Table: family_pact_providers_profile_cy_2019 , provider_business_legal_name like S*

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
1003068206	1003068206	1	1	ST JOHNS WELL CHILD	12-Aug-09	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	6505 8TH AVE	None	LOS ANGELES	CA	90043	33.980563	-118.326486	78.2k	2349.01
1003822453	1003822453	1	1	SOLEDAD MEDICAL CLINIC	17-Jul-00	Physicians Group (022)	PHYSICIANS GROUP	P00004369	8	Family Practice	0	In state provider	27	Monterey	CARE DISTRICT	600 MAIN ST	None	SOLEDAD	CA	93960	36.432917	-121.324452	107	111.02
1003869363	1003869363	1	1	SAN YSIDRO HEALTH NATIONAL	28-Apr-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	COMUNIDAD DE SAN YSIDRO	1136 D AVE	None	NATIONAL CITY	CA	91950	32.674098	-117.101713	161k	117
1003902917	1003902917	1	1	SAN DIEGO IND HLTH CTR	10-Jan-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	INDIAN HEALTH CENTER	2630 1ST AVE	None	SAN DIEGO	CA	92103	32.732739	-117.163959	161e	60
1013199264	1013199264	1	1	SUN VALLEY HEALTH CENTER	11-Mar-09	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	SUN VALLEY HEALTH CENTER	7223 FAIR AVE	None	SUN VALLEY	CA	91352	34.201895	-118.374679	78.2bb	1230.1
1013932797	1013932797	1	1	SHASTA LAKE CITY FAMILY	25-Sep-08	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	45	Shasta	SHASTA LAKE CITY FAMILY	4215 FRONT ST	None	SHASTA LAKE	CA	96019	40.681041	-122.366859	189.3	117.03
1033142278	1033142278	1	1	SAN BERNARDINO WOMENS	26-Dec-02	Physicians (026)	PHYSICIANS	A00070551	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	MEDICAL GROUP INC	1226 N PARK AVE	None	POMONA	CA	91768	34.070321	-117.754977	78.2ss	4023.03
1033235973	1033235973	1	1	SAN BENITO COMM HEALTH	4-Jan-10	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	35	San Benito	HEALTH CLINIC	930 SUNSET DR	BUILDING 3	HOLLISTER	CA	95023	36.8351	-121.385743	140	6
1033514708	1033514708	1	1	SOS CHILDREN & FAMILY HEALTH	9-Sep-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	30	Orange	None	307 PLACENTIA AVE	STE 107	NEWPORT BEACH	CA	92663	33.626255	-117.931008	116p	636.03
1043542111	1043542111	1	1	ST JOHNS WELL CHILD FAMILY	2-Aug-11	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	CENTER INC	15715 S ATLANTIC AVE	#2	E RANCHO DMNGZ	CA	90221	33.890491	-118.193031	78.2bbb	5421.06
1053566224	1053566224	1	1	SOUTH MEDICAL CLINIC	17-Apr-14	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	1126 E SOUTH STREET	None	LONG BEACH	CA	90805	33.860109	-118.178599	78.2iii	5706.01
1063406551	1063406551	1	1	SANTA CLARA MED CTR	17-Mar-12	County Hospital Outpatient (061)	COUNTY HOSPITAL OUTPATIENT	None	99	Unknown (on EDS claims)	0	In state provider	43	Santa Clara	None	751 S BASCOM AVE	None	SAN JOSE	CA	95128	37.313397	-121.931908	183j	5021.01
1063589174	1063589174	1	1	SOUTHERN INYO HOSP DIST	2-Jan-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	14	Inyo	None	501 E LOCUST ST	None	LONE PINE	CA	93545	36.608372	-118.057549	55	8
1063658029	1063658029	1	1	SAN JOSE FOOTHILL FAMILY	11-Mar-09	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	43	Santa Clara	COMMUNITY CLINIC INC	2880 STORY ROAD	STE 10	SAN JOSE	CA	95127	37.3537	-121.822699	183e	5035.1
1063836526	1063836526	1	1	ST JOHNS WELL CHILD AND	21-Mar-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	PRIMARY CARE CLINIC	3628 E IMPERIAL HWY	SUITE 301	LYNWOOD	CA	90262	33.930859	-118.204247	78.2sss	5402.02
1073534608	1073534608	1	1	SAN GABRIEL HEALTH CLINI	21-Aug-06	Physicians Group (022)	PHYSICIANS GROUP	FNP034454	8	Family Practice	0	In state provider	19	Los Angeles	None	2630 SAN GABRIEL BLVD	STE 105	ROSEMEAD	CA	91770	34.060029	-118.090603	78.2qqq	4825.03
1073547220	1073547220	1	1	SANTA FE MEDICAL CLINIC	1-May-13	Physicians (026)	PHYSICIANS	A64972	1	General Practice	0	In state provider	19	Los Angeles	None	2637 E CARSON STREET	None	CARSON	CA	90810	33.831718	-118.220075	78.2v	5440.02
1073653630	1073653630	1	1	ST JOHN'S WELL CHILD CTR	11-Apr-02	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	1910 SOUTH MAGNOLIA AVE	None	LOS ANGELES	CA	90007	34.039828	-118.286449	78.2b	2216.02
1073830485	1073830485	1	1	SAN ANTONIO FAMILY MEDICAL	14-Apr-11	Physicians Group (022)	PHYSICIANS GROUP	None	8	Family Practice	0	In state provider	37	San Diego	CLINIC INC	36 C NORTH EUCLID AVE	None	NATIONAL CITY	CA	91950	32.690121	-117.08522	161g	119.02
1083648810	1083648810	1	1	SAN FRANCISCO GEN HOSP	1-Jul-05	County Hospital Outpatient (061)	COUNTY HOSPITAL OUTPATIENT	None	99	Unknown (on EDS claims)	0	In state provider	38	San Francisco	BUSINESS OFFICE WARD 14	1001 POTRERO AVE	None	SAN FRANCISCO	CA	94110	37.756216	-122.406616	162c	228.02
1083715890	1083715890	1	1	SAN DIEGO STATE UNIV	30-Jun-05	Exempt from Licensure Clinics (045)	CLINIC EXEMP FROM LICENSURE	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	STUDENT HEALTH SERVICES	5500 CAMPANILE DR	None	SAN DIEGO	CA	92182	32.772884	-117.071665	161e	28.01
1093910275	1093910275	1	1	STANISLAUS COUNTY HLTH	20-Sep-07	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	50	Stanislaus	MCHENRY MEDICAL OFFICE	1209 WOODROW AVENUE	STE B10	MODESTO	CA	95350	37.685706	-121.011057	215a	8.01
1093933939	1093933939	1	1	SAN FERNANDO MEDICAL CENTER	12-Aug-03	Physicians (026)	PHYSICIANS	20A7033	1	General Practice	0	In state provider	19	Los Angeles	SAN FERNANDO MED CTR	501 N MACLAY AVE	None	SAN FERNANDO	CA	91340	34.287696	-118.435277	78.2ll	3202.02
1093969115	1093969115	1	4	SOUTH GATE HIGH SCHOOL	12-Aug-19	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	INTERMITTENT	3351 FIRESTONE BOULEVARD	None	SOUTH GATE	CA	90280	33.95457	-118.209808	78.2sss	5357.02
1093969115	1093969115	1	5	SOUTH EAST HIGH SCHOOL	12-Aug-19	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	INTERMITTENT	2720 TWEEDY BOULEVARD	None	SOUTH GATE	CA	90280	33.946148	-118.223399	78.2ccc	5356.06
