1023011632 |
1023011632 |
1 |
1 |
ALTURA CENTERS FOR HEALTH |
28-Jul-05 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
55 |
Tulare |
None |
1101 N CHERRY ST |
None |
TULARE |
CA |
93274 |
36.224116 |
-119.337111 |
230 |
23.03 |
1033267216 |
1033267216 |
1 |
1 |
ADVANCED FAMILY CARE |
26-Jun-97 |
Physicians Group (022) |
PHYSICIANS GROUP |
FNP023787 |
16 |
Obstetrics-Gynecology (M.D. Only) Neonatal |
0 |
In state provider |
19 |
Los Angeles |
MEDICAL GROUP |
1201 E FLORENCE AVE |
None |
LOS ANGELES |
CA |
90001 |
33.974765 |
-118.254103 |
78.2fff |
5350.01 |
1033534466 |
1033534466 |
1 |
1 |
ALEXANDER VALLEY HEALTHCARE |
1-Apr-14 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
49 |
Sonoma |
CENTER |
6 TARMAN DR |
None |
CLOVERDALE |
CA |
95425 |
38.798264 |
-123.017593 |
206 |
1542.01 |
1043380330 |
1043380330 |
1 |
1 |
ARROWHEAD REGIONAL MED CNTR |
1-Jul-05 |
County Hospital Outpatient (061) |
COUNTY HOSPITAL OUTPATIENT |
360601320 |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
36 |
San Bernardino |
None |
400 N PEPPER AVE |
None |
COLTON |
CA |
92324 |
34.070885 |
-117.352841 |
151f |
36.12 |
1063623387 |
1063623387 |
1 |
1 |
ALAS MEDICAL CLINIC INC |
18-Jan-05 |
Physicians (026) |
PHYSICIANS |
A00055051 |
8 |
Family Practice |
0 |
In state provider |
19 |
Los Angeles |
ALAS MEDICAL CLINIC INC |
545 N SAN GABRIEL AVE |
None |
AZUSA |
CA |
91702 |
34.13068 |
-117.908823 |
78.2qq |
4043.01 |
1063659985 |
1063659985 |
1 |
1 |
ALTAMED MEDICAL GROUP- |
1-May-09 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
30 |
Orange |
AHAHEIM, LINCOLN |
1814 W LINCOLN AVE |
None |
ANAHEIM |
CA |
92801 |
33.83243 |
-117.946553 |
116c |
871.03 |
1073642682 |
1073642682 |
1 |
1 |
ASIAN PAC HLTH CARE VENT |
1-Jan-01 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
CARE VENTURE, INC |
1530 HILLHURST AVE |
STE 200 |
LOS ANGELES |
CA |
90027 |
34.098928 |
-118.287426 |
78.2a |
1953 |
1073675385 |
1073675385 |
1 |
1 |
ALIANZA MEDICAL CENTER |
14-Jul-97 |
Physicians Group (022) |
PHYSICIANS GROUP |
FNP28762 |
8 |
Family Practice |
0 |
In state provider |
19 |
Los Angeles |
INC |
6907 SEVILLE AVE |
None |
HUNTINGTON PARK |
CA |
90255 |
33.976879 |
-118.222534 |
78.2fff |
5331.04 |
1073917126 |
1073917126 |
1 |
1 |
ALAMEDA HEALTH PARTNERS INC |
1-Feb-19 |
Physicians Group (022) |
PHYSICIANS GROUP |
None |
2 |
General Surgery |
0 |
In state provider |
1 |
Alameda |
None |
1411 EAST 31ST STREET |
None |
OAKLAND |
CA |
94602 |
37.799262 |
-122.231207 |
2c |
4057 |
1083851992 |
1083851992 |
1 |
1 |
ALTAMED MEDICAL GROUP- |
1-Apr-09 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
30 |
Orange |
GARDEN GROVE, HARBOR |
12751 HARBOR BLVD |
None |
GARDEN GROVE |
CA |
92840 |
33.777546 |
-117.915085 |
116r |
885.02 |
1093019051 |
1093019051 |
1 |
1 |
ALL INCLUSIVE COMMUNITY HLTH |
1-Dec-12 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
None |
1311 N SAN FERNANDO BLVD |
None |
BURBANK |
CA |
91504 |
34.189332 |
-118.320301 |
78.2ttt |
3106.01 |
1093042970 |
1093042970 |
1 |
4 |
ABELLA MEDICAL GROUP |
9-Jun-19 |
Physicians Group (022) |
PHYSICIANS GROUP |
None |
16 |
Obstetrics-Gynecology (M.D. Only) Neonatal |
0 |
In state provider |
33 |
Riverside |
None |
6969 BROCKTON AVE |
SUITE A-B |
RIVERSIDE |
CA |
92506 |
33.947056 |
-117.396787 |
135c |
311 |
1093732554 |
1093732554 |
2 |
1 |
ADVENTIST HEALTH REEDLEY |
1-Dec-16 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
10 |
Fresno |
None |
300 S LEON S PETERS BLVD |
None |
FOWLER |
CA |
93625 |
36.630002 |
-119.678325 |
31 |
16 |
1093980823 |
1093980823 |
2 |
1 |
ADVENTIST HEALTH REEDLEY |
1-Dec-16 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
10 |
Fresno |
None |
1939 ACADEMY AVENUE |
None |
SANGER |
CA |
93657 |
36.690124 |
-119.554709 |
31 |
61 |
1114104858 |
1114104858 |
1 |
1 |
ALTAMED HEALTH SVS |
28-Apr-97 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
EL MONTE |
10418 VALLEY BLVD |
STE B |
EL MONTE |
CA |
91731 |
34.076514 |
-118.045907 |
78.2oo |
4328.01 |
1124189212 |
1124189212 |
1 |
1 |
ARDMORE SPEC MED GROUP |
28-Apr-97 |
Physicians Group (022) |
PHYSICIANS GROUP |
FNP030539 |
16 |
Obstetrics-Gynecology (M.D. Only) Neonatal |
0 |
In state provider |
19 |
Los Angeles |
ARDMORE MED GROUP INC |
3518 W 8TH ST |
None |
LOS ANGELES |
CA |
90005 |
34.057663 |
-118.307051 |
78.2e |
2125.02 |
1134206436 |
1134206436 |
1 |
1 |
ANGEL FAM PRAC MED GRP |
28-Apr-97 |
Physicians (026) |
PHYSICIANS |
A00050182 |
1 |
General Practice |
0 |
In state provider |
19 |
Los Angeles |
MEDICAL GROUP INC |
2015 E FLORENCE AVE |
None |
LOS ANGELES |
CA |
90001 |
33.974782 |
-118.234728 |
78.2mmm |
5330.02 |
1134237993 |
1134237993 |
1 |
1 |
ADVANCED WOMEN'S HEALTHC |
5-Aug-05 |
Physicians Group (022) |
PHYSICIANS GROUP |
FNP032887 |
16 |
Obstetrics-Gynecology (M.D. Only) Neonatal |
0 |
In state provider |
33 |
Riverside |
AMC |
1100 N PALM CANYON DR |
