Table: family_pact_providers_profile_cy_2019 , provider_business_legal_name like all*

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
1003134545	1003134545	1	1	FRANK KIANG MEDICAL CENTER	23-Feb-11	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	1	Alameda	None	250 E 18TH ST	2ND FLOOR	OAKLAND	CA	94606	37.800015	-122.252625	2c	4053.01
1003173279	1003173279	1	1	CLINICA DE SALUD DEL VALLE	2-Aug-18	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	44	Santa Cruz	DE SALINAS	29 BISHOP STREET	SUITE A	ROYAL OAKS	CA	95076	36.901764	-121.749238	109.1	101.01
1003250093	1003250093	1	1	HURTT FAMILY HEALTH CLINIC	14-Sep-18	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	30	Orange	INC	1100 B N. TUSTIN AVE	SUITES A, D, F	SANTA ANA	CA	92705	33.751117	-117.836388	116h	754.03
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
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
1003824020	1003824020	1	1	BAYLON, PAUL M MD	19-Sep-05	Physicians (026)	PHYSICIANS	G00048547	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	3118-3120 E FLORENCE AVE	None	HUNTINGTON PARK	CA	90255	33.972891	-118.212379	78.2ccc	5332.03
1003830258	1003830258	1	1	NIETO, SANDRA MD	23-Nov-10	Physicians (026)	PHYSICIANS	A00084185	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	433 N 4TH ST	STE 211	MONTEBELLO	CA	90640	34.015139	-118.102132	78.2ww	5301.01
1003856402	1003856402	1	1	OVI MOAS MD A PROFESSION	31-Oct-97	Physicians (026)	PHYSICIANS	A00035730	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	9815 LAS TUNAS DR	None	TEMPLE CITY	CA	91780	34.107336	-118.056401	78.2dddd	4319
1003860446	1003860446	1	1	PLANNED PRNTHD MAR MONTE	1-Jul-97	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	20	Madera	None	500 E ALMOND AVE	STE 3	MADERA	CA	93637	36.945525	-120.052456	80	5.02
1003863622	1003863622	1	2	PEACH TREE CLINIC, INC	1-May-06	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	58	Yuba	None	5730 PACKARD AVE	STE 500&600	MARYSVILLE	CA	95901	39.11908	-121.565613	249	403.02
1003867565	1003867565	1	1	BARTON MEMORIAL HOSPITAL	26-Jan-99	Community Hosp Outpatient (015)	COMMUNITY OUTPATIENT HOSPITAL	90300793	99	Unknown (on EDS claims)	0	In state provider	9	El Dorado	None	2170 SOUTH AVE	None	S LAKE TAHOE	CA	96150	38.912336	-119.998043	24	304.02
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
1003885518	1003885518	1	1	ORANGE & SAN BERN CO	30-Oct-00	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	36	San Bernardino	ORANGE & SAN BERN CO	1873 COMMERCENTER W	None	SAN BERNARDINO	CA	92408	34.067916	-117.286162	151f	124
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
1003902610	1003902610	1	1	BRISTOL-MCFADDEN MED GRP	13-Mar-97	Physicians Group (022)	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	30	Orange	INC	1212 S BRISTOL ST	STE 16	SANTA ANA	CA	92704	33.732396	-117.885194	116g	747.02
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
1003920943	1003920943	1	1	RIVERSIDE CO COMM HEALTH	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	33	Riverside	HEALTH CENTER	7140 INDIANA AVE	None	RIVERSIDE	CA	92504	33.938979	-117.397706	135c	313
1003955519	1003955519	1	1	GARCIA-NIQUE, LUIS O MD	6-May-99	Physicians (026)	PHYSICIANS	A00033647	0	General Practioner (Dentists Only)	0	In state provider	30	Orange	None	3010 W ORANGE AVE	STE 202	ANAHEIM	CA	92804	33.82475	-117.993763	116c	869.02
1003961251	1003961251	1	1	CHILDRENS HOSP & RESEARCH	11-Aug-97	Community Hosp Outpatient (015)	COMMUNITY OUTPATIENT HOSPITAL	10200776	99	Unknown (on EDS claims)	0	In state provider	1	Alameda	None	747 52ND STREET	None	OAKLAND	CA	94609	37.837208	-122.268341	2c	4010
1003965658	1003965658	1	2	THE MATERNITY CLINIC	28-Apr-97	Physicians (026)	PHYSICIANS	G00057734	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	THE MATERNITY CLINIC	6618 VAN NUYS BLVD	None	VAN NUYS	CA	91405	34.191	-118.448709	78.2cc	1281.02
1003974064	1003974064	1	1	PLANNED PARENTHOOD	1-Mar-97	Community Clinics (041)	COMMUNITY CLINIC	ZZR11657	99	Unknown (on EDS claims)	0	In state provider	7	Contra Costa	SHASTA DIABLO INC	1357 OAKLAND CT	None	WALNUT CREEK	CA	94596	37.897711	-122.070358	18j	3390.02
1003995317	1003995317	1	1	CONTRA COSTA CO HLTH	22-Jul-02	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	7	Contra Costa	PITTSBURG HEALTH CO HLTH	2311 LOVERIDGE RD	None	PITTSBURG	CA	94565	38.008133	-121.870803	18d	3131.02
1013035716	1013035716	1	1	REGENTS OF THE UNIV CA	17-Aug-09	Physicians Group (022)	PHYSICIANS GROUP	None	40	Pediatrics, Periodontist (Dentists Only)	0	In state provider	37	San Diego	UCSD PEDIATRICS ASSOC	7910 FROST ST	STE 350	SAN DIEGO	CA	92123	32.800255	-117.154565	161b	87.02
1013058106	1013058106	1	1	CLIN DE SALUD DEL VALLE	7-May-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	27	Monterey	VALLE DE SALINAS	10561 MERRITT ST	None	CASTROVILLE	CA	95012	36.766872	-121.759584	108	104
1013085778	1013085778	1	1	TECHNICLINIC	10-Jan-07	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	1	Alameda	TECHNICLINIC	4351 BROADWAY	None	OAKLAND	CA	94611	37.831449	-122.254346	2b	4012
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
1013194810	1013194810	1	1	NORTH EAST MEDICAL SVS	30-Mar-01	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	38	San Francisco	LELAND AVE	82 LELAND AVE	None	SAN FRANCISCO	CA	94134	37.711836	-122.405411	162f	264.03
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
1013311448	1013311448	1	1	KHEIR WILSHIRE CLINIC	5-May-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	INFORMATION & RESEARCH	3255 WILSHIRE BLVD	STE 120	LOS ANGELES	CA	90010	34.061805	-118.292895	78.2e	2121.01
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
1013932979	1013932979	1	1	FLORENCE MEDICAL CTR INC	16-Apr-99	Physicians Group (022)	PHYSICIANS GROUP	FNP025933	8	Family Practice	0	In state provider	19	Los Angeles	None	1557 E FLORENCE AVE	None	LOS ANGELES	CA	90001	33.974759	-118.246322	78.2fff	5350.02
1013935915	1013935915	1	1	LOMA LINDA UNIVERSITY	26-Jan-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	36	San Bernardino	HEALTH SERVICES	1454 E 2ND ST	None	SAN BERNARDINO	CA	92408	34.102722	-117.267878	151k	65
1013950807	1013950807	1	51	PALO ALTO MEDICAL FOUNDATION	1-Feb-16	Physicians Group (022)	PHYSICIANS GROUP	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	44	Santa Cruz	FOR HEALTHCARE RESEARCH	2907 CHANTICLEER AVE	None	SANTA CRUZ	CA	95065	36.987837	-121.978157	185.1	1213
1023011632	1023011632	1	1	ALTURA CENTERS FOR HEALTH	28-Jul-05	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	55	Tulare	None	1101 N CHERRY ST	None	TULARE	CA	93274	36.224116	-119.337111	230	23.03
1023062593	1023062593	1	1	FAMILYFIRST HEALTH CARE	1-Jul-97	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	MONTE INC	6095 N FIRST ST	None	FRESNO	CA	93710	36.824945	-119.772339	35f	54.05
1023116811	1023116811	1	1	CITY OF LONG BEACH DEPT	28-Apr-97	Community Clinics (041)	COMMUNITY CLINIC	ZZT11624	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	AND HUMAN SERVICES	2525 GRAND AVE	None	LONG BEACH	CA	90815	33.802261	-118.148042	78.2lll	5742.02
1023122967	1023122967	1	1	RIVERSIDE CO COMM HEALTH	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	33	Riverside	None	47923 OASIS ST	None	INDIO	CA	92201	33.700857	-116.220937	128	455.01
1023159811	1023159811	1	1	CLIN DE SALUD DEL VALLE	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	27	Monterey	VALLE DE SALINAS	950 CIRCLE DR	None	SALINAS	CA	93905	36.679672	-121.627166	109.2	5.02
1023164019	1023164019	1	1	PLANNED PARENTHOOD	14-Nov-06	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	EAGLE ROCK EXPRESS	1578 COLORADO BLVD	STE 13	LOS ANGELES	CA	90041	34.139515	-118.200441	78.2dd	1815
1023167541	1023167541	1	1	KERN CO	6-Oct-97	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	15	Kern	PUBLIC HEALTH	1800 MOUNT VERNON AVE	None	BAKERSFIELD	CA	93306	35.383041	-118.967549	66b	12.01
1023179546	1023179546	1	1	RODRIGUEZ, MARIA E INC	28-Apr-97	Physicians (026)	PHYSICIANS	A00043620	1	General Practice	0	In state provider	19	Los Angeles	INC	2417 WHITTIER BLVD	None	LOS ANGELES	CA	90023	34.034261	-118.215405	78.2h	2047
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
1023234465	1023234465	1	1	CLINICAS DEL CAMINO REAL	1-Nov-00	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	56	Ventura	None	500 E MAIN ST	None	SANTA PAULA	CA	93060	34.351145	-119.068914	237	6
1023287679	1023287679	1	1	T H E CLINIC AT RUTH	1-Feb-08	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	TEMPLE HEALTH CENTER	3834 S WESTERN AVE	None	LOS ANGELES	CA	90062	34.016711	-118.308893	78.2l	2313
1023349883	1023349883	1	1	CENTRO MEDICO ESCONDIDO	10-Dec-14	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	None	1121 E WASHINGTON AVE	None	ESCONDIDO	CA	92025	33.13229	-117.069344	156e	202.02
1023380425	1023380425	1	1	PANORAMA WOMENS MED CLINIC	7-May-12	Physicians (026)	PHYSICIANS	G00083566	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	A PROFESSIONAL CORP	14640 PARTHENIA STREET	None	PANORAMA CITY	CA	91402	34.227726	-118.451498	78.2ll	1201.03
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
1033144027	1033144027	1	1	PLANNED PRNTHD MORENO	18-Nov-02	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	33	Riverside	OF THE PACIFIC SOUTHWEST	12900 FREDERICK ST	STE C	MORENO VALLEY	CA	92553	33.9331	-117.261386	135b	425.13
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
1033240650	1033240650	1	1	GALDAMEZ, LUIS A MD INC	20-Nov-06	Physicians Group (022)	PHYSICIANS GROUP	FNP020761	2	General Surgery	0	In state provider	19	Los Angeles	CLINICA MEDICA VIRGEN DE	6831 SEVILLE AVE	None	HUNTINGTON PARK	CA	90255	33.97748	-118.222551	78.2fff	5331.04
1033267216	1033267216	1	1	ADVANCED FAMILY CARE	26-Jun-97	Physicians Group (022)	PHYSICIANS GROUP	FNP023787	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	MEDICAL GROUP	1201 E FLORENCE AVE	None	LOS ANGELES	CA	90001	33.974765	-118.254103	78.2fff	5350.01
1033272521	1033272521	1	1	WOMENS TOTAL CARE MEDICAL	18-Jun-02	Physicians (026)	PHYSICIANS	A00044407	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	42	Santa Barbara	CLINIC INC	314 W JUNIPERO ST	None	SANTA BARBARA	CA	93105	34.431341	-119.723353	181b	3.02
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
1033326863	1033326863	1	1	JOHN PAUL II MEDICAL CLINIC	15-Jul-08	Physicians (026)	PHYSICIANS	A52551	1	General Practice	0	In state provider	19	Los Angeles	INC A PROFESSIONAL CORP	7402 SEVILLE AVE	None	HUNTINGTON PARK	CA	90255	33.972219	-118.222467	78.2fff	5348.02
1033418785	1033418785	1	1	LAKE ELSINORE CLINICA MEDIC	16-Jul-11	Physicians Group (022)	PHYSICIANS GROUP	None	8	Family Practice	0	In state provider	33	Riverside	CORPORATION	141 NORTH MAIN STREET	None	LAKE ELSINORE	CA	92530	33.668746	-117.327369	131a	430.01
1033426002	1033426002	1	1	OMNI FAMILY HELATH	21-Dec-10	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	15	Kern	None	1014 CALLOWAY DRIVE	BLDG F	BAKERSFIELD	CA	93312	35.392827	-119.122089	66d	38.07
1033486048	1033486048	1	1	WEST SHAW COMMUNITY HEALTH	16-Jul-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	None	3645 WEST SHAW AVENUE	SUITE 101	FRESNO	CA	93711	36.80814	-119.858799	35e	42.05
1033488416	1033488416	1	1	CENTRAL CITY COMM HLTH CTR	15-Jun-13	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	33	Riverside	HEALTH CENTER INC	1860 HAMNER AVE	None	NORCO	CA	92860	33.909013	-117.561194	135e	408.13
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
1033534466	1033534466	1	1	ALEXANDER VALLEY HEALTHCARE	1-Apr-14	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	49	Sonoma	CENTER	6 TARMAN DR	None	CLOVERDALE	CA	95425	38.798264	-123.017593	206	1542.01
1033593108	1033593108	1	1	HEMET MEDICAL AND DENTAL CEN	6-Nov-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	33	Riverside	INC	1023 E FLORIDA AVE	None	HEMET	CA	92543	33.747587	-116.961681	132	434.01
1033596911	1033596911	1	1	LAUREL VISTA	28-Nov-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	27	Monterey	None	1441 CONSTITUTION BLVD	BLDG 400 SUITE 301	SALINAS	CA	93906	36.696823	-121.62962	109.2	106.08
1033598412	1033598412	1	1	KINGSBURG COMMUNITY HEALTH C	9-Nov-18	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	None	1250 SMITH STREET	None	KINGSBURG	CA	93631	36.512871	-119.548922	30	72.01
1043216021	1043216021	1	1	UNITED INDIAN HEALTH	29-Oct-03	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	8	Del Norte	SERVICES INC	1675 NORTHCREST DR	None	CRESCENT CITY	CA	95531	41.775751	-124.199769	19	1.04
1043217359	1043217359	1	1	DANG, ALAN MD	14-Mar-13	Physicians (026)	PHYSICIANS	A82876	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	30	Orange	None	2621 S BRISTOL ST	STE 300	SANTA ANA	CA	92704	33.712311	-117.885379	116g	740.05
1043241821	1043241821	1	1	ONTARIO CLINICA MEDICA	12-Mar-97	Physicians Group (022)	PHYSICIANS GROUP	FNP020842	8	Family Practice	0	In state provider	36	San Bernardino	FAMILIAR	403 W F ST	None	ONTARIO	CA	91762	34.069429	-117.654823	151c	14
1043242142	1043242142	1	1	CALIFORNIA MEDICAL CLINC INC	1-Mar-06	Physicians Group (022)	PHYSICIANS GROUP	None	8	Family Practice	0	In state provider	36	San Bernardino	None	402 E HOLT BLVD	None	ONTARIO	CA	91761	34.063397	-117.647211	151c	14
1043246317	1043246317	1	1	VUONG-DAC, MAN MD INC	20-Jan-00	Physicians (026)	PHYSICIANS	A00050243	8	Family Practice	0	In state provider	19	Los Angeles	None	3649 FLORENCE AVE	None	BELL	CA	90201	33.97174	-118.201475	78.2ddd	5336.03
1043263189	1043263189	1	1	PLANNED PARENTHOOD ASSC	1-Mar-97	Community Clinics (041)	COMMUNITY CLINIC	ZZR11417	99	Unknown (on EDS claims)	0	In state provider	43	Santa Clara	None	1691 THE ALAMEDA	None	SAN JOSE	CA	95126	37.336894	-121.91858	183j	5006
1043272172	1043272172	1	1	KAWEAH DELTA EXETER HLTH	8-Aug-98	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	54	Tulare	SAN JUAN HEALTH CENTER	1014 SAN JUAN AVE	None	EXETER	CA	93221	36.298896	-119.132496	228.2	15.01
1043304009	1043304009	1	1	WESLEY HEALTH CENTERS	17-Mar-05	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	14371 CLARK AVE	None	BELLFLOWER	CA	90706	33.903214	-118.13406	78.2m	5540.01
1043348543	1043348543	1	1	PLUMAS RURAL HEALTH CENTER	19-Apr-99	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	32	Plumas	None	1065 BUCKS LAKE ROAD	None	QUINCY	CA	95971	39.939316	-120.962712	123.1	1
1043351133	1043351133	1	1	CLIN DE SALUD DEL VALLE	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	27	Monterey	VALLE DE SALINAS-GRNFLD	808 OAK ST	None	GREENFIELD	CA	93927	36.321352	-121.242563	107	112.03
1043354111	1043354111	1	1	REDLANDS COMMUNITY HOSP	28-Jan-04	Community Hosp Outpatient (015)	COMMUNITY OUTPATIENT HOSPITAL	ZZT40272	99	Unknown (on EDS claims)	0	In state provider	36	San Bernardino	None	350 TERRACINA BLVD	None	REDLANDS	CA	92373	34.037065	-117.204335	151j	83.01
1043380330	1043380330	1	1	ARROWHEAD REGIONAL MED CNTR	1-Jul-05	County Hospital Outpatient (061)	COUNTY HOSPITAL OUTPATIENT	360601320	99	Unknown (on EDS claims)	0	In state provider	36	San Bernardino	None	400 N PEPPER AVE	None	COLTON	CA	92324	34.070885	-117.352841	151f	36.12
1043392962	1043392962	1	1	BANSAL, JAGAN N MD INC	15-Aug-05	Physicians Group (022)	PHYSICIANS GROUP	A00034128	29	Pulmonary Diseases (M.D. only)	0	In state provider	19	Los Angeles	None	5540 N FIGUEROA ST	None	LOS ANGELES	CA	90042	34.108531	-118.194949	78.2i	1838.1
1043395064	1043395064	1	1	NEWMAN MEDICAL CLINIC	1-Jun-09	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	50	Stanislaus	INC	1349 MAIN ST	None	NEWMAN	CA	95360	37.315275	-121.022641	213	35
1043423205	1043423205	1	1	GOLDEN VALLEY HEALTH C	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	50	Stanislaus	GUSTINE-NEWMAN	637 MERCED ST	None	NEWMAN	CA	95360	37.314626	-121.016781	213	35
1043427388	1043427388	1	1	TEHAMA COUNTY HEALTH CTR	3-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	52	Tehama	None	1850 WALNUT ST	None	RED BLUFF	CA	96080	40.168405	-122.261328	221	4
1043451982	1043451982	1	1	JOHN K FLYNN COMMUNITY CLINI	31-Aug-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	56	Ventura	None	3100 N ROSE AVE	None	OXNARD	CA	93036	34.233315	-119.155121	241b	50.02
1043462443	1043462443	1	1	CLINICA FAMILIAR SAN LUCAS	8-Apr-09	Physicians Group (022)	PHYSICIANS GROUP	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	11050 S ATLANTIC AVE	None	LYNWOOD	CA	90262	33.929036	-118.184196	78.2ooo	5400
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
1053310326	1053310326	1	1	BARTON COMMUNITY HEALTH CTR	2-Mar-04	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	9	El Dorado	None	2201 SOUTH AVE	None	SOUTH LAKE TAHOE	CA	96150	38.912339	-119.996603	24	304.02
1053324715	1053324715	1	1	HUDSON COMPREHENSIVE HLT	28-Apr-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	HUDSON FAMILY PLANNING	2829 S GRAND AVE	None	LOS ANGELES	CA	90007	34.024316	-118.273658	78.2l	2246
1053364034	1053364034	1	1	PLANNED PRNTHD MAR MONTE	1-Mar-97	Community Clinics (041)	COMMUNITY CLINIC	270791860	99	Unknown (on EDS claims)	0	In state provider	27	Monterey	None	316 N MAIN ST	None	SALINAS	CA	93901	36.682402	-121.653513	109.2	18.02
1053364109	1053364109	1	1	PLANNED PARENTHOOD	1-Mar-97	Community Clinics (041)	COMMUNITY CLINIC	430791861	99	Unknown (on EDS claims)	0	In state provider	43	Santa Clara	MAR MONTE INC	760 RENZ LANE	None	GILROY	CA	95020	37.006408	-121.557346	182	5126.02
1053386565	1053386565	1	1	BETRE, ABRAHAM DO	5-Jan-09	Physicians (026)	PHYSICIANS	20A10290	9	Gynecology (D.O. only)	0	In state provider	54	Tulare	None	925 MERRITT AVE	None	TULARE	CA	93274	36.222009	-119.334354	230	23.03
1053420844	1053420844	1	1	POINT REYES MEDICAL CLIN	8-Sep-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	21	Marin	PO BOX 910	#3 SIXTH ST	None	POINT REYES	CA	94956	38.068228	-122.809994	81	1330
1053437509	1053437509	1	1	EAST VALLEY COMMUNITY	1-May-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	HEALTH CENTER	420 S GLENDORA AVE	None	WEST COVINA	CA	91790	34.06713	-117.92573	78.2www	4067.02
1053452136	1053452136	1	1	CLN DE SAL DEL VAL SALIN	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	27	Monterey	SOLEDAD	799 FRONT ST	None	SOLEDAD	CA	93960	36.424937	-121.326171	107	111.02
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
1053526756	1053526756	1	1	LA MAESTRA COMMUNITY HEALTH	2-Oct-06	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	NATIONAL CITY	217 HIGHLAND AVE	None	NATIONAL CITY	CA	91950	32.683182	-117.10069	161k	118.01
1053532143	1053532143	1	1	WONG, MICHAEL C MD INC	18-Apr-07	Physicians Group (022)	PHYSICIANS GROUP	FNP022977	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	37	San Diego	CALIFORNIA WOMENS MED CL	4282 GENESEE AVE	STE 201	SAN DIEGO	CA	92117	32.821007	-117.18286	161a	85.04
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
1053655704	1053655704	1	1	NORTH EAST MEDICAL SERVICES	25-Jun-13	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	38	San Francisco	None	1400 NORIEGA ST	None	SAN FRANCISCO	CA	94122	37.754135	-122.478652	162e	328.02
1053691337	1053691337	1	1	BE, VIET A MD INC	6-Jun-01	Physicians (026)	PHYSICIANS	G00048753	1	General Practice	0	In state provider	30	Orange	None	11160 WARNER AVENUE	SUITE 301	FOUNTAIN VALLEY	CA	92708	33.716327	-117.934948	116j	992.26
1053725317	1053725317	1	1	NEIGHBORHOOD MEDICAL CLINIC	6-Jun-15	Physicians (026)	PHYSICIANS	20A7522	1	General Practice	0	In state provider	19	Los Angeles	CORP	5113 S VERMONT AVE	None	LOS ANGELES	CA	90037	33.996409	-118.291513	78.2l	2323
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
1063426898	1063426898	1	1	LONG BEACH COMPREHENSIVE	28-Apr-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	LONG BEACH FAM PLANNING	1333 CHESTNUT AVE	None	LONG BEACH	CA	90813	33.783223	-118.196371	78.2jjj	5754.01
1063447050	1063447050	1	1	PLANNED PRNTHD ESCONDIDO	6-Jan-97	Community Clinics (041)	COMMUNITY CLINIC	370891451	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	OF THE PACIFIC SOUTHWEST	347 W MISSION AVE	None	ESCONDIDO	CA	92025	33.128992	-117.089754	156e	202.14
1063478402	1063478402	1	1	PHAN, PHUONGCHI T MD	16-Dec-02	Physicians (026)	PHYSICIANS	G76835	41	Internal Medicine	0	In state provider	30	Orange	None	14571 MAGNOLIA AVE	STE 207	WESTMINSTER	CA	92683	33.750834	-117.972331	116s	997.01
1063481562	1063481562	1	1	PLANNED PARENTHOOD/	1-Mar-97	Community Clinics (041)	COMMUNITY CLINIC	ZZT11586	99	Unknown (on EDS claims)	0	In state provider	30	Orange	ORANGE & SAN BERNARDINO	1421 E 17TH ST	None	SANTA ANA	CA	92705	33.759921	-117.848692	116h	754.03
1063496396	1063496396	2	1	WESTERN SIERRA MEDICAL CENTE	2-Jun-10	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	29	Nevada	CLINIC INC	844 OLD TUNNEL ROAD	None	GRASS VALLEY	CA	95945	39.242138	-121.031009	113	8.02
1063501880	1063501880	1	1	LANTRY, SELENA C MD	29-Jul-97	Physicians (026)	PHYSICIANS	G00055968	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	1505 WILSON TER	STE 130	GLENDALE	CA	91206	34.14953	-118.231281	78.2ee	3010
1063525871	1063525871	1	1	LA CO MARTIN LUTHER KING	28-Apr-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	MLKING/DREW FAM PLANNING	12021 WILMINGTON AVE	None	LOS ANGELES	CA	90059	33.923344	-118.239183	78.2ooo	5407
1063551257	1063551257	1	1	CLINICA MEDICA COMUNIDAD	10-Feb-05	Physicians Group (022)	PHYSICIANS GROUP	FNP031642	38	Geriatrics	0	In state provider	19	Los Angeles	CENTER INC	10301 GARVEY AVE	STE 100	EL MONTE	CA	91733	34.06274	-118.045845	78.2oo	4332
1063562130	1063562130	1	1	HOLLYWOOD CLINIC	6-Jun-01	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	HOLLYWOOD CLINIC	6368 HOLLYWOOD BLVD	None	HOLLYWOOD	CA	90028	34.101591	-118.328814	78.2g	1907
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
1063613263	1063613263	1	1	ESCONDIDO FAMLY MEDICINE	25-Mar-08	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	ESCONDIDO FAMLY MEDICINE	255 N ASH ST	STE 101	ESCONDIDO	CA	92027	33.128905	-117.066278	156e	202.02
1063616613	1063616613	1	1	NATIVIDAD MEDICAL CTR	1-Mar-97	County Hospital Outpatient (061)	COUNTY HOSPITAL OUTPATIENT	270700831	99	Unknown (on EDS claims)	0	In state provider	27	Monterey	NATIVIDAD MEDICAL CTR	1441 CONSTITUTION BLVD	None	SALINAS	CA	93906	36.696798	-121.62963	109.2	106.08
1063623387	1063623387	1	1	ALAS MEDICAL CLINIC INC	18-Jan-05	Physicians (026)	PHYSICIANS	A00055051	8	Family Practice	0	In state provider	19	Los Angeles	ALAS MEDICAL CLINIC INC	545 N SAN GABRIEL AVE	None	AZUSA	CA	91702	34.13068	-117.908823	78.2qq	4043.01
1063636876	1063636876	2	1	WHITTIER FEMALE MEDICAL CLIN	3-Oct-13	Physicians (026)	PHYSICIANS	A00021180	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	11807 E WHITTIER BLVD	None	WHITTIER	CA	90601	33.980566	-118.050334	78.2uu	5014
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
1063659985	1063659985	1	1	ALTAMED MEDICAL GROUP-	1-May-09	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	30	Orange	AHAHEIM, LINCOLN	1814 W LINCOLN AVE	None	ANAHEIM	CA	92801	33.83243	-117.946553	116c	871.03
1063684405	1063684405	1	1	NATIONAL HEALTH SVCS INC	14-Mar-07	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	15	Kern	TEHACHAPI COMM MEDICAL	161 N MILL ST	None	TEHACHAPI	CA	93561	35.133735	-118.452088	62	61
1063684413	1063684413	1	1	OILDALE COMM HEALTH CTR	16-Mar-05	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	15	Kern	OILDALE COMM HEALTH CTR	525 ROBERTS LN	None	BAKERSFIELD	CA	93308	35.408606	-119.031233	66a	4
1063699080	1063699080	1	1	NORTHEAST VALLEY HEALTH	28-Apr-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	1600 SAN FERNANDO RD	None	SAN FERNANDO	CA	91340	34.28879	-118.447881	78.2ll	3203
1063748242	1063748242	1	1	CHAPCARE LAKE ELIZABETH	8-Jul-13	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	OF PASADENA	1595 NORTH LAKE AVENUE	None	PASADENA	CA	91104	34.173311	-118.132048	78.2hhh	4615.01
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
1073512836	1073512836	1	1	CROWN CITY MEDICAL GROUP	28-Apr-97	Physicians Group (022)	PHYSICIANS GROUP	FNP026820	8	Family Practice	0	In state provider	19	Los Angeles	INC	2661 E WASHINGTON BLVD	None	PASADENA	CA	91107	34.168874	-118.095061	78.2gggg	4625
