| 1003173279 |
1003173279 |
1 |
1 |
CLINICA DE SALUD DEL VALLE |
2-Aug-18 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
44 |
Santa Cruz |
DE SALINAS |
29 BISHOP STREET |
SUITE A |
ROYAL OAKS |
CA |
95076 |
36.901764 |
-121.749238 |
109.1 |
101.01 |
| 1003961251 |
1003961251 |
1 |
1 |
CHILDRENS HOSP & RESEARCH |
11-Aug-97 |
Community Hosp Outpatient (015) |
COMMUNITY OUTPATIENT HOSPITAL |
10200776 |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
1 |
Alameda |
None |
747 52ND STREET |
None |
OAKLAND |
CA |
94609 |
37.837208 |
-122.268341 |
2c |
4010 |
| 1003995317 |
1003995317 |
1 |
1 |
CONTRA COSTA CO HLTH |
22-Jul-02 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
7 |
Contra Costa |
PITTSBURG HEALTH CO HLTH |
2311 LOVERIDGE RD |
None |
PITTSBURG |
CA |
94565 |
38.008133 |
-121.870803 |
18d |
3131.02 |
| 1013058106 |
1013058106 |
1 |
1 |
CLIN DE SALUD DEL VALLE |
7-May-97 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
27 |
Monterey |
VALLE DE SALINAS |
10561 MERRITT ST |
None |
CASTROVILLE |
CA |
95012 |
36.766872 |
-121.759584 |
108 |
104 |
| 1023116811 |
1023116811 |
1 |
1 |
CITY OF LONG BEACH DEPT |
28-Apr-97 |
Community Clinics (041) |
COMMUNITY CLINIC |
ZZT11624 |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
AND HUMAN SERVICES |
2525 GRAND AVE |
None |
LONG BEACH |
CA |
90815 |
33.802261 |
-118.148042 |
78.2lll |
5742.02 |
| 1023159811 |
1023159811 |
1 |
1 |
CLIN DE SALUD DEL VALLE |
1-Mar-97 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
27 |
Monterey |
VALLE DE SALINAS |
950 CIRCLE DR |
None |
SALINAS |
CA |
93905 |
36.679672 |
-121.627166 |
109.2 |
5.02 |
| 1023234465 |
1023234465 |
1 |
1 |
CLINICAS DEL CAMINO REAL |
1-Nov-00 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
56 |
Ventura |
None |
500 E MAIN ST |
None |
SANTA PAULA |
CA |
93060 |
34.351145 |
-119.068914 |
237 |
6 |
| 1023349883 |
1023349883 |
1 |
1 |
CENTRO MEDICO ESCONDIDO |
10-Dec-14 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
37 |
San Diego |
None |
1121 E WASHINGTON AVE |
None |
ESCONDIDO |
CA |
92025 |
33.13229 |
-117.069344 |
156e |
202.02 |
| 1033488416 |
1033488416 |
1 |
1 |
CENTRAL CITY COMM HLTH CTR |
15-Jun-13 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
33 |
Riverside |
HEALTH CENTER INC |
1860 HAMNER AVE |
None |
NORCO |
CA |
92860 |
33.909013 |
-117.561194 |
135e |
408.13 |
| 1043242142 |
1043242142 |
1 |
1 |
CALIFORNIA MEDICAL CLINC INC |
1-Mar-06 |
Physicians Group (022) |
PHYSICIANS GROUP |
None |
8 |
Family Practice |
0 |
In state provider |
36 |
San Bernardino |
None |
402 E HOLT BLVD |
None |
ONTARIO |
CA |
91761 |
34.063397 |
-117.647211 |
151c |
14 |
| 1043351133 |
1043351133 |
1 |
1 |
CLIN DE SALUD DEL VALLE |
1-Mar-97 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
27 |
Monterey |
VALLE DE SALINAS-GRNFLD |
808 OAK ST |
None |
GREENFIELD |
CA |
93927 |
36.321352 |
-121.242563 |
107 |
112.03 |
| 1043462443 |
1043462443 |
1 |
1 |
CLINICA FAMILIAR SAN LUCAS |
8-Apr-09 |
Physicians Group (022) |
PHYSICIANS GROUP |
None |
16 |
Obstetrics-Gynecology (M.D. Only) Neonatal |
0 |
In state provider |
19 |
Los Angeles |
None |
11050 S ATLANTIC AVE |
None |
LYNWOOD |
CA |
90262 |
33.929036 |
-118.184196 |
78.2ooo |
5400 |
| 1053452136 |
1053452136 |
1 |
1 |
CLN DE SAL DEL VAL SALIN |
1-Mar-97 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
27 |
Monterey |
SOLEDAD |
799 FRONT ST |
None |
SOLEDAD |
CA |
93960 |
36.424937 |
-121.326171 |
107 |
111.02 |
| 1063551257 |
1063551257 |
1 |
1 |
CLINICA MEDICA COMUNIDAD |
10-Feb-05 |
Physicians Group (022) |
PHYSICIANS GROUP |
FNP031642 |
38 |
Geriatrics |
0 |
In state provider |
19 |
Los Angeles |
CENTER INC |
10301 GARVEY AVE |
STE 100 |
EL MONTE |
CA |
91733 |
34.06274 |
-118.045845 |
78.2oo |
4332 |
| 1063748242 |
1063748242 |
1 |
1 |
CHAPCARE LAKE ELIZABETH |
8-Jul-13 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
OF PASADENA |
1595 NORTH LAKE AVENUE |
None |
PASADENA |
CA |
91104 |
34.173311 |
-118.132048 |
78.2hhh |
4615.01 |
| 1073512836 |
1073512836 |
1 |
1 |
CROWN CITY MEDICAL GROUP |
28-Apr-97 |
Physicians Group (022) |
PHYSICIANS GROUP |
FNP026820 |
8 |
Family Practice |
0 |
In state provider |
19 |
Los Angeles |
INC |
2661 E WASHINGTON BLVD |
None |
PASADENA |
CA |
91107 |
34.168874 |
-118.095061 |
78.2gggg |
4625 |
| 1073533089 |
1073533089 |
1 |
1 |
COMMUNITY HEALTH CENTERS |
1-Nov-05 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
40 |
San Luis Obispo |
ATASCADERO |
7512-7516 MORRO RD |
None |
ATASCADERO |
CA |
93422 |
35.474217 |
-120.668347 |
170 |
126 |
| 1073604716 |
1073604716 |
1 |
2 |
CARDINAL MEDICAL GROUP |
25-Jul-06 |
Physicians (026) |
PHYSICIANS |
A00035020 |
8 |
Family Practice |
0 |
In state provider |
19 |
Los Angeles |
None |
1655 S WESTERN AVE |
None |
LOS ANGELES |
CA |
90006 |
34.043072 |
-118.309019 |
78.2nnn |
2213.02 |
| 1073647350 |
1073647350 |
1 |
1 |
CENTRAL BAKERSFIELD COMMTY |
1-Mar-97 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
15 |
Kern |
HEALTH CENTER |
301 BRUNDAGE LN |
None |
BAKERSFIELD |
CA |
93304 |
35.353865 |
-119.004963 |
66b |
20 |
| 1083832927 |
1083832927 |
1 |
1 |
CHAO, STEPHEN C MD |
18-Aug-06 |
Physicians (026) |
PHYSICIANS |
G00031842 |
16 |
Obstetrics-Gynecology (M.D. Only) Neonatal |
0 |
In state provider |
36 |
San Bernardino |
None |
8110 MANGO AVE |
STE 106 |
FONTANA |
CA |
92335 |
34.106405 |
-117.431459 |
151h |
29.01 |
| 1093933194 |
1093933194 |
1 |
1 |
CLINICAS DEL CAMINO REAL |
31-Jul-06 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
56 |
Ventura |
NORTH OXNARD |
1200 N VENTURA RD |
STE E |
OXNARD |
CA |
93030 |
34.21371 |
-119.194442 |
241b |
33 |
| 1104024744 |
1104024744 |
2 |
1 |
CHILDRENS HOSPITAL LOS |
18-Jan-13 |
Physicians Group (022) |
PHYSICIANS GROUP |
None |
1 |
General Practice |
0 |
In state provider |
19 |
Los Angeles |
None |
5000 W SUNSET BLVD |
FL 4 |
LOS ANGELES |
CA |
90027 |
34.098139 |
-118.298323 |
78.2g |
1912.01 |
| 1104163781 |
1104163781 |
1 |
1 |
CHAVA, SREEDHAR MD INC |
1-Aug-13 |
Physicians Group (022) |
PHYSICIANS GROUP |
A00102291 |
8 |
Family Practice |
0 |
In state provider |
19 |
Los Angeles |
None |
1651 N HACIENDA BLVD |
None |
LA PUENTE |
CA |
91744 |
34.049085 |
-117.945495 |
78.2yyy |
4075.01 |
| 1104889724 |
1104889724 |
1 |
1 |
CHOU, SUSANNA I MD |
27-Jan-05 |
Physicians (026) |
PHYSICIANS |
A00073158 |
8 |
Family Practice |
0 |
In state provider |
37 |
San Diego |
None |
340 4TH AVE |
STE 5A |
CHULA VISTA |
CA |
91910 |
32.638989 |
-117.083532 |
161k |
127 |
| 1104906569 |
1104906569 |
1 |
1 |
COMMUNITY REGIONAL MEDICAL C |
1-Apr-00 |
Community Hosp Outpatient (015) |
COMMUNITY OUTPATIENT HOSPITAL |
40000096 |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
10 |
Fresno |
AND MEDICAL CENTER |
2823 FRESNO ST |
None |
FRESNO |
CA |
93721 |
36.742581 |
-119.783025 |
35c |
5.02 |
| 1114057163 |
1114057163 |
1 |
1 |
CHAPA-DE IND HLTH PROGAM |
15-Oct-09 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
31 |
Placer |
PROGRAM |
11670 ATWOOD RD |
None |
AUBURN |
CA |
95603 |
38.934832 |
-121.09919 |
119 |
215.01 |
| 1124045042 |
1124045042 |
1 |
1 |
COMMUNITY HLTH CENTERS PASO |
1-Nov-05 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