1124025739	1124025739	1	1	SALJOUGHY, TOGROL MD	1-Mar-97	Physicians (026)	PHYSICIANS	A00040320	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	54	Tulare	None	115 E HONOLULU ST	None	LINDSAY	CA	93247	36.202638	-119.089895	228.2	28
1124296496	1124296496	1	1	SAENZ, LUCY M MD	15-Jan-04	Physicians (026)	PHYSICIANS	A00056461	8	Family Practice	0	In state provider	30	Orange	None	1203 N EUCLID ST	None	ANAHEIM	CA	92801	33.85082	-117.941811	116l	867.01
1134132343	1134132343	1	1	SL HEALTH INC	27-Jun-06	Physicians Group (022)	PHYSICIANS GROUP	FNP034557	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	COGAN HEALTH INC	2683 PACIFIC AVE	STE A	LONG BEACH	CA	90806	33.805917	-118.193799	78.2lll	5722.02
1134298318	1134298318	1	1	SAN MARTIN DE PORRES MED	28-Apr-97	Physicians Group (022)	PHYSICIANS GROUP	FNP030801	1	General Practice	0	In state provider	19	Los Angeles	CLINIC OF SOUTH GATE INC	10001 CALIFORNIA AVE	None	SOUTH GATE	CA	90280	33.943535	-118.207674	78.2ccc	5358.02
1144304817	1144304817	1	1	SAN BERNARDINO OB/GYN	10-Jul-97	Physicians Group (022)	PHYSICIANS GROUP	FNP020942	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	36	San Bernardino	None	400 N PEPPER AVE	None	COLTON	CA	92324	34.070885	-117.352841	151f	36.12
1144316217	1144316217	1	1	SUNMOON URGENT CARE MED	1-Jun-05	Physicians (026)	PHYSICIANS	A84584	8	Family Practice	0	In state provider	19	Los Angeles	SUNMOON MED GRP INC	1304 ECHO PARK AVE	None	LOS ANGELES	CA	90026	34.077411	-118.256951	78.2a	1974.2
1144464025	1144464025	1	1	STUDENT HLTH SERVICES CSU	16-Mar-10	Exempt from Licensure Clinics (045)	CLINIC EXEMP FROM LICENSURE	None	99	Unknown (on EDS claims)	0	In state provider	4	Butte	None	WARNER AVE & COLLEGE DR	None	CHICO	CA	95929	39.731243	-121.850181	7.1	6.04
1164557815	1164557815	1	1	SAN FRANCISCO HLTH DEP	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	38	San Francisco	None	1525 SILVER AVE	None	SAN FRANCISCO	CA	94134	37.732483	-122.40564	162f	257.01
1174023857	1174023857	1	1	SAINT ANNE OB-GYN SPECIALTY	28-Dec-18	Physicians Group (022)	PHYSICIANS GROUP	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	36	San Bernardino	INC	9655 MONTE VISTA AVE	STE 405	MONTCLAIR	CA	91763	34.0785	-117.698246	151c	2.03
1184844607	1184844607	1	1	SPECIALTY CARE & SURGERY	25-Sep-98	Physicians Group (022)	PHYSICIANS GROUP	FNP035334	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	17	Lake	CENTER	5685 MAIN ST	None	KELSEYVILLE	CA	95451	38.971691	-122.830112	70.1	10
1184913956	1184913956	1	1	SOUTH OF MARKET HEALTH CTR	1-Apr-11	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	38	San Francisco	OUTPATIENT IMPROVEMENT P	229 7TH STREET	None	SAN FRANCISCO	CA	94103	37.77765	-122.408969	162a	178.02
1194893248	1194893248	1	1	SABAN FREE CLINIC BEVERLY	28-Apr-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	8405 BEVERLY BLVD	None	LOS ANGELES	CA	90048	34.076063	-118.373295	78.2f	1945
1205859733	1205859733	1	2	SANCHEZ MEDICAL CEN	20-Jan-05	Physicians (026)	PHYSICIANS	G00048388	1	General Practice	0	In state provider	19	Los Angeles	SANCHEZ MEDICAL CENTER	9306 ALONDRA BLVD	None	BELLFLOWER	CA	90706	33.889269	-118.135996	78.2m	5542.01
1215127717	1215127717	1	1	SAN FRANCISCO CITY	1-Mar-97	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	38	San Francisco	None	356 7TH ST	None	SAN FRANCISCO	CA	94103	37.775939	-122.406794	162a	178.02
1215155031	1215155031	1	1	SALUD CLINIC	24-Aug-04	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	57	Yolo	SALUD CLINIC	500 JEFFERSON BLVD	STE B180	WEST SACRAMENTO	CA	95605	38.587516	-121.526961	245	101.01
1215953609	1215953609	1	1	SAN MARTIN DE PORRES	6-May-97	Physicians Group (022)	PHYSICIANS GROUP	FNP020616	0	General Practioner (Dentists Only)	0	In state provider	19	Los Angeles	MEDICAL CLINIC INC	9315 TELEGRAPH RD	None	PICO RIVERA	CA	90660	33.957005	-118.104228	78.2ww	5026.02
1225063761	1225063761	1	2	SAN JOAQUIN FACULTY	11-Mar-97	Physicians Group (022)	PHYSICIANS GROUP	FNP017986	41	Internal Medicine	0	In state provider	39	San Joaquin	MEDICAL GROUP	500 W HOSPITAL ROAD	None	FRENCH CAMP	CA	95231	37.886456	-121.281847	169b	38.03
1225357114	1225357114	1	1	SOUTHERN CALIFORNIA MED CTR	1-Jun-13	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	12100 VALLEY BLVD	STE 109A	EL MONTE	CA	91732	34.061477	-118.016647	78.2oo	4333.02
1235271065	1235271065	1	1	SABAN COMMUNITY CLINIC	1-Feb-00	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	HOLLYWOOD HEALTH CENTER	6043 HOLLYWOOD BLVD	None	HOLLYWOOD	CA	90028	34.101663	-118.3211	78.2a	1910
1245669555	1245669555	1	1	SAN FERNANDO COMMUNITY	29-Jun-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	HOSPITAL	732 MOTT STREET	SUITE 100 AND 110	SAN FERNANDO	CA	91340	34.276119	-118.443627	78.2ll	3203
1255472924	1255472924	1	1	SOUTH BAY FAMILY HEALTH	21-Aug-06	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	HEALTHCARE CTR-INGLEWOOD	1091 S LA BREA AVE	None	INGLEWOOD	CA	90301	33.949217	-118.352729	78.2q	6012.02
1255729661	1255729661	1	1	SOUTHERN CALIFORNIA MEDICAL	8-May-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	CENTER INC	14550 HAYNES ST	None	VAN NUYS	CA	91411	34.189679	-118.449977	78.2cc	1278.06
1265457980	1265457980	1	1	SONOMA CO IND HLTH PROJ	9-Jul-04	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	49	Sonoma	PROJECT	144 STONY POINT RD	None	SANTA ROSA	CA	95401	38.440394	-122.744516	210.1	1530.02
1265580500	1265580500	1	1	SAN JOAQUIN PRIME CARE	25-Jan-05	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	54	Tulare	MEDICAL GROUP	330 E PINE ST	None	EXETER	CA	93221	36.296915	-119.139269	228.2	15.02
1275545725	1275545725	1	1	SERRA COMMUNITY MEDICAL	5-Jun-01	Physicians Group (022)	PHYSICIANS GROUP	FNP027560	1	General Practice	0	In state provider	19	Los Angeles	CLINIC	9375 SAN FERNANDO RD	None	SUN VALLEY	CA	91352	34.239401	-118.393854	78.2ppp	1212.1
1285708818	1285708818	1	1	SOUTHLAND INTEGRATED SERVICE	21-Feb-07	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	30	Orange	SERVICES INC	9862 CHAPMAN AVE	SUITE B	GARDEN GROVE	CA	92841	33.788524	-117.960954	116r	882.03