1073519443	1073519443	1	1	PIONEERS MEMORIAL HEALTH	1-Jul-06	Community Hosp Outpatient (015)	COMMUNITY OUTPATIENT HOSPITAL	ZZT40342	99	Unknown (on EDS claims)	0	In state provider	13	Imperial	CARE DISTRICT	207 W LEGION RD	None	BRAWLEY	CA	92227	32.959944	-115.551744	50	106
1073529681	1073529681	1	1	NO CO HEALTH PROJECT	6-Jan-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	RAMONA CLINIC	217 EARLHAM ST	None	RAMONA	CA	92065	33.051178	-116.85484	158.1	208.09
1073533089	1073533089	1	1	COMMUNITY HEALTH CENTERS	1-Nov-05	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	40	San Luis Obispo	ATASCADERO	7512-7516 MORRO RD	None	ATASCADERO	CA	93422	35.474217	-120.668347	170	126
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
1073565461	1073565461	1	2	HSU, MING-CHANG MD	4-Jan-01	Physicians (026)	PHYSICIANS	A00034714	8	Family Practice	0	In state provider	19	Los Angeles	None	3318 DEL MAR AVE	APT 205E	ROSEMEAD	CA	91770	34.068604	-118.099546	78.2qqq	4823.03
1073578134	1073578134	1	1	KAMRAS & POLANSKY MDS IN	6-Jan-97	Physicians Group (022)	PHYSICIANS GROUP	YYY49032Y	99	Unknown (on EDS claims)	0	In state provider	34	Sacramento	None	5821 JAMESON CT	None	CARMICHAEL	CA	95608	38.651156	-121.328832	139b	76.01
1073582888	1073582888	1	1	THE REGENTS OF U C	25-May-07	Physicians Group (022)	PHYSICIANS GROUP	ZZZ000000	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	200 MED PLAZA STE 430	None	LOS ANGELES	CA	90095	34.055254	-118.481726	78.2aa	2640
1073604716	1073604716	1	2	CARDINAL MEDICAL GROUP	25-Jul-06	Physicians (026)	PHYSICIANS	A00035020	8	Family Practice	0	In state provider	19	Los Angeles	None	1655 S WESTERN AVE	None	LOS ANGELES	CA	90006	34.043072	-118.309019	78.2nnn	2213.02
1073619060	1073619060	1	1	BIG VALLEY OB-GYN MEDICAL	29-Nov-05	Physicians (026)	PHYSICIANS	20A5298	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	39	San Joaquin	CENTER INC	420 W ACACIA ST	STE 11	STOCKTON	CA	95203	37.961437	-121.29923	169b	4.01
1073642682	1073642682	1	1	ASIAN PAC HLTH CARE VENT	1-Jan-01	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	CARE VENTURE, INC	1530 HILLHURST AVE	STE 200	LOS ANGELES	CA	90027	34.098928	-118.287426	78.2a	1953
1073647350	1073647350	1	1	CENTRAL BAKERSFIELD COMMTY	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	15	Kern	HEALTH CENTER	301 BRUNDAGE LN	None	BAKERSFIELD	CA	93304	35.353865	-119.004963	66b	20
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
1073675385	1073675385	1	1	ALIANZA MEDICAL CENTER	14-Jul-97	Physicians Group (022)	PHYSICIANS GROUP	FNP28762	8	Family Practice	0	In state provider	19	Los Angeles	INC	6907 SEVILLE AVE	None	HUNTINGTON PARK	CA	90255	33.976879	-118.222534	78.2fff	5331.04
1073676243	1073676243	1	1	T VASQUEZ HLTH CTR, INC	15-Nov-06	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	1	Alameda	CENTER-HAYWARD	22331 MISSION BLVD	None	HAYWARD	CA	94541	37.674523	-122.086789	2h	4354
1073788832	1073788832	1	1	REDWIID RYRAK GEAKTG C	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	12	Humboldt	PO BOX 769	100 WESTCOAST RD	None	REDWAY	CA	95560	40.123887	-123.8751	44	115
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
1073917126	1073917126	1	1	ALAMEDA HEALTH PARTNERS INC	1-Feb-19	Physicians Group (022)	PHYSICIANS GROUP	None	2	General Surgery	0	In state provider	1	Alameda	None	1411 EAST 31ST STREET	None	OAKLAND	CA	94602	37.799262	-122.231207	2c	4057
1073927877	1073927877	1	1	IRVINE VALLEY COLLEGE, HEALT	8-Jun-15	Exempt from Licensure Clinics (045)	CLINIC EXEMP FROM LICENSURE	None	99	Unknown (on EDS claims)	0	In state provider	30	Orange	COMMUNITY COLLEGE DISTRI	5500 IRVINE CENTER DRIVE	SC 150	IRVINE	CA	92618	33.679185	-117.778355	116o	525.17
1073997201	1073997201	1	1	FAMILY HEALTHCARE NETWORK	5-Jan-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	54	Tulare	None	263 S WEST STREET	None	TULARE	CA	93274	36.204102	-119.366819	230	22.02
1073997326	1073997326	1	1	OMNI FAMILY HEALTH	16-Jul-18	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	15	Kern	None	4151 MEXICALI DRIVE	None	BAKERSFIELD	CA	93313	35.317752	-119.081668	66c	31.23
1083003321	1083003321	1	1	WHITE MEMORIAL COMMUNITY HEA	1-Apr-18	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	HEALTH CENTER	1828 E CESAR E CHAVEZ AV	SUITE 5000	LOS ANGELES	CA	90033	34.050489	-118.216032	78.2ffff	2035
1083035505	1083035505	1	1	NORTH EAST MEDICAL SERVICES	30-Dec-13	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	43	Santa Clara	None	1870 LUNDY AVENUE	None	SAN JOSE	CA	95131	37.39265	-121.890281	183o	5043.22
1083611156	1083611156	1	1	FAMILY HEALTHCARE NETWRK	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	54	Tulare	None	1107 W POPLAR AVE	None	PORTERVILLE	CA	93257	36.051586	-119.043341	231	34
1083619753	1083619753	1	1	GOMEZ, HAROLD A	21-Oct-99	Certified Pediatric/Family NP (007)	CERTIFIED NURSE PRACTIONER	RN0487974	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	1220 S GLENDORA AVENUE	None	WEST COVINA	CA	91790	34.055234	-117.938703	78.2www	4067.01
1083624423	1083624423	1	1	EL PROYECTO DEL BARRIO	29-Apr-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	FAMILY HEALTH CARE CLIN	8902 WOODMAN AVE	STE 2	ARLETA	CA	91331	34.231653	-118.437673	78.2ll	1198
1083627749	1083627749	1	1	ROYBAL COMPREHENSIVE HLT	28-Apr-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	ROYBAL FAMILY PLANNING	245 S FETTERLY AVE	None	LOS ANGELES	CA	90022	34.034141	-118.160915	78.2d	5304
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
1083667323	1083667323	1	1	PLANNED PARENTHOOD	1-Mar-97	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	44	Santa Cruz	None	398 S GREEN VALLEY ROAD	None	WATSONVILLE	CA	95076	36.930332	-121.777043	184	1105.02
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
1083735203	1083735203	1	1	BATRES, ERIC R MD	25-Sep-08	Physicians (026)	PHYSICIANS	G00044726	8	Family Practice	0	In state provider	19	Los Angeles	MEDICAL CORP	5101 FLORENCE AVE	STE 4	BELL	CA	90201	33.969061	-118.176068	78.2ddd	5338.05
1083743652	1083743652	1	1	VENTURA COUNTY OB/GYN	1-Aug-97	Physicians Group (022)	PHYSICIANS GROUP	ZZZ82842Z	0	General Practioner (Dentists Only)	0	In state provider	56	Ventura	MED GRP INC	2795 LOMA VISTA RD	None	VENTURA	CA	93003	34.275251	-119.258623	241c	19
1083755631	1083755631	1	1	OVERFELT NEIGHBORHOOD	1-Sep-06	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	43	Santa Clara	OF SANTA CLARA COUNTY	1835 CUNNINGHAM AVE	None	SAN JOSE	CA	95122	37.329682	-121.829731	183e	5035.04
1083832927	1083832927	1	1	CHAO, STEPHEN C MD	18-Aug-06	Physicians (026)	PHYSICIANS	G00031842	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	36	San Bernardino	None	8110 MANGO AVE	STE 106	FONTANA	CA	92335	34.106405	-117.431459	151h	29.01
1083845275	1083845275	1	1	FAIRFIELD FAMILY HLTH SRVCS	2-Nov-09	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	48	Solano	SERVICES FAMILY HLTH SVC	2201 COURAGE DRIVE	None	FAIRFIELD	CA	94533	38.236808	-122.07112	202b	2524.02
1083851992	1083851992	1	1	ALTAMED MEDICAL GROUP-	1-Apr-09	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	30	Orange	GARDEN GROVE, HARBOR	12751 HARBOR BLVD	None	GARDEN GROVE	CA	92840	33.777546	-117.915085	116r	885.02
1083903124	1083903124	1	4	TORRANCE MEMORIAL PHYSICIAN	15-Mar-16	Physicians Group (022)	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	19	Los Angeles	INC	717 SOUTH AVERILL AVENUE	None	SAN PEDRO	CA	90732	33.737454	-118.307745	78.2o	2970
1083940597	1083940597	1	1	OC URGENTCARE MEDICAL	29-Mar-12	Physicians Group (022)	PHYSICIANS GROUP	None	8	Family Practice	0	In state provider	30	Orange	GROUP INCORPORATED	631 S BROOKHURST ST	SUITE # 101	ANAHEIM	CA	92804	33.824352	-117.958938	116c	877.01
1083959464	1083959464	1	1	RICE FAMILY HEALTH CENTER	7-Aug-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	SAN DIEGO INC	352 L STREET	None	CHULA VISTA	CA	91911	32.619978	-117.073972	161k	130
1093019051	1093019051	1	1	ALL INCLUSIVE COMMUNITY HLTH	1-Dec-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	1311 N SAN FERNANDO BLVD	None	BURBANK	CA	91504	34.189332	-118.320301	78.2ttt	3106.01
1093023277	1093023277	1	1	UNIVERSAL COMMUNITY HEALTH	19-Apr-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	CENTER	1005 E WASHINGTON BLVD	STE A	LOS ANGELES	CA	90021	34.025688	-118.252933	78.2mmm	2260.01
1093042970	1093042970	1	4	ABELLA MEDICAL GROUP	9-Jun-19	Physicians Group (022)	PHYSICIANS GROUP	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	33	Riverside	None	6969 BROCKTON AVE	SUITE A-B	RIVERSIDE	CA	92506	33.947056	-117.396787	135c	311
1093095192	1093095192	1	1	FLORENCE MEDICAL CLINIC	1-Jun-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	1039 W FLORENCE AVENUE	None	LOS ANGELES	CA	90044	33.974618	-118.292755	78.2ggg	2374.01
1093181448	1093181448	1	1	EL PROYECTO DEL BARRIO INC N	24-Oct-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	18250 ROSCOE BLVD	SUITE 200	NORTHRIDGE	CA	91325	34.220798	-118.530625	78.2zz	1314
1093226243	1093226243	1	1	BLOOMINGTON COMMUNITY HEALTH	21-Feb-19	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	36	San Bernardino	None	18651 VALLEY BLVD	None	BLOOMINGTON	CA	92316	34.070447	-117.397334	151f	36.06
1093717779	1093717779	1	1	34TH ST COMM HEALTH CTR	13-Jan-09	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	15	Kern	34TH ST COMM HEALTH CTR	2000 PHYSICIANS BLVD	None	BAKERSFIELD	CA	93301	35.396189	-119.009485	66a	6
1093732554	1093732554	2	1	ADVENTIST HEALTH REEDLEY	1-Dec-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	None	300 S LEON S PETERS BLVD	None	FOWLER	CA	93625	36.630002	-119.678325	31	16
1093892275	1093892275	1	2	FAIRCHILD MEDICAL CENTER	5-Jan-08	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	47	Siskiyou	FAIRCHILD MEDICAL CENTER	475 BRUCE ST	STE 500-700	YREKA	CA	96097	41.718582	-122.643902	195	7.02
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
1093933194	1093933194	1	1	CLINICAS DEL CAMINO REAL	31-Jul-06	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	56	Ventura	NORTH OXNARD	1200 N VENTURA RD	STE E	OXNARD	CA	93030	34.21371	-119.194442	241b	33
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	2	WEST ADAMS PREPARTORY HIGH	12-Aug-19	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	INTERMITTENT	1500 W WASHINGTON BLVD	None	LOS ANGELES	CA	90007	34.040011	-118.289621	78.2b	2216.02
1093969115	1093969115	1	3	ESTEBAN TORRES HIGH SCHOOL	12-Aug-19	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	INTERMITTENT	4211 DOZIER STREET	None	LOS ANGELES	CA	90063	34.04149	-118.175516	78.2d	5310
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
1093969115	1093969115	1	6	BELL HIGH SCHOOL	12-Aug-19	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	INTERMITTENT	4328 BELL AVE	None	BELL	CA	90201	33.974739	-118.19033	78.2ddd	5336.02
1093974065	1093974065	1	1	ELICA HEALTH CENTERS	25-Feb-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	34	Sacramento	None	3701 J ST	STE 201	SACRAMENTO	CA	95816	38.570571	-121.456913	139i	15
1093980823	1093980823	2	1	ADVENTIST HEALTH REEDLEY	1-Dec-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	None	1939 ACADEMY AVENUE	None	SANGER	CA	93657	36.690124	-119.554709	31	61
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
1104024744	1104024744	2	1	CHILDRENS HOSPITAL LOS	18-Jan-13	Physicians Group (022)	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	19	Los Angeles	None	5000 W SUNSET BLVD	FL 4	LOS ANGELES	CA	90027	34.098139	-118.298323	78.2g	1912.01
1104067636	1104067636	1	1	KAWEAH DELTA LINDSAY HLTH CL	10-Oct-11	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	54	Tulare	None	839 N SEQUOIA AVE	None	LINDSAY	CA	93247	36.212938	-119.096107	228.2	26.01
1104163781	1104163781	1	1	CHAVA, SREEDHAR MD INC	1-Aug-13	Physicians Group (022)	PHYSICIANS GROUP	A00102291	8	Family Practice	0	In state provider	19	Los Angeles	None	1651 N HACIENDA BLVD	None	LA PUENTE	CA	91744	34.049085	-117.945495	78.2yyy	4075.01
1104247329	1104247329	1	1	TORREBLANCA, JOSE MD INC	9-Nov-17	Physicians Group (022)	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	19	Los Angeles	None	7128 SEVILLE AVE	None	HUNTINGTON PARK	CA	90255	33.974651	-118.222487	78.2fff	5331.04
1104819945	1104819945	1	1	NGUYEN, HUNG V MD	17-Oct-07	Physicians (026)	PHYSICIANS	A00042303	1	General Practice	0	In state provider	19	Los Angeles	None	7227 RESEDA BLVD	None	RESEDA	CA	91335	34.201649	-118.536045	78.2zz	1318
1104856095	1104856095	1	1	DESERT REGIONAL MEDICAL	31-May-97	Community Hosp Outpatient (015)	COMMUNITY OUTPATIENT HOSPITAL	None	99	Unknown (on EDS claims)	0	In state provider	33	Riverside	CENTER INC	1150 N INDIAN CANYON DR	None	PALM SPRINGS	CA	92262	33.838898	-116.545608	129.4	446.06
1104881523	1104881523	1	1	KUMARATNE, MOHAN P MD	15-Mar-02	Physicians (026)	PHYSICIANS	A35327	1	General Practice	0	In state provider	30	Orange	None	17692 BEACH BLVD	STE 200	HUNTINGTON BEACH	CA	92647	33.705708	-117.989099	116s	992.12
1104889724	1104889724	1	1	CHOU, SUSANNA I MD	27-Jan-05	Physicians (026)	PHYSICIANS	A00073158	8	Family Practice	0	In state provider	37	San Diego	None	340 4TH AVE	STE 5A	CHULA VISTA	CA	91910	32.638989	-117.083532	161k	127
1104906569	1104906569	1	1	COMMUNITY REGIONAL MEDICAL C	1-Apr-00	Community Hosp Outpatient (015)	COMMUNITY OUTPATIENT HOSPITAL	40000096	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	AND MEDICAL CENTER	2823 FRESNO ST	None	FRESNO	CA	93721	36.742581	-119.783025	35c	5.02
1104920438	1104920438	1	2	LAKE ALMANOR CLINIC	19-Dec-06	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	32	Plumas	LAKE ALMANOR CLINIC	199 REYNOLDS RD	None	CHESTER	CA	96020	40.305653	-121.232544	125	5.01
1104991561	1104991561	1	3	PEREZ, JOSE A MD	1-Mar-11	Physicians (026)	PHYSICIANS	A00020957	8	Family Practice	0	In state provider	19	Los Angeles	None	3500 WHITTIER BLVD	STE 107	LOS ANGELES	CA	90023	34.026687	-118.198514	78.2h	2049.1
1104991744	1104991744	1	1	HUMBOLDT STATE UNIVERSTY	27-Nov-07	Exempt from Licensure Clinics (045)	CLINIC EXEMP FROM LICENSURE	CLF1419	99	Unknown (on EDS claims)	0	In state provider	12	Humboldt	STUDENT HLTH CENTER	PLAZA AVENUE	NEAR LIBRARY CIRCLE	ARCATA	CA	95521	40.874139	-124.081652	39	10
1114031051	1114031051	1	1	RIVERSIDE CO COMM HEALTH	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	33	Riverside	None	880 N STATE ST	None	HEMET	CA	92543	33.761717	-116.971874	132	435.07
1114032208	1114032208	1	1	ROMERO, JESUSA N MD APC	9-Jun-06	Physicians (026)	PHYSICIANS	A00034299	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	3100 E FLORENCE AVE	STE 5	HUNTINGTON PARK	CA	90255	33.972891	-118.212379	78.2ccc	5332.03
1114057163	1114057163	1	1	CHAPA-DE IND HLTH PROGAM	15-Oct-09	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	31	Placer	PROGRAM	11670 ATWOOD RD	None	AUBURN	CA	95603	38.934832	-121.09919	119	215.01
1114104015	1114104015	1	1	NORTHEAST VLY HLTH CORP	29-Mar-02	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	EARLY INTERVENTION	6551 VAN NUYS BLVD	STE 201	VAN NUYS	CA	91402	34.211805	-118.448675	78.2zz	1203
1114104858	1114104858	1	1	ALTAMED HEALTH SVS	28-Apr-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	EL MONTE	10418 VALLEY BLVD	STE B	EL MONTE	CA	91731	34.076514	-118.045907	78.2oo	4328.01
1114220357	1114220357	1	1	GLORIA NELSON CENTER FOR	27-Apr-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	15	Kern	HOSPITAL DISTRICT	1500 6TH AVENUE	None	DELANO	CA	93215	35.764977	-119.237689	60	50.03
1114290780	1114290780	1	1	INDIAN HEALTH CENTER OF	3-May-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	43	Santa Clara	SANTA CLARA VALLEY	455 O'CONNOR DRIVE	STE 200	SAN JOSE	CA	95128	37.326705	-121.939855	183j	5020.01
1114322518	1114322518	1	1	PLANNED PARENTHOOD LOS ANGEL	28-Aug-15	Community Clinics (041)	COMMUNITY CLINIC	550003216	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	LOS ANGELES	825 N SAN VICENTE BLVD	None	WEST HOLLYWOOD	CA	90069	34.085508	-118.384451	78.2f	7005.01
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
1124045042	1124045042	1	1	COMMUNITY HLTH CENTERS PASO	1-Nov-05	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	40	San Luis Obispo	OF THE CENTRAL COAST INC	416 SPRING ST	SUITE A	PASO ROBLES	CA	93446	35.618604	-120.690713	173	101.02
1124045158	1124045158	1	1	COMMUNITY HEALTH CENTERS	1-Nov-05	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	40	San Luis Obispo	WOMEN'S HEALTH	1551 BISHOP ST	STE 240	SAN LUIS OBISPO	CA	93401	35.274341	-120.646177	172	110.02
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
1124053111	1124053111	1	1	PLANNED PARENTHOOD OF	6-Jan-97	Community Clinics (041)	COMMUNITY CLINIC	80000305	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	PACIFIC SOUTHWEST	10717 CAMINO RUIZ	STE 258	SAN DIEGO	CA	92126	32.913229	-117.143807	161v	83.57
1124073366	1124073366	1	1	CHILDRENS HOSPITAL OF LA	10-Nov-08	Community Hosp Outpatient (015)	COMMUNITY OUTPATIENT HOSPITAL	190000170	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	90027	34.098158	-118.29221	78.2g	1912.01
1124106646	1124106646	1	1	LANARK FAMILY MED CLINIC	1-May-02	Physicians Group (022)	PHYSICIANS GROUP	FNP029033	1	General Practice	0	In state provider	19	Los Angeles	None	8040 VAN NUYS BLVD	None	PANORAMA CITY	CA	91402	34.217232	-118.448759	78.2zz	1203
1124109202	1124109202	1	1	WINTERHAVEN HLTH CLINIC	30-Apr-02	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	13	Imperial	WINTERHAVEN HLTH CLINIC	2133 WINTERHAVEN DR	None	WINTERHAVEN	CA	92283	32.739444	-114.639372	46	9400
1124115431	1124115431	1	1	CLIN DE SALUD DEL PUEBLO	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	33	Riverside	None	321 W HOBSONWAY	STE C	BLYTHE	CA	92225	33.61031	-114.599743	126	461.02
1124130620	1124130620	2	1	HARMONY HEALTH MEDICAL	12-Aug-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	58	Yuba	CLINIC & FAMILY RESOURCE	1908 N BEALE ROAD	SUITE E	MARYSVILLE	CA	95901	39.127859	-121.545877	249	403.01
1124182977	1124182977	1	1	WESLEY HEALTH CENTER-LYNWOOD	29-Jun-09	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	3591 E IMPERIAL HIGHWAY	None	LYNWOOD	CA	90262	33.930479	-118.205406	78.2sss	5402.02
1124189212	1124189212	1	1	ARDMORE SPEC MED GROUP	28-Apr-97	Physicians Group (022)	PHYSICIANS GROUP	FNP030539	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	ARDMORE MED GROUP INC	3518 W 8TH ST	None	LOS ANGELES	CA	90005	34.057663	-118.307051	78.2e	2125.02
1124204292	1124204292	1	1	GOLDEN VALLEY HEALTH CTR	9-Jul-07	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	50	Stanislaus	None	2760 3RD ST	None	CERES	CA	95307	37.591963	-120.954519	214	26.02
1124205182	1124205182	1	1	NORTH EAST MEDICAL SVCS	29-Sep-06	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	38	San Francisco	NORIEGA	1450 NORIEGA ST	None	SAN FRANCISCO	CA	94122	37.754117	-122.479194	162e	328.02
1124220249	1124220249	1	1	NORTH COAST FAMILY	24-Sep-08	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	23	Mendocino	CARE DISTRICT	721 RIVER DR	SUITES A, B, & C	FORT BRAGG	CA	95437	39.431693	-123.800817	89	105
1124296413	1124296413	1	1	WESTERN WOMENS INSTITUTE	1-Nov-08	Physicians Group (022)	PHYSICIANS GROUP	FNP033834	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	30	Orange	None	301 N MAIN ST	None	SANTA ANA	CA	92701	33.747129	-117.867626	116b	750.02
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
1124300207	1124300207	1	1	HILMAR HEALTH CENTER	25-Oct-13	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	24	Merced	None	7970 N LANDER AVE	SUITE A & B	HILMAR	CA	95324	37.403898	-120.850126	95	4.02
1124460274	1124460274	1	1	NECC GAGE HEALTH CENTER	2-Dec-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	2975 ZOE AVENUE	None	HUNTINGTON PARK	CA	90255	33.979374	-118.215302	78.2ccc	5331.06
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
1134101686	1134101686	1	1	UN HLTH CTRS SAN JOAQUIN	9-Aug-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	PO BOX 1990	16928 11TH ST	None	HURON	CA	93234	36.20539	-120.102483	28	78.02
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
1134144165	1134144165	1	1	BORREGO MEDICAL CLINIC	1-Nov-06	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	FOUNDATION	4343 YAQUI PASS RD	None	BORREGO SPRINGS	CA	92004	33.193148	-116.330451	152	210
1134206436	1134206436	1	1	ANGEL FAM PRAC MED GRP	28-Apr-97	Physicians (026)	PHYSICIANS	A00050182	1	General Practice	0	In state provider	19	Los Angeles	MEDICAL GROUP INC	2015 E FLORENCE AVE	None	LOS ANGELES	CA	90001	33.974782	-118.234728	78.2mmm	5330.02
1134208853	1134208853	1	1	CARREON, JORGE F MD INC	8-May-98	Physicians (026)	PHYSICIANS	A00032576	0	General Practioner (Dentists Only)	0	In state provider	19	Los Angeles	None	4500 TWEEDY BLVD	None	SOUTH GATE	CA	90280	33.942777	-118.192708	78.2sss	5359.02
1134237993	1134237993	1	1	ADVANCED WOMEN'S HEALTHC	5-Aug-05	Physicians Group (022)	PHYSICIANS GROUP	FNP032887	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	33	Riverside	AMC	1100 N PALM CANYON DR	STE 212	PALM SPRINGS	CA	92262	33.837621	-116.546779	129.4	446.06
1134271380	1134271380	1	1	FAWWAZ, AMIN R MD INC	30-Dec-97	Physicians (026)	PHYSICIANS	C00039280	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	30	Orange	None	3010 W ORANGE AVE	STE 408	ANAHEIM	CA	92804	33.82475	-117.993763	116c	869.02
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
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)	0	In state provider	43	Santa Clara	None	7475 CAMINO ARROYO	None	GILROY	CA	95020	37.019947	-121.560817	182	5126.02
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
1134360076	1134360076	1	1	FILLMORE FAMILY MEDICAL GROU	31-Aug-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	56	Ventura	None	828 VENTURA ST	None	FILLMORE	CA	93015	34.377654	-118.933229	237	3.03
1134369366	1134369366	1	1	CLINICAS DEL CAMINO REAL	17-Sep-09	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	56	Ventura	INC, EL RIO	221 VENTURA BLVD	STE 126	OXNARD	CA	93036	34.233356	-119.171593	241b	50.03
1134421860	1134421860	1	1	AGUILAR, ALEJANDRO F MD INC	12-Jul-16	Physicians (026)	PHYSICIANS	A36086	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	3034 E FLORENCE AVENUE	None	HUNTINGTON PARK	CA	90255	33.973091	-118.214284	78.2ccc	5331.07
1134425804	1134425804	1	1	THE CHILDREN'S CLINIC FAMILY	9-Apr-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	SERVING CHILDREN & THEIR	2360 PACIFIC AVENUE	None	LONG BEACH	CA	90806	33.800123	-118.193645	78.2lll	5731
1134482326	1134482326	1	1	CSC COMMUNITY HEALTH CENTER	8-Sep-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	320 SOUTH GARFIELD AVE	SUITE 118	ALHAMBRA	CA	91801	34.09196	-118.124621	78.2eeee	4810.02
1134492937	1134492937	1	1	ALTAMED MED & DENTAL GROUP	29-Jun-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	EAST LA 1ST STREET	2219 E 1ST STREET	None	LOS ANGELES	CA	90033	34.044415	-118.211965	78.2h	2044.2
1134570708	1134570708	1	1	PREFER PACIFIC COAST HEALTHC	21-Dec-16	Physicians (026)	PHYSICIANS	A81117	1	General Practice	0	In state provider	19	Los Angeles	None	1024 E PACIFIC COAST HWY	None	LONG BEACH	CA	90806	33.789849	-118.180128	78.2jjj	5752.01
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
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
1144336181	1144336181	1	1	LA CLINICA DE LA RAZA	21-Aug-06	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	1	Alameda	None	3451 E 12TH ST	None	OAKLAND	CA	94601	37.775796	-122.223557	2d	4061
1144340670	1144340670	1	1	CAL STATE UNIVERSITY	3-Oct-06	Exempt from Licensure Clinics (045)	CLINIC EXEMP FROM LICENSURE	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	SAN MARCOS	120 CRAVEN ROAD	STE 100	SAN MARCOS	CA	92078	33.127973	-117.177269	156c	200.26
1144358748	1144358748	1	1	GARDNER SO CO HEALTH CTR	14-Dec-09	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	43	Santa Clara	GARDNER SO CO HEALTH CTR	7526 MONTEREY ST	None	GILROY	CA	95020	37.008533	-121.56939	182	5126.03
1144371436	1144371436	1	1	KIM, MEE SOOK, MD	28-Apr-97	Physicians (026)	PHYSICIANS	A00039215	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	14624 SHERMAN WAY	STE 207	VAN NUYS	CA	91405	34.201206	-118.451927	78.2zz	1272.2
1144385766	1144385766	1	2	NGO, HY P MD INC	15-Oct-09	Physicians (026)	PHYSICIANS	A00069736	41	Internal Medicine	0	In state provider	19	Los Angeles	None	5801 S FIGUEROA STREET	None	LOS ANGELES	CA	90003	33.989727	-118.282663	78.2ggg	2327
