Table: family_pact_providers_profile_cy_2019 , provider_business_legal_name like A*

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  *

provider_number npi_provider_number owner_number service_location_number provider_business_legal_name enrollment_status_effective_date provider_type_code provider_type_code_desc provider_license_number provider_specialty_code provider_specialty_code_desc out_of_state_ind out_of_state_ind_desc provider_address_county_code provider_address_county_code_description attention_line provider_address_line1 provider_address_line2 provider_address_city provider_address_state provider_address_zip provider_address_latitude provider_address_longitude mssa_id tract_id
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