STE 212 |
PALM SPRINGS |
CA |
92262 |
33.837621 |
-116.546779 |
129.4 |
446.06 |
1134421860 |
1134421860 |
1 |
1 |
AGUILAR, ALEJANDRO F MD INC |
12-Jul-16 |
Physicians (026) |
PHYSICIANS |
A36086 |
16 |
Obstetrics-Gynecology (M.D. Only) Neonatal |
0 |
In state provider |
19 |
Los Angeles |
None |
3034 E FLORENCE AVENUE |
None |
HUNTINGTON PARK |
CA |
90255 |
33.973091 |
-118.214284 |
78.2ccc |
5331.07 |
1134492937 |
1134492937 |
1 |
1 |
ALTAMED MED & DENTAL GROUP |
29-Jun-12 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
EAST LA 1ST STREET |
2219 E 1ST STREET |
None |
LOS ANGELES |
CA |
90033 |
34.044415 |
-118.211965 |
78.2h |
2044.2 |
1154736429 |
1154736429 |
1 |
1 |
ARIA COMMUNITY HEALTH CENTER |
1-Dec-15 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
10 |
Fresno |
None |
3554 W MT WHITNEY AVE |
None |
RIVERDALE |
CA |
93656 |
36.430906 |
-119.861917 |
30 |
77 |
1164552931 |
1164552931 |
1 |
1 |
ALVISO HEALTH CENTER |
14-Dec-09 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
43 |
Santa Clara |
ALVISO HEALTH CENTER |
1621 GOLD ST |
None |
ALVISO |
CA |
95002 |
37.424063 |
-121.976109 |
183l |
5046.02 |
1174665905 |
1174665905 |
1 |
1 |
ARROYO VISTA FAMILY HLTH |
21-Oct-05 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
HEALTH CTR-LINCOLN HGHTS |
2411 N BROADWAY |
None |
LOS ANGELES |
CA |
90031 |
34.073633 |
-118.2162 |
78.2i |
1997 |
1174700710 |
1174700710 |
1 |
1 |
ALTA MED HEALTH SVS CORP |
28-Apr-97 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
ELA/WHITTIER |
5427 WHITTIER BLVD |
None |
LOS ANGELES |
CA |
90022 |
34.019621 |
-118.153528 |
78.2d |
5317.01 |
1205253374 |
1205253374 |
1 |
1 |
ADVENTIST HEALTH REEDLEY |
2-Feb-16 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
20 |
Madera |
None |
48677 VICTORIA LANE |
None |
OAKHURST |
CA |
93644 |
37.327061 |
-119.660169 |
79.1 |
1.08 |
1215245675 |
1215245675 |
1 |
1 |
ALL WOMENS CARE |
16-Jun-11 |
Physicians Group (022) |
PHYSICIANS GROUP |
None |
16 |
Obstetrics-Gynecology (M.D. Only) Neonatal |
0 |
In state provider |
19 |
Los Angeles |
None |
1300 N VERMONT AVE |
None |
LOS ANGELES |
CA |
90027 |
34.095557 |
-118.291741 |
78.2g |
1913.02 |
1225364060 |
1225364060 |
3 |
1 |
ADVENTIST HEALTH REEDLEY |
1-Dec-16 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
10 |
Fresno |
None |
1251 DRAPER STREET |
None |
KINGSBURG |
CA |
93631 |
36.513702 |
-119.554272 |
30 |
72.01 |
1235154006 |
1235154006 |
2 |
1 |
ADVENTIST HEALTH REEDLEY |
1-Jan-12 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
10 |
Fresno |
None |
1455 PARK BLVD |
None |
ORANGE COVE |
CA |
93646 |
36.62465 |
-119.322665 |
32 |
65.01 |
1235299637 |
1235299637 |
1 |
1 |
ARDMORE SPEC MED GROUP |
28-Apr-97 |
Physicians Group (022) |
PHYSICIANS GROUP |
FNP030539 |
16 |
Obstetrics-Gynecology (M.D. Only) Neonatal |
0 |
In state provider |
19 |
Los Angeles |
None |
2765 E FLORENCE AVE |
None |
HUNTINGTON PARK |
CA |
90255 |
33.973783 |
-118.220898 |
78.2ccc |
5331.07 |
1235376047 |
1235376047 |
1 |
1 |
ALTAMED MEDICAL GROUP- |
1-Jun-13 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
30 |
Orange |
ANAHEIM, LINCOLN WEST |
1820 W LINCOLN AVENUE |
None |
ANAHEIM |
CA |
92801 |
33.83243 |
-117.946798 |
116c |
871.03 |
1235475484 |
1235475484 |
1 |
1 |
ADVENTIST HEALTH REEDLEY |
1-Feb-14 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
16 |
Kings |
None |
1310 HANNA AVENUE |
SUITE 1 AND SUITE 3 |
CORCORAN |
CA |
93212 |
36.099722 |
-119.563708 |
68 |
14.02 |
1235578444 |
1235578444 |
1 |
1 |
ADVENTIST HEALTH REEDLEY |
16-Jul-15 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
54 |
Tulare |
None |
444 W EL MONTE WAY |
None |
DINUBA |
CA |
93618 |
36.545923 |
-119.399107 |
227.1 |
5.02 |
1245694306 |
1245694306 |
1 |
1 |
ADVENTIST HEALTH REEDLEY |
8-Jan-18 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
15 |
Kern |
None |
1040 7TH STREET |
None |
WASCO |
CA |
93280 |
35.594225 |
-119.337212 |
58.2 |
44.02 |
1255350351 |
1255350351 |
1 |
1 |
AMPLA HEALTH RICHLAND MED |
25-Mar-97 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
51 |
Sutter |
None |
334 SAMUEL DR |
None |
YUBA CITY |
CA |
95991 |
39.122969 |
-121.609581 |
216 |
503.02 |
1255499075 |
1255499075 |
1 |
1 |
ALPINE FAMILY MEDICINE |
5-Oct-05 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
37 |
San Diego |
ALPINE FAMILY MEDICINE |
1620 ALPINE BLVD |
STE B119 |
ALPINE |
CA |
91901 |
32.837808 |
-116.780168 |
155 |
212.05 |
1255542601 |
1255542601 |
1 |
1 |
ALTAMED HEALTH SVS CORP |
5-Jan-05 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
GROUP, WHITTIER WEST |
3945 WHITTIER BLVD |
None |
LOS ANGELES |
CA |
90023 |
34.02393 |
-118.187753 |
78.2d |
5312.02 |
1265530018 |
1265530018 |
2 |
1 |
ADVENTIST HEALTH REEDLEY |
1-Dec-16 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
10 |
Fresno |
None |
1041 ROSE AVE |
None |
SELMA |
CA |
93662 |
36.568884 |
