Table: family_pact_providers_profile_cy_2019 , provider_business_legal_name like M*

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	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
1003818444	1003818444	1	1	MCFARLAND COMM HLTH CTR	13-Jan-09	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	15	Kern	MCFARLAND COMM HLTH CTR	217 W KERN AVE	None	MC FARLAND	CA	93250	35.678012	-119.229468	60	47.01
1003900101	1003900101	1	1	MARIN COMMUNITY CLINIC	6-Mar-08	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	21	Marin	None	6100 REDWOOD BLVD	None	NOVATO	CA	94945	38.095711	-122.562702	83b	1041.02
1013088582	1013088582	1	3	MT SHASTA HEALTH CENTER	7-Jun-19	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	47	Siskiyou	INTERMITTENT	101 OLD MCCLOUD ROAD	None	MT SHASTA	CA	96067	41.305179	-122.311032	197	10
1023188687	1023188687	1	1	MECCA DENTAL CLINIC	1-Oct-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	33	Riverside	PUEBLO INC	91275 66TH AVE	STE 500	MECCA	CA	92254	33.569318	-116.07378	128	456.04
1033322771	1033322771	1	1	MERCED FAMILY HEALTH C	18-Nov-05	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	50	Stanislaus	None	1121 HAMMOND ST	None	MODESTO	CA	95351	37.615276	-121.018607	215c	16.04
1053456400	1053456400	1	2	MAMMOTH HOSPITAL	10-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	26	Mono	P O BOX 660	85 SIERRA PARK RD	None	MAMMOTH LAKES	CA	93546	37.646574	-118.963863	103	2
1104005271	1104005271	1	1	MAZAREI, RAHELE, DO APC	4-Oct-02	Physicians (026)	PHYSICIANS	20A7358	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	37	San Diego	None	3230 WARING CT	STE D	OCEANSIDE	CA	92056	33.187507	-117.290718	156d	185.18
1104014414	1104014414	1	1	MERCY MEDICAL CENTER	28-Apr-97	Physicians Group (022)	PHYSICIANS GROUP	FNP020342	1	General Practice	0	In state provider	19	Los Angeles	None	16444 PARAMOUNT BLVD	STE 103	PARAMOUNT	CA	90723	33.884591	-118.15997	78.2m	5539.02
1124051578	1124051578	1	1	MD MEDICAL CENTER INC	18-Jun-18	Physicians Group (022)	PHYSICIANS GROUP	FNP028914	8	Family Practice	0	In state provider	19	Los Angeles	None	600 N GARFIELD AVE	SUITE 111	MONTEREY PARK	CA	91754	34.068526	-118.122924	78.2nn	4817.13
1124533492	1124533492	1	1	MADERA SOUTH HIGH SCHOOL SBH	25-Jan-19	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	20	Madera	None	705 W PECAN AVENUE	None	MADERA	CA	93637	36.938282	-120.049708	80	5.02
1134320716	1134320716	1	1	MI DOCTORA MED CLINIC	1-Apr-06	Physicians (026)	PHYSICIANS	A00065846	8	Family Practice	0	In state provider	19	Los Angeles	None	2151 W 6TH ST	None	LOS ANGELES	CA	90057	34.059796	-118.275482	78.2ffff	2088.01
1144273194	1144273194	1	1	MORENO VALLEY URGENT	18-Feb-10	Physicians (026)	PHYSICIANS	None	8	Family Practice	0	In state provider	33	Riverside	CLINIC INC	24318 HEMLOCK AVE	SUITE E1	MORENO VALLEY	CA	92557	33.941954	-117.236551	135g	424.04
1154503399	1154503399	1	1	MARIN COMMUNITY CLINIC	9-Dec-08	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	21	Marin	None	3110 KERNER BLVD	None	SAN RAFAEL	CA	94901	37.957757	-122.500253	83b	1122.02
