTON, SHERYL A OT	4/13/2020	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	99 MONTECILLO RD	None	SAN RAFAEL	CA	94903	3308	21	06041	38.00450116	-122.5540001	Marin County
179429	Fee-for-Service	1194864769	1194864769	1	1	VAFADOUSTE, REZA MD	7/8/2008	207RC0000X	NA	Cardiology/Interventional Cardiology	022	PHYSICIANS GROUP	-	13	Neurology (M.D. only)	0	In state provider	None	2141 COLORADO AVE	None	TURLOCK	CA	95382	2011	50	06099	37.51231802	-120.8353115	Stanislaus County
179520	Fee-for-Service	1184086696	1184086696	1	1	VIAMONTE, STACEY U MD	1/13/2021	207L00000X	NA	Other	026	PHYSICIANS	168130	None	None	0	In state provider	None	8700 BEVERLY BLVD	TSB-290	WEST HOLLYWOOD	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
179717	Fee-for-Service	1194864769	1194864769	1	1	VAFADOUSTE, REZA MD	7/8/2008	207RC0000X	NA	Cardiology/Interventional Cardiology	022	PHYSICIANS GROUP	-	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	2141 COLORADO AVE	None	TURLOCK	CA	95382	2011	50	06099	37.51231802	-120.8353115	Stanislaus County
179758	Fee-for-Service	1205930914	1205930914	1	1	VAINO, SHAWN ROY MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1515 E REZANOF DR	None	KODIAK	AK	99615	6502	00	None	57.79673471	-152.3818255	Kodiak Island Borough
179833	Fee-for-Service	1780901561	1780901561	1	1	VU, JULIE D MD	8/17/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	115282	41	Internal Medicine	0	In state provider	None	2501 E CHAPMAN AVE	None	ORANGE	CA	92869	3204	30	06059	33.78785649	-117.8276715	Orange County
179943	Fee-for-Service	1982817391	1982817391	1	1	VANG, SA MD	7/23/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	99655	01	General Practice	0	In state provider	None	2345 FAIR OAKS BLVD	None	SACRAMENTO	CA	95825	4708	34	06067	38.57535	-121.407633	Sacramento County
180238	Fee-for-Service	1871550863	1871550863	1	1	VIALE, CHRISTOPHER A MD	2/8/2015	207L00000X	NA	Other	026	PHYSICIANS	77628	05	Anesthesiology	0	In state provider	COMM HOSP OF LOS GATOS	16220 KENNEDY RD	None	LOS GATOS	CA	95032	6478	43	06085	37.22031484	-121.9536949	Santa Clara County
180280	Fee-for-Service	1689639981	1689639981	1	1	VENEZIANO, CHRISTOPHER J MD	4/12/2021	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	92784	None	None	0	In state provider	None	24331 EL TORO ROAD	SUITE 200	LAGUNA WOODS	CA	92637	3116	30	06059	33.60928782	-117.7295058	Orange County
180402	Fee-for-Service	1841383882	1841383882	1	1	VITREO RETINAL MED GRP	2/1/1988	207W00000X	NA	Ophthalmology	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	RETINAL CONSULTANTS MED	5775 GREENBACK LANE	None	SACRAMENTO	CA	95841	2013	34	06067	38.682747	-121.327506	Sacramento County
180447	Fee-for-Service	1467409979	1467409979	1	1	VISTA CENTER FOR THE BLIND	9/13/1989	152WL0500X	NA	Other	041	COMMUNITY CLINIC	-	-	NOT APPLICABLE	0	In state provider	AND VISUALLY IMPAIRED	2500 EL CAMINO REAL	SUITE 100	PALO ALTO	CA	94306	1723	43	06085	37.42454065	-122.145094	Santa Clara County
180486	Fee-for-Service	1972074821	1972074821	1	1	VYAS, USHA R CNP	4/4/2023	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	365 HAWTHORNE AVENUE	SUITE 201	OAKLAND	CA	94609	3114	01	06001	37.82079728	-122.2633226	Alameda County
180521	Fee-for-Service	1558562660	1558562660	1	1	VAZQUEZ, EBONIE M MD	10/7/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	104737	36	Psychiatry	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
180575	Fee-for-Service	1508328600	1508328600	1	1	VAN BUREN, JAVAR MD	8/29/2022	390200000X	NA	Other	026	PHYSICIANS	180723	None	None	0	In state provider	None	2521 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2207	34	06067	38.55204	-121.455387	Sacramento County
180630	Fee-for-Service	1407927262	1407927262	1	1	VIVANCO DE MARTINEZ	9/20/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	73493	40	Pediatrics	0	In state provider	LORENA MD	1070 S SANTA FE AVE	STE 9	VISTA	CA	92084	7010	37	06073	33.19120588	-117.2283618	San Diego County
180638	Fee-for-Service	1851324537	1851324537	1	1	VERHILLE, MICHAEL S MD	7/31/1989	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	56272	41	Internal Medicine	0	In state provider	None	3838 CALIFORNIA ST	RM 416	SAN FRANCISCO	CA	94118	1506	38	06075	37.78591809	-122.4575439	San Francisco County
180690	Fee-for-Service	1528587185	1528587185	1	1	VIERRA, AREN T MD	6/6/2024	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	182053	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
180863	Fee-for-Service	1285895078	1285895078	1	1	VENICE FAMILY CLINIC	7/1/2008	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	604 ROSE AVE	None	VENICE	CA	90291	2767	19	06037	33.99891527	-118.4714129	Los Angeles County
180922	Fee-for-Service	1851324537	1851324537	1	1	VERHILLE, MICHAEL S MD	7/31/1989	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	56272	10	Gastroenterology (M.D. only)	0	In state provider	None	3838 CALIFORNIA ST	RM 416	SAN FRANCISCO	CA	94118	1506	38	06075	37.78591809	-122.4575439	San Francisco County
180999	Fee-for-Service	1841679651	1841679651	1	1	VESPER HEALTHCARE, INC	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	2545 WEST HILLCREST DR	SUITE 130	THOUSAND OAKS	CA	91320	2297	56	06111	34.18762436	-118.9332612	Ventura County
181282	Fee-for-Service	1346403409	1346403409	1	1	VO, KIEUHOA T MD	6/25/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	121209	78	Neoplastic Diseases/Oncology	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
181287	Fee-for-Service	1841679651	1841679651	1	1	VESPER HEALTHCARE, INC	7/1/2015	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	2545 WEST HILLCREST DR	SUITE 130	THOUSAND OAKS	CA	91320	2297	56	06111	34.18762436	-118.9332612	Ventura County
181314	Fee-for-Service	1083700884	1083700884	1	1	VALLARTA, SALVADOR O OD	3/20/2018	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	3451 S DOGWOOD AVE	STE 1334	EL CENTRO	CA	92243	5503	13	06025	32.762997	-115.530678	Imperial County
181517	Fee-for-Service	1174613665	1174613665	1	1	VURAL, EMRE MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	MEDICAL COLLEGE PHYS GRP	4301 WEST MARKHAM ST	None	LITTLE ROCK	AR	72205	0000	00	None	34.749009	-92.320101	Pulaski County
181542	Fee-for-Service	1538690995	1538690995	1	1	VASSAR, CODIE J MD	5/29/2024	2084P0800X	NA	Psychiatry	026	PHYSICIANS	182671	36	Psychiatry	0	In state provider	None	1310 STEWART DR	STE 301	ORANGE	CA	92868	3854	30	06059	33.78236048	-117.8664975	Orange County
181558	Fee-for-Service	1588977938	1588977938	1	1	VACHARKULKSEMSUK, TARA OD	1/22/2014	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	789 E COOLEY DRIVE	None	COLTON	CA	92324	4007	36	06071	34.05795035	-117.3040272	San Bernardino County
181568	Fee-for-Service	1346403409	1346403409	1	1	VO, KIEUHOA T MD	6/25/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	121209	68	Hematology	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
181664	Fee-for-Service	1124643598	1124643598	1	1	VALLEY HEALTHCARE CENTERS	12/28/2020	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	396 N CHURCH RD	STE 3	EARLIMART	CA	93219	0000	54	06107	35.887329	-119.268121	Tulare County
181714	Fee-for-Service	1568767085	1568767085	1	1	VASHISHTHA, NEHA MD	7/9/2019	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	145653	40	Pediatrics	0	In state provider	None	500 W HOSPITAL ROAD	None	FRENCH CAMP	CA	95231	9693	39	06077	37.88652418	-121.2820956	San Joaquin County
181741	Fee-for-Service	1649633934	1649633934	1	1	VAIDYA, AKANKSHA V MD	8/3/2022	207RI0200X	NA	HIV/AIDS/Infectious Disease	026	PHYSICIANS	168684	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
181772	Fee-for-Service	1356374029	1356374029	1	1	VANGALA, HEMALATHA MD	10/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	78672	None	None	0	In state provider	None	975 SERENO DR	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
181855	Fee-for-Service	1346403409	1346403409	1	1	VO, KIEUHOA T MD	6/25/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	121209	40	Pediatrics	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
181946	Fee-for-Service	1063044691	1063044691	1	1	VASQUEZ SANDEZ, CAROLINA	10/19/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	35-325 DATE PALM DRIVE	SUITE 151C	CATHEDRAL CITY	CA	92234	6216	33	06065	33.82516014	-116.4582112	Riverside County
181948	Fee-for-Service	1124643598	1124643598	1	1	VALLEY HEALTHCARE CENTERS	12/28/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	396 N CHURCH RD	STE 3	EARLIMART	CA	93219	0000	54	06107	35.887329	-119.268121	Tulare County
182184	Fee-for-Service	1386814895	1386814895	1	1	VAN METER, HEATHER	5/10/2024	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	633 WEST FIFTH STREET	OFFICE #2876B	LOS ANGELES	CA	90071	2005	19	06037	34.05071143	-118.25466	Los Angeles County
182217	Fee-for-Service	1295362259	1295362259	1	1	VINOGRADOVA, MARGARITA DO	8/4/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	19342	None	None	0	In state provider	None	1441 FLORIDA AVE	None	MODESTO	CA	95350	4405	50	06099	37.66508443	-120.9962589	Stanislaus County
182227	Fee-for-Service	1467754796	1467754796	1	1	VARGO PHYSICAL THERAPY, INC.	8/1/2019	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	3753 E THOUSAND OAKS BLV	None	WESTLAKE VILLAGE	CA	91362	3607	56	06111	34.16411108	-118.828654	Ventura County
182250	Fee-for-Service	1710088794	1710088794	1	1	VAN ZANT, DAVID D	5/16/2022	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1301 E BIDWELL ST	#101	FOLSOM	CA	95630	3452	34	06067	38.66841	-121.151025	Sacramento County
182263	Fee-for-Service	1376621268	1376621268	1	1	VAN NOORD, MICHAEL J MD	9/7/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	91833	02	General Surgery	0	In state provider	None	975 SERENO DR	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
182290	Fee-for-Service	1497203541	1497203541	1	15	VISTA COMMUNITY CLINIC	3/10/2025	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	950 CIVIC CENTER DRIVE	None	VISTA	CA	92083	5208	37	06073	33.19303885	-117.2348616	San Diego County
182319	Fee-for-Service	1255502506	1255502506	1	1	VENUGOPAL, ANILRUDH A MD	12/2/2024	208M00000X	NA	Other	026	PHYSICIANS	56059	41	Internal Medicine	0	In state provider	None	200 N ROBERTSON BLVD	None	BEVERLY HILLS	CA	90211	1769	19	06037	34.069509	-118.383743	Los Angeles County
182331	Fee-for-Service	1265548762	1265548762	1	1	VARMAN, MEERA MD	4/2/2025	No Taxonomy Provided	NA	None	026	PHYSICIANS	None	77	Infectious Disease	0	In state provider	None	1524 MCHENRY AVE	SUITES 550, 570	MODESTO	CA	95350	4500	50	06099	37.666233	-120.993933	Stanislaus County
182345	Fee-for-Service	1174363931	1174363931	1	1	VITUITY-NEVADA MEDICAL SERVI	7/9/2024	193200000X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	1	Border provider	None	102 E LAKE MEAD PKWY	None	HENDERSON	NV	89015	5575	00	None	36.03815706	-114.9842287	Clark County
182399	Fee-for-Service	1508331737	1508331737	1	1	VISMANOS, LEAH M NP	5/26/2023	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
182423	Fee-for-Service	1578568069	1578568069	1	1	VANG, CHAO CNP	5/12/2020	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	7050 N RECREATION AVE	SUITE 105	FRESNO	CA	93720	8001	10	06019	36.83835219	-119.7404373	Fresno County
182462	Fee-for-Service	1790296655	1790296655	1	1	VU, VIEN PT	1/30/2024	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
182493	Fee-for-Service	1154420875	1154420875	1	1	VALLEY FAMILY HEALTH CTR	3/22/2004	261QR1300X	NA	Rural Health Center	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	MATERNAL & CHILD CARE CT	337 E KINGS ST	None	AVENAL	CA	93204	1630	16	06031	36.00253508	-120.1335979	Kings County
182556	Fee-for-Service	1205993771	1205993771	1	1	VALLECITO UNION ELEMENTARY	4/27/1997	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	SCHOOL DISTRICT	4545 B MORAN RD	None	AVERY	CA	95224	0329	05	06009	38.201652	-120.3651765	Calaveras County
182577	Fee-for-Service	1497203541	1497203541	1	15	VISTA COMMUNITY CLINIC	3/10/2025	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	950 CIVIC CENTER DRIVE	None	VISTA	CA	92083	5208	37	06073	33.19303885	-117.2348616	San Diego County
182661	Fee-for-Service	1144431123	1144431123	1	1	VEGUILLA, ERICA MD MPH	7/16/2024	2084P0800X	NA	Psychiatry	026	PHYSICIANS	None	27	Psychiatry Neurology (D.O. only)	0	In state provider	None	1000 FIVEPOINT	None	IRVINE	CA	92618	2377	30	06059	33.65251244	-117.7317885	Orange County
182705	Fee-for-Service	1639363815	1639363815	1	1	VARGAS, LILIANA LMFT	7/23/2019	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	32605 TEMECULA PKWY	206	TEMECULA	CA	92592	6837	33	06065	33.48367403	-117.088031	Riverside County
182794	Fee-for-Service	1285678383	1285678383	1	1	VON FISHER, BENJAMIN W. MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	800 BIESTERFIELD RD	None	ELK GROVE VLG	IL	60007	3361	00	None	42.00343981	-88.01660209	Cook County
182948	Fee-for-Service	1144431123	1144431123	1	1	VEGUILLA, ERICA MD MPH	7/16/2024	2084P0800X	NA	Psychiatry	026	PHYSICIANS	None	13	Neurology (M.D. only)	0	In state provider	None	1000 FIVEPOINT	None	IRVINE	CA	92618	2377	30	06059	33.65251244	-117.7317885	Orange County
182968	Fee-for-Service	1366494247	1366494247	1	1	VALENCIA, RAFAEL MD	6/23/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	90757	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	10666 N TORREY PINES RD	None	LA JOLLA	CA	92037	1027	37	06073	32.89687721	-117.2418677	San Diego County
183008	Fee-for-Service	1649568809	1649568809	1	1	VALLEJO, OSCAR E	10/11/2011	No Taxonomy Provided	NA	None	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	5601 DE SOTO AVE	None	WOODLAND HLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
183057	Fee-for-Service	1790170173	1790170173	1	1	VO, HAN MD	10/3/2019	207R00000X	NA	Other	026	PHYSICIANS	155197	41	Internal Medicine	0	In state provider	None	4050 BARRANCA PKWY	STE 200	IRVINE	CA	92604	1723	30	06059	33.68293726	-117.8067799	Orange County
183146	Fee-for-Service	1528695277	1528695277	1	1	VAJTA GOMEZ, JACKELINE P MD	1/9/2024	208M00000X	NA	Other	026	PHYSICIANS	191234	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
183148	Fee-for-Service	1225330251	1225330251	1	1	VIJAYVARGIYA, POONAM MD	2/12/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	119641	40	Pediatrics	0	In state provider	None	725 WELCH ROAD	MC 5500	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
183236	Fee-for-Service	1144431123	1144431123	1	1	VEGUILLA, ERICA MD MPH	7/16/2024	2084P0800X	NA	Psychiatry	026	PHYSICIANS	None	36	Psychiatry	0	In state provider	None	1000 FIVEPOINT	None	IRVINE	CA	92618	2377	30	06059	33.65251244	-117.7317885	Orange County
183249	Fee-for-Service	1821165770	1821165770	1	1	VALENCIA, IRENE MD	5/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	70558	08	Family Practice	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
183351	Fee-for-Service	1538260393	1538260393	1	1	VIJAYAN, VINI MD	8/23/2019	2080P0208X	NA	HIV/AIDS/Infectious Disease	026	PHYSICIANS	103917	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
183372	Fee-for-Service	1518413491	1518413491	1	1	VAN DYK, KATHLEEN M PHD	9/27/2016	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	760 WESTWOOD PLAZA	None	LOS ANGELES	CA	90095	0001	19	06037	34.07067	-118.4432445	Los Angeles County
183392	Fee-for-Service	1073951109	1073951109	1	1	VATANCHI, MARJON MD	12/20/2023	207N00000X	NA	Dermatology	026	PHYSICIANS	155824	None	None	0	In state provider	None	101 THE CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
183537	Fee-for-Service	1821165770	1821165770	1	1	VALENCIA, IRENE MD	5/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	70558	02	General Surgery	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
183559	Fee-for-Service	1023169125	1023169125	1	1	VERDUGO ORTHOPEDIC MED	4/30/1992	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	GROUP	1818 VERDUGO BLVD	STE 201	GLENDALE	CA	91208	1433	19	06037	34.20560177	-118.216054	Los Angeles County
183560	Fee-for-Service	1841858925	1841858925	1	1	VALLEY VIEW CARE CENTER LLC	5/17/2019	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	729 BROWNING RD	None	DELANO	CA	93215	9747	15	06029	35.76701678	-119.2231916	Kern County
183681	Fee-for-Service	1962883975	1962883975	1	1	VALENCIA, ALEXIS LMFT	1/12/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	45926 OASIS ST	None	INDIO	CA	92201	4559	33	06065	33.715512	-116.2207015	Riverside County
183754	Fee-for-Service	1063463339	1063463339	1	1	VILLEGAS, SERGIO B MD	3/27/1989	No Taxonomy Provided	NA	None	026	PHYSICIANS	65363	08	Family Practice	0	In state provider	None	1701 E CESAR E CHAVEZ AV	STE 402	LOS ANGELES	CA	90033	2496	19	06037	34.05112725	-118.2173921	Los Angeles County
183883	Fee-for-Service	1396585154	1396585154	1	1	VITUITY-NEVADA MEDICAL SERVI	7/9/2024	193200000X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	1	Border provider	CES KOURY & PARTNERS P	880 ALDER AVE	None	INCLINE VILLAGE	NV	89451	8335	00	None	39.25092003	-119.9543846	Washoe County
183904	Fee-for-Service	1922199488	1922199488	1	2	VALLEY FAMILY HEALTH CTR	3/1/1997	261QR1300X	NA	Rural Health Center	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	3567 W MT. WHITNEY AVE	None	RIVERDALE	CA	93656	0543	10	06019	36.43078218	-119.8620732	Fresno County
183939	Fee-for-Service	1437245412	1437245412	1	2	VISTA COMMUNITY CLINIC	7/25/2022	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	105 DURIAN ST	STE B	VISTA	CA	92083	6230	37	06073	33.192558	-117.272973	San Diego County
184043	Fee-for-Service	1063463339	1063463339	1	1	VILLEGAS, SERGIO B MD	3/27/1989	No Taxonomy Provided	NA	None	026	PHYSICIANS	65363	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1701 E CESAR E CHAVEZ AV	STE 402	LOS ANGELES	CA	90033	2496	19	06037	34.05112725	-118.2173921	Los Angeles County
184096	Fee-for-Service	1598059586	1598059586	1	1	VILLAPIANO, NICOLE L MD	8/23/2024	207R00000X	NA	Other	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	None	1900 DRESDEN	None	LINCOLN	CA	95648	8803	31	06061	38.85524393	-121.2946284	Placer County
184230	Fee-for-Service	1437245412	1437245412	1	2	VISTA COMMUNITY CLINIC	7/25/2022	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	105 DURIAN ST	STE B	VISTA	CA	92083	6230	37	06073	33.192558	-117.272973	San Diego County
184388	Fee-for-Service	1659428001	1659428001	1	1	VACHIRAKORNTONG, VIRUCH	4/30/1994	No Taxonomy Provided	NA	None	026	PHYSICIANS	52656	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	15998 QUANTICO RD	STE A	APPLE VALLEY	CA	92307	1302	36	06071	34.54175393	-117.270808	San Bernardino County
184394	Fee-for-Service	1801050737	1801050737	1	1	VASIUK, NATALIA MD	8/4/2022	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	117745	None	None	0	In state provider	None	16950 VIA TAZON	None	SAN DIEGO	CA	92127	1607	37	06073	33.02257788	-117.0856332	San Diego County
184406	Fee-for-Service	1558688374	1558688374	1	1	VOONG, DAVID MD	1/11/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	111672	40	Pediatrics	0	In state provider	None	747 52ND ST	None	OAKLAND	CA	94609	1809	01	06001	37.83734639	-122.2672128	Alameda County
184662	Fee-for-Service	1134501307	1134501307	1	1	VARGAS-VILA, MARIO MD	11/8/2022	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	144130	None	None	0	In state provider	None	3855 ALAMO ST	None	SIMI VALLEY	CA	93063	2104	56	06111	34.28644751	-118.721655	Ventura County
184788	Fee-for-Service	1063628501	1063628501	1	1	VANTAGE HOME HEALTH CARE	9/23/2009	251E00000X	NA	Other	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	SERVICES, INC	19210 S VERMONT AVE	BUILDING B, STE 205	GARDENA	CA	90248	4428	19	06037	33.85572578	-118.2905102	Los Angeles County
184809	Fee-for-Service	1891809968	1891809968	1	1	VISHWANATH, VASANTH M MD	12/13/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	77810	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	5339 N FRESNO ST	STE 107D	FRESNO	CA	93710	6851	10	06019	36.814635	-119.7813855	Fresno County
184830	Fee-for-Service	1154832251	1154832251	1	1	VIRAMONTES, SANDRA P LMFT	10/18/2023	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	14135 MAIN ST	301	HESPERIA	CA	92345	8092	36	06071	34.42669852	-117.354483	San Bernardino County
184917	Fee-for-Service	1164848933	1164848933	1	1	VISTE, EVANGELINE C NP	10/5/2015	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	7035 CONVOY COURT	None	SAN DIEGO	CA	92111	1016	37	06073	32.8346295	-117.165015	San Diego County
184950	Fee-for-Service	1679949507	1679949507	1	1	VEJVODA, SHARON R CNP	9/2/2020	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	801 SANTA FE WAY	None	SHAFTER	CA	93263	3158	15	06029	35.49142021	-119.260004	Kern County
184974	Fee-for-Service	1417185166	1417185166	1	1	VU, CHARLES M MD	8/22/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	114157	66	Emergency Medicine (Urgent Care)	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
184979	Fee-for-Service	1093205312	1093205312	1	1	VIKRAM UDANI MD INC	8/31/2020	207T00000X	NA	General Surgery	026	PHYSICIANS	None	14	Neurological Surgery	0	In state provider	None	5395 RUFFIN RD	102	SAN DIEGO	CA	92123	1338	37	06073	32.832387	-117.1266225	San Diego County
185017	Fee-for-Service	1285657221	1285657221	1	1	VAN HERLE, HELGA M MD	10/1/1998	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	83799	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
185048	Fee-for-Service	1235525403	1235525403	1	1	VILLARREAL, DIANA D MD	1/1/2020	No Taxonomy Provided	NA	None	080	CA CHILDRENS SERVICES/GENETICALLY HANDICAPPED PERSONS PROGRAM NON- INSTITUTIONAL	-	-	NOT APPLICABLE	0	In state provider	None	11175 CAMPUS STREET	COLEMAN PAVILION RMA1120	LOMA LINDA	CA	92350	0001	36	06071	34.049547	-117.2656245	San Bernardino County
185049	Fee-for-Service	1699807545	1699807545	1	1	VILLEGAS-TRAN, CHARLENE M	8/31/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	LMFT	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
185314	Fee-for-Service	1336998053	1336998053	1	1	VAZQUEZ, EMMANUEL PT	9/22/2024	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	600 PALM AVE	126	IMPERIAL BEACH	CA	91932	1246	37	06073	32.5839813	-117.1207525	San Diego County
185334	Fee-for-Service	1235525403	1235525403	1	1	VILLARREAL, DIANA D MD	8/7/2019	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	161918	40	Pediatrics	0	In state provider	None	11175 CAMPUS STREET	COLEMAN PAVILION RMA1120	LOMA LINDA	CA	92350	0001	36	06071	34.049547	-117.2656245	San Bernardino County
185490	Fee-for-Service	1194891853	1194891853	1	1	VERRET, ERIC OD	6/23/2006	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1900 ROYALTY DR	STE 100	POMONA	CA	91767	3048	19	06037	34.07754346	-117.7463466	Los Angeles County
185554	Fee-for-Service	1205227915	1205227915	1	1	VINCENT, LAURA B	7/23/2018	No Taxonomy Provided	NA	None	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	661 WEST FIRST ST	STE E	TUSTIN	CA	92780	2939	30	06059	33.74578153	-117.831231	Orange County
185569	Fee-for-Service	1821176553	1821176553	1	1	VINCENT, JANETTE M MD	5/24/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	81300	08	Family Practice	0	In state provider	None	1001 RIVERSIDE AVE	None	ROSEVILLE	CA	95678	5134	31	06061	38.72845186	-121.2904134	Placer County
185695	Fee-for-Service	1598935512	1598935512	1	1	VALENCIA, ESMERALDA LMFT	3/20/2019	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	6518 LONETREE BLVD	SUITE 160	ROCKLIN	CA	95765	5874	31	06061	38.8041476	-121.2936557	Placer County
185849	Fee-for-Service	1093193427	1093193427	1	1	VERA, JUAN CARLOS MD	4/22/2022	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	172415	None	None	0	In state provider	None	5555 GROSSMONT CENTER DR	None	LA MESA	CA	91942	3019	37	06073	32.781483	-117.007182	San Diego County
185856	Fee-for-Service	1821176553	1821176553	1	1	VINCENT, JANETTE M MD	5/24/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	81300	41	Internal Medicine	0	In state provider	None	1001 RIVERSIDE AVE	None	ROSEVILLE	CA	95678	5134	31	06061	38.72845186	-121.2904134	Placer County
185959	Fee-for-Service	1396001152	1396001152	1	1	VOOG, JUSTIN C MD	12/1/2020	2085R0001X	NA	Other	026	PHYSICIANS	151335	None	None	0	In state provider	None	540 W PUEBLO ST	None	SANTA BARBARA	CA	93105	4230	42	06083	34.42739162	-119.7253175	Santa Barbara County
185971	Fee-for-Service	1275765067	1275765067	1	1	VILLARASA, ALEXANDER A MD	7/16/2019	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	34432	40	Pediatrics	0	In state provider	None	80495 US HIGHWAY 111	None	INDIO	CA	92201	6534	33	06065	33.70724448	-116.260686	Riverside County
185972	Fee-for-Service	1063548212	1063548212	1	1	VALANTINE, HANNAH A MD	5/31/1990	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	45659	01	General Practice	0	In state provider	None	1350 WILLOW RD	STE 202	MENLO PARK	CA	94025	1516	41	06081	37.47713734	-122.1521704	San Mateo County
185992	Fee-for-Service	1548846439	1548846439	1	1	VOGEL, CAROLINA J DO	7/23/2024	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	23046	08	Family Practice	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
186017	Fee-for-Service	1851425805	1851425805	1	1	VASQUEZ, YESENIA	11/14/2023	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
186158	Fee-for-Service	1023463189	1023463189	1	1	VISTA PSYCHIATRIC & PRIMARY	9/23/2020	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	CARE SERVICES	2288 FULTON ST	SUITE 309	BERKELEY	CA	94704	1493	01	06001	37.8680901	-122.2660811	Alameda County
186184	Fee-for-Service	1306842265	1306842265	1	1	VALDEZ, LOURDES M MD	7/1/1998	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	62728	40	Pediatrics	0	In state provider	None	WEST 5TH AVE & ESPLANADE	None	CHICO	CA	95926	3310	04	06007	39.741948	-121.848921	Butte County
186241	Fee-for-Service	1497203541	1497203541	1	6	VISTA COMMUNITY CLINIC	6/12/2019	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	801 HIGHLANDER AVE	ROOM 70	LA HABRA	CA	90631	3720	30	06059	33.93553146	-117.956979	Orange County
186255	Fee-for-Service	1245269356	1245269356	1	1	VITREO RETINAL ASSOCIATE	7/31/1993	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	None	50 ALESSANDRO PL	STE 210	PASADENA	CA	91105	4005	19	06037	34.13101049	-118.151532	Los Angeles County
186400	Fee-for-Service	1427241355	1427241355	1	1	VO, STEVE H OD	2/8/2019	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	479 N MCKINLEY ST	None	CORONA	CA	92879	1205	33	06065	33.890859	-117.517275	Riverside County
186528	Fee-for-Service	1497203541	1497203541	1	6	VISTA COMMUNITY CLINIC	6/12/2019	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	801 HIGHLANDER AVE	ROOM 70	LA HABRA	CA	90631	3720	30	06059	33.93553146	-117.956979	Orange County
186666	Fee-for-Service	1669008645	1669008645	1	1	VANDERVEEN, NATHAN T MD	3/25/2024	207R00000X	NA	Other	026	PHYSICIANS	180194	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
186735	Fee-for-Service	1447927496	1447927496	1	1	VISTA ELDERLY CARE FACILITY	5/12/2022	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	8893 N SIERRA VISTA AVE	None	FRESNO	CA	93720	3948	10	06019	36.865287	-119.7439965	Fresno County
186789	Fee-for-Service	1619931003	1619931003	1	1	VARMA,MADHULIKA G MD	3/1/1998	208600000X	NA	General Surgery	026	PHYSICIANS	76764	02	General Surgery	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
186812	Fee-for-Service	1245308931	1245308931	1	1	VITTAL, HARSHA MD	10/10/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	95303	10	Gastroenterology (M.D. only)	0	In state provider	None	2581 SAMARITAN DR	None	SAN JOSE	CA	95124	4112	43	06085	37.25305684	-121.9507351	Santa Clara County
187123	Fee-for-Service	1316099534	1316099534	1	1	VANDUKER, NORMAN J MD	7/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	83352	05	Anesthesiology	0	In state provider	None	7373 WEST LN	None	STOCKTON	CA	95210	3377	39	06077	38.017701	-121.297869	San Joaquin County
187145	Fee-for-Service	1851343909	1851343909	1	1	VICTORIA OF TEXAS LP	5/20/2008	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	506 E SAN ANTONIO ST	None	VICTORIA	TX	77901	6060	00	None	28.80769796	-96.99824514	Victoria County
187209	Fee-for-Service	1700164415	1700164415	1	1	VAN DRUFF, JANET LMFT	12/3/2015	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	86273	-	NOT APPLICABLE	0	In state provider	None	3150 LOS ANGELES AVENUE	None	SIMI VALLEY	CA	93065	3940	56	06111	34.2716367	-118.7360247	Ventura County
187220	Fee-for-Service	1871307199	1871307199	1	1	VALENTINE-CELINDRO, LETISSA	2/26/2025	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	LMFT	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
187235	Fee-for-Service	1790920585	1790920585	1	1	VILLAGOMEZ, LUISA B LCSW	8/6/2018	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	370 DISTEL CIRCLE	None	LOS ALTOS	CA	94022	1404	43	06085	37.39572142	-122.1051204	Santa Clara County
187239	Fee-for-Service	1679579460	1679579460	2	1	VAN DYNE, TIMOTHY A DPM	1/12/2013	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	5777 N FRESNO ST	STE 102	FRESNO	CA	93710	6065	10	06019	36.82251	-119.7813585	Fresno County
187355	Fee-for-Service	1780940262	1780940262	1	1	VIRK, SARAH S MD	4/6/2023	208200000X	NA	General Surgery	026	PHYSICIANS	127162	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
187358	Fee-for-Service	1366421315	1366421315	1	1	VICKROY, DEBRA A LMFT	9/18/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	13006 PHILADELPHIA ST	STE 601	WHITTIER	CA	90601	4216	19	06037	33.97905852	-118.0370565	Los Angeles County
187435	Fee-for-Service	1851343909	1851343909	1	1	VICTORIA OF TEXAS LP	3/1/1999	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	506 E SAN ANTONIO ST	None	VICTORIA	TX	77901	6060	00	None	28.80769796	-96.99824514	Victoria County
187469	Fee-for-Service	1649339086	1649339086	1	1	VARGHESE, MARY MD	12/1/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	52872	41	Internal Medicine	0	In state provider	None	300 HOMER AVE	None	PALO ALTO	CA	94301	2726	43	06085	37.44411082	-122.157252	Santa Clara County
187502	Fee-for-Service	1326271693	1326271693	1	1	VELUSWAMY, SARANYA MD	8/3/2018	2080P0207X	NA	Hematology	026	PHYSICIANS	135416	68	Hematology	0	In state provider	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
187560	Fee-for-Service	1114903317	1114903317	1	1	VISHTEH, ARMIN MD PC	5/28/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	69896	18	Ophthalmology	0	In state provider	None	2211 W MAGNOLIA BLVD	STE 240	BURBANK	CA	91506	1772	19	06037	34.1728873	-118.3320905	Los Angeles County
187586	Fee-for-Service	1548416670	1548416670	1	1	VIJAY, ARUN MD	10/2/2022	207R00000X	NA	Other	026	PHYSICIANS	181395	None	None	0	In state provider	None	726 4TH ST	None	MARYSVILLE	CA	95901	5656	58	06115	39.13872267	-121.5944372	Yuba County
187788	Fee-for-Service	1619322260	1619322260	1	1	VU, KEVIN K MD	2/20/2020	207L00000X	NA	Other	026	PHYSICIANS	145883	05	Anesthesiology	0	In state provider	None	1100 W STEWART DR	None	ORANGE	CA	92868	3849	30	06059	33.78236558	-117.8648414	Orange County
187817	Fee-for-Service	1922018647	1922018647	1	1	VILLANUEVA, GLEN A MD	10/24/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	6969	08	Family Practice	0	In state provider	None	401 PARADISE RD	STE E	MODESTO	CA	95351	3104	50	06099	37.62692973	-121.0131742	Stanislaus County
187876	Fee-for-Service	1497781561	1497781561	1	1	VORA, ASIT A MD	7/17/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	91416	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
187886	Fee-for-Service	1811391261	1811391261	1	1	VENOR, KRISTEN CNM	8/24/2020	367A00000X	NA	Certified Nurse Midwife	005	CERTIFIED NURSE MIDWIFE	-	None	None	0	In state provider	None	2001 4TH AVE	None	SAN DIEGO	CA	92101	2393	37	06073	32.72663119	-117.1611714	San Diego County
187889	Fee-for-Service	1134158181	1134158181	1	1	VONS COMPANIES INC	8/8/2002	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	475 W MAIN ST	None	BRAWLEY	CA	92227	2244	13	06025	32.97865516	-115.5503473	Imperial County
187914	Fee-for-Service	1609360700	1609360700	1	1	VELASCO, AMY PT	3/16/2021	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	29650 BRADLEY RD	None	MENIFEE	CA	92586	6521	33	06065	33.6899672	-117.1885767	Riverside County
188040	Fee-for-Service	1154021863	1154021863	1	1	VICTORIA CARING HOME LLC	4/20/2023	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	6462 FERNE AVENUE	None	CYPRESS	CA	90630	4818	30	06059	33.80769369	-118.0203003	Orange County
188077	Fee-for-Service	1487618831	1487618831	1	1	VENOOK, ALAN P MD	9/30/1986	No Taxonomy Provided	NA	None	026	PHYSICIANS	44869	68	Hematology	0	In state provider	None	1001 POTRERO AVE	None	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
188080	Fee-for-Service	1568818367	1568818367	1	1	VISTA DEL SOL POSTACUTE CARE	7/1/2015	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	1711 RICHLAND AVE	None	CERES	CA	95307	4509	50	06099	37.60413656	-120.9661585	Stanislaus County
188085	Fee-for-Service	1730125345	1730125345	1	1	VONS COMPANIES, INC	3/28/2003	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	6040 TELEGRAPH RD	None	VENTURA	CA	93003	4324	56	06111	34.278241	-119.2127847	Ventura County
188298	Fee-for-Service	1962848481	1962848481	1	1	VUE, ELIZABETH M MD	8/8/2022	207L00000X	NA	Other	026	PHYSICIANS	177604	None	None	0	In state provider	None	7417 N CEDAR AVE	None	FRESNO	CA	93720	3637	10	06019	36.844227	-119.7568975	Fresno County
188416	Fee-for-Service	1184848343	1184848343	1	1	VANCIL,TOBIAS MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	4301 W MARKHAM ST	SLOT 521	LITTLE ROCK	AR	72205	7101	00	None	34.749009	-92.320101	Pulaski County
188421	Fee-for-Service	1174757181	1174757181	1	1	VAVINSKAYA, VERA MD	6/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	129264	22	Pathology (M.D. only)	0	In state provider	None	200 WEST ARBOR DR	None	SAN DIEGO	CA	92103	1911	37	06073	32.7537975	-117.1658298	San Diego County
188537	Fee-for-Service	1164509758	1164509758	1	1	VANDENBOOM, DEBORAH A LCSW	9/25/2018	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	600 N MOUNTAIN AVE	STE C205I	UPLAND	CA	91786	4359	36	06071	34.10094187	-117.6700806	San Bernardino County
188562	Fee-for-Service	1730442815	1730442815	1	1	VASHISTHA, MONEY MD	8/10/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	133927	41	Internal Medicine	0	In state provider	None	26357 MCBEAN PKWY	None	VALENCIA	CA	91355	4488	19	06037	34.41257644	-118.5597683	Los Angeles County
188628	Fee-for-Service	1528149036	1528149036	1	1	VAUGHN, LEROY W MD DBA	11/20/2008	193400000X	NA	Other	026	PHYSICIANS	30576	18	Ophthalmology	0	In state provider	EYE CARE FOR DIABETICS	323 N PRAIRIE AVE	STE 217	INGLEWOOD	CA	90301	4504	19	06037	33.966333	-118.3439975	Los Angeles County
188638	Fee-for-Service	1205864451	1205864451	1	1	VERMANI, PAWAN K	9/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	62331	41	Internal Medicine	0	In state provider	None	530 W BADILLO ST	STE B	COVINA	CA	91722	3787	19	06037	34.08625283	-117.8999625	Los Angeles County
188726	Fee-for-Service	1760437271	1760437271	1	1	VERICARE OF CALIFORNIA	6/29/1992	193400000X	NA	Other	031	PSYCHOLOGISTS	-	None	None	0	In state provider	MEDICAL GROUP	1240 S HOOVER ST	None	LOS ANGELES	CA	90006	3699	19	06037	34.04838072	-118.2841455	Los Angeles County
188733	Fee-for-Service	1649944687	1649944687	1	1	VAUDREY, SCOTT R MD	2/24/2022	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	174326	None	None	0	In state provider	None	18785 BROOKHURST STREET	STE 101	FOUNTAIN VALLEY	CA	92708	7300	30	06059	33.68987636	-117.9542321	Orange County
188873	Fee-for-Service	1235942194	1235942194	1	1	VILLACAMPA, MIRIAM RCP	2/2/2025	227900000X	NA	Other	056	RESPIRATORY CARE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	2425 GEARY BLVD	None	SAN FRANCISCO	CA	94115	3358	38	06075	37.78272203	-122.4433297	San Francisco County
188924	Fee-for-Service	1205864451	1205864451	1	1	VERMANI, PAWAN K	9/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	62331	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	530 W BADILLO ST	STE B	COVINA	CA	91722	3787	19	06037	34.08625283	-117.8999625	Los Angeles County
188981	Fee-for-Service	1801029756	1801029756	1	1	VELOTTA, JEFFREY B MD	11/5/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	100679	33	Thoracic Surgery	0	In state provider	None	3600 BROADWAY	None	OAKLAND	CA	94611	5730	01	06001	37.8237837	-122.2590026	Alameda County
189013	Fee-for-Service	1760437271	1760437271	1	1	VERICARE OF CALIFORNIA	12/26/2014	193400000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	MEDICAL GROUP	1240 S HOOVER ST	None	LOS ANGELES	CA	90006	3699	19	06037	34.04838072	-118.2841455	Los Angeles County
189035	Fee-for-Service	1326173055	1326173055	1	1	VELEZ, PALOMA LCSW	7/16/2019	101YM0800X	NA	Other	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	8710 MONROE CT	SUITE 150	RANCHO CUCAMONGA	CA	91730	4883	36	06071	34.09544496	-117.5747968	San Bernardino County
189082	Fee-for-Service	1821606187	1821606187	1	1	VAN NES, JENNILEE K LMFT	12/17/2022	101YM0800X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3108 HAMMER LN	B	STOCKTON	CA	95209	3055	39	06077	38.02107693	-121.3555583	San Joaquin County
189153	Fee-for-Service	1942356209	1942356209	1	1	VENTURA UNIFIED SCH DIST	3/27/2025	No Taxonomy Provided	NA	None	112	CYBHI FEE SCHEDULE	-	-	NOT APPLICABLE	0	In state provider	None	255 W STANLEY AVE	STE 100	VENTURA	CA	93001	1348	56	06111	34.30037911	-119.2991399	Ventura County
189204	Fee-for-Service	1578280038	1578280038	1	1	VICTORIA LIN, M.D., INC.	12/28/2022	208100000X	NA	Physical Medicine and Rehabilitation	026	PHYSICIANS	None	None	None	0	In state provider	None	7675 FAMILY CIR	None	SAN DIEGO	CA	92111	5304	37	06073	32.79926954	-117.1572795	San Diego County
189210	Fee-for-Service	1497828255	1497828255	1	1	VU, LAC T MD	7/19/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	54417	15	Obstetrics (D.O. only)	0	In state provider	None	5555 RESERVOIR DR	STE 205	SAN DIEGO	CA	92120	5148	37	06073	32.77628471	-117.0563688	San Diego County
189243	Fee-for-Service	1043367162	1043367162	1	1	VITUG, ELENA P MD INC	5/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	44349	40	Pediatrics	0	In state provider	None	502 EUCLID AVE	STE 201	NATIONAL CITY	CA	91950	2949	37	06073	32.68505421	-117.0832793	San Diego County
189270	Fee-for-Service	1760464077	1760464077	1	1	VALENTE, RICHARD J MD	12/31/1983	No Taxonomy Provided	NA	None	026	PHYSICIANS	53461	01	General Practice	0	In state provider	None	4860 Y ST	None	SACRAMENTO	CA	95817	2307	34	06067	38.552211	-121.449429	Sacramento County
189299	Fee-for-Service	1760468599	1760468599	1	1	VENDEGNA, THOMAS R MD	1/31/1995	207RP1001X	NA	Pulmonology	026	PHYSICIANS	83698	41	Internal Medicine	0	In state provider	None	1010 MURRAY AVE	None	SAN LUIS OBISPO	CA	93405	8800	40	06079	35.292168	-120.6658665	San Luis Obispo County
189308	Fee-for-Service	1992046296	1992046296	1	2	VILLA, SONIA NP	11/27/2019	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	21806	-	NOT APPLICABLE	0	In state provider	None	4000 BIRCH ST	SUITE 112A	NEWPORT BEACH	CA	92660	2211	30	06059	33.66463772	-117.8698289	Orange County
189315	Fee-for-Service	1124412044	1124412044	1	1	VEGA, LAURA MD	7/25/2020	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	143995	08	Family Practice	0	In state provider	None	4601 DALE ROAD	None	MODESTO	CA	95356	9718	50	06099	37.706508	-121.052457	Stanislaus County
189378	Fee-for-Service	1396010484	1396010484	1	1	VERMA, KARAN MD	9/27/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	141246	05	Anesthesiology	0	In state provider	None	8700 BEVERLY BLVD	STE 8211	LOS ANGELES	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
189396	Fee-for-Service	1801179288	1801179288	1	1	VAN VLIET, BRYAN N PT	3/9/2020	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	4601 DALE ROAD	None	MODESTO	CA	95356	9718	50	06099	37.706508	-121.052457	Stanislaus County
189442	Fee-for-Service	1942356209	1942356209	1	1	VENTURA UNIFIED SCH DIST	7/1/1996	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	None	255 W STANLEY AVE	STE 100	VENTURA	CA	93001	1348	56	06111	34.30037911	-119.2991399	Ventura County
189465	Fee-for-Service	1174536445	1174536445	1	1	VANDOLSON, LEO R MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	34839	20	Orthopedic Surgery	0	In state provider	None	5974 PENTZ RD	None	PARADISE	CA	95969	5509	04	06007	39.75705992	-121.572292	Butte County
189487	Fee-for-Service	1093757445	1093757445	1	1	VAN HOOZEN, BRENT E	9/30/1991	207RP1001X	NA	Pulmonology	026	PHYSICIANS	71047	None	None	0	In state provider	None	2525 STOCKTON BLVD	# 2008	SACRAMENTO	CA	95817	2207	34	06067	38.551311	-121.454433	Sacramento County
189498	Fee-for-Service	1497828255	1497828255	1	1	VU, LAC T MD	7/19/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	54417	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	5555 RESERVOIR DR	STE 205	SAN DIEGO	CA	92120	5148	37	06073	32.77628471	-117.0563688	San Diego County
189582	Fee-for-Service	1346478104	1346478104	1	1	VAGHASIA, NEHA G MD	7/20/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	107661	40	Pediatrics	0	In state provider	None	4733 W SUNSET BOULEVARD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
189588	Fee-for-Service	1760468599	1760468599	1	1	VENDEGNA, THOMAS R MD	1/31/1995	207RP1001X	NA	Pulmonology	026	PHYSICIANS	83698	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	1010 MURRAY AVE	None	SAN LUIS OBISPO	CA	93405	8800	40	06079	35.292168	-120.6658665	San Luis Obispo County
189688	Fee-for-Service	1942312194	1942312194	1	1	VENTURA COUNTY CCS	9/14/1993	No Taxonomy Provided	NA	None	046	REHABILITATION CLINIC	-	-	NOT APPLICABLE	0	In state provider	OXNARD MTU	3150 VIA MARINA AVE	None	OXNARD	CA	93035	2437	56	06111	34.18842594	-119.2120922	Ventura County
189825	Fee-for-Service	1518919604	1518919604	1	1	VILLARASA, ALEXANDER MD	1/1/1998	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	34432	40	Pediatrics	0	In state provider	None	1180 N INDIAN CANYON DR	STE W400	PALM SPRINGS	CA	92262	4868	33	06065	33.839505	-116.5455735	Riverside County
189837	Fee-for-Service	1538243340	1538243340	1	1	VELARDE, VOLTAIRE S MD	6/22/2009	207R00000X	NA	Other	026	PHYSICIANS	49569	66	Emergency Medicine (Urgent Care)	0	In state provider	NAPA-SOLANO MED GROUP	3431 NAPA VALLEJO HWY	STE A2	AMERICAN CANYON	CA	94503	1228	28	06055	0	0	None
189979	Fee-for-Service	1720024334	1720024334	1	1	VONS COMPANIES INC	2/27/2003	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	3233 FOOTHILL BLVD	None	LA CRESCENTA	CA	91214	2636	19	06037	34.23076721	-118.2505251	Los Angeles County
190116	Fee-for-Service	1861076358	1861076358	1	1	VELASCO, ANDREW JUSTIN DO	3/13/2025	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	22879	08	Family Practice	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
190210	Fee-for-Service	1548353352	1548353352	1	1	VU OPTOMETRY INC	8/25/2018	152W00000X	NA	Other	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	18285 COLLIER AVENUE	SUITE 1F	LAKE ELSINORE	CA	92530	2786	33	06065	33.69116429	-117.3413517	Riverside County
190276	Fee-for-Service	1225005192	1225005192	1	1	VANDYKE, JOHN J MD	5/28/1987	207RP1001X	NA	Pulmonology	026	PHYSICIANS	20717	41	Internal Medicine	0	In state provider	None	111 CONGRESS ST STE C	None	PASADENA	CA	91105	0000	19	06037	34.13403798	-118.1534579	Los Angeles County
190320	Fee-for-Service	1770577462	1770577462	1	1	VOULGAROPOULOS,DIMITRI MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	3390 N CAMPBELL	None	TUCSON	AZ	85719	7313	00	None	32.26833	-110.94327	Pima County
190439	Fee-for-Service	1801947346	1801947346	1	1	VICTOR VALLEY UNION HSD	1/10/1995	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	None	16350 MOJAVE DR	None	VICTORVILLE	CA	92395	3655	36	06071	34.52901353	-117.3063285	San Bernardino County
190446	Fee-for-Service	1427260629	1427260629	1	1	VASCONCELLOS, SCOTT A MD	6/19/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	89589	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	1004 FOWLER WAY	SUITE 4	PLACERVILLE	CA	95667	5746	09	06017	38.72683597	-120.7921028	El Dorado County
190562	Fee-for-Service	1225005192	1225005192	1	1	VANDYKE, JOHN J MD	5/28/1987	207RP1001X	NA	Pulmonology	026	PHYSICIANS	20717	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	111 CONGRESS ST STE C	None	PASADENA	CA	91105	0000	19	06037	34.13403798	-118.1534579	Los Angeles County
190566	Fee-for-Service	1295745958	1295745958	1	1	VALENZUELA, ADELA M NP	8/18/2022	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	15010 FIR ST	None	HESPERIA	CA	92345	4316	36	06071	34.39236128	-117.335741	San Bernardino County
190575	Fee-for-Service	1194302554	1194302554	1	1	VORA, KRUTI B MD	5/23/2024	208M00000X	NA	Other	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	None	757 WESTWOOD PLZ	None	LOS ANGELES	CA	90095	8358	19	06037	34.06633051	-118.4452686	Los Angeles County
190655	Fee-for-Service	1467566562	1467566562	1	1	VELEZ, CARLOS A. MD	1/26/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	HEART & VASCULAR PARTER	2820 N. STANTON STREET	None	EL PASO	TX	79902	0000	00	None	31.77886365	-106.5032227	El Paso County
190656	Fee-for-Service	1568993848	1568993848	1	1	VINSON, ANDREW R MD	6/9/2022	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	176901	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
190704	Fee-for-Service	1164785424	1164785424	1	1	VISION HOME HEALTH CARE INC	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	5750 DIVISION STREET	STE 206	RIVERSIDE	CA	92506	3260	33	06065	33.947667	-117.380963	Riverside County
190726	Fee-for-Service	1720648033	1720648033	1	1	VALENTON, YESICA	12/19/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	15497 W SAND ST	None	VICTORVILLE	CA	92392	2910	36	06071	34.51312455	-117.325854	San Bernardino County
190747	Fee-for-Service	1164589321	1164589321	1	2	VICTORY HOME HLTH AGENCY	2/9/2015	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	24490 SUNNYMEAD BLVD	STE 108	MORENO VALLEY	CA	92553	7762	33	06065	33.93908946	-117.23553	Riverside County
190751	Fee-for-Service	1679502603	1679502603	1	1	VONS COMPANIES, INC	1/10/2001	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	600 N COAST HWY	None	LAGUNA BEACH	CA	92651	1513	30	06059	33.546915	-117.793341	Orange County
190824	Fee-for-Service	1760491104	1760491104	1	1	VISWANATHAN, KANCHANA MD	8/1/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	53345	67	Endocrinology	0	In state provider	None	1868 PACIFIC AVENUE	None	LONG BEACH	CA	90806	6113	19	06037	33.791391	-118.193652	Los Angeles County
190991	Fee-for-Service	1164785424	1164785424	1	1	VISION HOME HEALTH CARE INC	8/3/2015	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	5750 DIVISION STREET	STE 206	RIVERSIDE	CA	92506	3260	33	06065	33.947667	-117.380963	Riverside County
191214	Fee-for-Service	1134297161	1134297161	1	1	VILLANUEVA, ISRAEL JR MD	8/11/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	79307	41	Internal Medicine	0	In state provider	None	3291 LOMA VISTA RD	None	VENTURA	CA	93003	3099	56	06111	34.27623479	-119.2520218	Ventura County
191266	Fee-for-Service	1952863565	1952863565	1	1	VELAZQUEZ, MAXINE A MD	8/17/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	183182	None	None	0	In state provider	None	12669 ENCINITAS AVE	None	SYLMAR	CA	91342	3635	19	06037	34.29981583	-118.473722	Los Angeles County
191272	Fee-for-Service	1467528612	1467528612	1	1	VANDERVEER, PETER J MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	27237	36	Psychiatry	0	In state provider	None	1400 EMELINE AVE	None	SANTA CRUZ	CA	95060	1976	44	06087	36.99276804	-122.0178271	Santa Cruz County
191389	Fee-for-Service	1003341702	1003341702	1	1	VUKKADALA, NEELAYSH MD	3/28/2022	207Y00000X	NA	ENT/Otolaryngology	026	PHYSICIANS	157002	None	None	0	In state provider	None	200 MEDICAL PLAZA	565	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
191391	Fee-for-Service	1194902783	1194902783	1	1	VANDE KIEFT, ASHLEY Y MD	9/13/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	102288	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1600 OWENS ST	None	SAN FRANCISCO	CA	94158	2261	38	06075	37.76850146	-122.3949365	San Francisco County
191404	Fee-for-Service	1710946363	1710946363	1	1	VEMPATI, SUNITA MD	9/22/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	72533	22	Pathology (M.D. only)	0	In state provider	None	438 E LAS TUNAS DR	None	SAN GABRIEL	CA	91776	1504	19	06037	34.1033113	-118.0946668	Los Angeles County
191412	Fee-for-Service	1992861173	1992861173	1	1	VIVIANO, JULIE MD	2/11/2013	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	2025 MORSE AVENUE	None	SACRAMENTO	CA	95825	2115	34	06067	38.602089	-121.3925895	Sacramento County
191456	Fee-for-Service	1861889750	1861889750	1	1	VALLIANI, SALIMAH MD	10/18/2021	390200000X	NA	Other	026	PHYSICIANS	154547	None	None	0	In state provider	None	20 ALLEN ST	None	MARTINEZ	CA	94553	2681	07	06013	38.00771973	-122.1331484	Contra Costa County
191468	Fee-for-Service	1003048174	1003048174	1	1	VAGY, JARED S	2/19/2013	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	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
191524	Fee-for-Service	1962504894	1962504894	1	1	VU, KHANH D.O.	3/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	7565	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
191627	Fee-for-Service	1477950525	1477950525	1	1	VUE, JAI JENG	2/13/2015	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	5291 E. WEBSTER AVENUE	None	FRESNO	CA	93727	2511	10	06019	36.75659959	-119.7138317	Fresno County
191710	Fee-for-Service	1689695876	1689695876	1	1	VAYNER, OLEG A MD	4/11/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	55496	40	Pediatrics	0	In state provider	None	10121 PINE AVE	None	TRUCKEE	CA	96161	4835	29	06057	39.3245308	-120.2013097	Nevada County
191811	Fee-for-Service	1962504894	1962504894	1	1	VU, KHANH D.O.	3/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	7565	08	Family Practice	0	In state provider	None	400 N PEPPER AVE	None	COLTON	CA	92324	1801	36	06071	34.073505	-117.3505995	San Bernardino County
191847	Fee-for-Service	1588774954	1588774954	1	1	VENKAT, GEETA MD	8/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	37906	40	Pediatrics	0	In state provider	None	101 THE CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
191914	Fee-for-Service	1477950525	1477950525	1	1	VUE, JAI JENG	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	5291 E. WEBSTER AVENUE	None	FRESNO	CA	93727	2511	10	06019	36.75659959	-119.7138317	Fresno County
192022	Fee-for-Service	1275546129	1275546129	1	1	VALLEY PATHOLOGY MEDICAL	7/1/1996	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	22	Pathology (M.D. only)	0	In state provider	GROUP	1117 E DEVONSHIRE AVE	None	HEMET	CA	92543	3083	33	06065	33.75116909	-116.9601666	Riverside County
192138	Fee-for-Service	1588774954	1588774954	1	1	VENKAT, GEETA MD	8/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	37906	03	Allergy	0	In state provider	None	101 THE CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
192207	Fee-for-Service	1215134689	1215134689	1	1	VORA, PARVEEN MD	5/31/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	124180	08	Family Practice	0	In state provider	None	2501 E CHAPMAN AVENUE	SUITE 301	ORANGE	CA	92869	3204	30	06059	33.78785649	-117.8276715	Orange County
192251	Fee-for-Service	1871764084	1871764084	1	1	VANG, CHOR MD	9/17/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	113417	08	Family Practice	0	In state provider	None	1650 RESPONSE ROAD	None	SACRAMENTO	CA	95815	4807	34	06067	38.596581	-121.4303535	Sacramento County
192399	Fee-for-Service	1093786261	1093786261	1	1	VAN DIS,FREDERIC MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	2700 STEWART PARKWAY	None	ROSEBURG	OR	97470	0000	00	None	43.2399838	-123.3665048	Douglas County
192415	Fee-for-Service	1417012741	1417012741	1	1	VERREES, MARGARET A MD	7/5/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	53509	14	Neurological Surgery	0	In state provider	None	1313 E HERNDON AVE	STE 205	FRESNO	CA	93720	3306	10	06019	36.834984	-119.7641925	Fresno County
192497	Fee-for-Service	1003024977	1003024977	1	1	VIRULHSRI, PAWENA MD	11/30/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	109157	40	Pediatrics	0	In state provider	None	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
192510	Fee-for-Service	1952434185	1952434185	1	2	VALLEY MEDICAL SYSTEM INC	2/24/2022	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	909 15TH STREET	STE 2	MODESTO	CA	95354	1130	50	06099	37.64355442	-120.9949898	Stanislaus County
192578	Fee-for-Service	1669790291	1669790291	1	1	VALLEY ORTHOPEDIC INSTITUTE	10/19/2011	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	INC	1533 N DOWNS	None	RIDGECREST	CA	93555	2456	15	06029	35.64941601	-117.687802	Kern County
192601	Fee-for-Service	1043228083	1043228083	1	1	VADMAL, MANJUNATH S MD	6/4/2004	207N00000X	NA	Dermatology	026	PHYSICIANS	73000	None	None	0	In state provider	None	1520 SAN PABLO ST	STE 1000	LOS ANGELES	CA	90033	5312	19	06037	34.06269295	-118.2030006	Los Angeles County
192605	Fee-for-Service	1538705207	1538705207	1	1	VITAL CARE AMBULANCE INC	12/12/2020	3416L0300X	NEMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	4509 ALGER ST	None	LOS ANGELES	CA	90039	1208	19	06037	34.13450604	-118.2665461	Los Angeles County
192748	Fee-for-Service	1245221092	1245221092	1	1	VERUS HEALTHCARE LLC	9/4/2013	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	2	Out of state provider	None	1569 MALLORY LANE	BUILDING 100	BRENTWOOD	TN	37027	2872	00	None	35.98022459	-86.80495817	Williamson County
192808	Fee-for-Service	1639202690	1639202690	1	1	VELASCO, ERLINDA C MD	7/1/2008	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	36787	40	Pediatrics	0	In state provider	None	711 N ALVARADO ST	STE 106	LOS ANGELES	CA	90026	4016	19	06037	34.07424293	-118.2655575	Los Angeles County
192863	Fee-for-Service	1598149494	1598149494	1	1	VITALE, LISA A LMFT	6/10/2019	106H00000X	NA	Mental Health Outpatient Services	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
192885	Fee-for-Service	1265636393	1265636393	1	1	VAN STEEN, FERDINAND MD	12/8/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	47934	08	Family Practice	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
192909	Fee-for-Service	1154942399	1154942399	1	1	VANDERSLICE, MICHAEL A MD	8/19/2024	207L00000X	NA	Other	026	PHYSICIANS	None	05	Anesthesiology	0	In state provider	None	3315 WATT AVE	None	SACRAMENTO	CA	95821	3600	34	06067	38.626056	-121.3834455	Sacramento County
193028	Fee-for-Service	1699711200	1699711200	1	1	VONS COMPANIES INC	11/17/1999	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	4001 INGLEWOOD AVE	None	REDONDO BEACH	CA	90278	1112	19	06037	33.89289072	-118.3613603	Los Angeles County
193036	Fee-for-Service	1568090348	1568090348	1	1	VAIS, SIMONE MD	8/24/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	187420	None	None	0	In state provider	None	1001 POTRERO AVE	BLDG 80 WARD 83	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
193174	Fee-for-Service	1649662719	1649662719	1	6	VISTA COMMUNITY CLINIC	8/1/2019	No Taxonomy Provided	NA	None	041	COMMUNITY CLINIC	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	33005 CANYON HILLS RD	COUNSELOR OFFICE	LAKE ELSINORE	CA	92532	2534	33	06065	33.66022654	-117.2534803	Riverside County
193176	Fee-for-Service	1699309930	1699309930	1	1	VALENTINO, CASSANDRA A LMFT	1/30/2023	101YM0800X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	14500 ROSCOE BLVD.	400	PANORAMA CITY	CA	91402	4194	19	06037	34.2215055	-118.44918	Los Angeles County
193191	Fee-for-Service	1932585973	1932585973	1	1	VIRGEN ELIAS, MARIA LCSW	1/20/2020	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	9353 IMPERIAL HWY	None	DOWNEY	CA	90242	2812	19	06037	33.9171603	-118.1288418	Los Angeles County
193276	Fee-for-Service	1669580890	1669580890	1	1	VARADI, KRISTINA MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	3300 OAKDALE AVE N	None	ROBBINSDALE	MN	55422	2926	00	None	45.01443093	-93.32190604	Hennepin County
193464	Fee-for-Service	1164742185	1164742185	1	1	VO, NGUYEN T MD	5/11/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	119985	41	Internal Medicine	0	In state provider	None	500 W HOSPITAL RD	None	FRENCH CAMP	CA	95231	9693	39	06077	37.88652418	-121.2820956	San Joaquin County
193487	Fee-for-Service	1780047332	1780047332	1	1	VERHEYEN, ELIJAH MD	6/28/2022	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	177770	None	None	0	In state provider	None	200 TAMAL PLAZA	200	CORTE MADERA	CA	94925	1128	21	06041	37.93574053	-122.5199024	Marin County
193516	Fee-for-Service	1992183669	1992183669	1	4	VALLEY HEALTH TEAM INC	3/2/2021	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	459 WEST LINE STREET	SUITE C	BISHOP	CA	93514	3333	14	06027	37.36140652	-118.398942	Inyo County
193606	Fee-for-Service	1295841955	1295841955	1	1	VAUGHAN, MICHAEL K MD	12/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	69013	08	Family Practice	0	In state provider	None	8170 LAGUNA BLVD	STE 101	ELK GROVE	CA	95758	7902	34	06067	38.421054	-121.405365	Sacramento County
193684	Fee-for-Service	1104136373	1104136373	1	1	VENABLE, EVELINE J CNM	11/29/2010	176B00000X	NA	Licensed Midwife	005	CERTIFIED NURSE MIDWIFE	-	None	None	0	In state provider	None	583 SUMMERFIELD DR	None	SANTA ROSA	CA	95405	5239	49	06097	38.45268	-122.672088	Sonoma County
193715	Fee-for-Service	1346314077	1346314077	1	1	VINARSKY, EMMA L MD	3/20/1996	No Taxonomy Provided	NA	None	026	PHYSICIANS	82220	18	Ophthalmology	0	In state provider	None	9735 WILSHIRE BLVD	# 254	BEVERLY HILLS	CA	90212	2107	19	06037	34.06711051	-118.4074605	Los Angeles County
193752	Fee-for-Service	1174971758	1174971758	1	1	VAZIRI FARD, ELMIRA MD	7/26/2023	207ZP0102X	NA	Other	026	PHYSICIANS	162125	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
193758	Fee-for-Service	1528812146	1528812146	1	1	VITAL SIGNS PRIMARY CARE MED	8/1/2024	261QP2300X	NA	Other	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	ICAL CORPORATION	822 S ATLANTIC BLVD	None	MONTEREY PARK	CA	91754	4714	19	06037	34.05216368	-118.1372429	Los Angeles County
193761	Fee-for-Service	1235836297	1235836297	1	1	VENABLE, ELENA	6/30/2023	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
193803	Fee-for-Service	1992183669	1992183669	1	4	VALLEY HEALTH TEAM INC	3/2/2021	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	459 WEST LINE STREET	SUITE C	BISHOP	CA	93514	3333	14	06027	37.36140652	-118.398942	Inyo County
193844	Fee-for-Service	1518512557	1518512557	1	1	VIVA HOSPICE CARE	9/17/2021	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	1010 W MAGNOLIA BLVD	STE 105	BURBANK	CA	91506	1650	19	06037	34.17693917	-118.3200284	Los Angeles County
193938	Fee-for-Service	1427131556	1427131556	1	1	VIEW PARK CONV HOSP INC	7/1/2000	314000000X	NA	Skilled Nursing Facility	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	3737 DON FELIPE DR	None	LOS ANGELES	CA	90008	4210	19	06037	34.00718375	-118.3408272	Los Angeles County
193942	Fee-for-Service	1821359571	1821359571	1	1	VO-TSAI, THY D DO	10/5/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	14196	01	General Practice	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
193964	Fee-for-Service	1770526634	1770526634	1	1	VANCE, CAREN A MD	3/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	66987	40	Pediatrics	0	In state provider	None	20101B LAKE CHABOT RD	None	CASTRO VALLEY	CA	94546	5305	01	06001	37.69815357	-122.0873462	Alameda County
193987	Fee-for-Service	1124054564	1124054564	1	1	VENICE FAMILY CLINIC-	7/1/1996	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	ROBERT LEVINE FAM HEALTH	905 VENICE BLVD	None	VENICE	CA	90291	4904	19	06037	33.9933918	-118.4542921	Los Angeles County
194025	Fee-for-Service	1487763579	1487763579	1	1	VENTURINI, ALFRED M MD	5/28/1987	No Taxonomy Provided	NA	None	026	PHYSICIANS	22460	04	Otology, Laryngology, Rhinology	0	In state provider	None	1429 COLLEGE AVE	None	MODESTO	CA	95350	4057	50	06099	37.6654086	-121.0076479	Stanislaus County
194036	Fee-for-Service	1861729881	1861729881	1	1	VO, DAWN T OD	12/19/2014	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	7300 WYNDHAM DR	None	SACRAMENTO	CA	95823	4913	34	06067	38.467854	-121.4188155	Sacramento County
194045	Fee-for-Service	1528812146	1528812146	1	1	VITAL SIGNS PRIMARY CARE MED	8/1/2024	261QP2300X	NA	Other	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	ICAL CORPORATION	822 S ATLANTIC BLVD	None	MONTEREY PARK	CA	91754	4714	19	06037	34.05216368	-118.1372429	Los Angeles County
194129	Fee-for-Service	1720773427	1720773427	1	1	VILLA BERNARDO OPCO LLC	7/12/2023	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	2960 BERNARDO AVENUE	None	ESCONDIDO	CA	92029	6610	37	06073	33.07965886	-117.0921142	San Diego County
194133	Fee-for-Service	1518512557	1518512557	1	1	VIVA HOSPICE CARE	9/17/2021	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	1010 W MAGNOLIA BLVD	STE 105	BURBANK	CA	91506	1650	19	06037	34.17693917	-118.3200284	Los Angeles County
194139	Fee-for-Service	1326370230	1326370230	1	1	VERDI, NOUSHIN Z MFT	12/2/2015	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	87587	-	NOT APPLICABLE	0	In state provider	None	1849 SAWTELLE BLVD	SUITE 100	LOS ANGELES	CA	90025	7082	19	06037	34.04266851	-118.4451527	Los Angeles County
194251	Fee-for-Service	1942377825	1942377825	1	1	VARSHNEY, DOLLY MD	9/2/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	72570	22	Pathology (M.D. only)	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
194274	Fee-for-Service	1124054564	1124054564	1	1	VENICE FAMILY CLINIC-	7/1/1996	207Q00000X	NA	Adult Primary Care	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	ROBERT LEVINE FAM HEALTH	905 VENICE BLVD	None	VENICE	CA	90291	4904	19	06037	33.9933918	-118.4542921	Los Angeles County
194303	Fee-for-Service	1114067022	1114067022	1	1	VELIKOFF, JOHN D MD	12/4/1986	207P00000X	NA	Other	026	PHYSICIANS	36868	66	Emergency Medicine (Urgent Care)	0	In state provider	None	945 N GEM ST	None	TULARE	CA	93274	2127	54	06107	36.22122458	-119.3398757	Tulare County
194330	Fee-for-Service	1558591412	1558591412	1	1	VITALITY UNIVERSITY	10/22/2022	171100000X	NA	Other	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	None	2304 S EL CAMINO REAL	None	SAN MATEO	CA	94403	2214	41	06081	37.54538302	-122.3067311	San Mateo County
194345	Fee-for-Service	1174565485	1174565485	1	1	VAN GUNDY, ELAINE T MD	9/30/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	43153	40	Pediatrics	0	In state provider	None	3100 DOUGLAS BLVD	None	ROSEVILLE	CA	95661	3866	31	06061	38.74399612	-121.2349547	Placer County
194404	Fee-for-Service	1992418305	1992418305	1	1	VERACITY PSYCHIATRY SOLUTION	2/6/2023	193200000X	NA	Other	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	S INC.	1550 D ST	STE D	SAN BERNARDINO	CA	92405	4720	36	06071	34.127649	-117.2919455	San Bernardino County
194545	Fee-for-Service	1760503551	1760503551	1	1	VALENCIA LOPEZ, SUSAN LCSW	8/22/2018	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	384 E OLIVE AVE	STE 4	TURLOCK	CA	95380	4051	50	06099	37.49658844	-120.8452043	Stanislaus County
194593	Fee-for-Service	1114067022	1114067022	1	1	VELIKOFF, JOHN D MD	12/4/1986	207P00000X	NA	Other	026	PHYSICIANS	36868	41	Internal Medicine	0	In state provider	None	945 N GEM ST	None	TULARE	CA	93274	2127	54	06107	36.22122458	-119.3398757	Tulare County
194817	Fee-for-Service	1386134815	1386134815	1	1	VENTURA COUNTY COMMUNITY	7/1/2017	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	COLLEGE DISTRICT	4667 TELEGRAPH ROAD	None	VENTURA	CA	93003	3872	56	06111	34.27558442	-119.2316256	Ventura County
194837	Fee-for-Service	1770865735	1770865735	1	1	VISION INSTITUTE OF SOUTHERN	5/20/2016	261QS0132X	NA	Other	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	CALIFORNIA APMC	18725 GALE AVE	SUITE 140	CITY OF INDUSTRY	CA	91748	1358	19	06037	33.99452087	-117.8945676	Los Angeles County
194860	Fee-for-Service	1245666304	1245666304	1	1	VALDIVIA, BELINDA LCSW	5/27/2020	101YM0800X	NA	Other	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3601 S HARBOR BLVD	SUITE 100	SANTA ANA	CA	92704	6924	30	06059	33.698367	-117.9194115	Orange County
194918	Fee-for-Service	1225074818	1225074818	1	1	VONS COMPANIES INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	1201 AVOCADO AVE	None	EL CAJON	CA	92020	7704	37	06073	32.778864	-116.9579805	San Diego County
194932	Fee-for-Service	1952534091	1952534091	1	1	VARGAS, MARCELA MD	11/18/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	139213	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
195038	Fee-for-Service	1386904274	1386904274	1	1	VALDIVIA, LIZA MD	12/15/2020	207RI0200X	NA	HIV/AIDS/Infectious Disease	026	PHYSICIANS	166589	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
195039	Fee-for-Service	1790331130	1790331130	1	1	VALIANT HOSPICE CARE INC	3/15/2021	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	11755 VICTORY BLVD	STE 214	NORTH HOLLYWOOD	CA	91606	3465	19	06037	34.18670448	-118.389699	Los Angeles County
195105	Fee-for-Service	1386134815	1386134815	1	1	VENTURA COUNTY COMMUNITY	7/18/2018	261QS1000X	NA	Other	045	CLINIC EXEMP FROM LICENSURE	-	-	NOT APPLICABLE	0	In state provider	COLLEGE DISTRICT	4667 TELEGRAPH ROAD	None	VENTURA	CA	93003	3872	56	06111	34.27558442	-119.2316256	Ventura County
195196	Fee-for-Service	1336228808	1336228808	1	1	VENTURE, KATHLEEN M. MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	100 N MEDICAL DR	None	SALT LAKE CTY	UT	84113	1103	00	None	40.77069459	-111.8370155	Salt Lake County
195205	Fee-for-Service	1710507850	1710507850	1	1	VIQUEZ, ERIC A MD	6/27/2023	207P00000X	NA	Other	026	PHYSICIANS	181481	None	None	0	In state provider	None	4601 DALE ROAD	None	MODESTO	CA	95356	9718	50	06099	37.706508	-121.052457	Stanislaus County
195244	Fee-for-Service	1174659841	1174659841	1	1	VAN HAREN, KEITH P MD	7/19/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	100678	79	Neurology-Child	0	In state provider	None	300 PASTEUR DRIVE	MC:5500	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
195303	Fee-for-Service	1861471658	1861471658	1	1	VLADIMIR,SAVCENKO MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	640 JACKSON ST	None	ST PAUL	MN	55101	0000	00	None	44.95496967	-93.09587426	Ramsey County
195327	Fee-for-Service	1790331130	1790331130	1	1	VALIANT HOSPICE CARE INC	3/15/2021	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	11755 VICTORY BLVD	STE 214	NORTH HOLLYWOOD	CA	91606	3465	19	06037	34.18670448	-118.389699	Los Angeles County
195347	Fee-for-Service	1194802868	1194802868	1	3	VISION CARE CENTER A MEDICAL	10/15/2014	152W00000X	NA	Other	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	None	2535 ALLUVIAL AVE	None	CLOVIS	CA	93611	0000	10	06019	36.84480325	-119.6676555	Fresno County
195395	Fee-for-Service	1386134815	1386134815	1	1	VENTURA COUNTY COMMUNITY	7/18/2018	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	COLLEGE DISTRICT	4667 TELEGRAPH ROAD	None	VENTURA	CA	93003	3872	56	06111	34.27558442	-119.2316256	Ventura County
195419	Fee-for-Service	1013961721	1013961721	1	1	VALLEY NUCLEAR MED GRP	1/3/1996	193400000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	1250 E ALMOND AVE	None	MADERA	CA	93637	5606	20	06039	36.94519024	-120.0420086	Madera County
195464	Fee-for-Service	1134154800	1134154800	1	1	VALLIN, KARRIN MICHELLE	12/1/2012	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	5732 WATT AVE	None	NORTH HIGHLANDS	CA	95660	4752	34	06067	38.671281	-121.3824195	Sacramento County
195504	Fee-for-Service	1023247079	1023247079	1	1	VALLEY KIDNEY CLINIC INC	10/21/2009	174400000X	NA	Other	026	PHYSICIANS	108120	45	Nephrology (Renal-Kidney)	0	In state provider	None	1801 E MARCH LN	STE B265	STOCKTON	CA	95210	6629	39	06077	38.00315652	-121.2868715	San Joaquin County
195637	Fee-for-Service	1194802868	1194802868	1	3	VISION CARE CENTER A MEDICAL	10/15/2014	152W00000X	NA	Other	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	2535 ALLUVIAL AVE	None	CLOVIS	CA	93611	0000	10	06019	36.84480325	-119.6676555	Fresno County
195672	Fee-for-Service	1235481144	1235481144	1	1	VALENCIA-PATINO, DAISY LCSW	6/10/2022	101YM0800X	NA	Other	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	800 SERENO DR	None	VALLEJO	CA	94589	2411	48	06095	38.12792924	-122.2506587	Solano County
195680	Fee-for-Service	1033283346	1033283346	1	1	VIGRAN, THOMAS S MD	11/30/1993	No Taxonomy Provided	NA	None	026	PHYSICIANS	43346	01	General Practice	0	In state provider	None	10725 INTERNATIONAL DR	None	RANCHO CORDOVA	CA	95670	7967	34	06067	38.576079	-121.2938325	Sacramento County
195751	Fee-for-Service	1407924996	1407924996	1	1	VUTHOORI, SURENDER MD	6/30/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	33804	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	35280 BOB HOPE DR	STE 100	RANCHO MIRAGE	CA	92270	1753	33	06065	33.792138	-116.4058615	Riverside County
195781	Fee-for-Service	1740540285	1740540285	1	2	VDAH CORP APC	6/15/2022	282N00000X	NA	Hospitals	026	PHYSICIANS	None	None	None	0	In state provider	None	1240 WESTLAKE BLVD	103	WESTLAKE VILLAGE	CA	91361	1929	56	06111	34.14966879	-118.8378084	Ventura County
195792	Fee-for-Service	1023247079	1023247079	1	1	VALLEY KIDNEY CLINIC INC	10/21/2009	174400000X	NA	Other	026	PHYSICIANS	108120	41	Internal Medicine	0	In state provider	None	1801 E MARCH LN	STE B265	STOCKTON	CA	95210	6629	39	06077	38.00315652	-121.2868715	San Joaquin County
195819	Fee-for-Service	1013143114	1013143114	1	1	VETTER, CASSANDRA M LMFT	7/19/2019	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	14444 CALIFORNIA AVE	A	VICTORVILLE	CA	92392	2920	36	06071	34.513272	-117.3286695	San Bernardino County
195836	Fee-for-Service	1942025721	1942025721	1	1	VARGAS, BRIANDA Y CD	11/18/2024	374J00000X	NA	Other	106	DOULA INDIVIDUAL PROVIDER	-	-	NOT APPLICABLE	0	In state provider	Addresses not published for Doula Providers	N/A	N/A	N/A	N/A	N/A	N/A	37	06073	0	0	None
195920	Fee-for-Service	1427697655	1427697655	1	1	VILLALPANDO, SANDRA LCSW	1/31/2025	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	386 W. LINE ST	None	BISHOP	CA	93514	1100	14	06027	37.36135856	-118.3979892	Inyo County
195993	Fee-for-Service	1770756488	1770756488	1	1	VONS COMPANIES, INC	2/18/2009	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	1600 FOOTHILL BLVD.	None	LA VERNE	CA	91750	3436	19	06037	34.11591812	-117.7731707	Los Angeles County
196012	Fee-for-Service	1447478912	1447478912	1	1	VAN ZANTE, ANNEMIEKE MD	7/2/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	95553	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
196013	Fee-for-Service	1942561071	1942561071	1	1	VIDA HOME HEALTH SERVICES IN	12/6/2013	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	3800 W BURBANK BLVD	STE 101	BURBANK	CA	91505	2148	19	06037	34.17426825	-118.3514576	Los Angeles County
196045	Fee-for-Service	1174906101	1174906101	1	1	VENEGAS, STEPHANIE OT	12/4/2019	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	300 HILLMONT AVE	None	VENTURA	CA	93003	3099	56	06111	34.27771547	-119.2540344	Ventura County
196067	Fee-for-Service	1003340316	1003340316	1	1	VISWANATHAN, ANJANA	5/13/2022	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1301 E BIDWELL ST	#101	FOLSOM	CA	95630	3452	34	06067	38.66841	-121.151025	Sacramento County
196072	Fee-for-Service	1548299563	1548299563	1	1	VONS COMPANIES INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	1758 W GRAND AVE	None	GROVER BEACH	CA	93433	2293	40	06079	35.12097722	-120.6101914	San Luis Obispo County
196141	Fee-for-Service	1548362361	1548362361	1	1	VARGAS, JORGE H MD	10/30/1992	No Taxonomy Provided	NA	None	026	PHYSICIANS	43306	40	Pediatrics	0	In state provider	None	200 MEDICAL PLAZA	SUITE 265	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
196263	Fee-for-Service	1306408489	1306408489	1	1	VAN BAREN, DANIELLE OD	7/16/2021	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	431 N IRWIN ST	None	HANFORD	CA	93230	4425	16	06031	36.3299942	-119.6476787	Kings County
196299	Fee-for-Service	1235499161	1235499161	1	1	VAN DYNE, ELIZABETH A MD	1/28/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	119828	40	Pediatrics	0	In state provider	None	4733 W SUNSET BOULEVARD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
196401	Fee-for-Service	1831197235	1831197235	2	1	VILLA DE LA MAR INC	1/26/2015	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	5001 E ANAHEIM ST	None	LONG BEACH	CA	90804	3214	19	06037	33.78261949	-118.1354085	Los Angeles County
196420	Fee-for-Service	1588896807	1588896807	1	3	VEIN CLINIC INC	4/11/2013	193400000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	24640 JEFFERSON AVENUE	SUITE 105	MURRIETA	CA	92562	9030	33	06065	33.56027016	-117.2095112	Riverside County
196501	Fee-for-Service	1851559405	1851559405	1	1	VIJAYARAGHAVAN, CHITRA MD	1/26/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	136942	01	General Practice	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
196562	Fee-for-Service	1740710086	1740710086	1	1	VALLIN, VIVIANA LPCC	7/30/2024	101Y00000X	NA	Other	103	LICENSED PROFESSIONAL CLINICAL COUNSELOR - INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1320 WILLOW PASS RD	600	CONCORD	CA	94520	5292	07	06013	37.96879608	-122.0519798	Contra Costa County
196597	Fee-for-Service	1780233221	1780233221	1	1	VAUGHAN, ROBERT R CNP	9/3/2020	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2510 EL CAMINO REAL	None	CARLSBAD	CA	92008	1273	37	06073	33.17942276	-117.3266425	San Diego County
196658	Fee-for-Service	1235152232	1235152232	1	1	VALICENTI, RICHARD K MD	1/26/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	88442	30	Radiology	0	In state provider	None	4501 X ST	None	SACRAMENTO	CA	95817	2229	34	06067	38.553822	-121.452822	Sacramento County
196776	Fee-for-Service	1750489043	1750489043	1	1	VICTOR SONGBANDITH	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	MONTWOOD FAMILY MEDICAL	3022 TRAWOOD	None	EL PASO	TX	79936	0000	00	None	31.76480897	-106.3005389	El Paso County
196796	Fee-for-Service	1730176868	1730176868	1	1	VITALE, KENNETH C MD	2/17/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	132964	05	Anesthesiology	0	In state provider	None	200 WEST ARBOR DRIVE	None	SAN DIEGO	CA	92103	1911	37	06073	32.7537975	-117.1658298	San Diego County
196862	Fee-for-Service	1225105174	1225105174	1	1	VUTPAKDI, KRIS MD	4/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	72168	66	Emergency Medicine (Urgent Care)	0	In state provider	ATTN MGA OFFICE	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
196922	Fee-for-Service	1154383263	1154383263	1	1	VANASCHE, 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	1046 W 6TH AVE	None	ALBANY	OR	97321	0000	00	None	44.63214872	-123.1157723	Linn County
196924	Fee-for-Service	1871995266	1871995266	1	1	VELA, KAYTH LCSW	8/16/2022	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1055 EAST COLORADO BLVD	None	PASADENA	CA	91188	2375	19	06037	34.14595648	-118.1287575	Los Angeles County
196944	Fee-for-Service	1235152232	1235152232	1	1	VALICENTI, RICHARD K MD	1/26/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	88442	78	Neoplastic Diseases/Oncology	0	In state provider	None	4501 X ST	None	SACRAMENTO	CA	95817	2229	34	06067	38.553822	-121.452822	Sacramento County
196955	Fee-for-Service	1770568123	1770568123	1	1	VHS ACQ SUBSID NUM 3 INC	11/22/2006	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	4646 N MARINE DR	None	CHICAGO	IL	60640	5759	00	None	41.96679637	-87.64901299	Cook County
196959	Fee-for-Service	1003916248	1003916248	1	1	VALLAPU REDDY, HEMANTH K MD	7/10/2014	207R00000X	NA	Other	026	PHYSICIANS	52736	41	Internal Medicine	0	In state provider	None	1303 E HERNDON AVE	None	FRESNO	CA	93720	3309	10	06019	36.83626596	-119.7674879	Fresno County
196977	Fee-for-Service	1215257092	1215257092	1	1	VERIOTI, CHRISTOPHER A DO	6/12/2021	207XX0005X	NA	Orthopedic Surgery	026	PHYSICIANS	13329	None	None	0	In state provider	None	41889 EAST FLORIDA AVE	None	HEMET	CA	92544	5042	33	06065	33.7476747	-116.9145363	Riverside County
197059	Fee-for-Service	1275724619	1275724619	1	1	VAZQUEZ, ALEJANDRO E MD	11/5/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	97778	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	12462 PUTNAM ST	STE 303	WHITTIER	CA	90602	1048	19	06037	33.9709236	-118.0460596	Los Angeles County
197064	Fee-for-Service	1962431916	1962431916	1	1	VONS COMPANIES, INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	1213 FAIR OAKS AVE	None	SOUTH PASADENA	CA	91030	3805	19	06037	34.11153	-118.1505165	Los Angeles County
197121	Fee-for-Service	1588723092	1588723092	1	1	VANDER VEEN, ALISON M	1/24/2014	No Taxonomy Provided	NA	None	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1650 RESPONSE RD	None	SACRAMENTO	CA	95815	4807	34	06067	38.596581	-121.4303535	Sacramento County
197174	Fee-for-Service	1548290976	1548290976	1	1	VOSSMEYER,MICHAEL MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	3333 BURNET AVE	None	CINCINNATI	OH	45229	0000	00	None	39.14105892	-84.50040782	Hamilton County
197245	Fee-for-Service	1770568123	1770568123	1	1	VHS ACQ SUBSID NUM 3 INC	11/22/2006	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	4646 N MARINE DR	None	CHICAGO	IL	60640	5759	00	None	41.96679637	-87.64901299	Cook County
197276	Fee-for-Service	1053836403	1053836403	1	1	VANNATTA KREBS, JO B	2/23/2023	101Y00000X	NA	Other	103	LICENSED PROFESSIONAL CLINICAL COUNSELOR - INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	8421 AUBURN BLVD	SUITE 110	CITRUS HEIGHTS	CA	95610	0359	34	06067	38.719026	-121.291335	Sacramento County
197302	Fee-for-Service	1316119621	1316119621	1	1	VIRAGH, KAROLY A MD	3/28/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	110762	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
197410	Fee-for-Service	1881628634	1881628634	1	1	VASILE, ANN T MD	11/30/1992	208100000X	NA	Physical Medicine and Rehabilitation	026	PHYSICIANS	71400	25	Physical Medicine and Rehabilitation	0	In state provider	None	701 E 28TH ST	STE 416	LONG BEACH	CA	90806	2787	19	06037	33.80803441	-118.1847137	Los Angeles County
197564	Fee-for-Service	1649793688	1649793688	1	1	VO, AN D OD	1/10/2019	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	795 E SECOND ST	STE 2	POMONA	CA	91766	2020	19	06037	34.05845654	-117.7423951	Los Angeles County
197661	Fee-for-Service	1356592927	1356592927	1	1	VERMA, MARIANNE N MD	11/1/2022	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	180255	None	None	0	In state provider	None	191 S BUENA VISTA STREET	SUITE 150	BURBANK	CA	91505	4522	19	06037	34.15872557	-118.3283863	Los Angeles County
197682	Fee-for-Service	1720172554	1720172554	1	1	VERSALES, GILDA R MD	12/15/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	37138	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
197767	Fee-for-Service	1396711149	1396711149	1	1	VU, THANH N MD	6/22/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	87918	41	Internal Medicine	0	In state provider	None	1667 DOMINICAN WAY	STE 230	SANTA CRUZ	CA	95065	1716	44	06087	36.99032635	-121.9811719	Santa Cruz County
197813	Fee-for-Service	1740267939	1740267939	1	1	VOSS, KIRSTEN J MD	8/3/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	74954	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
197829	Fee-for-Service	1184880528	1184880528	2	1	VALERA, REDEL D I MD	5/30/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	145763	01	General Practice	0	In state provider	None	2335 E KASHIAN LANE	SUITE 450	FRESNO	CA	93701	2234	10	06019	36.74333844	-119.7831874	Fresno County
197875	Fee-for-Service	1548876626	1548876626	1	1	VITUITY - PRIMARY CARE GLEND	12/2/2020	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	ER	1975 VERDUGO BLVD	SUITE A	LA CANADA FLINTRI	CA	91011	3024	19	06037	34.20501855	-118.219857	Los Angeles County
198028	Fee-for-Service	1821718156	1821718156	1	1	VPCARE INC	9/22/2022	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	401 VICTOR WAY	2	SALINAS	CA	93907	2048	27	06053	36.68418967	-121.6677324	Monterey County
198084	Fee-for-Service	1962650093	1962650093	1	1	VALLONE, JOHN G MD	7/6/2009	207ZP0101X	NA	Other	026	PHYSICIANS	82455	22	Pathology (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
198119	Fee-for-Service	1508051616	1508051616	1	1	VILLALOBOS, JANNETTE L M	10/6/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	97315	08	Family Practice	0	In state provider	None	9400 ROSECRANS AVENUE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
198163	Fee-for-Service	1548876626	1548876626	1	1	VITUITY - PRIMARY CARE GLEND	12/2/2020	103T00000X	NA	Mental Health Outpatient Services	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	ER	1975 VERDUGO BLVD	SUITE A	LA CANADA FLINTRI	CA	91011	3024	19	06037	34.20501855	-118.219857	Los Angeles County
198165	Fee-for-Service	1639371933	1639371933	1	1	VAN OOSBREE, BROOKE C PHD	4/5/2016	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	3900 BROADWAY	None	OAKLAND	CA	94611	5616	01	06001	37.82664697	-122.25721	Alameda County
198202	Fee-for-Service	1710089362	1710089362	1	1	VAZQUEZ, ADRIAN MD	5/29/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	70594	41	Internal Medicine	0	In state provider	None	5170 SANTA MONICA BLVD	None	LOS ANGELES	CA	90029	2428	19	06037	34.09078098	-118.3026895	Los Angeles County
198204	Fee-for-Service	1912046301	1912046301	1	1	VILLEGAS, RACHAEL M PSYD	11/26/2012	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	1643 EUREKA RD	None	ROSEVILLE	CA	95661	3027	31	06061	38.74688342	-121.2469903	Placer County
198285	Fee-for-Service	1891259123	1891259123	1	1	VERRET, ERIC OD INC	2/1/2019	152W00000X	NA	Other	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
198287	Fee-for-Service	1568431294	1568431294	1	1	VALDIVIA,FRANCISCO R MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	2450 E RIVER RD DR	None	TUCSON	AZ	85718	0000	00	None	32.285088	-110.934765	Pima County
198315	Fee-for-Service	1447338132	1447338132	1	1	VENEGAS, ARTHUR MD	6/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	60982	05	Anesthesiology	0	In state provider	None	2025 MORSE AVE	None	SACRAMENTO	CA	95825	2115	34	06067	38.602089	-121.3925895	Sacramento County
198347	Fee-for-Service	1972751998	1972751998	1	1	VU, PAUL D MD	3/17/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	103918	41	Internal Medicine	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
198364	Fee-for-Service	1457641094	1457641094	1	1	VIVIANO CUSTOM SHOE COMPANY	7/16/2013	332BC3200X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	INC	6279 VARIEL AVE	SUITE C	WOODLAND HILLS	CA	91367	2590	19	06037	34.18461	-118.592779	Los Angeles County
198432	Fee-for-Service	1851337950	1851337950	1	1	VAN DISSEL, GHISLAINE N	10/6/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	9061	08	Family Practice	0	In state provider	DO	1400 MEDICAL CENTER DR	None	ROHNERT PARK	CA	94928	2924	49	06097	38.34761053	-122.682654	Sonoma County
198452	Fee-for-Service	1548876626	1548876626	1	1	VITUITY - PRIMARY CARE GLEND	12/2/2020	103T00000X	NA	Mental Health Outpatient Services	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	ER	1975 VERDUGO BLVD	SUITE A	LA CANADA FLINTRI	CA	91011	3024	19	06037	34.20501855	-118.219857	Los Angeles County
198463	Fee-for-Service	1871535732	1871535732	1	1	VISVESHWARA, NADARASA MD	4/15/1975	No Taxonomy Provided	NA	None	026	PHYSICIANS	26686	40	Pediatrics	0	In state provider	None	9300 VALLEY CHILDRENS PL	None	MADERA	CA	93638	8761	20	06039	36.88437894	-119.8003484	Madera County
198570	Fee-for-Service	1205060449	1205060449	1	1	VIZIREANU, SANDRA I MD	1/1/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	116944	66	Emergency Medicine (Urgent Care)	0	In state provider	None	15107 VANOWEN STREET	None	VAN NUYS	CA	91405	4542	19	06037	34.19395645	-118.463265	Los Angeles County
198586	Fee-for-Service	1578678579	1578678579	1	1	VASSALL, ALFORD N MD	7/1/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	87839	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	500 W HOSPITAL RD	None	FRENCH CAMP	CA	95231	9989	39	06077	37.88652418	-121.2820956	San Joaquin County
198594	Fee-for-Service	1740653864	1740653864	1	1	VOTC, INC	11/19/2016	251V00000X	NA	Other	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	3590 EL PORTAL DR.	7, 8, 9, 10, 15, 16, & 1	REDDING	CA	96002	3154	45	06089	40.55435123	-122.3565549	Shasta County
198612	Fee-for-Service	1164463402	1164463402	1	1	VANDESTREEK, PENNY R DO	4/1/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	6232	30	Radiology	0	In state provider	None	2800 L STREET	STE 610	SACRAMENTO	CA	95816	5616	34	06067	38.571237	-121.469958	Sacramento County
198664	Fee-for-Service	1194169573	1194169573	1	1	VUONG, NHAN D T MD	12/2/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	132811	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
198686	Fee-for-Service	1922289099	1922289099	1	1	VASILE,DAN DO	2/3/2009	261QU0200X	NA	Other	026	PHYSICIANS	6930	08	Family Practice	0	In state provider	None	18522 US HIGHWAY 18	STE 102	APPLE VALLEY	CA	92307	0000	36	06071	34.53944358	-117.2599885	San Bernardino County
198740	Fee-for-Service	1548876626	1548876626	1	1	VITUITY - PRIMARY CARE GLEND	12/2/2020	103T00000X	NA	Mental Health Outpatient Services	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	ER	1975 VERDUGO BLVD	SUITE A	LA CANADA FLINTRI	CA	91011	3024	19	06037	34.20501855	-118.219857	Los Angeles County
198752	Fee-for-Service	1871535732	1871535732	1	1	VISVESHWARA, NADARASA MD	4/15/1975	No Taxonomy Provided	NA	None	026	PHYSICIANS	26686	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	9300 VALLEY CHILDRENS PL	None	MADERA	CA	93638	8761	20	06039	36.88437894	-119.8003484	Madera County
198793	Fee-for-Service	1841651411	1841651411	1	1	VIRTUE HEARING AID CENTER	4/4/2016	No Taxonomy Provided	NA	None	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	INC	134 S MONTEBELLO BLVD	None	MONTEBELLO	CA	90640	4730	19	06037	34.00888715	-118.1083915	Los Angeles County
198867	Fee-for-Service	1336165802	1336165802	2	1	VALLEY OXYGEN	9/9/2021	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	5329 OFFICE CENTER	SUITE 100	BAKERSFIELD	CA	93309	7425	15	06029	35.3605026	-119.061931	Kern County
198907	Fee-for-Service	1891704375	1891704375	1	1	VEERARAGHAVAN, SRIHAR MD	12/1/1997	207RP1001X	NA	Pulmonology	026	PHYSICIANS	55972	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
198921	Fee-for-Service	1992550479	1992550479	1	1	VALADEZ, ADRIAN LCSW	4/30/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
198924	Fee-for-Service	1699158790	1699158790	1	1	VO, QUI JEFF MD	9/7/2021	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	173237	None	None	0	In state provider	None	207 LEGION	None	BRAWLEY	CA	92227	7780	13	06025	32.95809	-115.5537045	Imperial County
198929	Fee-for-Service	1487926663	1487926663	1	1	VALDES, IGNACIO M D	12/9/2011	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	62465	None	None	0	In state provider	A PROFESSIONAL	1420 SO CENTRAL AVE	None	GLENDALE	CA	91204	2508	19	06037	34.12811155	-118.2577764	Los Angeles County
198962	Fee-for-Service	1578574943	1578574943	1	1	VINZON, DAISY L MD	1/1/1992	207R00000X	NA	Other	026	PHYSICIANS	73285	01	General Practice	0	In state provider	None	10833 LE CONTE AVE	BLDG 12311	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
198974	Fee-for-Service	1922289099	1922289099	1	1	VASILE,DAN DO	2/3/2009	261QU0200X	NA	Other	026	PHYSICIANS	6930	66	Emergency Medicine (Urgent Care)	0	In state provider	None	18522 US HIGHWAY 18	STE 102	APPLE VALLEY	CA	92307	0000	36	06071	34.53944358	-117.2599885	San Bernardino County
199056	Fee-for-Service	1093329328	1093329328	1	1	VREELAND, ALLISON PHD	12/5/2023	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	725 WELCH RD	None	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
199073	Fee-for-Service	1447338157	1447338157	1	1	VALLEE, JOHN T MD	12/8/1988	No Taxonomy Provided	NA	None	026	PHYSICIANS	64734	01	General Practice	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
199101	Fee-for-Service	1548862956	1548862956	1	1	VITAMED HOSPICE INC	9/8/2021	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	1153 N BRAND BLVD	STE 104	GLENDALE	CA	91202	2503	19	06037	34.16346	-118.2550895	Los Angeles County
199208	Fee-for-Service	1144001447	1144001447	1	1	VEROSYL PROFESSIONAL NURSING	5/15/2024	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	CORPORATION	2338 E ANAHEIM ST	STE. 200A-E	LONG BEACH	CA	90804	5730	19	06037	33.7825855	-118.163619	Los Angeles County
199361	Fee-for-Service	1447338157	1447338157	1	1	VALLEE, JOHN T MD	12/8/1988	No Taxonomy Provided	NA	None	026	PHYSICIANS	64734	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
199382	Fee-for-Service	1255173746	1255173746	1	1	VALLEY MED RX INC	9/9/2024	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	16430 VANOWEN ST	STE 200	VAN NUYS	CA	91406	4729	19	06037	34.19387855	-118.4914305	Los Angeles County
199385	Fee-for-Service	1548862956	1548862956	1	1	VITAMED HOSPICE INC	9/8/2021	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	1153 N BRAND BLVD	STE 104	GLENDALE	CA	91202	2503	19	06037	34.16346	-118.2550895	Los Angeles County
199594	Fee-for-Service	1699087957	1699087957	1	1	VALLURU, NALINI MD	7/19/2017	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	147644	10	Gastroenterology (M.D. only)	0	In state provider	None	6555 COYLE AVENUE	SUITE 341	CARMICHAEL	CA	95608	0302	34	06067	38.66859	-121.3118055	Sacramento County
199729	Fee-for-Service	1205045390	1205045390	1	1	VANAM, RAJANI MD	7/1/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	111771	41	Internal Medicine	0	In state provider	None	1180 EAST SHAW	#125	FRESNO	CA	93710	7812	10	06019	36.80891142	-119.768244	Fresno County
199746	Fee-for-Service	1497098156	1497098156	1	1	VAKILI, MARTIN M MD	8/19/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	132881	41	Internal Medicine	0	In state provider	None	3687 MT DIABLO BLVD	STE 200	LAFAYETTE	CA	94549	3746	07	06013	37.8898926	-122.1304235	Contra Costa County
199788	Fee-for-Service	1578839205	1578839205	1	1	VISWANATHAN, NISHA MD	11/12/2019	207R00000X	NA	Other	026	PHYSICIANS	165367	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
199817	Fee-for-Service	1801384631	1801384631	1	1	VENTURA PARK MANAGEMENT LLC	2/16/2022	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	21200 VENTURA BLVD	None	WOODLAND HILLS	CA	91364	0000	19	06037	34.16735833	-118.5950416	Los Angeles County
200024	Fee-for-Service	1801063730	1801063730	1	1	VALLADARES OTERO, ANGELA MD	8/27/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	30	Radiology	2	Out of state provider	None	13199 E MONTVIEW BLVD	None	AURORA	CO	80045	7201	00	None	39.748041	-104.834673	Adams County
200028	Fee-for-Service	1699840454	1699840454	1	1	VILCHES, RICARDO MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1745 LAKELAND HILLS BLVD	None	LAKELAND	FL	33805	3016	00	None	28.06956	-81.95327449	Polk County
200072	Fee-for-Service	1033524558	1033524558	1	1	VERMA, ADITYA MD INC	8/11/2014	193400000X	NA	Other	026	PHYSICIANS	50526	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	5448 AVENIDA DE LOS ROBL	None	VISALIA	CA	93291	5174	54	06107	36.32843026	-119.3528283	Tulare County
200089	Fee-for-Service	1508205501	1508205501	1	1	VU, VAN H MD	11/17/2023	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	168113	None	None	0	In state provider	None	1380 LEAD HILL RD	SUITE 100	ROSEVILLE	CA	95661	2997	31	06061	38.74953449	-121.2601832	Placer County
200141	Fee-for-Service	1033342423	1033342423	1	1	VO, MY LINH T PHD	2/20/2018	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
200146	Fee-for-Service	1699101816	1699101816	1	1	VISITING ANGELS HOSPICE INC	3/16/2016	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	539 N GLENOAKS BLVD	SUITE 307	BURBANK	CA	91502	3213	19	06037	34.18652984	-118.310858	Los Angeles County
200161	Fee-for-Service	1669512687	1669512687	1	1	VALLERO, RANDELL P MD	7/1/2000	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	71917	None	None	0	In state provider	None	6501 COYLE AVE	None	CARMICHAEL	CA	95608	0306	34	06067	38.669562	-121.31379	Sacramento County
200172	Fee-for-Service	1437100427	1437100427	1	1	VAPRNET ANESTHESIOLOGY	2/2/2006	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	05	Anesthesiology	0	In state provider	NETWORK	17772 BEACH BLVD	None	HUNTINGTON BEACH	CA	92647	6819	30	06059	33.703677	-117.9865035	Orange County
200176	Fee-for-Service	1912055567	1912055567	1	1	VAN VRANKEN-KEMPER, NADINE	7/10/2020	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	LCSW	2240 MERCURY WAY	None	SANTA ROSA	CA	95407	5413	49	06097	38.421135	-122.752008	Sonoma County
200236	Fee-for-Service	1184168023	1184168023	1	1	VIGIL, REBECCA L CRNA	11/24/2019	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
200242	Fee-for-Service	1417122615	1417122615	1	1	VASQUEZ, JAIME MD	7/20/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	116567	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
200319	Fee-for-Service	1578039608	1578039608	1	1	VAHDATPOUR, ELIZABETH S LMFT	10/1/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1030 NEVADA ST.	SUITE 103	REDLANDS	CA	92374	2957	36	06071	34.064172	-117.217431	San Bernardino County
200366	Fee-for-Service	1013905017	1013905017	1	1	VU, CHUNG HU MD	4/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	67850	41	Internal Medicine	0	In state provider	None	2593 S KING RD	STE 15	SAN JOSE	CA	95122	1880	43	06085	37.31897012	-121.8226795	Santa Clara County
200367	Fee-for-Service	1316151459	1316151459	1	1	VIRGINIA E. WILLIS, 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	1 CHILDRENS WAY	# 653	LITTLE ROCK	AR	72202	3500	00	None	34.742745	-92.2927905	Pulaski County
200381	Fee-for-Service	1851398143	1851398143	1	1	VAN FLEET, ROBERT H MD	6/27/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	147136	30	Radiology	0	In state provider	None	225 N JACKSON AVE	None	SAN JOSE	CA	95116	1603	43	06085	37.36217918	-121.8472051	Santa Clara County
200403	Fee-for-Service	1659858025	1659858025	1	1	VITUITY HOSPITALISTS PC	10/1/2018	193200000X	NA	Other	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	None	900 HYDE ST	None	SAN FRANCISCO	CA	94109	4806	38	06075	37.78956486	-122.417072	San Francisco County
200434	Fee-for-Service	1699101816	1699101816	1	1	VISITING ANGELS HOSPICE INC	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	539 N GLENOAKS BLVD	SUITE 307	BURBANK	CA	91502	3213	19	06037	34.18652984	-118.310858	Los Angeles County
200448	Fee-for-Service	1588754295	1588754295	1	1	VU, TIEN TRONG MD INC	2/1/2012	302F00000X	NA	Other	026	PHYSICIANS	34944	08	Family Practice	0	In state provider	None	4502 N PERSHING AVE	None	STOCKTON	CA	95207	6738	39	06077	37.98676325	-121.3208501	San Joaquin County
200574	Fee-for-Service	1669845996	1669845996	1	2	VERIO HEALTHCARE INC	9/30/2021	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	9370 WAPLES	STE 102	SAN DIEGO	CA	92121	3900	37	06073	32.90101483	-117.1853156	San Diego County
200577	Fee-for-Service	1205576311	1205576311	1	1	VISIONS IN EDUCATION	7/1/2022	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	None	5030 EL CAMINO AVE	None	CARMICHAEL	CA	95608	4650	34	06067	38.609433	-121.34673	Sacramento County
200578	Fee-for-Service	1598721235	1598721235	1	1	VU, TUONG N MD	10/28/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	90763	41	Internal Medicine	0	In state provider	None	1150 N INDIAN CANYON DR	None	PALM SPRINGS	CA	92262	4872	33	06065	33.838623	-116.542737	Riverside County
200597	Fee-for-Service	1548263999	1548263999	1	1	VASANTH K BETHALA MD	6/21/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1001 GAUSE BLVD	None	SLIDELL	LA	70458	2939	00	None	30.28471651	-89.769762	St. Tammany Parish
200617	Fee-for-Service	1063084440	1063084440	1	1	VELASQUEZ, JOSE MD	9/9/2024	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	None	08	Family Practice	0	In state provider	None	300 HILLMONT AVE	None	VENTURA	CA	93003	3099	56	06111	34.27771547	-119.2540344	Ventura County
200690	Fee-for-Service	1659858025	1659858025	1	1	VITUITY HOSPITALISTS PC	10/1/2018	193200000X	NA	Other	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	None	900 HYDE ST	None	SAN FRANCISCO	CA	94109	4806	38	06075	37.78956486	-122.417072	San Francisco County
200698	Fee-for-Service	1841621513	1841621513	1	1	VUONG, JASON K MD	5/29/2020	207R00000X	NA	Other	026	PHYSICIANS	144354	41	Internal Medicine	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
200773	Fee-for-Service	1386853968	1386853968	1	1	VUONG, NGAN L MD	11/12/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	96345	25	Physical Medicine and Rehabilitation	0	In state provider	None	5601 DE SOTO AVENUE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
200951	Fee-for-Service	1154735892	1154735892	1	1	VAZQUEZ, JESSICA LCSW	8/25/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1 QUALITY DR	None	VACAVILLE	CA	95688	9494	48	06095	38.38851772	-121.9382798	Solano County
200966	Fee-for-Service	1760562813	1760562813	1	1	VORSTER, JENNIFER A OD	7/15/2008	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	81800 DR CARREON BLVD	SUITE B	INDIO	CA	92201	5595	33	06065	33.70743053	-116.2372995	Riverside County
201027	Fee-for-Service	1396837720	1396837720	1	1	VICENTE, RODERICK R MD	10/28/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	68533	40	Pediatrics	0	In state provider	None	880 S ATLANTIC BLVD	None	MONTEREY PARK	CA	91754	4700	19	06037	34.05038485	-118.1383456	Los Angeles County
201110	Fee-for-Service	1174000533	1174000533	1	1	VITUITY HOSPITALISTS PC	10/1/2018	193200000X	NA	Other	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	None	170 ALAMEDA DE LAS PULGA	None	REDWOOD CITY	CA	94062	2751	41	06081	37.48093988	-122.2531826	San Mateo County
201208	Fee-for-Service	1750330627	1750330627	1	1	VALENCIA ANESTHESIA	8/31/1994	207L00000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	MEDICAL GROUP	23845 MCBEAN PKWY	None	VALENCIA	CA	91355	2001	19	06037	34.39696803	-118.5525278	Los Angeles County
201223	Fee-for-Service	1356535264	1356535264	1	1	VALENCIA, HAYDEE R LMFT	7/5/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	150 N GRAND AVE	214	WEST COVINA	CA	91791	0001	19	06037	34.07366465	-117.8723323	Los Angeles County
201309	Fee-for-Service	1679078646	1679078646	1	1	VANG, TIA MD	9/30/2021	207R00000X	NA	Other	026	PHYSICIANS	165951	None	None	0	In state provider	None	2335 E KASHIAN LANE	SUITE 280	FRESNO	CA	93701	2211	10	06019	36.74333844	-119.7831874	Fresno County
201396	Fee-for-Service	1346744125	1346744125	1	1	VENTURA INSTITUTE OF OPHTHAL	9/16/2020	207W00000X	NA	Ophthalmology	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	1739 W. AVENUE J	None	LANCASTER	CA	93534	2839	19	06037	34.6894773	-118.1626235	Los Angeles County
201397	Fee-for-Service	1174000533	1174000533	1	1	VITUITY HOSPITALISTS PC	10/1/2018	193200000X	NA	Other	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	None	170 ALAMEDA DE LAS PULGA	None	REDWOOD CITY	CA	94062	2751	41	06081	37.48093988	-122.2531826	San Mateo County
201515	Fee-for-Service	1003443649	1003443649	1	1	VU, KIM H DO	10/9/2024	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	20004	08	Family Practice	0	In state provider	None	1770 N ORANGE GROVE AVE	STE 101	POMONA	CA	91767	3027	19	06037	34.07637624	-117.7492622	Los Angeles County
201525	Fee-for-Service	1790341766	1790341766	1	1	VU, KATRINA D CCC-SLP	12/8/2023	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
201558	Fee-for-Service	1578967907	1578967907	1	1	VAYNGORTIN, TATYANA MD	7/17/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	128532	40	Pediatrics	0	In state provider	None	2200 O'FARRELL ST	None	SAN FRANCISCO	CA	94115	3357	38	06075	37.78224789	-122.4412946	San Francisco County
201572	Fee-for-Service	1972930592	1972930592	1	1	VENEGAS, ANGELA L MD	7/1/2019	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	156458	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
201608	Fee-for-Service	1386629889	1386629889	1	1	VILLA CONVALESCENT HOSP	11/1/1997	314000000X	NA	Skilled Nursing Facility	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	VILLA HEALTH CARE CENTER	8965 MAGNOLIA AVE	None	RIVERSIDE	CA	92503	4432	33	06065	33.92592391	-117.4369336	Riverside County
201685	Fee-for-Service	1346744125	1346744125	1	1	VENTURA INSTITUTE OF OPHTHAL	9/16/2020	207W00000X	NA	Ophthalmology	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1739 W. AVENUE J	None	LANCASTER	CA	93534	2839	19	06037	34.6894773	-118.1626235	Los Angeles County
201713	Fee-for-Service	1437173382	1437173382	1	1	VALENCIA, ARWIN M MD	8/2/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	71301	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	2801 ATLANTIC AVE	None	LONG BEACH	CA	90806	1701	19	06037	33.808185	-118.1850575	Los Angeles County
201782	Fee-for-Service	1942237144	1942237144	1	1	VAN, KYCHUONG MD	4/11/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	34430	02	General Surgery	0	In state provider	None	10362 BOLSA AVE	STE 110	WESTMINSTER	CA	92683	6763	30	06059	33.74488248	-117.94806	Orange County
202093	Fee-for-Service	1497203541	1497203541	1	13	VISTA COMMUNITY CLINIC	9/18/2023	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	31361 RIVERSIDE DR	None	LAKE ELSINORE	CA	92530	7807	33	06065	33.68191435	-117.369016	Riverside County
202214	Fee-for-Service	1831713791	1831713791	1	1	VILLARAMA, KEVIN L OD	11/13/2020	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	5478 N PALM AVE	None	FRESNO	CA	93704	1940	10	06019	36.81697011	-119.8082669	Fresno County
202241	Fee-for-Service	1033624598	1033624598	1	1	VILLARREAL, ANN-SOPHIE LMFT	4/15/2021	101YM0800X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	27412 ENTERPRISE CIR W	STE. 205	TEMECULA	CA	92590	4875	33	06065	33.51594134	-117.1669025	Riverside County
202279	Fee-for-Service	1801832415	1801832415	1	1	VONS COMPANIES,INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	1221 S GAFFEY ST	None	SAN PEDRO	CA	90731	4094	19	06037	33.732882	-118.292398	Los Angeles County
202362	Fee-for-Service	1386843167	1386843167	1	2	VETERANS HOME OF CALIFORNIA	8/8/2017	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	123 CALIFORNIA DRIVE	None	YOUNTVILLE	CA	94599	1412	28	06055	38.39627472	-122.3622555	Napa County
202380	Fee-for-Service	1497203541	1497203541	1	13	VISTA COMMUNITY CLINIC	9/18/2023	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	31361 RIVERSIDE DR	None	LAKE ELSINORE	CA	92530	7807	33	06065	33.68191435	-117.369016	Riverside County
202383	Fee-for-Service	1487340519	1487340519	1	1	VALDI INC	9/6/2024	207RP1001X	NA	Pulmonology	026	PHYSICIANS	None	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	7417 N CEDAR	101	FRESNO	CA	93720	3637	10	06019	36.844227	-119.7568975	Fresno County
202394	Fee-for-Service	1518166446	1518166446	1	2	VASNARUNGRUENGKUL,	11/15/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	94475	41	Internal Medicine	0	In state provider	None	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5243	19	06037	34.21980849	-118.4301135	Los Angeles County
202534	Fee-for-Service	1932543881	1932543881	1	1	VO, RICHARD MD	9/9/2020	2080P0006X	NA	Psychiatry	026	PHYSICIANS	169933	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
202547	Fee-for-Service	1427483056	1427483056	1	1	VAN HORN, BETTY J CNP	4/10/2020	207Q00000X	NA	Adult Primary Care	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	25115 MADISON	None	MURRIETA	CA	92562	8967	33	06065	33.55794428	-117.2011541	Riverside County
202563	Fee-for-Service	1518997311	1518997311	1	1	VOLPE, RUSSELL, CHIU &	1/1/1979	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	ABEL MD'S	3838 CALIFORNIA ST	RM 616	SAN FRANCISCO	CA	94118	1508	38	06075	37.78591809	-122.4575439	San Francisco County
202614	Fee-for-Service	1326282328	1326282328	1	1	VANGALA, NIVRUTHI R MD	12/3/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	120395	40	Pediatrics	0	In state provider	None	15725 WHITTIER BLVD	None	WHITTIER	CA	90603	3102	19	06037	33.94435533	-117.9931159	Los Angeles County
202668	Fee-for-Service	1598284861	1598284861	1	1	VIGNA, GREG MD CLCP	2/26/2018	208100000X	NA	Physical Medicine and Rehabilitation	026	PHYSICIANS	54741	25	Physical Medicine and Rehabilitation	0	In state provider	None	1303 MABLE AVE	None	MODESTO	CA	95355	0001	50	06099	37.69613281	-120.9756292	Stanislaus County
202669	Fee-for-Service	1497203541	1497203541	1	13	VISTA COMMUNITY CLINIC	4/15/2024	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	31361 RIVERSIDE DR	None	LAKE ELSINORE	CA	92530	7807	33	06065	33.68191435	-117.369016	Riverside County
202670	Fee-for-Service	1740540285	1740540285	1	1	VDAH CORP APC	5/31/2017	282N00000X	NA	Hospitals	026	PHYSICIANS	108019	None	None	0	In state provider	None	2460 N PONDEROSA DR	STE A101	CAMARILLO	CA	93010	2398	56	06111	34.24276343	-119.0228383	Ventura County
202692	Fee-for-Service	1457747834	1457747834	1	1	VALLEY VIEW CONGREGATE	3/15/2019	No Taxonomy Provided	NA	None	059	HOME AND COMMUNITY BASED SERVICES NURSING FACILITY	-	-	NOT APPLICABLE	0	In state provider	LIVING, INC	7800 ATOLL AVENUE	None	NORTH HOLLYWOOD	CA	91605	0900	19	06037	34.21197953	-118.419253	Los Angeles County
202706	Fee-for-Service	1982800678	1982800678	1	1	VALI, PAYAM MD	5/1/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	107176	None	None	0	In state provider	None	2521 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2207	34	06067	38.55204	-121.455387	Sacramento County
202763	Fee-for-Service	1316324825	1316324825	1	1	VENDRA, VARUN MD	10/31/2024	207YX0007X	NA	ENT/Otolaryngology	026	PHYSICIANS	143899	04	Otology, Laryngology, Rhinology	0	In state provider	None	3601 S HARBOR BLVD	SUITE 100	SANTA ANA	CA	92704	6924	30	06059	33.698367	-117.9194115	Orange County
202776	Fee-for-Service	1689068587	1689068587	1	1	VELKURU, SATHYA K DO	3/22/2022	207RR0500X	NA	Other	026	PHYSICIANS	16579	None	None	0	In state provider	None	4501 SAND CREEK ROAD	None	ANTIOCH	CA	94531	8577	07	06013	37.94947636	-121.7752571	Contra Costa County
202786	Fee-for-Service	1184002693	1184002693	1	1	VASCONCELOS, VERONICA E	5/20/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	11801 PIERCE ST	SUITE 200	RIVERSIDE	CA	92505	4408	33	06065	33.90100297	-117.49363	Riverside County
202854	Fee-for-Service	1518997311	1518997311	1	1	VOLPE, RUSSELL, CHIU &	1/1/1979	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	28	Proctology (colon and rectal)	0	In state provider	ABEL MD'S	3838 CALIFORNIA ST	RM 616	SAN FRANCISCO	CA	94118	1508	38	06075	37.78591809	-122.4575439	San Francisco County
202957	Fee-for-Service	1497203541	1497203541	1	13	VISTA COMMUNITY CLINIC	12/12/2024	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	31361 RIVERSIDE DR	None	LAKE ELSINORE	CA	92530	7807	33	06065	33.68191435	-117.369016	Riverside County
203072	Fee-for-Service	1649278797	1649278797	1	1	VANARSDALE, JESSICA L MD	11/5/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	88580	08	Family Practice	0	In state provider	None	2700 DOLBEER ST	None	EUREKA	CA	95501	4736	12	06023	40.78355148	-124.1420294	Humboldt County
203076	Fee-for-Service	1720466204	1720466204	1	1	VITAL HOSPICE CARE INC	2/10/2017	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	3218 E HOLT AVE	SUITE 201	WEST COVINA	CA	91791	2310	19	06037	34.07127786	-117.876759	Los Angeles County
203137	Fee-for-Service	1528476462	1528476462	1	1	VU, NGOC-LAN T OD	8/26/2016	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	330 NORTH BRAND BLVD	SUITE 110	GLENDALE	CA	91203	2308	19	06037	34.15116156	-118.2549512	Los Angeles County
203164	Fee-for-Service	1063618296	1063618296	2	1	VALLEY NEPHROLOGY MED	11/13/1985	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	45	Nephrology (Renal-Kidney)	0	In state provider	GRP A PARTNERSHIP	1313 E HERNDON AVE	STE 105	FRESNO	CA	93720	3306	10	06019	36.834984	-119.7641925	Fresno County
203364	Fee-for-Service	1720466204	1720466204	1	1	VITAL 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	3218 E HOLT AVE	SUITE 201	WEST COVINA	CA	91791	2310	19	06037	34.07127786	-117.876759	Los Angeles County
203385	Fee-for-Service	1376080036	1376080036	1	1	VAN PETER, DYANNE E OT	12/28/2021	225XP0200X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	77564 COUNTRY CLUB DR	SUITE 340	PALM DESERT	CA	92211	0450	33	06065	33.75833451	-116.3114325	Riverside County
203511	Fee-for-Service	1538188511	1538188511	1	1	VELDMAN, WILLIAM MARK	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	69 WEST EXCHANGE ST	None	ST PAUL	MN	55102	0000	00	None	44.94809812	-93.09980256	Ramsey County
203516	Fee-for-Service	1114591781	1114591781	1	1	VIENI, JEANNINE C PSYD	9/9/2021	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	5838 EDISON PL	None	CARLSBAD	CA	92008	5520	37	06073	33.12181055	-117.2840499	San Diego County
203547	Fee-for-Service	1639120090	1639120090	1	1	VANLOM, KRIS J MD	6/30/1989	No Taxonomy Provided	NA	None	026	PHYSICIANS	56641	30	Radiology	0	In state provider	None	25405 HANCOCK AVE	STE 107	MURRIETA	CA	92562	5978	33	06065	33.5580833	-117.1850127	Riverside County
203586	Fee-for-Service	1689784712	1689784712	1	1	VAYSBURD, MARINA MD	1/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	64864	78	Neoplastic Diseases/Oncology	0	In state provider	None	250 N ROBERTSON BLVD	None	BEVERLY HILLS	CA	90211	1788	19	06037	34.0696407	-118.3836988	Los Angeles County
203671	Fee-for-Service	1376108647	1376108647	1	1	VIRDI, PARMINDER MD	10/12/2023	207R00000X	NA	Other	026	PHYSICIANS	176911	None	None	0	In state provider	None	115 MALL DRIVE	None	HANFORD	CA	93230	5786	16	06031	36.32396253	-119.6688834	Kings County
203886	Fee-for-Service	1891231452	1891231452	1	2	V&T MEDICAL TRANSPORTATION	7/28/2021	343900000X	Both NEMT & NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	372 ARDEN AVE	STE 105	GLENDALE	CA	91203	1183	19	06037	34.1584394	-118.261212	Los Angeles County
203934	Fee-for-Service	1134210628	1134210628	1	1	VISSER, BRENDAN C MD	10/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	74028	02	General Surgery	0	In state provider	None	2425 GEARY BLVD	None	SAN FRANCISCO	CA	94115	3358	38	06075	37.78272203	-122.4433297	San Francisco County
203971	Fee-for-Service	1902119654	1902119654	1	1	VILBERT, ERIC M MD	8/18/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	54610	30	Radiology	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
204034	Fee-for-Service	1699795427	1699795427	1	1	VU, PHUONG H OD	10/11/2006	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	2958 E ANAHEIM ST	None	LONG BEACH	CA	90804	3726	19	06037	33.78257254	-118.1571705	Los Angeles County
204039	Fee-for-Service	1306307061	1306307061	1	1	VEERAPPAN GANESAN, ROSHNI M	10/27/2022	390200000X	NA	Other	026	PHYSICIANS	-	None	None	1	Border provider	D	101 CIVIC CENTER LANE	None	LAKE HAVASU CITY	AZ	86403	5607	00	None	34.480224	-114.3390555	Mohave County
204040	Fee-for-Service	1023341120	1023341120	1	1	VUONG, BROOKE MD	2/9/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	123241	02	General Surgery	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
204274	Fee-for-Service	1780370064	1780370064	1	1	VELASCO, JEIMSMYMAR	9/19/2023	237700000X	NA	Other	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	325 W HOSPITALITY LN	SUITE 210	SAN BERNARDINO	CA	92408	3211	36	06071	34.0658995	-117.29034	San Bernardino County
204294	Fee-for-Service	1326084922	1326084922	1	1	VONS COMPANIES, INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	32401 CAMINO CAPISTRANO	None	SAN JUAN CAPISTRA	CA	92675	4531	30	06059	33.49262774	-117.6627855	Orange County
204324	Fee-for-Service	1881030674	1881030674	1	1	VANDER WERF, BRIAN D MD	7/1/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	135115	05	Anesthesiology	0	In state provider	None	FRESNO & R ST	None	FRESNO	CA	93721	1365	10	06019	36.741663	-119.7841005	Fresno County
204481	Fee-for-Service	1891377362	1891377362	1	1	VITUG, JOSEPH PT	3/22/2022	208100000X	NA	Physical Medicine and Rehabilitation	025	PHYSICAL THERAPISTS	-	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
204491	Fee-for-Service	1366688947	1366688947	1	1	VALDEZ, ROBERT CRNA	7/12/2010	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	4867 W SUNSET BLVD	None	LOS ANGELES	CA	90027	5969	19	06037	34.0981755	-118.295055	Los Angeles County
204498	Fee-for-Service	1336297159	1336297159	1	1	VARGAS, JORGE MD	9/23/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	85567	08	Family Practice	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
