Table family_pact_providers_profile_cy

Table: family_pact_providers_profile_cy_2019 , provider_business_legal_name like F*

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_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
1003134545	1003134545	1	1	FRANK KIANG MEDICAL CENTER	23-Feb-11	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	1	Alameda	None	250 E 18TH ST	2ND FLOOR	OAKLAND	CA	94606	37.800015	-122.252625	2c	4053.01
1013932979	1013932979	1	1	FLORENCE MEDICAL CTR INC	16-Apr-99	Physicians Group (022)	PHYSICIANS GROUP	FNP025933	8	Family Practice	In state provider	19	Los Angeles	None	1557 E FLORENCE AVE	None	LOS ANGELES	CA	90001	33.974759	-118.246322	78.2fff	5350.02
1023062593	1023062593	1	1	FAMILYFIRST HEALTH CARE	1-Jul-97	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	In state provider	10	Fresno	MONTE INC	6095 N FIRST ST	None	FRESNO	CA	93710	36.824945	-119.772339	35f	54.05
1073997201	1073997201	1	1	FAMILY HEALTHCARE NETWORK	5-Jan-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	54	Tulare	None	263 S WEST STREET	None	TULARE	CA	93274	36.204102	-119.366819	230	22.02
1083611156	1083611156	1	1	FAMILY HEALTHCARE NETWRK	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	54	Tulare	None	1107 W POPLAR AVE	None	PORTERVILLE	CA	93257	36.051586	-119.043341	231	34
1083845275	1083845275	1	1	FAIRFIELD FAMILY HLTH SRVCS	2-Nov-09	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	48	Solano	SERVICES FAMILY HLTH SVC	2201 COURAGE DRIVE	None	FAIRFIELD	CA	94533	38.236808	-122.07112	202b	2524.02
1093095192	1093095192	1	1	FLORENCE MEDICAL CLINIC	1-Jun-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	19	Los Angeles	None	1039 W FLORENCE AVENUE	None	LOS ANGELES	CA	90044	33.974618	-118.292755	78.2ggg	2374.01
1093892275	1093892275	1	2	FAIRCHILD MEDICAL CENTER	5-Jan-08	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	47	Siskiyou	FAIRCHILD MEDICAL CENTER	475 BRUCE ST	STE 500-700	YREKA	CA	96097	41.718582	-122.643902	195	7.02
1134271380	1134271380	1	1	FAWWAZ, AMIN R MD INC	30-Dec-97	Physicians (026)	PHYSICIANS	C00039280	16	Obstetrics-Gynecology (M.D. Only) Neonatal	In state provider	30	Orange	None	3010 W ORANGE AVE	STE 408	ANAHEIM	CA	92804	33.82475	-117.993763	116c	869.02
1134360076	1134360076	1	1	FILLMORE FAMILY MEDICAL GROU	31-Aug-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	56	Ventura	None	828 VENTURA ST	None	FILLMORE	CA	93015	34.377654	-118.933229	237	3.03
1144626649	1144626649	1	1	FOOTHILL HEALTH CENTER OF GI	25-Oct-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	43	Santa Clara	None	9460 NO NAME UNO	STE 110	GILROY	CA	95020	37.037254	-121.574205	182	5124.01
1154347797	1154347797	1	1	FLORENCE WESTERN	17-Oct-05	Physicians Group (022)	PHYSICIANS GROUP	FNP001793	1	General Practice	In state provider	19	Los Angeles	None	7301 S WESTERN AVE	None	LOS ANGELES	CA	90047	33.973656	-118.308969	78.2k	2379
1164517744	1164517744	1	1	FAMILY HEALTHCARE NETWRK	28-Aug-01	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	54	Tulare	None	201 EAST LAKEVIEW AVE	None	WOODLAKE	CA	93286	36.417357	-119.097641	228.1	7.02
1184792590	1184792590	1	1	FIRST DESERT OBSTETRICS	23-Mar-00	Physicians Group (022)	PHYSICIANS GROUP	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	In state provider	33	Riverside	DESERT OB/GYN MED ASSOCS	81767 DOCTOR CARREON	STE 101	INDIO	CA	92201	33.707426	-116.238634	128	452.07