1164428488	1164428488	1	1	MC CLOUD HEALTHCARE CLINIC	3-Sep-03	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	47	Siskiyou	None	116 W MINNESOTA AVE	None	MC CLOUD	CA	96057	41.252132	-122.137348	199	12
1174632939	1174632939	1	1	MORALES, WILSON A MD INC	24-Apr-07	Physicians (026)	PHYSICIANS	A00035877	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	16660 PARAMOUNT BLVD	STE 309	PARAMOUNT	CA	90723	33.882563	-118.159974	78.2m	5539.02
1174764021	1174764021	1	1	MOORPARK FAMILY MEDICAL CLIN	31-Aug-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	56	Ventura	None	612 SPRING RD	BLDG A	MOORPARK	CA	93021	34.28185	-118.882139	239	76.11
1174833149	1174833149	1	1	MISSION MEDICAL CLINIC OF	14-Jan-11	Physicians Group (022)	PHYSICIANS GROUP	None	41	Internal Medicine	0	In state provider	30	Orange	SANTA ANA INC	1514 N SYCAMORE ST	None	SANTA ANA	CA	92701	33.758005	-117.868638	116b	750.03
1184674830	1184674830	1	1	METROPOLITAN FAMILY MED	26-Jul-00	Physicians Group (022)	PHYSICIANS GROUP	FNP026904	99	Unknown (on EDS claims)	0	In state provider	36	San Bernardino	METROPOLITAN FAMILY MED	1574 W BASE LINE ST	STE 107	SAN BERNARDINO	CA	92411	34.121331	-117.325963	151g	42.01
1194866525	1194866525	1	1	MAYER, RALPH MD	31-Jul-06	Physicians Group (022)	PHYSICIANS GROUP	G00069356	8	Family Practice	0	In state provider	19	Los Angeles	None	2568 CLARENDON AVE	None	HUNTINGTON PARK	CA	90255	33.983576	-118.225815	78.2ccc	5326.05
1194930420	1194930420	1	1	MODERN CONCEPTS MEDICAL	1-Jan-04	Physicians Group (022)	PHYSICIANS GROUP	FNP024624	1	General Practice	0	In state provider	19	Los Angeles	GROUP INC	50 BELLEFONTAINE ST	STE 401	PASADENA	CA	91105	34.131598	-118.151053	78.2mm	4639
1205076536	1205076536	1	1	MABIE FIRST STREET HEALTH	1-Jun-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	35	San Benito	HOSPITAL	321 1ST STREET	None	HOLLISTER	CA	95023	36.855669	-121.402339	140	4
1215991278	1215991278	1	1	MISSION MEDICAL GROUP	28-Apr-97	Physicians Group (022)	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	19	Los Angeles	None	8215 VAN NUYS BLVD	SUITE 210-204	PANORAMA CITY	CA	91402	34.22001	-118.448778	78.2zz	1200.2
1235157967	1235157967	1	1	MARYSVILLE IMMEDIATE CARE	1-Jun-13	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	58	Yuba	None	724 5TH ST	None	MARYSVILLE	CA	95901	39.139908	-121.594353	249	401
1235189978	1235189978	1	1	METROPOLITAN FAMILY MED	12-Jul-05	Physicians Group (022)	PHYSICIANS GROUP	FNP026904	1	General Practice	0	In state provider	36	San Bernardino	METROPOLITAN FAMILY MED	742 W HIGHLAND AVE	None	SAN BERNARDINO	CA	92405	34.136012	-117.299612	151g	54
1245384742	1245384742	1	1	MARSHALL OB/GYN	15-Sep-10	Physicians Group (022)	PHYSICIANS GROUP	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	9	El Dorado	PRIMARY CARE OB-GYN	3501 PALMER DR	STE 204	CAMERON PARK	CA	95682	38.66181	-120.966419	23.1	308.03
1265440010	1265440010	1	1	MID VALLEY COMP HLTH CTR	28-Apr-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	MID VALLEY COMP HLTH CTR	7515 VAN NUYS BLVD	None	VAN NUYS	CA	91405	34.207156	-118.448789	78.2zz	1272.2