40 |
San Luis Obispo |
OF THE CENTRAL COAST INC |
416 SPRING ST |
SUITE A |
PASO ROBLES |
CA |
93446 |
35.618604 |
-120.690713 |
173 |
101.02 |
| 1124045158 |
1124045158 |
1 |
1 |
COMMUNITY HEALTH CENTERS |
1-Nov-05 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
40 |
San Luis Obispo |
WOMEN'S HEALTH |
1551 BISHOP ST |
STE 240 |
SAN LUIS OBISPO |
CA |
93401 |
35.274341 |
-120.646177 |
172 |
110.02 |
| 1124073366 |
1124073366 |
1 |
1 |
CHILDRENS HOSPITAL OF LA |
10-Nov-08 |
Community Hosp Outpatient (015) |
COMMUNITY OUTPATIENT HOSPITAL |
190000170 |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
None |
4650 W SUNSET BLVD |
None |
LOS ANGELES |
CA |
90027 |
34.098158 |
-118.29221 |
78.2g |
1912.01 |
| 1124115431 |
1124115431 |
1 |
1 |
CLIN DE SALUD DEL PUEBLO |
1-Mar-97 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
33 |
Riverside |
None |
321 W HOBSONWAY |
STE C |
BLYTHE |
CA |
92225 |
33.61031 |
-114.599743 |
126 |
461.02 |
| 1134208853 |
1134208853 |
1 |
1 |
CARREON, JORGE F MD INC |
8-May-98 |
Physicians (026) |
PHYSICIANS |
A00032576 |
0 |
General Practioner (Dentists Only) |
0 |
In state provider |
19 |
Los Angeles |
None |
4500 TWEEDY BLVD |
None |
SOUTH GATE |
CA |
90280 |
33.942777 |
-118.192708 |
78.2sss |
5359.02 |
| 1134369366 |
1134369366 |
1 |
1 |
CLINICAS DEL CAMINO REAL |
17-Sep-09 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
56 |
Ventura |
INC, EL RIO |
221 VENTURA BLVD |
STE 126 |
OXNARD |
CA |
93036 |
34.233356 |
-119.171593 |
241b |
50.03 |
| 1134482326 |
1134482326 |
1 |
1 |
CSC COMMUNITY HEALTH CENTER |
8-Sep-15 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
None |
320 SOUTH GARFIELD AVE |
SUITE 118 |
ALHAMBRA |
CA |
91801 |
34.09196 |
-118.124621 |
78.2eeee |
4810.02 |
| 1144340670 |
1144340670 |
1 |
1 |
CAL STATE UNIVERSITY |
3-Oct-06 |
Exempt from Licensure Clinics (045) |
CLINIC EXEMP FROM LICENSURE |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
37 |
San Diego |
SAN MARCOS |
120 CRAVEN ROAD |
STE 100 |
SAN MARCOS |
CA |
92078 |
33.127973 |
-117.177269 |
156c |
200.26 |
| 1154455434 |
1154455434 |
1 |
1 |
CLINICA SIERRA VISTA |
1-Mar-97 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
15 |
Kern |
None |
1508 GARCES HWY |
STE 1 |
DELANO |
CA |
93215 |
35.761345 |
-119.237152 |
60 |
50.03 |
| 1154461580 |
1154461580 |
1 |
1 |
CA STATE UNIV |
11-Jun-08 |
Exempt from Licensure Clinics (045) |
CLINIC EXEMP FROM LICENSURE |
CLF1239 |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
NORTHRIDGE KLOTZ |
18111 NORDHOFF ST |
None |
NORTHRIDGE |
CA |
91330 |
34.235482 |
-118.527572 |
78.2kk |
1152.02 |
| 1154480069 |
1154480069 |
1 |
1 |
CENTRO MEDICO EL CAJON |
22-May-08 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
37 |
San Diego |
FOUNDATION |
133 WEST MAIN STREET |
STE 100 |
EL CAJON |
CA |
92020 |
32.794864 |
-116.962732 |
161h |
158.02 |
| 1154487148 |
1154487148 |
1 |
1 |
COUNTY HEALTH CLINIC |
1-Mar-97 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
42 |
Santa Barbara |
COUNTY HEALTH CLINIC |
2115 CENTERPOINTE PKWY |
None |
SANTA MARIA |
CA |
93455 |
34.922699 |
-120.428604 |
180.1 |
20.07 |
| 1174727143 |
1174727143 |
1 |
1 |
COUNTY OF MONTEREY |
1-Aug-97 |
Physicians Group (022) |
PHYSICIANS GROUP |
None |
8 |
Family Practice |
0 |
In state provider |
27 |
Monterey |
None |
1441 CONSTITUTION BLVD |
None |
SALINAS |
CA |
93906 |
36.696798 |
-121.62963 |
109.2 |
106.08 |
| 1174757967 |
1174757967 |
1 |
1 |
CENTRAL CITY COMM HLTH CTR |
1-Sep-10 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
30 |
Orange |
HEALTH CENTER INC |
12116 BEACH BLVD |
None |
STANTON |
CA |
90680 |
33.786171 |
-117.992846 |
116r |
881.04 |
| 1174833974 |
1174833974 |
1 |
1 |
CLINICA MEDICA DEL SOL GROUP |
21-Dec-10 |
Physicians Group (022) |
PHYSICIANS GROUP |
None |
1 |
General Practice |
0 |
In state provider |
19 |
Los Angeles |
INC |
1431 NO HACIENDA BLVD |
None |
LA PUENTE |
CA |
91744 |
34.046278 |
-117.948614 |
78.2yyy |
4075.01 |
| 1174859425 |
1174859425 |
1 |
1 |
COMMUNITY HEALTH CENTERS |
8-Mar-10 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
42 |
Santa Barbara |
None |
1418 EAST MAIN STREET |
SUITE 210 |
SANTA MARIA |
CA |
93454 |
34.9529 |
-120.413575 |
180.1 |
22.11 |
| 1184793143 |
1184793143 |
1 |
1 |
CABRILLO COLLEGE |
28-Sep-11 |
Exempt from Licensure Clinics (045) |
CLINIC EXEMP FROM LICENSURE |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
44 |
Santa Cruz |
DISTRICT |
6500 SOQUEL DR |
SHS ROOM 912 |
APTOS |
CA |
95003 |
36.988843 |
-121.927115 |
185.1 |
1220.03 |
| 1194804401 |
1194804401 |
1 |
1 |
CONTRA COSTA REG MED CTR |
22-Jul-02 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
7 |
Contra Costa |
BAY POINT FAMILY HEALTH |
215 PACIFICA AVE |
None |
BAY POINT |
CA |
94565 |
38.034024 |
-121.966407 |
18d |
3142 |
| 1194853861 |
1194853861 |
1 |
1 |
COUNTY OF MONTEREY |
25-Feb-02 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
27 |
Monterey |
None |
559 E ALISAL ST |
STE 201 |
SALINAS |
CA |
93905 |
36.673821 |
-121.636401 |
109.2 |
5.01 |
| 1205940145 |
1205940145 |
1 |
1 |
CORONA COMMUNITY HEALTH CTR |
1-Mar-97 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
33 |
Riverside |
None |
2813 S MAIN ST |
None |
CORONA |
CA |
92882 |
33.846532 |
-117.570809 |
135f |
418.08 |
| 1215007893 |
1215007893 |
1 |
1 |
CONTRA COSTA COUNTY |
22-Jul-02 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
7 |
Contra Costa |
CONCORD HEALTH CENTER |
3052 WILLOW PASS RD |
None |
CONCORD |
CA |
94519 |
37.980801 |
-122.021313 |
18c |
3300 |
| 1215022918 |
1215022918 |
1 |
1 |
CLINICA MEDICA CALIFORNIA |
26-Jun-07 |
Physicians Group (022) |
PHYSICIANS GROUP |
None |
8 |
Family Practice |
0 |
In state provider |
36 |
San Bernardino |
INC |
16701 VALLEY BLVD |
STE F |
FONTANA |
CA |
92335 |
34.070327 |
-117.439997 |
151f |
33.01 |
| 1215100417 |
1215100417 |
1 |
1 |
CLINICA WESTERN FAMILY |
28-Apr-97 |
Physicians (026) |
PHYSICIANS |
A044079 |
1 |
General Practice |
0 |
In state provider |
19 |
Los Angeles |
None |
875 N WESTERN AVE |
None |
LOS ANGELES |
CA |
90029 |
34.086121 |
-118.309136 |
78.2g |
1916.1 |
| 1215903018 |
1215903018 |
1 |
1 |
COMM MEMORIAL HOSP SAN |
1-Mar-97 |
Community Hosp Outpatient (015) |
COMMUNITY OUTPATIENT HOSPITAL |
561700473 |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
56 |
Ventura |
None |
147 N BRENT ST |
None |
VENTURA |
CA |
93003 |
34.274201 |
-119.257241 |
241c |
19 |
| 1225061856 |
1225061856 |
1 |
1 |
CHEN, LUNING MD |
30-Oct-02 |
Physicians (026) |
PHYSICIANS |
A00067442 |
8 |
Family Practice |
0 |
In state provider |
19 |
Los Angeles |
MEDICAL CORPORATION |
737 GARFIELD AVE |
#A |
ALHAMBRA |
CA |
91801 |
34.101705 |
-118.13147 |
78.2eeee |
4804 |
| 1225163991 |
1225163991 |
1 |
1 |
CAMPOS, LELYS MD |
28-Apr-97 |
Physicians (026) |
PHYSICIANS |
A00036358 |
1 |
General Practice |
0 |
In state provider |
19 |
Los Angeles |
None |
8809 SUNLAND BLVD |
None |
SUN VALLEY |
CA |
91352 |
34.228796 |
-118.36636 |
78.2ppp |
1211.02 |
| 1225177751 |
1225177751 |
1 |
1 |
CRENSHAW COMM HLTH CTR |
18-Aug-03 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
CORPOATION |
3756 SANTA ROSALIA DR |
STE 400 |
LOS ANGELES |
CA |
90008 |
34.00844 |