1194122457	1194122457	1	1	FAMILIES TOGETHER OF ORANGE	1-Dec-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	30	Orange	COUNTY	661 W FIRST ST	STE G	TUSTIN	CA	92780	33.74575	-117.831106	116h	755.05
1215061528	1215061528	1	1	FRAZIER MOUNTAIN COMM	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	15	Kern	None	704 LEBEC RD	None	LEBEC	CA	93225	34.772888	-119.040689	237	1
1215310008	1215310008	1	1	FHCCGLA SCHOOL BASED HEALTH	13-Nov-18	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	19	Los Angeles	OF GREATER LOS ANGELES	6119 AGRA STREET	None	BELL GARDENS	CA	90201	33.975589	-118.154266	78.2c	5339.01
1225546575	1225546575	1	1	FAMILY HEALTHCARE NETWORK	20-Feb-19	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	10	Fresno	290 NORTH WAYTE LANE	STE 1200-1300, 1600-1800	STE 2100-2300, 2500-2600	FRESNO	CA	93701	36.743671	-119.786032	35c	5.02
1235189275	1235189275	1	1	FACULTY PHYSICIANS AND	5-Feb-18	Physicians Group (022)	PHYSICIANS GROUP	None	1	General Practice	In state provider	36	San Bernardino	SURGEONS OF LLUSM	11370 ANDERSON ST	# 3900	LOMA LINDA	CA	92354	34.047569	-117.261113	151i	73.02
1235521782	1235521782	1	1	FAMILY HEALTH ON COMMERCIAL	7-Aug-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	37	San Diego	OF SAN DIEGO INC	2325 COMMERCIAL ST	STE 1400	SAN DIEGO	CA	92113	32.705218	-117.142992	161c	49
1245397298	1245397298	1	1	FRANKLIN CLINIC	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	42	Santa Barbara	FRANKLIN CLINIC	1136 E MONTECITO ST	None	SANTA BARBARA	CA	93103	34.42718	-119.679853	181a	8.04
1245516301	1245516301	1	1	FAMILY HEALTH CENTER	1-Jan-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	15	Kern	None	1611 1ST STREET	None	BAKERSFIELD	CA	93304	35.355061	-119.02028	66b	19.02
1255587630	1255587630	1	1	FOZOUNI, DERAKHSH MD	31-Oct-08	Physicians Group (022)	PHYSICIANS GROUP	A00095051	16	Obstetrics-Gynecology (M.D. Only) Neonatal	In state provider	33	Riverside	None	555 TACHEVAH DR	STE 2W-103	PALM SPRINGS	CA	92262	33.837622	-116.541784	129.4	446.02
1275583007	1275583007	1	1	FACULTY PHYSICIANS	6-Jan-10	Physicians Group (022)	PHYSICIANS GROUP	None	2	General Surgery	In state provider	36	San Bernardino	AND SURGEONS OF LLUSM	25845 BARTON RD	STE F	LOMA LINDA	CA	92354	34.048273	-117.237207	151i	73.02
1295900439	1295900439	1	1	FACULTY PHYS & SURG OF	11-Aug-15	Physicians Group (022)	PHYSICIANS GROUP	None	34	Urology and Urological Surgery	In state provider	36	San Bernardino	LLUSM	11370 ANDERSON ST	STE 2050	LOMA LINDA	CA	92354	34.047569	-117.261113	151i	73.02
1306252051	1306252051	1	1	FORTUNA COMMUNITY HEALTH CEN	18-Apr-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	12	Humboldt	CENTERS	3750 ROHNERVILLE ROAD	None	FORTUNA	CA	95540	40.56397	-124.126673	42	110
1326317819	1326317819	1	1	FAMILY HEALTHCARE NETWORK	3-Feb-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	54	Tulare	None	730 N FARMERSVILLE BLVD	None	FARMERSVILLE	CA	93223	36.303414	-119.207126	233	16.01
1336237072	1336237072	1	1	FAMILY HEALTHCARE NETWRK	8-Jan-07	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	54	Tulare	None	31180 ROAD 72	None	GOSHEN	CA	93227	36.343505	-119.419152	233	9
1376674887	1376674887	1	1	FAMILY PLANNING CLINIC D	1-Mar-97	County Clinics not assoc w/hosp (048)	COUNTY CLINICS NOT ASSOCIATED WITH HOSPITAL	ZZR11483	99	Unknown (on EDS claims)	In state provider	12	Humboldt	FAMILY PLANNING CLINIC D	529 I ST	None	EUREKA	CA	95501	40.802116	-124.162676	39	5