1265573349	1265573349	1	1	MADERA COUNTY PUBLIC HEALTH	3-May-16	County Clinics not assoc w/hosp (048)	COUNTY CLINICS NOT ASSOCIATED WITH HOSPITAL	None	99	Unknown (on EDS claims)	0	In state provider	20	Madera	None	14215 ROAD 28	None	MADERA	CA	93638	36.981241	-120.03797	80	6.03
1285623256	1285623256	1	1	MERCED FACULTY ASSOC MED	21-Mar-97	Physicians Group (022)	PHYSICIANS GROUP	P14747	8	Family Practice	0	In state provider	24	Merced	None	220 E 13TH ST	None	MERCED	CA	95340	37.293053	-120.474705	97.2	16.01
1285804948	1285804948	1	1	MARIN CITY HEALTH AND	1-Aug-11	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	21	Marin	WELLNESS CENTER	630 DRAKE AVE	None	SAUSALITO	CA	94965	37.873813	-122.514554	82	1290
1285937631	1285937631	1	1	MIYOCO MEDICAL CENTER	20-Nov-15	Physicians Group (022)	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	30	Orange	None	15975 HARBOR BOULEVARD	None	FOUNTAIN VALLEY	CA	92708	33.731272	-117.920027	116i	992.02
1326302027	1326302027	1	1	MT PLEASANT HEALTH CENTER	25-Oct-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	43	Santa Clara	None	1650 S WHITE ROAD	None	SAN JOSE	CA	95127	37.346553	-121.810361	183k	5035.09
1336592740	1336592740	1	1	MOUNTAIN HEALTH FAMILY MEDIC	1-Mar-18	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	SERVICES INC	1388 BUCKMAN SPRINGS RD	None	CAMPO	CA	91906	32.630077	-116.472808	159	211
1356438261	1356438261	1	2	MOUNTAIN VALLEY MED	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	18	Lassen	PO BOX 277	554-850 MEDICAL CENTER	None	BIEBER	CA	96009	41.121216	-121.14119	73	401
1366633638	1366633638	1	1	MEE MEMORIAL HOSP MED	3-Nov-99	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	27	Monterey	MEDICAL CLINIC	467 EL CAMINO REAL	None	GREENFIELD	CA	93927	36.325892	-121.247649	107	112.02
1386065480	1386065480	1	1	MARSHALL PEDIATRIC CLINIC	9-Jun-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	30000059	99	Unknown (on EDS claims)	0	In state provider	9	El Dorado	None	4341 GOLDEN CENTER DR	BLDG A	PLACERVILLE	CA	95667	38.705981	-120.827051	23.3	315.02
1396893723	1396893723	1	1	MOTHER AND CHILD HEALTH	20-Jan-05	Physicians Group (022)	PHYSICIANS GROUP	G00051500	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	11017 VALLEY MALL	None	EL MONTE	CA	91731	34.073931	-118.035333	78.2oo	4327
1407029259	1407029259	1	1	MISSION NEIGHBORHOOD	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	38	San Francisco	HEALTH CTR	240 SHOTWELL ST	None	SAN FRANCISCO	CA	94110	37.76462	-122.41638	162a	177
1427123496	1427123496	2	1	MOUNTAIN VIEW MEDICAL CLINIC	1-Jan-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	54	Tulare	None	468 VERMONT AVE	None	DINUBA	CA	93618	36.549079	-119.389343	227.1	4.02
1437334331	1437334331	1	1	MISSION HILLS FAMILY MED	25-Jul-16	Physicians (026)	PHYSICIANS	A56273	1	General Practice	0	In state provider	19	Los Angeles	None	15340 DEVONSHIRE ST	STE 8	MISSION HILLS	CA	91345	34.25729	-118.465984	78.2kk	1096.04
1437642345	1437642345	1	1	MORENO VALLEY COMMUNITY HEAL	12-Jul-19	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	33	Riverside	TH CENTER	23520 CACTUS AVE	None	MORENO VALLEY	CA	92553	33.910228	-117.251921	135b	425.11