-118.338719 |
78.2nnn |
2361 |
| 1225254055 |
1225254055 |
1 |
1 |
CLINICA MEDICA FAMILIAR |
29-Mar-05 |
Physicians Group (022) |
PHYSICIANS GROUP |
FNP030239 |
8 |
Family Practice |
0 |
In state provider |
19 |
Los Angeles |
SAN JUDAS INC |
3900 W 3RD ST |
None |
LOS ANGELES |
CA |
90020 |
34.06902 |
-118.299221 |
78.2e |
2119.1 |
| 1225299860 |
1225299860 |
1 |
1 |
CERRITOS COLLEGE |
19-Feb-09 |
Exempt from Licensure Clinics (045) |
CLINIC EXEMP FROM LICENSURE |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
DISTRICT |
11110 ALONDRA BLVD |
None |
NORWALK |
CA |
90650 |
33.887484 |
-118.097463 |
78.2jjjj |
5529 |
| 1225347438 |
1225347438 |
1 |
1 |
CHAN, CONSTANT K S MD INC |
1-Jul-11 |
Physicians (026) |
PHYSICIANS |
A00040174 |
8 |
Family Practice |
0 |
In state provider |
19 |
Los Angeles |
None |
10007 STATE STREET |
None |
LYNWOOD |
CA |
90262 |
33.944162 |
-118.213807 |
78.2ccc |
5402.01 |
| 1235245275 |
1235245275 |
1 |
1 |
CLINICA ALTA VISTA |
21-Aug-06 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
1 |
Alameda |
CLINICA ALTA VISTA |
1515 FRUITVALE AVE |
None |
OAKLAND |
CA |
94601 |
37.778916 |
-122.225196 |
2d |
4062.02 |
| 1235283094 |
1235283094 |
1 |
1 |
CENTRAL CITY COMM HLTH |
1-Aug-03 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
HEALTH CENTER INC |
5970 S CENTRAL AVE |
None |
LOS ANGELES |
CA |
90001 |
33.985662 |
-118.256441 |
78.2ggg |
2392.02 |
| 1235317561 |
1235317561 |
1 |
1 |
CARE ONE MEDICAL CENTER |
11-Mar-08 |
Physicians Group (022) |
PHYSICIANS GROUP |
None |
8 |
Family Practice |
0 |
In state provider |
19 |
Los Angeles |
None |
1722 SOUTH DESIRE AVE |
SUITE 102 |
ROWLAND HEIGHTS |
CA |
91478 |
33.987392 |
-117.89638 |
78.2pp |
4087.04 |
| 1235500513 |
1235500513 |
1 |
1 |
COMMUNITY MEDICAL WELLNESS |
15-Aug-17 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
CENTERS USA |
1360 E ANAHEIM ST |
SUITE 101 |
LONG BEACH |
CA |
90813 |
33.782589 |
-118.174821 |
78.2jjj |
5764.02 |
| 1245261023 |
1245261023 |
1 |
2 |
CLINICA MEDICA FAMILIAR Y DE |
6-Jun-19 |
Physicians Group (022) |
PHYSICIANS GROUP |
None |
1 |
General Practice |
0 |
In state provider |
19 |
Los Angeles |
NTAL |
833 W WHITTIER BLVD |
None |
MONTEBELLO |
CA |
90640 |
34.010196 |
-118.108726 |
78.2ww |
5301.02 |
| 1245366715 |
1245366715 |
1 |
1 |
CENTRO MEDICO COMM CLNC |
5-Feb-03 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
33 |
Riverside |
None |
1307 W 6TH ST |
STE 113 |
CORONA |
CA |
92882 |
33.877807 |
-117.588941 |
135d |
417.03 |
| 1255490819 |
1255490819 |
1 |
1 |
CENTRO MEDICO OASIS |
22-May-08 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
33 |
Riverside |
CENTRO MEDICO OASIS |
88775 AVE 76 |
STE 1 |
THERMAL |
CA |
92274 |
33.498948 |
-116.117237 |
128 |
456.05 |
| 1265569008 |
1265569008 |
1 |
1 |
CLINICA CHOC PARA NINOS |
18-Jan-05 |
Community Clinics (041) |
COMMUNITY CLINIC |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
30 |
Orange |
None |
406 S MAIN ST |
None |
SANTA ANA |
CA |
92701 |
33.742201 |
-117.867666 |
116g |
746.01 |
| 1265585038 |
1265585038 |
1 |
1 |
CHAMBI, MIRNA R MD INC |
23-Oct-03 |
Physicians (026) |
PHYSICIANS |
A53149 |
1 |
General Practice |
0 |
In state provider |
30 |
Orange |
None |
7151 LINCOLN AVE |
STE B |
BUENA PARK |
CA |
90620 |
33.832005 |
-118.008373 |
116a |
1102.01 |
| 1265766166 |
1265766166 |
1 |
1 |
CALIF PRENATAL MED GROUP |
28-Apr-97 |
Physicians (026) |
PHYSICIANS |
G66009 |
16 |
Obstetrics-Gynecology (M.D. Only) Neonatal |
0 |
In state provider |
19 |
Los Angeles |
None |
105 N HILL |
STE 203 |
PASADENA |
CA |
91106 |
34.147846 |
-118.121359 |
78.2hhh |
4623.02 |
| 1275550295 |
1275550295 |
1 |
1 |
COMMUNITY HEALTH CENTERS |
1-Nov-05 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
40 |
San Luis Obispo |
AT TEMPLETON |
1330 LAS TABLAS RD |
None |
TEMPLETON |
CA |
93465 |
35.554381 |
-120.723461 |
170 |
127.04 |
| 1275553257 |
1275553257 |
1 |
1 |
COMMUNITY HEALTH CENTERS |
1-Nov-05 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
40 |
San Luis Obispo |
SAN LUIS OBISPO |
1551 BISHOP ST |
STE B260 |
SAN LUIS OBISPO |
CA |
93401 |
35.274341 |
-120.646177 |
172 |
110.02 |
| 1275629495 |
1275629495 |
1 |
1 |
CLINICA MSR OSCAR ROMERO |
1-Apr-00 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
None |
123 S ALVARADO ST |
None |
LOS ANGELES |
CA |
90057 |
34.066074 |
-118.270693 |
78.2ffff |
2085.02 |
| 1275974461 |
1275974461 |
1 |
1 |
CENTER FOR WOMENS HEALTH |
4-Apr-14 |
Community Clinics (041) |
COMMUNITY CLINIC |
550002625 |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
42 |
Santa Barbara |
CENTERS |
210 SOUTH PALISADE DRIVE |
SUITE 101 |
SANTA MARIA |
CA |
93454 |
34.951946 |
-120.412113 |
180.1 |
22.11 |
| 1285059923 |
1285059923 |
1 |
1 |
COMMUNITY MEDICAL CENTERS |
14-Dec-15 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
39 |
San Joaquin |
APCC |
1031 WATERLOO ROAD |
None |
STOCKTON |
CA |
95205 |
37.967107 |
-121.272467 |
169b |
16 |
| 1285788059 |
1285788059 |
1 |
1 |
CENTRAL CITY COMM HLTH CTR |
15-Jun-07 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
30 |
Orange |
None |
2237 W BALL RD |
None |
ANAHEIM |
CA |
92804 |
33.817761 |
-117.961234 |
116c |
877.01 |
| 1316033533 |
1316033533 |
1 |
1 |
CLINICA MSR OSCAR A ROMERO |
31-May-05 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
None |
2032 MARENGO ST |
None |
LOS ANGELES |
CA |
90033 |
34.056602 |
-118.207395 |
78.2ffff |
2033 |
| 1316188253 |
1316188253 |
1 |
1 |
CONEJO VALLEY FAMILY MED |
31-Aug-17 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
56 |
Ventura |
None |
125 W THOUSAND OAKS BLVD |
SUITE 300 |
THOUSAND OAKS |
CA |
91360 |
34.17869 |
-118.88096 |
240b |
69 |
| 1316970932 |
1316970932 |
1 |
1 |
CMCLA PATHOLOGY MED GRP |
1-Feb-11 |
Physicians Group (022) |
PHYSICIANS GROUP |
FNP020595 |
22 |
Pathology (M.D. only) |
0 |
In state provider |
19 |
Los Angeles |
None |
1401 S GRAND AVE |
None |
LOS ANGELES |
CA |
90015 |
34.03718 |
-118.265408 |
78.2ffff |
2240.1 |
| 1326065103 |
1326065103 |
1 |
1 |
COMMUNITY HEALTH CTRS |
1-Mar-12 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
42 |
Santa Barbara |
OF THE CENTRAL COAST INC |
425 W CENTRAL AVE |
SUITES 201-203 |
LOMPOC |
CA |
93436 |
34.658257 |
-120.451591 |
179 |
28.02 |
| 1326133083 |
1326133083 |
1 |
1 |
CALIFORNIA MEDICAL CLINIC IN |
26-Jun-07 |
Physicians Group (022) |
PHYSICIANS GROUP |
FNP001458 |
8 |
Family Practice |
0 |
In state provider |
33 |
Riverside |
C. |
23900 IRONWOOD AVE |
STE F |
MORENO VALLEY |
CA |
92557 |
33.94659 |
-117.245981 |
135g |
424.05 |
| 1336311679 |
1336311679 |
1 |
1 |
COMMUNITY MED CTRS, INC |
10-Jan-08 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
48 |
Solano |
None |
600 NUT TREE RD |
STE 310 |
VACAVILLE |
CA |
95687 |
38.361369 |
-121.949662 |
202a |
2529.11 |
| 1346250347 |
1346250347 |
1 |
1 |
CATALINA ISLAND MED CTR |
8-Jul-97 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
CENTER |
100 FALLS CANYON ROAD |
None |
AVALON |
CA |
90704 |
33.339766 |
-118.335504 |
78.1 |
5990 |
| 1356341671 |
1356341671 |
1 |
1 |
CLINICA MEDICA SANTA MAR |
24-Apr-97 |
Physicians (026) |
PHYSICIANS |
A00050002 |
1 |
General Practice |
0 |
In state provider |
44 |
Santa Cruz |