1376683151	1376683151	1	1	FRANCKLIN-MCKINLEY	1-Sep-06	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	43	Santa Clara	OF SANTA CLARA COUNTY	645 WOOL CREEK DR	None	SAN JOSE	CA	95112	37.314289	-121.848615	183e	5031.22
1386670610	1386670610	1	1	FAMILY HEALTHCARE NETWORK	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	54	Tulare	None	33025 ROAD 159	None	IVANHOE	CA	93235	36.38897	-119.21798	228.1	8
1386738177	1386738177	1	1	FAMILY HEALTHCARE NETWRK	28-Aug-01	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	54	Tulare	None	35800 HIGHWAY 190	None	SPRINGVILLE	CA	93265	36.12739	-118.821163	232	27
1407880040	1407880040	1	2	FLORES, CARLOS A MD	25-Jan-05	Physicians (026)	PHYSICIANS	A00041653	16	Obstetrics-Gynecology (M.D. Only) Neonatal	In state provider	19	Los Angeles	None	14673 PARTHENIA ST	STE 101	PANORAMA CITY	CA	91402	34.228211	-118.452683	78.2ll	1201.03
1467504530	1467504530	1	1	FAMILY HEALTHCARE NETWRK	16-Oct-07	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	16	Kings	None	250 W 5TH ST	None	HANFORD	CA	93230	36.324339	-119.647647	69	9
1538508015	1538508015	1	2	FOOTHILL FAMILY CLINIC	3-May-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	43	Santa Clara	None	1066 S WHITE RD	None	SAN JOSE	CA	95127	37.357664	-121.820505	183e	5041.02
1558454256	1558454256	1	1	FAMILY HEALTHCARE NETWRK	7-Dec-01	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	54	Tulare	None	41651 SIERRA DR	STE A	THREE RIVERS	CA	93271	36.419705	-118.92114	229	1
1568648277	1568648277	1	1	FAMILY HEALTH CTRS OF SD	21-Jun-05	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	37	San Diego	None	1809 NATIONAL AVE	None	SAN DIEGO	CA	92113	32.701685	-117.146601	161c	50
1588699151	1588699151	1	1	FAMILY HEALTHCARE NETWRK	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	54	Tulare	None	501 N BRIDGE ST	None	VISALIA	CA	93291	36.33379	-119.289018	233	12
1588826374	1588826374	1	1	FEATHER RIVER TRIBAL HLTH	2-Jan-14	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	51	Sutter	HEALTH INC	555 W ONSTOTT RD	None	YUBA CITY	CA	95993	39.129999	-121.63497	216	505.01
1598178915	1598178915	1	1	FERNDALE COMMUNITY HEALTH	9-Nov-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	12	Humboldt	CENTERS	638 MAIN STREET	None	FERNDALE	CA	95536	40.578153	-124.261982	42	112
1619271947	1619271947	1	1	FLORES, CARLOS A MD	29-Jan-13	Physicians (026)	PHYSICIANS	A00112638	16	Obstetrics-Gynecology (M.D. Only) Neonatal	In state provider	19	Los Angeles	None	500 E OLIVE AVE	STE 420	BURBANK	CA	91501	34.184375	-118.305036	78.2ttt	3107.02
1629130240	1629130240	1	1	FEATHER RIVER TRIBAL HLTH	11-May-02	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	4	Butte	HEALTH	2145 5TH AVE	None	OROVILLE	CA	95965	39.50309	-121.564806	10	28
1649223777	1649223777	1	1	FAMILY CARE SPECIALISTS	7-Aug-02	Physicians Group (022)	PHYSICIANS GROUP	FNP017470	8	Family Practice	In state provider	19	Los Angeles	FAMILY CARE SPECIALISTS	1701 CESAR CHAVEZ	# 402	LOS ANGELES	CA	90033	34.051199	-118.217598	78.2ffff	2035
1649426990	1649426990	1	1	FLORENCE HOOPER FAMILY MEDIC	28-May-10	Physicians Group (022)	PHYSICIANS GROUP	None	8	Family Practice	In state provider	19	Los Angeles	None	1318 E FLORENCE AVE	None	LOS ANGELES	CA	90001	33.974773	-118.251468	78.2mmm	5329