204578	Fee-for-Service	1992763619	1992763619	1	1	VELEZ-DALLA TOR, MAILI	3/25/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	71918	None	None	0	In state provider	None	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
204729	Fee-for-Service	1851479430	1851479430	1	1	VIRDI, JASDEEP K MD	3/16/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	81660	41	Internal Medicine	0	In state provider	None	4125 BANGS AVE	None	MODESTO	CA	95356	8713	50	06099	37.70451024	-121.0709696	Stanislaus County
204731	Fee-for-Service	1215102751	1215102751	1	1	VAN BLERK, MARGARET A MD	2/6/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	53967	40	Pediatrics	0	In state provider	None	1300 AVENIDA VISTA HERMO	SUITE 200	SAN CLEMENTE	CA	92673	6338	30	06059	33.45766933	-117.5920941	Orange County
204853	Fee-for-Service	1992046296	1992046296	1	1	VILLA, SONIA PA	10/1/2018	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
204855	Fee-for-Service	1659550473	1659550473	1	1	VAHABZADEH, KAMBIZ MD	11/4/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	100331	08	Family Practice	0	In state provider	None	6041 CADILLAC AVENUE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
204858	Fee-for-Service	1255360152	1255360152	1	1	VIDA SANA MEDICAL	7/28/2005	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	GROUP, INC	755 SEQUOIA AVE	STE B	LINDSAY	CA	93247	1422	54	06107	36.21173551	-119.0961155	Tulare County
204876	Fee-for-Service	1811476047	1811476047	1	1	VIJAYANARAYANAN, ANJANAA MD	8/13/2024	207ZH0000X	NA	Other	026	PHYSICIANS	175695	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
204944	Fee-for-Service	1548876626	1548876626	1	2	VITUITY - PRIMARY CARE GLEND	12/2/2020	103T00000X	NA	Mental Health Outpatient Services	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	ER	544 NORTH GLENDALE AVE	STE. B	GLENDALE	CA	91206	3311	19	06037	34.15454904	-118.2429872	Los Angeles County
204952	Fee-for-Service	1700103041	1700103041	1	1	VIRBALAS, JORDAN M MD	6/2/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	143029	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
204988	Fee-for-Service	1366434748	1366434748	1	1	VO, THUAN H MD AMC	1/29/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	63971	41	Internal Medicine	0	In state provider	None	9024 BOLSA AVE	None	WESTMINSTER	CA	92683	5531	30	06059	33.74469237	-117.9712944	Orange County
205222	Fee-for-Service	1003842360	1003842360	1	1	VENICE FAMILY CLINIC	6/1/2005	207Q00000X	NA	Adult Primary Care	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	COLEN FAMILY HEALTH CTR	4700 INGLEWOOD BLD	SUITE 102	CULVER CITY	CA	90230	5896	19	06037	33.99315523	-118.4151866	Los Angeles County
205233	Fee-for-Service	1548876626	1548876626	1	2	VITUITY - PRIMARY CARE GLEND	12/2/2020	103T00000X	NA	Mental Health Outpatient Services	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	ER	544 NORTH GLENDALE AVE	STE. B	GLENDALE	CA	91206	3311	19	06037	34.15454904	-118.2429872	Los Angeles County
205255	Fee-for-Service	1700103041	1700103041	1	1	VIRBALAS, JORDAN M MD	6/2/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	143029	40	Pediatrics	0	In state provider	None	1001 POTRERO AVE	RM 4M45	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
205295	Fee-for-Service	1396102323	1396102323	1	1	VILLARUZ, CRYSTAL	2/5/2021	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	18700 BEACH BLVD	STE 120/110	HUNTINGTON BEACH	CA	92648	2089	30	06059	33.69070037	-117.9886896	Orange County
205347	Fee-for-Service	1144300435	1144300435	1	1	VANDERSHAAF, JOSHUA PHD	9/27/2006	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	222 W 39TH AVE	None	SAN MATEO	CA	94403	4364	41	06081	37.53039072	-122.2987772	San Mateo County
205350	Fee-for-Service	1487814422	1487814422	1	1	VASHI, ANITA MD	2/1/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	135124	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
205416	Fee-for-Service	1720037682	1720037682	1	1	VON DEM BUSSCHE, NICOLAS	8/23/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	79178	30	Radiology	0	In state provider	None	330 LEWIS ST	None	SAN DIEGO	CA	92103	2108	37	06073	32.75187491	-117.1617402	San Diego County
205426	Fee-for-Service	1164078358	1164078358	1	1	VILLANUEVA, KAREN LAC	5/9/2024	171100000X	NA	Other	032	CERTIFIED ACUPUNCTURIST	-	-	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
205496	Fee-for-Service	1043623291	1043623291	1	1	VU, ANGELA N M	3/18/2015	No Taxonomy Provided	NA	None	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1301 PROVIDENCE AVE	None	ORANGE	CA	92868	3892	30	06059	33.78142951	-117.866583	Orange County
205509	Fee-for-Service	1003842360	1003842360	1	1	VENICE FAMILY CLINIC	6/1/2005	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	COLEN FAMILY HEALTH CTR	4700 INGLEWOOD BLD	SUITE 102	CULVER CITY	CA	90230	5896	19	06037	33.99315523	-118.4151866	Los Angeles County
205519	Fee-for-Service	1548876626	1548876626	1	2	VITUITY - PRIMARY CARE GLEND	12/2/2020	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	ER	544 NORTH GLENDALE AVE	STE. B	GLENDALE	CA	91206	3311	19	06037	34.15454904	-118.2429872	Los Angeles County
205650	Fee-for-Service	1801939939	1801939939	1	1	VITAS HEALTHCARE CORPORATION	2/17/1995	251G00000X	NA	Other	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	OF CALIFORNIA	9655 GRANITE RIDGE DR	STE 300	SAN DIEGO	CA	92123	2676	37	06073	32.80652495	-117.1200582	San Diego County
205773	Fee-for-Service	1740233899	1740233899	1	1	VASSAR BROTHERS HOSPITAL	8/24/2014	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	45 READE PL	None	POUGHKEEPSIE	NY	12601	3990	00	None	41.693805	-73.9356075	Dutchess County
205804	Fee-for-Service	1548876626	1548876626	1	2	VITUITY - PRIMARY CARE GLEND	12/2/2020	103T00000X	NA	Mental Health Outpatient Services	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	ER	544 NORTH GLENDALE AVE	STE. B	GLENDALE	CA	91206	3311	19	06037	34.15454904	-118.2429872	Los Angeles County
205941	Fee-for-Service	1801939939	1801939939	1	1	VITAS HEALTHCARE CORPORATION	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	OF CALIFORNIA	9655 GRANITE RIDGE DR	STE 300	SAN DIEGO	CA	92123	2676	37	06073	32.80652495	-117.1200582	San Diego County
205972	Fee-for-Service	1932337193	1932337193	1	1	VELASQUEZ, GUSTAVO E MD MPH	8/26/2021	207RI0200X	NA	HIV/AIDS/Infectious Disease	026	PHYSICIANS	173871	None	None	0	In state provider	None	1001 POTRERO AVE	RM 5H22	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
205977	Fee-for-Service	1508307869	1508307869	1	1	VO, JEAN T MD	8/21/2022	390200000X	NA	Other	026	PHYSICIANS	158066	None	None	0	In state provider	None	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
206039	Fee-for-Service	1225116064	1225116064	1	1	VIVEK B. PAI MD	9/1/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	42719	13	Neurology (M.D. only)	0	In state provider	None	975 SERENO DR	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
206061	Fee-for-Service	1063810430	1063810430	1	1	VALLE, JAMIE LCSW	4/24/2018	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	82549	-	NOT APPLICABLE	0	In state provider	None	4211 S AVALON BLVD	None	LOS ANGELES	CA	90011	5622	19	06037	34.007238	-118.2653065	Los Angeles County
206096	Fee-for-Service	1992385330	1992385330	1	1	VANG, JENNY L DO	2/15/2024	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	21508	None	None	0	In state provider	None	847 W CHILDS AVE	None	MERCED	CA	95341	6805	24	06047	37.28825369	-120.4963159	Merced County
206180	Fee-for-Service	1235748567	1235748567	1	1	VBK HOSPICE INC	8/20/2021	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	450 N BRAND BLVD	STE 600	GLENDALE	CA	91203	2349	19	06037	34.152633	-118.254971	Los Angeles County
206222	Fee-for-Service	1679194682	1679194682	1	1	VILLEGAS, CHRISTIAN NOEL B C	8/30/2020	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	RNA	1500 SAN PABLO ST	None	LOS ANGELES	CA	90033	5313	19	06037	34.06238259	-118.2030986	Los Angeles County
206296	Fee-for-Service	1013084979	1013084979	1	1	VANNIX, DAVID L MD	5/31/1989	208600000X	NA	General Surgery	026	PHYSICIANS	61461	02	General Surgery	0	In state provider	None	11370 ANDERSON ST	# 2100	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
206325	Fee-for-Service	1225116064	1225116064	1	1	VIVEK B. PAI MD	9/1/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	42719	41	Internal Medicine	0	In state provider	None	975 SERENO DR	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
206429	Fee-for-Service	1538493358	1538493358	1	1	VUONG, DIEU H OD	2/11/2013	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1033 THIRD STREET	None	SAN RAFAEL	CA	94901	3107	21	06041	37.97209412	-122.5280013	Marin County
206470	Fee-for-Service	1235748567	1235748567	1	1	VBK HOSPICE INC	8/20/2021	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	450 N BRAND BLVD	STE 600	GLENDALE	CA	91203	2349	19	06037	34.152633	-118.254971	Los Angeles County
206562	Fee-for-Service	1700164415	1700164415	1	2	VAN DRUFF, JANET LMFT	6/25/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3655 ALAMO ST	SUITE 300	SIMI VALLEY	CA	93063	2187	56	06111	34.28646704	-118.7257456	Ventura County
206627	Fee-for-Service	1174150254	1174150254	1	1	VOHRA, BHAVI MD	10/7/2024	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	189115	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	2071 EAST HERNDON	None	CLOVIS	CA	93611	6001	10	06019	36.8375685	-119.6781105	Fresno County
206677	Fee-for-Service	1063441012	1063441012	1	1	VONS COMPANIES INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	8891 ATLANTA AVE	None	HUNTINGTON BEACH	CA	92646	7119	30	06059	33.65774883	-117.973145	Orange County
206691	Fee-for-Service	1275549636	1275549636	1	1	VASQUEZ-MACHUCA, MARISSA MD	3/10/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	89338	None	None	0	In state provider	None	2623 E SLAUSON AVE	None	HUNTINGTON PARK	CA	90255	2926	19	06037	33.98921547	-118.2242565	Los Angeles County
206731	Fee-for-Service	1013076694	1013076694	1	1	VERETTO, FRED J MD	3/31/1990	No Taxonomy Provided	NA	None	026	PHYSICIANS	66617	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
206849	Fee-for-Service	1043717283	1043717283	1	1	VELA, ABRAHAM MD	12/16/2021	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	174075	None	None	0	In state provider	None	225 NORTH JACKSON AVE	None	SAN JOSE	CA	95116	1603	43	06085	37.36217918	-121.8472051	Santa Clara County
206903	Fee-for-Service	1235993585	1235993585	1	1	VINSKY, CADE PT	4/10/2024	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	29992 HUNTER RD	SUITE 106	MURRIETA	CA	92563	4765	33	06065	33.56887078	-117.1376697	Riverside County
207009	Fee-for-Service	1467499350	1467499350	1	1	VOSOGHI, MEHRDAD	4/2/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	73291	None	None	0	In state provider	None	5901 W OLYMPIC BLVD	STE 300	LOS ANGELES	CA	90036	4675	19	06037	34.05764121	-118.3603115	Los Angeles County
207019	Fee-for-Service	1013076694	1013076694	1	1	VERETTO, FRED J MD	3/31/1990	No Taxonomy Provided	NA	None	026	PHYSICIANS	66617	41	Internal Medicine	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
207038	Fee-for-Service	1538270046	1538270046	1	1	VILLA, KENNETH J MD	6/30/1991	2084N0400X	NA	Neurology	026	PHYSICIANS	71718	13	Neurology (M.D. only)	0	In state provider	None	1505 W ROSS RD	None	EL CENTRO	CA	92243	9585	13	06025	32.78190481	-115.6640317	Imperial County
207086	Fee-for-Service	1003857350	1003857350	1	1	VITCOV, STEVE G MD	1/12/1996	207L00000X	NA	Other	026	PHYSICIANS	69444	05	Anesthesiology	0	In state provider	None	20103 LAKE CHABOT RD	None	CASTRO VALLEY	CA	94546	5305	01	06001	37.698264	-122.090112	Alameda County
207169	Fee-for-Service	1366494015	1366494015	1	1	VIGIL, CARLOS R DO	8/21/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	7446	41	Internal Medicine	0	In state provider	None	400 N PEPPER AVE	STE 210	COLTON	CA	92324	1801	36	06071	34.073505	-117.3505995	San Bernardino County
207176	Fee-for-Service	1942779863	1942779863	1	1	VILLANUEVA, MARINA	11/22/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	11801 PIERCE ST	SUITE 200	RIVERSIDE	CA	92505	4408	33	06065	33.90100297	-117.49363	Riverside County
207185	Fee-for-Service	1346637063	1346637063	1	1	VANDERJAGT, THOMAS A MD	9/13/2022	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	181843	None	None	0	In state provider	None	1600 ESPLANADE	SUITE C	CHICO	CA	95926	3369	04	06007	39.74352822	-121.8495394	Butte County
207206	Fee-for-Service	1447016126	1447016126	1	1	VAN PUTTEN, DOUGLAS M PT	4/22/2024	2251X0800X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	275 W HOSPITALITY LN	103	SAN BERNARDINO	CA	92408	3249	36	06071	34.0659135	-117.289215	San Bernardino County
207253	Fee-for-Service	1922186527	1922186527	1	1	VAYNGORTIN, NELLYA MD	12/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	63795	41	Internal Medicine	0	In state provider	None	975 SERENO DR	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
207284	Fee-for-Service	1548201965	1548201965	1	1	VALLEY OB-GYN MEDICAL GROUP	4/3/2006	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1600 E FLORIDA AVE	STE 315	HEMET	CA	92544	8639	33	06065	33.74768747	-116.9557425	Riverside County
207407	Fee-for-Service	1679706337	1679706337	1	1	VIGIL, KATHRYN R CCC-SLP	9/25/2020	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	151 N SUNRISE AVE	SUITE 1105	ROSEVILLE	CA	95661	2924	31	06061	38.74746043	-121.2655348	Placer County
207488	Fee-for-Service	1548876626	1548876626	1	3	VITUITY - PRIMARY CARE GLEND	12/10/2021	103T00000X	NA	Mental Health Outpatient Services	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	ER	1560 E. CHEVY CHASE DR.	SUITE 355	GLENDALE	CA	91206	4159	19	06037	34.15290734	-118.2302295	Los Angeles County
207506	Fee-for-Service	1669886933	1669886933	1	1	VISEROI, MARIUS MD	2/12/2018	390200000X	NA	Other	026	PHYSICIANS	147281	41	Internal Medicine	0	In state provider	None	101 CITY DR S	None	ORANGE	CA	92868	0000	30	06059	33.78674051	-117.8888713	Orange County
207521	Fee-for-Service	1053401927	1053401927	1	1	VANG, TOU C MD	7/13/2023	No Taxonomy Provided	NA	None	026	PHYSICIANS	83557	None	None	0	In state provider	None	4730 47TH AVE	None	SACRAMENTO	CA	95824	3946	34	06067	38.509983	-121.451157	Sacramento County
207533	Fee-for-Service	1144647421	1144647421	1	1	VELAZQUEZ MANANA, ANA I MD	6/22/2021	390200000X	NA	Other	026	PHYSICIANS	154830	None	None	0	In state provider	None	1001 POTRERO AVE	RM 5H22	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
207607	Fee-for-Service	1942769195	1942769195	1	1	VU, AUSTIN H DO	8/16/2022	2084P0800X	NA	Psychiatry	026	PHYSICIANS	19391	None	None	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
207648	Fee-for-Service	1194477893	1194477893	1	1	VALLEY PARADISE CBAS	12/18/2024	261QA0600X	NA	Other	001	ADULT DAY HEALTH CARE CENTERS	-	-	NOT APPLICABLE	0	In state provider	None	31905 CASTAIC RD	None	CASTAIC	CA	91384	3982	19	06037	34.49875013	-118.6243493	Los Angeles County
207727	Fee-for-Service	1700999638	1700999638	1	1	VALLES, REUBEN MD JR	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	83891	05	Anesthesiology	0	In state provider	None	5900 W OLYMPIC BLVD	None	LOS ANGELES	CA	90036	4671	19	06037	34.05760692	-118.3604361	Los Angeles County
207778	Fee-for-Service	1548876626	1548876626	1	3	VITUITY - PRIMARY CARE GLEND	12/10/2021	103T00000X	NA	Mental Health Outpatient Services	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	ER	1560 E. CHEVY CHASE DR.	SUITE 355	GLENDALE	CA	91206	4159	19	06037	34.15290734	-118.2302295	Los Angeles County
207965	Fee-for-Service	1689106957	1689106957	1	1	VICKERY, THAD W MD	8/9/2023	207Y00000X	NA	ENT/Otolaryngology	026	PHYSICIANS	161158	None	None	0	In state provider	None	1200 EL CAMINO REAL	None	S SAN FRANCISCO	CA	94080	3208	41	06081	37.65894608	-122.440161	San Mateo County
207969	Fee-for-Service	1841295144	1841295144	1	1	VORON, DAVID A MD INC	1/1/1979	No Taxonomy Provided	NA	None	026	PHYSICIANS	26321	07	Dermatology	0	In state provider	None	612 W DUARTE RD	STE 205	ARCADIA	CA	91007	9229	19	06037	34.12647805	-118.051994	Los Angeles County
208010	Fee-for-Service	1659878148	1659878148	1	1	VAIDYANATHAN, VAISHNAVI	9/18/2024	2084N0402X	NA	Neurology	026	PHYSICIANS	187273	13	Neurology (M.D. only)	0	In state provider	None	4860 Y ST	None	SACRAMENTO	CA	95817	2307	34	06067	38.552211	-121.449429	Sacramento County
208056	Fee-for-Service	1790331817	1790331817	1	1	VALLEY HEALTHCARE CENTERS	12/23/2019	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	252 N HIGHWAY 65	None	LINDSAY	CA	93247	2702	54	06107	36.20167296	-119.1031766	Tulare County
208063	Fee-for-Service	1871540237	1871540237	1	1	VARIETY CHILDRENS HOSPITAL	11/25/2011	282NC2000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	3100 SW 62ND AVE	None	MIAMI	FL	33155	3009	00	None	25.74141026	-80.29501628	Miami-Dade County
208064	Fee-for-Service	1548876626	1548876626	1	3	VITUITY - PRIMARY CARE GLEND	12/10/2021	103T00000X	NA	Mental Health Outpatient Services	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	ER	1560 E. CHEVY CHASE DR.	SUITE 355	GLENDALE	CA	91206	4159	19	06037	34.15290734	-118.2302295	Los Angeles County
208085	Fee-for-Service	1457453177	1457453177	1	1	VU, MYLOAN T MD	10/6/2011	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	45749	40	Pediatrics	0	In state provider	None	5555 RESERVOIR DR	STE 210	SAN DIEGO	CA	92120	5185	37	06073	32.77628471	-117.0563688	San Diego County
208097	Fee-for-Service	1073922175	1073922175	1	1	VINDINE, KENDALL L	9/2/2015	No Taxonomy Provided	NA	None	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1301 PROVIDENCE AVE	None	ORANGE	CA	92868	3892	30	06059	33.78142951	-117.866583	Orange County
208113	Fee-for-Service	1528145471	1528145471	1	1	VADLAKONDA, UMA MD	8/31/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	54988	41	Internal Medicine	0	In state provider	None	900 KIELY BLVD	None	SANTA CLARA	CA	95051	5329	43	06085	37.34234284	-121.9776787	Santa Clara County
208132	Fee-for-Service	1144639428	1144639428	1	1	VELOZ, MARIA K MD	10/11/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	131979	01	General Practice	0	In state provider	None	2210 DEL PASO ROAD	None	SACRAMENTO	CA	95834	9671	34	06067	38.655189	-121.5091575	Sacramento County
208139	Fee-for-Service	1538248299	1538248299	1	1	VANBLARICOM, AMY L MD	4/26/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	52798	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	25500 MEDICAL CENTER DR	None	MURRIETA	CA	92562	5965	33	06065	33.5580705	-117.1835458	Riverside County
208216	Fee-for-Service	1053588053	1053588053	1	1	VARTAZARIAN, ANI A PSYD	11/25/2020	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	300 MEDICAL PLAZA	B200	LOS ANGELES	CA	90095	0001	19	06037	34.06473399	-118.445865	Los Angeles County
208348	Fee-for-Service	1790331817	1790331817	1	1	VALLEY HEALTHCARE CENTERS	12/23/2019	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	252 N HIGHWAY 65	None	LINDSAY	CA	93247	2702	54	06107	36.20167296	-119.1031766	Tulare County
208361	Fee-for-Service	1588765903	1588765903	2	1	VANTAGE EYE CENTER A MEDICAL	10/3/2024	No Taxonomy Provided	NA	None	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	622 ABBOTT STREET	None	SALINAS	CA	93901	4315	27	06053	36.66170619	-121.6412319	Monterey County
208381	Fee-for-Service	1134413495	1134413495	1	1	VEGA HEALTHCARE INC	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	4510 E PACIFIC COAST HWY	STE 320	LONG BEACH	CA	90804	6926	19	06037	33.78815204	-118.1400821	Los Angeles County
208383	Fee-for-Service	1447289467	1447289467	1	1	VONS COMPANIES, INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	500 E MANCHESTER BLVD	None	INGLEWOOD	CA	90301	9294	19	06037	33.960258	-118.3491765	Los Angeles County
208420	Fee-for-Service	1841328614	1841328614	1	1	VAN DYKE, GREGORY S MD	8/13/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	81049	07	Dermatology	0	In state provider	None	10833 LE CONTE AVE	RM B186	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
208455	Fee-for-Service	1740540285	1740540285	1	4	VDAH CORP APC	5/9/2022	282N00000X	NA	Hospitals	026	PHYSICIANS	None	None	None	0	In state provider	None	335 A ST	None	OXNARD	CA	93030	5883	56	06111	34.20565091	-119.1785318	Ventura County
208650	Fee-for-Service	1588765903	1588765903	2	1	VANTAGE EYE CENTER A MEDICAL	11/27/2019	207W00000X	NA	Ophthalmology	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	None	622 ABBOTT STREET	None	SALINAS	CA	93901	4315	27	06053	36.66170619	-121.6412319	Monterey County
208670	Fee-for-Service	1134413495	1134413495	1	1	VEGA HEALTHCARE INC	5/17/2012	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	4510 E PACIFIC COAST HWY	STE 320	LONG BEACH	CA	90804	6926	19	06037	33.78815204	-118.1400821	Los Angeles County
208682	Fee-for-Service	1326364654	1326364654	1	1	VOGEL, ADAM M MD	12/1/2020	2086S0120X	NA	General Surgery	026	PHYSICIANS	-	None	None	2	Out of state provider	None	6621 FANNIN STREET	None	HOUSTON	TX	77030	2303	00	None	29.70724683	-95.4026169	Harris County
208698	Fee-for-Service	1659830875	1659830875	1	1	VICKS, WILLIAM S MD	7/1/2022	208M00000X	NA	Other	026	PHYSICIANS	179886	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
208791	Fee-for-Service	1841819380	1841819380	1	1	VITAL HOSPICE CARE LLC	12/31/2020	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	1090 LA PLAYA DRIVE	STE 289	HAYWARD	CA	94545	2142	01	06001	37.6478302	-122.1056016	Alameda County
208792	Fee-for-Service	1457576399	1457576399	1	1	VILLAPENA-CID, GERALDINE D	8/20/2009	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	106838	08	Family Practice	0	In state provider	MD	2450 SISTER MARY COLUMBA	None	RED BLUFF	CA	96080	4396	52	06103	40.14921426	-122.2216794	Tehama County
208951	Fee-for-Service	1245756402	1245756402	1	1	VO, CHRISTINA V DO	10/15/2019	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	16042	08	Family Practice	0	In state provider	None	11160 WARNER AVE	SUITE 117	FOUNTAIN VALLEY	CA	92708	4010	30	06059	33.71630854	-117.934317	Orange County
208968	Fee-for-Service	1881739902	1881739902	1	1	VILLALOBOS, SAMANTHA	6/23/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	41 E FOOTHILL BLVD	SUITE 102	ARCADIA	CA	91006	2361	19	06037	34.15102394	-118.0297543	Los Angeles County
208973	Fee-for-Service	1659563666	1659563666	1	1	VARELA, DONNA M MD	8/26/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	105769	01	General Practice	0	In state provider	None	24451 HEALTH CENTER DR	None	LAGUNA HILLS	CA	92653	3689	30	06059	33.60848903	-117.7079742	Orange County
208976	Fee-for-Service	1699704635	1699704635	1	1	VONS COMPANIES, INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	350 N LEMON AVE	None	WALNUT	CA	91789	2345	19	06037	34.01922399	-117.8652848	Los Angeles County
209016	Fee-for-Service	1952597031	1952597031	1	1	VALVO, CARLTON F MD APC	3/10/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	25647	34	Urology and Urological Surgery	0	In state provider	None	1500 S CENTRAL AVE	STE 219	GLENDALE	CA	91204	2560	19	06037	34.12736888	-118.257777	Los Angeles County
209064	Fee-for-Service	1134658669	1134658669	1	1	VOSOUGHI, ELHAM MD	8/1/2023	207RH0003X	NA	Oncology	026	PHYSICIANS	164676	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
209081	Fee-for-Service	1841819380	1841819380	1	1	VITAL HOSPICE CARE LLC	12/31/2020	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	1090 LA PLAYA DRIVE	STE 289	HAYWARD	CA	94545	2142	01	06001	37.6478302	-122.1056016	Alameda County
209085	Fee-for-Service	1376886598	1376886598	1	1	VORONIN, BENJAMIN W MD	7/20/2019	207P00000X	NA	Other	026	PHYSICIANS	154351	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2025 MORSE AVE	None	SACRAMENTO	CA	95825	2115	34	06067	38.602089	-121.3925895	Sacramento County
209257	Fee-for-Service	1215579511	1215579511	1	1	VYE, JAMES D PT	7/2/2021	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1 QUALITY DRIVE	None	VACAVILLE	CA	95688	9494	48	06095	38.38851772	-121.9382798	Solano County
209266	Fee-for-Service	1801390513	1801390513	1	1	VY, MICHELLE MD	11/13/2023	207N00000X	NA	Dermatology	026	PHYSICIANS	165144	None	None	0	In state provider	None	3301 C ST	None	SACRAMENTO	CA	95816	3300	34	06067	38.579877	-121.456143	Sacramento County
209373	Fee-for-Service	1578604328	1578604328	1	1	VU, TRUNG Q MD	8/24/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	108548	05	Anesthesiology	0	In state provider	None	101 THE CITY DRIVE SOUTH	None	ORANGE	CA	92868	3298	30	06059	33.78674051	-117.8888713	Orange County
209403	Fee-for-Service	1386000743	1386000743	1	1	VETERANS ALCOHOLIC	4/4/2016	324500000X	NA	Other	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	REHABILITATION PROGRAM	9826 18TH AVE	None	BLYTHE	CA	92225	9229	33	06065	33.57424386	-114.584308	Riverside County
209423	Fee-for-Service	1740540285	1740540285	1	5	VDAH CORP APC	6/14/2023	282N00000X	NA	Hospitals	026	PHYSICIANS	None	None	None	0	In state provider	None	9150 WILSHIRE BLVD	205	BEVERLY HILLS	CA	90212	3427	19	06037	34.06703154	-118.3912605	Los Angeles County
209431	Fee-for-Service	1386143147	1386143147	1	1	VALLEY SUNSHINE MEDICAL ASSO	6/19/2019	208800000X	NA	Other	026	PHYSICIANS	None	34	Urology and Urological Surgery	0	In state provider	CIATES INC	207 W LEGION ROAD	None	BRAWLEY	CA	92227	7780	13	06025	32.95809	-115.5537045	Imperial County
209465	Fee-for-Service	1093953929	1093953929	1	1	VAN BUREN, ROBIN L	4/17/2009	No Taxonomy Provided	NA	None	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	2961 W MACARTHUR BLVD	STE 127	SANTA ANA	CA	92704	6913	30	06059	33.69994146	-117.908955	Orange County
209522	Fee-for-Service	1487804365	1487804365	1	1	VON GORTLER, MARIA E LMFT	9/10/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	6765 GREEN VALLEY RD	None	PLACERVILLE	CA	95667	0543	09	06017	38.72039732	-120.8664353	El Dorado County
209532	Fee-for-Service	1134702087	1134702087	1	1	VALENZUELA, JULISSA D	8/18/2021	237700000X	NA	Other	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	2054 W AVENUE K	None	LANCASTER	CA	93536	5216	19	06037	34.6749447	-118.16784	Los Angeles County
209602	Fee-for-Service	1477067148	1477067148	1	1	VIDAL, DENIS C	8/27/2023	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3505 BROADWAY	None	OAKLAND	CA	94611	5714	01	06001	37.82263926	-122.2597946	Alameda County
209610	Fee-for-Service	1669513578	1669513578	1	1	VALLEY HEALTH ASSOCIATES	3/17/2015	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	427 PAJARO STREET	SUITES 4, 5, AND 6	SALINAS	CA	93901	3411	27	06053	36.67129432	-121.6519553	Monterey County
209627	Fee-for-Service	1306144530	1306144530	1	1	VIOLET HOLDINGS LLC	6/7/2011	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	1550 THIRD ST	None	LINCOLN	CA	95648	1576	31	06061	38.88920653	-121.304718	Placer County
209768	Fee-for-Service	1750359907	1750359907	1	1	VEMULAPALLI, SREENIVAS N MD	6/28/2019	208800000X	NA	Other	026	PHYSICIANS	86759	34	Urology and Urological Surgery	0	In state provider	FACS	25495 MEDICAL CENTER DR	204	MURRIETA	CA	92562	4903	33	06065	33.55804188	-117.1834064	Riverside County
209826	Fee-for-Service	1073166989	1073166989	1	1	VALENTI, LINDSAY E MD	7/1/2024	207R00000X	NA	Other	026	PHYSICIANS	183174	41	Internal Medicine	0	In state provider	None	4860 Y ST	None	SACRAMENTO	CA	95817	2307	34	06067	38.552211	-121.449429	Sacramento County
209899	Fee-for-Service	1669513578	1669513578	1	1	VALLEY HEALTH ASSOCIATES	4/7/1992	251S00000X	NA	Other	051	OUTPATIENT HEROIN DETOX CENTER	-	-	NOT APPLICABLE	0	In state provider	None	427 PAJARO STREET	SUITES 4, 5, AND 6	SALINAS	CA	93901	3411	27	06053	36.67129432	-121.6519553	Monterey County
209906	Fee-for-Service	1972838969	1972838969	1	1	VON PRITTWITZ, RAMONA W CNM	1/25/2016	No Taxonomy Provided	NA	None	005	CERTIFIED NURSE MIDWIFE	-	None	None	0	In state provider	None	6650 ALTON PKWY	None	IRVINE	CA	92618	2317	30	06059	33.65911992	-117.7737909	Orange County
210055	Fee-for-Service	1134438427	1134438427	1	1	VERACYTE INC	3/16/2017	291U00000X	NA	Other	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	None	6000 SHORELINE COURT	SUITE 100	S SAN FRANCISCO	CA	94080	7605	41	06081	37.66984141	-122.3897255	San Mateo County
210149	Fee-for-Service	1710123427	1710123427	1	1	VRAIN, MANON NP	3/14/2024	163W00000X	NA	Other	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
210189	Fee-for-Service	1467804849	1467804849	1	1	VOLUNTEERS OF AMERICA,	2/3/2017	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	SOUTHWEST CALIFORNIA INC	2300 E 7TH ST	None	NATIONAL CITY	CA	91950	2852	37	06073	32.68320013	-117.0838567	San Diego County
210468	Fee-for-Service	1548201965	1548201965	1	2	VALLEY OB-GYN MEDICAL GROUP	10/30/2012	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	27174 NEW PORT RD	SUITE 2	MENIFEE	CA	92584	7384	33	06065	33.68505852	-117.185499	Riverside County
210579	Fee-for-Service	1316975816	1316975816	1	1	VAN DALSEM, WILLIAM J MD	11/30/1991	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	62331	30	Radiology	0	In state provider	None	3291 RAMOS CIR	None	SACRAMENTO	CA	95827	2516	34	06067	38.575944	-121.3073955	Sacramento County
210610	Fee-for-Service	1841378973	1841378973	1	1	VAADYALA, PRATHAP R MD	8/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	72541	36	Psychiatry	0	In state provider	None	7300 N FRESNO ST	None	FRESNO	CA	93720	2941	10	06019	36.84133078	-119.7824983	Fresno County
210628	Fee-for-Service	1497017040	1497017040	1	1	VAN GOMPEL, GABRIEL DPM	12/28/2018	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	39350 CIVIC CENTER DR	STE 300	FREMONT	CA	94538	2331	01	06001	37.55399458	-121.9756047	Alameda County
210677	Fee-for-Service	1700867785	1700867785	1	1	VANG, CHARLOTTE D DPM	9/26/2016	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	378 W OLIVE AVE	STE C	MERCED	CA	95348	3182	24	06047	37.31916808	-120.4752646	Merced County
210875	Fee-for-Service	1063046878	1063046878	1	1	VILLANUEVA, GIOVANNI X PT	5/21/2020	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1392 E PALOMAR ST	503	CHULA VISTA	CA	91913	1892	37	06073	32.62360793	-116.9969964	San Diego County
210954	Fee-for-Service	1396931473	1396931473	1	2	VALDEZ, ADRIANA LCSW	2/6/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	595 E. COLORADO BLVD.	SUITE 708	PASADENA	CA	91101	2012	19	06037	34.14588202	-118.1380722	Los Angeles County
211030	Fee-for-Service	1649662719	1649662719	1	11	VISTA COMMUNITY CLINIC	8/5/2019	No Taxonomy Provided	NA	None	041	COMMUNITY CLINIC	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	29535 WESTWIND DR	HEAD END ROOM	LAKE ELSINORE	CA	92530	1242	33	06065	33.69716838	-117.4001251	Riverside County
211110	Fee-for-Service	1851343826	1851343826	1	2	VISION HOME HEALTH CARE	2/9/2015	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	5750 DIVISION STREET	SUITE 206	RIVERSIDE	CA	92506	3256	33	06065	33.947667	-117.380963	Riverside County
211225	Fee-for-Service	1396128336	1396128336	1	1	VISWANATHAN, KARTHIKEYAN	10/31/2024	207R00000X	NA	Other	026	PHYSICIANS	19044	41	Internal Medicine	0	In state provider	None	733 CEDAR STREET	None	GARBERVILLE	CA	95542	3201	12	06023	40.10148699	-123.7927018	Humboldt County
211231	Fee-for-Service	1821411216	1821411216	1	1	VAUGHN, LISA L LMFT	10/19/2020	101Y00000X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	ELING	15497 AVENS LN	None	FONTANA	CA	92336	3398	36	06071	34.10966649	-117.4678875	San Bernardino County
211299	Fee-for-Service	1417218421	1417218421	1	1	VALDEZ, FREDRICK R PT	3/10/2020	2251X0800X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	2055 KELLOGG AVE	None	CORONA	CA	92879	3111	33	06065	33.85626255	-117.5559289	Riverside County
211390	Fee-for-Service	1437131703	1437131703	1	1	VU, ANDREA MD	4/22/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	102286	08	Family Practice	0	In state provider	None	27924 SECO CANYON RD	None	SANTA CLARITA	CA	91350	3870	19	06037	34.4588501	-118.5343405	Los Angeles County
211427	Fee-for-Service	1578734323	1578734323	1	1	VAKULENKO, MARTA MD	5/22/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	97039	08	Family Practice	0	In state provider	None	25825 VERMONT AVE	None	HARBOR CITY	CA	90710	3518	19	06037	33.78673844	-118.2965289	Los Angeles County
211557	Fee-for-Service	1326306242	1326306242	1	1	VINDLER, ANTONIA A DO	2/6/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	13189	40	Pediatrics	0	In state provider	None	10833 LE CONTE AVE	None	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
211619	Fee-for-Service	1275662405	1275662405	1	2	VISITING NURSE & HOSPICE	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	CARE OF SANTA BARBARA	2029 VILLAGE LANE	SUITE 102	SOLVANG	CA	93463	2714	42	06083	34.60090393	-120.126788	Santa Barbara County
211628	Fee-for-Service	1386662641	1386662641	1	1	VARON, MICHAEL S MD	3/1/1995	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	75817	08	Family Practice	0	In state provider	None	1505 SAINT ALPHONSUS WAY	None	ALAMO	CA	94507	1570	07	06013	37.85352058	-122.0351799	Contra Costa County
211647	Fee-for-Service	1750533261	1750533261	1	1	VORA, PUJA MD	11/25/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	101327	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
211648	Fee-for-Service	1689170664	1689170664	1	1	VAN, LISA OD	10/23/2023	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
211691	Fee-for-Service	1376287334	1376287334	1	1	VILLALPANDO, LELAH S PHD	12/5/2024	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	851 S MOUNT VERNON AVE	7A	COLTON	CA	92324	3926	36	06071	34.056468	-117.3091965	San Bernardino County
211693	Fee-for-Service	1093874844	1093874844	1	1	VARDA SAMBOUL	10/1/1998	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	2922 DIVISION ST	None	LOS ANGELES	CA	90065	1233	19	06037	34.10296579	-118.2356192	Los Angeles County
211698	Fee-for-Service	1578703633	1578703633	1	1	VLASSES, CHRISTOPHER H MD	7/13/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	106434	40	Pediatrics	0	In state provider	None	5220 CLAREMONT AVE	None	OAKLAND	CA	94618	1033	01	06001	37.83868281	-122.2612035	Alameda County
211757	Fee-for-Service	1659415222	1659415222	1	2	VITAS HEALTHCARE CORPORATION	9/16/2011	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	OF CALIFORNIA	3190 CLEARVIEW WAY	SUITE 100	SAN MATEO	CA	94402	3751	41	06081	37.53203817	-122.3330831	San Mateo County
211832	Fee-for-Service	1902161797	1902161797	1	1	VOSKANIAN, STEVEN J MD	9/20/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	110247	22	Pathology (M.D. only)	0	In state provider	None	215 W JANSS RD	None	THOUSAND OAKS	CA	91360	1847	56	06111	34.2064445	-118.8824085	Ventura County
211844	Fee-for-Service	1326306242	1326306242	1	1	VINDLER, ANTONIA A DO	2/6/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	13189	66	Emergency Medicine (Urgent Care)	0	In state provider	None	10833 LE CONTE AVE	None	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
211908	Fee-for-Service	1275662405	1275662405	1	2	VISITING NURSE & HOSPICE	6/28/2016	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	CARE OF SANTA BARBARA	2029 VILLAGE LANE	SUITE 102	SOLVANG	CA	93463	2714	42	06083	34.60090393	-120.126788	Santa Barbara County
211930	Fee-for-Service	1891004461	1891004461	1	1	VAUGHN, GABRIELLE R MD	8/17/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	109772	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
211986	Fee-for-Service	1932308954	1932308954	1	1	VESEL, TRAVIS MD	8/30/2023	2080P0203X	NA	Other	026	PHYSICIANS	116521	None	None	0	In state provider	None	6235 N FRESNO ST	STE 103	FRESNO	CA	93710	5269	10	06019	36.82733123	-119.7814229	Fresno County
212010	Fee-for-Service	1750433116	1750433116	1	1	VINTHER, AMY E MD	1/27/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	89720	66	Emergency Medicine (Urgent Care)	0	In state provider	None	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
212041	Fee-for-Service	1790992832	1790992832	1	1	VIRAL JAIN	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	CHILDRE'S HOSP MED CNTR	3333 BURNET AVE	None	CINCINNATI	OH	45229	0000	00	None	39.14105892	-84.50040782	Hamilton County
212046	Fee-for-Service	1659415222	1659415222	1	2	VITAS HEALTHCARE CORPORATION	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	OF CALIFORNIA	3190 CLEARVIEW WAY	SUITE 100	SAN MATEO	CA	94402	3751	41	06081	37.53203817	-122.3330831	San Mateo County
212217	Fee-for-Service	1891004461	1891004461	1	1	VAUGHN, GABRIELLE R MD	8/17/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	109772	35	Pediatric Cardiology (M.D. only)	0	In state provider	None	3020 CHILDREN'S WAY	MC5069	SAN DIEGO	CA	92123	4223	37	06073	32.798691	-117.150829	San Diego County
212420	Fee-for-Service	1932217528	1932217528	1	1	VAVRA, ANN M PA	12/1/2015	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	16577	-	NOT APPLICABLE	0	In state provider	None	7101 BAIRD AVENUE	None	RESEDA	CA	91335	4150	19	06037	34.1995012	-118.5373824	Los Angeles County
212541	Fee-for-Service	1891291225	1891291225	1	1	VANCE, JOSEPHINE R MD	8/1/2022	207L00000X	NA	Other	026	PHYSICIANS	163599	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
212548	Fee-for-Service	1669621926	1669621926	1	1	VELAZQUEZ, CARMEN	2/20/2025	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	1700 SOSCOL AVE	30	NAPA	CA	94559	1351	28	06055	38.305854	-122.2850235	Napa County
212561	Fee-for-Service	1497203541	1497203541	1	8	VISTA COMMUNITY CLINIC	9/1/2022	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	MOBILE	1000 VALE TERRACE DR	None	VISTA	CA	92084	5218	37	06073	33.20904502	-117.2286439	San Diego County
212670	Fee-for-Service	1629531454	1629531454	1	2	VENTURA ORTHOPEDICS MEDICAL	4/19/2021	174400000X	NA	Other	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1855 E COCHRAN STREET	109	SIMI VALLEY	CA	93065	2263	56	06111	34.27906738	-118.7628635	Ventura County
212673	Fee-for-Service	1821508540	1821508540	1	1	VISUALLY SOUND OPTOMETRY	9/7/2020	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	410 PALLADIO PKWY	STE 1625	FOLSOM	CA	95630	8829	34	06067	38.649627	-121.121037	Sacramento County
212681	Fee-for-Service	1548345044	1548345044	1	1	VALENCIA, ADAN B	7/25/2016	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	145 HODENCAMP RD	None	THOUSAND OAKS	CA	91360	5810	56	06111	34.1802034	-118.868502	Ventura County
212743	Fee-for-Service	1912018706	1912018706	1	1	VENTURA SURGERY CENTER INC	3/17/2017	No Taxonomy Provided	NA	None	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	1752 SOUTH VICTORIA AVE	SUITE A	VENTURA	CA	93003	6194	56	06111	34.25916679	-119.2090522	Ventura County
212813	Fee-for-Service	1558775965	1558775965	1	1	VOEPEL WARD, KATHERINE MS R	4/11/2018	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	PT	81 CERNON STREET	None	VACAVILLE	CA	95688	2803	48	06095	38.36102104	-121.9906107	Solano County
212848	Fee-for-Service	1497203541	1497203541	1	8	VISTA COMMUNITY CLINIC	9/1/2022	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	MOBILE	1000 VALE TERRACE DR	None	VISTA	CA	92084	5218	37	06073	33.20904502	-117.2286439	San Diego County
212856	Fee-for-Service	1104078807	1104078807	1	1	VELASCO, DAVID L JR MD	10/30/2008	207L00000X	NA	Other	026	PHYSICIANS	66836	05	Anesthesiology	0	In state provider	INC	825 DELBON AVE	None	TURLOCK	CA	95382	2016	50	06099	37.51052943	-120.8386573	Stanislaus County
212878	Fee-for-Service	1740648856	1740648856	1	1	VALLEY CANCER MEDICAL CENTER	11/21/2024	193200000X	NA	Other	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	INC	1401 SPANOS CT	STE 134	MODESTO	CA	95355	2815	50	06099	37.66975543	-120.9724048	Stanislaus County
212953	Fee-for-Service	1629531454	1629531454	1	2	VENTURA ORTHOPEDICS MEDICAL	4/19/2021	174400000X	NA	Other	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	None	1855 E COCHRAN STREET	109	SIMI VALLEY	CA	93065	2263	56	06111	34.27906738	-118.7628635	Ventura County
213021	Fee-for-Service	1427469485	1427469485	1	1	VILLARICA, SHIRLEY R MD INC	4/6/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	32139	40	Pediatrics	0	In state provider	None	1135 S SUNSET AVE	SUITE 410	WEST COVINA	CA	91790	3965	19	06037	34.06215064	-117.9453997	Los Angeles County
213080	Fee-for-Service	1235488255	1235488255	1	1	VILLEGAS REYES, MIROSLAVA L	10/11/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	MFT	1255 W COLTON AVE STE 58	None	REDLANDS	CA	92374	2861	36	06071	34.06285254	-117.20178	San Bernardino County
213141	Fee-for-Service	1497760151	1497760151	1	1	VALENTON, EVELYN Y MD	10/13/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	35349	05	Anesthesiology	0	In state provider	None	819 BUENA VISTA ST	None	DUARTE	CA	91010	1703	19	06037	34.14300054	-117.9776177	Los Angeles County
213242	Fee-for-Service	1629531454	1629531454	1	2	VENTURA ORTHOPEDICS MEDICAL	6/25/2021	174400000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1855 E COCHRAN STREET	109	SIMI VALLEY	CA	93065	2263	56	06111	34.27906738	-118.7628635	Ventura County
213303	Fee-for-Service	1932407624	1932407624	1	1	VITE, DENISE M LCSW	3/22/2017	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
213320	Fee-for-Service	1912412917	1912412917	1	1	VICKERS, MICHELLE L NP	3/7/2024	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	12401 WASHINGTON BLVD	None	WHITTIER	CA	90602	1006	19	06037	33.969141	-118.0489095	Los Angeles County
213385	Fee-for-Service	1598561151	1598561151	1	1	VANG, KA NP	3/19/2025	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	3656 W SHAW AVE	None	FRESNO	CA	93711	3231	10	06019	36.80840238	-119.8594473	Fresno County
213392	Fee-for-Service	1710174123	1710174123	1	1	VONFELDT, RENEE L	7/1/1996	No Taxonomy Provided	NA	None	021	ORTHOTISTS	-	-	NOT APPLICABLE	0	In state provider	None	1755 GRASS VALLEY HWY	None	AUBURN	CA	95603	2854	31	06061	38.92773221	-121.0870403	Placer County
213399	Fee-for-Service	1124187745	1124187745	1	1	VARDHAN, INDUBALA N MD	6/30/1984	No Taxonomy Provided	NA	None	026	PHYSICIANS	41532	None	None	0	In state provider	None	4867 W SUNSET BLVD	None	LOS ANGELES	CA	90027	5969	19	06037	34.0981755	-118.295055	Los Angeles County
213527	Fee-for-Service	1053598276	1053598276	1	1	VINOD, MAYA B MD	2/8/2015	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	98581	40	Pediatrics	0	In state provider	None	147 N BRENT STREET	None	VENTURA	CA	93003	2809	56	06111	34.2746295	-119.2573399	Ventura County
213537	Fee-for-Service	1881045441	1881045441	1	1	VU, KARI H MD	1/23/2021	207R00000X	NA	Other	026	PHYSICIANS	165273	None	None	0	In state provider	None	17100 EUCLID ST	None	FOUNTAIN VALLEY	CA	92708	4004	30	06059	33.715035	-117.936993	Orange County
213622	Fee-for-Service	1689610214	1689610214	1	1	VONS COMPANIES, INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	262 N EL CAMINO REAL	None	ENCINITAS	CA	92024	2853	37	06073	33.05214504	-117.2611506	San Diego County
213638	Fee-for-Service	1689654733	1689654733	1	1	VENERANDI SEGURITAN MD	3/1/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	THE RADIOLOGY GROUP, INC	94-800 UKEE ST	STE 303	WAIPAHU	HI	96797	4044	00	None	21.41257872	-158.0008603	Honolulu County
213656	Fee-for-Service	1447754338	1447754338	1	1	VOYIADJIS, ANDREW G MD	8/22/2022	2084N0400X	NA	Neurology	026	PHYSICIANS	180015	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
213666	Fee-for-Service	1306384987	1306384987	1	1	VALENCIA, LOVELLE CHRISTINE	8/1/2021	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	NP	2975 NORTH SYCAMORE DR.	None	SIMI VALLEY	CA	93065	1201	56	06111	34.28924598	-118.7439214	Ventura County
213765	Fee-for-Service	1992749071	1992749071	1	1	VLASAK, JERRY W MD	9/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	42683	01	General Practice	0	In state provider	None	4445 MAGNOLIA AVE	None	RIVERSIDE	CA	92501	4135	33	06065	33.9760587	-117.3800672	Riverside County
213774	Fee-for-Service	1003313859	1003313859	1	1	VAHDATINIA, ROYA DO	7/18/2023	390200000X	NA	Other	026	PHYSICIANS	17738	None	None	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
213827	Fee-for-Service	1629531454	1629531454	1	1	VENTURA ORTHOPEDICS MEDICAL	10/2/2019	174400000X	NA	Other	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	None	2525 ERRINGER RD.	None	SIMI VALLEY	CA	93065	2352	56	06111	34.280838	-118.7614975	Ventura County
213830	Fee-for-Service	1043471170	1043471170	2	1	VU-TIEN, THUY-HUONG R MD	3/1/2024	207R00000X	NA	Other	026	PHYSICIANS	None	None	None	0	In state provider	None	3601 S HARBOR BLVD	SUITE 100	SANTA ANA	CA	92704	6924	30	06059	33.698367	-117.9194115	Orange County
213870	Fee-for-Service	1578579041	1578579041	1	1	VENEMAN, LINDA P MD	4/18/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	33515	22	Pathology (M.D. only)	0	In state provider	None	1700 MT VERNON AVE	None	BAKERSFIELD	CA	93306	4018	15	06029	35.382555	-118.970757	Kern County
213978	Fee-for-Service	1346005469	1346005469	1	1	VARDAYOU, VANESSA CNP	7/28/2024	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	400 N PEPPER AVE	FL 6	COLTON	CA	92324	1801	36	06071	34.073505	-117.3505995	San Bernardino County
214005	Fee-for-Service	1568053809	1568053809	1	1	VAWTER, BRYNN LCSW	2/12/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4785 N FIRST STREET	None	FRESNO	CA	93726	0513	10	06019	36.80478	-119.7724585	Fresno County
214111	Fee-for-Service	1629531454	1629531454	1	1	VENTURA ORTHOPEDICS MEDICAL	10/2/2019	174400000X	NA	Other	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	2525 ERRINGER RD.	None	SIMI VALLEY	CA	93065	2352	56	06111	34.280838	-118.7614975	Ventura County
214128	Fee-for-Service	1720392681	1720392681	1	1	VEGASANA, MAYURI R MD	5/25/2020	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	152469	40	Pediatrics	0	In state provider	None	4125 BANGS AVE	None	MODESTO	CA	95356	8713	50	06099	37.70451024	-121.0709696	Stanislaus County
214246	Fee-for-Service	1528326477	1528326477	1	1	VONREINHART, ANNA E MD	8/1/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	143611	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2823 FRESNO ST	None	FRESNO	CA	93721	1324	10	06019	36.7423511	-119.7834688	Fresno County
214255	Fee-for-Service	1679503296	1679503296	1	1	VALENCIA, STEPHEN J MD	12/1/1995	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	41395	40	Pediatrics	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
214297	Fee-for-Service	1043056849	1043056849	1	1	VALLEY CREST MEMORY CARE LLC	5/27/2025	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	18524 CORWIN RD	None	APPLE VALLEY	CA	92307	2302	36	06071	34.54109632	-117.2598281	San Bernardino County
214391	Fee-for-Service	1316506066	1316506066	1	1	VEDAK, SHIVAM MD	4/2/2025	207R00000X	NA	Other	026	PHYSICIANS	188237	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
214401	Fee-for-Service	1629531454	1629531454	1	1	VENTURA ORTHOPEDICS MEDICAL	10/2/2019	174400000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	2525 ERRINGER RD.	None	SIMI VALLEY	CA	93065	2352	56	06111	34.280838	-118.7614975	Ventura County
214419	Fee-for-Service	1538403456	1538403456	1	1	VAN CAO 1 INC	6/3/2013	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	202 N EUCLID ST	STE 102	SANTA ANA	CA	92703	3006	30	06059	33.74648511	-117.9375318	Orange County
214433	Fee-for-Service	1407114465	1407114465	1	1	VALLEY CENTER FOR PAIN	2/28/2013	193400000X	NA	Other	026	PHYSICIANS	103786	05	Anesthesiology	0	In state provider	MEDICINE AND REGIONAL	3321 M ST	None	MERCED	CA	95348	2723	24	06047	37.32382331	-120.4784017	Merced County
214446	Fee-for-Service	1649662719	1649662719	1	3	VISTA COMMUNITY CLINIC	6/5/2019	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	411 WEST HEALD STREET	ROOM 3	LAKE ELSINORE	CA	92530	3723	33	06065	33.6711417	-117.3317422	Riverside County
214676	Fee-for-Service	1134396591	1134396591	1	1	VUCICEVIC, DARKO MD	12/30/2019	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	141206	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
214733	Fee-for-Service	1649662719	1649662719	1	3	VISTA COMMUNITY CLINIC	6/5/2019	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	411 WEST HEALD STREET	ROOM 3	LAKE ELSINORE	CA	92530	3723	33	06065	33.6711417	-117.3317422	Riverside County
214756	Fee-for-Service	1376202887	1376202887	1	1	VEENA S KATIKINENI MD INC	4/14/2022	207RR0500X	NA	Other	026	PHYSICIANS	None	None	None	0	In state provider	None	12677 HESPERIA RD	140	VICTORVILLE	CA	92395	7735	36	06071	34.48148078	-117.2906175	San Bernardino County
214836	Fee-for-Service	1265715940	1265715940	1	1	VALENZUELA, ALEXANDER LMFT	6/8/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	15010 FIR ST	None	HESPERIA	CA	92345	4316	36	06071	34.39236128	-117.335741	San Bernardino County
214863	Fee-for-Service	1457333700	1457333700	1	1	VILLARUZ, JERIC C MD	8/9/2013	207R00000X	NA	Other	026	PHYSICIANS	54496	None	None	0	In state provider	None	99 AIRPORT BOULEVARD	None	FREEDOM	CA	95019	2917	44	06087	36.93884013	-121.7776254	Santa Cruz County
214868	Fee-for-Service	1477751964	1477751964	1	1	VALLE, GILBERT MD	1/1/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	29191	08	Family Practice	0	In state provider	None	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
214940	Fee-for-Service	1144578881	1144578881	1	1	VANG, NANCY B LCSW	10/14/2022	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1660 E ROSEVILLE PARKWAY	None	ROSEVILLE	CA	95661	3988	31	06061	38.74827146	-121.2397281	Placer County
214962	Fee-for-Service	1134396591	1134396591	1	1	VUCICEVIC, DARKO MD	12/30/2019	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	141206	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	200 MED PLAZA	#365,420,120	LOS ANGELES	CA	90024	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
214988	Fee-for-Service	1407938285	1407938285	1	1	VARSHA CORPORATION	3/1/2003	332B00000X	NA	Other	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	ALVARADO COMMUNITY PHARM	6367 ALVARADO CT	STE 109	SAN DIEGO	CA	92120	4914	37	06073	32.77665968	-117.0614306	San Diego County
215027	Fee-for-Service	1801995477	1801995477	1	1	VOGELSANG, GERRI N	7/25/2006	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	11121 SUN CENTER DR	STE A	RANCHO CORDOVA	CA	95670	6199	34	06067	38.595627	-121.270149	Sacramento County
215098	Fee-for-Service	1093256638	1093256638	1	1	VARGAS, ARIANA E LMFT	9/10/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3601 S HARBOR BLVD	SUITE 100	SANTA ANA	CA	92704	6924	30	06059	33.698367	-117.9194115	Orange County
215113	Fee-for-Service	1033635628	1033635628	1	1	VAL, MARDOCHEE CRNA	5/4/2020	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
215132	Fee-for-Service	1811199672	1811199672	1	1	VISHWANATH, VASANTH M MD	8/6/2012	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	INC	7075 N MAPLE AVE	STE 102	FRESNO	CA	93720	8014	10	06019	36.83873854	-119.7453219	Fresno County
215160	Fee-for-Service	1477751964	1477751964	1	1	VALLE, GILBERT MD	1/1/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	29191	01	General Practice	0	In state provider	None	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
215167	Fee-for-Service	1043311269	1043311269	1	2	VALLEY FAMILY HEALTH CTR	3/22/2004	261QR1300X	NA	Rural Health Center	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	741 SUNSET ST	None	COALINGA	CA	93210	2929	10	06019	36.14345623	-120.3640127	Fresno County
215261	Fee-for-Service	1760794044	1760794044	1	1	VHS SINAI-GRACE HOSPITAL INC	12/30/2017	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	6071 W OUTER DRIVE	None	DETROIT	MI	48235	2624	00	None	42.42006035	-83.18258811	Wayne County
215301	Fee-for-Service	1801872296	1801872296	1	1	VANDER SCHUUR, BRYAN M MD	8/1/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	84377	05	Anesthesiology	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
215312	Fee-for-Service	1851381230	1851381230	2	1	VAN ENK, SIENNE S OD	2/8/2015	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	26640 WESTERN AVENUE	SUITE R	HARBOR CITY	CA	90710	3639	19	06037	33.77991357	-118.3095334	Los Angeles County
215338	Fee-for-Service	1780811877	1780811877	1	1	VOGEL, MARTIN J MD	8/9/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	116366	05	Anesthesiology	0	In state provider	None	101 THE CITY DRIVE SOUTH	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
215408	Fee-for-Service	1265509145	1265509145	1	1	VO, TRUNG D MD	9/21/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	69483	02	General Surgery	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
215413	Fee-for-Service	1508938358	1508938358	1	1	VEMURI, INDIRA MD	1/9/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	80970	40	Pediatrics	0	In state provider	None	701 E CHANNEL ST	None	STOCKTON	CA	95202	2628	39	06077	37.95604528	-121.2821834	San Joaquin County
215420	Fee-for-Service	1811199672	1811199672	1	1	VISHWANATH, VASANTH M MD	12/13/2007	No Taxonomy Provided	NA	None	009	CLINICAL LABORATORIES	-	-	NOT APPLICABLE	0	In state provider	INC	7075 N MAPLE AVE	STE 102	FRESNO	CA	93720	8014	10	06019	36.83873854	-119.7453219	Fresno County
215548	Fee-for-Service	1760794044	1760794044	1	1	VHS SINAI-GRACE HOSPITAL INC	12/30/2017	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	6071 W OUTER DRIVE	None	DETROIT	MI	48235	2624	00	None	42.42006035	-83.18258811	Wayne County
215555	Fee-for-Service	1558628909	1558628909	1	1	VILLAFRANCO, NATALIE M MD	12/1/2020	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	-	None	None	2	Out of state provider	None	6621 FANNIN STREET	None	HOUSTON	TX	77030	2303	00	None	29.70724683	-95.4026169	Harris County
215619	Fee-for-Service	1124279344	1124279344	1	1	VERMA, SUNSIL P MD	5/4/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	94587	04	Otology, Laryngology, Rhinology	0	In state provider	None	101 THE CITY DRIVE SOUTH	None	ORANGE	CA	92868	3298	30	06059	33.78674051	-117.8888713	Orange County
215693	Fee-for-Service	1487846416	1487846416	1	1	VASAN, SHEILA MD	7/1/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	106086	None	None	0	In state provider	None	15243 VANOWEN ST	STE 210	VAN NUYS	CA	91405	3643	19	06037	34.19394848	-118.4654115	Los Angeles County
215712	Fee-for-Service	1518353283	1518353283	1	1	VU, DIANA MD	9/26/2022	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	171037	None	None	0	In state provider	None	589 LOS COCHES	None	MILPITAS	CA	95035	5423	43	06085	37.43176807	-121.8935163	Santa Clara County
215869	Fee-for-Service	1124884176	1124884176	1	4	VITUITY PHYSICIAN SERVICES P	4/15/2024	163WG0000X	NA	Other	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	None	800 E LUGONIA AVE	STE F	REDLANDS	CA	92374	2550	36	06071	34.07000118	-117.1731789	San Bernardino County
215900	Fee-for-Service	1831516996	1831516996	1	1	VANCE, ASHLEY MD	10/22/2019	390200000X	NA	Other	026	PHYSICIANS	139548	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
215938	Fee-for-Service	1427152016	1427152016	1	1	VEGA, CHARLES P JR MD	4/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	63796	08	Family Practice	0	In state provider	None	101 THE CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
216097	Fee-for-Service	1992494504	1992494504	1	1	VELNONART TRANSFORMATIVE HEA	5/14/2024	363LC1500X	NA	Nurse Practitioner	108	COMMUNITY BASED ORGANIZATIONS	-	-	NOT APPLICABLE	0	In state provider	LTH	44250 DIVISION ST	SUITE B	LANCASTER	CA	93535	3547	19	06037	34.68683264	-118.1303144	Los Angeles County
216106	Fee-for-Service	1750778775	1750778775	1	1	VARANASI, LAALASA MD	6/18/2020	207RN0300X	NA	Nephrology	026	PHYSICIANS	147373	45	Nephrology (Renal-Kidney)	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
216119	Fee-for-Service	1801974597	1801974597	1	1	VOGELSANG, JOHN P MD	7/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	73243	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
216151	Fee-for-Service	1548438989	1548438989	1	1	VASQUEZ, VALERIE NP	1/28/2025	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	None	-	NOT APPLICABLE	0	In state provider	None	601 E FLORIDA AVE	None	HEMET	CA	92543	4335	33	06065	33.74753447	-116.966052	Riverside County
216155	Fee-for-Service	1750785572	1750785572	1	1	VILLA CAMILLA LLC	10/1/2014	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	723 E 9TH STREET	None	LONG BEACH	CA	90813	4611	19	06037	33.77779846	-118.1832525	Los Angeles County
216159	Fee-for-Service	1124884176	1124884176	1	4	VITUITY PHYSICIAN SERVICES P	4/15/2024	163WG0000X	NA	Other	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	None	800 E LUGONIA AVE	STE F	REDLANDS	CA	92374	2550	36	06071	34.07000118	-117.1731789	San Bernardino County
216189	Fee-for-Service	1255406096	1255406096	1	1	VEIN INSTITUTE OF CALIF	2/1/1995	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	02	General Surgery	0	In state provider	A MEDICAL CORP	9604 ARTESIA BLVD	STE 200	BELLFLOWER	CA	90706	8044	19	06037	33.87472842	-118.1288599	Los Angeles County
216249	Fee-for-Service	1720271802	1720271802	1	1	VOTAVA-SMITH, JODIE K MD	8/31/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	95381	40	Pediatrics	0	In state provider	None	10833 LE CONTE AVE	12-311 MDCC	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
216286	Fee-for-Service	1457379174	1457379174	1	1	VOLLMER, MICHAEL E E MD	8/22/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	81389	77	Infectious Disease	0	In state provider	None	1 QUALITY DRIVE	None	VACAVILLE	CA	95688	9494	48	06095	38.38851772	-121.9382798	Solano County
216366	Fee-for-Service	1962964718	1962964718	1	1	VENKATAMUNI REDDY, KRISHNA T	3/1/2024	207R00000X	NA	Other	026	PHYSICIANS	177851	41	Internal Medicine	0	In state provider	HEJA REDDY MD	1800 CALIFORNIA ST	None	STOCKTON	CA	95204	6019	39	06077	37.97026329	-121.2890849	San Joaquin County
216370	Fee-for-Service	1487778676	1487778676	1	1	VARGO PHYSICAL THERAPY, INC.	8/1/2019	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	38656 MEDICAL CENTER DR	SUITE B	PALMDALE	CA	93551	4483	19	06037	34.58533737	-118.1437927	Los Angeles County
216387	Fee-for-Service	1073883872	1073883872	1	1	VOGEN, KARINA CPO	7/1/1996	No Taxonomy Provided	NA	None	029	PROSTHETISTS	-	-	NOT APPLICABLE	0	In state provider	None	630 FREDERICK ST	None	SANTA CRUZ	CA	95062	2203	44	06087	36.98007098	-122.0043791	Santa Cruz County
216421	Fee-for-Service	1366735532	1366735532	1	1	VANDENBERG, CURTIS D MD	10/5/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	136846	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
216427	Fee-for-Service	1831228824	1831228824	1	1	VILLAFANA, JOSE E LMFT	1/29/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	8080 LA MESA BLVD	STE 204	LA MESA	CA	91942	0362	37	06073	32.76348513	-117.0227291	San Diego County
216446	Fee-for-Service	1124884176	1124884176	1	4	VITUITY PHYSICIAN SERVICES P	4/15/2024	163WG0000X	NA	Other	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	None	800 E LUGONIA AVE	STE F	REDLANDS	CA	92374	2550	36	06071	34.07000118	-117.1731789	San Bernardino County
216541	Fee-for-Service	1649210618	1649210618	1	1	VUKSINICH, MATTHEW J JR	7/31/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	43289	None	None	0	In state provider	None	600 MARINE BLVD	None	MOSS BEACH	CA	94038	9641	41	06081	37.52703039	-122.5075216	San Mateo County
216645	Fee-for-Service	1801023072	1801023072	1	1	VILLARREAL, HUMBERTO G MD	7/9/2019	208800000X	NA	Other	026	PHYSICIANS	161226	34	Urology and Urological Surgery	0	In state provider	None	11370 ANDERSON ST	STE 2050	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
216686	Fee-for-Service	1184122624	1184122624	1	2	VM MEDICAL GROUP	7/21/2020	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	None	8251 WESTMINSTER BLVD	STE 110	WESTMINSTER	CA	92683	3370	30	06059	33.75934151	-117.985113	Orange County
216732	Fee-for-Service	1124884176	1124884176	1	4	VITUITY PHYSICIAN SERVICES P	4/15/2024	163WG0000X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	800 E LUGONIA AVE	STE F	REDLANDS	CA	92374	2550	36	06071	34.07000118	-117.1731789	San Bernardino County
216766	Fee-for-Service	1033177902	1033177902	1	2	VALLEY VASCULAR ASSOCIATES I	7/2/2012	193200000X	NA	Other	022	PHYSICIANS GROUP	-	06	Cardiovascular Disease (M.D. only)	0	In state provider	NC	16917 ENADIA WAY	None	VAN NUYS	CA	91406	3602	19	06037	34.20015385	-118.5018777	Los Angeles County
216777	Fee-for-Service	1548316367	1548316367	1	1	VOHRA, POONAM MD	1/24/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	107178	22	Pathology (M.D. only)	0	In state provider	None	1001 POTRERO AVE	RM 5H22	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
216885	Fee-for-Service	1497203541	1497203541	1	4	VISTA COMMUNITY CLINIC	6/12/2019	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1801 LANCER WAY	ROOM 1	FULLERTON	CA	92833	2235	30	06059	33.883929	-117.9533835	Orange County
216900	Fee-for-Service	1497203541	1497203541	1	12	VISTA COMMUNITY CLINIC	9/1/2023	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	105 DURIAN ST	STE A	VISTA	CA	92083	6206	37	06073	33.192558	-117.272973	San Diego County
216972	Fee-for-Service	1184122624	1184122624	1	2	VM MEDICAL GROUP	7/21/2020	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	None	8251 WESTMINSTER BLVD	STE 110	WESTMINSTER	CA	92683	3370	30	06059	33.75934151	-117.985113	Orange County
217023	Fee-for-Service	1437284809	1437284809	1	2	VALENCERINA, MADELEINE M MD	4/24/2018	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	51043	-	NOT APPLICABLE	0	In state provider	None	4211 S AVALON BLVD	None	LOS ANGELES	CA	90011	5622	19	06037	34.007238	-118.2653065	Los Angeles County
217044	Fee-for-Service	1922289099	1922289099	1	2	VASILE,DAN DO	7/2/2009	261QU0200X	NA	Other	026	PHYSICIANS	6930	None	None	0	In state provider	None	12821 MAIN ST	STE 140	HESPERIA	CA	92345	9127	36	06071	34.42660049	-117.3832875	San Bernardino County
217054	Fee-for-Service	1033177902	1033177902	1	2	VALLEY VASCULAR ASSOCIATES I	7/2/2012	193200000X	NA	Other	022	PHYSICIANS GROUP	-	02	General Surgery	0	In state provider	NC	16917 ENADIA WAY	None	VAN NUYS	CA	91406	3602	19	06037	34.20015385	-118.5018777	Los Angeles County
217142	Fee-for-Service	1851823421	1851823421	1	1	VU, PHUOC T DO	4/15/2019	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	16894	08	Family Practice	0	In state provider	None	1570 E HERNDON AVE	None	FRESNO	CA	93720	3303	10	06019	36.83756046	-119.759841	Fresno County
217158	Fee-for-Service	1003912239	1003912239	1	1	VATSA, PRAVIR R MD	11/6/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	95811	None	None	0	In state provider	None	1010 MURRAY STREET	None	SAN LUIS OBISPO	CA	93405	8800	40	06079	35.29101669	-120.6663647	San Luis Obispo County
217175	Fee-for-Service	1497203541	1497203541	1	4	VISTA COMMUNITY CLINIC	6/12/2019	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	1801 LANCER WAY	ROOM 1	FULLERTON	CA	92833	2235	30	06059	33.883929	-117.9533835	Orange County
217188	Fee-for-Service	1497203541	1497203541	1	12	VISTA COMMUNITY CLINIC	9/1/2023	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	105 DURIAN ST	STE A	VISTA	CA	92083	6206	37	06073	33.192558	-117.272973	San Diego County
217189	Fee-for-Service	1497203541	1497203541	1	3	VISTA COMMUNITY CLINIC	5/9/2019	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	201 E CHAPMAN AVENUE	None	FULLERTON	CA	92832	1925	30	06059	33.875802	-117.920898	Orange County
217253	Fee-for-Service	1982919379	1982919379	1	1	VISWANATHAN, SRI S MD	7/15/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	126479	41	Internal Medicine	0	In state provider	None	2615 CHESTER AVE	None	BAKERSFIELD	CA	93301	2014	15	06029	35.38333823	-119.0188872	Kern County
217260	Fee-for-Service	1578596870	1578596870	1	1	VALJI, KARIM	8/31/1989	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	51129	30	Radiology	0	In state provider	None	3969 4TH AVE	None	SAN DIEGO	CA	92103	3165	37	06073	32.74948151	-117.1615826	San Diego County
217313	Fee-for-Service	1528224201	1528224201	1	1	VILLALBA, HERMAN A MD	6/22/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	103575	08	Family Practice	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
217477	Fee-for-Service	1497203541	1497203541	1	3	VISTA COMMUNITY CLINIC	5/9/2019	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	201 E CHAPMAN AVENUE	None	FULLERTON	CA	92832	1925	30	06059	33.875802	-117.920898	Orange County
217558	Fee-for-Service	1487980389	1487980389	1	1	VALLEY ORTHOPEDIC INSTITUTE	8/31/2010	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	INC	647 W AVENUE Q	None	PALMDALE	CA	93551	3893	19	06037	34.58715647	-118.1417372	Los Angeles County
217564	Fee-for-Service	1912134479	1912134479	1	1	VICENTE, DIEGO A MD	10/21/2019	208600000X	NA	General Surgery	026	PHYSICIANS	156766	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
217763	Fee-for-Service	1497203541	1497203541	1	14	VISTA COMMUNITY CLINIC	8/1/2023	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	30195 FRASER DR	None	LAKE ELSINORE	CA	92530	7006	33	06065	33.68444711	-117.3679692	Riverside County
217841	Fee-for-Service	1477079689	1477079689	1	1	V V DESERT MEDICAL TRANSPORT	12/21/2022	343900000X	NEMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	44250 MONROE STREET	None	INDIO	CA	92201	3009	33	06065	33.727752	-116.2337335	Riverside County
217846	Fee-for-Service	1417988395	1417988395	1	1	VENTURA CO PULMONARY MED	12/28/1981	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	GROUP INC	1700 N ROSE AVE	STE 280	OXNARD	CA	93030	7645	56	06111	34.21746	-119.155545	Ventura County
217853	Fee-for-Service	1386780062	1386780062	1	1	VALLEY OXYGEN	3/22/2010	No Taxonomy Provided	NA	None	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	753 AMES AVE	None	MILPITAS	CA	95035	6320	43	06085	37.42007363	-121.8891569	Santa Clara County
217858	Fee-for-Service	1912056078	1912056078	1	1	VILLAVICENCIO,CARLOS MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	CHILDREN UNIV MED GROUP	4500 SAND PIONT WAY NE	STE# 100	SEATTLE	WA	98105	0000	00	None	47.66165594	-122.2864502	King County
217861	Fee-for-Service	1568861441	1568861441	1	1	VAYSBURD, ALEXANDER MD	10/30/2018	207R00000X	NA	Other	026	PHYSICIANS	154858	05	Anesthesiology	0	In state provider	None	3330 LOMITA BLVD	None	TORRANCE	CA	90505	5002	19	06037	33.81253631	-118.3435557	Los Angeles County
217914	Fee-for-Service	1538381900	1538381900	1	1	VASA, MONISHA R MD	8/10/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	89719	36	Psychiatry	0	In state provider	None	8700 BEVERLY BLVD	None	WEST HOLLYWOOD	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
217941	Fee-for-Service	1962527937	1962527937	1	1	VERMILLION, CLAIRE C PHD	7/25/2017	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	111 SMITH RANCH RD	None	SAN RAFAEL	CA	94903	1939	21	06041	38.01951576	-122.5315893	Marin County
217963	Fee-for-Service	1902629652	1902629652	1	1	VARSHA MATHUR OPTOMETRIC PRO	2/26/2025	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	FESSIONAL CORPORATION	3749 SOUTH MOONEY BLVD	None	VISALIA	CA	93277	8000	54	06107	36.296091	-119.31498	Tulare County
218016	Fee-for-Service	1649662719	1649662719	1	8	VISTA COMMUNITY CLINIC	8/1/2019	No Taxonomy Provided	NA	None	041	COMMUNITY CLINIC	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	21800 CANYON DR	ROOM 104	WILDOMAR	CA	92595	9181	33	06065	33.62328096	-117.2781947	Riverside County
218051	Fee-for-Service	1497203541	1497203541	1	14	VISTA COMMUNITY CLINIC	8/1/2023	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	30195 FRASER DR	None	LAKE ELSINORE	CA	92530	7006	33	06065	33.68444711	-117.3679692	Riverside County
218128	Fee-for-Service	1477968667	1477968667	1	1	VIVIRITO, MARY D OD	3/2/2020	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	3451 S DOGWOOD AVE	SUITE 1334	EL CENTRO	CA	92243	7906	13	06025	32.762997	-115.530678	Imperial County
218278	Fee-for-Service	1942444328	1942444328	1	1	VALLEYS BEST HOSPICE INC	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	101 S FIRST ST	STE 301	BURBANK	CA	91502	1961	19	06037	34.17942444	-118.3096895	Los Angeles County
218286	Fee-for-Service	1144361254	1144361254	1	1	VOKACH-BRODSKY, LINDSEY	1/1/1998	207L00000X	NA	Other	026	PHYSICIANS	64784	05	Anesthesiology	0	In state provider	None	725 WELCH RD	None	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
218324	Fee-for-Service	1295912459	1295912459	1	1	VU, DAVID MANH-TUNG MD	4/6/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	80411	40	Pediatrics	0	In state provider	None	725 WELCH RD	STE MC 5500	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
218342	Fee-for-Service	1497203541	1497203541	1	14	VISTA COMMUNITY CLINIC	8/1/2023	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT CLINIC	30195 FRASER DR	None	LAKE ELSINORE	CA	92530	7006	33	06065	33.68444711	-117.3679692	Riverside County
218522	Fee-for-Service	1245972306	1245972306	1	1	VOLTA MEDICAL GROUP	11/22/2022	No Taxonomy Provided	NA	None	041	COMMUNITY CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	9415 MISSION BLVD	P	JURUPA VALLEY	CA	92509	2600	33	06065	34.01179145	-117.4903644	Riverside County
218542	Fee-for-Service	1649662719	1649662719	1	12	VISTA COMMUNITY CLINIC	8/5/2019	No Taxonomy Provided	NA	None	041	COMMUNITY CLINIC	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	20150 MAYHALL DR	RM 604	WILDOMAR	CA	92595	8272	33	06065	33.61589176	-117.3014655	Riverside County
218559	Fee-for-Service	1942444328	1942444328	1	1	VALLEYS BEST HOSPICE INC	10/25/2010	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	101 S FIRST ST	STE 301	BURBANK	CA	91502	1961	19	06037	34.17942444	-118.3096895	Los Angeles County
218625	Fee-for-Service	1417541509	1417541509	1	1	VALLEY GLEN HOSPICE INC	7/19/2024	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	127 S BRAND BLVD	STE 215	GLENDALE	CA	91204	1373	19	06037	34.145289	-118.255096	Los Angeles County
218630	Fee-for-Service	1801328802	1801328802	1	1	VARNES, KENNETH J MD	7/19/2021	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	163829	None	None	0	In state provider	None	625 34TH STREET	STE 100 & 200	BAKERSFIELD	CA	93301	2305	15	06029	35.39046051	-119.0092725	Kern County
218697	Fee-for-Service	1104928035	1104928035	1	1	VO, PETER H LAC	2/8/2015	No Taxonomy Provided	NA	None	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	XUAN DUONG	3005 SILVER CREEK RD	STE 154	SAN JOSE	CA	95121	1792	43	06085	37.30948255	-121.8129834	Santa Clara County
218718	Fee-for-Service	1033735014	1033735014	1	1	VIRK, SAVINDER K CNP	3/23/2022	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2767 OLIVE HWY	None	OROVILLE	CA	95966	6118	04	06007	39.506454	-121.5412785	Butte County
218729	Fee-for-Service	1093253593	1093253593	1	1	VANG, DAO N	11/4/2019	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1751 UNIVERSITY DR	None	VISTA	CA	92083	7775	37	06073	33.17027826	-117.214478	San Diego County
218731	Fee-for-Service	1861815227	1861815227	1	1	VICARI, RENEE L CRNA	6/12/2018	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1150 N INDIAN CANYON DR	None	PALM SPRINGS	CA	92262	4872	33	06065	33.838623	-116.542737	Riverside County
218754	Fee-for-Service	1033281845	1033281845	1	1	VATTI, RANI MD	10/1/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	53761	01	General Practice	0	In state provider	None	1001 RIVERSIDE AVE	None	ROSEVILLE	CA	95678	5134	31	06061	38.72845186	-121.2904134	Placer County
218762	Fee-for-Service	1811447246	1811447246	1	1	VIRGIL ENDOSCOPY CENTER LLC	12/13/2019	261QA1903X	NA	Other	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	500 S VIRGIL AVE	SUITE 301	LOS ANGELES	CA	90020	1446	19	06037	34.064964	-118.2870335	Los Angeles County
218905	Fee-for-Service	1366471377	1366471377	1	1	VONS COMPANIES, INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	620 DENNERY RD	None	SAN DIEGO	CA	92154	8402	37	06073	32.583033	-117.034668	San Diego County
218913	Fee-for-Service	1417541509	1417541509	1	1	VALLEY GLEN HOSPICE INC	7/19/2024	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	127 S BRAND BLVD	STE 215	GLENDALE	CA	91204	1373	19	06037	34.145289	-118.255096	Los Angeles County
218932	Fee-for-Service	1366877508	1366877508	1	1	VERSA CARDIO LLC	1/22/2015	No Taxonomy Provided	NA	None	084	INDEPENDENT DIAGNOSTIC TESTING FACILITY XOVER PROV ONLY	-	-	NOT APPLICABLE	0	In state provider	None	255 E. RINCON STREET	STE 210	CORONA	CA	92879	1367	33	06065	33.88639376	-117.5620641	Riverside County
218978	Fee-for-Service	1558823286	1558823286	1	1	VAADYALA, SURYA R DO	12/14/2022	261QP2300X	NA	Other	026	PHYSICIANS	19497	None	None	0	In state provider	None	782 MEDICAL CENTER DR	309	CLOVIS	CA	93611	6889	10	06019	36.84379626	-119.6609117	Fresno County
219174	Fee-for-Service	1619277563	1619277563	1	1	VENEGAS-CASTRO, KARLA	1/25/2011	No Taxonomy Provided	NA	None	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	23822 VALENCIA BLVD	STE 103	VALENCIA	CA	91355	5303	19	06037	34.41372708	-118.5513626	Los Angeles County
219220	Fee-for-Service	1790260008	1790260008	1	1	VENTURA, CHRISEL B OT	1/29/2020	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1301 W ARROW HWY	130	SAN DIMAS	CA	91773	2330	19	06037	34.10677054	-117.8331379	Los Angeles County
219271	Fee-for-Service	1962899120	1962899120	1	1	VUONG, RONALD MD	9/18/2018	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	145269	40	Pediatrics	0	In state provider	None	31170 TEMECULA PARKWAY	SUITE 200	TEMECULA	CA	92592	2905	33	06065	33.47598766	-117.1199967	Riverside County
219331	Fee-for-Service	1841510740	1841510740	1	1	VARMA, PRIYA MD	11/20/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	150070	25	Physical Medicine and Rehabilitation	0	In state provider	None	751 S BASCOM AVENUE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
219409	Fee-for-Service	1154396448	1154396448	1	2	V.N. PHARMACY INC	9/10/2024	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	8244 E. GARVEY AVE	# B	ROSEMEAD	CA	91770	2556	19	06037	34.06261847	-118.0888245	Los Angeles County
219425	Fee-for-Service	1689939860	1689939860	1	1	VORA, MAULIN U MD	8/10/2021	207L00000X	NA	Other	026	PHYSICIANS	139306	None	None	0	In state provider	None	1165 MONTGOMERY DR	None	SANTA ROSA	CA	95405	4801	49	06097	38.443806	-122.701374	Sonoma County
219431	Fee-for-Service	1609294479	1609294479	1	1	VELLIOS, EVAN E MD	7/7/2021	207XX0005X	NA	Orthopedic Surgery	026	PHYSICIANS	139555	None	None	0	In state provider	None	6815 NOBLE AVE	None	VAN NUYS	CA	91405	3796	19	06037	34.19440435	-118.461871	Los Angeles County
219533	Fee-for-Service	1215315007	1215315007	2	1	VALENCIA, DAVID C DO	5/7/2020	208M00000X	NA	Other	026	PHYSICIANS	18141	41	Internal Medicine	0	In state provider	None	2175 ROSALINE AVE	None	REDDING	CA	96001	2549	45	06089	40.57278686	-122.3958519	Shasta County
219625	Fee-for-Service	1235684648	1235684648	1	1	VAIDYA, ARPITA A PT	3/15/2018	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
219721	Fee-for-Service	1992183669	1992183669	1	6	VALLEY HEALTH TEAM INC	5/2/2022	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	459 WEST LINE ST	STE B	BISHOP	CA	93514	3333	14	06027	37.36140652	-118.398942	Inyo County
219722	Fee-for-Service	1720370893	1720370893	1	1	VELAZQUEZ, AMANDA E MD	11/25/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	126252	40	Pediatrics	0	In state provider	None	2200 OFARRELL STREET	None	SAN FRANCISCO	CA	94115	3357	38	06075	37.78224789	-122.4412946	San Francisco County
219741	Fee-for-Service	1386043461	1386043461	1	1	VUONG, VIVIAN MD	9/23/2021	207W00000X	NA	Ophthalmology	026	PHYSICIANS	157282	None	None	0	In state provider	None	3772 HOWE ST	None	OAKLAND	CA	94611	5311	01	06001	37.8243542	-122.2566075	Alameda County
219851	Fee-for-Service	1730406836	1730406836	1	1	VIJAYAN, REKHA MD	6/28/2024	2084P0804X	NA	Psychiatry	026	PHYSICIANS	None	36	Psychiatry	0	In state provider	None	4785 N FIRST STREET	None	FRESNO	CA	93726	0513	10	06019	36.80478	-119.7724585	Fresno County
220007	Fee-for-Service	1366590382	1366590382	1	1	VICTOR, PRIYA S MD	1/16/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	92647	08	Family Practice	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
220009	Fee-for-Service	1992183669	1992183669	1	6	VALLEY HEALTH TEAM INC	5/2/2022	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	459 WEST LINE ST	STE B	BISHOP	CA	93514	3333	14	06027	37.36140652	-118.398942	Inyo County
220029	Fee-for-Service	1457022071	1457022071	1	1	VAISMAN, SAMANTHA PT	8/4/2024	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	600 PALM AVE	126	IMPERIAL BEACH	CA	91932	1246	37	06073	32.5839813	-117.1207525	San Diego County
220123	Fee-for-Service	1902915622	1902915622	1	1	VAISHNAV, DARSHANA H MD	8/24/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	39869	40	Pediatrics	0	In state provider	None	15000 LOS GATOS BLVD	STE 3	LOS GATOS	CA	95032	2017	43	06085	37.25037606	-121.9546187	Santa Clara County
220170	Fee-for-Service	1154844934	1154844934	1	1	VAN ZANTEN, ALANA B LMFT	2/12/2021	101YM0800X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	19000 HOMESTEAD RD	None	CUPERTINO	CA	95014	0712	43	06085	37.33773494	-122.0043395	Santa Clara County
220175	Fee-for-Service	1053567685	1053567685	1	1	VALADAO, ROSA M MD	4/14/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	104097	41	Internal Medicine	0	In state provider	None	901 NEVIN AVE	None	RICHMOND	CA	94801	3143	07	06013	37.93684848	-122.361345	Contra Costa County
220245	Fee-for-Service	1770527335	1770527335	1	1	VISALIA EYE CENTER INC	11/17/2005	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	112 N AKERS ST	STE A	VISALIA	CA	93291	5121	54	06107	36.330156	-119.3483475	Tulare County
220369	Fee-for-Service	1497185037	1497185037	1	1	VAN BUREN, EVE H	2/10/2025	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1650 LOS GAMOS DR	None	SAN RAFAEL	CA	94903	1850	21	06041	38.02105246	-122.5420674	Marin County
220405	Fee-for-Service	1457543027	1457543027	1	1	VLASE, ANCA MD	3/10/2022	207R00000X	NA	Other	026	PHYSICIANS	163834	None	None	0	In state provider	None	1100 LAS TABLAS RD	None	TEMPLETON	CA	93465	9704	40	06079	35.55442648	-120.719754	San Luis Obispo County
220432	Fee-for-Service	1184873184	1184873184	1	1	VERMA, ABHA LCSW	5/31/2017	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
220479	Fee-for-Service	1609034461	1609034461	1	1	VUYYURU, SRINIVASAREDDY MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	4530 E MUIRWOOD DR	STE 105	PHOENIX	AZ	85048	7693	00	None	33.303006	-111.9855375	Maricopa County
220517	Fee-for-Service	1801067798	1801067798	1	3	VILLASENOR, MARIA ELENA	2/26/2008	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	1603 W VALLEY BLVD	SUITE 4112	ALHAMBRA	CA	91803	5647	19	06037	34.07768792	-118.1401933	Los Angeles County
220567	Fee-for-Service	1184883936	1184883936	1	1	VENICE FAMILY CLINIC	4/28/1997	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	BURKE HEALTH CENTER	2509 PICO BLVD	None	SANTA MONICA	CA	90405	1828	19	06037	34.02287459	-118.4631175	Los Angeles County
220612	Fee-for-Service	1841437639	1841437639	1	1	VIZON, CECILIA G	4/27/2010	No Taxonomy Provided	NA	None	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	740 S PLACENTIA AVE	STE 100	PLACENTIA	CA	92870	6832	30	06059	33.86285731	-117.8822066	Orange County
220624	Fee-for-Service	1235236977	1235236977	1	1	VOURLITIS, MELISSA DO	12/18/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	7330	None	None	0	In state provider	None	1144 65TH ST STE F	None	OAKLAND	CA	94608	1053	01	06001	37.84779018	-122.2868874	Alameda County
220641	Fee-for-Service	1497203541	1497203541	1	1	VISTA COMMUNITY CLINIC	2/6/2017	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	201 S HARBOR BLVD	None	LA HABRA	CA	90631	5654	30	06059	33.93029897	-117.9331306	Orange County
220691	Fee-for-Service	1235785858	1235785858	1	1	VIDACARE LIMITED LIABILITY	3/3/2021	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	COMPANY	13701 RIVERSIDE DR	STE 705	SHERMAN OAKS	CA	91423	2449	19	06037	34.15762986	-118.4316325	Los Angeles County
220757	Fee-for-Service	1881894467	1881894467	1	1	VIGEH, GILDA DO	10/30/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	9329	41	Internal Medicine	0	In state provider	None	3565 DEL AMO BLVD	None	TORRANCE	CA	90503	1637	19	06037	33.84861872	-118.3488958	Los Angeles County
220803	Fee-for-Service	1972653780	1972653780	1	1	VILLACORTA, VICTOR R MD	9/26/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	61698	08	Family Practice	0	In state provider	None	1190 VETERANS BLVD	None	REDWOOD CITY	CA	94063	2037	41	06081	37.48941956	-122.2227204	San Mateo County
220851	Fee-for-Service	1538101860	1538101860	2	1	VILLAROSA, RAFAEL H MD	10/1/2000	207QA0505X	NA	Adult Primary Care	026	PHYSICIANS	50463	41	Internal Medicine	0	In state provider	None	13391 CALIFORNIA ST	STE 3	YUCAIPA	CA	92399	5105	36	06071	34.010847	-117.038842	San Bernardino County
220881	Fee-for-Service	1932847688	1932847688	1	1	VERA, DANIELLE LMFT	4/26/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	11801 PIERCE ST	SUITE 200	RIVERSIDE	CA	92505	4408	33	06065	33.90100297	-117.49363	Riverside County
220930	Fee-for-Service	1497203541	1497203541	1	1	VISTA COMMUNITY CLINIC	2/6/2017	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	201 S HARBOR BLVD	None	LA HABRA	CA	90631	5654	30	06059	33.93029897	-117.9331306	Orange County
220996	Fee-for-Service	1447300405	1447300405	1	1	VOSGANIAN, GREGORY S MD	4/8/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	97316	01	General Practice	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
221056	Fee-for-Service	1134244643	1134244643	1	1	VIEYRA, ROSALVA Q MD	2/24/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	72028	08	Family Practice	0	In state provider	None	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
221057	Fee-for-Service	1922148634	1922148634	1	1	VO, KRISTIE A OD	8/24/2018	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	6445 PATS RANCH RD	D	JURUPA VALLEY	CA	91752	4439	33	06065	33.97255787	-117.5446454	Riverside County
221218	Fee-for-Service	1497203541	1497203541	1	1	VISTA COMMUNITY CLINIC	2/6/2017	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	201 S HARBOR BLVD	None	LA HABRA	CA	90631	5654	30	06059	33.93029897	-117.9331306	Orange County
221219	Fee-for-Service	1588740989	1588740989	1	1	VALLEY COMMUNITY HEALTHCARE	10/25/2011	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	None	6801 COLDWATER CANYON AV	None	NORTH HOLLYWOOD	CA	91605	5162	19	06037	34.194447	-118.4138285	Los Angeles County
221223	Fee-for-Service	1538666888	1538666888	1	1	VELASCO, ALYSSA BIANCA T MD	7/29/2021	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	164276	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
221322	Fee-for-Service	1215003843	1215003843	1	1	VON GUNTEN, CHARLES F MD	5/4/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	85243	41	Internal Medicine	0	In state provider	None	4311 3RD AVE	None	SAN DIEGO	CA	92103	1407	37	06073	32.758578	-117.1637685	San Diego County
221354	Fee-for-Service	1841848256	1841848256	1	1	VELASCO, SUSANA M	1/13/2020	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	9222 BOULDER RIVER WAY	None	ELK GROVE	CA	95624	4081	34	06067	38.422764	-121.346613	Sacramento County
221397	Fee-for-Service	1811967656	1811967656	1	1	VELAZQUEZ, TORRIN MD	12/1/2023	171000000X	NA	Other	026	PHYSICIANS	158776	None	None	0	In state provider	None	8933 ACTIVITY RD	None	SAN DIEGO	CA	92126	4427	37	06073	32.89637448	-117.133497	San Diego County
221401	Fee-for-Service	1346499282	1346499282	1	1	VANG, HLEE LMFT	6/20/2016	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	91099	-	NOT APPLICABLE	0	In state provider	None	43520 DIVISION STREET	None	LANCASTER	CA	93535	4089	19	06037	34.673445	-118.130143	Los Angeles County
221460	Fee-for-Service	1225400518	1225400518	1	1	VIP PHARMACY INC	6/21/2016	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	126 AVOCADO AVE	SUITE 101	PERRIS	CA	92571	2605	33	06065	33.8102395	-117.2244465	Riverside County
221502	Fee-for-Service	1073564407	1073564407	1	1	VILLABLANCA,JUAN P MD	2/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	70784	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
221507	Fee-for-Service	1497203541	1497203541	1	1	VISTA COMMUNITY CLINIC	7/24/2017	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	201 S HARBOR BLVD	None	LA HABRA	CA	90631	5654	30	06059	33.93029897	-117.9331306	Orange County
221512	Fee-for-Service	1588740989	1588740989	1	1	VALLEY COMMUNITY HEALTHCARE	6/30/2011	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	6801 COLDWATER CANYON AV	None	NORTH HOLLYWOOD	CA	91605	5162	19	06037	34.194447	-118.4138285	Los Angeles County
221591	Fee-for-Service	1124192034	1124192034	1	1	VALENZUELA, TERENCE 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	0000	00	None	32.240493	-110.9460825	Pima County
221632	Fee-for-Service	1649993932	1649993932	1	1	VASILYAN, ARTASHES CNP	4/20/2023	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	511 N HOLLYWOOD WAY	None	BURBANK	CA	91505	3406	19	06037	34.15985598	-118.3431272	Los Angeles County
221643	Fee-for-Service	1841848256	1841848256	1	1	VELASCO, SUSANA M	1/13/2020	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	9222 BOULDER RIVER WAY	None	ELK GROVE	CA	95624	4081	34	06067	38.422764	-121.346613	Sacramento County
221754	Fee-for-Service	1669628251	1669628251	1	1	VANIDES, EMILY L AU	11/4/2019	237600000X	NA	Other	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
221789	Fee-for-Service	1730507849	1730507849	1	1	VO, KATHY N MD	10/27/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	144019	01	General Practice	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
221796	Fee-for-Service	1588740989	1588740989	1	1	VALLEY COMMUNITY HEALTHCARE	6/30/2011	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	6801 COLDWATER CANYON AV	None	NORTH HOLLYWOOD	CA	91605	5162	19	06037	34.194447	-118.4138285	Los Angeles County
221805	Fee-for-Service	1982792818	1982792818	1	1	VISWANATHAN, VIJAY MD	9/28/2023	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	188610	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
221808	Fee-for-Service	1598754459	1598754459	1	1	VRIDHACHALAM, SANJEEVI	11/10/2008	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	75463	30	Radiology	0	In state provider	MD	508 E HICKORY AVE	None	LOMPOC	CA	93438	7318	42	06083	34.63568383	-120.4522776	Santa Barbara County
221820	Fee-for-Service	1144304817	1144304817	1	3	VALLEY OBSTETRICS AND	7/20/2006	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	GYNECOLOGY MED GRP INC	436 S RIVERSIDE AVE	None	RIALTO	CA	92376	6523	36	06071	34.093089	-117.3703775	San Bernardino County
221825	Fee-for-Service	1407387566	1407387566	1	1	VAIDYA, POORVA MD	8/1/2024	390200000X	NA	Other	026	PHYSICIANS	158423	68	Hematology	0	In state provider	None	101 CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
221849	Fee-for-Service	1437835279	1437835279	1	1	VILLANUEVA, THERESA ANNETTE	10/25/2023	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	607 PONDEROSA WAY W	None	MADERA	CA	93636	8961	20	06039	36.91861259	-119.8043533	Madera County
221967	Fee-for-Service	1467845065	1467845065	1	1	VALLEJO FOOT & ANKLE CLINIC	1/11/2018	213ES0103X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	480 REDWOOD ST STE 10	None	VALLEJO	CA	94590	2958	48	06095	38.12315545	-122.2597619	Solano County
221976	Fee-for-Service	1033612783	1033612783	1	1	VIDA COUNSELING SERVICES PSY	8/17/2021	101YM0800X	NA	Other	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	None	3610 CENTRAL AVE	#400	RIVERSIDE	CA	92506	5900	33	06065	33.95352247	-117.3917745	Riverside County
221979	Fee-for-Service	1942534110	1942534110	1	1	VANG, MARY S LMFT	3/12/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4700 ENTERPRISE WAY	None	MODESTO	CA	95356	0000	50	06099	37.705761	-121.072012	Stanislaus County
222032	Fee-for-Service	1497760987	1497760987	1	2	VIET D TA MD & TIFFANY L	12/17/2010	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	L QYUAN MD MEDICAL ASSOC	1101 E HOLT AVE	STE G	POMONA	CA	91767	5800	19	06037	34.06297561	-117.7280971	Los Angeles County
222067	Fee-for-Service	1164785713	1164785713	1	1	VARDIABASIS, NICOLAS V DO	2/9/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	13167	20	Orthopedic Surgery	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
222085	Fee-for-Service	1588740989	1588740989	1	1	VALLEY COMMUNITY HEALTHCARE	6/30/2011	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	6801 COLDWATER CANYON AV	None	NORTH HOLLYWOOD	CA	91605	5162	19	06037	34.194447	-118.4138285	Los Angeles County
222138	Fee-for-Service	1437835279	1437835279	1	1	VILLANUEVA, THERESA ANNETTE	10/25/2023	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	607 PONDEROSA WAY W	None	MADERA	CA	93636	8961	20	06039	36.91861259	-119.8043533	Madera County
222236	Fee-for-Service	1245469071	1245469071	1	1	VARGAS, VANASSA V LMFT	8/26/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	41765 12TH STREET WEST	SUITE D	PALMDALE	CA	93551	1422	19	06037	34.641891	-118.1513675	Los Angeles County
222240	Fee-for-Service	1184816068	1184816068	1	1	VAHABNEZHAD, ELAHEH MD	10/8/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	102907	40	Pediatrics	0	In state provider	None	10833 LE CONTE AVE	MDCC 12311	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
222268	Fee-for-Service	1033612783	1033612783	1	1	VIDA COUNSELING SERVICES PSY	8/17/2021	101YM0800X	NA	Other	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	None	3610 CENTRAL AVE	#400	RIVERSIDE	CA	92506	5900	33	06065	33.95352247	-117.3917745	Riverside County
222319	Fee-for-Service	1497760987	1497760987	1	2	VIET D TA MD & TIFFANY L	12/17/2010	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	L QYUAN MD MEDICAL ASSOC	1101 E HOLT AVE	STE G	POMONA	CA	91767	5800	19	06037	34.06297561	-117.7280971	Los Angeles County
222327	Fee-for-Service	1932832268	1932832268	1	1	VOSKERCHYAN, SONA	7/11/2022	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	10200 SEPULVEDA BLVD	100	MISSION HILLS	CA	91345	2755	19	06037	34.25572562	-118.4673156	Los Angeles County
222354	Fee-for-Service	1649662719	1649662719	1	5	VISTA COMMUNITY CLINIC	6/5/2019	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	15150 JOY STREET	ROOM 4H	LAKE ELSINORE	CA	92530	7912	33	06065	33.68317419	-117.3766114	Riverside County
222358	Fee-for-Service	1679937320	1679937320	1	1	VANMARTER, THOMAS LMFT	3/6/2024	103K00000X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	155 HOSPITALITY LN	245	SAN BERNARDINO	CA	92408	3305	36	06071	34.06580948	-117.2856915	San Bernardino County
222489	Fee-for-Service	1740601228	1740601228	1	1	VADO, ROBERTO J PHD	5/24/2016	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	10801 NATIONAL BLVD	STE 611	LOS ANGELES	CA	90064	4170	19	06037	34.03101398	-118.4202342	Los Angeles County
222510	Fee-for-Service	1851389282	1851389282	1	1	VIVIAN I STARR, DO	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	602 PARMALEE AVE	STE 400	YOUNGSTOWN	OH	44510	1653	00	None	41.11503079	-80.65882747	Mahoning County
222526	Fee-for-Service	1184816068	1184816068	1	1	VAHABNEZHAD, ELAHEH MD	10/8/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	102907	10	Gastroenterology (M.D. only)	0	In state provider	None	10833 LE CONTE AVE	MDCC 12311	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
222542	Fee-for-Service	1063845428	1063845428	1	1	VARTANIAN, ARBI MD	9/16/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	138420	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
222605	Fee-for-Service	1093998965	1093998965	1	1	VALLONE, MELCHIOR P DPM	1/9/2021	213E00000X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	5555 GROSSMONT CENTER	None	LA MESA	CA	91942	3019	37	06073	32.781483	-117.007182	San Diego County
222645	Fee-for-Service	1649662719	1649662719	1	5	VISTA COMMUNITY CLINIC	6/5/2019	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	15150 JOY STREET	ROOM 4H	LAKE ELSINORE	CA	92530	7912	33	06065	33.68317419	-117.3766114	Riverside County
222653	Fee-for-Service	1801861679	1801861679	1	1	VASSANTACHART, PRAKOB B MD	3/17/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	61725	05	Anesthesiology	0	In state provider	None	215 W JANSS RD	None	THOUSAND OAKS	CA	91360	1847	56	06111	34.2064445	-118.8824085	Ventura County
222709	Fee-for-Service	1619173952	1619173952	1	2	VLASKOVITS, JOSEPH C MD	1/27/2025	2084P0800X	NA	Psychiatry	026	PHYSICIANS	113932	36	Psychiatry	0	In state provider	None	300 HILLMONT AVE	None	VENTURA	CA	93003	3099	56	06111	34.27771547	-119.2540344	Ventura County
222799	Fee-for-Service	1659147957	1659147957	1	1	VU, PAULINE T PT	12/4/2023	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	3760 CONVOY STREET	100	SAN DIEGO	CA	92111	3743	37	06073	32.81197521	-117.1531278	San Diego County
222800	Fee-for-Service	1518996552	1518996552	1	1	VONS COMPANIES,INC	9/19/1997	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	2684 N TUSTIN ST	None	ORANGE	CA	92865	2438	30	06059	33.83337963	-117.8362596	Orange County
222873	Fee-for-Service	1801459482	1801459482	1	1	VULCAIN, DIANA R MD	7/25/2024	207ZP0102X	NA	Other	026	PHYSICIANS	None	22	Pathology (M.D. only)	0	In state provider	None	10833 LECONTE AVENUE	None	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
222974	Fee-for-Service	1720003064	1720003064	1	1	VUONG, DAO DC	4/14/2004	No Taxonomy Provided	NA	None	006	CHIROPRACTORS	-	-	NOT APPLICABLE	0	In state provider	None	2875 SENTER RD	STE C	SAN JOSE	CA	95111	1176	43	06085	37.29889829	-121.8389734	Santa Clara County
223031	Fee-for-Service	1124433024	1124433024	1	1	VAKATI, PRIYANKA MD	2/15/2023	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	169027	None	None	0	In state provider	None	701 E 28TH ST	419	LONG BEACH	CA	90806	2775	19	06037	33.80803441	-118.1847137	Los Angeles County
223070	Fee-for-Service	1225815947	1225815947	1	1	VERTEX CARE RX INC	10/18/2023	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	11273 LAUREL CANYON BLVD	STE 4	SAN FERNANDO	CA	91340	4359	19	06037	34.27498293	-118.4494282	Los Angeles County
223163	Fee-for-Service	1659719854	1659719854	1	1	VALINA, ANISA M DO	3/23/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	41	Internal Medicine	1	Border provider	None	102 E LAKE MEAD PKWY	None	HENDERSON	NV	89015	5575	00	None	36.03815706	-114.9842287	Clark County
223194	Fee-for-Service	1750852083	1750852083	1	1	VALERO, SUZANNA J CRNA	3/29/2019	367500000X	NA	Other	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
223197	Fee-for-Service	1548606924	1548606924	1	1	VIJITAKULA, SORAPAT	3/1/2024	207P00000X	NA	Other	026	PHYSICIANS	187088	None	None	0	In state provider	None	1425 S MAIN ST	None	WALNUT CREEK	CA	94596	5318	07	06013	37.89189148	-122.057999	Contra Costa County
223249	Fee-for-Service	1639477524	1639477524	1	2	VERMA, ASHOK K MD INC	9/17/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	38632	41	Internal Medicine	0	In state provider	None	202 W WILLOW AVE	STE 302	VISALIA	CA	93291	6238	54	06107	36.328536	-119.293569	Tulare County
223257	Fee-for-Service	1164470639	1164470639	1	1	VAFADOUSTE,GHOLAMREZA MD	7/8/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	79905	06	Cardiovascular Disease (M.D. only)	0	In state provider	MD	1801 COLORADO AVE	STE 210	TURLOCK	CA	95382	2707	50	06099	37.50941613	-120.8353105	Stanislaus County
223295	Fee-for-Service	1134583891	1134583891	1	1	VIRK, GURJIWAN S MD	7/7/2023	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	170826	None	None	0	In state provider	None	1187 E HERNDON AVE	SUITE 101	FRESNO	CA	93720	3166	10	06019	36.83640179	-119.7674647	Fresno County
223300	Fee-for-Service	1922071844	1922071844	1	1	VANWEY, CARL C MD	8/14/1985	2085R0001X	NA	Other	026	PHYSICIANS	35889	30	Radiology	0	In state provider	None	20103 LAKE CHABOT RD	None	CASTRO VALLEY	CA	94546	5305	01	06001	37.698264	-122.090112	Alameda County
223359	Fee-for-Service	1225798853	1225798853	1	1	VUTRAN, VINCENT H PT	8/12/2022	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	3989 STETSON	105	HEMET	CA	92545	9695	33	06065	33.72929866	-117.0132375	Riverside County
223377	Fee-for-Service	1063027050	1063027050	1	1	VINAY PANCHAL MD INC	11/30/2020	207R00000X	NA	Other	026	PHYSICIANS	None	None	None	0	In state provider	None	199 E WEBSTER ST	19	COLUSA	CA	95932	2954	06	06011	39.20737704	-122.0004043	Colusa County
223393	Fee-for-Service	1770994824	1770994824	1	1	VANDERHOOF, ROSS A	7/17/2020	208D00000X	NA	Adult Primary Care	026	PHYSICIANS	159354	01	General Practice	0	In state provider	None	136 N 3RD ST	None	LOMPOC	CA	93436	7002	42	06083	34.64013944	-120.4451768	Santa Barbara County
223397	Fee-for-Service	1851622112	1851622112	1	1	VIJAY ARUN DORAISWAMY MD	3/15/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	2800 E AJO WAY	None	TUCSON	AZ	85713	6204	00	None	32.175801	-110.9306925	Pima County
223453	Fee-for-Service	1164558391	1164558391	1	1	VANIMAN, GAYLE L MFT	1/3/2017	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	41501	-	NOT APPLICABLE	0	In state provider	None	86 SOUTH 14TH STREET	None	SAN JOSE	CA	95112	2015	43	06085	37.34109735	-121.8760463	Santa Clara County
223575	Fee-for-Service	1801955430	1801955430	1	1	VARGAS, JUAN F MD	4/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	71196	08	Family Practice	0	In state provider	None	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
223870	Fee-for-Service	1245388107	1245388107	1	1	VAZQUEZ-CAMPOS,MARIA MD	9/1/2000	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	63127	08	Family Practice	0	In state provider	None	445 S CEDAR AVE	None	FRESNO	CA	93702	2907	10	06019	36.7382512	-119.7543688	Fresno County
223919	Fee-for-Service	1972820686	1972820686	1	1	VARTANIAN, MARGARET A MD	8/26/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	119998	05	Anesthesiology	0	In state provider	None	2500 GRANT ROAD	None	MOUNTAIN VIEW	CA	94040	4378	43	06085	37.36893518	-122.0779448	Santa Clara County
223929	Fee-for-Service	1790248508	1790248508	1	1	VENTURA ORTHOPEDICS MEDICAL	10/2/2019	174400000X	NA	Other	022	PHYSICIANS GROUP	-	20	Orthopedic Surgery	0	In state provider	None	2221 WANKEL WAY	None	OXNARD	CA	93030	0192	56	06111	34.21677352	-119.1475125	Ventura County
224017	Fee-for-Service	1447084835	1447084835	1	1	VALDEZ, CESAR LPCC	11/14/2024	101YM0800X	NA	Other	103	LICENSED PROFESSIONAL CLINICAL COUNSELOR - INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
224051	Fee-for-Service	1205887460	1205887460	1	1	VASADIA,JITESH V MD	4/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	72450	41	Internal Medicine	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
224054	Fee-for-Service	1245744549	1245744549	1	1	VMED HOSPICE INC	11/20/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	6454 VAN NUYS BLVD	SUITE 215	VAN NUYS	CA	91401	1455	19	06037	34.187886	-118.448714	Los Angeles County
224180	Fee-for-Service	1487073425	1487073425	1	1	VIJ, PRIYA MD	7/29/2020	207RR0500X	NA	Other	026	PHYSICIANS	145776	83	Rheumatology	0	In state provider	None	3100 DOUGLAS BLVD	None	ROSEVILLE	CA	95661	3866	31	06061	38.74399612	-121.2349547	Placer County
224181	Fee-for-Service	1487713137	1487713137	1	1	VALENTI, STEVEN C MD	3/22/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	66590	08	Family Practice	0	In state provider	None	25455 BARTON RD	STE 204B	LOMA LINDA	CA	92354	3172	36	06071	34.04805253	-117.249534	San Bernardino County
224206	Fee-for-Service	1922598184	1922598184	1	1	VASQUEZ, SALVADOR RCP	10/14/2022	172A00000X	NA	Other	056	RESPIRATORY CARE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	401 BICENTENNIAL WAY	None	SANTA ROSA	CA	95403	2149	49	06097	38.471625	-122.7259935	Sonoma County
224218	Fee-for-Service	1790248508	1790248508	1	1	VENTURA ORTHOPEDICS MEDICAL	10/2/2019	174400000X	NA	Other	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	2221 WANKEL WAY	None	OXNARD	CA	93030	0192	56	06111	34.21677352	-119.1475125	Ventura County
224276	Fee-for-Service	1518630979	1518630979	1	1	VARGAS, FRIDA NP	4/17/2024	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	7677 CENTER AVE	STE 214	HUNTINGTON BEACH	CA	92647	9102	30	06059	33.736257	-117.995535	Orange County
224291	Fee-for-Service	1538217468	1538217468	1	1	VINCELLI, CAROLE S NP	12/2/2013	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	3851 SHAW RIDGE RD	None	SAN DIEGO	CA	92130	2807	37	06073	32.93516088	-117.2297377	San Diego County
224344	Fee-for-Service	1245744549	1245744549	1	1	VMED HOSPICE INC	11/20/2019	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	6454 VAN NUYS BLVD	SUITE 215	VAN NUYS	CA	91401	1455	19	06037	34.187886	-118.448714	Los Angeles County
224439	Fee-for-Service	1134907355	1134907355	1	1	VARGAS-DELEON, EDUARDO NP	10/12/2023	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	222 WEST HENDERSON AVE	None	PORTERVILLE	CA	93257	1731	54	06107	36.0804034	-119.0217006	Tulare County
224506	Fee-for-Service	1790248508	1790248508	1	1	VENTURA ORTHOPEDICS MEDICAL	10/2/2019	174400000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	2221 WANKEL WAY	None	OXNARD	CA	93030	0192	56	06111	34.21677352	-119.1475125	Ventura County
224527	Fee-for-Service	1679992515	1679992515	1	1	VOJTKO, JOSEPH	1/22/2019	207W00000X	NA	Ophthalmology	026	PHYSICIANS	16486	18	Ophthalmology	0	In state provider	None	4501 SAND CREEK ROAD	None	ANTIOCH	CA	94531	8577	07	06013	37.94947636	-121.7752571	Contra Costa County
224567	Fee-for-Service	1720184393	1720184393	1	1	VANSPEYBROECK, NANCY W	5/3/2007	174400000X	NA	Other	026	PHYSICIANS	28255	41	Internal Medicine	0	In state provider	None	2280 HARRISON AVE	STE A	EUREKA	CA	95501	3200	12	06023	40.78745765	-124.1396643	Humboldt County
224625	Fee-for-Service	1528808383	1528808383	1	1	VITUITY-NEVADA MEDICAL SERVI	7/9/2024	193200000X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	1	Border provider	None	3001 SAINT ROSE PKWY	None	HENDERSON	NV	89052	3839	00	None	36.00555274	-115.1163108	Clark County
224695	Fee-for-Service	1164506358	1164506358	1	1	VALLEY COMPREHENSIVE MED	2/28/1995	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	GROUP	81715 DR CARREON BLVD	None	INDIO	CA	92201	5564	33	06065	33.7073825	-116.2385415	Riverside County
224701	Fee-for-Service	1154549962	1154549962	1	1	VAN SICKLE, NANCY S	1/6/2012	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	9353 IMPERIAL HWY	None	DOWNEY	CA	90242	2812	19	06037	33.9171603	-118.1288418	Los Angeles County
224709	Fee-for-Service	1689674012	1689674012	1	1	VERZOSA, JOHN D MD	7/31/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	55093	01	General Practice	0	In state provider	None	9985 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.07253232	-117.4356028	San Bernardino County
224807	Fee-for-Service	1952561888	1952561888	1	1	VELASCO, HAIJEMYL B	2/1/2018	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1635 DIVISADERO ST	None	SAN FRANCISCO	CA	94115	3036	38	06075	37.78487142	-122.4398095	San Francisco County
224859	Fee-for-Service	1245443654	1245443654	1	1	VASAVDA,KULENDU G MD	1/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	49048	08	Family Practice	0	In state provider	None	2524 E MAIN ST	None	STOCKTON	CA	95205	6523	39	06077	37.95478956	-121.251428	San Joaquin County
224905	Fee-for-Service	1700949336	1700949336	1	1	VALLEY CHILDRENS HOSPITAL	12/1/1977	282NC2000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	None	9300 VALLEY CHILDRENS PL	None	MADERA	CA	93638	8761	20	06039	36.88437894	-119.8003484	Madera County
224907	Fee-for-Service	1679935811	1679935811	1	1	VILLEGAS, PATRICIA F DO	7/17/2019	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	15919	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
224983	Fee-for-Service	1740648856	1740648856	1	2	VALLEY CANCER MEDICAL CENTER	11/21/2024	193200000X	NA	Other	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	INC	1138 NORMAN DR	STE 101	MANTECA	CA	95336	5965	39	06077	37.79443266	-121.1991696	San Joaquin County
225006	Fee-for-Service	1306117809	1306117809	1	1	VALDEZ, KARINA LMFT	4/7/2023	106H00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	272 CHURCH AVE	SUITE 3	CHULA VISTA	CA	91910	2727	37	06073	32.64244569	-117.0792461	San Diego County
225094	Fee-for-Service	1437102092	1437102092	1	12	VALLEY RADIOTHERAPY ASSO	9/30/1990	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	ASSOCIATES MED GROUP INC	5529 RESEDA BLVD	None	TARZANA	CA	91356	2611	19	06037	34.170525	-118.5360275	Los Angeles County
225149	Fee-for-Service	1245443654	1245443654	1	1	VASAVDA,KULENDU G MD	1/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	49048	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2524 E MAIN ST	None	STOCKTON	CA	95205	6523	39	06077	37.95478956	-121.251428	San Joaquin County
225162	Fee-for-Service	1750834065	1750834065	1	1	VALLADARES ROMERO, ENRIQUE J	8/5/2019	2251P0200X	NA	Physical Therapist	026	PHYSICIANS	159420	40	Pediatrics	0	In state provider	OSE MD	1524 MCHENRY AVE	SUITES 550, 570	MODESTO	CA	95350	4500	50	06099	37.666233	-120.993933	Stanislaus County
225227	Fee-for-Service	1457017592	1457017592	1	1	VIOLET RESIDENTIAL CARE INC	12/2/2021	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	12141 ORA DRIVE	None	GARDEN GROVE	CA	92840	3432	30	06059	33.786567	-117.933547	Orange County
225232	Fee-for-Service	1992852883	1992852883	1	1	VASSILEV, VESSELIN MD	6/26/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	54989	05	Anesthesiology	0	In state provider	None	1830 FLOWER STREET	None	BAKERSFIELD	CA	93305	4144	15	06029	35.3818329	-118.9710228	Kern County
225372	Fee-for-Service	1447386925	1447386925	1	1	VALLEJO CITY UNIFIED SCHOOL	11/1/2018	No Taxonomy Provided	NA	None	101	UNIFIED SCHOOL DISTRICT	-	-	NOT APPLICABLE	0	In state provider	DISTRICT	665 WALNUT AVE	None	VALLEJO	CA	94592	1177	48	06095	38.0984383	-122.2723367	Solano County
225425	Fee-for-Service	1801067798	1801067798	1	2	VILLASENOR, MARIA ELENA	7/1/2015	No Taxonomy Provided	NA	None	080	CA CHILDRENS SERVICES/GENETICALLY HANDICAPPED PERSONS PROGRAM NON- INSTITUTIONAL	-	-	NOT APPLICABLE	0	In state provider	None	2168 S. ATLANTIC BLVD	SUITE 117	MONTEREY PARK	CA	91754	6839	19	06037	34.03875147	-118.1444233	Los Angeles County
225480	Fee-for-Service	1770548521	1770548521	1	1	VO, MATTHEW MD	3/1/2024	207L00000X	NA	Other	026	PHYSICIANS	68449	None	None	0	In state provider	None	2601 E CHAPMAN AVENUE	None	ORANGE	CA	92869	3206	30	06059	33.78785251	-117.826365	Orange County
225522	Fee-for-Service	1992852883	1992852883	1	1	VASSILEV, VESSELIN MD	6/26/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	54989	13	Neurology (M.D. only)	0	In state provider	None	1830 FLOWER STREET	None	BAKERSFIELD	CA	93305	4144	15	06029	35.3818329	-118.9710228	Kern County
225525	Fee-for-Service	1649477787	1649477787	1	1	VAMSI GULLAPALLI MD	10/24/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	2330 TROOP DR	UNIT 104	SARTELL	MN	56377	4531	00	None	45.58964935	-94.2234928	Stearns County
225599	Fee-for-Service	1376926931	1376926931	1	1	VISTA DEL SOL POSTACUTE CARE	7/1/2015	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	812 W MAIN ST	None	TURLOCK	CA	95380	4645	50	06099	37.49266449	-120.858543	Stanislaus County
225661	Fee-for-Service	1447386925	1447386925	1	1	VALLEJO CITY UNIFIED SCHOOL	4/25/1995	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	DISTRICT	665 WALNUT AVE	None	VALLEJO	CA	94592	1177	48	06095	38.0984383	-122.2723367	Solano County
225696	Fee-for-Service	1649201450	1649201450	1	1	VONS COMPANIES, INC	11/1/2002	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	369 MAGNOLIA AVE	None	CORONA	CA	92879	3300	33	06065	33.85312751	-117.5653159	Riverside County
225751	Fee-for-Service	1871909523	1871909523	1	1	VARGAS, ISAAC DO	6/1/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	18660	None	None	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
225796	Fee-for-Service	1750354973	1750354973	1	1	VANSON, DAVID T MD	2/26/2019	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	128305	30	Radiology	0	In state provider	None	1800 NORTH CALIFORNIA ST	None	STOCKTON	CA	95204	6019	39	06077	37.97026329	-121.2890849	San Joaquin County
225808	Fee-for-Service	1689620460	1689620460	1	1	VELASCO, DAVID L JR MD	10/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	66836	05	Anesthesiology	0	In state provider	None	825 DELBON AVE	None	TURLOCK	CA	95382	2016	50	06099	37.51052943	-120.8386573	Stanislaus County
225828	Fee-for-Service	1437102092	1437102092	1	5	VALLEY RADIOTHERAPY ASSO	10/1/2002	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	ASSOCIATES MED GROUP INC	1300 W 7TH ST	None	SAN PEDRO	CA	90732	3505	19	06037	33.73793948	-118.3036095	Los Angeles County
225852	Fee-for-Service	1184122624	1184122624	1	1	VM MEDICAL GROUP	3/25/2019	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	None	10900 E WARNER AVE	122	FOUNTAIN VALLEY	CA	92708	3846	30	06059	33.71628153	-117.9388215	Orange County
225853	Fee-for-Service	1588259055	1588259055	1	1	VAPIANO HOSPICE CARE, INC	10/25/2021	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	6454 VAN NUYS BLVD	STE 110/7	VAN NUYS	CA	91401	1445	19	06037	34.187886	-118.448714	Los Angeles County
226003	Fee-for-Service	1700345006	1700345006	1	1	VYAS, DHRUMIL MD	10/25/2022	207P00000X	NA	Other	026	PHYSICIANS	176352	None	None	0	In state provider	None	5451 WALNUT AVE	None	CHINO	CA	91710	2609	36	06071	34.02626886	-117.6858645	San Bernardino County
226136	Fee-for-Service	1184122624	1184122624	1	1	VM MEDICAL GROUP	3/25/2019	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	None	10900 E WARNER AVE	122	FOUNTAIN VALLEY	CA	92708	3846	30	06059	33.71628153	-117.9388215	Orange County
226141	Fee-for-Service	1588259055	1588259055	1	1	VAPIANO HOSPICE CARE, INC	10/25/2021	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	6454 VAN NUYS BLVD	STE 110/7	VAN NUYS	CA	91401	1445	19	06037	34.187886	-118.448714	Los Angeles County
226193	Fee-for-Service	1871734921	1871734921	1	1	VERA, EDGARD M MD INC	11/10/2009	207RN0300X	NA	Nephrology	026	PHYSICIANS	79177	41	Internal Medicine	0	In state provider	None	17207 JASMINE STREET	#2	VICTORVILLE	CA	92395	7786	36	06071	34.47489969	-117.2865767	San Bernardino County
226255	Fee-for-Service	1124884176	1124884176	1	2	VITUITY PHYSICIAN SERVICES P	4/12/2024	163WG0000X	NA	Other	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	None	16888 BASELINE AVE	None	FONTANA	CA	92336	2083	36	06071	34.12148343	-117.4367762	San Bernardino County
226432	Fee-for-Service	1447324058	1447324058	1	1	VON BRAUCHITSCH, DOUGLAS	10/3/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	76714	18	Ophthalmology	0	In state provider	None	401 BICENTENNIAL WAY	None	SANTA ROSA	CA	95403	2149	49	06097	38.471625	-122.7259935	Sonoma County
226483	Fee-for-Service	1871734921	1871734921	1	1	VERA, EDGARD M MD INC	11/10/2009	207RN0300X	NA	Nephrology	026	PHYSICIANS	79177	45	Nephrology (Renal-Kidney)	0	In state provider	None	17207 JASMINE STREET	#2	VICTORVILLE	CA	92395	7786	36	06071	34.47489969	-117.2865767	San Bernardino County
226491	Fee-for-Service	1295939098	1295939098	1	1	VIERS, ANGELA G MD	10/17/2018	207T00000X	NA	General Surgery	026	PHYSICIANS	153487	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
226509	Fee-for-Service	1639477524	1639477524	1	1	VERMA, ASHOK K MD INC	1/1/1990	No Taxonomy Provided	NA	None	026	PHYSICIANS	38632	41	Internal Medicine	0	In state provider	None	900 W 7TH STREET	STE 104	HANFORD	CA	93230	4928	16	06031	36.32523152	-119.6588925	Kings County
226512	Fee-for-Service	1891747978	1891747978	1	1	VN HOME HEALTH CARE	10/29/2004	251E00000X	NA	Other	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	2528 QUME DRIVE	SUITE 7	SAN JOSE	CA	95131	1836	43	06085	37.4003618	-121.8887574	Santa Clara County
226540	Fee-for-Service	1124884176	1124884176	1	2	VITUITY PHYSICIAN SERVICES P	4/12/2024	163WG0000X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	16888 BASELINE AVE	None	FONTANA	CA	92336	2083	36	06071	34.12148343	-117.4367762	San Bernardino County
226631	Fee-for-Service	1710206065	1710206065	1	1	VU, JOANNE T MD	9/22/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	111062	41	Internal Medicine	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
226640	Fee-for-Service	1457938037	1457938037	1	1	VAN, YTHU M MD	5/29/2024	207R00000X	NA	Other	026	PHYSICIANS	-	41	Internal Medicine	1	Border provider	None	657 NORTH TOWN CENTER DR	None	LAS VEGAS	NV	89144	6367	00	None	36.180999	-115.3174815	Clark County
226645	Fee-for-Service	1629054549	1629054549	1	1	VAKULENKO, VIKTOR MD	8/19/2008	207L00000X	NA	Other	026	PHYSICIANS	52155	05	Anesthesiology	0	In state provider	None	5900 WEST OLYMPIC BLVD	None	LOS ANGELES	CA	90036	4671	19	06037	34.05760692	-118.3604361	Los Angeles County