1285733725	1285733725	1	1	SIERRA COUNTY HLTH DEPT	8-Jan-07	Exempt from Licensure Clinics (045)	CLINIC EXEMP FROM LICENSURE	None	99	Unknown (on EDS claims)	0	In state provider	46	Sierra	None	202 FRONT STREET	None	LOYALTON	CA	96118	39.674005	-120.241193	191	100
1285780494	1285780494	1	1	SUNKIST MULTI-SPECIALTY	3-Dec-00	Physicians Group (022)	PHYSICIANS GROUP	FNP027906	41	Internal Medicine	0	In state provider	19	Los Angeles	MEDICAL CLINIC INC	13909 AMAR RD	STE B	LA PUENTE	CA	91746	34.053357	-117.973996	78.2yyy	4069.01
1285782664	1285782664	1	2	SORAYA MEDICAL GROUP INC	30-Mar-99	Physicians Group (022)	PHYSICIANS GROUP	FNP024939	1	General Practice	0	In state provider	19	Los Angeles	None	11702 IMPERIAL HWY	STE 110	NORWALK	CA	90650	33.917036	-118.083919	78.2jjjj	5520.02
1285845503	1285845503	1	1	SAN ANTONIO MEDICAL CLI	17-Jul-08	Physicians (026)	PHYSICIANS	A00056155	8	Family Practice	0	In state provider	30	Orange	INC.	325 E LA HABRA BLVD	None	LA HABRA	CA	90631	33.931882	-117.943183	116k	12.02
1285874826	1285874826	1	1	ST JOHN'S WELL CHILD	1-Jun-11	Health Access Program (058)	HEALTH ACCESS PROGRAM	CLR330688	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	FAMILY HLTH CTR, INC	808 WEST 58TH STREET	None	LOS ANGELES	CA	90037	33.989703	-118.287318	78.2ggg	2327
1295082774	1295082774	1	1	SOS-EL SOL WELLNESS CENTER	9-Sep-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	30	Orange	None	1014 N BROADWAY ST	None	SANTA ANA	CA	92701	33.75351	-117.869751	116b	750.03
1295810174	1295810174	1	1	SAN BENITO HEALTH FNDTN	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	35	San Benito	None	351 FELICE DR	None	HOLLISTER	CA	95023	36.853334	-121.417073	140	3
1306939624	1306939624	1	1	SANO MEDICAL CLINIC	18-Mar-97	Physicians Group (022)	PHYSICIANS GROUP	FNP005937	1	General Practice	0	In state provider	30	Orange	None	700 W 19TH ST	None	COSTA MESA	CA	92627	33.643401	-117.927655	116p	636.05
1306945241	1306945241	1	1	SAINT ANA WOMEN MED CLNC	18-Oct-99	Physicians (026)	PHYSICIANS	A00033244	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	SAINT ANA WOMEN MED CLNC	3865 JASMINE AVE	None	CULVER CITY	CA	90232	34.020459	-118.400917	78.2y	2699.05
1316188543	1316188543	1	1	SAN LORENZO HIGH HEALTH CNTR	1-Oct-09	Community Clinics (041)	COMMUNITY CLINIC	550001118	99	Unknown (on EDS claims)	0	In state provider	1	Alameda	None	50 E LEWELLING BLVD	None	SAN LORENZO	CA	94580	37.686688	-122.122192	2h	4337
1326225632	1326225632	2	1	SAN YSIDRO HEALTH MI CLINICA	25-Aug-08	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	COMUNIDAD DE SAN YSIDRO	3177 OCEAN VIEW BLVD	None	SAN DIEGO	CA	92113	32.701187	-117.125663	161c	39.02
1326486861	1326486861	1	1	SAN YSIDRO HEALTH CHULA VIST	30-Sep-13	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	COMUNIDAD DE SAN YSIDRO	678 THIRD AVE	None	CHULA VISTA	CA	91910	32.628201	-117.074787	161k	130
1336201318	1336201318	1	1	SAN MATEO MEDICAL CENTER	24-Jan-11	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	41	San Mateo	None	222 W 39TH AVE	None	SAN MATEO	CA	94403	37.530196	-122.299214	176e	6072
1336281179	1336281179	1	1	SABAN COMMUNITY CLINIC	4-Feb-11	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	HOLLYWOOD WILSHIRE HLTH	5205 MELROSE AVE	None	LOS ANGELES	CA	90038	34.08352	-118.313671	78.2g	1917.1
1336330646	1336330646	1	1	SCOTT VALLEY RURAL HEALTH CL	5-Jan-08	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	47	Siskiyou	None	8 COMMERCIAL ST	None	ETNA	CA	96027	41.46291	-122.889482	194	8
1336385244	1336385244	1	1	SESPE MEDICAL INCORPORATED	2-Jan-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	56	Ventura	None	552 SESPE	None	FILLMORE	CA	93015	34.400445	-118.915438	237	3.02
1356374359	1356374359	1	2	SAN GABRIEL WOMEN'S HLTH	21-Feb-01	Physicians (026)	PHYSICIANS	G00060420	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	SAN GABRIEL WOMEN'S HLTH	601 LAS TUNAS DR	STE 101	ARCADIA	CA	91007	34.107545	-118.051006	78.2dddd	4316
1356750657	1356750657	1	1	SAN YSIDRO HEALTH MI CLINCA	1-Dec-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	COMUNIDAD DE SAN YSIDRO	1058 3RD AVENUE	None	CHULA VISTA	CA	91911	32.615127	-117.069673	161j	131.02
1356779797	1356779797	1	1	SUTTER LAKESIDE COMMUNITY	10-Dec-14	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	17	Lake	None	5196 HILL ROAD E	SUITE 300	LAKEPORT	CA	95453	39.100412	-122.912335	70.1	3
1366521650	1366521650	1	1	SANCHEZ, FELIX J MD	5-Mar-97	Physicians (026)	PHYSICIANS	A00040821	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	50	Stanislaus	None	900 DELBON AVENUE	None	TURLOCK	CA	95382	37.510478	-120.838693	212.1	39.07
1376556555	1376556555	1	1	SAN FERNANDO HEALTH CTR	28-Apr-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	SAN FERNANDO FAM PLAN	1212 PICO ST	None	SAN FERNANDO	CA	91340	34.28336	-118.444415	78.2ll	3203
1376905026	1376905026	1	1	SADDLEBACK COLLEGE	18-May-16	Exempt from Licensure Clinics (045)	CLINIC EXEMP FROM LICENSURE	None	99	Unknown (on EDS claims)	0	In state provider	30	Orange	COMMUNITY COLLEGE DISTRI	28000 MARGUERITE PARKWAY	None	MISSION VIEJO	CA	92692	33.55704	-117.667255	115.2a	320.22
1386721900	1386721900	1	1	SUNSHINE MEDICAL CLINIC	9-Nov-01	Physicians Group (022)	PHYSICIANS GROUP	FNP029062	1	General Practice	0	In state provider	19	Los Angeles	None	555 W COMPTON BLVD	STE 104	COMPTON	CA	90220	33.895903	-118.232876	78.2bbb	5425.02
1386886117	1386886117	1	1	SIERRA VISTA 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	1227 E LOS ANGELES AVE	None	SIMI VALLEY	CA	93065	34.271817	-118.774328	240c	78
1386915593	1386915593	1	1	SANTIAGO CANYON COLLEGE	1-Nov-13	Exempt from Licensure Clinics (045)	CLINIC EXEMP FROM LICENSURE	None	99	Unknown (on EDS claims)	0	In state provider	30	Orange	STUDENT HEALTH CENTER	8045 EAST CHAPMAN AVE	None	ORANGE	CA	92869	33.793802	-117.766526	116n	756.05
