1073927877 |
1073927877 |
1 |
1 |
IRVINE VALLEY COLLEGE, HEALT |
8-Jun-15 |
Exempt from Licensure Clinics (045) |
CLINIC EXEMP FROM LICENSURE |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
30 |
Orange |
COMMUNITY COLLEGE DISTRI |
5500 IRVINE CENTER DRIVE |
SC 150 |
IRVINE |
CA |
92618 |
33.679185 |
-117.778355 |
116o |
525.17 |
1114290780 |
1114290780 |
1 |
1 |
INDIAN HEALTH CENTER OF |
3-May-16 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
43 |
Santa Clara |
SANTA CLARA VALLEY |
455 O'CONNOR DRIVE |
STE 200 |
SAN JOSE |
CA |
95128 |
37.326705 |
-121.939855 |
183j |
5020.01 |
1164643862 |
1164643862 |
1 |
1 |
INDIAN HEALTH CENTER OF |
2-Jan-20 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
43 |
Santa Clara |
SANTA CLARA VALLEY |
1333 MERIDIAN AVE |
None |
SAN JOSE |
CA |
95125 |
37.301556 |
-121.913574 |
183e |
5023.01 |
1215030747 |
1215030747 |
1 |
1 |
INTEGRATIVE MEDICAL CTR |
27-Mar-97 |
Physicians Group (022) |
PHYSICIANS GROUP |
FNP12667 |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
30 |
Orange |
None |
526 W 17TH ST |
None |
SANTA ANA |
CA |
92706 |
33.759988 |
-117.872775 |
116b |
751 |
1215035274 |
1215035274 |
1 |
1 |
ISKAROUS, RAGAA Z MD INC |
19-Jan-11 |
Physicians (026) |
PHYSICIANS |
A00045155 |
1 |
General Practice |
0 |
In state provider |
19 |
Los Angeles |
None |
11003 LAKEWOOD AVE |
STE 201 |
DOWNEY |
CA |
90241 |
33.937355 |
-118.12324 |
78.2eee |
5509.01 |
1225188204 |
1225188204 |
1 |
1 |
IMPERIAL CLINIC |
6-Jun-01 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
19 |
Los Angeles |
IMPERIAL CLINIC |
837 W IMPERIAL HWY |
None |
LOS ANGELES |
CA |
90044 |
33.930968 |
-118.29038 |
78.2s |
2412.02 |
1245483825 |
1245483825 |
1 |
1 |
INLAND WOMENS CARE |
30-Dec-10 |
Physicians Group (022) |
PHYSICIANS GROUP |
FNP038355 |
16 |
Obstetrics-Gynecology (M.D. Only) Neonatal |
0 |
In state provider |
36 |
San Bernardino |
ASSOCIATES |
255 TERRACINA BLVD |
STE 205A |
REDLANDS |
CA |
92373 |
34.03816 |
-117.206039 |
151j |
83.01 |
1275562969 |
1275562969 |
1 |
1 |
INLAND BEHAVIORAL SVS |
1-Jul-00 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
36 |
San Bernardino |
HEALTH CENTER |
665 N D ST |
None |
SAN BERNARDINO |
CA |
92401 |
34.111371 |
-117.291881 |
151g |
57.01 |
1477953933 |
1477953933 |
1 |
1 |
IBARRA FAMILY HEALTH CENTER |
7-Aug-15 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
37 |
San Diego |
OF SAN DIEGO INC |
4874 POLK AVENUE |
None |
SAN DIEGO |
CA |
92105 |
32.751328 |
-117.089571 |
161d |
27.07 |
1487613766 |
1487613766 |
2 |
1 |
INLAND CENTER MEDICAL GROUP |
1-Mar-12 |
Physicians Group (022) |
PHYSICIANS GROUP |
None |
13 |
Neurology (M.D. only) |
0 |
In state provider |
36 |
San Bernardino |
None |
9220 HAVEN AVENUE |
SUITE 210 |
RANCHO CUCAMONGA |
CA |
91730 |
34.086016 |
-117.575867 |
151b |
21.1 |
1528063153 |
1528063153 |
1 |
1 |
I'SOT INC |
5-Mar-97 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
25 |
Modoc |
None |
670 COUNTY ROAD 83 |
None |
CANBY |
CA |
96015 |
41.443794 |
-120.895524 |
98 |
3 |
1568658086 |
1568658086 |
1 |
1 |
INFINITE WOMENS CARE |
19-Mar-09 |
Physicians (026) |
PHYSICIANS |
20A9842 |
16 |
Obstetrics-Gynecology (M.D. Only) Neonatal |
0 |
In state provider |
24 |
Merced |
None |
600 WEST I ST |
STE C |
LOS BANOS |
CA |
93635 |
37.061785 |
-120.862745 |
94 |
22.01 |
1629462312 |
1629462312 |
1 |
1 |
INDIAN HEALTH CENTER OF SANT |
27-Mar-18 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
43 |
Santa Clara |
OF SANTA CLARA |
2039 FOREST AVENUE |
STE 105 |
SAN JOSE |
CA |
95128 |
37.327064 |
-121.934245 |
183j |
5005 |
1790718351 |
1790718351 |
1 |
1 |
IMPERIAL BEACH HEALTH CT |
6-Jan-97 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
37 |
San Diego |
None |
949 PALM AVE |
None |
IMPERIAL BEACH |
CA |
91932 |
32.58379 |
-117.113362 |
161j |
105.02 |
1861449522 |
1861449522 |
1 |
1 |
INDIAN HLTH COUNCIL, INC |
8-Jan-97 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
37 |
San Diego |
None |
50100 GOLSH ROAD |
None |
VALLEY CENTER |
CA |
92082 |
33.277133 |
-116.951859 |
153.2 |
191.06 |
1881997963 |
1881997963 |
1 |
1 |
INDIAN HEALTH CENTER OF SANT |
1-May-12 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
43 |
Santa Clara |
CLARA VALLEY |
1642 E CAPITOL EXPY |
None |
SAN JOSE |
CA |
95121 |
37.306075 |
-121.811998 |
183h |
5033.37 |
1932271517 |
1932271517 |
1 |
1 |
INYO COUNTY HEALTH DEPT |
14-Mar-97 |
County Clinics not assoc w/hosp (048) |
COUNTY CLINICS NOT ASSOCIATED WITH HOSPITAL |
ZZT11964 |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
14 |
Inyo |
CLINIC |
155 E MARKET |
None |
INDEPENDENCE |
CA |
93526 |
36.802768 |
-118.199076 |
54 |
5 |
1942487848 |
1942487848 |
1 |
1 |
ISLA VISTA NEIGHBORHOOD |
17-Jul-05 |
Health Access Program (058) |
HEALTH ACCESS PROGRAM |
None |
99 |
Unknown (on EDS claims) |
0 |
In state provider |
42 |
Santa Barbara |
CLINICS |
970 EMBARCADERO DEL MAR |
None |
GOLETA |
CA |
93117 |
34.411629 |
-119.857055 |
181a |
29.24 |