-119.595897 |
30 |
70.04 |
1275661811 |
1275661811 |
1 |
1 |
ASIAN PACIFIC HLTH CARE |
2-Oct-06 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
SCHOOL HEALTH CENTER |
3939 TRACY ST |
None |
LOS ANGELES |
CA |
90027 |
34.10774 |
-118.277634 |
78.2ff |
1952.01 |
1275918674 |
1275918674 |
1 |
1 |
ARIA COMMUNITY HEALTH CENTER |
20-Jul-16 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
16 |
Kings |
CENTER |
304 BECKY PEASE ST |
None |
KETTLEMAN CITY |
CA |
93239 |
36.008942 |
-119.960194 |
68 |
16.01 |
1285651745 |
1285651745 |
2 |
1 |
ADVENTIST HEALTH REEDLEY |
1-Dec-16 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
10 |
Fresno |
None |
2440 W TAHOE |
None |
CARUTHERS |
CA |
93609 |
36.540413 |
-119.835456 |
30 |
75 |
1285667758 |
1285667758 |
1 |
1 |
AMPLA HEALTH ORLAND MEDICAL |
25-Mar-97 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
11 |
Glenn |
& DENTAL |
1211 CORTINA DR |
None |
ORLAND |
CA |
95963 |
39.742278 |
-122.202481 |
36.1 |
101 |
1295821296 |
1295821296 |
1 |
1 |
ASPEN MEDICAL GROUP INC |
12-Sep-05 |
Physicians Group (022) |
PHYSICIANS GROUP |
FNP031995 |
16 |
Obstetrics-Gynecology (M.D. Only) Neonatal |
0 |
In state provider |
33 |
Riverside |
None |
9041 MAGNOLIA AVE |
STE 305 |
RIVERSIDE |
CA |
92503 |
33.925272 |
-117.438078 |
135c |
315.01 |
1306131545 |
1306131545 |
1 |
1 |
ARLANZA FAMILY HEALTH CENTER |
2-Jan-13 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
33 |
Riverside |
FOUNDATION |
8856 ARLINGTON AVE |
None |
RIVERSIDE |
CA |
92503 |
33.946501 |
-117.467871 |
135d |
411.01 |
1306194105 |
1306194105 |
1 |
1 |
AMH COMPREHENSIVE MEDICAL |
4-Sep-13 |
Community Clinics (041) |
COMMUNITY CLINIC |
550002382 |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
CENTERS |
711 NORTH ALVARADO ST |
SUITE 101 |
LOS ANGELES |
CA |
90026 |
34.074006 |
-118.26566 |
78.2ffff |
1957.2 |
1316061674 |
1316061674 |
1 |
1 |
ABAIAN, ALI MD |
23-May-19 |
Physicians (026) |
PHYSICIANS |
A00072830 |
1 |
General Practice |
0 |
In state provider |
19 |
Los Angeles |
None |
8460 S CENTRAL AVENUE |
None |
LOS ANGELES |
CA |
90001 |
33.961796 |
-118.256403 |
78.2fff |
2398.02 |
1316088479 |
1316088479 |
1 |
1 |
ARROYO VISTA FAMILY HLTH |
21-Nov-01 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
HEALTH CENTER |
4815 VALLEY BLVD |
STE C |
LOS ANGELES |
CA |
90032 |
34.066174 |
-118.179911 |
78.2i |
2016.01 |
1316116221 |
1316116221 |
1 |
1 |
ALTAMED MEDICAL GROUP- |
13-Feb-08 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
30 |
Orange |
ORANGE, CHAPMAN |
4010 E CHAPMAN AVE |
None |
ORANGE |
CA |
92869 |
33.787757 |
-117.811405 |
116h |
758.07 |
1316135296 |
1316135296 |
1 |
1 |
ALLERGY CONTROL MEDI |
25-Mar-03 |
Physicians (026) |
PHYSICIANS |
A00025605 |
1 |
General Practice |
0 |
In state provider |
19 |
Los Angeles |
None |
5373 WHITTIER BLVD |
None |
LOS ANGELES |
CA |
90022 |
34.01993 |
-118.155027 |
78.2d |
5317.01 |
1316963606 |
1316963606 |
1 |
1 |
AMPLA HEALTH CHICO MEDICAL |
25-Mar-97 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
4 |
Butte |
None |
680 COHASSET RD |
None |
CHICO |
CA |
95926 |
39.752588 |
-121.845384 |
7.1 |
3 |
1326063199 |
1326063199 |
2 |
1 |
ADVENTIST HEALTH REEDLEY |
1-Jan-12 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
10 |
Fresno |
None |
372 W CYPRESS AVE |
None |
REEDLEY |
CA |
93654 |
36.607796 |
-119.451265 |
32 |
66.03 |
1326244096 |
1326244096 |
1 |
1 |
ALLIANCE MEDICAL CENTER |
1-Mar-97 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
49 |
Sonoma |
None |
1381 UNIVERSITY ST |
None |
HEALDSBURG |
CA |
95448 |
38.627712 |
-122.863743 |
205.1 |
1539.02 |
1326384579 |
1326384579 |
1 |
1 |
ADVENTIST HEALTH REEDLEY |
1-Feb-14 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
16 |
Kings |
None |
337 E KINGS STREET |
None |
AVENAL |
CA |
93204 |
36.002536 |
-120.133939 |
67 |
17.01 |
1336189117 |
1336189117 |
1 |
1 |
AN PANG CHIENG MD INC |
28-Apr-97 |
Physicians Group (022) |
PHYSICIANS GROUP |
FNP033331 |
1 |
General Practice |
0 |
In state provider |
19 |
Los Angeles |
EL SERENO MEDICAL GRP |
3301 N EASTERN AVE |
None |
LOS ANGELES |
CA |
90032 |
34.083611 |
-118.178044 |
78.2i |
2015.03 |
1346486511 |
1346486511 |
1 |
1 |
ALTURA CENTERS FOR HEALTH |
6-Jun-08 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
54 |
Tulare |
None |
737 W BARDSLEY AVE |
None |
TULARE |
CA |
93274 |
36.196482 |
-119.355765 |
230 |
30.01 |
1346563673 |
1346563673 |
1 |
1 |
ANTELOPE VALLEY COMM CLINIC |
15-Mar-10 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
PALMDALE |
2151 E PALMDALE BLVD |
None |
PALMDALE |
CA |
93550 |
34.580159 |
-118.09029 |
77.1a |
9106.01 |
1356702633 |
1356702633 |
1 |
1 |
ANUCHA, CHIBUIKE E MD PC |
21-Sep-17 |
Physicians (026) |
PHYSICIANS |
A89094 |
16 |
Obstetrics-Gynecology (M.D. Only) Neonatal |
0 |
In state provider |
15 |
Kern |
None |
608 34TH STREET |
None |
BAKERSFIELD |
CA |
93301 |