1447223326	1447223326	1	1	MUSINSKI, SCOTT E MD INC	11-Jul-03	Physicians (026)	PHYSICIANS	G00085560	8	Family Practice	0	In state provider	37	San Diego	None	310 SANTA FE DR	STE 112	ENCINITAS	CA	92024	33.036204	-117.2843	156c	174.01
1457439572	1457439572	1	1	MERIDIAN MEDICAL GROUP	18-Jun-01	Physicians Group (022)	PHYSICIANS GROUP	FNP20923	8	Family Practice	0	In state provider	43	Santa Clara	PROFESSIONAL CORP	1644 ALUM ROCK AVE	None	SAN JOSE	CA	95116	37.35173	-121.85768	183e	5036.02
1467599605	1467599605	1	1	MBAGWU, K N SOLOMON MD	28-Apr-97	Physicians (026)	PHYSICIANS	G00042217	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	1218 S INGLEWOOD AVE	None	INGLEWOOD	CA	90301	33.946609	-118.361324	78.2q	6014.02
1487764064	1487764064	2	1	MODOC MEDICAL CENTER FAMILY	8-Aug-13	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	25	Modoc	DISTRICT	229 W MCDOWELL AVE	None	ALTURAS	CA	96101	41.480076	-120.540835	98	1
1487795753	1487795753	1	1	MORAN, JORGE L MD INC	5-Jun-07	Physicians (026)	PHYSICIANS	A63662	1	General Practice	0	In state provider	19	Los Angeles	CLINICA MEDICA SAN FELIP	210 S LOCUST ST	None	INGLEWOOD	CA	90301	33.961652	-118.350368	78.2q	6010.01
1528172541	1528172541	1	2	MCH MEDICAL CLINIC	18-Sep-06	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	36	San Bernardino	PO BOX 70	29099 HOSPITAL RD	STE 200	LAKE ARROWHEAD	CA	92352	34.265922	-117.167117	147	109.02
1538113725	1538113725	1	1	MENDOCINO COAST HOSP	13-Apr-00	Community Hosp Outpatient (015)	COMMUNITY OUTPATIENT HOSPITAL	ZZR00569	99	Unknown (on EDS claims)	0	In state provider	23	Mendocino	None	700 RIVER DR	None	FORT BRAGG	CA	95437	39.432613	-123.800797	89	105
1538243373	1538243373	1	1	MALAKOOTI, HAMID MD	24-Jun-97	Physicians (026)	PHYSICIANS	A00040504	40	Pediatrics, Periodontist (Dentists Only)	0	In state provider	19	Los Angeles	None	2428 W WHITTIER BLVD	None	MONTEBELLO	CA	90640	34.014312	-118.128059	78.2c	5302.04
1538300488	1538300488	1	1	MANDALAY BAY WOMEN &	31-Aug-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	56	Ventura	None	2000 OUTLET CENTER DR	STE 110	OXNARD	CA	93036	34.218953	-119.149318	241b	49.02
1538482286	1538482286	1	1	MINEVICH, GREGORY A MD PMC	31-Aug-10	Physicians (026)	PHYSICIANS	A00093150	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	1	Alameda	None	1290 B ST	STE 305	HAYWARD	CA	94541	37.676347	-122.077819	2h	4354
1548210297	1548210297	1	1	METROLPOLITAN FAMILY MED	23-Aug-00	Physicians Group (022)	PHYSICIANS GROUP	FNP026904	99	Unknown (on EDS claims)	0	In state provider	36	San Bernardino	None	7576 STERLING AVE	STE C&D	SAN BERNARDINO	CA	92410	34.116162	-117.243662	151k	76.01
1548538911	1548538911	1	1	MAGNOLIA COMMUNITY HEALTH	2-Apr-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	33	Riverside	None	9380 MAGNOLIA AVE	None	RIVERSIDE	CA	92503	33.921652	-117.444212	135c	316.01
1588012124	1588012124	1	1	MAGNOLIA WOMEN MEDICAL CNTR	1-Mar-18	Physicians Group (022)	PHYSICIANS GROUP	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	33	Riverside	None	3975 JACKSON STREET	SUITE 110	RIVERSIDE	CA	92503	33.927349	-117.441424	135c	316.02