CLINICA MEDICA SANTA MAR |
21 BRENNAN ST |
STE 21 |
WATSONVILLE |
CA |
95076 |
36.913352 |
-121.75762 |
184 |
1103 |
| 1356362743 |
1356362743 |
1 |
2 |
COMPREHENSIVE COMMUNITY HEAL |
23-Sep-19 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
INTERMITTENT |
5059 YORK BLVD |
None |
LOS ANGELES |
CA |
90042 |
34.121237 |
-118.205626 |
78.2i |
1834.01 |
| 1356455299 |
1356455299 |
1 |
1 |
COUNTY OF RIVERSIDE |
17-Jul-08 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
33 |
Riverside |
COUNTY OF RIVERSIDE |
5256 MISSION BLVD |
None |
RIVERSIDE |
CA |
92509 |
33.992644 |
-117.398662 |
135a |
402.03 |
| 1356723936 |
1356723936 |
1 |
1 |
COMMUNITY MEDICAL CENTERS E |
7-Oct-16 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
39 |
San Joaquin |
INC |
1801 E MARCH LANE |
SUITE D-470 |
STOCKTON |
CA |
95210 |
38.003429 |
-121.285555 |
169a |
34.09 |
| 1366422776 |
1366422776 |
1 |
1 |
CSUEB STUDENT HEALTH SER |
24-Oct-01 |
Physicians Group (022) |
PHYSICIANS GROUP |
None |
1 |
General Practice |
0 |
In state provider |
1 |
Alameda |
EAST BAY |
25800 CARLOS BEE BLVD |
None |
HAYWARD |
CA |
94542 |
37.65876 |
-122.061939 |
2f |
4351.02 |
| 1366648016 |
1366648016 |
1 |
1 |
COUNTY OF STANISLAUS |
1-Mar-97 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
50 |
Stanislaus |
HUGHSON MEDICAL OFFICE |
2412 3RD STREET |
STE B |
HUGHSON |
CA |
95326 |
37.596486 |
-120.866613 |
214 |
29.02 |
| 1376560151 |
1376560151 |
1 |
1 |
COMMUNITY HEALTH CTRS |
1-Nov-05 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
42 |
Santa Barbara |
GUADALUPE |
4723 WEST MAIN STREET |
SUITE H |
GUADALUPE |
CA |
93434 |
34.957569 |
-120.576642 |
180.2 |
25.02 |
| 1376654566 |
1376654566 |
1 |
1 |
CROWNOVER, DAVID W MD |
1-Jan-12 |
Physicians (026) |
PHYSICIANS |
C00054069 |
16 |
Obstetrics-Gynecology (M.D. Only) Neonatal |
0 |
In state provider |
56 |
Ventura |
None |
147 N BRENT STREET |
None |
VENTURA |
CA |
93003 |
34.274201 |
-119.257241 |
241c |
19 |
| 1376659896 |
1376659896 |
1 |
1 |
CALIF STATE UNIV SACTO |
17-Feb-03 |
Physicians Group (022) |
PHYSICIANS GROUP |
None |
8 |
Family Practice |
0 |
In state provider |
34 |
Sacramento |
STUDENT HEALTH CENTER |
6000 J ST |
None |
SACRAMENTO |
CA |
95819 |
38.566806 |
-121.427834 |
139g |
52.01 |
| 1376684456 |
1376684456 |
1 |
1 |
CLINICA DE SALUD DEL VALLE |
1-Mar-97 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
27 |
Monterey |
DE SALINAS-KING CITY |
122 E SAN ANTONIO DR |
None |
KING CITY |
CA |
93930 |
36.222736 |
-121.126067 |
105 |
113.04 |
| 1376761940 |
1376761940 |
1 |
1 |
CENTRAL MEDICAL CLINIC |
1-Feb-13 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
None |
3533 W PICO BLVD |
None |
LOS ANGELES |
CA |
90019 |
34.047164 |
-118.319297 |
78.2e |
2181.2 |
| 1386611242 |
1386611242 |
1 |
1 |
CARSTENS, HERMAN A MD |
1-Mar-97 |
Physicians (026) |
PHYSICIANS |
A00034747 |
16 |
Obstetrics-Gynecology (M.D. Only) Neonatal |
0 |
In state provider |
33 |
Riverside |
CLINIC OF OB & GYN P C |
6926 BROCKTON AVE |
STE 7 |
RIVERSIDE |
CA |
92506 |
33.948018 |
-117.396781 |
135c |
311 |
| 1386723690 |
1386723690 |
1 |
1 |
CONTRA COSTA COUNTY |
22-Jul-02 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
7 |
Contra Costa |
MARTINEZ HEALTH CTR |
2500 ALHAMBRA AVE |
None |
MARTINEZ |
CA |
94553 |
38.006474 |
-122.130888 |
18a |
3180 |
| 1396879680 |
1396879680 |
1 |
1 |
CLINICA SIERRA VISTA |
1-Sep-04 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
15 |
Kern |
COMMUNITY HEALTH CENTER |
2400 WIBLE RD |
STE 14 |
BAKERSFIELD |
CA |
93304 |
35.333159 |
-119.038949 |
66b |
29 |
| 1396961884 |
1396961884 |
1 |
1 |
CLINICAS DEL CAMINO REAL |
1-Mar-97 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
56 |
Ventura |
OXNARD |
650 META ST |
None |
OXNARD |
CA |
93030 |
34.195704 |
-119.176003 |
241b |
91 |
| 1407032212 |
1407032212 |
1 |
1 |
CITY HEIGHTS FAMILY HEALTH |
1-Jul-04 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
37 |
San Diego |
DIEGO INC |
5454 EL CAJON BLVD |
None |
SAN DIEGO |
CA |
92115 |
32.758146 |
-117.077666 |
161d |
27.08 |
| 1417036484 |
1417036484 |
1 |
1 |
CONTRA COSTA COUNTY |
22-Jul-02 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
7 |
Contra Costa |
RICHMOND HEALTH CENTER |
100 38TH ST |
None |
RICHMOND |
CA |
94805 |
37.933705 |
-122.333316 |
18f |
3810 |
| 1427046754 |
1427046754 |
1 |
1 |
CHINATOWN SERVICE CENTER |
28-Apr-97 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
FAMILY HEALTH CLINIC |
767 N HILL ST |
STE 200 |
LOS ANGELES |
CA |
90012 |
34.062104 |
-118.239871 |
78.2ffff |
2071.02 |
| 1427121375 |
1427121375 |
1 |
1 |
CHILDRENS HOSP ORANGE CO |
9-Aug-05 |
Community Clinics (041) |
COMMUNITY CLINIC |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
30 |
Orange |
None |
455 S MAIN ST |
None |
ORANGE |
CA |
92868 |
33.78126 |
-117.867223 |
116h |
760 |
| 1427123504 |
1427123504 |
1 |
1 |
CLINICA MED INTRNACIONAL |
28-Apr-97 |
Physicians (026) |
PHYSICIANS |
A00035730 |
16 |
Obstetrics-Gynecology (M.D. Only) Neonatal |
0 |
In state provider |
19 |
Los Angeles |
CLINICA MED INTER MD CTR |
7444 LANKERSHIM BLVD |
None |
NORTH HOLLYWOOD |
CA |
91605 |
34.205981 |
-118.387785 |
78.2bb |
1224.1 |
| 1427276278 |
1427276278 |
1 |
1 |
CLINICAS DEL CAMINO REAL |
20-Jan-05 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
56 |
Ventura |
INC-OCEANVIEW |
4400 OLDS RD |
None |
OXNARD |
CA |
93033 |
34.156849 |
-119.148869 |
241a |
47.15 |
| 1437407582 |
1437407582 |
1 |
1 |
CAMARENA HEALTH |
13-Dec-12 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
20 |
Madera |
None |
49169 ROAD 426 |
None |
OAKHURST |
CA |
93644 |
37.328044 |
-119.648057 |
79.1 |
1.04 |
| 1437577103 |
1437577103 |
1 |
1 |
COLLEGE OF THE CANYONS STUDE |
8-Sep-15 |
Exempt from Licensure Clinics (045) |
CLINIC EXEMP FROM LICENSURE |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
COLLEGE DISTRICT |
26455 ROCKWELL CANYON RD |
None |
SANTA CLARITA |
CA |
91355 |
34.40725 |
-118.567505 |
76.1a |
9203.3 |
| 1447277355 |
1447277355 |
1 |
1 |
COMMUNITY HEALTH CENTERS |
1-Nov-05 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
42 |
Santa Barbara |
SANTA MARIA |
2801 SANTA MARIA WAY |
BLDG A |
SANTA MARIA |
CA |
93455 |
34.90929 |
-120.433971 |
180.1 |
20.07 |
| 1447281746 |
1447281746 |
2 |
1 |
CASTLE FAMILY HEALTH CENTER |
5-Oct-07 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
24 |
Merced |
CENTERS INC |
6596 N WINTON WAY |
None |
WINTON |
CA |
95388 |
37.39712 |
-120.613309 |
96 |
5.04 |
| 1447309885 |
1447309885 |
1 |
1 |
CAMARENA HEALTH |
25-Jul-06 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
24 |
Merced |
None |
300 PROSPERITY BLVD |
BUILDING A & B |
CHOWCHILLA |
CA |
93610 |
37.109626 |
-120.269855 |
79.2 |
3 |
| 1447391719 |
1447391719 |
1 |
1 |
CHENMING AND MARGARET HU |
14-Feb-19 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
1 |
Alameda |
None |
818 WEBSTER ST |
None |
OAKLAND |
CA |
94607 |
37.799398 |
-122.271306 |
2c |
4030 |
| 1457744476 |
1457744476 |
1 |
1 |
COMMUNITY MEDICINE, INC |
1-Mar-18 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
None |
8540 ALONDRA BLVD |
SUITE B-2 |
PARAMOUNT |
CA |
90723 |
33.889147 |
-118.150562 |
78.2m |
5539.02 |
| 1467411744 |
1467411744 |