1649457474	1649457474	1	1	FEMINIST WOMENS HEALTH	1-Mar-97	Community Clinics (041)	COMMUNITY CLINIC	452392318	99	Unknown (on EDS claims)	In state provider	45	Shasta	CENTER-REDDING	1901 VICTOR AVE	None	REDDING	CA	96002	40.578619	-122.338663	189.2	103
1689066029	1689066029	1	1	FAMILY FIRST MEDICAL CARE	28-Nov-16	Physicians Group (022)	PHYSICIANS GROUP	None	1	General Practice	In state provider	50	Stanislaus	APC	1317 OAKDALE RD	SUITE 440	MODESTO	CA	95355	37.662164	-120.957504	215b	9.05
1689158941	1689158941	1	1	FAMILY HEALTHCARE NETWORK	29-Oct-19	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	54	Tulare	None	2333 S MOONEY BLVD	None	VISALIA	CA	93277	36.309194	-119.313939	233	20.03
1699204552	1699204552	1	1	FCWC	15-Feb-18	Certified Nurse Midwife (005)	CERTIFIED NURSE MIDWIFE	None	99	Unknown (on EDS claims)	In state provider	19	Los Angeles	APNC	8162 VAN NUYS BLVD	None	PANORAMA CITY	CA	91402	34.219096	-118.448773	78.2zz	1200.2
1730421330	1730421330	1	1	FREMONT WELLNESS CENTER	15-Apr-14	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	19	Los Angeles	ASSOCIATION INC	7821 AVALON BLVD	None	LOS ANGELES	CA	90003	33.968215	-118.265132	78.2fff	2395.02
1730502725	1730502725	1	1	FAMILY HEALTHCARE NETWORK	26-Jun-14	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	54	Tulare	None	401 E SCHOOL AVE	None	VISALIA	CA	93291	36.332883	-119.289016	233	12
1790051423	1790051423	1	1	FHCCGLA DOWNEY FAMILY	6-Jun-14	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	19	Los Angeles	OF GREATER LA INC	12113 WOODRUFF AVE	STE A	DOWNEY	CA	90241	33.924077	-118.116706	78.2eee	5511.01
1790154862	1790154862	1	3	FAMILY HEALTHCARE NETWORK	9-Jan-19	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	54	Tulare	INTERMITTENT	324 N VERMONT AVENUE	None	DINUBA	CA	93618	36.547838	-119.389362	227.1	4.02
1790967453	1790967453	1	1	FRESNO STATE UNIVERSITY	21-Oct-08	Exempt from Licensure Clinics (045)	CLINIC EXEMP FROM LICENSURE	CLF2089	99	Unknown (on EDS claims)	In state provider	10	Fresno	None	5044 N BARTON AVE	M/S HC81	FRESNO	CA	93740	36.81006	-119.74979	None	None
1801831227	1801831227	1	1	FARMERSVILLE HLTH CARE	4-Jun-01	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	54	Tulare	FARMERSVILLE HLTH CARE	660 E VISALIA RD	None	FARMERSVILLE	CA	93223	36.297786	-119.201164	233	16.01
1801851043	1801851043	1	1	FAMILY MEDICINE CENTER	23-Jul-03	Physicians Group (022)	PHYSICIANS GROUP	None	1	General Practice	In state provider	19	Los Angeles	A MEDICAL CORPORATION	801 S CHEVY CHASE DR	STE 230	GLENDALE	CA	91205	34.137132	-118.239588	78.2ff	3021.02
1821081647	1821081647	2	1	FRIENDLY OB-GYN MEDICAL	5-Aug-15	Physicians (026)	PHYSICIANS	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	In state provider	33	Riverside	GROUP INC	12810 HEACOCK ST	STE B105	MORENO VALLEY	CA	92553	33.934607	-117.243736	135b	425.15
1821186727	1821186727	1	1	FAMILY HLTHCARE NETWORK	11-Jan-05	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	54	Tulare	NETWORK	400 E OAK AVE	None	VISALIA	CA	93291	36.331986	-119.289034	233	12
1831520048	1831520048	1	1	FAMILY HEALTHCARE NETWORK	16-Jan-14	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	54	Tulare	None	9416 ROAD 238	None	TERRA BELLA	CA	93270	35.960618	-119.040026	231	45
1841476652	1841476652	1	1	FAMILY HEALTH CTRS OF SD	24-Nov-99	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	37	San Diego	None	8788 JAMACHA RD	None	SPRING VALLEY	CA	91977	32.714791	-117.009764	161i	139.06