35.390477 |
-119.008659 |
66a |
6 |
1356775878 |
1356775878 |
1 |
1 |
ALTAMED MEDICAL GROUP PICO |
16-Dec-13 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
None |
6336 PASSONS BLVD |
None |
PICO RIVERA |
CA |
90660 |
33.985836 |
-118.085868 |
78.2ww |
5008 |
1366419517 |
1366419517 |
1 |
1 |
ANTELOPE VALLEY HOSP MED |
11-Aug-97 |
Community Hosp Outpatient (015) |
COMMUNITY OUTPATIENT HOSPITAL |
190990034 |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
HEALTHCARE DISTRICT |
1600 W AVENUE J |
None |
LANCASTER |
CA |
93534 |
34.689378 |
-118.159814 |
77.1c |
9008.05 |
1366834400 |
1366834400 |
1 |
1 |
ALTAMED MEDICAL GROUP |
2-Oct-15 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
30 |
Orange |
CORPORATION |
1155 W CENTRAL AVE |
STES 104-107 |
SANTA ANA |
CA |
92707 |
33.712577 |
-117.883918 |
116g |
740.05 |
1376654756 |
1376654756 |
1 |
1 |
ADOBE MEDICAL GROUP INC |
11-Dec-98 |
Physicians Group (022) |
PHYSICIANS GROUP |
FNP025491 |
16 |
Obstetrics-Gynecology (M.D. Only) Neonatal |
0 |
In state provider |
30 |
Orange |
None |
31921 CAMINO CAPISTRANO |
STE 19 |
SAN JUAN CAPO |
CA |
92675 |
33.499211 |
-117.662497 |
115.1 |
423.12 |
1376871566 |
1376871566 |
1 |
1 |
AGABABIAN MEDICAL CLINIC |
23-Feb-11 |
Physicians (026) |
PHYSICIANS |
A93668 |
8 |
Family Practice |
0 |
In state provider |
19 |
Los Angeles |
None |
800 S CENTRAL AVE |
STE 301 |
GLENDALE |
CA |
91204 |
34.13668 |
-118.2578 |
78.2ee |
3024.01 |
1396067500 |
1396067500 |
1 |
1 |
AAA COMPREHENSIVE HEALTHCARE |
26-Aug-15 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
550001275 |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
None |
7451 N LANKERSHIM BLVD |
None |
NORTH HOLLYWOOD |
CA |
91605 |
34.205963 |
-118.387784 |
78.2bb |
1224.1 |
1417930892 |
1417930892 |
2 |
1 |
ADVENTIST HEALTH REEDLEY |
1-Dec-16 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
16 |
Kings |
None |
1025 N DOUTY ST |
None |
HANFORD |
CA |
93230 |
36.335154 |
-119.646037 |
69 |
9 |
1417972282 |
1417972282 |
2 |
1 |
ADVENTIST HEALTH REEDLEY |
1-Jan-12 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
10 |
Fresno |
None |
155 S NEWMARK AVE |
None |
PARLIER |
CA |
93648 |
36.606721 |
-119.529845 |
32 |
68.02 |
1427025691 |
1427025691 |
2 |
1 |
ADVENTIST HEALTH REEDLEY |
1-Dec-16 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
54 |
Tulare |
None |
1451 E EL MONTE WAY |
None |
DINUBA |
CA |
93618 |
36.545476 |
-119.379434 |
227.1 |
5.01 |
1427497866 |
1427497866 |
1 |
1 |
ADVENTIST HEALTH REEDLEY |
16-Jul-15 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
54 |
Tulare |
None |
41696 ROAD 128 |
None |
OROSI |
CA |
93647 |
36.546447 |
-119.286924 |
227.2 |
2.01 |
1437414190 |
1437414190 |
1 |
1 |
ALTAMED MEDICAL GROUP |
12-Oct-12 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
None |
1300 N VERMONT AVE |
PATIENT TOWER, 1ST FLOOR |
LOS ANGELES |
CA |
90027 |
34.096294 |
-118.291739 |
78.2g |
1913.02 |
1447353701 |
1447353701 |
1 |
1 |
ARROYO VISTA FAM HLTH CT |
9-Mar-99 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
HEALTH CENTER |
6000 N FIGUEROA ST |
None |
LOS ANGELES |
CA |
90042 |
34.111407 |
-118.189096 |
78.2i |
1836.2 |
1457596371 |
1457596371 |
1 |
3 |
ALLSAFE MEDICAL GROUP |
6-Jun-13 |
Physicians Group (022) |
PHYSICIANS GROUP |
A00096862 |
16 |
Obstetrics-Gynecology (M.D. Only) Neonatal |
0 |
In state provider |
19 |
Los Angeles |
PROFESSIONAL CORPORATION |
4156 S CENTRAL AVE |
None |
LOS ANGELES |
CA |
90011 |
34.008004 |
-118.256505 |
78.2ggg |
2283.2 |
1467678342 |
1467678342 |
2 |
1 |
ADVENTIST HEALTH REEDLEY |
1-Dec-16 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
16 |
Kings |
None |
11899 SHAW PLACE |
None |
HANFORD |
CA |
93230 |
36.30186 |
-119.630937 |
69 |
11 |
1477586808 |
1477586808 |
1 |
1 |
AMPLA HEALTH COLUSA MEDICAL |
25-Mar-97 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
6 |
Colusa |
None |
555 FREMONT ST |
None |
COLUSA |
CA |
95932 |
39.20795 |
-122.011142 |
15 |
5 |
1477866010 |
1477866010 |
1 |
1 |
AIRPORT URGENT CARE & INDUST |
1-Aug-13 |
Physicians Group (022) |
PHYSICIANS GROUP |
None |
66 |
Emergency Medicine (Urgent Care) |
0 |
In state provider |
19 |
Los Angeles |
INDUSTRIAL MEDICINE A |
1117 W MANCHESTER DR |
SUITE K |
INGLEWOOD |
CA |
90301 |
33.959892 |
-118.375593 |
78.2q |
6014.01 |
1497006126 |
1497006126 |
1 |
1 |
ADVENTIST HEALTH REEDLEY |
1-Feb-14 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
10 |
Fresno |
None |
1150 E WASHINGTON AVE |
None |
REEDLEY |
CA |
93654 |
36.591473 |
-119.43699 |
32 |
66.02 |
1497790349 |
1497790349 |
1 |
1 |
AMG, A PROF MEDICAL CORP |
22-Oct-13 |
Physicians Group (022) |
PHYSICIANS GROUP |
FNP019638 |
16 |
Obstetrics-Gynecology (M.D. Only) Neonatal |
0 |
In state provider |
19 |
Los Angeles |
None |
193 ORANGE GRV |
None |
PASADENA |
CA |
91103 |
34.157854 |
-118.146209 |
78.2hhh |
4620.02 |
1497931828 |
1497931828 |