1 |
1 |
CARDIN, JOHN P JR MD |
28-Apr-97 |
Physicians (026) |
PHYSICIANS |
A00041250 |
16 |
Obstetrics-Gynecology (M.D. Only) Neonatal |
0 |
In state provider |
19 |
Los Angeles |
None |
2880 ATLANTIC AVE |
STE 230 |
LONG BEACH |
CA |
90806 |
33.809514 |
-118.184973 |
78.2lll |
5722.02 |
| 1477632784 |
1477632784 |
1 |
1 |
CONTRA COSTA COUNTY |
22-Jul-02 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
7 |
Contra Costa |
BRENTWOOD HEALTH CENTER |
118 OAK ST |
None |
BRENTWOOD |
CA |
94513 |
37.933726 |
-121.692856 |
17 |
3031.03 |
| 1477694263 |
1477694263 |
1 |
1 |
CLIN DE SALUD DEL VALLE |
1-Mar-97 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
27 |
Monterey |
VALLE DE SALINAS-SANBORN |
219 N SANBORN RD |
None |
SALINAS |
CA |
93905 |
36.677503 |
-121.626509 |
109.2 |
5.02 |
| 1487011847 |
1487011847 |
1 |
1 |
COMMUNITY HEIGHTS FAMILY MED |
23-Jun-17 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
37 |
San Diego |
COMMUNITY SERVICES INC |
4690 EL CAJON BLVD |
None |
SAN DIEGO |
CA |
92115 |
32.755936 |
-117.093302 |
161e |
23.01 |
| 1487659116 |
1487659116 |
1 |
1 |
CLINICA MEDICA FATIMA MEDICA |
28-Apr-97 |
Physicians Group (022) |
PHYSICIANS GROUP |
None |
1 |
General Practice |
0 |
In state provider |
19 |
Los Angeles |
CLINICA MEDICA FATIMA |
820 S ALVARADO ST |
None |
LOS ANGELES |
CA |
90057 |
34.054569 |
-118.27802 |
78.2b |
2094.02 |
| 1497702724 |
1497702724 |
1 |
1 |
CADUCEUS MEDICAL GROUP |
6-Oct-17 |
Physicians Group (022) |
PHYSICIANS GROUP |
FNP026171 |
8 |
Family Practice |
0 |
In state provider |
30 |
Orange |
MEDICAL GROUP INC |
18210 YORBA LINDA BLVD |
SUITE 404 |
YORBA LINDA |
CA |
92886 |
33.888487 |
-117.816183 |
116m |
218.02 |
| 1497776322 |
1497776322 |
1 |
1 |
CENTRO MEDICO INC |
27-Jul-98 |
Physicians Group (022) |
PHYSICIANS GROUP |
FNP019887 |
1 |
General Practice |
0 |
In state provider |
19 |
Los Angeles |
CENTRO MEDICO INC |
11946 S HAWTHORNE BLVD |
None |
HAWTHORNE |
CA |
90250 |
33.924681 |
-118.352379 |
78.2r |
6021.04 |
| 1497778443 |
1497778443 |
2 |
1 |
CASTLE FAMILY HEALTH |
27-Sep-00 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
24 |
Merced |
CENTERS INC |
1251 GROVE ST |
None |
ATWATER |
CA |
95301 |
37.350908 |
-120.607161 |
96 |
7.01 |
| 1497882252 |
1497882252 |
1 |
2 |
COMMUNITY HEALTH CARE CLINIC |
7-Dec-17 |
Community Clinics (041) |
COMMUNITY CLINIC |
550003737 |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
ASSOCIATION, INC |
922 S ATLANTIC BLVD |
None |
LOS ANGELES |
CA |
90022 |
34.019813 |
-118.157453 |
78.2d |
5317.02 |
| 1508046251 |
1508046251 |
2 |
1 |
CLINICA PRENATAL SAN JOSE |
29-Jan-18 |
Physicians (026) |
PHYSICIANS |
A91309 |
16 |
Obstetrics-Gynecology (M.D. Only) Neonatal |
0 |
In state provider |
30 |
Orange |
INC |
1220 HEMLOCK WAY |
SUITE 200 |
SANTA ANA |
CA |
92707 |
33.709838 |
-117.884585 |
116g |
740.05 |
| 1518046846 |
1518046846 |
1 |
1 |
CONTRA COSTA REG MED CTR |
22-Jul-02 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
7 |
Contra Costa |
ANTIOCH HEALTH CENTER |
3505 LONE TREE WAY |
STE 1&4 |
ANTIOCH |
CA |
94509 |
37.988292 |
-121.80722 |
18e |
3080.01 |
| 1518161629 |
1518161629 |
1 |
1 |
CLINICA MEDICA ABC |
22-Jun-12 |
Physicians (026) |
PHYSICIANS |
A00100277 |
1 |
General Practice |
0 |
In state provider |
19 |
Los Angeles |
None |
14350 VICTORY BLVD |
UNIT 3 |
VAN NUYS |
CA |
91401 |
34.186665 |
-118.445453 |
78.2cc |
1281.02 |
| 1518183904 |
1518183904 |
1 |
1 |
CLINICAS DEL CAMINO REAL |
1-Nov-00 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
56 |
Ventura |
MARAVILLA |
450 W CLARA ST |
None |
OXNARD |
CA |
93033 |
34.151193 |
-119.182212 |
241b |
45.06 |
| 1528245511 |
1528245511 |
1 |
1 |
CHILDREN'S CLINIC |
1-Nov-06 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
FAMILY HEALTH CENTER |
730 W 3RD ST |
None |
LONG BEACH |
CA |
90802 |
33.770528 |
-118.201285 |
78.2jjj |
5759.01 |
| 1528319449 |
1528319449 |
1 |
1 |
CLINIC FOR WOMEN ANAHEIM |
22-Oct-14 |
Physicians Group (022) |
PHYSICIANS GROUP |
None |
16 |
Obstetrics-Gynecology (M.D. Only) Neonatal |
0 |
In state provider |
30 |
Orange |
None |
947 S ANAHEIM BLVD |
SUITE 240 |
ANAHEIM |
CA |
92805 |
33.822047 |
-117.90948 |
116l |
874.05 |
| 1528477882 |
1528477882 |
1 |
1 |
CENTRAL CITY COMMUNITY HLTH |
2-Dec-15 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
550003010 |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
HEALTH CENTER INC |
13742 AMAR ROAD |
None |
LA PUENTE |
CA |
91746 |
34.054017 |
-117.977387 |
78.2yyy |
4071.01 |
| 1538344437 |
1538344437 |
1 |
2 |
CENTRO MEDICO GUADALUPANO |
25-Jul-16 |
Physicians (026) |
PHYSICIANS |
A56273 |
1 |
General Practice |
0 |
In state provider |
19 |
Los Angeles |
None |
10132 CALIFORNIA AVE |
None |
SOUTH GATE |
CA |
90280 |
33.942359 |
-118.207811 |
78.2ccc |
5358.02 |
| 1538500798 |
1538500798 |
1 |
1 |
COMFORT FAMILY CLINIC INC |
5-Mar-15 |
Physicians Group (022) |
PHYSICIANS GROUP |
None |
16 |
Obstetrics-Gynecology (M.D. Only) Neonatal |
0 |
In state provider |
19 |
Los Angeles |
None |
215 W ANAHEIM ST |
None |
WILMINGTON |
CA |
90744 |
33.779897 |
-118.263905 |
78.2p |
2948.2 |
| 1548535685 |
1548535685 |
1 |
1 |
COX, LUCIEN O MD INC A |
1-Feb-16 |
Physicians (026) |
PHYSICIANS |
A34370 |
16 |
Obstetrics-Gynecology (M.D. Only) Neonatal |
0 |
In state provider |
19 |
Los Angeles |
PROFESSIONAL CORPORATION |
1127 WILSHIRE BLVD |
STE 700 |
LOS ANGELES |
CA |
90017 |
34.05251 |
-118.26375 |
78.2ffff |
2092 |
| 1548648801 |
1548648801 |
1 |
1 |
CHC TEMPLETON WOMENS HEALTH |
5-Jul-16 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
40 |
San Luis Obispo |
OF THE CENTRAL COAST INC |
292 POSADA LANE |
STE A |
TEMPLETON |
CA |
93465 |
35.553456 |
-120.721421 |
170 |
127.04 |
| 1558491043 |
1558491043 |
1 |
1 |
COMPRECARE HEALTH CENTER |
1-Mar-97 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
43 |
Santa Clara |
NETWORK INC |
3030 ALUM ROCK AVE |
None |
SAN JOSE |
CA |
95127 |
37.365085 |
-121.829369 |
183e |
5040.01 |
| 1568567600 |
1568567600 |
1 |
1 |
CLINICA MEDICA FAMILIAR |
6-Oct-08 |
Physicians Group (022) |
PHYSICIANS GROUP |
FNP035653 |
8 |
Family Practice |
0 |
In state provider |
36 |
San Bernardino |
CORPORATION |
10563 MILLS AVE |
None |
MONTCLAIR |
CA |
91763 |
34.062204 |
-117.717686 |
151c |
3.01 |
| 1568599769 |
1568599769 |
1 |
1 |
CHOC CLINIC GARDEN GROVE |
2-Oct-06 |
Community Clinics (041) |
COMMUNITY CLINIC |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
30 |
Orange |
None |
10602 CHAPMAN AVE |
None |
GARDEN GROVE |
CA |
92840 |
33.788587 |
-117.948506 |
116r |
883.02 |
| 1578567038 |
1578567038 |
1 |
1 |
CLINICA MEDICA LA SAGRADA |
13-Aug-97 |
Physicians Group (022) |
PHYSICIANS GROUP |
FNP018256 |
1 |
General Practice |
0 |
In state provider |
19 |
Los Angeles |
LA SAGRADA FAMILIA |
15955 PARAMOUNT BLVD |
STE A |
PARAMOUNT |
CA |
90723 |
33.887704 |
-118.16015 |
78.2m |
5538.02 |
| 1578690111 |
1578690111 |
1 |
1 |
CRAFTON HILLS COLLEGE |
30-Mar-11 |
Exempt from Licensure Clinics (045) |
CLINIC EXEMP FROM LICENSURE |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
36 |
San Bernardino |
COLLEGE DISTRICT |
11711 SAND CANYON RD |
None |
YUCAIPA |
CA |
92399 |
34.039961 |
-117.106402 |