1144407487	1144407487	1	1	NORTH EAST MEDICAL SVS	5-Feb-20	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	38	San Francisco	None	1520 STOCKTON ST	None	SAN FRANCISCO	CA	94133	37.799729	-122.409086	162a	106
1144407784	1144407784	1	1	VALLEY HEALTH CTR	19-May-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	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
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
1144557539	1144557539	1	1	HENAWI, I MD INC	1-May-10	Physicians (026)	PHYSICIANS	A00062143	1	General Practice	0	In state provider	33	Riverside	None	4020 W FLORIDA AVE	None	HEMET	CA	92545	33.745223	-117.015231	132	435.04
1144597477	1144597477	1	1	TIBURCIO VASQUEZ HEALTH	9-Jan-13	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	1	Alameda	CENTER INC	680 W TENNYSON RD	None	HAYWARD	CA	94544	37.631794	-122.068714	2n	4382.03
1144626649	1144626649	1	1	FOOTHILL HEALTH CENTER OF GI	25-Oct-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	43	Santa Clara	None	9460 NO NAME UNO	STE 110	GILROY	CA	95020	37.037254	-121.574205	182	5124.01
1144760943	1144760943	1	1	HURTT FAMILY HEALTH CLINIC-A	21-May-18	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	30	Orange	INC	947 S ANAHEIM BLVD	SUITE 260	ANAHEIM	CA	92805	33.822047	-117.90948	116l	874.05
1154315828	1154315828	1	1	TANTAM MEDICAL GRP, INC	7-Mar-97	Physicians Group (022)	PHYSICIANS GROUP	P6081	1	General Practice	0	In state provider	30	Orange	None	12555 GARDEN GROVE BLVD	STE 504	GARDEN GROVE	CA	92843	33.774488	-117.914305	116r	885.02
1154327138	1154327138	1	1	LIFELONG MEDICAL CARE-	11-Feb-09	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	1	Alameda	EAST OAKLAND	10700 MACARTHUR BLVD	STE 14B	OAKLAND	CA	94605	37.742368	-122.151705	2d	4101
1154347797	1154347797	1	1	FLORENCE WESTERN	17-Oct-05	Physicians Group (022)	PHYSICIANS GROUP	FNP001793	1	General Practice	0	In state provider	19	Los Angeles	None	7301 S WESTERN AVE	None	LOS ANGELES	CA	90047	33.973656	-118.308969	78.2k	2379
1154356145	1154356145	1	1	PLANNED PARENTHOOD OF	6-Jan-97	Community Clinics (041)	COMMUNITY CLINIC	370801307	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	SAN DIEGO COUNTY	1685 E MAIN ST	STE 301	EL CAJON	CA	92021	32.811611	-116.919014	161u	164.01
1154375624	1154375624	1	1	PLANNED PARENTHOOD	1-Mar-97	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	50	Stanislaus	None	1431 MCHENRY AVE	STE 100	MODESTO	CA	95350	37.66483	-120.993934	215a	11
1154402675	1154402675	1	5	NEWHALL HEALTH CENTER	9-Apr-18	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	23772 NEWHALL AVE	None	NEWHALL	CA	91321	34.376674	-118.526368	76.1b	9203.36
1154420933	1154420933	2	1	PERRIS VALLEY CLINICA MEDICA	2-Jan-13	Physicians Group (022)	PHYSICIANS GROUP	A00092039	1	General Practice	0	In state provider	33	Riverside	ASSOCIATES, AMC	735 SOUTH D ST	None	PERRIS	CA	92570	33.778979	-117.228803	133.1	428
1154455434	1154455434	1	1	CLINICA SIERRA VISTA	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	15	Kern	None	1508 GARCES HWY	STE 1	DELANO	CA	93215	35.761345	-119.237152	60	50.03
1154461580	1154461580	1	1	CA STATE UNIV	11-Jun-08	Exempt from Licensure Clinics (045)	CLINIC EXEMP FROM LICENSURE	CLF1239	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	NORTHRIDGE KLOTZ	18111 NORDHOFF ST	None	NORTHRIDGE	CA	91330	34.235482	-118.527572	78.2kk	1152.02
1154480069	1154480069	1	1	CENTRO MEDICO EL CAJON	22-May-08	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	FOUNDATION	133 WEST MAIN STREET	STE 100	EL CAJON	CA	92020	32.794864	-116.962732	161h	158.02
1154487148	1154487148	1	1	COUNTY HEALTH CLINIC	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	42	Santa Barbara	COUNTY HEALTH CLINIC	2115 CENTERPOINTE PKWY	None	SANTA MARIA	CA	93455	34.922699	-120.428604	180.1	20.07
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
1154614097	1154614097	1	1	KAWEAH DELTA WOODLAKE	12-Jan-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	54	Tulare	DISTRICT	180 E ANTELOPE AVE	None	WOODLAKE	CA	93286	36.415571	-119.097881	228.1	7.02
1154636793	1154636793	1	1	HIGH DESERT HLTH SYSTEMS	28-Dec-10	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	HIGH DESERT HLTH SYSTEMS	44900 60TH ST W	None	LANCASTER	CA	93536	34.696359	-118.236642	77.5	9012.05
1154730828	1154730828	1	1	BALDWIN PARK COMMUNITY	10-Feb-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	3942 MAINE AVE	None	BALDWIN PARK	CA	91706	34.084525	-117.961854	78.2zzz	4052.02
1154736429	1154736429	1	1	ARIA COMMUNITY HEALTH CENTER	1-Dec-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	None	3554 W MT WHITNEY AVE	None	RIVERDALE	CA	93656	36.430906	-119.861917	30	77
1154786846	1154786846	1	1	NEIGHBORHOOD HEALTHCARE	14-Aug-18	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	33	Riverside	None	903 E DEVONSHIRE AVE	STE D	HEMET	CA	92543	33.751209	-116.96298	132	434.01
1154788560	1154788560	1	1	PARKTREE COMMUNITY HEALTH CE	31-Aug-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	36	San Bernardino	CENTER	1556 S SULTANA AVE	None	ONTARIO	CA	91761	34.045424	-117.646	151c	18.12
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	0	In state provider	10	Fresno	DICAL GROUP, INC	1187 E HERNDON AVE	106	FRESNO	CA	93720	36.837217	-119.767535	35f	54.06
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
1164463345	1164463345	1	1	EDWARD CHEN PERINATOLOGY	8-Apr-02	Physicians (026)	PHYSICIANS	C00050499	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	500 N GARFIELD AVE	STE 206	MONTEREY PARK	CA	91754	34.05624	-118.12471	78.2nn	4822.01
1164503652	1164503652	1	1	VALLEY IMMEDIATE CARE	21-Jun-05	Physicians Group (022)	PHYSICIANS GROUP	FNP035097	1	General Practice	0	In state provider	33	Riverside	CORPORATION	1003 N STATE STREET	None	HEMET	CA	92543	33.763055	-116.971873	132	435.07
1164517744	1164517744	1	1	FAMILY HEALTHCARE NETWRK	28-Aug-01	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	54	Tulare	None	201 EAST LAKEVIEW AVE	None	WOODLAKE	CA	93286	36.417357	-119.097641	228.1	7.02
1164552931	1164552931	1	1	ALVISO HEALTH CENTER	14-Dec-09	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	43	Santa Clara	ALVISO HEALTH CENTER	1621 GOLD ST	None	ALVISO	CA	95002	37.424063	-121.976109	183l	5046.02
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
1164606414	1164606414	1	1	NORTHEAST COMM CLINIC	28-Apr-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	5428 N FIGUEROA ST	None	LOS ANGELES	CA	90042	34.107667	-118.196701	78.2i	1838.1
1164643862	1164643862	1	1	INDIAN HEALTH CENTER OF	2-Jan-20	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	43	Santa Clara	SANTA CLARA VALLEY	1333 MERIDIAN AVE	None	SAN JOSE	CA	95125	37.301556	-121.913574	183e	5023.01
1164668786	1164668786	1	1	PREMIER FAMILY MEDICINE	7-Oct-10	Physicians Group (022)	PHYSICIANS GROUP	None	8	Family Practice	0	In state provider	19	Los Angeles	ASSOCIATES, INC	1601 N MONTE VISTA AVE	#100	CLAREMONT	CA	91711	34.11306	-117.698479	78.2tt	4018
1164672747	1164672747	1	1	ORANGE & BUTLER COMM HLT	14-Oct-08	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	HEALTH CENTER	1350 SOUTH ORANGE AVE	None	FRESNO	CA	93702	36.729147	-119.763665	35e	4
1164728788	1164728788	1	1	HESPERIA CLINICA MEDICA	13-Jun-13	Physicians Group (022)	PHYSICIANS GROUP	None	8	Family Practice	0	In state provider	36	San Bernardino	FAMILIAR A MEDICAL CORP	15888 MAIN STREET	SUITE 112B	HESPERIA	CA	92345	34.423632	-117.31593	145.1a	100.19
1164806410	1164806410	1	1	OMNI FAMILY HEALTH	3-Dec-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	15	Kern	None	1022 CALLOWAY DRIVE	None	BAKERSFIELD	CA	93312	35.365417	-119.114148	66d	38.12
1164886040	1164886040	1	1	PEACH TREE NORTH SACRAMENTO	31-Jul-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	34	Sacramento	None	3810 ROSIN CT	SUITE 100	SACRAMENTO	CA	95834	38.637429	-121.475545	139j	70.01
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
1174501225	1174501225	1	1	EXUM, JANICE M MD	9-Sep-97	Physicians (026)	PHYSICIANS	G00066570	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	555 W COMPTON BLVD	STE 202	COMPTON	CA	90220	33.895903	-118.232876	78.2bbb	5425.02
1174579957	1174579957	1	1	PLANNED PARENTHOOD	1-Aug-97	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	39	San Joaquin	SJ VALLEY - EASTLAND PLZ	678 N WILSON WAY	STE 25-26	STOCKTON	CA	95205	37.962577	-121.273374	169b	16
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
1174665905	1174665905	1	1	ARROYO VISTA FAMILY HLTH	21-Oct-05	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	HEALTH CTR-LINCOLN HGHTS	2411 N BROADWAY	None	LOS ANGELES	CA	90031	34.073633	-118.2162	78.2i	1997
1174700710	1174700710	1	1	ALTA MED HEALTH SVS CORP	28-Apr-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	ELA/WHITTIER	5427 WHITTIER BLVD	None	LOS ANGELES	CA	90022	34.019621	-118.153528	78.2d	5317.01
1174727143	1174727143	1	1	COUNTY OF MONTEREY	1-Aug-97	Physicians Group (022)	PHYSICIANS GROUP	None	8	Family Practice	0	In state provider	27	Monterey	None	1441 CONSTITUTION BLVD	None	SALINAS	CA	93906	36.696798	-121.62963	109.2	106.08
1174757967	1174757967	1	1	CENTRAL CITY COMM HLTH CTR	1-Sep-10	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	30	Orange	HEALTH CENTER INC	12116 BEACH BLVD	None	STANTON	CA	90680	33.786171	-117.992846	116r	881.04
1174759583	1174759583	1	1	PLANNED PARENTHOOD BASICS	18-Nov-10	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	5519 E DEL AMO BLVD	None	LAKEWOOD	CA	90713	33.84712	-118.124646	78.2n	5709.02
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
1174833974	1174833974	1	1	CLINICA MEDICA DEL SOL GROUP	21-Dec-10	Physicians Group (022)	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	19	Los Angeles	INC	1431 NO HACIENDA BLVD	None	LA PUENTE	CA	91744	34.046278	-117.948614	78.2yyy	4075.01
1174859425	1174859425	1	1	COMMUNITY HEALTH CENTERS	8-Mar-10	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	42	Santa Barbara	None	1418 EAST MAIN STREET	SUITE 210	SANTA MARIA	CA	93454	34.9529	-120.413575	180.1	22.11
1174913776	1174913776	1	2	UNIVERSAL COMMUNITY HEALTH	31-Aug-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	2801 SOUTH SAN PEDRO ST	None	LOS ANGELES	CA	90011	34.019812	-118.262438	78.2l	2267
1174923684	1174923684	1	1	PLANNED PARENTHOOD	11-Dec-14	Community Clinics (041)	COMMUNITY CLINIC	550002918	99	Unknown (on EDS claims)	0	In state provider	1	Alameda	None	1032 A STREET	None	HAYWARD	CA	94541	37.67424	-122.083314	2h	4354
1174984041	1174984041	1	1	UNICARE COMMUNITY HEALTH CEN	9-Apr-18	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	36	San Bernardino	CENTER, INC	16127 FOOTHILL BLVD	None	FONTANA	CA	92335	34.106542	-117.453053	151h	28.03
1184065088	1184065088	1	1	DESERT HOT SPRINGS HEALTH	2-Jan-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	33	Riverside	FOUNDATION	11750 CHOLLA DRIVE	SUITE B	DESERT HOT SPRING	CA	92240	33.963253	-116.514526	129.4	445.09
1184606634	1184606634	1	1	UNITED HLTH CTRS	9-Aug-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	None	121 BARBOZA ST	None	MENDOTA	CA	93640	36.765512	-120.383672	25	83.01
1184641664	1184641664	1	1	PLANNED PARENTHOOD OF VENTUR	1-Mar-97	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	56	Ventura	CALIFORNIA	5400 RALSTON ST	None	VENTURA	CA	93003	34.259757	-119.217858	241c	15.02
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
1184677163	1184677163	1	1	PLANNED PRNTHD MAR MONTE	1-Mar-97	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	34	Sacramento	NORTH HIGHLANDS	5700 WATT AVE	None	NORTH HIGHLANDS	CA	95660	38.670306	-121.3828	139j	73.01
1184722779	1184722779	1	1	UNIVERSITY OF CALIF UNIV	1-Jul-08	Community Hosp Outpatient (015)	COMMUNITY OUTPATIENT HOSPITAL	370800782	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	MEDICAL CENTER-SAN DIEGO	200 W ARBOR DR	None	SAN DIEGO	CA	92103	32.753784	-117.164978	161b	4
1184753790	1184753790	1	1	LINDA VISTA HLTH CARE	6-Jan-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	None	6973 LINDA VISTA RD	None	SAN DIEGO	CA	92111	32.786812	-117.170026	161a	88
1184791998	1184791998	1	1	TRI-CITY HEALTH CENTER	27-Apr-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	1	Alameda	None	1999 MOWRY AVENUE	None	FREMONT	CA	94538	37.557757	-121.981042	2j	4419.23
1184792590	1184792590	1	1	FIRST DESERT OBSTETRICS	23-Mar-00	Physicians Group (022)	PHYSICIANS GROUP	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	33	Riverside	DESERT OB/GYN MED ASSOCS	81767 DOCTOR CARREON	STE 101	INDIO	CA	92201	33.707426	-116.238634	128	452.07
1184793143	1184793143	1	1	CABRILLO COLLEGE	28-Sep-11	Exempt from Licensure Clinics (045)	CLINIC EXEMP FROM LICENSURE	None	99	Unknown (on EDS claims)	0	In state provider	44	Santa Cruz	DISTRICT	6500 SOQUEL DR	SHS ROOM 912	APTOS	CA	95003	36.988843	-121.927115	185.1	1220.03
1184833501	1184833501	1	1	BELL GARDEN FAMILY	15-Aug-03	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	6501 GARFIELD AVE	None	BELL GARDENS	CA	90201	33.972803	-118.147588	78.2c	5339.02
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
1184883936	1184883936	1	1	VENICE FAMILY CLINIC	28-Apr-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	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)	0	In state provider	19	Los Angeles	None	604 ROSE AVE	None	VENICE	CA	90291	33.999203	-118.471926	78.2z	2732
1184909103	1184909103	1	1	BROOKWOOD HEALTH CENTER	4-Jan-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	49	Sonoma	CENTERS	983 SONOMA AVENUE	STE A	SANTA ROSA	CA	95404	38.440546	-122.702144	210.1	1520
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
1184949455	1184949455	1	1	BARAJAS, RAYMOND A INC	29-Apr-97	Physicians (026)	PHYSICIANS	G00075499	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	3560 SANTA ANITA AVE	STE H	EL MONTE	CA	91731	34.073922	-118.041692	78.2oo	4327
1194048884	1194048884	1	1	GENESIS CLINICA DE LA MUJER	18-Oct-11	Physicians (026)	PHYSICIANS	G75190	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	43	Santa Clara	INC	244 N JACKSON AVE	STE 209	SAN JOSE	CA	95116	37.364025	-121.848918	183b	5037.12
1194090688	1194090688	1	1	VERMONT URGENT CARE AND	5-Jan-17	Physicians (026)	PHYSICIANS	A106358	1	General Practice	0	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
1194122457	1194122457	1	1	FAMILIES TOGETHER OF ORANGE	1-Dec-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	30	Orange	COUNTY	661 W FIRST ST	STE G	TUSTIN	CA	92780	33.74575	-117.831106	116h	755.05
1194709535	1194709535	1	1	LING, DAVID MD	25-Mar-97	Physicians (026)	PHYSICIANS	C00029051	0	General Practioner (Dentists Only)	0	In state provider	19	Los Angeles	None	2031 W ALAMEDA AVE	STE 214	BURBANK	CA	91506	34.159851	-118.32331	78.2ttt	3117
1194750877	1194750877	1	1	WASHINGTON TOWNSHIP HOSP	1-Mar-07	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	1	Alameda	None	2000 MOWRY AVE	None	FREMONT	CA	94538	37.558536	-121.980151	2l	4419.24
1194804401	1194804401	1	1	CONTRA COSTA REG MED CTR	22-Jul-02	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	7	Contra Costa	BAY POINT FAMILY HEALTH	215 PACIFICA AVE	None	BAY POINT	CA	94565	38.034024	-121.966407	18d	3142
1194839035	1194839035	1	1	RIVERSIDE CO COMM HEALTH	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	33	Riverside	None	308 E SAN JACINTO AVE	None	PERRIS	CA	92570	33.786591	-117.221638	133.1	427.19
1194848580	1194848580	1	1	YACOUB, NADER M MD	23-Mar-01	Physicians (026)	PHYSICIANS	A00040916	1	General Practice	0	In state provider	19	Los Angeles	None	14282 AMAR RD	None	LA PUENTE	CA	91746	34.049076	-117.968273	78.2yyy	4071.01
1194850461	1194850461	1	1	POTRERO HILL 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	1050 WISCONSIN ST	None	SAN FRANCISCO	CA	94107	37.754254	-122.398675	162f	614
1194853861	1194853861	1	1	COUNTY OF MONTEREY	25-Feb-02	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	27	Monterey	None	559 E ALISAL ST	STE 201	SALINAS	CA	93905	36.673821	-121.636401	109.2	5.01
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
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
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
1194974402	1194974402	1	1	NORTH ORANGE COUNTY REG	16-Oct-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	30	Orange	HEALTH FOUNDATION	901 W ORANGETHORPE AVE	None	FULLERTON	CA	92832	33.859352	-117.940759	116f	111.02
1194978973	1194978973	1	1	WEST FRESNO COMM HLT CTR	13-Jan-09	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	HEALTH CENTER	302 FRESNO ST	STE 101 103 200 204	FRESNO	CA	93706	36.723699	-119.809304	35e	3
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
1205102068	1205102068	1	1	UNIVERSITY COMMUNITY HEALTH	9-Jul-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	33	Riverside	None	2933 UNIVERSITY AVE	None	RIVERSIDE	CA	92507	33.977562	-117.365144	135a	304
1205137452	1205137452	1	1	LALEZARI, BAHMAN MD INC	1-Sep-11	Physicians (026)	PHYSICIANS	A00051462	1	General Practice	0	In state provider	19	Los Angeles	None	4944 W PICO BLVD	None	LOS ANGELES	CA	90019	34.047892	-118.344541	78.2x	2172
1205162013	1205162013	1	1	POWERPLAY LYDIE HAZAN MD INC	15-Aug-13	Physicians (026)	PHYSICIANS	A00053116	1	General Practice	0	In state provider	19	Los Angeles	None	5800 WILSHIRE BLVD	None	LOS ANGELES	CA	90036	34.06242	-118.354965	78.2x	2151.01
1205222544	1205222544	1	1	BAKER STREET VILLAGE COMMUNI	11-Oct-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	15	Kern	None	1015 BAKER STREET	SUITE 4	BAKERSFIELD	CA	93305	35.378997	-118.992215	66b	13
1205250263	1205250263	1	1	THE CHILDRENS CLINIC FAMILY	3-Mar-14	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	CHILDREN AND FAMILIES	2125 SANTA FE AVENUE	None	LONG BEACH	CA	90810	33.795733	-118.215523	78.2p	5728
1205253374	1205253374	1	1	ADVENTIST HEALTH REEDLEY	2-Feb-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	20	Madera	None	48677 VICTORIA LANE	None	OAKHURST	CA	93644	37.327061	-119.660169	79.1	1.08
1205381647	1205381647	1	1	QURESHI, AZMATH S MD INC	9-Feb-98	Physicians (026)	PHYSICIANS	A36039	6	Cardiovascular Disease (M.D. only)	0	In state provider	19	Los Angeles	None	14350 E WHITTIER BLVD	SUITE 230	WHITTIER	CA	90604	33.955049	-118.018524	78.2uu	5017
1205845583	1205845583	1	1	KIM, HYUK DO INC	3-Apr-03	Physicians (026)	PHYSICIANS	20A7982	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	13563 VAN NUYS BLVD	None	PACOIMA	CA	91331	34.261391	-118.428525	78.2ppp	1046.2
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
1205863784	1205863784	1	1	PATEL, DILIPKUMAR G MD	28-Apr-97	Physicians (026)	PHYSICIANS	A00037584	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	INC	3131 SANTA ANITA AVE	STE 103	EL MONTE	CA	91733	34.065104	-118.042737	78.2oo	4332
1205940145	1205940145	1	1	CORONA COMMUNITY HEALTH CTR	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	33	Riverside	None	2813 S MAIN ST	None	CORONA	CA	92882	33.846532	-117.570809	135f	418.08
1215007893	1215007893	1	1	CONTRA COSTA COUNTY	22-Jul-02	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	7	Contra Costa	CONCORD HEALTH CENTER	3052 WILLOW PASS RD	None	CONCORD	CA	94519	37.980801	-122.021313	18c	3300
1215022736	1215022736	1	1	PROGRESSIVE OB GYN MEDICAL	9-Aug-10	Physicians (026)	PHYSICIANS	A00034324	0	General Practioner (Dentists Only)	0	In state provider	36	San Bernardino	PROGRESSIVE OB GYN MEDIC	576 S MT VERNON AVE	None	SAN BERNARDINO	CA	92410	34.090558	-117.313887	151f	124
1215022918	1215022918	1	1	CLINICA MEDICA CALIFORNIA	26-Jun-07	Physicians Group (022)	PHYSICIANS GROUP	None	8	Family Practice	0	In state provider	36	San Bernardino	INC	16701 VALLEY BLVD	STE F	FONTANA	CA	92335	34.070327	-117.439997	151f	33.01
1215030747	1215030747	1	1	INTEGRATIVE MEDICAL CTR	27-Mar-97	Physicians Group (022)	PHYSICIANS GROUP	FNP12667	99	Unknown (on EDS claims)	0	In state provider	30	Orange	None	526 W 17TH ST	None	SANTA ANA	CA	92706	33.759988	-117.872775	116b	751
1215035274	1215035274	1	1	ISKAROUS, RAGAA Z MD INC	19-Jan-11	Physicians (026)	PHYSICIANS	A00045155	1	General Practice	0	In state provider	19	Los Angeles	None	11003 LAKEWOOD AVE	STE 201	DOWNEY	CA	90241	33.937355	-118.12324	78.2eee	5509.01
1215061528	1215061528	1	1	FRAZIER MOUNTAIN COMM	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	15	Kern	None	704 LEBEC RD	None	LEBEC	CA	93225	34.772888	-119.040689	237	1
1215095575	1215095575	1	1	PLANNED PARENTHOOD	1-Mar-97	Community Clinics (041)	COMMUNITY CLINIC	ZZR11927	99	Unknown (on EDS claims)	0	In state provider	7	Contra Costa	ANTIOCH	1104 BUCHANAN RD	None	ANTIOCH	CA	94509	37.998373	-121.82285	18d	3072.05
1215100417	1215100417	1	1	CLINICA WESTERN FAMILY	28-Apr-97	Physicians (026)	PHYSICIANS	A044079	1	General Practice	0	In state provider	19	Los Angeles	None	875 N WESTERN AVE	None	LOS ANGELES	CA	90029	34.086121	-118.309136	78.2g	1916.1
1215103304	1215103304	1	1	TORRES, REBECCA MD AMC	5-Oct-15	Physicians Group (022)	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	33	Riverside	None	1530 WEST 6TH STREET	SUITE 109	CORONA	CA	92882	33.878466	-117.595001	135f	419.06
1215103304	1215103304	1	3	TORRES, REBECCA MD AMC	5-Oct-15	Physicians Group (022)	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	36	San Bernardino	None	1605 S RIVERSIDE AVE	STE B	RIALTO	CA	92376	34.072944	-117.370219	151f	36.12
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
1215245675	1215245675	1	1	ALL WOMENS CARE	16-Jun-11	Physicians Group (022)	PHYSICIANS GROUP	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	1300 N VERMONT AVE	None	LOS ANGELES	CA	90027	34.095557	-118.291741	78.2g	1913.02
1215246996	1215246996	1	1	NESTOR COMMUNITY HEALTH CTR	27-Jan-11	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	CLINIC	1016 OUTER ROAD	None	SAN DIEGO	CA	92154	32.578619	-117.083338	161j	101.07
1215310008	1215310008	1	1	FHCCGLA SCHOOL BASED HEALTH	13-Nov-18	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	OF GREATER LOS ANGELES	6119 AGRA STREET	None	BELL GARDENS	CA	90201	33.975589	-118.154266	78.2c	5339.01
1215327804	1215327804	1	1	LAKE COUNTY TRIBAL HEALTH PE	11-Oct-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	17	Lake	CONSORTIUM INC	359 LAKEPORT BLVD	None	LAKEPORT	CA	95453	39.034638	-122.917518	70.1	4
1215351705	1215351705	1	1	GOLETA NEIGHBORHOOD CLINIC	4-Jun-14	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	42	Santa Barbara	CLINICS	334 S PATTERSON AVE	SUITE 203	GOLETA	CA	93111	34.434188	-119.809268	181a	30.01
1215903018	1215903018	1	1	COMM MEMORIAL HOSP SAN	1-Mar-97	Community Hosp Outpatient (015)	COMMUNITY OUTPATIENT HOSPITAL	561700473	99	Unknown (on EDS claims)	0	In state provider	56	Ventura	None	147 N BRENT ST	None	VENTURA	CA	93003	34.274201	-119.257241	241c	19
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
1215962204	1215962204	1	1	PLANNED PARENTHOOD MBC	10-Oct-02	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	PACIFIC SOUTHWEST	4501 MISSION BAY DR	STE 1C&D	SAN DIEGO	CA	92109	32.802898	-117.216446	161a	78
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
1225044662	1225044662	1	1	WILMINGTON SUBCENTER	28-Apr-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	WILMINGTON FAM PLANNING	1325 BROAD AVE	None	WILMINGTON	CA	90744	33.789816	-118.261561	78.2p	2946.1
1225061856	1225061856	1	1	CHEN, LUNING MD	30-Oct-02	Physicians (026)	PHYSICIANS	A00067442	8	Family Practice	0	In state provider	19	Los Angeles	MEDICAL CORPORATION	737 GARFIELD AVE	#A	ALHAMBRA	CA	91801	34.101705	-118.13147	78.2eeee	4804
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
1225081227	1225081227	1	1	PLANNED PARENTHOOD MAR	1-Mar-97	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	44	Santa Cruz	WESTSIDE	1119 PACIFIC AVE	STE 200	SANTA CRUZ	CA	95060	36.971894	-122.025496	185.1	1010
1225149222	1225149222	1	1	LAGUNA BEACH COMM CLINIC	1-Dec-18	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	30	Orange	None	362 3RD ST	None	LAGUNA BEACH	CA	92651	33.543763	-117.780912	115.2d	626.05
1225163991	1225163991	1	1	CAMPOS, LELYS MD	28-Apr-97	Physicians (026)	PHYSICIANS	A00036358	1	General Practice	0	In state provider	19	Los Angeles	None	8809 SUNLAND BLVD	None	SUN VALLEY	CA	91352	34.228796	-118.36636	78.2ppp	1211.02