1396792875	1396792875	1	1	SAN JOSE CITY COLLEGE	26-Mar-98	Exempt from Licensure Clinics (045)	CLINIC EXEMP FROM LICENSURE	0	99	Unknown (on EDS claims)	0	In state provider	43	Santa Clara	STUDENT HEALTH SERVICES	2100 MOORPARK AVE	None	SAN JOSE	CA	95128	37.316275	-121.929819	183j	5021.02
1396891909	1396891909	1	1	S CENTRAL FAMILY HLTH CT	28-Apr-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	HEALTH CTR	4425 S CENTRAL AVE	None	LOS ANGELES	CA	90011	34.003304	-118.256479	78.2ggg	2286
1396981700	1396981700	1	1	ST JOHNS WELL CHILD	27-May-14	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	FAMILY CENTER INC	4085 S VERMONT AVE	None	LOS ANGELES	CA	90037	34.009285	-118.291548	78.2l	2316
1407130727	1407130727	1	1	SHEPARD CHC SURGICAL CENTER	2-Jan-13	Surgical Clinics (044)	SURGICAL CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	42	Santa Barbara	OF THE CENTRAL COAST INC	1418 E MAIN ST	None	SANTA MARIA	CA	93454	34.9529	-120.413575	180.1	22.11
1407189525	1407189525	1	1	SAN BERNARDINO VALLEY COLLEG	19-Dec-11	Exempt from Licensure Clinics (045)	CLINIC EXEMP FROM LICENSURE	None	99	Unknown (on EDS claims)	0	In state provider	36	San Bernardino	COLLEGE DISTRICT	701 S MOUNT VERNON AVE	None	SAN BERNARDINO	CA	92410	34.089166	-117.313783	151f	124
1407821523	1407821523	1	1	SFGH MED GRP DEPT OB/GYN	23-Apr-97	Physicians Group (022)	PHYSICIANS GROUP	ZZZ000000	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	38	San Francisco	None	1001 POTRERO AVE	RM 6D14	SAN FRANCISCO	CA	94110	37.754506	-122.406453	162c	229.03
1407886948	1407886948	1	1	SINGLETON OB & GYN INC	14-Feb-01	Physicians (026)	PHYSICIANS	A00065522	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	10	Fresno	None	3410 MCCALL AVE	STE 115	SELMA	CA	93662	36.584107	-119.61062	30	70.04
1417082165	1417082165	1	1	SAN FRANCISCO HLTH DEP	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	38	San Francisco	None	1301 PIERCE ST	None	SAN FRANCISCO	CA	94115	37.781964	-122.435815	162g	158.01
1417209305	1417209305	1	1	SAN GABRIEL VALLEY	7-Jun-13	Physicians Group (022)	PHYSICIANS GROUP	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	PHYS ACO GROUP AMC	600 N GARFIELD AVE	STE 307	MONTEREY PARK	CA	91754	34.068526	-118.122924	78.2nn	4817.13
1427062157	1427062157	1	1	SALAS, JOSE R MD INC	3-Oct-97	Physicians (026)	PHYSICIANS	A00038943	4	Otology, Laryngology, Rhinology	0	In state provider	54	Tulare	None	575 W PUTNAM AVE	None	PORTERVILLE	CA	93257	36.069602	-119.029772	231	38.01
1427070374	1427070374	1	1	SAN ANTONIO NBRHD HLTH	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	1	Alameda	SAN ANTONIO NBRHD HLTH	1030 INTERNATIONAL BLVD	None	OAKLAND	CA	94606	37.79186	-122.249437	2e	4060
1427224914	1427224914	1	1	SAN MATEO CTY COMM DIST	6-Nov-07	Exempt from Licensure Clinics (045)	CLINIC EXEMP FROM LICENSURE	None	99	Unknown (on EDS claims)	0	In state provider	41	San Mateo	SAN MATEO CTY COMM DIST	1700 W HILLSDALE BLVD	BLDG 1, ROOM 226	SAN MATEO	CA	94402	37.531736	-122.333407	176g	6068
1437292927	1437292927	1	1	STANFORD HEALTH CARE DBA STA	14-Dec-00	Physicians Group (022)	PHYSICIANS GROUP	None	8	Family Practice	0	In state provider	43	Santa Clara	NFORD MEDICAL CENTER	300 PASTEUR DR	None	STANFORD	CA	94305	37.433373	-122.177575	183a	5116.09
1447390265	1447390265	1	1	SCHOOL HEALTH CLINICS	1-Sep-06	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	43	Santa Clara	NEIGHBORHOOD HLTH CLINIC	1149 E JULIAN ST	BLDG H	SAN JOSE	CA	95116	37.350919	-121.871327	183d	5014.01
1457724858	1457724858	1	1	SAN DIEGO FAMILY CARE	20-Jun-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	None	7011 LINDA VISTA RD	None	SAN DIEGO	CA	92111	32.787389	-117.169706	161a	88
1477647386	1477647386	1	1	SAN JACINTO FAM & URG CA	8-Apr-09	Physicians Group (022)	PHYSICIANS GROUP	FNP034328	1	General Practice	0	In state provider	33	Riverside	MD INC	229 W 7TH ST	None	SAN JACINTO	CA	92583	33.780353	-116.960315	132	436.02
1487752895	1487752895	2	1	SAN BERNARDINO CLINICA MEDIC	2-Jan-13	Physicians Group (022)	PHYSICIANS GROUP	A00092039	1	General Practice	0	In state provider	36	San Bernardino	ASSOCIATES, AMC	407 E GILBERT ST	STE 1	SAN BERNARDINO	CA	92404	34.126801	-117.276822	151k	63.01
1487848131	1487848131	1	1	SAN JOAQUIN PRIME CARE	27-Oct-09	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	54	Tulare	MEDICAL CORP	682 E VISALIA RD	None	FARMERSVILLE	CA	93223	36.297786	-119.20092	233	16.01
1497841258	1497841258	1	1	SULTANA, SAYEEDA MD	28-Apr-97	Physicians (026)	PHYSICIANS	A00053436	40	Pediatrics, Periodontist (Dentists Only)	0	In state provider	19	Los Angeles	None	5060 ROSEMEAD BLVD	None	PICO RIVERA	CA	90660	34.000464	-118.083965	78.2ww	5007
1497945810	1497945810	1	1	SAN FRANCISCO COMM CLG	1-Aug-97	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	38	San Francisco	DIST STUDENT HLTH SVCS	50 PHELAN AVE	STE B201	SAN FRANCISCO	CA	94112	37.725715	-122.452384	162d	310
1508073685	1508073685	1	1	SHARE OUR SELVES COMMUNITY	1-Jun-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	30	Orange	None	1550 SUPERIOR AVE	None	COSTA MESA	CA	92627	33.633025	-117.926653	116p	636.05
1508178930	1508178930	1	1	SUCGANG, PAUL DO INC	21-Jun-10	Physicians (026)	PHYSICIANS	20A9629	8	Family Practice	0	In state provider	19	Los Angeles	None	416 W LAS TUNAS DR	STE 201	SAN GABRIEL	CA	91776	34.102493	-118.104643	78.2dddd	4802.01
1508895871	1508895871	1	1	SON-HA AND DIEM-CHI A MEDICA	10-Mar-99	Physicians Group (022)	PHYSICIANS GROUP	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	MEDICAL	1951 PACIFIC AVENUE	None	LONG BEACH	CA	90806	33.7926	-118.193784	78.2jjj	5730.04
1508977414	1508977414	1	1	SIERRA HEALTH CENTER	1-Mar-97	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	30	Orange	SIERRA HEALTH CENTER	501 S BROOKHURST RD	None	FULLERTON	CA	92833	33.865197	-117.959367	116f	19.02
1528120151	1528120151	1	1	SAN MATEO CO HLTH SVS	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	41	San Mateo	None	380 90TH ST	None	DALY CITY	CA	94015	37.691132	-122.474097	176d	6012