1 |
1 |
AMPLA HEALTH ARBUCKLE |
1-Jan-09 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
6 |
Colusa |
MEDICAL & DENTAL |
89 PUTNAM WAY |
None |
ARBUCKLE |
CA |
95912 |
39.019971 |
-122.061021 |
16.3 |
1 |
1508103672 |
1508103672 |
1 |
1 |
AMIN, AJAYKUMAR APMC |
23-Oct-12 |
Physicians (026) |
PHYSICIANS |
20A9715 |
16 |
Obstetrics-Gynecology (M.D. Only) Neonatal |
0 |
In state provider |
19 |
Los Angeles |
None |
6901 S ATLANTIC AVE |
None |
BELL |
CA |
90201 |
33.97379 |
-118.18768 |
78.2ddd |
5336.03 |
1508881376 |
1508881376 |
2 |
1 |
ADVENTIST HEALTH REEDLEY |
1-Jan-12 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
54 |
Tulare |
None |
250 W EL MONTE WAY |
None |
DINUBA |
CA |
93618 |
36.545888 |
-119.396881 |
227.1 |
5.02 |
1518958313 |
1518958313 |
1 |
1 |
AMARA, DOMINIC P MD |
26-Jul-07 |
Physicians (026) |
PHYSICIANS |
G00076226 |
16 |
Obstetrics-Gynecology (M.D. Only) Neonatal |
0 |
In state provider |
49 |
Sonoma |
None |
181 ANDRIEUX ST |
STE 108 |
SONOMA |
CA |
95476 |
38.288118 |
-122.46158 |
208 |
1502.04 |
1528041779 |
1528041779 |
2 |
1 |
ADVENTIST HEALTH REEDLEY |
1-Dec-16 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
10 |
Fresno |
None |
16916 5TH STREET |
None |
HURON |
CA |
93234 |
36.200382 |
-120.101343 |
28 |
78.01 |
1528324167 |
1528324167 |
2 |
1 |
ADVENTIST HEALTH REEDLEY |
4-Dec-18 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
15 |
Kern |
None |
501 6TH STREET |
None |
TAFT |
CA |
93268 |
35.144162 |
-119.459223 |
57.2 |
35 |
1528365285 |
1528365285 |
1 |
1 |
AKRAM, TAHIRA MD INC |
1-Mar-11 |
Physicians (026) |
PHYSICIANS |
C00054187 |
16 |
Obstetrics-Gynecology (M.D. Only) Neonatal |
0 |
In state provider |
36 |
San Bernardino |
None |
12588-90 CENTRAL AVE |
None |
CHINO |
CA |
91710 |
34.024698 |
-117.689448 |
151a |
6.04 |
1538141627 |
1538141627 |
1 |
1 |
ADVENTIST MEDICAL HANFORD |
1-Mar-97 |
Community Hosp Outpatient (015) |
COMMUNITY OUTPATIENT HOSPITAL |
ZZT40121 |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
16 |
Kings |
None |
115 MALL DRIVE |
None |
HANFORD |
CA |
93230 |
36.327307 |
-119.668471 |
69 |
10.02 |
1558378463 |
1558378463 |
1 |
1 |
AGUILAR, JOSE E MD |
7-Mar-97 |
Physicians (026) |
PHYSICIANS |
A00022133 |
0 |
General Practioner (Dentists Only) |
0 |
In state provider |
30 |
Orange |
None |
1415 N BROADWAY |
None |
SANTA ANA |
CA |
92706 |
33.755782 |
-117.869733 |
116b |
750.03 |
1568567220 |
1568567220 |
1 |
1 |
ALL FOR HEALTH, HEALTH |
21-Nov-05 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
FOR ALL, INC |
519 E BROADWAY |
None |
GLENDALE |
CA |
91205 |
34.146338 |
-118.249859 |
78.2ee |
3020.02 |
1568798296 |
1568798296 |
1 |
1 |
AMIR G NASSERI MD PC |
29-Dec-09 |
Physicians (026) |
PHYSICIANS |
A00068974 |
16 |
Obstetrics-Gynecology (M.D. Only) Neonatal |
0 |
In state provider |
30 |
Orange |
None |
1155 W CENTRAL AVE |
STE 214 |
SANTA ANA |
CA |
92707 |
33.712562 |
-117.883916 |
116g |
740.05 |
1568827210 |
1568827210 |
1 |
1 |
ALTURA CENTERS FOR HEALTH |
11-Apr-18 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
54 |
Tulare |
None |
1500 W TULARE DRIVE |
None |
TULARE |
CA |
93274 |
36.206312 |
-119.368597 |
230 |
22.02 |
1578624672 |
1578624672 |
1 |
1 |
ARDMORE SPEC MED GROUP |
28-Apr-97 |
Physicians Group (022) |
PHYSICIANS GROUP |
FNP030539 |
16 |
Obstetrics-Gynecology (M.D. Only) Neonatal |
0 |
In state provider |
19 |
Los Angeles |
ARDMORE MED GRP INC |
3564 SANTA ANITA AVE |
STE A |
EL MONTE |
CA |
91731 |
34.074056 |
-118.041644 |
78.2oo |
4327 |
1598941825 |
1598941825 |
2 |
1 |
ADVENTIST HEALTH REEDLEY |
1-Dec-16 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
10 |
Fresno |
None |
811 E 11TH STREET |
None |
REEDLEY |
CA |
93654 |
36.603598 |
-119.440294 |
32 |
66.04 |
1609064435 |
1609064435 |
1 |
1 |
ADV WOMEN'S HEALTHCARE |
24-Feb-10 |
Physicians Group (022) |
PHYSICIANS GROUP |
FNP032887 |
16 |
Obstetrics-Gynecology (M.D. Only) Neonatal |
0 |
In state provider |
33 |
Riverside |
AMC |
79-200 CORPORATE CTR DR |
STE 201 |
LA QUINTA |
CA |
92253 |
33.710407 |
-116.2831 |
129.1 |
452.15 |
1609147743 |
1609147743 |
1 |
1 |
APHCV-EL MONTE/ROSEMEAD HLTH |
14-Jan-13 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
VENTURE INC |
9960 BALDWIN PLACE |
None |
EL MONTE |
CA |
91731 |
34.071217 |
-118.052506 |
78.2qqq |
4331.01 |
1609249994 |
1609249994 |
1 |
1 |
AXIS COMMUNITY HEALTH |
27-Jul-17 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
1 |
Alameda |
None |
5925 W LAS POSITAS BLVD |
STE 100 |
PLEASANTON |
CA |
94588 |
37.683516 |
-121.89916 |
2k |
4507.43 |
1639194004 |
1639194004 |
1 |
1 |
AMPLA HEALTH GRIDLEY MEDICAL |
25-Mar-97 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
4 |
Butte |
None |
520 KENTUCKY ST |
None |
GRIDLEY |
CA |
95948 |
39.363794 |
-121.696554 |
9 |
35.01 |
1639400260 |
1639400260 |
1 |
1 |
ASSUTA FAMILY MEDICAL GROUP |
18-Feb-10 |
Physicians Group (022) |