1588012124	1588012124	1	3	MAGNOLIA WOMEN MEDICAL CNTR	1-Mar-18	Physicians Group (022)	PHYSICIANS GROUP	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	33	Riverside	None	760 S WASHBURN AVE	3A	CORONA	CA	92882	33.873859	-117.567848	135d	416
1609062389	1609062389	1	1	MARSHALL OB/GYN	15-Sep-10	Physicians Group (022)	PHYSICIANS GROUP	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	9	El Dorado	None	1095 MARSHALL WAY	2N FL	PLACERVILLE	CA	95667	38.725203	-120.790637	23.3	312
1609899087	1609899087	1	1	MOJTAHEDIAN, EMMANUEL MD	28-Apr-97	Physicians (026)	PHYSICIANS	A00039395	1	General Practice	0	In state provider	19	Los Angeles	INC.	6425 WHITTIER BLVD	None	LOS ANGELES	CA	90022	34.015439	-118.133723	78.2c	5318
1639129372	1639129372	1	2	METROPOLITAN FAMILY MED	25-Jan-11	Physicians Group (022)	PHYSICIANS GROUP	FNP026904	70	Clinic (mixed specialty), Public Health (Dentists Only)	0	In state provider	36	San Bernardino	None	425 E FOOTHILL BLVD	None	RIALTO	CA	92376	34.106709	-117.363264	151h	39
1669673646	1669673646	1	1	MADERA COMMUNITY HOSPIT	6-Oct-97	Community Hosp Outpatient (015)	COMMUNITY OUTPATIENT HOSPITAL	200491281	99	Unknown (on EDS claims)	0	In state provider	20	Madera	None	1250 E ALMOND AVE	None	MADERA	CA	93637	36.945447	-120.045618	80	5.02
1669738159	1669738159	1	1	MAGNOLIA WEST	31-Aug-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	56	Ventura	None	2220 E GONZALES ROAD	SUITE 120-A	OXNARD	CA	93036	34.219285	-119.200549	241a	29.05
1679749501	1679749501	1	1	MORENO VLY FMLY HLTH CTR	22-Feb-10	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	33	Riverside	None	22675 ALESSANDRO BLVD	None	MORENO VALLEY	CA	92553	33.916984	-117.267305	135b	467
1689760316	1689760316	1	1	MOY, CARL K MD INC	28-Apr-97	Physicians Group (022)	PHYSICIANS GROUP	G43977	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	711 W COLLEGE ST	SUITE M88	LOS ANGELES	CA	90012	34.065427	-118.241528	78.2ffff	2071.03
1689950248	1689950248	1	1	MONTPELIER HEALTH CLINIC	25-Oct-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	43	Santa Clara	None	2380 MONTPELIER DRIVE	STE 200	SAN JOSE	CA	95116	37.365171	-121.847566	183b	5037.12
1700092137	1700092137	1	1	MAD RIVER COMM HOSPITAL	6-Oct-97	Community Hosp Outpatient (015)	COMMUNITY OUTPATIENT HOSPITAL	ZZR00028F	99	Unknown (on EDS claims)	0	In state provider	12	Humboldt	PO BOX 1115	3800 JANES RD	None	ARCATA	CA	95521	40.9036	-124.090373	39	13
1700830296	1700830296	1	1	MAR MONTE COMMUNITY CLINIC	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	43	Santa Clara	INC	2470 ALVIN AVE	SUITE 60	SAN JOSE	CA	95121	37.319456	-121.827395	183h	5033.04
1710199526	1710199526	1	1	MEDRANO, JOSE M MD PC	5-Jan-11	Physicians (026)	PHYSICIANS	A75641	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	2211 W MAGNOLIA BLVD	SUITE 250	BURBANK	CA	91506	34.172993	-118.331796	78.2ttt	3109
1720101645	1720101645	1	1	MATERNITY MEDICAL CTR OF LA	31-Jan-13	Physicians (026)	PHYSICIANS	A00051837	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	2716 S VERMONT	UNIT 1	LOS ANGELES	CA	90007	34.030207	-118.291536	78.2b	2218.1
1720279094	1720279094	1	1	MEE MEMORIAL HOSP OP CLN	3-Nov-99	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	27	Monterey	MEE MEMORIAL HOSP OP CLN	210 CANAL ST	None	KING CITY	CA	93930	36.207637	-121.132788	105	113.04