226651	Fee-for-Service	1083978506	1083978506	1	1	VO, NANCY T MD	1/30/2019	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	157754	08	Family Practice	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
226658	Fee-for-Service	1285279968	1285279968	1	1	VITAL, MAE BELENE A CCC-SLP	3/22/2023	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	8265 WHITE OAK AVE	None	RANCHO CUCAMONGA	CA	91730	7671	36	06071	34.10330723	-117.5642502	San Bernardino County
226770	Fee-for-Service	1871734921	1871734921	1	1	VERA, EDGARD M MD INC	12/27/2011	207RN0300X	NA	Nephrology	022	PHYSICIANS GROUP	-	45	Nephrology (Renal-Kidney)	0	In state provider	None	17207 JASMINE STREET	#2	VICTORVILLE	CA	92395	7786	36	06071	34.47489969	-117.2865767	San Bernardino County
226780	Fee-for-Service	1225677370	1225677370	1	1	VONS COMPANIES INC	8/25/2021	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	14845 VENTURA BLVD	None	SHERMAN OAKS	CA	91403	3620	19	06037	34.15230273	-118.4569726	Los Angeles County
226830	Fee-for-Service	1487010062	1487010062	1	1	VERMEULEN, SCOTT D CO	1/28/2016	335E00000X	NA	Other	021	ORTHOTISTS	-	-	NOT APPLICABLE	0	In state provider	None	1248 32ND ST	None	SACRAMENTO	CA	95816	5210	34	06067	38.569824	-121.464873	Sacramento County
226831	Fee-for-Service	1124884176	1124884176	1	2	VITUITY PHYSICIAN SERVICES P	4/12/2024	163WG0000X	NA	Other	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	None	16888 BASELINE AVE	None	FONTANA	CA	92336	2083	36	06071	34.12148343	-117.4367762	San Bernardino County
226883	Fee-for-Service	1518390533	1518390533	1	1	VIRS, KELLY CNP	1/30/2024	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
226885	Fee-for-Service	1598809253	1598809253	1	1	VECTOR REHABILITATION	4/1/1996	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	INC	2822 HARRIS ST	None	EUREKA	CA	95503	4809	12	06023	40.78047544	-124.1361472	Humboldt County
226999	Fee-for-Service	1699917799	1699917799	1	1	VERSTRAETE, SOFIA G MD	7/18/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	121853	40	Pediatrics	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
227021	Fee-for-Service	1053814004	1053814004	1	1	VEZINA, JULIE M LMFT	9/1/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	15455 SAN FERNANDO MISSO	#300	MISSION HILLS	CA	91345	1353	19	06037	34.27194157	-118.469079	Los Angeles County
227073	Fee-for-Service	1376968289	1376968289	1	1	VINE VALLEY HOMES-SHARP	6/10/2015	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	8782 SHARP AVE	None	SUN VALLEY	CA	91352	1740	19	06037	34.22933626	-118.4068029	Los Angeles County
227117	Fee-for-Service	1124884176	1124884176	1	2	VITUITY PHYSICIAN SERVICES P	4/12/2024	163WG0000X	NA	Other	022	PHYSICIANS GROUP	-	15	Obstetrics (D.O. only)	0	In state provider	None	16888 BASELINE AVE	None	FONTANA	CA	92336	2083	36	06071	34.12148343	-117.4367762	San Bernardino County
227123	Fee-for-Service	1457303752	1457303752	1	1	VU, DAVID D MD	11/3/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	71572	30	Radiology	0	In state provider	None	354 SANTA FE DR	None	ENCINITAS	CA	92024	5142	37	06073	33.03623896	-117.2837308	San Diego County
227217	Fee-for-Service	1326074733	1326074733	1	1	VITAL ENTERPRISES, INC	11/30/1989	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	1115 S FAIRMONT AVE	None	LODI	CA	95240	5500	39	06077	38.11991702	-121.2858237	San Joaquin County
227250	Fee-for-Service	1669094462	1669094462	1	1	VALLEY REHABILITATION PARTNE	6/17/2020	225X00000X	NA	Other	034	MEDICARE CROSSOVER PROVIDER ONLY	-	-	NOT APPLICABLE	0	In state provider	RS	208 MONTEVERDE CT	None	LINCOLN	CA	95648	7915	31	06061	38.86554551	-121.2352873	Placer County
227428	Fee-for-Service	1528012606	1528012606	1	1	VALEROZO, VICKY A	10/3/2012	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1721 W YOSEMITE AVE	None	MANTECA	CA	95337	5130	39	06077	37.79735353	-121.2443415	San Joaquin County
227501	Fee-for-Service	1750817870	1750817870	1	1	VONS COMPANIES INC	11/20/2017	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	3901 PORTOLA PKWY	None	IRVINE	CA	92602	0833	30	06059	33.73347357	-117.7615894	Orange County
227504	Fee-for-Service	1710376876	1710376876	1	1	VIEWPOINT AMBULANCE INC	6/10/2016	3416L0300X	NEMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	1341 N MILLER ST	STE 209	ANAHEIM	CA	92806	1418	30	06059	33.86221417	-117.8500088	Orange County
227586	Fee-for-Service	1225456411	1225456411	1	1	VALDEZ, ANA S MD	10/3/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	142860	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
227592	Fee-for-Service	1649662719	1649662719	1	10	VISTA COMMUNITY CLINIC	8/5/2019	No Taxonomy Provided	NA	None	041	COMMUNITY CLINIC	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	13500 MOUNTAIN RD	RM 38	CORONA	CA	92883	6227	33	06065	33.72550778	-117.4243187	Riverside County
227739	Fee-for-Service	1942463427	1942463427	1	1	VERMA, MEENAKSHI MD	8/27/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	108157	41	Internal Medicine	0	In state provider	None	3650 E SOUTH ST	STE 301	LAKEWOOD	CA	90712	1502	19	06037	33.8601747	-118.1494013	Los Angeles County
227796	Fee-for-Service	1881330603	1881330603	1	2	VALLEY VILLAGE HEALTH CLINIC	6/5/2024	207R00000X	NA	Other	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	PC	12626 RIVERSIDE DR	#301	VALLEY VILLAGE	CA	91607	3473	19	06037	34.15758449	-118.408131	Los Angeles County
227815	Fee-for-Service	1124295316	1124295316	1	1	VERGARA SAAVEDRA, JUAN J MD	8/11/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	113931	41	Internal Medicine	0	In state provider	None	502 WASHINGTON AVE	None	LOS BANOS	CA	93635	4649	24	06047	37.05600223	-120.8529485	Merced County
228029	Fee-for-Service	1942463427	1942463427	1	1	VERMA, MEENAKSHI MD	8/27/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	108157	45	Nephrology (Renal-Kidney)	0	In state provider	None	3650 E SOUTH ST	STE 301	LAKEWOOD	CA	90712	1502	19	06037	33.8601747	-118.1494013	Los Angeles County
228080	Fee-for-Service	1710190095	1710190095	1	1	VERMA, SANJAY	8/11/2009	207RI0011X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	105189	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
228122	Fee-for-Service	1962567388	1962567388	1	1	VALLEY HEALTH TEAM, INC	1/30/2007	207Q00000X	NA	Adult Primary Care	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	KERMAN HEALTH CENTER	449 S MADERA AVE	None	KERMAN	CA	93630	1537	10	06019	36.72866432	-120.0603346	Fresno County
228165	Fee-for-Service	1528064409	1528064409	1	1	VIRTUA WEST JERSEY HLTH	7/22/2001	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	MARLTON	90 BRICK RD	None	MARLTON	NJ	08053	3135	00	None	39.88050259	-74.9186086	Burlington County
228241	Fee-for-Service	1295878304	1295878304	1	2	VITAS HEALTHCARE CORPORATION	2/1/2009	251G00000X	NA	Other	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	OF CALIFORNIA	310 COMMERCE	SUITE 200	IRVINE	CA	92602	1357	30	06059	33.71731859	-117.7861746	Orange County
228309	Fee-for-Service	1497760987	1497760987	1	1	VIET D TA MD & TIFFANY L	5/23/2004	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	None	None	0	In state provider	QUAN MD MEDICAL ASSOCIAT	8235 ROCHESTER AVE	SUITE 110	RANCHO CUCAMONGA	CA	91730	0719	36	06071	34.103952	-117.5456935	San Bernardino County
228335	Fee-for-Service	1306117742	1306117742	1	1	VISITING NURSES HOSPICE INC	8/2/2013	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	539 N GLENOAKS BLVD	SUITE 203	BURBANK	CA	91502	3208	19	06037	34.18652984	-118.310858	Los Angeles County
228368	Fee-for-Service	1356505788	1356505788	1	1	VALENTIN, CARL N MD	12/19/2022	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	175520	None	None	0	In state provider	None	1150 INDIAN CANYON	None	PALM SPRINGS	CA	92262	4872	33	06065	33.838623	-116.542737	Riverside County
228408	Fee-for-Service	1962567388	1962567388	1	1	VALLEY HEALTH TEAM, INC	2/19/1999	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	KERMAN HEALTH CENTER	449 S MADERA AVE	None	KERMAN	CA	93630	1537	10	06019	36.72866432	-120.0603346	Fresno County
228421	Fee-for-Service	1649767856	1649767856	1	1	VILCHEZ, GLADYS M LCSW	6/28/2019	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1411 E 31ST ST	None	OAKLAND	CA	94602	1018	01	06001	37.79926205	-122.2314248	Alameda County
228444	Fee-for-Service	1205821758	1205821758	1	1	VETERANS HOME OF CALIF-	4/30/2005	251J00000X	NA	Other	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	BARSTOW	100 VETERANS PKWY	None	BARSTOW	CA	92311	7003	36	06071	34.86800793	-117.0264854	San Bernardino County
228452	Fee-for-Service	1124884176	1124884176	1	1	VITUITY PHYSICIAN SERVICES P	4/12/2024	163WG0000X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	850 E FOOTHILL BLVD	None	RIALTO	CA	92376	5230	36	06071	34.10679449	-117.3542535	San Bernardino County
228463	Fee-for-Service	1528064409	1528064409	1	1	VIRTUA WEST JERSEY HLTH	4/3/2008	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	MARLTON	90 BRICK RD	None	MARLTON	NJ	08053	3135	00	None	39.88050259	-74.9186086	Burlington County
228522	Fee-for-Service	1225334402	1225334402	1	1	VISTA HILL FOUNDATION	8/30/2013	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	4125 ALPHA ST	SUITES E-G	SAN DIEGO	CA	92113	4544	37	06073	32.69184649	-117.1053975	San Diego County
228528	Fee-for-Service	1295878304	1295878304	1	2	VITAS HEALTHCARE CORPORATION	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	OF CALIFORNIA	310 COMMERCE	SUITE 200	IRVINE	CA	92602	1357	30	06059	33.71731859	-117.7861746	Orange County
228577	Fee-for-Service	1184045239	1184045239	1	1	VO, ALBERT V T	8/24/2017	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	901 NEVIN AVE	None	RICHMOND	CA	94801	3143	07	06013	37.93684848	-122.361345	Contra Costa County
228636	Fee-for-Service	1306117742	1306117742	1	1	VISITING NURSES HOSPICE INC	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	539 N GLENOAKS BLVD	SUITE 203	BURBANK	CA	91502	3208	19	06037	34.18652984	-118.310858	Los Angeles County
228661	Fee-for-Service	1760861009	1760861009	1	1	VELASCO ANDRADE, VICTOR R MD	5/1/2020	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	162455	40	Pediatrics	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
228687	Fee-for-Service	1346434032	1346434032	1	1	VASWANI, MELISSA J LMFT	9/4/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	9333 IMPERIAL HWY	None	DOWNEY	CA	90242	2812	19	06037	33.918975	-118.1291985	Los Angeles County
228698	Fee-for-Service	1962567388	1962567388	1	1	VALLEY HEALTH TEAM, INC	1/1/1998	207Q00000X	NA	Adult Primary Care	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	KERMAN HEALTH CENTER	449 S MADERA AVE	None	KERMAN	CA	93630	1537	10	06019	36.72866432	-120.0603346	Fresno County
228744	Fee-for-Service	1124884176	1124884176	1	1	VITUITY PHYSICIAN SERVICES P	4/12/2024	163WG0000X	NA	Other	022	PHYSICIANS GROUP	-	09	Gynecology (D.O. only)	0	In state provider	None	850 E FOOTHILL BLVD	None	RIALTO	CA	92376	5230	36	06071	34.10679449	-117.3542535	San Bernardino County
228781	Fee-for-Service	1386673192	1386673192	1	1	VARICOSE VEIN SURGEONS	5/6/2008	174400000X	NA	Other	022	PHYSICIANS GROUP	-	02	General Surgery	0	In state provider	INC	1510 S CENTRAL AVE	#200	GLENDALE	CA	91204	2588	19	06037	34.12709764	-118.2577911	Los Angeles County
228796	Fee-for-Service	1043246317	1043246317	1	1	VUONG-DAC, MAN MD INC	1/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	50243	08	Family Practice	0	In state provider	None	3649 FLORENCE AVE	None	BELL	CA	90201	3352	19	06037	33.97172651	-118.2011677	Los Angeles County
228832	Fee-for-Service	1821795691	1821795691	1	1	VALADEZ, SOPHIA	2/26/2024	237700000X	NA	Other	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	1268 S LA CIENEGA BLVD	None	LOS ANGELES	CA	90035	2548	19	06037	34.05353604	-118.3761483	Los Angeles County
228906	Fee-for-Service	1427522457	1427522457	1	1	VU, MINH Q CRNA	4/15/2021	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1441 CONSTITUTION BLVD	None	SALINAS	CA	93906	3100	27	06053	36.696987	-121.633164	Monterey County
228912	Fee-for-Service	1912318783	1912318783	1	1	VALID, SAM M MD	4/12/2023	207R00000X	NA	Other	026	PHYSICIANS	-	None	None	1	Border provider	None	101 CIVIC CENTER LANE	None	LAKE HAVASU CITY	AZ	86403	5607	00	None	34.480224	-114.3390555	Mohave County
228979	Fee-for-Service	1972100733	1972100733	1	1	VELA HOSPICE CARE INC	10/22/2021	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	18711 SHERMAN WAY	STE 105A	RESEDA	CA	91335	4086	19	06037	34.20120092	-118.5408066	Los Angeles County
228984	Fee-for-Service	1962567388	1962567388	1	1	VALLEY HEALTH TEAM, INC	1/1/1998	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	KERMAN HEALTH CENTER	449 S MADERA AVE	None	KERMAN	CA	93630	1537	10	06019	36.72866432	-120.0603346	Fresno County
229033	Fee-for-Service	1124884176	1124884176	1	1	VITUITY PHYSICIAN SERVICES P	4/12/2024	163WG0000X	NA	Other	022	PHYSICIANS GROUP	-	15	Obstetrics (D.O. only)	0	In state provider	None	850 E FOOTHILL BLVD	None	RIALTO	CA	92376	5230	36	06071	34.10679449	-117.3542535	San Bernardino County
229045	Fee-for-Service	1356439798	1356439798	1	1	VALENTINE C CHIKWENDU MD	10/27/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	101 3RD AVE SW	None	MINOT	ND	58701	3880	00	None	48.23336909	-101.2951165	Ward County
229104	Fee-for-Service	1518019934	1518019934	1	1	VASILESCU, VASILICA PHD	2/8/2015	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	620 VILLAGE GREEN ST	None	PORTERVILLE	CA	93257	2055	54	06107	36.07733956	-119.0322355	Tulare County
229223	Fee-for-Service	1518063437	1518063437	1	1	VILLA RANCHO BERNARDO	10/1/1996	314000000X	NA	Skilled Nursing Facility	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	HEALTHCARE LLC	15720 BERNARDO CENTER DR	None	SAN DIEGO	CA	92127	5861	37	06073	33.00502749	-117.094311	San Diego County
229266	Fee-for-Service	1972100733	1972100733	1	1	VELA HOSPICE CARE INC	10/22/2021	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	18711 SHERMAN WAY	STE 105A	RESEDA	CA	91335	4086	19	06037	34.20120092	-118.5408066	Los Angeles County
229273	Fee-for-Service	1073612529	1073612529	2	1	VASILIAUSKAS, TOMAS MD	10/26/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	51710	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	500 DOYLE PARK DR	SUITE G05	SANTA ROSA	CA	95405	4555	49	06097	38.44332	-122.6985255	Sonoma County
229319	Fee-for-Service	1124884176	1124884176	1	1	VITUITY PHYSICIAN SERVICES P	4/12/2024	163WG0000X	NA	Other	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	None	850 E FOOTHILL BLVD	None	RIALTO	CA	92376	5230	36	06071	34.10679449	-117.3542535	San Bernardino County
229340	Fee-for-Service	1336605674	1336605674	1	1	VOTHANG, TRISHA E CRNA	3/11/2022	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	8700 BEVERLY BLVD	TSB-290	WEST HOLLYWOOD	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
229400	Fee-for-Service	1437102092	1437102092	1	20	VALLEY RADIOTHERAPY ASSO	2/3/2009	2085R0001X	NA	Other	022	PHYSICIANS GROUP	-	78	Neoplastic Diseases/Oncology	0	In state provider	MEDICAL GROUP INC	7301 MEDICAL CENTER DR	None	WEST HILLS	CA	91307	2000	19	06037	34.20285756	-118.6294575	Los Angeles County
229495	Fee-for-Service	1043277460	1043277460	1	1	VLYMEN, WILLIAM J MD	10/1/2000	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	37605	30	Radiology	0	In state provider	None	7300 N FRESNO ST	None	FRESNO	CA	93720	2941	10	06019	36.84133078	-119.7824983	Fresno County
229523	Fee-for-Service	1750632295	1750632295	1	1	VOLPICELLI, VANESSA	3/4/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	302 W 5TH ST STE 308	None	SAN PEDRO	CA	90731	2750	19	06037	33.73971572	-118.284045	Los Angeles County
229591	Fee-for-Service	1730124959	1730124959	2	1	VIBRANT CARE PHARMACY INC	4/14/2015	3336L0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	7400 MACARTHUR BLVD	SUITE B	OAKLAND	CA	94605	2939	01	06001	37.7687873	-122.1714554	Alameda County
229594	Fee-for-Service	1376987099	1376987099	1	1	VENEGAS, LISBETH N LMFT	5/31/2019	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	5055 CANYON CREST DRIVE	SUITE 114	RIVERSIDE	CA	92507	6015	33	06065	33.95862536	-117.3310726	Riverside County
229765	Fee-for-Service	1538104401	1538104401	1	1	VAN DE WIELE, BARBARA MD	5/30/1987	207L00000X	NA	Other	026	PHYSICIANS	56666	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
229820	Fee-for-Service	1497730824	1497730824	1	1	VASTINE, DAVID W MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	17966	18	Ophthalmology	0	In state provider	None	120 LA CASA VIA	STE 207	WALNUT CREEK	CA	94598	3007	07	06013	37.91202407	-122.0419227	Contra Costa County
229976	Fee-for-Service	1891063913	1891063913	1	1	VOGELI, KEVIN M MD	10/28/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	119256	20	Orthopedic Surgery	0	In state provider	None	1411 E 31ST ST	None	OAKLAND	CA	94602	1018	01	06001	37.79926205	-122.2314248	Alameda County
230057	Fee-for-Service	1578387288	1578387288	1	1	VALENTINO, GIANNA CNP	2/6/2025	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	683 LOMAS SANTA FE DR	None	SOLANA BEACH	CA	92075	1412	37	06073	32.99596006	-117.2594441	San Diego County
230071	Fee-for-Service	1538471800	1538471800	1	1	VHS CHILDRENS HOSPITAL OF	11/24/2014	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	MICHIGAN INC	3901 BEAUBIEN BLVD	None	DETROIT	MI	48201	2196	00	None	42.35164453	-83.05377946	Wayne County
230151	Fee-for-Service	1649662719	1649662719	1	9	VISTA COMMUNITY CLINIC	8/5/2019	No Taxonomy Provided	NA	None	041	COMMUNITY CLINIC	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	18730 GRAND AVE	CONFERENCE ROOM B	LAKE ELSINORE	CA	92530	6256	33	06065	33.62699048	-117.3251907	Riverside County
230158	Fee-for-Service	1902001589	1902001589	1	1	VEZERIDIS, PETER S MD	9/15/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	131739	20	Orthopedic Surgery	0	In state provider	None	10833 LE CONTE AVE	None	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
230236	Fee-for-Service	1508868084	1508868084	2	1	VIHA PHARMA INC	4/11/2023	3336L0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	716 E MISSION BLVD	STE B	POMONA	CA	91766	7203	19	06037	34.05523981	-117.743173	Los Angeles County
230354	Fee-for-Service	1538471800	1538471800	1	1	VHS CHILDRENS HOSPITAL OF	11/24/2014	282NC2000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	MICHIGAN INC	3901 BEAUBIEN BLVD	None	DETROIT	MI	48201	2196	00	None	42.35164453	-83.05377946	Wayne County
230557	Fee-for-Service	1295712586	1295712586	1	1	VENERO, MATILDE MD	2/21/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	96903	08	Family Practice	0	In state provider	None	3434 MIDWAY DR	STE 1002	SAN DIEGO	CA	92110	4924	37	06073	32.75065153	-117.2126147	San Diego County
230608	Fee-for-Service	1356767818	1356767818	1	1	VANGUARD HOSPICE CARE INC	5/5/2016	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	13781 ROSWELL AVENUE	SUITE D	CHINO	CA	91710	5475	36	06071	34.00240379	-117.721769	San Bernardino County
230665	Fee-for-Service	1952093403	1952093403	1	1	VARGAS, DANIEL A NP	3/1/2025	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	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
230690	Fee-for-Service	1558493130	1558493130	1	1	VIGIL, VALERIE A MD	7/1/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	96344	66	Emergency Medicine (Urgent Care)	0	In state provider	None	9400 N NAME UNO	None	GILROY	CA	95020	3528	43	06085	37.03498475	-121.5729235	Santa Clara County
230796	Fee-for-Service	1619085164	1619085164	1	1	VENTURINA, ARLIN M MD	8/10/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	84416	08	Family Practice	0	In state provider	None	445 S CEDAR AVE	None	FRESNO	CA	93702	2907	10	06019	36.7382512	-119.7543688	Fresno County
230807	Fee-for-Service	1902272917	1902272917	1	1	VARGAS VALDIVIESO, DIEGO A M	8/3/2020	207R00000X	NA	Other	026	PHYSICIANS	157797	41	Internal Medicine	0	In state provider	D	1600 EUREKA RD	None	ROSEVILLE	CA	95661	3027	31	06061	38.746836	-121.250529	Placer County
230844	Fee-for-Service	1295712586	1295712586	1	1	VENERO, MATILDE MD	2/21/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	96903	66	Emergency Medicine (Urgent Care)	0	In state provider	None	3434 MIDWAY DR	STE 1002	SAN DIEGO	CA	92110	4924	37	06073	32.75065153	-117.2126147	San Diego County
230895	Fee-for-Service	1356767818	1356767818	1	1	VANGUARD 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	13781 ROSWELL AVENUE	SUITE D	CHINO	CA	91710	5475	36	06071	34.00240379	-117.721769	San Bernardino County
231001	Fee-for-Service	1154697019	1154697019	1	1	VENCILL, CARLA J N MFT	6/17/2016	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	27403	-	NOT APPLICABLE	0	In state provider	None	716 OCEAN STREET	SUITE 200	SANTA CRUZ	CA	95060	4034	44	06087	36.97862665	-122.0208242	Santa Cruz County
231043	Fee-for-Service	1437284809	1437284809	1	1	VALENCERINA, MADELEINE M MD	2/8/2015	2084P0800X	NA	Psychiatry	026	PHYSICIANS	51043	36	Psychiatry	0	In state provider	None	5091 LA LUNA DR	None	LA PALMA	CA	90623	2002	30	06059	33.84347233	-118.0442677	Orange County
231064	Fee-for-Service	1477716678	1477716678	1	1	VASTHALA JUVVIGUNTA MD	3/16/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	987400 NEBRASKA MED CTR	None	OMAHA	NE	68198	0001	00	None	0	0	None
231377	Fee-for-Service	1740747120	1740747120	1	1	VALDEZ, MICHELLE E LCSW	6/4/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	41 E FOOTHILL BLVD	SUITE 102	ARCADIA	CA	91006	2361	19	06037	34.15102394	-118.0297543	Los Angeles County
231582	Fee-for-Service	1922150606	1922150606	1	1	VOROS, VICTORIA OD	1/30/2017	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	6418 PLATT AVE	None	WEST HILLS	CA	91307	3216	19	06037	34.18824565	-118.6426764	Los Angeles County
231652	Fee-for-Service	1538846845	1538846845	1	1	VILLAGRAN, EDVIN	4/16/2024	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	2001 EAST GLENWOOD	None	FULLERTON	CA	92831	3178	30	06059	33.8792037	-117.8962632	Orange County
231703	Fee-for-Service	1518105337	1518105337	1	1	VOX, DORENE	1/4/2018	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	4141 WILLIAMETTE	None	SHASTA LAKE	CA	96019	9254	45	06089	40.676688	-122.37129	Shasta County
231724	Fee-for-Service	1235309667	1235309667	1	1	VO, KRISTIE OD INC	4/8/2008	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	6445 PAT'S RANCH ROAD	#D	MIRA LOMA	CA	91752	4438	33	06065	33.97255787	-117.5446454	Riverside County
231726	Fee-for-Service	1548604648	1548604648	1	1	VENTRO, GEORGE J	8/2/2021	208600000X	NA	General Surgery	026	PHYSICIANS	169299	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
231798	Fee-for-Service	1023838885	1023838885	1	1	VOICE & SPEECH THERAPY CENTE	11/2/2024	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	R INC.	10536 CULVER BLVD	None	CULVER CITY	CA	90232	3423	19	06037	34.01457616	-118.4017676	Los Angeles County
231804	Fee-for-Service	1740433093	1740433093	1	1	VALDEZ, THOMAS A MD	11/30/2009	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	105897	08	Family Practice	0	In state provider	None	1201 ALHAMBRA BLVD	#230	SACRAMENTO	CA	95816	5238	34	06067	38.570076	-121.4657145	Sacramento County
231809	Fee-for-Service	1255360236	1255360236	1	1	VAN SCHAIK, SANDRIJN MD	9/13/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	83473	40	Pediatrics	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
231811	Fee-for-Service	1942659024	1942659024	1	1	VINCELETTE, ANNE PSYD	6/18/2020	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	819 3RD ST	STE 103	SANTA ROSA	CA	95404	4546	49	06097	38.44161	-122.709573	Sonoma County
231870	Fee-for-Service	1861951741	1861951741	1	1	VARDA, MARIAN M DO	8/26/2022	207R00000X	NA	Other	026	PHYSICIANS	19847	None	None	0	In state provider	None	4101 TORRANCE BLVD	None	TORRANCE	CA	90503	4607	19	06037	33.83760674	-118.3572569	Los Angeles County
231913	Fee-for-Service	1508260985	1508260985	1	1	VIRGEN, JILL N LMFT	7/23/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	23201 MILL CREEK DR	SUITE 220	LAGUNA HILLS	CA	92653	7906	30	06059	33.62516256	-117.7353393	Orange County
231925	Fee-for-Service	1497837785	1497837785	1	1	VERESCHAGIN, KENNETH	10/31/1987	2080S0010X	NA	Orthopedic Surgery	026	PHYSICIANS	61515	40	Pediatrics	0	In state provider	None	900 KIELY BLVD	None	SANTA CLARA	CA	95051	5329	43	06085	37.34234284	-121.9776787	Santa Clara County
231943	Fee-for-Service	1811290752	1811290752	1	1	VANLEY, SHANNON RAE CRNA	1/7/2011	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	101 THE CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
231992	Fee-for-Service	1518105337	1518105337	1	1	VOX, DORENE	1/4/2018	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	4141 WILLIAMETTE	None	SHASTA LAKE	CA	96019	9254	45	06089	40.676688	-122.37129	Shasta County
232049	Fee-for-Service	1841680493	1841680493	1	1	VO, THOUNG D MD INC	6/18/2018	193200000X	NA	Other	026	PHYSICIANS	104152	01	General Practice	0	In state provider	None	24707 RAILROAD AVE	None	SANTA CLARITA	CA	91321	1711	19	06037	34.38453115	-118.5312147	Los Angeles County
232095	Fee-for-Service	1497899074	1497899074	1	1	VAKILI, KEVIN K MD	1/24/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	95301	05	Anesthesiology	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
232178	Fee-for-Service	1619536943	1619536943	1	1	VELICHETY, MALLIKA A MD	5/12/2023	207R00000X	NA	Other	026	PHYSICIANS	183711	None	None	0	In state provider	None	3801 HOWE ST	None	OAKLAND	CA	94611	5312	01	06001	37.8242732	-122.2568561	Alameda County
232247	Fee-for-Service	1548201965	1548201965	1	3	VALLEY OB-GYN MEDICAL GROUP	3/3/2014	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	INC	585 E ELDER ST	None	FALLBROOK	CA	92028	0021	37	06073	33.38014649	-117.245448	San Diego County
232265	Fee-for-Service	1013043728	1013043728	1	1	VAGEFI, PARSIA A MD	12/7/2010	208600000X	NA	General Surgery	026	PHYSICIANS	106478	01	General Practice	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
232296	Fee-for-Service	1841351913	1841351913	1	1	VICUNA, ANA	2/4/2024	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	22663	-	NOT APPLICABLE	0	In state provider	None	1207 EAST FRUIT STREET	A, B, B2, B3, C, D, E, F	SANTA ANA	CA	92701	4206	30	06059	33.75238847	-117.8539245	Orange County
232405	Fee-for-Service	1063687234	1063687234	1	1	VIOREL ANGHELOIU MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1615 DELAWARE ST	None	LONGVIEW	WA	98632	2367	00	None	46.1309207	-122.9408931	Cowlitz County
232464	Fee-for-Service	1861415457	1861415457	1	1	VACCARO, JONATHAN P MD	12/1/1994	No Taxonomy Provided	NA	None	026	PHYSICIANS	81862	30	Radiology	0	In state provider	None	1001 POTRERO AVE	None	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
232534	Fee-for-Service	1134744626	1134744626	1	1	VAJDI, BORNA P MD	6/9/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	184399	None	None	0	In state provider	None	6344 TOPANGA CANYON BLVD	2040, 2060	WOODLAND HILLS	CA	91367	2362	19	06037	34.18515	-118.605863	Los Angeles County
232556	Fee-for-Service	1275662405	1275662405	1	1	VISITING NURSE & HOSPICE	12/2/1988	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	CARE OF SANTA BARBARA	512 E GUTIERREZ STREET	SUITE A	SANTA BARBARA	CA	93101	5221	42	06083	34.42139186	-119.6882648	Santa Barbara County
232632	Fee-for-Service	1750505145	1750505145	1	1	VAN UDEN IV, JOHN H MD	7/29/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	91415	None	None	0	In state provider	None	1001 POTRERO AVE	RM 1X	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
232707	Fee-for-Service	1740490507	1740490507	1	1	VIRK, BHUPINDER S	10/3/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	98707	None	None	0	In state provider	None	13939 E 14TH STREET	STE 170	SAN LEANDRO	CA	94578	2613	01	06001	37.71377536	-122.1407447	Alameda County
232721	Fee-for-Service	1437102092	1437102092	1	19	VALLEY RADIOTHERAPY ASSO	2/3/2009	2085R0001X	NA	Other	022	PHYSICIANS GROUP	-	78	Neoplastic Diseases/Oncology	0	In state provider	MEDICAL GROUP INC	25751 MCBEAN PARKWAY	STE 110	VALENCIA	CA	91355	3701	19	06037	34.39972502	-118.5511766	Los Angeles County
232787	Fee-for-Service	1144274366	1144274366	1	2	VIJAYA THAKUR MD INC	8/3/2023	207R00000X	NA	Other	026	PHYSICIANS	None	None	None	0	In state provider	None	840 DELBON AVE	SUITE A	TURLOCK	CA	95382	2005	50	06099	37.51046091	-120.8383932	Stanislaus County
232844	Fee-for-Service	1275662405	1275662405	1	1	VISITING NURSE & HOSPICE	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	CARE OF SANTA BARBARA	512 E GUTIERREZ STREET	SUITE A	SANTA BARBARA	CA	93101	5221	42	06083	34.42139186	-119.6882648	Santa Barbara County
232886	Fee-for-Service	1689622326	1689622326	1	1	VELOSO, VAN J MD	8/5/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	71784	41	Internal Medicine	0	In state provider	None	11600 INDIAN HILL RD	None	MISSION HILLS	CA	91345	1225	19	06037	34.2811228	-118.4588429	Los Angeles County
232975	Fee-for-Service	1437502523	1437502523	1	1	VIET TOWN PHARMACY	1/30/2017	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	INC	999 STORY ROAD	UNIT 9024	SAN JOSE	CA	95122	4604	43	06085	37.33121912	-121.8560786	Santa Clara County
233010	Fee-for-Service	1437102092	1437102092	1	6	VALLEY RADIOTHERAPY ASSO	1/1/2001	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	ASSOCIATES MEDICAL GROUP	36450 INLAND VALLEY DR	STE 101	WILDOMAR	CA	92595	7720	33	06065	33.591168	-117.2367715	Riverside County
233062	Fee-for-Service	1720007180	1720007180	1	1	VUONG, KEVIN L MD	8/1/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	79736	08	Family Practice	0	In state provider	None	27141 HIDAWAY AVE	None	CANYON COUNTRY	CA	91351	4131	19	06037	34.41483	-118.469039	Los Angeles County
233202	Fee-for-Service	1740205715	1740205715	1	1	VEGA, MICHAEL R DPM	9/22/1994	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	1817 W BEVERLY BLVD	STE A	MONTEBELLO	CA	90640	3935	19	06037	34.01983077	-118.1189072	Los Angeles County
233286	Fee-for-Service	1164449971	1164449971	1	1	VENTURA URGENT CARE CENTER M	7/3/2023	261QU0200X	NA	Other	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	EDICAL CORP	5725 RALSTON ST	STE 101	VENTURA	CA	93003	6053	56	06111	34.26095488	-119.2125269	Ventura County
233353	Fee-for-Service	1720007180	1720007180	1	1	VUONG, KEVIN L MD	8/1/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	79736	66	Emergency Medicine (Urgent Care)	0	In state provider	None	27141 HIDAWAY AVE	None	CANYON COUNTRY	CA	91351	4131	19	06037	34.41483	-118.469039	Los Angeles County
233363	Fee-for-Service	1073722336	1073722336	1	1	VO, PHUONG D H MD	8/14/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	88246	05	Anesthesiology	0	In state provider	None	20103 LAKE CHABOT RD	None	CASTRO VALLEY	CA	94546	5305	01	06001	37.698264	-122.090112	Alameda County
233455	Fee-for-Service	1285957670	1285957670	1	1	VOHRA, SHEBA MD	10/22/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	115919	10	Gastroenterology (M.D. only)	0	In state provider	None	99 MONTECILLO RD	None	SAN RAFEAL	CA	94903	3308	21	06041	38.00450116	-122.5540001	Marin County
233458	Fee-for-Service	1073895389	1073895389	1	1	VU, KHUE N MD INC	9/12/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	105939	41	Internal Medicine	0	In state provider	None	14571 MAGNOLIA STREET	SUITE 106	WESTMINSTER	CA	92683	5575	30	06059	33.75097286	-117.9723502	Orange County
233638	Fee-for-Service	1720007180	1720007180	1	1	VUONG, KEVIN L MD	8/1/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	79736	01	General Practice	0	In state provider	None	27141 HIDAWAY AVE	None	CANYON COUNTRY	CA	91351	4131	19	06037	34.41483	-118.469039	Los Angeles County
233655	Fee-for-Service	1437102092	1437102092	1	2	VALLEY RADIOTHERAPY ASSO	5/17/2005	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	ASSOC MEDCIAL GROUP INC	44274 GEORGE CUSHMAN CT	None	TEMECULA	CA	92592	5945	33	06065	33.48313254	-117.0888293	Riverside County
233683	Fee-for-Service	1902219314	1902219314	1	1	VENTURA, CARLOS J	11/1/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	144176	01	General Practice	0	In state provider	None	115 MALL DRIVE	None	HANFORD	CA	93230	5786	16	06031	36.32396253	-119.6688834	Kings County
233691	Fee-for-Service	1497203541	1497203541	1	5	VISTA COMMUNITY CLINIC	6/12/2019	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	441 E WHITTIER BOULEVARD	STE A RM 421B	LA HABRA	CA	90631	3982	30	06059	33.9391743	-117.9414025	Orange County
233740	Fee-for-Service	1992243380	1992243380	1	1	VISTA DEL MAR CHILD AND FAMI	5/8/2023	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	LY SVC.	3200 MOTOR AVE	None	LOS ANGELES	CA	90034	3710	19	06037	34.03321301	-118.4109122	Los Angeles County
233741	Fee-for-Service	1285957670	1285957670	1	1	VOHRA, SHEBA MD	10/22/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	115919	41	Internal Medicine	0	In state provider	None	99 MONTECILLO RD	None	SAN RAFEAL	CA	94903	3308	21	06041	38.00450116	-122.5540001	Marin County
233793	Fee-for-Service	1558795799	1558795799	1	1	VANGALA, SRIJA MD	12/4/2023	207R00000X	NA	Other	026	PHYSICIANS	187271	None	None	0	In state provider	None	7300 MEDICAL CENTER DR	None	WEST HILLS	CA	91307	1902	19	06037	34.20289797	-118.6294006	Los Angeles County
233828	Fee-for-Service	1427681741	1427681741	1	1	VU, THU M MD	7/15/2024	207R00000X	NA	Other	026	PHYSICIANS	191339	41	Internal Medicine	0	In state provider	None	14571 MAGNOLIA ST	SUITE 106	WESTMINSTER	CA	92683	5575	30	06059	33.75097286	-117.9723502	Orange County
233929	Fee-for-Service	1194746214	1194746214	1	1	VIRAMONTES-BORDAS, BLANCA N	5/28/2019	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	P	345 CAMINO DEL REMEDIO	None	SANTA BARBARA	CA	93110	1332	42	06083	34.444782	-119.7794675	Santa Barbara County
233943	Fee-for-Service	1437102092	1437102092	1	2	VALLEY RADIOTHERAPY ASSO	5/17/2005	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	78	Neoplastic Diseases/Oncology	0	In state provider	ASSOC MEDCIAL GROUP INC	44274 GEORGE CUSHMAN CT	None	TEMECULA	CA	92592	5945	33	06065	33.48313254	-117.0888293	Riverside County
233962	Fee-for-Service	1245958214	1245958214	1	1	VILLA DE ANZA HOLDINGS LLC	8/25/2022	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	None	5881 EL PALOMINO DR	None	RIVERSIDE	CA	92509	7006	33	06065	33.9819595	-117.4557442	Riverside County
233976	Fee-for-Service	1497203541	1497203541	1	5	VISTA COMMUNITY CLINIC	6/12/2019	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	441 E WHITTIER BOULEVARD	STE A RM 421B	LA HABRA	CA	90631	3982	30	06059	33.9391743	-117.9414025	Orange County
234037	Fee-for-Service	1316171283	1316171283	1	1	VYAS, ANUJA D MD	10/28/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	125136	41	Internal Medicine	0	In state provider	None	2929 HEALTH CENTER DR	None	SAN DIEGO	CA	92123	2762	37	06073	32.79692047	-117.1567137	San Diego County
234062	Fee-for-Service	1861430795	1861430795	1	1	VEERARAGHAVAN, GOPAL MD	11/28/2018	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	141846	41	Internal Medicine	0	In state provider	None	2700 DOLBEER STREET	None	EUREKA	CA	95501	4736	12	06023	40.78355148	-124.1420294	Humboldt County
234101	Fee-for-Service	1629275862	1629275862	1	1	VITO CRUZ, FLOYD E PT	2/8/2024	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
234203	Fee-for-Service	1356534531	1356534531	1	1	VENKATARAMAN,SRIMATHI MD	10/26/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	117004	36	Psychiatry	0	In state provider	None	19000 HOMESTEAD RD	None	CUPERTINO	CA	95014	0712	43	06085	37.33773494	-122.0043395	Santa Clara County
234323	Fee-for-Service	1316171283	1316171283	1	1	VYAS, ANUJA D MD	10/28/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	125136	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	2929 HEALTH CENTER DR	None	SAN DIEGO	CA	92123	2762	37	06073	32.79692047	-117.1567137	San Diego County
234450	Fee-for-Service	1740474659	1740474659	1	1	VROMAN, LAURA LCSW	5/18/2020	104100000X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	19000 HOMESTEAD RD	None	CUPERTINO	CA	95014	0712	43	06085	37.33773494	-122.0043395	Santa Clara County
234466	Fee-for-Service	1740716190	1740716190	1	1	VANDIVER, AMY R MD	6/29/2023	207N00000X	NA	Dermatology	026	PHYSICIANS	158695	None	None	0	In state provider	None	200 MEDICAL PLAZA	SUITE 420	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
234595	Fee-for-Service	1932603099	1932603099	1	1	VALENTINE, ERIKA L MD	7/18/2023	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	163779	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
234636	Fee-for-Service	1295174456	1295174456	1	1	VU, KHOAN T MD	1/10/2020	207R00000X	NA	Other	026	PHYSICIANS	142277	41	Internal Medicine	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
234752	Fee-for-Service	1467841403	1467841403	1	1	VALENCIA HOSPICE CARE	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	25050 AVE KEARNY	SUITE 104	VALENCIA	CA	91355	1256	19	06037	34.43517857	-118.5722781	Los Angeles County
234979	Fee-for-Service	1801908470	1801908470	1	1	VANG, PA K LMFT	4/27/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	8247 E STOCKTON BLVD	None	SACRAMENTO	CA	95828	8200	34	06067	38.459187	-121.4080245	Sacramento County
234982	Fee-for-Service	1922023225	1922023225	1	1	VOKIC, NOREEN C NP	10/17/2018	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	300 PASTEUR DRIVE	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
234997	Fee-for-Service	1740519545	1740519545	1	1	VNA HOSPICE AND PALLIATIVE	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	CARE OF SOUTHERN CALIFOR	16147 KAMANA ROAD	None	APPLE VALLEY	CA	92307	1377	36	06071	34.54475434	-117.2692903	San Bernardino County
235042	Fee-for-Service	1467841403	1467841403	1	1	VALENCIA HOSPICE CARE	3/22/2018	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	25050 AVE KEARNY	SUITE 104	VALENCIA	CA	91355	1256	19	06037	34.43517857	-118.5722781	Los Angeles County
235051	Fee-for-Service	1508866542	1508866542	1	1	VISWANATHAN, SUBHASH R MD	10/1/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	149731	None	None	0	In state provider	None	5555 GROSSMONT CENTER DR	None	LA MESA	CA	91942	3019	37	06073	32.781483	-117.007182	San Diego County
235089	Fee-for-Service	1932968021	1932968021	1	1	VELASCO, DALIA	5/1/2024	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	1101 FARMINGTON DR	APT 252	VACAVILLE	CA	95687	6935	48	06095	38.33469626	-121.9577391	Solano County
235105	Fee-for-Service	1750707105	1750707105	1	1	VEGA GRANADOS, LAURA LMFT	5/1/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
235126	Fee-for-Service	1083786602	1083786602	1	1	VIANI, ROLANDO M MD	11/30/1996	No Taxonomy Provided	NA	None	026	PHYSICIANS	55418	77	Infectious Disease	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
235132	Fee-for-Service	1417993015	1417993015	1	1	VONS COMPANIES INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	24385 CRENSHAW BLVD	None	TORRANCE	CA	90505	5329	19	06037	33.80440029	-118.328037	Los Angeles County
235159	Fee-for-Service	1881945905	1881945905	1	1	VISTA BEHAVIORAL HEALTH INC	10/23/2017	2084P0800X	NA	Psychiatry	026	PHYSICIANS	66432	36	Psychiatry	0	In state provider	None	10630 TOWN CENTER DR	STE 110	RANCHO CUCAMONGA	CA	91730	6806	36	06071	34.11112305	-117.5729644	San Bernardino County
235174	Fee-for-Service	1861430449	1861430449	1	1	VELARDE, CLAUDIA M MD	12/17/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	55547	45	Nephrology (Renal-Kidney)	0	In state provider	None	17207 JASMINE ST	STE 2	VICTORVILLE	CA	92395	8322	36	06071	34.47489969	-117.2865767	San Bernardino County
235261	Fee-for-Service	1598125130	1598125130	1	1	VAZQUEZ, CESAR A MD INC	3/9/2016	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	64057	None	None	0	In state provider	None	7125 N CHESTNUT AVE	STE 101	FRESNO	CA	93720	0358	10	06019	36.84041125	-119.7379604	Fresno County
235287	Fee-for-Service	1740519545	1740519545	1	1	VNA HOSPICE AND PALLIATIVE	12/2/2009	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	CARE OF SOUTHERN CALIFOR	16147 KAMANA ROAD	None	APPLE VALLEY	CA	92307	1377	36	06071	34.54475434	-117.2692903	San Bernardino County
235352	Fee-for-Service	1396931473	1396931473	1	1	VALDEZ, ADRIANA LCSW	4/13/2021	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2627 MISSION ST	None	SAN MARINO	CA	91108	1639	19	06037	34.11619262	-118.1375031	Los Angeles County
235378	Fee-for-Service	1932968021	1932968021	1	1	VELASCO, DALIA	5/1/2024	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	1101 FARMINGTON DR	APT 252	VACAVILLE	CA	95687	6935	48	06095	38.33469626	-121.9577391	Solano County
235390	Fee-for-Service	1083643001	1083643001	1	1	VONS COMPANIES INC	6/5/2000	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	2433 HARBOR BLVD	None	VENTURA	CA	93001	3904	56	06111	34.26410076	-119.2695962	Ventura County
235414	Fee-for-Service	1083786602	1083786602	1	1	VIANI, ROLANDO M MD	11/30/1996	No Taxonomy Provided	NA	None	026	PHYSICIANS	55418	40	Pediatrics	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
235576	Fee-for-Service	1922208883	1922208883	1	1	VOJTUS, CATHERINE L MD	7/22/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	98507	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1720 TERMINO AVE	None	LONG BEACH	CA	90804	2104	19	06037	33.78889871	-118.1458784	Los Angeles County
235622	Fee-for-Service	1467690362	1467690362	1	1	VINNECOUR, KEITH CPO	5/1/1995	No Taxonomy Provided	NA	None	029	PROSTHETISTS	-	-	NOT APPLICABLE	0	In state provider	None	214 S ROBERTSON BLVD	None	BEVERLY HILLS	CA	90211	2811	19	06037	34.06440553	-118.3835984	Los Angeles County
235695	Fee-for-Service	1619552205	1619552205	1	1	VUTHOORI MD	9/17/2021	207R00000X	NA	Other	026	PHYSICIANS	None	41	Internal Medicine	0	In state provider	None	321 W HOBSONWAY	STE C	BLYTHE	CA	92225	1651	33	06065	33.61039423	-114.5999197	Riverside County
235934	Fee-for-Service	1346637824	1346637824	1	1	VAN STAALDUINEN, ERIC K DO	6/7/2021	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	18181	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
235950	Fee-for-Service	1164465159	1164465159	1	1	VENTURA ANESTHESIA	1/1/1995	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	05	Anesthesiology	0	In state provider	MEDICAL GROUP	147 N BRENT ST	None	VENTURA	CA	93003	2809	56	06111	34.2746295	-119.2573399	Ventura County
236050	Fee-for-Service	1972501823	1972501823	1	1	VIENNA CONVALESCENT HOSP INC	3/1/1966	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	HOSPITAL,INC	800 S HAM LN	None	LODI	CA	95242	3543	39	06077	38.124153	-121.2882315	San Joaquin County
236129	Fee-for-Service	1831686286	1831686286	1	1	VERDUZCO, JUTARAT LMFT	8/28/2023	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
236140	Fee-for-Service	1649739467	1649739467	1	1	VIRAMONTES SANDOVAL, OCTAVIO	5/24/2022	207P00000X	NA	Other	026	PHYSICIANS	176592	None	None	0	In state provider	MD	975 S. FAIRMONT AVENUE	None	LODI	CA	95241	5118	39	06077	38.12188356	-121.285872	San Joaquin County
236156	Fee-for-Service	1619965944	1619965944	1	1	VARMA, NAVIN K MD	9/19/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	144120	13	Neurology (M.D. only)	0	In state provider	None	1531 ESPLANADE	None	CHICO	CA	95926	3310	04	06007	39.74248474	-121.8493369	Butte County
236197	Fee-for-Service	1952948887	1952948887	1	1	VIGILANCE HOME HEALTH INC	1/27/2021	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	315 W VERDUGO AVE	STE A	BURBANK	CA	91502	2469	19	06037	34.17082135	-118.314366	Los Angeles County
236305	Fee-for-Service	1740540285	1740540285	1	3	VDAH CORP APC	5/29/2022	282N00000X	NA	Hospitals	026	PHYSICIANS	None	None	None	0	In state provider	None	2991 LOMA VISTA RD	A103	VENTURA	CA	93003	2984	56	06111	34.27562091	-119.2561443	Ventura County
236312	Fee-for-Service	1629113733	1629113733	1	1	VENIERIS, PETER Y MD	12/26/2007	207P00000X	NA	Other	026	PHYSICIANS	89474	None	None	0	In state provider	None	4647 ZION AVENUE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
236433	Fee-for-Service	1184935173	1184935173	1	1	VEAZEY, GREGORY D MD	7/1/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	126220	66	Emergency Medicine (Urgent Care)	0	In state provider	None	31700 TEMECULA PKWY	None	TEMECULA	CA	92592	5896	33	06065	33.481134	-117.1060515	Riverside County
236606	Fee-for-Service	1326112335	1326112335	1	1	VAN EGEREN ALISON M MD	9/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	84682	08	Family Practice	0	In state provider	None	795 EL CAMINO REAL	None	PALO ALTO	CA	94301	2302	43	06085	37.43920432	-122.162109	Santa Clara County
236638	Fee-for-Service	1174554620	1174554620	1	1	VENTURA CO GASTROENTEROL	1/1/1979	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	10	Gastroenterology (M.D. only)	0	In state provider	MED GRP INC	2241 WANKEL WAY	STE A	OXNARD	CA	93030	0191	56	06111	34.21679844	-119.1467863	Ventura County
236713	Fee-for-Service	1942897376	1942897376	1	1	VELASQUEZ, MARISA A NP	5/15/2024	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	12669 ENCINITAS AVE	None	SYLMAR	CA	91342	3635	19	06037	34.29981583	-118.473722	Los Angeles County
236766	Fee-for-Service	1700898939	1700898939	1	1	VARKEY, TAZ E MD	7/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	67784	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
236785	Fee-for-Service	1306261029	1306261029	1	1	VNA HOSPICE AND PALLIATIVE	7/28/2014	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	CARE OF SOUTHERN CALIFOR	890 W STETSON AVE	SUITE A	HEMET	CA	92543	7311	33	06065	33.72939753	-116.9797995	Riverside County
236806	Fee-for-Service	1801356126	1801356126	1	1	VIRAMONTES, OMAR MD	1/29/2024	207RG0100X	NA	Gastroenterology	026	PHYSICIANS	177257	None	None	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
236836	Fee-for-Service	1144987801	1144987801	1	1	VINCENT, BERLIN CRNA	1/31/2022	207L00000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
237008	Fee-for-Service	1578917514	1578917514	1	1	VENTURA COUNTY AAA	6/21/2016	No Taxonomy Provided	NA	None	095	PRIVATE NON-PROFIT PROPRIETARY AGENCY	-	-	NOT APPLICABLE	0	In state provider	None	646 COUNTY SQUARE DRIVE	None	VENTURA	CA	93003	0435	56	06111	34.26968376	-119.2149302	Ventura County
237044	Fee-for-Service	1144716549	1144716549	1	1	VANCE, CAROLE LMFT	7/23/2018	261QM0801X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1545 SAINT MARKS PLAZA	STE 5	STOCKTON	CA	95207	6411	39	06077	37.98892524	-121.3254177	San Joaquin County
237046	Fee-for-Service	1619015054	1619015054	1	1	VANGOMPEL, JOSHUA R DPM	12/28/2018	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	39350 CIVIC CENTER DR	STE 300	FREMONT	CA	94538	2331	01	06001	37.55399458	-121.9756047	Alameda County
237058	Fee-for-Service	1720057821	1720057821	1	1	VIJAY, CHETHANA MD	10/18/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	91741	41	Internal Medicine	0	In state provider	None	2070 CLINTON AVE	STE 2113	ALAMEDA	CA	94501	4320	01	06001	37.76333626	-122.253868	Alameda County
237073	Fee-for-Service	1306261029	1306261029	1	1	VNA HOSPICE AND PALLIATIVE	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	CARE OF SOUTHERN CALIFOR	890 W STETSON AVE	SUITE A	HEMET	CA	92543	7311	33	06065	33.72939753	-116.9797995	Riverside County
237076	Fee-for-Service	1124661319	1124661319	1	1	VITAL NURSING CARE	9/30/2021	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	3017 N SAN FERNANDO BLVD	UNIT A	BURBANK	CA	91504	4704	19	06037	34.20167304	-118.3435558	Los Angeles County
237178	Fee-for-Service	1457738486	1457738486	1	1	VAN STAALDUINEN, BRITTANY D	9/11/2020	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	18304	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	O	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
237215	Fee-for-Service	1790771194	1790771194	1	1	VETERANS HOME OF CALIF-	7/18/2002	314000000X	NA	Skilled Nursing Facility	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	CHULA VISTA	700 E NAPLES CT	None	CHULA VISTA	CA	91911	6821	37	06073	32.62121159	-117.0241408	San Diego County
237296	Fee-for-Service	1851612584	1851612584	1	1	VORA, REENA K MD	9/1/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	125537	68	Hematology	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
237410	Fee-for-Service	1699124040	1699124040	1	1	VIERRA, ALLIE LMFT	9/25/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	6300 LOS GATOS ROAD	None	ATASCADERO	CA	93422	6300	40	06079	35.47885127	-120.6877029	San Luis Obispo County
237457	Fee-for-Service	1366584948	1366584948	1	1	VALLEY TUMOR MEDICAL GROUP	3/25/1980	207RH0003X	NA	Oncology	022	PHYSICIANS GROUP	-	None	None	0	In state provider	R	38660 MEDICAL CENTER DR	STE A120	PALMDALE	CA	93551	4385	19	06037	34.5838593	-118.1445275	Los Angeles County
237584	Fee-for-Service	1851612584	1851612584	1	1	VORA, REENA K MD	9/1/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	125537	41	Internal Medicine	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
237723	Fee-for-Service	1457738676	1457738676	1	1	VINCENT, EBONIE E DPM	2/22/2019	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	16505 SAND CANYON AVE	None	IRVINE	CA	92618	3792	30	06059	33.65951401	-117.7762025	Orange County
237734	Fee-for-Service	1235386889	1235386889	1	1	VOIDONIKOLAS, GEORGIOS MD	8/26/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	131278	02	General Surgery	0	In state provider	None	8700 BEVERLY BLVD	None	WEST HOLLYWOOD	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
237766	Fee-for-Service	1124884176	1124884176	1	3	VITUITY PHYSICIAN SERVICES P	4/12/2024	163WG0000X	NA	Other	022	PHYSICIANS GROUP	-	09	Gynecology (D.O. only)	0	In state provider	None	1499 E HIGHLAND AVE	None	SAN BERNARDINO	CA	92404	4611	36	06071	34.1358425	-117.25479	San Bernardino County
237817	Fee-for-Service	1568599918	1568599918	1	1	VAN ALLAN, RICHARD J MD	12/31/1987	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	60837	01	General Practice	0	In state provider	None	1711 W TEMPLE ST	None	LOS ANGELES	CA	90026	5421	19	06037	34.06891181	-118.2638033	Los Angeles County
237833	Fee-for-Service	1245383975	1245383975	1	1	VALLEY VILLAGE	10/2/1989	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	16124 TUPPER ST	None	NORTH HILLS	CA	91343	3048	19	06037	34.23926301	-118.4837221	Los Angeles County
237872	Fee-for-Service	1851612584	1851612584	1	1	VORA, REENA K MD	9/1/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	125537	78	Neoplastic Diseases/Oncology	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
237905	Fee-for-Service	1609599562	1609599562	1	1	VARTANIAN, KRISTINA R NP	1/4/2023	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1045 ATLANTIC AVE	STE 506	LONG BEACH	CA	90813	3414	19	06037	33.780267	-118.1850795	Los Angeles County
237993	Fee-for-Service	1083786636	1083786636	1	1	VOLPICELLI, MARK MD	11/1/1998	207W00000X	NA	Ophthalmology	026	PHYSICIANS	59030	18	Ophthalmology	0	In state provider	None	1174 CASTRO ST	STE 100	MOUNTAIN VIEW	CA	94040	2572	43	06085	37.3822628	-122.0861276	Santa Clara County
238036	Fee-for-Service	1174262489	1174262489	1	1	VILLALOBOS, ALEXY PT	1/5/2024	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	39400 PASEO PADRE PKWY	None	FREMONT	CA	94538	2310	01	06001	37.55102172	-121.9759026	Alameda County
238051	Fee-for-Service	1124884176	1124884176	1	3	VITUITY PHYSICIAN SERVICES P	4/12/2024	163WG0000X	NA	Other	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	None	1499 E HIGHLAND AVE	None	SAN BERNARDINO	CA	92404	4611	36	06071	34.1358425	-117.25479	San Bernardino County
238123	Fee-for-Service	1497052088	1497052088	1	1	VALERO, ROLANDO LMFT	12/30/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4785 N FIRST STREET	None	FRESNO	CA	93726	0513	10	06019	36.80478	-119.7724585	Fresno County
238143	Fee-for-Service	1588787824	1588787824	1	1	VALASQUEZ, GILBERT A MD	10/16/2021	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	173549	None	None	0	In state provider	None	2345 FAIR OAKS BLVD	None	SACRAMENTO	CA	95825	4708	34	06067	38.57535	-121.407633	Sacramento County
238144	Fee-for-Service	1750865127	1750865127	1	1	VINOYA, VANESSA M MD	7/11/2023	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	186530	None	None	0	In state provider	None	747 52ND ST	None	OAKLAND	CA	94609	1809	01	06001	37.83734639	-122.2672128	Alameda County
238244	Fee-for-Service	1891995122	1891995122	1	1	VERA, MOIN U MD	10/14/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	104568	None	None	0	In state provider	None	1201 W LA VETA AVE	None	ORANGE	CA	92868	4203	30	06059	33.78034779	-117.8655767	Orange County
238260	Fee-for-Service	1457855751	1457855751	1	1	VELASCO, ITZEL LMFT	12/30/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2101 GEER RD	SUITE 102A	TURLOCK	CA	95382	1142	50	06099	37.512324	-120.8489985	Stanislaus County
238276	Fee-for-Service	1316586423	1316586423	1	1	VISPERAS, JOYCE B OT	1/10/2022	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	975 SERENO DR	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
238344	Fee-for-Service	1124884176	1124884176	1	3	VITUITY PHYSICIAN SERVICES P	4/12/2024	163WG0000X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	1499 E HIGHLAND AVE	None	SAN BERNARDINO	CA	92404	4611	36	06071	34.1358425	-117.25479	San Bernardino County
238358	Fee-for-Service	1013492024	1013492024	2	1	VIKU LLC	9/20/2024	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	1823 COMMERCENTER W	None	SAN BERNARDINO	CA	92408	3300	36	06071	34.06823081	-117.2861363	San Bernardino County
238359	Fee-for-Service	1679519441	1679519441	1	1	VONS COMPANIES, INC	8/25/1997	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	25850 THE OLD RD	None	VALENCIA	CA	91381	1710	19	06037	34.3908174	-118.5734984	Los Angeles County
238385	Fee-for-Service	1154714889	1154714889	1	1	VU, CHRISTINA T T MD	8/20/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	129212	40	Pediatrics	0	In state provider	None	701 E EL CAMINO REAL	None	MOUNTAIN VIEW	CA	94040	2833	43	06085	37.37715796	-122.0651926	Santa Clara County
238400	Fee-for-Service	1376195743	1376195743	1	1	VENTURA, MICHELLE-ANN CNP	5/19/2021	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	511 N HOLLYWOOD WAY	None	BURBANK	CA	91505	3406	19	06037	34.15985598	-118.3431272	Los Angeles County
238405	Fee-for-Service	1972695252	1972695252	1	1	VINOGRADOVA, HELEN L MD	11/14/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	84638	08	Family Practice	0	In state provider	None	7215 55TH STREET	None	SACRAMENTO	CA	95823	2601	34	06067	38.495196	-121.440681	Sacramento County
238407	Fee-for-Service	1881805877	1881805877	1	1	VALLEY VILLAGE ADULT	3/8/1999	No Taxonomy Provided	NA	None	001	ADULT DAY HEALTH CARE CENTERS	-	-	NOT APPLICABLE	0	In state provider	DAY HEALTH CARE PROGRAM	20835 SHERMAN WAY	None	CANOGA PARK	CA	91306	2706	19	06037	34.2011435	-118.5873525	Los Angeles County
238416	Fee-for-Service	1073619722	1073619722	1	1	VERMA, SHELLY MD	8/10/2010	207P00000X	NA	Other	026	PHYSICIANS	88475	None	None	0	In state provider	None	600 COFFEE RD	None	MODESTO	CA	95355	4201	50	06099	37.653219	-120.975542	Stanislaus County
238423	Fee-for-Service	1659385516	1659385516	1	1	VUKASIN, PETAR MD	7/31/1995	208C00000X	NA	General Surgery	026	PHYSICIANS	74237	28	Proctology (colon and rectal)	0	In state provider	None	1441 EASTLAKE AVE	STE 7418	LOS ANGELES	CA	90089	0178	19	06037	34.06169385	-118.2044698	Los Angeles County
238428	Fee-for-Service	1811091184	1811091184	1	1	VOLPICELLI, LOUIS J MD	9/14/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	39786	20	Orthopedic Surgery	0	In state provider	None	4560 ADMIRALTY WAY	SUITE 201	MARINA DEL REY	CA	90292	5423	19	06037	33.98364904	-118.4449069	Los Angeles County
238441	Fee-for-Service	1619463353	1619463353	1	1	VAJDI, TINA N MD	7/14/2023	207L00000X	NA	Other	026	PHYSICIANS	166032	None	None	0	In state provider	None	18600 SOUTH FIGUEROA ST	None	GARDENA	CA	90248	4505	19	06037	33.861339	-118.281473	Los Angeles County
238449	Fee-for-Service	1265810964	1265810964	1	1	VIERA, SERGIO MD	5/14/2019	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	151628	08	Family Practice	0	In state provider	None	25825 VERMONT AVE	None	HARBOR CITY	CA	90710	3518	19	06037	33.78673844	-118.2965289	Los Angeles County
238529	Fee-for-Service	1609404557	1609404557	1	1	VITUG, SARAH	9/13/2024	207L00000X	NA	Other	026	PHYSICIANS	186893	05	Anesthesiology	0	In state provider	None	7160 BROCKTON AVE	None	RIVERSIDE	CA	92506	2620	33	06065	33.94273905	-117.3941945	Riverside County
238632	Fee-for-Service	1124884176	1124884176	1	3	VITUITY PHYSICIAN SERVICES P	4/12/2024	163WG0000X	NA	Other	022	PHYSICIANS GROUP	-	15	Obstetrics (D.O. only)	0	In state provider	None	1499 E HIGHLAND AVE	None	SAN BERNARDINO	CA	92404	4611	36	06071	34.1358425	-117.25479	San Bernardino County
238636	Fee-for-Service	1386377570	1386377570	1	1	VRV HOME HEALTH CARE INC	3/6/2024	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	14531 HAMLIN ST	SUITE 140	VAN NUYS	CA	91411	1627	19	06037	34.18870941	-118.449902	Los Angeles County
238711	Fee-for-Service	1659385516	1659385516	1	1	VUKASIN, PETAR MD	7/31/1995	208C00000X	NA	General Surgery	026	PHYSICIANS	74237	02	General Surgery	0	In state provider	None	1441 EASTLAKE AVE	STE 7418	LOS ANGELES	CA	90089	0178	19	06037	34.06169385	-118.2044698	Los Angeles County
238959	Fee-for-Service	1194253872	1194253872	1	1	VIVEK MITTAL, M.D. AND MANIS	3/21/2019	207RG0100X	NA	Gastroenterology	022	PHYSICIANS GROUP	-	None	None	0	In state provider	RHEUMATOLOGY	2475 E. FIR AVE.	STE 104	FRESNO	CA	93720	0398	10	06019	36.8394537	-119.7390162	Fresno County
239019	Fee-for-Service	1437102092	1437102092	1	1	VALLEY RADIOTHERAPY ASSO	6/13/1983	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	None	501 S BUENA VISTA ST	None	BURBANK	CA	91505	4809	19	06037	34.15729818	-118.3277073	Los Angeles County
239044	Fee-for-Service	1235351099	1235351099	1	1	VALDEZ-VARGAS, TULIO A MD	9/6/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	149490	17	Ophthalmology, Otolaryngology, Rhinology (D.O.only)	0	In state provider	None	725 WELCH RD	None	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
239096	Fee-for-Service	1538704234	1538704234	1	1	VILLANUEVA, MICHELLE D OT	8/16/2021	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
239126	Fee-for-Service	1952519357	1952519357	1	1	VALLEY VILLAGE ADHC	6/20/2001	No Taxonomy Provided	NA	None	001	ADULT DAY HEALTH CARE CENTERS	-	-	NOT APPLICABLE	0	In state provider	None	8737 FENWICK ST	None	SUNLAND	CA	91040	1952	19	06037	34.26140694	-118.3237922	Los Angeles County
239335	Fee-for-Service	1265040232	1265040232	1	1	VANG, KAO	3/4/2024	261QU0200X	NA	Other	026	PHYSICIANS	189871	08	Family Practice	0	In state provider	None	1201 ALHAMBRA BLVD	STE 210	SACRAMENTO	CA	95816	5241	34	06067	38.570076	-121.4657145	Sacramento County
239342	Fee-for-Service	1174986004	1174986004	1	1	VALERO, VALERIE E MD	7/28/2020	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	165733	09	Gynecology (D.O. only)	0	In state provider	None	79-200 CORPORATE CTR DR	STE 201	LA QUINTA	CA	92253	7245	33	06065	33.71039647	-116.2841051	Riverside County
239456	Fee-for-Service	1629671029	1629671029	1	1	VALLEY SERENITY HOSPICE CARE	8/17/2022	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	14416 HAMLIN ST	STE 205	VAN NUYS	CA	91401	1488	19	06037	34.18863949	-118.4472225	Los Angeles County
239563	Fee-for-Service	1588618979	1588618979	1	1	VARTANY, EDMOND MD	7/25/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	80147	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	27871 MEDICAL CENTER RD	STE 200	MISSION VIEJO	CA	92691	6406	30	06059	33.558534	-117.6641255	Orange County
239630	Fee-for-Service	1174986004	1174986004	1	1	VALERO, VALERIE E MD	7/28/2020	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	165733	15	Obstetrics (D.O. only)	0	In state provider	None	79-200 CORPORATE CTR DR	STE 201	LA QUINTA	CA	92253	7245	33	06065	33.71039647	-116.2841051	Riverside County
239675	Fee-for-Service	1316026719	1316026719	1	1	VERMONT, THEODORE M MD	4/5/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	50840	01	General Practice	0	In state provider	None	1792 TRIBUTE RD	STE 400	SACRAMENTO	CA	95815	4321	34	06067	38.598219	-121.445964	Sacramento County
239682	Fee-for-Service	1679786941	1679786941	1	1	VILLANUEVA, MICHAEL PHD	4/6/2021	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	623 E LATHAM AVE	None	HEMET	CA	92543	4342	33	06065	33.74934351	-116.9656065	Riverside County
239731	Fee-for-Service	1649662719	1649662719	1	2	VISTA COMMUNITY CLINIC	1/18/2018	No Taxonomy Provided	NA	None	041	COMMUNITY CLINIC	-	-	NOT APPLICABLE	0	In state provider	MOBILE	21641 BUNDY CANYON RD	None	WILDOMAR	CA	92595	7006	33	06065	33.62685742	-117.2808735	Riverside County
239745	Fee-for-Service	1629671029	1629671029	1	1	VALLEY SERENITY HOSPICE CARE	8/17/2022	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	14416 HAMLIN ST	STE 205	VAN NUYS	CA	91401	1488	19	06037	34.18863949	-118.4472225	Los Angeles County
239794	Fee-for-Service	1871623744	1871623744	1	1	VARNUM, DARCY J LMFT	8/13/2021	101YM0800X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	748 N MARKET ST	None	REDDING	CA	96003	3606	45	06089	40.5960907	-122.38781	Shasta County
239847	Fee-for-Service	1598060980	1598060980	1	2	VENTURELLI, ANGELA M MD	8/29/2017	390200000X	NA	Other	026	PHYSICIANS	134514	40	Pediatrics	0	In state provider	None	1411 EAST 31ST STREET	None	OAKLAND	CA	94602	1018	01	06001	37.79926205	-122.2314248	Alameda County
239913	Fee-for-Service	1134445885	1134445885	1	1	VASSALLO-DELUCA, ELIZABETH M	10/8/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	125102	41	Internal Medicine	0	In state provider	None	3801 HOWE ST	None	OAKLAND	CA	94611	5312	01	06001	37.8242732	-122.2568561	Alameda County
239918	Fee-for-Service	1023312360	1023312360	2	1	VALLEY MEDICAL AMBULANCE	3/23/2012	No Taxonomy Provided	NEMT Provider	None	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	43612 JACKSON ST	SUITE 4	INDIO	CA	92201	2567	33	06065	33.732261	-116.216353	Riverside County
239920	Fee-for-Service	1508834938	1508834938	1	2	VEERAPPA, NANDEESH MD	3/24/2023	207Q00000X	NA	Adult Primary Care	086	MEDICAL DIRECTORS	86330	-	NOT APPLICABLE	0	In state provider	None	1111 WEST TOKAY STREET	SUITE A	LODI	CA	95240	3965	39	06077	38.1263635	-121.286538	San Joaquin County
239977	Fee-for-Service	1588848105	1588848105	1	1	VIRDI, NAUNIHAL S MD	1/10/2008	207R00000X	NA	Other	026	PHYSICIANS	101743	41	Internal Medicine	0	In state provider	None	3010 COLBY ST	#221	BERKELEY	CA	94705	2056	01	06001	37.85492078	-122.2576101	Alameda County
240035	Fee-for-Service	1780052233	1780052233	1	1	VANGIPURAM, GAUTAM MD	9/27/2021	207W00000X	NA	Ophthalmology	026	PHYSICIANS	173301	None	None	0	In state provider	None	2619 E COLORADO BLVD	SUITE 150	PASADENA	CA	91107	3747	19	06037	34.14616014	-118.0964013	Los Angeles County
240146	Fee-for-Service	1588808448	1588808448	1	1	VALASEK, MARK MD	10/10/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	127165	22	Pathology (M.D. only)	0	In state provider	None	200 WEST ARBOR DRIVE	None	SAN DIEGO	CA	92103	1911	37	06073	32.7537975	-117.1658298	San Diego County
240334	Fee-for-Service	1447322672	1447322672	1	1	VARELA, STEFANIE A NP	6/30/2017	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
240410	Fee-for-Service	1124339874	1124339874	1	1	VINA MEDICAL CENTER INC	6/8/2015	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	7838 WESTMINSTER BLVD	None	WESTMINSTER	CA	92683	4034	30	06059	33.75921565	-117.9923366	Orange County
240411	Fee-for-Service	1063755932	1063755932	1	1	VILLAFLOR, JOAN M MD	8/24/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	137136	40	Pediatrics	0	In state provider	None	7501 HOSPITAL DRIVE	STE 203	SACRAMENTO	CA	95823	5405	34	06067	38.464776	-121.416912	Sacramento County
240456	Fee-for-Service	1346434982	1346434982	1	1	VALENTINO, LISA M LCSW	2/28/2022	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	6203 SAN IGNACIO AVENUE	SUITE 110	SAN JOSE	CA	95119	1325	43	06085	37.23598537	-121.7783065	Santa Clara County
240509	Fee-for-Service	1144304817	1144304817	1	1	VALLEY OBSTETRICS AND	8/9/1993	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	400 N PEPPER AVE	None	COLTON	CA	92324	1801	36	06071	34.073505	-117.3505995	San Bernardino County
240517	Fee-for-Service	1275791774	1275791774	1	1	VOGEL, TODD D MD	6/29/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	134877	14	Neurological Surgery	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
240540	Fee-for-Service	1114075090	1114075090	1	1	VUONG, QUYNH VAN T MD	3/4/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	74317	41	Internal Medicine	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
240733	Fee-for-Service	1801038245	1801038245	1	1	VALCARCEL, TARA L NP	8/1/2011	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
240825	Fee-for-Service	1194068379	1194068379	1	1	VALLEY HEALTH TEAM	3/2/2014	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INCORPORATED	702 S EIGHTH STREET	None	KERMAN	CA	93630	1743	10	06019	36.72448721	-120.0564275	Fresno County
240849	Fee-for-Service	1669925384	1669925384	1	1	VILLA, BRIANDA LCSW	12/16/2021	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
240883	Fee-for-Service	1730243957	1730243957	1	1	VIAMONTE, GENEVIEVE E MD	12/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	77842	08	Family Practice	0	In state provider	None	3291 LOMA VISTA RD	None	VENTURA	CA	93003	3099	56	06111	34.27623479	-119.2520218	Ventura County
240915	Fee-for-Service	1831294917	1831294917	1	1	VIVIAN, MICHAEL R MD	4/25/2023	2084P0802X	NA	Psychiatry	026	PHYSICIANS	78890	None	None	0	In state provider	None	3311 OLD CONEJO RD	None	NEWBURY PARK	CA	91320	2115	56	06111	34.19077445	-118.945878	Ventura County
240989	Fee-for-Service	1588919815	1588919815	1	1	VO, PIERRE T H MD	11/9/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	137355	41	Internal Medicine	0	In state provider	None	3687 MT DIABLO BLVD	STE 200	LAFAYETTE	CA	94549	3746	07	06013	37.8898926	-122.1304235	Contra Costa County
241037	Fee-for-Service	1801035514	1801035514	1	1	VAHDAT, ARASH MD INC	11/21/2011	207RI0011X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	73458	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	18370 BURBANK BLVD	STE 714	TARZANA	CA	91356	2804	19	06037	34.17173059	-118.5331881	Los Angeles County
241041	Fee-for-Service	1982182499	1982182499	1	1	VILLARREAL, MILAGROS J LCSW	1/17/2022	104100000X	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
241076	Fee-for-Service	1194068379	1194068379	1	1	VALLEY HEALTH TEAM	3/2/2014	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INCORPORATED	702 S EIGHTH STREET	None	KERMAN	CA	93630	1743	10	06019	36.72448721	-120.0564275	Fresno County
241129	Fee-for-Service	1386620185	1386620185	1	1	VOSTI, ANN E MD	12/13/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	53639	08	Family Practice	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
241171	Fee-for-Service	1366584948	1366584948	1	2	VALLEY TUMOR MEDICAL GROUP	7/5/2013	207RH0003X	NA	Oncology	022	PHYSICIANS GROUP	-	None	None	0	In state provider	R	607 W AVENUE Q	SUITE-A	PALMDALE	CA	93551	4385	19	06037	34.58716061	-118.1417509	Los Angeles County
241199	Fee-for-Service	1669470167	1669470167	1	1	VIERRA, ELIZABETH E MD	9/20/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	64866	07	Dermatology	0	In state provider	None	15525 POMERADO RD	STE A2	POWAY	CA	92064	2425	37	06073	32.99479918	-117.0579468	San Diego County
241287	Fee-for-Service	1861534026	1861534026	1	1	VISTE, JOSEFINA MD	9/1/1998	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	38815	01	General Practice	0	In state provider	None	2500 WILSHIRE BLVD	STE 108	LOS ANGELES	CA	90057	4319	19	06037	34.06026667	-118.2809971	Los Angeles County
241311	Fee-for-Service	1376090241	1376090241	1	1	VISOCSKY, MARGARET A LMFT	4/2/2023	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1 QUALITY DR	None	VACAVILLE	CA	95688	9494	48	06095	38.38851772	-121.9382798	Solano County
241362	Fee-for-Service	1194068379	1194068379	1	1	VALLEY HEALTH TEAM	3/2/2014	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	INCORPORATED	702 S EIGHTH STREET	None	KERMAN	CA	93630	1743	10	06019	36.72448721	-120.0564275	Fresno County
241476	Fee-for-Service	1225705734	1225705734	1	1	VILLANUEVA, JUAN R PT	1/19/2022	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	100 BARRANCA	380	WEST COVINA	CA	91791	1637	19	06037	34.073073	-117.8812535	Los Angeles County
241477	Fee-for-Service	1114329901	1114329901	1	1	VIRGINO, JUSTIN P	9/13/2016	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	9353 IMPERIAL HWY	None	DOWNEY	CA	90242	2812	19	06037	33.9171603	-118.1288418	Los Angeles County
241576	Fee-for-Service	1568959161	1568959161	1	1	VAN WOY, LAUREN E DO	7/31/2020	207P00000X	NA	Other	026	PHYSICIANS	17779	66	Emergency Medicine (Urgent Care)	0	In state provider	None	9455 CLAIREMONT MESA BLV	None	SAN DIEGO	CA	92123	1297	37	06073	32.83133206	-117.1252363	San Diego County
241651	Fee-for-Service	1194068379	1194068379	1	1	VALLEY HEALTH TEAM	6/2/2014	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	INCORPORATED	702 S EIGHTH STREET	None	KERMAN	CA	93630	1743	10	06019	36.72448721	-120.0564275	Fresno County
241726	Fee-for-Service	1821069436	1821069436	1	1	VAZQUEZ, CESAR A MD	6/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	64057	40	Pediatrics	0	In state provider	None	445 S CEDAR AVE	None	FRESNO	CA	93702	2907	10	06019	36.7382512	-119.7543688	Fresno County
241730	Fee-for-Service	1801080544	1801080544	1	1	VALENTINE, INGRID LMFT	9/19/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	818 MOUNTAIN AVE	STE 203	UPLAND	CA	91786	4165	36	06071	34.10424442	-117.6701797	San Bernardino County
241828	Fee-for-Service	1104392091	1104392091	1	1	VICKI LEUNG, O.D., A PROFESS	8/24/2020	152W00000X	NA	Other	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	2845 COCHRAN	D	SIMI VALLEY	CA	93065	2796	56	06111	34.280973	-118.742589	Ventura County
241888	Fee-for-Service	1871764076	1871764076	1	1	VAN VOLKINBURG, NORMA J PHD	11/18/2013	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	1 QUALITY DRIVE	None	VACAVILLE	CA	95688	9494	48	06095	38.38851772	-121.9382798	Solano County
242013	Fee-for-Service	1821069436	1821069436	1	1	VAZQUEZ, CESAR A MD	6/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	64057	36	Psychiatry	0	In state provider	None	445 S CEDAR AVE	None	FRESNO	CA	93702	2907	10	06019	36.7382512	-119.7543688	Fresno County
242071	Fee-for-Service	1437460532	1437460532	1	1	VINICIUS ERNANI	9/19/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	987400 NEBRASKA MED CTR	None	OMAHA	NE	68198	0001	00	None	0	0	None
242077	Fee-for-Service	1275970865	1275970865	1	1	VALA, KIANA DO	11/7/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	14862	01	General Practice	0	In state provider	None	1600 OWENS ST	None	SAN FRANCISCO	CA	94158	2261	38	06075	37.76850146	-122.3949365	San Francisco County
242189	Fee-for-Service	1992966782	1992966782	1	1	VENICE, FAMILY CLINIC	8/16/2006	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	COLEN FAMILY HEALTH CTR	4700 INGLEWWOD BLVD	STE 102	CULVER CITY	CA	90230	5896	19	06037	33.99315523	-118.4151866	Los Angeles County
242272	Fee-for-Service	1790919512	1790919512	1	1	VERMA, RASHMI MD	6/5/2020	207RX0202X	NA	Oncology	026	PHYSICIANS	117656	41	Internal Medicine	0	In state provider	None	4501 X ST	None	SACRAMENTO	CA	95817	2229	34	06067	38.553822	-121.452822	Sacramento County
242277	Fee-for-Service	1649582289	1649582289	1	1	VIADER, MEGHAN E NP	7/3/2018	363LP0200X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
242299	Fee-for-Service	1073790424	1073790424	1	1	VEGI, SHARADA LMFT	8/15/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	12968 FREDERICK ST.,	STE.-A	MORENO VALLEY	CA	92553	5229	33	06065	33.932835	-117.2613805	Riverside County
242304	Fee-for-Service	1497203541	1497203541	1	2	VISTA COMMUNITY CLINIC	5/9/2019	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	401 S PALM	None	LA HABRA	CA	90631	5735	30	06059	33.927255	-117.926586	Orange County
242333	Fee-for-Service	1619056199	1619056199	1	1	VANCE, PETER L MD	7/28/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	3100 CHANNING WAY	None	IDAHO FALLS	ID	83404	7533	00	None	43.470198	-111.9901955	Bonneville County
242338	Fee-for-Service	1922654854	1922654854	1	1	VALLEY, KARLEE J PT	9/23/2019	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1519 W YOSEMITE AVE	None	MANTECA	CA	95337	5159	39	06077	37.79738017	-121.2413628	San Joaquin County
242347	Fee-for-Service	1982847265	1982847265	1	1	VILLALTA, JACQUELINE D MD	11/4/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	107217	34	Urology and Urological Surgery	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
242363	Fee-for-Service	1073219911	1073219911	1	1	VALIANT MEDICAL TRANSPORT	2/21/2023	343800000X	Both NEMT & NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	2007 W. CALDWELL AVE	None	VISALIA	CA	93277	8007	54	06107	36.29808	-119.312721	Tulare County
242387	Fee-for-Service	1699729335	1699729335	1	1	VILLACARLOS, DOLORES MD	8/10/2007	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	35717	None	None	0	In state provider	None	2 COLINA LANE	None	ROLLING HILLS EST	CA	90274	1529	19	06037	33.79019654	-118.3555249	Los Angeles County
242531	Fee-for-Service	1871081588	1871081588	1	1	VORA, AADIL DO	1/17/2025	207P00000X	NA	Other	026	PHYSICIANS	23027	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2000 MOWRY AVE	None	FREMONT	CA	94538	1716	01	06001	37.55769729	-121.9808861	Alameda County
242538	Fee-for-Service	1851443717	1851443717	1	1	VALLEY CARDIOLOGY MED GR	10/1/1980	207RC0000X	NA	Cardiology/Interventional Cardiology	022	PHYSICIANS GROUP	-	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	43839 15TH ST W	STE A	LANCASTER	CA	93534	4756	19	06037	34.678791	-118.156867	Los Angeles County
242562	Fee-for-Service	1790919512	1790919512	1	1	VERMA, RASHMI MD	6/5/2020	207RX0202X	NA	Oncology	026	PHYSICIANS	117656	68	Hematology	0	In state provider	None	4501 X ST	None	SACRAMENTO	CA	95817	2229	34	06067	38.553822	-121.452822	Sacramento County
242594	Fee-for-Service	1497203541	1497203541	1	2	VISTA COMMUNITY CLINIC	5/9/2019	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	401 S PALM	None	LA HABRA	CA	90631	5735	30	06059	33.927255	-117.926586	Orange County
242958	Fee-for-Service	1417010869	1417010869	1	1	VAUGHAN, STEPHEN D MD	1/7/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	53520	41	Internal Medicine	0	In state provider	None	170 ALAMEDA DE LAS PULGA	None	REDWOOD CITY	CA	94062	2799	41	06081	37.48093988	-122.2531826	San Mateo County
243007	Fee-for-Service	1255160495	1255160495	1	1	VALLEY CARE PHARMACY LLC	9/26/2024	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	1080 SARATOGA AVE	STE #3	SAN JOSE	CA	95129	3418	43	06085	37.30585985	-121.9782529	Santa Clara County
243021	Fee-for-Service	1922232404	1922232404	1	1	VAN WARMERDAM, JENNIFER M MD	5/7/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	96120	20	Orthopedic Surgery	0	In state provider	None	1 SHRADER ST	SUITE 650	SAN FRANCISCO	CA	94117	1036	38	06075	37.77467326	-122.4529451	San Francisco County
243076	Fee-for-Service	1659984201	1659984201	1	1	VOULGARELIS, ALEXIS N PSYD	3/27/2023	101YM0800X	NA	Other	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	10725 INTERNATIONAL DR	None	RANCHO CORDOVA	CA	95670	7967	34	06067	38.576079	-121.2938325	Sacramento County
243096	Fee-for-Service	1336798123	1336798123	1	1	VAN DER LINDE, HARRISON	3/6/2020	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1618 E CALDWELL AVE	None	VISALIA	CA	93292	9228	54	06107	36.298485	-119.2748445	Tulare County
243100	Fee-for-Service	1114949922	1114949922	1	1	VERDE, EDWARD W MD	7/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	68621	None	None	0	In state provider	None	11234 ANDERSON ST	None	LOMA LINDA	CA	92354	2804	36	06071	34.049547	-117.264078	San Bernardino County
243145	Fee-for-Service	1700348315	1700348315	1	1	VEGA, JOSEPH S DO	4/12/2023	207PH0002X	NA	Other	026	PHYSICIANS	19784	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
243151	Fee-for-Service	1346499282	1346499282	1	2	VANG, HLEE LMFT	6/23/2023	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3855 ALAMO ST	None	SIMI VALLEY	CA	93063	2104	56	06111	34.28644751	-118.721655	Ventura County
243183	Fee-for-Service	1548551252	1548551252	1	1	VIERNES, JOHN VINCENT B PT	12/17/2021	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	2016 MORSE AVE	None	SACRAMENTO	CA	95825	2135	34	06067	38.601801	-121.391613	Sacramento County
243216	Fee-for-Service	1851378558	1851378558	1	1	VANPUTTEN, DOUGLAS J MD	2/1/2021	207W00000X	NA	Ophthalmology	026	PHYSICIANS	58345	None	None	0	In state provider	None	11370 ANDERSON ST	STE 1800	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
243247	Fee-for-Service	1548201965	1548201965	1	5	VALLEY OB-GYN MEDICAL GROUP	2/14/2014	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	INC	29738 RANCHO CALIFORNIA	STE B	TEMECULA	CA	92591	5322	33	06065	33.50612116	-117.1438774	Riverside County
243285	Fee-for-Service	1306582119	1306582119	1	1	VHC, P.C.	11/1/2022	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	6926 BROCKTON AVE STE 8	None	RIVERSIDE	CA	92506	3804	33	06065	33.947919	-117.3967225	Riverside County
243391	Fee-for-Service	1356359681	1356359681	1	1	VASA, BRADLEY 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	1314 3RD AVE	None	NEBRASKA CITY	NE	68410	1930	00	None	40.67953045	-95.86203341	Otoe County
243401	Fee-for-Service	1477708907	1477708907	1	1	VENGEROVICH, GENNADIY MD	5/23/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	None	04	Otology, Laryngology, Rhinology	0	In state provider	None	200 MEDICAL PLAZA	STE 550	LOS ANGELES	CA	90024	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
243409	Fee-for-Service	1497203541	1497203541	1	11	VISTA COMMUNITY CLINIC	10/1/2022	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	4700 NORTH RIVER ROAD	None	OCEANSIDE	CA	92057	6043	37	06073	33.24542735	-117.3092006	San Diego County
243412	Fee-for-Service	1043500085	1043500085	1	1	VUONG, NANCY L N MD	11/1/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	141305	01	General Practice	0	In state provider	None	401 OLD SAN FRANCISCO RD	None	SUNNYVALE	CA	94086	6386	43	06085	37.36777579	-122.0276404	Santa Clara County
243430	Fee-for-Service	1184817470	1184817470	1	1	VENZON, SANDRA M.	2/8/2015	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	FORTUNA INC	2648 MAIN ST	STE B	CHULA VISTA	CA	91911	4664	37	06073	32.5948443	-117.0761526	San Diego County
243516	Fee-for-Service	1770668436	1770668436	1	1	VAN GROENOU, ANEEMA A MD	11/28/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	73192	66	Emergency Medicine (Urgent Care)	0	In state provider	None	39400 PASEO PADRE PKWY	None	FREMONT	CA	94538	2310	01	06001	37.55102172	-121.9759026	Alameda County
243521	Fee-for-Service	1275579880	1275579880	1	1	VONS COMPANIES INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	4520 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6057	19	06037	34.09811411	-118.2879528	Los Angeles County
243591	Fee-for-Service	1770060253	1770060253	1	1	VISSER, TAMMY LPCC	11/5/2023	101YP2500X	NA	Other	103	LICENSED PROFESSIONAL CLINICAL COUNSELOR - INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	818 MOUNTAIN AVE	STE 203	UPLAND	CA	91786	4165	36	06071	34.10424442	-117.6701797	San Bernardino County
243606	Fee-for-Service	1174572002	1174572002	1	1	VALLEY DIAGNOSTIC IMAGING	7/1/1995	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	MEDICAL GROUP INC	501 S BUENA VISTA ST	None	BURBANK	CA	91505	4809	19	06037	34.15729818	-118.3277073	Los Angeles County
243616	Fee-for-Service	1437861531	1437861531	1	1	VALLEY, GRAHAM CRNA	5/25/2023	207L00000X	NA	Other	018	NURSE ANESTHETISTS	-	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
243641	Fee-for-Service	1255715397	1255715397	1	1	VIJAY SHANMUGAM MD INC	8/1/2022	2084N0400X	NA	Neurology	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	44215 N 15TH ST WEST	STE 204	LANCASTER	CA	93534	5504	19	06037	34.68666415	-118.1568572	Los Angeles County
243692	Fee-for-Service	1497203541	1497203541	1	11	VISTA COMMUNITY CLINIC	11/3/2022	No Taxonomy Provided	NA	None	053	EVERY WOMAN COUNTS	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	4700 NORTH RIVER ROAD	None	OCEANSIDE	CA	92057	6043	37	06073	33.24542735	-117.3092006	San Diego County
243718	Fee-for-Service	1396115911	1396115911	1	1	VONG, STEPHEN MD	7/1/2022	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	157544	None	None	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
243721	Fee-for-Service	1366584336	1366584336	1	1	VACA, GUADALUPE LMFT	12/7/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	5588 N PALM AVE	None	FRESNO	CA	93704	1913	10	06019	36.818874	-119.8082415	Fresno County
243815	Fee-for-Service	1508942004	1508942004	1	1	VORA, MONA M MD	2/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	72877	05	Anesthesiology	0	In state provider	None	260 INTERNATIONAL CIR	None	SAN JOSE	CA	95119	1130	43	06085	37.24047903	-121.7998157	Santa Clara County
243835	Fee-for-Service	1255489076	1255489076	1	1	VENKATASUBRAMANIAM, K MD	4/30/1983	No Taxonomy Provided	NA	None	026	PHYSICIANS	37756	41	Internal Medicine	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
243871	Fee-for-Service	1851429260	1851429260	1	1	VLACHONASSIOS,	10/16/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	52738	41	Internal Medicine	0	In state provider	KONSTANTINO D MD	11101 LA REINA AVENUE	STE 201	DOWNEY	CA	90241	4237	19	06037	33.94180276	-118.134357	Los Angeles County
243978	Fee-for-Service	1871772137	1871772137	1	1	VON BOECKMANN, SCOTT J LMFT	3/17/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4344 LATHAM ST	110	RIVERSIDE	CA	92501	0400	33	06065	34.00198519	-117.3739252	Riverside County
243982	Fee-for-Service	1497203541	1497203541	1	11	VISTA COMMUNITY CLINIC	10/1/2022	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	4700 NORTH RIVER ROAD	None	OCEANSIDE	CA	92057	6043	37	06073	33.24542735	-117.3092006	San Diego County
244013	Fee-for-Service	1619173267	1619173267	1	1	VOELKER, COURTNEY C J MD	9/23/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	120816	04	Otology, Laryngology, Rhinology	0	In state provider	None	4650 SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	19	06037	34.09813032	-118.2901794	Los Angeles County
244029	Fee-for-Service	1144403551	1144403551	1	1	VALENTINO, ELISSA L	5/5/2015	No Taxonomy Provided	NA	None	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	311 MAIN STREET	SUITE B	EL SEGUNDO	CA	90245	3861	19	06037	33.91934615	-118.4160326	Los Angeles County
244100	Fee-for-Service	1437102092	1437102092	1	15	VALLEY RADIOTHERAPY ASSO	11/30/2008	2085R0001X	NA	Other	022	PHYSICIANS GROUP	-	78	Neoplastic Diseases/Oncology	0	In state provider	MEDICAL GROUP INC	1000 W LA VETA AVE	None	ORANGE	CA	90286	8430	30	06059	33.78028244	-117.8635552	Orange County
244127	Fee-for-Service	1255489076	1255489076	1	1	VENKATASUBRAMANIAM, K MD	4/30/1983	No Taxonomy Provided	NA	None	026	PHYSICIANS	37756	83	Rheumatology	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
244160	Fee-for-Service	1851429260	1851429260	1	1	VLACHONASSIOS,	10/16/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	52738	06	Cardiovascular Disease (M.D. only)	0	In state provider	KONSTANTINO D MD	11101 LA REINA AVENUE	STE 201	DOWNEY	CA	90241	4237	19	06037	33.94180276	-118.134357	Los Angeles County
244295	Fee-for-Service	1457643124	1457643124	1	1	VIG, SANJANA MD	10/13/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	136727	05	Anesthesiology	0	In state provider	None	200 WEST ARBOR DRIVE	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
244354	Fee-for-Service	1043603780	1043603780	1	1	VILLAGE ROSE PHARMACY INC	5/5/2015	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	7773 UNIVERSITY AVE	None	LA MESA	CA	91942	4950	37	06073	32.76215266	-117.0300807	San Diego County
244386	Fee-for-Service	1437102092	1437102092	1	15	VALLEY RADIOTHERAPY ASSO	11/30/2008	2085R0001X	NA	Other	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	MEDICAL GROUP INC	1000 W LA VETA AVE	None	ORANGE	CA	90286	8430	30	06059	33.78028244	-117.8635552	Orange County
244399	Fee-for-Service	1477180834	1477180834	1	1	VO, VICTOR DO	8/30/2023	208M00000X	NA	Other	026	PHYSICIANS	21566	None	None	0	In state provider	None	600 COFFEE RD	None	MODESTO	CA	95355	4201	50	06099	37.653219	-120.975542	Stanislaus County
244420	Fee-for-Service	1568491256	1568491256	1	1	VINTERS, HARRY V MD	12/31/1992	207ZN0500X	NA	Other	026	PHYSICIANS	54708	22	Pathology (M.D. only)	0	In state provider	None	10833 LE CONTE AVE	None	LOS ANGELES	CA	90095	3075	19	06037	34.06373445	-118.443537	Los Angeles County
244549	Fee-for-Service	1750439584	1750439584	1	1	VELASQUEZ, BREDA MD	5/3/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	56446	36	Psychiatry	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
244569	Fee-for-Service	1831355015	1831355015	1	1	VASQUEZ, MANUELA M MD	8/7/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	111018	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	25825 VERMONT AVE	None	HARBOR CITY	CA	90710	3518	19	06037	33.78673844	-118.2965289	Los Angeles County
244598	Fee-for-Service	1023210721	1023210721	1	1	VELASCO, PENELOPE MD	7/24/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	74761	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	3660 E IMPERIAL HWY	None	LYNWOOD	CA	90262	2653	19	06037	33.93178635	-118.2019603	Los Angeles County
244669	Fee-for-Service	1043226723	1043226723	1	1	VERGHESE, ABRAHAM C MD	3/21/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	53127	41	Internal Medicine	0	In state provider	None	300 PASTEUR DRIVE	MC 5500	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
244687	Fee-for-Service	1285703660	1285703660	1	1	VASANAWALA, SHREY MD	8/3/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	81282	30	Radiology	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
244710	Fee-for-Service	1619235710	1619235710	1	1	VISTA PSYCHOLOGICAL CENTER	11/16/2015	251S00000X	NA	Other	031	PSYCHOLOGISTS	-	None	None	0	In state provider	INC	23030 LYONS AVENUE	SUITE 200	NEWHALL	CA	91321	2720	19	06037	34.37997127	-118.5361153	Los Angeles County
244836	Fee-for-Service	1568133395	1568133395	1	1	VO, JADE K OD	5/3/2022	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	13010 HESPERIA RD	STE 101	VICTORVILLE	CA	92395	5837	36	06071	34.48843676	-117.2909745	San Bernardino County
244864	Fee-for-Service	1972023778	1972023778	1	1	VARDANYAN, KRISTINE MD	8/24/2020	207R00000X	NA	Other	026	PHYSICIANS	169373	41	Internal Medicine	0	In state provider	None	15107 VANOWEN STREET	None	VAN NUYS	CA	91405	4542	19	06037	34.19395645	-118.463265	Los Angeles County
244912	Fee-for-Service	1003029703	1003029703	1	1	VERDUGO HOME HEALTH INC	2/12/2010	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	4170 VERDUGO ROAD	SUITE C	LOS ANGELES	CA	90065	3821	19	06037	34.12699791	-118.2320973	Los Angeles County
244949	Fee-for-Service	1770795759	1770795759	1	1	VEGESNA, NEELIMA A MD	4/23/2015	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	102368	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1551 BISHOP ST	STE 240	SAN LUIS OBISPO	CA	93401	4636	40	06079	35.27475609	-120.6454494	San Luis Obispo County
245027	Fee-for-Service	1689605966	1689605966	1	1	VELLOZE, STEPHEN E MD	8/31/1993	No Taxonomy Provided	NA	None	026	PHYSICIANS	48936	41	Internal Medicine	0	In state provider	None	675 S ARROYO PKWY	None	PASADENA	CA	91105	3263	19	06037	34.13385453	-118.1474229	Los Angeles County
245095	Fee-for-Service	1750439782	1750439782	1	1	VANDANIAN, ANDREW J MD	4/1/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	95380	02	General Surgery	0	In state provider	None	200 MEDICAL PLAZA	STE 465	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
245296	Fee-for-Service	1730158650	1730158650	1	1	VIERNES, MATTHEW E MD	10/1/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	61516	41	Internal Medicine	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
245350	Fee-for-Service	1508825290	1508825290	1	1	VANLOWE, KRYSTAL	1/30/2024	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	158799	None	None	0	In state provider	None	2801 ATLANTIC AVE	None	LONG BEACH	CA	90806	1701	19	06037	33.808185	-118.1850575	Los Angeles County
245362	Fee-for-Service	1316023021	1316023021	1	1	VINCENT A MUKKADA, MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	3333 BURNET AVE	None	CINCINNATI	OH	45229	3026	00	None	39.14105892	-84.50040782	Hamilton County
245517	Fee-for-Service	1710481213	1710481213	1	1	VU, CLARA V MD	10/27/2022	207L00000X	NA	Other	026	PHYSICIANS	165136	None	None	0	In state provider	None	757 WESTWOOD PLZ	None	LOS ANGELES	CA	90095	8358	19	06037	34.06633051	-118.4452686	Los Angeles County
245535	Fee-for-Service	1740505023	1740505023	1	1	VOLKERT, EZEKIEL MD	10/12/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	138475	41	Internal Medicine	0	In state provider	None	20103 LAKE CHABOT RD	None	CASTRO VALLEY	CA	94546	5305	01	06001	37.698264	-122.090112	Alameda County
245582	Fee-for-Service	1265645626	1265645626	1	1	VER STEEG, CASSIE E MD	11/18/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	96904	40	Pediatrics	0	In state provider	None	9961 SIERRA AVENUE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
245585	Fee-for-Service	1730158650	1730158650	1	1	VIERNES, MATTHEW E MD	10/1/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	61516	10	Gastroenterology (M.D. only)	0	In state provider	None	10666 N TORREY PINES RD	None	LA JOLLA	CA	92037	1027	37	06073	32.89687721	-117.2418677	San Diego County
245613	Fee-for-Service	1831359413	1831359413	1	1	VARTERESIAN, TAYA C DO	12/10/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	12106	36	Psychiatry	0	In state provider	None	1090 THIRD ST	SUITE 1	SOUTH LAKE TAHOE	CA	96150	3485	09	06017	38.91492536	-119.9966528	El Dorado County
245681	Fee-for-Service	1386825362	1386825362	1	1	VARGAS, DANIEL MD	10/1/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	30	Radiology	2	Out of state provider	None	13199 E MONTVIEW BLVD	None	AURORA	CO	80045	7201	00	None	39.748041	-104.834673	Adams County
245712	Fee-for-Service	1790976363	1790976363	1	1	VORA, NILESH L MD	4/18/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	94183	41	Internal Medicine	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
245713	Fee-for-Service	1043283955	1043283955	1	1	VALKOV, EDWARD MD	8/17/2022	2084P0800X	NA	Psychiatry	026	PHYSICIANS	148173	None	None	0	In state provider	None	1551 BISHOP ST	A 150	SAN LUIS OBISPO	CA	93401	4635	40	06079	35.27475609	-120.6454494	San Luis Obispo County
245798	Fee-for-Service	1497203541	1497203541	1	7	VISTA COMMUNITY CLINIC	6/12/2019	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	2200 DOROTHY LANE	ROOM 106	FULLERTON	CA	92831	3036	30	06059	33.88135016	-117.8930204	Orange County
245899	Fee-for-Service	1427672625	1427672625	1	1	VEPEMA LABORIST MEDICAL GROU	7/1/2020	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	15	Obstetrics (D.O. only)	0	In state provider	P, INC.	333 MERCY AVE	None	MERCED	CA	95340	8319	24	06047	37.33875148	-120.467457	Merced County
245987	Fee-for-Service	1790740140	1790740140	1	1	VOHRA, RAIS B MD	3/1/2006	207P00000X	NA	Other	026	PHYSICIANS	86387	66	Emergency Medicine (Urgent Care)	0	In state provider	None	9300 CAMPUS POINT DR	None	LA JOLLA	CA	92037	1300	37	06073	32.877999	-117.225891	San Diego County
246013	Fee-for-Service	1194882530	1194882530	3	1	VIRGINIA HOME CARE INC	10/8/2015	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	1 WEST CALIFORNIA BLVD	STE 226	PASADENA	CA	91105	3032	19	06037	34.13581545	-118.1510145	Los Angeles County
246080	Fee-for-Service	1992855373	1992855373	1	1	VIERNES, MARYANN R PT	11/26/2012	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	975 SERENO DRIVE	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
246084	Fee-for-Service	1497203541	1497203541	1	7	VISTA COMMUNITY CLINIC	6/12/2019	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	2200 DOROTHY LANE	ROOM 106	FULLERTON	CA	92831	3036	30	06059	33.88135016	-117.8930204	Orange County
246188	Fee-for-Service	1427672625	1427672625	1	1	VEPEMA LABORIST MEDICAL GROU	7/1/2020	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	P, INC.	333 MERCY AVE	None	MERCED	CA	95340	8319	24	06047	37.33875148	-120.467457	Merced County
246267	Fee-for-Service	1750777520	1750777520	1	1	VUONG, MAI MD	6/4/2019	2084N0400X	NA	Neurology	026	PHYSICIANS	160803	13	Neurology (M.D. only)	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
246322	Fee-for-Service	1649658261	1649658261	1	1	VEMURI, KAVITHA MD	7/22/2022	2251P0200X	NA	Physical Therapist	026	PHYSICIANS	170946	None	None	0	In state provider	None	400 W PUEBLO ST	None	SANTA BARBARA	CA	93105	4353	42	06083	34.42887662	-119.7237878	Santa Barbara County
246399	Fee-for-Service	1245556315	1245556315	1	1	VOLKOV, PAVEL S MD	3/8/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	111927	41	Internal Medicine	0	In state provider	None	6327 N FRESNO ST	STE 104	FRESNO	CA	93710	5236	10	06019	36.82875536	-119.781417	Fresno County
246410	Fee-for-Service	1093226029	1093226029	1	1	VALENCIA, KEVIN M LMFT	11/3/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	155 HOSPITALITY LN	245	SAN BERNARDINO	CA	92408	3305	36	06071	34.06580948	-117.2856915	San Bernardino County
246428	Fee-for-Service	1063876126	1063876126	1	1	VANDIVORT, CHRISTOPHER MD	12/13/2024	207P00000X	NA	Other	026	PHYSICIANS	None	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1425 S MAIN ST	None	WALNUT CREEK	CA	94596	5318	07	06013	37.89189148	-122.057999	Contra Costa County
246571	Fee-for-Service	1194889170	1194889170	1	1	VEGA, JUAN SORIA MD	12/26/1996	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	71192	None	None	0	In state provider	None	3291 LOMA VISTA RD	None	VENTURA	CA	93003	3099	56	06111	34.27623479	-119.2520218	Ventura County
246575	Fee-for-Service	1528035573	1528035573	1	1	VAISHAMPAYAN, SANJEEV G MD	1/20/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	88588	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	1148 NORMAN DR	STE 3	MANTECA	CA	95336	5961	39	06077	37.79420383	-121.2001656	San Joaquin County
246627	Fee-for-Service	1437102092	1437102092	1	16	VALLEY RADIOTHERAPY ASSO	11/6/2008	2085R0001X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	2151 N HARBOR BLVD	STE 1500	FULLERTON	CA	92835	3823	30	06059	33.89443025	-117.9288328	Orange County
246704	Fee-for-Service	1275845570	1275845570	1	1	VELASCO, OMAR	3/1/2024	207R00000X	NA	Other	026	PHYSICIANS	168081	41	Internal Medicine	0	In state provider	None	36485 INLAND VALLEY DR	None	WILDOMAR	CA	92595	9681	33	06065	33.591699	-117.2368285	Riverside County
246795	Fee-for-Service	1326402637	1326402637	1	1	VAN BRUNT, LINDSEY O MD	8/4/2020	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	168029	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	3000 Q ST	5TH FL	SACRAMENTO	CA	95816	7058	34	06067	38.564991	-121.4696565	Sacramento County
246911	Fee-for-Service	1649296724	1649296724	1	1	VENER, MARGO H MD	4/1/2000	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	61784	08	Family Practice	0	In state provider	None	1001 POTRERO AVE	# 4F	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
247104	Fee-for-Service	1992911077	1992911077	1	1	VISTA ADULT DAY HEALTH	12/5/2002	261QA0600X	NA	Other	001	ADULT DAY HEALTH CARE CENTERS	-	-	NOT APPLICABLE	0	In state provider	CARE CENTER	6061 ATLANTIC BLVD	None	MAYWOOD	CA	90270	3118	19	06037	33.98374896	-118.1861299	Los Angeles County
247153	Fee-for-Service	1518029677	1518029677	1	1	VENEGAS, ANTHONY C	2/14/2013	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	27400 HESPERIAN BLVD	None	HAYWARD	CA	94545	4235	01	06001	37.63011596	-122.0960694	Alameda County
247204	Fee-for-Service	1881177632	1881177632	1	1	VARGAS, MARIA L LCSW	5/20/2021	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
247279	Fee-for-Service	1558564377	1558564377	1	1	VERDUZCO, OSCAR G PT	6/8/2010	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	4650 PALM AVENUE	None	SAN DIEGO	CA	92154	8404	37	06073	32.5839467	-117.0337851	San Diego County
247337	Fee-for-Service	1114096518	1114096518	1	1	V&L VENTURES PHYSICAL THERAP	5/6/2020	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	PORTS MEDICINE	1044 MANGROVE AVE	None	CHICO	CA	95926	3509	04	06007	39.74053676	-121.8373879	Butte County
247364	Fee-for-Service	1346856952	1346856952	1	1	VINETA HOSPICE CARE, INC	8/30/2022	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	430 FOOTHILL BLVD	SUITE D	LA CANADA	CA	91011	3561	19	06037	34.1985245	-118.1874373	Los Angeles County
247527	Fee-for-Service	1538544663	1538544663	1	1	VAND, NATASHA LMFT	2/22/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2512 ARTESIA BLVD	305C	REDONDO BEACH	CA	90278	3269	19	06037	33.87276506	-118.365232	Los Angeles County
247571	Fee-for-Service	1407207715	1407207715	1	1	VAIDYA, SEJAL D NP	10/14/2020	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	3851 KATELLA AVENUE	SUITE 355	LOS ALAMITOS	CA	90720	3309	30	06059	33.80319053	-118.0657305	Orange County
247652	Fee-for-Service	1346856952	1346856952	1	1	VINETA HOSPICE CARE, INC	8/30/2022	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	430 FOOTHILL BLVD	SUITE D	LA CANADA	CA	91011	3561	19	06037	34.1985245	-118.1874373	Los Angeles County
247694	Fee-for-Service	1386356277	1386356277	1	1	VITUITY-CALIFORNIA OBSERVATI	1/31/2023	193200000X	NA	Other	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1 MEDICAL PLAZA DR	None	ROSEVILLE	CA	95661	3037	31	06061	38.76553806	-121.2497067	Placer County
247772	Fee-for-Service	1497093231	1497093231	1	1	VMS FAMILY COUNSELING SERVIC	6/10/2019	251S00000X	NA	Other	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	ES	2350 W SHAW AVE	SUITE 116	FRESNO	CA	93711	3400	10	06019	36.80841045	-119.834577	Fresno County
247813	Fee-for-Service	1740540285	1740540285	1	6	VDAH CORP APC	6/14/2023	282N00000X	NA	Hospitals	026	PHYSICIANS	None	None	None	0	In state provider	None	1280 VICTORIA AVE	SUITE 110	VENTURA	CA	93003	6555	56	06111	34.26344767	-119.2119344	Ventura County
247904	Fee-for-Service	1063084440	1063084440	1	2	VELASQUEZ, JOSE RODRIGO	12/10/2024	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	None	-	NOT APPLICABLE	0	In state provider	None	2150 N VICTORIA AVE	None	OXNARD	CA	93036	7791	56	06111	34.22559401	-119.2209704	Ventura County
247947	Fee-for-Service	1245383496	1245383496	1	1	VERDONE, DANL K LMFT	8/27/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1311 E STREET	None	MODESTO	CA	95354	2411	50	06099	37.63815216	-120.9914104	Stanislaus County
248241	Fee-for-Service	1144427626	1144427626	1	1	VAL VERDE UNIFIED SD	10/23/1997	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	None	975 MORGAN ST	None	PERRIS	CA	92571	3103	33	06065	33.83764414	-117.2475905	Riverside County
248247	Fee-for-Service	1427316835	1427316835	1	1	VINCENT, JYOTSNA MD	11/16/2020	207R00000X	NA	Other	026	PHYSICIANS	141632	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
248258	Fee-for-Service	1649364902	1649364902	1	1	VACA, FEDERICO E MD	1/31/1993	No Taxonomy Provided	NA	None	026	PHYSICIANS	52737	66	Emergency Medicine (Urgent Care)	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
248385	Fee-for-Service	1073517686	1073517686	1	1	VICTORIA D FERNANDO MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	2100 N MLK BLVD	None	CLOVIS	NM	88101	0000	00	None	34.420608	-103.233879	Curry County
248420	Fee-for-Service	1760877245	1760877245	1	1	VALLEY CHILDREN'S PRIMARY CA	8/26/2015	193200000X	NA	Other	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	CARE GROUP	500 40TH STREET	None	BAKERSFIELD	CA	93301	1224	15	06029	35.39619932	-119.0074457	Kern County
248532	Fee-for-Service	1639319916	1639319916	1	1	VENKAT, BALAJI DO	9/9/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	11767	None	None	0	In state provider	None	6001 NORRIS CANYON RD	None	SAN RAMON	CA	94583	5400	07	06013	37.7755858	-121.958923	Contra Costa County
248607	Fee-for-Service	1679991707	1679991707	1	1	VO, DANIEL D MD	1/1/2018	207P00000X	NA	Other	026	PHYSICIANS	139430	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1303 EAST HERNDON AVENUE	None	FRESNO	CA	93720	3309	10	06019	36.83626596	-119.7674879	Fresno County
248709	Fee-for-Service	1760877245	1760877245	1	1	VALLEY CHILDREN'S PRIMARY CA	8/26/2015	193200000X	NA	Other	022	PHYSICIANS GROUP	-	01	General Practice	0	In state provider	CARE GROUP	500 40TH STREET	None	BAKERSFIELD	CA	93301	1224	15	06029	35.39619932	-119.0074457	Kern County
248845	Fee-for-Service	1063602472	1063602472	1	1	VASCONCELLOS, ROSA M	4/14/2009	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	PHD	180 N JACKSON AVENUE	None	SAN JOSE	CA	95116	1907	43	06085	37.36244769	-121.84739	Santa Clara County
248863	Fee-for-Service	1639172133	1639172133	2	1	VIBRA HOSPITAL OF SAN DIEGO	7/1/2008	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	LLC	555 WASHINGTON ST	None	SAN DIEGO	CA	92103	2289	37	06073	32.74986289	-117.1599343	San Diego County
248995	Fee-for-Service	1730263484	1730263484	1	1	VALENZUELA, GUILLERMO MD	9/20/2007	207VM0101X	NA	Obstetrics & Gynecology	026	PHYSICIANS	38671	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	4010 MISSION INN AVE	None	RIVERSIDE	CA	92501	3205	33	06065	33.98466511	-117.3775714	Riverside County
249022	Fee-for-Service	1861438491	1861438491	1	1	VONS COMPANIES, INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	27320 ALICIA PKWY	None	LAGUNA NIGUEL	CA	92677	3411	30	06059	33.566157	-117.712827	Orange County
249107	Fee-for-Service	1396977591	1396977591	1	1	VELARDE PAGE, TERESA LMFT	3/24/2020	101Y00000X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	25825 VERMONT AVE	None	HARBOR CITY	CA	90710	3518	19	06037	33.78673844	-118.2965289	Los Angeles County
249269	Fee-for-Service	1598724437	1598724437	1	1	VAN GOOR, ANTHONY J MD	10/11/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	87688	41	Internal Medicine	0	In state provider	None	1234 EMPIRE ST	None	FAIRFIELD	CA	94533	5711	48	06095	38.25037548	-122.049045	Solano County
249324	Fee-for-Service	1962541177	1962541177	1	1	VILLADEL, INC	9/18/2006	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	263 AHMU TERRACE	None	VISTA	CA	92084	2565	37	06073	33.22973593	-117.2441258	San Diego County
249386	Fee-for-Service	1003904632	1003904632	1	1	VIERRA, JOSEPH R. MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	888 S KING ST	None	HONOLULU	HI	96813	3009	00	None	21.30218603	-157.8505732	Honolulu County
249434	Fee-for-Service	1487015574	1487015574	1	1	VALENCIA-RYMER, NIDIA LPCC	7/22/2024	101YP2500X	NA	Other	103	LICENSED PROFESSIONAL CLINICAL COUNSELOR - INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	77564 COUNTRY CLUB DR	201	PALM DESERT	CA	92211	0484	33	06065	33.75833451	-116.3114325	Riverside County
249464	Fee-for-Service	1992873814	1992873814	1	1	VALERA-DACQUEL, RIZELLE D	2/22/2013	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	4601 DALE ROAD	None	MODESTO	CA	95356	9718	50	06099	37.706508	-121.052457	Stanislaus County
249530	Fee-for-Service	1437102092	1437102092	1	14	VALLEY RADIOTHERAPY ASSO	10/27/2008	2085R0001X	NA	Other	022	PHYSICIANS GROUP	-	30	Radiology	0	In state provider	MEDICAL GROUP INC	222 EULALIA STREET	SUITE 100	GLENDALE	CA	91204	2850	19	06037	34.12653215	-118.257121	Los Angeles County
249585	Fee-for-Service	1013921253	1013921253	1	1	VENUGOPAL, SANDHYA MD	10/3/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	None	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	4860 Y ST	None	SACRAMENTO	CA	95817	2307	34	06067	38.552211	-121.449429	Sacramento County
249594	Fee-for-Service	1386704146	1386704146	1	1	VENTURA PULMONARY & CRIT	3/31/1993	193200000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	CARE MEDICAL GRP	168 N BRENT ST	STE 406	VENTURA	CA	93003	2824	56	06111	34.27448266	-119.2572489	Ventura County
249673	Fee-for-Service	1033301270	1033301270	2	1	VISION 6 CORP	4/1/2015	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	5050 PALO VERDE ST	SUITE 209	MONTCLAIR	CA	91763	2334	36	06071	34.08145549	-117.69516	San Bernardino County
249724	Fee-for-Service	1558716381	1558716381	1	1	VISTA HILL FOUNDATION	5/6/2016	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	VERY CENTER	4777 IMPERIAL AVENUE	None	SAN DIEGO	CA	92113	2071	37	06073	32.7040308	-117.091997	San Diego County
249731	Fee-for-Service	1205279338	1205279338	1	1	VELOSO, NIMFA M NP	9/22/2015	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	36	06071	34.072245	-117.4319685	San Bernardino County
249763	Fee-for-Service	1407428436	1407428436	1	1	VALSECCHI, MEGAN LMFT	2/9/2022	101YM0800X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2401 MERCED ST	None	SAN LEANDRO	CA	94577	4228	01	06001	37.70670062	-122.1696327	Alameda County
249785	Fee-for-Service	1023109048	1023109048	1	1	VONDOLLEN, LAWRENCE B MD	3/6/1996	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	44009	41	Internal Medicine	0	In state provider	None	77 CASA ST	STE 105	SAN LUIS OBISPO	CA	93405	5804	40	06079	35.29306786	-120.6650709	San Luis Obispo County
249818	Fee-for-Service	1437102092	1437102092	1	14	VALLEY RADIOTHERAPY ASSO	10/27/2008	2085R0001X	NA	Other	022	PHYSICIANS GROUP	-	78	Neoplastic Diseases/Oncology	0	In state provider	MEDICAL GROUP INC	222 EULALIA STREET	SUITE 100	GLENDALE	CA	91204	2850	19	06037	34.12653215	-118.257121	Los Angeles County
249852	Fee-for-Service	1093823734	1093823734	1	1	VU, CHERYL L MD	3/14/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	89860	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	301 OLD SAN FRANCISCO RD	None	SUNNYVALE	CA	94086	6386	43	06085	37.36797679	-122.0297112	Santa Clara County
249874	Fee-for-Service	1962544965	1962544965	1	1	VILLA, ANGELICA MARIE	3/18/2013	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	480 4TH AVE	SUITE 412	CHULA VISTA	CA	91910	4413	37	06073	32.63411298	-117.0816772	San Diego County
249961	Fee-for-Service	1679936942	1679936942	1	1	VANDERET, DANIELLE DO	12/5/2023	208600000X	NA	General Surgery	026	PHYSICIANS	21377	None	None	0	In state provider	None	1150 INDIAN CANYON	None	PALM SPRINGS	CA	92262	4872	33	06065	33.838623	-116.542737	Riverside County
249974	Fee-for-Service	1336121813	1336121813	1	1	VALL-SPINOSA, BARBARA L MD	10/11/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	63431	01	General Practice	0	In state provider	None	401 BICENTENNIAL WAY	None	SANTA ROSA	CA	95403	2149	49	06097	38.471625	-122.7259935	Sonoma County
250086	Fee-for-Service	1710164785	1710164785	1	1	VOLPICELLI, LOUIS J M D INC	7/24/2012	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	39786	20	Orthopedic Surgery	0	In state provider	None	4560 ADMIRALTY WAY	SUITE 201	MARINA DEL REY	CA	90292	5425	19	06037	33.98364904	-118.4449069	Los Angeles County
250176	Fee-for-Service	1376615419	1376615419	1	1	VESTAL, ERIN R	1/11/2013	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1600 EUREKA ROAD	None	ROSEVILLE	CA	95661	3027	31	06061	38.746836	-121.250529	Placer County
250184	Fee-for-Service	1952906497	1952906497	1	1	VIORATO, FERNANDO E CRNA	4/3/2021	207L00000X	NA	Other	018	NURSE ANESTHETISTS	-	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
250204	Fee-for-Service	1720272701	1720272701	1	1	VELUZ, TANYA A LMFT	8/31/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
250448	Fee-for-Service	1730747791	1730747791	1	1	VAZQUEZ, DANNY MD	6/19/2024	261QX0203X	NA	Other	026	PHYSICIANS	182501	32	Radiation Therapy (D.O. only)	0	In state provider	None	4945 W CYPRESS AVE	STE A	VISALIA	CA	93277	1592	54	06107	36.323226	-119.346048	Tulare County
250553	Fee-for-Service	1962718387	1962718387	1	1	VM PHARMACY INC	1/7/2011	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	12626 SOUTH ST	None	CERRITOS	CA	90703	7232	19	06037	33.85850654	-118.062927	Los Angeles County
250565	Fee-for-Service	1225152549	1225152549	1	1	VILLAFLOR, GABE C	5/13/2010	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1680-D E ROSEVILLE PKWY	BLDG D, UNIT 110	ROSEVILLE	CA	95661	3988	31	06061	38.74724349	-121.2374438	Placer County
250658	Fee-for-Service	1235420399	1235420399	1	1	VAYUVEGULA, SWAPNA S MD	11/30/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	135159	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
250737	Fee-for-Service	1730747791	1730747791	1	1	VAZQUEZ, DANNY MD	6/19/2024	261QX0203X	NA	Other	026	PHYSICIANS	182501	41	Internal Medicine	0	In state provider	None	4945 W CYPRESS AVE	STE A	VISALIA	CA	93277	1592	54	06107	36.323226	-119.346048	Tulare County
250823	Fee-for-Service	1942736186	1942736186	1	1	VILLEGAS, ALEJANDRA CNP	12/13/2019	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	35800 BOB HOPE DRIVE	#240	RANCHO MIRAGE	CA	92270	1740	33	06065	33.790527	-116.4058645	Riverside County
251001	Fee-for-Service	1740740919	1740740919	1	1	VARGAS, NICHOLAS MD	7/1/2024	390200000X	NA	Other	026	PHYSICIANS	182520	30	Radiology	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
251048	Fee-for-Service	1164884623	1164884623	1	1	VARADARAJAN, RANGASHREE MD	10/3/2022	207RN0300X	NA	Nephrology	026	PHYSICIANS	161306	None	None	0	In state provider	None	2301 CIRCADIAN WAY	STE A	SANTA ROSA	CA	95407	5457	49	06097	38.421936	-122.7533895	Sonoma County
251123	Fee-for-Service	1689806606	1689806606	1	1	VARSHNEY, NEETA MD	5/3/2017	207W00000X	NA	Ophthalmology	026	PHYSICIANS	114113	18	Ophthalmology	0	In state provider	None	100 N RANCHO SANTA FE RD	STE 126	SAN MARCOS	CA	92069	1294	37	06073	33.15125491	-117.197854	San Diego County
251186	Fee-for-Service	1407087471	1407087471	1	1	VERTEX MEDICUS LLC	9/9/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	77	Infectious Disease	1	Border provider	None	1905 MCDANIEL STREET	SUITE 106	NORTH LAS VEGAS	NV	89030	7170	00	None	36.194535	-115.1208615	Clark County
251192	Fee-for-Service	1831650225	1831650225	1	1	VILA, PAMELA	9/6/2022	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	19771	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
251324	Fee-for-Service	1376640110	1376640110	1	1	VALLEY PHARMACY SERVICES	11/1/2000	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	500 N GARDEN ST	STE 4	VISALIA	CA	93291	5067	54	06107	36.333972	-119.2900005	Tulare County
251381	Fee-for-Service	1750389250	1750389250	1	1	VEMPATY, HYMA T MD	5/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	61497	68	Hematology	0	In state provider	None	1150 VETERANS BLVD	None	REDWOOD CITY	CA	94063	2037	41	06081	37.48948529	-122.2232468	San Mateo County
251443	Fee-for-Service	1871811422	1871811422	1	1	VNA OF ORANGE COUNTY LLC	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	2520 RED HILL AVE	STE 100A	SANTA ANA	CA	92705	5542	30	06059	33.70765421	-117.841446	Orange County
251450	Fee-for-Service	1639494537	1639494537	1	1	VANINETTI, MICHAEL A MD	11/17/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	137566	05	Anesthesiology	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	1911	37	06073	32.7537975	-117.1658298	San Diego County
251457	Fee-for-Service	1538459276	1538459276	1	1	VAIDYA, AJAY S MD	8/30/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	125020	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	1520 SAN PABLO ST	None	LOS ANGELES	CA	90033	5310	19	06037	34.06269295	-118.2030006	Los Angeles County
251463	Fee-for-Service	1336991447	1336991447	1	1	VERMULM, DANAE NP	1/17/2025	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	4065 WHITTIER BLVD	None	LOS ANGELES	CA	90023	2556	19	06037	34.02396048	-118.18395	Los Angeles County
251566	Fee-for-Service	1366838237	1366838237	1	1	VANDERBURG, SKY B MD	12/1/2021	207RC0200X	NA	Other	026	PHYSICIANS	160780	None	None	0	In state provider	None	1411 E 31ST ST	None	OAKLAND	CA	94602	1018	01	06001	37.79926205	-122.2314248	Alameda County
251670	Fee-for-Service	1750389250	1750389250	1	1	VEMPATY, HYMA T MD	5/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	61497	78	Neoplastic Diseases/Oncology	0	In state provider	None	1150 VETERANS BLVD	None	REDWOOD CITY	CA	94063	2037	41	06081	37.48948529	-122.2232468	San Mateo County
251730	Fee-for-Service	1871811422	1871811422	1	1	VNA OF ORANGE COUNTY LLC	6/1/2010	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	2520 RED HILL AVE	STE 100A	SANTA ANA	CA	92705	5542	30	06059	33.70765421	-117.841446	Orange County
