Table family_pact_providers_profile_cy

Table: family_pact_providers_profile_cy_2019 , provider_business_legal_name like V*

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z *

provider_number	npi_provider_number	owner_number	service_location_number	provider_business_legal_name	enrollment_status_effective_date	provider_type_code	provider_type_code_desc	provider_license_number	provider_specialty_code	provider_specialty_code_desc	out_of_state_ind_desc	provider_address_county_code	provider_address_county_code_description	attention_line	provider_address_line1	provider_address_line2	provider_address_city	provider_address_state	provider_address_zip	provider_address_latitude	provider_address_longitude	mssa_id	tract_id
1043246317	1043246317	1	1	VUONG-DAC, MAN MD INC	20-Jan-00	Physicians (026)	PHYSICIANS	A00050243	8	Family Practice	In state provider	19	Los Angeles	None	3649 FLORENCE AVE	None	BELL	CA	90201	33.97174	-118.201475	78.2ddd	5336.03
1083743652	1083743652	1	1	VENTURA COUNTY OB/GYN	1-Aug-97	Physicians Group (022)	PHYSICIANS GROUP	ZZZ82842Z	0	General Practioner (Dentists Only)	In state provider	56	Ventura	MED GRP INC	2795 LOMA VISTA RD	None	VENTURA	CA	93003	34.275251	-119.258623	241c	19
1134306772	1134306772	1	1	VALLEY HLTH CTR A GILRO	19-May-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	43	Santa Clara	None	7475 CAMINO ARROYO	None	GILROY	CA	95020	37.019947	-121.560817	182	5126.02
1144407784	1144407784	1	1	VALLEY HEALTH CTR	19-May-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	43	Santa Clara	VALLEY HEALTH CTR BASCOM	750 S BASCOM AVE	None	SAN JOSE	CA	95128	37.313576	-121.931728	183j	5021.02
1154873230	1154873230	1	3	VALLEY WOMEN'S HEALTHCARE ME	26-Mar-18	Physicians Group (022)	PHYSICIANS GROUP	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	In state provider	10	Fresno	DICAL GROUP, INC	1187 E HERNDON AVE	106	FRESNO	CA	93720	36.837217	-119.767535	35f	54.06
1164503652	1164503652	1	1	VALLEY IMMEDIATE CARE	21-Jun-05	Physicians Group (022)	PHYSICIANS GROUP	FNP035097	1	General Practice	In state provider	33	Riverside	CORPORATION	1003 N STATE STREET	None	HEMET	CA	92543	33.763055	-116.971873	132	435.07
1184883936	1184883936	1	1	VENICE FAMILY CLINIC	28-Apr-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	19	Los Angeles	BURKE HEALTH CENTER	2509 PICO BLVD	None	SANTA MONICA	CA	90405	34.022715	-118.463511	78.2kkkk	7018.01
1184885972	1184885972	1	1	VENICE FAMILY CLINIC	28-Apr-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	19	Los Angeles	None	604 ROSE AVE	None	VENICE	CA	90291	33.999203	-118.471926	78.2z	2732
1194090688	1194090688	1	1	VERMONT URGENT CARE AND	5-Jan-17	Physicians (026)	PHYSICIANS	A106358	1	General Practice	In state provider	19	Los Angeles	None	1435 S VERMONT AVE	SUITE 100	LOS ANGELES	CA	90006	34.0459	-118.291598	78.2b	2212.2
1295822658	1295822658	1	1	VISTA COMM CLINIC	6-Jan-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	37	San Diego	None	1000 VALE TERRACE DR	None	VISTA	CA	92084	33.209018	-117.229179	156d	196.01
1316124951	1316124951	1	1	VALLEY HEALTH CHABOYA	19-May-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	43	Santa Clara	VALLEY HEALTH CHABOYA	500 TULLY RD	None	SAN JOSE	CA	95111	37.306535	-121.849592	183h	5032.14
1386134815	1386134815	1	1	VENTURA COLLEGE STUDENT	18-Jul-18	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	56	Ventura	COLLEGE DISTRICT	4667 TELEGRAPH ROAD	None	VENTURA	CA	93003	34.275755	-119.230559	241c	18
1437245412	1437245412	1	1	VISTA COMMUNITY CLINIC	14-Feb-07	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	37	San Diego	HORNE	517 N HORNE ST	None	OCEANSIDE	CA	92054	33.200852	-117.378031	156a	184