1841525862	1841525862	1	1	FAMILY HEALTH MEDICAL CENTER	29-Jul-11	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	24	Merced	None	1045 5TH STREET	None	LOS BANOS	CA	93635	37.059805	-120.850568	94	22.01
1871818138	1871818138	1	1	FRIENDS OF THE FAMILY	1-Jun-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	30	Orange	HEALTH CENTER	501 S IDAHO ST	SUITE 100 & 190	LA HABRA	CA	90631	33.927278	-117.959191	116k	13.01
1891971131	1891971131	1	1	FARID, SAMY F MD INC	3-Jan-12	Physicians Group (022)	PHYSICIANS GROUP	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	In state provider	19	Los Angeles	None	1729 W AVENUE J	SUITE 101	LANCASTER	CA	93534	34.689505	-118.161947	77.1c	9008.05
1891991741	1891991741	1	1	FAMILY AND PEDIATRIC HEALTH	20-Sep-07	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	50	Stanislaus	None	830 SCENIC DR	STE A	MODESTO	CA	95350	37.647196	-120.983922	215b	10.02
1912093451	1912093451	1	1	FAMILY HEALTHCARE NETWRK	7-Dec-01	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	54	Tulare	None	12586 AVENUE 408	None	OROSI	CA	93647	36.53027	-119.290183	227.2	6
1922179498	1922179498	1	1	FALL RIVER VLY HEALTH CT	1-Oct-02	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	45	Shasta	FALL RIVER VLY HEALTH CT	43658 HWY 299E	None	FALL RIVER MILLS	CA	96028	41.050027	-121.400829	190	127.02
1922416411	1922416411	1	1	FHCCGLA MAYWOOD FAMILY MED	8-Jan-18	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	19	Los Angeles	OF GREATER LOS ANGELES	4943 SLAUSON AVENUE	None	MAYWOOD	CA	90270	33.986164	-118.175589	78.2c	5337.03
1922489665	1922489665	1	1	FRIENDS OF FAMILY HEALTH CEN	16-Aug-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	30	Orange	CENTER	13152 NEWPORT AVE	STE B	TUSTIN	CA	92780	33.747788	-117.812336	116h	755.06
1942255195	1942255195	1	1	FAMILY CARE SPECIALISTS	28-Apr-97	Physicians Group (022)	PHYSICIANS GROUP	FNP017470	8	Family Practice	In state provider	19	Los Angeles	FAMILY CARE SPECIALISTS	1701 E CESAR E CHAVEZ AV	STE 230	LOS ANGELES	CA	90033	34.051199	-118.217598	78.2ffff	2035
1942394457	1942394457	1	1	FUSSELL, SUZANNE L MD	25-Aug-98	Physicians (026)	PHYSICIANS	A00055383	8	Family Practice	In state provider	19	Los Angeles	None	2403 ATLANTIC AVE	None	LONG BEACH	CA	90806	33.800847	-118.185026	78.2lll	5732.01
1942531983	1942531983	1	1	FIRST STEPS PRENATAL CARE	24-Mar-10	Physicians (026)	PHYSICIANS	A00036515	16	Obstetrics-Gynecology (M.D. Only) Neonatal	In state provider	33	Riverside	AMC	34151 DATE PALM DR	STE E	CATHEDRAL CITY	CA	92234	33.800261	-116.458127	129.3	9411
1952729303	1952729303	1	1	FAMILY HEALTH AT CITY COLLEG	7-Aug-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	37	San Diego	OF SAN DIEGO INC	1550 BROADWAY	STE 2	SAN DIEGO	CA	92101	32.715751	-117.149938	161c	52
1962676064	1962676064	1	1	FAMILY HEALTH CTRS SD	8-May-08	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	37	San Diego	FAMILY HEALTH CENTER	220 EUCLID AVE	STE 40	SAN DIEGO	CA	92114	32.706291	-117.085087	161g	33.04
1972010684	1972010684	1	1	FAMILY HEALTHCARE NETWORK	23-May-19	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	54	Tulare	None	22817 AVENUE 196	None	STRATHMORE	CA	93267	36.145549	-119.062624	228.2	33
1982756086	1982756086	1	1	FALLBROOK FAMILY HEALTH CTR	1-Apr-98	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	37	San Diego	None	1328 S MISSION RD	None	FALLBROOK	CA	92028	33.368587	-117.250778	160	189.06