251741	Fee-for-Service	1538459276	1538459276	1	1	VAIDYA, AJAY S MD	8/30/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	125020	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
251957	Fee-for-Service	1750389250	1750389250	1	1	VEMPATY, HYMA T MD	5/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	61497	41	Internal Medicine	0	In state provider	None	1150 VETERANS BLVD	None	REDWOOD CITY	CA	94063	2037	41	06081	37.48948529	-122.2232468	San Mateo County
252012	Fee-for-Service	1851719223	1851719223	1	1	VITT, JEFFREY MD	6/11/2018	390200000X	NA	Other	026	PHYSICIANS	140030	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
252018	Fee-for-Service	1871811422	1871811422	1	1	VNA OF ORANGE COUNTY LLC	6/1/2010	251G00000X	NA	Other	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	2520 RED HILL AVE	STE 100A	SANTA ANA	CA	92705	5542	30	06059	33.70765421	-117.841446	Orange County
252041	Fee-for-Service	1871791749	1871791749	1	1	VIDAL, MONICA M DO	7/15/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	8949	08	Family Practice	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
252093	Fee-for-Service	1154882850	1154882850	1	1	VITALITY HOME HEALTH CARE	7/21/2020	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	INC	427 W COLORADO ST	SUITE 105	GLENDALE	CA	91204	3044	19	06037	34.1425505	-118.262142	Los Angeles County
252108	Fee-for-Service	1538605514	1538605514	1	1	VALDEZ ESPITIA, BRENDA V LMF	3/23/2023	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	T	937 COFFEE RD	500	MODESTO	CA	95355	4240	50	06099	37.65636629	-120.9756356	Stanislaus County
252164	Fee-for-Service	1811456742	1811456742	1	1	VERDUZCO, LUIS MD	7/10/2024	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	180721	None	None	0	In state provider	None	2026 N IMPERIAL AVE	STE C	EL CENTRO	CA	92243	1607	13	06025	32.81256347	-115.5700202	Imperial County
252179	Fee-for-Service	1053495424	1053495424	1	1	VELASQUEZ-MORFIN, VERONICA	1/21/2016	No Taxonomy Provided	NA	None	086	MEDICAL DIRECTORS	82869	-	NOT APPLICABLE	0	In state provider	MD	6765 GREEN VALLEY RD	None	PLACERVILLE	CA	95667	8672	09	06017	38.72039732	-120.8664353	El Dorado County
252183	Fee-for-Service	1225186232	1225186232	1	1	VOLPP, PAUL B MD	3/15/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	86307	30	Radiology	0	In state provider	None	5555 GROSSMONT CENTER DR	None	LA MESA	CA	91942	3019	37	06073	32.781483	-117.007182	San Diego County
252219	Fee-for-Service	1447671565	1447671565	1	1	VICTORIANO, GEORGE R III	8/24/2016	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	2635 G ST	None	BAKERSFIELD	CA	93301	2813	15	06029	35.38360448	-119.0223416	Kern County
252307	Fee-for-Service	1194112060	1194112060	1	1	VERLINDEN, WILLIAM MD	2/3/2025	1223S0112X	NA	Dental Provider	026	PHYSICIANS	165493	02	General Surgery	0	In state provider	None	513 PARNASSUS AVE	# S738	SAN FRANCISCO	CA	94143	2205	38	06075	37.76344756	-122.4581992	San Francisco County
252371	Fee-for-Service	1962410571	1962410571	1	1	VERMA, RAMESH C MD	2/28/1993	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	25549	30	Radiology	0	In state provider	None	14445 OLIVE VIEW DR	None	SYLMAR	CA	91342	1437	19	06037	34.32450186	-118.4456317	Los Angeles County
252469	Fee-for-Service	1225186232	1225186232	1	1	VOLPP, PAUL B MD	3/15/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	86307	78	Neoplastic Diseases/Oncology	0	In state provider	None	5555 GROSSMONT CENTER DR	None	LA MESA	CA	91942	3019	37	06073	32.781483	-117.007182	San Diego County
252523	Fee-for-Service	1437256021	1437256021	1	1	VOSICHER, OLEG MD	9/20/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	81639	05	Anesthesiology	0	In state provider	None	501 S BUENA VISTA ST	None	BURBANK	CA	91505	4809	19	06037	34.15729818	-118.3277073	Los Angeles County
252529	Fee-for-Service	1477829133	1477829133	1	1	VIRK, PUSHWAZ MD	6/15/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	132220	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1165 MONTGOMERY DR	None	SANTA ROSA	CA	94505	4801	49	06097	38.443806	-122.701374	Sonoma County
252533	Fee-for-Service	1750793717	1750793717	1	1	VU, MAILINH T MD	3/9/2022	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	152956	None	None	0	In state provider	None	8077 FLORENCE AVE	STE 112	DOWNEY	CA	90240	3894	19	06037	33.95245028	-118.1277345	Los Angeles County
252574	Fee-for-Service	1649662719	1649662719	1	4	VISTA COMMUNITY CLINIC	6/5/2019	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	601 W HEALD AVE	ROOM 60	LAKE ELSINORE	CA	92530	3622	33	06065	33.67164365	-117.3335217	Riverside County
252584	Fee-for-Service	1760988935	1760988935	1	1	VAYO, VICTORIA A CNP	10/1/2021	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1900 19TH AVE	None	SAN FRANCISCO	CA	94116	1250	38	06075	37.75211157	-122.4762664	San Francisco County
252606	Fee-for-Service	1538377825	1538377825	1	1	VAN LEEUWEN, DAVID J MD	7/24/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	95466	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
252622	Fee-for-Service	1619534963	1619534963	1	1	VALK, JOSIAH DO	8/1/2024	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	22266	20	Orthopedic Surgery	0	In state provider	None	6719 ALVARADO ROAD	SUITE 200	SAN DIEGO	CA	92120	5256	37	06073	32.77684978	-117.055137	San Diego County
252623	Fee-for-Service	1912219957	1912219957	1	1	VENUGOPALAN, LALITHAMBAL MD	11/20/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	110810	40	Pediatrics	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
252647	Fee-for-Service	1083603203	1083603203	1	1	VAN MOL, ANDRE MD	2/5/2018	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	62379	08	Family Practice	0	In state provider	None	1755 COURT STREET	None	REDDING	CA	96001	1721	45	06089	40.58041248	-122.3945221	Shasta County
252751	Fee-for-Service	1770652554	1770652554	1	2	VIP NEPHROLOGY INC.	12/3/2020	207RN0300X	NA	Nephrology	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	1125 S BEVERLY DR	720	LOS ANGELES	CA	90035	1180	19	06037	34.05696658	-118.3966613	Los Angeles County
252753	Fee-for-Service	1437102092	1437102092	1	7	VALLEY RADIOTHERAPY ASSO	5/1/2001	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	ASSOCIATES MED GROUP	3531 FASHION WAY	None	TORRANCE	CA	90503	4807	19	06037	33.8352235	-118.348254	Los Angeles County
252768	Fee-for-Service	1427279322	1427279322	1	1	VOSOGHI, HOUMAN MD	6/19/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	106514	17	Ophthalmology, Otolaryngology, Rhinology (D.O.only)	0	In state provider	None	200 STEIN PLAZA	RM #1-340	LOS ANGELES	CA	90024	7065	19	06037	34.06482757	-118.4443441	Los Angeles County
252824	Fee-for-Service	1336754357	1336754357	1	1	VINETA HOME HEALTH CARE INC	12/14/2021	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	430 FOOTHILL BLVD	SUITE H	LA CANADA	CA	91011	3566	19	06037	34.1985245	-118.1874373	Los Angeles County
252851	Fee-for-Service	1144994336	1144994336	1	1	VICTORY PLAZA PHARMACY INC	12/29/2021	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	18515 VICTORY BLVD	None	RESEDA	CA	91335	6440	19	06037	34.18658915	-118.5364947	Los Angeles County
252862	Fee-for-Service	1649662719	1649662719	1	4	VISTA COMMUNITY CLINIC	6/5/2019	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	601 W HEALD AVE	ROOM 60	LAKE ELSINORE	CA	92530	3622	33	06065	33.67164365	-117.3335217	Riverside County
252912	Fee-for-Service	1912219957	1912219957	1	1	VENUGOPALAN, LALITHAMBAL MD	11/20/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	110810	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
252952	Fee-for-Service	1770621740	1770621740	1	1	VALENCIA, ANGELINA AU	1/17/2023	231H00000X	NA	Other	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
253034	Fee-for-Service	1831446053	1831446053	1	1	VO, LUCY T PSYD	3/28/2023	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	300 UCLA MEDICAL PLAZA	3300	LOS ANGELES	CA	90095	8346	19	06037	34.06465655	-118.4461	Los Angeles County
253046	Fee-for-Service	1851625206	1851625206	1	1	VALENT, DAVID J JR DO	7/5/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	18	Ophthalmology	1	Border provider	None	748 STATE ST	None	MEDFORD	OR	97504	8473	00	None	42.315624	-122.8303995	Jackson County
253130	Fee-for-Service	1770034530	1770034530	1	2	VIA CARE COMMUNITY HEALTH	10/16/2017	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	CENTER INC	607 S ATLANTIC BLVD	None	LOS ANGELES	CA	90022	3211	19	06037	34.02477432	-118.1560364	Los Angeles County
253140	Fee-for-Service	1487168449	1487168449	1	1	VAST HOME HEALTH INC	6/20/2019	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	1821 W VERDUGO AVE	SUITE 101	BURBANK	CA	91506	2149	19	06037	34.16726728	-118.3250728	Los Angeles County
253171	Fee-for-Service	1972713188	1972713188	1	1	VANDELINDER, HEATH A DO	2/3/2025	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	23735	30	Radiology	0	In state provider	None	1444 FLORIDA AVE	STE 101	MODESTO	CA	95350	4400	50	06099	37.66487562	-120.9961927	Stanislaus County
253179	Fee-for-Service	1679354237	1679354237	1	1	VUONG, HAI CNP	1/22/2024	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	27200 CALAROGA AVE	None	HAYWARD	CA	94545	4339	01	06001	37.63347961	-122.0897735	Alameda County
253308	Fee-for-Service	1184434078	1184434078	1	1	VEGA, BRIANA BIRTH DOUL	1/29/2025	374J00000X	NA	Other	106	DOULA INDIVIDUAL PROVIDER	-	-	NOT APPLICABLE	0	In state provider	Addresses not published for Doula Providers	N/A	N/A	N/A	N/A	N/A	N/A	34	06067	0	0	None
253364	Fee-for-Service	1255783635	1255783635	1	1	VAN NESS RECOVERY HOUSE, INC	2/2/2017	No Taxonomy Provided	NA	None	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	None	1919 N BEACHWOOD	None	LOS ANGELES	CA	90068	4006	19	06037	34.105806	-118.3213065	Los Angeles County
253365	Fee-for-Service	1346291648	1346291648	1	1	VERDE VALLEY MEDICAL CTR	7/17/2001	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	269 S CANDY LN	None	COTTONWOOD	AZ	86326	4170	00	None	34.735176	-112.0295655	Yavapai County
253421	Fee-for-Service	1770034530	1770034530	1	2	VIA CARE COMMUNITY HEALTH	10/16/2017	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	CENTER INC	607 S ATLANTIC BLVD	None	LOS ANGELES	CA	90022	3211	19	06037	34.02477432	-118.1560364	Los Angeles County
253423	Fee-for-Service	1750833497	1750833497	1	1	VALLEY VISTA NURSING AND	12/1/2016	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	TRANSITIONAL CARE LLC	6120 VINELAND AVE	None	NORTH HOLLYWOOD	CA	91606	4914	19	06037	34.1819583	-118.3702737	Los Angeles County
253437	Fee-for-Service	1609277649	1609277649	1	1	VAIL, ERIC R MD	6/4/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	149606	22	Pathology (M.D. only)	0	In state provider	None	8700 BEVERLY BLVD	None	LOS ANGELES	CA	90048	1839	19	06037	34.07671715	-118.3799413	Los Angeles County
253463	Fee-for-Service	1912947110	1912947110	1	1	VESAL, OMID MD	4/21/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	73459	41	Internal Medicine	0	In state provider	None	2500 ALTON PKWY	STE 101	IRVINE	CA	92606	5032	30	06059	33.69094915	-117.8356522	Orange County
253499	Fee-for-Service	1760877245	1760877245	1	2	VALLEY CHILDREN'S PRIMARY CA	1/8/2016	193200000X	NA	Other	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	E GROUP	3636 N. FIRST STREET	120-121	FRESNO	CA	93726	6818	10	06019	36.78322578	-119.7724022	Fresno County
253605	Fee-for-Service	1659415222	1659415222	1	3	VITAS HEALTHCARE CORPORATION	6/13/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	OF CALIFORNIA	1388 SUTTER ST	STE 700	SAN FRANCISCO	CA	94109	5427	38	06075	37.78741923	-122.4230191	San Francisco County
253628	Fee-for-Service	1346291648	1346291648	1	1	VERDE VALLEY MEDICAL CTR	7/17/2001	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	None	269 S CANDY LN	None	COTTONWOOD	AZ	86326	4170	00	None	34.735176	-112.0295655	Yavapai County
253662	Fee-for-Service	1578615738	1578615738	1	1	VALLEY VILLAGE	12/10/1990	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	20422 PARTHENIA ST	None	WINNETKA	CA	91306	1011	19	06037	34.22818395	-118.5783467	Los Angeles County
253705	Fee-for-Service	1770034530	1770034530	1	2	VIA CARE COMMUNITY HEALTH	5/7/2018	No Taxonomy Provided	NA	None	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	CENTER INC	607 S ATLANTIC BLVD	None	LOS ANGELES	CA	90022	3211	19	06037	34.02477432	-118.1560364	Los Angeles County
253781	Fee-for-Service	1124643135	1124643135	1	1	VANCE, KRISTOFER J MD	7/1/2023	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	187521	None	None	0	In state provider	None	250 E CAROLINE ST	STE J	SAN BERNARDINO	CA	92408	3758	36	06071	34.0615203	-117.2793274	San Bernardino County
253800	Fee-for-Service	1609902220	1609902220	1	1	VUONG, KATHLEEN L MD	11/5/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	73085	41	Internal Medicine	0	In state provider	None	1150 VETERANS BLVD	None	REDWOOD CITY	CA	94063	2037	41	06081	37.48948529	-122.2232468	San Mateo County
253827	Fee-for-Service	1730183724	1730183724	1	1	VILLA SIENA	8/1/1985	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	1855 MIRAMONTE AVE	None	MOUNTAIN VIEW	CA	94040	4029	43	06085	37.370619	-122.0870435	Santa Clara County
253888	Fee-for-Service	1295962744	1295962744	1	1	VIGILANTE, JOHN A MD	1/20/2023	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	181336	None	None	0	In state provider	None	2000 MOWRY AVE	None	FREMONT	CA	94538	1716	01	06001	37.55769729	-121.9808861	Alameda County
253907	Fee-for-Service	1770147621	1770147621	1	1	VALCOCI, ALINA M MD	8/27/2023	2084P0800X	NA	Psychiatry	026	PHYSICIANS	21181	None	None	0	In state provider	None	9201 BIG HORN BLVD	None	ELK GROVE	CA	95758	1240	34	06067	38.425365	-121.4068185	Sacramento County
253912	Fee-for-Service	1134226012	1134226012	1	1	VOVAN, THOMAS T MD	7/31/1994	No Taxonomy Provided	NA	None	026	PHYSICIANS	80277	41	Internal Medicine	0	In state provider	None	101 THE CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
253951	Fee-for-Service	1972722759	1972722759	1	1	VILEISIS, RITA A MD	9/12/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	89246	40	Pediatrics	0	In state provider	None	4000 CIVIC CENTER	SUITE 205	SAN RAFAEL	CA	94903	5233	21	06041	38.0041783	-122.538861	Marin County
254005	Fee-for-Service	1134155898	1134155898	1	1	VON SCHEVEN, EMILY MD	8/23/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	81890	40	Pediatrics	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
254030	Fee-for-Service	1114997749	1114997749	1	1	VIVEK, SANDEEP P. MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	VALLEY ANESTH CONSUL LTD	2901 N. CENTRAL AVE	STE 500	PHONEX	AZ	85012	0000	00	None	33.480666	-112.0729905	Maricopa County
254033	Fee-for-Service	1548317100	1548317100	1	1	VALLEY CENTER PAUMA USD	6/4/1998	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	None	28751 COLE GRADE RD	None	VALLEY CENTER	CA	92082	6575	37	06073	33.236019	-117.021447	San Diego County
254050	Fee-for-Service	1700813672	1700813672	1	1	VELEZ, MIGUEL A MD	11/30/1984	208600000X	NA	General Surgery	026	PHYSICIANS	50906	02	General Surgery	0	In state provider	None	1100 PACIFIC COAST HWY	None	HARBOR CITY	CA	90710	3511	19	06037	33.7899001	-118.2974971	Los Angeles County
254078	Fee-for-Service	1437102092	1437102092	1	3	VALLEY RADIOTHERAPY ASSO	9/30/1996	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	ASSOCIATES MEDICAL GRP	101 E VALENCIA MESA DR	None	FULLERTON	CA	92835	3809	30	06059	33.89356031	-117.9271656	Orange County
254293	Fee-for-Service	1134155898	1134155898	1	1	VON SCHEVEN, EMILY MD	8/23/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	81890	83	Rheumatology	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
254553	Fee-for-Service	1386111425	1386111425	1	1	VAI, LILLIAN M LCSW	8/17/2020	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	None	-	NOT APPLICABLE	0	In state provider	None	18646 OXNARD STREET	None	TARZANA	CA	91356	1411	19	06037	34.17993229	-118.5397265	Los Angeles County
254557	Fee-for-Service	1083036099	1083036099	1	1	VIRGEN, JONATHAN LMFT	1/27/2025	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
254707	Fee-for-Service	1912075995	1912075995	1	1	VAUGHAN, LAURA MD	10/31/1993	No Taxonomy Provided	NA	None	026	PHYSICIANS	77761	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
254726	Fee-for-Service	1346232923	1346232923	1	2	VANESIAN, BRYAN D	9/8/2006	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	12100 PALMDALE RD	STE B-10	ADELANTO	CA	92301	6709	36	06071	34.50671749	-117.4015485	San Bernardino County
254734	Fee-for-Service	1770034530	1770034530	1	3	VIA CARE COMMUNITY HEALTH	1/1/2020	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	501 S WOODS AVE	None	LOS ANGELES	CA	90022	1946	19	06037	34.02734746	-118.1564219	Los Angeles County
254805	Fee-for-Service	1164760377	1164760377	1	1	VANAM, VIJAY K MD	4/1/2022	207RP1001X	NA	Pulmonology	026	PHYSICIANS	173799	None	None	0	In state provider	None	39000 BOB HOPE DR	None	RANCHO MIRAGE	CA	92270	3220	33	06065	33.763572	-116.4056895	Riverside County
254810	Fee-for-Service	1386673002	1386673002	1	1	VAYNEROV, YELENA MD	8/15/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	38812	41	Internal Medicine	0	In state provider	None	7559 SANTA MONICA BLVD	STE 201	LOS ANGELES	CA	90046	6406	19	06037	34.0908513	-118.3545335	Los Angeles County
254877	Fee-for-Service	1437102092	1437102092	1	11	VALLEY RADIOTHERAPY ASSO	1/1/1993	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	MED GRP	15031 RINALDI ST	None	MISSION HILLS	CA	91345	1207	19	06037	34.27904453	-118.459944	Los Angeles County
254940	Fee-for-Service	1649727462	1649727462	1	1	VALENTINE, ANN T	4/5/2017	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
255020	Fee-for-Service	1770034530	1770034530	1	3	VIA CARE COMMUNITY HEALTH	10/16/2019	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	501 S WOODS AVE	None	LOS ANGELES	CA	90022	1946	19	06037	34.02734746	-118.1564219	Los Angeles County
255118	Fee-for-Service	1588484042	1588484042	1	1	VAN LOON, JOSE PT	12/18/2024	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	3400 8TH STREET	STE 108	NATIONAL CITY	CA	91950	3167	37	06073	32.68571247	-117.0716254	San Diego County
255137	Fee-for-Service	1558899245	1558899245	1	1	VEGA HOME HEALTH INC	2/19/2019	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	11755 VICTORY BLVD	STE 201	N HOLLYWOOD	CA	91606	3450	19	06037	34.18670448	-118.389699	Los Angeles County
255147	Fee-for-Service	1265515738	1265515738	1	1	VANWOERKOM, RICHARD D MD	9/15/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	69482	40	Pediatrics	0	In state provider	None	900 KIELY BLVD	None	SANTA CLARA	CA	95051	5329	43	06085	37.34234284	-121.9776787	Santa Clara County
255230	Fee-for-Service	1467612820	1467612820	1	1	VASQUEZ, JULIO N MD INC	10/31/1990	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	45461	01	General Practice	0	In state provider	A PROFESSIONAL CORP	8540 RESEDA BLVD	SUITE 240	NORTHRIDGE	CA	91324	6142	19	06037	34.22579296	-118.5360435	Los Angeles County
255258	Fee-for-Service	1003293820	1003293820	1	1	VU, KENT MD	7/22/2020	207L00000X	NA	Other	026	PHYSICIANS	162093	05	Anesthesiology	0	In state provider	None	BUENA VISTA & ALAMEDA ST	None	BURBANK	CA	91505	4809	19	06037	34.158213	-118.328112	Los Angeles County
255299	Fee-for-Service	1376088674	1376088674	1	1	VY, JOHN TUAN H PT	2/8/2020	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1900 DRESDEN	None	LINCOLN	CA	95648	8803	31	06061	38.85524393	-121.2946284	Placer County
255339	Fee-for-Service	1508834938	1508834938	1	1	VEERAPPA, NANDEESH MD	7/14/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	86330	None	None	0	In state provider	None	830 SCENIC DR	None	MODESTO	CA	95350	6131	50	06099	37.64720049	-120.982338	Stanislaus County
255358	Fee-for-Service	1427096627	1427096627	1	1	VO, DUC DINH MD	4/14/2012	261QP2300X	NA	Other	026	PHYSICIANS	43289	01	General Practice	0	In state provider	None	2418 ULRIC ST	None	SAN DIEGO	CA	92111	6040	37	06073	32.78696964	-117.1712215	San Diego County
255375	Fee-for-Service	1255388765	1255388765	3	1	VISTA CENTER FOR THE BLIND	5/24/2018	No Taxonomy Provided	NA	None	041	COMMUNITY CLINIC	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	3315 MISSION DR	SUITE B	SANTA CRUZ	CA	95065	1872	44	06087	36.99102371	-121.9802459	Santa Cruz County
255380	Fee-for-Service	1245413103	1245413103	1	1	VISOSKY, ANN MARIE B MD	8/1/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	101090	04	Otology, Laryngology, Rhinology	0	In state provider	None	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	19	06037	34.03781261	-118.3755101	Los Angeles County
255400	Fee-for-Service	1245434083	1245434083	1	1	VONGTAMA, DAN MD	9/30/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	109003	30	Radiology	0	In state provider	None	4722 QUAIL LAKES DRIVE	None	STOCKTON	CA	95207	5244	39	06077	37.98644944	-121.3399768	San Joaquin County
255412	Fee-for-Service	1770510117	1770510117	1	1	VIESS, STEPHEN R MD	2/21/2021	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	71570	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
255547	Fee-for-Service	1124372388	1124372388	1	2	VINCENTI, ROMINA DPM	1/8/2018	213ES0103X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	None	8635 W 3RD ST	SUITE 1090 WEST	LOS ANGELES	CA	90048	6101	19	06037	34.07361928	-118.3803143	Los Angeles County
255687	Fee-for-Service	1245434083	1245434083	1	1	VONGTAMA, DAN MD	9/30/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	109003	78	Neoplastic Diseases/Oncology	0	In state provider	None	4722 QUAIL LAKES DRIVE	None	STOCKTON	CA	95207	5244	39	06077	37.98644944	-121.3399768	San Joaquin County
255757	Fee-for-Service	1174004659	1174004659	1	1	VICTOR, LAURIE NP	9/13/2022	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	6555 COYLE AVE	STE 301	CARMICHAEL	CA	95608	0303	34	06067	38.66859	-121.3118055	Sacramento County
255809	Fee-for-Service	1275677387	1275677387	1	1	VITAS HEALTHCARE CORPORATION	2/17/1995	251G00000X	NA	Other	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	1343 N GRAND AVENUE	# 100	COVINA	CA	91724	9926	19	06037	34.1042269	-117.8727497	Los Angeles County
255944	Fee-for-Service	1497735773	1497735773	1	1	VOLK, JOHN E CRNA	10/25/2010	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
255958	Fee-for-Service	1730203357	1730203357	1	1	VASQUEZ SANKER, ANNETTE LMFT	9/17/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	44421 10 ST WEST	None	LANCASTER	CA	93534	3335	19	06037	34.690095	-118.148058	Los Angeles County
256017	Fee-for-Service	1376682732	1376682732	1	1	VANDER CLUTE, EDWARD C LCSW	6/11/2015	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	4141 GEARY BLVD	None	SAN FRANCISCO	CA	94118	3109	38	06075	37.78096053	-122.4637512	San Francisco County
256020	Fee-for-Service	1215189360	1215189360	1	1	VITREO RETINAL MEDICAL GROUP	12/10/2008	207W00000X	NA	Ophthalmology	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	INC	300 SIERRA COLLEGE DRIVE	SUITE 265	GRASS VALLEY	CA	95945	5081	29	06057	39.23625806	-121.054471	Nevada County
256097	Fee-for-Service	1275677387	1275677387	1	1	VITAS HEALTHCARE CORPORATION	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	1343 N GRAND AVENUE	# 100	COVINA	CA	91724	9926	19	06037	34.1042269	-117.8727497	Los Angeles County
256134	Fee-for-Service	1861690141	1861690141	1	1	VANGALA, NITANTH R	6/12/2008	207RI0011X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	97827	41	Internal Medicine	0	In state provider	None	101 THE CITY DRIVE SOUTH	None	ORANGE	CA	92868	3298	30	06059	33.78674051	-117.8888713	Orange County
256189	Fee-for-Service	1104321728	1104321728	1	1	VARTANIAN, TARA DO	11/22/2021	207R00000X	NA	Other	026	PHYSICIANS	17698	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
256309	Fee-for-Service	1831305564	1831305564	1	1	VILLA ESPERANZA	4/30/1993	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	427 N CRAIG ST	None	PASADENA	CA	91107	2402	19	06037	34.15354435	-118.1062796	Los Angeles County
256420	Fee-for-Service	1861690141	1861690141	1	1	VANGALA, NITANTH R	6/12/2008	207RI0011X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	97827	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	101 THE CITY DRIVE SOUTH	None	ORANGE	CA	92868	3298	30	06059	33.78674051	-117.8888713	Orange County
256492	Fee-for-Service	1760877245	1760877245	1	6	VALLEY CHILDREN'S PRIMARY CA	8/7/2017	208000000X	NA	Pediatric Primary Care	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	RE GROUP	460 N. GREENFIELD AVENUE	SUITE 12	HANFORD	CA	93230	3500	16	06031	36.3296463	-119.6581535	Kings County
256510	Fee-for-Service	1942768288	1942768288	1	1	VANGUARD HOME HEALTH CARE	8/24/2021	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	INC	4444 W RIVERSIDE DR	SUITE 110	BURBANK	CA	91505	4073	19	06037	34.15216892	-118.348791	Los Angeles County
256638	Fee-for-Service	1932691797	1932691797	1	1	VASCULAR INSTITUTE OF	9/17/2018	261QM1300X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	NORTHERN CALIFORNIA A PO	500 UNIVERSITY AVE	STE 250	SACRAMENTO	CA	95825	6527	34	06067	38.568402	-121.418019	Sacramento County
256655	Fee-for-Service	1023051760	1023051760	1	1	VAN DUZER, TIMOTHY E MD	11/6/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	66	Emergency Medicine (Urgent Care)	1	Border provider	None	620 SHADOW LN	None	LAS VEGAS	NV	89106	4119	00	None	36.163269	-115.1654465	Clark County
256862	Fee-for-Service	1659324580	1659324580	1	1	VERMANI, JASJOT K MD	3/27/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	86760	41	Internal Medicine	0	In state provider	None	1600 NORTH ROSE AVE	None	OXNARD	CA	93030	3722	56	06111	34.21700406	-119.1582582	Ventura County
256899	Fee-for-Service	1245717230	1245717230	1	1	VU, ATHENA T NP	2/20/2023	363LP2300X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
256914	Fee-for-Service	1659436525	1659436525	1	1	VON POHLE, M DREW	2/8/2015	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	340 4TH AVE	STE 4	CHULA VISTA	CA	91910	3885	37	06073	32.63831293	-117.0833536	San Diego County
256969	Fee-for-Service	1205852183	1205852183	1	1	VO,MATTHEW M.D. INC	6/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	68449	05	Anesthesiology	0	In state provider	None	17101 ARMSTRONG AVE	STE 201	IRVINE	CA	92614	5742	30	06059	33.69524989	-117.8444582	Orange County
257028	Fee-for-Service	1386867141	1386867141	1	1	VICTORIA HOSPICE SERVICES	6/20/2014	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	INC	12403 SLAUSON AVE	STE A	WHITTIER	CA	90606	2831	19	06037	33.96028839	-118.0529975	Los Angeles County
257062	Fee-for-Service	1619438330	1619438330	1	1	VAN PRATT LEVIN, BENJAMIN A	9/28/2023	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	177088	None	None	0	In state provider	MD	207 W LEGION RD	None	BRAWLEY	CA	92227	7780	13	06025	32.95809	-115.5537045	Imperial County
257079	Fee-for-Service	1437102092	1437102092	1	22	VALLEY RADIOTHERAPY ASSO	11/15/2011	193400000X	NA	Other	022	PHYSICIANS GROUP	-	78	Neoplastic Diseases/Oncology	0	In state provider	MEDICAL GROUP INC	9229 WILSHIRE BLVD	None	BEVERLY HILLS	CA	90210	5501	19	06037	34.06708753	-118.393263	Los Angeles County
257159	Fee-for-Service	1881261295	1881261295	1	1	V'MANA HOLDINGS LLC	4/6/2022	343900000X	NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	333 UNIVERSITY AVE	STE 200	SACRAMENTO	CA	95825	6540	34	06067	38.570976	-121.416651	Sacramento County
257283	Fee-for-Service	1467738948	1467738948	1	1	VAN LEEUWEN-BELOUSSOW, JESSE	2/12/2018	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	J NP	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
257316	Fee-for-Service	1386867141	1386867141	1	1	VICTORIA HOSPICE SERVICES	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	INC	12403 SLAUSON AVE	STE A	WHITTIER	CA	90606	2831	19	06037	33.96028839	-118.0529975	Los Angeles County
257359	Fee-for-Service	1730698077	1730698077	1	2	VERIO HEALTHCARE, INC	9/30/2021	332B00000X	NA	Other	002	ASSISTIVE DEVICE AND SICK ROOM SUPPLY DEALERS	-	-	NOT APPLICABLE	0	In state provider	None	11805 SMITH	None	SANTA FE SPRINGS	CA	90670	3226	19	06037	33.9492274	-118.07797	Los Angeles County
257373	Fee-for-Service	1134349673	1134349673	1	1	VETSA, MADHAVI MD	6/14/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	98617	41	Internal Medicine	0	In state provider	None	11370 ANDERSON ST	STE 3150	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
257414	Fee-for-Service	1487683413	1487683413	1	1	VONS COMPANIES, INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	1440 W 25TH ST	None	SAN PEDRO	CA	90732	4418	19	06037	33.72189523	-118.3111002	Los Angeles County
257508	Fee-for-Service	1912085606	1912085606	1	1	VIGRAN, CATHERINE I MD	12/31/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	39540	40	Pediatrics	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
257594	Fee-for-Service	1952804205	1952804205	1	1	VORPAGEL, VICTORIA A	11/15/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2531 FOREST AVE	STE 110	CHICO	CA	95928	7716	04	06007	39.71810753	-121.794534	Butte County
257672	Fee-for-Service	1225361660	1225361660	1	1	VENTURA, YESENIA LCSW	6/22/2017	No Taxonomy Provided	NA	None	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	25825 VERMONT AVE	None	HARBOR CITY	CA	90710	3518	19	06037	33.78673844	-118.2965289	Los Angeles County
257736	Fee-for-Service	1437102092	1437102092	1	9	VALLEY RADIOTHERAPY ASSO	1/1/1999	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	1328 TWENTY-SECOND ST	None	SANTA MONICA	CA	90404	0000	19	06037	34.03122319	-118.4797185	Los Angeles County
257762	Fee-for-Service	1528022035	1528022035	1	1	VANOVER, RICHARD D OD	12/1/1997	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	3133 W MARCH LN	STE 2020	STOCKTON	CA	95219	2361	39	06077	37.98412533	-121.3519903	San Joaquin County
257764	Fee-for-Service	1003805045	1003805045	1	1	VALLIAPPAN, SARNAVANAN MD	5/31/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	30	Radiology	1	Border provider	None	3001 SAINT ROSE PKWY	None	HENDERSON	NV	89052	3839	00	None	36.00555274	-115.1163108	Clark County
257800	Fee-for-Service	1164188629	1164188629	1	1	VENERA HOME HEALTH	4/23/2024	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	INC	121 W.LEXINGTON DR	B168A	GLENDALE	CA	91203	2203	19	06037	34.1517575	-118.2560706	Los Angeles County
257851	Fee-for-Service	1568821072	1568821072	1	1	VOXEL IMAGING INC	4/9/2019	261QR0200X	NA	Mammography/MRI Provider	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	None	284 E. HIGHLAND AVE.	None	SAN BERNARDINO	CA	92404	3706	36	06071	34.13595745	-117.279432	San Bernardino County
257942	Fee-for-Service	1952698086	1952698086	1	1	VORA, PUJA MD	8/19/2019	2084N0400X	NA	Neurology	026	PHYSICIANS	155989	13	Neurology (M.D. only)	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
257964	Fee-for-Service	1053966648	1053966648	1	1	VANTAGE FOOT AND ANKLE CENTE	11/5/2019	213ES0131X	NA	Other	027	PODIATRISTS	-	None	None	0	In state provider	R	550 W DUARTE RD STE 5	None	ARCADIA	CA	91007	7365	19	06037	34.12657349	-118.0511514	Los Angeles County
257971	Fee-for-Service	1689721342	1689721342	1	1	VO, CONG H MD	6/28/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	43901	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	1798 N GAREY AVE	None	POMONA	CA	91767	2918	19	06037	34.076894	-117.7522688	Los Angeles County
257980	Fee-for-Service	1477616761	1477616761	1	1	VANDER PLAATS, SHARON CNP	7/17/2023	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1524 MCHENRY AVE	SUITES 550, 570	MODESTO	CA	95350	4500	50	06099	37.666233	-120.993933	Stanislaus County
257987	Fee-for-Service	1891726816	1891726816	1	1	VALLEY EMERGENCY PHYS	4/1/2003	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	COLUSA EMERGENCY PHYS GR	199 E WEBSTER ST	None	COLUSA	CA	95932	2954	06	06011	39.20737704	-122.0004043	Colusa County
258021	Fee-for-Service	1851612246	1851612246	1	1	VENEGAS, RENE M MD	8/1/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	120024	None	None	0	In state provider	None	1011 BALDWIN PARK BLVD	None	BALDWIN PARK	CA	91706	5806	19	06037	34.06477215	-117.9845382	Los Angeles County
258030	Fee-for-Service	1912107228	1912107228	1	1	VALLE, EVELIN L LMFT	8/31/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	25825 VERMONT AVE	None	HARBOR CITY	CA	90710	3518	19	06037	33.78673844	-118.2965289	Los Angeles County
258031	Fee-for-Service	1528445657	1528445657	1	1	VO, CHRISTOPHER DO	8/3/2020	207L00000X	NA	Other	026	PHYSICIANS	18388	05	Anesthesiology	0	In state provider	None	2000 MOWRY AVE	None	FREMONT	CA	94538	1716	01	06001	37.55769729	-121.9808861	Alameda County
258116	Fee-for-Service	1467566059	1467566059	1	1	VILLAMOR, ARTURO L MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	85485	36	Psychiatry	0	In state provider	None	2055 ANDERSON RD	None	DAVIS	CA	95616	0672	57	06113	38.56196834	-121.7586125	Yolo County
258118	Fee-for-Service	1952336257	1952336257	1	1	VOHRA, MEENA P MD PC	6/1/2002	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	40	Pediatrics	1	Border provider	LAS VEGAS PED CRITICAL	1800 W CHARLESTON BLVD	None	LAS VEGAS	NV	89102	2329	00	None	36.1590063	-115.1674415	Clark County
258259	Fee-for-Service	1689721342	1689721342	1	1	VO, CONG H MD	6/28/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	43901	40	Pediatrics	0	In state provider	None	1798 N GAREY AVE	None	POMONA	CA	91767	2918	19	06037	34.076894	-117.7522688	Los Angeles County
258560	Fee-for-Service	1841381241	1841381241	1	1	VOLPE, JANET M	2/1/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	78058	40	Pediatrics	0	In state provider	None	2680 HANOVER ST	STE 100	PALO ALTO	CA	94304	1117	43	06085	37.41744418	-122.1474815	Santa Clara County
258589	Fee-for-Service	1508918376	1508918376	1	1	VALLEY VILLAGE	11/7/1997	315P00000X	NA	Intermediate Care Faciltiy	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	CORBIN HOUSE	9701 CORBIN AVE	None	NORTHRIDGE	CA	91324	1620	19	06037	34.24660384	-118.5623286	Los Angeles County
258642	Fee-for-Service	1144658774	1144658774	1	1	VILMS, DINAZ M LCSW	3/14/2017	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	70499	-	NOT APPLICABLE	0	In state provider	None	230 PALA AVE	None	SAN JOSE	CA	95127	1862	43	06085	37.36847542	-121.8390122	Santa Clara County
258747	Fee-for-Service	1366905499	1366905499	1	1	VELIGATI, SIRISH MD	7/15/2024	2084P0804X	NA	Psychiatry	026	PHYSICIANS	180574	27	Psychiatry Neurology (D.O. only)	0	In state provider	None	2230 STOCKTON BLVD	None	SACRAMENTO	CA	95817	1419	34	06067	38.555631	-121.459203	Sacramento County
258777	Fee-for-Service	1437297298	1437297298	1	1	VUTHOORI, SURENDER MD	3/4/2008	207RC0000X	NA	Cardiology/Interventional Cardiology	026	PHYSICIANS	33804	06	Cardiovascular Disease (M.D. only)	0	In state provider	HI DESERT MED CTR	63532-29 PALMS HWY	STE A	JOSHUA TREE	CA	92252	4437	36	06071	34.13510347	-116.277102	San Bernardino County
258797	Fee-for-Service	1770887788	1770887788	1	1	VATANPARAST, RODINA MD	12/10/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	128081	41	Internal Medicine	0	In state provider	None	11480 BROOKSHIRE AVE	SUITE 309	DOWNEY	CA	90241	5025	19	06037	33.93622932	-118.1311752	Los Angeles County
258907	Fee-for-Service	1942439484	1942439484	1	1	VLAMINCK, JAY J MD	2/4/2019	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	-	30	Radiology	1	Border provider	None	3269 N STOCKTON HILL RD	None	KINGMAN	AZ	86409	3619	00	None	35.220006	-114.0380145	Mohave County
258988	Fee-for-Service	1013237619	1013237619	1	1	VAN STEENWYK-MARSH, GRETCHEN	5/28/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	6310	08	Family Practice	0	In state provider	M DO	1233 PLUMAS ST	None	YUBA CITY	CA	95991	3410	51	06101	39.14818027	-121.6175196	Sutter County
259023	Fee-for-Service	1437102092	1437102092	1	21	VALLEY RADIOTHERAPY ASSO	2/3/2009	2085R0001X	NA	Other	022	PHYSICIANS GROUP	-	78	Neoplastic Diseases/Oncology	0	In state provider	MEDICAL GROUP INC	1100 WEST STEWART DRIVE	None	ORANGE	CA	92868	3849	30	06059	33.78236558	-117.8648414	Orange County
259034	Fee-for-Service	1851686653	1851686653	1	1	VEMURI, APARNA MD	8/7/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	123414	01	General Practice	0	In state provider	None	401 GREGORY LANE	STE 104	PLEASANT HILL	CA	94523	2851	07	06013	37.94798358	-122.073455	Contra Costa County
259086	Fee-for-Service	1770887788	1770887788	1	1	VATANPARAST, RODINA MD	12/10/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	128081	78	Neoplastic Diseases/Oncology	0	In state provider	None	11480 BROOKSHIRE AVE	SUITE 309	DOWNEY	CA	90241	5025	19	06037	33.93622932	-118.1311752	Los Angeles County
259159	Fee-for-Service	1972653012	1972653012	1	1	VANDEN HEUVEL, LORE	11/26/2012	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	4501 SAND CREEK RD	None	ANTIOCH	CA	94531	8687	07	06013	37.94947636	-121.7752571	Contra Costa County
259254	Fee-for-Service	1144266735	1144266735	1	1	VONS COMPANIES INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	1855 COCHRAN ST	None	SIMI VALLEY	CA	93065	2263	56	06111	34.27906738	-118.7628635	Ventura County
259324	Fee-for-Service	1003131624	1003131624	1	1	VAN DYKE, LUCAS C MD	11/10/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	131394	36	Psychiatry	0	In state provider	None	3900 BROADWAY	None	OAKLAND	CA	94611	5616	01	06001	37.82664697	-122.25721	Alameda County
259346	Fee-for-Service	1598839771	1598839771	1	1	VETTER, STEVEN M MD	10/18/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	71599	66	Emergency Medicine (Urgent Care)	0	In state provider	None	23625 HOLMAN HWY	None	MONTEREY	CA	93940	5902	27	06053	36.5785911	-121.9150013	Monterey County
259373	Fee-for-Service	1770887788	1770887788	1	1	VATANPARAST, RODINA MD	12/10/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	128081	68	Hematology	0	In state provider	None	11480 BROOKSHIRE AVE	SUITE 309	DOWNEY	CA	90241	5025	19	06037	33.93622932	-118.1311752	Los Angeles County
259455	Fee-for-Service	1558625111	1558625111	1	1	VALLEYWIDE HEARING AID	9/25/2015	332S00000X	NA	Other	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	CENTER INC	2143 W FLORIDA AVE	None	HEMET	CA	92545	3601	33	06065	33.74734699	-116.9938344	Riverside County
259632	Fee-for-Service	1598839771	1598839771	1	1	VETTER, STEVEN M MD	10/18/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	71599	04	Otology, Laryngology, Rhinology	0	In state provider	None	23625 HOLMAN HWY	None	MONTEREY	CA	93940	5902	27	06053	36.5785911	-121.9150013	Monterey County
259650	Fee-for-Service	1790858124	1790858124	1	1	VALLEY PEDIATRIC MED GRP	1/1/1979	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	None	5353 BALBOA BLVD	STE 104	ENCINO	CA	91316	2858	19	06037	34.169067	-118.501128	Los Angeles County
259660	Fee-for-Service	1033694237	1033694237	1	1	VALLES, SKYLAR LCSW	5/22/2021	104100000X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	17326 EDWARDS	240	CERRITOS	CA	90703	2443	19	06037	33.87401441	-118.0344613	Los Angeles County
259709	Fee-for-Service	1528093713	1528093713	1	1	VOS, SVEN D MD	4/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	56224	78	Neoplastic Diseases/Oncology	0	In state provider	None	200 MEDICAL PLAZA STE 12	None	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
259818	Fee-for-Service	1063510501	1063510501	1	1	VALLEY ANESTHESIOLOGY	7/27/1994	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	SERVICES MEDICAL GROUP	47111 MONROE ST	None	INDIO	CA	92201	6739	33	06065	33.70620698	-116.2339008	Riverside County
259899	Fee-for-Service	1902301070	1902301070	1	1	VARGHESE, JONATHAN T MD	7/26/2023	207L00000X	NA	Other	026	PHYSICIANS	186354	None	None	0	In state provider	None	757 WESTWOOD PLZ	None	LOS ANGELES	CA	90095	8358	19	06037	34.06633051	-118.4452686	Los Angeles County
260000	Fee-for-Service	1528093713	1528093713	1	1	VOS, SVEN D MD	4/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	56224	68	Hematology	0	In state provider	None	200 MEDICAL PLAZA STE 12	None	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
260002	Fee-for-Service	1023192002	1023192002	1	1	VIERRA, JEAN MD	6/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	84982	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	160 E N ST	None	BENICIA	CA	94510	2734	48	06095	38.05493077	-122.1533372	Solano County
260244	Fee-for-Service	1063817096	1063817096	1	1	VALLEY OAKS HOSPICE INC	8/1/2016	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	560 W 1ST STREET	SUITE 3	TUSTIN	CA	92780	3005	30	06059	33.7456145	-117.8295255	Orange County
260321	Fee-for-Service	1003281452	1003281452	1	1	VALLEY HEALTH SYSTEM LLC	10/1/2016	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	1	Border provider	None	1050 WEST GALLERIA DRIVE	None	HENDERSON	NV	89011	4806	00	None	36.07123413	-115.0308684	Clark County
260322	Fee-for-Service	1962576280	1962576280	1	1	VAYNER, ALEXANDER MD	1/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	77218	05	Anesthesiology	0	In state provider	None	900 KIELY BLVD	None	SANTA CLARA	CA	95051	5329	43	06085	37.34234284	-121.9776787	Santa Clara County
260398	Fee-for-Service	1184057747	1184057747	1	1	VALENCIA, GABRIELA B LCSW	6/14/2021	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2055 KELLOGG AVE	None	CORONA	CA	92879	3111	33	06065	33.85626255	-117.5559289	Riverside County
260505	Fee-for-Service	1184980757	1184980757	1	1	VIEN, TERRY DO	9/14/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	13145	05	Anesthesiology	0	In state provider	None	7373 WEST LANE	None	STOCKTON	CA	95210	3377	39	06077	38.017701	-121.297869	San Joaquin County
260531	Fee-for-Service	1063817096	1063817096	1	1	VALLEY OAKS HOSPICE INC	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	560 W 1ST STREET	SUITE 3	TUSTIN	CA	92780	3005	30	06059	33.7456145	-117.8295255	Orange County
260539	Fee-for-Service	1730250010	1730250010	1	1	VELASCO, RAYMOND D MD	9/1/2000	207R00000X	NA	Other	026	PHYSICIANS	62182	41	Internal Medicine	0	In state provider	None	380 90TH ST	None	DALY CITY	CA	94015	1807	41	06081	37.69110985	-122.4742036	San Mateo County
260589	Fee-for-Service	1427144047	1427144047	1	1	VEIGA, SERGIO R MD	8/1/2000	No Taxonomy Provided	NA	None	026	PHYSICIANS	71569	08	Family Practice	0	In state provider	None	540 N CENTRAL AVE	STE 303	GLENDALE	CA	91203	3362	19	06037	34.15437	-118.257912	Los Angeles County
260609	Fee-for-Service	1003281452	1003281452	1	1	VALLEY HEALTH SYSTEM LLC	10/1/2016	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	1	Border provider	None	1050 WEST GALLERIA DRIVE	None	HENDERSON	NV	89011	4806	00	None	36.07123413	-115.0308684	Clark County
260677	Fee-for-Service	1437102092	1437102092	1	4	VALLEY RADIOTHERAPY ASSO	10/21/2004	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	6939 PALM CT	None	RIVERSIDE	CA	92506	2815	33	06065	33.947325	-117.4011395	Riverside County
260772	Fee-for-Service	1902239395	1902239395	1	1	VC HOSPICE INC	5/7/2019	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	23545 CRENSHAW BLVD	STE 202	TORRANCE	CA	90505	5262	19	06037	33.811686	-118.3280985	Los Angeles County
260774	Fee-for-Service	1275634719	1275634719	1	1	VOGELPOHL, WILLIAM C MD	12/27/1996	No Taxonomy Provided	NA	None	026	PHYSICIANS	32471	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	337 EL DORADO ST	STE A3	MONTEREY	CA	93940	4638	27	06053	36.59183357	-121.8924432	Monterey County
260809	Fee-for-Service	1033878384	1033878384	1	1	VIVIAN NGUYEN MD PROFESSIONA	2/8/2022	207R00000X	NA	Other	026	PHYSICIANS	None	None	None	0	In state provider	L CORP	8419 WESTMINSTER BLVD	None	WESTMINSTER	CA	92683	3308	30	06059	33.75938826	-117.9825741	Orange County
260834	Fee-for-Service	1750336525	1750336525	1	1	VANURA HOME HEALTH SVS INC	4/29/2003	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	10700 JERSEY BLVD	STE 460	RANHCO CUCAMONGA	CA	91730	5126	36	06071	34.09465183	-117.5707193	San Bernardino County
260885	Fee-for-Service	1275600108	1275600108	1	1	VALENZUELA, LETICIA MD	7/23/1985	No Taxonomy Provided	NA	None	026	PHYSICIANS	55459	08	Family Practice	0	In state provider	None	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
260950	Fee-for-Service	1144689027	1144689027	1	1	VELASCO, VICTOR S MD	1/15/2021	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	140799	None	None	0	In state provider	None	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5423	19	06037	34.21980849	-118.4301135	Los Angeles County
260994	Fee-for-Service	1780621821	1780621821	1	1	VERA, JESUS A MD	7/25/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	82192	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
261061	Fee-for-Service	1902239395	1902239395	1	1	VC HOSPICE INC	5/7/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	23545 CRENSHAW BLVD	STE 202	TORRANCE	CA	90505	5262	19	06037	33.811686	-118.3280985	Los Angeles County
261062	Fee-for-Service	1275634719	1275634719	1	1	VOGELPOHL, WILLIAM C MD	12/27/1996	No Taxonomy Provided	NA	None	026	PHYSICIANS	32471	66	Emergency Medicine (Urgent Care)	0	In state provider	None	337 EL DORADO ST	STE A3	MONTEREY	CA	93940	4638	27	06053	36.59183357	-121.8924432	Monterey County
261173	Fee-for-Service	1275600108	1275600108	1	1	VALENZUELA, LETICIA MD	7/23/1985	No Taxonomy Provided	NA	None	026	PHYSICIANS	55459	01	General Practice	0	In state provider	None	3733 SAN DIMAS ST	None	BAKERSFIELD	CA	93301	1407	15	06029	35.393499	-119.008257	Kern County
261231	Fee-for-Service	1164524252	1164524252	1	1	VISTA IMAGING SERVICES INC	8/12/2011	No Taxonomy Provided	NA	None	084	INDEPENDENT DIAGNOSTIC TESTING FACILITY XOVER PROV ONLY	-	-	NOT APPLICABLE	0	In state provider	None	1235 GLENHAVEN COURT	# 400	EL DORADO HILLS	CA	95762	5768	09	06017	38.62234406	-121.0606816	El Dorado County
261439	Fee-for-Service	1003443631	1003443631	1	1	VISEUR, MILES P MD	7/26/2022	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	177717	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
261521	Fee-for-Service	1912096124	1912096124	1	1	VICTORIA E MURRAIN, DO	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1501 N CAMPBELL AVE	None	TUCSON	AZ	85724	0001	00	None	32.240493	-110.9460825	Pima County
261688	Fee-for-Service	1538606280	1538606280	1	1	VALLEY HEALTHCARE CENTERS	4/1/2017	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	None	825 N SEQUOIA AVE	None	LINDSAY	CA	93247	1424	54	06107	36.21339702	-119.096162	Tulare County
261731	Fee-for-Service	1750114120	1750114120	1	1	VON FORELL, KIRSTEN	3/25/2025	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
261777	Fee-for-Service	1558334029	1558334029	1	1	VOTT, SUBHA J MD	8/16/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	05	Anesthesiology	1	Border provider	PACIFIC ANESTHESIA CONSU	2450 W CHARLESTON BLVD	None	LAS VEGAS	NV	89102	2179	00	None	36.15900951	-115.175853	Clark County
261967	Fee-for-Service	1508301417	1508301417	1	1	VISEUR, NICOLE L PT	8/14/2020	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	3760 CONVOY STREET	100	SAN DIEGO	CA	92111	3743	37	06073	32.81197521	-117.1531278	San Diego County
261978	Fee-for-Service	1538606280	1538606280	1	1	VALLEY HEALTHCARE CENTERS	4/1/2017	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	None	825 N SEQUOIA AVE	None	LINDSAY	CA	93247	1424	54	06107	36.21339702	-119.096162	Tulare County
261981	Fee-for-Service	1598502957	1598502957	1	1	VANSCOY, AMANDA NP	9/27/2024	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	28780 SINGLE OAK DRIVE	SUITE 160	TEMECULA	CA	92590	5528	33	06065	33.49890392	-117.1612965	Riverside County
262027	Fee-for-Service	1225361660	1225361660	1	2	VENTURA, YESENIA LCSW	3/29/2020	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3939 ATLANTIC AVE.	#227	LONG BEACH	CA	90807	3529	19	06037	33.830073	-118.1851065	Los Angeles County
262250	Fee-for-Service	1326420043	1326420043	1	1	VENIGANDLA, HIMA B DO	9/22/2021	207RC0200X	NA	Other	026	PHYSICIANS	15113	None	None	0	In state provider	None	1508 ALHAMBRA	200	SACRAMENTO	CA	95816	6510	34	06067	38.567007	-121.468068	Sacramento County
262328	Fee-for-Service	1255379301	1255379301	1	1	VARADARAJAN, PADMINI MD	6/24/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	67664	41	Internal Medicine	0	In state provider	None	11234 ANDERSON ST	BLDG 1617	LOMA LINDA	CA	92354	2804	36	06071	34.049547	-117.264078	San Bernardino County
262373	Fee-for-Service	1972168763	1972168763	2	1	VILLANUEVA, DANIEL R LMFT	6/3/2022	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	FT	7828 HAVEN AVE	212	RANCHO CUCAMONGA	CA	91730	0100	36	06071	34.111854	-117.5759995	San Bernardino County
262389	Fee-for-Service	1154613644	1154613644	1	1	VARTANYAN, MIGRAN DO	9/2/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	13254	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
262394	Fee-for-Service	1790828804	1790828804	1	1	VITAS HEALTHCARE CORPORATION	2/17/1995	251G00000X	NA	Other	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	OF CALIFORNIA	7888 MISSION GROVE PKWY	SUITE 200	RIVERSIDE	CA	92508	3447	33	06065	33.90828955	-117.3269571	Riverside County
262488	Fee-for-Service	1457380479	1457380479	1	1	VONS COMPANIES, INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	4500 COFFEE RD	None	BAKERSFIELD	CA	93308	5025	15	06029	35.400177	-119.092101	Kern County
262498	Fee-for-Service	1437102092	1437102092	1	10	VALLEY RADIOTHERAPY ASSO	9/30/1996	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	ASSOCIATES MEDICAL GRP	101 E VALENCIA MESA DR	None	FULLERTON	CA	92835	3809	30	06059	33.89356031	-117.9271656	Orange County
262622	Fee-for-Service	1144221839	1144221839	1	1	VALADEZ, JESUS M MD	7/31/2018	207R00000X	NA	Other	026	PHYSICIANS	64307	08	Family Practice	0	In state provider	None	11938 PARAMOUNT BLVD.	None	DOWNEY	CA	90242	2306	19	06037	33.93385032	-118.1444253	Los Angeles County
262648	Fee-for-Service	1437473295	1437473295	1	1	VAISMAN, JOSEPH L MD	8/1/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	118567	05	Anesthesiology	0	In state provider	None	215 W JANNS ROAD	None	THOUSAND OAKS	CA	91360	1847	56	06111	34.2064445	-118.8824085	Ventura County
262683	Fee-for-Service	1790828804	1790828804	1	1	VITAS HEALTHCARE CORPORATION	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	OF CALIFORNIA	7888 MISSION GROVE PKWY	SUITE 200	RIVERSIDE	CA	92508	3447	33	06065	33.90828955	-117.3269571	Riverside County
262695	Fee-for-Service	1689049538	1689049538	1	1	VEDAD HAGHI, JESSE D	8/8/2016	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	39815 ALTA MURRIETA DR	SUITE C-1	MURRIETA	CA	92563	9998	33	06065	33.5604437	-117.1776992	Riverside County
262941	Fee-for-Service	1114270501	1114270501	1	1	VARGAS, LETICIA G OT	8/17/2021	225XP0200X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	911 BERN CT	STE 140	SAN JOSE	CA	95112	1242	43	06085	37.37594797	-121.8941096	Santa Clara County
263053	Fee-for-Service	1467977579	1467977579	1	1	VOSS, BENJAMIN MD	6/10/2024	2085N0700X	NA	MRI Provider	026	PHYSICIANS	185189	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
263133	Fee-for-Service	1073142196	1073142196	1	1	VYAS, CHIRAAG R MD	10/15/2024	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	None	08	Family Practice	0	In state provider	None	1700 MT VERNON AVE	None	BAKERSFIELD	CA	93306	4018	15	06029	35.382555	-118.970757	Kern County
263136	Fee-for-Service	1275557423	1275557423	1	1	VILAIN, ERIC J MD	9/1/1998	No Taxonomy Provided	NA	None	026	PHYSICIANS	66254	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
263347	Fee-for-Service	1700131596	1700131596	1	1	VILLALOBOS, VIVIAN LMFT	10/24/2023	101YM0800X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	5051 CANYON CREST DR	SUITE 204	RIVERSIDE	CA	92507	0000	33	06065	33.9589602	-117.3311519	Riverside County
263369	Fee-for-Service	1699796144	1699796144	1	1	VIGIL, ARTHUR C MD	12/31/1992	207L00000X	NA	Other	026	PHYSICIANS	74525	05	Anesthesiology	0	In state provider	None	1100 W STEWART DR	None	ORANGE	CA	92868	3849	30	06059	33.78236558	-117.8648414	Orange County
263475	Fee-for-Service	1134787476	1134787476	1	1	VILLANUEVA, SHEILA T	11/25/2019	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	1646 SICILY STREET	None	STOCKTON	CA	95206	6334	39	06077	37.90352761	-121.3108786	San Joaquin County
263720	Fee-for-Service	1497368450	1497368450	1	1	VAN CAPELLE, EDWIN	5/4/2023	237700000X	NA	Other	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	10121 VALLEY VIEW STREET	None	CYPRESS	CA	90630	4602	30	06059	33.8150321	-118.0283595	Orange County
263763	Fee-for-Service	1134787476	1134787476	1	1	VILLANUEVA, SHEILA T	11/25/2019	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	1646 SICILY STREET	None	STOCKTON	CA	95206	6334	39	06077	37.90352761	-121.3108786	San Joaquin County
263897	Fee-for-Service	1437102092	1437102092	1	13	VALLEY RADIOTHERAPY ASSO	2/15/2005	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	ASSOC MEDICAL GROUP INC	1410 S LA BRUCHERIE RD	None	EL CENTRO	CA	92243	9676	13	06025	32.78048827	-115.578488	Imperial County
263905	Fee-for-Service	1477907533	1477907533	1	1	VIET, ANNA N NP	1/24/2019	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
263980	Fee-for-Service	1346232923	1346232923	1	1	VANESIAN, BRYAN D	8/30/1989	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	4355 PHELAN RD	# U67	PHELAN	CA	92371	7675	36	06071	34.42630095	-117.5668613	San Bernardino County
264128	Fee-for-Service	1902900012	1902900012	1	1	VEGA, RALPH MD	6/30/1991	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	42200	08	Family Practice	0	In state provider	None	1666 MEDICAL CENTER DR	STE 2	SAN BERNARDINO	CA	92411	1257	36	06071	34.1298	-117.322588	San Bernardino County
264207	Fee-for-Service	1497203541	1497203541	1	10	VISTA COMMUNITY CLINIC	6/30/2022	No Taxonomy Provided	NA	None	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	465 LA TORTUGA DR	None	VISTA	CA	92081	4320	37	06073	33.19017005	-117.2584668	San Diego County
264308	Fee-for-Service	1396773719	1396773719	1	1	VANDERHAL, ANDRE L MD	7/29/1988	174400000X	NA	Other	026	PHYSICIANS	37136	40	Pediatrics	0	In state provider	None	PO BOX 100	None	INGLEWOOD	CA	90312	6100	19	06037	0	0	None
264373	Fee-for-Service	1487049938	1487049938	1	1	VITZTHUM, LUCAS K MD	6/25/2020	2085R0001X	NA	Other	026	PHYSICIANS	146485	32	Radiation Therapy (D.O. only)	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
264397	Fee-for-Service	1992296545	1992296545	1	1	VARGAS, ISAIAS CNP	9/14/2023	363LG0600X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	16850 BEAR VALLEY RD	None	VICTORVILLE	CA	92395	5794	36	06071	34.47092468	-117.2977236	San Bernardino County
264415	Fee-for-Service	1689963514	1689963514	1	1	VAFADAR, SAMIRA PSYD	3/6/2020	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	23 CORPORATE PLAZA DR ST	None	NEWPORT BEACH	CA	92660	7908	30	06059	33.6090297	-117.8748261	Orange County
264496	Fee-for-Service	1497203541	1497203541	1	10	VISTA COMMUNITY CLINIC	1/27/2023	No Taxonomy Provided	NA	None	200	DEVELOPMENTAL SCREENING AND TRAUMA	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	465 LA TORTUGA DR	None	VISTA	CA	92081	4320	37	06073	33.19017005	-117.2584668	San Diego County
264529	Fee-for-Service	1568753887	1568753887	1	1	VARESKO, DUSTIN R MD	1/5/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	134171	41	Internal Medicine	0	In state provider	None	400 W MINERAL KING AVE	None	VISALIA	CA	93291	6237	54	06107	36.327888	-119.294919	Tulare County
264587	Fee-for-Service	1134165764	1134165764	1	1	VONS COMPANIES INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	8949 N CEDAR AVE	None	FRESNO	CA	93720	1890	10	06019	36.86491283	-119.7569254	Fresno County
264591	Fee-for-Service	1558625111	1558625111	1	2	VALLEYWIDE HEARING AID	9/28/2016	No Taxonomy Provided	NA	None	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	CENTER INC	33050 ANTELOPE RD	STE 205	MURRIETA	CA	92563	2409	33	06065	33.64013921	-117.1682929	Riverside County
264646	Fee-for-Service	1952605396	1952605396	1	1	VENTURA MEDICAL INC	3/3/2011	193400000X	NA	Other	026	PHYSICIANS	52577	41	Internal Medicine	0	In state provider	None	62 CORPORATE PARK	STE 140	IRVINE	CA	92606	3122	30	06059	33.69197468	-117.8247858	Orange County
264655	Fee-for-Service	1558526962	1558526962	1	1	VUONG, NHUT M MD	1/30/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	108027	41	Internal Medicine	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
264684	Fee-for-Service	1033393194	1033393194	1	1	VISTA HEALTH MIRZA MD PC	5/15/2013	193200000X	NA	Other	026	PHYSICIANS	-	41	Internal Medicine	1	Border provider	None	5653 HIGHWAY 95	SUITE A	FORT MOHAVE	AZ	86426	6069	00	None	34.992351	-114.5984355	Mohave County
264711	Fee-for-Service	1265604078	1265604078	1	1	VELEZ, JUAN M MD INC	11/15/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	67887	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	805 W LA VETA	STE 101	ORANGE	CA	92868	3928	30	06059	33.78064152	-117.8606475	Orange County
264789	Fee-for-Service	1023257862	1023257862	1	1	VAUGHN, JENNIFER M LMFT	9/19/2023	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
264884	Fee-for-Service	1720364524	1720364524	1	1	VASANTHAKUMARIAMMA, HARILAL	4/2/2014	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	4900 CALIFORNIA AVE	SUITE 200	BAKERSFIELD	CA	93309	7024	15	06029	35.36440586	-119.0562732	Kern County
264953	Fee-for-Service	1538502869	1538502869	1	1	VIRDEE, SIMRAN K LMFT	3/22/2022	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2401 MERCED ST	None	SAN LEANDRO	CA	94577	4228	01	06001	37.70670062	-122.1696327	Alameda County
264981	Fee-for-Service	1033393194	1033393194	1	1	VISTA HEALTH MIRZA MD PC	5/15/2013	193200000X	NA	Other	026	PHYSICIANS	-	06	Cardiovascular Disease (M.D. only)	1	Border provider	None	5653 HIGHWAY 95	SUITE A	FORT MOHAVE	AZ	86426	6069	00	None	34.992351	-114.5984355	Mohave County
264991	Fee-for-Service	1932259389	1932259389	1	1	VERGARA, RAFAEL A MD	12/28/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	52192	40	Pediatrics	0	In state provider	None	2110 N BELLFLOWER BLVD	None	LONG BEACH	CA	90815	3126	19	06037	33.795261	-118.125222	Los Angeles County
265090	Fee-for-Service	1407122690	1407122690	1	1	VENABLE, AARON B MD	10/1/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	137423	41	Internal Medicine	0	In state provider	None	525 WEST ACACIA ST	None	STOCKTON	CA	95203	2405	39	06077	37.9611947	-121.3009489	San Joaquin County
265103	Fee-for-Service	1407178643	1407178643	1	3	VIGILANS HOME HEALTH	2/9/2015	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	SERVICES INC	256 CAJON ST	#B	REDLANDS	CA	92373	5274	36	06071	34.05204454	-117.1802319	San Bernardino County
265152	Fee-for-Service	1164195707	1164195707	1	1	VENTURA ORTHOPEDICS MEDICAL	4/23/2022	174400000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1855 E COCHRAN ST	#109	SIMI VALLEY	CA	93065	2265	56	06111	34.27906738	-118.7628635	Ventura County
265373	Fee-for-Service	1912470956	1912470956	1	1	VALLEY ANESTHESIA	1/17/2019	193400000X	NA	Other	026	PHYSICIANS	81573	None	None	0	In state provider	SPECIALISTS	1415 ROSS AVE	None	EL CENTRO	CA	92243	4306	13	06025	32.78144947	-115.568541	Imperial County
265390	Fee-for-Service	1164195707	1164195707	1	1	VENTURA ORTHOPEDICS MEDICAL	4/23/2022	174400000X	NA	Other	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1855 E COCHRAN ST	#109	SIMI VALLEY	CA	93065	2265	56	06111	34.27906738	-118.7628635	Ventura County
265460	Fee-for-Service	1790046720	1790046720	1	1	VIVAS, ANDREW C MD	8/7/2020	207T00000X	NA	General Surgery	026	PHYSICIANS	168987	14	Neurological Surgery	0	In state provider	None	1131 WILSHIRE BLVD	STE 100	SANTA MONICA	CA	90401	2072	19	06037	34.02509887	-118.4909994	Los Angeles County
265481	Fee-for-Service	1679879589	1679879589	1	1	VICTOR VALLEY HOSPITAL	10/16/2012	No Taxonomy Provided	NA	None	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	ACQUISITION INC	15248 11TH STREET	None	VICTORVILLE	CA	92395	3704	36	06071	34.52825401	-117.2925587	San Bernardino County
265560	Fee-for-Service	1881773265	1881773265	1	1	VICTOROV, VICTOR MD	5/30/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	81715	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
265606	Fee-for-Service	1831294917	1831294917	1	2	VIVIAN, MICHAEL MD	10/16/2023	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	78890	-	NOT APPLICABLE	0	In state provider	None	525 E. MAIN ST	None	SANTA PAULA	CA	93060	2606	56	06111	34.35159506	-119.0675327	Ventura County
265632	Fee-for-Service	1326381864	1326381864	1	1	VEGI, INC.	8/15/2024	320800000X	NA	Other	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	None	12968 FREDERICK ST.,	STE.-A	MORENO VALLEY	CA	92553	5229	33	06065	33.932835	-117.2613805	Riverside County
265693	Fee-for-Service	1063181451	1063181451	1	1	VUE FAMILY THERAPY, INC.	11/30/2021	261QM0801X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1551 E SHAW AVE	116	FRESNO	CA	93710	8007	10	06019	36.80828196	-119.7589292	Fresno County
265882	Fee-for-Service	1063530749	1063530749	1	1	VAN, SHIRLEY L MD	8/17/2018	207N00000X	NA	Dermatology	026	PHYSICIANS	51607	07	Dermatology	0	In state provider	None	600 COFFEE RD	None	MODESTO	CA	95355	4201	50	06099	37.653219	-120.975542	Stanislaus County
265918	Fee-for-Service	1326381864	1326381864	1	1	VEGI, INC.	8/15/2024	320800000X	NA	Other	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	None	12968 FREDERICK ST.,	STE.-A	MORENO VALLEY	CA	92553	5229	33	06065	33.932835	-117.2613805	Riverside County
266012	Fee-for-Service	1790200913	1790200913	1	1	VIGOROUS HOME HEALTH CARE	11/20/2019	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	17620 SHERMAN WAY	STE 214	VAN NUYS	CA	91406	3527	19	06037	34.20105176	-118.5171046	Los Angeles County
266068	Fee-for-Service	1629060694	1629060694	1	1	VARGA, CLAYTON A MD	11/30/1993	207LP2900X	NA	Other	026	PHYSICIANS	52859	01	General Practice	0	In state provider	None	1017 S FAIR OAKS AVE	None	PASADENA	CA	91105	2621	19	06037	34.12830178	-118.1503497	Los Angeles County
266092	Fee-for-Service	1447517701	1447517701	1	1	VILLAGOMEZ, GISELA A MD	1/23/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	127946	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	3624 DELTA FAIR BLVD	None	ANTIOCH	CA	94509	4006	07	06013	38.00418494	-121.8432075	Contra Costa County
266183	Fee-for-Service	1417349978	1417349978	2	1	VISTAMED CORP	8/12/2021	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	141 W CARSON ST	None	CARSON	CA	90745	2602	19	06037	33.83171152	-118.279764	Los Angeles County
266386	Fee-for-Service	1740698950	1740698950	1	1	VILLANUEVA, JOHANNES G NP	1/27/2020	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	890 EASTLAKE PKWY	SUITE 205	CHULA VISTA	CA	91914	4520	37	06073	32.65223126	-116.9677279	San Diego County
266392	Fee-for-Service	1992746275	1992746275	1	1	VILLEGAS, REX B OD	4/25/2016	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	855 W FOOTHILL BLVD	None	MONROVIA	CA	91016	1938	19	06037	34.1511692	-118.0177106	Los Angeles County
266407	Fee-for-Service	1558776435	1558776435	1	1	VIP VISION PC	6/27/2016	207W00000X	NA	Ophthalmology	026	PHYSICIANS	11984	18	Ophthalmology	0	In state provider	None	375 HUNTINGTON DR	STE D	SAN MARINO	CA	91108	2357	19	06037	34.1067704	-118.1349621	Los Angeles County
266441	Fee-for-Service	1245339738	1245339738	1	1	VALLEY FAMILY HEALTH CTR	3/22/2004	261QR1300X	NA	Rural Health Center	058	HEALTH ACCESS PROGRAM	-	-	NOT APPLICABLE	0	In state provider	None	205 C ST	None	LEMOORE	CA	93245	2930	16	06031	36.30087793	-119.7832967	Kings County
266560	Fee-for-Service	1336764885	1336764885	1	1	VENTURA, VALERIA LMFT	6/28/2024	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
266638	Fee-for-Service	1134667231	1134667231	1	1	VILLARUEL, YURI NP	4/10/2020	363LP0808X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	461 TENNESSEE ST	SUITE C	REDLANDS	CA	92373	8161	36	06071	34.058745	-117.2000975	San Bernardino County
266669	Fee-for-Service	1518298686	1518298686	1	1	VENTURA EMERGENCY PHYSICIANS	2/1/2010	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	66	Emergency Medicine (Urgent Care)	0	In state provider	None	147 N BRENT ST	None	VENTURA	CA	93003	2854	56	06111	34.2746295	-119.2573399	Ventura County
266718	Fee-for-Service	1720260219	1720260219	1	1	VAN SLEEUWEN, SCOTT R MFT	6/20/2016	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	42719	-	NOT APPLICABLE	0	In state provider	None	5628 E SLAUSON AVENUE	None	COMMERCE	CA	90040	2922	19	06037	33.98593459	-118.163681	Los Angeles County
266730	Fee-for-Service	1689778235	1689778235	1	1	VELASCO, OSCAR L	3/31/1986	No Taxonomy Provided	NA	None	026	PHYSICIANS	38813	08	Family Practice	0	In state provider	None	560 W PUTNAM AVE	STE 5	PORTERVILLE	CA	93257	3269	54	06107	36.06962808	-119.0300459	Tulare County
266732	Fee-for-Service	1841232600	1841232600	1	1	VANIA CASTILLO	5/17/2021	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	462 FIRST AVENUE 27TH DT	None	NEW YORK	NY	10016	9196	00	None	40.739544	-73.9763325	New York County
266817	Fee-for-Service	1124882469	1124882469	1	1	VLN HEALTH AND WELLNESS LLC	4/22/2024	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	12800 GARDEN GROVE BLVD	STE G	GARDEN GROVE	CA	92843	2008	30	06059	33.77432595	-117.9092459	Orange County
266873	Fee-for-Service	1083875504	1083875504	1	1	VALESANO, ADRIENNE MD	10/2/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	106939	66	Emergency Medicine (Urgent Care)	0	In state provider	None	250 HOSPITAL PKWY	None	SAN JOSE	CA	95119	1103	43	06085	37.23948065	-121.8005798	Santa Clara County
266937	Fee-for-Service	1063967479	1063967479	1	1	VANDERAA, VICTORIA E CCC-SLP	6/12/2024	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	633 WEST FIFTH STREET	OFFICE #2876B	LOS ANGELES	CA	90071	2005	19	06037	34.05071143	-118.25466	Los Angeles County
266939	Fee-for-Service	1386235125	1386235125	1	2	VERITAS TESTING INC	11/28/2023	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	70	Clinic (mixed specialty)	0	In state provider	None	1444 EAST HOLT AVE	RM 301	POMONA	CA	91767	5865	19	06037	34.06297235	-117.7228495	Los Angeles County
267098	Fee-for-Service	1437102092	1437102092	1	18	VALLEY RADIOTHERAPY ASSO	2/3/2009	2085R0001X	NA	Other	022	PHYSICIANS GROUP	-	78	Neoplastic Diseases/Oncology	0	In state provider	MEDICAL GROUP INC	5522 SEPULVEDA BLVD	None	SHERMAN OAKS	CA	91411	3437	19	06037	34.171092	-118.466131	Los Angeles County
267126	Fee-for-Service	1417272097	1417272097	1	1	VO, HONG-PHUONG T MD	6/13/2020	2080P0214X	NA	Pulmonology	026	PHYSICIANS	161179	40	Pediatrics	0	In state provider	None	1721 TECHNOLOGY DR	None	SAN JOSE	CA	95110	1305	43	06085	37.36464282	-121.9163895	Santa Clara County
267156	Fee-for-Service	1689610537	1689610537	1	1	VALENTINO, LEONARD A MD	8/31/1986	No Taxonomy Provided	NA	None	026	PHYSICIANS	13143	22	Pathology (M.D. only)	0	In state provider	None	WHIPPLE & ALAMEDA	LAB	REDWOOD CITY	CA	94062	0000	41	06081	37.480392	-122.2524405	San Mateo County
267164	Fee-for-Service	1518066752	1518066752	1	1	VANHOOK, CRALES MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1950 MOUNTAIN VIEW AVE	None	LONGMONT	CO	80501	3129	00	None	40.18134367	-105.1260049	Boulder County
267191	Fee-for-Service	1609163914	1609163914	1	1	VAN LOON, MICHAEL PSYD	6/18/2021	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	3825 HOPYARD	STE 140	PLEASANTON	CA	94588	8530	01	06001	37.683009	-121.9036935	Alameda County
267218	Fee-for-Service	1851116362	1851116362	1	1	VISALIA RESCUE MISSION	4/9/2025	No Taxonomy Provided	NA	None	108	COMMUNITY BASED ORGANIZATIONS	-	-	NOT APPLICABLE	0	In state provider	None	741 N SANTA FE ST	None	VISALIA	CA	93292	5029	54	06107	36.338535	-119.2882455	Tulare County
267229	Fee-for-Service	1063585214	1063585214	1	1	VALLEY REGIONAL ARRHYTHMIA	1/19/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	70354	41	Internal Medicine	0	In state provider	None	18372 CLARK STREET	#218	TARZANA	CA	91356	3508	19	06037	34.16975876	-118.533174	Los Angeles County
267275	Fee-for-Service	1053483701	1053483701	1	1	VAZ, SHEILA MD	7/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	74256	05	Anesthesiology	0	In state provider	None	900 KIELY BLVD	None	SANTA CLARA	CA	95051	5329	43	06085	37.34234284	-121.9776787	Santa Clara County
267280	Fee-for-Service	1750670451	1750670451	1	1	VITHALANI, VEER D MA OTR	5/4/2022	207P00000X	NA	Other	026	PHYSICIANS	175789	None	None	0	In state provider	None	2185 CITRACADO PKWY	None	ESCONDIDO	CA	92029	4159	37	06073	33.12123297	-117.1199417	San Diego County
267296	Fee-for-Service	1982792602	1982792602	1	1	VEIGA, PATRICIA A MD	1/31/1992	2080P0210X	NA	Nephrology	026	PHYSICIANS	70681	45	Nephrology (Renal-Kidney)	0	In state provider	None	455 S MAIN ST	None	ORANGE	CA	92868	3835	30	06059	33.78077578	-117.8673468	Orange County
267329	Fee-for-Service	1295049658	1295049658	1	1	VU, YEN-LINH T OD	1/12/2012	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	200 MINOR HALL	None	BERKELEY	CA	94720	0001	01	06001	37.87133398	-122.2545466	Alameda County
267502	Fee-for-Service	1477974483	1477974483	1	1	VERVILLE, NICHOLAS PT	4/20/2020	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	901 NEVIN AVE	None	RICHMOND	CA	94801	3143	07	06013	37.93684848	-122.361345	Contra Costa County
267512	Fee-for-Service	1063585214	1063585214	1	1	VALLEY REGIONAL ARRHYTHMIA	1/19/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	70354	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	18372 CLARK STREET	#218	TARZANA	CA	91356	3508	19	06037	34.16975876	-118.533174	Los Angeles County
267584	Fee-for-Service	1982792602	1982792602	1	1	VEIGA, PATRICIA A MD	1/31/1992	2080P0210X	NA	Nephrology	026	PHYSICIANS	70681	40	Pediatrics	0	In state provider	None	455 S MAIN ST	None	ORANGE	CA	92868	3835	30	06059	33.78077578	-117.8673468	Orange County
267663	Fee-for-Service	1215258371	1215258371	1	1	VERCELES, EDWARD DO	7/29/2021	208D00000X	NA	Adult Primary Care	026	PHYSICIANS	12997	None	None	0	In state provider	None	3140 BALFOUR RD	SUITE C	BRENTWOOD	CA	94513	5518	07	06013	37.9252364	-121.7233035	Contra Costa County
267740	Fee-for-Service	1578589651	1578589651	1	1	VALLIKANNU MUTHIAH, MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	751 NE BLAKELY DR	STE 5010	ISSAQUAH	WA	98029	6201	00	None	47.53652154	-122.0220045	King County
267759	Fee-for-Service	1932430345	1932430345	1	1	VAKILI, ALI MD	2/19/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	110512	66	Emergency Medicine (Urgent Care)	0	In state provider	None	115 W E STREET	None	TEHACHAPI	CA	93561	1607	15	06029	35.13009994	-118.4488237	Kern County
267941	Fee-for-Service	1316089790	1316089790	1	1	VERHEUL, ERIC W PT	9/26/2019	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	RAPY	401 W LACEY BLVD	None	HANFORD	CA	93230	4437	16	06031	36.32798351	-119.6511508	Kings County
267984	Fee-for-Service	1568820785	1568820785	1	1	VONS COMPANIES INC	1/3/2017	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	7895 HIGHLAND VILLAGE PL	None	SAN DIEGO	CA	92129	5180	37	06073	32.96198925	-117.15318	San Diego County
268017	Fee-for-Service	1487759775	1487759775	1	1	VERMONT, BETH MD	7/5/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	42995	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	210 CANAL STREET	None	KING CITY	CA	93930	3432	27	06053	36.20731142	-121.1325532	Monterey County
268141	Fee-for-Service	1598909160	1598909160	1	1	VASQUEZ, JOSHUA J MD	6/25/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	120084	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
268145	Fee-for-Service	1902823339	1902823339	1	1	VAFAI, DAVOOD MD INC	11/30/2006	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	68	Hematology	0	In state provider	None	39000 BOB HOPE DR	UIHLEN BLDG 202	RANCHO MIRAGE	CA	92270	3221	33	06065	33.763572	-116.4056895	Riverside County
268262	Fee-for-Service	1245767029	1245767029	1	1	VAZMITSEL, MARYNA MD	5/6/2022	207ZP0102X	NA	Other	026	PHYSICIANS	170398	None	None	0	In state provider	None	350 HAWTHORNE AVE	None	OAKLAND	CA	94609	3108	01	06001	37.819368	-122.263902	Alameda County
268284	Fee-for-Service	1922532563	1922532563	1	1	VU, SHAYLA V MD	9/15/2020	207R00000X	NA	Other	026	PHYSICIANS	17038	41	Internal Medicine	0	In state provider	None	555 TACHEVAH DR	SUITE 2E-107	PALM SPRINGS	CA	92262	5752	33	06065	33.83753681	-116.5424435	Riverside County
268388	Fee-for-Service	1790998490	1790998490	1	1	VU, JOSEPH A MD	2/11/2011	207RE0101X	NA	Endocrinology	026	PHYSICIANS	100186	41	Internal Medicine	0	In state provider	None	710 LAWRENCE EXPWY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
268428	Fee-for-Service	1902823339	1902823339	1	1	VAFAI, DAVOOD MD INC	11/30/2006	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	None	39000 BOB HOPE DR	UIHLEN BLDG 202	RANCHO MIRAGE	CA	92270	3221	33	06065	33.763572	-116.4056895	Riverside County
268459	Fee-for-Service	1972563765	1972563765	1	1	VILLANUEVA, LYDIA E MD	6/1/1994	No Taxonomy Provided	NA	None	026	PHYSICIANS	51183	41	Internal Medicine	0	In state provider	None	11663 CHERRY AVE	None	FONTANA	CA	92337	0141	36	06071	34.04181931	-117.4866327	San Bernardino County
268462	Fee-for-Service	1609985811	1609985811	1	1	VAWTER, ANNA B MD	2/11/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	101552	07	Dermatology	0	In state provider	None	260 INTERNATIONAL CIR	None	SAN JOSE	CA	95119	1130	43	06085	37.24047903	-121.7998157	Santa Clara County
268491	Fee-for-Service	1184164725	1184164725	1	1	VUONG, STEPHANIE L DO	1/7/2021	207R00000X	NA	Other	026	PHYSICIANS	18143	None	None	0	In state provider	None	975 SERENO DR	None	VALLEJO	CA	94589	2441	48	06095	38.12828446	-122.24821	Solano County
268537	Fee-for-Service	1376601690	1376601690	2	1	VILLANUEVA, BENEDICT C MD	3/23/2023	207RI0200X	NA	HIV/AIDS/Infectious Disease	026	PHYSICIANS	61699	None	None	0	In state provider	None	2557 MOWRY AVE	STE 12	FREMONT	CA	94538	1614	01	06001	37.55561575	-121.9826617	Alameda County
268539	Fee-for-Service	1952802985	1952802985	1	1	VANLUVEN, KELLY LCSW	12/2/2024	104100000X	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
268639	Fee-for-Service	1366552432	1366552432	1	1	VIPAPAN, KOSOL OD	8/1/2001	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	EYE PLACE OPTOMETRY	230 S LAKE AVE	None	PASADENA	CA	91101	4823	19	06037	34.141905	-118.1322435	Los Angeles County
268692	Fee-for-Service	1144886151	1144886151	1	1	VO-VITUG, PACIFIC DO	7/5/2022	207R00000X	NA	Other	026	PHYSICIANS	-	None	None	1	Border provider	None	6900 NORTH DURANGO DRIVE	None	LAS VEGAS	NV	89149	4409	00	None	36.28701289	-115.2877045	Clark County
268710	Fee-for-Service	1902823339	1902823339	1	1	VAFAI, DAVOOD MD INC	11/30/2006	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	78	Neoplastic Diseases/Oncology	0	In state provider	None	39000 BOB HOPE DR	UIHLEN BLDG 202	RANCHO MIRAGE	CA	92270	3221	33	06065	33.763572	-116.4056895	Riverside County
268764	Fee-for-Service	1356682256	1356682256	1	1	VESTA HOSPICE INC	8/15/2015	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	41689 ENTERPRISE CIR N	STE 214	TEMECULA	CA	92590	5630	33	06065	33.51953516	-117.1693891	Riverside County
268858	Fee-for-Service	1073810131	1073810131	1	1	VEGA, GRISELDA LMFT	1/28/2025	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
269046	Fee-for-Service	1356682256	1356682256	1	1	VESTA HOSPICE INC	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	41689 ENTERPRISE CIR N	STE 214	TEMECULA	CA	92590	5630	33	06065	33.51953516	-117.1693891	Riverside County
269081	Fee-for-Service	1407439367	1407439367	1	1	VU, VERNA V DO	10/9/2024	2251P0200X	NA	Physical Therapist	026	PHYSICIANS	21713	70	Clinic (mixed specialty)	0	In state provider	None	915 SAN RAMON VALLEY BLV	SUITE 100	DANVILLE	CA	94526	4062	07	06013	37.80740959	-121.9917956	Contra Costa County
269121	Fee-for-Service	1942690946	1942690946	1	1	VO, JONATHAN NP	3/18/2020	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
269323	Fee-for-Service	1629139928	1629139928	1	1	VARGHESE, FLORA P	7/27/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	149629	02	General Surgery	0	In state provider	None	505 PARNASSUS AVENUE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
269326	Fee-for-Service	1194705186	1194705186	1	1	VAUGHAN, DAVID A MD	1/31/1986	No Taxonomy Provided	NA	None	026	PHYSICIANS	51966	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	2001 UNION ST	None	SAN FRANCISCO	CA	94123	4114	38	06075	37.7974427	-122.432532	San Francisco County
269359	Fee-for-Service	1407439367	1407439367	1	1	VU, VERNA V DO	10/9/2024	2251P0200X	NA	Physical Therapist	026	PHYSICIANS	21713	40	Pediatrics	0	In state provider	None	915 SAN RAMON VALLEY BLV	SUITE 100	DANVILLE	CA	94526	4062	07	06013	37.80740959	-121.9917956	Contra Costa County
269471	Fee-for-Service	1629102363	1629102363	1	1	VELASSCO, LOUIS E MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	GILBERT EMERGENCY MED	5656 SOUTH POWER ROAD	None	HIGLEY	AZ	85295	0000	00	None	33.31386	-111.6877185	Maricopa County
269565	Fee-for-Service	1730187121	1730187121	1	1	VIERRA, MARK A MD	9/20/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	64866	07	Dermatology	0	In state provider	None	15525 POMERADO RD	STE A2	POWAY	CA	92064	2425	37	06073	32.99479918	-117.0579468	San Diego County
269604	Fee-for-Service	1194705186	1194705186	1	1	VAUGHAN, DAVID A MD	1/31/1986	No Taxonomy Provided	NA	None	026	PHYSICIANS	51966	41	Internal Medicine	0	In state provider	None	2001 UNION ST	None	SAN FRANCISCO	CA	94123	4114	38	06075	37.7974427	-122.432532	San Francisco County
269628	Fee-for-Service	1174289466	1174289466	1	1	VICTORY CARE PHARMACY	9/28/2022	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	14103 VICTORY BLVD	STE 6	VAN NUYS	CA	91401	1998	19	06037	34.18668752	-118.440459	Los Angeles County
269637	Fee-for-Service	1386724375	1386724375	1	1	VANDER WALL, JACQUELYN L MD	1/1/2000	174400000X	NA	Other	026	PHYSICIANS	65045	38	Geriatrics	0	In state provider	INC	10861 CHERRY ST	STE 104	LOS ALAMITOS	CA	90720	5403	30	06059	33.80465174	-118.0680053	Orange County
269650	Fee-for-Service	1801875448	1801875448	1	1	VINCENT, JOHN W MD	10/25/2022	207L00000X	NA	Other	026	PHYSICIANS	180855	None	None	0	In state provider	None	31700 TEMECULA PKWY	None	TEMECULA	CA	92592	5896	33	06065	33.481134	-117.1060515	Riverside County
269774	Fee-for-Service	1639172133	1639172133	2	3	VIBRA HOSPITAL OF SAN DIEGO	7/9/2009	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	LLC	555 WASHINGTON ST	None	SAN DIEGO	CA	92103	2289	37	06073	32.74986289	-117.1599343	San Diego County
269787	Fee-for-Service	1912421504	1912421504	1	1	VILLAMATER, DARRYL CRNA	10/5/2017	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1401 S GRAND AVE	None	LOS ANGELES	CA	90015	3010	19	06037	34.03719097	-118.2654105	Los Angeles County
269848	Fee-for-Service	1386683571	1386683571	1	1	VAZQUEZ, DAVID MD	11/30/1983	207V00000X	NA	Obstetrics & Gynecology	026	PHYSICIANS	45795	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	2 W FERN AVE	None	REDLANDS	CA	92373	5916	36	06071	34.05016907	-117.1793443	San Bernardino County
269872	Fee-for-Service	1043758618	1043758618	1	1	VAN STEYN, PETER M MD	5/5/2023	207X00000X	NA	Orthopedic Surgery	026	PHYSICIANS	184281	None	None	0	In state provider	None	6555 COYLE	SUITE 220	CARMICHAEL	CA	95608	0303	34	06067	38.66859	-121.3118055	Sacramento County
269914	Fee-for-Service	1386724375	1386724375	1	1	VANDER WALL, JACQUELYN L MD	1/1/2000	174400000X	NA	Other	026	PHYSICIANS	65045	41	Internal Medicine	0	In state provider	INC	10861 CHERRY ST	STE 104	LOS ALAMITOS	CA	90720	5403	30	06059	33.80465174	-118.0680053	Orange County
270009	Fee-for-Service	1881623080	1881623080	1	2	VALLEY PSYCHOLOGICAL GROUP	5/5/2024	101YM0800X	NA	Other	071	LICENSED CLINICAL SOCIAL WORKER GROUP	-	-	NOT APPLICABLE	0	In state provider	INC.	2100 E STREET	None	BAKERSFIELD	CA	93301	4703	15	06029	35.3781843	-119.0245697	Kern County
270013	Fee-for-Service	1306884416	1306884416	1	1	VALENTINE, PHILLIP N MD	1/1/1982	No Taxonomy Provided	NA	None	026	PHYSICIANS	40841	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	3565 DEL AMO BLVD	None	TORRANCE	CA	90503	1637	19	06037	33.84861872	-118.3488958	Los Angeles County
270067	Fee-for-Service	1801459425	1801459425	1	1	VIQAR, BEENISH MD	8/19/2022	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	None	None	None	0	In state provider	None	10100 CULVER BLVD	STE A	CULVER CITY	CA	90232	3175	19	06037	34.01935201	-118.3979919	Los Angeles County
270192	Fee-for-Service	1386724375	1386724375	1	1	VANDER WALL, JACQUELYN L MD	1/1/2000	174400000X	NA	Other	026	PHYSICIANS	65045	01	General Practice	0	In state provider	INC	10861 CHERRY ST	STE 104	LOS ALAMITOS	CA	90720	5403	30	06059	33.80465174	-118.0680053	Orange County
270246	Fee-for-Service	1700048501	1700048501	1	1	VEDULA, GEETHA G MD	8/11/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	108911	18	Ophthalmology	0	In state provider	None	100 STEIN PLAZA	ROOM # 1-340	LOS ANGELES	CA	90095	7065	19	06037	34.06489065	-118.4443287	Los Angeles County
270277	Fee-for-Service	1972765915	1972765915	1	1	VAUGHAN, BARNEY MD	10/26/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	145572	36	Psychiatry	0	In state provider	None	710 S BROADWAY ST	None	WALNUT CREEK	CA	94596	5294	07	06013	37.89702115	-122.0569066	Contra Costa County
270289	Fee-for-Service	1881623080	1881623080	1	2	VALLEY PSYCHOLOGICAL GROUP	5/5/2024	101YM0800X	NA	Other	031	PSYCHOLOGISTS	-	None	None	0	In state provider	INC.	2100 E STREET	None	BAKERSFIELD	CA	93301	4703	15	06029	35.3781843	-119.0245697	Kern County
270302	Fee-for-Service	1316142201	1316142201	1	1	VEIRS, MARY L LMFT	8/17/2019	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1490 N CLAREMONT BLVD	SUITE 204	CLAREMONT	CA	91711	3519	19	06037	34.11108358	-117.7019894	Los Angeles County
270352	Fee-for-Service	1306097506	1306097506	1	1	VOBECKY, JAN P MD	4/21/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	109448	66	Emergency Medicine (Urgent Care)	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
270462	Fee-for-Service	1689681595	1689681595	1	1	VANDERGRAAF, ROBERT C DO	2/8/2015	207L00000X	NA	Other	026	PHYSICIANS	9081	05	Anesthesiology	0	In state provider	None	1200 B GALE WILSON BLVD	None	FAIRFIELD	CA	94533	3552	48	06095	38.26109552	-122.0470245	Solano County
270506	Fee-for-Service	1093331217	1093331217	1	1	VAZQUEZ, LARRY J MD	7/12/2024	207L00000X	NA	Other	026	PHYSICIANS	None	05	Anesthesiology	0	In state provider	None	1100 W STEWART DR	None	ORANGE	CA	92868	3849	30	06059	33.78236558	-117.8648414	Orange County
270568	Fee-for-Service	1881623080	1881623080	1	2	VALLEY PSYCHOLOGICAL GROUP	5/5/2024	101YM0800X	NA	Other	078	MARRIAGE AND FAMILY THERAPIST GROUP	-	-	NOT APPLICABLE	0	In state provider	INC.	2100 E STREET	None	BAKERSFIELD	CA	93301	4703	15	06029	35.3781843	-119.0245697	Kern County
270592	Fee-for-Service	1396446175	1396446175	1	1	VANG, IAOO LCSW	9/8/2023	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1660 E ROSEVILLE PARKWAY	None	ROSEVILLE	CA	95661	3988	31	06061	38.74827146	-121.2397281	Placer County
270713	Fee-for-Service	1922478791	1922478791	1	2	VISION VIEJO HOSPICE	4/19/2019	251G00000X	NA	Other	034	MEDICARE CROSSOVER PROVIDER ONLY	-	-	NOT APPLICABLE	0	In state provider	S	27281 LAS RAMBLAS	STE 200	MISSION VIEJO	CA	92691	6324	30	06059	33.56652088	-117.668662	Orange County
270745	Fee-for-Service	1629163019	1629163019	1	1	VANG, VIVA LMFT	5/8/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	7300 WYNDHAM	None	SACRAMENTO	CA	95823	4913	34	06067	38.467854	-121.4188155	Sacramento County
270844	Fee-for-Service	1679750152	1679750152	1	1	VELTMEYER, JAMES D MD	4/16/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	101326	08	Family Practice	0	In state provider	None	5555 GROSSMONT CENTER DR	None	LA MESA	CA	91942	3019	37	06073	32.781483	-117.007182	San Diego County
270949	Fee-for-Service	1831355320	1831355320	1	1	VILASAGAR, NIVEDITHA MD	6/5/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	110069	40	Pediatrics	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
270958	Fee-for-Service	1841599339	1841599339	2	2	VOHRA WOUND PHYSICIANS OF CA	12/27/2022	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	, P.C.	1730 COLLEGE AVE	None	DINUBA	CA	93618	2812	54	06107	36.53059064	-119.3858421	Tulare County
271034	Fee-for-Service	1336178375	1336178375	1	1	VONS COMPANIES, INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	78271 STATE HWY 111	None	LA QUINTA	CA	92253	0000	33	06065	33.71605286	-116.2981434	Riverside County
271082	Fee-for-Service	1609130046	1609130046	1	1	VEMPATI AMRITA M	9/24/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	2601 E ROOSEVELT ST	None	PHOENIX	AZ	85008	4973	00	None	33.457203	-112.0262625	Maricopa County
271096	Fee-for-Service	1801215017	1801215017	1	1	VO, AN THI MD	11/1/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	145601	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
271174	Fee-for-Service	1801904834	1801904834	1	1	VICKS, STEVEN L MD	11/17/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	45	Nephrology (Renal-Kidney)	1	Border provider	None	1500 E 2ND ST	STE 106	RENO	NV	89502	1189	00	None	39.52743427	-119.7932613	Washoe County
271175	Fee-for-Service	1124466248	1124466248	1	1	VUONG, QUE PHAN LCSW	9/9/2024	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
271283	Fee-for-Service	1851749782	1851749782	1	1	VASUDEVAN, KUMAR F MD	9/23/2022	207R00000X	NA	Other	026	PHYSICIANS	182256	None	None	0	In state provider	None	200 MEDICAL PLAZA	SUITE 420	LOS ANGELES	CA	90095	0001	19	06037	34.06527974	-118.4462792	Los Angeles County
271299	Fee-for-Service	1457445710	1457445710	1	1	VUCHINICH, KEVIN M MD	11/30/1984	No Taxonomy Provided	NA	None	026	PHYSICIANS	51518	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	26520 CACTUS AVE	None	MORENO VALLEY	CA	92555	3927	33	06065	33.912117	-117.195849	Riverside County
271379	Fee-for-Service	1073604716	1073604716	1	2	VALERY, HAROLD C	3/1/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	35020	None	None	0	In state provider	None	1655 S WESTERN AVE	None	LOS ANGELES	CA	90006	5801	19	06037	34.042653	-118.3090565	Los Angeles County
271405	Fee-for-Service	1447433669	1447433669	1	1	VANCE, MICHAEL C MD	12/3/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	101996	20	Orthopedic Surgery	0	In state provider	None	2025 MORSE AVENUE	None	SACRAMENTO	CA	95825	2115	34	06067	38.602089	-121.3925895	Sacramento County
271560	Fee-for-Service	1427291756	1427291756	1	1	VAN PARYS, KATE M LMFT	5/6/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	9324 W STOCKTON BLVD	None	ELK GROVE	CA	95758	8012	34	06067	38.418309	-121.3939665	Sacramento County
271611	Fee-for-Service	1750331252	1750331252	1	1	VALLONE, ROBERT J DPM	3/31/1980	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	3363 4TH AVE	None	SAN DIEGO	CA	92103	5703	37	06073	32.74056	-117.161244	San Diego County
271688	Fee-for-Service	1700175361	1700175361	1	1	VU, ANTHONY T MD	11/5/2018	2086S0105X	NA	General Surgery	026	PHYSICIANS	156146	24	Plastic Surgery	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
271704	Fee-for-Service	1841243151	1841243151	1	1	VAZQUEZ, CAROLINA	11/15/2010	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	81758	None	None	0	In state provider	None	2895 N TOWNE AVE	None	POMONA	CA	91767	2009	19	06037	34.098525	-117.7368955	Los Angeles County
271800	Fee-for-Service	1285150169	1285150169	1	1	VU, JOHN DL	12/5/2018	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	10900 WARNER AVE	STE 117	FOUNTAIN VALLEY	CA	92708	7203	30	06059	33.71628153	-117.9388215	Orange County
271991	Fee-for-Service	1528412293	1528412293	1	1	VAN DER LAAN, LYNDSEY K MD	7/11/2022	207PP0204X	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
271998	Fee-for-Service	1902984610	1902984610	1	1	VAN OSTRAND, ERIC W MD	5/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	68620	13	Neurology (M.D. only)	0	In state provider	None	2025 MORSE AVE	None	SACRAMENTO	CA	95825	2115	34	06067	38.602089	-121.3925895	Sacramento County
272018	Fee-for-Service	1538583901	1538583901	1	1	VILLALON, SALVADOR B MD	12/5/2019	207R00000X	NA	Other	026	PHYSICIANS	80985	08	Family Practice	0	In state provider	None	716 E. MAIN ST.	None	BARSTOW	CA	92311	2354	36	06071	34.89865642	-117.0187803	San Bernardino County
272052	Fee-for-Service	1265585905	1265585905	1	1	VOGEL, OTTO HANNES MD	9/20/1982	207ZP0102X	NA	Other	026	PHYSICIANS	40662	40	Pediatrics	0	In state provider	None	1580 VALENCIA ST	None	SAN FRANCISCO	CA	94110	4423	38	06075	37.74746923	-122.4202583	San Francisco County
272099	Fee-for-Service	1285658708	1285658708	1	1	VALLEY NEONATOLOGY MED	4/1/1996	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	ASSOCIATES	501 S BUENA VISTA ST	None	BURBANK	CA	91505	4809	19	06037	34.15729818	-118.3277073	Los Angeles County
272134	Fee-for-Service	1053875922	1053875922	1	1	VUONG, ANGELA OD	4/15/2020	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	138 N MILPITAS BLVD	None	MILPITAS	CA	95035	4401	43	06085	37.43348259	-121.8999829	Santa Clara County
272369	Fee-for-Service	1245549443	1245549443	1	1	VIDA FAMILY PRACTICE PC	3/21/2011	261QP2300X	NA	Other	026	PHYSICIANS	106757	08	Family Practice	0	In state provider	None	435 ARDEN AVE	SUITE 330	GLENDALE	CA	91203	4016	19	06037	34.15848148	-118.2628845	Los Angeles County
272402	Fee-for-Service	1558926303	1558926303	1	1	VILLANUEVA, ALANNA LCSW	12/21/2021	101YM0800X	NA	Other	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1461 FORD ST	202	REDLANDS	CA	92373	3909	36	06071	34.03913285	-117.1563139	San Bernardino County
272522	Fee-for-Service	1245356948	1245356948	1	1	VIRK, LOVELEENA MD	8/4/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	98708	None	None	0	In state provider	None	901 NEVIN AVE	None	RICHMOND	CA	94801	3143	07	06013	37.93684848	-122.361345	Contra Costa County
272630	Fee-for-Service	1275719395	1275719395	1	1	VIADRO, CLAUDIA A LMFT	11/5/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	47 SIXTH ST	None	PETALUMA	CA	94952	3092	49	06097	38.23069878	-122.6401504	Sonoma County
272668	Fee-for-Service	1285730846	1285730846	1	1	VALADKHANI, MOHAMMAD MD	12/29/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	81345	41	Internal Medicine	0	In state provider	None	3160 FOLSOM BLVD	None	SACRAMENTO	CA	95816	5219	34	06067	38.568393	-121.4658585	Sacramento County
272695	Fee-for-Service	1184073389	1184073389	1	1	VALDE HOME HEALTH, INC	6/9/2018	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	12241 INDUSTRIAL BLVD	SUITE 202	VICTORVILLE	CA	92395	8301	36	06071	34.473357	-117.282883	San Bernardino County
272704	Fee-for-Service	1902948250	1902948250	2	1	VALLEY INSTITUTE OF	10/7/2011	No Taxonomy Provided	NA	None	029	PROSTHETISTS	-	-	NOT APPLICABLE	0	In state provider	PROSTHETICS & ORTHOTICS	23033 LYONS AVE	#6	NEWHALL	CA	91321	2777	19	06037	34.38013033	-118.5361055	Los Angeles County
272710	Fee-for-Service	1437102092	1437102092	1	17	VALLEY RADIOTHERAPY ASSO	2/3/2009	2085R0001X	NA	Other	022	PHYSICIANS GROUP	-	78	Neoplastic Diseases/Oncology	0	In state provider	MEDICAL GROUP INC	23023 SHERMAN WAY	None	WEST HILLS	CA	91307	2000	19	06037	34.202889	-118.62873	Los Angeles County
272812	Fee-for-Service	1023324746	1023324746	1	1	VAYADA, NISHITH H MD	7/14/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	125223	41	Internal Medicine	0	In state provider	None	440 PLUMAS BLVD	None	YUBA CITY	CA	95991	5071	51	06101	39.13140416	-121.6141951	Sutter County
272893	Fee-for-Service	1689861007	1689861007	1	1	VILLA, FILOMENA HAZEL R MD	4/15/2019	2080P0214X	NA	Pulmonology	026	PHYSICIANS	107813	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
273010	Fee-for-Service	1649204983	1649204983	1	1	VOKSHOOR, AMIR A MD	4/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	78293	14	Neurological Surgery	0	In state provider	ATTN MGA OFFICE	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	6701	19	06037	34.17030266	-118.5881699	Los Angeles County
273108	Fee-for-Service	1922478791	1922478791	1	1	VISION VIEJO HOSPICE	6/28/2018	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	SERVICES	27281 LAS RAMBLAS	SUITE 209	MISSION VIEJO	CA	92691	6324	30	06059	33.56652088	-117.668662	Orange County
273120	Fee-for-Service	1063670586	1063670586	1	1	VESCERA, LIZZETTE LMFT	12/18/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	5500 E ATHERTON ST	225	LONG BEACH	CA	90815	4016	19	06037	33.7885453	-118.1236854	Los Angeles County
273191	Fee-for-Service	1881232213	1881232213	2	1	VISALIA PHARMACY INC	1/8/2020	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	444 NW 3RD AVE	None	VISALIA	CA	93291	3624	54	06107	36.341667	-119.296341	Tulare County
273218	Fee-for-Service	1790176436	1790176436	1	1	VIRTUE HOSPICE AND	2/15/2019	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	PALLIATIVE CARE INC	15720 VENTURA BLVD	STE 610	ENCINO	CA	91436	4734	19	06037	34.15524484	-118.4756687	Los Angeles County
273267	Fee-for-Service	1932749108	1932749108	1	1	VANGUARD MEDICAL CORPORATION	2/13/2020	261QP2300X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	None	8150 HAGEMAN RD	None	BAKERSFIELD	CA	93312	1959	15	06029	35.40166449	-119.0933415	Kern County
273294	Fee-for-Service	1023645298	1023645298	1	1	VOS, ELAINE MD	5/7/2024	207R00000X	NA	Other	026	PHYSICIANS	188419	40	Pediatrics	0	In state provider	None	11370 ANDERSON ST	STE B-100	LOMA LINDA	CA	92354	3450	36	06071	34.047153	-117.2611485	San Bernardino County
273306	Fee-for-Service	1245097781	1245097781	1	1	VALENZUELA-GARAY, JOANNA NP	6/10/2024	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1114 6TH ST	None	MODESTO	CA	95354	2203	50	06099	37.63901905	-121.0057149	Stanislaus County
273320	Fee-for-Service	1881008662	1881008662	1	1	VIRADIA, SOMIL P MD	7/1/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	140984	41	Internal Medicine	0	In state provider	None	1680 EAST 120TH STREET	None	LOS ANGELES	CA	90059	3026	19	06037	33.92456051	-118.2417525	Los Angeles County
273325	Fee-for-Service	1407178643	1407178643	1	2	VIGILANS HOME HEALTH	4/22/2019	No Taxonomy Provided	NA	None	093	CARE COORDINATOR AGENCIES (CCA)	-	-	NOT APPLICABLE	0	In state provider	SERVICES INC	256 CAJON ST	#B	REDLANDS	CA	92373	5274	36	06071	34.05204454	-117.1802319	San Bernardino County
273347	Fee-for-Service	1114914355	1114914355	1	1	VACAVILLE HEALTHCARE INC	10/2/2003	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	& REHABILITATION CENTER	585 NUT TREE CT	None	VACAVILLE	CA	95687	3353	48	06095	38.36167248	-121.9482153	Solano County
273356	Fee-for-Service	1578501110	1578501110	1	1	V-TACH MEDICAL GROUP INC	8/3/2017	261QP2300X	NA	Other	026	PHYSICIANS	None	08	Family Practice	0	In state provider	None	301 VICTORIA ST	None	COSTA MESA	CA	92627	1995	30	06059	33.65258952	-117.9121545	Orange County
273378	Fee-for-Service	1922478791	1922478791	1	1	VISION VIEJO HOSPICE	6/28/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	SERVICES	27281 LAS RAMBLAS	SUITE 209	MISSION VIEJO	CA	92691	6324	30	06059	33.56652088	-117.668662	Orange County
273456	Fee-for-Service	1194904466	1194904466	1	1	VALENZUELA, LYDIA M LCSW	11/11/2024	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	3020 CHILDREN'S WAY	MC 5069	SAN DIEGO	CA	92123	4223	37	06073	32.798691	-117.150829	San Diego County
273485	Fee-for-Service	1790176436	1790176436	1	1	VIRTUE HOSPICE AND	2/15/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	PALLIATIVE CARE INC	15720 VENTURA BLVD	STE 610	ENCINO	CA	91436	4734	19	06037	34.15524484	-118.4756687	Los Angeles County
273512	Fee-for-Service	1477904043	1477904043	1	1	VU, NICHOLAS MD	3/9/2022	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	175754	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
273537	Fee-for-Service	1932749108	1932749108	1	1	VANGUARD MEDICAL CORPORATION	2/24/2022	261QP2300X	NA	Other	006	CHIROPRACTORS	-	-	NOT APPLICABLE	0	In state provider	None	8150 HAGEMAN RD	None	BAKERSFIELD	CA	93312	1959	15	06029	35.40166449	-119.0933415	Kern County
273565	Fee-for-Service	1023645298	1023645298	1	1	VOS, ELAINE MD	5/7/2024	207R00000X	NA	Other	026	PHYSICIANS	188419	41	Internal Medicine	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
273627	Fee-for-Service	1578501110	1578501110	1	1	V-TACH MEDICAL GROUP INC	8/3/2017	261QP2300X	NA	Other	026	PHYSICIANS	None	66	Emergency Medicine (Urgent Care)	0	In state provider	None	301 VICTORIA ST	None	COSTA MESA	CA	92627	1995	30	06059	33.65258952	-117.9121545	Orange County
273688	Fee-for-Service	1437338407	1437338407	1	1	VAN DUSEN, BRIAN E OD	1/31/1988	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	3559 W RAMSEY ST	STE D6	BANNING	CA	92220	3505	33	06065	33.9263001	-116.9160867	Riverside County
273749	Fee-for-Service	1881613586	1881613586	1	1	VERMA, VISHAL MD	11/10/2008	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	81760	30	Radiology	0	In state provider	None	508 E HICKORY AVE	None	LOMPOC	CA	93438	7318	42	06083	34.63568383	-120.4522776	Santa Barbara County
273801	Fee-for-Service	1932749108	1932749108	1	1	VANGUARD MEDICAL CORPORATION	1/21/2020	261QP2300X	NA	Other	022	PHYSICIANS GROUP	-	08	Family Practice	0	In state provider	None	8150 HAGEMAN RD	None	BAKERSFIELD	CA	93312	1959	15	06029	35.40166449	-119.0933415	Kern County
273835	Fee-for-Service	1275026957	1275026957	1	1	VALLEY VISTA RESIDENTIAL	4/16/2020	No Taxonomy Provided	NA	None	092	RESIDENTIAL CARE FACILITIES FOR THE ELDERLY (RCFE)	-	-	NOT APPLICABLE	0	In state provider	MANOR LLC	6130 VINELAND AVE	None	NORTH HOLLYWOOD	CA	91606	4914	19	06037	34.18221147	-118.370279	Los Angeles County
273857	Fee-for-Service	1952434185	1952434185	1	1	VALLEY MEDICAL SYSTEM INC	9/15/2010	251E00000X	NA	Other	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	2511 WEST SHAW AVE	SUITE 101	FRESNO	CA	93711	3325	10	06019	36.80648305	-119.836789	Fresno County
273860	Fee-for-Service	1073975124	1073975124	1	1	VASQUEZ, ROXANNE MD	10/27/2021	2084P0800X	NA	Psychiatry	026	PHYSICIANS	152528	None	None	0	In state provider	None	300 HILLMONT AVE	None	VENTURA	CA	93003	3099	56	06111	34.27771547	-119.2540344	Ventura County
273945	Fee-for-Service	1508272907	1508272907	1	1	VO, THO M MD	12/11/2020	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	145191	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
274008	Fee-for-Service	1891861977	1891861977	1	1	VILLARAUZ, NAOMI A	1/11/2013	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1650 RESPONSE ROAD	None	SACRAMENTO	CA	95815	4807	34	06067	38.596581	-121.4303535	Sacramento County
274021	Fee-for-Service	1033311881	1033311881	1	1	VETERANS ALCOHOL	4/4/2016	324500000X	NA	Other	076	DRUG MEDI-CAL	-	-	NOT APPLICABLE	0	In state provider	REHABILITATION PROGRAM	1100 NORTH D ST	None	SAN BERNARDINO	CA	92410	3425	36	06071	34.119711	-117.291936	San Bernardino County
274080	Fee-for-Service	1316098932	1316098932	1	1	VERGARA, DEL CNP	1/19/2022	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
274167	Fee-for-Service	1881855393	1881855393	1	1	VISION QUEST INDUSTRIES INC	10/12/2009	No Taxonomy Provided	NA	None	021	ORTHOTISTS	-	-	NOT APPLICABLE	0	In state provider	VQ ORTHOCARE	1390 DECISON ST	None	VISTA	CA	92081	8523	37	06073	33.13956006	-117.2251129	San Diego County
274196	Fee-for-Service	1285248757	1285248757	1	2	VAFA MEDICAL TRANSPORTATIONS	6/11/2021	343800000X	Both NEMT & NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	7048 OWENSMOUTH AVE	None	CANOGA PARK	CA	91303	2005	19	06037	34.19870174	-118.6015313	Los Angeles County
274203	Fee-for-Service	1922192111	1922192111	1	1	VOSSOUGH, SIAVOSH MD	3/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	61091	07	Dermatology	0	In state provider	None	795 EL CAMINO REAL	None	PALO ALTO	CA	94301	2302	43	06085	37.43920432	-122.162109	Santa Clara County
274280	Fee-for-Service	1336698398	1336698398	1	1	VALADEZ-BECERRA, LIDIA	1/24/2017	No Taxonomy Provided	NA	None	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	3816 WOODRUFF AVE	STE 305	LONG BEACH	CA	90808	2146	19	06037	33.828102	-118.1165525	Los Angeles County
274282	Fee-for-Service	1538334073	1538334073	1	1	VANCE, ERIN J MD	11/14/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	111103	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
274288	Fee-for-Service	1508201575	1508201575	1	1	VAN ROMPAEY, JASON R MD	3/2/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	132904	30	Radiology	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
274299	Fee-for-Service	1841291002	1841291002	1	2	VISTA HOME HEALTH	2/9/2015	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	SERVICES INC	343 E PALMDALE BLVD	SUITE 4	PALMDALE	CA	93550	7138	19	06037	34.58005451	-118.1232855	Los Angeles County
274465	Fee-for-Service	1922192111	1922192111	1	1	VOSSOUGH, SIAVOSH MD	3/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	61091	41	Internal Medicine	0	In state provider	None	795 EL CAMINO REAL	None	PALO ALTO	CA	94301	2302	43	06085	37.43920432	-122.162109	Santa Clara County
274481	Fee-for-Service	1194463919	1194463919	1	1	VASQUEZ, PHILLIP S	7/21/2022	237700000X	NA	Other	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	301 ALESSANDRO	SUITE 3C	RIVERSIDE	CA	92508	2486	33	06065	33.914196	-117.3287655	Riverside County
274519	Fee-for-Service	1144587742	1144587742	1	1	VENKAT, PUJA S MD	7/6/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	150195	78	Neoplastic Diseases/Oncology	0	In state provider	None	200 MEDICAL PLAZA	None	LOS ANGELES	CA	90024	0000	19	06037	34.06527974	-118.4462792	Los Angeles County
274573	Fee-for-Service	1477505824	1477505824	1	1	VALLEY GASTROENTEROLOGY	3/12/2007	207RG0100X	NA	Gastroenterology	022	PHYSICIANS GROUP	-	10	Gastroenterology (M.D. only)	0	In state provider	CNSULTS MED CTR INC	488 E SANTA CLARA ST	STE 103	ARCADIA	CA	91006	7231	19	06037	34.14235063	-118.0211625	Los Angeles County
274612	Fee-for-Service	1861126377	1861126377	1	1	VELASQUEZ, AMANDA OT	5/15/2024	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	4959 PALO VERDE ST	SUITE 109C	MONTCLAIR	CA	91763	2331	36	06071	34.08129954	-117.6966135	San Bernardino County
274641	Fee-for-Service	1407967748	1407967748	1	1	VERONIKA MARIANNE ZANTOP, MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	500 17TH AVE	None	SEATTLE	WA	98122	5711	00	None	47.60689769	-122.3102467	King County
274685	Fee-for-Service	1548201965	1548201965	1	4	VALLEY OB-GYN MEDICAL GROUP	2/14/2014	207V00000X	NA	Obstetrics & Gynecology	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	INC	2055 N PERRIS BLVD	STE E6	PERRIS	CA	92571	2059	33	06065	33.80930628	-117.2260719	Riverside County
274694	Fee-for-Service	1477719474	1477719474	1	1	VARGO, NEETA M MD	9/14/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	110443	30	Radiology	0	In state provider	None	29101 HOSPITAL ROAD	None	LAKE ARROWHEAD	CA	92352	9706	36	06071	34.26577765	-117.1695461	San Bernardino County
274698	Fee-for-Service	1083029367	1083029367	1	1	VALLEY CREEK HOSPICE INC	1/1/2019	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	6320 VAN NUYS BLVD	STE 402	VAN NUYS	CA	91401	6632	19	06037	34.18545203	-118.4487091	Los Angeles County
274718	Fee-for-Service	1023011053	1023011053	2	1	VINE DISCOUNT PHARMACY	8/30/2017	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	& MEDICAL SUPPLY INC	1253 VINE STREET	STE 11	LOS ANGELES	CA	90038	1662	19	06037	34.09398102	-118.3266517	Los Angeles County
274723	Fee-for-Service	1083645899	1083645899	1	1	VONS COMPANIES INC	8/30/2005	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	4627 CARMEL MOUNTAIN RD	None	SAN DIEGO	CA	92130	6613	37	06073	32.92140098	-117.2152705	San Diego County
274743	Fee-for-Service	1336331933	1336331933	1	1	VAN KIRK, LINNEA G LMFT	10/22/2018	101YM0800X	NA	Other	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	78115 CALLE ESTADO	201	LA QUINTA	CA	92253	3919	33	06065	33.67574449	-116.301842	Riverside County
274746	Fee-for-Service	1437722162	1437722162	1	1	VAN RYZIN, EMILY G	12/27/2022	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
274843	Fee-for-Service	1699136127	1699136127	1	1	VO, ANH DO	12/4/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	16821	None	None	0	In state provider	None	1415 ROSS AVE	None	EL CENTRO	CA	92243	4306	13	06025	32.78144947	-115.568541	Imperial County
274848	Fee-for-Service	1629896238	1629896238	1	1	VAIDYANATHAN, SHOBHA LMFT	2/14/2025	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	19000 HOMESTEAD RD	None	CUPERTINO	CA	95014	0712	43	06085	37.33773494	-122.0043395	Santa Clara County
274961	Fee-for-Service	1083029367	1083029367	1	1	VALLEY CREEK HOSPICE INC	1/24/2018	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	6320 VAN NUYS BLVD	STE 402	VAN NUYS	CA	91401	6632	19	06037	34.18545203	-118.4487091	Los Angeles County
274983	Fee-for-Service	1821390154	1821390154	1	1	VERMONT HEALTHCARE CENTER	7/1/2012	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	INC	1234 N VERMONT AVENUE	None	LOS ANGELES	CA	90029	1704	19	06037	34.093971	-118.2917315	Los Angeles County
275019	Fee-for-Service	1720669096	1720669096	1	1	VILLA, ADAM MD	8/2/2024	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	187836	08	Family Practice	0	In state provider	None	1 QUALITY DR	None	VACAVILLE	CA	95688	9494	48	06095	38.38851772	-121.9382798	Solano County
275080	Fee-for-Service	1801037692	1801037692	1	1	VITALI, RYAN S MD	9/1/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	106700	66	Emergency Medicine (Urgent Care)	0	In state provider	None	151 N SUNRISE AVE	SUITE 1005	ROSEVILLE	CA	95661	2930	31	06061	38.74746043	-121.2655348	Placer County
275112	Fee-for-Service	1184618829	1184618829	1	6	VARAPRASATHAN, G I MD A PROF	6/12/2017	207ZP0102X	NA	Other	022	PHYSICIANS GROUP	-	22	Pathology (M.D. only)	0	In state provider	CORP	26370 DIAMOND PL	SUITE 501	SANTA CLARITA	CA	91350	2986	19	06037	34.41018472	-118.5080466	Los Angeles County
275348	Fee-for-Service	1427456151	1427456151	1	1	VAKILIAN, SIAVOSH MD	4/10/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	133482	30	Radiology	0	In state provider	None	1410 S LA BRUCHERIE RD	None	EL CENTRO	CA	92243	9676	13	06025	32.78048827	-115.578488	Imperial County
275490	Fee-for-Service	1144612003	1144612003	1	1	VAN, JOYCE LMFT	3/22/2023	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	311 CALIFORNIA	#750	SAN FRANCISCO	CA	94104	2602	38	06075	37.79316768	-122.4002529	San Francisco County
275518	Fee-for-Service	1508833054	1508833054	1	1	VERMEYS, STEVEN R MD	1/28/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	05	Anesthesiology	1	Border provider	None	5330 SOUTH HIGHWAY 95	None	FORT MOHAVE	AZ	86426	9225	00	None	35.002656	-114.595893	Mohave County
275580	Fee-for-Service	1124182316	1124182316	1	1	VAN WOY, TERESA M DPM	8/14/2017	No Taxonomy Provided	NA	None	027	PODIATRISTS	-	None	None	0	In state provider	None	1 QUALITY DR	None	VACAVILLE	CA	95688	9494	48	06095	38.38851772	-121.9382798	Solano County
275606	Fee-for-Service	1427456151	1427456151	1	1	VAKILIAN, SIAVOSH MD	4/10/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	133482	78	Neoplastic Diseases/Oncology	0	In state provider	None	1410 S LA BRUCHERIE RD	None	EL CENTRO	CA	92243	9676	13	06025	32.78048827	-115.578488	Imperial County
275670	Fee-for-Service	1306873583	1306873583	1	1	VARGAS, MICHELE T MD	6/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	7256	66	Emergency Medicine (Urgent Care)	0	In state provider	None	5925 SAN VICENTE BLVD	None	LOS ANGELES	CA	90019	6630	19	06037	34.05682871	-118.360716	Los Angeles County
275733	Fee-for-Service	1063662583	1063662583	1	1	VISION UPRIGHT MRI LLC	6/18/2013	No Taxonomy Provided	NA	None	084	INDEPENDENT DIAGNOSTIC TESTING FACILITY XOVER PROV ONLY	-	-	NOT APPLICABLE	0	In state provider	None	828 S BASCOM AVE	SUITE 110	SAN JOSE	CA	95128	2652	43	06085	37.31225204	-121.9317854	Santa Clara County
275826	Fee-for-Service	1356834709	1356834709	1	1	VELEZ, KARA M LAC	11/20/2019	171100000X	NA	Other	032	CERTIFIED ACUPUNCTURIST	-	-	NOT APPLICABLE	0	In state provider	None	16776 BERNARDO CENTER DR	SUITE 211	SAN DIEGO	CA	92128	2534	37	06073	33.01805061	-117.0757327	San Diego County
275932	Fee-for-Service	1205991643	1205991643	1	1	VALLEY NEONATAL	1/7/2005	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	ASSOCIATES INC	525 N GARFIELD AVE	None	MONTEREY PARK	CA	91754	1202	19	06037	34.06794352	-118.1229278	Los Angeles County
275946	Fee-for-Service	1700851896	1700851896	1	1	VOLODARSKAYA, POLINA A DO	5/31/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	13732	01	General Practice	0	In state provider	None	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	34	06067	38.470392	-121.4223975	Sacramento County
275981	Fee-for-Service	1386178234	1386178234	1	1	VO, ANTHONY OT	8/1/2022	225X00000X	NA	Other	019	OCCUPATIONAL THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	3840 HOMESTEAD	None	SANTA CLARA	CA	95051	5173	43	06085	37.33774954	-122.002065	Santa Clara County
276015	Fee-for-Service	1215480546	1215480546	1	1	VILLEGAS, MARIA I LMFT	8/25/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	99 S ALMADEN BLVD	STE 600	SAN JOSE	CA	95113	1605	43	06085	37.33257807	-121.8940377	Santa Clara County
276019	Fee-for-Service	1164451118	1164451118	1	1	VONS COMPANIES, INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	7788 REGENTS RD	None	SAN DIEGO	CA	92122	1938	37	06073	32.86252402	-117.2228415	San Diego County
276090	Fee-for-Service	1619162013	1619162013	1	1	VEAL, LISA E OD	6/12/2024	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	15336 DEVONSHIRE ST	STE 4	MISSION HILLS	CA	91345	2763	19	06037	34.25726849	-118.4664285	Los Angeles County
276167	Fee-for-Service	1306924030	1306924030	1	1	VOIGHTLANDER, JAMES P	4/30/1991	No Taxonomy Provided	NA	None	026	PHYSICIANS	46350	20	Orthopedic Surgery	0	In state provider	None	2025 MORSE AVE	None	SACRAMENTO	CA	95825	2115	34	06067	38.602089	-121.3925895	Sacramento County
276183	Fee-for-Service	1205991643	1205991643	1	1	VALLEY NEONATAL	1/7/2005	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	ASSOCIATES INC	525 N GARFIELD AVE	None	MONTEREY PARK	CA	91754	1202	19	06037	34.06794352	-118.1229278	Los Angeles County
276247	Fee-for-Service	1376636597	1376636597	2	1	VALLEY EMERGENCY PHYSICIANS	8/5/2011	207P00000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	0	In state provider	MEDICAL GROUP INC	5176 HILL RD E	None	LAKEPORT	CA	95453	6300	17	06033	39.10557408	-122.9078316	Lake County
276258	Fee-for-Service	1780850248	1780850248	1	1	VALENTINO, LEONARD A MD	9/18/2008	193400000X	NA	Other	026	PHYSICIANS	13143	42	Nuclear Medicine	0	In state provider	CTR	77 BIRCH ST	STE A	REDWOOD CITY	CA	94062	1400	41	06081	37.4880698	-122.2402057	San Mateo County
276304	Fee-for-Service	1629116819	1629116819	1	2	VALU-RX INC	11/23/2021	183500000X	NA	Other	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	5525 ETIWANDA AVE	100	TARZANA	CA	91356	3639	19	06037	34.17046451	-118.5308463	Los Angeles County
276400	Fee-for-Service	1497822407	1497822407	1	1	VO, DAT QUOC MD	4/30/1995	No Taxonomy Provided	NA	None	026	PHYSICIANS	76705	41	Internal Medicine	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
276606	Fee-for-Service	1316089790	1316089790	1	2	VERHEUL, ERIC W PT	9/26/2019	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	401 W LACEY BLVD	None	HANFORD	CA	93230	4437	16	06031	36.32798351	-119.6511508	Kings County
276735	Fee-for-Service	1669748851	1669748851	1	1	VOORA, SANTHI MD	6/26/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	136826	45	Nephrology (Renal-Kidney)	0	In state provider	None	400 PARNASSUS AVENUE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
276866	Fee-for-Service	1912149162	1912149162	1	1	VAN HOFTEN, JAMIE J MD	11/6/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	114726	05	Anesthesiology	0	In state provider	None	2450 ASHBY AVE	None	BERKELEY	CA	94705	2067	01	06001	37.85646136	-122.2573894	Alameda County
276898	Fee-for-Service	1689848269	1689848269	1	1	VERDUGO PLAZA PHRMCY INC	4/30/2008	3336L0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	3039 W VALLEY RD	None	ALHAMBRA	CA	91803	1822	19	06037	34.07629978	-118.1587449	Los Angeles County
276918	Fee-for-Service	1932602026	1932602026	1	1	VITHALANI, JAY MD	7/30/2021	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	173553	None	None	0	In state provider	None	1000 GREENLEY RD	None	SONORA	CA	95370	5200	55	06109	37.97749352	-120.3700335	Tuolumne County
276928	Fee-for-Service	1679879589	1679879589	1	1	VICTOR VALLEY HOSPITAL	10/16/2012	No Taxonomy Provided	NA	None	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	0	In state provider	ACQUISITION INC	15248 11TH STREET	None	VICTORVILLE	CA	92395	3704	36	06071	34.52825401	-117.2925587	San Bernardino County