151j |
87.06 |
| 1578763207 |
1578763207 |
1 |
1 |
CRENSHAW COMMUNITY CLINIC |
2-Jan-13 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
None |
3631 CRENSHAW BLVD |
SUITE 109 |
LOS ANGELES |
CA |
90016 |
34.022751 |
-118.335126 |
78.2nnn |
2200 |
| 1578808200 |
1578808200 |
1 |
1 |
CHAPCARE VACCO |
4-Feb-14 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
PASADENA |
10408 VACCO ST |
STE A |
SOUTH EL MONTE |
CA |
91733 |
34.047396 |
-118.044698 |
78.2yyy |
4337 |
| 1588086771 |
1588086771 |
1 |
1 |
CAMARENA HEALTH A STREET |
20-Oct-14 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
20 |
Madera |
None |
124 SOUTH A STREET |
None |
MADERA |
CA |
93638 |
36.964478 |
-120.055059 |
80 |
8 |
| 1598064008 |
1598064008 |
1 |
1 |
COMMUNITY HEALTH CENTERS |
30-Jan-12 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
40 |
San Luis Obispo |
THE CENTRAL COAST INC |
260 STATION WAY |
None |
ARROYO GRANDE |
CA |
93420 |
35.119778 |
-120.57798 |
171 |
118 |
| 1598075442 |
1598075442 |
1 |
1 |
COMMUNITY PEDIATRIC CLINIC |
23-Jul-14 |
Physicians (026) |
PHYSICIANS |
None |
40 |
Pediatrics, Periodontist (Dentists Only) |
0 |
In state provider |
19 |
Los Angeles |
INC |
10210 ORR AND DAY RD |
STE A |
SANTA FE SPRINGS |
CA |
90670 |
33.944232 |
-118.090502 |
78.2vv |
5028.01 |
| 1609000405 |
1609000405 |
1 |
1 |
CHULA VISTA FMLY HLTH CTR |
4-Feb-09 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
37 |
San Diego |
SAN DIEGO |
251 LANDIS |
None |
CHULA VISTA |
CA |
91910 |
32.642413 |
-117.081483 |
161k |
123.02 |
| 1609291996 |
1609291996 |
1 |
1 |
CLINICAS DEL CAMINO REAL INC |
21-Mar-16 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
56 |
Ventura |
None |
4370 EVE ROAD |
None |
SIMI VALLEY |
CA |
93063 |
34.28261 |
-118.709576 |
240a |
84.01 |
| 1609932276 |
1609932276 |
1 |
1 |
COUNTY HLTH CLIN LOMPOC |
1-Mar-97 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
42 |
Santa Barbara |
COUNTY HLTH CLIN LOMPOC |
301 N R ST |
None |
LOMPOC |
CA |
93436 |
34.642342 |
-120.47052 |
179 |
27.02 |
| 1619036514 |
1619036514 |
1 |
1 |
CENTRO MEDICO CTHDRL CTY |
22-May-08 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
33 |
Riverside |
CENTRO MEDICO CTHDRL CTY |
69175 RAMON ROAD |
STE A |
CATHEDRAL CITY |
CA |
92234 |
33.815899 |
-116.456507 |
129.4 |
9406 |
| 1619154606 |
1619154606 |
1 |
1 |
CHILDREN'S CLINIC |
1-Nov-06 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
FAMILY HEALTH CENTER |
1060 E 70TH ST |
None |
LONG BEACH |
CA |
90805 |
33.881841 |
-118.179432 |
78.2iii |
5702.02 |
| 1619232808 |
1619232808 |
1 |
1 |
CRUZ, MARILOU G MD INC |
19-Jun-13 |
Physicians (026) |
PHYSICIANS |
A44484 |
40 |
Pediatrics, Periodontist (Dentists Only) |
0 |
In state provider |
19 |
Los Angeles |
None |
8535 FLORENCE AVE |
SUITE 201 |
DOWNEY |
CA |
90240 |
33.949367 |
-118.120853 |
78.2eee |
5506.02 |
| 1629070461 |
1629070461 |
1 |
1 |
CLINICA SIERRA VISTA INC |
13-Jan-09 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
15 |
Kern |
CENTER |
8787 HALL RD |
None |
LAMONT |
CA |
93241 |
35.259734 |
-118.907169 |
61 |
64.01 |
| 1629269618 |
1629269618 |
1 |
1 |
CLINICA DEL VALLE DEL PA |
18-May-07 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
44 |
Santa Cruz |
CLINICA DEL VALLE DEL PA |
45 NIELSON ST |
None |
WATSONVILLE |
CA |
95076 |
36.92829 |
-121.792529 |
184 |
1106 |
| 1639100027 |
1639100027 |
2 |
1 |
CASTLE FAMILY HEALTH CTR |
27-Sep-00 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
24 |
Merced |
CENTERS INC |
3605 HOSPITAL RD |
None |
ATWATER |
CA |
95301 |
37.364981 |
-120.57606 |
96 |
5.03 |
| 1639336803 |
1639336803 |
1 |
1 |
CENTRAL NEIGHBORHOOD HEALTH |
18-Aug-10 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
FOUNDATION |
2707 S CENTRAL AVE |
None |
LOS ANGELES |
CA |
90011 |
34.017418 |
-118.255486 |
78.2l |
2267 |
| 1639449135 |
1639449135 |
1 |
1 |
CARING FOR WOMEN |
17-Jan-12 |
Physicians (026) |
PHYSICIANS |
20A11655 |
9 |
Gynecology (D.O. only) |
0 |
In state provider |
33 |
Riverside |
None |
79440 CORPORATE CENTER D |
STE 102 |
LA QUINTA |
CA |
92253 |
33.709326 |
-116.278767 |
129.1 |
452.15 |
| 1649269747 |
1649269747 |
1 |
1 |
CLIN DE SALUD DEL PUEBLO |
1-Mar-97 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
13 |
Imperial |
PUEBLO |
900 MAIN ST |
None |
BRAWLEY |
CA |
92227 |
32.978601 |
-115.528657 |
50 |
107 |
| 1649598772 |
1649598772 |
1 |
1 |
CLINICA MEDICA DE LA MORA |
10-Aug-10 |
Physicians Group (022) |
PHYSICIANS GROUP |
None |
1 |
General Practice |
0 |
In state provider |
37 |
San Diego |
INC |
995 GATEWAY CENTER WAY |
STE 202 |
SAN DIEGO |
CA |
92102 |
32.71406 |
-117.115796 |
161g |
34.03 |
| 1659373017 |
1659373017 |
1 |
1 |
CENTRAL BAKERSFIELD COMMTY |
13-Jan-09 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
15 |
Kern |
HEALTH CENTER |
301 BRUNDAGE LN |
None |
BAKERSFIELD |
CA |
93304 |
35.353865 |
-119.004963 |
66b |
20 |
| 1669658373 |
1669658373 |
1 |
1 |
CHASE AVE FAMILY HEALTH |
27-Sep-00 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
37 |
San Diego |
CENTER |
1111 WEST CHASE AVE |
None |
EL CAJON |
CA |
92020 |
32.781491 |
-116.976242 |
161h |
159.02 |
| 1669720157 |
1669720157 |
1 |
1 |
COMMUNITY MEDICAL CENTERS |
1-Apr-15 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
39 |
San Joaquin |
INC |
2015 S MARIPOSA RD |
None |
STOCKTON |
CA |
95205 |
37.939244 |
-121.244788 |
169b |
21 |
| 1669881926 |
1669881926 |
1 |
1 |
CENTRAL CITY COMMUNITY HLTH |
2-Dec-15 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
HEALTH CENTER INC |
4126 N MAINE AVE |
None |
BALDWIN PARK |
CA |
91706 |
34.087158 |
-117.960362 |
78.2zzz |
4051.02 |
| 1679553192 |
1679553192 |
1 |
1 |
COMPREHENSIVE COMM HLTH |
23-Feb-05 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
HEALTH CTR-EAGLE ROCK |
1704 COLORADO BLVD |
None |
LOS ANGELES |
CA |
90041 |
34.139343 |
-118.203853 |
78.2dd |
1814 |
| 1679600852 |
1679600852 |
1 |
1 |
CHOC CLINIC BOYS & GIRLS |
5-Oct-05 |
Community Clinics (041) |
COMMUNITY CLINIC |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
30 |
Orange |
CHOC CLINIC BOYS & GIRLS |
1000 HIGHLAND ST |
None |
SANTA ANA |
CA |
92703 |
33.737216 |
-117.878662 |
116g |
749.02 |
| 1679607964 |
1679607964 |
1 |
1 |
CLINICA SIERRA VISTA |
21-Jun-05 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
15 |
Kern |
COMMUNITY HEALTH CENTER |
2525 N CHESTER AVE |
None |
BAKERSFIELD |
CA |
93308 |
35.429211 |
-119.021322 |
66a |
1.01 |
| 1679626428 |
1679626428 |
1 |
1 |
CLINICA SALUD & FAMILIA |
21-Jan-11 |
Group Cert. Pediatric/Family NP (010) |
GROUP CERTIFIED NURSE PRACTITIONER |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
CORPORATION NURSING |
1019 E HOLT AVE |
None |
POMONA |
CA |
91767 |
34.062863 |
-117.730336 |
78.2ss |
4027.02 |
| 1679713192 |
1679713192 |
1 |
1 |
CLINICA INTERNACIONAL |
19-Jun-09 |
Physicians Group (022) |
PHYSICIANS GROUP |
FNP038747 |
1 |
General Practice |
0 |
In state provider |
37 |
San Diego |
BUENA SALUD INC |
3802 NATIONAL AVE |
None |
SAN DIEGO |
CA |
92113 |
32.696022 |
-117.112387 |
161c |
36.02 |
| 1679846190 |
1679846190 |
1 |
1 |
CLINICA MEDICA LA ROSS |
8-Aug-13 |
Physicians (026) |
PHYSICIANS |
A00064270 |
8 |
Family Practice |
0 |