PHYSICIANS GROUP |
None |
1 |
General Practice |
0 |
In state provider |
19 |
Los Angeles |
APMC |
12922 VICTORY BLVD |
None |
NORTH HOLLYWOOD |
CA |
91606 |
34.186685 |
-118.41488 |
78.2bb |
1234.2 |
1679626436 |
1679626436 |
2 |
1 |
AZUL MEDICAL CLINIC INC |
4-Aug-15 |
Physicians Group (022) |
PHYSICIANS GROUP |
None |
1 |
General Practice |
0 |
In state provider |
19 |
Los Angeles |
None |
6517 EASTERN AVE |
None |
BELL GARDENS |
CA |
90201 |
33.974093 |
-118.163952 |
78.2c |
5341.01 |
1679819742 |
1679819742 |
1 |
1 |
ADVENTIST HEALTH REEDLEY |
1-Feb-14 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
10 |
Fresno |
None |
3567 W MOUNT WHITNEY AVE |
None |
RIVERDALE |
CA |
93656 |
36.430776 |
-119.862118 |
30 |
77 |
1689011637 |
1689011637 |
1 |
1 |
ALTURA CENTERS FOR HEALTH |
17-Sep-13 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
54 |
Tulare |
None |
3035 E BARDSLEY AVE |
None |
TULARE |
CA |
93274 |
36.196097 |
-119.505561 |
230 |
21 |
1689699415 |
1689699415 |
1 |
1 |
AMPLA HEALTH HAMILTON CITY |
25-Mar-97 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
11 |
Glenn |
None |
278 MAIN STREET |
None |
HAMILTON CITY |
CA |
95951 |
39.741273 |
-122.011779 |
36.2 |
105.01 |
1699758003 |
1699758003 |
2 |
1 |
ADVENTIST HEALTH REEDLEY |
2-Oct-18 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
16 |
Kings |
None |
810 E D STREET |
None |
LEMOORE |
CA |
93245 |
36.299488 |
-119.768013 |
69 |
4.05 |
1699883157 |
1699883157 |
1 |
1 |
APODACA, LEONEL JR MD |
1-Mar-97 |
Physicians (026) |
PHYSICIANS |
G00066374 |
41 |
Internal Medicine |
0 |
In state provider |
10 |
Fresno |
None |
1165 PHELPS AVE |
STE 101 |
COALINGA |
CA |
93210 |
36.15096 |
-120.335866 |
27 |
79.02 |
1700910080 |
1700910080 |
1 |
1 |
ARVIN COMMUNITY HEALTH |
1-Jun-00 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
15 |
Kern |
ARVIN COMMUNITY HEALTH |
1305 BEAR MOUNTAIN BLVD |
None |
ARVIN |
CA |
93203 |
35.208978 |
-118.838883 |
61 |
63.03 |
1710105408 |
1710105408 |
1 |
1 |
AXIS COMMUNITY HEALTH |
1-Mar-97 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
1 |
Alameda |
None |
3311 PACIFIC AVE |
None |
LIVERMORE |
CA |
94550 |
37.67615 |
-121.755169 |
1.2 |
4515.01 |
1710191283 |
1710191283 |
1 |
1 |
ALTAMED HEALTH SERVICES |
28-Apr-97 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
CORPORATION |
9436 SLAUSON AVE |
None |
PICO RIVERA |
CA |
90660 |
33.968332 |
-118.096522 |
78.2ww |
5026.01 |
1710218409 |
1710218409 |
1 |
1 |
ALLIANCE MEDICAL CTR WINDSOR |
24-Apr-14 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
49 |
Sonoma |
None |
8465 OLD REDWOOD HWY |
SUITE 320 |
WINDSOR |
CA |
95492 |
38.543841 |
-122.801258 |
205.2 |
1538.08 |
1720459514 |
1720459514 |
1 |
1 |
ADVENTIST HEALTH REEDLEY |
4-Dec-17 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
20 |
Madera |
None |
11976 ROAD 37 |
None |
MADERA |
CA |
93636 |
36.92305 |
-119.876131 |
80 |
5.09 |
1730119553 |
1730119553 |
1 |
2 |
AFFILIATED PATHOLOGISTS |
8-May-13 |
Physicians Group (022) |
PHYSICIANS GROUP |
None |
22 |
Pathology (M.D. only) |
0 |
In state provider |
19 |
Los Angeles |
None |
1225 WILSHIRE BLVD |
None |
LOS ANGELES |
CA |
90017 |
34.053179 |
-118.265299 |
78.2ffff |
2091.02 |
1730481318 |
1730481318 |
1 |
1 |
ALTAMED MEDICAL AND DENTAL |
14-Dec-11 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
CORPORATION |
1300 S SUNSET AVE |
None |
WEST COVINA |
CA |
91790 |
34.060137 |
-117.947437 |
78.2www |
4068 |
1730499872 |
1730499872 |
1 |
1 |
ANTELOPE VALLEY COMM CLINIC |
10-Jan-11 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
HEALTH & WELLNESS CENTER |
45104 10TH STREET WEST |
None |
LANCASTER |
CA |
93534 |
34.702493 |
-118.148144 |
77.1c |
9008.05 |
1740427657 |
1740427657 |
1 |
1 |
ALTAMED MEDICAL AND DENTAL G |
1-Apr-09 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
30 |
Orange |
SANTA ANA, MAIN |
1400 N MAIN ST |
None |
SANTA ANA |
CA |
92701 |
33.756667 |
-117.867582 |
116b |
750.04 |
1760651814 |
1760651814 |
1 |
1 |
ALTAMED MEDICAL GROUP |
9-Apr-09 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
30 |
Orange |
CORPORATION |
2720 S BRISTOL STREET |
SUITE 110 |
SANTA ANA |
CA |
92704 |
33.710916 |
-117.8854 |
116g |
740.05 |
1770006728 |
1770006728 |
1 |
1 |
ALTAMED MEDICAL AND DENTAL G |
24-Oct-18 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
CORPORATION |
972 GOODRICH BLVD |
None |
COMMERCE |
CA |
90022 |
34.018027 |
-118.154486 |
78.2c |
5323.03 |
1770649097 |
1770649097 |
1 |
1 |
ARDMORE SPEC MED GROUP |
28-Apr-97 |
Physicians Group (022) |
PHYSICIANS GROUP |
FNP030539 |
16 |
Obstetrics-Gynecology (M.D. Only) Neonatal |
0 |
In state provider |
19 |
Los Angeles |
None |
3500 WHITTIER BLVD |
STE 105 |
LOS ANGELES |
CA |
90023 |
34.026687 |
-118.198514 |
78.2h |
2049.1 |
1770653362 |
1770653362 |
1 |
1 |
ADVENTIST HEALTH UKIAH VALLE |
8-Sep-11 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
