Table: family_pact_providers_profile_cy_2019 , provider_business_legal_name like E*

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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
1053437509 1053437509 1 1 EAST VALLEY COMMUNITY 1-May-97 Health Access Program (058) HEALTH ACCESS PROGRAM None 99 Unknown (on EDS claims) 0 In state provider 19 Los Angeles HEALTH CENTER 420 S GLENDORA AVE None WEST COVINA CA 91790 34.06713 -117.92573 78.2www 4067.02
1063613263 1063613263 1 1 ESCONDIDO FAMLY MEDICINE 25-Mar-08 Health Access Program (058) HEALTH ACCESS PROGRAM None 99 Unknown (on EDS claims) 0 In state provider 37 San Diego ESCONDIDO FAMLY MEDICINE 255 N ASH ST STE 101 ESCONDIDO CA 92027 33.128905 -117.066278 156e 202.02
1083624423 1083624423 1 1 EL PROYECTO DEL BARRIO 29-Apr-97 Health Access Program (058) HEALTH ACCESS PROGRAM None 99 Unknown (on EDS claims) 0 In state provider 19 Los Angeles FAMILY HEALTH CARE CLIN 8902 WOODMAN AVE STE 2 ARLETA CA 91331 34.231653 -118.437673 78.2ll 1198
1093181448 1093181448 1 1 EL PROYECTO DEL BARRIO INC N 24-Oct-17 Health Access Program (058) HEALTH ACCESS PROGRAM None 99 Unknown (on EDS claims) 0 In state provider 19 Los Angeles None 18250 ROSCOE BLVD SUITE 200 NORTHRIDGE CA 91325 34.220798 -118.530625 78.2zz 1314
1093969115 1093969115 1 3 ESTEBAN TORRES HIGH SCHOOL 12-Aug-19 Community Clinics (041) COMMUNITY CLINIC None 99 Unknown (on EDS claims) 0 In state provider 19 Los Angeles INTERMITTENT 4211 DOZIER STREET None LOS ANGELES CA 90063 34.04149 -118.175516 78.2d 5310
1093974065 1093974065 1 1 ELICA HEALTH CENTERS 25-Feb-16 Health Access Program (058) HEALTH ACCESS PROGRAM None 99 Unknown (on EDS claims) 0 In state provider 34 Sacramento None 3701 J ST STE 201 SACRAMENTO CA 95816 38.570571 -121.456913 139i 15
1164463345 1164463345 1 1 EDWARD CHEN PERINATOLOGY 8-Apr-02 Physicians (026) PHYSICIANS C00050499 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles None 500 N GARFIELD AVE STE 206 MONTEREY PARK CA 91754 34.05624 -118.12471 78.2nn 4822.01
1174501225 1174501225 1 1 EXUM, JANICE M MD 9-Sep-97 Physicians (026) PHYSICIANS G00066570 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles None 555 W COMPTON BLVD STE 202 COMPTON CA 90220 33.895903 -118.232876 78.2bbb 5425.02
1245364538 1245364538 1 1 EAST BAKERSFIELD COMM 1-Mar-97 Health Access Program (058) HEALTH ACCESS PROGRAM None 99 Unknown (on EDS claims) 0 In state provider 15 Kern EAST BAKERSFIELD COMM 815 MARTIN LUTHER KING B # J BAKERSFIELD CA 93307 35.365882 -118.985188 66b 22
1245480821 1245480821 1 1 ELM CHILDRENS COMM HLTH 14-Oct-08 Health Access Program (058) HEALTH ACCESS PROGRAM None 99 Unknown (on EDS claims) 0 In state provider 10 Fresno None 2798 ELM AVENUE None FRESNO CA 93706 36.699621 -119.790735 30 10
1285046847 1285046847 1 1 EAST VALLEY COMMUNITY HEALTH 1-Dec-15 Health Access Program (058) HEALTH ACCESS PROGRAM None 99 Unknown (on EDS claims) 0 In state provider 19 Los Angeles APCC 276 WEST COLLEGE STREET None COVINA CA 91723 34.087506 -117.894026 78.2qq 4061.01
1386912202 1386912202 1 1 EAST VALLEY COMMUNITY HEALTH 26-Nov-12 Health Access Program (058) HEALTH ACCESS PROGRAM None 99 Unknown (on EDS claims) 0 In state provider 19 Los Angeles CENTER INC 17840 VILLA CORTA STREET None LA PUENTE CA 91744 34.018124 -117.912171 78.2www 4081.38