1467612820	1467612820	1	1	VASQUEZ, JULIO N MD INC	28-Apr-97	Physicians (026)	PHYSICIANS	A00045461	1	General Practice	In state provider	19	Los Angeles	A PROFESSIONAL CORP	8540 RESEDA BLVD	SUITE 240	NORTHRIDGE	CA	91324	34.225603	-118.536075	78.2kk	1154.03
1487095337	1487095337	1	1	VAN NUYS WOMENS CARE MEDICAL	1-Oct-98	Physicians (026)	PHYSICIANS	A00060633	16	Obstetrics-Gynecology (M.D. Only) Neonatal	In state provider	19	Los Angeles	None	7232 VAN NUYS BLVD	STE 101	VAN NUYS	CA	91405	34.202042	-118.448748	78.2cc	1271.02
1497001226	1497001226	1	1	VIA CARE COMMUNITY HEALTH CE	13-Jun-13	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	19	Los Angeles	CENTER INC	507 S. ATLANTIC BLVD	None	LOS ANGELES	CA	90022	34.026948	-118.155282	78.2d	5303.01
1497203541	1497203541	1	1	VCC THE GARY CENTER	13-Jun-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	30	Orange	None	201 S HARBOR BLVD	None	LA HABRA	CA	90631	33.93104	-117.933045	116k	14.04
1508896275	1508896275	1	1	VALENTINE MEDICAL CLINIC	18-Nov-09	Physicians (026)	PHYSICIANS	A00093662	41	Internal Medicine	In state provider	33	Riverside	None	8990 GARFIELD ST	SUITE 6	RIVERSIDE	CA	92503	33.928878	-117.439726	135c	315.01
1528275351	1528275351	1	2	VENTURA COUNTY GEN HOSP	1-Mar-97	County Hospital Outpatient (061)	COUNTY HOSPITAL OUTPATIENT	ZZT49004	99	Unknown (on EDS claims)	In state provider	56	Ventura	PUBLIC HEALTH SVS	3147 LOMA VISTA RD	None	VENTURA	CA	93003	34.276039	-119.25322	241c	19
1538346523	1538346523	1	1	VESEK POLAK CHILDRENS	1-Nov-06	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	19	Los Angeles	CLINIC FAMILY HEALTH CTR	1057 PINE AVE	None	LONG BEACH	CA	90813	33.779744	-118.192385	78.2jjj	5758.03
1548201965	1548201965	1	1	VALLEY OB-GYN MED GROUP	25-Nov-06	Physicians Group (022)	PHYSICIANS GROUP	FNP033183	16	Obstetrics-Gynecology (M.D. Only) Neonatal	In state provider	33	Riverside	None	1600 E FLORIDA AVE	STE 315	HEMET	CA	92544	33.747646	-116.955375	132	433.09
1578081089	1578081089	1	1	VISTA FAMILY HEALTH CENTER	11-Jun-19	Physicians Group (022)	PHYSICIANS GROUP	None	1	General Practice	In state provider	37	San Diego	None	969 S. SANTA FE AVE	A	VISTA	CA	92083	33.192881	-117.231933	156d	196.02
1578529285	1578529285	1	1	VALLEY PRESBYTERIAN HOSP	1-Jun-00	Community Hosp Outpatient (015)	COMMUNITY OUTPATIENT HOSPITAL	ZZT40126	99	Unknown (on EDS claims)	In state provider	19	Los Angeles	None	15107 VANOWEN ST	None	VAN NUYS	CA	91405	34.193908	-118.461948	78.2cc	1278.05
1588740989	1588740989	1	1	VALLEY COMMUNITY HEALTHCARE	30-Jun-11	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	19	Los Angeles	None	6801 COLDWATER CANYON AV	None	NORTH HOLLYWOOD	CA	91605	34.193956	-118.413799	78.2bb	1234.2
1629167457	1629167457	1	1	VENTURA COUNTY MEDICAL CENTE	1-Mar-97	County Hospital Outpatient (061)	COUNTY HOSPITAL OUTPATIENT	561700481	99	Unknown (on EDS claims)	In state provider	56	Ventura	None	300 HILLMONT AVE	None	VENTURA	CA	93003	34.278975	-119.254362	241c	19
1639264419	1639264419	1	1	VISTA FAMILY HEALTH CENTER A	7-Apr-97	Physicians Group (022)	PHYSICIANS GROUP	FNP035944	1	General Practice	In state provider	37	San Diego	MEDICAL CORPORATION	1070 S SANTA FE AVE	STE 9	VISTA	CA	92084	33.1908	-117.227923	156d	196.02
1649363375	1649363375	1	1	VISTA COMM CLINIC-WEST	6-Jan-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	37	San Diego	None	818 PIER VIEW WAY	None	OCEANSIDE	CA	92054	33.198338	-117.377573	156a	184
1649449885	1649449885	1	1	VHC SUNNYVALE	1-Nov-07	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	43	Santa Clara	None	660 S FAIROAKS AVE	None	SUNNYVALE	CA	94086	37.365052	-122.023818	183c	5085.04