23 |
Mendocino |
None |
1050 N STATE ST |
None |
UKIAH |
CA |
95482 |
39.160088 |
-123.209058 |
93.1 |
115 |
1770920787 |
1770920787 |
1 |
1 |
ALLAN HANCOCK JOINT |
23-Dec-13 |
Exempt from Licensure Clinics (045) |
CLINIC EXEMP FROM LICENSURE |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
42 |
Santa Barbara |
COMMUNITY COLLEGE DIST |
800 S COLLEGE DRIVE |
None |
SANTA MARIA |
CA |
93454 |
34.944504 |
-120.424828 |
180.1 |
21.02 |
1790177582 |
1790177582 |
1 |
1 |
ALTAMED MEDICAL GROUP HUNTIN |
23-Oct-18 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
CORPORATION |
1900 E SLAUSON AVE |
None |
HUNTINGTON PARK |
CA |
90255 |
33.989207 |
-118.236549 |
78.2ccc |
5326.03 |
1801202676 |
1801202676 |
1 |
1 |
ANPHON MEDICAL CENTER |
22-Feb-18 |
Community Clinics (041) |
COMMUNITY CLINIC |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
None |
333 E NUTWOOD STREET |
SUITE C |
INGLEWOOD |
CA |
90301 |
33.9605 |
-118.351035 |
78.2q |
6010.01 |
1801829296 |
1801829296 |
1 |
1 |
AMPLA HEALTH LINDHURST |
25-Mar-97 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
58 |
Yuba |
MEDICAL & DENTAL |
4941 OLIVEHURST AVE |
None |
OLIVEHURST |
CA |
95961 |
39.097071 |
-121.551527 |
249 |
405 |
1811129091 |
1811129091 |
1 |
1 |
ASIAN PACIFIC HLTHCRE VENTUR |
31-May-11 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
VENTURE INC |
1575 W 2ND STREET |
None |
LOS ANGELES |
CA |
90026 |
34.061229 |
-118.263118 |
78.2ffff |
2083.02 |
1811914377 |
1811914377 |
2 |
1 |
ADVENTIST HEALTH REEDLEY |
1-Dec-16 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
10 |
Fresno |
None |
2141 HIGH STREET |
None |
SELMA |
CA |
93662 |
36.57026 |
-119.613523 |
30 |
70.02 |
1821132671 |
1821132671 |
1 |
1 |
AKA GR0003090 00G38477+ |
29-Apr-97 |
Physicians (026) |
PHYSICIANS |
G00038477 |
16 |
Obstetrics-Gynecology (M.D. Only) Neonatal |
0 |
In state provider |
19 |
Los Angeles |
None |
22110 ROSCOE BLVD |
STE 203 |
WEST HILLS |
CA |
91304 |
34.219627 |
-118.608082 |
78.2cccc |
1343.04 |
1821210329 |
1821210329 |
1 |
2 |
AKHAVAN, AFSHIN DO A PROFESS |
12-Apr-11 |
Physicians Group (022) |
PHYSICIANS GROUP |
None |
8 |
Family Practice |
0 |
In state provider |
19 |
Los Angeles |
None |
530 E WASHINGTON BLVD |
None |
LOS ANGELES |
CA |
90015 |
34.03393 |
-118.271189 |
78.2ffff |
2240.2 |
1821492836 |
1821492836 |
1 |
1 |
ADVANCED HEALTHCARE FOR |
24-Aug-15 |
Group Cert. Pediatric/Family NP (010) |
GROUP CERTIFIED NURSE PRACTITIONER |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
36 |
San Bernardino |
WOMEN AND CHILDREN A |
600 NORTH MOUNTAIN AVE |
SUITE A104 |
UPLAND |
CA |
91786 |
34.101605 |
-117.670115 |
151d |
8.23 |
1831115070 |
1831115070 |
1 |
1 |
AMPLA HEALTH YUBA CITY MED |
15-Sep-09 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
51 |
Sutter |
CENTER |
1000 SUTTER STREET |
None |
YUBA CITY |
CA |
95991 |
39.140392 |
-121.609917 |
216 |
502.02 |
1841476447 |
1841476447 |
1 |
1 |
ADVENTIST HLTH CLRLK HOS |
14-Nov-06 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
17 |
Lake |
FAMILY HEALTH CENTER |
15230 LAKESHORE DR |
None |
CLEARLAKE |
CA |
95422 |
38.949833 |
-122.627225 |
71.1 |
8.01 |
1861711863 |
1861711863 |
1 |
1 |
AME MEDICAL GROUP INC |
11-May-16 |
Physicians Group (022) |
PHYSICIANS GROUP |
None |
8 |
Family Practice |
0 |
In state provider |
19 |
Los Angeles |
None |
11942 PARAMOUNT BLVD |
STE B |
DOWNEY |
CA |
90242 |
33.933591 |
-118.144709 |
78.2sss |
5515.02 |
1861796161 |
1861796161 |
1 |
1 |
ARLINGTON CLINICA MEDICA FAM |
30-Mar-11 |
Physicians Group (022) |
PHYSICIANS GROUP |
None |
8 |
Family Practice |
0 |
In state provider |
33 |
Riverside |
A MEDICAL CORPORATION |
8151 ARLINGTON AVE |
STE U-V |
RIVERSIDE |
CA |
92503 |
33.946358 |
-117.459837 |
135d |
411.01 |
1871839027 |
1871839027 |
1 |
1 |
ADVENTIST HEALTH COMMUNITY |
1-Feb-14 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
10 |
Fresno |
None |
275 S MADERA AVE |
STE 201 |
KERMAN |
CA |
93630 |
36.732172 |
-120.060246 |
29 |
40.01 |
1881677292 |
1881677292 |
2 |
1 |
ADVENTIST HEALTH REEDLEY |
1-Dec-16 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
16 |
Kings |
None |
1212 HANNA AVENUE |
None |
CORCORAN |
CA |
93212 |
36.099724 |
-119.56245 |
68 |
14.02 |
1881847424 |
1881847424 |
1 |
1 |
ADVANCE URGENT MED GROUP INC |
6-Jan-10 |
Physicians Group (022) |
PHYSICIANS GROUP |
None |
41 |
Internal Medicine |
0 |
In state provider |
30 |
Orange |
None |
1401 W 1ST STREET |
STE 101 |
SANTA ANA |
CA |
92703 |
33.745446 |
-117.886918 |
116b |
748.01 |
1881930964 |
1881930964 |
1 |
1 |
ADVENTIST HEALTH REEDLEY |
1-Feb-14 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
10 |
Fresno |
None |
2357 W TAHOE |
None |
CARUTHERS |
CA |
93609 |
36.541741 |
-119.833791 |
30 |
75 |
1881941409 |
1881941409 |
1 |
1 |
ALESSANDRO CLINICA MEDICA |
28-Jan-13 |
Physicians Group (022) |
PHYSICIANS GROUP |
None |
1 |