1407268709 1407268709 1 1 EISNER PEDIATRIC & FAMILY ME 9-Sep-16 Health Access Program (058) HEALTH ACCESS PROGRAM None 99 Unknown (on EDS claims) 0 In state provider 19 Los Angeles CENTER 3680 E IMPERIAL HIGHWAY STE 200 LYNWOOD CA 90262 33.93211 -118.201393 78.2sss 5402.02
1457768913 1457768913 1 1 EAST WEST URGENT CARE INC 30-Jan-17 Physicians (026) PHYSICIANS A86156 2 General Surgery 0 In state provider 19 Los Angeles None 38345 30TH ST EAST STE B-1A PALMDALE CA 93550 34.578474 -118.076213 77.1a 9106.02
1487741773 1487741773 1 1 EL CENTRO MEDICAL CLINIC 1-Mar-97 Health Access Program (058) HEALTH ACCESS PROGRAM None 99 Unknown (on EDS claims) 0 In state provider 13 Imperial PUEBLO INC 651 WAKE AVE None EL CENTRO CA 92243 32.771192 -115.553125 48 118.03
1497975882 1497975882 1 1 EVERGREEN VALLEY COLLEGE DIS 12-May-98 Exempt from Licensure Clinics (045) CLINIC EXEMP FROM LICENSURE None 99 Unknown (on EDS claims) 0 In state provider 43 Santa Clara COLLEGE DISTRICT 3095 YERBA BUENA ROAD None SAN JOSE CA 95135 37.297887 -121.763134 183k 5033.3
1538130893 1538130893 1 1 EL PROYECTO DEL BARRIO 2-Jul-99 Health Access Program (058) HEALTH ACCESS PROGRAM None 99 Unknown (on EDS claims) 0 In state provider 19 Los Angeles WINNETKA CLINIC 20800 SHERMAN WAY None WINNETKA CA 91306 34.200973 -118.586287 78.2hhhh 1340.02
1568871143 1568871143 1 1 EL PROYECTO DEL BARRIO INC E 3-Aug-16 Health Access Program (058) HEALTH ACCESS PROGRAM 550003303 99 Unknown (on EDS claims) 0 In state provider 19 Los Angeles None 9140 VAN NUYS BLVD SUITE 207 PANORAMA CITY CA 91402 34.236119 -118.450259 78.2kk 1193.2
1598270191 1598270191 1 1 EMMANUEL MEDICAL CLINIC 3-Dec-18 Physicians (026) PHYSICIANS None 1 General Practice 0 In state provider 19 Los Angeles None 7963 VAN NUYS BLVD SUITE 101 PANORAMA CITY CA 91402 34.215846 -118.448742 78.2zz 1200.3
1649324443 1649324443 1 1 EAST VALLEY COMM HLTH CT 2-Jun-14 Health Access Program (058) HEALTH ACCESS PROGRAM None 99 Unknown (on EDS claims) 0 In state provider 19 Los Angeles CENTER INC 1555 SOUTH GAREY AVE None POMONA CA 91766 34.043219 -117.749671 78.2ss 4030
1659337749 1659337749 1 1 ECONOMIC OPPORTUNITIES 1-Mar-97 Community Clinics (041) COMMUNITY CLINIC ZZR11511 99 Unknown (on EDS claims) 0 In state provider 10 Fresno HEALTH CLINIC 1047 R ST STE 1047 FRESNO CA 93721 36.740186 -119.782458 35c 5.02
1669569109 1669569109 1 1 EUREKA COMM HEALTH CTR 1-Mar-97 Health Access Program (058) HEALTH ACCESS PROGRAM None 99 Unknown (on EDS claims) 0 In state provider 12 Humboldt CENTERS 2200 TYDD STREET None EUREKA CA 95501 40.802174 -124.146604 39 5
1679512024 1679512024 1 1 ESCONDIDO OB-GYN MED GRP 24-Mar-97 Physicians Group (022) PHYSICIANS GROUP FNP015503 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 37 San Diego None 488 E VALLEY PKWY STE 310 ESCONDIDO CA 92025 33.125652 -117.076448 156e 202.14
1720468804 1720468804 1 1 EISNER PEDIATRIC & FAMILY ME 15-Dec-15 Health Access Program (058) HEALTH ACCESS PROGRAM None 99 Unknown (on EDS claims) 0 In state provider 19 Los Angeles None 1513 S GRAND AVE STE 220 & 250 LOS ANGELES CA 90015 34.036322 -118.265961 78.2ffff 2240.1