1649662719	1649662719	1	1	VCC: LAKE ELSINORE	20-Apr-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	33	Riverside	None	30195 FRASER DRIVE	None	LAKE ELSINORE	CA	92530	33.684922	-117.367501	131a	430.05
1689760100	1689760100	1	1	VISTA COMMUNITY CLINIC	30-Mar-05	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	37	San Diego	None	4700 N RIVER RD	None	OCEANSIDE	CA	92057	33.245388	-117.308731	156a	185.07
1689851222	1689851222	1	1	VALLEY HLTH EAST VALLEY	19-May-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	43	Santa Clara	VALLEY HLTH EAST VALLEY	1993 MCKEE RD	None	SAN JOSE	CA	95116	37.360053	-121.85763	183b	5037.07
1699818278	1699818278	1	1	VALLEY MISSION MEDICAL	1-Sep-97	Physicians Group (022)	PHYSICIANS GROUP	A00046449	1	General Practice	In state provider	19	Los Angeles	A MEDICAL CORPORATION	6410 VAN NUYS BLVD	STE B	VAN NUYS	CA	91401	34.186908	-118.448715	78.2cc	1278.06
1700211703	1700211703	1	1	VERMONT COMMUNITY CLINIC	1-Jun-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	19	Los Angeles	None	5320 S VERMONT AVE	None	LOS ANGELES	CA	90037	33.993936	-118.29149	78.2ggg	2327
1770034530	1770034530	1	2	VIA CARE 607	9-Jan-19	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	19	Los Angeles	CENTER INC	607 S ATLANTIC BLVD	None	LOS ANGELES	CA	90022	34.024751	-118.15596	78.2d	5317.01
1770663551	1770663551	1	1	VALLEY IMMEDIATE CARE ME	8-Jul-05	Physicians Group (022)	PHYSICIANS GROUP	FNP030643	1	General Practice	In state provider	37	San Diego	CORPORATION	750 E GRAND AVE	STE B&C	ESCONDIDO	CA	92025	33.125149	-117.072137	156e	202.02
1811158603	1811158603	1	1	VENICE FAMILY CLINIC	28-Apr-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	19	Los Angeles	ROBERT LEVINE FAM HEALTH	905 VENICE BLVD	None	VENICE	CA	90291	33.993268	-118.454462	78.2z	2736
1811199672	1811199672	1	1	VISHWANATH, VASANTH M MD	6-Aug-12	Physicians Group (022)	PHYSICIANS GROUP	None	99	Unknown (on EDS claims)	In state provider	10	Fresno	INC	7075 N MAPLE AVE	STE 102	FRESNO	CA	93720	36.838177	-119.745113	35a	55.09
1851300123	1851300123	1	1	VISTA COMMUNITY CLINIC	6-Jan-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	37	San Diego	None	134 GRAPEVINE ROAD	None	VISTA	CA	92083	33.191412	-117.275088	156d	194.05
1881871424	1881871424	1	1	VALLEY HEALTH CENTER MILPITA	1-Nov-03	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	43	Santa Clara	None	143 N MAIN ST	None	MILPITAS	CA	95035	37.432995	-121.907546	183o	5045.07
1891206264	1891206264	1	1	VENTURA COUNTY COMMUNITY COL	13-Feb-18	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	56	Ventura	COLLEGE DISTRICT	4000 S ROSE AVENUE	None	OXNARD	CA	93033	34.16374	-119.159358	241a	47.1
1932501996	1932501996	1	1	VALLEY COMMUNITY HEALTHCARE	27-Jul-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	19	Los Angeles	APCC	9119 HASKELL AVENUE	None	NORTH HILLS	CA	91343	34.235886	-118.476335	78.2kk	1172.02
1942343785	1942343785	1	1	VALLEY MISSION MEDICAL	28-Apr-97	Physicians Group (022)	PHYSICIANS GROUP	FNP022751	1	General Practice	In state provider	19	Los Angeles	A MEDICAL CORPORATION	220 N MACLAY AVE	STE 2	SAN FERNANDO	CA	91340	34.28515	-118.438738	78.2ll	3202.01
1992754899	1992754899	1	2	VACHIRAKORNTONG, VIRUCH	30-Dec-02	Physicians (026)	PHYSICIANS	A00052656	16	Obstetrics-Gynecology (M.D. Only) Neonatal	In state provider	36	San Bernardino	MD INC	15998 QUANTICO RD	STE A	APPLE VALLEY	CA	92307	34.54199	-117.270836	145.1b	121.01
1992964746	1992964746	1	1	VENICE FAMILY CLINIC	8-Sep-06	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	In state provider	19	Los Angeles	COLEN FAMILY HEALTH CTR	4700 INGLEWOOD BLD	SUITE 102	CULVER CITY	CA	90230	33.993211	-118.415276	78.2z	2755