1528144755	1528144755	1	1	SANO MEDICAL CLINIC INC	18-Mar-97	Physicians Group (022)	PHYSICIANS GROUP	FNP005937	1	General Practice	0	In state provider	30	Orange	None	1444 S MAIN ST	None	SANTA ANA	CA	92707	33.728187	-117.867787	116b	746.02
1528167467	1528167467	1	1	SAINT ANA WOMEN MED CLNC	15-Nov-99	Physicians (026)	PHYSICIANS	A00033244	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	SAINT ANA WOMEN MED CLNC	13676 VAN NUYS BLVD	None	PACOIMA	CA	91331	34.259701	-118.430828	78.2ll	1045
1528235355	1528235355	1	1	STRONGKIDS MEDICAL GROUP	1-Nov-12	Physicians Group (022)	PHYSICIANS GROUP	FNP035330	40	Pediatrics, Periodontist (Dentists Only)	0	In state provider	30	Orange	INC	1491 E LA PALMA AVE	STE B	ANAHEIM	CA	92805	33.847273	-117.898006	116q	864.04
1538180245	1538180245	1	1	SACRAMENTO COMM CLINIC	30-Nov-09	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	34	Sacramento	ORGANIZATION INC	2200 DEL PASO BLVD	None	SACRAMENTO	CA	95815	38.610077	-121.450815	139j	69
1538262092	1538262092	1	1	SAN YSIDRO HEALTH KING-CHAVE	13-Aug-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	COMUNIDAD DE SAN YSIDRO	950 S EUCLID AVENUE	None	SAN DIEGO	CA	92114	32.696292	-117.085103	161g	31.01
1538367115	1538367115	1	1	SALUD CLINICA MEDICA	18-Apr-08	Physicians Group (022)	PHYSICIANS GROUP	FNP036127	1	General Practice	0	In state provider	30	Orange	GROUP INC	1617 E 1ST ST	STE A	SANTA ANA	CA	92701	33.745567	-117.845919	116h	744.06
1538400353	1538400353	1	1	SAN JOAQUIN COUNTY CLINICS	1-Dec-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	39	San Joaquin	None	1414 N CALIFORNIA STREET	STE B	STOCKTON	CA	95202	37.967517	-121.288334	169b	4.02
1548293145	1548293145	1	1	SEHDEVA, PARKASH K MD	18-Aug-98	Physicians (026)	PHYSICIANS	A00036163	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	12321 HAWTHORNE BLVD	None	HAWTHORNE	CA	90250	33.920791	-118.352697	78.2bbbb	6021.06
1548301229	1548301229	1	1	SOUTH BAY FAMILY HEALTH	9-Jul-04	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	CARE CENTER	2114 ARTESIA BLVD	None	REDONDO BEACH	CA	90278	33.872801	-118.374586	78.2iiii	6207.01
1548367436	1548367436	1	1	SAENZ, LUCY M MD INC	2-Oct-98	Physicians (026)	PHYSICIANS	A00056461	8	Family Practice	0	In state provider	30	Orange	None	1215 E 17TH ST	None	SANTA ANA	CA	92701	33.759898	-117.853557	116h	754.03
1548401409	1548401409	1	1	SANTA PAULA HOSPITAL CLINIC	31-Aug-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	56	Ventura	None	845 N 10TH ST	STE 3	SANTA PAULA	CA	93060	34.36584	-119.065531	237	8
1558638601	1558638601	1	1	SABLAN HEALTH CENTER	20-Mar-14	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	None	927 O STREET	None	FIREBAUGH	CA	93622	36.860624	-120.458268	25	84.01
1558693655	1558693655	1	1	SANTA CLARITA HEALTH CENTER	11-Apr-11	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	18533 SOLEDAD CANYON RD	None	SANTA CLARITA	CA	91351	34.416489	-118.456574	76.1b	9200.35
1568521938	1568521938	1	1	SWANSON, WILLIAM C MD	18-Jan-05	Physicians (026)	PHYSICIANS	G00011394	0	General Practioner (Dentists Only)	0	In state provider	19	Los Angeles	None	4200 PECK RD	STE B	EL MONTE	CA	91732	34.080443	-118.019581	78.2oo	4324.02
1568665073	1568665073	1	1	SOUTHWEST COMM HEALTH CT	9-May-02	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	49	Sonoma	None	599 BELLEVUE AVE	None	SANTA ROSA	CA	95407	38.401833	-122.734668	210.1	1532
1568845741	1568845741	1	1	SAN YSIDRO HEALTH CHALDEAN	17-Nov-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	COMUNIDAD DE SAN YSIDRO	436 S MAGNOLIA AVE	STE 101	EL CAJON	CA	92020	32.7912	-116.962323	161h	158.02
1578535845	1578535845	1	8	SAN BERNARDINO HEALTH CENTER	23-Jan-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	36	San Bernardino	None	606 E MILL STREET	None	SAN BERNARDINO	CA	92415	34.092145	-117.296227	151f	124
1578680310	1578680310	1	2	SANTA CRUZ CO	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	44	Santa Cruz	None	1080 EMELINE AVE	None	SANTA CRUZ	CA	95060	36.99184	-122.017534	185.3	1212
1578766085	1578766085	1	1	SOUTHWEST COMM HLTH CTR	6-Apr-98	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	49	Sonoma	None	751 LOMBARDI CT	None	SANTA ROSA	CA	95407	38.427222	-122.748425	210.1	1533
1578803425	1578803425	1	1	SAN JOAQUIN COUNTY CLINICS	1-Dec-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	39	San Joaquin	None	500 W HOSPITAL RD	STE B	FRENCH CAMP	CA	95231	37.886456	-121.281847	169b	38.03
1588756530	1588756530	1	3	SACRAMENTO NATIVE AMER	3-May-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	34	Sacramento	None	2020 J ST	None	SACRAMENTO	CA	95811	38.576631	-121.479589	139j	11.01
1588804819	1588804819	2	1	SAN JUAN RD HEALTHCARE CTR	4-Jan-10	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	35	San Benito	DISTRICT	991 FOURTH STREET	None	HOLLISTER	CA	95023	36.85274	-121.412685	140	4
1598002628	1598002628	1	1	ST JOHNS WELL CHILD FAMILY	23-Dec-13	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	FAMILY CENTER INC	808 W 58TH ST	None	LOS ANGELES	CA	90037	33.989703	-118.287318	78.2ggg	2327
1598821027	1598821027	1	1	SAN JOAQUIN HEALTH CTR	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	SAN JOAQUIN HEALTH CTR	21890 COLORADO AVE	None	SAN JOAQUIN	CA	93660	36.607706	-120.188838	26	82
1598907487	1598907487	1	1	SAN YSIDRO HEALTH PARADISE	24-Aug-09	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	COMUNIDAD DE SAN YSIDRO	2400 EAST 8TH ST	STE A	NATIONAL CITY	CA	91950	32.682723	-117.082363	161g	120.02
1629094891	1629094891	1	5	STANISLAUS COUNTY HLTH LAB	5-Oct-05	County Clinics not assoc w/hosp (048)	COUNTY CLINICS NOT ASSOCIATED WITH HOSPITAL	ZZR11501	99	Unknown (on EDS claims)	0	In state provider	50	Stanislaus	DEPT CLINIC	820 SCENIC DR	None	MODESTO	CA	95350	37.647191	-120.984165	215b	10.02
1629257191	1629257191	1	2	SAN SEBASTIAN FAMILY MEDICAL	2-Jul-10	Physicians (026)	PHYSICIANS	A00053016	40	Pediatrics, Periodontist (Dentists Only)	0	In state provider	36	San Bernardino	None	595 W HIGHLAND AVE	None	SAN BERNARDINO	CA	92405	34.135998	-117.296307	151g	53