1225168024	1225168024	1	1	GALDAMEZ, LUIS A MD INC	29-May-97	Physicians Group (022)	PHYSICIANS GROUP	FNP020761	1	General Practice	0	In state provider	19	Los Angeles	CLINICA MEDICA VIRGEN DE	2955 E FLORENCE AVE	None	HUNTINGTON PARK	CA	90255	33.973308	-118.216415	78.2ccc	5331.07
1225177751	1225177751	1	1	CRENSHAW COMM HLTH CTR	18-Aug-03	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	CORPOATION	3756 SANTA ROSALIA DR	STE 400	LOS ANGELES	CA	90008	34.00844	-118.338719	78.2nnn	2361
1225179641	1225179641	1	1	ROLLAND AND KATHRYN LOWE MED	23-Feb-11	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	1	Alameda	None	835 WEBSTER ST	None	OAKLAND	CA	94607	37.799511	-122.271239	2c	4030
1225188204	1225188204	1	1	IMPERIAL CLINIC	6-Jun-01	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	IMPERIAL CLINIC	837 W IMPERIAL HWY	None	LOS ANGELES	CA	90044	33.930968	-118.29038	78.2s	2412.02
1225254055	1225254055	1	1	CLINICA MEDICA FAMILIAR	29-Mar-05	Physicians Group (022)	PHYSICIANS GROUP	FNP030239	8	Family Practice	0	In state provider	19	Los Angeles	SAN JUDAS INC	3900 W 3RD ST	None	LOS ANGELES	CA	90020	34.06902	-118.299221	78.2e	2119.1
1225299860	1225299860	1	1	CERRITOS COLLEGE	19-Feb-09	Exempt from Licensure Clinics (045)	CLINIC EXEMP FROM LICENSURE	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	DISTRICT	11110 ALONDRA BLVD	None	NORWALK	CA	90650	33.887484	-118.097463	78.2jjjj	5529
1225347438	1225347438	1	1	CHAN, CONSTANT K S MD INC	1-Jul-11	Physicians (026)	PHYSICIANS	A00040174	8	Family Practice	0	In state provider	19	Los Angeles	None	10007 STATE STREET	None	LYNWOOD	CA	90262	33.944162	-118.213807	78.2ccc	5402.01
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
1225364060	1225364060	3	1	ADVENTIST HEALTH REEDLEY	1-Dec-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	None	1251 DRAPER STREET	None	KINGSBURG	CA	93631	36.513702	-119.554272	30	72.01
1225376809	1225376809	1	1	PLANNED PARENTHOOD OF ORANGE	20-Nov-13	Community Clinics (041)	COMMUNITY CLINIC	550002375	99	Unknown (on EDS claims)	0	In state provider	36	San Bernardino	AND SAN BERNARDINO	15403 PARK AVENUE EAST	None	VICTORVILLE	CA	92392	34.506371	-117.326592	145.1a	99.04
1225426588	1225426588	1	1	PLANNED PARENTHOOD	17-May-15	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	1	Alameda	None	8480 ENTERPRISE WAY	None	OAKLAND	CA	94621	37.742148	-122.192691	2d	4090
1225546575	1225546575	1	1	FAMILY HEALTHCARE NETWORK	20-Feb-19	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	290 NORTH WAYTE LANE	STE 1200-1300, 1600-1800	STE 2100-2300, 2500-2600	FRESNO	CA	93701	36.743671	-119.786032	35c	5.02
1235108713	1235108713	1	1	PLANNED PARENTHOOD/	1-Mar-97	Community Clinics (041)	COMMUNITY CLINIC	300690060	99	Unknown (on EDS claims)	0	In state provider	30	Orange	ORANGE & SAN BERNARDINO	26137 LA PAZ RD	STE 200	MISSION VIEJO	CA	92691	33.600397	-117.673489	115.2a	320.12
1235138363	1235138363	1	2	RIOS, JAVIER R MD APC	6-Feb-01	Physicians Group (022)	PHYSICIANS GROUP	FNP027284	1	General Practice	0	In state provider	33	Riverside	CHICAGO CLINICA MEDICA	4022 CHICAGO AVE	None	RIVERSIDE	CA	92507	33.972376	-117.348514	135a	305.01
1235154006	1235154006	2	1	ADVENTIST HEALTH REEDLEY	1-Jan-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	None	1455 PARK BLVD	None	ORANGE COVE	CA	93646	36.62465	-119.322665	32	65.01
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
1235189275	1235189275	1	1	FACULTY PHYSICIANS AND	5-Feb-18	Physicians Group (022)	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	36	San Bernardino	SURGEONS OF LLUSM	11370 ANDERSON ST	# 3900	LOMA LINDA	CA	92354	34.047569	-117.261113	151i	73.02
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
1235245275	1235245275	1	1	CLINICA ALTA VISTA	21-Aug-06	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	1	Alameda	CLINICA ALTA VISTA	1515 FRUITVALE AVE	None	OAKLAND	CA	94601	37.778916	-122.225196	2d	4062.02
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
1235283094	1235283094	1	1	CENTRAL CITY COMM HLTH	1-Aug-03	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	HEALTH CENTER INC	5970 S CENTRAL AVE	None	LOS ANGELES	CA	90001	33.985662	-118.256441	78.2ggg	2392.02
1235299637	1235299637	1	1	ARDMORE SPEC MED GROUP	28-Apr-97	Physicians Group (022)	PHYSICIANS GROUP	FNP030539	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	2765 E FLORENCE AVE	None	HUNTINGTON PARK	CA	90255	33.973783	-118.220898	78.2ccc	5331.07
1235317561	1235317561	1	1	CARE ONE MEDICAL CENTER	11-Mar-08	Physicians Group (022)	PHYSICIANS GROUP	None	8	Family Practice	0	In state provider	19	Los Angeles	None	1722 SOUTH DESIRE AVE	SUITE 102	ROWLAND HEIGHTS	CA	91478	33.987392	-117.89638	78.2pp	4087.04
1235342981	1235342981	1	1	GOLDEN VALLEY HEALTH CTR	1-Feb-06	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	50	Stanislaus	PO BOX 7	301 HOWARD RD	None	WESTLEY	CA	95387	37.55006	-121.202124	213	33
1235376047	1235376047	1	1	ALTAMED MEDICAL GROUP-	1-Jun-13	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	30	Orange	ANAHEIM, LINCOLN WEST	1820 W LINCOLN AVENUE	None	ANAHEIM	CA	92801	33.83243	-117.946798	116c	871.03
1235473984	1235473984	1	1	NORTH EAST MEDICAL SERVICES	2-Apr-13	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	38	San Francisco	None	1033 CLEMENT ST	None	SAN FRANCISCO	CA	94118	37.782707	-122.47015	162h	402
1235475484	1235475484	1	1	ADVENTIST HEALTH REEDLEY	1-Feb-14	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	16	Kings	None	1310 HANNA AVENUE	SUITE 1 AND SUITE 3	CORCORAN	CA	93212	36.099722	-119.563708	68	14.02
1235500513	1235500513	1	1	COMMUNITY MEDICAL WELLNESS	15-Aug-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	CENTERS USA	1360 E ANAHEIM ST	SUITE 101	LONG BEACH	CA	90813	33.782589	-118.174821	78.2jjj	5764.02
1235521782	1235521782	1	1	FAMILY HEALTH ON COMMERCIAL	7-Aug-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	OF SAN DIEGO INC	2325 COMMERCIAL ST	STE 1400	SAN DIEGO	CA	92113	32.705218	-117.142992	161c	49
1235578444	1235578444	1	1	ADVENTIST HEALTH REEDLEY	16-Jul-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	54	Tulare	None	444 W EL MONTE WAY	None	DINUBA	CA	93618	36.545923	-119.399107	227.1	5.02
1245246917	1245246917	1	1	NORTH COUNTY HEALTH SERVICES	6-Jan-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	INCORPORATED	150 VALPREDA RD	None	SAN MARCOS	CA	92069	33.141908	-117.156473	156e	200.23
1245257708	1245257708	1	1	PLANNED PARENTHOOD	6-Jan-97	Community Clinics (041)	COMMUNITY CLINIC	370891662	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	PACIFIC SOUTHWEST	1964 VIA CENTRE DR	None	VISTA	CA	92081	33.184162	-117.283003	156d	198.05
1245261023	1245261023	1	2	CLINICA MEDICA FAMILIAR Y DE	6-Jun-19	Physicians Group (022)	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	19	Los Angeles	NTAL	833 W WHITTIER BLVD	None	MONTEBELLO	CA	90640	34.010196	-118.108726	78.2ww	5301.02
1245265230	1245265230	1	1	PLANNED PARENTHOOD FTC	6-Jan-97	Community Clinics (041)	COMMUNITY CLINIC	370891686	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	PACIFIC SOUTHWEST	220 EUCLID AVE	SUITE 30	SAN DIEGO	CA	92114	32.706291	-117.085087	161g	33.04
1245301308	1245301308	1	1	BURNEY HEALTH CENTER	1-Oct-02	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	45	Shasta	BURNEY HEALTH CENTER	37491 ENTERPRISE DR	None	BURNEY	CA	96013	40.887165	-121.647469	190	127.01
1245329440	1245329440	1	1	PLANNED PARENTHD WORLD	28-Apr-97	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	ANGELES WHITTIER CENTER	7655 GREENLEAF AVE	None	WHITTIER	CA	90602	33.972647	-118.037379	78.2uu	5018.03
1245364538	1245364538	1	1	EAST BAKERSFIELD COMM	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	15	Kern	EAST BAKERSFIELD COMM	815 MARTIN LUTHER KING B	# J	BAKERSFIELD	CA	93307	35.365882	-118.985188	66b	22
1245366715	1245366715	1	1	CENTRO MEDICO COMM CLNC	5-Feb-03	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	33	Riverside	None	1307 W 6TH ST	STE 113	CORONA	CA	92882	33.877807	-117.588941	135d	417.03
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
1245397298	1245397298	1	1	FRANKLIN CLINIC	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	42	Santa Barbara	FRANKLIN CLINIC	1136 E MONTECITO ST	None	SANTA BARBARA	CA	93103	34.42718	-119.679853	181a	8.04
1245420660	1245420660	1	1	GEORGE L MEE MEM HOSP	3-Nov-99	Community Hosp Outpatient (015)	COMMUNITY OUTPATIENT HOSPITAL	270700777	99	Unknown (on EDS claims)	0	In state provider	27	Monterey	None	300 CANAL ST	None	KING CITY	CA	93930	36.207089	-121.132356	105	113.04
1245480821	1245480821	1	1	ELM CHILDRENS COMM HLTH	14-Oct-08	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	None	2798 ELM AVENUE	None	FRESNO	CA	93706	36.699621	-119.790735	30	10
1245483825	1245483825	1	1	INLAND WOMENS CARE	30-Dec-10	Physicians Group (022)	PHYSICIANS GROUP	FNP038355	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	36	San Bernardino	ASSOCIATES	255 TERRACINA BLVD	STE 205A	REDLANDS	CA	92373	34.03816	-117.206039	151j	83.01
1245493097	1245493097	1	1	PLANNED PARENTHOOD MAR	1-Jun-09	Community Clinics (041)	COMMUNITY CLINIC	550001082	99	Unknown (on EDS claims)	0	In state provider	39	San Joaquin	MONTE	1441 N TRACY BLVD	None	TRACY	CA	95386	37.743986	-121.435062	163	53.03
1245516301	1245516301	1	1	FAMILY HEALTH CENTER	1-Jan-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	15	Kern	None	1611 1ST STREET	None	BAKERSFIELD	CA	93304	35.355061	-119.02028	66b	19.02
1245548932	1245548932	1	2	WOMEN & FAMILY CLINIC	1-Mar-13	Physicians (026)	PHYSICIANS	A00099099	1	General Practice	0	In state provider	30	Orange	None	2094 W LA HABRA BLVD	None	LA HABRA	CA	90631	33.931848	-117.96884	116k	11.02
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
1245694306	1245694306	1	1	ADVENTIST HEALTH REEDLEY	8-Jan-18	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	15	Kern	None	1040 7TH STREET	None	WASCO	CA	93280	35.594225	-119.337212	58.2	44.02
1245777358	1245777358	1	1	OMNI FAMILY HEALTH	14-Dec-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	None	925 G STREET	None	REEDLEY	CA	93654	36.598178	-119.452641	32	66.02
1255347704	1255347704	1	1	NCHS CARLSBAD FAMILY MEDICIN	29-Dec-99	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	INC	1295 CARLSBAD VILLAGE DR	STE 100	CARLSBAD	CA	92008	33.164606	-117.340019	156b	178.01
1255347894	1255347894	1	1	NCHS MISSION MESA COMM	6-Jan-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	INC	2210 MESA DR	STE 300	OCEANSIDE	CA	92069	33.208349	-117.359004	156a	185.1
1255350351	1255350351	1	1	AMPLA HEALTH RICHLAND MED	25-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	51	Sutter	None	334 SAMUEL DR	None	YUBA CITY	CA	95991	39.122969	-121.609581	216	503.02
1255366241	1255366241	1	1	PLANNED PARENTHOOD- CV CTR	6-Jan-97	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	THE PACIFIC SOUTHWEST	1295 BROADWAY	# 201 & #202	CHULA VISTA	CA	91911	32.60389	-117.078792	161j	132.06
1255387106	1255387106	1	1	PLANNED PARENTHOOD MAR	1-Sep-96	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	51	Sutter	None	430 N PALORA AVE	STE G	YUBA CITY	CA	95991	39.12795	-121.633329	216	502.01
1255405429	1255405429	1	1	YOO, JEUNG C MD INC	9-Apr-97	Physicians (026)	PHYSICIANS	A00032076	0	General Practioner (Dentists Only)	0	In state provider	33	Riverside	AVE BLDG 2 #B	264 N HIGHLAND SPRINGS A	STE 2-B	BANNING	CA	92220	33.930826	-116.946902	134	438.18
1255412474	1255412474	1	1	PRIMARY CARE MEDICAL GRP	1-Dec-17	Physicians Group (022)	PHYSICIANS GROUP	FNP024162	8	Family Practice	0	In state provider	36	San Bernardino	INLAND EMPIRE INC	1998 N ARROWHEAD AVE	None	SAN BERNARDINO	CA	92405	34.133324	-117.289664	151g	54
1255420436	1255420436	1	1	PLANNED PARENTHOOD	28-Apr-97	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	LOS ANGELES BURBANK CTR	916 W BURBANK BLVD	STE M	BURBANK	CA	91506	34.184129	-118.321902	78.2ttt	3108
1255435533	1255435533	1	1	HUMBOLDT OPEN DOOR CLIN	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	12	Humboldt	None	770 10TH ST	None	ARCATA	CA	95521	40.869801	-124.08624	39	10
1255471868	1255471868	2	1	R & R CLINICAL & MEDICA	17-Oct-05	Physicians Group (022)	PHYSICIANS GROUP	FNP029855	8	Family Practice	0	In state provider	19	Los Angeles	CLINICA MEDICA NUESTRA	1403 N FAIR OAKS AVE	STE 3	PASADENA	CA	91103	34.170316	-118.150687	78.2hhh	4609
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
1255490819	1255490819	1	1	CENTRO MEDICO OASIS	22-May-08	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	33	Riverside	CENTRO MEDICO OASIS	88775 AVE 76	STE 1	THERMAL	CA	92274	33.498948	-116.117237	128	456.05
1255499075	1255499075	1	1	ALPINE FAMILY MEDICINE	5-Oct-05	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	ALPINE FAMILY MEDICINE	1620 ALPINE BLVD	STE B119	ALPINE	CA	91901	32.837808	-116.780168	155	212.05
1255542601	1255542601	1	1	ALTAMED HEALTH SVS CORP	5-Jan-05	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	GROUP, WHITTIER WEST	3945 WHITTIER BLVD	None	LOS ANGELES	CA	90023	34.02393	-118.187753	78.2d	5312.02
1255549879	1255549879	1	1	UN HLTH CTRS SAN JOAQU	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	HURON	16928 11TH STREET	None	HURON	CA	93234	36.20539	-120.102483	28	78.02
1255587630	1255587630	1	1	FOZOUNI, DERAKHSH MD	31-Oct-08	Physicians Group (022)	PHYSICIANS GROUP	A00095051	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	33	Riverside	None	555 TACHEVAH DR	STE 2W-103	PALM SPRINGS	CA	92262	33.837622	-116.541784	129.4	446.02
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
1255738423	1255738423	1	1	DEL ROSARIO, GELEN R MD INC	29-Jan-18	Physicians (026)	PHYSICIANS	A113471	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	37	San Diego	None	502 SOUTH EUCLID AVE	SUITE 300	NATIONAL CITY	CA	91950	32.685307	-117.083365	161g	220
1255795258	1255795258	1	1	LOS ANGELES PIERCE COLLEGE	12-Jul-17	Exempt from Licensure Clinics (045)	CLINIC EXEMP FROM LICENSURE	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	COLLEGE DISTRICT	6201 WINNETKA AVENUE	None	WOODLAND HILLS	CA	91371	34.182912	-118.570945	78.2ii	1393.01
1255849238	1255849238	1	1	GOLDEN CARE MEDICAL GROUP	28-Feb-19	Physicians Group (022)	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	19	Los Angeles	INC APMC	6330 VAN NUYS BLVD	None	VAN NUYS	CA	91401	34.185673	-118.448715	78.2cc	1283.03
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
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
1265530018	1265530018	2	1	ADVENTIST HEALTH REEDLEY	1-Dec-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	None	1041 ROSE AVE	None	SELMA	CA	93662	36.568884	-119.595897	30	70.04
1265538060	1265538060	1	1	REPRODUCTIVE ASSOC MED	28-Apr-97	Physicians Group (022)	PHYSICIANS GROUP	FNP012460	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	GROUP INC	1045 ATLANTIC AVE	STE 508	LONG BEACH	CA	90813	33.779811	-118.18505	78.2kkk	5763.01
1265539712	1265539712	1	1	LUDMIR, JAIME MD	30-Oct-97	Physicians (026)	PHYSICIANS	A00035195	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	30	Orange	None	2810 S BRISTOL ST	None	SANTA ANA	CA	92704	33.709712	-117.885429	116g	740.05
1265569008	1265569008	1	1	CLINICA CHOC PARA NINOS	18-Jan-05	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	30	Orange	None	406 S MAIN ST	None	SANTA ANA	CA	92701	33.742201	-117.867666	116g	746.01
1265572903	1265572903	1	1	BROOKDALE MEDICA CENTER	11-Aug-06	Physicians Group (022)	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	19	Los Angeles	INC	2809 TWEEDY BLVD	None	SOUTH GATE	CA	90280	33.945986	-118.221942	78.2ccc	5356.06
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
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
1265585038	1265585038	1	1	CHAMBI, MIRNA R MD INC	23-Oct-03	Physicians (026)	PHYSICIANS	A53149	1	General Practice	0	In state provider	30	Orange	None	7151 LINCOLN AVE	STE B	BUENA PARK	CA	90620	33.832005	-118.008373	116a	1102.01
1265766166	1265766166	1	1	CALIF PRENATAL MED GROUP	28-Apr-97	Physicians (026)	PHYSICIANS	G66009	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	105 N HILL	STE 203	PASADENA	CA	91106	34.147846	-118.121359	78.2hhh	4623.02
1265854061	1265854061	1	1	UNICARE COMMUNITY HEALTH CEN	26-Aug-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	550002949	99	Unknown (on EDS claims)	0	In state provider	36	San Bernardino	CENTER INC	570 S MT VERNON AVE	STE G	SAN BERNARDINO	CA	92410	34.090692	-117.313886	151f	124
1275030009	1275030009	1	1	DR.PAKOUR MEDICAL GROUP	24-Jul-18	Physicians (026)	PHYSICIANS	None	8	Family Practice	0	In state provider	19	Los Angeles	None	3671 W 6TH ST.	STE.B	LOS ANGELES	CA	90020	34.063571	-118.302245	78.2e	2118.02
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
1275550295	1275550295	1	1	COMMUNITY HEALTH CENTERS	1-Nov-05	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	40	San Luis Obispo	AT TEMPLETON	1330 LAS TABLAS RD	None	TEMPLETON	CA	93465	35.554381	-120.723461	170	127.04
1275553257	1275553257	1	1	COMMUNITY HEALTH CENTERS	1-Nov-05	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	40	San Luis Obispo	SAN LUIS OBISPO	1551 BISHOP ST	STE B260	SAN LUIS OBISPO	CA	93401	35.274341	-120.646177	172	110.02
1275562969	1275562969	1	1	INLAND BEHAVIORAL SVS	1-Jul-00	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	36	San Bernardino	HEALTH CENTER	665 N D ST	None	SAN BERNARDINO	CA	92401	34.111371	-117.291881	151g	57.01
1275583007	1275583007	1	1	FACULTY PHYSICIANS	6-Jan-10	Physicians Group (022)	PHYSICIANS GROUP	None	2	General Surgery	0	In state provider	36	San Bernardino	AND SURGEONS OF LLUSM	25845 BARTON RD	STE F	LOMA LINDA	CA	92354	34.048273	-117.237207	151i	73.02
1275591802	1275591802	1	1	UC REGENTS UCLA FAMILY	10-Jun-02	Physicians Group (022)	PHYSICIANS GROUP	None	47	Miscellaneous	0	In state provider	19	Los Angeles	HEALTH CENTER	1920 COLORADO AVE	None	SANTA MONICA	CA	90404	34.025654	-118.477318	78.2kkkk	7017.02
1275617169	1275617169	1	1	OPERATION SAMAHAN COMMUNITY	28-Aug-18	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	None	2835 HIGHLAND AVE	SUITE A	NATIONAL CITY	CA	91950	32.660558	-117.091927	161k	116.02
1275629495	1275629495	1	1	CLINICA MSR OSCAR ROMERO	1-Apr-00	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	123 S ALVARADO ST	None	LOS ANGELES	CA	90057	34.066074	-118.270693	78.2ffff	2085.02
1275644098	1275644098	1	1	BANEZ, EDGAR MD	15-Sep-98	Physicians (026)	PHYSICIANS	A52430	1	General Practice	0	In state provider	19	Los Angeles	None	4867 EAGLE ROCK BLVD	SUITE 115	LOS ANGELES	CA	91405	34.199389	-118.448721	78.2cc	1279.1
1275656761	1275656761	1	1	BIR, RAGHBIR S MD	5-Nov-98	Physicians Group (022)	PHYSICIANS GROUP	A00042345	41	Internal Medicine	0	In state provider	36	San Bernardino	None	280 N RIVERSIDE AVE	None	RIALTO	CA	92376	34.10391	-117.370486	151h	37
1275661811	1275661811	1	1	ASIAN PACIFIC HLTH CARE	2-Oct-06	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	SCHOOL HEALTH CENTER	3939 TRACY ST	None	LOS ANGELES	CA	90027	34.10774	-118.277634	78.2ff	1952.01
1275753071	1275753071	1	1	GOLDEN VALLEY HEALTH CTR	18-Nov-05	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	24	Merced	None	401 LESHER DR	None	MERCED	CA	95341	37.293741	-120.504168	97.2	15.03
1275778847	1275778847	1	1	POINT ARENA COMM HLTH	1-Oct-10	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	23	Mendocino	None	30 MILL ST	None	POINT ARENA	CA	95468	38.908425	-123.69182	88	111.02
1275849283	1275849283	1	1	DESERT HOT SPRINGS COMMUNITY	30-Jan-14	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	33	Riverside	FOUNDATION	66675 PIERSON BLVD	None	DESERT HOT SPRING	CA	92240	33.961413	-116.498025	129.4	445.1
1275918674	1275918674	1	1	ARIA COMMUNITY HEALTH CENTER	20-Jul-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	16	Kings	CENTER	304 BECKY PEASE ST	None	KETTLEMAN CITY	CA	93239	36.008942	-119.960194	68	16.01
1275974461	1275974461	1	1	CENTER FOR WOMENS HEALTH	4-Apr-14	Community Clinics (041)	COMMUNITY CLINIC	550002625	99	Unknown (on EDS claims)	0	In state provider	42	Santa Barbara	CENTERS	210 SOUTH PALISADE DRIVE	SUITE 101	SANTA MARIA	CA	93454	34.951946	-120.412113	180.1	22.11
1285046847	1285046847	1	1	EAST VALLEY COMMUNITY HEALTH	1-Dec-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	APCC	276 WEST COLLEGE STREET	None	COVINA	CA	91723	34.087506	-117.894026	78.2qq	4061.01
1285059923	1285059923	1	1	COMMUNITY MEDICAL CENTERS	14-Dec-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	39	San Joaquin	APCC	1031 WATERLOO ROAD	None	STOCKTON	CA	95205	37.967107	-121.272467	169b	16
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
1285651745	1285651745	2	1	ADVENTIST HEALTH REEDLEY	1-Dec-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	None	2440 W TAHOE	None	CARUTHERS	CA	93609	36.540413	-119.835456	30	75
1285658690	1285658690	1	1	GUMBS, JOSLYN MD OB/GYN	22-Nov-13	Physicians (026)	PHYSICIANS	A00087245	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	5255 W SUNSET BLVD	None	LOS ANGELES	CA	90027	34.098107	-118.304455	78.2g	1911.1
1285667758	1285667758	1	1	AMPLA HEALTH ORLAND MEDICAL	25-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	11	Glenn	& DENTAL	1211 CORTINA DR	None	ORLAND	CA	95963	39.742278	-122.202481	36.1	101
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
1285788059	1285788059	1	1	CENTRAL CITY COMM HLTH CTR	15-Jun-07	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	30	Orange	None	2237 W BALL RD	None	ANAHEIM	CA	92804	33.817761	-117.961234	116c	877.01
1285795773	1285795773	2	1	GOOD SAMARITAN MEDICAL	21-Jan-05	Physicians (026)	PHYSICIANS	None	8	Family Practice	0	In state provider	30	Orange	CLINIC INC	801 N HARBOR BLVD	None	ANAHEIM	CA	92805	33.842956	-117.922468	116l	866.02
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
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
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
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
1295746949	1295746949	1	1	PARDO, FRANCISCO S MD	5-Mar-03	Physicians (026)	PHYSICIANS	A00072235	66	Emergency Medicine (Urgent Care)	0	In state provider	37	San Diego	MEDICAL CORPORATION	891 KUHN DRIVE	SUITE 111	CHULA VISTA	CA	91914	32.651338	-116.965415	161t	134.19
1295752384	1295752384	1	1	NO VLY INDIAN HEALTH INC	12-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	11	Glenn	HEALTH	207 N BUTTE ST	None	WILLOWS	CA	95988	39.521923	-122.195357	37	104
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
1295821296	1295821296	1	1	ASPEN MEDICAL GROUP INC	12-Sep-05	Physicians Group (022)	PHYSICIANS GROUP	FNP031995	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	33	Riverside	None	9041 MAGNOLIA AVE	STE 305	RIVERSIDE	CA	92503	33.925272	-117.438078	135c	315.01
1295822658	1295822658	1	1	VISTA COMM CLINIC	6-Jan-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	None	1000 VALE TERRACE DR	None	VISTA	CA	92084	33.209018	-117.229179	156d	196.01
1295824498	1295824498	1	1	PLANNED PARENTHOOD WORLD	28-Apr-97	Community Clinics (041)	COMMUNITY CLINIC	ZZT11690	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	CANOGA PARK CLINIC	21001 SHERMAN WAY	STE 9	CANOGA PARK	CA	91303	34.201103	-118.5906	78.2hhhh	1340.01
1295887024	1295887024	2	1	LA LIBERTAD MEDICAL	1-Oct-08	Physicians Group (022)	PHYSICIANS GROUP	FNP024664	1	General Practice	0	In state provider	19	Los Angeles	CLINIC INC	8225 LONG BEACH BLVD	STE C	SOUTH GATE	CA	90280	33.963767	-118.225108	78.2ccc	5355.01
1295893550	1295893550	1	1	PLANNED PARENTHOOD SAN RAMON	1-Mar-97	Community Clinics (041)	COMMUNITY CLINIC	140000214	99	Unknown (on EDS claims)	0	In state provider	7	Contra Costa	SHASTA-DIABLO INC	200 PORTER DRIVE	SUITE 200	SAN RAMON	CA	94583	37.774939	-121.99156	18h	3452.02
1295900439	1295900439	1	1	FACULTY PHYS & SURG OF	11-Aug-15	Physicians Group (022)	PHYSICIANS GROUP	None	34	Urology and Urological Surgery	0	In state provider	36	San Bernardino	LLUSM	11370 ANDERSON ST	STE 2050	LOMA LINDA	CA	92354	34.047569	-117.261113	151i	73.02
1295913366	1295913366	1	1	OLE HEALTH	1-Jan-10	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	28	Napa	CLINIC OLE	1222 PINE ST	STE A	SAINT HELENA	CA	94574	38.506025	-122.472105	111.1	2016.02