1730258765	1730258765	1	6	MOMMY & ME MEDICAL GROUP INC	17-Jun-10	Physicians Group (022)	PHYSICIANS GROUP	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	36	San Bernardino	None	416 W FOOTHILL BLVD	None	RIALTO	CA	92376	34.106816	-117.377276	151h	35.09
1730263930	1730263930	1	1	MATERNAL-FETAL MEDICINE	17-Oct-05	Physicians Group (022)	PHYSICIANS GROUP	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	ASSOCIATES, AMC	3628 E IMPERIAL HWY	STE 200	LYNWOOD	CA	90262	33.930859	-118.204247	78.2sss	5402.02
1730299157	1730299157	1	1	MORNINGSIDE PRIMARY CARE	1-Jun-07	Physicians Group (022)	PHYSICIANS GROUP	FNP024384	8	Family Practice	0	In state provider	19	Los Angeles	MEDICAL CENTER INC	617 W MANCHESTER AVE	None	LOS ANGELES	CA	90044	33.960064	-118.284871	78.2s	2403
1750419420	1750419420	1	1	MONTEREY CNTY CLIN AT MARINA	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	27	Monterey	AT MARINA	3155 DE FOREST RD	None	MARINA	CA	93933	36.684998	-121.793273	108	143.02
1750503017	1750503017	1	1	MEMORIAL OB CLINIC	22-Feb-10	Physicians Group (022)	PHYSICIANS GROUP	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	2865 ATLANTIC AVE	STE 110	LONG BEACH	CA	90806	33.809325	-118.185091	78.2lll	5722.02
1750873113	1750873113	1	1	MOORPARK COLLEGE STUDENT	18-Jul-18	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	56	Ventura	COLLEGE DISTRICT	7075 CAMPUS ROAD	None	MOORPARK	CA	93021	34.299854	-118.831967	239	76.14
1760516058	1760516058	1	1	MCFARLAND COMM HLTH CTR	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	15	Kern	MCFARLAND COMM HLTH CTR	217 W KERN AVE	None	MC FARLAND	CA	93250	35.678012	-119.229468	60	47.01
1760578413	1760578413	1	1	MOY, CARL K MD INC	28-Apr-97	Physicians Group (022)	PHYSICIANS GROUP	G43977	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	500 N GARFIELD AVE	STE 104	MONTEREY PARK	CA	91754	34.05624	-118.12471	78.2nn	4822.01
1770516304	1770516304	1	1	MENDOCINO COMMUNITY HEALTH	25-Nov-03	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	17	Lake	CLINIC INC	5335 LAKESHORE BLVD	None	LAKEPORT	CA	95453	39.111527	-122.906666	70.1	3
1780733048	1780733048	1	1	MOTHER AND CHILD HEALTH	24-Nov-99	Physicians Group (022)	PHYSICIANS GROUP	FNP036158	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	15913 AMAR RD	None	LA PUENTE	CA	91744	34.036362	-117.937883	78.2yyy	4075.02
1780796540	1780796540	1	1	MAYVIEW COMMUNITY HLTH	3-Jan-10	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	43	Santa Clara	CENTER-PA	270 GRANT AVE	None	PALO ALTO	CA	94306	37.426717	-122.141731	183a	5115
1780796540	1780796540	1	2	MAYVIEW COMM HLTH CTR-MV	3-Jan-10	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	43	Santa Clara	None	900 MIRAMONTE AVENUE	FLOOR 2	MOUNTAIN VIEW	CA	94040	37.385709	-122.087156	183a	5098.01
1780796540	1780796540	1	3	MAYVIEW COMM HLTH CT INC	3-Jan-10	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	43	Santa Clara	HEALTH CENTER-CNC	785 MORSE AVE	None	SUNNYVALE	CA	94085	37.393774	-122.018591	183l	5090