In state provider |
36 |
San Bernardino |
None |
15381 7TH ST |
STE 2-3 |
VICTORVILLE |
CA |
92395 |
34.531206 |
-117.298456 |
145.1a |
98 |
| 1689048241 |
1689048241 |
1 |
1 |
CLINICA DE SALUD DEL VALLE |
6-Dec-18 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
27 |
Monterey |
None |
126 FIFTH ST |
None |
GONZALES |
CA |
93926 |
36.508372 |
-121.444503 |
107 |
108.04 |
| 1700023942 |
1700023942 |
1 |
1 |
CHAVA, SREEDHAR MD INC |
5-Aug-13 |
Physicians Group (022) |
PHYSICIANS GROUP |
A00102291 |
8 |
Family Practice |
0 |
In state provider |
19 |
Los Angeles |
None |
3580 SANTA ANITA AVE |
STE A |
EL MONTE |
CA |
91731 |
34.074604 |
-118.041542 |
78.2oo |
4327 |
| 1700373008 |
1700373008 |
1 |
1 |
COMMUNITY MEDICAL CENTERS WE |
21-Dec-18 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
39 |
San Joaquin |
INC |
7912 WEST LANE |
SUITE 221 |
STOCKTON |
CA |
95210 |
38.021118 |
-121.294776 |
169a |
34.05 |
| 1700976503 |
1700976503 |
1 |
3 |
COMMUNITY HLTH CLIN OLE |
10-Sep-04 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
28 |
Napa |
None |
1141 PEAR TREE LN |
None |
NAPA |
CA |
94558 |
38.321291 |
-122.29228 |
112.2 |
2005.04 |
| 1710164702 |
1710164702 |
1 |
1 |
CHILDREN'S CLINIC, THE |
15-Aug-99 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
None |
455 E COLUMBIA ST |
STE 201 |
LONG BEACH |
CA |
90806 |
33.808978 |
-118.187329 |
78.2lll |
5722.02 |
| 1710211214 |
1710211214 |
1 |
1 |
COMMUNITY MEDICAL CENTER |
8-Jan-13 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
39 |
San Joaquin |
INC |
200 COTTAGE AVE |
SUITE 103 |
MANTECA |
CA |
95336 |
37.799232 |
-121.198208 |
164.1 |
51.1 |
| 1720362056 |
1720362056 |
1 |
1 |
CLINICAS DEL CAMINO REAL INC |
28-Jan-12 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
56 |
Ventura |
None |
1424 MADERA RD |
None |
SIMI VALLEY |
CA |
93065 |
34.265329 |
-118.796221 |
240c |
77 |
| 1720395874 |
1720395874 |
1 |
1 |
CHAP-DEL MAR |
8-Jul-13 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
PASADENA |
3160 E DEL MAR BLVD |
STE 100 |
PASADENA |
CA |
91107 |
34.142202 |
-118.085156 |
78.2mm |
4632 |
| 1730136680 |
1730136680 |
1 |
3 |
CAPITAL OB/GYN INC |
10-Oct-11 |
Physicians Group (022) |
PHYSICIANS GROUP |
None |
16 |
Obstetrics-Gynecology (M.D. Only) Neonatal |
0 |
In state provider |
34 |
Sacramento |
None |
8120 TIMBERLAKE WAY |
STE 201 |
SACRAMENTO |
CA |
95823 |
38.46171 |
-121.413243 |
139h |
96.06 |
| 1730231523 |
1730231523 |
1 |
1 |
CESAR VELEZ MEDICAL |
3-Mar-06 |
Physicians Group (022) |
PHYSICIANS GROUP |
FNP34580 |
1 |
General Practice |
0 |
In state provider |
19 |
Los Angeles |
GROUP INC |
1411 W SUNSET BLVD |
STE 203 |
LOS ANGELES |
CA |
90026 |
34.074475 |
-118.25227 |
78.2a |
1973 |
| 1730237116 |
1730237116 |
1 |
1 |
CHICO FEM WOMENS HEALTH |
1-Mar-97 |
Community Clinics (041) |
COMMUNITY CLINIC |
40301222 |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
4 |
Butte |
None |
1469 HUMBOLDT RD |
FL 2 |
CHICO |
CA |
95928 |
39.735489 |
-121.81523 |
7.1 |
9.03 |
| 1730249947 |
1730249947 |
1 |
1 |
CENTRO MEDICO, COACHELLA |
27-Mar-12 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
33 |
Riverside |
CENTRO MEDICO, COACHELLA |
55497 VAN BUREN STREET |
None |
THERMAL |
CA |
92274 |
33.645673 |
-116.198785 |
128 |
456.09 |
| 1730310236 |
1730310236 |
1 |
1 |
COUNTY OF SOLANO |
26-Oct-09 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
48 |
Solano |
None |
365 TUOLUMNE ST |
None |
VALLEJO |
CA |
94590 |
38.102682 |
-122.238282 |
204 |
2512 |
| 1730360579 |
1730360579 |
1 |
2 |
CLINICA MEDICA CENTRO |
19-Dec-11 |
Physicians Group (022) |
PHYSICIANS GROUP |
None |
8 |
Family Practice |
0 |
In state provider |
36 |
San Bernardino |
HISPANO INC |
2336 N SIERRA WAY |
None |
SAN BERNARDINO |
CA |
92405 |
34.137242 |
-117.285187 |
151g |
53 |
| 1750703237 |
1750703237 |
1 |
1 |
CLOVIS COMMUNITY HEALTH CTR |
2-Jun-14 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
10 |
Fresno |
None |
180 W SHAW AVENUE |
SUITE B |
CLOVIS |
CA |
93612 |
36.808413 |
-119.713397 |
35b |
31.02 |
| 1790701514 |
1790701514 |
1 |
1 |
CLINICA MEDICA FAMILIAR DE S |
28-Apr-97 |
Physicians Group (022) |
PHYSICIANS GROUP |
G37709 |
8 |
Family Practice |
0 |
In state provider |
30 |
Orange |
ANTA ANA |
517 N MAIN ST |
STE 100 |
SANTA ANA |
CA |
92701 |
33.749393 |
-117.867605 |
116b |
750.02 |
| 1801955125 |
1801955125 |
1 |
1 |
CARPINTERIA COMM HLTH |
1-Mar-97 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
42 |
Santa Barbara |
CARPINTERIA COMM HLTH CT |
931 WALNUT AVE |
None |
CARPINTERIA |
CA |
93013 |
34.396949 |
-119.517038 |
177 |
16.04 |
| 1811258510 |
1811258510 |
2 |
14 |
COMMUNITY FOUNDATION MEDICAL |
22-Oct-14 |
Physicians Group (022) |
PHYSICIANS GROUP |
None |
1 |
General Practice |
0 |
In state provider |
10 |
Fresno |
GROUP |
2210 E ILLINOIS AVE |
STE 505 |
FRESNO |
CA |
93701 |
36.74503 |
-119.78478 |
35c |
5.02 |
| 1811258510 |
1811258510 |
2 |
16 |
COMMUNITY FOUNDATION MEDICAL |
22-Oct-14 |
Physicians Group (022) |
PHYSICIANS GROUP |
None |
1 |
General Practice |
0 |
In state provider |
10 |
Fresno |
GROUP |
2570 JENSEN AVE |
STE 103 |
SANGER |
CA |
93657 |
36.706751 |
-119.573385 |
31 |
60 |
| 1821215914 |
1821215914 |
1 |
1 |
CUZCATLAN MEDICAL CLINIC |
18-Aug-03 |
Physicians Group (022) |
PHYSICIANS GROUP |
FNP025800 |
1 |
General Practice |
0 |
In state provider |
19 |
Los Angeles |
CUZCATLAN MEDICAL CLINIC |
3559 E GAGE AVE |
None |
BELL |
CA |
90201 |
33.979609 |
-118.201578 |
78.2ddd |
5336.01 |
| 1821278771 |
1821278771 |
1 |
2 |
CHOI, JOON MD APC |
23-Nov-15 |
Physicians (026) |
PHYSICIANS |
G80351 |
16 |
Obstetrics-Gynecology (M.D. Only) Neonatal |
0 |
In state provider |
19 |
Los Angeles |
None |
1577 E CHEVY CHASE DRIVE |
SUITE 110 |
GLENDALE |
CA |
91206 |
34.153201 |
-118.229688 |
78.2ee |
3010 |
| 1841556404 |
1841556404 |
1 |
1 |
CLINICAS DEL CAMINO REAL INC |
3-Jul-12 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
56 |
Ventura |
MOORPARK |
4279 TIERRA REJADA ROAD |
None |
MOORPARK |
CA |
93021 |
34.268766 |
-118.898426 |
239 |
76.07 |
| 1871573360 |
1871573360 |
1 |
1 |
COMPREHENSIVE COMM HLTH |
23-Feb-05 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
HEALTH CTR-NO HOLLYWOOD |
12157 VICTORY BLVD |
None |
NORTH HOLLYWOOD |
CA |
91606 |
34.186676 |
-118.397818 |
78.2bb |
1239.01 |
| 1871627166 |
1871627166 |
1 |
1 |
CLINICA SIERRA VISTA I |
1-Mar-97 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
15 |
Kern |
PO BOX 457 |
8787 HALL RD |
None |
LAMONT |
CA |
93241 |
35.259734 |
-118.907169 |
61 |
64.01 |
| 1871689315 |
1871689315 |
1 |
1 |
COMMUNITY HLTH ALLIANCE |
19-Apr-05 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
ALLIANCE OF PASADENA |
1855 N FAIR OAKS AVE |
STE 200 |
PASADENA |
CA |
91103 |
34.177957 |
-118.15074 |
78.2hhh |
4615.02 |
| 1871853481 |
1871853481 |
1 |
1 |
CENTER FOR FAMILY HEALTH |
1-Aug-14 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
& EDUCATION INC |
8727 VAN NUYS BLVD |
STE 102 & 203 |
PANORAMA CITY |
CA |
91402 |
34.228244 |
-118.450268 |
78.2ll |
1201.03 |
| 1881611705 |
1881611705 |
1 |
1 |
COMMUNITY HEALTH CENTERS |
1-Jun-11 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
40 |
San Luis Obispo |
CAMBRIA |