1295944015	1295944015	1	1	UNITED HLTH CTRS	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	None	121 BARBOZA ST	None	MENDOTA	CA	93640	36.765512	-120.383672	25	83.01
1306015425	1306015425	1	1	HUNTINGTON BEACH COMM CLINIC	13-Feb-08	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	30	Orange	HUNTINGTON BCH COMM CLIN	8041 NEWMAN AVE	None	HUNTINGTON BEACH	CA	92647	33.704838	-117.98864	116s	992.12
1306047196	1306047196	1	1	HAYWARD WELLNESS CENTER	1-Jul-98	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	1	Alameda	None	664 SOUTHLAND MALL	None	HAYWARD	CA	94545	37.650817	-122.104778	2n	4368
1306131545	1306131545	1	1	ARLANZA FAMILY HEALTH CENTER	2-Jan-13	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	33	Riverside	FOUNDATION	8856 ARLINGTON AVE	None	RIVERSIDE	CA	92503	33.946501	-117.467871	135d	411.01
1306194105	1306194105	1	1	AMH COMPREHENSIVE MEDICAL	4-Sep-13	Community Clinics (041)	COMMUNITY CLINIC	550002382	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	CENTERS	711 NORTH ALVARADO ST	SUITE 101	LOS ANGELES	CA	90026	34.074006	-118.26566	78.2ffff	1957.2
1306252051	1306252051	1	1	FORTUNA COMMUNITY HEALTH CEN	18-Apr-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	12	Humboldt	CENTERS	3750 ROHNERVILLE ROAD	None	FORTUNA	CA	95540	40.56397	-124.126673	42	110
1306852496	1306852496	1	1	OMNI FAMILY HEALTH	26-Sep-18	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	15	Kern	None	1215 JEFFERSON ST	None	DELANO	CA	93215	35.771991	-119.244972	60	50.04
1306871397	1306871397	1	1	PLANNED PARENTHOOD OF	6-Jan-97	Community Clinics (041)	COMMUNITY CLINIC	370891589	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	SAN DIEGO COUNTY	7526 CLAIREMONT MESA BLV	None	SAN DIEGO	CA	92111	32.832759	-117.157329	161o	85.11
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
1306965587	1306965587	1	1	HURTT FAMILY HEALTH CLINIC	13-May-10	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	30	Orange	INC	1 HOPE DR	None	TUSTIN	CA	92782	33.741803	-117.786753	116v	756.07
1316033533	1316033533	1	1	CLINICA MSR OSCAR A ROMERO	31-May-05	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	2032 MARENGO ST	None	LOS ANGELES	CA	90033	34.056602	-118.207395	78.2ffff	2033
1316038169	1316038169	1	2	DARDASHTI, MALIHE MD	18-Aug-99	Physicians (026)	PHYSICIANS	A00041092	1	General Practice	0	In state provider	19	Los Angeles	SAN PEDRO ADAMS MEDICAL	2530 S SAN PEDRO ST	None	LOS ANGELES	CA	90011	34.021969	-118.261057	78.2mmm	2264.1
1316061674	1316061674	1	1	ABAIAN, ALI MD	23-May-19	Physicians (026)	PHYSICIANS	A00072830	1	General Practice	0	In state provider	19	Los Angeles	None	8460 S CENTRAL AVENUE	None	LOS ANGELES	CA	90001	33.961796	-118.256403	78.2fff	2398.02
1316075062	1316075062	1	1	LASALLE MEDICAL ASSOC	19-Jan-06	Physicians Group (022)	PHYSICIANS GROUP	FNP023625	1	General Practice	0	In state provider	36	San Bernardino	None	16455 MAIN ST	STE 1	HESPERIA	CA	92345	34.421826	-117.303329	145.1a	100.14
1316088479	1316088479	1	1	ARROYO VISTA FAMILY HLTH	21-Nov-01	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	HEALTH CENTER	4815 VALLEY BLVD	STE C	LOS ANGELES	CA	90032	34.066174	-118.179911	78.2i	2016.01
1316116221	1316116221	1	1	ALTAMED MEDICAL GROUP-	13-Feb-08	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	30	Orange	ORANGE, CHAPMAN	4010 E CHAPMAN AVE	None	ORANGE	CA	92869	33.787757	-117.811405	116h	758.07
1316124951	1316124951	1	1	VALLEY HEALTH CHABOYA	19-May-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	43	Santa Clara	VALLEY HEALTH CHABOYA	500 TULLY RD	None	SAN JOSE	CA	95111	37.306535	-121.849592	183h	5032.14
1316135296	1316135296	1	1	ALLERGY CONTROL MEDI	25-Mar-03	Physicians (026)	PHYSICIANS	A00025605	1	General Practice	0	In state provider	19	Los Angeles	None	5373 WHITTIER BLVD	None	LOS ANGELES	CA	90022	34.01993	-118.155027	78.2d	5317.01
1316150576	1316150576	1	1	GOLDEN VALLEY HEALTH C	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	24	Merced	WOMEN'S HEALTH	797 W CHILDS AVE	None	MERCED	CA	95340	37.288207	-120.496348	97.2	15.03
1316162829	1316162829	1	1	GOLDEN VALLEY HEALTH C	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	24	Merced	None	847 W CHILDS AVE	None	MERCED	CA	95341	37.288202	-120.497174	97.2	16.02
1316163736	1316163736	1	1	OJAI VALLEY COMMUNITY HEALTH	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	56	Ventura	None	1200 MARICOPA HWY	None	OJAI	CA	93023	34.442068	-119.262664	238	9.01
1316188253	1316188253	1	1	CONEJO VALLEY FAMILY MED	31-Aug-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	56	Ventura	None	125 W THOUSAND OAKS BLVD	SUITE 300	THOUSAND OAKS	CA	91360	34.17869	-118.88096	240b	69
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
1316221617	1316221617	1	1	PLANNED PARENTHOOD	12-Sep-13	Community Clinics (041)	COMMUNITY CLINIC	550002300	99	Unknown (on EDS claims)	0	In state provider	41	San Mateo	INC	29 BAYWOOD AVE	None	SAN MATEO	CA	94402	37.565055	-122.328552	176e	6064
1316247182	1316247182	1	1	PALMDALE REGIONAL WOMEN'S	8-Nov-10	Physicians (026)	PHYSICIANS	None	9	Gynecology (D.O. only)	0	In state provider	19	Los Angeles	None	520 W PALMDALE BLVD.	STE Q	PALMDALE	CA	93551	34.583612	-118.138998	77.1a	9104.01
1316393010	1316393010	1	1	GOLDEN VALLEY HEALTH CENTER	1-May-18	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	50	Stanislaus	None	1920 MEMORIAL DRIVE	None	CERES	CA	95307	37.600357	-120.961059	215c	26.04
1316455363	1316455363	1	1	WOMENS MEDICAL GROUP OF VAN	28-Feb-18	Physicians Group (022)	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	19	Los Angeles	INC APMC	7400 VAN NUYS BLVD	STE 120	VAN NUYS	CA	91405	34.205432	-118.448764	78.2zz	1272.2
1316916836	1316916836	1	1	PLANNED PARENTHOOD/	1-Mar-97	Community Clinics (041)	COMMUNITY CLINIC	300690073	99	Unknown (on EDS claims)	0	In state provider	30	Orange	ORANGE & SAN BERNARDINO	14372 BEACH BLVD	None	WESTMINSTER	CA	92683	33.753479	-117.989492	116s	998.03
1316963606	1316963606	1	1	AMPLA HEALTH CHICO MEDICAL	25-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	4	Butte	None	680 COHASSET RD	None	CHICO	CA	95926	39.752588	-121.845384	7.1	3
1316970932	1316970932	1	1	CMCLA PATHOLOGY MED GRP	1-Feb-11	Physicians Group (022)	PHYSICIANS GROUP	FNP020595	22	Pathology (M.D. only)	0	In state provider	19	Los Angeles	None	1401 S GRAND AVE	None	LOS ANGELES	CA	90015	34.03718	-118.265408	78.2ffff	2240.1
1316983877	1316983877	1	1	TRAN, TIFFANY U MD INC	11-Mar-00	Physicians (026)	PHYSICIANS	G00079948	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	30	Orange	None	27800 MEDICAL CENTER RD	STE 230	MISSION VIEJO	CA	92691	33.560069	-117.665857	115.2a	320.22
1316991714	1316991714	1	1	PLANNED PRNTHD MAR MONTE	1-Mar-97	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	34	Sacramento	CAPITOL PLAZA	1125 10TH ST	None	SACRAMENTO	CA	95814	38.578954	-121.494027	139j	11.01
1326063199	1326063199	2	1	ADVENTIST HEALTH REEDLEY	1-Jan-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	None	372 W CYPRESS AVE	None	REEDLEY	CA	93654	36.607796	-119.451265	32	66.03
1326065103	1326065103	1	1	COMMUNITY HEALTH CTRS	1-Mar-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	42	Santa Barbara	OF THE CENTRAL COAST INC	425 W CENTRAL AVE	SUITES 201-203	LOMPOC	CA	93436	34.658257	-120.451591	179	28.02
1326092800	1326092800	1	1	LOPEZ, JAIME MD INC	7-Jul-11	Physicians (026)	PHYSICIANS	G00050641	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	8135 S PAINTER AVE	STE 205	WHITTIER	CA	90602	33.965798	-118.032696	78.2uu	5018.04
1326127374	1326127374	1	1	LII, ANGELA D MD	19-May-99	Physicians (026)	PHYSICIANS	A00065035	41	Internal Medicine	0	In state provider	19	Los Angeles	None	531 W LAS TUNAS DR	STE D	SAN GABRIEL	CA	91776	34.102455	-118.107619	78.2dddd	4802.01
1326133083	1326133083	1	1	CALIFORNIA MEDICAL CLINIC IN	26-Jun-07	Physicians Group (022)	PHYSICIANS GROUP	FNP001458	8	Family Practice	0	In state provider	33	Riverside	C.	23900 IRONWOOD AVE	STE F	MORENO VALLEY	CA	92557	33.94659	-117.245981	135g	424.05
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
1326244096	1326244096	1	1	ALLIANCE MEDICAL CENTER	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	49	Sonoma	None	1381 UNIVERSITY ST	None	HEALDSBURG	CA	95448	38.627712	-122.863743	205.1	1539.02
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
1326317819	1326317819	1	1	FAMILY HEALTHCARE NETWORK	3-Feb-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	54	Tulare	None	730 N FARMERSVILLE BLVD	None	FARMERSVILLE	CA	93223	36.303414	-119.207126	233	16.01
1326384579	1326384579	1	1	ADVENTIST HEALTH REEDLEY	1-Feb-14	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	16	Kings	None	337 E KINGS STREET	None	AVENAL	CA	93204	36.002536	-120.133939	67	17.01
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
1326585431	1326585431	1	1	OMNI FAMILY HEALTH	16-Jul-18	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	None	1530 E MANNING AVENUE	None	REEDLEY	CA	93654	36.604125	-119.432889	32	66.04
1336150051	1336150051	1	2	WESTWOOD FAMILY PRACTICE	5-Apr-11	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	18	Lassen	None	209 BIRCH STREET	None	WESTWOOD	CA	96137	40.258534	-121.135638	125	5.02
1336163898	1336163898	1	1	DOCTORS' OFF/FAIR OAKS	1-Nov-05	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	40	San Luis Obispo	DOCTORS' OFF/FAIR OAKS	1057 E GRAND AVE	None	ARROYO GRANDE	CA	93420	35.118989	-120.595087	171	119.02
1336173020	1336173020	1	1	OPEN DOOR COMM HLTH CTRS	8-Nov-06	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	12	Humboldt	SPECIALIST CENTER	2426 BUHNE ST	None	EUREKA	CA	95501	40.785957	-124.140326	39	6
1336174325	1336174325	1	1	PLANNED PARENTHOOD	21-Apr-05	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	33	Riverside	PACIFIC SOUTHWEST	49-111 HWY 111	UNIT 6	COACHELLA	CA	92236	33.68812	-116.181014	128	9404
1336189117	1336189117	1	1	AN PANG CHIENG MD INC	28-Apr-97	Physicians Group (022)	PHYSICIANS GROUP	FNP033331	1	General Practice	0	In state provider	19	Los Angeles	EL SERENO MEDICAL GRP	3301 N EASTERN AVE	None	LOS ANGELES	CA	90032	34.083611	-118.178044	78.2i	2015.03
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
1336237072	1336237072	1	1	FAMILY HEALTHCARE NETWRK	8-Jan-07	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	54	Tulare	None	31180 ROAD 72	None	GOSHEN	CA	93227	36.343505	-119.419152	233	9
1336275437	1336275437	1	1	HUCKLEBERRY HOUSE	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	38	San Francisco	None	555 COLE ST	None	SAN FRANCISCO	CA	94117	37.77001	-122.45032	162g	166
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
1336311679	1336311679	1	1	COMMUNITY MED CTRS, INC	10-Jan-08	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	48	Solano	None	600 NUT TREE RD	STE 310	VACAVILLE	CA	95687	38.361369	-121.949662	202a	2529.11
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
1336350438	1336350438	1	1	UN HLTH CTRS SAN JOAQU	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	ORANGE COVE	445 11TH ST	None	ORANGE COVE	CA	93646	36.627221	-119.319001	32	65.02
1336353721	1336353721	1	1	LA MAESTRA FAMILY CLINIC	9-Feb-99	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	None	4060 FAIRMOUNT AVE	None	SAN DIEGO	CA	92105	32.750726	-117.100866	161d	23.02
1336367515	1336367515	1	1	JEROLD PHELPS COMM HOSP	12-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	12	Humboldt	CLINIC	509 ELM ST	None	GARBERVILLE	CA	95542	40.10283	-123.794024	44	116
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
1336453950	1336453950	1	1	WOMEN MEDCARE	31-Jan-11	Physicians (026)	PHYSICIANS	A00076446	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	PROFESSIONAL MEDICAL	160 E ARTESIA STREET	SUITE 150	POMONA	CA	91767	34.075639	-117.750836	78.2tt	4021.02
1336525906	1336525906	1	2	OAK PARK FAMILY HEALTH CENTE	20-Sep-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	OF SAN DIEGO INC	5160 FEDERAL BLVD	None	SAN DIEGO	CA	92105	32.721447	-117.083502	161f	27.12
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
1346226693	1346226693	1	1	DIVIDE WELLNESS CENTER	27-May-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	9	El Dorado	None	6065 HIGHWAY 193	None	GEORGETOWN	CA	95634	38.908043	-120.851714	22	306.02
1346244050	1346244050	1	1	DAMEN, AYMAN G MD	26-Mar-97	Physicians (026)	PHYSICIANS	A00048085	1	General Practice	0	In state provider	34	Sacramento	None	220 MARKET ST	None	GALT	CA	95632	38.253981	-121.299666	136	95.04
1346250347	1346250347	1	1	CATALINA ISLAND MED CTR	8-Jul-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	CENTER	100 FALLS CANYON ROAD	None	AVALON	CA	90704	33.339766	-118.335504	78.1	5990
1346353679	1346353679	1	1	RIVERSIDE CO COMM HEALTH	1-Sep-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	33	Riverside	None	3055 W RAMSEY ST	None	BANNING	CA	92220	33.925769	-116.910767	134	441.01
1346474723	1346474723	1	3	UNIVERSITY MATERNITY AND FAM	2-Jan-10	Physicians (026)	PHYSICIANS	A00069815	8	Family Practice	0	In state provider	36	San Bernardino	None	8990 SIERRA AVE	SUITE J AND K	FONTANA	CA	92335	34.090487	-117.435765	151f	31.02
1346486511	1346486511	1	1	ALTURA CENTERS FOR HEALTH	6-Jun-08	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	54	Tulare	None	737 W BARDSLEY AVE	None	TULARE	CA	93274	36.196482	-119.355765	230	30.01
1346490927	1346490927	1	1	REGIONAL MEDICAL COMM	14-Oct-08	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	None	2505 E DIVISADERO ST	None	FRESNO	CA	93721	36.743216	-119.781989	35c	5.02
1346492055	1346492055	1	1	BESHAY, ISSAC N MD	5-Jan-09	Physicians (026)	PHYSICIANS	A00089039	8	Family Practice	0	In state provider	30	Orange	None	2200 HARBOR BLVD	STE B 210	COSTA MESA	CA	92627	33.654345	-117.919091	116p	639.06
1346527918	1346527918	1	1	NORTHEAST MEDICAL SERVICES	14-Aug-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	41	San Mateo	None	211 EASTMOOR AVE	None	DALY CITY	CA	94015	37.684799	-122.479069	176d	6014
1346563673	1346563673	1	1	ANTELOPE VALLEY COMM CLINIC	15-Mar-10	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	PALMDALE	2151 E PALMDALE BLVD	None	PALMDALE	CA	93550	34.580159	-118.09029	77.1a	9106.01
1346569217	1346569217	1	1	HABIB, SHEHNAZ N MD APC	28-Apr-97	Physicians (026)	PHYSICIANS	A00050211	41	Internal Medicine	0	In state provider	19	Los Angeles	None	14860 ROSCOE BLVD	SUITE 300	VAN NUYS	CA	91402	34.221468	-118.456871	78.2zz	1200.2
1346607603	1346607603	1	1	UNIFIED CARE MEDICAL GROUP	8-Aug-16	Physicians (026)	PHYSICIANS	A20957	1	General Practice	0	In state provider	19	Los Angeles	INC	2040 PACIFIC COAST HWY	UNIT S	LOMITA	CA	90717	33.78951	-118.315695	78.2o	6701
1356341671	1356341671	1	1	CLINICA MEDICA SANTA MAR	24-Apr-97	Physicians (026)	PHYSICIANS	A00050002	1	General Practice	0	In state provider	44	Santa Cruz	CLINICA MEDICA SANTA MAR	21 BRENNAN ST	STE 21	WATSONVILLE	CA	95076	36.913352	-121.75762	184	1103
1356344758	1356344758	1	1	WEST CO HEALTH CENTERS	14-Sep-99	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	49	Sonoma	None	16319 THIRD ST	None	GUERNEVILLE	CA	95446	38.502556	-122.997431	207	1537.04
1356362743	1356362743	1	2	COMPREHENSIVE COMMUNITY HEAL	23-Sep-19	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	INTERMITTENT	5059 YORK BLVD	None	LOS ANGELES	CA	90042	34.121237	-118.205626	78.2i	1834.01
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
1356422307	1356422307	2	1	TRINITY COMMUNITY HEALTH CLI	2-Aug-10	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	53	Trinity	HEALTHCARE DISTRICT	31 EASTER AVENUE	None	WEAVERVILLE	CA	96093	40.73753	-122.939235	224	1.02
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
1356439921	1356439921	1	1	PONI, ESTEBAN S MD	29-Mar-12	Physicians (026)	PHYSICIANS	A93185	2	General Surgery	0	In state provider	36	San Bernardino	None	598 N F ST	None	SAN BERNARDINO	CA	92410	34.110232	-117.296379	151g	57.01
1356455299	1356455299	1	1	COUNTY OF RIVERSIDE	17-Jul-08	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	33	Riverside	COUNTY OF RIVERSIDE	5256 MISSION BLVD	None	RIVERSIDE	CA	92509	33.992644	-117.398662	135a	402.03
1356469381	1356469381	2	1	NORTH BROADWAY MED CLINIC	24-Aug-99	Physicians Group (022)	PHYSICIANS GROUP	ZZZ78903Z	41	Internal Medicine	0	In state provider	19	Los Angeles	INC	2926 N BROADWAY	None	LOS ANGELES	CA	90031	34.073699	-118.211366	78.2i	1998
1356498935	1356498935	1	1	PARA LATINO MEDICAL CENTER	21-Nov-05	Physicians Group (022)	PHYSICIANS GROUP	FNP026517	8	Family Practice	0	In state provider	19	Los Angeles	INC	15717 PARAMOUNT BLVD	None	PARAMOUNT	CA	90723	33.889997	-118.16017	78.2m	5538.01
1356528376	1356528376	1	1	NORTHEAST VALLEY HEALTH	28-Apr-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	12756 VAN NUYS BLVD	None	PACOIMA	CA	91331	34.274345	-118.410738	78.2ppp	1041.05
1356568034	1356568034	1	1	NASSAR, THEODORE R MD	28-Apr-06	Physicians Group (022)	PHYSICIANS GROUP	A00031164	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	20	Madera	FACOG INC	363 E ALMOND AVE	STE 101	MADERA	CA	93637	36.945549	-120.053545	80	5.02
1356569172	1356569172	1	1	HANSEN FAMILY HEALTH CENTER	24-Aug-04	Health Access Program (058)	HEALTH ACCESS PROGRAM	550002588	99	Unknown (on EDS claims)	0	In state provider	57	Yolo	None	215 W BEAMER ST	None	WOODLAND	CA	95695	38.684883	-121.793848	246.1	109.01
1356702633	1356702633	1	1	ANUCHA, CHIBUIKE E MD PC	21-Sep-17	Physicians (026)	PHYSICIANS	A89094	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	15	Kern	None	608 34TH STREET	None	BAKERSFIELD	CA	93301	35.390477	-119.008659	66a	6
1356723936	1356723936	1	1	COMMUNITY MEDICAL CENTERS E	7-Oct-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	39	San Joaquin	INC	1801 E MARCH LANE	SUITE D-470	STOCKTON	CA	95210	38.003429	-121.285555	169a	34.09
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
1356763155	1356763155	1	1	UNICARE COMMUNITY HEALTH	26-Aug-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	550002953	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	CENTER INC	1501 E HOLT AVENUE	STE A	POMONA	CA	91767	34.063208	-117.720788	78.2ss	4027.02
1356775878	1356775878	1	1	ALTAMED MEDICAL GROUP PICO	16-Dec-13	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	6336 PASSONS BLVD	None	PICO RIVERA	CA	90660	33.985836	-118.085868	78.2ww	5008
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
1366419517	1366419517	1	1	ANTELOPE VALLEY HOSP MED	11-Aug-97	Community Hosp Outpatient (015)	COMMUNITY OUTPATIENT HOSPITAL	190990034	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	HEALTHCARE DISTRICT	1600 W AVENUE J	None	LANCASTER	CA	93534	34.689378	-118.159814	77.1c	9008.05
1366422776	1366422776	1	1	CSUEB STUDENT HEALTH SER	24-Oct-01	Physicians Group (022)	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	1	Alameda	EAST BAY	25800 CARLOS BEE BLVD	None	HAYWARD	CA	94542	37.65876	-122.061939	2f	4351.02
1366467375	1366467375	1	1	LONG VALLEY HEALTH CTR	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	23	Mendocino	PO BOX 870	50 BRANSCOMB RD	None	LAYTONVILLE	CA	95454	39.687775	-123.48485	90	102
1366476764	1366476764	1	1	TSAI, HENRY H MD	21-Aug-98	Physicians (026)	PHYSICIANS	A00060125	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	201 W GARVEY AVE	STE 310	MONTEREY PARK	CA	91754	34.062555	-118.124424	78.2nn	4817.14
1366496838	1366496838	1	1	PLANNED PARENTHOOD	1-Aug-97	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	39	San Joaquin	INC	4555 PRECISSI LANE	None	STOCKTON	CA	95207	37.988852	-121.315026	169a	31.13
1366501629	1366501629	1	1	WOODMAN MEDICAL & DENTAL	22-Oct-97	Physicians (026)	PHYSICIANS	A00053484	1	General Practice	0	In state provider	19	Los Angeles	CARE INC	8725 WOODMAN AVE	None	ARLETA	CA	91331	34.22838	-118.43485	78.2ll	1198
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
1366570038	1366570038	1	1	LAUREL INTERNAL MEDICINE	1-Jul-05	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	27	Monterey	None	1441 CONSTITUTION BLVD	None	SALINAS	CA	93906	36.696798	-121.62963	109.2	106.08
1366592982	1366592982	1	1	PARAMOUNT CARE MED	2-Dec-02	Physicians Group (022)	PHYSICIANS GROUP	FNP027745	8	Family Practice	0	In state provider	30	Orange	PARAMOUNT CARE MED	1629 W 17TH ST	STE A&B	SANTA ANA	CA	92706	33.760086	-117.890487	116h	753.02
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
1366648016	1366648016	1	1	COUNTY OF STANISLAUS	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	50	Stanislaus	HUGHSON MEDICAL OFFICE	2412 3RD STREET	STE B	HUGHSON	CA	95326	37.596486	-120.866613	214	29.02
1366834400	1366834400	1	1	ALTAMED MEDICAL GROUP	2-Oct-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	30	Orange	CORPORATION	1155 W CENTRAL AVE	STES 104-107	SANTA ANA	CA	92707	33.712577	-117.883918	116g	740.05
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
1376560151	1376560151	1	1	COMMUNITY HEALTH CTRS	1-Nov-05	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	42	Santa Barbara	GUADALUPE	4723 WEST MAIN STREET	SUITE H	GUADALUPE	CA	93434	34.957569	-120.576642	180.2	25.02
1376565309	1376565309	1	1	HARBOR-UCLA MEDICAL CTR	28-Apr-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	H/UCLA WOMEN CLINIC N28	1000 W CARSON ST	# L4	TORRANCE	CA	90502	33.831586	-118.293386	78.2aaaa	5435.03
1376610923	1376610923	1	1	LOVATO, ESTEBAN D MD	1-Jul-06	Physicians (026)	PHYSICIANS	G00075190	41	Internal Medicine	0	In state provider	1	Alameda	None	3022 INTERNATIONAL BLVD	STE 210	OAKLAND	CA	94601	37.778594	-122.227871	2d	4061
1376654566	1376654566	1	1	CROWNOVER, DAVID W MD	1-Jan-12	Physicians (026)	PHYSICIANS	C00054069	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	56	Ventura	None	147 N BRENT STREET	None	VENTURA	CA	93003	34.274201	-119.257241	241c	19
1376654756	1376654756	1	1	ADOBE MEDICAL GROUP INC	11-Dec-98	Physicians Group (022)	PHYSICIANS GROUP	FNP025491	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	30	Orange	None	31921 CAMINO CAPISTRANO	STE 19	SAN JUAN CAPO	CA	92675	33.499211	-117.662497	115.1	423.12
1376659896	1376659896	1	1	CALIF STATE UNIV SACTO	17-Feb-03	Physicians Group (022)	PHYSICIANS GROUP	None	8	Family Practice	0	In state provider	34	Sacramento	STUDENT HEALTH CENTER	6000 J ST	None	SACRAMENTO	CA	95819	38.566806	-121.427834	139g	52.01
1376674770	1376674770	1	1	DR OCHOA FAMILY CLINIC	12-Aug-08	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	None	3275 MCCALL AVE	STE 102	SELMA	CA	93662	36.582589	-119.610629	30	70.04
1376674887	1376674887	1	1	FAMILY PLANNING CLINIC D	1-Mar-97	County Clinics not assoc w/hosp (048)	COUNTY CLINICS NOT ASSOCIATED WITH HOSPITAL	ZZR11483	99	Unknown (on EDS claims)	0	In state provider	12	Humboldt	FAMILY PLANNING CLINIC D	529 I ST	None	EUREKA	CA	95501	40.802116	-124.162676	39	5
1376681486	1376681486	1	1	JORDAN WELLNESS CENTER	18-Aug-03	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	10110 JUNIPER ST	None	LOS ANGELES	CA	90002	33.944825	-118.233201	78.2fff	2421
1376683151	1376683151	1	1	FRANCKLIN-MCKINLEY	1-Sep-06	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	43	Santa Clara	OF SANTA CLARA COUNTY	645 WOOL CREEK DR	None	SAN JOSE	CA	95112	37.314289	-121.848615	183e	5031.22
1376684456	1376684456	1	1	CLINICA DE SALUD DEL VALLE	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	27	Monterey	DE SALINAS-KING CITY	122 E SAN ANTONIO DR	None	KING CITY	CA	93930	36.222736	-121.126067	105	113.04
1376687061	1376687061	1	1	KINGS CO HLTH DEPT 2	1-Mar-97	County Clinics not assoc w/hosp (048)	COUNTY CLINICS NOT ASSOCIATED WITH HOSPITAL	ZZT11796	99	Unknown (on EDS claims)	0	In state provider	16	Kings	OUTPATIENT CLINIC	330 CAMPUS DR	None	HANFORD	CA	93230	36.326796	-119.663642	69	10.02
1376761940	1376761940	1	1	CENTRAL MEDICAL CLINIC	1-Feb-13	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	3533 W PICO BLVD	None	LOS ANGELES	CA	90019	34.047164	-118.319297	78.2e	2181.2
1376843771	1376843771	1	1	BRISTOL-MCFADDEN MEDICAL	15-Feb-11	Physicians Group (022)	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	30	Orange	GROUP INC	1226 E MCFADDEN AVE	None	SANTA ANA	CA	92705	33.733603	-117.855114	116g	744.03
1376871566	1376871566	1	1	AGABABIAN MEDICAL CLINIC	23-Feb-11	Physicians (026)	PHYSICIANS	A93668	8	Family Practice	0	In state provider	19	Los Angeles	None	800 S CENTRAL AVE	STE 301	GLENDALE	CA	91204	34.13668	-118.2578	78.2ee	3024.01