1790738243	1790738243	1	1	MODERN CONCEPTS MED GRP	18-May-99	Physicians Group (022)	PHYSICIANS GROUP	FNP024624	1	General Practice	0	In state provider	19	Los Angeles	None	1217 W WHITTIER BLVD	None	MONTEBELLO	CA	90640	34.011067	-118.113108	78.2ww	5301.02
1801184841	1801184841	1	1	MAYWOOD FAMILY MEDICAL CENTE	8-Aug-11	Physicians (026)	PHYSICIANS	A00045155	8	Family Practice	0	In state provider	19	Los Angeles	CENTER RAGAA Z ISKAROUS	5920 ATLANTIC BLVD	None	MAYWOOD	CA	90270	33.986415	-118.185686	78.2ddd	5334.03
1811958952	1811958952	1	1	MENDOCINO COMM HLTH CLIN	25-Nov-03	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	23	Mendocino	None	333 LAWS AVE	None	UKIAH	CA	95482	39.126481	-123.209702	93.1	113
1821105651	1821105651	1	1	MATSAM MEDICAL GROUP INC	1-Mar-97	Physicians Group (022)	PHYSICIANS GROUP	FNP17163	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	10	Fresno	OB-GYN ASSOCS MED GRP	1383 E HERNDON AVE	STE 101	FRESNO	CA	93720	36.836898	-119.763408	35f	54.06
1851409924	1851409924	1	2	MELBA A BERBANO MD INC	1-Jun-08	Physicians Group (022)	PHYSICIANS GROUP	A00053064	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	39	San Joaquin	None	1801 E MARCH LN	STE C320	STOCKTON	CA	95210	38.003429	-121.285555	169a	34.09
1861420069	1861420069	1	1	MALONEY, PATRICK L MD	28-Apr-97	Physicians (026)	PHYSICIANS	C00039953	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	MAXSON BLDG	933 S SUNSET AVE	STE 106	WEST COVINA	CA	91790	34.064572	-117.942863	78.2www	4067.02
1861633703	1861633703	1	1	MAGNOLIA FAMILY MEDICAL	31-Aug-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	56	Ventura	None	2240 E GONZALES RD	STE 100	OXNARD	CA	93036	34.219284	-119.200902	241a	29.05
1891830568	1891830568	1	2	MOSAIC FAMILY CARE	23-Sep-08	Physicians Group (022)	PHYSICIANS GROUP	FNP029143	8	Family Practice	0	In state provider	19	Los Angeles	MEDICAL GROUP INC	1301 AVENIDA CESAR CHAVE	None	MONTEREY PARK	CA	91754	34.039133	-118.14832	78.2d	5304
1891830568	1891830568	1	5	MOSAIC FAMILY CARE	23-Sep-08	Physicians Group (022)	PHYSICIANS GROUP	FNPO29143	8	Family Practice	0	In state provider	19	Los Angeles	MEDICAL GROUP INC	1600 IMPERIAL HWY	None	LOS ANGELES	CA	90047	33.930941	-118.304596	78.2s	6003.02
1912033572	1912033572	1	1	MID-CITY COMM CLINIC	10-Mar-04	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	None	4290 POLK AVE	None	SAN DIEGO	CA	92105	32.751447	-117.102149	161d	22.02
1912091018	1912091018	1	1	MARIN COMM CLIN	6-Mar-08	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	21	Marin	None	5 BON AIR ROAD	SUITE 117	LARKSPUR	CA	94939	37.943695	-122.539762	83a	1200
1912125667	1912125667	1	1	MAYERS MEMORIAL HOSP	1-Jan-09	Community Hosp Outpatient (015)	COMMUNITY OUTPATIENT HOSPITAL	None	99	Unknown (on EDS claims)	0	In state provider	45	Shasta	DISTRICT	43563 HWY 299E	None	FALL RIVER MILLS	CA	96028	41.041272	-121.411324	190	127.02
1912146887	1912146887	1	1	MLS CLINICAL & MEDICAL CORP	8-Aug-09	Physicians (026)	PHYSICIANS	A80070	8	Family Practice	0	In state provider	19	Los Angeles	CORPORATION	8530 FLORENCE AVE	STE 101	DOWNEY	CA	90240	33.949426	-118.120969	78.2eee	5506.02