277047	Fee-for-Service	1225067275	1225067275	1	1	VONS COMPANIES,INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	1000 W EL NORTE PKWY	None	ESCONDIDO	CA	92026	3341	37	06073	33.14714527	-117.106754	San Diego County
277061	Fee-for-Service	1457649105	1457649105	1	1	VON DURING, JENNIFER S	5/2/2022	231H00000X	NA	Other	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	3600 BROADWAY	None	OAKLAND	CA	94611	5730	01	06001	37.8237837	-122.2590026	Alameda County
277188	Fee-for-Service	1073691804	1073691804	1	1	VILLASENOR, EDUARDO G MD	8/30/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	78762	02	General Surgery	0	In state provider	None	1721 W YOSEMITE AVE	None	MANTECA	CA	95337	5130	39	06077	37.79735353	-121.2443415	San Joaquin County
277353	Fee-for-Service	1487010419	1487010419	1	1	VUE, PA KOU LMFT	11/30/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1551 E SHAW AVE	116	FRESNO	CA	93710	8007	10	06019	36.80828196	-119.7589292	Fresno County
277363	Fee-for-Service	1942239694	1942239694	2	1	VISTA DEL MAR MEDICAL GROUP	9/7/2017	207RN0300X	NA	Nephrology	022	PHYSICIANS GROUP	-	13	Neurology (M.D. only)	0	In state provider	INC	1200 W GONZALES RD	STE 300	OXNARD	CA	93036	3075	56	06111	34.21910561	-119.1919869	Ventura County
277536	Fee-for-Service	1922039668	1922039668	1	1	VERNE, ARTHUR L CRNA	4/15/2004	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	1081 N CHINA LAKE BLVD	None	RIDGECREST	CA	93555	3130	15	06029	35.640783	-117.6698475	Kern County
277575	Fee-for-Service	1023047057	1023047057	1	1	VONS COMPANIES, INC	11/6/2001	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	9643 MISSION GORGE RD	None	SANTEE	CA	92071	3807	37	06073	32.83858954	-116.9870265	San Diego County
277598	Fee-for-Service	1457597387	1457597387	1	1	VO, HOANG MD	10/17/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	154960	30	Radiology	0	In state provider	None	1661 SOQUEL DR	BLDG G	SANTA CRUZ	CA	95065	1709	44	06087	36.98895429	-121.9821088	Santa Cruz County
277650	Fee-for-Service	1699950097	1699950097	1	1	VIVATRAT, NORRIS MD	7/11/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	93998	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
277766	Fee-for-Service	1457852485	1457852485	1	1	VILLEGAS, MARIA G LMFT	11/4/2021	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	10722 ARROW RTE	314-316	RANCHO CUCAMONGA	CA	91730	4811	36	06071	34.09917725	-117.5708877	San Bernardino County
277880	Fee-for-Service	1407882863	1407882863	1	1	VECCHI, NICOLE T MD	1/31/1997	No Taxonomy Provided	NA	None	026	PHYSICIANS	83561	41	Internal Medicine	0	In state provider	None	429 S MAIN ST	None	MILPITAS	CA	95035	5318	43	06085	37.42434798	-121.905263	Santa Clara County
277895	Fee-for-Service	1699950097	1699950097	1	1	VIVATRAT, NORRIS MD	7/11/2008	No Taxonomy Provided	NA	None	026	PHYSICIANS	93998	40	Pediatrics	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
277925	Fee-for-Service	1578890737	1578890737	1	1	VU, ERICA T CNM	12/17/2009	No Taxonomy Provided	NA	None	005	CERTIFIED NURSE MIDWIFE	-	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
277945	Fee-for-Service	1801214085	1801214085	1	1	VINH, LONG J MD	6/28/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	138849	40	Pediatrics	0	In state provider	None	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	38	06075	37.7634502	-122.4579779	San Francisco County
277986	Fee-for-Service	1194293282	1194293282	1	1	VIA CARE COMMUNITY HEALTH CE	1/16/2020	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	NTER-PHARMACY	615 S ATLANTIC BLVD	None	LOS ANGELES	CA	90022	3211	19	06037	34.02446375	-118.1560946	Los Angeles County
278025	Fee-for-Service	1407393671	1407393671	1	1	VASQUEZ, ALBERT LCSW	10/17/2023	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
278120	Fee-for-Service	1427052893	1427052893	1	1	VERMA, SAMEER MD	5/18/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	52871	05	Anesthesiology	0	In state provider	None	1600 WEST AVENUE J	None	LANCASTER	CA	93534	2814	19	06037	34.68938848	-118.158354	Los Angeles County
278169	Fee-for-Service	1528054632	1528054632	1	1	VERDUGO HILLS HOSP	1/1/1995	282NR1301X	NA	Hospitals	072	MENTAL HEALTH INPATIENT SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	1812 VERDUGO BLVD	None	GLENDALE	CA	91208	1409	19	06037	34.20560177	-118.216054	Los Angeles County
278171	Fee-for-Service	1205482288	1205482288	1	1	VANNESS, KENDRA PT	5/16/2020	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	270 INTERNATIONAL CIR	None	SAN JOSE	CA	95119	1130	43	06085	37.24047903	-121.7998157	Santa Clara County
278219	Fee-for-Service	1437347937	1437347937	1	1	VARNER, CORRY A NP	12/4/2018	367A00000X	NA	Certified Nurse Midwife	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	1800 N. WESTERN AVE	SUITE 204	SAN BERNARDINO	CA	92411	1353	36	06071	34.1315778	-117.3182453	San Bernardino County
278366	Fee-for-Service	1528443942	1528443942	1	1	VALDEZ, JENNIFER	10/10/2019	237700000X	NA	Other	013	HEARING AID DISPENSERS	-	-	NOT APPLICABLE	0	In state provider	None	420 BULLARD AVE	STE 101	CLOVIS	CA	93612	1054	10	06019	36.82298124	-119.7038474	Fresno County
278405	Fee-for-Service	1215965330	1215965330	1	1	VARGHESE, JOBY MD	4/5/2024	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	05	Anesthesiology	2	Out of state provider	None	3333 BURNET AVENUE	None	CINCINNATI	OH	45229	3039	00	None	39.14105892	-84.50040782	Hamilton County
278420	Fee-for-Service	1407919434	1407919434	1	1	VILLALPANDO LEON, CLAUDIA D	11/6/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	15593	05	Anesthesiology	0	In state provider	None	525 N GARFIELD AVE	None	MONTEREY PARK	CA	91754	1202	19	06037	34.06794352	-118.1229278	Los Angeles County
278449	Fee-for-Service	1942279633	1942279633	1	1	VYAS, MAHEHKUMAR S MD	7/2/2009	207K00000X	NA	Other	026	PHYSICIANS	39509	43	Pediatric Allergy	0	In state provider	MAHESH & JAYSHREE PMC	8245 E MONTE VISTA RD	STE 200	ANAHEIM	CA	92808	1297	30	06059	33.86359381	-117.7415658	Orange County
278475	Fee-for-Service	1972187185	1972187185	1	1	VIOLET HOME HEALTH CARE	3/3/2023	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	13735 VICTORY BLVD	STE 19	VAN NUYS	CA	91401	6706	19	06037	34.18669746	-118.432404	Los Angeles County
278497	Fee-for-Service	1053365270	1053365270	1	1	VERPUKHOVSKIY, YURIY MD	1/28/2010	2084N0400X	NA	Neurology	026	PHYSICIANS	76392	13	Neurology (M.D. only)	0	In state provider	None	14860 ROSCOE BLVD	STE 306	PANORAMA CITY	CA	91402	7903	19	06037	34.2214515	-118.4573205	Los Angeles County
278592	Fee-for-Service	1962420471	1962420471	1	1	VASIL, CHRISTOPHER J MD	6/21/2000	207L00000X	NA	Other	026	PHYSICIANS	46224	05	Anesthesiology	0	In state provider	None	2425 SAMARITAN DR	None	SAN JOSE	CA	95124	3908	43	06085	37.25111017	-121.9465891	Santa Clara County
278622	Fee-for-Service	1760877245	1760877245	1	4	VALLEY CHILDREN'S PRIMARY CA	5/11/2017	208000000X	NA	Pediatric Primary Care	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	RE GROUP, INC.	7720 N FRESNO ST	104	FRESNO	CA	93720	2407	10	06019	36.85068226	-119.7836282	Fresno County
278641	Fee-for-Service	1215965330	1215965330	1	1	VARGHESE, JOBY MD	4/5/2024	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	40	Pediatrics	2	Out of state provider	None	3333 BURNET AVENUE	None	CINCINNATI	OH	45229	3039	00	None	39.14105892	-84.50040782	Hamilton County
278652	Fee-for-Service	1760701247	1760701247	1	1	VREE, LAUREN H NP	10/21/2024	363L00000X	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
278701	Fee-for-Service	1649204934	1649204934	1	1	VESSEY, JILL MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	1512 12TH AVE RD	None	NAMPA	ID	83686	6008	00	None	43.55346193	-116.5727785	Canyon County
278774	Fee-for-Service	1144363300	1144363300	1	1	VALENTON, EVELYN Y MD INC	7/25/2011	207L00000X	NA	Other	026	PHYSICIANS	35349	05	Anesthesiology	0	In state provider	None	1701 SANTA ANITA AVE	None	SOUTH EL MONTE	CA	91733	3411	19	06037	34.04810648	-118.0424794	Los Angeles County
278821	Fee-for-Service	1538921549	1538921549	1	1	VADURRO, KAYLA DOULA	2/27/2024	374J00000X	NA	Other	106	DOULA INDIVIDUAL PROVIDER	-	-	NOT APPLICABLE	0	In state provider	Addresses not published for Doula Providers	N/A	N/A	N/A	N/A	N/A	N/A	36	06071	0	0	None
278860	Fee-for-Service	1760877245	1760877245	1	4	VALLEY CHILDREN'S PRIMARY CA	2/21/2017	208000000X	NA	Pediatric Primary Care	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	RE GROUP, INC.	7720 N FRESNO ST	104	FRESNO	CA	93720	2407	10	06019	36.85068226	-119.7836282	Fresno County
278933	Fee-for-Service	1053639096	1053639096	1	1	VENUGOPALAKRISHNAN, JANANI M	9/24/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	135604	26	Psychiatry (child)	0	In state provider	None	300 PASTEUR DRIVE	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
278993	Fee-for-Service	1669405692	1669405692	1	1	VAIDYA, ABHAYKUMAR D MD	10/9/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	36301	42	Nuclear Medicine	0	In state provider	None	2601 E TAHQUITZ CANYON W	None	PALM SPRINGS	CA	92262	7015	33	06065	33.82306152	-116.517609	Riverside County
279122	Fee-for-Service	1689870487	1689870487	1	1	VORNICU, MARIA D MD	5/13/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	41	Internal Medicine	1	Border provider	None	2425 N LAMB BLVD	SUITE 120	LAS VEGAS	NV	89115	5420	00	None	36.203436	-115.0801955	Clark County
279168	Fee-for-Service	1053639096	1053639096	1	1	VENUGOPALAKRISHNAN, JANANI M	9/24/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	135604	36	Psychiatry	0	In state provider	None	300 PASTEUR DRIVE	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
279171	Fee-for-Service	1750404430	1750404430	1	1	VANDERLINDEN, JOSEPH L MD	2/1/2002	193400000X	NA	Other	026	PHYSICIANS	80388	None	None	0	In state provider	INC	399 E HIGHLAND AVE	STE 329	SAN BERNARDINO	CA	92404	3861	36	06071	34.1358627	-117.2757898	San Bernardino County
279197	Fee-for-Service	1265987358	1265987358	1	1	VICTOR, GABRIELLA L MD	6/29/2023	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	185491	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
279230	Fee-for-Service	1669405692	1669405692	1	1	VAIDYA, ABHAYKUMAR D MD	10/9/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	36301	30	Radiology	0	In state provider	None	2601 E TAHQUITZ CANYON W	None	PALM SPRINGS	CA	92262	7015	33	06065	33.82306152	-116.517609	Riverside County
279268	Fee-for-Service	1730481193	1730481193	1	2	VALLEY CARE HOME HEALTH, INC	8/9/2021	251E00000X	NA	Other	034	MEDICARE CROSSOVER PROVIDER ONLY	-	-	NOT APPLICABLE	0	In state provider	.	7077 ORANGEWOOD AVE	SUITE 100	GARDEN GROVE	CA	92841	1426	30	06059	33.79560048	-118.0096611	Orange County
279287	Fee-for-Service	1518410216	1518410216	1	1	VIKAS RAO MD INC	12/28/2018	207T00000X	NA	General Surgery	026	PHYSICIANS	None	14	Neurological Surgery	0	In state provider	None	26732 CROWN VALLEY PKWY	SUITE 541	MISSION VIEJO	CA	92691	6306	30	06059	33.56347704	-117.66546	Orange County
279344	Fee-for-Service	1164464459	1164464459	1	1	VAUDAGNA, JAMES S MD	8/11/1971	No Taxonomy Provided	NA	None	026	PHYSICIANS	17067	30	Radiology	0	In state provider	None	100 OCONNOR DR	None	SAN JOSE	CA	95128	1647	43	06085	37.32372033	-121.9372658	Santa Clara County
279346	Fee-for-Service	1063768968	1063768968	1	1	VALDEZ, KATHRYN L PT	6/7/2021	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	915 HILBY AVE	26	SEASIDE	CA	93955	5360	27	06053	36.60264439	-121.8478029	Monterey County
279354	Fee-for-Service	1689870487	1689870487	1	1	VORNICU, MARIA D MD	5/13/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	45	Nephrology (Renal-Kidney)	1	Border provider	None	2425 N LAMB BLVD	SUITE 120	LAS VEGAS	NV	89115	5420	00	None	36.203436	-115.0801955	Clark County
279380	Fee-for-Service	1962886283	1962886283	1	1	VANICHSARN, KRYSTAL T OD	4/2/2018	No Taxonomy Provided	NA	None	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	1721 WESTWIND DR	STE B	BAKERSFIELD	CA	93301	3026	15	06029	35.37519935	-119.0425415	Kern County
279400	Fee-for-Service	1730682220	1730682220	1	1	VARGO PHYSICAL THERAPY, INC	8/1/2019	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1240 TRUMAN ST	UNIT 160	SAN FERNANDO	CA	91340	3203	19	06037	34.28504102	-118.4427347	Los Angeles County
279401	Fee-for-Service	1124387220	1124387220	1	1	VLAHOS, XIOMARA L MD	2/8/2019	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	122458	08	Family Practice	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
279411	Fee-for-Service	1972076271	1972076271	1	1	VERDUZCO-VALLERY, CLAUDIA R	4/28/2023	2279C0205X	NA	Other	056	RESPIRATORY CARE PRACTITIONER	-	-	NOT APPLICABLE	0	In state provider	CP	1777 W YOSEMITE AVE	None	MANTECA	CA	95337	5130	39	06077	37.79735946	-121.2461325	San Joaquin County
279414	Fee-for-Service	1700994373	1700994373	1	1	VISWANATHAN, THIRUK V MD	7/31/1992	No Taxonomy Provided	NA	None	026	PHYSICIANS	51260	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1250 E ALMOND AVE	None	MADERA	CA	93637	5606	20	06039	36.94519024	-120.0420086	Madera County
279415	Fee-for-Service	1417399627	1417399627	1	1	VARGAS, CAROLINA LMFT	1/21/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	19	06037	33.9040752	-118.1328995	Los Angeles County
279641	Fee-for-Service	1710054721	1710054721	1	1	VAGHJIANI, MANJULA G MD	10/31/1995	207R00000X	NA	Other	026	PHYSICIANS	49846	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
279648	Fee-for-Service	1760877245	1760877245	1	3	VALLEY CHILDREN'S PRIMARY CA	1/17/2017	208000000X	NA	Pediatric Primary Care	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	RE GROUP, INC.	4770 W HERNDON AVE	SUITE 108	FRESNO	CA	93722	8401	10	06019	36.83717984	-119.8778388	Fresno County
279686	Fee-for-Service	1376131524	1376131524	1	1	VIVE RX, INC.	8/28/2024	3336H0001X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	11207 S LA CIENEGA BLVD	A	LOS ANGELES	CA	90045	6112	19	06037	33.933105	-118.3701495	Los Angeles County
279714	Fee-for-Service	1548645021	1548645021	1	1	VICK, JELISA	1/16/2021	363LA2100X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	2	Out of state provider	None	1200 N BEAVER ST	None	FLAGSTAFF	AZ	86001	3118	00	None	35.208594	-111.645099	Coconino County
279728	Fee-for-Service	1013372085	1013372085	1	1	VILLALOBOS, MATTHEW A	4/4/2016	No Taxonomy Provided	NA	None	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1526 N EDGEMONT ST	None	LOS ANGELES	CA	90027	5260	19	06037	34.098921	-118.2961105	Los Angeles County
279864	Fee-for-Service	1659460897	1659460897	1	1	VIRGIN, JEFFREY B MD	4/22/2020	207ZP0102X	NA	Other	026	PHYSICIANS	156025	22	Pathology (M.D. only)	0	In state provider	None	1300 W 7TH ST	None	SAN PEDRO	CA	90732	3505	19	06037	33.73793948	-118.3036095	Los Angeles County
279885	Fee-for-Service	1528054921	1528054921	1	1	VIJ, NEERAJ 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	4530 E MUIRWOOD DR	STE 105	PHOENIX	AZ	85048	7693	00	None	33.303006	-111.9855375	Maricopa County
279906	Fee-for-Service	1073842662	1073842662	1	1	VALDEZ-HERNANDEZ, ISRAEL LC	8/25/2022	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	SW	162 N SANTA FE ST	None	HEMET	CA	92543	4451	33	06065	33.74923371	-116.9629676	Riverside County
279951	Fee-for-Service	1669185492	1669185492	1	1	VANG, MOH CNP	3/7/2023	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	2050 CLUB CENTER DR	None	SACRAMENTO	CA	95835	1324	34	06067	38.670327	-121.506237	Sacramento County
279984	Fee-for-Service	1609889948	1609889948	1	1	VEHRA, NAVEED MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	5757 W THUNDERBIRD RD	STE E151	GLENDALE	AZ	85306	4685	00	None	33.609672	-112.182786	Maricopa County
280089	Fee-for-Service	1922253509	1922253509	1	1	VISION EXPRESS OPTOMETRY INC	7/23/2009	No Taxonomy Provided	NA	None	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	15923 BEAR VALLEY ROAD	SUITE B-100	HESPERIA	CA	92345	1762	36	06071	34.47065953	-117.316035	San Bernardino County
280118	Fee-for-Service	1083130397	1083130397	1	1	VILLANUEVA, JEANETTE LCSW	4/21/2021	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	41 E FOOTHILL BLVD	SUITE 102	ARCADIA	CA	91006	2361	19	06037	34.15102394	-118.0297543	Los Angeles County
280189	Fee-for-Service	1841272150	1841272150	1	1	VILLABLANCA, AMPARO C MD	7/24/1987	No Taxonomy Provided	NA	None	026	PHYSICIANS	53462	66	Emergency Medicine (Urgent Care)	0	In state provider	None	2601 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2210	34	06067	38.551311	-121.454433	Sacramento County
280253	Fee-for-Service	1023781697	1023781697	1	1	VITTAL, SRINIDHI R CRNA	4/11/2022	367500000X	NA	Other	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	280 HOSPITAL PKWY	None	SAN JOSE	CA	95119	1103	43	06085	37.23931375	-121.8014189	Santa Clara County
280300	Fee-for-Service	1427148931	1427148931	2	1	VICKERS, ANGELA J MD	5/26/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	65356	40	Pediatrics	0	In state provider	None	1809 NATIONAL AVE	None	SAN DIEGO	CA	92113	2113	37	06073	32.70162897	-117.1465065	San Diego County
280487	Fee-for-Service	1922100072	1922100072	1	2	VENTURA COUNTY CCS	11/13/2023	No Taxonomy Provided	NA	None	046	REHABILITATION CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	1135 WINDSOR DR.	None	THOUSAND OAKS	CA	91360	0000	56	06111	34.19405192	-118.8653704	Ventura County
280490	Fee-for-Service	1568884286	1568884286	1	1	VAN PUTTEN, ZANETTA F LMFT	9/6/2018	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1255 W COLTON AVE	SUITE 135	REDLANDS	CA	92374	2861	36	06071	34.06285254	-117.20178	San Bernardino County
280505	Fee-for-Service	1649454521	1649454521	1	1	VU, VANANH N LMFT	7/8/2016	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	888 E SANTA CLAR ST	None	SAN JOSE	CA	95116	2238	43	06085	37.34457562	-121.8728131	Santa Clara County
280539	Fee-for-Service	1306804513	1306804513	1	1	VINETZ, JOSEPH M MD	7/1/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	86854	77	Infectious Disease	0	In state provider	None	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
280543	Fee-for-Service	1891715256	1891715256	1	1	VAISHALI JHA MD	11/29/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	2525 CHICAGO AVE	None	MINNEAPOLIS	MN	55404	4518	00	None	44.95666589	-93.26255996	Hennepin County
280560	Fee-for-Service	1215041397	1215041397	1	1	VARU, PARESH N MD INC	11/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	65071	41	Internal Medicine	0	In state provider	None	1510 W VERDUGO AVE	STE F	BURBANK	CA	91506	2473	19	06037	34.16830503	-118.3218088	Los Angeles County
280665	Fee-for-Service	1033125042	1033125042	1	1	VIRK, AMARJIT S MD	4/10/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	38688	05	Anesthesiology	0	In state provider	None	460 PLUMAS BLVD	None	YUBA CITY	CA	95991	5005	51	06101	39.13140416	-121.6141951	Sutter County
280731	Fee-for-Service	1700907383	1700907383	1	1	VALDEZ, JUDEN MD INC	7/17/2018	2084P0800X	NA	Psychiatry	026	PHYSICIANS	52425	36	Psychiatry	0	In state provider	None	2776 PACIFIC AVE	None	LONG BEACH	CA	90806	2613	19	06037	33.80692698	-118.1936915	Los Angeles County
281004	Fee-for-Service	1669298972	1669298972	1	1	VIOLANTE, STEPHANIE PHD	3/24/2025	103T00000X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	760 WESTWOOD PLAZA	None	LOS ANGELES	CA	90095	8353	19	06037	34.07067	-118.4432445	Los Angeles County
281049	Fee-for-Service	1083617096	1083617096	1	1	VALDEZ, BENJAMIN F MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	68466	40	Pediatrics	0	In state provider	None	2521 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2207	34	06067	38.55204	-121.455387	Sacramento County
281057	Fee-for-Service	1992928972	1992928972	1	1	VELIZ-URZUA, JENNY L NP	2/25/2020	363L00000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
281107	Fee-for-Service	1063402378	1063402378	1	1	VENTER, JOCOB 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	2601 E ROOSEVELT ST	None	PHOENIX	AZ	85008	4973	00	None	33.457203	-112.0262625	Maricopa County
281119	Fee-for-Service	1932587946	1932587946	1	1	VISTA DEL SOL LTC INC	4/7/2015	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	11620 W WASHINGTON BLVD	None	LOS ANGELES	CA	90066	5916	19	06037	34.00021094	-118.4172871	Los Angeles County
281166	Fee-for-Service	1760877245	1760877245	1	7	VALLEY CHILDREN'S PRIMARY CA	5/10/2021	208000000X	NA	Pediatric Primary Care	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	UP MAGNOLIA	2497 HERNDON AVE	SUITE 101	CLOVIS	CA	93611	8907	10	06019	36.83742549	-119.6667225	Fresno County
281169	Fee-for-Service	1881749497	1881749497	1	1	VILLANUEVA, CELESTE CRNA	6/2/2004	No Taxonomy Provided	NA	None	018	NURSE ANESTHETISTS	-	None	None	0	In state provider	None	280 W MACARTHUR BLVD	None	OAKLAND	CA	94611	5642	01	06001	37.8242017	-122.2578306	Alameda County
281315	Fee-for-Service	1184618829	1184618829	1	1	VARAPRASATHAN, G I MD A PROF	3/31/1994	207ZP0102X	NA	Other	022	PHYSICIANS GROUP	-	22	Pathology (M.D. only)	0	In state provider	None	1600 W AVENUE J	None	LANCASTER	CA	93534	2814	19	06037	34.68938848	-118.158354	Los Angeles County
281378	Fee-for-Service	1073615613	1073615613	1	1	VAN NESS, CORINNA L PT	5/18/2018	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	1906 VISTA DEL LAGO DRIV	A	VALLEY SPRINGS	CA	95252	9700	05	06009	38.16810805	-120.8383709	Calaveras County
281383	Fee-for-Service	1013027184	1013027184	1	1	VREEKE, MARY A MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	78457	05	Anesthesiology	0	In state provider	None	1600 N ROSE AVE	None	OXNARD	CA	93030	3722	56	06111	34.21700406	-119.1582582	Ventura County
281439	Fee-for-Service	1215204144	1215204144	1	1	VAZQUEZ, NOEMI F MD	2/17/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	118138	01	General Practice	0	In state provider	None	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
281467	Fee-for-Service	1043380660	1043380660	1	1	VAN DUREN, MICHAEL J MD	9/30/1986	No Taxonomy Provided	NA	None	026	PHYSICIANS	60941	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
281472	Fee-for-Service	1902855034	1902855034	1	1	VODOPICH, DARKO J MD	11/30/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	84964	05	Anesthesiology	0	In state provider	None	200 MUIR RD	None	MARTINEZ	CA	94553	4614	07	06013	37.99430233	-122.1107194	Contra Costa County
281478	Fee-for-Service	1114072402	1114072402	1	1	VALLURUPALLI, NEELIMA G MD	8/13/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	108397	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	5301 F ST	STE 117	SACRAMENTO	CA	95819	3220	34	06067	38.571354	-121.4368695	Sacramento County
281505	Fee-for-Service	1720225774	1720225774	1	1	VITSHANTA INC	5/11/2009	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	SIERRA PHARMACY & POSTAL	4108 N SIERRA WAY	None	SAN BERNARDINO	CA	92407	3825	36	06071	34.165917	-117.2850595	San Bernardino County
281890	Fee-for-Service	1164652913	1164652913	1	1	VESONA, JENNY L MD	9/20/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	113375	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	2001 4TH AVE	None	SAN DIEGO	CA	92101	2303	37	06073	32.72663119	-117.1611714	San Diego County
281923	Fee-for-Service	1093929341	1093929341	1	1	VARGAS, DIANE S LMFT	2/1/2023	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
281927	Fee-for-Service	1437386646	1437386646	1	1	VILLANIA, MICHAEL A MD	5/31/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	123303	36	Psychiatry	0	In state provider	None	2060 FAIRMONT DRIVE	None	SAN LEANDRO	CA	94578	1001	01	06001	37.71083326	-122.1208841	Alameda County
281947	Fee-for-Service	1649589052	1649589052	1	1	VENKITACHALAM, CHAMPAK MD	8/1/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	122227	08	Family Practice	0	In state provider	None	1441 FLORIDA AVE	None	MODESTO	CA	95350	4404	50	06099	37.66508443	-120.9962589	Stanislaus County
281976	Fee-for-Service	1104021716	1104021716	2	1	VU, CATHERINE T MD	7/1/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	121210	30	Radiology	0	In state provider	None	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	34	06067	38.555181	-121.4566785	Sacramento County
282026	Fee-for-Service	1598852014	1598852014	1	1	VAIL, THOMAS P MD	5/17/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	71592	20	Orthopedic Surgery	0	In state provider	None	400 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2202	38	06075	37.76344756	-122.4581992	San Francisco County
282075	Fee-for-Service	1316381338	1316381338	1	1	VORA, ROSHNI R MD	6/22/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	134879	05	Anesthesiology	0	In state provider	None	3626 RUFFIN ROAD	None	SAN DIEGO	CA	92123	1810	37	06073	32.80975208	-117.1193406	San Diego County
282088	Fee-for-Service	1376516377	1376516377	1	1	VILLA ELENA CONVALESCENT	3/1/1966	314000000X	NA	Skilled Nursing Facility	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	HOSPITAL INC	13226 STUDEBAKER RD	None	NORWALK	CA	90650	2532	19	06037	33.910929	-118.0991515	Los Angeles County
282220	Fee-for-Service	1659323863	1659323863	1	1	VASSANTACHART, PRASONG B	5/25/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	68532	05	Anesthesiology	0	In state provider	MD	101 E VALENCIA MESA DR	None	FULLERTON	CA	92835	3809	30	06059	33.89356031	-117.9271656	Orange County
282239	Fee-for-Service	1083636302	1083636302	1	1	VANDE-GUCHTE, JOHN MD	4/1/2001	208000000X	NA	Pediatric Primary Care	026	PHYSICIANS	55995	40	Pediatrics	0	In state provider	None	2340 CLAY ST	FL 7	SAN FRANCISCO	CA	94115	1932	38	06075	37.79101969	-122.43208	San Francisco County
282344	Fee-for-Service	1699108076	1699108076	1	1	VIERRA, BROOKE G LMFT	4/20/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1305 TOMMYDON	None	STOCKTON	CA	95210	3364	39	06077	38.01883046	-121.29624	San Joaquin County
282398	Fee-for-Service	1053628511	1053628511	1	1	VAHEDIFAR, PAYMAN MD APMC	9/13/2010	207RN0300X	NA	Nephrology	026	PHYSICIANS	62526	38	Geriatrics	0	In state provider	None	2080 CENTURY PARK E	1410	LOS ANGELES	CA	90067	2001	19	06037	34.05887194	-118.4122914	Los Angeles County
282433	Fee-for-Service	1598817355	1598817355	1	1	VALLEY VILLAGE	10/2/1989	No Taxonomy Provided	NA	None	017	LONG TERM CARE FACILITY	-	-	NOT APPLICABLE	0	In state provider	None	10116 COZYCROFT AVE	None	CHATSWORTH	CA	91311	3203	19	06037	34.25423773	-118.5819047	Los Angeles County
282458	Fee-for-Service	1639272677	1639272677	1	1	VISTA UNIFIED SD	2/6/2025	No Taxonomy Provided	NA	None	112	CYBHI FEE SCHEDULE	-	-	NOT APPLICABLE	0	In state provider	None	1234 ARCADIA AVE	None	VISTA	CA	92084	3404	37	06073	33.22489652	-117.222138	San Diego County
282483	Fee-for-Service	1831155027	1831155027	1	1	VASANTHA.,VASAN 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	None	DALLAS	TX	75390	7208	00	None	32.812245	-96.841584	Dallas County
282526	Fee-for-Service	1710058391	1710058391	1	1	VELOZ, GINELLE J AU	1/16/2008	No Taxonomy Provided	NA	None	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	23861 MCBEAN PKWY	STE E-16	VALENCIA	CA	91355	2058	19	06037	34.39567343	-118.5542698	Los Angeles County
282569	Fee-for-Service	1649537994	1649537994	1	1	VIGILANTE, MICHAELA R MD	10/28/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	137949	40	Pediatrics	0	In state provider	None	4647 ZION AVE	None	SAN DIEGO	CA	92120	2507	37	06073	32.79293009	-117.0952438	San Diego County
282600	Fee-for-Service	1053628511	1053628511	1	1	VAHEDIFAR, PAYMAN MD APMC	9/13/2010	207RN0300X	NA	Nephrology	026	PHYSICIANS	62526	45	Nephrology (Renal-Kidney)	0	In state provider	None	2080 CENTURY PARK E	1410	LOS ANGELES	CA	90067	2001	19	06037	34.05887194	-118.4122914	Los Angeles County
282661	Fee-for-Service	1639272677	1639272677	1	1	VISTA UNIFIED SD	3/11/1996	No Taxonomy Provided	NA	None	055	LOCAL EDUCATION AGENCY	-	-	NOT APPLICABLE	0	In state provider	None	1234 ARCADIA AVE	None	VISTA	CA	92084	3404	37	06073	33.22489652	-117.222138	San Diego County
282796	Fee-for-Service	1053628511	1053628511	1	1	VAHEDIFAR, PAYMAN MD APMC	9/13/2010	207RN0300X	NA	Nephrology	026	PHYSICIANS	62526	41	Internal Medicine	0	In state provider	None	2080 CENTURY PARK E	1410	LOS ANGELES	CA	90067	2001	19	06037	34.05887194	-118.4122914	Los Angeles County
282921	Fee-for-Service	1760877245	1760877245	1	5	VALLEY CHILDREN'S PRIMARY CA	5/3/2017	208000000X	NA	Pediatric Primary Care	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	E GROUP	1190 OLIVEWOOD DR	SUITE B	MERCED	CA	95348	1256	24	06047	37.31824467	-120.49032	Merced County
282927	Fee-for-Service	1558085068	1558085068	1	1	VELASCO, MARIA EISSEL M NP	4/5/2023	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	16850 BEAR VALLEY RD	None	VICTORVILLE	CA	92395	5794	36	06071	34.47092468	-117.2977236	San Bernardino County
283055	Fee-for-Service	1548412331	1548412331	1	1	VAN BEEK, CHRISTINE A MD	1/29/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	111441	22	Pathology (M.D. only)	0	In state provider	None	4733 W SUNSET BOULEVARD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
283097	Fee-for-Service	1649662719	1649662719	1	7	VISTA COMMUNITY CLINIC	8/1/2019	No Taxonomy Provided	NA	None	041	COMMUNITY CLINIC	-	-	NOT APPLICABLE	0	In state provider	INTERMITTENT	35450 FREDERICK ST	RM 31	WILDOMAR	CA	92595	9686	33	06065	33.60586179	-117.2581661	Riverside County
283122	Fee-for-Service	1437102092	1437102092	1	8	VALLEY RADIOTHERAPY ASSO	3/1/2001	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	MEDICAL GROUP, INC	401 E HIGHLAND AVE	None	SAN BERNARDINO	CA	92404	3802	36	06071	34.1358627	-117.2757778	San Bernardino County
283140	Fee-for-Service	1871148494	1871148494	1	1	VALENZA, TAYLOR A PT	8/14/2019	225100000X	NA	Physical Therapist	025	PHYSICAL THERAPISTS	-	None	None	0	In state provider	None	3418 LOMA VISTA RD	A	VENTURA	CA	93003	3016	56	06111	34.27643562	-119.2503132	Ventura County
283335	Fee-for-Service	1962765180	1962765180	1	1	VIJJESWARAPU, MARY A MD	3/28/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	147375	05	Anesthesiology	0	In state provider	None	8700 BEVERLY BLVD	STE 8211	WEST HOLLYWOOD	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
283341	Fee-for-Service	1447554555	1447554555	1	1	VALLE, KARLA LMFT	9/4/2018	No Taxonomy Provided	NA	None	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
283370	Fee-for-Service	1992752091	1992752091	1	1	VENCIL, MARLA J PHD	12/23/2008	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	5353 MISSION CENTER ROAD	STE 224	SAN DIEGO	CA	92108	1304	37	06073	32.77207362	-117.154699	San Diego County
283476	Fee-for-Service	1992020101	1992020101	1	1	VO, ROSALIND C MD	5/28/2013	No Taxonomy Provided	NA	None	026	PHYSICIANS	115070	18	Ophthalmology	0	In state provider	None	4733 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6021	19	06037	34.09817553	-118.293237	Los Angeles County
283526	Fee-for-Service	1962765180	1962765180	1	1	VIJJESWARAPU, MARY A MD	3/28/2018	No Taxonomy Provided	NA	None	026	PHYSICIANS	147375	01	General Practice	0	In state provider	None	8700 BEVERLY BLVD	STE 8211	WEST HOLLYWOOD	CA	90048	1804	19	06037	34.07671715	-118.3799413	Los Angeles County
283571	Fee-for-Service	1710927447	1710927447	1	1	VU, DZUY DUC MD	4/1/2001	No Taxonomy Provided	NA	None	026	PHYSICIANS	67785	None	None	0	In state provider	None	21235 HAWTHORNE BLVD	STE 200	TORRANCE	CA	90503	5525	19	06037	33.83505386	-118.3554946	Los Angeles County
283608	Fee-for-Service	1396829040	1396829040	2	1	VAHEDIFAR, PAYMAN	12/22/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	62526	38	Geriatrics	0	In state provider	None	240 S LA CIENEGA	SUITE 102	BEVERLY HILLS	CA	90209	3173	19	06037	34.06392928	-118.3761548	Los Angeles County
283621	Fee-for-Service	1639584410	1639584410	1	1	VERMA, ARUSHI MD	9/14/2023	2080P0205X	NA	Endocrinology	026	PHYSICIANS	188149	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
283676	Fee-for-Service	1821260837	1821260837	1	1	VICONDOA, MARIA A LMFT	3/31/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1 QUALITY DRIVE	None	VACAVILLE	CA	95688	9494	48	06095	38.38851772	-121.9382798	Solano County
283695	Fee-for-Service	1801970744	1801970744	1	2	VAZIRANI, RAJENDRA MD	7/11/2024	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	100579	30	Radiology	0	In state provider	None	450 STANYAN ST	None	SAN FRANCISCO	CA	94117	1079	38	06075	37.7738933	-122.4544685	San Francisco County
283719	Fee-for-Service	1083708119	1083708119	2	1	VENDIOLA, SUNNYLINE P MD	6/12/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	55888	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
283786	Fee-for-Service	1396829040	1396829040	2	1	VAHEDIFAR, PAYMAN	12/22/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	62526	41	Internal Medicine	0	In state provider	None	240 S LA CIENEGA	SUITE 102	BEVERLY HILLS	CA	90209	3173	19	06037	34.06392928	-118.3761548	Los Angeles County
283946	Fee-for-Service	1336448554	1336448554	1	1	VAUGHN, CAROLYN J MD	5/7/2019	2086S0122X	NA	General Surgery	026	PHYSICIANS	123892	24	Plastic Surgery	0	In state provider	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	43	06085	37.313433	-121.9318385	Santa Clara County
283959	Fee-for-Service	1255994281	1255994281	1	1	VAKHARIA, ANKEET DO	7/25/2022	207R00000X	NA	Other	026	PHYSICIANS	-	None	None	1	Border provider	None	6900 NORTH DURANGO DRIVE	None	LAS VEGAS	NV	89149	4409	00	None	36.28701289	-115.2877045	Clark County
283966	Fee-for-Service	1396829040	1396829040	2	1	VAHEDIFAR, PAYMAN	12/22/2010	No Taxonomy Provided	NA	None	026	PHYSICIANS	62526	45	Nephrology (Renal-Kidney)	0	In state provider	None	240 S LA CIENEGA	SUITE 102	BEVERLY HILLS	CA	90209	3173	19	06037	34.06392928	-118.3761548	Los Angeles County
284019	Fee-for-Service	1174192512	1174192512	1	1	VILLACORTA, GEORGINA NP	6/4/2023	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	23180 HEMLOCK AVE	SUITE 201	MORENO VALLEY	CA	92557	8001	33	06065	33.94245952	-117.2585565	Riverside County
284149	Fee-for-Service	1245572122	1245572122	1	1	VERDI, JULIE C MD	10/27/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	150196	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	43	06085	37.33636857	-121.9958111	Santa Clara County
284180	Fee-for-Service	1922100072	1922100072	1	1	VENTURA COUNTY CCS	1/20/1995	No Taxonomy Provided	NA	None	046	REHABILITATION CLINIC	-	-	NOT APPLICABLE	0	In state provider	CONEJO VALLEY MTU	2401 LOS FELIZ DR	None	THOUSAND OAKS	CA	91362	3153	56	06111	34.1769145	-118.8425289	Ventura County
284212	Fee-for-Service	1083777460	1083777460	1	1	VACHON, TYLER MD	12/6/2019	2085R0202X	NA	Mammography/MRI Provider	026	PHYSICIANS	151542	30	Radiology	0	In state provider	None	1150 N INDIAN CANYON DR	None	PALM SPRINGS	CA	92255	4267	33	06065	33.838623	-116.542737	Riverside County
284266	Fee-for-Service	1164621314	1164621314	1	1	VU, HOANG T DO	8/15/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	9901	25	Physical Medicine and Rehabilitation	0	In state provider	None	135 CARMEN LN	None	SANTA MARIA	CA	93458	7729	42	06083	34.92484952	-120.4374645	Santa Barbara County
284301	Fee-for-Service	1336583368	1336583368	1	1	VUE, BAO DO	9/11/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	15752	09	Gynecology (D.O. only)	0	In state provider	None	7373 WEST LANE	None	STOCKTON	CA	95210	3377	39	06077	38.017701	-121.297869	San Joaquin County
284417	Fee-for-Service	1982634564	1982634564	1	1	VONDERHEIDE, BLAKE A MD	7/31/2003	No Taxonomy Provided	NA	None	026	PHYSICIANS	82870	None	None	0	In state provider	None	3315 WATT AVE	None	SACRAMENTO	CA	95821	3600	34	06067	38.626056	-121.3834455	Sacramento County
284455	Fee-for-Service	1568457844	1568457844	2	1	VIRANI, PARVEEN MD	6/1/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	46054	None	None	0	In state provider	None	1818 N ORANGE GROVE AVE	None	POMONA	CA	91767	3028	19	06037	34.07694934	-117.7489598	Los Angeles County
284472	Fee-for-Service	1336583368	1336583368	1	1	VUE, BAO DO	9/11/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	15752	15	Obstetrics (D.O. only)	0	In state provider	None	7373 WEST LANE	None	STOCKTON	CA	95210	3377	39	06077	38.017701	-121.297869	San Joaquin County
284635	Fee-for-Service	1972270809	1972270809	1	1	VERVE HOME HEALTH CARE INC	2/2/2023	No Taxonomy Provided	NA	None	014	HOME HEALTH AGENCIES	-	-	NOT APPLICABLE	0	In state provider	None	126 S JACKSON ST	SUITE 202	GLENDALE	CA	91205	4920	19	06037	34.14533965	-118.2500741	Los Angeles County
284698	Fee-for-Service	1841415148	1841415148	1	1	VILLASIMON, OSCAR V LCSW	1/12/2023	1041C0700X	NA	Mental Health Outpatient Services	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2521 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2207	34	06067	38.55204	-121.455387	Sacramento County
284807	Fee-for-Service	1073604716	1073604716	1	1	VALERY, HAROLD C MD INC	1/1/1989	No Taxonomy Provided	NA	None	026	PHYSICIANS	35020	None	None	0	In state provider	CARDINAL MEDICAL GROUP	920 PACIFIC AVE	None	LONG BEACH	CA	90813	4228	19	06037	33.778215	-118.1937015	Los Angeles County
284887	Fee-for-Service	1306882931	1306882931	1	1	VONS COMPANIES, INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	3850 VALLEY CENTRE DR	None	SAN DIEGO	CA	92130	2331	37	06073	32.93777252	-117.2318423	San Diego County
284900	Fee-for-Service	1033621750	1033621750	1	1	VEGA, JAEL M LMFT	3/11/2025	No Taxonomy Provided	NA	None	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
284916	Fee-for-Service	1992433049	1992433049	1	1	VALLIDO, CHRISTIAN B LMFT	8/9/2022	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	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
284976	Fee-for-Service	1184653198	1184653198	1	1	VONS COMPANIES, INC	8/25/1997	333600000X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	845 COLLEGE BLVD	None	OCEANSIDE	CA	92057	6258	37	06073	33.240771	-117.294741	San Diego County
285092	Fee-for-Service	1104365709	1104365709	1	1	VEGA, FABIANA LMFT	9/16/2020	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	1300 OLIVER ROAD	193 & 195	FAIRFIELD	CA	94534	3413	48	06095	38.25596102	-122.0674133	Solano County
285130	Fee-for-Service	1992757942	1992757942	1	1	VAN SCOY, STEVEN C MD	7/1/1996	2080N0001X	NA	Pediatric Primary Care	026	PHYSICIANS	83758	40	Pediatrics	0	In state provider	None	1010 MURRAY ST	None	SAN LUIS OBISPO	CA	93405	8800	40	06079	35.29101669	-120.6663647	San Luis Obispo County
285142	Fee-for-Service	1740892686	1740892686	1	1	VENTURA COUNTY SURGICAL ASSO	9/14/2021	208600000X	NA	General Surgery	031	PSYCHOLOGISTS	-	None	None	0	In state provider	CIATES	300 HILLMONT AVE STE 401	None	VENTURA	CA	93003	1651	56	06111	34.27771547	-119.2540344	Ventura County
285271	Fee-for-Service	1477678621	1477678621	1	1	VAN HANDEL, MARK T MD	4/1/1999	No Taxonomy Provided	NA	None	026	PHYSICIANS	79117	13	Neurology (M.D. only)	0	In state provider	None	20 ALLEN ST	None	MARTINEZ	CA	94553	2681	07	06013	38.00771973	-122.1331484	Contra Costa County
285289	Fee-for-Service	1336316652	1336316652	1	1	VANCE, MATTHEW P MD	9/2/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	109117	20	Orthopedic Surgery	0	In state provider	None	2001 FOURTH AVENUE	None	SAN DIEGO	CA	92101	2303	37	06073	32.72663119	-117.1611714	San Diego County
285304	Fee-for-Service	1740892686	1740892686	1	1	VENTURA COUNTY SURGICAL ASSO	10/27/2020	208600000X	NA	General Surgery	022	PHYSICIANS GROUP	-	None	None	0	In state provider	CIATES	300 HILLMONT AVE STE 401	None	VENTURA	CA	93003	1651	56	06111	34.27771547	-119.2540344	Ventura County
285380	Fee-for-Service	1700964384	1700964384	1	1	VORA, ROBIN A MD	9/7/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	81056	18	Ophthalmology	0	In state provider	None	280 W MACARTHUR BLVD	None	OAKLAND	CA	94611	5642	01	06001	37.8242017	-122.2578306	Alameda County
285444	Fee-for-Service	1912906272	1912906272	1	1	VERGHESE, VINO JOHN MD	7/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	76713	41	Internal Medicine	0	In state provider	None	1001 POTRERO AVE	RM 3D5	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
285461	Fee-for-Service	1164985503	1164985503	1	1	VONG, ALVIN W MD	8/8/2022	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	180720	None	None	0	In state provider	None	4770 HERNDON	105	FRESNO	CA	93722	8401	10	06019	36.83717984	-119.8778388	Fresno County
285470	Fee-for-Service	1710194626	1710194626	1	1	VEGA, ARTURO R MD	8/28/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	99511	29	Pulmonary Diseases (M.D. only)	0	In state provider	None	115 E WASHINGTON BLVD	None	LOS ANGELES	CA	90015	3606	19	06037	34.0309884	-118.2642142	Los Angeles County
285551	Fee-for-Service	1073804779	1073804779	1	1	VONG, SHEUNG K DO	10/20/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	12775	01	General Practice	0	In state provider	None	2720 N HARBOR BLVD	None	FULLERTON	CA	92835	2609	30	06059	33.90126238	-117.9292154	Orange County
285602	Fee-for-Service	1912906272	1912906272	1	1	VERGHESE, VINO JOHN MD	7/1/2002	No Taxonomy Provided	NA	None	026	PHYSICIANS	76713	10	Gastroenterology (M.D. only)	0	In state provider	None	1001 POTRERO AVE	RM 3D5	SAN FRANCISCO	CA	94110	3518	38	06075	37.75548534	-122.4065362	San Francisco County
285623	Fee-for-Service	1710194626	1710194626	1	1	VEGA, ARTURO R MD	8/28/2007	No Taxonomy Provided	NA	None	026	PHYSICIANS	99511	41	Internal Medicine	0	In state provider	None	115 E WASHINGTON BLVD	None	LOS ANGELES	CA	90015	3606	19	06037	34.0309884	-118.2642142	Los Angeles County
285690	Fee-for-Service	1134385701	1134385701	1	1	VISTA SURGERY CENTER, LLC	2/10/2025	261QA1903X	NA	Other	044	SURGICAL CLINIC	-	-	NOT APPLICABLE	0	In state provider	None	450 SUTTER ST RM 2632	None	SAN FRANCISCO	CA	94108	4212	38	06075	37.78934929	-122.4077786	San Francisco County
285999	Fee-for-Service	1326475898	1326475898	1	1	VELASQUEZ, VICTORIA LMFT	5/24/2022	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2068 ORANGE TREE LANE	216	REDLANDS	CA	92374	0109	36	06071	34.0679639	-117.2250148	San Bernardino County
286025	Fee-for-Service	1710058391	1710058391	1	2	VELOZ, GINELLE J AU	5/13/2020	237600000X	NA	Other	003	AUDIOLOGISTS	-	-	NOT APPLICABLE	0	In state provider	None	23861 MCBEAN PKWY	D14	VALENCIA	CA	91355	2003	19	06037	34.39567343	-118.5542698	Los Angeles County
286330	Fee-for-Service	1295159457	1295159457	1	1	VU & SHAGHOYAN AN OPTOMETRIC	3/25/2015	No Taxonomy Provided	NA	None	023	GROUP OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	PROFESSIONAL CORPORATION	516 W LANCASTER BLVD	None	LANCASTER	CA	93534	2516	19	06037	34.69821176	-118.1376882	Los Angeles County
286357	Fee-for-Service	1386235125	1386235125	1	1	VERITAS TESTING INC	12/15/2022	207Q00000X	NA	Adult Primary Care	022	PHYSICIANS GROUP	-	None	None	0	In state provider	None	1200 ROSECRANS AVE	STE 202	MANHATTAN BEACH	CA	90266	2470	19	06037	33.90178953	-118.3931775	Los Angeles County
286479	Fee-for-Service	1386820892	1386820892	1	1	VANCE, HEATHER J LCSW	3/15/2024	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
286504	Fee-for-Service	1386235125	1386235125	1	1	VERITAS TESTING INC	12/15/2022	207Q00000X	NA	Adult Primary Care	062	GROUP RESPIRATORY CARE PRACTITIONERS	-	-	NOT APPLICABLE	0	In state provider	None	1200 ROSECRANS AVE	STE 202	MANHATTAN BEACH	CA	90266	2470	19	06037	33.90178953	-118.3931775	Los Angeles County
286505	Fee-for-Service	1548418627	1548418627	1	1	VYAS, SHAIL M MD	11/5/2018	207XX0005X	NA	Orthopedic Surgery	026	PHYSICIANS	96346	20	Orthopedic Surgery	0	In state provider	None	8245 E MONTE VISTA RD	STE 200	ANAHEIM	CA	92808	1297	30	06059	33.86359381	-117.7415658	Orange County
286756	Fee-for-Service	1386107555	1386107555	1	1	VASTI, ELENA C MD	6/17/2022	207R00000X	NA	Other	026	PHYSICIANS	178421	None	None	0	In state provider	None	300 PASTEUR DR	None	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
286858	Fee-for-Service	1144733403	1144733403	1	1	VITREO RETINAL MEDICAL GROUP	1/1/2018	193400000X	NA	Other	022	PHYSICIANS GROUP	-	18	Ophthalmology	0	In state provider	INC	1870 LASSEN BLVD	STE B	YUBA CITY	CA	95993	9455	51	06101	39.13790153	-121.651182	Sutter County
286875	Fee-for-Service	1013337229	1013337229	1	1	VARALLO, MATTHEW D DO	6/15/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	14215	08	Family Practice	0	In state provider	None	441 N LAKEVIEW AVE	None	ANAHEIM	CA	92807	3028	30	06059	33.85429563	-117.8166478	Orange County
286947	Fee-for-Service	1396982054	1396982054	1	1	VIGIL, NICOLE R	6/1/2002	No Taxonomy Provided	NA	None	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1786 N BEVERLY GLEN BLVD	None	LOS ANGELES	CA	90077	2710	19	06037	34.10303713	-118.4454422	Los Angeles County
286968	Fee-for-Service	1598787442	1598787442	1	1	VAN DRUNEN, TARA E W MD	10/25/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	93666	66	Emergency Medicine (Urgent Care)	0	In state provider	None	6601 WHITE FEATHER ROAD	None	JOSHUA TREE	CA	92252	6607	36	06071	34.13189479	-116.2767026	San Bernardino County
286996	Fee-for-Service	1215460753	1215460753	1	1	VASUDEVAN, HARISH MD	6/7/2022	2085R0001X	NA	Other	026	PHYSICIANS	161578	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
287046	Fee-for-Service	1932506201	1932506201	1	1	VAN, HELEN NP	8/14/2017	No Taxonomy Provided	NA	None	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	10800 MANGOLIA AVE	None	RIVERSIDE	CA	92505	3043	33	06065	33.904782	-117.469323	Riverside County
287085	Fee-for-Service	1821172008	1821172008	1	1	VICTORIAN CARE MED GROUP	1/1/2003	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	None	None	0	In state provider	INC	11149 CRENSHAW BLVD	None	INGLEWOOD	CA	90303	2338	19	06037	33.933465	-118.3265975	Los Angeles County
287122	Fee-for-Service	1336251321	1336251321	2	1	VIDYA PHARMA INC	10/16/2018	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	42357 50TH ST W	STE 101 & 102	QUARTZ HILL	CA	93536	3529	19	06037	34.65268963	-118.218645	Los Angeles County
287323	Fee-for-Service	1043651722	1043651722	1	1	VENEMA, KAITLIN M PHD	4/27/2020	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	111 SMITH RANCH ROAD	None	SAN RAFAEL	CA	94903	1939	21	06041	38.01951576	-122.5315893	Marin County
287434	Fee-for-Service	1134538465	1134538465	1	1	VARGAS, ANGEL LMFT	4/29/2024	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	11801 PIERCE ST	SUITE 200	RIVERSIDE	CA	92505	4408	33	06065	33.90100297	-117.49363	Riverside County
287531	Fee-for-Service	1780942607	1780942607	1	1	VARMAN, KATHERINE M MD	9/2/2016	No Taxonomy Provided	NA	None	026	PHYSICIANS	142249	07	Dermatology	0	In state provider	None	2120 PROFESSIONAL DR	None	ROSEVILLE	CA	95661	3700	31	06061	38.74247397	-121.2508672	Placer County
287544	Fee-for-Service	1881836377	1881836377	1	1	VALOS DEAL, ALEXIS M PHD	3/4/2015	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	4900 CALIFORNIA AVE	STE 200	BAKERSFIELD	CA	93309	7024	15	06029	35.36440586	-119.0562732	Kern County
287733	Fee-for-Service	1811383789	1811383789	1	1	VIRDI, BALJINDER K MD	8/1/2018	207R00000X	NA	Other	026	PHYSICIANS	154502	41	Internal Medicine	0	In state provider	None	481 PLUMAS BLVD	SUITE 104	YUBA CITY	CA	95991	5075	51	06101	39.13306148	-121.6140103	Sutter County
287736	Fee-for-Service	1043398951	1043398951	1	1	VAID, DAKSHA V MD	3/2/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	40086	40	Pediatrics	0	In state provider	None	7373 WEST LANE	None	STOCKTON	CA	95210	3377	39	06077	38.017701	-121.297869	San Joaquin County
287744	Fee-for-Service	1558563239	1558563239	1	1	VAN DER ZEE, SARINA A MD	10/17/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	117096	06	Cardiovascular Disease (M.D. only)	0	In state provider	None	2001 SANTA MONICA BLVD	STE 280W	SANTA MONICA	CA	90404	2102	19	06037	34.02891163	-118.4797466	Los Angeles County
287827	Fee-for-Service	1598277519	1598277519	1	1	VING, CATHERINE CCC-SLP	8/20/2021	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	None	1055 E COLORADO BLVD	STE 500	PASADENA	CA	91106	2380	19	06037	34.14595648	-118.1287575	Los Angeles County
287836	Fee-for-Service	1871179655	1871179655	1	1	VONGBUNYONG, KENNY E MD	6/20/2024	390200000X	NA	Other	026	PHYSICIANS	181958	41	Internal Medicine	0	In state provider	None	101 THE CITY DR S	None	ORANGE	CA	92868	3201	30	06059	33.78674051	-117.8888713	Orange County
287847	Fee-for-Service	1700520871	1700520871	1	1	VALDEZ, SYDNEY LMFT	1/31/2025	106H00000X	NA	Mental Health Outpatient Services	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	-	-	NOT APPLICABLE	0	In state provider	None	2677 N MAIN ST	STE 110	SANTA ANA	CA	92705	6663	30	06059	33.77224313	-117.8672259	Orange County
287863	Fee-for-Service	1215579230	1215579230	1	1	VALLEMBOIS, RANDY S CPO	10/18/2024	224P00000X	NA	Other	029	PROSTHETISTS	-	-	NOT APPLICABLE	0	In state provider	None	2039 N FINE AVE	None	FRESNO	CA	93727	1512	10	06019	36.76905227	-119.7285775	Fresno County
288000	Fee-for-Service	1831128362	1831128362	1	1	VELEZ, FEDERICO G MD	4/14/2006	No Taxonomy Provided	NA	None	026	PHYSICIANS	93226	18	Ophthalmology	0	In state provider	None	200 STEIN PLAZA	STE 1-340	LOS ANGELES	CA	90024	0000	19	06037	34.06482757	-118.4443441	Los Angeles County
288010	Fee-for-Service	1073923223	1073923223	1	1	VU, JOHN MD	1/23/2020	2085N0700X	NA	MRI Provider	026	PHYSICIANS	166046	30	Radiology	0	In state provider	None	18436 ROSCOE BLVD	None	NORTHRIDGE	CA	91325	4107	19	06037	34.22078873	-118.5351265	Los Angeles County
288014	Fee-for-Service	1154618742	1154618742	1	1	VHS HARLINGEN HOSPITAL	9/4/2017	282N00000X	NA	Hospitals	015	COMMUNITY OUTPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	COMPANY LLC	2101 PEASE STREET	None	HARLINGEN	TX	78550	8307	00	None	26.17434909	-97.67149907	Cameron County
288134	Fee-for-Service	1154618742	1154618742	1	1	VHS HARLINGEN HOSPITAL	9/4/2017	282N00000X	NA	Hospitals	016	COMMUNITY INPATIENT HOSPITAL	-	-	NOT APPLICABLE	2	Out of state provider	COMPANY LLC	2101 PEASE STREET	None	HARLINGEN	TX	78550	8307	00	None	26.17434909	-97.67149907	Cameron County
288272	Fee-for-Service	1952363376	1952363376	1	1	VELASQUEZ, ROWENA G	8/14/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	66323	41	Internal Medicine	0	In state provider	None	9300 STOCKDALE HWY	STE 300	BAKERSFIELD	CA	93311	3611	15	06029	35.3545315	-119.1053925	Kern County
288323	Fee-for-Service	1154758043	1154758043	1	1	VALLEY VIEW EMERGENCY GROUP	6/9/2014	193400000X	NA	Other	022	PHYSICIANS GROUP	-	None	None	1	Border provider	LLC	5330 S HIGHWAY 95	None	FORT MOHAVE	AZ	86426	9225	00	None	35.002656	-114.595893	Mohave County
288439	Fee-for-Service	1154758043	1154758043	1	1	VALLEY VIEW EMERGENCY GROUP	6/9/2014	193400000X	NA	Other	010	GROUP CERTIFIED NURSE PRACTITIONER	-	-	NOT APPLICABLE	1	Border provider	LLC	5330 S HIGHWAY 95	None	FORT MOHAVE	AZ	86426	9225	00	None	35.002656	-114.595893	Mohave County
288635	Fee-for-Service	1053727305	1053727305	1	1	VINCENT, DEEPA MD	7/27/2021	207RE0101X	NA	Endocrinology	026	PHYSICIANS	158908	None	None	0	In state provider	None	1532 150TH AVE	None	SAN LEANDRO	CA	94578	1823	01	06001	37.70718429	-122.1274288	Alameda County
288735	Fee-for-Service	1972607141	1972607141	1	1	VENTURA CARDILOGY CONSUL	1/1/1979	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	06	Cardiovascular Disease (M.D. only)	0	In state provider	BRENT MED CENTER LAB	100 N BRENT ST	STE 301	VENTURA	CA	93003	2836	56	06111	34.27345057	-119.2569821	Ventura County
288795	Fee-for-Service	1437338407	1437338407	1	2	VAN DUSEN, BRIAN E OD	1/31/1986	152W00000X	NA	Other	020	OPTOMETRISTS	-	-	NOT APPLICABLE	0	In state provider	None	34590 COUNTY LINE RD	STE 1	YUCAIPA	CA	92399	5398	36	06071	34.0042313	-117.049746	San Bernardino County
288841	Fee-for-Service	1972607141	1972607141	1	1	VENTURA CARDILOGY CONSUL	1/1/1979	No Taxonomy Provided	NA	None	022	PHYSICIANS GROUP	-	41	Internal Medicine	0	In state provider	BRENT MED CENTER LAB	100 N BRENT ST	STE 301	VENTURA	CA	93003	2836	56	06111	34.27345057	-119.2569821	Ventura County
288918	Fee-for-Service	1073232609	1073232609	1	1	VICTORY COMMUNITY PHARMACY I	10/29/2022	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	101 N VICTORY BLVD	STE C	BURBANK	CA	91502	1847	19	06037	34.17368068	-118.3166235	Los Angeles County
288949	Fee-for-Service	1851801922	1851801922	1	1	VISTA HILL FOUNDATION	3/1/2019	251B00000X	NA	Other	076	DRUG MEDI-CAL	-	-	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
289157	Fee-for-Service	1376658096	1376658096	1	2	VU, DAN MD	10/1/2018	207Q00000X	NA	Adult Primary Care	026	PHYSICIANS	48672	01	General Practice	0	In state provider	None	2315 E ANAHEIM ST	None	LONG BEACH	CA	90804	3501	19	06037	33.78263692	-118.1640686	Los Angeles County
289181	Fee-for-Service	1760877245	1760877245	1	8	VALLEY CHILDREN'S PRIMARY CA	5/10/2021	208000000X	NA	Pediatric Primary Care	022	PHYSICIANS GROUP	-	40	Pediatrics	0	In state provider	RE GROUP	9880 BRIMHALL	None	BAKERSFIELD	CA	93312	2701	15	06029	35.36881035	-119.1117295	Kern County
289222	Fee-for-Service	1659973329	1659973329	1	1	VML HOSPICE INC	8/3/2021	No Taxonomy Provided	NA	None	039	CERTIFIED HOSPICE	-	-	NOT APPLICABLE	0	In state provider	None	14349 VICTORY BLVD	STE 201-B	VAN NUYS	CA	91401	1950	19	06037	34.18669646	-118.4460435	Los Angeles County
289239	Fee-for-Service	1265405930	1265405930	1	1	VELLMAN, PETER W MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	4231 W 16TH AVE	None	DENVER	CO	80204	0000	00	None	39.74280302	-105.0412741	City and County of Denver
289248	Fee-for-Service	1821119371	1821119371	1	1	VELAZQUEZ, RAFAEL	4/1/1998	No Taxonomy Provided	NA	None	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	MERCED DRUG	35 E 16TH ST	None	MERCED	CA	95340	5020	24	06047	37.29743889	-120.4757675	Merced County
289256	Fee-for-Service	1194285080	1194285080	1	1	VOLK, BRYCE A MD	7/1/2022	207P00000X	NA	Other	026	PHYSICIANS	176130	None	None	0	In state provider	None	225 N JACKSON AVE	EMERGENCY DEPARTMENT	SAN JOSE	CA	95116	1603	43	06085	37.36217918	-121.8472051	Santa Clara County
289280	Fee-for-Service	1710568266	1710568266	1	1	VARGAS, JUANA MD	7/2/2024	207P00000X	NA	Other	026	PHYSICIANS	None	66	Emergency Medicine (Urgent Care)	0	In state provider	None	455 OCONNOR DR	SUITE 210	SAN JOSE	CA	95128	1633	43	06085	37.326654	-121.939897	Santa Clara County
289318	Fee-for-Service	1659973329	1659973329	1	1	VML HOSPICE INC	8/3/2021	No Taxonomy Provided	NA	None	105	HOSPICE PROVIDERS FOR PALLIATIVE CARE SERVICES	-	-	NOT APPLICABLE	0	In state provider	None	14349 VICTORY BLVD	STE 201-B	VAN NUYS	CA	91401	1950	19	06037	34.18669646	-118.4460435	Los Angeles County
289433	Fee-for-Service	1053490185	1053490185	1	1	VOURNAS, KAREN A MD	7/31/1992	No Taxonomy Provided	NA	None	026	PHYSICIANS	75040	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	900 KIELY BLVD	None	SANTA CLARA	CA	95051	5329	43	06085	37.34234284	-121.9776787	Santa Clara County
289540	Fee-for-Service	1679504054	1679504054	1	1	VALDIVIA, ENRIQUE A. MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	20100 N 51ST AVE	STE F620	GLENDALE	AZ	85308	5084	00	None	33.666507	-112.1696865	Maricopa County
289723	Fee-for-Service	1760572440	1760572440	1	1	VANDIVIER, RICHARD W. MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	12605 E 16TH AVE	None	AURORA	CO	80045	2545	00	None	39.742182	-104.8408515	Adams County
289779	Fee-for-Service	1881820710	1881820710	1	1	VASQUEZ-MONTEZ, VERONICA MD	6/29/2011	No Taxonomy Provided	NA	None	026	PHYSICIANS	107967	66	Emergency Medicine (Urgent Care)	0	In state provider	None	1115 SOUTH SUNSET AVE	None	WEST COVINA	CA	91790	3940	19	06037	34.062852	-117.9446658	Los Angeles County
289805	Fee-for-Service	1437449832	1437449832	1	1	VO, MEGEN L MD	8/22/2017	No Taxonomy Provided	NA	None	026	PHYSICIANS	125311	40	Pediatrics	0	In state provider	None	725 WELCH ROAD	None	PALO ALTO	CA	94304	1601	43	06085	37.43721275	-122.1744449	Santa Clara County
289986	Fee-for-Service	1780984781	1780984781	1	1	VARTANIAN, VAHAN MD	7/28/2014	No Taxonomy Provided	NA	None	026	PHYSICIANS	127570	05	Anesthesiology	0	In state provider	None	7417 N CEDAR AVE	None	FRESNO	CA	93720	3637	10	06019	36.844227	-119.7568975	Fresno County
290031	Fee-for-Service	1265596134	1265596134	1	1	VAISMANTZACHOR, REUBEN PHD	11/30/2015	No Taxonomy Provided	NA	None	087	LICENSED PROFESSIONALS	15091	-	NOT APPLICABLE	0	In state provider	None	1322 N AVALON BOULEVARD	None	WILMINGTON	CA	90744	2639	19	06037	33.78953748	-118.263169	Los Angeles County
290063	Fee-for-Service	1215934336	1215934336	1	1	VANIS, RICHARD W MD	1/31/1980	No Taxonomy Provided	NA	None	026	PHYSICIANS	34782	20	Orthopedic Surgery	0	In state provider	None	301 W HUNTINGTON DR	None	ARCADIA	CA	91007	3462	19	06037	34.13481053	-118.0425638	Los Angeles County
290102	Fee-for-Service	1336461383	1336461383	1	1	VITAL SPEECH AND SWALLOW SPE	11/30/2021	235Z00000X	NA	Other	037	SPEECH THERAPISTS	-	-	NOT APPLICABLE	0	In state provider	ECH THERAPY, INC	20720 VENTURA BLVD	SUITE 260	WOODLAND HILLS	CA	91364	6261	19	06037	34.16672741	-118.5846521	Los Angeles County
290122	Fee-for-Service	1528259553	1528259553	1	2	VAN ECK, ELLEN R PHD	3/6/2021	103TC0700X	NA	Mental Health Outpatient Services	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	5015 BIRCH ST	14	NEWPORT BEACH	CA	92660	2162	30	06059	33.66631208	-117.8589388	Orange County
290228	Fee-for-Service	1679548556	1679548556	1	1	VADGAMA, SUNJAY V MD	7/25/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	80650	41	Internal Medicine	0	In state provider	None	201 S BUENA VISTA ST	STE 440	BURBANK	CA	91505	4577	19	06037	34.15978726	-118.3289164	Los Angeles County
290281	Fee-for-Service	1932365962	1932365962	1	1	VO, VINH N K OD	10/25/2012	261QF0400X	NA	Federally Qualified Health Center	026	PHYSICIANS	11474	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	None	600 N GARFIELD AVE	STE 307	MONTEREY PARK	CA	91754	1172	19	06037	34.06820797	-118.1228835	Los Angeles County
290310	Fee-for-Service	1275556227	1275556227	2	1	VASHI, SUREKHA V MD	7/3/2013	207L00000X	NA	Other	026	PHYSICIANS	32556	05	Anesthesiology	0	In state provider	None	1509 WILSON TERRACE	None	GLENDALE	CA	91206	4007	19	06037	34.14950866	-118.2311155	Los Angeles County
290483	Fee-for-Service	1801021100	1801021100	1	1	VO, MINH N MD	7/23/2012	No Taxonomy Provided	NA	None	026	PHYSICIANS	121273	18	Ophthalmology	0	In state provider	None	200 W ARBOR DRIVE	None	SAN DIEGO	CA	92103	9001	37	06073	32.7537975	-117.1658298	San Diego County
290490	Fee-for-Service	1851546451	1851546451	1	1	VIJAY KAIRAM, MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	2055 N MAIN ST	None	TOOELE	UT	84074	9819	00	None	40.56668579	-112.2959013	Tooele County
290550	Fee-for-Service	1376574186	1376574186	1	1	VONS COMPANIES INC	12/9/2002	3336C0003X	NA	Pharmacies	024	PHARMACIES/PHARMACISTS	-	-	NOT APPLICABLE	0	In state provider	None	3100 FOWLER AVE	None	CLOVIS	CA	93611	2100	10	06019	36.794754	-119.6840025	Fresno County
290610	Fee-for-Service	1821647983	1821647983	1	1	VU, LYNN T	2/7/2020	No Taxonomy Provided	NA	None	067	RVNS INDIVIDUAL NURSE PROVIDERS	-	-	NOT APPLICABLE	0	In state provider	None	11836 GREENBRIER LN	None	GRAND TERRACE	CA	92313	8341	36	06071	34.03846203	-117.3149068	San Bernardino County
290640	Fee-for-Service	1821647983	1821647983	1	1	VU, LYNN T	2/7/2020	No Taxonomy Provided	NA	None	057	EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT SUPPLEMENTAL SERVICES PROVIDER	-	None	None	0	In state provider	None	11836 GREENBRIER LN	None	GRAND TERRACE	CA	92313	8341	36	06071	34.03846203	-117.3149068	San Bernardino County
290790	Fee-for-Service	1215993456	1215993456	1	1	VAKHSHOURI, KHOSROW MD	3/8/2005	No Taxonomy Provided	NA	None	026	PHYSICIANS	87152	08	Family Practice	0	In state provider	None	2151 W GRANT LINE RD	None	TRACY	CA	95377	7309	39	06077	37.75424753	-121.455621	San Joaquin County
290793	Fee-for-Service	1003894569	1003894569	1	1	VIJ, VIKAS MD	5/6/2009	No Taxonomy Provided	NA	None	026	PHYSICIANS	85243	30	Radiology	0	In state provider	None	300 PASTEUR DRIVE	MC:5500	STANFORD	CA	94305	2200	43	06085	37.43304542	-122.1759654	Santa Clara County
290837	Fee-for-Service	1912085408	1912085408	1	1	VENUGOPALAKRISHNAN, JEYA	2/6/2004	No Taxonomy Provided	NA	None	026	PHYSICIANS	80691	41	Internal Medicine	0	In state provider	None	900 KIELY BLVD	None	SANTA CLARA	CA	95051	5329	43	06085	37.34234284	-121.9776787	Santa Clara County
290882	Fee-for-Service	1518189687	1518189687	1	1	VAIDAYA, SANDEEP S. MD	2/8/2015	No Taxonomy Provided	NA	None	026	PHYSICIANS	-	None	None	4	Out of state provider - CA-MMIS Fiscal Intermediary (FI)	None	325 9TH AVE	None	SEATTLE	WA	98104	2420	00	None	47.60414369	-122.3235136	King County
290938	Fee-for-Service	1922463751	1922463751	1	1	VEYO LLC	2/11/2019	347E00000X	NMT Provider	Other	030	GROUND MEDICAL TRANSPORTATION	-	-	NOT APPLICABLE	0	In state provider	None	4875 EASTGATE MALL	STE 200	SAN DIEGO	CA	92121	1985	37	06073	32.88047257	-117.2027039	San Diego County
290984	Fee-for-Service	1861980393	1861980393	1	1	VIRREY, EILEEN C NP	9/1/2021	363LF0000X	NA	Nurse Practitioner	007	CERTIFIED NURSE PRACTIONER	-	None	None	0	In state provider	None	35800 BOB HOPE DRIVE	#240	RANCHO MIRAGE	CA	92270	1740	33	06065	33.790527	-116.4058645	Riverside County
291143	Fee-for-Service	1194132928	1194132928	1	1	VON HERZEN, DOUGLAS C MD	10/3/2019	207R00000X	NA	Other	026	PHYSICIANS	152965	41	Internal Medicine	0	In state provider	None	20940 BURBANK BLVD	None	WOODLAND HILLS	CA	91365	6701	19	06037	34.1719401	-118.5881418	Los Angeles County
291170	Fee-for-Service	1992995534	1992995534	1	1	VIERA, KIRSTY H PHD	9/11/2012	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	3554 ROUNDBARN BLVD	None	SANTA ROSA	CA	95403	0929	49	06097	38.47599	-122.725557	Sonoma County
291173	Fee-for-Service	1316571979	1316571979	1	1	VISTAMESA CONGREGATE HOME	12/9/2021	No Taxonomy Provided	NA	None	059	HOME AND COMMUNITY BASED SERVICES NURSING FACILITY	-	-	NOT APPLICABLE	0	In state provider	INC	12806 ARMINTA ST	None	NORTH HOLLYWOOD	CA	91605	2018	19	06037	34.21288726	-118.4123046	Los Angeles County
291178	Fee-for-Service	1184720468	1184720468	1	1	VATZ, ARTHUR D MD	1/1/1975	208800000X	NA	Other	026	PHYSICIANS	15232	34	Urology and Urological Surgery	0	In state provider	None	14935 RINALDI ST	None	MISSION HILLS	CA	91345	1206	19	06037	34.27904221	-118.4583902	Los Angeles County
291183	Fee-for-Service	1447312111	1447312111	1	1	VIGILANTI, MARY ANN PHD	8/21/2014	No Taxonomy Provided	NA	None	031	PSYCHOLOGISTS	-	None	None	0	In state provider	None	275 VICTORIA STREET	SUITE 2A	COSTA MESA	CA	92627	1906	30	06059	33.6526055	-117.910746	Orange County
291203	Fee-for-Service	1730575697	1730575697	1	1	VERZOSA, NIAN R MD	10/28/2024	207L00000X	NA	Other	026	PHYSICIANS	177280	05	Anesthesiology	0	In state provider	None	2025 MORSE AVE	None	SACRAMENTO	CA	95825	2115	34	06067	38.602089	-121.3925895	Sacramento County
291520	Non-Physician Medical Practitioner	None	1689077661	0	0	VERGARA, ERICA L NP	3/16/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1255 IRONBARK ST	None	SAN LUIS OBISPO	CA	93401	7803	00	06000	35.24921641	-120.6320284	San Luis Obispo County
291620	Non-Physician Medical Practitioner	None	1821154436	0	0	VEERKAMP, HELENA A	8/22/2008	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	2201	00	06000	38.555181	-121.4566785	Sacramento County
291631	Non-Physician Medical Practitioner	None	1871775742	0	0	VINCENT, ERIC NP	6/23/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2767 OLIVE HWY	None	OROVILLE	CA	95966	6118	00	06000	39.506454	-121.5412785	Butte County
291639	Non-Physician Medical Practitioner	None	1952093403	0	0	VARGAS, DANIEL A NP	8/22/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	830 JEFFERSON AVE	STE M	REDWOOD CITY	CA	94063	1804	00	06000	37.48599384	-122.2282125	San Mateo County
291682	Non-Physician Medical Practitioner	None	1649649443	0	0	VO, THUY PA	5/27/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	BUENA VISTA & ALAMEDA ST	None	BURBANK	CA	91505	0000	00	06000	34.158213	-118.328112	Los Angeles County
291758	Non-Physician Medical Practitioner	None	1548853872	0	0	VILLANUEVA, CZARINA MARIE S	4/19/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1441 EASTLAKE AVE	None	LOS ANGELES	CA	90089	0177	00	06000	34.06169385	-118.2044698	Los Angeles County
291766	Non-Physician Medical Practitioner	None	1629303920	0	0	VINCENT, VICTORIA MARIE	10/3/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	10666 N TORREY PINES RD	SUITE 213	LA JOLLA	CA	92037	1027	00	06000	32.89687721	-117.2418677	San Diego County
291775	Non-Physician Medical Practitioner	None	1326115155	0	0	VALERO, KATHY D	3/12/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	6690 MEADOWLARK STREET	None	CHINO	CA	91710	7482	00	06000	34.01825114	-117.6590727	San Bernardino County
291822	Non-Physician Medical Practitioner	None	1548441579	0	0	VASQUEZ, LIDIA R NP	4/5/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3660 PARK SIERRA DR	208	RIVERSIDE	CA	92501	1768	00	06000	33.90330693	-117.4707039	Riverside County
291844	Non-Physician Medical Practitioner	None	1972661874	0	0	VASILIEV, NINA T	3/21/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	15407 MULLER ROAD	None	PLYMOUTH	CA	95669	9770	00	06000	38.43415315	-120.919539	Amador County
291985	Non-Physician Medical Practitioner	None	1801987896	0	0	VAN AUKER, JOHN R	7/1/2000	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3288 BELL RD	None	AUBURN	CA	95603	9243	00	06000	38.94193048	-121.1046075	Placer County
292063	Non-Physician Medical Practitioner	None	1346530029	0	0	VERA, JOSHUA A	7/1/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	5813 CAJON WAY	None	GILROY	CA	95020	6827	00	06000	36.98090833	-121.5760263	Santa Clara County
292075	Non-Physician Medical Practitioner	None	1225566227	0	0	VIERA, KRISTEN M PA-C	12/12/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	6955 EL CAMINO REAL	STE 101	ATASCADERO	CA	93422	4216	00	06000	35.48656009	-120.6652493	San Luis Obispo County
292135	Non-Physician Medical Practitioner	None	1881157501	0	0	VALDOVINOS, MICAELA 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	3838 SAN DIMAS STREET	STE A200	BAKERSFIELD	CA	93301	2284	00	06000	35.3946385	-119.008203	Kern County
292177	Non-Physician Medical Practitioner	None	1932585866	0	0	VAN, VALERIE T NP	1/24/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	101 THE CITY DR S	None	ORANGE	CA	92868	3298	00	06000	33.78674051	-117.8888713	Orange County
292219	Non-Physician Medical Practitioner	None	1174238356	0	0	VALENZUELA, CANDACE M NP	4/5/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	9939 MAGNOLIA AVE	None	RIVERSIDE	CA	92503	3528	00	06000	33.91571158	-117.4549231	Riverside County
292220	Non-Physician Medical Practitioner	None	1083293500	0	0	VARGAS JIMENEZ, EMILY D PA-C	9/24/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	00	06000	34.09813032	-118.2901794	Los Angeles County
292241	Non-Physician Medical Practitioner	None	1770133704	0	0	VU, TOM PA-C	6/21/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1981 N BROADWAY	STE 190	WALNUT CREEK	CA	94596	3671	00	06000	37.90582392	-122.0613697	Contra Costa County
292249	Non-Physician Medical Practitioner	None	1528517125	0	0	VALLANDINGHAM, SHELBY L NP	10/10/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1025 LAUREL ST	APT 1	MENLO PARK	CA	94025	3317	00	06000	37.45587122	-122.1796064	San Mateo County
292252	Non-Physician Medical Practitioner	None	1588939672	0	0	VERTUCCI, MICHELE PA	4/9/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1920 COLORADO AVE	None	SANTA MONICA	CA	90404	3414	00	06000	34.02564555	-118.477319	Los Angeles County
292295	Non-Physician Medical Practitioner	None	1497798573	0	0	VON PAHLEN-FEDOROFF, STEPHANIE GABRIELLE	4/4/2008	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	4800 N 22ND STREET	None	PHOENIX	AZ	85016	0000	00	06000	33.507153	-112.0347495	Maricopa County
292433	Non-Physician Medical Practitioner	None	1174342406	0	0	VU, TERESA T PA	12/1/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2101 N WATERMAN AVE	None	SAN BERNARDINO	CA	92404	4836	00	06000	34.13502	-117.2758635	San Bernardino County
292472	Non-Physician Medical Practitioner	None	1154972099	0	0	VELA RODRIGUEZ, ESTHER PA-C	7/28/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	16630 BROADWAY	None	GARDENA	CA	90248	2716	00	06000	33.87988966	-118.278108	Los Angeles County
292495	Non-Physician Medical Practitioner	None	1467184762	0	0	VOLMAR, BRYNN H PA-C	4/9/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	300 PASTEUR DR	None	STANFORD	CA	94305	2200	00	06000	37.43304542	-122.1759654	Santa Clara County
292539	Non-Physician Medical Practitioner	None	1548445869	0	0	VENTUS, BARTOLOME P	6/21/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	14350 WHITTIER BLVD	SUITE 100	WHITTIER	CA	90605	2138	00	06000	33.95501294	-118.0185665	Los Angeles County
292597	Non-Physician Medical Practitioner	None	1962454637	0	0	VU-NGUYEN, ANN	5/13/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2900 WHIPPLE AVE	#135	REDWOOD CITY	CA	94062	2843	00	06000	37.4783072	-122.2551089	San Mateo County
292707	Non-Physician Medical Practitioner	None	1023717444	0	0	VILLANUEVA, LOUISE NP	7/19/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	8628 RESEDA BLVD.	None	NORTHRIDGE	CA	91324	4032	00	06000	34.22722956	-118.5360495	Los Angeles County
292715	Non-Physician Medical Practitioner	None	1912340118	0	0	VERTUDEZ, JANICE RHEA A NP	1/29/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1128 LANGLIE WAY	None	RODEO	CA	94572	1942	00	06000	38.02590228	-122.2492052	Contra Costa County
292741	Non-Physician Medical Practitioner	None	1154004083	0	0	VALENTINE, MATTHEW F PA	1/22/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1180 N INDIAN CANYON DR	SUITE W201	PALM SPRINGS	CA	92262	4876	00	06000	33.839505	-116.5455735	Riverside County
292756	Non-Physician Medical Practitioner	None	1669078648	0	0	VINEY, CHRISTINE E PA-C	1/14/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3605 HOSPITAL RD	None	ATWATER	CA	95301	5173	00	06000	37.36678073	-120.576731	Merced County
292805	Non-Physician Medical Practitioner	None	1376328971	0	0	VANDENAKKER, CAMERON W PA-C	8/26/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	19671 BEACH BLVD,	SUITE 215	HUNTINGTON BEACH	CA	92648	7101	00	06000	33.67718578	-117.9887516	Orange County
292881	Non-Physician Medical Practitioner	None	1922255702	0	0	VERMA, SMILEY PA	8/30/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2221 STOCKTON BLVD	None	SACRAMENTO	CA	95817	1418	00	06000	38.556288	-121.458474	Sacramento County
292892	Non-Physician Medical Practitioner	None	1013645381	0	0	VILLARREAL, JONATHON J	11/16/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	611 ABBOTT ST	SUITE 101	SALINAS	CA	93901	4391	00	06000	36.66192801	-121.6413283	Monterey County
292905	Non-Physician Medical Practitioner	None	1538799580	0	0	VANG, PADY	6/17/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	11480 BROOKSHIRE AVE	STE 309	DOWNEY	CA	90241	5025	00	06000	33.93622932	-118.1311752	Los Angeles County
293002	Non-Physician Medical Practitioner	None	1083729891	0	0	VASQUEZ, LISA M PA-C	9/1/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	39657 BAYONNE PL	None	MURRIETA	CA	92562	6604	00	06000	33.59474648	-117.2025596	Riverside County
293043	Non-Physician Medical Practitioner	None	1417222027	0	0	VANDERWIELEN, JAMI M NP	5/1/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	673 HURON PLACE	None	CLAREMONT	CA	91711	2600	00	06000	34.12102721	-117.7261854	Los Angeles County
293111	Non-Physician Medical Practitioner	None	1841989373	0	0	VALDEZ, TIMOTHY M PA-C	6/6/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	39000 BOB HOPE DR	None	RANCHO MIRAGE	CA	92270	3221	00	06000	33.763572	-116.4056895	Riverside County
293115	Non-Physician Medical Practitioner	None	1447474457	0	0	VASQUEZ, LESLIE B NP	9/12/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1641 HIGHRIDGE STREET	None	RIVERSIDE	CA	92506	4801	00	06000	33.90690058	-117.3823598	Riverside County
293149	Non-Physician Medical Practitioner	None	1730553173	0	0	VUONG, DARLENE K PA	4/9/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	10800 MAGNOLIA AVE	None	RIVERSIDE	CA	92505	3043	00	06000	33.904782	-117.469323	Riverside County
293153	Non-Physician Medical Practitioner	None	1255638870	0	0	VILLARET, AMY MARIE	4/28/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	925 TAHOE BLVD STE 105	None	INCLINE VILLAGE	NV	89451	7498	00	06000	39.24951683	-119.9492358	Washoe County
293252	Non-Physician Medical Practitioner	None	1427622174	0	0	VOLOSENKO, VOLODYMYR NP	6/27/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4860 Y ST	None	SACRAMENTO	CA	95817	2307	00	06000	38.552211	-121.449429	Sacramento County
293344	Non-Physician Medical Practitioner	None	1548809064	0	0	VALENCIA, RILEE NP	12/30/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	18191 VON KARMAN AVE	100	IRVINE	CA	92612	7103	00	06000	33.67831005	-117.852138	Orange County
293424	Non-Physician Medical Practitioner	None	1306265798	0	0	VELASCO, ALMA I NP	11/21/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	617 SOUTH ROSS STREET	None	SANTA ANA	CA	92701	7836	00	06000	33.73878751	-117.8722904	Orange County
293453	Non-Physician Medical Practitioner	None	1881247393	0	0	VAIDYANATHAN, ANITA PA	1/12/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2704 E WILLOW ST	None	SIGNAL HILL	CA	90755	2217	00	06000	33.80432955	-118.1594295	Los Angeles County
293472	Non-Physician Medical Practitioner	None	1922695139	0	0	VO, MINNIE PA	3/14/2025	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2425 GEARY BLVD	None	SAN FRANCISCO	CA	94115	3358	00	06000	37.78272203	-122.4433297	San Francisco County
293492	Non-Physician Medical Practitioner	None	1376988691	0	0	VAWTER, ERIN Z	10/5/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4545 TIVOLI ST	None	SAN DIEGO	CA	92107	3831	00	06000	32.7322169	-117.2516431	San Diego County
293510	Non-Physician Medical Practitioner	None	1164768412	0	0	VELASCO, SONIA	2/26/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1201 E FLORENCE AVE	None	LOS ANGELES	CA	90001	2432	00	06000	33.97478347	-118.253943	Los Angeles County
293513	Non-Physician Medical Practitioner	None	1396245312	0	0	VICTORIA, ENRIQUE N NP	8/20/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	43360 MISSION BLVD	SUITE 100	FREMONT	CA	94539	5829	00	06000	37.53249631	-121.9198141	Alameda County
293548	Non-Physician Medical Practitioner	None	1487679411	0	0	VARMA, JENNIFER U	8/29/2005	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	22263 SAN LUIS AVE	None	WOODLAND HILLS	CA	91364	1507	00	06000	34.16664924	-118.6125626	Los Angeles County
293728	Non-Physician Medical Practitioner	None	1902833460	0	0	VIRAMONTES, VERONICA	7/14/2006	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3114 W BEVERLY BLVD	None	MONTEBELLO	CA	90640	2217	00	06000	34.02383346	-118.137193	Los Angeles County
293739	Non-Physician Medical Practitioner	None	1841747185	0	0	VO, TINH D NP	10/1/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	10291 GENEVA LANE	None	GARDEN GROVE	CA	92840	2909	00	06000	33.7863559	-117.9530252	Orange County
293768	Non-Physician Medical Practitioner	None	1669782280	0	0	VENTURA, TESS E NP	8/5/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	26308 PINES ESTATES DR	None	HARBOR CITY	CA	90710	3846	00	06000	33.78316951	-118.3010975	Los Angeles County
293784	Non-Physician Medical Practitioner	None	1558944397	0	0	VILLEGAS, MARIAN NP	5/21/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4312 WOODMAN AVENUE	SUITE 102	SHERMAN OAKS	CA	91423	5546	00	06000	34.148637	-118.4312035	Los Angeles County
293832	Non-Physician Medical Practitioner	None	1780918409	0	0	VOLLEBREGT, JESSICA A PA	7/30/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	26991 CROWN VALLEY PKWY	None	MISSION VIEJO	CA	92691	6528	00	06000	33.56210341	-117.6694207	Orange County
293835	Non-Physician Medical Practitioner	None	1609235589	0	0	VALLES, ELIZABETH A H NP	9/1/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1045 S MAGNOLIA AVE	None	EL CAJON	CA	92020	6209	00	06000	32.78133	-116.962313	San Diego County
293863	Non-Physician Medical Practitioner	None	1801995410	0	0	VALENTINE, DONNA PA	8/5/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	11303 WASHINGTON BLVD	SUITE 100	LOS ANGELES	CA	90095	6003	00	06000	34.00408212	-118.4147433	Los Angeles County
293944	Non-Physician Medical Practitioner	None	1851896559	0	0	VERGARA, GUIDO NP	2/14/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	26777 AGOURA RD	STE 4	CALABASAS	CA	91302	2967	00	06000	34.13998921	-118.7070142	Los Angeles County
293950	Non-Physician Medical Practitioner	None	1083186639	0	0	VILLANUEVA, CRESOLITO A NP	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	905 EAST WASHINGTON ST	None	PETALUMA	CA	94952	3385	00	06000	38.24451673	-122.6303052	Sonoma County
293989	Non-Physician Medical Practitioner	None	1295405413	0	0	VELASQUEZ, NICOLE J	7/18/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1441 EASTLAKE AVE	None	LOS ANGELES	CA	90089	0177	00	06000	34.06169385	-118.2044698	Los Angeles County
294012	Non-Physician Medical Practitioner	None	1598048407	0	0	VALENZUELA, ALAN A	8/1/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1460 WHITE CLOUD LN	None	BEAUMONT	CA	92223	8439	00	06000	33.94570221	-116.9509731	Riverside County
294131	Non-Physician Medical Practitioner	None	1023749322	0	0	VELASCO, ESTEFANIA F PA-C	12/8/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	6403 COYLE AVE	STE 170	CARMICHAEL	CA	95608	0363	00	06000	38.668347	-121.3148745	Sacramento County
294170	Non-Physician Medical Practitioner	None	1760189336	0	0	VANGKHUE, SABRINA PA-C	10/16/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1495 RIVER PARK DR	200	SACRAMENTO	CA	95815	4500	00	06000	38.599524	-121.437738	Sacramento County
294240	Non-Physician Medical Practitioner	None	1518630979	0	0	VARGAS, FRIDA NP	12/22/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3670 DEGNAN BLVD	None	LOS ANGELES	CA	90018	4015	00	06000	34.02110503	-118.329693	Los Angeles County
294270	Non-Physician Medical Practitioner	None	1003545641	0	0	VU, IVY H NP	3/16/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	26520 CACTUS AVE	# B2018	MORENO VALLEY	CA	92555	3927	00	06000	33.912117	-117.195849	Riverside County
294271	Non-Physician Medical Practitioner	None	1205879707	0	0	VINH, JENNIFER	2/8/2008	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	563 W HONEY TREE WAY	None	ORANGE	CA	92865	5007	00	06000	33.83704881	-117.8560478	Orange County
294315	Non-Physician Medical Practitioner	None	1508989062	0	0	VASQUEZ, RAQUEL	8/3/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	250 N ROBERTSON BLVD	None	BEVERLY HILLS	CA	90211	1788	00	06000	34.0696407	-118.3836988	Los Angeles County
294354	Non-Physician Medical Practitioner	None	1487726550	0	0	VIERRA, ELEANOR C	9/21/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4205 MEPHAM COURT	None	SACRAMENTO	CA	95762	4280	00	06000	38.69036801	-121.0885122	El Dorado County
294422	Non-Physician Medical Practitioner	None	1629669015	0	0	VAN DELLEN, SYDNEY	8/25/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	501 LIGHTHOUSE AVE	None	MONTEREY	CA	93940	1439	00	06000	36.61275747	-121.9010674	Monterey County
294579	Non-Physician Medical Practitioner	None	1164584819	0	0	VETTERLI, STEPHANIE ANN	7/6/2010	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	500 FOOTHILL BLVD	None	SALT LAKE CITY	UT	84148	0001	00	06000	40.75837268	-111.838925	Salt Lake County
294608	Non-Physician Medical Practitioner	None	1205287216	0	0	VELASCO, GLICELDA NP	5/1/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2740 GRANT ST	None	CONCORD	CA	94520	2265	00	06000	37.98580944	-122.0385574	Contra Costa County
294641	Non-Physician Medical Practitioner	None	1396349726	0	0	VANDOREN, ALLISON	10/23/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	00	06000	32.7537975	-117.1658298	San Diego County
294660	Non-Physician Medical Practitioner	None	1578895777	0	0	VALENZUELA, FLORITA MADLANGBAYAN	6/12/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	8700 BEVERLY BLVD	BECKER BUILDING #220	WEST HOLLYWOOD	CA	90048	1804	00	06000	34.07671715	-118.3799413	Los Angeles County
294704	Non-Physician Medical Practitioner	None	1285012096	0	0	VU, KIMLIEN N NP	2/24/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1680 W MELLS LANE	None	ANAHEIM	CA	92802	2423	00	06000	33.80962088	-117.9404876	Orange County
294712	Non-Physician Medical Practitioner	None	1609470947	0	0	VILLA, AMAIRANI PA-C	12/21/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	36485 INLAND VALLEY DR	None	WILDOMAR	CA	92595	9681	00	06000	33.591699	-117.2368285	Riverside County
294744	Non-Physician Medical Practitioner	None	1609410463	0	0	VENTURA, ALEXIS NP	10/18/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	73700 DINAH SHORE DR	STE 106	PALM DESERT	CA	92211	0813	00	06000	33.79748917	-116.3786855	Riverside County
294797	Non-Physician Medical Practitioner	None	1518191543	0	0	VAN GASTEL, KERRY	8/24/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	795 EL CAMINO REAL	None	PALO ALTO	CA	94301	2302	00	06000	37.43920432	-122.162109	Santa Clara County
294918	Non-Physician Medical Practitioner	None	1912375577	0	0	VALLECILLO, ONIL PA-C	1/15/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	10538 MISSION GORGE RD	SUITE 100	SANTEE	CA	92071	3154	00	06000	32.8384953	-116.9677746	San Diego County
294936	Non-Physician Medical Practitioner	None	1902108459	0	0	VERGARA, ROWENA O NP	4/1/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1450 SAN PABLO STREET	SUITE 6200	LOS ANGELES	CA	90033	4500	00	06000	34.06189518	-118.203256	Los Angeles County
294948	Non-Physician Medical Practitioner	None	1356536080	0	0	VANROOYEN, MELINDA J	10/16/2007	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	511 FREMONT	None	SACRMENTO	CA	95818	2129	00	06000	38.558574	-121.509108	Sacramento
295030	Non-Physician Medical Practitioner	None	1932790920	0	0	VALENTINI, ELISE V NP	3/29/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	902 CIRBY WAY	None	ROSEVILLE	CA	95661	4420	00	06000	38.7294585	-121.2763095	Placer County
295076	Non-Physician Medical Practitioner	None	1497819452	0	0	VEJTASA, NOELLE L NP	7/29/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2001 4TH AVE	None	SAN DIEGO	CA	92101	2393	00	06000	32.72663119	-117.1611714	San Diego County
295094	Non-Physician Medical Practitioner	None	1518658251	0	0	VISON, JERREL L PA	10/23/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1800 N CALIFORNIA ST	None	STOCKTON	CA	95204	6019	00	06000	37.97026329	-121.2890849	San Joaquin County
295246	Non-Physician Medical Practitioner	None	1831493113	0	0	VICKERS, VIDA	3/16/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2112 S GAREY AVE STE C	None	POMONA	CA	91766	5600	00	06000	34.03249701	-117.7491554	Los Angeles County
295276	Non-Physician Medical Practitioner	None	1972827160	0	0	VO, THUY-HONG THI	1/11/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	270 INTERNATIONAL CIR FL	None	SAN JOSE	CA	95119	1130	00	06000	37.24047903	-121.7998157	Santa Clara County
295416	Non-Physician Medical Practitioner	None	1689221483	0	0	VALLE MARISCAL, REYNA L PA-C	12/24/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1700 COFFEE RD	None	MODESTO	CA	95355	2803	00	06000	37.668645	-120.9756715	Stanislaus County
295454	Non-Physician Medical Practitioner	None	1578396784	0	0	VAUGHN, GARRETT	11/14/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	2400 S AVENUE A	None	YUMA	AZ	85364	7127	00	06000	32.683167	-114.633459	Yuma County
295474	Non-Physician Medical Practitioner	None	1043970254	0	0	VANG, SENG PA	5/13/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	10880 WILSHIRE BLVD	1101	LOS ANGELES	CA	90024	4112	00	06000	34.05897499	-118.4431123	Los Angeles County
295528	Non-Physician Medical Practitioner	None	1992189294	0	0	VAN AKEN, KRISTEN E NP	1/24/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2001 4TH AVE	None	SAN DIEGO	CA	92101	2393	00	06000	32.72663119	-117.1611714	San Diego County
295620	Non-Physician Medical Practitioner	None	1386718864	0	0	VALENZUELA, ARMANDO	5/23/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	255 N HERWALDT DR	None	FRESNO	CA	93701	2186	00	06000	36.745794	-119.7834345	Fresno County
295634	Non-Physician Medical Practitioner	None	1669185492	0	0	VANG, MOH	8/21/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	35800 BOB HOPE DRIVE	#240	RANCHO MIRAGE	CA	92270	1740	00	06000	33.790527	-116.4058645	Riverside County
295716	Non-Physician Medical Practitioner	None	1497203541	0	0	VISTA COMMUNITY CLINIC	2/6/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	201 S HARBOR BLVD	None	LA HABRA	CA	90631	5654	00	06000	33.93029897	-117.9331306	Orange County
295736	Non-Physician Medical Practitioner	None	1093128860	0	0	VON MAACK, EDELWEISS NP	5/2/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	39199 HARRIS ROAD	None	OAK GLEN	CA	92399	9404	00	06000	34.0483728	-116.9495795	San Bernardino County
295785	Non-Physician Medical Practitioner	None	1043798861	0	0	VERA, VIVIANA	2/8/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	906 PEACH ST	None	LIVINGSTON	CA	95334	9202	00	06000	37.37501726	-120.7291971	Merced County
295864	Non-Physician Medical Practitioner	None	1124627435	0	0	VUONG, KEVIN S PA-C	3/9/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1127 WILSHIRE BLVD	805	LOS ANGELES	CA	90017	3909	00	06000	34.05270508	-118.2641005	Los Angeles County
296020	Non-Physician Medical Practitioner	None	1770351181	0	0	VILLARAMA, JOSEPH R	10/31/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	1050 WEST GALLERIA DRIVE	None	HENDERSON	NV	89011	4800	00	06000	36.07123413	-115.0308684	Clark County
296038	Non-Physician Medical Practitioner	None	1942875786	0	0	VAZQUEZ, ARIANE PA	12/30/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1086 S FAIRFAX AVE	None	LOS ANGELES	CA	90019	4401	00	06000	34.05592638	-118.3648554	Los Angeles County
296039	Non-Physician Medical Practitioner	None	1720036148	0	0	VALENTINE, ROBERT	5/1/2001	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	350 HAWTHORNE AVE	None	OAKLAND	CA	94609	3108	00	06000	37.819368	-122.263902	Alameda County
296079	Non-Physician Medical Practitioner	None	1245832765	0	0	VUONG, HSUN-YU NP	3/7/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	10 CONGRESS ST	STE 208	PASADENA	CA	91105	3027	00	06000	34.13396893	-118.1528162	Los Angeles County
296170	Non-Physician Medical Practitioner	None	1972838969	0	0	VON PRITTWITZ, RAMONA WHITEHURST	1/20/2010	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	1400 WILLOW ROAD	None	PRYOR	OK	74361	0000	00	06000	36.28825873	-95.31240204	Mayes County
296223	Non-Physician Medical Practitioner	None	1275905960	0	0	VEITCH, HEATHER S PA	7/6/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	6701	00	06000	34.17030266	-118.5881699	Los Angeles County
296234	Non-Physician Medical Practitioner	None	1437793247	0	0	VANCE, HEATHER E	6/28/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	00	06000	32.7537975	-117.1658298	San Diego County
296242	Non-Physician Medical Practitioner	None	1851300123	0	0	VISTA COMMUNITY CLINIC	1/2/1997	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	134 GRAPEVINE RD	None	VISTA	CA	92083	4004	00	06000	33.191415	-117.2751055	San Diego County
296335	Non-Physician Medical Practitioner	None	1386144392	0	0	VOSS, SHANNON M PA	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	3630 E IMPERIAL HWY	None	LYNWOOD	CA	90262	2609	00	06000	33.93112671	-118.2035532	Los Angeles County
296356	Non-Physician Medical Practitioner	None	1316144975	0	0	VIELMAN, LUDIM E	5/1/2009	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	10508 CAVE AVE	None	BAKERSFIELD	CA	93312	3174	00	06000	35.3918584	-119.1197467	Kern County
296392	Non-Physician Medical Practitioner	None	1235535170	0	0	VERANGO, JEREMY NP	9/14/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	13851 E 14TH ST	STE 102A	SAN LEANDRO	CA	94578	2630	00	06000	37.71458918	-122.1418781	Alameda County
296436	Non-Physician Medical Practitioner	None	1184145666	0	0	VARGAS, ANGELA W CNM	2/24/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2907 CHANTICLEER AVE	None	SANTA CRUZ	CA	95065	1815	00	06000	36.98793933	-121.9782322	Santa Cruz County
296440	Non-Physician Medical Practitioner	None	1669031969	0	0	VIGIL, JANE J NP	8/13/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1520 SAN PABLO ST	None	LOS ANGELES	CA	90033	5310	00	06000	34.06269295	-118.2030006	Los Angeles County
296453	Non-Physician Medical Practitioner	None	1992871941	0	0	VILLAPUDUA, DINA L	7/31/2006	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	9502 MONTERRA WAY	None	BUENA PARK	CA	90620	4260	00	06000	33.82392444	-118.0150698	Orange County
296522	Non-Physician Medical Practitioner	None	1639199615	0	0	VARNER, SUSAN LOUISE	5/23/2008	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
296555	Non-Physician Medical Practitioner	None	1356863997	0	0	VO, TRANG	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	3775 GEORGIA ST	UNIT 304	SAN DIEGO	CA	92103	7608	00	06000	32.74694623	-117.1449321	San Diego County
296608	Non-Physician Medical Practitioner	None	1649745217	0	0	VIERMA, NOEL A PA	2/25/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	300 HILLMONT AVE	None	VENTURA	CA	93003	3099	00	06000	34.27771547	-119.2540344	Ventura County
296662	Non-Physician Medical Practitioner	None	1275864399	0	0	VU, HUNG Q	10/1/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	309 W BEVERLY BLVD	None	MONTEBELLO	CA	90640	4308	00	06000	34.01597577	-118.1003516	Los Angeles County
296710	Non-Physician Medical Practitioner	None	1790156917	0	0	VENICE FAMILY CLINIC	7/21/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4700 INGLEWOOD BLVD	SUITE 101	LOS ANGELES	CA	90230	5896	00	06000	33.99315523	-118.4151866	Los Angeles County
296760	Non-Physician Medical Practitioner	None	1417574559	0	0	VALADEZ, HECTOR D PA-C	12/31/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	9939 MAGNOLIA AVE	None	RIVERSIDE	CA	92503	3528	00	06000	33.91571158	-117.4549231	Riverside County
296918	Non-Physician Medical Practitioner	None	1538662937	0	0	VISCOGLIOSI, PAUL PA	5/3/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3883 AIRWAY DR	165	SANTA ROSA	CA	95403	1671	00	06000	38.483226	-122.739705	Sonoma County
297072	Non-Physician Medical Practitioner	None	1407982689	0	0	VIVO, KYLE	3/1/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	311 WINSTON ST	None	LOS ANGELES	CA	90013	1519	00	06000	34.0454147	-118.2447356	Los Angeles County
297090	Non-Physician Medical Practitioner	None	1700410438	0	0	VALDEZ, NICOLE HILARY J PA	7/22/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1300 N VERMONT AVE	None	LOS ANGELES	CA	90027	6005	00	06000	34.0956033	-118.2916918	Los Angeles County
297146	Non-Physician Medical Practitioner	None	1942364708	0	0	VAINSHTEIN, ALEXANDER	7/12/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	9400 BRIGHTON WAY	SUITE #410	BEVERLY HILLS	CA	90210	4703	00	06000	34.07043476	-118.4011952	Los Angeles County
297288	Non-Physician Medical Practitioner	None	1750743555	0	0	VASISHTA, SHIVANI	6/1/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	7421 SANTA SUSANA WAY	None	FAIR OAKS	CA	95628	6743	00	06000	38.638998	-121.2904125	Sacramento County
297453	Non-Physician Medical Practitioner	None	1922023225	0	0	VOKIC, NOREEN C NP	7/22/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1755 MCALLISTER ST	APT 5	SAN FRANCISCO	CA	94115	4348	00	06000	37.77742819	-122.4409372	San Francisco County
297508	Non-Physician Medical Practitioner	None	1336738046	0	0	VU, ANNIE 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	1601 N MONTE VISTA AVE	#100	CLAREMONT	CA	91711	6601	00	06000	34.112259	-117.698539	Los Angeles County
297525	Non-Physician Medical Practitioner	None	1316677495	0	0	VUKADINOVIC, OKIEMUTE H NP	4/12/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1990 FRUITDALE AVE	None	SAN JOSE	CA	95128	2709	00	06000	37.31065241	-121.9285256	Santa Clara County
297534	Non-Physician Medical Practitioner	None	1710943733	0	0	VACHIRA, TANATE	12/26/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	23516 COSO	None	MISSION	CA	92692	1525	00	06000	33.62240971	-117.65016	Orange County
297540	Non-Physician Medical Practitioner	None	1235276940	0	0	VELIZ, AURA NP	6/11/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	405 N MACLAY AVE	STE 104	SAN FERNANDO	CA	91340	2445	00	06000	34.28673788	-118.4367207	Los Angeles County
297595	Non-Physician Medical Practitioner	None	1912400599	0	0	VALENZUELA, JOSE	2/7/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	35800 BOB HOPE DRIVE	#240	RANCHO MIRAGE	CA	92270	1740	00	06000	33.790527	-116.4058645	Riverside County
297680	Non-Physician Medical Practitioner	None	1023391216	0	0	VAVAO, JOLI A NP	7/7/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4902 FARNHAM DR	None	NEWARK	CA	94560	1408	00	06000	37.55750141	-122.0331143	Alameda County
297702	Non-Physician Medical Practitioner	None	1568891638	0	0	VALENTINE, DOMINICK PA-C	5/3/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	8700 BEVERLY BLVD	None	WEST HOLLYWOOD	CA	90048	1804	00	06000	34.07671715	-118.3799413	Los Angeles County
297776	Non-Physician Medical Practitioner	None	1861741787	0	0	VILLEGAS, JEMELY R NP	6/25/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1760 JORDAN	None	CLOVIS	CA	93611	6688	00	06000	36.851157	-119.6851095	Fresno County
297788	Non-Physician Medical Practitioner	None	1558966655	0	0	VO, TRACY T PA-C	6/10/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	8700 BEVERLY BLVD	None	LOS ANGELES	CA	90048	1804	00	06000	34.07671715	-118.3799413	Los Angeles County
297792	Non-Physician Medical Practitioner	None	1982646956	0	0	VO, PETER	3/1/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	36485 INLAND VALLEY DR	None	WILDOMAR	CA	92595	9681	00	06000	33.591699	-117.2368285	Riverside County
297872	Non-Physician Medical Practitioner	None	1811622913	0	0	VALENCIA, MAGGIE S NP	9/12/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	18310 US HWY 18	STE 100	APPLE VALLEY	CA	92307	2206	00	06000	34.54034956	-117.2645069	San Bernardino County
297910	Non-Physician Medical Practitioner	None	1730582743	0	0	VELEZ, KORIN E	11/1/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3418 WEST SUNNYVIEW AVE	None	VISALIA	CA	92391	6573	00	06000	36.350928	-119.327715	Tulare County
298008	Non-Physician Medical Practitioner	None	1265739767	0	0	VILLA, ELIZA C	7/1/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	331 SHADOW RUN DR	None	SAN JOSE	CA	95110	3544	00	06000	37.3113939	-121.8804076	Santa Clara County
298018	Non-Physician Medical Practitioner	None	1326312067	0	0	VERITY MEDICAL FOUNDATION	4/3/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	625 LINCOLN AVE	None	SAN JOSE	CA	95126	3705	00	06000	37.31809479	-121.9082315	Santa Clara County
298048	Non-Physician Medical Practitioner	None	1881685188	0	0	VISKANTA, TOMAS L	4/3/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	650 SAN DIEGUITO DR	None	ENCINITAS	CA	92024	4536	00	06000	33.04411275	-117.2892181	San Diego County
298057	Non-Physician Medical Practitioner	None	1861926263	0	0	VILLACARLOS, ANDREA S NP	1/22/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	701 E HARVARD	APT 9	GLENDALE	CA	91205	1174	00	06000	34.14450747	-118.2464685	Los Angeles County
298197	Non-Physician Medical Practitioner	None	1750569240	0	0	VIRGINIA, PAYNE J	3/1/2008	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1024 S GARFIELD AVE	None	ALHAMBRA	CA	91801	4762	00	06000	34.083612	-118.1230405	Los Angeles County
298234	Non-Physician Medical Practitioner	None	1245088491	0	0	VALLE MARISCAL, ABEL	7/17/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	465 W PUTNAM AVE	None	PORTERVILLE	CA	93257	3320	00	06000	36.06953472	-119.0273379	Tulare County
298421	Non-Physician Medical Practitioner	None	1144543109	0	0	VALVERDE, REBECCA IRENE	9/19/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	338 S DAKOTA AVE	None	VANDENBERG AFB	CA	93437	6307	00	06000	34.74540493	-120.5375984	Santa Barbara County
298439	Non-Physician Medical Practitioner	None	1508934860	0	0	VENTOCILLA, EDWIN G	6/18/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	380 EDGEBROOK DR	None	IONE	CA	95640	9510	00	06000	38.35210028	-120.9424555	Amador County
298619	Non-Physician Medical Practitioner	None	1285379636	0	0	VIRK, PREETPAL	1/23/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2545 W HAMMER LN	None	STOCKTON	CA	95209	2839	00	06000	38.0214303	-121.3461515	San Joaquin County
298628	Non-Physician Medical Practitioner	None	1275213332	0	0	VEGA, MARIO NP	8/31/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1656 W AVENUE J	None	LANCASTER	CA	93534	2814	00	06000	34.6893627	-118.1604668	Los Angeles County
298667	Non-Physician Medical Practitioner	None	1558958710	0	0	VU, DANH T PA-C	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	11190 WARNER AVE	408	FOUNTAIN VALLEY	CA	92708	4047	00	06000	33.714	-117.9333585	Orange County
298815	Non-Physician Medical Practitioner	None	1740698950	0	0	VILLANUEVA, JOHANNES G NP	1/27/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3131 BERGER AVE	None	SAN DIEGO	CA	92123	4233	00	06000	32.8019999	-117.1515447	San Diego County
298823	Non-Physician Medical Practitioner	None	1750957031	0	0	VARTANIANS, EVELYNA	12/15/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	BUENA VISTA & ALAMEDA ST	None	BURBANK	CA	91505	0000	00	06000	34.158213	-118.328112	Los Angeles County
298928	Non-Physician Medical Practitioner	None	1902482680	0	0	VELA, OZIEL PA	12/30/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1789 W YOSEMITE AVE	None	MANTECA	CA	95337	5160	00	06000	37.79964	-121.246425	San Joaquin County
298999	Non-Physician Medical Practitioner	None	1346851540	0	0	VALDOVINOS, ANA PA	5/11/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	275 N EL CIELO RD	None	PALM SPRINGS	CA	92262	6972	00	06000	33.82736911	-116.5109632	Riverside County
299000	Non-Physician Medical Practitioner	None	1134906613	0	0	VEGA, CHRISTOPHER	4/3/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1401 S GRANDE AVE	None	LOS ANGELES	CA	90015	3010	00	06000	34.03719097	-118.2654105	Los Angeles County
299014	Non-Physician Medical Practitioner	None	1003549437	0	0	VILLALUZ, ROSMIR R NP	5/19/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1420 S CENTRAL AVE	None	GLENDALE	CA	91204	2508	00	06000	34.12811155	-118.2577764	Los Angeles County
299045	Non-Physician Medical Practitioner	None	1619202652	0	0	VARGAS, ALFREDO	11/1/2009	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	9432 HEARTHSIDE CT	None	RANCHO CUCAMONGA	CA	91730	5157	00	06000	34.08184751	-117.5993652	San Bernardino County
299050	Non-Physician Medical Practitioner	None	1689760100	0	0	VISTA COMMUNITY CLINIC	3/30/2005	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4700 NORTH RIVER ROAD	None	OCEANSIDE	CA	92057	0000	00	06000	33.24542735	-117.3092006	San Diego County
299081	Non-Physician Medical Practitioner	None	1780992560	0	0	VIVONA, CHERIE C PA	6/1/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	93 CARRICK CIRCLE	None	HAYWARD	CA	94542	7925	00	06000	37.65570629	-122.012652	Alameda County
299109	Non-Physician Medical Practitioner	None	1477202208	0	0	VELLANKI, HETALBEN NP	10/3/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	39141 CIVIC CENTER DR	STE 335	FREMONT	CA	94538	5831	00	06000	37.55436307	-121.9764708	Alameda County
299119	Non-Physician Medical Practitioner	None	1033414131	0	0	VILLARREAL, LINDA IRENE	12/12/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	275 W MACARTHUR	None	OAKLAND	CA	94611	5641	00	06000	37.82397231	-122.2578822	Alameda County
299228	Non-Physician Medical Practitioner	None	1609547926	0	0	VOGEL, RACHEL PA-C	9/10/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	28780 SINGLE OAK DRIVE	SUITE 160	TEMECULA	CA	92590	5528	00	06000	33.49890392	-117.1612965	Riverside County
299302	Non-Physician Medical Practitioner	None	1760988935	0	0	VAYO, VICTORIA A NP	3/30/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	799 MAIN ST	STE D	HALF MOON BAY	CA	94019	1996	00	06000	37.45841679	-122.4300072	San Mateo County
299308	Non-Physician Medical Practitioner	None	1437698263	0	0	VANDER VOORT, ANGELA L PA-C	3/7/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2081 BRONZE STAR DR	None	WOODLAND	CA	95776	5423	00	06000	38.67049812	-121.7238394	Yolo County
299312	Non-Physician Medical Practitioner	None	1760722565	0	0	VALERA, REMELYN ANN ANGELES	2/12/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	400 W 30TH ST	None	LOS ANGELES	CA	90007	3320	00	06000	34.0239409	-118.2755606	Los Angeles County
299392	Non-Physician Medical Practitioner	None	1407505852	0	0	VAZQUEZ, ELVIA NP	2/7/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	35800 BOB HOPE DRIVE	#240	RANCHO MIRAGE	CA	92270	1740	00	06000	33.790527	-116.4058645	Riverside County
299398	Non-Physician Medical Practitioner	None	1477125250	0	0	VONG, TIMOTHY PA-C	5/25/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	999 N. TUSTIN AVE	UNIT # 216	SANTA ANA	CA	92705	3528	00	06000	33.754167	-117.834191	Orange County
299403	Non-Physician Medical Practitioner	None	1194068379	0	0	VALLEY HEALTH TEAM INC	7/24/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	702 S. 8TH STREET	None	KERMAN	CA	93630	0000	00	06000	36.72448721	-120.0564275	Fresno County
299470	Non-Physician Medical Practitioner	None	1467512145	0	0	VAN ZANT, TRACI	9/19/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	404 IYU CAMP LANE	None	APPLEGATE	CA	95703	0000	00	06000	39.00126171	-120.9872356	Placer County
299471	Non-Physician Medical Practitioner	None	1295822658	0	0	VISTA COMMUNITY CLINIC	1/2/1997	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1000 VALE TERRACE DR	None	VISTA	CA	92084	5218	00	06000	33.20904502	-117.2286439	San Diego County
299526	Non-Physician Medical Practitioner	None	1396339974	0	0	VINSON, JACOB M PA-C	9/20/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2335 E KASHIAN LANE	STE 220	FRESNO	CA	93701	2234	00	06000	36.74333844	-119.7831874	Fresno County
299565	Non-Physician Medical Practitioner	None	1619252152	0	0	VAN TASSELL, SARAH ELIZABETH	12/30/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	25835 BARTON RD	SUITE 101	LOMA LINDA	CA	92354	3897	00	06000	34.04825901	-117.2410721	San Bernardino County
299614	Non-Physician Medical Practitioner	None	1568714913	0	0	VEIGA, TOSHA L NP	1/17/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	7182 WILD LILAC CT	None	EASTVALE	CA	92880	9282	00	06000	33.95752991	-117.5923881	Riverside County
299648	Non-Physician Medical Practitioner	None	1033321500	0	0	VALMASSOI, DIANE ELIZABETH	2/13/2008	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	725 WELCH RD	None	PALO ALTO	CA	94304	1601	00	06000	37.43721275	-122.1744449	Santa Clara County
299660	Non-Physician Medical Practitioner	None	1629345509	0	0	VIRTUDES, JUCEVI	6/15/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1520 SAN PABLO ST	SUITE 1000	LOS ANGELES	CA	90033	5310	00	06000	34.06269295	-118.2030006	Los Angeles County
299664	Non-Physician Medical Practitioner	None	1760740138	0	0	VISTA COMMUNITY HEALTH CENTER	10/19/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	14117 HUBBARD ST	SUITE M	SYLMAR	CA	91342	4713	00	06000	34.29829689	-118.4405934	Los Angeles County
299694	Non-Physician Medical Practitioner	None	1841035854	0	0	VILLANUEVA GONZALEZ, ROBERT NP	8/21/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	41880 KALMIA ST	SUITE 100	MURRIETA	CA	92562	8835	00	06000	33.55740114	-117.2157733	Riverside County
299715	Non-Physician Medical Practitioner	None	1841977048	0	0	VANEGAS, ALEXIA PA	4/16/2025	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1700 E CESAR E CHAVEZ AV	SUITE 2500	LOS ANGELES	CA	90033	2434	00	06000	34.05101259	-118.217259	Los Angeles County
299781	Non-Physician Medical Practitioner	None	1922505775	0	0	VARGAS, CHRISTOPHER B PA-C	4/19/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2452 FENTON STREET	SUITE C203	CHULA VISTA	CA	91914	3599	00	06000	32.65084353	-116.9551689	San Diego County
299805	Non-Physician Medical Practitioner	None	1942845847	0	0	VANG, VICTORIA J NP	11/10/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	6789 N BLACKSTONE AVE	None	FRESNO	CA	93710	3530	00	06000	36.83695148	-119.7904013	Fresno County
299829	Non-Physician Medical Practitioner	None	1477888667	0	0	VALMEO, MYRNA C	12/15/2009	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1300 N VERMONT AVE # 606	None	LOS ANGELES	CA	90027	6005	00	06000	34.0956033	-118.2916918	Los Angeles County
299900	Non-Physician Medical Practitioner	None	1952670606	0	0	VLASVELD, AMANDA	4/12/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	38850 FARWELL DR	APT 11A	FREMONT	CA	94536	7277	00	06000	37.53375753	-122.0019253	Alameda County
299913	Non-Physician Medical Practitioner	None	1891249637	0	0	VAN VALKENBURG, COURTNEY NP	11/7/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2700 GOLD CLUB DR	APT 3	PALM SPRINGS	CA	92264	6526	00	06000	33.79188447	-116.485798	Riverside County
299920	Non-Physician Medical Practitioner	None	1982328001	0	0	VILLALOBOS, SABRINA PA	5/20/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	11832 E ROSECRANS AVE	SUITE 200	NORWALK	CA	90650	4107	00	06000	33.90211977	-118.0813129	Los Angeles County
300098	Non-Physician Medical Practitioner	None	1629495411	0	0	VILLEGAS, ROBERT R NP	6/7/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2602 THOMAS DRIVE	APT 105	EL CENTRO	CA	92243	7508	00	06000	32.76886167	-115.5573633	Imperial County
300165	Non-Physician Medical Practitioner	None	1316909757	0	0	VILLANUEVA, MICHAEL V PA-C	12/6/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	126 AVOCADO AVE	STE 207	PERRIS	CA	92571	2605	00	06000	33.8102395	-117.2244465	Riverside County
300200	Non-Physician Medical Practitioner	None	1043676067	0	0	VENTURA, CRISTINA NP	12/22/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	5710 CRESCENT PARK EAST	338	PLAYA VISTA	CA	90094	2076	00	06000	33.9716982	-118.4283285	Los Angeles County
300327	Non-Physician Medical Practitioner	None	1336793298	0	0	VASQUEZ, LISA	6/3/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	35800 BOB HOPE DRIVE	#240	RANCHO MIRAGE	CA	92270	1740	00	06000	33.790527	-116.4058645	Riverside County
300338	Non-Physician Medical Practitioner	None	1316046832	0	0	VASQUEZ, CINTHYA	11/4/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3017 MONTELLANO AVE	None	HACIENDA HEIGHTS	CA	91745	1006	00	06000	33.9877243	-117.9873384	Los Angeles County
300349	Non-Physician Medical Practitioner	None	1659692473	0	0	VEGA, VANESSA LAURA	12/1/2010	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	7400 SUNRISE BLVD	None	CITRUS HEIGHTS	CA	95610	3011	00	06000	38.700774	-121.271373	Sacramento County
300600	Non-Physician Medical Practitioner	None	1063865731	0	0	VELLA, JAMES L	11/1/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3149 ALLENTON AVENUE	None	HACIENDA HEIGHTS	CA	91725	1515	00	06000	33.97993953	-117.9672947	Los Angeles County
300614	Non-Physician Medical Practitioner	None	1629132642	0	0	VAREZ, MARCIA D K NP	10/12/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	13082 W ICON CIRCLE	None	PLAYA VISTA	CA	90094	2067	00	06000	33.9707199	-118.4249281	Los Angeles County
300726	Non-Physician Medical Practitioner	None	1538400361	0	0	VEGA, ANGELA M NP	6/4/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	600 STONEGATE DR	None	S SAN FRANCISCO	CA	94080	1564	00	06000	37.66497605	-122.4246239	San Mateo County
300795	Non-Physician Medical Practitioner	None	1194916569	0	0	VILLALOBOS, DANNY J PA-C	10/9/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	1800 W CHARLESTON BLVD	None	LAS VEGAS	NV	89102	2329	00	06000	36.1590063	-115.1674415	Clark County
300841	Non-Physician Medical Practitioner	None	1225679087	0	0	VIDES, PATRICK J NP	12/1/2021	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
300926	Non-Physician Medical Practitioner	None	1558028373	0	0	VELA, RICHARD M PA	10/3/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	800 S MAIN ST	None	CORONA	CA	92882	3420	00	06000	33.872958	-117.568359	Riverside County
300950	Non-Physician Medical Practitioner	None	1043851223	0	0	VARELA, ALEJANDRO PA	1/4/2021	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
300967	Non-Physician Medical Practitioner	None	1255448957	0	0	VUONG, KEVIN HIEU	10/15/2008	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	980 FLORIN RD	None	SACRAMENTO	CA	95831	3515	00	06000	38.493828	-121.5229545	Sacramento County
300972	Non-Physician Medical Practitioner	None	1740312826	0	0	VINES DOUGLAS, GRETA M	4/8/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1702 E FERNROCK ST	None	CARSON	CA	90746	2536	00	06000	33.85116884	-118.2403855	Los Angeles County
301003	Non-Physician Medical Practitioner	None	1073880126	0	0	VALLEY HEALTH TEAM INC	1/11/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	942 S MADERA AVE	None	KERMAN	CA	93630	1743	00	06000	36.721242	-120.0601105	Fresno County
301022	Non-Physician Medical Practitioner	None	1871847012	0	0	VASQUEZ, MICHELLE E NP	11/29/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	5311 MARVIEW DRIVE	None	LA PALMA	CA	90623	1528	00	06000	33.85146948	-118.0406095	Orange County
301027	Non-Physician Medical Practitioner	None	1154939841	0	0	VO, NGAN K NP	9/7/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	725 WELCH RD	None	PALO ALTO	CA	94304	1601	00	06000	37.43721275	-122.1744449	Santa Clara County
301065	Non-Physician Medical Practitioner	None	1376903724	0	0	VIDAL, NICOLE A NP	8/5/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	101 THE CITY DR S	None	ORANGE	CA	92868	3298	00	06000	33.78674051	-117.8888713	Orange County
301069	Non-Physician Medical Practitioner	None	1811080757	0	0	VANHORN, VERONICA J	11/28/2007	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	235 W SIXTH ST	None	RENO	NV	89503	4548	00	06000	39.53165987	-119.8181899	Washoe County
301115	Non-Physician Medical Practitioner	None	1851637680	0	0	VASEY, HELEN	4/22/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	101 THE CITY DR S	PAV III	ORANGE	CA	92868	3201	00	06000	33.78674051	-117.8888713	Orange County
301143	Non-Physician Medical Practitioner	None	1538324876	0	0	VAN KEUREN-PARENT, KORINNE S	9/12/2008	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4988 WAYLAND AVE	None	SAN JOSE	CA	95118	2628	00	06000	37.25602803	-121.8830879	Santa Clara County
301253	Non-Physician Medical Practitioner	None	1942588652	0	0	VANG, PA T NP	5/21/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	945 SHASTA CIRCLE	None	EL DORADO HILLS	CA	95762	4537	00	06000	38.65790789	-121.0749583	El Dorado County
301278	Non-Physician Medical Practitioner	None	1295836773	0	0	VALDEZ-MAGUIRE, GRACIELA NP	4/18/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4333 WAWONA ST	None	LOS ANGELES	CA	90065	5113	00	06000	34.13070997	-118.2282393	Los Angeles County
301372	Non-Physician Medical Practitioner	None	1689829475	0	0	VILLARREAL, ELIAS PA	1/5/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	200 W ARBOR DR	None	SAN DIEGO	CA	92103	9001	00	06000	32.7537975	-117.1658298	San Diego County
301460	Non-Physician Medical Practitioner	None	1447486295	0	0	VIAL, KELLY	6/22/2010	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1090 3RD ST	None	SOUTH LAKE TAHOE	CA	96150	3485	00	06000	38.91492536	-119.9966528	El Dorado County
301483	Non-Physician Medical Practitioner	None	1154447886	0	0	VOSKANIAN, MICHAEL E	7/5/2007	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1980 KETTNER BLVD	530	SAN DIEGO	CA	92101	2266	00	06000	32.72465245	-117.1696598	San Diego County
301504	Non-Physician Medical Practitioner	None	1114154747	0	0	VALJALO, ELIZABETH A NP	12/15/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	7007 LOCUST COURT	None	DUBLIN	CA	94568	1259	00	06000	37.7233778	-121.9252409	Alameda County
301532	Non-Physician Medical Practitioner	None	1609022151	0	0	VANHORN, MICHAEL J NP	3/26/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	22110 ROSCOE BLVD	STE 201	CANOGA PARK	CA	91304	3861	00	06000	34.21957849	-118.6082685	Los Angeles County
301603	Non-Physician Medical Practitioner	None	1366023897	0	0	VANG, DIA NP	6/16/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2210 E ILLINOIS	STE 406	FRESNO	CA	93701	2167	00	06000	36.74500687	-119.7846885	Fresno County