1376893420	1376893420	1	1	DUNSMUIR COMMUNITY HEALTH	27-Dec-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	47	Siskiyou	INC	4309 STAGECOACH ROAD	None	DUNSMUIR	CA	96025	41.222461	-122.278075	198	11
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
1386025773	1386025773	1	1	L A STAR MEDICAL GROUP INC	17-Aug-16	Physicians Group (022)	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	19	Los Angeles	None	4161 REDONDO BEACH BLVD	SUITE 100	LAWNDALE	CA	90260	33.876068	-118.347605	78.2iiii	6041
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
1386069995	1386069995	1	1	DESERT OASIS WOMENS HEALTH	19-May-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	33	Riverside	FOUNDATION	1180 N INDIAN CANYON DR	SUITE W-300	PALM SPRINGS	CA	92262	33.839669	-116.545605	129.4	446.06
1386134815	1386134815	1	1	VENTURA 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	4667 TELEGRAPH ROAD	None	VENTURA	CA	93003	34.275755	-119.230559	241c	18
1386611242	1386611242	1	1	CARSTENS, HERMAN A MD	1-Mar-97	Physicians (026)	PHYSICIANS	A00034747	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	33	Riverside	CLINIC OF OB & GYN P C	6926 BROCKTON AVE	STE 7	RIVERSIDE	CA	92506	33.948018	-117.396781	135c	311
1386646404	1386646404	1	1	JAMES CORONA MD	17-Sep-09	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	11	Glenn	None	203 WALKER ST	# 2	ORLAND	CA	95963	39.747371	-122.191484	36.1	101
1386670610	1386670610	1	1	FAMILY HEALTHCARE NETWORK	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	54	Tulare	None	33025 ROAD 159	None	IVANHOE	CA	93235	36.38897	-119.21798	228.1	8
1386689453	1386689453	1	1	DIEGO, LORAINE V MD INC	16-Oct-01	Physicians (026)	PHYSICIANS	A67445	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	2405 W 8TH ST	STE 105	LOS ANGELES	CA	90057	34.056301	-118.281071	78.2b	2094.01
1386708634	1386708634	1	1	JWCH NORWALK REGIONAL	29-Jun-09	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	JWCH NORWALK REGIONAL	12360 FIRESTONE BLVD	None	NORWALK	CA	90650	33.906084	-118.06963	78.2jjjj	5522
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
1386723690	1386723690	1	1	CONTRA COSTA COUNTY	22-Jul-02	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	7	Contra Costa	MARTINEZ HEALTH CTR	2500 ALHAMBRA AVE	None	MARTINEZ	CA	94553	38.006474	-122.130888	18a	3180
1386738177	1386738177	1	1	FAMILY HEALTHCARE NETWRK	28-Aug-01	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	54	Tulare	None	35800 HIGHWAY 190	None	SPRINGVILLE	CA	93265	36.12739	-118.821163	232	27
1386758225	1386758225	1	1	PALM SPRINGS FAMILY CARE	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	33	Riverside	PALM SPRINGS FAMILY CARE	1515 N SUNRISE WAY	None	PALM SPRINGS	CA	92262	33.843142	-116.528252	129.4	446.02
1386770477	1386770477	1	1	LARKIN STREET MEDICAL CLINIC	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	38	San Francisco	None	1044 LARKIN ST	None	SAN FRANCISCO	CA	94109	37.787601	-122.418434	162b	120
1386822930	1386822930	1	1	PANACEA HEALTHCARE MEDICAL	22-Oct-14	Physicians (026)	PHYSICIANS	A00051505	41	Internal Medicine	0	In state provider	19	Los Angeles	GROUP INC	2630 PACIFIC AVENUE	None	LONG BEACH	CA	90806	33.804997	-118.193674	78.2lll	5722.02
1386852416	1386852416	1	1	RIVERSIDE CO REGIONAL	1-Jul-05	County Hospital Outpatient (061)	COUNTY HOSPITAL OUTPATIENT	None	99	Unknown (on EDS claims)	0	In state provider	33	Riverside	MEDICAL CENTER	26520 CACTUS AVE	None	MORENO VALLEY	CA	92555	33.910048	-117.201657	134	487
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
1386912202	1386912202	1	1	EAST VALLEY COMMUNITY HEALTH	26-Nov-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	CENTER INC	17840 VILLA CORTA STREET	None	LA PUENTE	CA	91744	34.018124	-117.912171	78.2www	4081.38
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
1386934875	1386934875	1	1	USC EISNER FAMILY MEDICINE	1-Jul-11	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	CENTER	1400 S GRAND AVE	SUITE 101	LOS ANGELES	CA	90015	34.03718	-118.265408	78.2ffff	2240.1
1396067500	1396067500	1	1	AAA COMPREHENSIVE HEALTHCARE	26-Aug-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	550001275	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	7451 N LANKERSHIM BLVD	None	NORTH HOLLYWOOD	CA	91605	34.205963	-118.387784	78.2bb	1224.1
1396076147	1396076147	1	1	TARZANA TREATMENT CENTER	9-Sep-13	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	18646 OXNARD STREET	None	TARZANA	CA	91356	34.179947	-118.538994	78.2ii	1393.02
1396253340	1396253340	1	1	WOMENS MEDICAL GROUP OF	28-Feb-19	Physicians Group (022)	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	19	Los Angeles	INC APMC	21013 SHERMAN WAY	STE 4	CANOGA PARK	CA	91303	34.201101	-118.590877	78.2hhhh	1340.01
1396721197	1396721197	1	2	OMNI WOMENS HLT MED GRP	18-Apr-05	Physicians Group (022)	PHYSICIANS GROUP	FNP030976	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	10	Fresno	HEALTH MEDICAL GRP INC	2210 E ILLINOIS	STE 201	FRESNO	CA	93701	36.74503	-119.78478	35c	5.02
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
1396817193	1396817193	1	3	LOS ALAMITOS OB GYN MEDICAL	6-Nov-14	Physicians (026)	PHYSICIANS	20A6917	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	30	Orange	INC	3801 KATELLA AVE	SUITE 302	LOS ALAMITOS	CA	90720	33.803185	-118.066314	116e	1101.08
1396836094	1396836094	1	1	LOPEZ, ROBERT MD	28-Mar-00	Physicians (026)	PHYSICIANS	G00075281	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	36	San Bernardino	None	12586 CENTRAL AVE	None	CHINO	CA	91710	34.024898	-117.689451	151a	6.04
1396852455	1396852455	1	1	NCHS WOMEN'S HEALTH SVS	1-Feb-00	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	NCHS WOMEN'S HEALTH SVS	2210 MESA DR	STE 5&7	OCEANSIDE	CA	92054	33.208349	-117.359004	156a	185.1
1396859179	1396859179	1	1	RIVERSIDE CO COMM HEALTH	1-Sep-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	33	Riverside	CARE CENTER	2499 E LAKESHORE DR	None	LAKE ELSINORE	CA	92530	33.660351	-117.301362	131a	430.01
1396879680	1396879680	1	1	CLINICA SIERRA VISTA	1-Sep-04	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	15	Kern	COMMUNITY HEALTH CENTER	2400 WIBLE RD	STE 14	BAKERSFIELD	CA	93304	35.333159	-119.038949	66b	29
1396880365	1396880365	1	1	LEE, RYAN K M D INC	17-Apr-12	Physicians (026)	PHYSICIANS	G00079984	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	1420 SOUTH CENTRAL AVE	None	GLENDALE	CA	91204	34.128432	-118.2578	78.2ee	3024.01
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
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
1396941464	1396941464	1	1	PARADISE MEDICAL OFFICE	20-Sep-07	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	50	Stanislaus	PARADISE MEDICAL OFFICE	401 PARADISE RD	STE E	MODESTO	CA	95351	37.627826	-121.011734	215c	22
1396960563	1396960563	1	1	GARDN GRV WMS HLTH SPEC	27-Apr-01	Physicians (026)	PHYSICIANS	20A7161	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	30	Orange	None	12555 GARDEN GROVE BLVD	STE 301	GARDEN GROVE	CA	92843	33.774488	-117.914305	116r	885.02
1396961884	1396961884	1	1	CLINICAS DEL CAMINO REAL	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	56	Ventura	OXNARD	650 META ST	None	OXNARD	CA	93030	34.195704	-119.176003	241b	91
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
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
1407031693	1407031693	1	1	NEIGHBORHOOD HEALTHCARE - PA	27-Oct-09	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	None	16650 HIGHWAY 76	None	PAUMA VALLEY	CA	92061	33.292976	-116.969022	153.1	191.01
1407032212	1407032212	1	1	CITY HEIGHTS FAMILY HEALTH	1-Jul-04	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	DIEGO INC	5454 EL CAJON BLVD	None	SAN DIEGO	CA	92115	32.758146	-117.077666	161d	27.08
1407033277	1407033277	1	1	PUEBLO MEDICAL ASSOCIATES	7-Aug-08	Physicians Group (022)	PHYSICIANS GROUP	None	8	Family Practice	0	In state provider	19	Los Angeles	INC	521 N AZUSA AVE	None	AZUSA	CA	91702	34.130239	-117.907537	78.2qq	4043.01
1407033301	1407033301	1	1	WESTSIDE NEIGHBORHOOD CLINIC	17-Jul-05	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	42	Santa Barbara	CLINICS	628 W MICHELTORENA ST	None	SANTA BARBARA	CA	93101	34.419291	-119.715644	181a	11.01
1407044175	1407044175	1	1	PLANNED PARENTHOOD	26-Nov-07	Community Clinics (041)	COMMUNITY CLINIC	CNC305010	99	Unknown (on EDS claims)	0	In state provider	45	Shasta	SHASTA-DIABLO	2935 BECHELLI LANE	STE C	REDDING	CA	96002	40.564564	-122.362631	189.2	109
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
1407268709	1407268709	1	1	EISNER PEDIATRIC & FAMILY ME	9-Sep-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	CENTER	3680 E IMPERIAL HIGHWAY	STE 200	LYNWOOD	CA	90262	33.93211	-118.201393	78.2sss	5402.02
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
1407841620	1407841620	1	1	KOTHAPA, SANGAMITRA MD	22-Jun-99	Physicians (026)	PHYSICIANS	A00043502	8	Family Practice	0	In state provider	30	Orange	INC	1226 N BROADWAY	None	SANTA ANA	CA	92701	33.755483	-117.869735	116b	750.03
1407880040	1407880040	1	2	FLORES, CARLOS A MD	25-Jan-05	Physicians (026)	PHYSICIANS	A00041653	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	14673 PARTHENIA ST	STE 101	PANORAMA CITY	CA	91402	34.228211	-118.452683	78.2ll	1201.03
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
1407914260	1407914260	1	3	HILL COUNTRY COMM CLINIC	7-Apr-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	45	Shasta	PO BOX 228	29632 HWY 299 EAST	None	ROUND MOUNTAIN	CA	96084	40.802795	-121.939255	188.1	126.01
1407941586	1407941586	1	1	GANDHI, SHOBHANA MD INC	23-Apr-04	Physicians Group (022)	PHYSICIANS GROUP	A00029540	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	1300 N VERMONT AVE	SUITE 307	LOS ANGELES	CA	90027	34.095557	-118.291741	78.2g	1913.02
1407945629	1407945629	1	1	PLANNED PARENTHOOD WORLD	28-Apr-97	Community Clinics (041)	COMMUNITY CLINIC	ZZT11984	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	MAR VISTA	1316 3RD STREET PROMENAD	STE 201	SANTA MONICA	CA	90401	34.016739	-118.497415	78.2z	7019.02
1407973043	1407973043	2	1	LIFELONG BROOKSIDE COMMUNITY	7-Mar-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	7	Contra Costa	None	1030 NEVIN AVE	None	RICHMOND	CA	94801	37.936828	-122.35971	18f	3770
1407985534	1407985534	2	1	GARDNER HEALTH CENTER	21-Feb-11	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	43	Santa Clara	NETWORK, INC	195 E VIRGINIA ST	None	SAN JOSE	CA	95112	37.325925	-121.877594	183d	5016
1417005695	1417005695	1	1	JOHNSON, LORNA M CNM	26-Jun-97	Certified Nurse Midwife (005)	CERTIFIED NURSE MIDWIFE	303602	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	1201 E FLORENCE AVE	None	LOS ANGELES	CA	90001	33.974765	-118.254103	78.2fff	5350.01
1417032921	1417032921	1	1	NORTHERN INYO HOSPITAL	10-Jul-13	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	14	Inyo	LOCAL HOSPITAL DISTRICT	153 PIONEER LN	None	BISHOP	CA	93514	37.361988	-118.407362	53	4
1417036484	1417036484	1	1	CONTRA COSTA COUNTY	22-Jul-02	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	7	Contra Costa	RICHMOND HEALTH CENTER	100 38TH ST	None	RICHMOND	CA	94805	37.933705	-122.333316	18f	3810
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
1417211426	1417211426	1	1	PARKTREE COMMUNITY HEALTH	18-Jan-13	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	CENTER	1450 E HOLT AVE	None	POMONA	CA	91767	34.063022	-117.721687	78.2ss	4027.02
1417321746	1417321746	1	1	NCHS PERRIS HEALTH CENTER	22-May-18	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	33	Riverside	INC	1675 N PERRIS BLVD	STE G1	PERRIS	CA	92571	33.802522	-117.22603	133.1	426.17
1417365545	1417365545	1	1	DORNIKA MEDICAL INC	16-Sep-15	Physicians (026)	PHYSICIANS	A76326	1	General Practice	0	In state provider	19	Los Angeles	None	2121 S SAN PEDRO ST	UNIT E	LOS ANGELES	CA	90011	34.0253	-118.258932	78.2mmm	2264.1
1417378597	1417378597	1	1	KEDREN COMMUNITY CARE CLINIC	28-May-14	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	CENTER INC	4211 SOUTH AVALON BLVD	SUITE A	LOS ANGELES	CA	90011	34.007344	-118.265245	78.2ggg	2283.2
1417907940	1417907940	1	27	PACKARD CHILDRENS HEALTH ALL	26-Oct-17	Physicians Group (022)	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	1	Alameda	None	5720 STONERIDGE MALL RD	#240	PLEASANTON	CA	94588	37.692504	-121.930127	2k	4506.02
1417930892	1417930892	2	1	ADVENTIST HEALTH REEDLEY	1-Dec-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	16	Kings	None	1025 N DOUTY ST	None	HANFORD	CA	93230	36.335154	-119.646037	69	9
1417939968	1417939968	1	1	UN HLTH CTRS SAN JOAQUIN	9-Aug-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	54	Tulare	None	476 E WASHINGTON AVE	None	EARLIMART	CA	93219	35.884294	-119.271473	231	44
1417972282	1417972282	2	1	ADVENTIST HEALTH REEDLEY	1-Jan-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	None	155 S NEWMARK AVE	None	PARLIER	CA	93648	36.606721	-119.529845	32	68.02
1427025691	1427025691	2	1	ADVENTIST HEALTH REEDLEY	1-Dec-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	54	Tulare	None	1451 E EL MONTE WAY	None	DINUBA	CA	93618	36.545476	-119.379434	227.1	5.01
1427046754	1427046754	1	1	CHINATOWN SERVICE CENTER	28-Apr-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	FAMILY HEALTH CLINIC	767 N HILL ST	STE 200	LOS ANGELES	CA	90012	34.062104	-118.239871	78.2ffff	2071.02
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
1427081652	1427081652	1	1	PLANNED PRNTHD SD COUNTY	6-Jan-97	Community Clinics (041)	COMMUNITY CLINIC	370891594	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	THE PACIFIC SOUTHWEST	4575 COLLEGE AVE	None	SAN DIEGO	CA	92115	32.760085	-117.066696	161f	27.02
1427089150	1427089150	1	1	KINGS COMPREHENSIVE	1-Mar-97	Physicians Group (022)	PHYSICIANS GROUP	FNP022686	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	16	Kings	WOMEN'S HLTHCARE MED GRP	460 GREENFIELD AVE	STE 1	HANFORD	CA	93230	36.331054	-119.657461	69	10.01
1427110329	1427110329	1	1	LIVINGSTON COMMUNITY HEALTH	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	24	Merced	None	1140 MAIN ST	None	LIVINGSTON	CA	95334	37.38035	-120.723388	95	3.04
1427121375	1427121375	1	1	CHILDRENS HOSP ORANGE CO	9-Aug-05	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	30	Orange	None	455 S MAIN ST	None	ORANGE	CA	92868	33.78126	-117.867223	116h	760
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
1427123504	1427123504	1	1	CLINICA MED INTRNACIONAL	28-Apr-97	Physicians (026)	PHYSICIANS	A00035730	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	CLINICA MED INTER MD CTR	7444 LANKERSHIM BLVD	None	NORTH HOLLYWOOD	CA	91605	34.205981	-118.387785	78.2bb	1224.1
1427220862	1427220862	1	1	NATIONAL HEALTH SERVICES	8-Dec-06	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	15	Kern	HEALTH CENTER	320 JAMES ST	None	SHAFTER	CA	93263	35.503304	-119.277388	58.1	41.01
1427220870	1427220870	1	1	OMNI FAMILY HEALTH	8-Dec-06	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	15	Kern	None	655 S CENTRAL VALLEY HWY	None	SHAFTER	CA	93263	35.496554	-119.266365	58.1	41.02
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
1427276278	1427276278	1	1	CLINICAS DEL CAMINO REAL	20-Jan-05	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	56	Ventura	INC-OCEANVIEW	4400 OLDS RD	None	OXNARD	CA	93033	34.156849	-119.148869	241a	47.15
1427497866	1427497866	1	1	ADVENTIST HEALTH REEDLEY	16-Jul-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	54	Tulare	None	41696 ROAD 128	None	OROSI	CA	93647	36.546447	-119.286924	227.2	2.01
1437245412	1437245412	1	1	VISTA COMMUNITY CLINIC	14-Feb-07	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	HORNE	517 N HORNE ST	None	OCEANSIDE	CA	92054	33.200852	-117.378031	156a	184
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
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
1437335148	1437335148	1	1	NEIGHBORHOOD HEALTHCARE	27-Oct-09	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	33	Riverside	None	41840 ENTERPRISE CIRCLE	NORTH	TEMECULA	CA	92590	33.517198	-117.169596	131c	512
1437335759	1437335759	1	1	HSU, YAO W MD INC	11-May-01	Physicians (026)	PHYSICIANS	A61296	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	5240 E BEVERLY BLVD	None	LOS ANGELES	CA	90022	34.031448	-118.152553	78.2d	5303.01
1437375953	1437375953	1	1	WALK-IN MEDICAL CARE	20-Feb-19	Physicians Group (022)	PHYSICIANS GROUP	FNP017979	8	Family Practice	0	In state provider	19	Los Angeles	None	18326 PIONEER BLVD	None	ARTESIA	CA	90701	33.865287	-118.082211	78.2rrr	5549
1437377454	1437377454	1	1	KHEIR HEALTH SVS CTR	10-Mar-05	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	KHEIR HEALTH SVS CTR	3727 W 6TH ST	STE 200	LOS ANGELES	CA	90020	34.063555	-118.303534	78.2e	2118.02
1437404654	1437404654	1	1	WELLSPACE HEALTH RANCHO	1-Dec-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	34	Sacramento	None	10423 OLD PLACERVILLE RD	STE A	SACRAMENTO	CA	95827	38.570173	-121.306777	139g	90.07
1437407582	1437407582	1	1	CAMARENA HEALTH	13-Dec-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	20	Madera	None	49169 ROAD 426	None	OAKHURST	CA	93644	37.328044	-119.648057	79.1	1.04
1437414190	1437414190	1	1	ALTAMED MEDICAL GROUP	12-Oct-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	1300 N VERMONT AVE	PATIENT TOWER, 1ST FLOOR	LOS ANGELES	CA	90027	34.096294	-118.291739	78.2g	1913.02
1437577103	1437577103	1	1	COLLEGE OF THE CANYONS STUDE	8-Sep-15	Exempt from Licensure Clinics (045)	CLINIC EXEMP FROM LICENSURE	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	COLLEGE DISTRICT	26455 ROCKWELL CANYON RD	None	SANTA CLARITA	CA	91355	34.40725	-118.567505	76.1a	9203.3
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
1447206321	1447206321	1	1	PLANNED PRNTHD MAR MONTE	1-Mar-97	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	31	Placer	ROSEVILLE	729 SUNRISE AVE	STE 900	ROSEVILLE	CA	95661	38.733819	-121.272036	121.1	207.13
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
1447267349	1447267349	1	1	NCHS WOMEN'S HEALTH SVS	1-Feb-00	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	NCHS WOMEN'S HEALTH SVS	1130 2ND ST	None	ENCINITAS	CA	92024	33.03762	-117.293663	156a	175.01
1447277355	1447277355	1	1	COMMUNITY HEALTH CENTERS	1-Nov-05	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	42	Santa Barbara	SANTA MARIA	2801 SANTA MARIA WAY	BLDG A	SANTA MARIA	CA	93455	34.90929	-120.433971	180.1	20.07
1447281746	1447281746	2	1	CASTLE FAMILY HEALTH CENTER	5-Oct-07	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	24	Merced	CENTERS INC	6596 N WINTON WAY	None	WINTON	CA	95388	37.39712	-120.613309	96	5.04
1447297379	1447297379	1	1	ONE COMMUNITY HEALTH	1-Jul-14	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	34	Sacramento	EDUCATION & SVS-SACTO	1500 21ST ST	None	SACRAMENTO	CA	95811	38.570826	-121.480908	139i	13
1447309885	1447309885	1	1	CAMARENA HEALTH	25-Jul-06	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	24	Merced	None	300 PROSPERITY BLVD	BUILDING A & B	CHOWCHILLA	CA	93610	37.109626	-120.269855	79.2	3
1447321120	1447321120	1	1	THE CENTER FOR HEALTH	1-Mar-97	Community Clinics (041)	COMMUNITY CLINIC	ZZT11858	99	Unknown (on EDS claims)	0	In state provider	40	San Luis Obispo	OF SAN LUIS OBISPO	705 GRAND AVE	None	SAN LUIS OBISPO	CA	93401	35.289849	-120.652925	172	110.02
1447353701	1447353701	1	1	ARROYO VISTA FAM HLTH CT	9-Mar-99	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	HEALTH CENTER	6000 N FIGUEROA ST	None	LOS ANGELES	CA	90042	34.111407	-118.189096	78.2i	1836.2
1447388251	1447388251	1	1	LASALLE MEDICAL ASSOC	14-Feb-01	Physicians Group (022)	PHYSICIANS GROUP	FNP023625	8	Family Practice	0	In state provider	36	San Bernardino	None	565 N MOUNT VERNON AVE	None	SAN BERNARDINO	CA	92411	34.109573	-117.313834	151g	48
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
1447391719	1447391719	1	1	CHENMING AND MARGARET HU	14-Feb-19	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	1	Alameda	None	818 WEBSTER ST	None	OAKLAND	CA	94607	37.799398	-122.271306	2c	4030
1447496468	1447496468	1	1	OLIVE MEDICAL CENTER INC	7-Dec-11	Physicians (026)	PHYSICIANS	A41985	1	General Practice	0	In state provider	19	Los Angeles	None	2252 BEVERLY BLVD	STE 101	LOS ANGELES	CA	90057	34.067766	-118.27282	78.2ffff	2085.02
1447501507	1447501507	1	1	TESSEMA, SINAFIKISH T NP	27-Apr-15	Certified Pediatric/Family NP (007)	CERTIFIED NURSE PRACTIONER	757060	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	None	8554 LA MESA BLVD	None	LA MESA	CA	91942	32.777526	-117.004734	161f	150
1447556170	1447556170	1	1	THE CHILDRENS CLINIC FAMILY	16-Dec-11	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	SERVING CHILDREN & THEIR	17660 LAKEWOOD BLVD	None	BELLFLOWER	CA	90706	33.872403	-118.142527	78.2m	5544.03
1447604582	1447604582	1	1	UNICARE COMMUNITY HEALTH	3-Apr-18	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	36	San Bernardino	CENTER INC	308 N LA CADENA DR	None	COLTON	CA	92324	34.06808	-117.324092	151f	125
1457347239	1457347239	1	1	UHS-CORONA, INC	1-Jan-04	Community Hosp Outpatient (015)	COMMUNITY OUTPATIENT HOSPITAL	None	99	Unknown (on EDS claims)	0	In state provider	33	Riverside	None	800 S MAIN ST	None	CORONA	CA	92882	33.87333	-117.566679	135d	416
1457385163	1457385163	1	1	TULARE COUNTY HLTH SVS	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	54	Tulare	None	2611 N DINUBA BLVD	None	VISALIA	CA	93291	36.351142	-119.296956	233	10.04
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
1457460503	1457460503	1	1	LOS ANGELES MEDICAL CTR	22-Apr-97	Physicians Group (022)	PHYSICIANS GROUP	FNP024603	1	General Practice	0	In state provider	19	Los Angeles	LOS ANGELES MEDICAL CTR	319 N SOTO ST	None	LOS ANGELES	CA	90033	34.04729	-118.207479	78.2h	2036
1457472177	1457472177	1	1	WEST OAKLAND HEALTH COUN	9-Jun-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	1	Alameda	None	700 ADELINE ST	None	OAKLAND	CA	94607	37.803961	-122.288171	2c	4025
1457489122	1457489122	1	1	LAUREL FAM PRACTICE CLINIC	1-Jul-05	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	27	Monterey	LAURAL FAMILY PRACTICE	1441 CONSTITUTION BLVD	None	SALINAS	CA	93906	36.696798	-121.62963	109.2	106.08
1457534968	1457534968	1	1	UCSJ STUDENT HEALTH SRVS	17-Apr-08	Physicians Group (022)	PHYSICIANS GROUP	None	7	Dermatology	0	In state provider	43	Santa Clara	STUDENT HEALTH CENTER	1 WASHINGTON SQ	None	SAN JOSE	CA	95192	37.335922	-121.881743	183d	5009.01
1457596371	1457596371	1	3	ALLSAFE MEDICAL GROUP	6-Jun-13	Physicians Group (022)	PHYSICIANS GROUP	A00096862	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	PROFESSIONAL CORPORATION	4156 S CENTRAL AVE	None	LOS ANGELES	CA	90011	34.008004	-118.256505	78.2ggg	2283.2
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
1457724924	1457724924	1	1	UNITED HEALTH CENTERS OF THE	3-May-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	OF THE SAN JOAQUIN VLY	601 3RD STREET	None	PARLIER	CA	93648	36.614252	-119.525347	32	68.02
1457744476	1457744476	1	1	COMMUNITY MEDICINE, INC	1-Mar-18	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	8540 ALONDRA BLVD	SUITE B-2	PARAMOUNT	CA	90723	33.889147	-118.150562	78.2m	5539.02
1457758724	1457758724	1	1	LIFELONG ASHBY HEALTH CTR	22-Apr-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	1	Alameda	None	3075 ADELINE ST	SUITE 280	BERKELEY	CA	94703	37.852694	-122.269722	2a	4239.01
1457762072	1457762072	1	1	LK HEALTH	1-Aug-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	550002916	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	901 W WHITTIER BLVD	None	MONTEBELLO	CA	90640	34.010407	-118.109748	78.2c	5321.01
1457768913	1457768913	1	1	EAST WEST URGENT CARE INC	30-Jan-17	Physicians (026)	PHYSICIANS	A86156	2	General Surgery	0	In state provider	19	Los Angeles	None	38345 30TH ST EAST	STE B-1A	PALMDALE	CA	93550	34.578474	-118.076213	77.1a	9106.02
1467411744	1467411744	1	1	CARDIN, JOHN P JR MD	28-Apr-97	Physicians (026)	PHYSICIANS	A00041250	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	2880 ATLANTIC AVE	STE 230	LONG BEACH	CA	90806	33.809514	-118.184973	78.2lll	5722.02