1629319447	1629319447	1	1	SAN JOAQUIN COUNTY CLINICS	1-Dec-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	39	San Joaquin	None	500 W HOSPITAL ROAD	STE A	FRENCH CAMP	CA	95231	37.886456	-121.281847	169b	38.03
1629491089	1629491089	1	2	ST JOHNS WELL CHILD & FAMILY	2-Dec-15	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	FAMILY CENTER INC	1555 W 110TH STREET	None	LOS ANGELES	CA	90047	33.93551	-118.303639	78.2s	6003.02
1649315029	1649315029	1	1	SWENSON MEDICAL GROUP	23-Sep-10	Physicians Group (022)	PHYSICIANS GROUP	None	15	Obstetrics (D.O. only), Endodontist (Dentists Only)	0	In state provider	47	Siskiyou	PROF CORP	1501 S OREGON ST	None	YREKA	CA	96097	41.717504	-122.642017	195	7.02
1649792615	1649792615	1	1	SOUTH CENTRAL FAMILY HEALTH	26-Oct-18	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	CENTER	1028 E VERNON AVE	None	LOS ANGELES	CA	90011	34.00393	-118.257792	78.2ggg	2286
1659359446	1659359446	1	1	SCRIPPS MERCY HOSPITAL	17-May-00	Community Hosp Outpatient (015)	COMMUNITY OUTPATIENT HOSPITAL	90000074	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	SCRIPPS MERCY HOSP	4077 5TH AVE	None	SAN DIEGO	CA	92103	32.751236	-117.161063	161b	4
1659407740	1659407740	1	1	SOUTHEAST HEALTH CENTER	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	38	San Francisco	None	2401 KEITH ST	None	SAN FRANCISCO	CA	94124	37.726226	-122.392227	162f	234
1669500336	1669500336	1	1	SEASIDE FAMILY HEALTH CENTER	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	27	Monterey	None	1156 FREMONT BLVD	None	SEASIDE	CA	93955	36.601811	-121.848973	110	136
1679023980	1679023980	1	1	SAN JOAQUIN COUNTY CLINICS H	13-Dec-19	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	39	San Joaquin	None	1601 EAST HAZELTON AVE	None	STOCKTON	CA	95205	37.95005	-121.268628	169b	19
1679631907	1679631907	1	1	SATICOY FAMILY HEALTH	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	56	Ventura	INC VENTURA	200 S WELLS RD	STE 100	VENTURA	CA	93004	34.293009	-119.15949	237	12.01
1700057981	1700057981	1	1	ST ISABEL FAMILY MEDICAL	6-Jan-09	Physicians Group (022)	PHYSICIANS GROUP	FNP37220	1	General Practice	0	In state provider	19	Los Angeles	CLINIC, INC	1535 W LOMITA BLVD	None	HARBOR CITY	CA	90710	33.79782	-118.303687	78.2aaaa	2933.02
1700911765	1700911765	1	1	SAN FRANCISCO HLTH DEP	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	38	San Francisco	None	3850 17TH ST	None	SAN FRANCISCO	CA	94114	37.762703	-122.431844	162g	203
1710172721	1710172721	1	1	SAN JOAQUIN PRIME CARE	27-Oct-09	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	MEDICAL CORP	826 E MANNING AVE	None	REEDLEY	CA	93654	36.604148	-119.440417	32	66.04
1710228531	1710228531	1	1	SAN JOAQUIN COUNTY CLINICS	1-Dec-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	39	San Joaquin	None	500 W HOSPITAL ROAD	STE C	FRENCH CAMP	CA	95231	37.886456	-121.281847	169b	38.03
1730169756	1730169756	1	1	SALUD PARA LA GENTE CLINIC	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	44	Santa Cruz	None	204 E BEACH ST	None	WATSONVILLE	CA	95076	36.912114	-121.75433	184	1103
1730205154	1730205154	1	1	STUDENT HEALTH CENTER	21-Oct-08	Exempt from Licensure Clinics (045)	CLINIC EXEMP FROM LICENSURE	CNC321038	99	Unknown (on EDS claims)	0	In state provider	36	San Bernardino	None	5500 UNIVERSITY PARKWAY	None	SAN BERNARDINO	CA	92407	34.177945	-117.328208	151e	45.04
1740336734	1740336734	1	1	SACRAMENTO COMM CLINIC	30-Nov-09	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	34	Sacramento	ORGANIZATION INC	7275 E SOUTHGATE DR	STE 204-206	SACRAMENTO	CA	95823	38.493421	-121.437707	139k	50.02
1740413798	1740413798	1	2	SUTTER SANTA ROSA REGIONAL	1-May-14	Community Hosp Outpatient (015)	COMMUNITY OUTPATIENT HOSPITAL	None	99	Unknown (on EDS claims)	0	In state provider	49	Sonoma	HOSPITAL	30 MARK WEST SPRINGS RD	None	SANTA ROSA	CA	95403	38.496376	-122.751516	210.1	1527.02
1750469318	1750469318	1	1	SGHIATTI, VINCENT R APC	26-Apr-02	Physicians (026)	PHYSICIANS	G00042926	8	Family Practice	0	In state provider	19	Los Angeles	None	6316 HOLMES AVE	None	LOS ANGELES	CA	90001	33.98262	-118.241186	78.2mmm	5327
1770669715	1770669715	1	1	SONOMA VALLEY COMM HLTH	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	49	Sonoma	None	19270 SONOMA HIGHWAY 12	None	SONOMA	CA	95476	38.298949	-122.475185	208	1502.02
1770685612	1770685612	1	1	SANTO NINO MEDICAL CLINC	28-May-03	Physicians Group (022)	PHYSICIANS GROUP	FNP028718	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	SANTO NINO MEDICAL CORP	14427 CHASE ST	STE 100	PANORAMA CITY	CA	91402	34.224765	-118.447293	78.2ll	1201.04
1770803462	1770803462	1	1	SERVE THE PEOPLE COMM HLTH	1-Nov-13	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	30	Orange	None	1206 E 17TH STREET	STE 101	SANTA ANA	CA	92701	33.759898	-117.85362	116h	754.03
1770816829	1770816829	1	1	SUTTER LAKESIDE MEDICAL PRAC	1-Jan-10	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	17	Lake	None	987 PARALLEL DR	SUITE C	LAKEPORT	CA	95453	39.036426	-122.927133	70.1	3
1770997033	1770997033	1	1	SANTA MARIA WOMENS HEALTH CE	26-Oct-18	Community Clinics (041)	COMMUNITY CLINIC	550003383	99	Unknown (on EDS claims)	0	In state provider	42	Santa Barbara	CENTERS	220 S PALISADE DRIVE	STE 201, 202, 203B, 204B	SANTA MARIA	CA	93454	34.952749	-120.412079	180.1	22.11
1780195255	1780195255	1	1	SANTA ROSA COMMUNITY HEALTH	2-Apr-18	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	49	Sonoma	CENTERS	1300 N DUTTON AVENUE	None	SANTA ROSA	CA	95401	38.449198	-122.732995	210.1	1530.01
1780769166	1780769166	1	1	STANGE, CARLA J	24-Apr-97	Certified Nurse Midwife (005)	CERTIFIED NURSE MIDWIFE	528	99	Unknown (on EDS claims)	0	In state provider	23	Mendocino	None	940 UKIAH STREET	None	MENDOCINO	CA	95460	39.306739	-123.796133	87.2	110.02
1780784843	1780784843	1	1	SAN FRANCISCO STATE UNIVERSI	1-Mar-06	Physicians Group (022)	PHYSICIANS GROUP	None	8	Family Practice	0	In state provider	38	San Francisco	SFSU STUDENT HEALTH	1600 HOLLOWAY AVE	None	SAN FRANCISCO	CA	94132	37.720836	-122.476424	162d	332.01