301646	Non-Physician Medical Practitioner	None	1801126404	0	0	VORA, HEENA S	3/26/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	18728 CABERNET DR	None	SARATOGA	CA	95070	3561	00	06000	37.2899	-121.9972895	Santa Clara County
301718	Non-Physician Medical Practitioner	None	1992100119	0	0	VEGA, ERICA NP	2/8/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3231 WEST 132ND ST	None	HAWTHORNE	CA	90250	5503	00	06000	33.91234351	-118.3298122	Los Angeles County
301722	Non-Physician Medical Practitioner	None	1962473561	0	0	VAHRADIAN, SCOTT K	2/14/2002	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	121 PACHECO AVE	None	SANTA CRUZ	CA	95062	1534	00	06000	36.98230486	-122.0051138	Santa Cruz County
301770	Non-Physician Medical Practitioner	None	1245920982	0	0	VALDEZ, KYLE P PA-C	3/21/2025	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	401 E HIGHLAND AVE	STE 351	SAN BERNARDINO	CA	92404	3830	00	06000	34.1358627	-117.2757778	San Bernardino County
301780	Non-Physician Medical Practitioner	None	1588754261	0	0	VEJAR, MARIA	8/6/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	12605 E 16TH AVE	None	AURORA	CO	80045	2545	00	06000	39.742182	-104.8408515	Adams County
301822	Non-Physician Medical Practitioner	None	1316143050	0	0	VONDERHEIDE, HEIDI Z PA	7/15/2008	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1262 N CERRITOS AVE	None	HANFORD	CA	93230	3617	00	06000	36.33808919	-119.6766913	Kings County
301856	Non-Physician Medical Practitioner	None	1376563064	0	0	VALDEVERONA, KATHY	9/16/2004	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	11234 ANDERSON ST	None	LOMA LINDA	CA	92354	2804	00	06000	34.049547	-117.264078	San Bernardino County
301892	Non-Physician Medical Practitioner	None	1013243690	0	0	VENTO, LAUREN ELIZABETH	11/1/2010	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	27700 MEDICAL CENTER RD	None	MISSION VIEJO	CA	92691	6426	00	06000	33.56008604	-117.6657795	Orange County
302015	Non-Physician Medical Practitioner	None	1689662801	0	0	VENGHIATTIS, VALERIE PA-C	12/1/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2000 SUTTER PL	None	DAVIS	CA	95616	6201	00	06000	38.56289303	-121.7715238	Yolo County
302028	Non-Physician Medical Practitioner	None	1316577471	0	0	VO, THUY NP	9/14/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	39141 CIVIC CENTER DR	STE 335	FREMONT	CA	94538	5831	00	06000	37.55436307	-121.9764708	Alameda County
302082	Non-Physician Medical Practitioner	None	1497820393	0	0	VAN GELDER, LEILA	4/15/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	276 INTERNATIONAL CIRCLE	KAISER PERMANENTE DEPT O	SAN JOSE	CA	95119	0000	00	06000	37.2402111	-121.8021684	Santa Clara County
302093	Non-Physician Medical Practitioner	None	1053645903	0	0	VERLASKY, MARC JOSEPH	10/23/2009	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3131 BERGER AVE	STE 200	SAN DIEGO	CA	92123	4203	00	06000	32.8019999	-117.1515447	San Diego County
302094	Non-Physician Medical Practitioner	None	1548406853	0	0	VARGAS, GREGORY E	9/6/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2078 GENOA CT	None	LOS BANOS	CA	93635	6432	00	06000	37.06784345	-120.8240091	Merced County
302161	Non-Physician Medical Practitioner	None	1073106670	0	0	VERGEL DE DIOS, ANN MARGARET S NP	4/13/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	30230 RANCHO VIEJO RD	STE 200	SAN JUAN CAPISTRA	CA	92675	1585	00	06000	33.52397575	-117.6652094	Orange County
302169	Non-Physician Medical Practitioner	None	1649610569	0	0	VAN ESSEN, VICTORIA CNM	7/12/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2161 E ST ANDREW DR	#406	FRESNO	CA	93701	2125	00	06000	36.88370717	-119.7446793	Fresno County
302216	Non-Physician Medical Practitioner	None	1164038022	0	0	VERGARA, CHRISTINE	3/22/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	35800 BOB HOPE DRIVE	#240	RANCHO MIRAGE	CA	92270	1740	00	06000	33.790527	-116.4058645	Riverside County
302244	Non-Physician Medical Practitioner	None	1629598529	0	0	VU, WENDY U NP	11/9/2022	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
302272	Non-Physician Medical Practitioner	None	1417566514	0	0	VEGA, CRISTINA PA-C	4/8/2021	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
302427	Non-Physician Medical Practitioner	None	1013283167	0	0	VINING, WENDY I	7/22/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	5849 ASCOTT DRIVE	None	OAKLAND	CA	94611	2702	00	06000	37.82096436	-122.1973574	Alameda County
302486	Non-Physician Medical Practitioner	None	1144523226	0	0	VINER, JENNIFER AMY	1/6/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	400 PARNASSUS AVE	SUITE A808	SAN FRANCISCO	CA	94143	2202	00	06000	37.76344756	-122.4581992	San Francisco County
302616	Non-Physician Medical Practitioner	None	1144541947	0	0	VINH, KENNY B	12/17/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	515 S BEACH BLVD STE F	None	ANAHEIM	CA	92804	1812	00	06000	33.82559703	-117.9934832	Orange County
302649	Non-Physician Medical Practitioner	None	1992039309	0	0	VENN, MONICA ELIZABETH	11/8/2010	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	530 NE GLEN OAK AVE 2645	None	PEORIA	IL	61637	0000	00	06000	40.70212745	-89.59137793	Peoria County
302736	Non-Physician Medical Practitioner	None	1205596590	0	0	VAN DOOREN, DAYNA	5/2/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2437 FENTON ST	STE A	CHULA VISTA	CA	91914	3517	00	06000	32.65259485	-116.9605449	San Diego County
302771	Non-Physician Medical Practitioner	None	1245748979	0	0	VUU, DONNA K PA-C	9/16/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	360 SAN MIGUEL DR	STE 309	NEWPORT BEACH	CA	92660	7836	00	06000	33.61321911	-117.8722084	Orange County
302899	Non-Physician Medical Practitioner	None	1316531825	0	0	VUE, NORA M	4/14/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1739 COLORADO AVE	None	TURLOCK	CA	95382	2714	00	06000	37.508976	-120.835306	Stanislaus County
302952	Non-Physician Medical Practitioner	None	1942736186	0	0	VILLEGAS, ALEJANDRA 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	284 W NUEVO VALLARTA DR	None	IMPERIAL	CA	92251	1162	00	06000	32.82749146	-115.5606525	Imperial County
302954	Non-Physician Medical Practitioner	None	1316430754	0	0	VARUGHESE, ALLYSHA PA	11/28/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1140 LA VETA	STE 430	ORANGE	CA	92868	4226	00	06000	33.7802984	-117.8651669	Orange County
302979	Non-Physician Medical Practitioner	None	1568005478	0	0	VARMA, KIRTI NP	11/6/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2160 APPIAN WAY	SUITE 200	PINOLE	CA	94564	2565	00	06000	37.99585174	-122.3021549	Contra Costa County
303009	Non-Physician Medical Practitioner	None	1750697926	0	0	VALENTIN, SUSAN T NP	7/24/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2839 OLIVARES LANE	None	SAN MATEO	CA	94403	3438	00	06000	37.54614454	-122.2962169	San Mateo County
303023	Non-Physician Medical Practitioner	None	1407234438	0	0	VIGNOLO, TIMOTHY F	1/1/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	490 BRIDLE AVE	None	BAKERSFIELD	CA	93307	7318	00	06000	35.2691029	-119.0074029	Kern County
303047	Non-Physician Medical Practitioner	None	1881677649	0	0	VELA, RICARDO	10/4/2005	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	403 W F ST	None	ONTARIO	CA	91762	3207	00	06000	34.069293	-117.655065	San Bernardino County
303059	Non-Physician Medical Practitioner	None	1801850318	0	0	VECCHIARELLI, KELLY A NP	10/2/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3117 N LAMER ST	None	BURBANK	CA	91504	1628	00	06000	34.21431735	-118.3312813	Los Angeles County
303155	Non-Physician Medical Practitioner	None	1407331713	0	0	VALENZUELA, STEPHANIE NP	11/4/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4139 BALL RD	None	CYPRESS	CA	90630	3465	00	06000	33.81766548	-118.060362	Orange County
303204	Non-Physician Medical Practitioner	None	1902440399	0	0	VINCENT, MARGARITA PA	1/16/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2025 MORSE AVE	None	SACRAMENTO	CA	95825	2115	00	06000	38.602089	-121.3925895	Sacramento County
303313	Non-Physician Medical Practitioner	None	1649662719	0	0	VISTA COMMUNITY CLINIC	4/20/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	30195 FRASER DRIVE	None	LAKE ELSINORE	CA	92530	7006	00	06000	33.68444711	-117.3679692	Riverside County
303333	Non-Physician Medical Practitioner	None	1689903916	0	0	VRABEL, LEEANN H PA	10/22/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	710 LAWRENCE EXPY	None	SANTA CLARA	CA	95051	5173	00	06000	37.33636857	-121.9958111	Santa Clara County
303338	Non-Physician Medical Practitioner	None	1174007330	0	0	VARGAS, ERIKA L NP	11/26/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	462 MAYLIN ST	None	PASADENA	CA	91105	1630	00	06000	34.14262467	-118.1606165	Los Angeles County
303359	Non-Physician Medical Practitioner	None	1346886538	0	0	VELARDE, ALEXANDER PA	5/28/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1055 EAST COLORADO BLVD	None	PASADENA	CA	91188	2375	00	06000	34.14595648	-118.1287575	Los Angeles County
303442	Non-Physician Medical Practitioner	None	1255456620	0	0	VARGAS, TRACI RENEE	11/30/2007	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	10418 VALLEY BLVD	None	EL MONTE	CA	91731	3600	00	06000	34.07647884	-118.0458956	Los Angeles County
303515	Non-Physician Medical Practitioner	None	1093391807	0	0	VARISCO, MADISON NP	7/4/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1680 E 120 ST	None	LOS ANGELES	CA	90059	3026	00	06000	33.92456051	-118.2417525	Los Angeles County
303639	Non-Physician Medical Practitioner	None	1003588914	0	0	VALDEZ, DORIAN I NP	5/16/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	5555 GROSSMONT CENTER DR	None	LA MESA	CA	91942	3019	00	06000	32.781483	-117.007182	San Diego County
303660	Non-Physician Medical Practitioner	None	1417272543	0	0	VALLIEN, ROXANNE M	11/12/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2301 W EL SEGUNDO BLVD	None	HAWTHORNE	CA	90250	3315	00	06000	33.91648639	-118.3186099	Los Angeles County
303685	Non-Physician Medical Practitioner	None	1194210054	0	0	VILES, JOEL PA-C	1/19/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	1775 THOMPSON ROAD	None	COOS BAY	OR	97420	2125	00	06000	43.383456	-124.2330435	Coos County
303699	Non-Physician Medical Practitioner	None	1861906356	0	0	VILLAMATER, JOANNA M NP	9/1/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	100 UCLA MEDICAL PLZ	755	LOS ANGELES	CA	90024	6990	00	06000	34.06544724	-118.4459249	Los Angeles County
303712	Non-Physician Medical Practitioner	None	1558011072	0	0	VO, RYAN D PA	10/10/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	225 N JACKSON AVE	EMERGENCY DEPARTMENT	SAN JOSE	CA	95116	1603	00	06000	37.36217918	-121.8472051	Santa Clara County
303772	Non-Physician Medical Practitioner	None	1609451830	0	0	VILLA, ARIANNA M NP	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	6155 CORNERSTONE CT E	220	SAN DIEGO	CA	92121	4736	00	06000	32.89582335	-117.1880966	San Diego County
303778	Non-Physician Medical Practitioner	None	1386751121	0	0	VAHED, YACOOB	11/15/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	388 E OCEAN BLVD	APT 703	LONG BEACH	CA	90802	5264	00	06000	33.76662781	-118.1880651	Los Angeles County
303811	Non-Physician Medical Practitioner	None	1609330109	0	0	VILLAGRAN-GONZALEZ, DANIEL A PA-C	3/31/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1401 SPANOS CT	STE 130	MODESTO	CA	95355	2815	00	06000	37.66975543	-120.9724048	Stanislaus County
303915	Non-Physician Medical Practitioner	None	1700104007	0	0	VANNICOLA MAGSANAY, STEPHANIE MARIA	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	1425 S MAIN ST	None	WALNUT CREEK	CA	94596	5318	00	06000	37.89189148	-122.057999	Contra Costa County
303918	Non-Physician Medical Practitioner	None	1225406333	0	0	VASQUEZ, CAROL R NP	10/30/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	780 ATLANTIC AVE	None	LONG BEACH	CA	90813	4565	00	06000	33.776325	-118.1850235	Los Angeles County
303928	Non-Physician Medical Practitioner	None	1528471174	0	0	VON DER SCHMIDT, MADELEINE J	1/1/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3801 E PACIFIC COAST AVE	APT 208	LONG BEACH	CA	90804	2058	00	06000	33.78988405	-118.147383	Los Angeles County
303955	Non-Physician Medical Practitioner	None	1972074821	0	0	VYAS, USHA R NP	1/2/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1501 TROUSDALE DR	None	BURLINGAME	CA	94010	4506	00	06000	37.592811	-122.382351	San Mateo County
303964	Non-Physician Medical Practitioner	None	1700240629	0	0	VARGHESE, ANN SHERLY NP	9/11/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	401 E HIGHLAND AVE	# 551	SAN BERNARDINO	CA	92404	3861	00	06000	34.1358627	-117.2757778	San Bernardino County
303983	Non-Physician Medical Practitioner	None	1568192383	0	0	VLASEK, RONA J NP	6/25/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	6341 AUBURN BLVD	STE A	CITRUS HEIGHTS	CA	95621	5203	00	06000	38.682126	-121.3165035	Sacramento County
304033	Non-Physician Medical Practitioner	None	1649570797	0	0	VENSEL, SARAH KATHLEEN	1/15/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	595 CASTRO ST	None	SAN FRANCISCO	CA	94114	2511	00	06000	37.75948491	-122.4348475	San Francisco County
304065	Non-Physician Medical Practitioner	None	1174192512	0	0	VILLACORTA, GEORGINA L NP	10/30/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	225 NORTH JACKSON	None	SAN JOSE	CA	95116	1603	00	06000	37.36217918	-121.8472051	Santa Clara County
304123	Non-Physician Medical Practitioner	None	1790052819	0	0	VASQUEZ, EMIL F	3/14/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	6831 UPTON STREET	None	SAN DIEGO	CA	92111	1100	00	06000	32.79040662	-117.1727945	San Diego County
304256	Non-Physician Medical Practitioner	None	1437812633	0	0	VERDE, BEA C NP	12/28/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1700 MT VERNON AVE	None	BAKERSFIELD	CA	93306	4018	00	06000	35.382555	-118.970757	Kern County
304323	Non-Physician Medical Practitioner	None	1467095059	0	0	VUE, JESSICA PA-C	12/13/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1675 ALHAMBRA	STE B	SACRAMENTO	CA	95816	7047	00	06000	38.563983	-121.4679915	Sacramento County
304363	Non-Physician Medical Practitioner	None	1417283508	0	0	VALDEZ, JESSICA M	7/1/2010	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	17043 GALESBERG ST	None	GRANADA HILLS	CA	91344	2557	00	06000	34.28495745	-118.503693	Los Angeles County
304379	Non-Physician Medical Practitioner	None	1790240646	0	0	VINODRAO, HIMABINDU G NP	12/11/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	9140 ALCOSTA BLVD	SUITE D	SAN RAMON	CA	94583	3858	00	06000	37.73044953	-121.9301023	Contra Costa County
304383	Non-Physician Medical Practitioner	None	1225323421	0	0	VEN, SAVY	4/5/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2405 W 8TH ST STE 105	None	LOS ANGELES	CA	90057	5016	00	06000	34.05634309	-118.2810868	Los Angeles County
304406	Non-Physician Medical Practitioner	None	1679130322	0	0	VALES KENNEDY, GUILLERMO PA-C	9/22/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	12260 FOOTHILL BLVD	None	SYLMAR	CA	91342	6001	00	06000	34.28200485	-118.4030797	Los Angeles County
304419	Non-Physician Medical Practitioner	None	1871702456	0	0	VENCILL, TERESA K NP	7/7/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	7838 W MANCHESTER AVE	APT 6	PLAYA DEL REY	CA	90293	8429	00	06000	33.9596671	-118.433977	Los Angeles County
304446	Non-Physician Medical Practitioner	None	1790409878	0	0	VAN LIEW, LINDSEY PA	1/17/2025	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1131 W 6TH ST	250	ONTARIO	CA	91762	1108	00	06000	34.084404	-117.6717015	San Bernardino County
304469	Non-Physician Medical Practitioner	None	1306382197	0	0	VESTA, KATHERINE M NP	3/14/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	8180 MANITOBA ST	357	PLAYA DEL REY	CA	90293	8644	00	06000	33.95499561	-118.4381892	Los Angeles County
304492	Non-Physician Medical Practitioner	None	1912250614	0	0	VELASQUEZ, ANA MIRELLA	12/29/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1720 CESAR EAST CHAVEZ	None	LONS ANGELES	CA	90033	2414	00	06000	34.04925	-118.2177405	Los Angeles County
304505	Non-Physician Medical Practitioner	None	1487153300	0	0	VILLERS, TANYA L NP	10/1/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2505 LUCAS STREET	None	EUREKA	CA	95501	3340	00	06000	40.79130448	-124.139304	Humboldt County
304567	Non-Physician Medical Practitioner	None	1932214855	0	0	VELEZ, SHARON J PA-C	9/16/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1801 E TAHQUITZ CANYON W	103	PALM SPRINGS	CA	92262	7120	00	06000	33.82303451	-116.5265775	Riverside County
304653	Non-Physician Medical Practitioner	None	1740281898	0	0	VAN NESS, BRIAN E PA	4/22/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	00	06000	37.7634502	-122.4579779	San Francisco County
304703	Non-Physician Medical Practitioner	None	1124327739	0	0	VILLAIRE, PAUL S NP	11/23/2019	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
304712	Non-Physician Medical Practitioner	None	1023560885	0	0	VILLATORO, DANIELLE M NP	2/6/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3719 ALBURY AVENUE	None	LONG BEACH	CA	90808	2102	00	06000	33.82568142	-118.1173394	Los Angeles County
304715	Non-Physician Medical Practitioner	None	1972673895	0	0	VINYARD, RENEE	1/1/2003	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	234 HOSPITAL DR	None	UKIAH	CA	95482	4560	00	06000	39.15203603	-123.2036111	Mendocino County
304740	Non-Physician Medical Practitioner	None	1356013924	0	0	VU, TRANG T NP	1/26/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2141 N HARBOR BLVD	STE 25000	FULLERTON	CA	92835	3830	00	06000	33.89443025	-117.9288328	Orange County
304748	Non-Physician Medical Practitioner	None	1417034489	0	0	VANETSKY, GARY E PA-C	3/30/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4244 RIVERWALK PKWY	170	RIVERSIDE	CA	92505	8509	00	06000	33.90336622	-117.49394	Riverside County
304764	Non-Physician Medical Practitioner	None	1295706661	0	0	VENTURA, IVAN L	11/17/2005	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1976 SUMMERGLEN DR	None	ATWATER	CA	95301	4076	00	06000	37.34370051	-120.5713665	Merced County
304867	Non-Physician Medical Practitioner	None	1649759317	0	0	VERDE, JASON NP	4/9/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	9710 BRIMHALL ROAD	None	BAKERSFIELD	CA	93312	2779	00	06000	35.3687456	-119.1106561	Kern County
304876	Non-Physician Medical Practitioner	None	1316178312	0	0	VARDAPETIAN, ANI	9/22/2009	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	735 E PALMER AVE	UNIT 104	GLENDALE	CA	91205	3490	00	06000	34.13264528	-118.2454096	Los Angeles County
304916	Non-Physician Medical Practitioner	None	1184224396	0	0	VILLALOBOS, REBECA NP	4/28/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	655 EUCLID AVE	STE 205	NATIONAL CITY	CA	91950	2967	00	06000	32.68353398	-117.082625	San Diego County
304954	Non-Physician Medical Practitioner	None	1619318342	0	0	VAN SCHARREL, KRISTEN M NP	11/2/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	508 WHITE ALDER DR	None	BAKERSFIELD	CA	93314	4229	00	06000	35.34995608	-119.1671243	Kern County
304962	Non-Physician Medical Practitioner	None	1629622345	0	0	VO, EILEEN D PA-C	3/8/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	7774 CHERRY AVE	None	FONTANA	CA	92336	4014	00	06000	34.11281482	-117.488717	San Bernardino County
305010	Non-Physician Medical Practitioner	None	1871850032	0	0	VASQUEZ, MICHELLE E NP	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	5311 MARVIEW DRIVE	None	LA PALMA	CA	90623	1528	00	06000	33.85146948	-118.0406095	Orange County
305044	Non-Physician Medical Practitioner	None	1356613301	0	0	VARGAS, PABLO IVAN	3/6/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	11234 ANDERSON ST	None	LOMA LINDA	CA	92354	2804	00	06000	34.049547	-117.264078	San Bernardino County
305064	Non-Physician Medical Practitioner	None	1083876544	0	0	VARGAS, DANIEL	8/17/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	16905 S DENKER AVENUE	None	GARDENA	CA	90247	5316	00	06000	33.87823049	-118.30485	Los Angeles County
305117	Non-Physician Medical Practitioner	None	1548507858	0	0	VALENTA, CAYLIE PA-C	4/15/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	40700 CALIFORNIA OAKS RD	SUITE 208	MURRIETA	CA	92562	5789	00	06000	33.57067363	-117.2045035	Riverside County
305181	Non-Physician Medical Practitioner	None	1770642407	0	0	VORA, MILAN P	3/6/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3261 STONEBERRY LANE	None	CORONA	CA	92882	8384	00	06000	33.84002727	-117.5896178	Riverside County
305219	Non-Physician Medical Practitioner	None	1952850364	0	0	VU, KAITLYN	12/21/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2690 PACIFIC AVE	STE 290	LONG BEACH	CA	90806	2631	00	06000	33.805854	-118.1936805	Los Angeles County
305293	Non-Physician Medical Practitioner	None	1104335934	0	0	VOLLMANN, DAWN PA	2/27/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	18035 BROOKHURST ST	1200	FOUNTAIN VALLEY	CA	92708	6738	00	06000	33.701184	-117.9544385	Orange County
305428	Non-Physician Medical Practitioner	None	1215959788	0	0	VASSALLO, NANCY JO	8/1/2008	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1 MEDICAL PLAZA DR	None	ROSEVILLE	CA	95661	3037	00	06000	38.76553806	-121.2497067	Placer County
305440	Non-Physician Medical Practitioner	None	1144662743	0	0	VAN BUSKIRK, JENNIFER L	4/17/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	190 GOLF COURSE DR	UNIT 159	ROHNERT PARK	CA	94928	4919	00	06000	38.36227289	-122.7074375	Sonoma County
305528	Non-Physician Medical Practitioner	None	1861585150	0	0	VERGARA, ERVIN NP	3/19/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	22110 ROSCOE BLVD	STE 201	CANOGA PARK	CA	91304	3861	00	06000	34.21957849	-118.6082685	Los Angeles County
305549	Non-Physician Medical Practitioner	None	1851642573	0	0	VLADEANU-ION, CRISTINA L NP	6/3/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	123 ATLANTIC AVENUE	None	LONG BEACH	CA	90802	5121	00	06000	33.7685184	-118.1850803	Los Angeles County
305628	Non-Physician Medical Practitioner	None	1104490796	0	0	VASSALLO, ELISSE NP	11/3/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4676 ADMIRALTY	3RD FLOOR	MARINA DEL REY	CA	90292	6601	00	06000	33.98035311	-118.4403749	Los Angeles County
305652	Non-Physician Medical Practitioner	None	1154666212	0	0	VILLALBA, GABRIELA G NP	2/8/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	10775 PIONEER TRL	STE 215	TRUCKEE	CA	96161	0234	00	06000	39.33573744	-120.180872	Nevada County
305659	Non-Physician Medical Practitioner	None	1942728795	0	0	VASQUEZ, STACEY PA	2/27/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	9400 ROSECRANS AVE	None	BELLFLOWER	CA	90706	2246	00	06000	33.9040752	-118.1328995	Los Angeles County
305666	Non-Physician Medical Practitioner	None	1699784470	0	0	VANG, SER	6/1/2008	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1441 FLORIDA AVE	None	MODESTO	CA	95350	4405	00	06000	37.66508443	-120.9962589	Stanislaus County
305705	Non-Physician Medical Practitioner	None	1538972468	0	0	VARGAS, MELISSA PA	3/26/2025	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	18300 US HIGHWAY 18	None	APPLE VALLEY	CA	92307	2206	00	06000	34.5406159	-117.2658221	San Bernardino County
305734	Non-Physician Medical Practitioner	None	1649797846	0	0	VALDIVIA, CRISTINA	9/19/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	8515 EMERALD AVE	None	FONTANA	CA	92335	3813	00	06000	34.09893674	-117.4324709	San Bernardino County
305735	Non-Physician Medical Practitioner	None	1295310399	0	0	VALLE, SANDY NP	12/2/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1680 EAST 120TH ST	None	LOS ANGELES	CA	90059	3026	00	06000	33.92456051	-118.2417525	Los Angeles County
305806	Non-Physician Medical Practitioner	None	1487148151	0	0	VAN, BRIAN PA-C	7/21/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1055 EAST COLORADO BLVD	None	PASADENA	CA	91188	2375	00	06000	34.14595648	-118.1287575	Los Angeles County
305859	Non-Physician Medical Practitioner	None	1275869067	0	0	VELAZQUEZ, DIANA T PA	6/23/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	23181 VERDUGO DR STE 103	None	LAGUNA HILLS	CA	92653	1313	00	06000	33.62609529	-117.7293191	Orange County
305976	Non-Physician Medical Practitioner	None	1134667231	0	0	VILLARUEL, YURI NP	8/14/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	13193 CENTRAL AVENUE	SUITE 200	CHINO	CA	91710	4179	00	06000	34.01406506	-117.6891684	San Bernardino County
305987	Non-Physician Medical Practitioner	None	1497390876	0	0	VILLAVER, NORLYNDA S NP	9/23/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3349 G ST STE C	None	MERCED	CA	95340	0978	00	06000	37.32464815	-120.4692963	Merced County
306061	Non-Physician Medical Practitioner	None	1891058640	0	0	VARADHARAJAN, AISHWARYA A	9/1/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	22235 LARK ST	None	GRAND TERRACE	CA	92313	5925	00	06000	34.02513247	-117.319374	San Bernardino County
306070	Non-Physician Medical Practitioner	None	1184063554	0	0	VIZCARRA, NATALIE C PA-C	5/23/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1040 ELM AVE	STE 300	LONG BEACH	CA	90813	3267	00	06000	33.779799	-118.1879535	Los Angeles County
306080	Non-Physician Medical Practitioner	None	1659451201	0	0	VILLAMATER, RYAN H	8/5/2008	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	10833 LE CONTE AVE	None	LOS ANGELES	CA	90095	3075	00	06000	34.06373445	-118.443537	Los Angeles County
306190	Non-Physician Medical Practitioner	None	1417234410	0	0	VERMEULEN, JESSICA J NP	7/5/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	21109 GARY DRIVE	APT 307	CASTRO VALLEY	CA	94546	6145	00	06000	37.68852878	-122.0907686	Alameda County
306212	Non-Physician Medical Practitioner	None	1013631357	0	0	VAN LIEW, RYAN D PA-C	2/6/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	36485 INLAND VALLEY DR	None	WILDOMAR	CA	92595	9681	00	06000	33.591699	-117.2368285	Riverside County
306228	Non-Physician Medical Practitioner	None	1134960636	0	0	VILES, ERIC R PA-C	7/4/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2309 ANTONIO AVE	None	CAMARILLO	CA	93010	1414	00	06000	34.24435917	-119.0191975	Ventura County
306261	Non-Physician Medical Practitioner	None	1285066597	0	0	VARMA, VANITA I NP	10/30/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1010 VETERAN AVE	None	LOS ANGELES	CA	90024	2704	00	06000	34.06108607	-118.4503417	Los Angeles County
306316	Non-Physician Medical Practitioner	None	1033598412	0	0	VALLEY HEALTH TEAM INC	1/14/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1250 SMITH ST	None	KINGSBURG	CA	93631	2216	00	06000	36.51289003	-119.5489338	Fresno County
306321	Non-Physician Medical Practitioner	None	1942610969	0	0	VU, JEFFREY D NP	1/30/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1400 WISTERIA AVENUE	None	LA HABRA	CA	90631	9259	00	06000	33.92625889	-117.9611972	Orange County
306343	Non-Physician Medical Practitioner	None	1396258141	0	0	VU, JENNY MY NP	10/24/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	7515 OAKTREE AVE	None	WESTMINSTER	CA	92683	9304	00	06000	33.76611547	-117.997902	Orange County
306369	Non-Physician Medical Practitioner	None	1326084583	0	0	VANEGAS-DIAZ, LISA L PA	6/10/2019	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	None	COLTON	CA	92324	1801	00	06000	34.073505	-117.3505995	San Bernardino County
306471	Non-Physician Medical Practitioner	None	1255702676	0	0	VUONG, TEDMAN NP	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	3184 VINELAND AVE	None	BALDWIN PARK	CA	91706	4716	00	06000	34.07196015	-117.9679416	Los Angeles County
306499	Non-Physician Medical Practitioner	None	1962997973	0	0	VICTORIA, GUSTAVO	11/13/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	14924 S CASTLEGATE AVE	None	COMPTON	CA	90211	3024	00	06000	33.89726628	-118.196672	Los Angeles County
306574	Non-Physician Medical Practitioner	None	1073639225	0	0	VOSS, LISA A	3/12/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	16954 SILVER PINE ROAD	None	SAN DIEGO	CA	92127	2824	00	06000	33.02430761	-117.1166604	San Diego County
306640	Non-Physician Medical Practitioner	None	1174288237	0	0	VOLPE, MATTHEW	1/26/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	41540 WINCHESTER RD	None	TEMECULA	CA	92590	4877	00	06000	33.52069117	-117.1653103	Riverside County
306717	Non-Physician Medical Practitioner	None	1013153642	0	0	VARANI, ASHENA	5/20/2009	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3840 WATT AVE	SUITE E	SACRAMENTO	CA	95821	2640	00	06000	38.635938	-121.3810065	Sacramento County
306812	Non-Physician Medical Practitioner	None	1558632471	0	0	VELAZQUEZ, MAYRA	3/12/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	11919 HESPERIA RD	None	HESPERIA	CA	92345	2158	00	06000	34.46759507	-117.2925837	San Bernardino County
306822	Non-Physician Medical Practitioner	None	1982037040	0	0	VACCAREZZA, RYAN ELIZABETH	9/8/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	975 S FAIRMONT AVE	None	LODI	CA	95240	5118	00	06000	38.12188356	-121.285872	San Joaquin County
306838	Non-Physician Medical Practitioner	None	1881875904	0	0	VANG, LEE SANDY	12/18/2007	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	110 VALERIA AVE	SUITE 406	FRESNO	CA	93701	0000	00	06000	36.74388938	-119.7847725	Fresno County
306863	Non-Physician Medical Practitioner	None	1215421433	0	0	VILLASENOR, LOURDES NP	7/1/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2701 S BRISTOL ST	None	SANTA ANA	CA	92704	6201	00	06000	33.71114199	-117.8853958	Orange County
306908	Non-Physician Medical Practitioner	None	1801141700	0	0	VALENTI, SUSANNE T PA	8/26/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	00	06000	37.7634502	-122.4579779	San Francisco County
306962	Non-Physician Medical Practitioner	None	1861625121	0	0	VALLE, SANDRA E	10/12/2009	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3351 EL CAMINO REAL	SUITE 225	ATHERTON	CA	94027	3811	00	06000	37.4659667	-122.2071835	San Mateo County
307005	Non-Physician Medical Practitioner	None	1427320951	0	0	VICKERY, RINA B NP	7/24/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	13297 SASSAFRAS ST	None	MORENO VALLEY	CA	92553	6976	00	06000	33.92750028	-117.2713536	Riverside County
307024	Non-Physician Medical Practitioner	None	1952310641	0	0	VILLA, MONICA MARIE	8/14/2006	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	74 ENTRADA AVE	None	OAKLAND	CA	94611	4312	00	06000	37.82722098	-122.2490132	Alameda County
307029	Non-Physician Medical Practitioner	None	1306317987	0	0	VERHOEVEN, JACOB J PA	2/7/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1700 COFFEE RD	None	MODESTO	CA	95355	2803	00	06000	37.668645	-120.9756715	Stanislaus County
307063	Non-Physician Medical Practitioner	None	1811699721	0	0	VO, LESSLY	6/26/2023	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
307154	Non-Physician Medical Practitioner	None	1447863386	0	0	VANG, CHOR NP	7/28/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2767 OLIVE HWY	None	OROVILLE	CA	95966	6118	00	06000	39.506454	-121.5412785	Butte County
307195	Non-Physician Medical Practitioner	None	1871891747	0	0	VICENCIO, ARLENE A	7/11/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2725 PAVILION PARKWAY	APT 5319	TRACY	CA	95304	9587	00	06000	37.75983389	-121.4673826	San Joaquin County
307262	Non-Physician Medical Practitioner	None	1326319856	0	0	V, SERRATO M	3/19/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2410 FLETCHER AVE	3RD FL	SANTA BARBARA	CA	93105	4828	00	06000	34.43003406	-119.7251391	Santa Barbara County
307313	Non-Physician Medical Practitioner	None	1538492327	0	0	VAN HORN, LINDA K	10/15/2009	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	10984 WOLF RD	None	GRASS VALLEY	CA	95949	8179	00	06000	39.05016171	-121.1054512	Nevada County
307404	Non-Physician Medical Practitioner	None	1629018965	0	0	VENNIK, ANTHONY T	1/1/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2009 KLAMATH RIVER DR	None	RANCHO CARDOVA	CA	95670	2912	00	06000	38.627991	-121.269555	Sacramento County
307405	Non-Physician Medical Practitioner	None	1154660553	0	0	VAN DER HEYDEN, JAMES J	5/5/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	12051 NELSON ST	None	GARDEN GROVE	CA	92840	3201	00	06000	33.78779527	-117.9455972	Orange County
307442	Non-Physician Medical Practitioner	None	1306480413	0	0	VU, ALBERT M PA-C	3/22/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	00	06000	37.313433	-121.9318385	Santa Clara County
307446	Non-Physician Medical Practitioner	None	1194720144	0	0	VAN AUSDELN, BLAINE CHRISTOPHER	4/7/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	7373 WEST LN	None	STOCKTON	CA	95210	3377	00	06000	38.017701	-121.297869	San Joaquin County
307505	Non-Physician Medical Practitioner	None	1841998341	0	0	VILLARREAL-ANTILLON, SOPHIA NP	4/24/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1175 E ARROWY HWY	UNIT M	UPLAND	CA	91786	5525	00	06000	34.09981647	-117.636003	San Bernardino County
307608	Non-Physician Medical Practitioner	None	1457014789	0	0	VELAZQUEZ, LIZBETH NP	11/13/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	220 N IMPERIAL AVE	None	IMPERIAL	CA	92251	1265	00	06000	32.84929968	-115.5699356	Imperial County
307610	Non-Physician Medical Practitioner	None	1831292895	0	0	VALENTIN, MELINDA NEYMAR	1/11/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3901 LONE TREE WAY	None	ANTIOCH	CA	94509	6200	00	06000	37.98252	-121.8030615	Contra Costa County
307648	Non-Physician Medical Practitioner	None	1487971958	0	0	VEPA, MELISSA T	7/4/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	39400 PASEO PADRE PKWY	None	FREMONT	CA	94538	2310	00	06000	37.55102172	-121.9759026	Alameda County
307731	Non-Physician Medical Practitioner	None	1083880678	0	0	VARELA, NIVIA S	5/1/2008	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1811 FONTANA RANCH ROAD	None	HUGHSON	CA	95326	8908	00	06000	37.60416	-120.8554795	Stanislaus County
307792	Non-Physician Medical Practitioner	None	1093484115	0	0	VERNER, ANNA V NP	10/12/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	35800 BOB HOPE DRIVE	#240	RANCHO MIRAGE	CA	92270	1740	00	06000	33.790527	-116.4058645	Riverside County
307810	Non-Physician Medical Practitioner	None	1477111581	0	0	VAZQUEZ MERCED, ERIC	2/13/2025	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	16912 SAN FERNANDO MISSI	None	GRANADA HILLS	CA	91344	4249	00	06000	34.27201353	-118.500093	Los Angeles County
307811	Non-Physician Medical Practitioner	None	1255410320	0	0	VO, NGHI D	10/14/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	35800 BOB HOPE DRIVE	#240	RANCHO MIRAGE	CA	92270	1740	00	06000	33.790527	-116.4058645	Riverside County
307882	Non-Physician Medical Practitioner	None	1588057145	0	0	VYAS, JESSICA PA	5/30/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1055 EAST COLORADO BLVD	None	PASADENA	CA	91188	2375	00	06000	34.14595648	-118.1287575	Los Angeles County
307894	Non-Physician Medical Practitioner	None	1952356925	0	0	VILLASENOR, CHERYL A NP	1/10/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	23181 VERDUGO DR STE 103	None	LAGUNA HILLS	CA	92653	1313	00	06000	33.62609529	-117.7293191	Orange County
307898	Non-Physician Medical Practitioner	None	1558638601	0	0	VALLEY HEALTH TEAM	3/12/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	927 O ST	None	FIREBAUGH	CA	93622	2220	00	06000	36.86053934	-120.4581864	Fresno County
308049	Non-Physician Medical Practitioner	None	1336337484	0	0	VALENTE-MOORE, GINA M	10/29/2009	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	18144 SECO ST	None	JAMESTOWN	CA	95327	9737	00	06000	37.95208073	-120.4216785	Tuolumne County
308191	Non-Physician Medical Practitioner	None	1871157701	0	0	VAN DYKE, GREGORY T PA	7/16/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	115 MALL DRIVE	None	HANFORD	CA	93230	5786	00	06000	36.32396253	-119.6688834	Kings County
308205	Non-Physician Medical Practitioner	None	1447894902	0	0	VEGA, SARA PA	4/29/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	00	06000	38.470392	-121.4223975	Sacramento County
308222	Non-Physician Medical Practitioner	None	1295145993	0	0	VALDEZ, ANGELA C NP	2/22/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2657 VALENCIA CIR	None	THOUSAND OAKS	CA	91360	1330	00	06000	34.21538786	-118.9017861	Ventura County
308287	Non-Physician Medical Practitioner	None	1437715695	0	0	VARTAPETOVA, ALEKSANDRA NP	6/21/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	8700 BEVERLY BLVD	None	WEST HOLLYWOOD	CA	90048	1804	00	06000	34.07671715	-118.3799413	Los Angeles County
308291	Non-Physician Medical Practitioner	None	1063011617	0	0	VALASEK, HEATHER N PA-C	3/24/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	5600 CALIFORNIA AVE	STE 101	BAKERSFIELD	CA	93309	1614	00	06000	35.356203	-119.0612695	Kern County
308314	Non-Physician Medical Practitioner	None	1487046272	0	0	VALENCIA, LISETTE A PA	2/24/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	9961 SIERRA AVE	None	FONTANA	CA	92335	6720	00	06000	34.072245	-117.4319685	San Bernardino County
308321	Non-Physician Medical Practitioner	None	1942738943	0	0	VERMILLION, SOPHAVY S PA	12/10/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	00	06000	34.09813032	-118.2901794	Los Angeles County
308323	Non-Physician Medical Practitioner	None	1164404034	0	0	VALDEZ, XAVIER I	9/14/2007	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	325 7TH AVE	402	SAN DIEGO	CA	92101	7177	00	06000	32.708817	-117.158252	San Diego County
308358	Non-Physician Medical Practitioner	None	1548989494	0	0	VIDAL, STEPHANIE E PA-C	2/21/2025	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	701 E EL CAMINO REAL	None	MOUNTAIN VIEW	CA	94040	2833	00	06000	37.37715796	-122.0651926	Santa Clara County
308370	Non-Physician Medical Practitioner	None	1811368897	0	0	VU, BAO K T	12/21/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	8831 EMERALD AVE	None	WESTMINSTER	CA	92683	7205	00	06000	33.73360152	-117.97515	Orange County
308431	Non-Physician Medical Practitioner	None	1043853237	0	0	VAN DER HAM, ALEX C PA-C	2/20/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	8700 WARNER	SUITE 140	FOUNTAIN VALLEY	CA	92708	3207	00	06000	33.71568247	-117.977193	Orange County
308446	Non-Physician Medical Practitioner	None	1053954610	0	0	VERNOLA, MUSIC 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	23181 VERDUGO DR STE 103	None	LAGUNA HILLS	CA	92653	1313	00	06000	33.62609529	-117.7293191	Orange County
308561	Non-Physician Medical Practitioner	None	1518333202	0	0	VOLLMER, ANALUISA L NP	10/2/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1736 OAK CREEK DR	APT 404	PALO ALTO	CA	94304	2115	00	06000	37.43283328	-122.1875346	Santa Clara County
308587	Non-Physician Medical Practitioner	None	1376849323	0	0	VO-DINH, KATHERINE PHUONG-NAM	4/25/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	11155 NE HALSEY STREET	ROSE CITY URGENT CARE AN	PORTLAND	OR	97220	0000	00	06000	45.53352953	-122.5477935	Multnomah County
308630	Non-Physician Medical Practitioner	None	1871520809	0	0	VU, TUANTU	1/4/2007	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2969 E SALEM AVE	None	FRESNO	CA	93720	4982	00	06000	36.85884012	-119.7309326	Fresno County
308633	Non-Physician Medical Practitioner	None	1376046680	0	0	VIBAL-POASTER, MARIA KRIST	7/3/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1808 FERN HOLLOW DRIVE	None	DIAMOND DRIVE	CA	91765	2729	00	06000	33.98883505	-117.8413898	Los Angeles County
308635	Non-Physician Medical Practitioner	None	1033303201	0	0	VU, AMY E	9/26/2008	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	911 HACIENDA DR	None	EL CAJON	CA	92020	1715	00	06000	32.80751293	-116.9913953	San Diego County
308658	Non-Physician Medical Practitioner	None	1700611290	0	0	VU, CHRISTINE TAM	2/21/2025	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	5725 S SOTO ST	None	HUNTINGTON PARK	CA	90255	9993	00	06000	33.990444	-118.2193965	Los Angeles County
308746	Non-Physician Medical Practitioner	None	1184246704	0	0	VIDALES, VICTOR C PA	5/22/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1 QUALITY DRIVE	None	VACAVILLE	CA	95688	9494	00	06000	38.38851772	-121.9382798	Solano County
308751	Non-Physician Medical Practitioner	None	1366111882	0	0	VALADEZ, ANDREW	8/4/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	710 S BROADWAY	STE 212	WALNUT CREEK	CA	94596	5219	00	06000	37.89702115	-122.0569066	Contra Costa County
308758	Non-Physician Medical Practitioner	None	1659575157	0	0	VOLLMER-SANDHOLM, MARY J NP	12/28/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	101 EAST REDLANDS BLVD	SUITE 106	REDLANDS	CA	92373	0000	00	06000	34.05731952	-117.181197	San Bernardino County
308770	Non-Physician Medical Practitioner	None	1053832857	0	0	VENEGAS, DIANA S	9/1/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	21137 DALTON AVE	None	TORRANCE	CA	90501	2324	00	06000	33.83717475	-118.3028334	Los Angeles County
308797	Non-Physician Medical Practitioner	None	1841873486	0	0	VAZQUEZ, JENNIFER A NP	6/30/2021	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
308902	Non-Physician Medical Practitioner	None	1558175273	0	0	VEGA, YAZA NP	3/12/2025	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1225 WILSHIRE BOULEVARD	None	LOS ANGELES	CA	90017	1901	00	06000	34.05358988	-118.2661119	Los Angeles County
308980	Non-Physician Medical Practitioner	None	1801659073	0	0	VELASQUEZ, ELIZABETH NP	5/30/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	9057 CENTRAL AVE	None	MONTCLAIR	CA	91763	1622	00	06000	34.0896003	-117.6894613	San Bernardino County
308999	Non-Physician Medical Practitioner	None	1033773379	0	0	VANDERHYDE, HOLLY NP	11/12/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	16850 BEAR VALLEY RD	None	VICTORVILLE	CA	92395	5794	00	06000	34.47092468	-117.2977236	San Bernardino County
309088	Non-Physician Medical Practitioner	None	1275116147	0	0	VILLANUEVA, ELEANOR PA	6/23/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	300 PASTEUR DR	None	STANFORD	CA	94305	2200	00	06000	37.43304542	-122.1759654	Santa Clara County
309125	Non-Physician Medical Practitioner	None	1326409061	0	0	VOSBURG, CHRISTINA M CNP	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	18800 MAIN ST	None	HUNTINGTON BEACH	CA	92648	1717	00	06000	33.68890364	-117.9949974	Orange County
309255	Non-Physician Medical Practitioner	None	1871926709	0	0	VICKERS, AMANDA K NP	4/20/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	307 TUNNEL AVE	None	RICHMOND	CA	94801	3941	00	06000	37.92427472	-122.3853664	Contra Costa County
309283	Non-Physician Medical Practitioner	None	1689909046	0	0	VARGAS, EDGAR E	6/1/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	740 E CARSON ST	APT 6	LONG BEACH	CA	90807	2951	00	06000	33.83193181	-118.1831722	Los Angeles County
309378	Non-Physician Medical Practitioner	None	1881838142	0	0	VOELKER, KATHRYN M	6/2/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1715 CYPRESS ST	None	BRENTWOOD	CA	94513	7007	00	06000	37.94260985	-121.7295061	Contra Costa County
309449	Non-Physician Medical Practitioner	None	1952948838	0	0	VAN, KATIE C NP	1/24/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	24241 HAWTHORNE BLVD	SUITE 201	TORRANCE	CA	90505	6504	00	06000	33.802578	-118.351229	Los Angeles County
309456	Non-Physician Medical Practitioner	None	1265893689	0	0	VAUGHAN, ALEXANDRA K	1/4/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	320 ELIOT LANE	None	LONG BEACH	CA	90814	1701	00	06000	33.768882	-118.1355615	Los Angeles County
309519	Non-Physician Medical Practitioner	None	1972528081	0	0	VARGAS, ROBERT M	3/10/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	8339 GOLDEN AVE	None	LEMON GROVE	CA	91945	2649	00	06000	32.74131872	-117.0176069	San Diego County
309620	Non-Physician Medical Practitioner	None	1952845372	0	0	VON ZABERN, LISA N NP	3/28/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	17970 SPRING VIEW LANE	None	RIVERSIDE	CA	92503	6590	00	06000	33.85909574	-117.4553623	Riverside County
309630	Non-Physician Medical Practitioner	None	1962593954	0	0	VAN AUKER, LAURA L	1/1/1999	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3133 PROFESSIONAL DR	#20	AUBURN	CA	95603	2463	00	06000	38.9412	-121.100888	Placer County
309634	Non-Physician Medical Practitioner	None	1598469892	0	0	VINCELETTE, JENNY L 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	22419 KENT AVE	None	TORRANCE	CA	90505	2303	00	06000	33.824448	-118.3564765	Los Angeles County
309693	Non-Physician Medical Practitioner	None	1609554476	0	0	VISHEH, PARYA	9/26/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	26730 TOWNE CENTRE DR ST	SUITE 102	FOOTHILL RANCH	CA	92610	2857	00	06000	33.67419218	-117.6628315	Orange County
309717	Non-Physician Medical Practitioner	None	1821840638	0	0	VIGIL, VALERIE NP	2/4/2025	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	17100 EUCLID STREET	None	FOUNTAIN VALLEY	CA	92708	4004	00	06000	33.715035	-117.936993	Orange County
309721	Non-Physician Medical Practitioner	None	1932823697	0	0	VILLARREAL, BRENDA I PA	2/22/2023	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
309919	Non-Physician Medical Practitioner	None	1093780421	0	0	VALENCIANO, MARCI JEANETTE	8/31/2010	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3020 CHILDRENS WAY	None	SAN DIEGO	CA	92123	4223	00	06000	32.798691	-117.150829	San Diego County
309942	Non-Physician Medical Practitioner	None	1821858739	0	0	VIRK, NAVNEET NP	6/4/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	500 W HOSPITAL ROAD	None	FRENCH CAMP	CA	95231	9693	00	06000	37.88652418	-121.2820956	San Joaquin County
309952	Non-Physician Medical Practitioner	None	1699301853	0	0	VU, MONICA PA	4/7/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	00	06000	34.09813032	-118.2901794	Los Angeles County
310029	Non-Physician Medical Practitioner	None	1134591621	0	0	VICKREY, ALISA M PA-C	1/4/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1355 EAST ST	SUITE 200	REDDING	CA	96001	0801	00	06000	40.58628506	-122.3887911	Shasta County
310101	Non-Physician Medical Practitioner	None	1245885706	0	0	VILLARRUEL, CECILIA PA	6/23/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2895 N TOWNE AVE	None	POMONA	CA	91767	2009	00	06000	34.098525	-117.7368955	Los Angeles County
310103	Non-Physician Medical Practitioner	None	1336692474	0	0	VANG, SOPHIE NP	7/1/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2825 CAPITOL AVENUE	None	SACRAMENTO	CA	95816	6039	00	06000	38.570805	-121.4696385	Sacramento County
310121	Non-Physician Medical Practitioner	None	1437245412	0	0	VISTA COMMUNITY CLINIC	2/14/2007	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	517 N HORNE ST	None	OCEANSIDE	CA	92054	2518	00	06000	33.20130263	-117.3784497	San Diego County
310146	Non-Physician Medical Practitioner	None	1194347872	0	0	VASQUEZ, ALYSSA J PA	11/1/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	400 NORTH PEPPER AVENUE	None	COLTON	CA	92324	1819	00	06000	34.073505	-117.3505995	San Bernardino County
310232	Non-Physician Medical Practitioner	None	1396287843	0	0	VANG, GAO G NP	2/2/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	8259 N FOWLER	None	CLOVIS	CA	93619	8688	00	06000	36.855837	-119.6881515	Fresno County
310287	Non-Physician Medical Practitioner	None	1700264777	0	0	VICKER, RYAN T	5/27/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	14442 RUTGER CIRCLE	None	MOORPARK	CA	93021	1323	00	06000	34.29597907	-118.8603623	Ventura County
310311	Non-Physician Medical Practitioner	None	1275129868	0	0	VILLAGRACIA, SHEERY MARIE J NP	7/22/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	670 SIERRA ROSE DR	None	RENO	NV	89511	2072	00	06000	39.4735137	-119.7995156	Washoe County
310355	Non-Physician Medical Practitioner	None	1790131183	0	0	VU, VIVIAN T NP	11/28/2017	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
310443	Non-Physician Medical Practitioner	None	1871147942	0	0	VALLE, JASON E CNP	8/2/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	12566 VALLEY VIEW ST	None	GARDEN GROVE	CA	92845	2006	00	06000	33.78049752	-118.0307808	Orange County
310489	Non-Physician Medical Practitioner	None	1598224024	0	0	VILLEGAS, CRISTIAN E NP	5/22/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	275 N EL CIELO RD	None	PALM SPRINGS	CA	92262	6972	00	06000	33.82736911	-116.5109632	Riverside County
310656	Non-Physician Medical Practitioner	None	1689132474	0	0	VU, BAOKHOI D PA-C	5/21/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2097 COMPTON AVE	BLDG 1, SUITE 103	CORONA	CA	92881	7282	00	06000	33.847776	-117.536173	Riverside County
310665	Non-Physician Medical Practitioner	None	1386946770	0	0	VEGA, RICARDO	6/18/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	9011 BUCKLES STREET	None	DOWNEY	CA	90241	5474	00	06000	33.92981831	-118.127547	Los Angeles County
310767	Non-Physician Medical Practitioner	None	1639854250	0	0	VARGAS, REIGENE NP	7/12/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	729 SUNRISE AVE	SUITE 602	ROSEVILLE	CA	95661	4542	00	06000	38.73444822	-121.2720033	Placer County
310835	Non-Physician Medical Practitioner	None	1245706605	0	0	VIDAL, ALYSSA P NP	5/12/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1011 E DEVONSHIRE AVE	STE 201	HEMET	CA	92543	3033	00	06000	33.75118151	-116.9615025	Riverside County
310879	Non-Physician Medical Practitioner	None	1033441175	0	0	VIGANO, KATHLEEN M	6/15/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	30722 CARROLL AVE	None	HAYWARD	CA	94544	7524	00	06000	37.61777662	-122.0433869	Alameda County
310886	Non-Physician Medical Practitioner	None	1134491392	0	0	VOYCE, CARRIE C NP	7/25/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	230 SAN JOSE STREET	None	SALINAS	CA	93901	3901	00	06000	36.65837657	-121.6469645	Monterey County
310891	Non-Physician Medical Practitioner	None	1881600674	0	0	VEGA, BEATRIZ A NP	2/25/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	22110 ROSCOE BLVD	STE 201	CANOGA PARK	CA	91304	3861	00	06000	34.21957849	-118.6082685	Los Angeles County
310911	Non-Physician Medical Practitioner	None	1144535220	0	0	VANDERBECK, KENNETH J PA-C	10/1/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	401 SPRUCE ST	APT 5	SAN DIEGO	CA	92103	5899	00	06000	32.73866947	-117.1610636	San Diego County
311006	Non-Physician Medical Practitioner	None	1417283367	0	0	VAZQUEZ, LILIA ELIZABETH	12/17/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	12291 WASHINGTON BLVD	SUITE 205	WHITTIER	CA	90606	2500	00	06000	33.96734104	-118.0508773	Los Angeles County
311181	Non-Physician Medical Practitioner	None	1649504135	0	0	VILLALTA, MARICELA	11/18/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	5601 DE SOTO AVE	None	WOODLAND HILLS	CA	91367	6701	00	06000	34.17030266	-118.5881699	Los Angeles County
311245	Non-Physician Medical Practitioner	None	1386743011	0	0	VAKIS, DOROTHEA J	4/15/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1150 VETERANS BLVD	CARDIOLOGY STATION K	REDWOOD CITY	CA	94063	0000	00	06000	37.48948529	-122.2232468	San Mateo County
311262	Non-Physician Medical Practitioner	None	1023884319	0	0	VELAZQUEZ, MIGUEL A NP	3/21/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	757 WESTWOOD PLZ	None	LOS ANGELES	CA	90095	8358	00	06000	34.06633051	-118.4452686	Los Angeles County
311290	Non-Physician Medical Practitioner	None	1831304047	0	0	VOIGT, KATHLEEN C	4/1/2009	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	2377 S 22ND DR	None	YUMA	AZ	85364	8865	00	06000	32.6844	-114.6468735	Yuma County
311306	Non-Physician Medical Practitioner	None	1932217528	0	0	VAVRA, ANN M	1/8/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	27213 FIELDWOOD CT	None	SANTA CLARITA	CA	91387	3804	00	06000	34.40821899	-118.4435025	Los Angeles County
311359	Non-Physician Medical Practitioner	None	1356414221	0	0	VERHARST, ELIZABETH A NP	12/12/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	11300 WARNER AVE	APT C108	FOUNTAIN VALLEY	CA	92708	4134	00	06000	33.71632951	-117.931005	Orange County
311378	Non-Physician Medical Practitioner	None	1033191473	0	0	VARNI, NANCY ANN	9/1/2002	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	455 S MAIN ST	None	ORANGE	CA	92868	3835	00	06000	33.78077578	-117.8673468	Orange County
311386	Non-Physician Medical Practitioner	None	1508005331	0	0	VEAL, CYNTHIA L NP	2/26/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	670 SIERRA ROSE DR	None	RENO	NV	89511	2072	00	06000	39.4735137	-119.7995156	Washoe County
311388	Non-Physician Medical Practitioner	None	1285456525	0	0	VALADEZ, ALEXANDRIA L PA-C	2/28/2025	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4445 MAGNOLIA AVE	None	RIVERSIDE	CA	92501	4135	00	06000	33.9760587	-117.3800672	Riverside County
311412	Non-Physician Medical Practitioner	None	1760927867	0	0	VAN BEEK, ANDREA G NP	9/2/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	938 N CHERRY ST	None	VISALIA	CA	93274	2210	00	06000	36.221211	-119.337643	Tulare County
311417	Non-Physician Medical Practitioner	None	1194860023	0	0	VILARDI, LAURA ANN	2/27/2009	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	10666 N TORREY PINES RD	None	LAJOLLA	CA	92037	0000	00	06000	32.89687721	-117.2418677	San Diego County
311538	Non-Physician Medical Practitioner	None	1023649449	0	0	VANDERSLUIS, KAELI PA-C	6/13/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5423	00	06000	34.21980849	-118.4301135	Los Angeles County
311553	Non-Physician Medical Practitioner	None	1134840853	0	0	VILLEGAS, NATALIA NP	8/8/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2395 LOMBARD ST	None	SAN FRANCISCO	CA	94123	2601	00	06000	37.79922688	-122.4406853	San Francisco County
311559	Non-Physician Medical Practitioner	None	1437624764	0	0	VINK, CHAZ A PA-C	4/5/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2101 N WATERMAN AVE	None	SAN BERNARDINO	CA	92404	4836	00	06000	34.13502	-117.2758635	San Bernardino County
311614	Non-Physician Medical Practitioner	None	1255374690	0	0	VEYNA, KATHRYN J	5/16/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1414 WEST MEADOW LANE	None	VISALIA	CA	93277	3536	00	06000	36.321966	-119.307609	Tulare County
311663	Non-Physician Medical Practitioner	None	1891941910	0	0	VON MICHAELIS, CAROL M	11/30/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	14000 E ARAPAHOE RD	#300	CENTENNIAL	CO	80112	4028	00	06000	39.593889	-104.8255605	Arapahoe County
311885	Non-Physician Medical Practitioner	None	1235677881	0	0	VIERRA, ERIN P NP	5/12/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4205 MEPHAM CT	None	EL DORADO HILLS	CA	95762	4280	00	06000	38.69036801	-121.0885122	El Dorado County
311887	Non-Physician Medical Practitioner	None	1871092064	0	0	VALLE, NATALIE P	3/16/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	933 CHAPARRAL DR	None	WALNUT	CA	91789	4167	00	06000	34.0306988	-117.8845785	Los Angeles County
311924	Non-Physician Medical Practitioner	None	1972050060	0	0	VASHISHTA, SUZANNE PA-C	3/18/2025	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	22 CORPORATE PLAZA DR	None	NEWPORT BEACH	CA	92660	7985	00	06000	33.607602	-117.876852	Orange County
311956	Non-Physician Medical Practitioner	None	1396369328	0	0	VAWTER, JASON PA	4/16/2025	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	505 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2204	00	06000	37.7634502	-122.4579779	San Francisco County
312091	Non-Physician Medical Practitioner	None	1174297642	0	0	VOPNFORD, ERIKA NP	9/18/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	725 WELCH RD	None	PALO ALTO	CA	94304	1601	00	06000	37.43721275	-122.1744449	Santa Clara County
312152	Non-Physician Medical Practitioner	None	1255194072	0	0	VALLEJO UGALDE, MIRIAM CNP	3/4/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2271 E PALMDALE BLVD	SUITE E	PALMDALE	CA	93550	1340	00	06000	34.58021047	-118.087218	Los Angeles County
312183	Non-Physician Medical Practitioner	None	1245988161	0	0	VASCONCELOS B BORBA PONTUAL, EMANUELLE NP	4/13/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2773 HARRIS ST	STE A & D	EUREKA	CA	95503	4866	00	06000	40.78052829	-124.1363953	Humboldt County
312218	Non-Physician Medical Practitioner	None	1477844785	0	0	VANG, KAYING	4/28/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	7471 N. FRESNO STREET	None	FRESNO	CA	93720	2457	00	06000	36.84632065	-119.783885	Fresno County
312654	Non-Physician Medical Practitioner	None	1275108755	0	0	VISNEAU, BRANDON L NP	5/1/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	6621 FANNIN STREET	None	HOUSTON	TX	77030	2303	00	06000	29.70724683	-95.4026169	Harris County
312657	Non-Physician Medical Practitioner	None	1205160025	0	0	VALENTINE, SUSAN O NP	12/7/2009	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1878 GREENFIELD AVE	APT 102	LOS ANGELES	CA	90025	6436	00	06000	34.04661554	-118.4395006	Los Angeles County
312715	Non-Physician Medical Practitioner	None	1376984096	0	0	VASQUEZ GARCIA, JENNA NP	5/1/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2512 EDGEBROOK DR	None	MODESTO	CA	95354	1964	00	06000	37.64734454	-120.9487994	Stanislaus County
312716	Non-Physician Medical Practitioner	None	1598987331	0	0	VILLAVERT, ERWIN P NP	9/19/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	20333 FUERTE DR	None	WALNUT	CA	91789	1906	00	06000	34.02931652	-117.856962	Los Angeles County
312805	Non-Physician Medical Practitioner	None	1578787917	0	0	VELASQUEZ, KENNETH	8/1/2002	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	ORTHOPAEDIC ADMINISTRATI	COLTON	CA	92324	1801	00	06000	34.073505	-117.3505995	San Bernardino County
312834	Non-Physician Medical Practitioner	None	1649276346	0	0	VERON, HECTOR A PA	12/6/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1800 WESTERN AVE	STE 401	SAN BERNARDINO	CA	92411	1355	00	06000	34.1315778	-117.3182453	San Bernardino County
312842	Non-Physician Medical Practitioner	None	1790024396	0	0	VELEZ, KATELYNN N PA-C	5/1/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3976 FRUITVALE AVE	None	OAKLAND	CA	94602	2424	00	06000	37.80639404	-122.2112324	Alameda County
312847	Non-Physician Medical Practitioner	None	1609389550	0	0	VASCONEZ, KATIE NP	9/13/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	5725 W LAS POSITAS BLVD	STE 100	PLEASANTON	CA	94588	4007	00	06000	37.688107	-121.8861427	Alameda County
312983	Non-Physician Medical Practitioner	None	1154806297	0	0	VENUTO, ALEXANDRA N PA-C	1/20/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1500 SAN PABLO ST	None	LOS ANGELES	CA	90033	5313	00	06000	34.06238259	-118.2030986	Los Angeles County
313007	Non-Physician Medical Practitioner	None	1215266747	0	0	VICTOR, KATE ZEBATTO	2/21/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	300 W 10TH AVE	None	COLUMBUS	OH	43210	1280	00	06000	39.99445991	-83.01733882	Franklin County
313077	Non-Physician Medical Practitioner	None	1558743757	0	0	VIEIRA, KATHERINE E NP	10/5/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1899 CATALINA AVE	None	BERKELEY	CA	94707	1906	00	06000	37.89316248	-122.2774302	Alameda County
313109	Non-Physician Medical Practitioner	None	1295126050	0	0	VO-LEXTRAIIT, NHI T	4/17/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2617 LANCASTER RD	None	HAYWARD	CA	94542	1217	00	06000	37.66449548	-122.0502152	Alameda County
313141	Non-Physician Medical Practitioner	None	1750056487	0	0	VILLA PADILLA, ANTONIO NP	12/8/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1720 E CESAR E CHAVEZ AV	None	LOS ANGELES	CA	90033	2414	00	06000	34.04925	-118.2177405	Los Angeles County
313167	Non-Physician Medical Practitioner	None	1780258657	0	0	VEA, DAVINA	1/4/2025	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	2400 S AVENUE A	None	YUMA	AZ	85364	7127	00	06000	32.683167	-114.633459	Yuma County
313196	Non-Physician Medical Practitioner	None	1376887018	0	0	VAN BIBBER, ALYSSA MARIE	6/1/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1880 N ORANGE GROVE AVE	None	POMONA	CA	91767	3006	00	06000	34.07803211	-117.74833	Los Angeles County
313208	Non-Physician Medical Practitioner	None	1477218824	0	0	VALENCIA BARBOZA, EVELYN PA	3/11/2025	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	28780 SINGLE OAK DRIVE	SUITE 160	TEMECULA	CA	92590	5528	00	06000	33.49890392	-117.1612965	Riverside County
313228	Non-Physician Medical Practitioner	None	1851517023	0	0	VILLARREAL, KATHRYN LOREE	8/14/2007	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	7014 N WHITNEY AVE	None	FRESNO	CA	93720	0155	00	06000	36.83834474	-119.7423213	Fresno County
313265	Non-Physician Medical Practitioner	None	1316314693	0	0	VRECA-PONNEQUIN, VIDA	4/4/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	9477 EAST UNDERWOOD RD	None	ACAMPO	CA	95220	9672	00	06000	38.213253	-121.201677	San Joaquin County
313281	Non-Physician Medical Practitioner	None	1861101693	0	0	VILLARREAL, EDNA K PA-C	3/13/2025	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	415 KNOLLCREST DR	STE 101	REDDING	CA	96002	0181	00	06000	40.57267376	-122.3643496	Shasta County
313290	Non-Physician Medical Practitioner	None	1811540982	0	0	VERWEIJ, NIKA C PA-C	11/4/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	300 PASTEUR DR	None	STANFORD	CA	94305	2200	00	06000	37.43304542	-122.1759654	Santa Clara County
313301	Non-Physician Medical Practitioner	None	1336447689	0	0	VARELA, XAVIER F	5/1/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	340 EPIC WAY	UNIT 479	SAN JOSE	CA	95134	3373	00	06000	37.39958388	-121.9192077	Santa Clara County
313307	Non-Physician Medical Practitioner	None	1588892889	0	0	VARGAS-VILLENA, ANA CECILIA	10/13/2009	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4440 BROCKTON AVE	None	RIVERSIDE	CA	92501	4068	00	06000	33.97764104	-117.3838896	Riverside County
313480	Non-Physician Medical Practitioner	None	1235522483	0	0	VICENTE, JENNIFER M NP	4/4/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	6742 GLORYWHITE ST	None	LAKEWOOD	CA	90713	2222	00	06000	33.84723764	-118.1013961	Los Angeles County
313485	Non-Physician Medical Practitioner	None	1477920486	0	0	VALESI, MELANIE K NP	3/16/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1451 LARKIN ST	APT 15	SAN FRANCISCO	CA	94109	4746	00	06000	37.79146737	-122.4192122	San Francisco County
313505	Non-Physician Medical Practitioner	None	1003022120	0	0	VIEIRA, MAUREEN T NP	7/7/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	200 W COOLIDGE AVE	None	MODESTO	CA	95350	4447	00	06000	37.66550267	-120.9951522	Stanislaus County
313534	Non-Physician Medical Practitioner	None	1467414367	0	0	VARELA MORALES, MARILYN A	7/1/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	7912 4TH PL	None	DOWNEY	CA	90241	3239	00	06000	33.94615733	-118.1385241	Los Angeles County
313545	Non-Physician Medical Practitioner	None	1669830188	0	0	VO, TRUC T T NP	6/7/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2628 W SKYWOOD PL	None	ANAHEIM	CA	92804	2122	00	06000	33.82778402	-117.9774851	Orange County
313565	Non-Physician Medical Practitioner	None	1174174049	0	0	VAN ANDEL, BRITTA A NP	8/26/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	87 SCRIPPS DR	None	SACRAMENTO	CA	95825	6379	00	06000	38.572092	-121.410261	Sacramento County
313610	Non-Physician Medical Practitioner	None	1790365633	0	0	VILLANUEVA-ANCHETA, ELLRE	8/17/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1212 S MAIN ST	None	SALINAS	CA	93901	2260	00	06000	36.65759539	-121.6594973	Monterey County
313635	Non-Physician Medical Practitioner	None	1861722621	0	0	VALDELLON, MELISSA A	3/8/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1600 DIVISADERO ST	None	SAN FRANCISCO	CA	94115	3010	00	06000	37.78475261	-122.43973	San Francisco County
313642	Non-Physician Medical Practitioner	None	1629301601	0	0	VILLARREAL, CARLOS I	6/6/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	580 ST CHARLES DR	APT 7	THOUSAND OAKS	CA	91360	3905	00	06000	34.18850541	-118.8795033	Ventura County
313665	Non-Physician Medical Practitioner	None	1417721937	0	0	VUONG, TINA NP	6/10/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	8700 BEVERLY BLVD	None	LOS ANGELES	CA	90048	1804	00	06000	34.07671715	-118.3799413	Los Angeles County
313681	Non-Physician Medical Practitioner	None	1790976025	0	0	VENABLE, LORI D	12/21/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	23840 PIGTAIL LANE	None	ORLAND	CA	95963	9500	00	06000	39.80126748	-122.149197	Tehama County
313734	Non-Physician Medical Practitioner	None	1316251382	0	0	VI, LINDA NP	4/16/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	5319 BELLFLOWER BLVD	None	LAKEWOOD	CA	90713	1413	00	06000	33.8542385	-118.1253114	Los Angeles County
313735	Non-Physician Medical Practitioner	None	1770533747	0	0	VEGA, ANA P PA	5/30/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5423	00	06000	34.21980849	-118.4301135	Los Angeles County
313776	Non-Physician Medical Practitioner	None	1639902414	0	0	VITUG, ENRIQUE	10/23/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	35800 BOB HOPE DRIVE	#240	RANCHO MIRAGE	CA	92270	1740	00	06000	33.790527	-116.4058645	Riverside County
313884	Non-Physician Medical Practitioner	None	1245015783	0	0	VALENZUELA, KELLY	2/3/2025	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	18433 ROSCOE BLVD	SUITE 104	NORTHRIDGE	CA	91325	4108	00	06000	34.22076747	-118.534725	Los Angeles County
313902	Non-Physician Medical Practitioner	None	1588478663	0	0	VERMA, JITENDRA NP	3/3/2025	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1809 W. REDLANDS BLVD	# 234	REDLANDS	CA	92373	8054	00	06000	34.06288379	-117.2156673	San Bernardino County
313994	Non-Physician Medical Practitioner	None	1396903647	0	0	VARGAS, JOSE	3/31/2004	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	5925 BUCKNELL AVE	None	NORTH HOLLYWOOD	CA	91607	1305	00	06000	34.178292	-118.393189	Los Angeles County
314002	Non-Physician Medical Practitioner	None	1316098932	0	0	VERGARA, DEL NP	10/17/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	344 WESTLINE DR	APT C225	ALAMEDA	CA	94501	5973	00	06000	37.76355	-122.2714915	Alameda County
314003	Non-Physician Medical Practitioner	None	1992199277	0	0	VARGAS, ROSE M NP	2/19/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	30645 PALOS VERDES DR E	None	RANCHO PALOS VERD	CA	90275	6353	00	06000	33.73708563	-118.3306224	Los Angeles County
314010	Non-Physician Medical Practitioner	None	1750703237	0	0	VALLEY HEALTH TEAM INC	5/27/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	180 W SHAW AVE	SUITE B	CLOVIS	CA	93612	0000	00	06000	36.80839548	-119.712699	Fresno County
314017	Non-Physician Medical Practitioner	None	1205024171	0	0	VILLEGAS, VIRGINIA	10/30/2007	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4156 S CENTRAL AVE	None	LOS ANGELES	CA	90011	3154	00	06000	34.00809015	-118.2564774	Los Angeles County
314018	Non-Physician Medical Practitioner	None	1730678947	0	0	VEGA, MARIA C NP	6/7/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	7446 QUINN ST	None	DOWNEY	CA	90241	5112	00	06000	33.95330405	-118.1426397	Los Angeles County
314068	Non-Physician Medical Practitioner	None	1033320148	0	0	VANLINT, LINDA J	5/10/2016	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	220 STANFORD STREET	None	LA HABRA	CA	90631	5031	00	06000	33.930711	-117.9706735	Orange County
314099	Non-Physician Medical Practitioner	None	1992213243	0	0	VILLANUEVA, MIYA 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	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6062	00	06000	34.09813032	-118.2901794	Los Angeles County
314202	Non-Physician Medical Practitioner	None	1649902073	0	0	VAN ZIJLL, VANESSA B NP	10/28/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	275 N EL CIELO RD	None	PALM SPRINGS	CA	92262	6972	00	06000	33.82736911	-116.5109632	Riverside County
314276	Non-Physician Medical Practitioner	None	1629752985	0	0	VILLEGAS, MARK ANGELO PA-C	1/11/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	911 SUNSET DR	None	HOLLISTER	CA	95023	5602	00	06000	36.83504962	-121.3858245	San Benito County
314291	Non-Physician Medical Practitioner	None	1073672796	0	0	VALLERO, ERVEN S	3/3/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	23916 OLD POMEGRANATE RD	None	YORBA LINDA	CA	92887	5650	00	06000	33.87440898	-117.71576	Orange County
314402	Non-Physician Medical Practitioner	None	1720668262	0	0	VANDERPOOL, CAREN L NP	9/26/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2140 PROFESSIONAL DRIVE	SUITE 210 OFFICE G	ROSEVILLE	CA	95661	3776	00	06000	38.74231476	-121.2482109	Placer County
314446	Non-Physician Medical Practitioner	None	1811543457	0	0	VIJAYAKUMAR, BHARAVI B NP	10/17/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3300 WEBSTER ST	STE 202	OAKLAND	CA	94609	3120	00	06000	37.82132826	-122.2621843	Alameda County
314517	Non-Physician Medical Practitioner	None	1720753916	0	0	VILLANUEVA, LAURIN U NP	9/1/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	6621 FANNIN STREET	None	HOUSTON	TX	77030	2303	00	06000	29.70724683	-95.4026169	Harris County
314527	Non-Physician Medical Practitioner	None	1679584080	0	0	VIEIRA, AMY L	1/11/2012	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1300 CRANE STREET	None	MENLO PARK	CA	94025	4429	00	06000	37.45264069	-122.1878743	San Mateo County
314532	Non-Physician Medical Practitioner	None	1023464633	0	0	VALOS, ALEXANDRA K PA-C	9/1/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	420 34TH ST	None	BAKERSFIELD	CA	93301	2237	00	06000	35.39052148	-119.0070765	Kern County
314542	Non-Physician Medical Practitioner	None	1689854671	0	0	VIAKHIREVA, NATALIE	11/26/2007	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	DEPARTMENT OF DERMATOLOG	900 BLAKE WILBUR DR, RM	STANFORD	CA	94305	5334	00	06000	0	0	None
314599	Non-Physician Medical Practitioner	None	1942062757	0	0	VALEAN, ADELINE PA-C	2/29/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	999 N. TUSTIN AVE	UNIT # 216	SANTA ANA	CA	92705	3528	00	06000	33.754167	-117.834191	Orange County
314875	Non-Physician Medical Practitioner	None	1396994745	0	0	VOS, JESSE W PA-C	9/23/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1575 S RAILROAD AVE	None	CRESCENT CITY	CA	95531	6821	00	06000	41.77335063	-124.1836295	Del Norte County
314945	Non-Physician Medical Practitioner	None	1093340689	0	0	VU, TRANG NP	8/25/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	7895 WESTMINSTER BLVD	None	WESTMINSTER	CA	92683	4043	00	06000	33.75930046	-117.991053	Orange County
314948	Non-Physician Medical Practitioner	None	1316296254	0	0	VILLEGAS, DANIEL A	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	3420 W LARK AVENUE	None	VISALIA	CA	93291	8097	00	06000	36.355995	-119.3268015	Tulare County
314978	Non-Physician Medical Practitioner	None	1447528674	0	0	VANG, THAO MEE NP	7/30/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	6555 COYLE AVENUE	SUITE 280	CARMICHAEL	CA	95608	0302	00	06000	38.66859	-121.3118055	Sacramento County
314983	Non-Physician Medical Practitioner	None	1619517778	0	0	VIOLA, KRISTIN T PA	11/2/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1010 W LA VETA AVE	STE 200	ORANGE	CA	92868	4301	00	06000	33.78028244	-117.8635552	Orange County
315010	Non-Physician Medical Practitioner	None	1972873198	0	0	VISSER, DANIEL S	7/2/2013	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	2	Out of state provider	n/a	2650 N TENAYA WAY # 301	None	LAS VEGAS	NV	89128	1102	00	06000	36.20804839	-115.2501292	Clark County
315038	Non-Physician Medical Practitioner	None	1316143472	0	0	VERGILIS, MARINA	4/28/2009	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	13325 MAXELLA AVE	APT 3	MARINA DEL REY	CA	90292	5651	00	06000	33.98799936	-118.4387928	Los Angeles County
315076	Non-Physician Medical Practitioner	None	1205318938	0	0	VILLAVICENCIO, CARISSA PA	4/2/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	26777 AGOURA RD	STE 4	CALABASAS	CA	91302	2967	00	06000	34.13998921	-118.7070142	Los Angeles County
315130	Non-Physician Medical Practitioner	None	1649715236	0	0	VANDONGEN-TRIMMER, HEATHER M NP	1/27/2021	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	8700 BEVERLY BLVD	None	LOS ANGELES	CA	90048	1804	00	06000	34.07671715	-118.3799413	Los Angeles County
315162	Non-Physician Medical Practitioner	None	1851722094	0	0	VAN NUYS, JONATHAN A NP	3/19/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	6189 SAN BRUNO CT	None	ROHNERT PARK	CA	94928	2804	00	06000	38.3499904	-122.6928693	Sonoma County
315187	Non-Physician Medical Practitioner	None	1538658042	0	0	VILLARREAL, PETER J PA-C	10/23/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	400 N PEPPER AVE	None	COLTON	CA	92324	1801	00	06000	34.073505	-117.3505995	San Bernardino County
315234	Non-Physician Medical Practitioner	None	1801433305	0	0	VERMA, VISHAL PA-C	3/31/2020	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	18300 US HIGHWAY 18	None	APPLE VALLEY	CA	92307	2206	00	06000	34.5406159	-117.2658221	San Bernardino County
315312	Non-Physician Medical Practitioner	None	1801395785	0	0	VASQUEZ, HENRY A NP	10/18/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	4301 S FIGUEROA ST	STE F	LOS ANGELES	CA	90037	2671	00	06000	34.005132	-118.282769	Los Angeles County
315416	Non-Physician Medical Practitioner	None	1225603608	0	0	VALIZAN, CASSANDRA A	2/25/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1115 S SUNSET AVE	None	WEST COVINA	CA	91790	3940	00	06000	34.062852	-117.9446658	Los Angeles County
315464	Non-Physician Medical Practitioner	None	1134620263	0	0	VOORHEIS, EDE J PA-C	8/23/2022	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3612 DALE RD	None	MODESTO	CA	95356	0500	00	06000	37.69097901	-121.0498748	Stanislaus County
315524	Non-Physician Medical Practitioner	None	1437347937	0	0	VARNER, CORRY ANN	6/10/2008	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	9930 TALBERT AVE	None	FOUNTAIN VALLEY	CA	92708	5153	00	06000	33.70166152	-117.955521	Orange County
315557	Non-Physician Medical Practitioner	None	1356771745	0	0	VARELA, BRENDA Y NP	6/21/2017	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	6604 MONTAGNA DR	None	BAKERSFIELD	CA	93306	7658	00	06000	35.41445113	-118.8583905	Kern County
315563	Non-Physician Medical Practitioner	None	1679814966	0	0	VENTRELLA, STEPHANIE H	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	1542 BLACK WALNUT DR	None	SAN MARCOS	CA	92078	7984	00	06000	33.09897341	-117.2065056	San Diego County
315586	Non-Physician Medical Practitioner	None	1932501996	0	0	VALLEY COMMUNITY HEALTHCARE	3/2/2015	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	9119 HASKELL AVE	None	NORTH HILLS	CA	91343	0000	00	06000	34.236351	-118.476357	Los Angeles County
315700	Non-Physician Medical Practitioner	None	1083937031	0	0	VIATORI, MELISSA	6/8/2010	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	875 BLAKE WILBUR DR	None	PALO ALTO	CA	94304	2205	00	06000	37.43562782	-122.1766097	Santa Clara County
315703	Non-Physician Medical Practitioner	None	1184163396	0	0	VANDENBERG, EMILY L PA-C	3/25/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2025 SOQUEL AVE	None	SANTA CRUZ	CA	95062	1323	00	06000	36.98191238	-121.9975767	Santa Cruz County
315708	Non-Physician Medical Practitioner	None	1891566436	0	0	VIRDI, SUKHJINDER K NP	6/20/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	43360 MISSION BLVD	SUITE 100	FREMONT	CA	94539	5829	00	06000	37.53249631	-121.9198141	Alameda County
315735	Non-Physician Medical Practitioner	None	1740533868	0	0	VANG, SAI NP	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	6343 E FOUNTAIN WAY	None	FRESNO	CA	93727	8918	00	06000	36.7808466	-119.6752873	Fresno County
315760	Non-Physician Medical Practitioner	None	1093253593	0	0	VANG, DAO N NP	2/7/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2400 EAST 4TH STREET	None	NATIONAL CITY	CA	91950	2026	00	06000	32.68637926	-117.0828839	San Diego County
315855	Non-Physician Medical Practitioner	None	1265061899	0	0	VU, REBECCA PA-C	7/7/2023	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	8590 RIO SAN DIEGO DR	SUITE 111	SAN DIEGO	CA	92108	5507	00	06000	32.77472926	-117.1448295	San Diego County
315865	Non-Physician Medical Practitioner	None	1235621103	0	0	VAN DIVNER, CHRISTINA C NP	4/24/2019	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	301 INDUSTRIAL ROAD	None	SAN CARLOS	CA	94070	2603	00	06000	37.51438187	-122.2607682	San Mateo County
315914	Non-Physician Medical Practitioner	None	1649582289	0	0	VIADER, MEGHAN E NP	3/19/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	7962 CAMINO JONATA	None	SAN DIEGO	CA	92122	1813	00	06000	32.86247331	-117.2142016	San Diego County
315926	Non-Physician Medical Practitioner	None	1881967818	0	0	VIGIL, JOLENE L	8/1/2014	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	65 PALATINE	APT 133	IRVINE	CA	92612	0611	00	06000	33.67098869	-117.8480801	Orange County
315936	Non-Physician Medical Practitioner	None	1962541060	0	0	VIK, PAMELA SUE	4/4/2011	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	3020 CHILDRENS WAY	None	SAN DIEGO	CA	92123	4223	00	06000	32.798691	-117.150829	San Diego County
315957	Non-Physician Medical Practitioner	None	1861980393	0	0	VIRREY, EILEEN C NP	12/20/2018	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	1840 CROSSROADS ST	None	CHULA VISTA	CA	91915	2429	00	06000	32.62150523	-116.9535874	San Diego County
315961	Non-Physician Medical Practitioner	None	1518521525	0	0	VU, LINCOLN NP	3/6/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	26777 AGOURA RD	STE 4	CALABASAS	CA	91302	2967	00	06000	34.13998921	-118.7070142	Los Angeles County
315972	Non-Physician Medical Practitioner	None	1245697002	0	0	VO, MEGAN K PA	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	13652 CANTARA ST	None	PANORAMA CITY	CA	91402	5423	00	06000	34.21980849	-118.4301135	Los Angeles County
315983	Non-Physician Medical Practitioner	None	1992354526	0	0	VENDITTI, EMILY K PA-C	10/7/2024	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	8911 LAKEWOOD DR	SUITE 13	WINDSOR	CA	95492	7857	00	06000	38.55034733	-122.8042316	Sonoma County
316006	Non-Physician Medical Practitioner	None	1710104062	0	0	VALLANCE, CORY A	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	2401 REO DR	None	SAN DIEGO	CA	92139	3025	00	06000	32.67512422	-117.064198	San Diego County
316036	Non-Physician Medical Practitioner	None	1104833672	0	0	VELIZ, JENNIFER BARBARA	9/14/2006	Taxonomy not applicable	NA	n/a	n/a	n/a	n/a	n/a	n/a	0	In state provider	n/a	2702 LOW CT	None	FAIRFIELD	CA	94534	9727	00	06000	38.23678474	-122.0847463	Solano County
316057	Ordering, Referring, Prescribing	N/A	1003009697	0	0	VILLEGAS, LUCY S LCSW	2/22/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW80421	N/A	N/A	N/A	N/A	N/A	1720 E 120TH ST	None	LOS ANGELES	CA	90059	3052	00	06000	33.92455929	-118.2423557	Los Angeles County
316176	Ordering, Referring, Prescribing	N/A	1003222035	0	0	VELAZCO-YASUDA, YEZENIA A CNP	12/9/2024	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95033241	N/A	N/A	N/A	N/A	N/A	8800 ALONDRA BLVD	SUITE C	BELLFLOWER	CA	90706	4355	00	06000	33.88918249	-118.1446785	Los Angeles County
316207	Ordering, Referring, Prescribing	N/A	1003260092	0	0	VERA, STEPHANEE G LMFT	9/25/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	134683	N/A	N/A	N/A	N/A	N/A	9343 TECH CENTER DR	175	SACRAMENTO	CA	95826	2563	00	06000	38.564091	-121.3509285	Sacramento County
316212	Ordering, Referring, Prescribing	N/A	1003263641	0	0	VENKATRAMAN, SNEHA	11/27/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A167989	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
316220	Ordering, Referring, Prescribing	N/A	1003279068	0	0	VU, VAN T MD	8/18/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A152512	N/A	N/A	N/A	N/A	N/A	250 EAST 18TH STREET, 2N	None	OAKLAND	CA	94606	1716	00	06000	37.79999844	-122.2527149	Alameda County
316235	Ordering, Referring, Prescribing	N/A	1003293671	0	0	VILLASANTE FRICKE, ALEXANDRA C MD	3/16/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A176971	N/A	N/A	N/A	N/A	N/A	201 CALIFORNIA STREET	SUITE 1300	SAN FRANCISCO	CA	94111	5015	00	06000	37.7933184	-122.3990768	San Francisco County
316246	Ordering, Referring, Prescribing	N/A	1003302605	0	0	VERHINES, JEREMY R NP	9/21/2020	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95009393	N/A	N/A	N/A	N/A	N/A	2122 S EL CAMINO REAL	STE 102	OCEANSIDE	CA	92054	6208	00	06000	33.18964194	-117.3280508	San Diego County
316247	Ordering, Referring, Prescribing	N/A	1003314774	0	0	VILLAROSA, CHRISTINE P NP	3/19/2018	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	738572	N/A	N/A	N/A	N/A	N/A	4800 MAGNOLIA AVE	None	RIVERSIDE	CA	92506	1299	00	06000	33.970626	-117.3826755	Riverside County
316250	Ordering, Referring, Prescribing	N/A	1003323676	0	0	VALENTI, KATHERINE E LPCC	3/17/2022	Taxonomy not applicable	NA	n/a	000	Unknown	11322	N/A	N/A	N/A	N/A	N/A	3478 BUSKIRK AVE	SUITE 1000	PLEASANT HILL	CA	94523	4378	00	06000	37.93963113	-122.0591644	Contra Costa County
316251	Ordering, Referring, Prescribing	N/A	1003322199	0	0	VALDEZ, JANICE H LMFT	11/17/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	129319	N/A	N/A	N/A	N/A	N/A	1212 S CALIFORNIA ST	None	STOCKTON	CA	95206	1429	00	06000	37.94156698	-121.2812575	San Joaquin County
316259	Ordering, Referring, Prescribing	N/A	1003339805	0	0	VASQUEZ, RYANN E	5/18/2018	Taxonomy not applicable	NA	n/a	099	DENTIST	101514	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
316297	Ordering, Referring, Prescribing	N/A	1003383415	0	0	VIZZARD, ALAINA ROSE	2/6/2018	Taxonomy not applicable	NA	n/a	000	Unknown	749200	N/A	N/A	N/A	N/A	N/A	1530 E 19TH STREET	None	BAKERSFIELD	CA	93305	5406	00	06000	35.37150365	-118.9798847	Kern County
316310	Ordering, Referring, Prescribing	N/A	1003405937	0	0	VONO, MICHELLE LMFT	1/3/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	136933	N/A	N/A	N/A	N/A	N/A	226 W OJAI AVE	101-180	OJAI	CA	93023	3277	00	06000	34.44760276	-119.2488095	Ventura County
316322	Ordering, Referring, Prescribing	N/A	1003425869	0	0	VARGAS, REYNALDO PSYD	7/27/2020	Taxonomy not applicable	NA	n/a	000	Unknown	4040	N/A	N/A	N/A	N/A	N/A	11627 BROOKSHIRE AVENUE	None	DOWNEY	CA	90241	1234	00	06000	33.93480209	-118.1323324	Los Angeles County
316348	Ordering, Referring, Prescribing	N/A	1003454596	0	0	VANG, CHRISTOPHER N PHARMD	7/26/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH81321	N/A	N/A	N/A	N/A	N/A	7015 N WEST AVE	None	FRESNO	CA	93711	0461	00	06000	36.83777613	-119.8264816	Fresno County
316410	Ordering, Referring, Prescribing	N/A	1003571670	0	0	VO, JENEE PHARMD	1/3/2022	Taxonomy not applicable	NA	n/a	000	Unknown	RPH85578	N/A	N/A	N/A	N/A	N/A	340 LAKEWOOD CENTER MALL	None	LAKEWOOD	CA	90712	2409	00	06000	33.85044	-118.136997	Los Angeles County
316451	Ordering, Referring, Prescribing	N/A	1003943093	0	0	VERSACE, ROSE LMFT	4/1/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	28223	N/A	N/A	N/A	N/A	N/A	850 E. FOOTHILL BLVD.	None	RIALTO	CA	92376	5320	00	06000	34.10679449	-117.3542535	San Bernardino County
316452	Ordering, Referring, Prescribing	N/A	1003941733	0	0	VO, LANETTE PHARMD	6/30/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH65096	N/A	N/A	N/A	N/A	N/A	707 N. BROADWAY	None	SANTA MARIA	CA	93454	3753	00	06000	34.95981863	-120.4357596	Santa Barbara County
316514	Ordering, Referring, Prescribing	N/A	1013056043	0	0	VU, HUYENTRANG N	3/29/2018	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	MD20080098	N/A	N/A	N/A	N/A	N/A	1100 CENTRAL AVE SE	None	ALBUQUERQUE	NM	87106	4930	00	06000	35.08239279	-106.6353509	Bernalillo County
316557	Ordering, Referring, Prescribing	N/A	1013149046	0	0	VARGA, JULIA E LCSW	3/14/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	60517	N/A	N/A	N/A	N/A	N/A	6060 PARAMOUNT BLVD.	None	LONG BEACH	CA	90805	3711	00	06000	33.865083	-118.157517	Los Angeles County
316591	Ordering, Referring, Prescribing	N/A	1013203538	0	0	VU, TONY PHARMD	6/1/2022	Taxonomy not applicable	NA	n/a	000	Unknown	RPH64738	N/A	N/A	N/A	N/A	N/A	515 W WASHINGTON ST	None	SAN DIEGO	CA	92103	1986	00	06000	32.74978816	-117.168151	San Diego County
316627	Ordering, Referring, Prescribing	N/A	1013268879	0	0	VALENZUELA, ALBERTO LMFT	1/6/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT107832	N/A	N/A	N/A	N/A	N/A	5400 E. OLYMPIC BLVD	FIRST FLOOR	COMMERCE	CA	90022	5147	00	06000	34.01564534	-118.1555473	Los Angeles County
316643	Ordering, Referring, Prescribing	N/A	1013269919	0	0	VIDES-AGUILAR, CLAUDIA LMFT	1/8/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	117237	N/A	N/A	N/A	N/A	N/A	840 N AVENUE 66	None	LOS ANGELES	CA	90065	3230	00	06000	34.12110842	-118.1725545	Los Angeles County
316675	Ordering, Referring, Prescribing	N/A	1013334481	0	0	VARGAS, PATRICIA R LMFT	1/22/2019	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	111468	N/A	N/A	N/A	N/A	N/A	9075 ELK GROVE BLVD	BUILDING 1, SUITE L	ELK GROVE	CA	95624	1766	00	06000	38.409246	-121.363758	Sacramento County
316686	Ordering, Referring, Prescribing	N/A	1013346931	0	0	VIVEROS, AIDA S LMFT	2/1/2024	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT144738	N/A	N/A	N/A	N/A	N/A	120 S STATE COLLEGE BLVD	150	BREA	CA	92821	5834	00	06000	33.92111797	-117.8828786	Orange County
316745	Ordering, Referring, Prescribing	N/A	1013435783	0	0	VIGIL, AMANDA R PA-C	4/1/2019	Taxonomy not applicable	NA	n/a	000	Unknown	54796	N/A	N/A	N/A	N/A	N/A	1206 E. 17TH ST	STE. 101	SANTA ANA	CA	92701	2641	00	06000	33.75983651	-117.8539425	Orange County
316788	Ordering, Referring, Prescribing	N/A	1013518562	0	0	VANDERGRAAF, LISA RN PHN	11/5/2019	Taxonomy not applicable	NA	n/a	000	Unknown	95195363	N/A	N/A	N/A	N/A	N/A	180 SOUTH FIRST STREET	SUITE 6	DIXON	CA	95620	3447	00	06000	38.444715	-121.8225485	Solano County
316796	Ordering, Referring, Prescribing	N/A	1013530500	0	0	VALENZUELA, CELINA NP	10/11/2020	Taxonomy not applicable	NA	n/a	000	Unknown	95013778	N/A	N/A	N/A	N/A	N/A	6001-A TRUXTUN AVE	160	BAKESFIELD	CA	93309	0693	00	06000	35.36252236	-119.072932	Kern County
316850	Ordering, Referring, Prescribing	N/A	1013791714	0	0	VAZQUEZ, IRIS K NP	10/3/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP95022130	N/A	N/A	N/A	N/A	N/A	1775 MONTAGE AVE	8219	CHULA VISTA	CA	91915	3292	00	06000	32.6163688	-116.9669791	San Diego County
316884	Ordering, Referring, Prescribing	N/A	1023081510	0	0	VASAK, LISA MD	9/25/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	G77546	N/A	N/A	N/A	N/A	N/A	5920 WEST MALL	None	ATASCADERO	CA	93422	4232	00	06000	35.48946251	-120.6679881	San Luis Obispo County
316896	Ordering, Referring, Prescribing	N/A	1023131471	0	0	VASQUEZ-SILVA, NATIVIDAD LMFT	2/5/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	MFC36605	N/A	N/A	N/A	N/A	N/A	855 N EUCLID AVE.	None	ONTARIO	CA	91762	2729	00	06000	34.074063	-117.6514785	San Bernardino County
316926	Ordering, Referring, Prescribing	N/A	1023168978	0	0	VLACH, NORITA PHD	6/24/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW4039	N/A	N/A	N/A	N/A	N/A	525 IRVING ST	None	SAN FRANCISCO	CA	94122	2202	00	06000	37.7641455	-122.4635927	San Francisco County
316945	Ordering, Referring, Prescribing	N/A	1023215647	0	0	VARGAS, MARIA E LMFT	2/22/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT51747	N/A	N/A	N/A	N/A	N/A	3756 SANTA ROSALIA DRIVE	SUITE 628	LOS ANGELES	CA	90008	3606	00	06000	34.00888336	-118.3389334	Los Angeles County
316960	Ordering, Referring, Prescribing	N/A	1023250784	0	0	VIZCARRA, MICHAEL J MD	7/29/2018	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A124349	N/A	N/A	N/A	N/A	N/A	4126 N. MAINE AVENUE	None	BALDWIN PARK	CA	91706	3304	00	06000	34.08740223	-117.9603532	Los Angeles County
316985	Ordering, Referring, Prescribing	N/A	1023313269	0	0	VERASTICA, KATHERIN LMFT	1/24/2024	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	97555	N/A	N/A	N/A	N/A	N/A	15741 BLAINE AVE	28	BELLFLOWER	CA	90706	3660	00	06000	33.89007768	-118.1264266	Los Angeles County
317069	Ordering, Referring, Prescribing	N/A	1023450806	0	0	VAI, ANTHONY LCSW	4/15/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW93549	N/A	N/A	N/A	N/A	N/A	2919 MISSION ST	None	SAN FRANCISCO	CA	94110	9317	00	06000	37.75028364	-122.418239	San Francisco County
317110	Ordering, Referring, Prescribing	N/A	1023487386	0	0	VALLADARES, JACKELYN L MD	2/9/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A136061	N/A	N/A	N/A	N/A	N/A	20800 SHERMAN WAY	None	WINNETKA	CA	91306	2707	00	06000	34.20097455	-118.586502	Los Angeles County
317205	Ordering, Referring, Prescribing	N/A	1023717444	0	0	VILLANUEVA, LOUISE	9/15/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95021734	N/A	N/A	N/A	N/A	N/A	23413 LYONS AVE	None	VALENCIA	CA	91355	3028	00	06000	34.37974287	-118.5428596	Los Angeles County
317226	Ordering, Referring, Prescribing	N/A	1023773546	0	0	VAZQUEZ, WENDY LCSW	1/22/2025	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW128264	N/A	N/A	N/A	N/A	N/A	162 E CARSON ST	A	COLUSA	CA	95932	2880	00	06000	39.20587882	-122.0061518	Colusa County
317245	Ordering, Referring, Prescribing	N/A	1033118237	0	0	VILLAVERDE, RAYMOND A	3/5/2018	Taxonomy not applicable	NA	n/a	000	Unknown	21732	N/A	N/A	N/A	N/A	N/A	4140 JADE STREET	STE 100	CAPITOLA	CA	95010	3037	00	06000	36.97026148	-121.9638195	Santa Cruz County
317256	Ordering, Referring, Prescribing	N/A	1033148838	0	0	VADMAL, VEENA MD	12/29/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A77147	N/A	N/A	N/A	N/A	N/A	20151 NORDHOFF ST	None	CHATSWORTH	CA	91311	6215	00	06000	34.23182352	-118.572948	Los Angeles County
317287	Ordering, Referring, Prescribing	N/A	1033240064	0	0	VONHIPPLE, JAMES P DC	3/20/2019	Taxonomy not applicable	NA	n/a	006	CHIROPRACTORS	DC30879	N/A	N/A	N/A	N/A	N/A	24910 LAS BRISAS RD	107A	MURRIETA	CA	92562	4078	00	06000	33.57522424	-117.1828078	Riverside County
317339	Ordering, Referring, Prescribing	N/A	1033317185	0	0	VILLALOBOS, ANA B LMFT	6/14/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT83492	N/A	N/A	N/A	N/A	N/A	1161 BAY BLVD	STE B	CHULA VISTA	CA	91911	2670	00	06000	32.6050811	-117.0922508	San Diego County
317357	Ordering, Referring, Prescribing	N/A	1033365911	0	0	VILLASENOR, ESTELA AU	2/21/2023	Taxonomy not applicable	NA	n/a	000	Unknown	HA4051	N/A	N/A	N/A	N/A	N/A	8958 CORBIN AVE	None	NORTHRIDGE	CA	91324	3311	00	06000	34.23337673	-118.5622875	Los Angeles County
317361	Ordering, Referring, Prescribing	N/A	1033373584	0	0	VU, KIM P PHARMD	3/8/2021	Taxonomy not applicable	NA	n/a	000	Unknown	60152	N/A	N/A	N/A	N/A	N/A	329 GRAND ST	None	ALAMEDA	CA	94501	0000	00	06000	37.76053102	-122.2635121	Alameda County
317388	Ordering, Referring, Prescribing	N/A	1033419759	0	0	VONG, LIN N	10/3/2018	Taxonomy not applicable	NA	n/a	000	Unknown	57074	N/A	N/A	N/A	N/A	N/A	785 E EL CAMINO REAL	None	SUNNYVALE	CA	94087	2919	00	06000	37.35662376	-122.0186086	Santa Clara County
317412	Ordering, Referring, Prescribing	N/A	1033459623	0	0	VEKSLER, JULIANA LMFT	11/19/2019	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	50893	N/A	N/A	N/A	N/A	N/A	15339 SATICOY ST.	None	VAN NUYS	CA	91406	3345	00	06000	34.2084865	-118.4678505	Los Angeles County
317475	Ordering, Referring, Prescribing	N/A	1033527825	0	0	VENTRESCA, DOMINICK E DDS PC	6/9/2021	Taxonomy not applicable	NA	n/a	000	Unknown	DDS63445	N/A	N/A	N/A	N/A	N/A	49127 RD 426	1 & 2	OAKHURST	CA	93644	8702	00	06000	37.3300998	-119.650508	Madera County
317535	Ordering, Referring, Prescribing	N/A	1033624598	0	0	VILLARREAL, ANN-SOPHIE C LMFT	9/18/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	121899	N/A	N/A	N/A	N/A	N/A	265 SAN JACINTO RIVER RD	SUITE 107	LAKE ELSINORE	CA	92530	4419	00	06000	33.66201142	-117.3001906	Riverside County
317543	Ordering, Referring, Prescribing	N/A	1033621750	0	0	VEGA, JAEL M LMFT	6/15/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT126477	N/A	N/A	N/A	N/A	N/A	1625 W OLYMPIC BLVD SUIT	None	LOS ANGELES	CA	90015	3809	00	06000	34.04957404	-118.2750068	Los Angeles County
317556	Ordering, Referring, Prescribing	N/A	1033657663	0	0	VOSKOBOYNIK, LUDMILA	5/31/2021	Taxonomy not applicable	NA	n/a	000	Unknown	551270	N/A	N/A	N/A	N/A	N/A	7100 VAN NUYS BLVD	108	VAN NUYS	CA	91405	0000	00	06000	34.19957761	-118.4487663	Los Angeles County
317586	Ordering, Referring, Prescribing	N/A	1033694237	0	0	VALLES, SKYLAR LCSW	3/24/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	100714	N/A	N/A	N/A	N/A	N/A	118 LIVINGSTON AVE	None	PLACENTIA	CA	92870	2546	00	06000	33.89281649	-117.8648036	Orange County
317604	Ordering, Referring, Prescribing	N/A	1033736434	0	0	VERDIN, MARIA E LMFT	3/31/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	41006	N/A	N/A	N/A	N/A	N/A	3001 INTERNATIONAL BLVD	None	OAKLAND	CA	94601	2203	00	06000	37.77859396	-122.2279493	Alameda County
317627	Ordering, Referring, Prescribing	N/A	1033795711	0	0	VIEN, SANDY MD	11/15/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A183251	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
317640	Ordering, Referring, Prescribing	N/A	1033842471	0	0	VELAZQUEZ, VIVIANA G PA-C	6/11/2024	Taxonomy not applicable	NA	n/a	000	Unknown	PA64627	N/A	N/A	N/A	N/A	N/A	1005 E WASHINGTON BLVD	STE. A	LOS ANGELES	CA	90021	3082	00	06000	34.02578238	-118.2530622	Los Angeles County
317649	Ordering, Referring, Prescribing	N/A	1033889845	0	0	VAZQUEZ TAMES, JESSICA LMFT	10/8/2024	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	150438	N/A	N/A	N/A	N/A	N/A	1465 30TH ST	None	SAN DIEGO	CA	92154	3497	00	06000	32.72113554	-117.1302118	San Diego County
317688	Ordering, Referring, Prescribing	N/A	1043310246	0	0	VENUGOPAL, NITHYA DDS	12/4/2022	Taxonomy not applicable	NA	n/a	000	Unknown	59930	N/A	N/A	N/A	N/A	N/A	1695 N SUNRISE WAY	None	PALM SPRINGS	CA	92262	3701	00	06000	33.844239	-116.5282075	Riverside County
317812	Ordering, Referring, Prescribing	N/A	1043569221	0	0	VARGAS, MARYCRUZ LCSW	12/19/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW119911	N/A	N/A	N/A	N/A	N/A	1130 12TH ST	None	MODESTO	CA	95354	0834	00	06000	37.64362422	-121.0004207	Stanislaus County
317813	Ordering, Referring, Prescribing	N/A	1043568686	0	0	VALLE-OSEGUERA, CYNTHIA S PHARMD	1/17/2021	Taxonomy not applicable	NA	n/a	000	Unknown	67396	N/A	N/A	N/A	N/A	N/A	325 S WILLIS ST	None	VISALIA	CA	93291	6105	00	06000	36.327717	-119.2981005	Tulare County
317843	Ordering, Referring, Prescribing	N/A	1043614639	0	0	VALDIVIA, CECELIA LMFT	2/2/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT115781	N/A	N/A	N/A	N/A	N/A	19401 S VERMONT AVENUE	L102	TORRANCE	CA	90502	1029	00	06000	33.85486409	-118.2905603	Los Angeles County
317846	Ordering, Referring, Prescribing	N/A	1043622509	0	0	VARGA, SHIREEN LMFT	6/21/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	99781	N/A	N/A	N/A	N/A	N/A	1910 OLYMPIC BLVD	365	WALNUT CREEK	CA	94596	5071	00	06000	37.89453628	-122.0662326	Contra Costa County
317870	Ordering, Referring, Prescribing	N/A	1043658305	0	0	VALENTINE, JESSEE DO	1/26/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A16243	N/A	N/A	N/A	N/A	N/A	47825 OASIS ST	None	INDIO	CA	92201	6950	00	06000	33.70112861	-116.2209066	Riverside County
317913	Ordering, Referring, Prescribing	N/A	1043717283	0	0	VELA, ABRAHAM MD	7/26/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A174075	N/A	N/A	N/A	N/A	N/A	122 E. SAN ANTONIO DR.	None	KING CITY	CA	93930	2518	00	06000	36.22193886	-121.1268537	Monterey County
317919	Ordering, Referring, Prescribing	N/A	1043728702	0	0	VO, RONALD PHARMD	3/10/2021	Taxonomy not applicable	NA	n/a	000	Unknown	77516	N/A	N/A	N/A	N/A	N/A	3240 ARDEN WAY	None	SACRAMENTO	CA	95825	2015	00	06000	38.594898	-121.3884765	Sacramento County
317941	Ordering, Referring, Prescribing	N/A	1043746852	0	0	VO, HELENE PHARMD	4/2/2018	Taxonomy not applicable	NA	n/a	000	Unknown	RPH76012	N/A	N/A	N/A	N/A	N/A	46848 MISSION BLVD	None	FREMONT	CA	94539	7943	00	06000	37.49001935	-121.9292205	Alameda County
317974	Ordering, Referring, Prescribing	N/A	1043798861	0	0	VERA, VIVIANA PA	9/24/2018	Taxonomy not applicable	NA	n/a	000	Unknown	56030	N/A	N/A	N/A	N/A	N/A	1140 MAIN ST	None	LIVINGSTON	CA	95334	1257	00	06000	37.37992056	-120.7234222	Merced County
318010	Ordering, Referring, Prescribing	N/A	1043876246	0	0	VANDERLIST, ELISE LCSW	11/14/2024	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	127315	N/A	N/A	N/A	N/A	N/A	3671 BUSINESS DR	None	SACRAMENTO	CA	95820	2165	00	06000	38.54133	-121.41891	Sacramento County
318028	Ordering, Referring, Prescribing	N/A	1043935315	0	0	VIRK, TARNJIT K PHARMD	10/7/2022	Taxonomy not applicable	NA	n/a	000	Unknown	87033	N/A	N/A	N/A	N/A	N/A	12110 INDUSTRY BLVD	None	JACKSON	CA	95642	9373	00	06000	38.36981229	-120.8002806	Amador County
318029	Ordering, Referring, Prescribing	N/A	1043939689	0	0	VANNORSDALL, KADEE PHARMD	8/24/2022	Taxonomy not applicable	NA	n/a	000	Unknown	86612	N/A	N/A	N/A	N/A	N/A	1540 FROOM RANCH WAY	None	SAN LUIS OBISPO	CA	93405	7211	00	06000	35.25089426	-120.6906169	San Luis Obispo County
318059	Ordering, Referring, Prescribing	N/A	1053052357	0	0	VEGA RODRIGUEZ, MARIA DEL CARMEN LMFT	12/7/2024	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT151880	N/A	N/A	N/A	N/A	N/A	200 24TH ST	None	RICHMOND	CA	94804	1804	00	06000	37.93439778	-122.3465322	Contra Costa County
318166	Ordering, Referring, Prescribing	N/A	1053506303	0	0	VEGA, DANIELE R LCSW	3/12/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW62647	N/A	N/A	N/A	N/A	N/A	155 NORTH OCCIDENTAL BLV	None	LOS ANGELES	CA	90026	4641	00	06000	34.07178779	-118.2787879	Los Angeles County
318245	Ordering, Referring, Prescribing	N/A	1053661256	0	0	VALDERRAMA, ALFREDO J LMFT	6/25/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT99475	N/A	N/A	N/A	N/A	N/A	460 N MAGNOLIA AVE	STE 110	EL CAJON	CA	92020	3610	00	06000	32.800266	-116.962389	San Diego County
318262	Ordering, Referring, Prescribing	N/A	1053675371	0	0	VARGAS OJEDA, TERESA D LMFT	6/15/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	118690	N/A	N/A	N/A	N/A	N/A	747 52ND ST	None	OAKLAND	CA	94609	0000	00	06000	37.83734639	-122.2672128	Alameda County
318268	Ordering, Referring, Prescribing	N/A	1053680611	0	0	VO, DANH H PHARMD	8/2/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH57786	N/A	N/A	N/A	N/A	N/A	1800 CONCORD AVE	None	CONCORD	CA	94520	2301	00	06000	37.97782892	-122.0384093	Contra Costa County
318280	Ordering, Referring, Prescribing	N/A	1053701839	0	0	VILLANUEVA, DEBORAH LCSW	12/3/2019	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW82354	N/A	N/A	N/A	N/A	N/A	17707 STUDEBAKER RD	208	CERRITOS	CA	90703	2640	00	06000	33.87008991	-118.0991298	Los Angeles County
318319	Ordering, Referring, Prescribing	N/A	1053748475	0	0	VALLA, JACOB J AU	3/7/2023	Taxonomy not applicable	NA	n/a	003	AUDIOLOGISTS	AU3261	N/A	N/A	N/A	N/A	N/A	1809 NATIONAL AVE	None	SAN DIEGO	CA	92113	2113	00	06000	32.70162897	-117.1465065	San Diego County
318324	Ordering, Referring, Prescribing	N/A	1053752667	0	0	VOLPENDESTA, JESSICA P PHARMD	11/14/2021	Taxonomy not applicable	NA	n/a	000	Unknown	70708	N/A	N/A	N/A	N/A	N/A	6600 BRUCEVILLE RD	None	SACRAMENTO	CA	95823	4671	00	06000	38.470392	-121.4223975	Sacramento County
318358	Ordering, Referring, Prescribing	N/A	1053792416	0	0	VIEN, ELDEN PHARMD	3/30/2021	Taxonomy not applicable	NA	n/a	000	Unknown	71256	N/A	N/A	N/A	N/A	N/A	3291 MIRAGE WAY	None	SAN JOSE	CA	95135	2317	00	06000	37.3115396	-121.759943	Santa Clara County
318368	Ordering, Referring, Prescribing	N/A	1053804377	0	0	VANG, SUE LCSW	9/15/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	104061	N/A	N/A	N/A	N/A	N/A	2280 N VALENTINE AVE	None	FRESNO	CA	93722	5553	00	06000	36.76966023	-119.8532997	Fresno County
318384	Ordering, Referring, Prescribing	N/A	1053825471	0	0	VERDUZCO, JUDITH A LCSW	3/11/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW100483	N/A	N/A	N/A	N/A	N/A	237 N CENTRAL AVE	None	GLENDALE	CA	91203	3526	00	06000	34.14943423	-118.2579487	Los Angeles County
318426	Ordering, Referring, Prescribing	N/A	1053897561	0	0	VELASQUEZ, JOSE F MD	7/1/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A173446	N/A	N/A	N/A	N/A	N/A	420 S. GLENDORA AVENUE	None	WEST COVINA	CA	91790	3001	00	06000	34.06750236	-117.925203	Los Angeles County
318469	Ordering, Referring, Prescribing	N/A	1063026631	0	0	VAN, ANDERSON PHARMD	2/1/2021	Taxonomy not applicable	NA	n/a	000	Unknown	82568	N/A	N/A	N/A	N/A	N/A	1719 E WALNUT	None	PASADENA	CA	91106	1611	00	06000	34.14957646	-118.115019	Los Angeles County
318503	Ordering, Referring, Prescribing	N/A	1063138519	0	0	VAN GROL, MELISSA LCSW	10/17/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW85315	N/A	N/A	N/A	N/A	N/A	302 N MIDWAY DRIVE	None	ESCONDIDO	CA	92027	2741	00	06000	33.13619959	-117.0509061	San Diego County
318724	Ordering, Referring, Prescribing	N/A	1063786788	0	0	VONLOSSBERG, GINA LCSW	10/8/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW97464	N/A	N/A	N/A	N/A	N/A	1303 W WALNUT PKWY	104	COMPTON	CA	90220	5030	00	06000	33.87724562	-118.2446904	Los Angeles County
318794	Ordering, Referring, Prescribing	N/A	1063873552	0	0	VARGAS, DINA N NP	3/28/2016	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	843029	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
318808	Ordering, Referring, Prescribing	N/A	1063888063	0	0	VANN, SAHAR	2/22/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95002875	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
318838	Ordering, Referring, Prescribing	N/A	1063936409	0	0	VALENCIA, GABRIELA MSW LCSW	9/26/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	118295	N/A	N/A	N/A	N/A	N/A	5740 RALSTON ST	100	VENTURA	CA	93003	6051	00	06000	34.26070802	-119.213699	Ventura County
318872	Ordering, Referring, Prescribing	N/A	1063985224	0	0	VELASCO, ERIKA LMFT	12/16/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT129776	N/A	N/A	N/A	N/A	N/A	520 E TULARE AVE	None	VISALIA	CA	93292	3629	00	06000	36.320679	-119.2870845	Tulare County
318911	Ordering, Referring, Prescribing	N/A	1073051454	0	0	VARCHEH, ZAHRA LMFT	2/9/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	124278	N/A	N/A	N/A	N/A	N/A	232 E GISH RD	None	SAN JOSE	CA	95112	4706	00	06000	37.36411044	-121.9052075	Santa Clara County
319023	Ordering, Referring, Prescribing	N/A	1073525044	0	0	VO, DAT M	7/19/1993	Taxonomy not applicable	NA	n/a	099	DENTIST	D40996	N/A	N/A	N/A	N/A	N/A	22675 ALESSANDRO BLVD	None	MORENO VALLEY	CA	92553	8551	00	06000	33.91695337	-117.2672536	Riverside County
319024	Ordering, Referring, Prescribing	N/A	1073572228	0	0	VILLALOBOS, MIGUEL A MD	5/24/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	G77997	N/A	N/A	N/A	N/A	N/A	12586 AVENUE 408	None	OROSI	CA	93647	9454	00	06000	36.53030229	-119.2915122	Tulare County
319045	Ordering, Referring, Prescribing	N/A	1073642484	0	0	VARELA, RUBY D LCSW	11/13/2017	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	61180	N/A	N/A	N/A	N/A	N/A	4151 MEXICALI DRIVE	None	BAKERSFIELD	CA	93313	2065	00	06000	35.317233	-119.081649	Kern County
319119	Ordering, Referring, Prescribing	N/A	1073810131	0	0	VEGA, GRISELDA LMFT	11/12/2019	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT115586	N/A	N/A	N/A	N/A	N/A	9101 WHITTIER BLVD.	None	PICO RIVERA	CA	90660	2405	00	06000	34.00074139	-118.0822944	Los Angeles County
319120	Ordering, Referring, Prescribing	N/A	1073822045	0	0	VALLIN, JENNIFER PSYD	6/21/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	96970	N/A	N/A	N/A	N/A	N/A	4600 47TH AVE	111	SACRAMENTO	CA	95824	3957	00	06000	38.509821	-121.45194	Sacramento County
319130	Ordering, Referring, Prescribing	N/A	1073842662	0	0	VALDEZ-HERNANDEZ, ISRAEL LCSW	2/24/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	100225	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
319207	Ordering, Referring, Prescribing	N/A	1073975124	0	0	VASQUEZ, ROXANNE MD	2/17/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A152528	N/A	N/A	N/A	N/A	N/A	3250 WILSHIRE BLVD	SUITE 320	LOS ANGELES	CA	90010	1577	00	06000	34.06176363	-118.2932622	Los Angeles County
319224	Ordering, Referring, Prescribing	N/A	1073995221	0	0	VAN DUSEN, AMANDA V LMFT	8/19/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	121151	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
319262	Ordering, Referring, Prescribing	N/A	1083036099	0	0	VIRGEN, JONATHAN	1/14/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	115475	N/A	N/A	N/A	N/A	N/A	43520 DIVISION ST	None	LANCASTER	CA	93535	4089	00	06000	34.673445	-118.130143	Los Angeles County
319322	Ordering, Referring, Prescribing	N/A	1083125199	0	0	VASQUEZ, ALEJANDRO LCSW	6/25/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW104861	N/A	N/A	N/A	N/A	N/A	1816 S FIGUEROA ST	6TH FLOOR	LOS ANGELES	CA	90015	3422	00	06000	34.03542929	-118.2713663	Los Angeles County
319333	Ordering, Referring, Prescribing	N/A	1083152839	0	0	VU, KIM D NP	6/28/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95005859	N/A	N/A	N/A	N/A	N/A	2001 WILSHIRE BLVD	SUITE 320	SANTA MONICA	CA	90403	5641	00	06000	34.03162362	-118.4829513	Los Angeles County
319364	Ordering, Referring, Prescribing	N/A	1083192967	0	0	VILLASENOR, ANGELA M PHARMD	9/14/2019	Taxonomy not applicable	NA	n/a	000	Unknown	APH10592	N/A	N/A	N/A	N/A	N/A	1720 E 120TH ST	None	LOS ANGELES	CA	90059	3052	00	06000	33.92455929	-118.2423557	Los Angeles County
319383	Ordering, Referring, Prescribing	N/A	1083238158	0	0	VAHDATI, VENUS PHARMD	8/3/2020	Taxonomy not applicable	NA	n/a	000	Unknown	RPH80805	N/A	N/A	N/A	N/A	N/A	99 N LA CIENEGA BLVD	200	BEVERLY HILLS	CA	90211	2222	00	06000	34.06736471	-118.3763201	Los Angeles County
319396	Ordering, Referring, Prescribing	N/A	1083266365	0	0	VALENCIA, ANGELICA LCSW	9/16/2024	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	126086	N/A	N/A	N/A	N/A	N/A	125 W THOUSAND OAKS BLVD	600	THOUSAND OAKS	CA	91360	1362	00	06000	34.17854676	-118.8805015	Ventura County
319598	Ordering, Referring, Prescribing	N/A	1083960975	0	0	VELASCO, JACKIE LYN D PHARMD	4/25/2018	Taxonomy not applicable	NA	n/a	000	Unknown	65167	N/A	N/A	N/A	N/A	N/A	3955 MISSOURI FLAT RD	None	PLACERVILLE	CA	95667	5208	00	06000	38.714409	-120.839742	El Dorado County
319616	Ordering, Referring, Prescribing	N/A	1083994065	0	0	VUU, RICHARD PHARMD	4/5/2021	Taxonomy not applicable	NA	n/a	000	Unknown	65873	N/A	N/A	N/A	N/A	N/A	17284 SLOVER AVE	PHARMACY ADMIN	FONTANA	CA	92337	7589	00	06000	34.065396	-117.4277475	San Bernardino County
319676	Ordering, Referring, Prescribing	N/A	1093085599	0	0	VOONG, TAM C PHARMD	7/25/2021	Taxonomy not applicable	NA	n/a	000	Unknown	52829	N/A	N/A	N/A	N/A	N/A	1802 S HARBOR BLVD	None	ANAHEIM	CA	92802	3510	00	06000	33.80286201	-117.9151674	Orange County
319691	Ordering, Referring, Prescribing	N/A	1093114894	0	0	VELASQUEZ, THI NU QUYNH N LMFT	1/27/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	79997	N/A	N/A	N/A	N/A	N/A	1611 BUNKER HILL WAY	120	SALINAS	CA	93906	6004	00	06000	36.69971964	-121.6172769	Monterey County
319761	Ordering, Referring, Prescribing	N/A	1093210080	0	0	VERMA, SHAWN S MD	8/3/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A174275	N/A	N/A	N/A	N/A	N/A	101 THE CITY DRIVE SOUTH	None	ORANGE	CA	92868	3201	00	06000	33.78674051	-117.8888713	Orange County
319783	Ordering, Referring, Prescribing	N/A	1093251571	0	0	VAN HOUTEN, ERIK J MD	8/27/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A164733	N/A	N/A	N/A	N/A	N/A	101 OLD MCCLOUD RD	None	MOUNT SHASTA	CA	96067	2796	00	06000	41.30516006	-122.3104613	Siskiyou County
319786	Ordering, Referring, Prescribing	N/A	1093256547	0	0	VARGAS, MARTHA V MD	6/4/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	1432	N/A	N/A	N/A	N/A	N/A	1001 POTRERO AVE	None	SAN FRANCISCO	CA	94110	3518	00	06000	37.75548534	-122.4065362	San Francisco County
319787	Ordering, Referring, Prescribing	N/A	1093255887	0	0	VARDEH, BERNADET	7/26/2021	Taxonomy not applicable	NA	n/a	000	Unknown	74313	N/A	N/A	N/A	N/A	N/A	24790 VALLEY ST.	None	SANTA CLARITA	CA	91321	2629	00	06000	34.3792796	-118.5405452	Los Angeles County
319788	Ordering, Referring, Prescribing	N/A	1093256638	0	0	VARGAS, ARIANA E LMFT	9/9/2022	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT134652	N/A	N/A	N/A	N/A	N/A	1940 E DEERE AVE	STE 100	SANTA ANA	CA	92705	5718	00	06000	33.70430421	-117.8482556	Orange County
319795	Ordering, Referring, Prescribing	N/A	1093265811	0	0	VAZQUEZ, ALEXIS A NP	1/7/2019	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95010763	N/A	N/A	N/A	N/A	N/A	1463 SOUTH 4TH ST	None	EL CENTRO	CA	92243	4556	00	06000	32.78037178	-115.5523224	Imperial County
319805	Ordering, Referring, Prescribing	N/A	1093277600	0	0	VALDEMAR, JASON LMFT	7/26/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	140646	N/A	N/A	N/A	N/A	N/A	21545 CENTRE POINTE PKWY	None	SANTA CLARITA	CA	91350	2947	00	06000	34.413021	-118.514534	Los Angeles County
319864	Ordering, Referring, Prescribing	N/A	1093436594	0	0	VO, CRYSTAL PHARMD	8/26/2022	Taxonomy not applicable	NA	n/a	000	Unknown	86679	N/A	N/A	N/A	N/A	N/A	975 SERENO DR	None	VALLEJO	CA	94589	2441	00	06000	38.12828446	-122.24821	Solano County
319871	Ordering, Referring, Prescribing	N/A	1093474090	0	0	VAHDAT, VALERIE K NP	11/8/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95019101	N/A	N/A	N/A	N/A	N/A	41840 ENTERPRISE CIR N	None	TEMECULA	CA	92590	5654	00	06000	33.51730799	-117.1697125	Riverside County
319885	Ordering, Referring, Prescribing	N/A	1093554172	0	0	VESELINOV, IVAYLO	2/28/2024	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95028573	N/A	N/A	N/A	N/A	N/A	151 E WEBSTER ST	None	COLUSA	CA	95932	2959	00	06000	39.20745427	-122.0008341	Colusa County
319923	Ordering, Referring, Prescribing	N/A	1093839912	0	0	VU, ALICE T OD	6/6/2017	Taxonomy not applicable	NA	n/a	020	OPTOMETRISTS	12157T	N/A	N/A	N/A	N/A	N/A	1553 LANDESS AVE	None	MILPITAS	CA	95035	6901	00	06000	37.4158278	-121.8761339	Santa Clara County
319930	Ordering, Referring, Prescribing	N/A	1093845810	0	0	VO-JUTABHA, EASTER DAWN PHD	12/1/2019	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	21071	N/A	N/A	N/A	N/A	N/A	1301 PINE AVE	None	LONG BEACH	CA	90813	3124	00	06000	33.782913	-118.192417	Los Angeles County
319986	Ordering, Referring, Prescribing	N/A	1093936247	0	0	VENDIG, JOSHUA A NP	1/24/2018	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	10655	N/A	N/A	N/A	N/A	N/A	1001 POTRERO AVENUE	None	SAN FRANCISCO	CA	94110	3518	00	06000	37.75548534	-122.4065362	San Francisco County
320001	Ordering, Referring, Prescribing	N/A	1093965824	0	0	VIGNOLO, ALEXANDRA	2/18/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT82590	N/A	N/A	N/A	N/A	N/A	401 E OCEAN AVE	None	LOMPOC	CA	93436	6828	00	06000	34.6389765	-120.4537095	Santa Barbara County
320002	Ordering, Referring, Prescribing	N/A	1093965477	0	0	VARGAS-VELASCO, JOANNE C DMD	11/21/2022	Taxonomy not applicable	NA	n/a	000	Unknown	DDS57608	N/A	N/A	N/A	N/A	N/A	1809 NATIONAL AVE	None	SAN DIEGO	CA	92113	2113	00	06000	32.70162897	-117.1465065	San Diego County
320011	Ordering, Referring, Prescribing	N/A	1093984940	0	0	VU, TIEN T PHARMD	3/13/2022	Taxonomy not applicable	NA	n/a	000	Unknown	PH48808	N/A	N/A	N/A	N/A	N/A	751 S BASCOM AVE	None	SAN JOSE	CA	95128	2604	00	06000	37.313433	-121.9318385	Santa Clara County
320026	Ordering, Referring, Prescribing	N/A	1104027028	0	0	VARELA, ARACELI M LMFT	5/26/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	108491	N/A	N/A	N/A	N/A	N/A	1309 EVANS AVE	None	SAN FRANCISCO	CA	94124	1705	00	06000	37.74005234	-122.3834106	San Francisco County
320090	Ordering, Referring, Prescribing	N/A	1104160829	0	0	VILLAFLOR, ANGELINE L	6/14/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW73923	N/A	N/A	N/A	N/A	N/A	27261 LAS RAMBLAS	SUIT 220	MISSION VIEJO	CA	92691	6468	00	06000	33.56536541	-117.670334	Orange County
320134	Ordering, Referring, Prescribing	N/A	1104226257	0	0	VICENTE, AIMEE D LCSW	3/2/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	94228	N/A	N/A	N/A	N/A	N/A	11731 E TELEGRAPH RD	STE. G	SANTA FE SPRINGS	CA	90670	6819	00	06000	33.94630253	-118.0832082	Los Angeles County
320203	Ordering, Referring, Prescribing	N/A	1104336700	0	0	VAN SICKLE, ALEXIS S NP	11/9/2017	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	794894	N/A	N/A	N/A	N/A	N/A	2470 ALVIN AVE	STE 60	SAN JOSE	CA	95121	1664	00	06000	37.31946663	-121.8268813	Santa Clara County
320216	Ordering, Referring, Prescribing	N/A	1104350594	0	0	VOHRA, SHIVANI W	10/30/2017	Taxonomy not applicable	NA	n/a	099	DENTIST	D65108	N/A	N/A	N/A	N/A	N/A	2138 DEL PASO BLVD	None	SACRAMENTO	CA	95815	3002	00	06000	38.609811	-121.4510265	Sacramento County