2515 MAIN ST |
STE B,C |
CAMBRIA |
CA |
93428 |
35.566011 |
-121.079295 |
174 |
104.04 |
| 1881627057 |
1881627057 |
1 |
1 |
CLINICA MED SAN MIGUEL |
18-Dec-97 |
Physicians Group (022) |
PHYSICIANS GROUP |
FNP012633 |
1 |
General Practice |
0 |
In state provider |
19 |
Los Angeles |
CLINICA MED SAN MIGUEL |
8781 VAN NUYS BLVD |
None |
PANORAMA CITY |
CA |
91402 |
34.229441 |
-118.450262 |
78.2ll |
1201.03 |
| 1881866309 |
1881866309 |
1 |
1 |
COMMUNITY MED CTRS,INC |
10-Jan-08 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
39 |
San Joaquin |
HAMMER SITE |
1721 E HAMMER LN |
None |
STOCKTON |
CA |
95210 |
38.020978 |
-121.29155 |
169a |
34.05 |
| 1891118147 |
1891118147 |
1 |
1 |
CHC PALISADE WOMENS HEALTH |
2-Jan-15 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
42 |
Santa Barbara |
THE CENTRAL COAST INC |
210 S PALISADE DR |
SUITE 102 |
SANTA MARIA |
CA |
93454 |
34.951946 |
-120.412113 |
180.1 |
22.11 |
| 1891852778 |
1891852778 |
1 |
1 |
COUNTY HEALTH CLINIC |
1-Mar-97 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
42 |
Santa Barbara |
COUNTY HEALTH CLINIC |
315 CAMINO DEL REMEDIO |
None |
SANTA BARBARA |
CA |
93110 |
34.445738 |
-119.779547 |
181b |
1.01 |
| 1891899175 |
1891899175 |
2 |
1 |
CORONA CLINIC MEDICA |
2-Jan-13 |
Physicians Group (022) |
PHYSICIANS GROUP |
A00092039 |
1 |
General Practice |
0 |
In state provider |
33 |
Riverside |
A MEDICAL CORPORATION |
217 E 3RD STREET |
None |
CORONA |
CA |
92879 |
33.878362 |
-117.564507 |
135d |
416 |
| 1902185630 |
1902185630 |
1 |
1 |
CAMARENA HEALTH |
15-Nov-11 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
20 |
Madera |
None |
505 E ALMOND AVE |
SUITE 101 |
MADERA |
CA |
93637 |
36.945525 |
-120.052425 |
80 |
5.02 |
| 1912123431 |
1912123431 |
1 |
1 |
CENTRO DE SALUD FAMILIAR |
1-Mar-97 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
56 |
Ventura |
INC, FILLMORE |
355 CENTRAL AVE |
None |
FILLMORE |
CA |
93015 |
34.399844 |
-118.913595 |
237 |
3.02 |
| 1922036870 |
1922036870 |
1 |
1 |
CHO, DON D MD |
4-Feb-03 |
Physicians (026) |
PHYSICIANS |
A00040341 |
41 |
Internal Medicine |
0 |
In state provider |
19 |
Los Angeles |
None |
13818 PIONEER BLVD |
None |
NORWALK |
CA |
90650 |
33.906164 |
-118.082581 |
78.2jjjj |
5521 |
| 1922138841 |
1922138841 |
1 |
1 |
CHAPA DE INDIAN HEALTH |
15-Oct-09 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
29 |
Nevada |
PROGRAM INC |
1350 E MAIN STREET |
None |
GRASS VALLEY |
CA |
95945 |
39.231289 |
-121.047114 |
113 |
5.01 |
| 1922429349 |
1922429349 |
1 |
1 |
CHAPCARE GARVEY |
15-Sep-15 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
550002826 |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
OF PASADENA |
10127 GARVEY AVE |
None |
EL MONTE |
CA |
91733 |
34.062754 |
-118.048527 |
78.2qqq |
4331.01 |
| 1932249315 |
1932249315 |
1 |
1 |
COMPREHENS MED CNTR INC |
1-Apr-06 |
Physicians Group (022) |
PHYSICIANS GROUP |
FNP031642 |
41 |
Internal Medicine |
0 |
In state provider |
19 |
Los Angeles |
CLINICA MED COMUNIDAD IN |
2286 S GAREY AVE |
None |
POMONA |
CA |
91766 |
34.029889 |
-117.749089 |
78.2ss |
4029.02 |
| 1932278215 |
1932278215 |
1 |
1 |
CONTRA COSTA COUNTY HLTH |
22-Jul-02 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
7 |
Contra Costa |
MARTINEZ SPECIAL CLINIC |
2500 ALHAMBRA AVE |
None |
MARTINEZ |
CA |
94553 |
38.006474 |
-122.130888 |
18a |
3180 |
| 1932381605 |
1932381605 |
1 |
1 |
COACHELLA HEALTH CLINIC |
17-Jun-08 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
33 |
Riverside |
None |
50249 CESAR CHAVEZ ST |
UNIT K |
COACHELLA |
CA |
92236 |
33.677724 |
-116.176444 |
128 |
457.07 |
| 1942756937 |
1942756937 |
1 |
1 |
CITY MEDICAL GROUP INC |
9-Jul-18 |
Physicians Group (022) |
PHYSICIANS GROUP |
None |
8 |
Family Practice |
0 |
In state provider |
19 |
Los Angeles |
None |
1508 E FLORENCE AVENUE |
None |
LOS ANGELES |
CA |
90001 |
33.974741 |
-118.247316 |
78.2fff |
5350.02 |
| 1952506123 |
1952506123 |
1 |
1 |
CERES MEDICAL OFFICE |
20-Sep-07 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
50 |
Stanislaus |
CERES MEDICAL OFFICE |
3109 E WHITMORE AVE |
None |
CERES |
CA |
95307 |
37.594733 |
-120.937445 |
214 |
26.02 |
| 1962599266 |
1962599266 |
1 |
1 |
CLIN DE SALUD DEL PUEBLO |
1-Mar-97 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
13 |
Imperial |
PUEBLO |
223 W COLE RD |
None |
CALEXICO |
CA |
92231 |
32.693996 |
-115.500029 |
49 |
119 |
| 1962650820 |
1962650820 |
1 |
1 |
CALIFORNIA STATE UNIVERSITY |
20-May-09 |
Physicians Group (022) |
PHYSICIANS GROUP |
None |
8 |
Family Practice |
0 |
In state provider |
19 |
Los Angeles |
LONG BEACH |
1250 BELLFLOWER BLVD |
None |
LONG BEACH |
CA |
90840 |
33.786818 |
-118.123186 |
78.2kkk |
5746.01 |
| 1962876417 |
1962876417 |
1 |
1 |
CSVS NORTH MAIN |
18-Dec-18 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
27 |
Monterey |
None |
2180 N MAIN ST |
None |
SALINAS |
CA |
93906 |
36.726655 |
-121.656249 |
109.2 |
105.06 |
| 1972625846 |
1972625846 |
1 |
1 |
CHANNEL MEDICAL CENTER |
1-Mar-97 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
39 |
San Joaquin |
CHANNEL MEDICAL CENTER |
701 E CHANNEL ST |
None |
STOCKTON |
CA |
95202 |
37.955982 |
-121.282461 |
169b |
1 |
| 1972912236 |
1972912236 |
1 |
1 |
CENTRAL CITY COMMUNITY HLTH |
2-Dec-15 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
550003009 |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
HEALTH CENTER INC |
10050 GARVEY AVE |
STE 111 |
EL MONTE |
CA |
91733 |
34.062746 |
-118.050224 |
78.2qqq |
4331.01 |
| 1972954071 |
1972954071 |
1 |
2 |
COMPREHENSIVE COMMUNITY HEAL |
12-Dec-17 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
HEALTH CENTERS INC |
8316 FOOTHILL BLVD |
None |
SUNLAND |
CA |
91040 |
34.259691 |
-118.313998 |
78.2rr |
1031.02 |
| 1982820221 |
1982820221 |
1 |
1 |
CLINICAS DE CAMINO REAL |
1-Sep-07 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
56 |
Ventura |
REAL, INC NEWBURY PARK |
1000 NEWBURY RD |
STE 150 |
NEWBURY PARK |
CA |
91320 |
34.183029 |
-118.903463 |
240b |
59.09 |
| 1992183669 |
1992183669 |
1 |
2 |
CENTRAL FRESNO COMMUNITY HEA |
9-Nov-18 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
10 |
Fresno |
None |
4711 WEST ASHLAN AVENUE |
None |
FRESNO |
CA |
93722 |
36.793553 |
-119.877435 |
35e |
38.09 |
| 1992798730 |
1992798730 |
1 |
1 |
CABRERA, JOHN F MD |
28-Apr-97 |
Physicians (026) |
PHYSICIANS |
G00081189 |
16 |
Obstetrics-Gynecology (M.D. Only) Neonatal |
0 |
In state provider |
19 |
Los Angeles |
None |
1420 S CENTRAL AVE |
None |
GLENDALE |
CA |
91204 |
34.128432 |
-118.2578 |
78.2ee |
3024.01 |
| 1992850515 |
1992850515 |
1 |
1 |
CALIFORNIA ST UNIV FULL |
14-Jul-03 |
Physicians Group (022) |
PHYSICIANS GROUP |
None |
1 |
General Practice |
0 |
In state provider |
30 |
Orange |
STUDENT HLTH & COUSLTNG |
800 N STATE COLLEGE BLVD |
None |
FULLERTON |
CA |
92831 |
33.878998 |
-117.889712 |
116f |
115.03 |
| 1992994628 |
1992994628 |
1 |
1 |
CACHUR, THOMAS J JR DO |
11-Jun-08 |
Physicians (026) |
PHYSICIANS |
20A9086 |
16 |
Obstetrics-Gynecology (M.D. Only) Neonatal |
0 |
In state provider |
19 |
Los Angeles |
APMC |
1513 S GRAND AVE |
STE 320 |
LOS ANGELES |
CA |
90015 |
34.036322 |
-118.265961 |
78.2ffff |
2240.1 |