1922303437	1922303437	1	1	MARIN COMMUNITY CLINIC	4-Apr-11	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	21	Marin	SAN RAFAEL CAMPUS	3260 KERNER BLVD	SUITE A	SAN RAFAEL	CA	94901	37.962024	-122.501986	83b	1122.02
1922485952	1922485952	1	1	MONTEREY PLAZA HEALTH CLINIC	25-Oct-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	43	Santa Clara	None	5504 MONTEREY HWY	None	SAN JOSE	CA	95138	37.253786	-121.799118	183i	5120.39
1942416045	1942416045	1	1	MENDOZA, MANUEL F MD INC	4-Jan-11	Physicians Group (022)	PHYSICIANS GROUP	None	8	Family Practice	0	In state provider	19	Los Angeles	None	16660 PARAMOUNT BLVD	306	PARAMOUNT	CA	90723	33.882563	-118.159974	78.2m	5539.02
1942631460	1942631460	1	1	MEAD VALLEY CLINIC MEDICA	12-Aug-15	Physicians Group (022)	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	33	Riverside	None	21091 RIDER ST	SUITE 218	PERRIS	CA	92570	33.829854	-117.294868	133.3	429.04
1952351686	1952351686	1	1	METROPOLITAN FAMILY MED	23-Mar-01	Physicians Group (022)	PHYSICIANS GROUP	FNP026904	1	General Practice	0	In state provider	33	Riverside	METROPOLITAN FAMILY MED	4990 ARLINGTON AVE	STE D	RIVERSIDE	CA	92504	33.946074	-117.411872	135c	314.02
1952485641	1952485641	1	2	MY FAMILY & ME PRIMARY CARE-	1-Feb-14	Physicians Group (022)	PHYSICIANS GROUP	FNP26802	40	Pediatrics, Periodontist (Dentists Only)	0	In state provider	33	Riverside	None	24226 SUNNYMEAD BLVD	None	MORENO VALLEY	CA	92553	33.939065	-117.23995	135b	425.15
1952574717	1952574717	1	1	MISSION NEIGHBORHOOD HLTH CT	17-Apr-02	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	38	San Francisco	ASSOCIATES, INC	4434 MISSION ST	None	SAN FRANCISCO	CA	94112	37.726694	-122.433397	162c	255
1962442012	1962442012	1	1	MEMORIAL HOSPITAL MED	28-Apr-97	Community Hosp Outpatient (015)	COMMUNITY OUTPATIENT HOSPITAL	190900525	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	MEDICAL CENTER	2801 ATLANTIC AVE	None	LONG BEACH	CA	90806	33.808011	-118.185097	78.2lll	5722.02
1962560870	1962560870	1	2	MCMILLAN, SAMUEL L MD	12-Jan-98	Physicians (026)	PHYSICIANS	C00039834	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	HEALTH CENTER	14311 RAMONA BLVD	None	BALDWIN PARK	CA	91706	34.086225	-117.962	78.2zzz	4052.02
1972503142	1972503142	1	1	MARSHALL MEDICAL CENTER	12-Apr-99	Community Hosp Outpatient (015)	COMMUNITY OUTPATIENT HOSPITAL	30000059	99	Unknown (on EDS claims)	0	In state provider	9	El Dorado	None	1100 MARSHALL WAY	None	PLACERVILLE	CA	95667	38.725642	-120.79098	23.3	312
1972563617	1972563617	1	1	MEDICAL GRP OF PARAMOUNT	28-Apr-97	Physicians Group (022)	PHYSICIANS GROUP	FNP21394	1	General Practice	0	In state provider	19	Los Angeles	CLINICA MEDICA HISPANA	14906 PARAMOUNT BLVD	None	PARAMOUNT	CA	90723	33.898173	-118.160087	78.2ooo	5536.01
1972657559	1972657559	1	1	MARSHALL MEDICAL CENTER	3-Jan-07	Physicians Group (022)	PHYSICIANS GROUP	None	8	Family Practice	0	In state provider	9	El Dorado	None	5137 GOLDEN FOOTHILL PKW	STE 120	EL DORADO HLS	CA	95762	38.639941	-121.068663	23.3	307.04
1992850150	1992850150	1	1	MORENO VALLEY WOMENS &	17-Jul-07	Physicians (026)	PHYSICIANS	A00075962	8	Family Practice	0	In state provider	33	Riverside	None	6485 DAY ST	STE 203	RIVERSIDE	CA	92507	33.931874	-117.278843	135b	425.05