320255	Ordering, Referring, Prescribing	N/A	1104406024	0	0	VAZQUEZ, NORMA A LMFT	7/15/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	140448	N/A	N/A	N/A	N/A	N/A	49869 CALHOUN ST	D	COACHELLA	CA	92236	9716	00	06000	33.68683253	-116.2077712	Riverside County
320269	Ordering, Referring, Prescribing	N/A	1104452911	0	0	VU, TONY PHARMD	2/25/2021	Taxonomy not applicable	NA	n/a	000	Unknown	81544	N/A	N/A	N/A	N/A	N/A	250 HOSPITAL PKWY	None	SAN JOSE	CA	95119	1103	00	06000	37.23948065	-121.8005798	Santa Clara County
320278	Ordering, Referring, Prescribing	N/A	1104469998	0	0	VACHON-LAGUARDIA, BRITNEY K LCSW	6/23/2019	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW88688	N/A	N/A	N/A	N/A	N/A	7293 DUMOSA AVE	#8	YUCCA VALLEY	CA	92284	3700	00	06000	34.12094334	-116.4177385	San Bernardino County
320444	Ordering, Referring, Prescribing	N/A	1114105897	0	0	VEGA, LINESSE MD	11/1/2022	Taxonomy not applicable	NA	n/a	000	Unknown	C180984	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
320474	Ordering, Referring, Prescribing	N/A	1114166402	0	0	VALENZUELA, JOHN A PHD	3/4/2021	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	32439	N/A	N/A	N/A	N/A	N/A	108 E MATILIJA ST	None	OJAI	CA	93023	2639	00	06000	34.44877234	-119.2466231	Ventura County
320477	Ordering, Referring, Prescribing	N/A	1114175296	0	0	VAIL, ROSA V LMFT	2/18/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	110739	N/A	N/A	N/A	N/A	N/A	401 E OCEAN AVE	None	LOMPOC	CA	93436	6828	00	06000	34.6389765	-120.4537095	Santa Barbara County
320566	Ordering, Referring, Prescribing	N/A	1114329190	0	0	VALENCIA, MELISSA LMFT	12/27/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	130246	N/A	N/A	N/A	N/A	N/A	730 MEDICAL CENTER CT	None	CHULA VISTA	CA	91911	6618	00	06000	32.61881028	-117.0245596	San Diego County
320575	Ordering, Referring, Prescribing	N/A	1114348075	0	0	VALLADARES, SAMANTHA LCSW	10/20/2022	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	111249	N/A	N/A	N/A	N/A	N/A	1904 RICHLAND AVE	None	CERES	CA	95307	4562	00	06000	37.60031128	-120.9658226	Stanislaus County
320712	Ordering, Referring, Prescribing	N/A	1114600855	0	0	VITACCO, JASMINE L	4/11/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95024858	N/A	N/A	N/A	N/A	N/A	6041 VARIEL AVE	430	WOODLAND HILLS	CA	91367	3879	00	06000	34.180326	-118.5928275	Los Angeles County
320719	Ordering, Referring, Prescribing	N/A	1114629649	0	0	VALDEZ, KEVIN NP	1/19/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95023972	N/A	N/A	N/A	N/A	N/A	711 W FLORENCE AVE	None	LOS ANGELES	CA	90044	6105	00	06000	33.9746755	-118.286415	Los Angeles County
320793	Ordering, Referring, Prescribing	N/A	1124109905	0	0	VALES, KELLY A LCSW	1/7/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	17072	N/A	N/A	N/A	N/A	N/A	4775 VIEWRIDGE AVE	None	SAN DIEGO	CA	92123	1641	00	06000	32.82517815	-117.1210849	San Diego County
320866	Ordering, Referring, Prescribing	N/A	1124227434	0	0	VU, DON Q DDS	4/19/2022	Taxonomy not applicable	NA	n/a	000	Unknown	DDS54221	N/A	N/A	N/A	N/A	N/A	10418 VALLEY BLVD	SUITE B	EL MONTE	CA	91731	2495	00	06000	34.07647884	-118.0458956	Los Angeles County
320945	Ordering, Referring, Prescribing	N/A	1124385307	0	0	VALENZUELA, PATRICIA A LMFT	5/10/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT107070	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
320952	Ordering, Referring, Prescribing	N/A	1124397708	0	0	VERMA, BEETA MD	1/10/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A143524	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
321000	Ordering, Referring, Prescribing	N/A	1124466248	0	0	VUONG, QUE PHAN LCSW	2/1/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	99848	N/A	N/A	N/A	N/A	N/A	1950 ALAMEDA DE LAS PULG	None	SAN MATEO	CA	94403	1291	00	06000	37.545779	-122.3213093	San Mateo County
321022	Ordering, Referring, Prescribing	N/A	1124489877	0	0	VO, VERONICA D PA-C	11/8/2018	Taxonomy not applicable	NA	n/a	000	Unknown	PA53259	N/A	N/A	N/A	N/A	N/A	250 WEST 5TH ST	None	HANFORD	CA	93230	3677	00	06000	36.32439821	-119.6472235	Kings County
321074	Ordering, Referring, Prescribing	N/A	1124570890	0	0	VO, THAN PHARMD	7/29/2021	Taxonomy not applicable	NA	n/a	000	Unknown	66831	N/A	N/A	N/A	N/A	N/A	14384 BROOKHURST ST	None	GARDEN GROVE	CA	92843	4608	00	06000	33.753825	-117.954801	Orange County
321093	Ordering, Referring, Prescribing	N/A	1124589197	0	0	VINYARD, CALISTA DO	2/20/2024	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A20042	N/A	N/A	N/A	N/A	N/A	29632 E HIGHWAY 299	None	ROUND MOUNTAIN	CA	96084	8000	00	06000	40.80385331	-121.9397745	Shasta County
321120	Ordering, Referring, Prescribing	N/A	1124662994	0	0	VILLANUEVA, DOMINIC GERALD S LMFT	10/16/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	142110	N/A	N/A	N/A	N/A	N/A	625 FAIR OAKS AVE	STE. 300	SOUTH PASADENA	CA	91030	2630	00	06000	34.117947	-118.1503575	Los Angeles County
321145	Ordering, Referring, Prescribing	N/A	1124744123	0	0	VANICEK, CHELSEA L NP	9/26/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95022793	N/A	N/A	N/A	N/A	N/A	1752 S VICTORIA AVE	SUITE 250	VENTURA	CA	93003	6152	00	06000	34.25916679	-119.2090522	Ventura County
321149	Ordering, Referring, Prescribing	N/A	1124763792	0	0	VADLAPATLA, KANAKA DURGA PHARMD	7/27/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH79131	N/A	N/A	N/A	N/A	N/A	2303 E VINEYARD AVE	None	OXNARD	CA	93036	2183	00	06000	34.22736735	-119.1767224	Ventura County
321164	Ordering, Referring, Prescribing	N/A	1124871801	0	0	VAN DEN HENGEL-GOMEZ, VIRIDIANA S PA-C	11/13/2024	Taxonomy not applicable	NA	n/a	000	Unknown	PA65426	N/A	N/A	N/A	N/A	N/A	172 E GRANT AVE	None	WINTERS	CA	95694	1780	00	06000	38.5264496	-121.9668052	Yolo County
321258	Ordering, Referring, Prescribing	N/A	1134339963	0	0	VITERO, STEVEN J	7/26/2021	Taxonomy not applicable	NA	n/a	099	DENTIST	D30136	N/A	N/A	N/A	N/A	N/A	3743 S LA BREA AVE	None	LOS ANGELES	CA	90016	5309	00	06000	34.01991	-118.355626	Los Angeles County
321329	Ordering, Referring, Prescribing	N/A	1134491392	0	0	VOYCE, CARRIE C	5/13/2013	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	RN602209	N/A	N/A	N/A	N/A	N/A	138 SOUTH ORCHARD AVE	None	VACAVILLE	CA	95688	3636	00	06000	38.35771239	-122.0046879	Solano County
321344	Ordering, Referring, Prescribing	N/A	1134510118	0	0	VUONG, HONG	4/24/2017	Taxonomy not applicable	NA	n/a	024	PHARMACIES/PHARMACISTS	67525	N/A	N/A	N/A	N/A	N/A	1001 POTRERO AVE	None	SAN FRANCISCO	CA	94110	3518	00	06000	37.75548534	-122.4065362	San Francisco County
321388	Ordering, Referring, Prescribing	N/A	1134576739	0	0	VALDEZ, BRIANA A LCSW	2/2/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	202278	N/A	N/A	N/A	N/A	N/A	8019 COMPTON AVE	None	LOS ANGELES	CA	90001	3409	00	06000	33.9664185	-118.2477481	Los Angeles County
321448	Ordering, Referring, Prescribing	N/A	1134667231	0	0	VILLARUEL, YURI NP	7/28/2019	Taxonomy not applicable	NA	n/a	000	Unknown	95009365	N/A	N/A	N/A	N/A	N/A	13193 CENTRAL AVE	SUITE 100	CHINO	CA	91710	4179	00	06000	34.01406506	-117.6891684	San Bernardino County
321475	Ordering, Referring, Prescribing	N/A	1134720972	0	0	VALENZUELA PORFIDO, ALESSANDRA M PA	10/22/2020	Taxonomy not applicable	NA	n/a	000	Unknown	58758	N/A	N/A	N/A	N/A	N/A	1510 FLORIDA AVENUE	SUITE A	MODESTO	CA	95350	4437	00	06000	37.666053	-120.996222	Stanislaus County
321566	Ordering, Referring, Prescribing	N/A	1144309352	0	0	VILLAGOMEZ, KATHLEEN LCSW	2/8/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	22643	N/A	N/A	N/A	N/A	N/A	2698 DAWSON AVE	G	SIGNAL HILL	CA	90755	2064	00	06000	33.8057486	-118.1654286	Los Angeles County
321570	Ordering, Referring, Prescribing	N/A	1144308487	0	0	VALENZUELA, KIMBERLY N PSYD	11/24/2019	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	20524	N/A	N/A	N/A	N/A	N/A	2615 S. MILLER STREET	106	SANTA MARIA	CA	93455	1704	00	06000	34.91141828	-120.4320168	Santa Barbara County
321573	Ordering, Referring, Prescribing	N/A	1144326794	0	0	VASQUEZ, JOYCE D LMFT	3/1/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT39474	N/A	N/A	N/A	N/A	N/A	3133 N MILLBROOK AVE	None	FRESNO	CA	93703	1425	00	06000	36.77841	-119.7635455	Fresno County
321588	Ordering, Referring, Prescribing	N/A	1144354606	0	0	VALDEZ, ERICA LCSW	9/27/2024	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	126343	N/A	N/A	N/A	N/A	N/A	850 E FOOTHILL BLVD	None	RIALTO	CA	92376	5230	00	06000	34.10679449	-117.3542535	San Bernardino County
321590	Ordering, Referring, Prescribing	N/A	1144353681	0	0	VARON, ELIZABETH LMFT	7/12/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	MFT30717	N/A	N/A	N/A	N/A	N/A	1000 BROADWAY	460	OAKLAND	CA	95607	4099	00	06000	37.80185548	-122.2726866	Alameda County
321691	Ordering, Referring, Prescribing	N/A	1144578881	0	0	VANG, NANCY B LCSW	7/22/2022	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	109363	N/A	N/A	N/A	N/A	N/A	18 COUNTY CENTER DR	None	OROVILLE	CA	95965	3335	00	06000	39.52683587	-121.5716851	Butte County
321708	Ordering, Referring, Prescribing	N/A	1144612003	0	0	VAN, JOYCE LMFT	12/10/2019	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT112995	N/A	N/A	N/A	N/A	N/A	8841 GARVEY AVE	None	ROSEMEAD	CA	91770	3358	00	06000	34.06276591	-118.07587	Los Angeles County
321735	Ordering, Referring, Prescribing	N/A	1144639428	0	0	VELOZ, MARIA K MD	10/9/2014	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A131979	N/A	N/A	N/A	N/A	N/A	7601 HOSPITAL DRIVE	SUITE 103	SACRAMENTO	CA	95823	5408	00	06000	38.464794	-121.415571	Sacramento County
321750	Ordering, Referring, Prescribing	N/A	1144663006	0	0	VARGAS, RUBEN LCSW	4/25/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW20587	N/A	N/A	N/A	N/A	N/A	900 THIRD ST.	None	SAN FERNANDO	CA	91340	1199	00	06000	34.28460649	-118.4367642	Los Angeles County
321887	Ordering, Referring, Prescribing	N/A	1144849829	0	0	VAN LEIR, KATELYN N	11/24/2021	Taxonomy not applicable	NA	n/a	099	DENTIST	106604	N/A	N/A	N/A	N/A	N/A	6810 N MILBURN AVE	None	FRESNO	CA	93722	2155	00	06000	36.83655963	-119.8788638	Fresno County
321944	Ordering, Referring, Prescribing	N/A	1154027001	0	0	VANEYCK, CHEREE N MSW LCSW	2/23/2022	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	97368	N/A	N/A	N/A	N/A	N/A	1441 LIBERTY STREET	None	REDDING	CA	96001	0000	00	06000	40.5857177	-122.3870781	Shasta County
321955	Ordering, Referring, Prescribing	N/A	1154058360	0	0	VEA, KIRSTEN D PHARMD	8/5/2022	Taxonomy not applicable	NA	n/a	000	Unknown	86389	N/A	N/A	N/A	N/A	N/A	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	00	06000	34.03781261	-118.3755101	Los Angeles County
322003	Ordering, Referring, Prescribing	N/A	1154405942	0	0	VALENTON, FRANCISCO D	10/17/2022	Taxonomy not applicable	NA	n/a	099	DENTIST	37749	N/A	N/A	N/A	N/A	N/A	5723 MARCONI AVE	None	CARMICHAEL	CA	95608	4475	00	06000	38.617992	-121.3309395	Sacramento County
322096	Ordering, Referring, Prescribing	N/A	1154580264	0	0	VAHDAT, ROXANA LMFT	12/13/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	53730	N/A	N/A	N/A	N/A	N/A	22231 MULHOLLAND HWY	#112	CALABASAS	CA	91302	5123	00	06000	34.14821793	-118.6123368	Los Angeles County
322130	Ordering, Referring, Prescribing	N/A	1154637403	0	0	VAHABZADEH, ARSHYA B MD	7/26/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A135155	N/A	N/A	N/A	N/A	N/A	1722 S LEWIS RD	None	CAMARILLO	CA	93012	8520	00	06000	34.18921316	-119.0340743	Ventura County
322150	Ordering, Referring, Prescribing	N/A	1154684660	0	0	VALTIERRA, TANIA LMFT	3/11/2019	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT94170	N/A	N/A	N/A	N/A	N/A	3711 LONG BEACH BLVD.	#400	LONG BEACH	CA	90807	3315	00	06000	33.824583	-118.1893785	Los Angeles County
322222	Ordering, Referring, Prescribing	N/A	1154807345	0	0	VARDANYAN, LUSINE OD	6/15/2019	Taxonomy not applicable	NA	n/a	020	OPTOMETRISTS	OPT33978	N/A	N/A	N/A	N/A	N/A	12661 GLENOAKS BLVD	None	SYLMAR	CA	91342	4748	00	06000	34.30062663	-118.4407393	Los Angeles County
322255	Ordering, Referring, Prescribing	N/A	1154852010	0	0	VAZQUEZ ESCALANTE, ALAN C	11/5/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A164000	N/A	N/A	N/A	N/A	N/A	1840 N HACIENDA BLVD	10	LA PUENTE	CA	91744	1143	00	06000	34.05164127	-117.9426446	Los Angeles County
322352	Ordering, Referring, Prescribing	N/A	1164036984	0	0	VARIMEZOVA, TANYA I	11/3/2020	Taxonomy not applicable	NA	n/a	099	DENTIST	105164	N/A	N/A	N/A	N/A	N/A	343 OAK ST	None	RED BLUFF	CA	96080	3304	00	06000	40.17616563	-122.2349564	Tehama County
322389	Ordering, Referring, Prescribing	N/A	1164112942	0	0	VIDIC, BRANKA NP	7/29/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95025028	N/A	N/A	N/A	N/A	N/A	47110 WASHINGTON ST	203	LA QUINTA	CA	92253	2186	00	06000	33.70698194	-116.2929821	Riverside County
322435	Ordering, Referring, Prescribing	N/A	1164493367	0	0	VASQUEZ, ALEJANDRO MD	5/22/2024	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	C196441	N/A	N/A	N/A	N/A	N/A	193 FAIRVIEW LN	None	SONORA	CA	95370	4828	00	06000	37.97880957	-120.3912459	Tuolumne County
322475	Ordering, Referring, Prescribing	N/A	1164558391	0	0	VANIMAN, GAYLE L LMFT	5/17/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	41501	N/A	N/A	N/A	N/A	N/A	438 N WHITE RD	None	SAN JOSE	CA	95127	1439	00	06000	37.3776149	-121.8374887	Santa Clara County
322540	Ordering, Referring, Prescribing	N/A	1164700787	0	0	VARGHESE, STAYSON NP	12/5/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95023027	N/A	N/A	N/A	N/A	N/A	1901 CHURCH LN	None	SAN PABLO	CA	94806	3707	00	06000	37.95734959	-122.3416158	Contra Costa County
322664	Ordering, Referring, Prescribing	N/A	1164894663	0	0	VALLE HERNANDEZ, ANA M LMFT	6/1/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	116686	N/A	N/A	N/A	N/A	N/A	206 S CALIFORNIA AVE	None	PALO ALTO	CA	94306	0000	00	06000	37.42834012	-122.1432823	Santa Clara County
322696	Ordering, Referring, Prescribing	N/A	1164945549	0	0	VIGIL, JEAMY LMFT	1/14/2022	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT130635	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
322758	Ordering, Referring, Prescribing	N/A	1174065478	0	0	VISHNEVETSKY, DIANA PHARMD	4/7/2022	Taxonomy not applicable	NA	n/a	000	Unknown	56722	N/A	N/A	N/A	N/A	N/A	4605 MORENA BLVD	None	SAN DIEGO	CA	92117	3650	00	06000	32.82186082	-117.2264619	San Diego County
322838	Ordering, Referring, Prescribing	N/A	1174230791	0	0	VO, KATHERINE PA-C	11/1/2022	Taxonomy not applicable	NA	n/a	000	Unknown	PA61905	N/A	N/A	N/A	N/A	N/A	26137 LA PAZ RD	STE 200	MISSION VIEJO	CA	92691	5321	00	06000	33.60038172	-117.6735855	Orange County
322865	Ordering, Referring, Prescribing	N/A	1174396667	0	0	VAN TASSELL, VICTORIA R	11/1/2023	Taxonomy not applicable	NA	n/a	019	OCCUPATIONAL THERAPISTS	25662	N/A	N/A	N/A	N/A	N/A	10431 COMMERCE ST	None	REDLANDS	CA	92374	0110	00	06000	34.06427678	-117.2416506	San Bernardino County
322885	Ordering, Referring, Prescribing	N/A	1174604466	0	0	VENKATAYAN, NATARAJAN MD	11/25/2024	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	C200128	N/A	N/A	N/A	N/A	N/A	665 NORTH D STREET	None	SAN BERNARDINO	CA	92401	1109	00	06000	34.111737	-117.2918735	San Bernardino County
322909	Ordering, Referring, Prescribing	N/A	1174652598	0	0	VIX, JORDAN D LCSW	5/26/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW25864	N/A	N/A	N/A	N/A	N/A	695 S VERMONT AVE	None	LOS ANGELES	CA	90005	1349	00	06000	34.06078495	-118.2916863	Los Angeles County
322965	Ordering, Referring, Prescribing	N/A	1174772875	0	0	VERAS-PINTO, NADIRA LCSW	4/29/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	71393	N/A	N/A	N/A	N/A	N/A	550 S VERMONT AVE	9TH FLOOR	LOS ANGELES	CA	90020	1912	00	06000	34.064091	-118.2916225	Los Angeles County
322973	Ordering, Referring, Prescribing	N/A	1174785810	0	0	VIJAYASARATHI, KRISHNA DO	7/7/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A11315	N/A	N/A	N/A	N/A	N/A	12835 POINTE DEL MAR WAY	SUITE #1	DEL MAR	CA	92014	3846	00	06000	32.93216216	-117.2433492	San Diego County
323093	Ordering, Referring, Prescribing	N/A	1174954978	0	0	VILLANUEVA, ROBERTA L CNP	1/14/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	276628	N/A	N/A	N/A	N/A	N/A	333 S BEAUDRY AVE	None	LOS ANGELES	CA	90017	1466	00	06000	34.05611213	-118.2570905	Los Angeles County
323122	Ordering, Referring, Prescribing	N/A	1174994321	0	0	VAZQUEZ, CANDIDA NP	10/13/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95008929	N/A	N/A	N/A	N/A	N/A	20326 MAIN STREET	None	STRATFORD	CA	93266	0000	00	06000	36.18962048	-119.822823	Kings County
323131	Ordering, Referring, Prescribing	N/A	1174984173	0	0	VECCHI, CARINA PSYD	12/5/2023	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	33525	N/A	N/A	N/A	N/A	N/A	4650 SUNSET BOULEVARD	#53	LOS ANGELES	CA	90005	1101	00	06000	34.09813032	-118.2901794	Los Angeles County
323252	Ordering, Referring, Prescribing	N/A	1184163396	0	0	VANDENBERG, EMILY L NP	9/24/2017	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95005310	N/A	N/A	N/A	N/A	N/A	250 LOCUST ST	None	SANTA CRUZ	CA	95060	3813	00	06000	36.97493323	-122.028799	Santa Cruz County
323305	Ordering, Referring, Prescribing	N/A	1184271488	0	0	VU, KIEU-LINH PHARMD	8/30/2021	Taxonomy not applicable	NA	n/a	000	Unknown	79812	N/A	N/A	N/A	N/A	N/A	1615 MERIDIAN AVE	None	SAN JOSE	CA	95125	5532	00	06000	37.293957	-121.9135775	Santa Clara County
323335	Ordering, Referring, Prescribing	N/A	1184355653	0	0	VU, VINCENT PHARMD	9/14/2022	Taxonomy not applicable	NA	n/a	000	Unknown	RPH86146	N/A	N/A	N/A	N/A	N/A	22280 FOOTHILL BLVD	None	HAYWARD	CA	94541	2731	00	06000	37.67922752	-122.0844431	Alameda County
323420	Ordering, Referring, Prescribing	N/A	1184757395	0	0	VEGA, CRISTINA M LMFT	4/29/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	51436	N/A	N/A	N/A	N/A	N/A	3301 E 12 ST	259	OAKLAND	CA	94601	2940	00	06000	37.77617499	-122.2247899	Alameda County
323498	Ordering, Referring, Prescribing	N/A	1184906562	0	0	VITHALANI, DHAVAL PHARMD	2/24/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH65828	N/A	N/A	N/A	N/A	N/A	630 MAIN STREET	None	BRAWLEY	CA	92227	2548	00	06000	32.97860253	-115.53138	Imperial County
323527	Ordering, Referring, Prescribing	N/A	1184933079	0	0	VALADEZ, LIDIA LMFT	6/4/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT134576	N/A	N/A	N/A	N/A	N/A	8019 S. COMPTON AVENUE	None	LOS ANGELES	CA	90001	0001	00	06000	33.9664185	-118.2477481	Los Angeles County
323570	Ordering, Referring, Prescribing	N/A	1194028191	0	0	VALLE, ERIKA LCSW	12/24/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	99323	N/A	N/A	N/A	N/A	N/A	6000 N FIGUEROA ST	None	LOS ANGELES	CA	90042	4232	00	06000	34.11150069	-118.1888319	Los Angeles County
323579	Ordering, Referring, Prescribing	N/A	1194058156	0	0	VISCONTE, YVETTE J LCSW	1/28/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW65539	N/A	N/A	N/A	N/A	N/A	661 W 1ST STREET	G	TUSTIN	CA	92780	2939	00	06000	33.74578153	-117.831231	Orange County
323586	Ordering, Referring, Prescribing	N/A	1194069799	0	0	VALERO, MARISSA J LMFT	2/18/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	106108	N/A	N/A	N/A	N/A	N/A	1224 E. MICHIGAN AVE	None	FRESNO	CA	93704	5731	00	06000	36.7767401	-119.795705	Fresno County
323594	Ordering, Referring, Prescribing	N/A	1194088609	0	0	VASQUEZ LEIVA, CHRISTINA R LCSW	3/11/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW82547	N/A	N/A	N/A	N/A	N/A	802 BREWSTER AVE	None	REDWOOD CITY	CA	94063	1510	00	06000	37.48873991	-122.2339433	San Mateo County
323621	Ordering, Referring, Prescribing	N/A	1194134254	0	0	VERDUGO LOPEZ, MARIA D LCSW	7/16/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	95593	N/A	N/A	N/A	N/A	N/A	2260 N VALENTINE AVE	None	FRESNO	CA	93722	5553	00	06000	36.76947064	-119.8532642	Fresno County
323627	Ordering, Referring, Prescribing	N/A	1194147496	0	0	VU, LEONARD	1/19/2022	Taxonomy not applicable	NA	n/a	000	Unknown	70359	N/A	N/A	N/A	N/A	N/A	1600 EXPO PKWY	None	SACRAMENTO	CA	95815	4228	00	06000	38.597148	-121.4520705	Sacramento County
323642	Ordering, Referring, Prescribing	N/A	1194137661	0	0	VARSANI, POONAM OD	8/11/2019	Taxonomy not applicable	NA	n/a	020	OPTOMETRISTS	14909	N/A	N/A	N/A	N/A	N/A	955 SOUTH CARILLO AVE	STE 105	LOS ANGELES	CA	90048	5400	00	06000	33.73540787	-118.2946295	Los Angeles County
323672	Ordering, Referring, Prescribing	N/A	1194220434	0	0	VASHISHTHA, DEVESH M MD	9/21/2022	Taxonomy not applicable	NA	n/a	000	Unknown	A174983	N/A	N/A	N/A	N/A	N/A	5454 EL CAJON BLVD	None	SAN DIEGO	CA	92115	3621	00	06000	32.75809043	-117.0778038	San Diego County
323770	Ordering, Referring, Prescribing	N/A	1194445544	0	0	VELA, MELANIE PHARMD	8/24/2022	Taxonomy not applicable	NA	n/a	000	Unknown	86645	N/A	N/A	N/A	N/A	N/A	3540 MT DIABLO BLVD	None	LAFAYETTE	CA	94549	3814	00	06000	37.89207305	-122.1192741	Contra Costa County
323887	Ordering, Referring, Prescribing	N/A	1194925123	0	0	VU, QUIN MD	1/23/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A101624	N/A	N/A	N/A	N/A	N/A	1800 SPRING RIDGE DR	None	SUSANVILLE	CA	96130	6100	00	06000	40.43816059	-120.6279677	Lassen County
323898	Ordering, Referring, Prescribing	N/A	1194967893	0	0	VERGARA, ROSARIO S PHARMD	11/12/2020	Taxonomy not applicable	NA	n/a	000	Unknown	57210	N/A	N/A	N/A	N/A	N/A	1000 VALE TERRACE DRIVE	None	VISTA	CA	92084	5218	00	06000	33.20904502	-117.2286439	San Diego County
323956	Ordering, Referring, Prescribing	N/A	1205102878	0	0	VERDUZCO, VANESSA R LMFT	4/15/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT97278	N/A	N/A	N/A	N/A	N/A	142 E CALIFORNIA AVE	None	FRESNO	CA	93706	3642	00	06000	36.72133047	-119.810421	Fresno County
323963	Ordering, Referring, Prescribing	N/A	1205111598	0	0	VO, LEYNA P LMFT	3/25/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	93424	N/A	N/A	N/A	N/A	N/A	4000 W METROPOLITAN DR	SUITE 400	ORANGE	CA	92868	3504	00	06000	33.78016046	-117.8956101	Orange County
324017	Ordering, Referring, Prescribing	N/A	1205218260	0	0	VARGHESE, SUSAN LPCC	6/23/2020	Taxonomy not applicable	NA	n/a	000	Unknown	1208	N/A	N/A	N/A	N/A	N/A	25910 ACERO	160	MISSION VIEJO	CA	92691	2790	00	06000	33.61712389	-117.6780482	Orange County
324036	Ordering, Referring, Prescribing	N/A	1205245263	0	0	VILLARREAL-KONE, ERICA LMFT	9/25/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	123574	N/A	N/A	N/A	N/A	N/A	455 1ST ST	None	WOODLAND	CA	95695	2510	00	06000	38.675781	-121.773122	Yolo County
324051	Ordering, Referring, Prescribing	N/A	1205267184	0	0	VASQUEZ-MOTA, JOCELYN LCSW	9/14/2022	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	110475	N/A	N/A	N/A	N/A	N/A	1424 30TH ST	SUITE A	SAN DIEGO	CA	92154	3421	00	06000	32.57104918	-117.0672037	San Diego County
324059	Ordering, Referring, Prescribing	N/A	1205287968	0	0	VELAZQUEZ, LORENA LMFT	6/16/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	126502	N/A	N/A	N/A	N/A	N/A	1885 LUNDY AVE	#223	SAN JOSE	CA	95131	1888	00	06000	37.39329538	-121.8907367	Santa Clara County
324168	Ordering, Referring, Prescribing	N/A	1205470929	0	0	VUE, ZOUAPA K NP	10/6/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95014887	N/A	N/A	N/A	N/A	N/A	2042 KERN ST	None	FRESNO	CA	93721	2008	00	06000	36.73339969	-119.7882967	Fresno County
324178	Ordering, Referring, Prescribing	N/A	1205490216	0	0	VELEZ, VANESSA MD	3/22/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A179221	N/A	N/A	N/A	N/A	N/A	2940 INLAND EMPIRE BLVD	None	ONTARIO	CA	91764	4898	00	06000	34.069788	-117.5884605	San Bernardino County
324202	Ordering, Referring, Prescribing	N/A	1205576675	0	0	VONDRACEK, SARA A PHARMD	4/1/2022	Taxonomy not applicable	NA	n/a	000	Unknown	84860	N/A	N/A	N/A	N/A	N/A	2100 DR MARTIN LUTHER KI	None	CHICO	CA	95928	4422	00	06000	39.721077	-121.811508	Butte County
324217	Ordering, Referring, Prescribing	N/A	1205664448	0	0	VELARDE, ERIN CCC-SLP	3/13/2024	Taxonomy not applicable	NA	n/a	037	SPEECH THERAPISTS	SP36825	N/A	N/A	N/A	N/A	N/A	21151 S WESTERN AVENUE	SUITE 119	TORRANCE	CA	90501	1318	00	06000	33.83695304	-118.3092655	Los Angeles County
324248	Ordering, Referring, Prescribing	N/A	1205923224	0	0	VALDEZ, MICHAEL S MD	10/31/2013	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	79406	N/A	N/A	N/A	N/A	N/A	5870 ARLINGTON AVE	None	RIIVERSIDE	CA	92504	2037	00	06000	33.94592702	-117.4313099	Riverside
324257	Ordering, Referring, Prescribing	N/A	1205955291	0	0	VIDES, EVELYN E LCSW	10/4/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	89969	N/A	N/A	N/A	N/A	N/A	1350 ARNOLD DR	102	MARTINEZ	CA	94553	4190	00	06000	37.99217145	-122.0982508	Contra Costa County
324344	Ordering, Referring, Prescribing	N/A	1215118419	0	0	VETCHINKINA, ANNA LCSW	4/1/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	23467	N/A	N/A	N/A	N/A	N/A	695 S VERMONT AVE	None	LOS ANGELES	CA	90005	1349	00	06000	34.06078495	-118.2916863	Los Angeles County
324355	Ordering, Referring, Prescribing	N/A	1215131412	0	0	VALENTINE, DIANA	5/14/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	28647	N/A	N/A	N/A	N/A	N/A	555 STEVENSON ST	None	SAN FRANCISCO	CA	94103	1606	00	06000	37.78070506	-122.41099	San Francisco County
324365	Ordering, Referring, Prescribing	N/A	1215190301	0	0	VALDEZ-TRAN, MELANIE D LCSW	3/6/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	29616	N/A	N/A	N/A	N/A	N/A	251 LLEWELLYN AVE	None	CAMPBELL	CA	95008	1940	00	06000	37.29173129	-121.9584335	Santa Clara County
324394	Ordering, Referring, Prescribing	N/A	1215219688	0	0	VU, TUAN A PHARMD	7/3/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH54840	N/A	N/A	N/A	N/A	N/A	2417 SYCAMORE DRIVE	None	SIMI VALLEY	CA	93065	2301	00	06000	34.279884	-118.743926	Ventura County
324396	Ordering, Referring, Prescribing	N/A	1215219662	0	0	VO, THUYDIEM T PHARMD	3/21/2018	Taxonomy not applicable	NA	n/a	000	Unknown	54145	N/A	N/A	N/A	N/A	N/A	14150 BROOKHURST ST	None	GARDEN GROVE	CA	92843	4657	00	06000	33.75740502	-117.9548166	Orange County
324406	Ordering, Referring, Prescribing	N/A	1215237219	0	0	VO, THUY PHARMD	2/9/2019	Taxonomy not applicable	NA	n/a	000	Unknown	56063	N/A	N/A	N/A	N/A	N/A	1201 AVOCADO AVE	None	EL CAJON	CA	92020	7704	00	06000	32.778864	-116.9579805	San Diego County
324420	Ordering, Referring, Prescribing	N/A	1215257092	0	0	VERIOTI, CHRISTOPHER A DO	4/23/2017	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A13329	N/A	N/A	N/A	N/A	N/A	125 MALL DRIVE	SUITE 205	HANFORD	CA	93230	5794	00	06000	36.3246477	-119.6685218	Kings County
324425	Ordering, Referring, Prescribing	N/A	1215275771	0	0	VALDOVINOS, VALENTINE	6/4/2019	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	87464	N/A	N/A	N/A	N/A	N/A	1625 N SCHRADER BLVD	None	LOS ANGELES	CA	90028	6213	00	06000	34.100523	-118.3324855	Los Angeles County
324551	Ordering, Referring, Prescribing	N/A	1215478144	0	0	VELASCO, JACIELLE J LMFT	10/23/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	122658	N/A	N/A	N/A	N/A	N/A	2550 E FOOTHILL BLVD	2ND FLOOR	PASADENA	CA	91107	3406	00	06000	34.14979153	-118.0979955	Los Angeles County
324553	Ordering, Referring, Prescribing	N/A	1215480546	0	0	VILLEGAS, MARIA I LMFT	10/6/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT128517	N/A	N/A	N/A	N/A	N/A	4500 PACIFIC COAST HWY.	STE 100	LONG BEACH	CA	90804	3275	00	06000	33.78808863	-118.1399827	Los Angeles County
324626	Ordering, Referring, Prescribing	N/A	1215618129	0	0	VALENTINE, CADENCE L LCSW	7/10/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	116384	N/A	N/A	N/A	N/A	N/A	1625 SCHRADER BLVD	None	LOS ANGELES	CA	90028	6213	00	06000	34.100523	-118.3324855	Los Angeles County
324668	Ordering, Referring, Prescribing	N/A	1215992615	0	0	VIBOOSHANAN, PANDIAN P MD	4/18/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	C147787	N/A	N/A	N/A	N/A	N/A	2032 MARENGO ST	None	LOS ANGELES	CA	90033	1913	00	06000	34.0566188	-118.2074593	Los Angeles County
324734	Ordering, Referring, Prescribing	N/A	1225178353	0	0	VILLALBA, JENNIFER E LCSW	4/12/2017	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	60862	N/A	N/A	N/A	N/A	N/A	437 N EUCLID AVE	None	ONTARIO	CA	91762	3456	00	06000	34.067988	-117.6521805	San Bernardino County
324761	Ordering, Referring, Prescribing	N/A	1225229578	0	0	VAZQUEZ, MARIA-ISABEL LMFT	9/28/2022	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	119554	N/A	N/A	N/A	N/A	N/A	155 N OCCIDENTAL BLVD	None	LOS ANGELES	CA	90026	4641	00	06000	34.07178779	-118.2787879	Los Angeles County
324810	Ordering, Referring, Prescribing	N/A	1225335722	0	0	VACCARO, GAETANO PHD	6/20/2018	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY26314	N/A	N/A	N/A	N/A	N/A	68555 RAMON RD	None	CATHEDRAL CITY	CA	92234	3310	00	06000	33.8158285	-116.4648113	Riverside County
324848	Ordering, Referring, Prescribing	N/A	1225404874	0	0	VERNETTI, LINDSAY R CNP	5/10/2019	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95005022	N/A	N/A	N/A	N/A	N/A	3851 ROSECRANS ST.	None	SAN DIEGO	CA	92110	3115	00	06000	32.75343795	-117.2028528	San Diego County
324872	Ordering, Referring, Prescribing	N/A	1225440639	0	0	VO, HONG L	2/23/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	113962	N/A	N/A	N/A	N/A	N/A	4411 E KINGS CANYON RD	None	FRESNO	CA	93702	3604	00	06000	36.73594649	-119.7521955	Fresno County
324874	Ordering, Referring, Prescribing	N/A	1225442726	0	0	VALENCIA, NICOLE F LCSW	3/25/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	94171	N/A	N/A	N/A	N/A	N/A	3303 N BROADWAY	None	LOS ANGELES	CA	90031	2803	00	06000	34.07380397	-118.20586	Los Angeles County
324947	Ordering, Referring, Prescribing	N/A	1225543192	0	0	VLAHOS, LORENZA I LMFT	7/22/2022	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	133937	N/A	N/A	N/A	N/A	N/A	101 S B ST	None	LOMPOC	CA	93436	6933	00	06000	34.63860089	-120.4503641	Santa Barbara County
324964	Ordering, Referring, Prescribing	N/A	1225564859	0	0	VAZQUEZ, YVONNE MD	10/30/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A162464	N/A	N/A	N/A	N/A	N/A	23501 CINEMA DRIVE	200	VALENCIA	CA	91355	5430	00	06000	34.42039699	-118.5463513	Los Angeles County
325018	Ordering, Referring, Prescribing	N/A	1225682461	0	0	VIEIRA, ASHLEY C CNP	2/9/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95012027	N/A	N/A	N/A	N/A	N/A	4650 SUNSET BLVD.	None	LOS ANGELES	CA	90027	6062	00	06000	34.09813032	-118.2901794	Los Angeles County
325028	Ordering, Referring, Prescribing	N/A	1225709637	0	0	VACH, TERRI L LCSW	12/21/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	21387	N/A	N/A	N/A	N/A	N/A	1911 WILLIAMS DRIVE	STE. 210	OXNARD	CA	93036	0673	00	06000	34.219566	-119.1539365	Ventura County
325034	Ordering, Referring, Prescribing	N/A	1225751084	0	0	VIERA BRECKENRIDGE, CYNTHIA A LCSW	7/27/2022	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW109499	N/A	N/A	N/A	N/A	N/A	611 S KINGSLEY DR.	None	LOS ANGELES	CA	90005	2319	00	06000	34.06305793	-118.3028813	Los Angeles County
325104	Ordering, Referring, Prescribing	N/A	1235276940	0	0	VELIZ, AURA NP	7/27/2019	Taxonomy not applicable	NA	n/a	000	Unknown	13194	N/A	N/A	N/A	N/A	N/A	732 MOTT ST	SUITE 100	SAN FERNANDO	CA	91340	4237	00	06000	34.27661761	-118.4442372	Los Angeles County
325128	Ordering, Referring, Prescribing	N/A	1235330036	0	0	VANOEVEREN, KRISTOPHER DC	2/9/2020	Taxonomy not applicable	NA	n/a	006	CHIROPRACTORS	DC22879	N/A	N/A	N/A	N/A	N/A	1908 N BEALE RD	E	MARYSVILLE	CA	95901	6937	00	06000	39.1278388	-121.5457994	Yuba County
325138	Ordering, Referring, Prescribing	N/A	1235347576	0	0	VERDE, DIANA L MD	2/14/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	C53575	N/A	N/A	N/A	N/A	N/A	721 NEVADA ST.	None	REDLANDS	CA	92373	0000	00	06000	34.061715	-117.2174795	San Bernardino County
325158	Ordering, Referring, Prescribing	N/A	1235397951	0	0	VAN CLEAVE, ROBIN E LPCC	8/3/2022	Taxonomy not applicable	NA	n/a	000	Unknown	4762	N/A	N/A	N/A	N/A	N/A	590 SEARLS AVE	UNIT 12	NEVADA CITY	CA	95959	3043	00	06000	39.25154223	-121.02399	Nevada County
325180	Ordering, Referring, Prescribing	N/A	1235415977	0	0	VU, KAY PHARMD	7/26/2021	Taxonomy not applicable	NA	n/a	000	Unknown	56241	N/A	N/A	N/A	N/A	N/A	2000 W WHITTIER BLVD	None	LA HABRA	CA	90631	3535	00	06000	33.93977553	-117.968895	Orange County
325228	Ordering, Referring, Prescribing	N/A	1235497660	0	0	VEGA, ARITCELA LMFT	11/24/2019	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	112322	N/A	N/A	N/A	N/A	N/A	121 W VICTORIA ST	None	LONG BEACH	CA	90805	2162	00	06000	33.86489618	-118.2026866	Los Angeles County
325247	Ordering, Referring, Prescribing	N/A	1235527847	0	0	VILLASENOR, NOELANI L MSW LCSW	3/19/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW93683	N/A	N/A	N/A	N/A	N/A	9412 BIG HORN BOULEVARD	SUITE 6	ELK GROVE	CA	95758	1101	00	06000	38.415861	-121.407957	Sacramento County
325299	Ordering, Referring, Prescribing	N/A	1235602814	0	0	VALENZUELA, MIGUEL A LMFT	6/22/2022	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	133367	N/A	N/A	N/A	N/A	N/A	4000 WEST METROPOLITAN D	None	ORANGE	CA	92868	3506	00	06000	33.78016046	-117.8956101	Orange County
325331	Ordering, Referring, Prescribing	N/A	1235655499	0	0	VUONG, TOMY PHARMD	1/6/2020	Taxonomy not applicable	NA	n/a	000	Unknown	67622	N/A	N/A	N/A	N/A	N/A	1719 E WALNUT ST	None	PASADENA	CA	91106	1611	00	06000	34.14957646	-118.115019	Los Angeles County
325354	Ordering, Referring, Prescribing	N/A	1235694902	0	0	VU, MICHELLE P PA	10/14/2021	Taxonomy not applicable	NA	n/a	000	Unknown	56524	N/A	N/A	N/A	N/A	N/A	303 W LINCOLN AVE	#105	ANAHEIM	CA	92805	2936	00	06000	33.83508976	-117.9177981	Orange County
325432	Ordering, Referring, Prescribing	N/A	1245088491	0	0	VALLE MARISCAL, ABEL NP	4/29/2024	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95029955	N/A	N/A	N/A	N/A	N/A	569 W PUTNAM AVE	None	PORTERVILLE	CA	93257	3260	00	06000	36.06957307	-119.0296992	Tulare County
325526	Ordering, Referring, Prescribing	N/A	1245426816	0	0	VEDERMAN, ELAINA R PSYD	2/8/2020	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY24449	N/A	N/A	N/A	N/A	N/A	2712 MISSION ST	None	SAN FRANCISCO	CA	94110	3104	00	06000	37.75336705	-122.4185922	San Francisco County
325535	Ordering, Referring, Prescribing	N/A	1245448661	0	0	VOZNYUK, INESSA N	4/28/2020	Taxonomy not applicable	NA	n/a	099	DENTIST	D47430	N/A	N/A	N/A	N/A	N/A	8932 WOODMAN AVE	None	ARLETA	CA	91331	8021	00	06000	34.23207547	-118.4379725	Los Angeles County
325568	Ordering, Referring, Prescribing	N/A	1245507409	0	0	VO, TRISTAN PHARMD	7/7/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH50308	N/A	N/A	N/A	N/A	N/A	40663 CALIFORNIA OAKS RD	None	MURRIETA	CA	92562	5729	00	06000	33.57229056	-117.2037807	Riverside County
325597	Ordering, Referring, Prescribing	N/A	1245557974	0	0	VIZCAY, JODY A LMFT	7/20/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	111292	N/A	N/A	N/A	N/A	N/A	11277 GARDEN GROVE BLVD.	SUITE 100	GARDEN GROVE	CA	92843	1300	00	06000	33.77432916	-117.9360905	Orange County
325656	Ordering, Referring, Prescribing	N/A	1245652379	0	0	VASQUEZ-ZURITA, LETICIA LCSW	1/19/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	111750	N/A	N/A	N/A	N/A	N/A	12619 BENTLEY ST	None	LIVINGSTON	CA	95386	9011	00	06000	37.64073442	-120.7613165	Stanislaus County
325669	Ordering, Referring, Prescribing	N/A	1245666304	0	0	VALDIVIA, BELINDA LCSW	10/23/2018	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW75368	N/A	N/A	N/A	N/A	N/A	501 S IDAHO ST	SUITE 250	LA HABRA	CA	90631	6047	00	06000	33.927525	-117.959216	Orange County
325736	Ordering, Referring, Prescribing	N/A	1245769215	0	0	VALVERDE, JOSHUA MD	7/1/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A157542	N/A	N/A	N/A	N/A	N/A	500 CITY PKWY W	SUITE 200	ORANGE	CA	92868	2941	00	06000	33.78299346	-117.895788	Orange County
325759	Ordering, Referring, Prescribing	N/A	1245787902	0	0	VARGAS, JESSICA LCSW	7/16/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	102532	N/A	N/A	N/A	N/A	N/A	10929 SOUTH ST	SUITE 208B	CERRITOS	CA	90703	5368	00	06000	33.85836353	-118.101204	Los Angeles County
325777	Ordering, Referring, Prescribing	N/A	1245832765	0	0	VUONG, HSUN-YU NP	12/2/2019	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95009666	N/A	N/A	N/A	N/A	N/A	555 E HARDY ST	None	INGLEWOOD	CA	90301	4011	00	06000	33.94909549	-118.3481595	Los Angeles County
325897	Ordering, Referring, Prescribing	N/A	1255382032	0	0	VALENTINE, RICARDO A	2/13/2018	Taxonomy not applicable	NA	n/a	099	DENTIST	D40752	N/A	N/A	N/A	N/A	N/A	5730 PACKARD AVE	STE 500	MARYSVILLE	CA	95901	7119	00	06000	39.12014523	-121.5659991	Yuba County
326009	Ordering, Referring, Prescribing	N/A	1255617882	0	0	VERRIOS, ANI M	8/8/2021	Taxonomy not applicable	NA	n/a	000	Unknown	53276	N/A	N/A	N/A	N/A	N/A	8230 SARATOGA WAY	None	EL DORADO HILLS	CA	95762	4581	00	06000	38.65603483	-121.0726726	El Dorado County
326133	Ordering, Referring, Prescribing	N/A	1255830519	0	0	VASQUEZ, CATARINA LMFT	3/31/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT84638	N/A	N/A	N/A	N/A	N/A	4545 NORTH WEST AVENUE	None	FRESNO	CA	93705	0946	00	06000	36.799623	-119.8264355	Fresno County
326137	Ordering, Referring, Prescribing	N/A	1255835930	0	0	VU, MICHAEL N MD	7/12/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A164789	N/A	N/A	N/A	N/A	N/A	276 INTERNATIONAL CIRCLE	BUILDING 1	SAN JOSE	CA	95119	1103	00	06000	37.2402111	-121.8021684	Santa Clara County
326147	Ordering, Referring, Prescribing	N/A	1255844361	0	0	VALDIVIA, LEXE A LMFT	8/2/2024	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	148543	N/A	N/A	N/A	N/A	N/A	1400 W STANFORD RANCH RD	None	ROCKLIN	CA	95765	3750	00	06000	38.81536853	-121.2856121	Placer County
326186	Ordering, Referring, Prescribing	N/A	1255902177	0	0	VAN OCHTEN, HANNAH PHARMD	8/18/2021	Taxonomy not applicable	NA	n/a	000	Unknown	84858	N/A	N/A	N/A	N/A	N/A	1380 HOWARD ST	None	SAN FRANCISCO	CA	94103	2638	00	06000	37.77424669	-122.4141502	San Francisco County
326192	Ordering, Referring, Prescribing	N/A	1255908927	0	0	VASQUEZ QUISBERTH, JHICEL K LMFT	4/15/2024	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT146367	N/A	N/A	N/A	N/A	N/A	222 S HARBOR BLVD	650	ANAHEIM	CA	92805	3700	00	06000	33.83250163	-117.9188893	Orange County
326232	Ordering, Referring, Prescribing	N/A	1255991840	0	0	VANKLEECK, JESSA M OD	10/28/2019	Taxonomy not applicable	NA	n/a	020	OPTOMETRISTS	OPT34433	N/A	N/A	N/A	N/A	N/A	615 N PALM AVE	None	ONTARIO	CA	91762	3219	00	06000	34.069761	-117.65376	San Bernardino County
326259	Ordering, Referring, Prescribing	N/A	1265046734	0	0	VAZQUEZ, JEANETTE LMFT	12/2/2024	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT151744	N/A	N/A	N/A	N/A	N/A	11731 TELEGRAPH RD	SUITE K	SANTA FE SPRINGS	CA	90670	3675	00	06000	33.94630253	-118.0832082	Los Angeles County
326332	Ordering, Referring, Prescribing	N/A	1265455893	0	0	VAN TESLAAR, MELISSA LMFT	11/16/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	48138	N/A	N/A	N/A	N/A	N/A	9601 KIEFER BOULEVARD	None	SACRAMENTO	CA	95827	3567	00	06000	38.54628	-121.3397415	Sacramento County
326348	Ordering, Referring, Prescribing	N/A	1265503478	0	0	VANBUSKIRK, SUJATA P LMFT	4/1/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	82019	N/A	N/A	N/A	N/A	N/A	481 NORTH FIRST STREET	None	SAN JOSE	CA	95112	4031	00	06000	37.34415394	-121.8966245	Santa Clara County
326499	Ordering, Referring, Prescribing	N/A	1265790596	0	0	VIGIL, ANDY LMFT	4/15/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	53236	N/A	N/A	N/A	N/A	N/A	455 E COLUMBIA ST	201	LONG BEACH	CA	90806	1602	00	06000	33.80900524	-118.1874314	Los Angeles County
326509	Ordering, Referring, Prescribing	N/A	1265806228	0	0	VAZQUEZ, ANGELICA LCSW	6/20/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW115977	N/A	N/A	N/A	N/A	N/A	204 E BEACH ST	None	WATSONVILLE	CA	95076	4809	00	06000	36.91224802	-121.7541363	Santa Cruz County
326657	Ordering, Referring, Prescribing	N/A	1275074494	0	0	VALLURI, VINOD K MD	7/10/2018	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A156925	N/A	N/A	N/A	N/A	N/A	710 LAWRENCE EXPY	DEPT 384	SANTA CLARA	CA	95051	5173	00	06000	37.33636857	-121.9958111	Santa Clara County
326757	Ordering, Referring, Prescribing	N/A	1275396491	0	0	VALDEZ, RACHEL	4/10/2024	Taxonomy not applicable	NA	n/a	000	Unknown	64356	N/A	N/A	N/A	N/A	N/A	1119 PACIFIC AVE	200	SANTA CRUZ	CA	95060	7503	00	06000	36.9722444	-122.0256836	Santa Cruz County
326778	Ordering, Referring, Prescribing	N/A	1275602914	0	0	VOSS PEREIRA, SARAH LMFT	5/28/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	51406	N/A	N/A	N/A	N/A	N/A	1400 W STANFORD RANCH RD	None	ROCKLIN	CA	95765	3750	00	06000	38.81536853	-121.2856121	Placer County
326827	Ordering, Referring, Prescribing	N/A	1275678302	0	0	VANG, MAI Y LCSW	1/27/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW26971	N/A	N/A	N/A	N/A	N/A	1965 LIVE OAK BLVD	None	YUBA CITY	CA	95991	8850	00	06000	39.15563037	-121.620091	Sutter County
326830	Ordering, Referring, Prescribing	N/A	1275673584	0	0	VILLASENOR, DAVID C MD	5/17/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A98275	N/A	N/A	N/A	N/A	N/A	720 WOOD ST.	None	EUREKA	CA	95501	4431	00	06000	40.78118068	-124.1607622	Humboldt County
326845	Ordering, Referring, Prescribing	N/A	1275730954	0	0	VERMA, SUNIL DC	5/28/2019	Taxonomy not applicable	NA	n/a	006	CHIROPRACTORS	30105	N/A	N/A	N/A	N/A	N/A	302 NORTHGATE DR	None	MANTECA	CA	95336	3139	00	06000	37.81902087	-121.2206405	San Joaquin County
326933	Ordering, Referring, Prescribing	N/A	1275901050	0	0	VAYNSHTEYN, ILANA N	10/8/2015	Taxonomy not applicable	NA	n/a	099	DENTIST	D65005	N/A	N/A	N/A	N/A	N/A	1830 COMMERCIAL WAY	None	SANTA CRUZ	CA	95065	1819	00	06000	36.98837145	-121.9802206	Santa Cruz County
326999	Ordering, Referring, Prescribing	N/A	1275988446	0	0	VUONG, ELIZABETH PHARMD	2/25/2021	Taxonomy not applicable	NA	n/a	000	Unknown	73088	N/A	N/A	N/A	N/A	N/A	200 MUIR ROAD	None	MARTINEZ	CA	94553	4614	00	06000	37.99430233	-122.1107194	Contra Costa County
327009	Ordering, Referring, Prescribing	N/A	1285000133	0	0	VO, THUY M PHARMD	1/12/2021	Taxonomy not applicable	NA	n/a	000	Unknown	74092	N/A	N/A	N/A	N/A	N/A	3540 MT DIABLO BLVD	None	LAFAYETTE	CA	94549	3814	00	06000	37.89207305	-122.1192741	Contra Costa County
327078	Ordering, Referring, Prescribing	N/A	1285066597	0	0	VARMA, VANITA I	8/19/2013	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	RN0743326	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
327093	Ordering, Referring, Prescribing	N/A	1285115402	0	0	VERDUZCO ALVAREZ, ANTONIO PHARMD	9/2/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH73731	N/A	N/A	N/A	N/A	N/A	7850 WEST LANE	None	STOCKTON	CA	95210	3314	00	06000	38.01971854	-121.294716	San Joaquin County
327124	Ordering, Referring, Prescribing	N/A	1285168559	0	0	VUE, LUCY LMFT	4/20/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT117099	N/A	N/A	N/A	N/A	N/A	711 N COURT ST	STE B	VISALIA	CA	93291	3638	00	06000	36.336384	-119.292543	Tulare County
327139	Ordering, Referring, Prescribing	N/A	1285193383	0	0	VALDEZ, NATHALIE J LCSW	1/17/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW25471	N/A	N/A	N/A	N/A	N/A	1669 WEST AVE J	STE 301	LANCASTER	CA	93534	2870	00	06000	34.68944746	-118.1608785	Los Angeles County
327172	Ordering, Referring, Prescribing	N/A	1285247445	0	0	VERTREES, DONALD PA-C	8/11/2020	Taxonomy not applicable	NA	n/a	000	Unknown	58404	N/A	N/A	N/A	N/A	N/A	250 W 5TH ST	None	HANFORD	CA	93230	5029	00	06000	36.32439821	-119.6472235	Kings County
327177	Ordering, Referring, Prescribing	N/A	1285255109	0	0	VO, HIEU MD	8/4/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A188511	N/A	N/A	N/A	N/A	N/A	1771 W. ROMNEYA DR.	E1	ANAHEIM	CA	92801	1817	00	06000	33.85067649	-117.9445635	Orange County
327208	Ordering, Referring, Prescribing	N/A	1285348607	0	0	VILLEGAS, SERGIO CNP	12/27/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95023703	N/A	N/A	N/A	N/A	N/A	3416 VIA MERCATO	106	CARLSBAD	CA	92009	8497	00	06000	33.08174182	-117.2357928	San Diego County
327256	Ordering, Referring, Prescribing	N/A	1285645119	0	0	VON MILLER, CORWIN C LMFT	11/10/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT47325	N/A	N/A	N/A	N/A	N/A	7001-A EAST PARKWAY, SUI	300	SACRAMENTO	CA	95823	2501	00	06000	38.497689	-121.4498385	Sacramento County
327278	Ordering, Referring, Prescribing	N/A	1285746214	0	0	VITUG, ELENA P MD	8/9/2017	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A44349	N/A	N/A	N/A	N/A	N/A	502 S EUCLID AVE.	SUITE 201	NATIONAL CITY	CA	91950	7251	00	06000	32.68505421	-117.0832793	San Diego County
327389	Ordering, Referring, Prescribing	N/A	1285943084	0	0	VIRAMONTES, CELESTE C LMFT	2/3/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	94649	N/A	N/A	N/A	N/A	N/A	2540 W SHAW LN	None	FRESNO	CA	93711	2700	00	06000	36.80923946	-119.8386	Fresno County
327407	Ordering, Referring, Prescribing	N/A	1285986059	0	0	VARELA, GEOVANA LCSW	6/30/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW81362	N/A	N/A	N/A	N/A	N/A	4000 ORANGE ST.	None	RIVERSIDE	CA	92501	3613	00	06000	33.97899555	-117.37481	Riverside County
327452	Ordering, Referring, Prescribing	N/A	1295081404	0	0	VU, KHOA DDS	4/22/2023	Taxonomy not applicable	NA	n/a	000	Unknown	DDS61592	N/A	N/A	N/A	N/A	N/A	1305 BEAR MOUNTAIN BLVD	None	ARVIN	CA	93203	1231	00	06000	35.20895551	-118.839294	Kern County
327489	Ordering, Referring, Prescribing	N/A	1295148492	0	0	VAN CAMP, SARAH	12/27/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A17839	N/A	N/A	N/A	N/A	N/A	2800 RIVERSIDE AVE	None	PASO ROBLES	CA	93446	1311	00	06000	35.64351546	-120.6888699	San Luis Obispo County
327621	Ordering, Referring, Prescribing	N/A	1295385433	0	0	VATAN, SETAREH LMFT	8/7/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	140813	N/A	N/A	N/A	N/A	N/A	1130 E CLARK AVE	STE 150-277	SANTA MARIA	CA	93455	5178	00	06000	34.8649707	-120.4175075	Santa Barbara County
327637	Ordering, Referring, Prescribing	N/A	1295481877	0	0	VANLERBERG, LAURINE K CNP	11/30/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP95014757	N/A	N/A	N/A	N/A	N/A	625 34TH STREET	100 & 200	BAKERSFIELD	CA	93301	2305	00	06000	35.39046051	-119.0092725	Kern County
327738	Ordering, Referring, Prescribing	N/A	1295927754	0	0	VEROZA, ROWENA C PSYD	7/28/2020	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY20838	N/A	N/A	N/A	N/A	N/A	216 W LOS ANGELES DR.	None	VISTA	CA	92083	3467	00	06000	33.21246686	-117.247328	San Diego County
327775	Ordering, Referring, Prescribing	N/A	1306007349	0	0	VAN DOREN, GRACE E RN	5/30/2023	Taxonomy not applicable	NA	n/a	000	Unknown	540071	N/A	N/A	N/A	N/A	N/A	1500 LIZZIE STREET, G1	None	SAN LUIS OBISPO	CA	93401	3062	00	06000	35.27980948	-120.6491165	San Luis Obispo County
327784	Ordering, Referring, Prescribing	N/A	1306024666	0	0	VANCE, CAROLE M LMFT	9/26/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT43158	N/A	N/A	N/A	N/A	N/A	1545 ST. MARKS PLAZA	5	STOCKTON	CA	95207	6144	00	06000	37.98892524	-121.3254177	San Joaquin County
327804	Ordering, Referring, Prescribing	N/A	1306073952	0	0	VANDERBERG, SHANNON R LMFT	11/13/2019	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT90568	N/A	N/A	N/A	N/A	N/A	19231 VICTORY BLVD.	110	RESEDA	CA	91335	6321	00	06000	34.18659852	-118.552221	Los Angeles County
327807	Ordering, Referring, Prescribing	N/A	1306075676	0	0	VIVEROS, JENNIFER LCSW	2/26/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW73041	N/A	N/A	N/A	N/A	N/A	855 N ORANGE GROVE BLVD	None	PASADENA	CA	91103	3333	00	06000	34.15695727	-118.1527027	Los Angeles County
327817	Ordering, Referring, Prescribing	N/A	1306110267	0	0	VANDEVEER, KIM M LAC	5/19/2021	Taxonomy not applicable	NA	n/a	032	CERTIFIED ACUPUNCTURIST	14198	N/A	N/A	N/A	N/A	N/A	1557 HEALDSBURG AVE	15 & 16	HEALDSBURG	CA	95448	3260	00	06000	38.63308509	-122.8734119	Sonoma County
327823	Ordering, Referring, Prescribing	N/A	1306118963	0	0	VIRANI, FARAH PSYD	6/23/2020	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	31680	N/A	N/A	N/A	N/A	N/A	747 52ND ST	None	OAKLAND	CA	94609	1809	00	06000	37.83734639	-122.2672128	Alameda County
328006	Ordering, Referring, Prescribing	N/A	1306408489	0	0	VAN BAREN, DANIELLE OD	12/15/2020	Taxonomy not applicable	NA	n/a	020	OPTOMETRISTS	OPT34260	N/A	N/A	N/A	N/A	N/A	250 W. 5TH STREET	None	HANFORD	CA	93230	5029	00	06000	36.32439821	-119.6472235	Kings County
328178	Ordering, Referring, Prescribing	N/A	1316039571	0	0	VOLKER, GRAHAM C	3/25/2020	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY7844	N/A	N/A	N/A	N/A	N/A	555 TECHNOLOGY CT.	300	RIVERSIDE	CA	92507	2155	00	06000	34.00024862	-117.32403	Riverside County
328256	Ordering, Referring, Prescribing	N/A	1316216096	0	0	VUONG, CAROLYN PHARMD	2/28/2021	Taxonomy not applicable	NA	n/a	000	Unknown	63222	N/A	N/A	N/A	N/A	N/A	3000 S ROBERTSON BLVD	None	LOS ANGELES	CA	90034	3158	00	06000	34.03262164	-118.3900457	Los Angeles County
328308	Ordering, Referring, Prescribing	N/A	1316314792	0	0	VILLASENOR, ADYLENE J LCSW	9/3/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW100895	N/A	N/A	N/A	N/A	N/A	1418 J ST	None	MODESTO	CA	95354	1013	00	06000	37.64385262	-120.9958717	Stanislaus County
328384	Ordering, Referring, Prescribing	N/A	1316417389	0	0	VIGIL, SANDY R RN	2/6/2018	Taxonomy not applicable	NA	n/a	000	Unknown	384720	N/A	N/A	N/A	N/A	N/A	1530 E 19TH ST	None	BAKERSFIELD	CA	93305	5406	00	06000	35.37150365	-118.9798847	Kern County
328390	Ordering, Referring, Prescribing	N/A	1316430754	0	0	VARUGHESE, ALLYSHA PA	6/8/2018	Taxonomy not applicable	NA	n/a	000	Unknown	55644	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
328437	Ordering, Referring, Prescribing	N/A	1316491558	0	0	VU, ALYSSA U	12/30/2021	Taxonomy not applicable	NA	n/a	099	DENTIST	100646	N/A	N/A	N/A	N/A	N/A	90 VIA JUANA RD	None	SANTA YNEZ	CA	93460	9679	00	06000	34.60546842	-120.0931812	Santa Barbara County
328464	Ordering, Referring, Prescribing	N/A	1316531825	0	0	VUE, NORA M NP	6/27/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95016761	N/A	N/A	N/A	N/A	N/A	12619 BENTLEY STREET	None	WATERFORD	CA	95386	9011	00	06000	37.64073442	-120.7613165	Stanislaus County
328502	Ordering, Referring, Prescribing	N/A	1316611288	0	0	VERCHER, ROSHON LCSW	5/16/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	101363	N/A	N/A	N/A	N/A	N/A	425 N DATE ST	None	ESCONDIDO	CA	92025	3413	00	06000	33.1292461	-117.0716509	San Diego County
328587	Ordering, Referring, Prescribing	N/A	1326114372	0	0	VARGAS-GLADEN, ROSALVA V LMFT	3/15/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	46940	N/A	N/A	N/A	N/A	N/A	290 IOOF AVENUE	None	GILROY	CA	95020	5204	00	06000	37.01377513	-121.5685719	Santa Clara County
328589	Ordering, Referring, Prescribing	N/A	1326112194	0	0	VELASCO, LEOPOLDO NP	3/26/2020	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	21103	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
328620	Ordering, Referring, Prescribing	N/A	1326170499	0	0	VETTER, NICHOLAS J LMFT	6/15/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	48867	N/A	N/A	N/A	N/A	N/A	11565 LAUREL CANYON BLVD	101	MISSION HILLS	CA	91340	1165	00	06000	34.27976725	-118.4545386	Los Angeles County
328624	Ordering, Referring, Prescribing	N/A	1326171059	0	0	VUU, CYNDI B	10/3/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	80020	N/A	N/A	N/A	N/A	N/A	16152 BEACH BLVD	269	HUNTINGTON BEACH	CA	92647	3864	00	06000	33.72889962	-117.9891397	Orange County
328635	Ordering, Referring, Prescribing	N/A	1326178559	0	0	VALENZUELA, ADRIANA E LMFT	11/23/2019	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	MFT31931	N/A	N/A	N/A	N/A	N/A	4701 E CESAR E CHAVEZ AV	None	LOS ANGELES	CA	90022	1209	00	06000	34.04062547	-118.1643975	Los Angeles County
328705	Ordering, Referring, Prescribing	N/A	1326315623	0	0	VASQUEZ, GABRIELA LCSW	2/16/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	75747	N/A	N/A	N/A	N/A	N/A	2311 W EL SEGUNDO BLVD	None	HAWTHORNE	CA	90250	3315	00	06000	33.91647947	-118.3189815	Los Angeles County
328707	Ordering, Referring, Prescribing	N/A	1326316050	0	0	VU, DIEMKHANH D PHARMD	7/8/2021	Taxonomy not applicable	NA	n/a	000	Unknown	54722	N/A	N/A	N/A	N/A	N/A	3237 E CHAPMAN AVE	None	ORANGE	CA	92869	3709	00	06000	33.78782753	-117.8188425	Orange County
328730	Ordering, Referring, Prescribing	N/A	1326333485	0	0	VEAL, TIMOTHY M MD	2/24/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A124269	N/A	N/A	N/A	N/A	N/A	201 N COURT ST	None	VISALIA	CA	93291	4918	00	06000	36.331218	-119.292561	Tulare County
328761	Ordering, Referring, Prescribing	N/A	1326376617	0	0	VANDENRAADT, LISA A LMFT	5/3/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	105746	N/A	N/A	N/A	N/A	N/A	3924 RIVERVIEW DR	None	JURUPA VALLEY	CA	92509	6611	00	06000	33.99857971	-117.4142203	Riverside County
328780	Ordering, Referring, Prescribing	N/A	1326413675	0	0	VUE, WA M PA-C	5/18/2021	Taxonomy not applicable	NA	n/a	000	Unknown	PA53075	N/A	N/A	N/A	N/A	N/A	2740 S ELM AVE	None	FRESNO	CA	93706	5435	00	06000	36.70101129	-119.7908643	Fresno County
328815	Ordering, Referring, Prescribing	N/A	1326470626	0	0	VO, VIETNAM L NP	8/10/2017	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	22922	N/A	N/A	N/A	N/A	N/A	9862 CHAPMAN AVE	B	GARDEN GROVE	CA	92841	2726	00	06000	33.78849558	-117.9607338	Orange County
328830	Ordering, Referring, Prescribing	N/A	1326487992	0	0	VARGAS, MAYRA	6/24/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	98270	N/A	N/A	N/A	N/A	N/A	840 GUADALUPE PKWY	None	SAN JOSE	CA	95110	1714	00	06000	37.34957284	-121.9080687	Santa Clara County
328834	Ordering, Referring, Prescribing	N/A	1326484775	0	0	VELAZQUEZ, YUMILKA LMFT	3/17/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	106853	N/A	N/A	N/A	N/A	N/A	200 S. 13TH STREET	UNIT 209	GROVER BEACH	CA	93433	9998	00	06000	35.11998633	-120.6154278	San Luis Obispo County
328836	Ordering, Referring, Prescribing	N/A	1326490996	0	0	VENEGAS, ERIKA LMFT	11/17/2022	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT135903	N/A	N/A	N/A	N/A	N/A	2550 E FOOTHILL BLVD	None	PASADENA	CA	91107	3406	00	06000	34.14979153	-118.0979955	Los Angeles County
328878	Ordering, Referring, Prescribing	N/A	1326584764	0	0	VINUYA, MIKHAILA T LCSW	1/2/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW93632	N/A	N/A	N/A	N/A	N/A	9650 ZELZAH AVE	None	NORTHRIDGE	CA	91325	2003	00	06000	34.24628267	-118.5232668	Los Angeles County
328967	Ordering, Referring, Prescribing	N/A	1326778184	0	0	VU, CINDY T DMD	8/7/2023	Taxonomy not applicable	NA	n/a	000	Unknown	107480	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
328988	Ordering, Referring, Prescribing	N/A	1336121813	0	0	VALL-SPINOSA, BARBARA MD	8/21/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A63431	N/A	N/A	N/A	N/A	N/A	301 6TH STREET	SUITE 214	SANTA ROSA	CA	95401	4154	00	06000	38.440269	-122.7188745	Sonoma County
328989	Ordering, Referring, Prescribing	N/A	1336101153	0	0	VELASQUEZ, CESAR P LCSW	11/30/2019	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	17575	N/A	N/A	N/A	N/A	N/A	301 E. 13TH ST.	None	MERCED	CA	95341	6211	00	06000	37.29248035	-120.4730619	Merced County
329003	Ordering, Referring, Prescribing	N/A	1336209626	0	0	VADERHOBLI, SUPRIYA K	5/5/2003	Taxonomy not applicable	NA	n/a	099	DENTIST	D50769	N/A	N/A	N/A	N/A	N/A	331 INVERNESS DR	None	PACIFICA	CA	94044	1712	00	06000	37.65346997	-122.4790388	San Mateo County
329036	Ordering, Referring, Prescribing	N/A	1336277805	0	0	VO, HOA T LCSW	6/23/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW75129	N/A	N/A	N/A	N/A	N/A	828 S BASCOM AVE	STE 100	SAN JOSE	CA	95128	2651	00	06000	37.31225204	-121.9317854	Santa Clara County
329059	Ordering, Referring, Prescribing	N/A	1336328897	0	0	VINCELLO, MARIA E LMFT	7/12/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT51316	N/A	N/A	N/A	N/A	N/A	611 VETERANS BOULEVARD	217	REDWOOD CITY	CA	94063	1401	00	06000	37.49285785	-122.232301	San Mateo County
329136	Ordering, Referring, Prescribing	N/A	1336476605	0	0	VO, LISA N OD	10/6/2022	Taxonomy not applicable	NA	n/a	020	OPTOMETRISTS	35327	N/A	N/A	N/A	N/A	N/A	303 E MAIN ST.	None	EL CAJON	CA	92020	3913	00	06000	32.79492548	-116.9584785	San Diego County
329140	Ordering, Referring, Prescribing	N/A	1336489780	0	0	VILLAVICENCIO, GISELA LCSW	3/11/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	73340	N/A	N/A	N/A	N/A	N/A	1200 N MAIN ST	SUITE 301	SANTA ANA	CA	92701	3640	00	06000	33.755175	-117.8676195	Orange County
329268	Ordering, Referring, Prescribing	N/A	1336661420	0	0	VILLEGAS, MICHAEL MSW LCSW	4/22/2024	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	122146	N/A	N/A	N/A	N/A	N/A	2040 CAMFIELD AVE	None	LOS ANGELES	CA	90040	1501	00	06000	34.00861575	-118.1559052	Los Angeles County
329355	Ordering, Referring, Prescribing	N/A	1336863315	0	0	VOLLMER, BRITTANY PA-C	5/21/2023	Taxonomy not applicable	NA	n/a	000	Unknown	61952	N/A	N/A	N/A	N/A	N/A	1820 J ST	None	SACRAMENTO	CA	95811	3010	00	06000	38.57688	-121.4816625	Sacramento County
329357	Ordering, Referring, Prescribing	N/A	1336869775	0	0	VUONG, WILSON M PHARMD	8/18/2022	Taxonomy not applicable	NA	n/a	000	Unknown	86522	N/A	N/A	N/A	N/A	N/A	2238 GEARY BLVD	None	SAN FRANCISCO	CA	94115	3416	00	06000	37.78324881	-122.4405738	San Francisco County
329411	Ordering, Referring, Prescribing	N/A	1346299138	0	0	VAN PELT, TROY C	3/22/2017	Taxonomy not applicable	NA	n/a	099	DENTIST	D50390	N/A	N/A	N/A	N/A	N/A	500 1ST AVE	None	PORTOLA	CA	96122	9406	00	06000	39.80595392	-120.4626723	Plumas County
329478	Ordering, Referring, Prescribing	N/A	1346434982	0	0	VALENTINO, LISA M LCSW	1/13/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	65070	N/A	N/A	N/A	N/A	N/A	631 MAPLE AVE	None	LOS ANGELES	CA	90014	2211	00	06000	34.04323075	-118.2485358	Los Angeles County
329545	Ordering, Referring, Prescribing	N/A	1346550985	0	0	VALENZUELA, JOHN M LCSW	3/9/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW70066	N/A	N/A	N/A	N/A	N/A	8300 S VERMONT AVE	FIRST FLOOR	LOS ANGELES	CA	90044	3493	00	06000	33.963021	-118.291474	Los Angeles County
329672	Ordering, Referring, Prescribing	N/A	1346756723	0	0	VDOVIAK-MARKOW, EMMA R LMFT	3/1/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	124639	N/A	N/A	N/A	N/A	N/A	1012 MAIN ST	101	RAMONA	CA	92065	2170	00	06000	33.04181722	-116.8689096	San Diego County
329687	Ordering, Referring, Prescribing	N/A	1346776358	0	0	VALENZUELA, TRICIA MD	7/28/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A161373	N/A	N/A	N/A	N/A	N/A	4725 MARKET ST	None	SAN DIEGO	CA	92102	4715	00	06000	32.71127386	-117.0929781	San Diego County
329721	Ordering, Referring, Prescribing	N/A	1346852555	0	0	VERDUZCO, MONICA A CNP	6/23/2020	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95014768	N/A	N/A	N/A	N/A	N/A	1201 JEFFERSON ST	None	DELANO	CA	93215	2203	00	06000	35.77204969	-119.2449995	Kern County
329737	Ordering, Referring, Prescribing	N/A	1346887338	0	0	VANDENBERG, VICTORIA	7/12/2021	Taxonomy not applicable	NA	n/a	000	Unknown	81320	N/A	N/A	N/A	N/A	N/A	500 PARNASSUS AVE	None	SAN FRANCISCO	CA	94143	2203	00	06000	37.76351054	-122.4579681	San Francisco County
329746	Ordering, Referring, Prescribing	N/A	1346912813	0	0	VU, TRACY P PA-C	11/3/2021	Taxonomy not applicable	NA	n/a	000	Unknown	60350	N/A	N/A	N/A	N/A	N/A	700 S. TUSTIN STREET	None	ORANGE	CA	92866	3425	00	06000	33.77685748	-117.8357804	Orange County
329758	Ordering, Referring, Prescribing	N/A	1346955929	0	0	VU, KALENA K NP	4/19/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95023900	N/A	N/A	N/A	N/A	N/A	15420 CRENSHAW BLVD	None	GARDENA	CA	90249	4524	00	06000	33.8903685	-118.3264725	Los Angeles County
329775	Ordering, Referring, Prescribing	N/A	1346994852	0	0	VILLARREAL, MANUEL J PSYD	1/24/2022	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	33140	N/A	N/A	N/A	N/A	N/A	210 N. CHESTER AVENUE	None	BAKERSFIELD	CA	93308	4841	00	06000	35.407179	-119.0208925	Kern County
329840	Ordering, Referring, Prescribing	N/A	1356414221	0	0	VERHARST, ELIZABETH A	2/4/2013	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	RN0362483	N/A	N/A	N/A	N/A	N/A	5525 E DEL AMO BLVD	None	LAKEWOOD	CA	90713	2307	00	06000	33.8471395	-118.1244195	Los Angeles County
329844	Ordering, Referring, Prescribing	N/A	1356436729	0	0	VOLKOFF, WILLIAM J	7/11/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT21108	N/A	N/A	N/A	N/A	N/A	2037 W BULLARD AVE	SUITE 380	FRESNO	CA	93711	1200	00	06000	36.82273653	-119.827575	Fresno County
329871	Ordering, Referring, Prescribing	N/A	1356496830	0	0	VASAN, RUKMANI S MD	8/13/2017	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A34188	N/A	N/A	N/A	N/A	N/A	1200 N STATE ST	None	LOS ANGELES	CA	90033	1083	00	06000	34.05855992	-118.209755	Los Angeles County
329897	Ordering, Referring, Prescribing	N/A	1356568349	0	0	VO, DARLINE T PSYD	3/22/2020	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY21281	N/A	N/A	N/A	N/A	N/A	14140 BEACH BLVD	SUITE 155	WESTMINSTER	CA	92683	4453	00	06000	33.756966	-117.9894915	Orange County
329964	Ordering, Referring, Prescribing	N/A	1356668883	0	0	VALLE, LISA LMFT	2/8/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	48969	N/A	N/A	N/A	N/A	N/A	11741 TELEGRAPH ROAD	None	SANTA FE SPRINGS	CA	90670	0000	00	06000	33.9462235	-118.0830161	Los Angeles County
329988	Ordering, Referring, Prescribing	N/A	1356710719	0	0	VU, TIFFANY T PHARMD	12/13/2021	Taxonomy not applicable	NA	n/a	000	Unknown	PH73532	N/A	N/A	N/A	N/A	N/A	22633 SAVI RANCH PKWY	None	YORBA LINDA	CA	92887	4647	00	06000	33.87492883	-117.7432851	Orange County
330057	Ordering, Referring, Prescribing	N/A	1356801658	0	0	VANEGAS, IELYZAVETA MD	10/24/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A180067	N/A	N/A	N/A	N/A	N/A	209 C ST	None	LEMOORE	CA	93245	2930	00	06000	36.30089987	-119.7833254	Kings County
330173	Ordering, Referring, Prescribing	N/A	1366050346	0	0	VERMA, MANSI LP	8/1/2024	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	35226	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
330183	Ordering, Referring, Prescribing	N/A	1366062341	0	0	VASQUEZ, CORINA N MD	7/1/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A180164	N/A	N/A	N/A	N/A	N/A	101 THE CITY DR S	None	ORANGE	CA	92868	3298	00	06000	33.78674051	-117.8888713	Orange County
330190	Ordering, Referring, Prescribing	N/A	1366072894	0	0	VENTURA, MA ISABELLA NP	1/4/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95012696	N/A	N/A	N/A	N/A	N/A	1735 MISSION ST	None	SAN FRANCISCO	CA	94103	2417	00	06000	37.76957692	-122.4199811	San Francisco County
330232	Ordering, Referring, Prescribing	N/A	1366195778	0	0	VALDIVIA, ALEXANDRO LCSW	3/9/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	96203	N/A	N/A	N/A	N/A	N/A	1450 E. HOLT AVENUE	None	POMONA	CA	91767	5822	00	06000	34.06299829	-117.7215562	Los Angeles County
330268	Ordering, Referring, Prescribing	N/A	1366518169	0	0	VARGHESE, RENI PHARMD	7/27/2021	Taxonomy not applicable	NA	n/a	000	Unknown	53389	N/A	N/A	N/A	N/A	N/A	4201 DALE RD	None	MODESTO	CA	95356	9767	00	06000	37.700883	-121.0500865	Stanislaus County
330293	Ordering, Referring, Prescribing	N/A	1366584146	0	0	VASQUEZ, EDUARDO M	7/11/2003	Taxonomy not applicable	NA	n/a	099	DENTIST	D49825	N/A	N/A	N/A	N/A	N/A	1814 W LINCOLN AVE	STE B	ANAHEIM	CA	92801	6730	00	06000	33.83241852	-117.946323	Orange County
330319	Ordering, Referring, Prescribing	N/A	1366640765	0	0	VANDENBRINK, KRIS A LMFT	3/11/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	97495	N/A	N/A	N/A	N/A	N/A	7001-A EAST PARKWAY	800	SACRAMENTO	CA	95823	2501	00	06000	38.497689	-121.4498385	Sacramento County
330332	Ordering, Referring, Prescribing	N/A	1366679193	0	0	VESGA LOPEZ, ORIANA P MD	6/16/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A136290	N/A	N/A	N/A	N/A	N/A	1441 CONSTITUTION BOULEV	BUILDING 400, STE 200	SALINAS	CA	93906	3100	00	06000	36.696987	-121.633164	Monterey County
330509	Ordering, Referring, Prescribing	N/A	1366976193	0	0	VAHDAT, RODIKA PSYD	2/10/2025	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	35696	N/A	N/A	N/A	N/A	N/A	2400 MOORPARK AVE	None	SAN JOSE	CA	95128	2631	00	06000	37.3160785	-121.937121	Santa Clara County
330514	Ordering, Referring, Prescribing	N/A	1366985871	0	0	VASQUEZ, FRANCISCO J LCSW	9/29/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	104412	N/A	N/A	N/A	N/A	N/A	4000 W METROPOLITAN DR	None	ORANGE	CA	92868	3504	00	06000	33.78016046	-117.8956101	Orange County
330536	Ordering, Referring, Prescribing	N/A	1376018028	0	0	VALLEJO, DENISSE K LMFT	4/28/2022	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	132547	N/A	N/A	N/A	N/A	N/A	3580 WILSHIRE BOULEVARD	800	LOS ANGELES	CA	90010	2505	00	06000	34.06170677	-118.302787	Los Angeles County
330542	Ordering, Referring, Prescribing	N/A	1376034009	0	0	VIVANCO, ARNALDO NP	8/2/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95009030	N/A	N/A	N/A	N/A	N/A	795 MORNING STAR DR	None	SONORA	CA	95370	5193	00	06000	37.98487014	-120.3706904	Tuolumne County
330575	Ordering, Referring, Prescribing	N/A	1376090241	0	0	VISOCSKY, MARGARET A LMFT	9/2/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	127924	N/A	N/A	N/A	N/A	N/A	2420 MARTIN ROAD	STE 200	FAIRFIELD	CA	94534	8610	00	06000	38.27452806	-122.0511683	Solano County
330579	Ordering, Referring, Prescribing	N/A	1376108647	0	0	VIRDI, PARMINDER MD	3/14/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A176911	N/A	N/A	N/A	N/A	N/A	401 E SCHOOL AVE	None	VISALIA	CA	93291	5032	00	06000	36.332757	-119.288682	Tulare County
330615	Ordering, Referring, Prescribing	N/A	1376171603	0	0	VIDUYA, JERICHA M MD	3/3/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A176721	N/A	N/A	N/A	N/A	N/A	22471 ASPAN ST	UNIT 103	LAKE FOREST	CA	92630	1642	00	06000	33.63624985	-117.7119697	Orange County
330693	Ordering, Referring, Prescribing	N/A	1376636092	0	0	VAN DYKE, KAREN P	3/16/2018	Taxonomy not applicable	NA	n/a	099	DENTIST	D37301	N/A	N/A	N/A	N/A	N/A	20615 COMMERCE WAY	None	BURNEY	CA	96013	0000	00	06000	40.88827968	-121.6525394	Shasta County
330793	Ordering, Referring, Prescribing	N/A	1376843813	0	0	VASSIGHI, NAZANIN	4/10/2018	Taxonomy not applicable	NA	n/a	000	Unknown	ND755	N/A	N/A	N/A	N/A	N/A	4110 SORRENTO VALLEY BL	None	SAN DIEGO	CA	92121	1429	00	06000	32.90375674	-117.2170258	San Diego County
330915	Ordering, Referring, Prescribing	N/A	1386028363	0	0	VILLANI, AMANDA E NP	9/25/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95002552	N/A	N/A	N/A	N/A	N/A	2400 GLENDALE LN	None	SACRAMENTO	CA	95825	2431	00	06000	38.597355	-121.405212	Sacramento County
330976	Ordering, Referring, Prescribing	N/A	1386123438	0	0	VILLANUEVA, RENE LMFT	2/14/2024	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	145054	N/A	N/A	N/A	N/A	N/A	7001 EAST PKWY	SUITE 800	SACRAMENTO	CA	95823	2501	00	06000	38.497293	-121.4504235	Sacramento County
331109	Ordering, Referring, Prescribing	N/A	1386378156	0	0	VASQUEZ, JACQUELINE PA-C	6/9/2023	Taxonomy not applicable	NA	n/a	000	Unknown	PA62859	N/A	N/A	N/A	N/A	N/A	200 S WELLS ROAD	100	VENTURA	CA	93004	1302	00	06000	34.29321532	-119.1597424	Ventura County
331166	Ordering, Referring, Prescribing	N/A	1386743078	0	0	VAILLANCOURT, KURT S LMFT	9/18/2022	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	37679	N/A	N/A	N/A	N/A	N/A	801 S GRAND AVE	STE 475	LOS ANGELES	CA	90017	0449	00	06000	34.04532806	-118.258462	Los Angeles County
331177	Ordering, Referring, Prescribing	N/A	1386762623	0	0	VILES-REED, TERESA N PHD	3/23/2020	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY14848	N/A	N/A	N/A	N/A	N/A	129 E. CENTER ST.	#3	MANTECA	CA	95336	4648	00	06000	37.79915845	-121.2155325	San Joaquin County
331211	Ordering, Referring, Prescribing	N/A	1386787109	0	0	VAN ORMAN, SARAH A MD	4/27/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	C150037	N/A	N/A	N/A	N/A	N/A	1031 W 34TH ST	None	LOS ANGELES	CA	90089	3602	00	06000	34.024005	-118.2895875	Los Angeles County
331225	Ordering, Referring, Prescribing	N/A	1386827483	0	0	VILLANUEVA, HILDA B LMFT	4/21/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	53087	N/A	N/A	N/A	N/A	N/A	350 90TH ST	None	DALY CITY	CA	94015	1879	00	06000	37.69111548	-122.473143	San Mateo County
331292	Ordering, Referring, Prescribing	N/A	1386965242	0	0	VASQUEZ, MARIE M LMFT	12/21/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT89456	N/A	N/A	N/A	N/A	N/A	1830 S. CENTRAL STREET	None	VISALIA	CA	93277	4418	00	06000	36.314271	-119.311362	Tulare County
331300	Ordering, Referring, Prescribing	N/A	1386993806	0	0	VIEAUX, JULES O MD	5/5/2017	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A145321	N/A	N/A	N/A	N/A	N/A	3600 BROADWAY	4TH FL, SUITE 43	OAKLAND	CA	94611	5730	00	06000	37.8237837	-122.2590026	Alameda County
331311	Ordering, Referring, Prescribing	N/A	1396007233	0	0	VU, THAO T PHARMD	10/10/2018	Taxonomy not applicable	NA	n/a	000	Unknown	55995	N/A	N/A	N/A	N/A	N/A	500 TULLY RD	None	SAN JOSE	CA	95111	1917	00	06000	37.30579894	-121.8506333	Santa Clara County
331370	Ordering, Referring, Prescribing	N/A	1396115911	0	0	VONG, STEPHEN MD	3/13/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A157544	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
331378	Ordering, Referring, Prescribing	N/A	1396128336	0	0	VISWANATHAN, KARTHIKEYAN DO	12/19/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A19044	N/A	N/A	N/A	N/A	N/A	1600 WEEOT WAY	None	ARCATA	CA	95521	4734	00	06000	40.89808837	-124.0923819	Humboldt County
331427	Ordering, Referring, Prescribing	N/A	1396187928	0	0	VIBES, DONNA LCSW	6/13/2022	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	108473	N/A	N/A	N/A	N/A	N/A	1911 WILLIAMS DR.	165	OXNARD	CA	93036	0305	00	06000	34.219566	-119.1539365	Ventura County
331446	Ordering, Referring, Prescribing	N/A	1396208286	0	0	VALLIS, GRAHAM	3/29/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	PTL865	N/A	N/A	N/A	N/A	N/A	747 52ND ST	None	OAKLAND	CA	94609	1809	00	06000	37.83734639	-122.2672128	Alameda County
331520	Ordering, Referring, Prescribing	N/A	1396346128	0	0	VU TRAN, LEILANIE PHARMD	3/22/2021	Taxonomy not applicable	NA	n/a	000	Unknown	84268	N/A	N/A	N/A	N/A	N/A	11290 DONNER PASS RD	None	TRUCKEE	CA	96161	2858	00	06000	39.32610429	-120.2065557	Nevada County
331650	Ordering, Referring, Prescribing	N/A	1396863247	0	0	VERMILION, DANIEL G MD	4/14/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	G48817	N/A	N/A	N/A	N/A	N/A	350 90TH ST	2ND FLOOR	DALY CITY	CA	94015	1879	00	06000	37.69111548	-122.473143	San Mateo County
331670	Ordering, Referring, Prescribing	N/A	1396883013	0	0	VERMILION, ADRIANNA M LMFT	9/21/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	40200	N/A	N/A	N/A	N/A	N/A	2579 SPECTACULAR BID ST.	None	PERRIS	CA	92571	2554	00	06000	33.81867444	-117.2179022	Riverside County
331688	Ordering, Referring, Prescribing	N/A	1396929147	0	0	VUONG-DAC, MAN MD	3/23/2017	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A50243	N/A	N/A	N/A	N/A	N/A	3649 E FLORENCE AVE	None	BELL	CA	90201	3352	00	06000	33.97175602	-118.2011711	Los Angeles County
331772	Ordering, Referring, Prescribing	N/A	1407121353	0	0	VU, HOANG T PHARMD	4/8/2022	Taxonomy not applicable	NA	n/a	000	Unknown	60043	N/A	N/A	N/A	N/A	N/A	13111 PEYTON DR	None	CHINO HILLS	CA	91709	6002	00	06000	34.014636	-117.741339	San Bernardino County
331784	Ordering, Referring, Prescribing	N/A	1407144082	0	0	VALENCIA, DIEGO A LMFT	5/20/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT132687	N/A	N/A	N/A	N/A	N/A	14372 BEACH BLVD	None	WESTMINSTER	CA	92683	4578	00	06000	33.75341465	-117.989413	Orange County
331792	Ordering, Referring, Prescribing	N/A	1407165905	0	0	VASQUEZ, RICARDO LCSW	3/31/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW74660	N/A	N/A	N/A	N/A	N/A	2218 N 1ST	None	SAN JOSE	CA	95131	2007	00	06000	37.37769052	-121.9213491	Santa Clara County
331800	Ordering, Referring, Prescribing	N/A	1407181779	0	0	VINING, JOHN R LMFT	12/21/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT93288	N/A	N/A	N/A	N/A	N/A	1830 S CENTRAL ST	None	VISALIA	CA	93277	4418	00	06000	36.314271	-119.311362	Tulare County
331806	Ordering, Referring, Prescribing	N/A	1407198864	0	0	VISBAL, MIGUEL L MD	11/3/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A149469	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
331825	Ordering, Referring, Prescribing	N/A	1407232457	0	0	VANG, TRONG NP	11/21/2024	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95032960	N/A	N/A	N/A	N/A	N/A	751 LOMBARDI CT	None	SANTA ROSA	CA	95407	6793	00	06000	38.427804	-122.7493035	Sonoma County
331841	Ordering, Referring, Prescribing	N/A	1407269897	0	0	VALDEZ, VIRGINIA LMFT	7/1/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	100079	N/A	N/A	N/A	N/A	N/A	2280 KENWOOD AVE	None	SAN JOSE	CA	95128	1332	00	06000	37.33265072	-121.9427961	Santa Clara County
331856	Ordering, Referring, Prescribing	N/A	1407288749	0	0	VENERACION, MERCEDITA N	5/31/2022	Taxonomy not applicable	NA	n/a	025	PHYSICAL THERAPISTS	PT20954	N/A	N/A	N/A	N/A	N/A	1601 PRECISION PARK LN	None	SAN YSIDRO	CA	92173	1345	00	06000	32.56692	-117.0594273	San Diego County
331978	Ordering, Referring, Prescribing	N/A	1407505852	0	0	VAZQUEZ, ELVIA M NP	2/10/2022	Taxonomy not applicable	NA	n/a	000	Unknown	95019994	N/A	N/A	N/A	N/A	N/A	1463 S 4TH ST	None	EL CENTRO	CA	92243	4749	00	06000	32.78037178	-115.5523224	Imperial County
332028	Ordering, Referring, Prescribing	N/A	1407873268	0	0	VASILEVICH, MARIAN P LMFT	2/17/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	27423	N/A	N/A	N/A	N/A	N/A	2440 6TH STREET	None	EUREKA	CA	95501	0788	00	06000	40.80368802	-124.1456878	Humboldt County
332055	Ordering, Referring, Prescribing	N/A	1407942949	0	0	VAUGHAN, THERESA M LMFT	3/24/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	38705	N/A	N/A	N/A	N/A	N/A	17800 HWY 18	None	APPLE VALLEY	CA	92307	1221	00	06000	34.54007429	-117.2744761	San Bernardino County
332079	Ordering, Referring, Prescribing	N/A	1407991334	0	0	VOLZER, MATTHEW C LMFT	3/18/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	52979	N/A	N/A	N/A	N/A	N/A	3120 FREEBOARD DR	None	WEST SACRAMENTO	CA	95691	5039	00	06000	38.5746747	-121.552383	Yolo County
332090	Ordering, Referring, Prescribing	N/A	1417019324	0	0	VELEZ, ANGELA W PHARMD	3/1/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH54024	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
332105	Ordering, Referring, Prescribing	N/A	1417056086	0	0	VODDEN, TERI H LCSW	2/4/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCS12301	N/A	N/A	N/A	N/A	N/A	825 FIFTH ST	126	EUREKA	CA	95501	1112	00	06000	40.80249979	-124.1621419	Humboldt County
332117	Ordering, Referring, Prescribing	N/A	1417080094	0	0	VELASQUEZ, NANCY E LCSW	1/5/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW62694	N/A	N/A	N/A	N/A	N/A	16350 FILBERT ST	None	SYLMAR	CA	91342	1002	00	06000	34.31595736	-118.4853828	Los Angeles County
332256	Ordering, Referring, Prescribing	N/A	1417329103	0	0	VALENCIA, CAITLIN E PHARMD	3/27/2022	Taxonomy not applicable	NA	n/a	000	Unknown	65940	N/A	N/A	N/A	N/A	N/A	2395 E LACEY BLVD	None	HANFORD	CA	93230	4740	00	06000	36.325962	-119.606697	Kings County
332395	Ordering, Referring, Prescribing	N/A	1417557125	0	0	VU, HANNAH PHARMD	8/18/2022	Taxonomy not applicable	NA	n/a	000	Unknown	83300	N/A	N/A	N/A	N/A	N/A	600 N COAST HWY	None	LAGUNA BEACH	CA	92651	1513	00	06000	33.546915	-117.793341	Orange County
332407	Ordering, Referring, Prescribing	N/A	1417584889	0	0	VIGIL, PETER PHARMD	1/21/2020	Taxonomy not applicable	NA	n/a	000	Unknown	81950	N/A	N/A	N/A	N/A	N/A	1017 ELLINGTON ST	None	DELANO	CA	93215	2621	00	06000	35.76891908	-119.2515219	Kern County
332431	Ordering, Referring, Prescribing	N/A	1417636598	0	0	VO, DAVID M NP	7/13/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95025967	N/A	N/A	N/A	N/A	N/A	50 BELLEFONTAINE ST	SUITE 205	PASADENA	CA	91105	3132	00	06000	34.13155953	-118.1517525	Los Angeles County
332451	Ordering, Referring, Prescribing	N/A	1417730664	0	0	VREEBURG, SARAH C PHARMD	8/11/2023	Taxonomy not applicable	NA	n/a	000	Unknown	88249	N/A	N/A	N/A	N/A	N/A	975 SERENO DR	None	VALLEJO	CA	94589	2441	00	06000	38.12828446	-122.24821	Solano County
332467	Ordering, Referring, Prescribing	N/A	1417924986	0	0	VANIHINGER, ALICIA A CNP	8/2/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95022105	N/A	N/A	N/A	N/A	N/A	470 NOOR AVE	1057	SOUTH SAN FRANCIS	CA	94080	5957	00	06000	37.64110105	-122.4220074	San Mateo County
332524	Ordering, Referring, Prescribing	N/A	1427145077	0	0	VORONOVA, IRINA	2/4/2013	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	RN0561515	N/A	N/A	N/A	N/A	N/A	400 W 30TH ST	None	LOS ANGELES	CA	90007	3320	00	06000	34.0239409	-118.2755606	Los Angeles County
332552	Ordering, Referring, Prescribing	N/A	1427209899	0	0	VIROSTKO, NANCY LCSW	11/19/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW19191	N/A	N/A	N/A	N/A	N/A	740 FRONT ST.	SUITE 250	SANTA CRUZ	CA	95060	4536	00	06000	36.97547419	-122.0254852	Santa Cruz County
332607	Ordering, Referring, Prescribing	N/A	1427332121	0	0	VU, ELLI PHARMD	7/18/2021	Taxonomy not applicable	NA	n/a	000	Unknown	49290	N/A	N/A	N/A	N/A	N/A	1201 E YORBA LINDA BLVD	None	PLACENTIA	CA	92870	3830	00	06000	33.88844148	-117.841293	Orange County
332698	Ordering, Referring, Prescribing	N/A	1427483056	0	0	VAN HORN, BETTY J NP	3/30/2017	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95005657	N/A	N/A	N/A	N/A	N/A	2880 HULEN PLACE	None	RIVERSIDE	CA	90527	2606	00	06000	33.986934	-117.3538725	Riverside County
332703	Ordering, Referring, Prescribing	N/A	1427487610	0	0	VALDEZ, ROVERTO LMFT	10/6/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT122351	N/A	N/A	N/A	N/A	N/A	4441 E CESAR CHAVEZ BLVD	None	FRESNO	CA	93702	3604	00	06000	36.7358051	-119.7545078	Fresno County
332719	Ordering, Referring, Prescribing	N/A	1427518893	0	0	VELUZ, MARICEL LCSW	9/25/2019	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	82950	N/A	N/A	N/A	N/A	N/A	595 E. COLORADO	UNIT 502	PASADENA	CA	91101	2015	00	06000	34.14588202	-118.1380722	Los Angeles County
332784	Ordering, Referring, Prescribing	N/A	1427605567	0	0	VU, PHIYEN PA-C	1/6/2021	Taxonomy not applicable	NA	n/a	000	Unknown	57183	N/A	N/A	N/A	N/A	N/A	17271 BROOKHURST ST	None	FOUNTAIN VALLEY	CA	92708	3701	00	06000	33.71228787	-117.9545597	Orange County
332819	Ordering, Referring, Prescribing	N/A	1427713569	0	0	VILLANUEVA, SALLY A NP	10/14/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95018843	N/A	N/A	N/A	N/A	N/A	590 N D STREET	None	SAN BERNARDINO	CA	92401	1352	00	06000	34.1099197	-117.2919257	San Bernardino County
332893	Ordering, Referring, Prescribing	N/A	1437248630	0	0	VIDAL, MARTHA G MD	3/26/2015	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A78069	N/A	N/A	N/A	N/A	N/A	11502 S VERMONT AVE	SUITE B	LOS ANGELES	CA	90044	6522	00	06000	33.929928	-118.291572	Los Angeles County
332914	Ordering, Referring, Prescribing	N/A	1437284809	0	0	VALENCERINA, MADELEINE M MD	6/23/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A51043	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
332986	Ordering, Referring, Prescribing	N/A	1437414067	0	0	VELASCO, IRENE LMFT	12/6/2022	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	110325	N/A	N/A	N/A	N/A	N/A	23201 MILL CREEK DR	220	LAGUNA HILLS	CA	92653	7905	00	06000	33.62516256	-117.7353393	Orange County
332990	Ordering, Referring, Prescribing	N/A	1437415585	0	0	VARGHESE, SIBICHAN LCSW	5/4/2017	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	37088	N/A	N/A	N/A	N/A	N/A	210 N CHESTER	None	BAKERSFIELD	CA	93308	4841	00	06000	35.407179	-119.0208925	Kern County
333032	Ordering, Referring, Prescribing	N/A	1437472842	0	0	VILLA-CORDOVA, NADINE C LMFT	6/8/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT88177	N/A	N/A	N/A	N/A	N/A	1000 S MAIN ST	SUITE 210B	SALINAS	CA	93901	2352	00	06000	36.66226091	-121.6578913	Monterey County
333196	Ordering, Referring, Prescribing	N/A	1437709623	0	0	VELA, VICTORIA LEIGH ANNE M LMFT	1/2/2025	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	152428	N/A	N/A	N/A	N/A	N/A	370 W. CRENSHAW BLVD	E-100	TORRANCE	CA	90503	1727	00	06000	33.84549	-118.3287415	Los Angeles County
333260	Ordering, Referring, Prescribing	N/A	1437851953	0	0	VARGAS, DIANA NP	2/7/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95024443	N/A	N/A	N/A	N/A	N/A	9140 VAN NUYS BLVD	207	PANORAMA CITY	CA	91402	6727	00	06000	34.236603	-118.4502215	Los Angeles County
333285	Ordering, Referring, Prescribing	N/A	1437927530	0	0	VANG, KIMIKO M LCSW	1/19/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW29523	N/A	N/A	N/A	N/A	N/A	301 E 13TH ST	None	MERCED	CA	95341	6211	00	06000	37.29248035	-120.4730619	Merced County
333296	Ordering, Referring, Prescribing	N/A	1447217781	0	0	VRABEL, GLENN F PSYD	1/12/2020	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	20352	N/A	N/A	N/A	N/A	N/A	631 MAPLE AVE	None	LOS ANGELES	CA	90014	2211	00	06000	34.04323075	-118.2485358	Los Angeles County
333302	Ordering, Referring, Prescribing	N/A	1447247473	0	0	VANGA, MADHU S PHARMD	5/2/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH54483	N/A	N/A	N/A	N/A	N/A	3605 HOSPITAL ROAD	SUITE D	ATWATER	CA	95301	5173	00	06000	37.36678073	-120.576731	Merced County
333362	Ordering, Referring, Prescribing	N/A	1447395926	0	0	VANONI, MARIA K LCSW	3/13/2022	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	93743	N/A	N/A	N/A	N/A	N/A	1000 NEWBURY ROAD	150	NEWBURY PARK	CA	91320	6435	00	06000	34.18353384	-118.9044556	Ventura County
333517	Ordering, Referring, Prescribing	N/A	1447697230	0	0	VICTORINO, KARINA LCSW	9/2/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	103704	N/A	N/A	N/A	N/A	N/A	4350 OTAY MESA RD	None	SAN DIEGO	CA	92173	1617	00	06000	32.56188256	-117.0397086	San Diego County
333522	Ordering, Referring, Prescribing	N/A	1447699582	0	0	VIERREGGER, KRISTEN MD	9/28/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A112427	N/A	N/A	N/A	N/A	N/A	8081 STANTON AVE	300	BUENA PARK	CA	90620	3237	00	06000	33.84561815	-117.9937247	Orange County
333562	Ordering, Referring, Prescribing	N/A	1447773072	0	0	VELASQUEZ, PRISCILLA	8/27/2018	Taxonomy not applicable	NA	n/a	005	CERTIFIED NURSE MIDWIFE	NMW235882	N/A	N/A	N/A	N/A	N/A	1530 SOUTH OLIVE STREET	None	LOS ANGELES	CA	90015	3023	00	06000	34.03542552	-118.2652073	Los Angeles County
333601	Ordering, Referring, Prescribing	N/A	1447853080	0	0	VANDERJAGT, MICHELLE R LMFT	7/25/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	119382	N/A	N/A	N/A	N/A	N/A	10368 DONNER PASS RD	None	TRUCKEE	CA	96161	0427	00	06000	39.32580187	-120.1901801	Nevada County
333616	Ordering, Referring, Prescribing	N/A	1447894902	0	0	VEGA, SARA G PA-C	1/5/2021	Taxonomy not applicable	NA	n/a	000	Unknown	57295	N/A	N/A	N/A	N/A	N/A	905 CALLE AMANECER	SUITE 115	SAN CLEMENTE	CA	92673	6226	00	06000	33.44951265	-117.6075825	Orange County
333638	Ordering, Referring, Prescribing	N/A	1447975875	0	0	VANG, SAM NP	1/31/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95022421	N/A	N/A	N/A	N/A	N/A	2611 N DINUBA BLVD	None	VISALIA	CA	93291	9003	00	06000	36.352935	-119.297565	Tulare County
333691	Ordering, Referring, Prescribing	N/A	1457340291	0	0	VANDERBILT, DOUGLAS L MD FAAP	2/17/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A75123	N/A	N/A	N/A	N/A	N/A	4650 SUNSET BLVD	None	LOS ANGELES	CA	90027	0000	00	06000	34.09813032	-118.2901794	Los Angeles County
333707	Ordering, Referring, Prescribing	N/A	1457402992	0	0	VARGAS, LUCY A LCSW	6/22/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCS12874	N/A	N/A	N/A	N/A	N/A	2712 MISSION ST	None	SAN FRANCISCO	CA	94110	3104	00	06000	37.75336705	-122.4185922	San Francisco County
333724	Ordering, Referring, Prescribing	N/A	1457472854	0	0	VESSELS, JOELLE R	10/18/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	27579	N/A	N/A	N/A	N/A	N/A	1911 WILLIAMS DRIVE	STE. 210	OXNARD	CA	93036	0573	00	06000	34.219566	-119.1539365	Ventura County
333770	Ordering, Referring, Prescribing	N/A	1457544348	0	0	VO, NHAN T	10/11/2018	Taxonomy not applicable	NA	n/a	099	DENTIST	D55912	N/A	N/A	N/A	N/A	N/A	7526 MONTEREY ST	None	GILROY	CA	95020	5826	00	06000	37.00852861	-121.5694352	Santa Clara County
333794	Ordering, Referring, Prescribing	N/A	1457609802	0	0	VASQUEZ, JASON PHD	10/17/2023	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	29584	N/A	N/A	N/A	N/A	N/A	7065 INDIANA AVE	SUITE 110	RIVERSIDE	CA	92506	4167	00	06000	33.94000037	-117.3961722	Riverside County
333806	Ordering, Referring, Prescribing	N/A	1457632929	0	0	VO, NHAT	7/29/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH52182	N/A	N/A	N/A	N/A	N/A	2950 S ARCHIBALD AVE	None	ONTARIO	CA	91761	7303	00	06000	34.019559	-117.5936625	San Bernardino County
333850	Ordering, Referring, Prescribing	N/A	1457691008	0	0	VACHON, ALEJANDRA V LMFT	2/27/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT118401	N/A	N/A	N/A	N/A	N/A	30 COUNTRY WOOD DR	None	POMONA	CA	91766	4818	00	06000	34.03160725	-117.7759513	Los Angeles County
333869	Ordering, Referring, Prescribing	N/A	1457735060	0	0	VALLEJO, LUIS MD	9/13/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A161174	N/A	N/A	N/A	N/A	N/A	1080 MARINA VILLAGE PKWY	STE 100	ALAMEDA	CA	94501	6427	00	06000	37.78544731	-122.270323	Alameda County
333949	Ordering, Referring, Prescribing	N/A	1457842908	0	0	VAUGHN, ALEXANDRA R MD	3/14/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A165516	N/A	N/A	N/A	N/A	N/A	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	0000	00	06000	38.555181	-121.4566785	Sacramento County
333960	Ordering, Referring, Prescribing	N/A	1457846149	0	0	VANHISE, KATHERINE MD	5/24/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A165454	N/A	N/A	N/A	N/A	N/A	1316 3RD STREET PROMENAD	201	SANTA MONICA	CA	90401	1328	00	06000	34.01670895	-118.497462	Los Angeles County
333969	Ordering, Referring, Prescribing	N/A	1457866865	0	0	VILLEGAS-KEECH, SARA PA-C	4/2/2020	Taxonomy not applicable	NA	n/a	000	Unknown	57986	N/A	N/A	N/A	N/A	N/A	665 N D ST	None	SAN BERNARDINO	CA	92401	1109	00	06000	34.111737	-117.2918735	San Bernardino County
334030	Ordering, Referring, Prescribing	N/A	1457985095	0	0	VALENZUELA, TARA CNP	6/21/2020	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95093148	N/A	N/A	N/A	N/A	N/A	1707 EYE STREET #100	None	BAKERSFIELD	CA	93301	5208	00	06000	35.37461686	-119.020062	Kern County
334082	Ordering, Referring, Prescribing	N/A	1467085563	0	0	VALENTINO, BRANDICE LCSW	4/6/2022	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	107395	N/A	N/A	N/A	N/A	N/A	3850 CRENSHAW BLVD	None	LOS ANGELES	CA	90008	1821	00	06000	34.01581788	-118.3348506	Los Angeles County
334120	Ordering, Referring, Prescribing	N/A	1467239251	0	0	VEISSI, SHAYAN NP	7/25/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95026288	N/A	N/A	N/A	N/A	N/A	6501 GARFIELD AVE	None	BELL GARDENS	CA	90201	1805	00	06000	33.97292523	-118.1475473	Los Angeles County
334140	Ordering, Referring, Prescribing	N/A	1467452920	0	0	VASOYA, CHHAGAN PHARMD	11/13/2023	Taxonomy not applicable	NA	n/a	000	Unknown	40846	N/A	N/A	N/A	N/A	N/A	752 E. ARROW HIGHWAY	None	POMONA	CA	91767	2247	00	06000	34.08992503	-117.737801	Los Angeles County
334208	Ordering, Referring, Prescribing	N/A	1467655266	0	0	VAZQUEZ, JENNIFER M LCSW	6/14/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW70924	N/A	N/A	N/A	N/A	N/A	26081 MOCINE AVE	None	HAYWARD	CA	94544	2923	00	06000	37.64800936	-122.0758633	Alameda County
334320	Ordering, Referring, Prescribing	N/A	1467836106	0	0	VO, TRINH PHARMD	3/28/2018	Taxonomy not applicable	NA	n/a	000	Unknown	RPH54721	N/A	N/A	N/A	N/A	N/A	2291 W MALVERN AVE	None	FULLERTON	CA	92833	2833	00	06000	33.87773823	-117.9660324	Orange County
334395	Ordering, Referring, Prescribing	N/A	1467941286	0	0	VOGEL, THERESA J LCSW	8/4/2024	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	124775	N/A	N/A	N/A	N/A	N/A	120 N 8TH ST	None	EL CENTRO	CA	92243	2328	00	06000	32.793282	-115.5614685	Imperial County
334454	Ordering, Referring, Prescribing	N/A	1477038099	0	0	VACHUSKA, MICHAELA N	6/27/2021	Taxonomy not applicable	NA	n/a	000	Unknown	79249	N/A	N/A	N/A	N/A	N/A	250 HOSPITAL PKWY	None	SAN JOSE	CA	95119	1102	00	06000	37.23948065	-121.8005798	Santa Clara County
334472	Ordering, Referring, Prescribing	N/A	1477067148	0	0	VIDAL, DENIS C LCSW	8/6/2022	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	101938	N/A	N/A	N/A	N/A	N/A	3200 ADELINE ST	None	BERKELEY	CA	94703	2407	00	06000	37.8503811	-122.2710539	Alameda County
334542	Ordering, Referring, Prescribing	N/A	1477202208	0	0	VELLANKI, HETALBEN N NP	2/9/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP95019987	N/A	N/A	N/A	N/A	N/A	3505 LONE TREE WAY	None	ANTIOCH	CA	94509	6067	00	06000	37.98725411	-121.8065036	Contra Costa County
334543	Ordering, Referring, Prescribing	N/A	1477190692	0	0	VANDER VELDEN, JAMIE A LCSW	4/1/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	26706	N/A	N/A	N/A	N/A	N/A	315 MAIN ST S	None	PINE CITY	MN	55063	1620	00	06000	45.8260501	-92.97045014	Pine County
334557	Ordering, Referring, Prescribing	N/A	1477274215	0	0	VASCO, VICTORIA NP	6/26/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95020466	N/A	N/A	N/A	N/A	N/A	1000 E DOMINGUEZ ST	110	CARSON	CA	90746	3600	00	06000	33.8404157	-118.2575491	Los Angeles County
334614	Ordering, Referring, Prescribing	N/A	1477616761	0	0	VANDER PLAATS, SHARON Q NP	2/7/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP7813	N/A	N/A	N/A	N/A	N/A	9300 VALLEY CHILDRENS PL	MB20	MADERA	CA	93636	8761	00	06000	36.88437894	-119.8003484	Madera County
334619	Ordering, Referring, Prescribing	N/A	1477626687	0	0	VALVERDE-HENDERSON, LAURA LMFT	4/1/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT49659	N/A	N/A	N/A	N/A	N/A	982 MISSION ST	None	SAN FRANCISCO	CA	94103	2911	00	06000	37.7813638	-122.4082438	San Francisco County
334629	Ordering, Referring, Prescribing	N/A	1477641934	0	0	VUE, PAHOUA X OD	5/7/2019	Taxonomy not applicable	NA	n/a	020	OPTOMETRISTS	11775	N/A	N/A	N/A	N/A	N/A	425 W BONITA AVE	STE 110B	SAN DIMAS	CA	91773	2543	00	06000	34.10669347	-117.814932	Los Angeles County
334640	Ordering, Referring, Prescribing	N/A	1477654770	0	0	VEDALA, UMA MD	4/21/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	C149157	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
334648	Ordering, Referring, Prescribing	N/A	1477640019	0	0	VALENZUELA, CETAREE A	1/31/2013	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	RN0585313	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
334762	Ordering, Referring, Prescribing	N/A	1477904944	0	0	VU, CHRISTINA DO	5/2/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A17116	N/A	N/A	N/A	N/A	N/A	1695 N SUNRISE WAY	None	PALM SPRINGS	CA	92262	3701	00	06000	33.844239	-116.5282075	Riverside County
334786	Ordering, Referring, Prescribing	N/A	1477934651	0	0	VEGA, DESSERAY LMFT	1/30/2024	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	144666	N/A	N/A	N/A	N/A	N/A	1245 E SANTA CLARA ST	None	SAN JOSE	CA	95116	2337	00	06000	37.34780368	-121.8662009	Santa Clara County
334791	Ordering, Referring, Prescribing	N/A	1477948826	0	0	VO, DARREN MD	6/10/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A162945	N/A	N/A	N/A	N/A	N/A	1520 STOCKTON STREET	None	SAN FRANCISCO	CA	94133	3354	00	06000	37.79989786	-122.4090369	San Francisco County
334804	Ordering, Referring, Prescribing	N/A	1477960284	0	0	VARELA MENDOZA, DANIEL LCSW	11/22/2022	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	112256	N/A	N/A	N/A	N/A	N/A	600 G ST	None	UNION CITY	CA	94587	2400	00	06000	37.59996226	-122.0201927	Alameda County
334833	Ordering, Referring, Prescribing	N/A	1487006995	0	0	VORONEJSKAIA, ELENA	9/30/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A170377	N/A	N/A	N/A	N/A	N/A	2333 S MOONEY BLVD	None	VISALIA	CA	93277	6228	00	06000	36.308682	-119.3154255	Tulare County
334839	Ordering, Referring, Prescribing	N/A	1487010419	0	0	VUE, PA KOU LMFT	8/27/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	121352	N/A	N/A	N/A	N/A	N/A	4409 E INYO ST	None	FRESNO	CA	93702	2977	00	06000	36.738144	-119.753361	Fresno County
334879	Ordering, Referring, Prescribing	N/A	1487060240	0	0	VILLEGAS, JACQUELINE LCSW	7/30/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	95888	N/A	N/A	N/A	N/A	N/A	2629 CLARENDON AVE.	None	HUNTINGTON PARK	CA	90255	4119	00	06000	33.98356476	-118.2241387	Los Angeles County
334892	Ordering, Referring, Prescribing	N/A	1487070736	0	0	VILLANUEVA, LINDA LCSW	6/22/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW15021	N/A	N/A	N/A	N/A	N/A	1605 EASTLAKE AVE	None	LOS ANGELES	CA	90033	1009	00	06000	34.06300636	-118.2054784	Los Angeles County
334899	Ordering, Referring, Prescribing	N/A	1487083929	0	0	VILLAR, MONICA LMFT	5/25/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	116583	N/A	N/A	N/A	N/A	N/A	4946 E. YALE	101	FRESNO	CA	93727	1571	00	06000	36.7701095	-119.7296595	Fresno County
334949	Ordering, Referring, Prescribing	N/A	1487153300	0	0	VILLERS, TANYA L NP	5/25/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95015198	N/A	N/A	N/A	N/A	N/A	1850 SPRING RIDGE DR	None	SUSANVILLE	CA	96130	6100	00	06000	40.43814074	-120.6259249	Lassen County
335020	Ordering, Referring, Prescribing	N/A	1487281218	0	0	VASUDEVAN, ANITA MD	6/2/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A186837	N/A	N/A	N/A	N/A	N/A	652 PETALUMA AVE	H	SEBASTOPOL	CA	95472	4256	00	06000	38.39662494	-122.8201368	Sonoma County
335119	Ordering, Referring, Prescribing	N/A	1487759775	0	0	VERMONT, BETH	1/25/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	C42995	N/A	N/A	N/A	N/A	N/A	65 N HOCKETT ST	None	PORTERVILLE	CA	93257	0000	00	06000	36.0663928	-119.01714	Tulare County
335193	Ordering, Referring, Prescribing	N/A	1487913596	0	0	VIEIRA TAYLOR, JANEEN M LMFT	2/2/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT77170	N/A	N/A	N/A	N/A	N/A	3371 PARKER HILL RD	None	SANTA ROSA	CA	95404	1732	00	06000	38.473092	-122.7038715	Sonoma County
335249	Ordering, Referring, Prescribing	N/A	1497005789	0	0	VEGA, GRETHEL V LCSW	2/23/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW88073	N/A	N/A	N/A	N/A	N/A	439 W. 97TH ST	None	LOS ANGELES	CA	90003	3968	00	06000	33.94831439	-118.282325	Los Angeles County
335295	Ordering, Referring, Prescribing	N/A	1497073084	0	0	VARDANYAN, ARTUR MD	8/27/2017	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A127250	N/A	N/A	N/A	N/A	N/A	800 S CENTRAL AVE	STE 308	GLENDALE	CA	91204	4644	00	06000	34.13654729	-118.2578243	Los Angeles County
335304	Ordering, Referring, Prescribing	N/A	1497098297	0	0	VANDERLOO, MATTHEW R MD	2/13/2018	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	60613	N/A	N/A	N/A	N/A	N/A	1455 ST FRANCIS AVE	None	SHAKOPEE	MN	55379	3374	00	06000	44.771976	-93.502944	Scott County
335340	Ordering, Referring, Prescribing	N/A	1497154835	0	0	VAN ROOSENDAEL, DANIELLE M LMFT	9/16/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	128163	N/A	N/A	N/A	N/A	N/A	905 E 8TH ST	None	LOS ANGELES	CA	90021	1848	00	06000	34.03639545	-118.2465917	Los Angeles County
335384	Ordering, Referring, Prescribing	N/A	1497217756	0	0	VAN HOLLEBEKE, RACHEL B MD	3/30/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A177337	N/A	N/A	N/A	N/A	N/A	4004 BEYER BLVD	None	SAN YSIDRO	CA	92173	2007	00	06000	32.55831005	-117.0475102	San Diego County
335456	Ordering, Referring, Prescribing	N/A	1497361612	0	0	VINZON, BRANDON NP	8/5/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95011156	N/A	N/A	N/A	N/A	N/A	661W FIRST STREET	G	TUSTIN	CA	92780	2939	00	06000	33.74578153	-117.831231	Orange County
335604	Ordering, Referring, Prescribing	N/A	1497941611	0	0	VILLATORO, ANGELA A NP	12/14/2020	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	RN835243	N/A	N/A	N/A	N/A	N/A	2000 PHYSICIANS BLVD	None	BAKERSFIELD	CA	93301	1277	00	06000	35.396994	-119.0084938	Kern County
335636	Ordering, Referring, Prescribing	N/A	1508033598	0	0	VASQUEZ, DAVID V DDS	10/28/2015	Taxonomy not applicable	NA	n/a	099	DENTIST	D48692	N/A	N/A	N/A	N/A	N/A	150 VALPREDA RD	None	SAN MARCOS	CA	92069	2973	00	06000	33.14066871	-117.156095	San Diego County
335703	Ordering, Referring, Prescribing	N/A	1508148370	0	0	VU, WENDY MD	7/28/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A169529	N/A	N/A	N/A	N/A	N/A	1328 S MISSION RD	None	FALLBROOK	CA	92028	4006	00	06000	33.36868654	-117.2507699	San Diego County
335706	Ordering, Referring, Prescribing	N/A	1508165754	0	0	VANJANI, RACHNA	11/13/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A136442	N/A	N/A	N/A	N/A	N/A	8480 ENTERPRISE WAY	None	OAKLAND	CA	94621	1318	00	06000	37.74207882	-122.1925503	Alameda County
335738	Ordering, Referring, Prescribing	N/A	1508198920	0	0	VETTER, HEIDI M PSYD	12/20/2019	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY20915	N/A	N/A	N/A	N/A	N/A	1900 N SYCAMORE CANYON R	None	SAN DIMAS	CA	91337	1299	00	06000	34.13204802	-117.7975027	Los Angeles County
335763	Ordering, Referring, Prescribing	N/A	1508260985	0	0	VIRGEN, JILL LMFT	11/22/2022	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	102564	N/A	N/A	N/A	N/A	N/A	23201 MILL CREEK DR	220	LAGUNA HILLS	CA	92653	7905	00	06000	33.62516256	-117.7353393	Orange County
335800	Ordering, Referring, Prescribing	N/A	1508325234	0	0	VEGA, TRACY M LCSW	3/23/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	92354	N/A	N/A	N/A	N/A	N/A	3230 KERNER	None	SAN RAFAEL	CA	94901	4840	00	06000	37.96037915	-122.5019455	Marin County
335816	Ordering, Referring, Prescribing	N/A	1508342387	0	0	VAZQUEZ, JESSICA LCSW	4/7/2022	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW107593	N/A	N/A	N/A	N/A	N/A	679 S NEW HAMPSHIRE AVE	SUITE 400	LOS ANGELES	CA	90005	1355	00	06000	34.06107902	-118.2929191	Los Angeles County
335853	Ordering, Referring, Prescribing	N/A	1508407222	0	0	VAUGHTER, CAMERON	7/18/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	95652	N/A	N/A	N/A	N/A	N/A	8838 W PICO BLVD	None	LOS ANGELES	CA	90035	3302	00	06000	34.05493093	-118.3847461	Los Angeles County
335875	Ordering, Referring, Prescribing	N/A	1508454364	0	0	VAN BEURDEN, KATHERINE B	11/16/2022	Taxonomy not applicable	NA	n/a	000	Unknown	60596	N/A	N/A	N/A	N/A	N/A	892 AEROVISTA PL	SUITE 120	SAN LUIS OBISPO	CA	93401	8048	00	06000	35.24277125	-120.6405941	San Luis Obispo County
335899	Ordering, Referring, Prescribing	N/A	1508514464	0	0	VEGA, EMPERATRIS LMFT	5/20/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	125223	N/A	N/A	N/A	N/A	N/A	191 SANDCREEK RD.	202-L	BRENTWOOD	CA	94513	0000	00	06000	37.94665949	-121.7001303	Contra Costa County
335929	Ordering, Referring, Prescribing	N/A	1508610155	0	0	VU, COURTNEY	2/15/2024	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95029102	N/A	N/A	N/A	N/A	N/A	4555 PRECISSI LANE	None	STOCKTON	CA	95207	0000	00	06000	37.98919284	-121.3152121	San Joaquin County
335950	Ordering, Referring, Prescribing	N/A	1508832965	0	0	VILLARREAL, HILDA A NP	12/23/2014	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	484607	N/A	N/A	N/A	N/A	N/A	1209 WOODROW AVE	SUITE B10	MODESTO	CA	95350	1273	00	06000	37.68575206	-121.0112235	Stanislaus County
336112	Ordering, Referring, Prescribing	N/A	1518177104	0	0	VARSHNEY, ANUJ MD	11/6/2018	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A117539	N/A	N/A	N/A	N/A	N/A	470 N GREENFIELD AVE	STE 303	HANFORD	CA	93230	3536	00	06000	36.32996137	-119.6580167	Kings County
336145	Ordering, Referring, Prescribing	N/A	1518251545	0	0	VO, FRANCES H PHARMD	10/10/2018	Taxonomy not applicable	NA	n/a	000	Unknown	RPH55432	N/A	N/A	N/A	N/A	N/A	840 E DUNNE AVE	None	MORGAN HILL	CA	95037	4609	00	06000	37.13004895	-121.6372272	Santa Clara County
336152	Ordering, Referring, Prescribing	N/A	1518266584	0	0	VASQUEZ, MIRELY M LMFT	11/12/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	112740	N/A	N/A	N/A	N/A	N/A	2045 FAIRMONT DRIVE	None	SAN LEANDRO, CA	CA	94578	1088	00	06000	37.709892	-122.118966	Alameda County
336196	Ordering, Referring, Prescribing	N/A	1518341874	0	0	VILLARREAL, KAREN NP	7/26/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95002708	N/A	N/A	N/A	N/A	N/A	3554 W MT WHITNEY	None	RIVERDALE	CA	93656	0000	00	06000	36.43083157	-119.8619557	Fresno County
336255	Ordering, Referring, Prescribing	N/A	1518429174	0	0	VUONCINO, LESLIE H MD	7/11/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A180334	N/A	N/A	N/A	N/A	N/A	2170 SOUTH AVENUE	None	SOUTH LAKE TAHOE	CA	96150	7008	00	06000	38.91229842	-119.9978133	El Dorado County
336257	Ordering, Referring, Prescribing	N/A	1518423573	0	0	VELAZQUEZ, BRITTNEY A LMFT	3/19/2025	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	154046	N/A	N/A	N/A	N/A	N/A	222 S HARBOR BLVD	SUITE 650	ANAHEIM	CA	92805	3700	00	06000	33.83250163	-117.9188893	Orange County
336333	Ordering, Referring, Prescribing	N/A	1518624238	0	0	VU, NGOC PHARMD	7/29/2021	Taxonomy not applicable	NA	n/a	000	Unknown	48136	N/A	N/A	N/A	N/A	N/A	14971 BROOKHURST STREET	A	WESTMINSTER	CA	92683	6071	00	06000	33.74536854	-117.9549525	Orange County
336345	Ordering, Referring, Prescribing	N/A	1518666783	0	0	VO, STEPHANIE PT	3/16/2023	Taxonomy not applicable	NA	n/a	025	PHYSICAL THERAPISTS	303889	N/A	N/A	N/A	N/A	N/A	5454 EL CAJON BLVD	None	SAN DIEGO	CA	92115	3621	00	06000	32.75809043	-117.0778038	San Diego County
336397	Ordering, Referring, Prescribing	N/A	1528103736	0	0	VAUGHAN, JASON C LMFT	2/3/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	39468	N/A	N/A	N/A	N/A	N/A	2101 GEER RD	None	TURLOCK	CA	95382	2454	00	06000	37.512324	-120.8489985	Stanislaus County
336513	Ordering, Referring, Prescribing	N/A	1528346889	0	0	VELA, VALENTINA LCSW	10/21/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	97855	N/A	N/A	N/A	N/A	N/A	658 E BRIER DR	200	SAN BERNARDINO	CA	92408	2880	00	06000	34.07137738	-117.2702805	San Bernardino County
336517	Ordering, Referring, Prescribing	N/A	1528351897	0	0	VAZQUEZ, JAMIE R LMFT	11/18/2019	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	53055	N/A	N/A	N/A	N/A	N/A	1522 E 102ND ST	None	LOS ANGELES	CA	90002	3338	00	06000	33.94425852	-118.2474	Los Angeles County
336588	Ordering, Referring, Prescribing	N/A	1528460508	0	0	VELASCO, CARLOS R LPCC	2/2/2020	Taxonomy not applicable	NA	n/a	000	Unknown	5800	N/A	N/A	N/A	N/A	N/A	3761 STOCKER ST	SUITE 106	VIEW PARK	CA	90008	5129	00	06000	34.00595579	-118.3391223	Los Angeles County
336657	Ordering, Referring, Prescribing	N/A	1528587185	0	0	VIERRA, AREN T MD	4/2/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A182053	N/A	N/A	N/A	N/A	N/A	1001 POTRERO AVE	None	SAN FRANCISCO	CA	94110	3518	00	06000	37.75548534	-122.4065362	San Francisco County
336685	Ordering, Referring, Prescribing	N/A	1528634730	0	0	VO, TRAM-ANH PA	4/3/2023	Taxonomy not applicable	NA	n/a	000	Unknown	60312	N/A	N/A	N/A	N/A	N/A	1045 N LAKE AVE	None	PASADENA	CA	91104	4521	00	06000	34.16394511	-118.1324885	Los Angeles County
336772	Ordering, Referring, Prescribing	N/A	1538170535	0	0	VU, HA SON LCSW	6/2/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW24715	N/A	N/A	N/A	N/A	N/A	4000 W METROPOLITAN DR	120	ORANGE	CA	92868	3504	00	06000	33.78016046	-117.8956101	Orange County
336893	Ordering, Referring, Prescribing	N/A	1538421342	0	0	VASQUEZ, SONIA I MSW LCSW	6/4/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW105013	N/A	N/A	N/A	N/A	N/A	642 W MAIN STREET	None	MERCED	CA	95340	4718	00	06000	37.3023305	-120.4858296	Merced County
336903	Ordering, Referring, Prescribing	N/A	1538442389	0	0	VAZQUEZ, LISBETH C LCSW	7/23/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	70142	N/A	N/A	N/A	N/A	N/A	921 E COMPTON BLVD	FIRST FLOOR	COMPTON	CA	90221	3303	00	06000	33.89604551	-118.213137	Los Angeles County
336964	Ordering, Referring, Prescribing	N/A	1538536594	0	0	VALENCIA, MARISOL L LPCC	11/24/2024	Taxonomy not applicable	NA	n/a	000	Unknown	LPCC18073	N/A	N/A	N/A	N/A	N/A	157 E VALLEY PKWY	None	ESCONDIDO	CA	92025	2762	00	06000	33.12315955	-117.0809067	San Diego County
337066	Ordering, Referring, Prescribing	N/A	1538690995	0	0	VASSAR, CODIE MD	2/26/2024	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A182671	N/A	N/A	N/A	N/A	N/A	1850 SPRING RIDGE DR	None	SUSANVILLE	CA	96130	6100	00	06000	40.43814074	-120.6259249	Lassen County
337124	Ordering, Referring, Prescribing	N/A	1538860341	0	0	VALDEZ, MARTIN PHARMD	2/28/2023	Taxonomy not applicable	NA	n/a	000	Unknown	RPH87658	N/A	N/A	N/A	N/A	N/A	3400 WHITTIER BLVD	None	LOS ANGELES	CA	90023	1708	00	06000	34.02767826	-118.2008037	Los Angeles County
337140	Ordering, Referring, Prescribing	N/A	1538899257	0	0	VERA, SELENE LMSW	7/3/2024	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	123832	N/A	N/A	N/A	N/A	N/A	545 LAUREL ST.	None	SAN DIEGO	CA	92101	4711	00	06000	32.7313635	-117.159705	San Diego County
337162	Ordering, Referring, Prescribing	N/A	1548016827	0	0	VALENCIA, CARRIE	4/17/2024	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95029837	N/A	N/A	N/A	N/A	N/A	2707 S. CENTRAL AVE.	None	LOS ANGELES	CA	90011	0000	00	06000	34.01754879	-118.2555246	Los Angeles County
337179	Ordering, Referring, Prescribing	N/A	1548245640	0	0	VANAMBURG, JANA M MD FACS	4/17/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A77111	N/A	N/A	N/A	N/A	N/A	208 CONCOURSE BLVD	None	SANTA ROSA	CA	95403	8210	00	06000	38.51255309	-122.7884839	Sonoma County
337186	Ordering, Referring, Prescribing	N/A	1548267842	0	0	VANGARSSE, ANNE MD	2/25/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	C158818	N/A	N/A	N/A	N/A	N/A	847 W CHILDS AVE	A	MERCED	CA	95341	6862	00	06000	37.28825369	-120.4963159	Merced County
337241	Ordering, Referring, Prescribing	N/A	1548417041	0	0	VILSKER, SVETLANA LCSW	3/24/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	24643	N/A	N/A	N/A	N/A	N/A	439 W 97TH ST	None	LOS ANGELES	CA	90003	3968	00	06000	33.94831439	-118.282325	Los Angeles County
337248	Ordering, Referring, Prescribing	N/A	1548429699	0	0	VASQUEZ, SUSAN L PA-C	12/17/2017	Taxonomy not applicable	NA	n/a	000	Unknown	17686	N/A	N/A	N/A	N/A	N/A	13742 AMAR RD	None	LA PUENTE	CA	91746	1683	00	06000	34.05381532	-117.9766355	Los Angeles County
337359	Ordering, Referring, Prescribing	N/A	1548646185	0	0	VATS, GAURI NP	12/10/2015	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	843229	N/A	N/A	N/A	N/A	N/A	5440 THORNWOOD DR	STE G	SAN JOSE	CA	95123	1217	00	06000	37.25346406	-121.8609675	Santa Clara County
337443	Ordering, Referring, Prescribing	N/A	1548795396	0	0	VASQUEZ, MARIA C LMFT	7/25/2024	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT148312	N/A	N/A	N/A	N/A	N/A	2151 COLLEGE AVE	None	BAKERSFIELD	CA	93305	4172	00	06000	35.3830369	-118.9680991	Kern County
337448	Ordering, Referring, Prescribing	N/A	1548799075	0	0	VALDEZ, KARINA LMFT	1/11/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	137117	N/A	N/A	N/A	N/A	N/A	2370 SKYWAY DR	104	SANTA MARIA	CA	93455	1133	00	06000	34.917183	-120.453982	Santa Barbara County
337469	Ordering, Referring, Prescribing	N/A	1548853872	0	0	VILLANUEVA, CZARINA S NP	1/27/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95016522	N/A	N/A	N/A	N/A	N/A	1441 EASTLAKE AVENUE	None	LOS ANGELES	CA	90089	1019	00	06000	34.06169385	-118.2044698	Los Angeles County
337473	Ordering, Referring, Prescribing	N/A	1548871486	0	0	VORA, SHAMAA PA-C	1/2/2023	Taxonomy not applicable	NA	n/a	000	Unknown	58338	N/A	N/A	N/A	N/A	N/A	1066 S WHITE RD	170	SAN JOSE	CA	95127	3812	00	06000	37.35676387	-121.8196933	Santa Clara County
337475	Ordering, Referring, Prescribing	N/A	1548879000	0	0	VO, REBECCA H PHARMD	9/15/2023	Taxonomy not applicable	NA	n/a	000	Unknown	88608	N/A	N/A	N/A	N/A	N/A	2424 MISSION ST	None	SAN FRANCISCO	CA	94110	2415	00	06000	37.75816928	-122.4190376	San Francisco County
337490	Ordering, Referring, Prescribing	N/A	1548924780	0	0	VANDELLOS, ELENA NP	9/4/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP95018302	N/A	N/A	N/A	N/A	N/A	650 CLARK WAY	None	PALO ALTO	CA	94304	2300	00	06000	37.43949537	-122.1784133	Santa Clara County
337548	Ordering, Referring, Prescribing	N/A	1558308536	0	0	VU, HELEN H LMFT	11/24/2019	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	41705	N/A	N/A	N/A	N/A	N/A	1635 W MAIN ST	SUITE 100	ALHAMBRA	CA	91801	1951	00	06000	34.0915803	-118.1412977	Los Angeles County
337649	Ordering, Referring, Prescribing	N/A	1558613273	0	0	VILLALTA CANALES, MARIANELA LMFT	3/26/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT114738	N/A	N/A	N/A	N/A	N/A	3800 COOLIDGE AVE	None	OAKLAND	CA	94602	3311	00	06000	37.8007257	-122.2064578	Alameda County
337700	Ordering, Referring, Prescribing	N/A	1558701409	0	0	VARGAS, PAULA R PSYD	1/16/2024	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT144416	N/A	N/A	N/A	N/A	N/A	921 W. AVENUE J	SUITE C	LANCASTER	CA	93534	3443	00	06000	34.6895043	-118.1463998	Los Angeles County
337749	Ordering, Referring, Prescribing	N/A	1558787846	0	0	VAROS, TRENA R CCC-SLP	3/15/2022	Taxonomy not applicable	NA	n/a	037	SPEECH THERAPISTS	20302	N/A	N/A	N/A	N/A	N/A	9401 PAINTER AVE	None	WHITTIER	CA	90605	2729	00	06000	33.953337	-118.046439	Los Angeles County
337758	Ordering, Referring, Prescribing	N/A	1558802280	0	0	VAN WINKLE, HALEY DMD	5/18/2022	Taxonomy not applicable	NA	n/a	000	Unknown	DDS105483	N/A	N/A	N/A	N/A	N/A	2210 MESA DR	SUITE 100	OCEANSIDE	CA	92054	3756	00	06000	33.20786753	-117.3579677	San Diego County
337763	Ordering, Referring, Prescribing	N/A	1558809806	0	0	VANG, CONNIE LMFT	6/8/2022	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	133154	N/A	N/A	N/A	N/A	N/A	4600 BROADWAY	None	SACRAMENTO	CA	95820	1527	00	06000	38.546127	-121.452669	Sacramento County
337764	Ordering, Referring, Prescribing	N/A	1558812040	0	0	VAN, CAMERON C	1/30/2022	Taxonomy not applicable	NA	n/a	000	Unknown	75034	N/A	N/A	N/A	N/A	N/A	1800 CAVITT DR	None	FOLSOM	CA	95630	6235	00	06000	38.645388	-121.1097645	Sacramento County
337866	Ordering, Referring, Prescribing	N/A	1558995456	0	0	VU, JUWLERY NP	4/27/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95012182	N/A	N/A	N/A	N/A	N/A	809 S. MAIN STREET	A & B	SANTA ANA	CA	90271	6665	00	06000	33.73791434	-117.8676848	Orange County
337868	Ordering, Referring, Prescribing	N/A	1568007003	0	0	VELASCO, ROCIO LCSW	7/18/2022	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	109225	N/A	N/A	N/A	N/A	N/A	1055 W HENDERSON AVE	SUITE #2	PORTERVILLE	CA	93257	1490	00	06000	36.08036906	-119.0410926	Tulare County
337921	Ordering, Referring, Prescribing	N/A	1568139137	0	0	VU, TINA T PHARMD	8/13/2021	Taxonomy not applicable	NA	n/a	000	Unknown	84801	N/A	N/A	N/A	N/A	N/A	1515 N VERMONT AVE	None	LOS ANGELES	CA	90027	5337	00	06000	34.09851639	-118.2918012	Los Angeles County
337963	Ordering, Referring, Prescribing	N/A	1568468650	0	0	VORPERIAN, KEVORK A MD	8/27/2017	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	C50258	N/A	N/A	N/A	N/A	N/A	8134 FOOTHILL BLVD	None	SUNLAND	CA	91040	2941	00	06000	34.25963611	-118.3103495	Los Angeles County
338022	Ordering, Referring, Prescribing	N/A	1568600690	0	0	VAN BRADEN, SEAN P NP	12/19/2017	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	18325	N/A	N/A	N/A	N/A	N/A	1001 POTRERO AVENUE	None	SAN FRANCISCO	CA	94110	3518	00	06000	37.75548534	-122.4065362	San Francisco County
338023	Ordering, Referring, Prescribing	N/A	1568593838	0	0	VALADEZ, ROSALIA R LCSW	3/2/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW200307	N/A	N/A	N/A	N/A	N/A	439 W 97TH ST	None	LOS ANGELES	CA	90003	3968	00	06000	33.94831439	-118.282325	Los Angeles County
338116	Ordering, Referring, Prescribing	N/A	1568762813	0	0	VIERS, JULIE PHARMD	3/19/2018	Taxonomy not applicable	NA	n/a	000	Unknown	41156	N/A	N/A	N/A	N/A	N/A	20445 YORBA LIND BLVD.	None	YORBA LINDA	CA	92886	3042	00	06000	33.893271	-117.7755795	Orange County
338145	Ordering, Referring, Prescribing	N/A	1568818698	0	0	VALA, AARTI MD	1/18/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A175708	N/A	N/A	N/A	N/A	N/A	1580 VALENCIA ST	STE 701	SAN FRANCISCO	CA	94110	4421	00	06000	37.74746923	-122.4202583	San Francisco County
338164	Ordering, Referring, Prescribing	N/A	1568845873	0	0	VALENCIA, MARIELLA LMFT	10/11/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	141995	N/A	N/A	N/A	N/A	N/A	23201 MILL CREEK DR	220	LAGUNA HILLS	CA	92653	7905	00	06000	33.62516256	-117.7353393	Orange County
338242	Ordering, Referring, Prescribing	N/A	1568949840	0	0	VEGA CALOCA, ERICA LMFT	4/6/2022	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	132162	N/A	N/A	N/A	N/A	N/A	438 N WHITE RD	None	SAN JOSE	CA	95127	1439	00	06000	37.3776149	-121.8374887	Santa Clara County
338261	Ordering, Referring, Prescribing	N/A	1568986677	0	0	VERDELL, AMBER PHARMD	4/27/2022	Taxonomy not applicable	NA	n/a	000	Unknown	73927	N/A	N/A	N/A	N/A	N/A	14445 OLIVE VIEW DRIVE	None	SYLMAR	CA	91342	1437	00	06000	34.32450186	-118.4456317	Los Angeles County
338284	Ordering, Referring, Prescribing	N/A	1578017380	0	0	VENTURA, KRISTINE J S D NP	12/17/2017	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95004564	N/A	N/A	N/A	N/A	N/A	2499 E LAKESHORE DR	None	LAKE ELSINORE	CA	92530	4411	00	06000	33.66050702	-117.3018956	Riverside County