1790221703	1790221703	1	1	SEQUOIA FAMILY MEDICAL CENTE	17-May-19	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	54	Tulare	None	590 W PUTNAM AVE	None	PORTERVILLE	CA	93257	36.06961	-119.030364	231	38.01
1790884633	1790884633	1	1	SAINT ANA WOMEN MED CLNC	23-May-01	Physicians (026)	PHYSICIANS	A00033244	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	SAINT ANA WOMEN MED CLNC	1535 S WESTERN AVE	STE G	LOS ANGELES	CA	90006	34.044508	-118.309026	78.2b	2213.03
1801028303	1801028303	1	1	ST JOHNS WELL CHILD AND FAM	1-Feb-13	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	FAMILY CENTER INC	15301 S. SAN JOSE AVE	None	COMPTON	CA	90221	33.896646	-118.1902	78.2bbb	5421.04
1801138698	1801138698	1	1	SOUTH GATE COMMUNITY CLINIC	27-Dec-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	5720 IMPERIAL HWY	STE N-O	SOUTH GATE	CA	90280	33.929963	-118.169141	78.2sss	5362
1801270137	1801270137	1	1	SAC SAN BERNARDINO CAMPUS	16-Dec-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	36	San Bernardino	None	250 SOUTH G STREET	None	SAN BERNARDINO	CA	92410	34.097379	-117.298641	151g	57.01
1801907449	1801907449	1	1	SAMAHAN HEALTH CENTERS	25-Aug-06	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	None	2743 HIGHLAND AVE	None	NATIONAL CITY	CA	91950	32.661316	-117.09223	161k	116.02
1801992565	1801992565	1	1	SAN MIGUEL MEDICAL	26-Aug-97	Physicians Group (022)	PHYSICIANS GROUP	FNP014677	1	General Practice	0	In state provider	19	Los Angeles	CLINIC, INC.	8204 LONG BEACH BLVD	STE B	SOUTH GATE	CA	90280	33.964112	-118.225172	78.2ccc	5355.01
1821275132	1821275132	2	1	SAN YSIDRO HEALTH EUCLID	25-Aug-08	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	COMUNIDAD DE SAN YSIDRO	286 EUCLID AVE	STE 302	SAN DIEGO	CA	92114	32.707504	-117.085083	161g	33.04
1831361237	1831361237	1	1	S K MEDICAL GROUP INC	2-Nov-05	Physicians (026)	PHYSICIANS	A00048044	41	Internal Medicine	0	In state provider	19	Los Angeles	S K MEDICAL GROUP INC	1418 S SAN GABRIEL BLVD	STE C	SAN GABRIEL	CA	91776	34.08276	-118.090757	78.2eeee	4814.02
1831400795	1831400795	1	1	STRONG FAMILIES MEDICAL GRP	5-Oct-10	Physicians Group (022)	PHYSICIANS GROUP	None	8	Family Practice	0	In state provider	30	Orange	None	2222 S MAIN ST	None	SANTA ANA	CA	92707	33.717232	-117.867908	116g	742
1841431707	1841431707	1	1	SANTA PAULA WEST FQHC	31-Aug-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	56	Ventura	None	254 W HARVARD BLVD	STE B	SANTA PAULA	CA	93060	34.345063	-119.075905	237	7.01
1841477742	1841477742	1	1	SAN FERNANDO HIGH SCHOOL TEE	28-Apr-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	CORPORATION	11051 N O'MELVENY AVE	None	SAN FERNANDO	CA	91340	34.271102	-118.440638	78.2ll	1095
1851423925	1851423925	1	1	SAN ANTONIO MED CENTER	21-Mar-00	Physicians Group (022)	PHYSICIANS GROUP	FNP036285	1	General Practice	0	In state provider	30	Orange	SAN ANTONIO MED CENTER	610 W 17TH ST	None	SANTA ANA	CA	92706	33.759984	-117.873698	116b	751
1851578595	1851578595	1	1	SLAUSON PLAZA MED GRP	28-Apr-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	9436 SLAUSON AVE	None	PICO RIVERA	CA	90660	33.968332	-118.096522	78.2ww	5026.01
1851643241	1851643241	1	1	SHARMA, RAHUL MD INC	26-Oct-15	Physicians Group (022)	PHYSICIANS GROUP	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	15	Kern	None	9610 STOCKDALE HWY	UNIT B	BAKERSFIELD	CA	93311	35.354456	-119.110621	66d	28.06
1851757215	1851757215	1	1	SAN YSIDRO HEALTH SOUTH BAY	23-May-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	COMUNIDAD DE SAN YSIDRO	330-340 E 8TH STREET	None	NATIONAL CITY	CA	91950	32.676837	-117.103305	161k	118.01
1861582033	1861582033	1	1	SAN JUAN MED CLINIC INC	18-May-07	Physicians (026)	PHYSICIANS	A00052286	41	Internal Medicine	0	In state provider	56	Ventura	SAN JUAN MED CLINIC INC	971 W 7TH ST	STE B	OXNARD	CA	93030	34.195193	-119.18969	241b	86
1861678674	1861678674	1	1	SHERMAN HEIGHTS FAMILY HLTH	5-Dec-00	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	OF SAN DIEGO INC	2391 ISLAND AVE	None	SAN DIEGO	CA	92102	32.710477	-117.142516	161c	47
1861827057	1861827057	1	1	SANTA ROSA WOMENS HEALTH	26-Feb-15	Certified Nurse Midwife (005)	CERTIFIED NURSE MIDWIFE	None	99	Unknown (on EDS claims)	0	In state provider	49	Sonoma	A PROFESSIONAL NURSING	583 SUMMERFIELD RD	None	SANTA ROSA	CA	95405	38.452608	-122.670361	210.1	1517
1861829061	1861829061	1	1	SANTA ANA COLLEGE	17-Mar-14	Exempt from Licensure Clinics (045)	CLINIC EXEMP FROM LICENSURE	None	99	Unknown (on EDS claims)	0	In state provider	30	Orange	STUDENT HEALTH CENTER	1530 W 17TH STREET	ROOM U120	SANTA ANA	CA	92706	33.759969	-117.888168	116b	752.02
1861893844	1861893844	1	1	ST JOHNS WELL CHILD & FAMILY	2-Dec-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	AND FAMILY CENTER INC	326 W 23RD STREET	None	LOS ANGELES	CA	90007	34.029241	-118.270976	78.2ffff	2240.2
1871597690	1871597690	1	1	SANCHEZ, ANA M MD	23-Aug-11	Physicians (026)	PHYSICIANS	G00054162	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	30	Orange	None	424 S MAIN ST	STE N	ORANGE	CA	92868	33.781836	-117.867403	116h	760
1871634568	1871634568	1	1	SOUTH BAY FAMILY HEALTH-	9-Jul-04	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	CARE CENTER	742 W GARDENA BLVD	None	GARDENA	CA	90247	33.881677	-118.288226	78.2uuu	2912.2
1871680397	1871680397	1	1	SAMAHAN HEALTH CENTERS MIRA	1-Mar-10	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	None	10737 CAMINO RUIZ	STE 235	SAN DIEGO	CA	92126	32.91375	-117.143814	161v	83.57
1871826925	1871826925	1	1	ST LUKES HEALTH CARE CENTER	10-Dec-13	Community Clinics (041)	COMMUNITY CLINIC	550000230	99	Unknown (on EDS claims)	0	In state provider	38	San Francisco	None	1580 VALENCIA STREET	SUITE 508	SAN FRANCISCO	CA	94110	37.747184	-122.420209	162c	253
1881765048	1881765048	1	1	SANTOS MEDICAL GROUP	9-Mar-99	Physicians (026)	PHYSICIANS	A00054292	1	General Practice	0	In state provider	19	Los Angeles	SANTOS MEDICAL GROUP	15159 PRAIRIE AVE	None	LAWNDALE	CA	90260	33.893559	-118.343819	78.2iiii	6037.02