General Practice |
0 |
In state provider |
33 |
Riverside |
PROFESSIONAL CORPORATION |
13925 INDIAN ST |
None |
MORENO VALLEY |
CA |
92553 |
33.918406 |
-117.234983 |
135g |
425.21 |
1891778114 |
1891778114 |
1 |
4 |
ALMOND WOMEN'S SERVICES |
24-May-19 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
20 |
Madera |
INTERMITTENT |
363 E ALMOND AVENUE |
SUITE 101 |
MADERA |
CA |
93637 |
36.945549 |
-120.053545 |
80 |
5.02 |
1902196256 |
1902196256 |
1 |
1 |
ARVIN MEDICAL CLINIC |
18-Oct-11 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
15 |
Kern |
INC |
146 N HILL ROAD |
None |
ARVIN |
CA |
93203 |
35.209734 |
-118.830934 |
61 |
63.01 |
1902267479 |
1902267479 |
1 |
1 |
ALTAMED MEDICAL AND DENTAL |
28-Jul-17 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
CORPORATION |
8627 ATLANTIC AVENUE |
None |
SOUTH GATE |
CA |
90280 |
33.954724 |
-118.18383 |
78.2sss |
5360 |
1902823461 |
1902823461 |
2 |
1 |
ADVENTIST HEALTH REEDLEY |
1-Dec-16 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
10 |
Fresno |
None |
1000 S MADERA AVE |
None |
KERMAN |
CA |
93630 |
36.720618 |
-120.060098 |
29 |
40.02 |
1912312273 |
1912312273 |
1 |
1 |
ARIA COMMUNITY HEALTH CENTER |
1-Dec-15 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
16 |
Kings |
CENTER |
148 E KINGS STREET |
None |
AVENAL |
CA |
93204 |
36.002543 |
-120.136991 |
67 |
17.01 |
1922276328 |
1922276328 |
1 |
1 |
ALTAMED MED & DENTAL |
5-Jan-05 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
None |
3945 WHITTIER BLVD |
None |
LOS ANGELES |
CA |
90023 |
34.02393 |
-118.187753 |
78.2d |
5312.02 |
1922490960 |
1922490960 |
1 |
1 |
AGHABY COMPREHENSIVE |
1-Sep-17 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
COMMUNITY HEALTH CENTER |
349 W COMPTON BLVD |
None |
COMPTON |
CA |
90220 |
33.895943 |
-118.227565 |
78.2bbb |
5425.02 |
1932169240 |
1932169240 |
1 |
1 |
AVENAL COMMUNITY HEALTH |
3-Oct-97 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
16 |
Kings |
PO BOX 700 |
1000 SKYLINE BLVD |
None |
AVENAL |
CA |
93204 |
36.006542 |
-120.124441 |
67 |
17.01 |
1932214657 |
1932214657 |
1 |
1 |
AJAY G MEKA MD INC |
7-Aug-06 |
Physicians Group (022) |
PHYSICIANS GROUP |
A00039761 |
41 |
Internal Medicine |
0 |
In state provider |
30 |
Orange |
None |
2740 S BRISTOL ST |
STE 208 |
SANTA ANA |
CA |
92704 |
33.710637 |
-117.885408 |
116g |
740.05 |
1942225719 |
1942225719 |
1 |
1 |
ANDERSON FAMILY HLTH CTR |
25-Sep-08 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
45 |
Shasta |
ANDERSON FAMILY HLTH CTR |
2801 SILVER ST |
None |
ANDERSON |
CA |
96007 |
40.446997 |
-122.299502 |
186 |
120 |
1942623657 |
1942623657 |
1 |
1 |
ANZA COMMUNITY HEALTH |
19-May-16 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
33 |
Riverside |
FOUNDATION |
58581 US HIGHWAY 371 |
SUITE H |
ANZA |
CA |
92539 |
33.55747 |
-116.638921 |
130 |
444.03 |
1952333635 |
1952333635 |
1 |
1 |
AMPLA HEALTH OROVILLE |
25-Mar-97 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
4 |
Butte |
MEDICAL & DENTAL |
2800 LINCOLN BLVD |
None |
OROVILLE |
CA |
95966 |
39.502499 |
-121.551712 |
10 |
30.02 |
1952628273 |
1952628273 |
1 |
1 |
ARANEZ, JOSE T MD INC |
29-Mar-12 |
Physicians (026) |
PHYSICIANS |
C00051587 |
16 |
Obstetrics-Gynecology (M.D. Only) Neonatal |
0 |
In state provider |
19 |
Los Angeles |
None |
2701 W ALAMEDA AVE |
STE 407 |
BURBANK |
CA |
91505 |
34.157535 |
-118.330146 |
78.2ttt |
3116 |
1962597807 |
1962597807 |
1 |
1 |
ADVANCED CA MED CTR INC |
25-Jan-05 |
Physicians (026) |
PHYSICIANS |
A00055154 |
16 |
Obstetrics-Gynecology (M.D. Only) Neonatal |
0 |
In state provider |
37 |
San Diego |
ADVANCED CA MED CTR INC |
10737 CAMINO RUIZ |
STE 114 |
SAN DIEGO |
CA |
92126 |
32.91375 |
-117.143814 |
161v |
83.57 |
1962688325 |
1962688325 |
1 |
1 |
ADLER, MITCHELL A MD APC |
10-Oct-08 |
Physicians Group (022) |
PHYSICIANS GROUP |
G00072287 |
16 |
Obstetrics-Gynecology (M.D. Only) Neonatal |
0 |
In state provider |
42 |
Santa Barbara |
None |
1300 E CYPRESS |
BLDG B |
SANTA MARIA |
CA |
93454 |
34.951072 |
-120.415673 |
180.1 |
22.11 |
1962805283 |
1962805283 |
1 |
2 |
ADVENTIST HEALTH COMMUNITY |
14-Sep-18 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
10 |
Fresno |
None |
550 W CYPRESS AVE |
None |
REEDLEY |
CA |
93654 |
36.607832 |
-119.45227 |
32 |
66.03 |
1982663795 |
1982663795 |
1 |
1 |
AHN, EDWARD S MD |
28-Apr-97 |
Physicians (026) |
PHYSICIANS |
A00040196 |
16 |
Obstetrics-Gynecology (M.D. Only) Neonatal |
0 |
In state provider |
19 |
Los Angeles |
None |
4620 BEVERLY BLVD |
None |
LOS ANGELES |
CA |
90004 |
34.076258 |
-118.309618 |
78.2g |
1924.2 |
1992873947 |
1992873947 |
1 |
1 |
ARDMORE MED GROUP INC |
12-Dec-05 |
Physicians Group (022) |
PHYSICIANS GROUP |
FNP030539 |
8 |
Family Practice |
0 |
In state provider |
19 |
Los Angeles |
None |
5953 ATLANTIC BLVD |
None |
MAYWOOD |
CA |
90270 |
33.98593 |
-118.185766 |
78.2ddd |
5334.03 |