1750582557 1750582557 1 1 EASTMONT WELLNESS CTR 1-Jul-98 Health Access Program (058) HEALTH ACCESS PROGRAM None 99 Unknown (on EDS claims) 0 In state provider 1 Alameda EASTMONT WELLNESS CTR 6955 FOOTHILL BLVD STE 200 OAKLAND CA 94605 37.769479 -122.174806 2d 4086
1770624553 1770624553 1 1 ESCALON COMM HEALTH CLINIC 11-Jul-05 Health Access Program (058) HEALTH ACCESS PROGRAM None 99 Unknown (on EDS claims) 0 In state provider 39 San Joaquin HEALTH CLINIC 2080 MCHENRY AVE SUITE 200 ESCALON CA 95320 37.793504 -120.996556 164.2 49.01
1770760670 1770760670 1 1 EASTSIDE NEIGHBORHOOD CLINIC 17-Jul-05 Health Access Program (058) HEALTH ACCESS PROGRAM None 99 Unknown (on EDS claims) 0 In state provider 42 Santa Barbara CLINICS 915 N MILPAS ST None SANTA BARBARA CA 93103 34.430176 -119.69058 181b 6
1780921536 1780921536 1 1 ELM STREET FAMILY HEALTH 9-Dec-13 Health Access Program (058) HEALTH ACCESS PROGRAM None 99 Unknown (on EDS claims) 0 In state provider 37 San Diego None 140 ELM STREET None SAN DIEGO CA 92101 32.724057 -117.163509 161e 57
1790075315 1790075315 1 1 EASTSIDE 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 1970 UNIVERSITY AVE None RIVERSIDE CA 92507 33.975622 -117.354517 135a 305.01
1801985049 1801985049 1 3 EAST COMPTON CENTER 1-Jun-19 Health Access Program (058) HEALTH ACCESS PROGRAM None 99 Unknown (on EDS claims) 0 In state provider 19 Los Angeles INTERMITTENT 4402 E COMPTON BLVD None EAST RANCHO DOMIN CA 90221 33.896157 -118.194502 78.2bbb 5421.03
1861641441 1861641441 1 1 ELM COMMUNITY HEALTH CTR 15-Oct-08 Health Access Program (058) HEALTH ACCESS PROGRAM None 99 Unknown (on EDS claims) 0 In state provider 10 Fresno None 2790 SOUTH ELM None FRESNO CA 93706 36.699889 -119.790721 30 10
1881607547 1881607547 1 1 EL MONTE COMPREHENSIVE 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 FAMILY PLANNING 10953 RAMONA BLVD None EL MONTE CA 91731 34.072049 -118.037139 78.2oo 4327
1881987576 1881987576 1 1 ELIZABETH HEALTH CENTER-NECC 1-Dec-12 Health Access Program (058) HEALTH ACCESS PROGRAM None 99 Unknown (on EDS claims) 0 In state provider 19 Los Angeles None 2822 E FLORENCE AVENUE None HUNTINGTON PARK CA 90255 33.973614 -118.219292 78.2ccc 5331.07
1932561198 1932561198 1 1 EJ CAJON FAMILY HEALTH CENTE 28-Aug-17 Health Access Program (058) HEALTH ACCESS PROGRAM None 99 Unknown (on EDS claims) 0 In state provider 37 San Diego DIEGO INC 525 E MAIN STREET None EL CAJON CA 92020 32.794861 -116.956026 161h 158.02
1952749541 1952749541 1 1 EAST CLIFF FAMILY HEALTH CEN 9-Jun-14 Health Access Program (058) HEALTH ACCESS PROGRAM None 99 Unknown (on EDS claims) 0 In state provider 44 Santa Cruz CENTERS 21507 E CLIFF DRIVE None SANTA CRUZ CA 95062 36.963518 -121.990872 185.1 1215
1982075107 1982075107 1 1 EISNER PEDIATRIC & FAMILY ME 12-Mar-19 Health Access Program (058) HEALTH ACCESS PROGRAM None 99 Unknown (on EDS claims) 0 In state provider 19 Los Angeles CENTER 15477 VENTURA BLVD SUITE 300 SHERMAN OAKS CA 91403 34.154651 -118.471238 78.2yy 1414
1992117071 1992117071 1 1 EAST NILES COMMUNITY HEALTH 8-Aug-16 Health Access Program (058) HEALTH ACCESS PROGRAM None 99 Unknown (on EDS claims) 0 In state provider 15 Kern None 7800 NILES ST None BAKERSFIELD CA 93306 35.37622 -118.917517 66a 9.07