Table: family_pact_providers_profile_cy_2019 , provider_business_legal_name like I*

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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
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