1467442749	1467442749	1	1	PACKARD CHILDRENS HOSPITAL	30-Mar-99	Community Hosp Outpatient (015)	COMMUNITY OUTPATIENT HOSPITAL	None	99	Unknown (on EDS claims)	0	In state provider	43	Santa Clara	CHILDRENS HOSP/STANFORD	725 WELCH RD	None	PALO ALTO	CA	94304	37.436857	-122.172778	183a	5116.09
1467490425	1467490425	1	1	HARBOR COMMUNITY CLINIC	25-Nov-05	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	593 W 6TH ST	None	SAN PEDRO	CA	90731	33.738769	-118.289996	78.2p	2966
1467504530	1467504530	1	1	FAMILY HEALTHCARE NETWRK	16-Oct-07	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	16	Kings	None	250 W 5TH ST	None	HANFORD	CA	93230	36.324339	-119.647647	69	9
1467590901	1467590901	1	1	BEACH CITIES MIDWIFERY	21-May-01	Certified Nurse Midwife (005)	CERTIFIED NURSE MIDWIFE	None	99	Unknown (on EDS claims)	0	In state provider	30	Orange	& WOMEN'S HEALTH CARE	23141 MOULTON PKWY	108	LAGUNA HILLS	CA	92653	33.626416	-117.730569	115.2d	626.21
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
1467612820	1467612820	1	1	VASQUEZ, JULIO N MD INC	28-Apr-97	Physicians (026)	PHYSICIANS	A00045461	1	General Practice	0	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
1467672253	1467672253	1	1	GOLDEN VALLEY HEALTH CTR	18-Nov-05	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	24	Merced	None	13161 JEFFERSON ST	None	LE GRAND	CA	95333	37.230464	-120.249626	97.3	19.02
1467678342	1467678342	2	1	ADVENTIST HEALTH REEDLEY	1-Dec-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	16	Kings	None	11899 SHAW PLACE	None	HANFORD	CA	93230	36.30186	-119.630937	69	11
1467696203	1467696203	1	1	WESTSIDE MEDICAL GROUP	21-Jul-09	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	None	1107 O STREET	None	FIREBAUGH	CA	93622	36.858817	-120.456357	25	84.01
1467762294	1467762294	1	1	DUONG, LT MD INC	23-Feb-11	Physicians (026)	PHYSICIANS	A00074045	8	Family Practice	0	In state provider	30	Orange	None	2708 WESTMINSTER AVENUE	STE 130	SANTA ANA	CA	92706	33.759815	-117.905808	116i	891.04
1467858696	1467858696	1	1	OMNI FAMILY HEALTH	16-Jul-18	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	15	Kern	None	210 N CHESTER AVE	None	BAKERSFIELD	CA	93308	35.406952	-119.020929	66a	4
1477522019	1477522019	1	1	ORCHARD HOSPITAL	13-Oct-98	Community Hosp Outpatient (015)	COMMUNITY OUTPATIENT HOSPITAL	40300802	99	Unknown (on EDS claims)	0	In state provider	4	Butte	None	240 SPRUCE ST	None	GRIDLEY	CA	95948	39.366966	-121.690577	9	35.02
1477563518	1477563518	1	1	NORTHEASTERN HEALTH CTR	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	18	Lassen	None	1850 SPRING RIDGE DR	None	SUSANVILLE	CA	96130	40.438386	-120.649774	72	403.05
1477584993	1477584993	1	1	JOHN F KENNEDY MEM HOSP	31-May-01	Community Hosp Outpatient (015)	COMMUNITY OUTPATIENT HOSPITAL	None	99	Unknown (on EDS claims)	0	In state provider	33	Riverside	HOSPITAL, INC	47111 MONROE ST	None	INDIO	CA	92201	33.7061	-116.233965	128	452.07
1477586808	1477586808	1	1	AMPLA HEALTH COLUSA MEDICAL	25-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	6	Colusa	None	555 FREMONT ST	None	COLUSA	CA	95932	39.20795	-122.011142	15	5
1477610640	1477610640	1	1	GLENDALE MEMORIAL HOSPITAL	3-Jul-01	Community Hosp Outpatient (015)	COMMUNITY OUTPATIENT HOSPITAL	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	1420 S CENTRAL AVE	None	GLENDALE	CA	91204	34.128432	-118.2578	78.2ee	3024.01
1477632784	1477632784	1	1	CONTRA COSTA COUNTY	22-Jul-02	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	7	Contra Costa	BRENTWOOD HEALTH CENTER	118 OAK ST	None	BRENTWOOD	CA	94513	37.933726	-121.692856	17	3031.03
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
1477649119	1477649119	1	1	WATTS HEALTH CENTER	18-Aug-03	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	CORPORATION	10300 COMPTON AVE	None	LOS ANGELES	CA	90002	33.943243	-118.246239	78.2fff	2427
1477692408	1477692408	1	1	HAWTHORNE MORNINGSIDE	4-Feb-05	Physicians Group (022)	PHYSICIANS GROUP	FNP028545	8	Family Practice	0	In state provider	19	Los Angeles	MEDICAL CLINIC	12954 HAWTHORNE BLVD	STE 104	HAWTHORNE	CA	90250	33.914542	-118.352355	78.2bbbb	6024.03
1477694263	1477694263	1	1	CLIN DE SALUD DEL VALLE	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	27	Monterey	VALLE DE SALINAS-SANBORN	219 N SANBORN RD	None	SALINAS	CA	93905	36.677503	-121.626509	109.2	5.02
1477866010	1477866010	1	1	AIRPORT URGENT CARE & INDUST	1-Aug-13	Physicians Group (022)	PHYSICIANS GROUP	None	66	Emergency Medicine (Urgent Care)	0	In state provider	19	Los Angeles	INDUSTRIAL MEDICINE A	1117 W MANCHESTER DR	SUITE K	INGLEWOOD	CA	90301	33.959892	-118.375593	78.2q	6014.01
1477953933	1477953933	1	1	IBARRA FAMILY HEALTH CENTER	7-Aug-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	OF SAN DIEGO INC	4874 POLK AVENUE	None	SAN DIEGO	CA	92105	32.751328	-117.089571	161d	27.07
1477977973	1477977973	1	1	REDWOOD CITY HEALTH CENTER	24-Jul-17	Community Clinics (041)	COMMUNITY CLINIC	550002728	99	Unknown (on EDS claims)	0	In state provider	41	San Mateo	INC	2907 EL CAMINO REAL	None	REDWOOD CITY	CA	94061	37.469439	-122.212294	176b	6107
1477979722	1477979722	1	1	UNITED HEALTH CENTERS	10-Dec-14	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	16	Kings	SAN JOAQUIN VALLEY	1270 N LEMOORE AVE	None	LEMOORE	CA	93245	36.3161	-119.780795	69	4.03
1487011847	1487011847	1	1	COMMUNITY HEIGHTS FAMILY MED	23-Jun-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	COMMUNITY SERVICES INC	4690 EL CAJON BLVD	None	SAN DIEGO	CA	92115	32.755936	-117.093302	161e	23.01
1487012779	1487012779	1	1	WOLVES WELLNESS CENTER	1-Aug-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	24	Merced	None	1617 MAIN STREET	None	LIVINGSTON	CA	95334	37.377435	-120.723449	95	3.04
1487095337	1487095337	1	1	VAN NUYS WOMENS CARE MEDICAL	1-Oct-98	Physicians (026)	PHYSICIANS	A00060633	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	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
1487607222	1487607222	1	1	PLANNED PARENTHOOD	15-Dec-99	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	39	San Joaquin	MANTECA	965 E YOSEMITE AVE	None	MANTECA	CA	95336	37.797466	-121.203674	164.1	51.1
1487613766	1487613766	2	1	INLAND CENTER MEDICAL GROUP	1-Mar-12	Physicians Group (022)	PHYSICIANS GROUP	None	13	Neurology (M.D. only)	0	In state provider	36	San Bernardino	None	9220 HAVEN AVENUE	SUITE 210	RANCHO CUCAMONGA	CA	91730	34.086016	-117.575867	151b	21.1
1487659116	1487659116	1	1	CLINICA MEDICA FATIMA MEDICA	28-Apr-97	Physicians Group (022)	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	19	Los Angeles	CLINICA MEDICA FATIMA	820 S ALVARADO ST	None	LOS ANGELES	CA	90057	34.054569	-118.27802	78.2b	2094.02
1487696191	1487696191	2	1	LIFELONG BROOKSIDE COMM HLTH	7-Mar-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	7	Contra Costa	SAN PABLO	2023 VALE ROAD	#107	SAN PABLO	CA	94806	37.95356	-122.338006	18f	3690.01
1487706347	1487706347	1	1	BLOOMINGTON COMMUNITY HEALTH	26-Aug-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	36	San Bernardino	INC	18601 VALLEY BLVD	None	BLOOMINGTON	CA	92316	34.070443	-117.39832	151f	36.06
1487741773	1487741773	1	1	EL CENTRO MEDICAL CLINIC	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	13	Imperial	PUEBLO INC	651 WAKE AVE	None	EL CENTRO	CA	92243	32.771192	-115.553125	48	118.03
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
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
1487787248	1487787248	1	1	RE: C/N SEE GR0055801	6-Jan-97	Physicians Group (022)	PHYSICIANS GROUP	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	37	San Diego	INC	752 MEDICAL CENTER CT	STE 106	CHULA VISTA	CA	91911	32.618955	-117.024857	161s	133.1
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
1487826772	1487826772	1	1	NEIGHBORHOOD HEALTHCARE	27-Oct-09	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	GRAND AVENUE	1001 E GRAND AVE	None	ESCONDIDO	CA	92025	33.126297	-117.068481	156e	206.02
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
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)	0	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
1497006126	1497006126	1	1	ADVENTIST HEALTH REEDLEY	1-Feb-14	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	None	1150 E WASHINGTON AVE	None	REEDLEY	CA	93654	36.591473	-119.43699	32	66.02
1497021109	1497021109	1	1	TRI CITY HEALTH CENTER	12-Dec-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	1	Alameda	None	3607 MAIN STREET	SUITE B	FREMONT	CA	94538	37.533912	-121.954841	2j	4423.02
1497094114	1497094114	1	1	PLANNED PARENTHOOD GLENDORA	27-Jan-14	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	AND SAN GABRIEL VALLEY	130 W ROUTE 66	STE 100	GLENDORA	CA	91740	34.128692	-117.86456	78.2qq	4011.02
1497130280	1497130280	1	1	OLE HEALTH	8-Apr-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	48	Solano	None	470 CHADBOURNE ROAD	STE A	FAIRFIELD	CA	94534	38.235172	-122.083839	202b	2524.02
1497150593	1497150593	1	1	UNITED HEALTH CENTERS OF TH	15-Dec-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	OF THE SAN JOAQUIN VLY	6425 W BOWLES	None	RAISIN CITY	CA	93652	36.601014	-119.906238	30	76
1497203541	1497203541	1	1	VCC THE GARY CENTER	13-Jun-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	30	Orange	None	201 S HARBOR BLVD	None	LA HABRA	CA	90631	33.93104	-117.933045	116k	14.04
1497702724	1497702724	1	1	CADUCEUS MEDICAL GROUP	6-Oct-17	Physicians Group (022)	PHYSICIANS GROUP	FNP026171	8	Family Practice	0	In state provider	30	Orange	MEDICAL GROUP INC	18210 YORBA LINDA BLVD	SUITE 404	YORBA LINDA	CA	92886	33.888487	-117.816183	116m	218.02
1497751572	1497751572	1	1	UNITED INDIAN HEALTH SVS	18-Aug-03	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	12	Humboldt	EUREKA	1600 WEEOT WAY	None	ARCATA	CA	95521	40.89826	-124.094173	39	11.01
1497761324	1497761324	1	1	HUMPHREY COMPREHENSIVE	28-Apr-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	HUMPHREY FAMILY PLANNING	5850 S MAIN ST	None	LOS ANGELES	CA	90003	33.988724	-118.273922	78.2ggg	2392.02
1497776322	1497776322	1	1	CENTRO MEDICO INC	27-Jul-98	Physicians Group (022)	PHYSICIANS GROUP	FNP019887	1	General Practice	0	In state provider	19	Los Angeles	CENTRO MEDICO INC	11946 S HAWTHORNE BLVD	None	HAWTHORNE	CA	90250	33.924681	-118.352379	78.2r	6021.04
1497778443	1497778443	2	1	CASTLE FAMILY HEALTH	27-Sep-00	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	24	Merced	CENTERS INC	1251 GROVE ST	None	ATWATER	CA	95301	37.350908	-120.607161	96	7.01
1497780480	1497780480	1	1	PLANNED PARENTHOOD	6-Jan-97	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	THE PACIFIC SOUTHWEST	2017 1ST AVE	STE 100	SAN DIEGO	CA	92101	32.72631	-117.163903	161e	57
1497790349	1497790349	1	1	AMG, A PROF MEDICAL CORP	22-Oct-13	Physicians Group (022)	PHYSICIANS GROUP	FNP019638	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	193 ORANGE GRV	None	PASADENA	CA	91103	34.157854	-118.146209	78.2hhh	4620.02
1497805790	1497805790	1	1	LOGAN HEALTH CENTER	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	1	Alameda	CENTER INC	1800 H STREET	ROOM 80	UNION CITY	CA	94587	37.59161	-122.026468	2n	4403.08
1497836464	1497836464	1	1	NANAYAKKARA, GAMAGE N MD	2-Oct-06	Physicians (026)	PHYSICIANS	A00035609	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	33	Riverside	None	760 WASHBURN AVE	STE 9	CORONA	CA	92882	33.873859	-117.567848	135d	416
1497840656	1497840656	1	1	DEL NORTE COMM HLTH CTR	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	8	Del Norte	DEL NORTE COMM HLTH CTR	550 E WASHINGTON BLVD	STE 100	CRESCENT CITY	CA	95531	41.772734	-124.198201	19	1.04
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
1497882252	1497882252	1	2	COMMUNITY HEALTH CARE CLINIC	7-Dec-17	Community Clinics (041)	COMMUNITY CLINIC	550003737	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	ASSOCIATION, INC	922 S ATLANTIC BLVD	None	LOS ANGELES	CA	90022	34.019813	-118.157453	78.2d	5317.02
1497889158	1497889158	1	1	NHAN HOA COMPREHENSIVE	1-Nov-13	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	30	Orange	HEALTH CARE CLINIC INC	7761 GARDEN GROVE BLVD	None	GARDEN GROVE	CA	92841	33.773758	-117.997515	116s	998.01
1497889810	1497889810	1	2	NOGALES MEDICAL CLINIC INC	28-Jul-10	Physicians (026)	PHYSICIANS	None	8	Family Practice	0	In state provider	19	Los Angeles	None	1840 N HACIENDA BLVD	#10	LA PUENTE	CA	91744	34.051605	-117.942759	78.2yyy	4075.01
1497931828	1497931828	1	1	AMPLA HEALTH ARBUCKLE	1-Jan-09	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	6	Colusa	MEDICAL & DENTAL	89 PUTNAM WAY	None	ARBUCKLE	CA	95912	39.019971	-122.061021	16.3	1
1497932396	1497932396	1	1	NORTHEAST VALLEY HEALTH	28-Apr-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	LAC-CANOGA PARK	7107 REMMET AVE	None	CANOGA PARK	CA	91303	34.199348	-118.600274	78.2hhhh	1345.2
1497933691	1497933691	1	1	KORYO HEALTH FOUNDATION	28-Apr-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	1058 S VERMONT AVE	None	LOS ANGELES	CA	90006	34.050843	-118.291606	78.2b	2134.02
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
1497969166	1497969166	1	1	PATTERSON MEDICAL CTR	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	50	Stanislaus	PATTERSON MEDICAL CTR	200 C ST	None	PATTERSON	CA	95363	37.467494	-121.125671	213	32.02
1497975882	1497975882	1	1	EVERGREEN VALLEY COLLEGE DIS	12-May-98	Exempt from Licensure Clinics (045)	CLINIC EXEMP FROM LICENSURE	None	99	Unknown (on EDS claims)	0	In state provider	43	Santa Clara	COLLEGE DISTRICT	3095 YERBA BUENA ROAD	None	SAN JOSE	CA	95135	37.297887	-121.763134	183k	5033.3
1508046251	1508046251	2	1	CLINICA PRENATAL SAN JOSE	29-Jan-18	Physicians (026)	PHYSICIANS	A91309	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	30	Orange	INC	1220 HEMLOCK WAY	SUITE 200	SANTA ANA	CA	92707	33.709838	-117.884585	116g	740.05
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
1508103672	1508103672	1	1	AMIN, AJAYKUMAR APMC	23-Oct-12	Physicians (026)	PHYSICIANS	20A9715	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	6901 S ATLANTIC AVE	None	BELL	CA	90201	33.97379	-118.18768	78.2ddd	5336.03
1508109794	1508109794	1	1	BALTAIAN, LILIT MD INC	18-Feb-14	Physicians (026)	PHYSICIANS	A00105197	1	General Practice	0	In state provider	19	Los Angeles	None	7412 FOOTHILL BLVD	None	TUJUNGA	CA	91042	34.251551	-118.293456	78.2rr	1012.1
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
1508187329	1508187329	1	1	LAS ISLAS FAMILY MEDICAL GR	20-Jun-18	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	56	Ventura	None	325 W CHANNEL ISLAND BLV	None	OXNARD	CA	93033	34.173722	-119.180277	241b	38.02
1508222647	1508222647	1	1	DIGNITY HEALTH MEDICAL GROUP	12-Feb-18	Physicians Group (022)	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	19	Los Angeles	FOUNDATION	18406 ROSCOE BLVD	None	NORTHRIDGE	CA	91325	34.220741	-118.534065	78.2zz	1314
1508278359	1508278359	1	1	ROADS COMMUNITY CARE	11-Jan-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	550002986	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	INC	121 S LONG BEACH BLVD	None	COMPTON	CA	90221	33.895597	-118.207927	78.2bbb	5424.01
1508865528	1508865528	1	9	TAHOE CARSON VALLEY	1-Dec-11	Physicians Group (022)	PHYSICIANS GROUP	FNP033738	41	Internal Medicine	0	In state provider	9	El Dorado	None	2175 SOUTH AVENUE	None	SOUTH LAKE TAHOE	CA	96150	38.912337	-119.997457	24	304.02
1508881376	1508881376	2	1	ADVENTIST HEALTH REEDLEY	1-Jan-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	54	Tulare	None	250 W EL MONTE WAY	None	DINUBA	CA	93618	36.545888	-119.396881	227.1	5.02
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
1508896275	1508896275	1	1	VALENTINE MEDICAL CLINIC	18-Nov-09	Physicians (026)	PHYSICIANS	A00093662	41	Internal Medicine	0	In state provider	33	Riverside	None	8990 GARFIELD ST	SUITE 6	RIVERSIDE	CA	92503	33.928878	-117.439726	135c	315.01
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
1518046846	1518046846	1	1	CONTRA COSTA REG MED CTR	22-Jul-02	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	7	Contra Costa	ANTIOCH HEALTH CENTER	3505 LONE TREE WAY	STE 1&4	ANTIOCH	CA	94509	37.988292	-121.80722	18e	3080.01
1518064948	1518064948	1	2	PUBLIC HEALTH DEPARTMENT	5-Oct-15	County Clinics not assoc w/hosp (048)	COUNTY CLINICS NOT ASSOCIATED WITH HOSPITAL	None	99	Unknown (on EDS claims)	0	In state provider	40	San Luis Obispo	None	723 WALNUT DRIVE	None	PASO ROBLES	CA	93446	35.628529	-120.672603	173	102.01
1518064948	1518064948	1	3	PUBLIC HEALTH DEPARTMENT	5-Oct-15	County Clinics not assoc w/hosp (048)	COUNTY CLINICS NOT ASSOCIATED WITH HOSPITAL	None	99	Unknown (on EDS claims)	0	In state provider	40	San Luis Obispo	None	2180 JOHNSON AVE	None	SAN LUIS OBISPO	CA	93401	35.274523	-120.646562	172	110.02
1518161629	1518161629	1	1	CLINICA MEDICA ABC	22-Jun-12	Physicians (026)	PHYSICIANS	A00100277	1	General Practice	0	In state provider	19	Los Angeles	None	14350 VICTORY BLVD	UNIT 3	VAN NUYS	CA	91401	34.186665	-118.445453	78.2cc	1281.02
1518183904	1518183904	1	1	CLINICAS DEL CAMINO REAL	1-Nov-00	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	56	Ventura	MARAVILLA	450 W CLARA ST	None	OXNARD	CA	93033	34.151193	-119.182212	241b	45.06
1518187319	1518187319	1	1	GOLDEN VALLEY HLTH CTR	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	24	Merced	LOS BANOS	821 TEXAS AVE	None	LOS BANOS	CA	93635	37.064774	-120.860329	94	22.01
1518361435	1518361435	1	1	PLANNED PARENTHOOD EL CENTRO	27-May-15	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	13	Imperial	PACIFIC SOUTHWEST	1463 S 4TH ST	None	EL CENTRO	CA	92243	32.781076	-115.552338	48	117
1518958313	1518958313	1	1	AMARA, DOMINIC P MD	26-Jul-07	Physicians (026)	PHYSICIANS	G00076226	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	49	Sonoma	None	181 ANDRIEUX ST	STE 108	SONOMA	CA	95476	38.288118	-122.46158	208	1502.04
1518963321	1518963321	1	1	WOMENS CARE	1-Jul-05	Physicians (026)	PHYSICIANS	A00085767	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	33	Riverside	None	12980 FREDERICK ST	STE A	MORENO VALLEY	CA	92553	33.932093	-117.261368	135b	425.13
1518963693	1518963693	1	1	BERKELEY PRIMARY CARE	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	1	Alameda	BERKELEY PRIMARY CARE	2001 DWIGHT WAY	None	BERKELEY	CA	94704	37.863641	-122.269858	2a	4235
1518996313	1518996313	1	1	BEHROOZ YAGOOBIAN, MD	8-Jul-97	Physicians Group (022)	PHYSICIANS GROUP	FNP023072	42	Nuclear Medicine	0	In state provider	19	Los Angeles	LATINO MEDICAL CENTER	15730 PARAMOUNT BLVD	None	PARAMOUNT	CA	90723	33.889872	-118.160002	78.2m	5539.01
1518998723	1518998723	1	1	LA FAMILIA & WOMENS MEDICAL	17-Mar-05	Physicians Group (022)	PHYSICIANS GROUP	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	14359 PIONEER BLVD	STE A	NORWALK	CA	90650	33.901026	-118.082551	78.2jjjj	5528
1528037041	1528037041	1	1	PLANNED PARENTHOOD	1-Mar-97	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	36	San Bernardino	UPLAND	918 W FOOTHILL BLVD	STE A	UPLAND	CA	91786	34.106903	-117.663048	151d	8.24
1528041779	1528041779	2	1	ADVENTIST HEALTH REEDLEY	1-Dec-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	None	16916 5TH STREET	None	HURON	CA	93234	36.200382	-120.101343	28	78.01
1528063153	1528063153	1	1	I'SOT INC	5-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	25	Modoc	None	670 COUNTY ROAD 83	None	CANBY	CA	96015	41.443794	-120.895524	98	3
1528072527	1528072527	1	2	TIPTON MEDICAL CLIN	18-Dec-03	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	54	Tulare	None	575 N THOMPSON ROAD	None	TIPTON	CA	93272	36.064744	-119.312348	230	32
1528074044	1528074044	1	1	NUEVA ESPERANZA HEALTHCA	15-Dec-05	Physicians (026)	PHYSICIANS	A00056426	1	General Practice	0	In state provider	19	Los Angeles	INC	1704 W MANCHESTER AVE	# 109	LOS ANGELES	CA	90047	33.959981	-118.306973	78.2k	2381
1528078573	1528078573	1	1	LAC USC MEDICAL CENTER	28-Apr-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	LAC+USC W+C OP RM 4P81	1200 N STATE ST	None	LOS ANGELES	CA	90033	34.059119	-118.209851	78.2ffff	2033
1528084878	1528084878	1	1	HAN, ABRAHAM P MD	14-Jun-01	Physicians (026)	PHYSICIANS	G00072378	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	1850 S AZUSA AVE	STE 309	HACIENDA HEIGHTS	CA	91745	33.988954	-117.93232	78.2pp	4086.28
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
1528137791	1528137791	1	1	REYES, ADORACION A MD	7-Feb-19	Physicians (026)	PHYSICIANS	A00051639	1	General Practice	0	In state provider	19	Los Angeles	None	1350 CHESTNUT AVE	None	LONG BEACH	CA	90813	33.783157	-118.19637	78.2jjj	5754.01
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
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
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
1528245511	1528245511	1	1	CHILDREN'S CLINIC	1-Nov-06	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	FAMILY HEALTH CENTER	730 W 3RD ST	None	LONG BEACH	CA	90802	33.770528	-118.201285	78.2jjj	5759.01
1528270147	1528270147	1	1	WEST CENTURY MEDICAL CTR	26-May-05	Physicians Group (022)	PHYSICIANS GROUP	FNP032272	40	Pediatrics, Periodontist (Dentists Only)	0	In state provider	19	Los Angeles	None	3451 W CENTURY BLVD	None	INGLEWOOD	CA	90303	33.945523	-118.332501	78.2r	6007.02
1528275351	1528275351	1	2	VENTURA COUNTY GEN HOSP	1-Mar-97	County Hospital Outpatient (061)	COUNTY HOSPITAL OUTPATIENT	ZZT49004	99	Unknown (on EDS claims)	0	In state provider	56	Ventura	PUBLIC HEALTH SVS	3147 LOMA VISTA RD	None	VENTURA	CA	93003	34.276039	-119.25322	241c	19
1528299849	1528299849	1	1	RAPOZA, RUSSELL P MD APC	28-Sep-15	Physicians (026)	PHYSICIANS	G71959	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	30	Orange	None	11190 WARNER AVENUE	SUITE 410	FOUNTAIN VALLEY	CA	92708	33.716345	-117.933111	116j	992.26
1528319449	1528319449	1	1	CLINIC FOR WOMEN ANAHEIM	22-Oct-14	Physicians Group (022)	PHYSICIANS GROUP	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	30	Orange	None	947 S ANAHEIM BLVD	SUITE 240	ANAHEIM	CA	92805	33.822047	-117.90948	116l	874.05
1528324167	1528324167	2	1	ADVENTIST HEALTH REEDLEY	4-Dec-18	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	15	Kern	None	501 6TH STREET	None	TAFT	CA	93268	35.144162	-119.459223	57.2	35
1528345915	1528345915	1	1	BALDWIN PARK MEDICAL CENTER	22-Dec-14	Physicians (026)	PHYSICIANS	20A7473	1	General Practice	0	In state provider	19	Los Angeles	INC	14362 E RAMONA BLVD	None	BALDWIN PARK	CA	91706	34.086349	-117.960992	78.2zzz	4052.02
1528350014	1528350014	1	1	GALACARE MEDICAL CLINIC	1-Mar-11	Physicians (026)	PHYSICIANS	A00051997	8	Family Practice	0	In state provider	19	Los Angeles	None	1410 W. ALONDRA BLVD.	SUITE C	COMPTON	CA	90220	33.888421	-118.244562	78.2uuu	5431
1528365285	1528365285	1	1	AKRAM, TAHIRA MD INC	1-Mar-11	Physicians (026)	PHYSICIANS	C00054187	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	36	San Bernardino	None	12588-90 CENTRAL AVE	None	CHINO	CA	91710	34.024698	-117.689448	151a	6.04
1528398773	1528398773	1	1	OC FAMILY MEDICAL CENTER	9-Feb-10	Physicians (026)	PHYSICIANS	A00092067	8	Family Practice	0	In state provider	30	Orange	None	2401 W CHAPMAN AVE	SUITE 201	ORANGE	CA	92868	33.787891	-117.878143	116q	761.01
1528433588	1528433588	1	1	BENTLEY HEALTH CENTER	1-Aug-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	50	Stanislaus	None	12619 BENTLEY ST	None	WATERFORD	CA	95386	37.640669	-120.761329	214	28.01
1528477882	1528477882	1	1	CENTRAL CITY COMMUNITY HLTH	2-Dec-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	550003010	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	HEALTH CENTER INC	13742 AMAR ROAD	None	LA PUENTE	CA	91746	34.054017	-117.977387	78.2yyy	4071.01
1528478211	1528478211	1	1	UNITED HEALTH CENTERS	10-Dec-14	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	SAN JOAQUIN VALLEY	1560 E MANNING AVE	None	REEDLEY	CA	93654	36.604124	-119.432514	32	66.04
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
1538130893	1538130893	1	1	EL PROYECTO DEL BARRIO	2-Jul-99	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	WINNETKA CLINIC	20800 SHERMAN WAY	None	WINNETKA	CA	91306	34.200973	-118.586287	78.2hhhh	1340.02
1538141627	1538141627	1	1	ADVENTIST MEDICAL HANFORD	1-Mar-97	Community Hosp Outpatient (015)	COMMUNITY OUTPATIENT HOSPITAL	ZZT40121	99	Unknown (on EDS claims)	0	In state provider	16	Kings	None	115 MALL DRIVE	None	HANFORD	CA	93230	36.327307	-119.668471	69	10.02