338300	Ordering, Referring, Prescribing	N/A	1578056529	0	0	VIOLICH, CARMEN N PA	5/4/2018	Taxonomy not applicable	NA	n/a	000	Unknown	55558	N/A	N/A	N/A	N/A	N/A	1430 FREEDOM BLVD	None	WATSONVILLE	CA	95076	2780	00	06000	36.92713051	-121.7652145	Santa Cruz County
338303	Ordering, Referring, Prescribing	N/A	1578060901	0	0	VELAZQUEZ AMADOR, ROBERTO A MD	7/2/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A173515	N/A	N/A	N/A	N/A	N/A	425 DEL SOL PKWY	None	DELANO	CA	93215	3442	00	06000	35.75415446	-119.250612	Kern County
338346	Ordering, Referring, Prescribing	N/A	1578100608	0	0	VILLANUEVA, MELISSA MSW LCSW	2/25/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	86529	N/A	N/A	N/A	N/A	N/A	2741 NAPA VALLEY CORPORA	A	NAPA	CA	94558	6216	00	06000	38.24975322	-122.2745545	Napa County
338470	Ordering, Referring, Prescribing	N/A	1578682068	0	0	VALDEZ, PATRICIA PHD	11/25/2019	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY18497	N/A	N/A	N/A	N/A	N/A	897 GRANITE DRIVE	None	PASADENA	CA	91101	3501	00	06000	34.13703447	-118.1317905	Los Angeles County
338691	Ordering, Referring, Prescribing	N/A	1578996120	0	0	VANG, PAJ TSHIAB LCSW	7/16/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	93351	N/A	N/A	N/A	N/A	N/A	1350 M ST	None	FRESNO	CA	93721	1808	00	06000	36.73974436	-119.7910547	Fresno County
338741	Ordering, Referring, Prescribing	N/A	1588053474	0	0	VO, UYEN H PHARMD	1/19/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH55570	N/A	N/A	N/A	N/A	N/A	2980 E CAPITOL EXPY	None	SAN JOSE	CA	95148	4247	00	06000	37.33024428	-121.8119226	Santa Clara County
338801	Ordering, Referring, Prescribing	N/A	1588129621	0	0	VALENTINO, DENISE LMFT	1/24/2019	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	111513	N/A	N/A	N/A	N/A	N/A	33 GRETA STREET	None	THOUSAND OAKS	CA	91360	5304	00	06000	34.21233353	-118.8748903	Ventura County
338814	Ordering, Referring, Prescribing	N/A	1588145882	0	0	VELASCO MIRANDA, EURIDICE B LMFT	11/16/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT123086	N/A	N/A	N/A	N/A	N/A	5740 RALSTON ST	None	VENTURA	CA	93003	6051	00	06000	34.26070802	-119.213699	Ventura County
338823	Ordering, Referring, Prescribing	N/A	1588159776	0	0	VAN LOON, AMY A CNM	9/6/2018	Taxonomy not applicable	NA	n/a	005	CERTIFIED NURSE MIDWIFE	235975	N/A	N/A	N/A	N/A	N/A	3798 JANES RD	STE 7	ARCATA	CA	95521	4742	00	06000	40.89649119	-124.0930501	Humboldt County
338833	Ordering, Referring, Prescribing	N/A	1588176481	0	0	VILLALOBOS, LILIANA LCSW	6/15/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	79521	N/A	N/A	N/A	N/A	N/A	2280 N VALENTINE AVE	None	FRESNO	CA	93722	5553	00	06000	36.76966023	-119.8532997	Fresno County
338881	Ordering, Referring, Prescribing	N/A	1588302491	0	0	VIRDI, HARKIRAN K NP	12/6/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95017868	N/A	N/A	N/A	N/A	N/A	18300 ROSCOE BLVD	None	NORTHRIDGE	CA	91325	4105	00	06000	34.22073847	-118.532988	Los Angeles County
338903	Ordering, Referring, Prescribing	N/A	1588382246	0	0	VANG, PA BAI NP	8/12/2022	Taxonomy not applicable	NA	n/a	000	Unknown	95022224	N/A	N/A	N/A	N/A	N/A	3837 N CLARK ST	None	FRESNO	CA	93726	4806	00	06000	36.788049	-119.7852065	Fresno County
338932	Ordering, Referring, Prescribing	N/A	1588673438	0	0	VASQUEZ, JENNIFFER LCSW	9/25/2022	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCS19269	N/A	N/A	N/A	N/A	N/A	1601 E. CHESTNUT AVE.	None	SANTA ANA	CA	92701	6322	00	06000	33.74262565	-117.8470706	Orange County
338958	Ordering, Referring, Prescribing	N/A	1588732952	0	0	VISSELL, RAMI LMFT	6/27/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	113597	N/A	N/A	N/A	N/A	N/A	251 LLEWELLYN AVE	None	CAMPBELL	CA	95008	1940	00	06000	37.29173129	-121.9584335	Santa Clara County
339111	Ordering, Referring, Prescribing	N/A	1598008435	0	0	VILLA, LYDIA N MD	3/14/2018	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	G73415	N/A	N/A	N/A	N/A	N/A	406 S MAIN ST	None	SANTA ANA	CA	92701	5712	00	06000	33.742008	-117.8677165	Orange County
339290	Ordering, Referring, Prescribing	N/A	1598301954	0	0	VUONG, EMILY	3/22/2021	Taxonomy not applicable	NA	n/a	000	Unknown	81673	N/A	N/A	N/A	N/A	N/A	30116 EIGENBRODT WAY	None	UNION CITY	CA	94587	1225	00	06000	37.60846354	-122.0715526	Alameda County
339308	Ordering, Referring, Prescribing	N/A	1598324055	0	0	VERMEULEN, ARTHUR MD	5/3/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A178323	N/A	N/A	N/A	N/A	N/A	8405 BEVERLY BLVD	None	LOS ANGELES	CA	90048	3401	00	06000	34.07607952	-118.373418	Los Angeles County
339333	Ordering, Referring, Prescribing	N/A	1598376188	0	0	VALLARTA, JUSTIN P PHARMD	3/22/2021	Taxonomy not applicable	NA	n/a	000	Unknown	82977	N/A	N/A	N/A	N/A	N/A	975 SERENO DRIVE	None	VALLEJO	CA	94589	2441	00	06000	38.12828446	-122.24821	Solano County
339342	Ordering, Referring, Prescribing	N/A	1598381733	0	0	VARGHESE, CHRISTOPHER MD	10/5/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A191380	N/A	N/A	N/A	N/A	N/A	45124 10TH ST W	None	LANCASTER	CA	93534	2310	00	06000	34.702929	-118.1480935	Los Angeles County
339347	Ordering, Referring, Prescribing	N/A	1598398125	0	0	VELASCO, ROCES B CNP	1/24/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95019839	N/A	N/A	N/A	N/A	N/A	9300 VALLEY CHILDRENS PL	None	MADERA	CA	93636	8761	00	06000	36.88437894	-119.8003484	Madera County
339408	Ordering, Referring, Prescribing	N/A	1598810913	0	0	VOLK, STEPHEN J MD	12/10/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	G72610	N/A	N/A	N/A	N/A	N/A	14112 S KINGSLEY DR	None	GARDENA	CA	90249	3018	00	06000	33.902901	-118.304243	Los Angeles County
339439	Ordering, Referring, Prescribing	N/A	1598911018	0	0	VAZQUEZ, IRENE LMFT	4/15/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT85637	N/A	N/A	N/A	N/A	N/A	390 N EUCLID AVE	None	UPLAND	CA	91786	4763	00	06000	34.09818429	-117.6509833	San Bernardino County
339499	Ordering, Referring, Prescribing	N/A	1609025550	0	0	VANAMAN, DANIELLE M LMFT	6/10/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	52299	N/A	N/A	N/A	N/A	N/A	8945 GOLF LINKS RD	None	OAKLAND	CA	94605	4124	00	06000	37.76047483	-122.157608	Alameda County
339510	Ordering, Referring, Prescribing	N/A	1609055755	0	0	VARGAS, JEANET LCSW	2/24/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW88806	N/A	N/A	N/A	N/A	N/A	2600 REDONDO AVE, 6TH FL	None	LONG BEACH	CA	90806	4831	00	06000	33.806097	-118.151378	Los Angeles County
339541	Ordering, Referring, Prescribing	N/A	1609122696	0	0	VAN ECK, STEPHANIE N LCSW	6/5/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	101892	N/A	N/A	N/A	N/A	N/A	260 COHASSET RD	120	CHICO	CA	95926	2282	00	06000	39.754035	-121.851117	Butte County
339563	Ordering, Referring, Prescribing	N/A	1609155316	0	0	VAN DYKE, CRAIG T LMFT	6/3/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	108739	N/A	N/A	N/A	N/A	N/A	1430 WILLOW PASS RD.	# 100	CONCORD	CA	94520	7928	00	06000	37.97055112	-122.0492933	Contra Costa County
339627	Ordering, Referring, Prescribing	N/A	1609264852	0	0	VASQUEZ, ADRIANA LMFT	7/22/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT120338	N/A	N/A	N/A	N/A	N/A	500 CITY PKWY W	SUITE 200	ORANGE	CA	92868	2941	00	06000	33.78299346	-117.895788	Orange County
339642	Ordering, Referring, Prescribing	N/A	1609290808	0	0	VALENZUELA, MICHELLE LMFT	8/9/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	127378	N/A	N/A	N/A	N/A	N/A	820 E GILBERT ST	None	SAN BERNARDINO	CA	92415	0928	00	06000	34.1268333	-117.2687417	San Bernardino County
339697	Ordering, Referring, Prescribing	N/A	1609366673	0	0	VACHUSKA, MILANA N	3/28/2021	Taxonomy not applicable	NA	n/a	000	Unknown	78927	N/A	N/A	N/A	N/A	N/A	501 J STREET	None	SACRAMENTO	CA	95816	5006	00	06000	38.582118	-121.499325	Sacramento County
339713	Ordering, Referring, Prescribing	N/A	1609400100	0	0	VUONG, PHUNG K PHARMD	9/9/2022	Taxonomy not applicable	NA	n/a	000	Unknown	82123	N/A	N/A	N/A	N/A	N/A	1663 BRANHAM LN	None	SAN JOSE	CA	95118	2200	00	06000	37.25190008	-121.9076357	Santa Clara County
339730	Ordering, Referring, Prescribing	N/A	1609413756	0	0	VAQUERA, PEGGY	1/23/2023	Taxonomy not applicable	NA	n/a	000	Unknown	10336	N/A	N/A	N/A	N/A	N/A	1850 SPRING RIDGE DRIVE	None	SUSANVILLE	CA	96130	6100	00	06000	40.43814074	-120.6259249	Lassen County
339741	Ordering, Referring, Prescribing	N/A	1609440775	0	0	VONG, NANCY H OT	12/7/2020	Taxonomy not applicable	NA	n/a	019	OCCUPATIONAL THERAPISTS	OT21677	N/A	N/A	N/A	N/A	N/A	4025 W 226TH ST	None	TORRANCE	CA	90505	2340	00	06000	33.82360754	-118.3560922	Los Angeles County
339743	Ordering, Referring, Prescribing	N/A	1609451830	0	0	VILLA, ARIANNA M NP	3/8/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95016887	N/A	N/A	N/A	N/A	N/A	150 PAULARINO AVE	D-182	COSTA MESA	CA	92626	3301	00	06000	33.68149891	-117.8763277	Orange County
339766	Ordering, Referring, Prescribing	N/A	1609511054	0	0	VALITON, KAREN LMFT	5/29/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT28783	N/A	N/A	N/A	N/A	N/A	628 SECOND AVE	206	CROCKETT	CA	94525	1237	00	06000	38.05332459	-122.2236792	Contra Costa County
339767	Ordering, Referring, Prescribing	N/A	1609515154	0	0	VUONG, TRACY N PHARMD	2/24/2022	Taxonomy not applicable	NA	n/a	000	Unknown	85921	N/A	N/A	N/A	N/A	N/A	12110 INDUSTRY BLVD	None	JACKSON	CA	95642	9373	00	06000	38.36981229	-120.8002806	Amador County
339788	Ordering, Referring, Prescribing	N/A	1609583731	0	0	VON HAGEN, MARNIE C NP	10/27/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95023151	N/A	N/A	N/A	N/A	N/A	593 W 6TH ST	None	SAN PEDRO	CA	90731	2521	00	06000	33.73875253	-118.2899475	Los Angeles County
339816	Ordering, Referring, Prescribing	N/A	1609907385	0	0	VENEZIO, DONNA L LCSW	1/1/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	14141	N/A	N/A	N/A	N/A	N/A	9650 ZELZAH AVE	None	NORTHRIDGE	CA	91325	2003	00	06000	34.24628267	-118.5232668	Los Angeles County
339819	Ordering, Referring, Prescribing	N/A	1609917236	0	0	VAUGHN, MARSHA LCSW	6/4/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	20535	N/A	N/A	N/A	N/A	N/A	16 RITTER STREET	None	SAN RAFAEL	CA	94901	3323	00	06000	37.97151013	-122.5251246	Marin County
339868	Ordering, Referring, Prescribing	N/A	1619002862	0	0	VICK, REBECCA M LCSW	3/29/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW73224	N/A	N/A	N/A	N/A	N/A	31410 WHEELON AVE	None	HAYWARD	CA	94544	7662	00	06000	37.614636	-122.036263	Alameda County
339939	Ordering, Referring, Prescribing	N/A	1619129178	0	0	VINCENT, THERESA A NP	1/1/2020	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP7763	N/A	N/A	N/A	N/A	N/A	905 E. 8TH STREET	None	LOS ANGELES, CA 9	CA	90021	1848	00	06000	34.03639545	-118.2465917	Los Angeles County
339950	Ordering, Referring, Prescribing	N/A	1619162013	0	0	VEAL, LISA E OD	7/14/2020	Taxonomy not applicable	NA	n/a	020	OPTOMETRISTS	13411	N/A	N/A	N/A	N/A	N/A	15336 DEVONSHIRE ST	SUITE 4	MISSION HILLS	CA	91345	2755	00	06000	34.25726849	-118.4664285	Los Angeles County
339953	Ordering, Referring, Prescribing	N/A	1619173952	0	0	VLASKOVITS, JOSEPH C MD	5/31/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A113932	N/A	N/A	N/A	N/A	N/A	1911 WILLIAMS DRIVE	None	OXNARD	CA	93036	0673	00	06000	34.219566	-119.1539365	Ventura County
339985	Ordering, Referring, Prescribing	N/A	1619228293	0	0	VELASQUEZ-RODARTE, VERONICA LMFT	3/18/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT101558	N/A	N/A	N/A	N/A	N/A	4000 W METROPOLITAN DR	SUITE 404	ORANGE	CA	92868	3504	00	06000	33.78016046	-117.8956101	Orange County
340023	Ordering, Referring, Prescribing	N/A	1619286606	0	0	VAGIC, DRAGANA T MD	6/4/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A110441	N/A	N/A	N/A	N/A	N/A	1625 N SCHRADER BLVD	None	LOS ANGELES	CA	90028	6213	00	06000	34.100523	-118.3324855	Los Angeles County
340026	Ordering, Referring, Prescribing	N/A	1619297843	0	0	VERNON, ALLEN T	12/28/2015	Taxonomy not applicable	NA	n/a	099	DENTIST	D65277	N/A	N/A	N/A	N/A	N/A	475 BRUCE STREET	None	YREKA	CA	96097	3474	00	06000	41.71860037	-122.6467317	Siskiyou County
340091	Ordering, Referring, Prescribing	N/A	1619389459	0	0	VITA, CRISTINE LMFT	11/18/2019	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT107857	N/A	N/A	N/A	N/A	N/A	5100 S. EASTERN AVE.	STE. 110	COMMERCE	CA	90040	2950	00	06000	33.98882955	-118.1615175	Los Angeles County
340264	Ordering, Referring, Prescribing	N/A	1629084074	0	0	VESCO, DAVID M MD	10/21/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A43384	N/A	N/A	N/A	N/A	N/A	4937 LAS VIRGENES RD	None	CALABASAS	CA	91302	2949	00	06000	34.14682434	-118.6978817	Los Angeles County
340288	Ordering, Referring, Prescribing	N/A	1629125331	0	0	VICK, JUDITH A LMFT	8/30/2022	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	38604	N/A	N/A	N/A	N/A	N/A	676 PISMO ST	None	SAN LUIS OBISPO	CA	93401	3945	00	06000	35.27640631	-120.6628883	San Luis Obispo County
340293	Ordering, Referring, Prescribing	N/A	1629132642	0	0	VAREZ, MARCIA D	3/18/2013	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	RN0562521	N/A	N/A	N/A	N/A	N/A	757 WESTWOOD PLAZA	None	LOS ANGELES	CA	90095	8358	00	06000	34.06633051	-118.4452686	Los Angeles County
340398	Ordering, Referring, Prescribing	N/A	1629354089	0	0	VU, THOAI PHARMD	7/21/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH55717	N/A	N/A	N/A	N/A	N/A	2020 W CLEVELAND AVE	None	MADERA	CA	93637	8759	00	06000	36.97450854	-120.0811275	Madera County
340431	Ordering, Referring, Prescribing	N/A	1629408000	0	0	VAZQUEZ, ANA M LMFT	6/7/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	109969	N/A	N/A	N/A	N/A	N/A	2085 RUSTIN AVE	None	RIVERSIDE	CA	92507	2498	00	06000	33.99323085	-117.3355363	Riverside County
340474	Ordering, Referring, Prescribing	N/A	1629489315	0	0	VAN SICKLEN, CHARLES N	6/9/2021	Taxonomy not applicable	NA	n/a	099	DENTIST	D64993	N/A	N/A	N/A	N/A	N/A	51 WELLNESS WAY	None	VALLEY SPRINGS	CA	95252	9736	00	06000	38.168667	-120.840039	Calaveras County
340479	Ordering, Referring, Prescribing	N/A	1629495361	0	0	VAN, TONY PHARMD	8/27/2022	Taxonomy not applicable	NA	n/a	000	Unknown	70205	N/A	N/A	N/A	N/A	N/A	107 MID VALLEY CTR	None	CARMEL	CA	93923	8500	00	06000	36.5235076	-121.8100637	Monterey County
340494	Ordering, Referring, Prescribing	N/A	1629522867	0	0	VILLANUEVA, OLGA LCSW	6/16/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW94663	N/A	N/A	N/A	N/A	N/A	1161 BAY BLVD	STE B	CHULA VISTA	CA	91911	2670	00	06000	32.6050811	-117.0922508	San Diego County
340532	Ordering, Referring, Prescribing	N/A	1629579289	0	0	VITALI, PAUL LMFT	9/15/2022	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	35700	N/A	N/A	N/A	N/A	N/A	1400 EMELINE AVE	None	SANTA CRUZ	CA	95060	1976	00	06000	36.99276804	-122.0178271	Santa Cruz County
340544	Ordering, Referring, Prescribing	N/A	1629595426	0	0	VIEIRA, KALLY LPCC	7/21/2020	Taxonomy not applicable	NA	n/a	000	Unknown	8139	N/A	N/A	N/A	N/A	N/A	1529 GRAND AVE	A	SAN MARCOS	CA	92078	2464	00	06000	33.14484004	-117.1969923	San Diego County
340623	Ordering, Referring, Prescribing	N/A	1629752985	0	0	VILLEGAS, MARK ANGELO PA	10/23/2023	Taxonomy not applicable	NA	n/a	000	Unknown	62879	N/A	N/A	N/A	N/A	N/A	1550 SUPERIOR AVE	None	COSTA MESA	CA	92627	3653	00	06000	33.63305341	-117.9266303	Orange County
340673	Ordering, Referring, Prescribing	N/A	1639227358	0	0	VOEGELE, PATRICK MD	12/12/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	G53795	N/A	N/A	N/A	N/A	N/A	235 S PALISADE DR	None	SANTA MARIA	CA	93454	0001	00	06000	34.9516506	-120.4121902	Santa Barbara County
340682	Ordering, Referring, Prescribing	N/A	1639253594	0	0	VAZQUEZ, VIANNEY LCSW	8/24/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW27451	N/A	N/A	N/A	N/A	N/A	1224 VINE ST.	None	LOS ANGELES	CA	90038	1612	00	06000	34.093332	-118.326603	Los Angeles County
340727	Ordering, Referring, Prescribing	N/A	1639335136	0	0	VELASQUEZ, CHRISTINE A LCSW	3/11/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	61047	N/A	N/A	N/A	N/A	N/A	695 S. VERMONT AVE.	None	LOS ANGELES	CA	90022	1349	00	06000	34.06078495	-118.2916863	Los Angeles County
340915	Ordering, Referring, Prescribing	N/A	1639651110	0	0	VASILYAN, ANNA NP	8/30/2018	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95009880	N/A	N/A	N/A	N/A	N/A	1311 N SAN FERNANDO BLVD	None	BURBANK	CA	91504	4236	00	06000	34.18947282	-118.3206362	Los Angeles County
340943	Ordering, Referring, Prescribing	N/A	1639691298	0	0	VAUGHN, JESSICA J DO	3/14/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A16893	N/A	N/A	N/A	N/A	N/A	235 S PALISADE DR	None	SANTA MARIA	CA	93454	5906	00	06000	34.9516506	-120.4121902	Santa Barbara County
340951	Ordering, Referring, Prescribing	N/A	1639708126	0	0	VERGHESE, CORINNE	11/23/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A183452	N/A	N/A	N/A	N/A	N/A	7140 INDIANA AVE	None	RIVERSIDE	CA	92504	4544	00	06000	33.93890182	-117.3977958	Riverside County
341016	Ordering, Referring, Prescribing	N/A	1639918691	0	0	VO, ANDREW	9/30/2024	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	PTL3929	N/A	N/A	N/A	N/A	N/A	8627 ATLANTIC AVE	None	SOUTH GATE	CA	90280	3501	00	06000	33.95462085	-118.1838426	Los Angeles County
341048	Ordering, Referring, Prescribing	N/A	1649228867	0	0	VICARS BUSBY, LAURA K	1/5/2018	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	538659	N/A	N/A	N/A	N/A	N/A	5044 N BARTON AVE	None	FRESNO	CA	93740	8012	00	06000	36.80942142	-119.7496436	Fresno County
341052	Ordering, Referring, Prescribing	N/A	1649278797	0	0	VANARSDALE, JESSICA L MD	5/5/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A88580	N/A	N/A	N/A	N/A	N/A	PLAZA AVENUE, NEAR LIBRA	None	ARCATA	CA	95521	8299	00	06000	40.87718316	-124.0811195	Humboldt County
341322	Ordering, Referring, Prescribing	N/A	1649770900	0	0	VALIQUETTE, JULIE C LMFT	12/28/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	123813	N/A	N/A	N/A	N/A	N/A	1560 MARKET ST	None	REDDING	CA	96001	1023	00	06000	40.58346871	-122.390608	Shasta County
341380	Ordering, Referring, Prescribing	N/A	1649868530	0	0	VU, MEGAN L NP	9/30/2020	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95015581	N/A	N/A	N/A	N/A	N/A	6065 STATE HIGHWAY 193	None	GEORGETOWN	CA	95634	9623	00	06000	38.90808215	-120.8515816	El Dorado County
341443	Ordering, Referring, Prescribing	N/A	1659068138	0	0	VALLADARES-ESCOBAR, EMELY LCSW	12/7/2022	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	112453	N/A	N/A	N/A	N/A	N/A	820 E. GILBERT ST	200	SAN BERNARDINO	CA	92415	0000	00	06000	34.1268333	-117.2687417	San Bernardino County
341547	Ordering, Referring, Prescribing	N/A	1659526275	0	0	VELAZQUEZ, GEMMA M LCSW	3/25/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	74791	N/A	N/A	N/A	N/A	N/A	345 5TH ST	None	COLUSA	CA	95932	2445	00	06000	39.21248116	-122.0085455	Colusa County
341595	Ordering, Referring, Prescribing	N/A	1659634517	0	0	VAFADARAN, ASHKAN MD	2/1/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A137394	N/A	N/A	N/A	N/A	N/A	1250 6TH AVE	SUITE 100	SAN DIEGO	CA	92101	4300	00	06000	32.71854144	-117.1593008	San Diego County
341615	Ordering, Referring, Prescribing	N/A	1659657609	0	0	VU, TUAN Q PHARMD	9/7/2018	Taxonomy not applicable	NA	n/a	000	Unknown	58053	N/A	N/A	N/A	N/A	N/A	740 NORDAHL RD.	SUITE 120	SAN MARCOS	CA	92069	3543	00	06000	33.13476309	-117.1197239	San Diego County
341644	Ordering, Referring, Prescribing	N/A	1659715092	0	0	VAN LOY, JENNIFER L LCSW	2/2/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	26272	N/A	N/A	N/A	N/A	N/A	21125 CENTRE POINTE PKWY	None	SANTA CLARITA	CA	91350	2994	00	06000	34.41164827	-118.5053439	Los Angeles County
341702	Ordering, Referring, Prescribing	N/A	1659791234	0	0	VANALLEN, SUSAN Y	1/30/2019	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	87695	N/A	N/A	N/A	N/A	N/A	43322 GINGHAM AVE	SUITE 105	LANCASTER	CA	93535	4576	00	06000	34.67013731	-118.1222748	Los Angeles County
341827	Ordering, Referring, Prescribing	N/A	1669031332	0	0	VALENCIA, VANESSA N LMFT	8/5/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	139340	N/A	N/A	N/A	N/A	N/A	2020 HIGH ST	STE E	SELMA	CA	93662	3518	00	06000	36.56926799	-119.612517	Fresno County
341895	Ordering, Referring, Prescribing	N/A	1669293197	0	0	VALENZUELA, ALEXANDER J	11/27/2024	Taxonomy not applicable	NA	n/a	000	Unknown	NP95033151	N/A	N/A	N/A	N/A	N/A	15010 FIR ST	None	HESPERIA	CA	92345	4316	00	06000	34.39236128	-117.335741	San Bernardino County
341974	Ordering, Referring, Prescribing	N/A	1669654885	0	0	VARGAS, CAROLYN J MD	4/1/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	G76158	N/A	N/A	N/A	N/A	N/A	4455 W 117TH ST	300	HAWTHORNE	CA	90250	2240	00	06000	33.92825048	-118.3539285	Los Angeles County
342010	Ordering, Referring, Prescribing	N/A	1669742995	0	0	VILBERT, KIMBERLY J PHARMD	3/14/2021	Taxonomy not applicable	NA	n/a	000	Unknown	69509	N/A	N/A	N/A	N/A	N/A	5300 MCCONNELL AVE	None	PLAYA VISTA	CA	90045	0000	00	06000	33.97928851	-118.4206374	Los Angeles County
342064	Ordering, Referring, Prescribing	N/A	1669847877	0	0	VARGAS, DAISY LCSW	12/16/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW99168	N/A	N/A	N/A	N/A	N/A	26081 MOCINE AVE	None	HAYWARD	CA	94544	2923	00	06000	37.64800936	-122.0758633	Alameda County
342088	Ordering, Referring, Prescribing	N/A	1669897575	0	0	VAN KLEEF, PIERRETTE LCSW	8/9/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	28050	N/A	N/A	N/A	N/A	N/A	590 ANTELOPE BLVD	40A	RED BLUFF	CA	96080	2474	00	06000	40.18602075	-122.2057399	Tehama County
342138	Ordering, Referring, Prescribing	N/A	1669986501	0	0	VONGVARAVIPATR, VARIN	1/11/2018	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	817881	N/A	N/A	N/A	N/A	N/A	1450 E HOLT AVENUE	None	POMONA	CA	91767	5822	00	06000	34.06299829	-117.7215562	Los Angeles County
342184	Ordering, Referring, Prescribing	N/A	1679048417	0	0	VALDIVIA, TAYLOR NICOLE N LMFT	9/21/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT122016	N/A	N/A	N/A	N/A	N/A	6160 MISSION GORGE ROAD	STE.100	SAN DIEGO	CA	92120	3425	00	06000	32.7868143	-117.0977635	San Diego County
342198	Ordering, Referring, Prescribing	N/A	1679069058	0	0	VERGEL DE DIOS, AMANDA MAE NP	7/8/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95025863	N/A	N/A	N/A	N/A	N/A	1300 N DUTTON AVE	None	SANTA ROSA	CA	95401	7112	00	06000	38.449791	-122.733027	Sonoma County
342200	Ordering, Referring, Prescribing	N/A	1679070569	0	0	VENNAM, VAMSI KRISHNA DO	1/2/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A19415	N/A	N/A	N/A	N/A	N/A	2227 CAPRICORN WAY	None	SANTA ROSA	CA	95407	5478	00	06000	38.425266	-122.749875	Sonoma County
342213	Ordering, Referring, Prescribing	N/A	1679088769	0	0	VO, ANNIE T LMFT	4/30/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	139361	N/A	N/A	N/A	N/A	N/A	11429 VALLEY BLVD	None	EL MONTE	CA	91731	3229	00	06000	34.06953065	-118.0288485	Los Angeles County
342291	Ordering, Referring, Prescribing	N/A	1679294524	0	0	VALENZUELA, DOMINIQUE J LCSW	9/20/2024	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW126189	N/A	N/A	N/A	N/A	N/A	4815 WATT AVE	None	NORTH HIGHLANDS	CA	95660	5108	00	06000	38.653245	-121.3836075	Sacramento County
342323	Ordering, Referring, Prescribing	N/A	1679607691	0	0	VALDEZ, CORALIA LMFT	4/11/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	46873	N/A	N/A	N/A	N/A	N/A	950 W JULIAN ST	None	SAN JOSE	CA	95126	2719	00	06000	37.33352455	-121.9089111	Santa Clara County
342342	Ordering, Referring, Prescribing	N/A	1679631865	0	0	VALLEJO, COURTNEY A LMFT	1/19/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT50407	N/A	N/A	N/A	N/A	N/A	2751 NAPA VALLEY CORPORA	BUILDING A	NAPA	CA	94558	6216	00	06000	38.24829023	-122.2745626	Napa County
342482	Ordering, Referring, Prescribing	N/A	1679937759	0	0	VIGLIETTA, SAMUEL B MD	4/16/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A168577	N/A	N/A	N/A	N/A	N/A	315 CAMINO DEL REMEDIO	None	SANTA BARBARA	CA	93110	1332	00	06000	34.444881	-119.7793725	Santa Barbara County
342601	Ordering, Referring, Prescribing	N/A	1689128829	0	0	VARGAS, RAE LMFT	2/17/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT115874	N/A	N/A	N/A	N/A	N/A	500 W FOSTER RD	None	SANTA MARIA	CA	93455	3620	00	06000	34.88351329	-120.4428974	Santa Barbara County
342754	Ordering, Referring, Prescribing	N/A	1689701567	0	0	VALDEZ, FLORENTINO M III	4/23/2017	Taxonomy not applicable	NA	n/a	000	Unknown	18533	N/A	N/A	N/A	N/A	N/A	1212 HANNA AVE	None	CORCORAN	CA	93212	2313	00	06000	36.09974853	-119.56293	Kings County
342757	Ordering, Referring, Prescribing	N/A	1689702649	0	0	VANBRUGGEN-O'ROURKE, STACY E LCSW	9/8/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW22237	N/A	N/A	N/A	N/A	N/A	4441 E KINGS CANYON RD	None	FRESNO	CA	93702	3604	00	06000	36.738144	-119.753361	Fresno County
342758	Ordering, Referring, Prescribing	N/A	1689700114	0	0	VILLA, GUADALUPE V	7/28/2015	Taxonomy not applicable	NA	n/a	099	DENTIST	D40900	N/A	N/A	N/A	N/A	N/A	1328 S MISSION RD	None	FALLBROOK	CA	92028	4006	00	06000	33.36868654	-117.2507699	San Diego County
342777	Ordering, Referring, Prescribing	N/A	1689742686	0	0	VILLARREAL, JULIO LCSW	6/4/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	78114	N/A	N/A	N/A	N/A	N/A	290 IOOF AVE	None	GILROY	CA	95020	5204	00	06000	37.01377513	-121.5685719	Santa Clara County
342801	Ordering, Referring, Prescribing	N/A	1689822082	0	0	VICKERY, LYNNESA E LMFT	4/28/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	102766	N/A	N/A	N/A	N/A	N/A	5650 MOUNT ACKERLY DR	None	SAN DIEGO	CA	92111	4016	00	06000	32.80910151	-117.1793115	San Diego County
342805	Ordering, Referring, Prescribing	N/A	1689821738	0	0	VALENCIA, SUSANA LCSW	3/24/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW100706	N/A	N/A	N/A	N/A	N/A	425 DEL SOL PARKWAY	None	DELANO	CA	93215	3442	00	06000	35.75415446	-119.250612	Kern County
342811	Ordering, Referring, Prescribing	N/A	1689836272	0	0	VALENTINE, GENEVIEVE G LMFT	12/10/2019	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	51744	N/A	N/A	N/A	N/A	N/A	480 E. 13TH STREET	None	MERCED	CA	95341	6214	00	06000	37.29194565	-120.4717887	Merced County
342816	Ordering, Referring, Prescribing	N/A	1689839300	0	0	VAZQUEZ, NANNETTE LCSW	11/29/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW98810	N/A	N/A	N/A	N/A	N/A	50 E FOOTHILL BLVD	SUITE 300	ARCADIA	CA	91006	2314	00	06000	34.15096965	-118.0295442	Los Angeles County
342888	Ordering, Referring, Prescribing	N/A	1689971624	0	0	VANDER HAAR, WINIFRED MARIA BORZAGE LMFT	10/18/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT128728	N/A	N/A	N/A	N/A	N/A	13001 RAMONA BLVD	SUITE A	IRWINDALE	CA	91706	3752	00	06000	34.07969659	-117.9895641	Los Angeles County
342943	Ordering, Referring, Prescribing	N/A	1699073262	0	0	VILLANUEVA, KRISTINE LMFT	2/23/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	91314	N/A	N/A	N/A	N/A	N/A	5555 RESERVOIR DR	204-A	SAN DIEGO	CA	92120	5134	00	06000	32.77628471	-117.0563688	San Diego County
342946	Ordering, Referring, Prescribing	N/A	1699069476	0	0	VILLA, CARISSA LMFT	3/1/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMF132022	N/A	N/A	N/A	N/A	N/A	17800 US HIGHWAY 18	None	APPLE VALLEY	CA	92307	1221	00	06000	34.54007429	-117.2744761	San Bernardino County
342949	Ordering, Referring, Prescribing	N/A	1699082271	0	0	VAIRA-MOODY, LESLIE LMFT	12/9/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	141827	N/A	N/A	N/A	N/A	N/A	1520 EUREKA RD	None	ROSEVILLE	CA	95661	2849	00	06000	38.74944235	-121.2487091	Placer County
343021	Ordering, Referring, Prescribing	N/A	1699208363	0	0	VANG, CINDY J LMFT	2/2/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	100531	N/A	N/A	N/A	N/A	N/A	114 E. SHAW AVE.	201	FRESNO	CA	93710	7621	00	06000	36.80926363	-119.7876595	Fresno County
343087	Ordering, Referring, Prescribing	N/A	1699333138	0	0	VALLOR, SEAN V LMFT	7/18/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT120264	N/A	N/A	N/A	N/A	N/A	310 HARBOR BLVD	BUILDING E	BELMONT	CA	94002	4018	00	06000	37.52045283	-122.2680405	San Mateo County
343090	Ordering, Referring, Prescribing	N/A	1699340760	0	0	VALDOVINOS, KENIA LCSW	3/13/2024	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	100986	N/A	N/A	N/A	N/A	N/A	426 N DATE ST	None	ESCONDIDO	CA	92025	3409	00	06000	33.12911363	-117.0715093	San Diego County
343096	Ordering, Referring, Prescribing	N/A	1699351189	0	0	VALENTINO, ROBERTO DO	4/17/2024	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A22821	N/A	N/A	N/A	N/A	N/A	2040 CAMFIELD AVE.	None	LOS ANGELES	CA	90040	1501	00	06000	34.00861575	-118.1559052	Los Angeles County
343122	Ordering, Referring, Prescribing	N/A	1699394734	0	0	VU, ANTHONY K MD	4/3/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A185330	N/A	N/A	N/A	N/A	N/A	12100 EUCLID ST	None	GARDEN GROVE	CA	92840	3304	00	06000	33.786882	-117.9410535	Orange County
343163	Ordering, Referring, Prescribing	N/A	1699541409	0	0	VILLAGRANA, JULIA A NP	7/19/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP95026143	N/A	N/A	N/A	N/A	N/A	1250 16TH ST	C2304	SANTA MONICA	CA	90404	1249	00	06000	34.02749142	-118.486063	Los Angeles County
343183	Ordering, Referring, Prescribing	N/A	1699759266	0	0	VUKOV, JUDITH A MD	5/18/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A38036	N/A	N/A	N/A	N/A	N/A	121 W. LEXINGTON DRIVE	SUITE 210	GLENDALE	CA	91203	2203	00	06000	34.1517575	-118.2560706	Los Angeles County
343227	Ordering, Referring, Prescribing	N/A	1699854273	0	0	VEGA, LUIS E PHD	3/10/2020	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	20810	N/A	N/A	N/A	N/A	N/A	200 W SANTA ANA BLVD	SUITE 125	SANTA ANA	CA	92701	4134	00	06000	33.74970951	-117.8691975	Orange County
343261	Ordering, Referring, Prescribing	N/A	1699926543	0	0	VIVALDA, JULIE M CNM	1/4/2018	Taxonomy not applicable	NA	n/a	005	CERTIFIED NURSE MIDWIFE	1820	N/A	N/A	N/A	N/A	N/A	601 W 19TH ST	None	COSTA MESA	CA	92627	5060	00	06000	33.64341274	-117.9236037	Orange County
343281	Ordering, Referring, Prescribing	N/A	1700019361	0	0	VILLA, ADRIANA LMFT	7/9/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT84323	N/A	N/A	N/A	N/A	N/A	6700 INDIANA AVE.	SUITE 280	RIVERSIDE	CA	92506	4290	00	06000	33.94397483	-117.3905469	Riverside County
343328	Ordering, Referring, Prescribing	N/A	1700112588	0	0	VANOORDT, KAREN G MD	1/22/2017	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A61408	N/A	N/A	N/A	N/A	N/A	1241 E DYER RD	None	SANTA ANA	CA	92705	5611	00	06000	33.711435	-117.8552475	Orange County
343388	Ordering, Referring, Prescribing	N/A	1700186848	0	0	VASQUEZ, ALVIN PHARMD	1/16/2021	Taxonomy not applicable	NA	n/a	000	Unknown	62573	N/A	N/A	N/A	N/A	N/A	406 N MAIN ST	None	SEBASTOPOL	CA	95472	3405	00	06000	38.40519804	-122.826351	Sonoma County
343443	Ordering, Referring, Prescribing	N/A	1700275625	0	0	VERNON, ELLIS LCSW	6/30/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW82566	N/A	N/A	N/A	N/A	N/A	2311 W EL SEGUNDO BLVD	None	HAWTHORNE	CA	90250	3315	00	06000	33.91647947	-118.3189815	Los Angeles County
343472	Ordering, Referring, Prescribing	N/A	1700317526	0	0	VARGAS, NANCY L LMFT	10/19/2022	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	135408	N/A	N/A	N/A	N/A	N/A	11731 TELEGRAPH RD	SUITE K	SANTA FE SPRINGS	CA	90670	3675	00	06000	33.94630253	-118.0832082	Los Angeles County
343486	Ordering, Referring, Prescribing	N/A	1700346046	0	0	VUONG, IRIS MD MPH	2/11/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A176354	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
343576	Ordering, Referring, Prescribing	N/A	1700492816	0	0	VIDAL, MONICA LMFT	9/7/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT127971	N/A	N/A	N/A	N/A	N/A	49-211 GRAPEFRUIT	SUITES 5 & 6	COACHELLA	CA	92236	1480	00	06000	33.67935146	-116.1735891	Riverside County
343683	Ordering, Referring, Prescribing	N/A	1700989811	0	0	VENKATAPATHY, GANESAN MD	9/4/2018	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	C50567	N/A	N/A	N/A	N/A	N/A	857 W CHILDS AVE	None	MERCED	CA	95341	6862	00	06000	37.2882813	-120.497688	Merced County
343762	Ordering, Referring, Prescribing	N/A	1710181573	0	0	VIERRA, EMILY A LMFT	11/23/2019	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	50354	N/A	N/A	N/A	N/A	N/A	9101 WHITTIER BLVD	None	PICO RIVERA	CA	90660	2405	00	06000	34.00074139	-118.0822944	Los Angeles County
343764	Ordering, Referring, Prescribing	N/A	1710157391	0	0	VIRGEN, PAXY LCSW	8/23/2018	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW85372	N/A	N/A	N/A	N/A	N/A	2665 W OLYMPIC BLVD	None	LOS ANGELES	CA	90001	0000	00	06000	34.0524601	-118.290209	Los Angeles County
343796	Ordering, Referring, Prescribing	N/A	1710246699	0	0	VO, TUYET L PHARMD	3/30/2018	Taxonomy not applicable	NA	n/a	000	Unknown	55086	N/A	N/A	N/A	N/A	N/A	16450 BEACH BLVD	None	WESTMINSTER	CA	92683	7859	00	06000	33.72426	-117.9890615	Orange County
343798	Ordering, Referring, Prescribing	N/A	1710255369	0	0	VO, TRACY T PHARMD	8/5/2021	Taxonomy not applicable	NA	n/a	000	Unknown	59448	N/A	N/A	N/A	N/A	N/A	2627 PACIFIC AVENUE	None	LONG BEACH	CA	90806	1712	00	06000	33.80511396	-118.1937379	Los Angeles County
343801	Ordering, Referring, Prescribing	N/A	1710228093	0	0	VANDENBOGAART, ELIZABETH	3/21/2013	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	RN0486494	N/A	N/A	N/A	N/A	N/A	100 MEDICAL PLZ	STE 630 E	LOS ANGELES	CA	90095	7368	00	06000	34.06544724	-118.4459249	Los Angeles County
343816	Ordering, Referring, Prescribing	N/A	1710273974	0	0	VIERRA, SHAYNE L PHARMD	10/26/2022	Taxonomy not applicable	NA	n/a	000	Unknown	56934	N/A	N/A	N/A	N/A	N/A	3801 PELANDALE AVE	None	MODESTO	CA	95356	8300	00	06000	37.70013907	-121.0663275	Stanislaus County
343835	Ordering, Referring, Prescribing	N/A	1710301064	0	0	VELEZ, BELIA LCSW	12/21/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	99241	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
343886	Ordering, Referring, Prescribing	N/A	1710376579	0	0	VON HAUS, CIRCE LMFT	10/2/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	122278	N/A	N/A	N/A	N/A	N/A	9650 ZELZAH AVE	None	NORTHRIDGE	CA	91325	2003	00	06000	34.24628267	-118.5232668	Los Angeles County
343935	Ordering, Referring, Prescribing	N/A	1710431614	0	0	VELASCO, ROQUE ANTHONY F NP	5/17/2017	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	4500	N/A	N/A	N/A	N/A	N/A	200 MED PLAZA	365, 420, 120	LOS ANGELES	CA	90024	0001	00	06000	34.06527974	-118.4462792	Los Angeles County
344000	Ordering, Referring, Prescribing	N/A	1710599345	0	0	VILLANUEVA, ALEXANDRIA T	7/24/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95012484	N/A	N/A	N/A	N/A	N/A	18533 SOLEDAD CANYON RD	None	SANTA CLARITA	CA	91351	3722	00	06000	34.41652146	-118.45647	Los Angeles County
344005	Ordering, Referring, Prescribing	N/A	1710637913	0	0	VO, MICHELLE	3/28/2021	Taxonomy not applicable	NA	n/a	000	Unknown	81681	N/A	N/A	N/A	N/A	N/A	86 CROCKER AVE	None	DALY CITY	CA	94014	1108	00	06000	37.70623331	-122.45858	San Mateo County
344007	Ordering, Referring, Prescribing	N/A	1710637921	0	0	VERAL, MONETTE GRETZEL C MD	1/31/2024	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A188958	N/A	N/A	N/A	N/A	N/A	1600 SAN FERNANDO RD	None	SAN FERNANDO	CA	91340	3115	00	06000	34.28899399	-118.4481394	Los Angeles County
344011	Ordering, Referring, Prescribing	N/A	1710643507	0	0	VANG, CHOUA PHARMD	10/18/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH85419	N/A	N/A	N/A	N/A	N/A	626 S CLOVIS AVE	None	FRESNO	CA	93727	4511	00	06000	36.73652674	-119.7002129	Fresno County
344076	Ordering, Referring, Prescribing	N/A	1720104805	0	0	VILLANUEVA, CLAUDIA I LMFT	6/10/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT50931	N/A	N/A	N/A	N/A	N/A	5740 RALSTON ST.	STE 100	VENTURA	CA	93003	7847	00	06000	34.26070802	-119.213699	Ventura County
344077	Ordering, Referring, Prescribing	N/A	1720111073	0	0	VALLES, LIONEL LMFT	6/10/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	53826	N/A	N/A	N/A	N/A	N/A	1911 WILLIAMS DRIVE	210	OXNARD	CA	93036	0673	00	06000	34.219566	-119.1539365	Ventura County
344132	Ordering, Referring, Prescribing	N/A	1720225097	0	0	VIEYRA, BELINDA LCSW	2/24/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	89745	N/A	N/A	N/A	N/A	N/A	3300 TRUXTUN AVE	None	BAKERSFIELD	CA	93301	3137	00	06000	35.37353416	-119.0392409	Kern County
344165	Ordering, Referring, Prescribing	N/A	1720292568	0	0	VILLARREAL, ROBERT A LMFT	7/14/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT104386	N/A	N/A	N/A	N/A	N/A	137 N COTTONWOOD ST	None	WOODLAND	CA	95695	6646	00	06000	38.68538399	-121.7933582	Yolo County
344170	Ordering, Referring, Prescribing	N/A	1720306269	0	0	VASQUEZ, CARINA G PA	12/18/2017	Taxonomy not applicable	NA	n/a	000	Unknown	18276	N/A	N/A	N/A	N/A	N/A	4126 N. MAINE AVENUE	None	BALDWIN PARK	CA	91706	3306	00	06000	34.08740223	-117.9603532	Los Angeles County
344203	Ordering, Referring, Prescribing	N/A	1720355407	0	0	VALDOVINOS, MARIA A LCSW	12/7/2019	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	93185	N/A	N/A	N/A	N/A	N/A	2677 ZOE AVENUE	SUITE 114	HUNTINGTON PARK	CA	90255	6995	00	06000	33.9793143	-118.2230319	Los Angeles County
344210	Ordering, Referring, Prescribing	N/A	1720361355	0	0	VO, KELLY B PHARMD	8/2/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH61807	N/A	N/A	N/A	N/A	N/A	15318 ROY ROGERS DR	None	VICTORVILLE	CA	92394	2160	00	06000	34.5214751	-117.3296486	San Bernardino County
344212	Ordering, Referring, Prescribing	N/A	1720363278	0	0	VILLAGRAN, TRICIA LMFT	3/15/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	112205	N/A	N/A	N/A	N/A	N/A	6305 WOODMAN AVE	None	VAN NUYS	CA	91401	2346	00	06000	34.185132	-118.4312985	Los Angeles County
344231	Ordering, Referring, Prescribing	N/A	1720388473	0	0	VANG, XAY LCSW	9/22/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	74875	N/A	N/A	N/A	N/A	N/A	1965 LIVE OAK BLVD	None	YUBA CITY	CA	95991	8850	00	06000	39.15563037	-121.620091	Sutter County
344234	Ordering, Referring, Prescribing	N/A	1720388895	0	0	VISSER, GARRET PHARMD	12/27/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH55964	N/A	N/A	N/A	N/A	N/A	1700 S BRADLEY RD	None	SANTA MARIA	CA	93454	8001	00	06000	34.92801184	-120.4200671	Santa Barbara County
344238	Ordering, Referring, Prescribing	N/A	1720400518	0	0	VANG, JULIA N NP	2/14/2014	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	RN815293	N/A	N/A	N/A	N/A	N/A	7655 GREENLEAF AVENUE	None	WHITTIER	CA	90602	1626	00	06000	33.9719973	-118.0374206	Los Angeles County
344262	Ordering, Referring, Prescribing	N/A	1720425325	0	0	VO, PHUONG BICH T PHARMD	8/19/2022	Taxonomy not applicable	NA	n/a	000	Unknown	66545	N/A	N/A	N/A	N/A	N/A	1421 MANHATTAN AVE	None	FULLERTON	CA	92831	5221	00	06000	33.85701	-117.902438	Orange County
344290	Ordering, Referring, Prescribing	N/A	1720459324	0	0	VALADEZ, VALERIA LCSW	1/15/2025	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW128172	N/A	N/A	N/A	N/A	N/A	23501 CINEMA DR	200	VALENCIA	CA	91355	5428	00	06000	34.42039699	-118.5463513	Los Angeles County
344311	Ordering, Referring, Prescribing	N/A	1720487234	0	0	VILLAVERDE, CINDY LCSW	3/18/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW90332	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
344321	Ordering, Referring, Prescribing	N/A	1720489693	0	0	VERGARA, ALYSSA S LCSW	3/23/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW91022	N/A	N/A	N/A	N/A	N/A	301 THE CITY DR S	None	ORANGE	CA	92868	3205	00	06000	33.78547994	-117.8888036	Orange County
344360	Ordering, Referring, Prescribing	N/A	1720551278	0	0	VELEZ, META L LMFT	10/29/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	122785	N/A	N/A	N/A	N/A	N/A	2245 CHALLENGER WAY	None	SANTA ROSA	CA	95407	5418	00	06000	38.42559	-122.751243	Sonoma County
344387	Ordering, Referring, Prescribing	N/A	1720587199	0	0	VACHHANI, ARCHANA P PHARMD	7/14/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH77429	N/A	N/A	N/A	N/A	N/A	11930 STUDEBAKER RD	None	NORWALK	CA	90650	7548	00	06000	33.92251077	-118.0991696	Los Angeles County
344391	Ordering, Referring, Prescribing	N/A	1720599400	0	0	VO, KHANG M PHARMD	9/5/2021	Taxonomy not applicable	NA	n/a	000	Unknown	73962	N/A	N/A	N/A	N/A	N/A	1100 RILEY ST	None	FOLSOM	CA	95630	3511	00	06000	38.670174	-121.1647815	Sacramento County
344531	Ordering, Referring, Prescribing	N/A	1730240292	0	0	VERDER-ALIGA, ROZZANA N LMFT	12/8/2019	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT30506	N/A	N/A	N/A	N/A	N/A	355 TUOLUMNE ST	None	VALLEJO	CA	94590	5700	00	06000	38.10261225	-122.2382555	Solano County
344538	Ordering, Referring, Prescribing	N/A	1730241415	0	0	VILLAROMAN, ROMMEL	3/8/2021	Taxonomy not applicable	NA	n/a	000	Unknown	51856	N/A	N/A	N/A	N/A	N/A	400 CRAVEN RD	None	SAN MARCOS	CA	92078	4201	00	06000	33.12746646	-117.17028	San Diego County
344550	Ordering, Referring, Prescribing	N/A	1730263484	0	0	VALENZUELA, GUILLERMO J MD	3/25/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A38671	N/A	N/A	N/A	N/A	N/A	9380 MAGNOLIA AVENUE	None	RIVERSIDE	CA	92503	3749	00	06000	33.9215355	-117.4442978	Riverside County
344590	Ordering, Referring, Prescribing	N/A	1730334772	0	0	VARGAS, KATHY LMFT	12/30/2019	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	84349	N/A	N/A	N/A	N/A	N/A	3751 W. STOCKER ST	None	LOS ANGELES	CA	90008	5101	00	06000	34.00616017	-118.3385751	Los Angeles County
344691	Ordering, Referring, Prescribing	N/A	1730549932	0	0	VARGAS, CARLA K NP	4/8/2024	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP95025032	N/A	N/A	N/A	N/A	N/A	980 PLACER ST	None	REDDING	CA	96001	1126	00	06000	40.58374257	-122.384609	Shasta County
344779	Ordering, Referring, Prescribing	N/A	1730696360	0	0	VAZQUEZ, HEATHER LCSW	11/22/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	70221	N/A	N/A	N/A	N/A	N/A	1949 5TH ST. #103	None	DAVIS	CA	95616	1302	00	06000	38.548738	-121.7276296	Yolo County
344877	Ordering, Referring, Prescribing	N/A	1740209402	0	0	VOVAKES, MICHAEL MD	10/25/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	G38769	N/A	N/A	N/A	N/A	N/A	1035 PLACER ST	None	REDDING	CA	96001	1125	00	06000	40.58349378	-122.3853903	Shasta County
344878	Ordering, Referring, Prescribing	N/A	1740095595	0	0	VILSAINT, BEATRICE NP	4/16/2024	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95029825	N/A	N/A	N/A	N/A	N/A	1414 S GRAND AVE	380	LOS ANGELES	CA	90015	3072	00	06000	34.03661142	-118.2657227	Los Angeles County
344965	Ordering, Referring, Prescribing	N/A	1740464551	0	0	VOLDENG, ERIC PA	11/16/2021	Taxonomy not applicable	NA	n/a	000	Unknown	15918	N/A	N/A	N/A	N/A	N/A	7601 IMPERIAL HWY	None	DOWNEY	CA	90242	3456	00	06000	33.929829	-118.157607	Los Angeles County
344979	Ordering, Referring, Prescribing	N/A	1740475003	0	0	VAN NOORT, ERIN M PHARMD	3/16/2021	Taxonomy not applicable	NA	n/a	000	Unknown	59781	N/A	N/A	N/A	N/A	N/A	10990 SAN DIEGO MISSION	None	SAN DIEGO	CA	92108	2417	00	06000	32.7850186	-117.1023292	San Diego County
345024	Ordering, Referring, Prescribing	N/A	1740590330	0	0	VU, KIM-THOA	4/17/2023	Taxonomy not applicable	NA	n/a	000	Unknown	52022	N/A	N/A	N/A	N/A	N/A	3020 SATURN ST	SUITE 100	BREA	CA	92821	6262	00	06000	33.9089406	-117.857311	Orange County
345038	Ordering, Referring, Prescribing	N/A	1740612738	0	0	VARGAS, GENOVEVA LMFT	8/1/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	102955	N/A	N/A	N/A	N/A	N/A	50 SAND CREEK RD	STE 320	BRENTWOOD	CA	94513	7304	00	06000	37.94657758	-121.6971754	Contra Costa County
345109	Ordering, Referring, Prescribing	N/A	1740710086	0	0	VALLIN, VIVIANA LPCC	8/9/2022	Taxonomy not applicable	NA	n/a	000	Unknown	7156	N/A	N/A	N/A	N/A	N/A	760 WESTWOOD PLZ	None	LOS ANGELES	CA	90024	5055	00	06000	34.06633181	-118.4451729	Los Angeles County
345192	Ordering, Referring, Prescribing	N/A	1740839810	0	0	VONGTHONGKHAM, LINDA LMFT	3/11/2024	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	145715	N/A	N/A	N/A	N/A	N/A	8945 GOLF LINKS RD	None	OAKLAND	CA	94605	4124	00	06000	37.76047483	-122.157608	Alameda County
345408	Ordering, Referring, Prescribing	N/A	1750658555	0	0	VILLALOBOS, NAYELI LCSW	12/6/2019	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	69894	N/A	N/A	N/A	N/A	N/A	1301 PINE AVE.	None	LONG BEACH	CA	90813	3124	00	06000	33.782913	-118.192417	Los Angeles County
345430	Ordering, Referring, Prescribing	N/A	1750687984	0	0	VASSANTACHART-P, PRANEE H	2/25/2016	Taxonomy not applicable	NA	n/a	099	DENTIST	D38764	N/A	N/A	N/A	N/A	N/A	204 E BEACH ST	None	WATSONVILLE	CA	95076	4809	00	06000	36.91224802	-121.7541363	Santa Cruz County
345546	Ordering, Referring, Prescribing	N/A	1750853537	0	0	VOGEL, BRITTNI N PA-C	7/13/2022	Taxonomy not applicable	NA	n/a	000	Unknown	PA56432	N/A	N/A	N/A	N/A	N/A	200 S WELLS ROAD	100	VENTURA	CA	93004	1302	00	06000	34.29321532	-119.1597424	Ventura County
345688	Ordering, Referring, Prescribing	N/A	1760192694	0	0	VILLARREAL, JESSICA LMFT	12/18/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	134730	N/A	N/A	N/A	N/A	N/A	1205 W MORENA BLVD	None	SAN DIEGO	CA	92110	3837	00	06000	32.76918514	-117.2025197	San Diego County
345691	Ordering, Referring, Prescribing	N/A	1760225486	0	0	VILLAMOR, ROWENA NP	3/16/2024	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95029293	N/A	N/A	N/A	N/A	N/A	12619 BENTLEY ST	None	WATERFORD	CA	95386	9011	00	06000	37.64073442	-120.7613165	Stanislaus County
345734	Ordering, Referring, Prescribing	N/A	1760521322	0	0	VAZQUEZ, LORENZO M MD	7/10/2018	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A70384	N/A	N/A	N/A	N/A	N/A	1840 N HACIENDA BLVD	SUITE 10	LA PUENTE	CA	91744	1143	00	06000	34.05164127	-117.9426446	Los Angeles County
345847	Ordering, Referring, Prescribing	N/A	1760722565	0	0	VALERA, REMELYN ANN A NP	7/2/2013	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	RN0792227	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
345898	Ordering, Referring, Prescribing	N/A	1760848295	0	0	VELA, SARAH A NP	2/24/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95007310	N/A	N/A	N/A	N/A	N/A	1735 MISSION ST	None	SAN FRANCISCO	CA	94103	2417	00	06000	37.76957692	-122.4199811	San Francisco County
345911	Ordering, Referring, Prescribing	N/A	1760864847	0	0	VILLARREAL, JESSICA LCSW	11/2/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	98209	N/A	N/A	N/A	N/A	N/A	47825 OASIS ST	None	INDIO	CA	92201	6950	00	06000	33.70112861	-116.2209066	Riverside County
345930	Ordering, Referring, Prescribing	N/A	1760890933	0	0	VAN BEKKUM, TESSA E LCSW	4/7/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	81125	N/A	N/A	N/A	N/A	N/A	777 N FIRST STREET	444	SAN JOSE	CA	95112	6339	00	06000	37.35064564	-121.9015633	Santa Clara County
345966	Ordering, Referring, Prescribing	N/A	1760935803	0	0	VENEGAS, MARIO M LCSW	6/26/2017	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW69757	N/A	N/A	N/A	N/A	N/A	4200 ASHE RD	None	BAKERSFIELD	CA	93313	2029	00	06000	35.316864	-119.0744405	Kern County
345998	Ordering, Referring, Prescribing	N/A	1760977250	0	0	VILLACRES, CYNTHIA J LCSW	9/15/2022	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	110517	N/A	N/A	N/A	N/A	N/A	679 S. NEW HAMPSHIRE AVE	4TH FLOOR	LA	CA	90005	1355	00	06000	34.06107902	-118.2929191	Los Angeles County
346001	Ordering, Referring, Prescribing	N/A	1760990733	0	0	VU, TIMOTHY T LMFT	9/30/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT122237	N/A	N/A	N/A	N/A	N/A	2425 BISSO LANE	SUITE 200	CONCORD	CA	94520	4897	00	06000	37.98393807	-122.0466953	Contra Costa County
346056	Ordering, Referring, Prescribing	N/A	1770083305	0	0	VALLE, VICTOR LCSW	6/17/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW100789	N/A	N/A	N/A	N/A	N/A	251 E AVE K-6 SUITE B	None	LANCASTER	CA	93535	4513	00	06000	34.6750593	-118.1261223	Los Angeles County
346076	Ordering, Referring, Prescribing	N/A	1770145013	0	0	VALIZADEH, VENUS PHARMD	3/29/2022	Taxonomy not applicable	NA	n/a	000	Unknown	80485	N/A	N/A	N/A	N/A	N/A	1755 HACIENDA DR	None	VISTA	CA	92081	4546	00	06000	33.18744941	-117.2759225	San Diego County
346077	Ordering, Referring, Prescribing	N/A	1770145534	0	0	VOLF, ELEONORA PHARMD	2/23/2020	Taxonomy not applicable	NA	n/a	000	Unknown	42888	N/A	N/A	N/A	N/A	N/A	1911 WILLIAMS DRIVE	None	OXNARD	CA	93036	2665	00	06000	34.219566	-119.1539365	Ventura County
346121	Ordering, Referring, Prescribing	N/A	1770317703	0	0	VAN DER LINDE, MONE PA-C	12/5/2024	Taxonomy not applicable	NA	n/a	000	Unknown	PA65534	N/A	N/A	N/A	N/A	N/A	1035 PLACER ST	None	REDDING	CA	96001	1035	00	06000	40.58349378	-122.3853903	Shasta County
346226	Ordering, Referring, Prescribing	N/A	1770778946	0	0	VALENCIA-VIDAL, ADRIANA V LMFT	5/31/2022	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	132996	N/A	N/A	N/A	N/A	N/A	802 BREWSTER AVENUE	None	REDWOOD CITY	CA	94063	1014	00	06000	37.48873991	-122.2339433	San Mateo County
346274	Ordering, Referring, Prescribing	N/A	1770869745	0	0	VO, SUSAN PHARMD	7/28/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH58935	N/A	N/A	N/A	N/A	N/A	30192 TOWN CENTER DR	None	LAGUNA NIGUEL	CA	92677	2037	00	06000	33.52498705	-117.7152032	Orange County
346364	Ordering, Referring, Prescribing	N/A	1780012047	0	0	VALLES, LEONIDA H	11/25/2014	Taxonomy not applicable	NA	n/a	099	DENTIST	D45049	N/A	N/A	N/A	N/A	N/A	12360 FIRESTONE BLVD	None	NORWALK	CA	90650	4324	00	06000	33.90615795	-118.0698073	Los Angeles County
346427	Ordering, Referring, Prescribing	N/A	1780103051	0	0	VAN SICKLE, CHARISMA S NP	11/9/2017	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	820982	N/A	N/A	N/A	N/A	N/A	1691 THE ALAMEDA	None	SAN JOSE	CA	93230	8823	00	06000	37.3373761	-121.9192532	Santa Clara County
346442	Ordering, Referring, Prescribing	N/A	1780117036	0	0	VERT, JOSHUA C	7/1/2020	Taxonomy not applicable	NA	n/a	099	DENTIST	104825	N/A	N/A	N/A	N/A	N/A	1910 MISSION AVE	STE 4	OCEANSIDE	CA	92084	5218	00	06000	33.20377956	-117.3653012	San Diego County
346549	Ordering, Referring, Prescribing	N/A	1780391326	0	0	VIGIL, BRIANNA PA	12/16/2022	Taxonomy not applicable	NA	n/a	000	Unknown	PA62132	N/A	N/A	N/A	N/A	N/A	10717 CAMINO DEL RUIZ	258	SAN DIEGO	CA	92126	0000	00	06000	32.91373261	-117.1437822	San Diego County
346559	Ordering, Referring, Prescribing	N/A	1780463364	0	0	VELASQUEZ, ATHENA PA-C	11/25/2024	Taxonomy not applicable	NA	n/a	000	Unknown	PA65480	N/A	N/A	N/A	N/A	N/A	711 W FLORENCE AVE	None	LOS ANGELES	CA	90044	6105	00	06000	33.9746755	-118.286415	Los Angeles County
346637	Ordering, Referring, Prescribing	N/A	1780811877	0	0	VOGEL, MARTIN MD	9/4/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A116366	N/A	N/A	N/A	N/A	N/A	85 SIERRA PARK RD	None	MAMMOTH LAKES	CA	93546	2073	00	06000	37.64575895	-118.9638914	Mono County
346642	Ordering, Referring, Prescribing	N/A	1780817270	0	0	VLADA, CLAUDIU A MD	3/28/2018	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A154999	N/A	N/A	N/A	N/A	N/A	1828 E CESAR E CHAVEZ AV	STE 4600	LOS ANGELES	CA	90033	2577	00	06000	34.05023174	-118.2154927	Los Angeles County
346760	Ordering, Referring, Prescribing	N/A	1790050557	0	0	VERDUZCO, ANGELICA M NP	5/25/2021	Taxonomy not applicable	NA	n/a	000	Unknown	95017419	N/A	N/A	N/A	N/A	N/A	927 S CENTER ST	None	PIXLEY	CA	93256	6000	00	06000	35.96573223	-119.2915684	Tulare County
346793	Ordering, Referring, Prescribing	N/A	1790085777	0	0	VU, HA T PHARMD	1/12/2021	Taxonomy not applicable	NA	n/a	000	Unknown	48781	N/A	N/A	N/A	N/A	N/A	351 W FELICITA AVE	None	ESCONDIDO	CA	92025	6515	00	06000	33.10418223	-117.0740089	San Diego County
346828	Ordering, Referring, Prescribing	N/A	1790145316	0	0	VIGIL, JESSICA M LCSW	9/2/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	103695	N/A	N/A	N/A	N/A	N/A	500 DAVIS ST	None	SAN LEANDRO	CA	94577	2757	00	06000	37.72421526	-122.1607105	Alameda County
346832	Ordering, Referring, Prescribing	N/A	1790153989	0	0	VANG, SUSAN L LCSW	5/29/2019	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	89152	N/A	N/A	N/A	N/A	N/A	857 W CHILDS AVE	None	MERCED	CA	95341	6862	00	06000	37.2882813	-120.497688	Merced County
346872	Ordering, Referring, Prescribing	N/A	1790206902	0	0	VENTURA, MARIA C LMFT	11/29/2022	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	136066	N/A	N/A	N/A	N/A	N/A	123 W GUTIERREZ ST	None	SANTA BARBARA	CA	93101	3424	00	06000	34.41387023	-119.6962788	Santa Barbara County
346923	Ordering, Referring, Prescribing	N/A	1790278877	0	0	VAN REMORTEL, BRITTANY J	5/23/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A178889	N/A	N/A	N/A	N/A	N/A	4650 SUNSET BLVD.	MS#54	LOS ANGELES	CA	90027	6062	00	06000	34.09813032	-118.2901794	Los Angeles County
346970	Ordering, Referring, Prescribing	N/A	1790359271	0	0	VIRGIL, CHLOE E MD	10/21/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	PTL7854	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
347045	Ordering, Referring, Prescribing	N/A	1790803625	0	0	VALENCIA, VICTORIA LMFT	3/1/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT42433	N/A	N/A	N/A	N/A	N/A	400 EDMONDS RD	None	REDWOOD CITY	CA	94062	3803	00	06000	37.47261402	-122.2862935	San Mateo County
347054	Ordering, Referring, Prescribing	N/A	1790813319	0	0	VILLALPANDO, ERICA K LCSW	4/14/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	27714	N/A	N/A	N/A	N/A	N/A	1520 N. RAYMOND AVE.	BLDGS. 2-7	PASADENA	CA	91103	1819	00	06000	34.171812	-118.1490725	Los Angeles County
347111	Ordering, Referring, Prescribing	N/A	1790937969	0	0	VU, AMY T PHARMD	9/27/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH61819	N/A	N/A	N/A	N/A	N/A	610 E NEES AVE	None	FRESNO	CA	93720	2198	00	06000	36.8520345	-119.773917	Fresno County
347115	Ordering, Referring, Prescribing	N/A	1790948990	0	0	VELASQUEZ, ONEYDA LCSW	5/18/2022	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	69541	N/A	N/A	N/A	N/A	N/A	8945 GOLF LINKS RD	None	OAKLAND	CA	94605	0001	00	06000	37.76047483	-122.157608	Alameda County
347124	Ordering, Referring, Prescribing	N/A	1790966919	0	0	VARMA, ARJUN V PHARMD	3/16/2021	Taxonomy not applicable	NA	n/a	000	Unknown	60351	N/A	N/A	N/A	N/A	N/A	3801 HOWE ST	FABIOLA PHARMACY	OAKLAND	CA	94611	5312	00	06000	37.8242732	-122.2568561	Alameda County
347126	Ordering, Referring, Prescribing	N/A	1790972792	0	0	VAUGHAN, BLAKE R RN PNP	5/5/2020	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95014515	N/A	N/A	N/A	N/A	N/A	415 EAST AVENUE I	None	LANCASTER	CA	93535	1916	00	06000	34.7041243	-118.1232531	Los Angeles County
347198	Ordering, Referring, Prescribing	N/A	1801103460	0	0	VILLEGAS, ROSARY LCSW	2/25/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW87993	N/A	N/A	N/A	N/A	N/A	439 W 97TH ST	None	LOS ANGELES	CA	90003	3968	00	06000	33.94831439	-118.282325	Los Angeles County
347216	Ordering, Referring, Prescribing	N/A	1801144878	0	0	VERHOFF, CHELSEA N PHARMD	7/19/2021	Taxonomy not applicable	NA	n/a	000	Unknown	70107	N/A	N/A	N/A	N/A	N/A	460 W FELICITA AVE	None	ESCONDIDO	CA	92025	6518	00	06000	33.10362671	-117.0751891	San Diego County
347225	Ordering, Referring, Prescribing	N/A	1801159413	0	0	VANDERZWAN, WILLIAM J LCSW	3/24/2022	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW20354	N/A	N/A	N/A	N/A	N/A	3300 TRUXTUN AVE	None	BAKERSFIELD	CA	93301	3137	00	06000	35.37353416	-119.0392409	Kern County
347236	Ordering, Referring, Prescribing	N/A	1801171426	0	0	VOSPER, MELISSA J PHARMD	8/22/2021	Taxonomy not applicable	NA	n/a	000	Unknown	66185	N/A	N/A	N/A	N/A	N/A	4050 SUNRISE BLVD	None	RANCHO CORDOVA	CA	95742	6907	00	06000	38.555946	-121.2435855	Sacramento County
347255	Ordering, Referring, Prescribing	N/A	1801164660	0	0	VU, STEVE PHARMD	10/1/2018	Taxonomy not applicable	NA	n/a	000	Unknown	51281	N/A	N/A	N/A	N/A	N/A	777 E. SANTA CLARA ST, S	None	SAN JOSE	CA	95112	1934	00	06000	37.34370033	-121.8747539	Santa Clara County
347280	Ordering, Referring, Prescribing	N/A	1801228432	0	0	VALDEZ, DAISY S LCSW	11/27/2019	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	80353	N/A	N/A	N/A	N/A	N/A	3741 STOCKER ST	100	VIEW PARK	CA	90008	5109	00	06000	34.00623019	-118.3384304	Los Angeles County
347355	Ordering, Referring, Prescribing	N/A	1801334172	0	0	VU, DANH PHARMD	3/31/2022	Taxonomy not applicable	NA	n/a	000	Unknown	74777	N/A	N/A	N/A	N/A	N/A	1051 HUME WAY	None	VACAVILLE	CA	95687	3113	00	06000	38.35007337	-121.9807606	Solano County
347385	Ordering, Referring, Prescribing	N/A	1801382072	0	0	VASQUEZ, JEANETTE G	3/16/2021	Taxonomy not applicable	NA	n/a	000	Unknown	PA55740	N/A	N/A	N/A	N/A	N/A	26137 LA PAZ ROAD	SUITE 200	MISSION VIEJO	CA	92691	5321	00	06000	33.60038172	-117.6735855	Orange County
347386	Ordering, Referring, Prescribing	N/A	1801390513	0	0	VY, MICHELLE MD	3/14/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A165144	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
347489	Ordering, Referring, Prescribing	N/A	1801881743	0	0	VAN, JOHN P	11/24/1988	Taxonomy not applicable	NA	n/a	099	DENTIST	D36333	N/A	N/A	N/A	N/A	N/A	363 S MAIN ST	STE 204	ORANGE	CA	92868	3833	00	06000	33.782787	-117.8672715	Orange County
347529	Ordering, Referring, Prescribing	N/A	1811005432	0	0	VANFOSSAN, JON A LMFT	3/22/2022	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT43861	N/A	N/A	N/A	N/A	N/A	2640 BRESLAUER WAY	None	REDDING	CA	96001	4246	00	06000	40.5496754	-122.3791396	Shasta County
347540	Ordering, Referring, Prescribing	N/A	1811022395	0	0	VASQUEZ, YOLANDA L LMFT	12/1/2019	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	52247	N/A	N/A	N/A	N/A	N/A	355 TUOLUMNE ST	1200	VALLEJO	CA	94590	5700	00	06000	38.10261225	-122.2382555	Solano County
347618	Ordering, Referring, Prescribing	N/A	1811196470	0	0	VARGAS, MOISES MD	12/14/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A88581	N/A	N/A	N/A	N/A	N/A	790 E BONITA AVE	None	POMONA	CA	91767	1906	00	06000	34.09621447	-117.737406	Los Angeles County
347641	Ordering, Referring, Prescribing	N/A	1811238819	0	0	VARGAS, GIANNINA G LCSW	11/29/2022	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW106296	N/A	N/A	N/A	N/A	N/A	1341 W LA PALMA AVE	None	ANAHEIM	CA	92801	2817	00	06000	33.84715453	-117.937089	Orange County
347665	Ordering, Referring, Prescribing	N/A	1811265556	0	0	VU, VERONICA PHARMD	7/28/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH57922	N/A	N/A	N/A	N/A	N/A	24081 EL TORO RD	None	LAGUNA HILLS	CA	92653	0000	00	06000	33.61279466	-117.7127914	Orange County
347666	Ordering, Referring, Prescribing	N/A	1811267016	0	0	VU, LONG T	3/29/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	92882	N/A	N/A	N/A	N/A	N/A	2203 TULLY RD	None	SAN JOSE	CA	95122	3058	00	06000	37.32710576	-121.819102	Santa Clara County
347678	Ordering, Referring, Prescribing	N/A	1811281413	0	0	VECENTE, VALERIE LMFT	6/7/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	117789	N/A	N/A	N/A	N/A	N/A	100 POPLAR AVE	None	MODESTO	CA	95354	0510	00	06000	37.64602395	-121.000188	Stanislaus County
347711	Ordering, Referring, Prescribing	N/A	1811353279	0	0	VALLES, JENELLE	2/25/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	110681	N/A	N/A	N/A	N/A	N/A	232 E GISH RD	None	SAN JOSE	CA	95112	4706	00	06000	37.36411044	-121.9052075	Santa Clara County
347746	Ordering, Referring, Prescribing	N/A	1811400245	0	0	VILLALOBOS, NORMA A LCSW	2/12/2019	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW70143	N/A	N/A	N/A	N/A	N/A	732 MOTT ST	100-110	SAN FERNANDO	CA	91340	4237	00	06000	34.27661761	-118.4442372	Los Angeles County
347794	Ordering, Referring, Prescribing	N/A	1811468176	0	0	VUONG, VINH N PHARMD	7/22/2021	Taxonomy not applicable	NA	n/a	000	Unknown	79471	N/A	N/A	N/A	N/A	N/A	1591 GEER RD	None	TURLOCK	CA	95380	3200	00	06000	37.506834	-120.848997	Stanislaus County
347827	Ordering, Referring, Prescribing	N/A	1811513716	0	0	VEGH, NOOSHIN LMFT	9/5/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	141345	N/A	N/A	N/A	N/A	N/A	7038 OWENSMOUTH AVE	None	CANOGA PARK	CA	91303	3198	00	06000	34.19850365	-118.6015289	Los Angeles County
347837	Ordering, Referring, Prescribing	N/A	1811540982	0	0	VERWEIJ, NIKA	10/8/2019	Taxonomy not applicable	NA	n/a	000	Unknown	PA57330	N/A	N/A	N/A	N/A	N/A	5440 THORNWOOD DRIVE	None	SAN JOSE	CA	95123	1217	00	06000	37.25346406	-121.8609675	Santa Clara County
347884	Ordering, Referring, Prescribing	N/A	1811665508	0	0	VIERA, LIANA NP	8/27/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95018216	N/A	N/A	N/A	N/A	N/A	39755 MURRIETA HOT SPRIN	E-120	MURRIETA	CA	92563	9151	00	06000	33.55575954	-117.1627899	Riverside County
347888	Ordering, Referring, Prescribing	N/A	1811689706	0	0	VALDOVINOS, MIGDALIA NP	6/6/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95025475	N/A	N/A	N/A	N/A	N/A	527 E ST	None	MARYSVILLE	CA	95901	5529	00	06000	39.14098899	-121.5905578	Yuba County
347916	Ordering, Referring, Prescribing	N/A	1821000324	0	0	VERMA, PREETI MD	11/13/2017	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A81494	N/A	N/A	N/A	N/A	N/A	1530 EAST MANNING AVE	None	REEDLEY	CA	93654	2346	00	06000	36.60413846	-119.4316515	Fresno County
348127	Ordering, Referring, Prescribing	N/A	1821452921	0	0	VAN VEEN SMITH, MARGARET PHARMD	2/17/2021	Taxonomy not applicable	NA	n/a	000	Unknown	55634	N/A	N/A	N/A	N/A	N/A	3889 SAN PABLO AVE	None	EMERYVILLE	CA	94608	3808	00	06000	37.82947843	-122.2794781	Alameda County
348128	Ordering, Referring, Prescribing	N/A	1821454794	0	0	VINCENT-BIJOU, NAHOMIE CCC-SLP	8/2/2023	Taxonomy not applicable	NA	n/a	037	SPEECH THERAPISTS	34776	N/A	N/A	N/A	N/A	N/A	1901 N RICE AVE	170	OXNARD	CA	93030	7912	00	06000	34.21960355	-119.1421345	Ventura County
348145	Ordering, Referring, Prescribing	N/A	1821473661	0	0	VAN DYKE, PRISCILLA M PHARMD	3/4/2021	Taxonomy not applicable	NA	n/a	000	Unknown	71078	N/A	N/A	N/A	N/A	N/A	3900 BROADWAY	None	OAKLAND	CA	94611	5616	00	06000	37.82664697	-122.25721	Alameda County
348174	Ordering, Referring, Prescribing	N/A	1821524125	0	0	VARDANYAN, ARMINE LMFT	9/18/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT141556	N/A	N/A	N/A	N/A	N/A	12510 VAN NUYS BLVD	201	PACOIMA	CA	91331	1338	00	06000	34.27814981	-118.4055414	Los Angeles County
348178	Ordering, Referring, Prescribing	N/A	1821525767	0	0	VACURA SARRIS, BRITTANY N	8/27/2018	Taxonomy not applicable	NA	n/a	099	DENTIST	102742	N/A	N/A	N/A	N/A	N/A	2145 5TH AVE	None	OROVILLE	CA	95965	5870	00	06000	39.50368243	-121.5646958	Butte County
348241	Ordering, Referring, Prescribing	N/A	1821617721	0	0	VENTUROLI, ROSA LMFT	1/18/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	137249	N/A	N/A	N/A	N/A	N/A	21545 CENTRE POINTE PKWY	None	SANTA CLARITA	CA	91350	2947	00	06000	34.413021	-118.514534	Los Angeles County
348243	Ordering, Referring, Prescribing	N/A	1821633777	0	0	VO, NHA PHARMD	7/26/2021	Taxonomy not applicable	NA	n/a	000	Unknown	80688	N/A	N/A	N/A	N/A	N/A	1280 W FOOTHILL BLVD	None	RIALTO	CA	92376	4686	00	06000	34.10675648	-117.3958515	San Bernardino County
348279	Ordering, Referring, Prescribing	N/A	1821731597	0	0	VOKT, KATRINA MD	8/1/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	PTL8875	N/A	N/A	N/A	N/A	N/A	455 OCONNOR DR	STE 200	SAN JOSE	CA	95128	1632	00	06000	37.326654	-121.939897	Santa Clara County
348376	Ordering, Referring, Prescribing	N/A	1831315696	0	0	VIEW, HYUN AH K LMFT	4/19/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	48898	N/A	N/A	N/A	N/A	N/A	1600 PACIFIC HWY	None	SAN DIEGO	CA	92101	2429	00	06000	32.7217581	-117.1711788	San Diego County
348391	Ordering, Referring, Prescribing	N/A	1831351121	0	0	VASQUEZ, PETER MD	5/2/2024	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	C195956	N/A	N/A	N/A	N/A	N/A	71777 SAN JACINTO DR	SUITE 202	RANCHO MIRAGE	CA	92270	3543	00	06000	33.74394755	-116.4124572	Riverside County
348402	Ordering, Referring, Prescribing	N/A	1831359413	0	0	VARTERESIAN, TAYA DO	10/27/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A12106	N/A	N/A	N/A	N/A	N/A	550 S. VERMONT AVE	6TH FLOOR	LOS ANGELES	CA	90020	1912	00	06000	34.064091	-118.2916225	Los Angeles County
348425	Ordering, Referring, Prescribing	N/A	1831434893	0	0	VARGAS, LUZ A PSYD	1/25/2020	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY27826	N/A	N/A	N/A	N/A	N/A	1250 SMITH ST	None	KINGSBURG	CA	93631	2216	00	06000	36.51289003	-119.5489338	Fresno County
348458	Ordering, Referring, Prescribing	N/A	1831496439	0	0	VANDER VEEN, JOSHUA T LMFT	6/25/2018	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	104754	N/A	N/A	N/A	N/A	N/A	34455 YUCAIPA BLVD	205/206	YUCAIPA	CA	92399	2476	00	06000	34.0338117	-117.0525613	San Bernardino County
348480	Ordering, Referring, Prescribing	N/A	1831523968	0	0	VASQUEZ, JULIE E LCSW	10/22/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW99622	N/A	N/A	N/A	N/A	N/A	1968 W. ADAMS BLVD	SUITE 106	LOS ANGELES	CA	90018	3515	00	06000	34.03266053	-118.3081635	Los Angeles County
348493	Ordering, Referring, Prescribing	N/A	1831551506	0	0	VIDAL ZAVALA, GRECYA NADIR ODETTE LMFT	11/19/2024	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	150757	N/A	N/A	N/A	N/A	N/A	1001 POTRERO AVENUE	BUILDING 5, 6TH FLOOR, S	SAN FRANCISCO	CA	94110	3594	00	06000	37.75548534	-122.4065362	San Francisco County
348612	Ordering, Referring, Prescribing	N/A	1831703800	0	0	VALVERDE INGERSOLL, YESSENIA M DMD	2/6/2024	Taxonomy not applicable	NA	n/a	000	Unknown	DDS105181	N/A	N/A	N/A	N/A	N/A	4060 FAIRMOUNT AVENUE	FL 1 AND FL 3	SAN DIEGO	CA	92105	1608	00	06000	32.750523	-117.100927	San Diego County
348633	Ordering, Referring, Prescribing	N/A	1831741438	0	0	VILLAR, ERICA J LMFT	9/29/2022	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	134985	N/A	N/A	N/A	N/A	N/A	438 N WHITE RD	None	SAN JOSE	CA	95127	1439	00	06000	37.3776149	-121.8374887	Santa Clara County
348706	Ordering, Referring, Prescribing	N/A	1841035854	0	0	VILLANUEVA GONZALEZ, ROBERT NP	3/21/2024	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95029545	N/A	N/A	N/A	N/A	N/A	41880 KALMIA ST	None	MURRIETA	CA	92562	8831	00	06000	33.55740114	-117.2157733	Riverside County
348804	Ordering, Referring, Prescribing	N/A	1841418753	0	0	VICIOSO, EMILY A MSW LCSW	1/28/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW99820	N/A	N/A	N/A	N/A	N/A	299 12TH ST.	A	MARINA	CA	93933	6003	00	06000	36.66784472	-121.8011077	Monterey County
348827	Ordering, Referring, Prescribing	N/A	1841468378	0	0	VACCANI, SHADI PHARMD	3/8/2021	Taxonomy not applicable	NA	n/a	000	Unknown	58804	N/A	N/A	N/A	N/A	N/A	4495 VISION DR	8	SAN DIEGO	CA	92121	1922	00	06000	32.88112555	-117.2106876	San Diego County
348862	Ordering, Referring, Prescribing	N/A	1841542065	0	0	VYLONIS, MEGAN D LMFT	5/19/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	100646	N/A	N/A	N/A	N/A	N/A	800 SCENIC DRIVE	None	MODESTO	CA	95350	6131	00	06000	37.64722447	-120.9836925	Stanislaus County
348883	Ordering, Referring, Prescribing	N/A	1841552817	0	0	VON TUNGELN, AIMEE E LMFT	2/25/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	80857	N/A	N/A	N/A	N/A	N/A	818 S MAIN ST	None	YREKA	CA	96097	3321	00	06000	41.72561226	-122.6383471	Siskiyou County
348944	Ordering, Referring, Prescribing	N/A	1841647237	0	0	VIRAMONTES, HEIDI LCSW	12/8/2019	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	75769	N/A	N/A	N/A	N/A	N/A	21545 CENTRE POINTE PARK	None	SANTA CLARITA	CA	91350	2947	00	06000	34.413021	-118.514534	Los Angeles County
348947	Ordering, Referring, Prescribing	N/A	1841657020	0	0	VARGAS, JAZMIN E LMFT	12/24/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT123763	N/A	N/A	N/A	N/A	N/A	12966 EUCLID ST	None	GARDEN GROVE	CA	92840	5200	00	06000	33.77455935	-117.9378298	Orange County
348962	Ordering, Referring, Prescribing	N/A	1841682739	0	0	VORA, JESSICA L NP	2/2/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95011849	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
348965	Ordering, Referring, Prescribing	N/A	1841684354	0	0	VARGAS, ERICA T LMFT	6/22/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	119612	N/A	N/A	N/A	N/A	N/A	17800 US HIGHWAY 18	None	APPLE VALLEY	CA	92307	1221	00	06000	34.54007429	-117.2744761	San Bernardino County
349007	Ordering, Referring, Prescribing	N/A	1841747243	0	0	VOSHALL, GIOVANNA K	2/10/2017	Taxonomy not applicable	NA	n/a	099	DENTIST	100187	N/A	N/A	N/A	N/A	N/A	355 CENTRAL AVE	None	FILLMORE	CA	93015	1920	00	06000	34.40028802	-118.9137057	Ventura County
349065	Ordering, Referring, Prescribing	N/A	1841844115	0	0	VAN DOREN, JOHN D MD	10/9/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	G60750	N/A	N/A	N/A	N/A	N/A	13961 MAUVE DR, A, CA	None	SANTA ANA	CA	92705	2649	00	06000	33.7602507	-117.8174364	Orange County
349123	Ordering, Referring, Prescribing	N/A	1851023410	0	0	VILLALTA, GENESEE M PA	8/9/2022	Taxonomy not applicable	NA	n/a	000	Unknown	61474	N/A	N/A	N/A	N/A	N/A	21507 E CLIFF DR	None	SANTA CRUZ	CA	95062	4844	00	06000	36.96330203	-121.9900666	Santa Cruz County
349183	Ordering, Referring, Prescribing	N/A	1851425805	0	0	VASQUEZ, YESENIA O LCSW	11/22/2019	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	27053	N/A	N/A	N/A	N/A	N/A	2121 SANTA MONICA BLVD	None	SANTA MONICA	CA	90404	2303	00	06000	34.02980528	-118.4786605	Los Angeles County
349199	Ordering, Referring, Prescribing	N/A	1851446348	0	0	VOGEL, NICOLETA PA	6/2/2020	Taxonomy not applicable	NA	n/a	000	Unknown	15855	N/A	N/A	N/A	N/A	N/A	768 PLEASANT VALLEY RD	SUITE 201	DIAMOND SPRINGS	CA	95619	9260	00	06000	38.69498433	-120.8070771	El Dorado County
349249	Ordering, Referring, Prescribing	N/A	1851565832	0	0	VOGEL-STONE, CARLA PSYD	5/26/2022	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY17502	N/A	N/A	N/A	N/A	N/A	1141 HARBOR BAY PKWY	105	ALAMEDA	CA	94502	6596	00	06000	37.72684142	-122.2311003	Alameda County
349286	Ordering, Referring, Prescribing	N/A	1851630453	0	0	VILLAGOMEZ, DIANA LMFT	5/7/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	118920	N/A	N/A	N/A	N/A	N/A	4500 E PACIFIC COAST HWY	100	LONG BEACH	CA	90804	3275	00	06000	33.78808863	-118.1399827	Los Angeles County
349321	Ordering, Referring, Prescribing	N/A	1851677454	0	0	VAYSER, MARINA PHARMD	7/31/2021	Taxonomy not applicable	NA	n/a	000	Unknown	53989	N/A	N/A	N/A	N/A	N/A	18515 DEVONSHIRE ST	None	NORTHRIDGE	CA	91324	1308	00	06000	34.25728349	-118.536615	Los Angeles County
349375	Ordering, Referring, Prescribing	N/A	1851754998	0	0	VAKILI, VESAL LMFT	6/14/2019	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT113868	N/A	N/A	N/A	N/A	N/A	4190 DOUGLAS BLVD.	SUITE 300	ROSEVILLE	CA	95746	5918	00	06000	38.740617	-121.2229935	Placer County
349415	Ordering, Referring, Prescribing	N/A	1851813182	0	0	VANBOKKELEN, ANDJINE CNP	6/8/2019	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95008102	N/A	N/A	N/A	N/A	N/A	1850 SPRING RIDGE DR	None	SUSANVILLE	CA	96130	6100	00	06000	40.43814074	-120.6259249	Lassen County
349510	Ordering, Referring, Prescribing	N/A	1851960280	0	0	VOONG, TAMMY NP	6/16/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95017575	N/A	N/A	N/A	N/A	N/A	3946 NORWOOD AVE	None	SACRAMENTO	CA	95383	3300	00	06000	38.639952	-121.456359	Sacramento County
349578	Ordering, Referring, Prescribing	N/A	1861171183	0	0	VU, JULIE U PA	1/10/2024	Taxonomy not applicable	NA	n/a	000	Unknown	PA63916	N/A	N/A	N/A	N/A	N/A	227 N. JACKSON AVE	STE# 235	SAN JOSE	CA	95116	1632	00	06000	37.36478223	-121.8497978	Santa Clara County
349632	Ordering, Referring, Prescribing	N/A	1861550444	0	0	VALDEZ, JUDEN C MD	2/26/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A52425	N/A	N/A	N/A	N/A	N/A	23700 CAMINO DEL SOL	None	TORRANCE	CA	90505	5017	00	06000	33.8102385	-118.3441185	Los Angeles County
349661	Ordering, Referring, Prescribing	N/A	1861615726	0	0	VU, KIM-ANH T	4/1/1993	Taxonomy not applicable	NA	n/a	099	DENTIST	D41145	N/A	N/A	N/A	N/A	N/A	7761 GARDEN GROVE BLVD	None	GARDEN GROVE	CA	92841	4200	00	06000	33.77387145	-117.9966555	Orange County
349699	Ordering, Referring, Prescribing	N/A	1861709636	0	0	VITEBSKY, DIMITRI LCSW	12/23/2019	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	74810	N/A	N/A	N/A	N/A	N/A	427 SOUTH ENCINAL CANYON	None	MALIBU	CA	90265	2404	00	06000	34.094403	-118.8363465	Los Angeles County
349725	Ordering, Referring, Prescribing	N/A	1861753154	0	0	VO, EILEEN P PHARMD	3/7/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH64854	N/A	N/A	N/A	N/A	N/A	3073 S WHITE RD	None	SAN JOSE	CA	95148	3542	00	06000	37.31811429	-121.7941561	Santa Clara County
349741	Ordering, Referring, Prescribing	N/A	1861776999	0	0	VU, VIVIAN H PHARMD	8/16/2021	Taxonomy not applicable	NA	n/a	000	Unknown	59390	N/A	N/A	N/A	N/A	N/A	9180 FRANKLIN BLVD	None	ELK GROVE	CA	95758	9501	00	06000	38.424204	-121.4485965	Sacramento County
349835	Ordering, Referring, Prescribing	N/A	1861923492	0	0	VALDEZ RIVERA, GLADYS MD	10/28/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A166374	N/A	N/A	N/A	N/A	N/A	50249 CESAR CHAVEZ ST	K	COACHELLA	CA	92236	1530	00	06000	33.68245553	-116.1816607	Riverside County
349841	Ordering, Referring, Prescribing	N/A	1861925976	0	0	VILLACHICA, GABRIEL A NP	10/12/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95005929	N/A	N/A	N/A	N/A	N/A	425 DEL SOL PARKWAY	None	DELANO	CA	93215	3442	00	06000	35.75415446	-119.250612	Kern County
349865	Ordering, Referring, Prescribing	N/A	1861961872	0	0	VASQUEZ, MARIA LCSW	8/29/2022	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW109059	N/A	N/A	N/A	N/A	N/A	400 OYSTER POINT BLVD	105	SOUTH SAN FRANCIS	CA	94080	1904	00	06000	37.66637638	-122.3833791	San Mateo County
349909	Ordering, Referring, Prescribing	N/A	1871033647	0	0	VALENCIA SERRANO, LILIA LMFT	9/2/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	127906	N/A	N/A	N/A	N/A	N/A	290 IOOF AVE	None	GILROY	CA	95020	5204	00	06000	37.01377513	-121.5685719	Santa Clara County
349910	Ordering, Referring, Prescribing	N/A	1871028696	0	0	VANG, DANVIN PHARMD	8/24/2022	Taxonomy not applicable	NA	n/a	000	Unknown	61864	N/A	N/A	N/A	N/A	N/A	250 E PARKCENTER BLVD	None	BOISE	ID	83706	3940	00	06000	43.59860438	-116.1806635	Ada County
349912	Ordering, Referring, Prescribing	N/A	1871034256	0	0	VOLK, ANNA N NP	6/12/2017	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95006354	N/A	N/A	N/A	N/A	N/A	6618 VAN NUYS BLVD	None	VAN NUYS	CA	91405	0000	00	06000	34.19123738	-118.4487091	Los Angeles County
349938	Ordering, Referring, Prescribing	N/A	1871074294	0	0	VIERRA, ALI M	7/11/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH77106	N/A	N/A	N/A	N/A	N/A	399 EL CAMINO REAL	None	SOUTH SAN FRANCIS	CA	94080	5923	00	06000	37.64585066	-122.4276651	San Mateo County
349980	Ordering, Referring, Prescribing	N/A	1871148064	0	0	VERRET, JASMINE N NP	8/5/2019	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95165269	N/A	N/A	N/A	N/A	N/A	2185 PACHECO STREET	None	CONCORD	CA	94520	2309	00	06000	37.97878977	-122.0345486	Contra Costa County
349999	Ordering, Referring, Prescribing	N/A	1871179036	0	0	VILLARREAL, ARACELI OT	8/20/2023	Taxonomy not applicable	NA	n/a	019	OCCUPATIONAL THERAPISTS	25381	N/A	N/A	N/A	N/A	N/A	108 W VICTORIA ST	None	GARDENA	CA	90248	3523	00	06000	33.86509452	-118.2762279	Los Angeles County
350025	Ordering, Referring, Prescribing	N/A	1871236091	0	0	VERGARA, JOSELINE R NP	12/29/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95028552	N/A	N/A	N/A	N/A	N/A	1510 CAPITOLA RD	None	SANTA CRUZ	CA	95062	2912	00	06000	36.97627773	-121.9846375	Santa Cruz County
350041	Ordering, Referring, Prescribing	N/A	1871361774	0	0	VILLANUEVA, MARIEL S NP	1/7/2024	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95027053	N/A	N/A	N/A	N/A	N/A	8727 VAN NUYS BLVD	101 & 102	PANORAMA CITY	CA	91402	2451	00	06000	34.22817174	-118.4502885	Los Angeles County
350060	Ordering, Referring, Prescribing	N/A	1871520809	0	0	VU, TUANTU	6/23/2021	Taxonomy not applicable	NA	n/a	000	Unknown	14120	N/A	N/A	N/A	N/A	N/A	344 E 6TH ST	None	MADERA	CA	93638	3631	00	06000	36.96288964	-120.0556279	Madera County
350091	Ordering, Referring, Prescribing	N/A	1871631614	0	0	VALENTE, LORIANA LMFT	1/25/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	42638	N/A	N/A	N/A	N/A	N/A	13585 SAN PABLO AVE	None	SAN PABLO	CA	94806	0001	00	06000	37.95651393	-122.3371491	Contra Costa County
350195	Ordering, Referring, Prescribing	N/A	1871837039	0	0	VERA, DEYANIRA LCSW	12/14/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW22231	N/A	N/A	N/A	N/A	N/A	333 S BEAUDRY AVE	None	LOS ANGELES	CA	90017	1466	00	06000	34.05611213	-118.2570905	Los Angeles County
350283	Ordering, Referring, Prescribing	N/A	1871960963	0	0	VILCHIS, JASMIN LCSW	10/31/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	118961	N/A	N/A	N/A	N/A	N/A	3545 LONG BEACH BLVD	None	LONG BEACH	CA	90807	3941	00	06000	33.82086796	-118.18938	Los Angeles County
350301	Ordering, Referring, Prescribing	N/A	1871982140	0	0	VAN GENDEREN, GARRY J DDS	2/9/2023	Taxonomy not applicable	NA	n/a	000	Unknown	108583	N/A	N/A	N/A	N/A	N/A	1325 N ANAHEIM BLVD	SUITE 200	ANAHEIM	CA	92801	1202	00	06000	33.85331047	-117.9199617	Orange County
350310	Ordering, Referring, Prescribing	N/A	1871995266	0	0	VELA, KAYTH LCSW	10/27/2019	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW91851	N/A	N/A	N/A	N/A	N/A	4700 W SUNSET BLVD	None	LOS ANGELES	CA	90027	6082	00	06000	34.09812055	-118.2921165	Los Angeles County
350324	Ordering, Referring, Prescribing	N/A	1881015428	0	0	VILLAGOMES, GABRIELA LMFT	12/21/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	123705	N/A	N/A	N/A	N/A	N/A	6957 N FIGUEROA ST	None	LOS ANGELES	CA	90042	1245	00	06000	34.12873587	-118.18774	Los Angeles County
350333	Ordering, Referring, Prescribing	N/A	1881041275	0	0	VANG, NICOLETTE M LMFT	6/30/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	118713	N/A	N/A	N/A	N/A	N/A	8912 VOLUNTEER LN	None	SACRAMENTO	CA	95826	3221	00	06000	38.55438	-121.3756965	Sacramento County
350342	Ordering, Referring, Prescribing	N/A	1881044634	0	0	VASQUEZ, CORINA M LMFT	7/29/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT115648	N/A	N/A	N/A	N/A	N/A	3628 STOCKDALE HWY	None	BAKERSFIELD	CA	93309	2153	00	06000	35.35426453	-119.045007	Kern County
350362	Ordering, Referring, Prescribing	N/A	1881067262	0	0	VIVO, GENE CHRISSY R LMFT	2/9/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	110001	N/A	N/A	N/A	N/A	N/A	3602 KENORA DR	None	SPRING VALLEY	CA	91977	2926	00	06000	32.745321	-116.9884565	San Diego County
350387	Ordering, Referring, Prescribing	N/A	1881090777	0	0	VU, JENNIFER	7/26/2021	Taxonomy not applicable	NA	n/a	000	Unknown	70909	N/A	N/A	N/A	N/A	N/A	1071 N MAIN ST	None	MANTECA	CA	95336	3744	00	06000	37.81152667	-121.2170527	San Joaquin County
350398	Ordering, Referring, Prescribing	N/A	1881108371	0	0	VO, CALVIN-THAI PHARMD	7/26/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH75942	N/A	N/A	N/A	N/A	N/A	5005 BALL RD	None	CYPRESS	CA	90630	0001	00	06000	33.81701014	-118.0450115	Orange County
350433	Ordering, Referring, Prescribing	N/A	1881172054	0	0	VITHLANI, REEMA NP	10/31/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NPF95027916	N/A	N/A	N/A	N/A	N/A	1501 E HOLT AVE	None	POMONA	CA	91767	5823	00	06000	34.06321709	-117.7205804	Los Angeles County
350439	Ordering, Referring, Prescribing	N/A	1881177632	0	0	VARGAS, MARIA L CSW	9/18/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	97065	N/A	N/A	N/A	N/A	N/A	10357 SICILIAN DR	None	RANCHO CUCAMONGA	CA	91730	0301	00	06000	34.09579484	-117.5788918	San Bernardino County
350440	Ordering, Referring, Prescribing	N/A	1881180008	0	0	VAN IDERSTEIN, JOANA D LMFT	4/18/2018	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT105976	N/A	N/A	N/A	N/A	N/A	2185 PACHECO ST	None	CONCORD	CA	94520	2309	00	06000	37.97878977	-122.0345486	Contra Costa County
350459	Ordering, Referring, Prescribing	N/A	1881201721	0	0	VALENCIA, GIZZELE VICTORIA D CNP	9/1/2020	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95015337	N/A	N/A	N/A	N/A	N/A	133 W MAIN ST	None	EL CAJON	CA	92020	3315	00	06000	32.79492453	-116.9627861	San Diego County
350537	Ordering, Referring, Prescribing	N/A	1881603843	0	0	VIZZARD, ROBERT MD	11/14/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	G30828	N/A	N/A	N/A	N/A	N/A	7600 HOSPITAL DR	J-1	SACRAMENTO	CA	95823	5406	00	06000	38.463876	-121.414698	Sacramento County
350757	Ordering, Referring, Prescribing	N/A	1891098828	0	0	VASQUEZ, JASON CRIS D	10/14/2018	Taxonomy not applicable	NA	n/a	000	Unknown	58089	N/A	N/A	N/A	N/A	N/A	1516 CONSTITUTION BLVD	None	SALINAS	CA	93905	3803	00	06000	36.70026236	-121.6204949	Monterey County
350760	Ordering, Referring, Prescribing	N/A	1891096897	0	0	VILLAROSA, LUZIEN E PHARMD	3/25/2018	Taxonomy not applicable	NA	n/a	000	Unknown	40041	N/A	N/A	N/A	N/A	N/A	22451 ANTONIO PARKWAY	None	RANCHO SANTA MARG	CA	92688	2813	00	06000	33.63642761	-117.5907276	Orange County
350830	Ordering, Referring, Prescribing	N/A	1891198719	0	0	VANDYKE, ADA J PHARMD	4/3/2024	Taxonomy not applicable	NA	n/a	000	Unknown	76360	N/A	N/A	N/A	N/A	N/A	23080 ALESSANDRO BLVD	STE 212	MORENO VALLEY	CA	92553	9673	00	06000	33.91731429	-117.2599095	Riverside County
350831	Ordering, Referring, Prescribing	N/A	1891204830	0	0	VELEZ, DIANA PSYD	12/16/2023	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	34414	N/A	N/A	N/A	N/A	N/A	9650 ZELZAH AVE	None	NORTHRIDGE	CA	91325	2003	00	06000	34.24628267	-118.5232668	Los Angeles County
350841	Ordering, Referring, Prescribing	N/A	1891220943	0	0	VANDEPUTTE, SAMANTHA N LMFT	11/8/2022	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	135745	N/A	N/A	N/A	N/A	N/A	6224 W BELMONT	None	FRESNO	CA	93723	9556	00	06000	36.74995974	-119.9023799	Fresno County
350871	Ordering, Referring, Prescribing	N/A	1891276705	0	0	VIRDI, GEETANPREET Z	12/11/2018	Taxonomy not applicable	NA	n/a	099	DENTIST	102915	N/A	N/A	N/A	N/A	N/A	2756 S ELM AVE	None	FRESNO	CA	93706	5435	00	06000	36.70090897	-119.7908648	Fresno County
350941	Ordering, Referring, Prescribing	N/A	1891430245	0	0	VILLICANA, JONATHAN PSYD	8/2/2023	Taxonomy not applicable	NA	n/a	031	PSYCHOLOGISTS	PSY34428	N/A	N/A	N/A	N/A	N/A	741 S ALVARADO ST	None	LOS ANGELES	CA	90057	4021	00	06000	34.05538113	-118.2775582	Los Angeles County
350947	Ordering, Referring, Prescribing	N/A	1891457271	0	0	VELIS, KEVIN M NP	6/14/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95021276	N/A	N/A	N/A	N/A	N/A	902 S MYRTLE AVE	None	MONROVIA	CA	91016	3427	00	06000	34.14233552	-118.0008646	Los Angeles County
351031	Ordering, Referring, Prescribing	N/A	1891886107	0	0	VILLEGAS-ESTRADA, GUSTAVO PA	4/27/2022	Taxonomy not applicable	NA	n/a	000	Unknown	14599	N/A	N/A	N/A	N/A	N/A	706 PEACH ST	None	CORNING	CA	96021	3355	00	06000	39.928689	-122.174397	Tehama County
351063	Ordering, Referring, Prescribing	N/A	1891965216	0	0	VANNEMAN, NICOLE LMFT	12/9/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	50456	N/A	N/A	N/A	N/A	N/A	406 SUNRISE AVE	STE 300	ROSEVILLE	CA	95661	4100	00	06000	38.73944898	-121.2720559	Placer County
351152	Ordering, Referring, Prescribing	N/A	1902152242	0	0	VERMA, ANN P MD	6/21/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A155456	N/A	N/A	N/A	N/A	N/A	3105 WILSON RD	None	BAKERSFIELD	CA	93304	5319	00	06000	35.33217634	-119.037921	Kern County
351216	Ordering, Referring, Prescribing	N/A	1902245475	0	0	VARGAS, ANGELA LCSW	8/26/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	96559	N/A	N/A	N/A	N/A	N/A	3200 MOTOR AVE	None	LOS ANGELES	CA	90034	3710	00	06000	34.03321301	-118.4109122	Los Angeles County
351229	Ordering, Referring, Prescribing	N/A	1902273634	0	0	VELASQUEZ, BEATRIZ LMFT	12/11/2019	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	107641	N/A	N/A	N/A	N/A	N/A	5150 E PACIFIC COAST HWY	100	LONG BEACH	CA	90804	3312	00	06000	33.7831762	-118.1333125	Los Angeles County
351233	Ordering, Referring, Prescribing	N/A	1902275175	0	0	VALLADARES, FRITZI M LCSW	3/12/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	100496	N/A	N/A	N/A	N/A	N/A	2130 E. 4TH ST.	200	SANTA ANA	CA	92705	3818	00	06000	33.74808392	-117.836143	Orange County
351286	Ordering, Referring, Prescribing	N/A	1902354947	0	0	VICKERS, BRITTANY LCSW	6/1/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	101768	N/A	N/A	N/A	N/A	N/A	747 52ND ST	None	OAKLAND	CA	94609	1809	00	06000	37.83734639	-122.2672128	Alameda County
351299	Ordering, Referring, Prescribing	N/A	1902382542	0	0	VORN, TITPISOT PHARMD	12/10/2020	Taxonomy not applicable	NA	n/a	000	Unknown	RPH83933	N/A	N/A	N/A	N/A	N/A	250 E PARKCENTER BLVD	MS SEC2-B	BOISE	ID	83706	3940	00	06000	43.59860438	-116.1806635	Ada County
351318	Ordering, Referring, Prescribing	N/A	1902440399	0	0	VINCENT, MARGARITA V PA	6/19/2020	Taxonomy not applicable	NA	n/a	000	Unknown	58247	N/A	N/A	N/A	N/A	N/A	1276 HALYARD DRIVE	None	WEST SACRAMENTO	CA	95691	3412	00	06000	38.573118	-121.5501275	Yolo County
351441	Ordering, Referring, Prescribing	N/A	1902982895	0	0	VELASQUEZ, SONIA LMFT	3/19/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT34125	N/A	N/A	N/A	N/A	N/A	802 BREWSTER AVE	None	REDWOOD CITY	CA	94063	1510	00	06000	37.48873991	-122.2339433	San Mateo County
351446	Ordering, Referring, Prescribing	N/A	1902994551	0	0	VILLALVAZO-CAMACHO, HUMBERTO J MD	5/29/2017	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A89926	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
351510	Ordering, Referring, Prescribing	N/A	1912130212	0	0	VALMIKI, SHESHU B PHARMD	9/16/2019	Taxonomy not applicable	NA	n/a	000	Unknown	64095	N/A	N/A	N/A	N/A	N/A	653 MAIN ST	None	BRAWLEY	CA	92227	2547	00	06000	32.97866147	-115.5309435	Imperial County
351556	Ordering, Referring, Prescribing	N/A	1912242702	0	0	VASQUEZ-LOPEZ, ALISANDRA R LCSW	12/29/2019	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	74247	N/A	N/A	N/A	N/A	N/A	2629 CLARENDON AVE	2ND FL.	HUNTINGTON PARK	CA	90255	4119	00	06000	33.98356476	-118.2241387	Los Angeles County
351599	Ordering, Referring, Prescribing	N/A	1912293556	0	0	VAUGHAN MAGEE, SHEIMEKA D MD	8/18/2014	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A128228	N/A	N/A	N/A	N/A	N/A	22675 ALESSANDRO BLVD	None	MORENO VALLEY	CA	92553	8551	00	06000	33.91695337	-117.2672536	Riverside County
351712	Ordering, Referring, Prescribing	N/A	1912460353	0	0	VO, TIEN MD	5/27/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A179117	N/A	N/A	N/A	N/A	N/A	8876 MISSION BLVD	None	JURUPA VALLEY	CA	92509	2811	00	06000	34.01176954	-117.476118	Riverside County
351737	Ordering, Referring, Prescribing	N/A	1912484544	0	0	VALADEZ, YESENIA LCSW	12/11/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW29696	N/A	N/A	N/A	N/A	N/A	333 S BEAUDRY AVE	29TH FLOOR	LOS ANGELES	CA	90017	1466	00	06000	34.05611213	-118.2570905	Los Angeles County
351745	Ordering, Referring, Prescribing	N/A	1912509910	0	0	VARGAS, SELU PA-C	4/2/2023	Taxonomy not applicable	NA	n/a	000	Unknown	PA58692	N/A	N/A	N/A	N/A	N/A	5168 HONPIE RD	None	PLACERVILLE	CA	95667	8635	00	06000	38.6943603	-120.9018271	El Dorado County
351763	Ordering, Referring, Prescribing	N/A	1912534033	0	0	VILLA, ANTHONY F NP	1/14/2024	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95014143	N/A	N/A	N/A	N/A	N/A	808 W 58TH STREET	None	LOS ANGELES	CA	90037	3632	00	06000	33.98965917	-118.287673	Los Angeles County
351774	Ordering, Referring, Prescribing	N/A	1912557786	0	0	VANG, MANG YA NP	9/18/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95013695	N/A	N/A	N/A	N/A	N/A	1101 N CHERRY ST	None	TULARE	CA	93274	2231	00	06000	36.22333808	-119.337575	Tulare County
351795	Ordering, Referring, Prescribing	N/A	1912630856	0	0	VARGAS TORRES, MARIA L MD	6/29/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	P17	N/A	N/A	N/A	N/A	N/A	351 FELICE DRIVE	None	HOLLISTER	CA	95023	2208	00	06000	36.85325269	-121.4170104	San Benito County
351804	Ordering, Referring, Prescribing	N/A	1912658212	0	0	VO, TERRY PHARMD	1/3/2022	Taxonomy not applicable	NA	n/a	000	Unknown	85815	N/A	N/A	N/A	N/A	N/A	652 PETALUMA AVE	I-1	SEBASTOPOL	CA	95472	4266	00	06000	38.39662494	-122.8201368	Sonoma County
351818	Ordering, Referring, Prescribing	N/A	1912682840	0	0	VIELHAUER, CHELSEA LCSW	4/6/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW114678	N/A	N/A	N/A	N/A	N/A	4000 W METROPOLITAN DR	401	ORANGE	CA	92868	3504	00	06000	33.78016046	-117.8956101	Orange County
351826	Ordering, Referring, Prescribing	N/A	1912739418	0	0	VIVANCO BOTELLO, RIGOBERTO LCSW	11/13/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	118183	N/A	N/A	N/A	N/A	N/A	714 N WHITE ST.	None	HANFORD	CA	93230	1067	00	06000	36.332613	-119.6395665	Kings County
351844	Ordering, Referring, Prescribing	N/A	1922018647	0	0	VILLANUEVA, GLEN	7/7/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A6969	N/A	N/A	N/A	N/A	N/A	12619 BENTLEY STREET	None	WATERFORD	CA	95386	9011	00	06000	37.64073442	-120.7613165	Stanislaus County
351876	Ordering, Referring, Prescribing	N/A	1922138726	0	0	VEERANKI, ASHOK N	10/18/2016	Taxonomy not applicable	NA	n/a	099	DENTIST	D51526	N/A	N/A	N/A	N/A	N/A	500 W HOSPITAL RD	None	FRENCH CAMP	CA	95231	9693	00	06000	37.88652418	-121.2820956	San Joaquin County
351944	Ordering, Referring, Prescribing	N/A	1922305390	0	0	VILLALOBOS, LILIA LMFT	12/23/2019	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	95025	N/A	N/A	N/A	N/A	N/A	5628 EAST SLAUSON AVENUE	None	COMMERCE	CA	90040	2200	00	06000	33.98593459	-118.163681	Los Angeles County
351960	Ordering, Referring, Prescribing	N/A	1922332170	0	0	VILLAVICENCIO, MARTHA L LMFT	12/18/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	50334	N/A	N/A	N/A	N/A	N/A	650 CLARK WAY	None	PALO ALTO	CA	94304	2300	00	06000	37.43949537	-122.1784133	Santa Clara County
352075	Ordering, Referring, Prescribing	N/A	1922502632	0	0	VANEGAS, ALVIN E MD	7/15/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A173724	N/A	N/A	N/A	N/A	N/A	17008 13TH AVE	None	HURON	CA	93234	0000	00	06000	36.20838442	-120.1008527	Fresno County
352175	Ordering, Referring, Prescribing	N/A	1922687904	0	0	VERA, ALFONSO MD	2/9/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A184196	N/A	N/A	N/A	N/A	N/A	101 THE CITY DR S	None	ORANGE	CA	92868	3201	00	06000	33.78674051	-117.8888713	Orange County
352176	Ordering, Referring, Prescribing	N/A	1922707827	0	0	VINAT, ESTELLA NP	5/10/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95023989	N/A	N/A	N/A	N/A	N/A	5720 IMPERIAL HWY	N-O	SOUTH GATE	CA	90280	7518	00	06000	33.92993425	-118.1689481	Los Angeles County
352209	Ordering, Referring, Prescribing	N/A	1922880160	0	0	VUYLSTEKE, ALEXA A NP	10/17/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	NP95027735	N/A	N/A	N/A	N/A	N/A	338 W. LEXINGTON AVENUE	None	EL CAJON	CA	92020	4465	00	06000	32.79272653	-116.965152	San Diego County
352220	Ordering, Referring, Prescribing	N/A	1932126398	0	0	VARZOS, KATINA E CNP	5/2/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95014831	N/A	N/A	N/A	N/A	N/A	10978 DONNER PASS RD SUI	None	TRUCKEE	CA	96161	5050	00	06000	39.32616692	-120.2026317	Nevada County
352254	Ordering, Referring, Prescribing	N/A	1932237799	0	0	VILLARROEL, JORGE LMFT	5/8/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	CALMFT102068	N/A	N/A	N/A	N/A	N/A	2 3RD AVE	None	SAN FRANCISCO	CA	94118	1417	00	06000	37.78683579	-122.4614695	San Francisco County
352359	Ordering, Referring, Prescribing	N/A	1932484318	0	0	VIRAY, JENNIFERGRACE PHARMD	7/14/2021	Taxonomy not applicable	NA	n/a	000	Unknown	63332	N/A	N/A	N/A	N/A	N/A	1625 W SUNSET BLVD	None	LOS ANGELES	CA	90026	4226	00	06000	34.0770959	-118.2580592	Los Angeles County
352371	Ordering, Referring, Prescribing	N/A	1932506201	0	0	VAN, HELEN NP	7/12/2017	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	811040	N/A	N/A	N/A	N/A	N/A	1450 E HOLT AVENUE	None	POMONA	CA	91767	5822	00	06000	34.06299829	-117.7215562	Los Angeles County
352441	Ordering, Referring, Prescribing	N/A	1932603099	0	0	VALENTINE, ERIKA MD	3/15/2021	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A163779	N/A	N/A	N/A	N/A	N/A	2315 STOCKTON BLVD	None	SACRAMENTO	CA	95817	0000	00	06000	38.555181	-121.4566785	Sacramento County
352448	Ordering, Referring, Prescribing	N/A	1932604212	0	0	VARGAS, CRISTAL E LMFT	9/9/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT123572	N/A	N/A	N/A	N/A	N/A	323 N PRAIRIE AVE	450	INGLEWOOD	CA	90301	9998	00	06000	33.966333	-118.3439975	Los Angeles County
352484	Ordering, Referring, Prescribing	N/A	1932674603	0	0	VU, HUYEN T	8/12/2021	Taxonomy not applicable	NA	n/a	000	Unknown	79518	N/A	N/A	N/A	N/A	N/A	795 EL CAMINO REAL	None	PALO ALTO	CA	94301	2302	00	06000	37.43920432	-122.162109	Santa Clara County
352495	Ordering, Referring, Prescribing	N/A	1932687464	0	0	VEGA-CHAVOLLA, YESENIA D LMFT	4/4/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	122518	N/A	N/A	N/A	N/A	N/A	1111 GARDEN ST	None	SANTA BARBARA	CA	93101	1492	00	06000	34.42590328	-119.7002364	Santa Barbara County
352496	Ordering, Referring, Prescribing	N/A	1932692142	0	0	VIETOR, GERALD E	9/17/2017	Taxonomy not applicable	NA	n/a	013	HEARING AID DISPENSERS	HA3131	N/A	N/A	N/A	N/A	N/A	1150 W ORANGEBURG AVE	None	MODESTO	CA	95350	4042	00	06000	37.66396236	-121.0095829	Stanislaus County
352509	Ordering, Referring, Prescribing	N/A	1932711918	0	0	VLASIS, CHRISTINA LMFT	10/27/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	128929	N/A	N/A	N/A	N/A	N/A	3517 CAMINO DEL RIO S	SUITE 407	SAN DIEGO	CA	92108	4026	00	06000	32.77777042	-117.1179225	San Diego County
352566	Ordering, Referring, Prescribing	N/A	1932832268	0	0	VOSKERCHYAN, SONA NP	6/22/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95021419	N/A	N/A	N/A	N/A	N/A	1311 N. SAN FERNANDO BLV	None	BURBANK	CA	91504	4236	00	06000	34.18947282	-118.3206362	Los Angeles County
352602	Ordering, Referring, Prescribing	N/A	1942074927	0	0	VIEN, ELIZA DPM	3/15/2024	Taxonomy not applicable	NA	n/a	027	PODIATRISTS	E6035	N/A	N/A	N/A	N/A	N/A	510 17TH ST	None	OAKLAND	CA	94612	1553	00	06000	37.80693191	-122.2708886	Alameda County
352640	Ordering, Referring, Prescribing	N/A	1942338389	0	0	VANN, SARAH T LCSW	2/24/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW76675	N/A	N/A	N/A	N/A	N/A	500 N. 9TH STREET	SUITE D	MODESTO	CA	95350	5818	00	06000	37.65145793	-121.0156971	Stanislaus County
352649	Ordering, Referring, Prescribing	N/A	1942358304	0	0	VAUGHN, ANN MARIE LMFT	6/10/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	108237	N/A	N/A	N/A	N/A	N/A	401 E CYPRESS AVE	None	LOMPOC	CA	93436	6806	00	06000	34.63730451	-120.453777	Santa Barbara County
352664	Ordering, Referring, Prescribing	N/A	1942371950	0	0	VOGEL, THERESA LMFT	2/7/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	30890	N/A	N/A	N/A	N/A	N/A	500 W FOSTER RD	None	SANTA MARIA	CA	93455	3620	00	06000	34.88351329	-120.4428974	Santa Barbara County
352716	Ordering, Referring, Prescribing	N/A	1942500202	0	0	VO, TRIET X	3/22/2018	Taxonomy not applicable	NA	n/a	000	Unknown	56580	N/A	N/A	N/A	N/A	N/A	9643 MISSION GORGE RD	None	SANTEE	CA	92071	3807	00	06000	32.83858954	-116.9870265	San Diego County
352759	Ordering, Referring, Prescribing	N/A	1942594312	0	0	VALDERRAMA, MARJORIE FRENCIS M	7/27/2021	Taxonomy not applicable	NA	n/a	000	Unknown	60565	N/A	N/A	N/A	N/A	N/A	23925 NEWHALL RANCH RD	None	VALENCIA	CA	91355	5701	00	06000	34.42975199	-118.5546934	Los Angeles County
352760	Ordering, Referring, Prescribing	N/A	1942601117	0	0	VALES, JONATHAN B LCSW	5/21/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	87492	N/A	N/A	N/A	N/A	N/A	2513 24TH ST	None	SAN FRANCISCO	CA	94110	3556	00	06000	37.75308592	-122.4047531	San Francisco County
352777	Ordering, Referring, Prescribing	N/A	1942618046	0	0	VAN WOUDENBERG, CHRISTINE D NP	3/9/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95001065	N/A	N/A	N/A	N/A	N/A	9300 VALLEY CHILDRENS PL	None	MADERA	CA	93636	8761	00	06000	36.88437894	-119.8003484	Madera County
352783	Ordering, Referring, Prescribing	N/A	1942629894	0	0	VARIGONDA, ANJALI MD	10/27/2019	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A149447	N/A	N/A	N/A	N/A	N/A	3200 MOTOR AVE	None	LOS ANGELES	CA	90034	3710	00	06000	34.03321301	-118.4109122	Los Angeles County
352819	Ordering, Referring, Prescribing	N/A	1942678362	0	0	VELEZ, CHRISTINE M LCSW	5/28/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	92761	N/A	N/A	N/A	N/A	N/A	770 53RD STREET	None	OAKLAND	CA	94609	1814	00	06000	37.8380933	-122.2688598	Alameda County
352838	Ordering, Referring, Prescribing	N/A	1942710751	0	0	VAN LIZZEN, DANE M PHARMD	4/5/2022	Taxonomy not applicable	NA	n/a	000	Unknown	77232	N/A	N/A	N/A	N/A	N/A	4605 MORENA BLVD	None	SAN DIEGO	CA	92117	3650	00	06000	32.82186082	-117.2264619	San Diego County
352841	Ordering, Referring, Prescribing	N/A	1942708870	0	0	VIDAURRE, ALISON G LMFT	3/7/2022	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	131605	N/A	N/A	N/A	N/A	N/A	2550 E FOOTHILL BLVD	None	PASADENA	CA	91107	3406	00	06000	34.14979153	-118.0979955	Los Angeles County
352870	Ordering, Referring, Prescribing	N/A	1942751540	0	0	VALENCIA, ELSIE N NP	1/20/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95002590	N/A	N/A	N/A	N/A	N/A	1873 COMMERCENTER W	None	SAN BERNARDINO	CA	92408	3303	00	06000	34.067781	-117.286122	San Bernardino County
352878	Ordering, Referring, Prescribing	N/A	1942769195	0	0	VU, AUSTIN H DO	3/24/2022	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	20A19391	N/A	N/A	N/A	N/A	N/A	1030 W WARNER AVE	None	SANTA ANA	CA	92707	3147	00	06000	33.71597598	-117.8819134	Orange County
352959	Ordering, Referring, Prescribing	N/A	1942971726	0	0	VILLA, ANGEL PA	5/4/2024	Taxonomy not applicable	NA	n/a	000	Unknown	PA64442	N/A	N/A	N/A	N/A	N/A	470 N MOLLISON AVE	None	EL CAJON	CA	92021	6860	00	06000	32.79984482	-116.9510059	San Diego County
352964	Ordering, Referring, Prescribing	N/A	1942985023	0	0	VALDOVINOS, CECILIA C	4/4/2023	Taxonomy not applicable	NA	n/a	000	Unknown	4335	N/A	N/A	N/A	N/A	N/A	317 SIMONE PL N	None	SANTA ROSA	CA	95409	3737	00	06000	38.470239	-122.656797	Sonoma County
352970	Ordering, Referring, Prescribing	N/A	1952017816	0	0	VANG, YER NP	7/1/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95021530	N/A	N/A	N/A	N/A	N/A	4151 MEXICALI DR	None	BAKERSFIELD	CA	93313	2065	00	06000	35.317233	-119.081649	Kern County
352995	Ordering, Referring, Prescribing	N/A	1952094070	0	0	VUE, MAI	4/14/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95024866	N/A	N/A	N/A	N/A	N/A	2042 KERN ST	N/A	FRESNO	CA	93721	2008	00	06000	36.73339969	-119.7882967	Fresno County
353056	Ordering, Referring, Prescribing	N/A	1952463077	0	0	VARGHESE, LYNETTE PHARMD	4/10/2021	Taxonomy not applicable	NA	n/a	000	Unknown	55884	N/A	N/A	N/A	N/A	N/A	6041 CADILLAC AVE	None	LOS ANGELES	CA	90034	1702	00	06000	34.03781261	-118.3755101	Los Angeles County
353081	Ordering, Referring, Prescribing	N/A	1952525909	0	0	VALES, KEVIN O LMFT	4/26/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT79770	N/A	N/A	N/A	N/A	N/A	1212 N CALIFORNA STREET	None	STOCKTON	CA	95204	1212	00	06000	37.96681769	-121.2881382	San Joaquin County
353151	Ordering, Referring, Prescribing	N/A	1952670606	0	0	VLASVELD, AMANDA D	7/20/2017	Taxonomy not applicable	NA	n/a	000	Unknown	21872	N/A	N/A	N/A	N/A	N/A	1107 W POPLAR AVE	None	PORTERVILLE	CA	93257	5839	00	06000	36.05128153	-119.0422344	Tulare County
353187	Ordering, Referring, Prescribing	N/A	1952736951	0	0	VINCULADO, VICKI L LMFT	4/2/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	99478	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
353227	Ordering, Referring, Prescribing	N/A	1952795536	0	0	VILLANUEVA, BERENICE NP	1/8/2023	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95002188	N/A	N/A	N/A	N/A	N/A	4060 FAIRMOUNT AVE	None	SAN DIEGO	CA	92105	1608	00	06000	32.750523	-117.100927	San Diego County
353265	Ordering, Referring, Prescribing	N/A	1952848608	0	0	VIRGIL, DENINE M LMFT	5/16/2022	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT127455	N/A	N/A	N/A	N/A	N/A	2934 E. GARVEY AVE. SOUT	100	WEST COVINA	CA	91791	0000	00	06000	34.07157499	-117.8836824	Los Angeles County
353315	Ordering, Referring, Prescribing	N/A	1952948838	0	0	VAN, KATIE C NP	9/21/2021	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95013229	N/A	N/A	N/A	N/A	N/A	303 W LINCOLN AVE	STE. 105	ANAHEIM	CA	92805	2936	00	06000	33.83508976	-117.9177981	Orange County
353379	Ordering, Referring, Prescribing	N/A	1962069195	0	0	VU-RIFBJERG, CHRISTINA H PHARMD	8/17/2022	Taxonomy not applicable	NA	n/a	000	Unknown	73500	N/A	N/A	N/A	N/A	N/A	2300 MENDOCINO AVE	None	SANTA ROSA	CA	95403	3115	00	06000	38.463345	-122.7173355	Sonoma County
353417	Ordering, Referring, Prescribing	N/A	1962195784	0	0	VU, JOSEPH PA	7/12/2023	Taxonomy not applicable	NA	n/a	000	Unknown	PA63029	N/A	N/A	N/A	N/A	N/A	7177 SAN JACINTO DR	202	RANCHO MIRAGE	CA	92270	0000	00	06000	33.74598207	-116.4144959	Riverside County
353490	Ordering, Referring, Prescribing	N/A	1962593954	0	0	VAN AUKER, LAURA L NP	8/21/2017	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	307694	N/A	N/A	N/A	N/A	N/A	4600 BROADWAY	STE 1100	SACRAMENTO	CA	95820	1527	00	06000	38.546127	-121.452669	Sacramento County
353531	Ordering, Referring, Prescribing	N/A	1962675389	0	0	VELLA, SABRINA A LCSW	2/13/2022	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	75729	N/A	N/A	N/A	N/A	N/A	1750 CIRBY WAY	None	ROSEVILLE	CA	95661	5520	00	06000	38.72953047	-121.258368	Placer County
353574	Ordering, Referring, Prescribing	N/A	1962757211	0	0	VASQUEZ, KATE LMFT	3/5/2018	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	104833	N/A	N/A	N/A	N/A	N/A	190 SIERRA COURT	SUITE A6-306	PALMDALE	CA	93550	7609	00	06000	34.64013337	-118.1280539	Los Angeles County
353708	Ordering, Referring, Prescribing	N/A	1962923698	0	0	VILLANUEVA-GUEVARA, IVETTE LMFT	12/22/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT122925	N/A	N/A	N/A	N/A	N/A	1830 S CENTRAL ST	None	VISALIA	CA	93277	4418	00	06000	36.314271	-119.311362	Tulare County
353716	Ordering, Referring, Prescribing	N/A	1962946814	0	0	VALDEOLIVAR, MICHAEL R LMFT	12/8/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	123452	N/A	N/A	N/A	N/A	N/A	485 N 1ST ST	None	SAN JOSE	CA	95112	4067	00	06000	37.34444033	-121.8968517	Santa Clara County
353740	Ordering, Referring, Prescribing	N/A	1962962100	0	0	VAHABINEJAD, AMIR LMFT	3/6/2024	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	145616	N/A	N/A	N/A	N/A	N/A	5333 MISSION CENTER RD	SUITE 105	SAN DIEGO	CA	92108	1302	00	06000	32.77178608	-117.1547851	San Diego County
353744	Ordering, Referring, Prescribing	N/A	1962997973	0	0	VICTORIA, GUSTAVO PA	6/22/2018	Taxonomy not applicable	NA	n/a	000	Unknown	55687	N/A	N/A	N/A	N/A	N/A	2801 S SAN PEDRO ST	None	LOS ANGELES	CA	90011	2023	00	06000	34.01966657	-118.2625434	Los Angeles County
353845	Ordering, Referring, Prescribing	N/A	1972197622	0	0	VAN ALLEN, MELODY M NP	9/7/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95014291	N/A	N/A	N/A	N/A	N/A	1000 SKYLINE BLVD	None	AVENAL	CA	93204	1850	00	06000	36.00790722	-120.1216067	Kings County
353881	Ordering, Referring, Prescribing	N/A	1972323897	0	0	VANDERWALKER, DESTANIE LMFT	9/6/2024	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	149482	N/A	N/A	N/A	N/A	N/A	3939 13TH ST	None	RIVERSIDE	CA	92501	3505	00	06000	33.97849414	-117.3806754	Riverside County
353884	Ordering, Referring, Prescribing	N/A	1972355956	0	0	VILLEGAS, ALICIA LCSW	5/23/2023	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	87649	N/A	N/A	N/A	N/A	N/A	4221 WILSHIRE BLVD.	SUITE 400	LOS ANGELES	CA	90010	3504	00	06000	34.06177566	-118.320844	Los Angeles County
353928	Ordering, Referring, Prescribing	N/A	1972631539	0	0	VEGA, EVELYN LMFT	4/9/2023	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	43733	N/A	N/A	N/A	N/A	N/A	1600 SAN FERNANDO RD	None	SAN FERNANDO	CA	91340	3115	00	06000	34.28899399	-118.4481394	Los Angeles County
353930	Ordering, Referring, Prescribing	N/A	1972642502	0	0	VALDEZ-CARREON, ALMA L LCSW	2/27/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW72554	N/A	N/A	N/A	N/A	N/A	855 N. EUCLID AVE	None	ONTARIO	CA	91762	2729	00	06000	34.074063	-117.6514785	San Bernardino County
353941	Ordering, Referring, Prescribing	N/A	1972673895	0	0	VINYARD, RENEE M	7/30/2017	Taxonomy not applicable	NA	n/a	000	Unknown	11274	N/A	N/A	N/A	N/A	N/A	234 HOSPITAL DR	None	UKIAH	CA	95482	4560	00	06000	39.15203603	-123.2036111	Mendocino County
353998	Ordering, Referring, Prescribing	N/A	1972787638	0	0	VERMA, PRASHANT MD	4/16/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A100680	N/A	N/A	N/A	N/A	N/A	5720 RALSTON ST, SUITE 2	None	VENTURA	CA	93003	2938	00	06000	34.26075095	-119.2134739	Ventura County
354033	Ordering, Referring, Prescribing	N/A	1972854834	0	0	VIDAL, THAO PHARMD	7/10/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH68774	N/A	N/A	N/A	N/A	N/A	100 N IMPERIAL AVE	None	EL CENTRO	CA	92243	2809	00	06000	32.79344238	-115.5699452	Imperial County
354077	Ordering, Referring, Prescribing	N/A	1972911642	0	0	VERGARA, BANJIE PHARMD	9/11/2022	Taxonomy not applicable	NA	n/a	000	Unknown	55936	N/A	N/A	N/A	N/A	N/A	1526 N MAIN ST	None	SALINAS	CA	93906	5101	00	06000	36.71194997	-121.6541962	Monterey County
354083	Ordering, Referring, Prescribing	N/A	1972923290	0	0	VELAZQUEZ, IGNACIO D MD	7/29/2020	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A139585	N/A	N/A	N/A	N/A	N/A	1000 W CARSON ST	200	TORRANCE	CA	90502	2004	00	06000	33.83155851	-118.2920625	Los Angeles County
354089	Ordering, Referring, Prescribing	N/A	1972930592	0	0	VENEGAS, ANGELA L MD FAAP	6/27/2023	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A156458	N/A	N/A	N/A	N/A	N/A	8627 ATLANTIC AVE	None	SOUTH GATE	CA	90280	3501	00	06000	33.95462085	-118.1838426	Los Angeles County
354097	Ordering, Referring, Prescribing	N/A	1972939676	0	0	VANDERWERF, JANE LCSW	2/9/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW74267	N/A	N/A	N/A	N/A	N/A	709 FRANKLIN STREET	None	NAPA	CA	94559	2920	00	06000	38.29569423	-122.2871466	Napa County
354110	Ordering, Referring, Prescribing	N/A	1972952042	0	0	VISSERING, AMANDA A LPCC	2/13/2023	Taxonomy not applicable	NA	n/a	000	Unknown	LPCC8679	N/A	N/A	N/A	N/A	N/A	3200 CLAYTON RD	None	CONCORD	CA	94519	2819	00	06000	37.97283909	-122.0196497	Contra Costa County
354137	Ordering, Referring, Prescribing	N/A	1972983526	0	0	VAFAEI, PANIZ MD	5/5/2017	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A145152	N/A	N/A	N/A	N/A	N/A	3600 BROADWAY	4TH FL, SUITE 43	OAKLAND	CA	94611	5730	00	06000	37.8237837	-122.2590026	Alameda County
354141	Ordering, Referring, Prescribing	N/A	1972984144	0	0	VO, NATALIE N PHARMD	3/17/2018	Taxonomy not applicable	NA	n/a	000	Unknown	RPH58336	N/A	N/A	N/A	N/A	N/A	1133 S MISSION RD	None	FALLBROOK	CA	92028	3222	00	06000	33.37248944	-117.2534254	San Diego County
354165	Ordering, Referring, Prescribing	N/A	1982026167	0	0	VIEYRA, MARGARITA LCSW	1/16/2024	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	114968	N/A	N/A	N/A	N/A	N/A	333 S BEAUDRY AVE	None	LOS ANGELES	CA	90017	1466	00	06000	34.05611213	-118.2570905	Los Angeles County
354201	Ordering, Referring, Prescribing	N/A	1982077483	0	0	VERWEY, JEANETTE	3/18/2018	Taxonomy not applicable	NA	n/a	000	Unknown	57794	N/A	N/A	N/A	N/A	N/A	3027 RANCHO VISTA BLVD	None	PALMDALE	CA	93551	3582	00	06000	34.60188906	-118.1846656	Los Angeles County
354206	Ordering, Referring, Prescribing	N/A	1982085213	0	0	VU, SIMON PHARMD	3/26/2018	Taxonomy not applicable	NA	n/a	000	Unknown	RPH62150	N/A	N/A	N/A	N/A	N/A	39140 WINCHESTER RD	None	MURRIETA	CA	92563	3500	00	06000	33.55141943	-117.1405548	Riverside County
354226	Ordering, Referring, Prescribing	N/A	1982129912	0	0	VOLTAIRE, JAMILA LMFT	3/2/2024	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	145510	N/A	N/A	N/A	N/A	N/A	8945 GOLF LINKS RD	None	OAKLAND	CA	94605	4124	00	06000	37.76047483	-122.157608	Alameda County
354239	Ordering, Referring, Prescribing	N/A	1982148896	0	0	VOLK, DANA LMFT	5/7/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT104881	N/A	N/A	N/A	N/A	N/A	2227 CAPRICORN WAY	207	SANTA ROSA	CA	95407	9122	00	06000	38.425266	-122.749875	Sonoma County
354251	Ordering, Referring, Prescribing	N/A	1982171807	0	0	VU, GRACE PHARMD	11/22/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH79512	N/A	N/A	N/A	N/A	N/A	1755 HACIENDA DRIVE	None	VISTA	CA	92081	4546	00	06000	33.18744941	-117.2759225	San Diego County
354257	Ordering, Referring, Prescribing	N/A	1982182499	0	0	VILLARREAL, MILAGROS J LCSW	6/2/2021	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	101787	N/A	N/A	N/A	N/A	N/A	5350 MACHADO LN	None	CULVER CITY	CA	90230	8800	00	06000	33.99772397	-118.3961412	Los Angeles County
354271	Ordering, Referring, Prescribing	N/A	1982194932	0	0	VARNADO, AIMEE L MD	6/4/2024	Taxonomy not applicable	NA	n/a	026	PHYSICIANS	A196661	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
354274	Ordering, Referring, Prescribing	N/A	1982197919	0	0	VALVERDE, MONIQUE C LPCC	4/24/2024	Taxonomy not applicable	NA	n/a	000	Unknown	LPCC16403	N/A	N/A	N/A	N/A	N/A	3840 ROSIN CT	None	SACRAMENTO	CA	95834	1639	00	06000	38.637567	-121.473306	Sacramento County
354280	Ordering, Referring, Prescribing	N/A	1982198545	0	0	VITOLO, JULIANE D LMFT	8/5/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	LMFT127350	N/A	N/A	N/A	N/A	N/A	1339 20TH ST.	None	SANTA MONICA	CA	90404	2033	00	06000	34.02917949	-118.4805651	Los Angeles County
354289	Ordering, Referring, Prescribing	N/A	1982228029	0	0	VU, JENNIFER T PHARMD	4/6/2024	Taxonomy not applicable	NA	n/a	000	Unknown	75442	N/A	N/A	N/A	N/A	N/A	11234 ANDERSON ST	1110A	LOMA LINDA	CA	92350	1716	00	06000	34.049547	-117.264078	San Bernardino County
354298	Ordering, Referring, Prescribing	N/A	1982243135	0	0	VO, ELIZABETH O	7/8/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH81323	N/A	N/A	N/A	N/A	N/A	8298 LANDER AVE	None	HILMAR	CA	95324	8323	00	06000	37.40847255	-120.8500602	Merced County
354367	Ordering, Referring, Prescribing	N/A	1982646956	0	0	VO, PETER T PA-C	4/22/2023	Taxonomy not applicable	NA	n/a	000	Unknown	61759	N/A	N/A	N/A	N/A	N/A	420 S GLENDORA AVE	None	WEST COVINA	CA	91790	3001	00	06000	34.06750236	-117.925203	Los Angeles County
354368	Ordering, Referring, Prescribing	N/A	1982660452	0	0	VU, DUC T DDS	7/25/2022	Taxonomy not applicable	NA	n/a	000	Unknown	41805	N/A	N/A	N/A	N/A	N/A	1550 SUPERIOR AVENUE COS	None	COSTA MESA	CA	92627	3653	00	06000	33.63305341	-117.9266303	Orange County
354383	Ordering, Referring, Prescribing	N/A	1982723151	0	0	VASQUEZ, IVANNA K MSW LCSW	2/23/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	66053	N/A	N/A	N/A	N/A	N/A	439 W. 97TH ST.	None	LOS ANGELES	CA	90003	3968	00	06000	33.94831439	-118.282325	Los Angeles County
354433	Ordering, Referring, Prescribing	N/A	1982815684	0	0	VIEIRA, FAY G LMFT	3/11/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	50276	N/A	N/A	N/A	N/A	N/A	1414 N CALIFORNIA ST	None	STOCKTON	CA	95202	1515	00	06000	37.96761084	-121.2883234	San Joaquin County
354469	Ordering, Referring, Prescribing	N/A	1982896007	0	0	VANGEROV, JOHN S LMFT	2/19/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	36739	N/A	N/A	N/A	N/A	N/A	2750 E WASHINGTON BLVD	None	PASADENA	CA	91107	9999	00	06000	34.1680038	-118.0943955	Los Angeles County
354519	Ordering, Referring, Prescribing	N/A	1982981452	0	0	VU-HO, DAO A PHARMD	7/21/2021	Taxonomy not applicable	NA	n/a	000	Unknown	RPH48891	N/A	N/A	N/A	N/A	N/A	16201 HARBOR BLVD	None	FOUNTAIN VALLEY	CA	92708	1371	00	06000	33.728085	-117.9215595	Orange County
354536	Ordering, Referring, Prescribing	N/A	1992002018	0	0	VALENCIA, LESLIE MSW LCSW	5/25/2020	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	LCSW25890	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
354619	Ordering, Referring, Prescribing	N/A	1992132245	0	0	VENNING, KRISTIN C LMFT	4/30/2020	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	112353	N/A	N/A	N/A	N/A	N/A	1290 COMMODORE DR	None	SAN BRUNO	CA	94066	2304	00	06000	37.63134914	-122.4260472	San Mateo County
354621	Ordering, Referring, Prescribing	N/A	1992130363	0	0	VALDEZ-RODRIGUEZ, ANGEL LCSW	1/15/2024	Taxonomy not applicable	NA	n/a	070	LICENSED CLINICAL SOCIAL WORKER INDIVIDUAL	91454	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
354625	Ordering, Referring, Prescribing	N/A	1992139109	0	0	VO, AIMY T PHARMD	3/1/2021	Taxonomy not applicable	NA	n/a	000	Unknown	69371	N/A	N/A	N/A	N/A	N/A	4175 E LA PALMA AVE	None	ANAHEIM	CA	92807	1842	00	06000	33.85947346	-117.8265479	Orange County
354698	Ordering, Referring, Prescribing	N/A	1992263677	0	0	VELASCO, ROMINA CORAZON J NP	9/1/2022	Taxonomy not applicable	NA	n/a	007	CERTIFIED NURSE PRACTIONER	95022464	N/A	N/A	N/A	N/A	N/A	121 S LONG BEACH BLVD	None	COMPTON	CA	90221	3243	00	06000	33.89475493	-118.2080292	Los Angeles County
354828	Ordering, Referring, Prescribing	N/A	1992823801	0	0	VU, TED KHOI H	6/29/2021	Taxonomy not applicable	NA	n/a	099	DENTIST	D43092	N/A	N/A	N/A	N/A	N/A	2344 MCKEE RD	#20	SAN JOSE	CA	95116	1616	00	06000	37.36603019	-121.8487841	Santa Clara County
354894	Ordering, Referring, Prescribing	N/A	1992930481	0	0	VILLALOBOS, ROSLYN J LMFT	1/8/2021	Taxonomy not applicable	NA	n/a	077	MARRIAGE AND FAMILY THERAPIST INDIVIDUAL	123951	N/A	N/A	N/A	N/A	N/A	6051 N FRESNO ST	201	FRESNO	CA	93710	5280	00	06000	36.823905	-119.781436	Fresno County