1881795003	1881795003	1	1	SAN MATEO MEDICAL	30-Mar-99	Physicians Group (022)	PHYSICIANS GROUP	FNP021169	1	General Practice	0	In state provider	19	Los Angeles	CLINIC INC	4055 WHITTIER BLVD	None	LOS ANGELES	CA	90023	34.023928	-118.184369	78.2d	5312.02
1881811404	1881811404	1	1	SAN RAFAEL COMM MED CLIN	11-Feb-02	Physicians Group (022)	PHYSICIANS GROUP	FNP029412	8	Family Practice	0	In state provider	19	Los Angeles	SAN RAFAEL COMM MED CLIN	647 E ARROW HWY	None	AZUSA	CA	91702	34.106798	-117.897471	78.2qq	4041
1891036612	1891036612	1	1	SAN JOAQUIN COUNTY CLINICS	1-Dec-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	39	San Joaquin	None	1414 N CALIFORNIA ST	STE C	STOCKTON	CA	95202	37.967517	-121.288334	169b	4.02
1891710638	1891710638	1	1	SHASTA COMMUNITY HEALTH	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	45	Shasta	None	1035 PLACER ST	None	REDDING	CA	96001	40.583544	-122.385243	189.2	101
1891806329	1891806329	1	2	SABABA, LILIAN E MD	25-Aug-97	Physicians (026)	PHYSICIANS	A00048778	1	General Practice	0	In state provider	19	Los Angeles	None	866 N VERMONT AVE	None	LOS ANGELES	CA	90029	34.087012	-118.29171	78.2g	1914.1
1902183098	1902183098	1	1	SHASTA FAMILY CARE	18-Apr-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	47	Siskiyou	None	725 PINE STREET	None	MOUNT SHASTA	CA	96067	41.315387	-122.318452	197	10
1902923329	1902923329	1	1	SANTA CRUZ WOMEN'S	1-Nov-02	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	44	Santa Cruz	CENTERS	250 LOCUST ST	None	SANTA CRUZ	CA	95060	36.974977	-122.028367	185.1	1007
1902993660	1902993660	1	1	SEFA-BOAKYE, KOFI MD	28-Apr-97	Physicians (026)	PHYSICIANS	G00059670	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	37	San Diego	None	286 EUCLID AVE	STE 205	SAN DIEGO	CA	92114	32.707504	-117.085083	161g	33.04
1922051812	1922051812	1	1	SAN YSIDRO HEALTH OTAY	1-Jan-04	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	COMUNIDAD DE SAN YSIDRO	1637 3RD AVE	STE B,C,F,H,I	CHULA VISTA	CA	91911	32.596674	-117.064522	161j	132.04
1932249505	1932249505	1	1	ST JOHN'S WELL CHILD	18-Mar-05	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	FAMILY CTR LINCOLN HGHTS	2512 ALTA ST	None	LOS ANGELES	CA	90031	34.076021	-118.203971	78.2i	1992.02
1932249596	1932249596	1	1	ST JOHN'S WELL CHILD CTR	18-Feb-04	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	COMPTON	2115A N WILMINGTON AVE	None	COMPTON	CA	90222	33.911537	-118.239193	78.2ooo	5413
1932340890	1932340890	1	1	SANTA PAULA MEDICAL CLINIC F	31-Aug-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	56	Ventura	None	1334 E MAIN ST	None	SANTA PAULA	CA	93060	34.356226	-119.053341	237	6
1932428828	1932428828	1	1	SOUTHERN CALIFORNIA MEDICAL	1-Jun-13	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	CENTER INC	8825 WHITTIER BLVD	None	PICO RIVERA	CA	90660	34.001957	-118.085084	78.2ww	5006
1932566395	1932566395	1	1	SANTEE FAMILY MEDICINE	18-Nov-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	SERVICES INC	120 TOWN CENTER PARKWAY	None	SANTEE	CA	92071	32.841606	-116.98853	161m	166.14
1942234299	1942234299	1	1	SAVIERS MEDICAL GROUP	31-Aug-06	Physicians Group (022)	PHYSICIANS GROUP	FNP034887	8	Family Practice	0	In state provider	56	Ventura	None	246 E SCOTT ST	None	PORT HUENEME	CA	93041	34.149074	-119.197448	241a	44
1942298153	1942298153	1	1	ST ROSE HOSP	3-Jun-08	Community Hosp Outpatient (015)	COMMUNITY OUTPATIENT HOSPITAL	ZZR00002	99	Unknown (on EDS claims)	0	In state provider	1	Alameda	None	27200 CALAROGA AVE	None	HAYWARD	CA	94545	37.632903	-122.089741	2g	4373
1952327256	1952327256	1	69	SUTTER MEDICAL FOUNDATION	2-Mar-12	Physicians Group (022)	PHYSICIANS GROUP	None	8	Family Practice	0	In state provider	3	Amador	None	100 MISSION BLVD	STE 2600	JACKSON	CA	95642	38.346345	-120.772338	4	5
1952364747	1952364747	1	1	SAN YSIDRO HEALTH SAN YSIDRO	28-Apr-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	HEALTH CENTER	4004 BEYER BLVD	None	SAN YSIDRO	CA	92173	32.558402	-117.047923	161j	100.05
1952476525	1952476525	1	1	SAN JOAQUIN GENERAL HOSP	1-Jul-05	County Hospital Outpatient (061)	COUNTY HOSPITAL OUTPATIENT	None	99	Unknown (on EDS claims)	0	In state provider	39	San Joaquin	None	500 W HOSPITAL RD	None	FRENCH CAMP	CA	95231	37.886456	-121.281847	169b	38.03
1962538173	1962538173	1	1	SWEENY, ALFREDO MD INC	28-Aug-01	Physicians Group (022)	PHYSICIANS GROUP	FNP006922	8	Family Practice	0	In state provider	19	Los Angeles	SUNSET FAMILY MED CLINIC	4719 S BROADWAY	None	LOS ANGELES	CA	90037	34.000697	-118.278335	78.2ggg	2319
1962560896	1962560896	1	1	SAN JOSE MULTISPECIALITY	3-Jun-98	Physicians Group (022)	PHYSICIANS GROUP	None	8	Family Practice	0	In state provider	19	Los Angeles	SAN JOSE MULTISPECIALTY	14514 RAMONA BLVD	STE 3	BALDWIN PARK	CA	91706	34.086815	-117.958895	78.2zzz	4052.01
1962613349	1962613349	1	1	SOUTHWEST COMM HLTH CTR	21-Jul-06	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	49	Sonoma	None	3569 ROUND BARN CIRCLE	None	SANTA ROSA	CA	95403	38.478892	-122.728979	210.1	1524
1972845113	1972845113	1	1	ST JOHNS WELL CHILD AND	1-Nov-13	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	FAMILY CENTER INC	1555 W 110TH ST	None	LOS ANGELES	CA	90047	33.93551	-118.303639	78.2s	6003.02
1982891735	1982891735	1	1	SAN JOAQUIN PRIME CARE	27-Apr-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	MEDICAL CORP	30924 E KINGS CANYON RD	None	SQUAW VALLEY	CA	93675	36.736299	-119.262085	32	64.03
1992779417	1992779417	1	1	S Y BAND OF MISSION IND	29-Apr-02	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	42	Santa Barbara	CLINIC	90 VIA JUANA RD	None	SANTA YNEZ	CA	93460	34.60606	-120.093733	178.1	19.06
1992970016	1992970016	1	1	SAN ANTONIO INGLEWOOD	11-Apr-98	Physicians (026)	PHYSICIANS	G00059290	1	General Practice	0	In state provider	19	Los Angeles	None	10811 S GREVILLEA AVE	None	LENNOX	CA	90304	33.938069	-118.354856	78.2r	6017