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
1538181482	1538181482	1	1	LA CLINICA MONUMENT	21-Aug-06	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	7	Contra Costa	None	2000 SIERRA ROAD	None	CONCORD	CA	94518	37.952425	-122.037196	18c	3372
1538183389	1538183389	1	1	LIU, LONG-DEI MD	1-Mar-97	Physicians (026)	PHYSICIANS	A00036134	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	30	Orange	None	12555 GARDEN GROVE BLVD	STE 402	GARDEN GROVE	CA	92843	33.774488	-117.914305	116r	885.02
1538203971	1538203971	1	1	PACIFIC WOMENS MEDICAL	13-Sep-01	Physicians (026)	PHYSICIANS	A00051569	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	CLINIC	4750 GAGE AVE	None	BELL	CA	90201	33.977372	-118.180957	78.2ddd	5338.04
1538240908	1538240908	1	1	LAS PALMAS MEDICAL CLINI	15-Sep-09	Physicians (026)	PHYSICIANS	G57022	1	General Practice	0	In state provider	36	San Bernardino	None	527 N PALM AVE	SUITE 106	ONTARIO	CA	91762	34.068542	-117.653605	151c	14
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
1538246194	1538246194	1	1	JONES, ANTHONY E MD	21-Apr-15	Physicians (026)	PHYSICIANS	A00064757	8	Family Practice	0	In state provider	1	Alameda	None	400 29TH ST	STE 501	OAKLAND	CA	94609	37.817745	-122.264964	2m	4013
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
1538265780	1538265780	1	1	TAHOE FOREST HOSPITAL	5-Mar-98	Community Hosp Outpatient (015)	COMMUNITY OUTPATIENT HOSPITAL	ZZR00494	99	Unknown (on EDS claims)	0	In state provider	29	Nevada	None	10121 PINE AVE	None	TRUCKEE	CA	96161	39.324497	-120.201227	114	12.06
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
1538344437	1538344437	1	2	CENTRO MEDICO GUADALUPANO	25-Jul-16	Physicians (026)	PHYSICIANS	A56273	1	General Practice	0	In state provider	19	Los Angeles	None	10132 CALIFORNIA AVE	None	SOUTH GATE	CA	90280	33.942359	-118.207811	78.2ccc	5358.02
1538346523	1538346523	1	1	VESEK POLAK CHILDRENS	1-Nov-06	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	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
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
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
1538486741	1538486741	1	1	PARKTREE COMMUNITY HEALTH	7-Mar-13	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	CENTER	750 S PARK AVE	STE 101	POMONA	CA	91766	34.05275	-117.754342	78.2ss	4088
1538500798	1538500798	1	1	COMFORT FAMILY CLINIC INC	5-Mar-15	Physicians Group (022)	PHYSICIANS GROUP	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	215 W ANAHEIM ST	None	WILMINGTON	CA	90744	33.779897	-118.263905	78.2p	2948.2
1538508015	1538508015	1	2	FOOTHILL FAMILY CLINIC	3-May-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	43	Santa Clara	None	1066 S WHITE RD	None	SAN JOSE	CA	95127	37.357664	-121.820505	183e	5041.02
1538562996	1538562996	1	1	NAPA VALLEY COMMUNITY COLLEG	21-May-15	Exempt from Licensure Clinics (045)	CLINIC EXEMP FROM LICENSURE	None	99	Unknown (on EDS claims)	0	In state provider	28	Napa	COLLEGE DISTRICT	2277 NAPA VALLEJO HWY	None	NAPA	CA	94558	38.272041	-122.272436	112.1	2009
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	0	In state provider	33	Riverside	None	1600 E FLORIDA AVE	STE 315	HEMET	CA	92544	33.747646	-116.955375	132	433.09
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
1548226491	1548226491	1	1	WOMEN'S CLINIC MEDICAL	24-Sep-08	Physicians Group (022)	PHYSICIANS GROUP	FNP031740	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	GROUP	44105 N 15TH ST W	STE 304	LANCASTER	CA	93534	34.684494	-118.156888	77.1b	9007.03
1548247943	1548247943	1	1	YEH, ANDREW DO INC	7-Jun-05	Physicians (026)	PHYSICIANS	20A8178	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	612 W DUARTE RD	SUITE 504	ARCADIA	CA	91007	34.126533	-118.051732	78.2xxx	4307.24
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
1548298532	1548298532	1	1	JEFFREY GOODMAN SPECIAL CARE	2-Jul-09	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	COMMUNITY SERVICE CENTER	1625 SCHRADER BLVD	FL 3	LOS ANGELES	CA	90028	34.10072	-118.33248	78.2g	1907
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
1548301633	1548301633	1	1	RIVERBANK COMMUNITY HLTH	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	50	Stanislaus	None	2603 PATTERSON RD	STE 3	RIVERBANK	CA	95367	37.732702	-120.948196	211	3.02
1548302144	1548302144	1	1	TORMED WOMENS MED GRP IN	28-Apr-97	Physicians Group (022)	PHYSICIANS GROUP	ZZZ49548	0	General Practioner (Dentists Only)	0	In state provider	19	Los Angeles	None	3400 LOMITA BLVD	STE 602	TORRANCE	CA	90505	33.813241	-118.345161	78.2aaaa	6511.01
1548344625	1548344625	1	1	TAN, BENITA B MD INC	4-Jun-97	Physicians (026)	PHYSICIANS	A53599	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	1	Alameda	None	19682 HESPERIAN BLVD	SUITE 202	HAYWARD	CA	94541	37.668216	-122.119524	2n	4362
1548359730	1548359730	1	1	PLANNED PARENTHOOD	28-Apr-97	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	ANGELES, SOUTH BAY CTR	14623 HAWTHORNE BLVD	STE 300	LAWNDALE	CA	90260	33.899017	-118.352739	78.2t	6039
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
1548535685	1548535685	1	1	COX, LUCIEN O MD INC A	1-Feb-16	Physicians (026)	PHYSICIANS	A34370	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	PROFESSIONAL CORPORATION	1127 WILSHIRE BLVD	STE 700	LOS ANGELES	CA	90017	34.05251	-118.26375	78.2ffff	2092
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
1548568421	1548568421	1	1	GOLDEN VALLEY HEALTH CENTER	22-Jun-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	50	Stanislaus	None	4150 PATTERSON ROAD	None	RIVERBANK	CA	95367	37.732634	-120.919841	211	4.02
1548648801	1548648801	1	1	CHC TEMPLETON WOMENS HEALTH	5-Jul-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	40	San Luis Obispo	OF THE CENTRAL COAST INC	292 POSADA LANE	STE A	TEMPLETON	CA	93465	35.553456	-120.721421	170	127.04
1548659105	1548659105	1	1	BEHAVIORAL HEALTH SERVICES	4-Sep-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	INC	2501 W EL SEGUNDO BLVD	SUITE B	HAWTHORNE	CA	90250	33.916464	-118.320423	78.2bbbb	6026
1548795453	1548795453	1	1	BARSTOW COMMUNITY HEALTH CEN	28-Mar-19	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	36	San Bernardino	FOUNDATION	750 E MAIN ST	None	BARSTOW	CA	92311	34.89879	-117.015867	149	94
1558314609	1558314609	1	2	PLANNED PARENTHOOD MAR MONTE	21-Oct-19	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	43	Santa Clara	INTERMITTENT	2500 CALIFORNIA ST	SUITE A	MOUNTAIN VIEW	CA	94040	37.403035	-122.106218	183l	5094.04
1558378463	1558378463	1	1	AGUILAR, JOSE E MD	7-Mar-97	Physicians (026)	PHYSICIANS	A00022133	0	General Practioner (Dentists Only)	0	In state provider	30	Orange	None	1415 N BROADWAY	None	SANTA ANA	CA	92706	33.755782	-117.869733	116b	750.03
1558420695	1558420695	1	1	PLANNED PARENTHOOD OF	1-Mar-97	Community Clinics (041)	COMMUNITY CLINIC	40392306	99	Unknown (on EDS claims)	0	In state provider	4	Butte	NORTHERN VALLEY	3100 COHASSET RD	None	CHICO	CA	95973	39.77338	-121.843647	7.1	2.02
1558454256	1558454256	1	1	FAMILY HEALTHCARE NETWRK	7-Dec-01	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	54	Tulare	None	41651 SIERRA DR	STE A	THREE RIVERS	CA	93271	36.419705	-118.92114	229	1
1558491043	1558491043	1	1	COMPRECARE HEALTH CENTER	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	43	Santa Clara	NETWORK INC	3030 ALUM ROCK AVE	None	SAN JOSE	CA	95127	37.365085	-121.829369	183e	5040.01
1558512624	1558512624	1	1	ROSELAND PEDIATRICS	20-Sep-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	49	Sonoma	None	711 STONY POINT ROAD	SUITE 17	SANTA ROSA	CA	95407	38.429307	-122.74156	210.1	1531.04
1558527572	1558527572	1	1	LEW, PO LONG DO	24-Dec-99	Physicians (026)	PHYSICIANS	20A5380	8	Family Practice	0	In state provider	19	Los Angeles	A MEDICAL CORPORATION	9308 VALLEY BLVD	None	ROSEMEAD	CA	91770	34.081055	-118.066612	78.2qqq	4329.01
1558632570	1558632570	1	1	UNITED HEALTH CENTERS OF THE	6-Apr-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	16	Kings	SAN JOAQUIN VALLEY	1209 WHITLEY AVE	None	CORCORAN	CA	93212	36.098061	-119.562403	68	14.02
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
1558875203	1558875203	1	1	OMNI FAMILY HEALTH	4-Jun-19	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	15	Kern	None	1701 STINE ROAD	None	BAKERSFIELD	CA	93309	35.339488	-119.050542	66c	28.14
1568415495	1568415495	1	1	PLANNED PRNTHD MAR MONTE	1-Mar-97	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	57	Yolo	WOODLAND	520 COTTONWOOD ST	STE 10	WOODLAND	CA	95695	38.675447	-121.793328	246.1	110.01
1568449304	1568449304	1	3	TYLICKI, STEPHEN	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	23	Mendocino	CENTER	13500 AIRPORT ROAD	None	BOONVILLE	CA	95415	39.010387	-123.377385	87.1	112
1568481174	1568481174	1	1	HAKIMIAN, EBRAHIM MD	29-Apr-97	Physicians (026)	PHYSICIANS	A00048918	1	General Practice	0	In state provider	19	Los Angeles	None	14649 VICTORY BLVD	STE 22	VAN NUYS	CA	91411	34.186653	-118.452161	78.2cc	1283.03
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
1568567220	1568567220	1	1	ALL FOR HEALTH, HEALTH	21-Nov-05	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	FOR ALL, INC	519 E BROADWAY	None	GLENDALE	CA	91205	34.146338	-118.249859	78.2ee	3020.02
1568567600	1568567600	1	1	CLINICA MEDICA FAMILIAR	6-Oct-08	Physicians Group (022)	PHYSICIANS GROUP	FNP035653	8	Family Practice	0	In state provider	36	San Bernardino	CORPORATION	10563 MILLS AVE	None	MONTCLAIR	CA	91763	34.062204	-117.717686	151c	3.01
1568585024	1568585024	1	1	BIR, RAGHBIR S MD	16-Aug-02	Physicians Group (022)	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	36	San Bernardino	None	9792 SIERRA AVE	None	FONTANA	CA	92335	34.075913	-117.435763	151f	33.01
1568598829	1568598829	1	1	LIFELONG MEDICAL CARE	11-Feb-09	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	1	Alameda	DOWNTOWN OAKLAND CLINIC	616 16TH ST	None	OAKLAND	CA	94612	37.807251	-122.274341	2c	4028
1568599769	1568599769	1	1	CHOC CLINIC GARDEN GROVE	2-Oct-06	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	30	Orange	None	10602 CHAPMAN AVE	None	GARDEN GROVE	CA	92840	33.788587	-117.948506	116r	883.02
1568645653	1568645653	1	1	PENUNURI, RAFAEL A MD	1-Dec-98	Physicians (026)	PHYSICIANS	G00050737	8	Family Practice	0	In state provider	30	Orange	GROUP	1840 S STANDARD AVE	STE 108	SANTA ANA	CA	92707	33.724307	-117.85645	116g	744.03
1568648277	1568648277	1	1	FAMILY HEALTH CTRS OF SD	21-Jun-05	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	None	1809 NATIONAL AVE	None	SAN DIEGO	CA	92113	32.701685	-117.146601	161c	50
1568649226	1568649226	2	1	UPTIMUM MEDICAL GROUP AND	16-Nov-18	Physicians (026)	PHYSICIANS	A48240	41	Internal Medicine	0	In state provider	19	Los Angeles	IPA INC	2220 W MANCHESTER BLVD	None	INGLEWOOD	CA	90305	33.959923	-118.318325	78.2r	6007.04
1568658086	1568658086	1	1	INFINITE WOMENS CARE	19-Mar-09	Physicians (026)	PHYSICIANS	20A9842	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	24	Merced	None	600 WEST I ST	STE C	LOS BANOS	CA	93635	37.061785	-120.862745	94	22.01
1568663573	1568663573	1	1	URGENT CARE AMERICA	1-Dec-07	Physicians Group (022)	PHYSICIANS GROUP	FNP001223	8	Family Practice	0	In state provider	19	Los Angeles	MEDICAL CLINIC INC	13470 TELEGRAPH RD	None	WHITTIER	CA	90605	33.938916	-118.044588	78.2vv	5029.02
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
1568747137	1568747137	1	1	WOMENS HEALTH & WELLNESS CTR	19-May-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	FOUNDATION	8851 CENTER DR	SUITE 210	LA MESA	CA	91942	32.782249	-117.005653	161f	150
1568791390	1568791390	1	1	PLANNED PARENTHOOD BASICS	8-Nov-11	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	3637 S LA BREA AVENUE	None	LOS ANGELES	CA	90016	34.020346	-118.355604	78.2j	2360
1568798296	1568798296	1	1	AMIR G NASSERI MD PC	29-Dec-09	Physicians (026)	PHYSICIANS	A00068974	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	30	Orange	None	1155 W CENTRAL AVE	STE 214	SANTA ANA	CA	92707	33.712562	-117.883916	116g	740.05
1568800100	1568800100	1	1	BEST START MIDWIFE SERVICES	19-May-16	Certified Nurse Midwife (005)	CERTIFIED NURSE MIDWIFE	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	None	3630 ENTERPRISE STREET	None	SAN DIEGO	CA	92110	32.746298	-117.198357	161b	65
1568827210	1568827210	1	1	ALTURA CENTERS FOR HEALTH	11-Apr-18	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	54	Tulare	None	1500 W TULARE DRIVE	None	TULARE	CA	93274	36.206312	-119.368597	230	22.02
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
1568871143	1568871143	1	1	EL PROYECTO DEL BARRIO INC E	3-Aug-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	550003303	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	9140 VAN NUYS BLVD	SUITE 207	PANORAMA CITY	CA	91402	34.236119	-118.450259	78.2kk	1193.2
1578081089	1578081089	1	1	VISTA FAMILY HEALTH CENTER	11-Jun-19	Physicians Group (022)	PHYSICIANS GROUP	None	1	General Practice	0	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)	0	In state provider	19	Los Angeles	None	15107 VANOWEN ST	None	VAN NUYS	CA	91405	34.193908	-118.461948	78.2cc	1278.05
1578535845	1578535845	1	6	ONTARIO 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	150 E HOLT BLVD	None	ONTARIO	CA	91761	34.063374	-117.650205	151c	14
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
1578567038	1578567038	1	1	CLINICA MEDICA LA SAGRADA	13-Aug-97	Physicians Group (022)	PHYSICIANS GROUP	FNP018256	1	General Practice	0	In state provider	19	Los Angeles	LA SAGRADA FAMILIA	15955 PARAMOUNT BLVD	STE A	PARAMOUNT	CA	90723	33.887704	-118.16015	78.2m	5538.02
1578572145	1578572145	1	1	NEW WOMEN MEDICAL CARE	1-Jan-12	Physicians (026)	PHYSICIANS	A00040702	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	16660 PARAMOUNT BLVD	STE 105	PARAMOUNT	CA	90723	33.882563	-118.159974	78.2m	5539.02
1578577490	1578577490	1	2	PIXLEY MEDICAL CLINIC	26-Nov-01	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	54	Tulare	None	205 EAST DAVIS STREET	None	PIXLEY	CA	93256	35.968268	-119.293781	231	42
1578599809	1578599809	1	1	RIALTO CLINICA MEDICA	8-Aug-02	Physicians Group (022)	PHYSICIANS GROUP	FNP028484	1	General Practice	0	In state provider	36	San Bernardino	RIALTO CLINICA MEDICA	436 S RIVERSIDE AVE	None	RIALTO	CA	92376	34.09342	-117.370336	151h	37
1578605390	1578605390	1	1	HANA MEDICAL GROUP	3-Jun-99	Physicians Group (022)	PHYSICIANS GROUP	A00035505	99	Unknown (on EDS claims)	0	In state provider	30	Orange	None	8615 KNOTT AVE	STE 3	BUENA PARK	CA	90620	33.837742	-118.011124	116a	1102.01
1578624672	1578624672	1	1	ARDMORE SPEC MED GROUP	28-Apr-97	Physicians Group (022)	PHYSICIANS GROUP	FNP030539	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	ARDMORE MED GRP INC	3564 SANTA ANITA AVE	STE A	EL MONTE	CA	91731	34.074056	-118.041644	78.2oo	4327
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
1578685137	1578685137	1	1	DIXON FAMILY PRACTICE	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	48	Solano	HLTH CTRS/DIXON FAMILY	131 W A ST	STE 1	DIXON	CA	95620	38.445522	-121.822871	201	2534.02
1578690111	1578690111	1	1	CRAFTON HILLS COLLEGE	30-Mar-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	11711 SAND CANYON RD	None	YUCAIPA	CA	92399	34.039961	-117.106402	151j	87.06
1578708285	1578708285	1	1	BIGGS GRIDLEY HOSP	13-Oct-98	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	4	Butte	FAMILY CARE CTR	240 SPRUCE ST	None	GRIDLEY	CA	95948	39.366966	-121.690577	9	35.02
1578763207	1578763207	1	1	CRENSHAW COMMUNITY CLINIC	2-Jan-13	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	3631 CRENSHAW BLVD	SUITE 109	LOS ANGELES	CA	90016	34.022751	-118.335126	78.2nnn	2200
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
1578808200	1578808200	1	1	CHAPCARE VACCO	4-Feb-14	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	PASADENA	10408 VACCO ST	STE A	SOUTH EL MONTE	CA	91733	34.047396	-118.044698	78.2yyy	4337
1578823647	1578823647	1	1	BANNING FAMILY COMMUNITY HEA	1-Dec-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	33	Riverside	SERVICES INC	1070 E RAMSEY STREET	None	BANNING	CA	92220	33.925352	-116.864988	134	442
1578834164	1578834164	1	1	LA CLINICA OAKLEY	29-Oct-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	7	Contra Costa	None	2021 MAIN ST	None	OAKLEY	CA	94561	38.002703	-121.732358	18e	3020.05
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
1588086771	1588086771	1	1	CAMARENA HEALTH A STREET	20-Oct-14	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	20	Madera	None	124 SOUTH A STREET	None	MADERA	CA	93638	36.964478	-120.055059	80	8
1588171383	1588171383	1	1	DINUBA COMMUNITY HEALTH CENT	19-Mar-19	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	54	Tulare	None	888 N ALTA AVE	None	DINUBA	CA	93618	36.551597	-119.395011	227.1	4.02
1588656268	1588656268	1	1	PETALUMA HEALTH CTR, INC	1-Jul-00	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	49	Sonoma	None	1179 NORTH MCDOWELL BLVD	None	PETALUMA	CA	94954	38.268863	-122.659911	209.1	1506.07
1588663769	1588663769	1	1	KAWEAH DELTA MED CTR	15-May-97	Community Hosp Outpatient (015)	COMMUNITY OUTPATIENT HOSPITAL	120000580	99	Unknown (on EDS claims)	0	In state provider	54	Tulare	DISTRICT	400 W MINERAL KING AVE	None	VISALIA	CA	93291	36.327346	-119.293437	233	12
1588699151	1588699151	1	1	FAMILY HEALTHCARE NETWRK	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	54	Tulare	None	501 N BRIDGE ST	None	VISALIA	CA	93291	36.33379	-119.289018	233	12
1588740989	1588740989	1	1	VALLEY COMMUNITY HEALTHCARE	30-Jun-11	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	6801 COLDWATER CANYON AV	None	NORTH HOLLYWOOD	CA	91605	34.193956	-118.413799	78.2bb	1234.2
1588753701	1588753701	1	1	PLANNED PARENTHOOD WORLD	28-Apr-97	Community Clinics (041)	COMMUNITY CLINIC	ZZT11988	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	SHERMAN OAKS	7100 VAN NUYS BLVD	None	VAN NUYS	CA	91405	34.199365	-118.448737	78.2cc	1279.1
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
1588798870	1588798870	1	1	34TH STREET COMMUNITY HEALTH	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	15	Kern	None	2000 PHYSICIANS BLVD	None	BAKERSFIELD	CA	93301	35.396189	-119.009485	66a	6
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
1588808547	1588808547	1	1	NUESTRA CLINICA INC	30-Oct-09	Physicians Group (022)	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	19	Los Angeles	None	4477 WHITTIER BLVD	None	LOS ANGELES	CA	90022	34.023449	-118.171707	78.2d	5315.02
1588826374	1588826374	1	1	FEATHER RIVER TRIBAL HLTH	2-Jan-14	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	51	Sutter	HEALTH INC	555 W ONSTOTT RD	None	YUBA CITY	CA	95993	39.129999	-121.63497	216	505.01
1588843155	1588843155	1	1	LIDY, CYNTHIA Y MD	21-Sep-05	Group Cert. Pediatric/Family NP (010)	GROUP CERTIFIED NURSE PRACTITIONER	RN426211	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	3737 MARTIN LUTHER KING	# 605B	LYNWOOD	CA	90262	33.928529	-118.200486	78.2sss	5402.03
1588908305	1588908305	1	1	WELLNESS CENTER AT JEFFERSON	1-Oct-13	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	CENTER	3410 S HOOPER AVE	None	LOS ANGELES	CA	90011	34.012737	-118.252155	78.2mmm	2282.1
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
1598064008	1598064008	1	1	COMMUNITY HEALTH CENTERS	30-Jan-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	40	San Luis Obispo	THE CENTRAL COAST INC	260 STATION WAY	None	ARROYO GRANDE	CA	93420	35.119778	-120.57798	171	118
1598075442	1598075442	1	1	COMMUNITY PEDIATRIC CLINIC	23-Jul-14	Physicians (026)	PHYSICIANS	None	40	Pediatrics, Periodontist (Dentists Only)	0	In state provider	19	Los Angeles	INC	10210 ORR AND DAY RD	STE A	SANTA FE SPRINGS	CA	90670	33.944232	-118.090502	78.2vv	5028.01
1598178915	1598178915	1	1	FERNDALE COMMUNITY HEALTH	9-Nov-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	12	Humboldt	CENTERS	638 MAIN STREET	None	FERNDALE	CA	95536	40.578153	-124.261982	42	112
1598270191	1598270191	1	1	EMMANUEL MEDICAL CLINIC	3-Dec-18	Physicians (026)	PHYSICIANS	None	1	General Practice	0	In state provider	19	Los Angeles	None	7963 VAN NUYS BLVD	SUITE 101	PANORAMA CITY	CA	91402	34.215846	-118.448742	78.2zz	1200.3
1598719189	1598719189	1	1	PLANNED PRNTHD MAR MONTE	1-Jul-97	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	24	Merced	None	3166 COLLINS DR	None	MERCED	CA	95348	37.32207	-120.476113	97.1	10.04
1598768962	1598768962	1	1	OCCIDENTAL AREA HEALTH	1-May-00	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	49	Sonoma	OCCIDENTAL AREA HEALTH	3802 MAIN ST	None	OCCIDENTAL	CA	95465	38.408661	-122.947471	210.2	1543.02
1598790529	1598790529	1	2	UNIVERSITY OF CA IRVINE	12-Apr-19	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	30	Orange	ANAHEIM	300 W CARL KARCHER WAY	None	ANAHEIM	CA	92801	33.850842	-117.920402	116l	865.01
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
1598829350	1598829350	1	1	WESLEY HEALTH CENTERS VERMON	29-Jun-09	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	954 N VERMONT AVE	None	LOS ANGELES	CA	90029	34.088852	-118.29172	78.2g	1914.1
1598858169	1598858169	1	1	OPEN DOOR MCKINLEYVILLE	21-Jul-99	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	12	Humboldt	OPEN DOOR MCKINLEYVILLE	1644 CENTRAL AVE	STE A,B,C,D,E&F	MCKINLEYVILLE	CA	95519	40.93509	-124.100882	40	105.01
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
1598936254	1598936254	1	1	BUTTONWILLOW HEALTH CTR	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	15	Kern	PO BOX 917	277 E FRONT ST	None	BUTTONWILLOW	CA	93206	35.39969	-119.466007	59	37
1598941825	1598941825	2	1	ADVENTIST HEALTH REEDLEY	1-Dec-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	None	811 E 11TH STREET	None	REEDLEY	CA	93654	36.603598	-119.440294	32	66.04
1598984288	1598984288	1	1	GUADALAJARA MED CLIN INC	8-Jun-05	Physicians Group (022)	PHYSICIANS GROUP	FNP030498	0	General Practioner (Dentists Only)	0	In state provider	19	Los Angeles	GUADALAJARA MED CLIN INC	2705 WHITTIER BLVD	None	LOS ANGELES	CA	90023	34.032548	-118.211588	78.2h	2047
1609000405	1609000405	1	1	CHULA VISTA FMLY HLTH CTR	4-Feb-09	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	SAN DIEGO	251 LANDIS	None	CHULA VISTA	CA	91910	32.642413	-117.081483	161k	123.02
1609026285	1609026285	1	1	GARLAND COMMUNITY HEALTH	15-Oct-08	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	None	3727 N FIRST ST	STE 106	FRESNO	CA	93726	36.78559	-119.772713	35c	51
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
1609064435	1609064435	1	1	ADV WOMEN'S HEALTHCARE	24-Feb-10	Physicians Group (022)	PHYSICIANS GROUP	FNP032887	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	33	Riverside	AMC	79-200 CORPORATE CTR DR	STE 201	LA QUINTA	CA	92253	33.710407	-116.2831	129.1	452.15
1609147743	1609147743	1	1	APHCV-EL MONTE/ROSEMEAD HLTH	14-Jan-13	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	VENTURE INC	9960 BALDWIN PLACE	None	EL MONTE	CA	91731	34.071217	-118.052506	78.2qqq	4331.01
1609249994	1609249994	1	1	AXIS COMMUNITY HEALTH	27-Jul-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	1	Alameda	None	5925 W LAS POSITAS BLVD	STE 100	PLEASANTON	CA	94588	37.683516	-121.89916	2k	4507.43
1609286418	1609286418	1	1	PLANNED PARENTHOOD EUREKA	4-Aug-14	Community Clinics (041)	COMMUNITY CLINIC	550002763	99	Unknown (on EDS claims)	0	In state provider	12	Humboldt	DIABLO INC	3225 TIMBERFALL COURT	SUITE B	EUREKA	CA	95503	40.760201	-124.165618	39	4
1609291996	1609291996	1	1	CLINICAS DEL CAMINO REAL INC	21-Mar-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	56	Ventura	None	4370 EVE ROAD	None	SIMI VALLEY	CA	93063	34.28261	-118.709576	240a	84.01
1609803733	1609803733	1	1	RAM, ASHER MD	5-May-98	Physicians (026)	PHYSICIANS	A00045553	6	Cardiovascular Disease (M.D. only)	0	In state provider	19	Los Angeles	CENTRO MEDICO FAMILIAR	14547 VICTORY BLVD	None	VAN NUYS	CA	91411	34.186659	-118.450019	78.2cc	1283.03
1609845171	1609845171	1	1	PLANNED PARENTHOOD/	1-Mar-97	Community Clinics (041)	COMMUNITY CLINIC	300690061	99	Unknown (on EDS claims)	0	In state provider	30	Orange	ORANGE & SAN BERNARDINO	1520 NUTMEG PL	SUITE 101	COSTA MESA	CA	92626	33.681958	-117.91983	116p	638.06
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
1609932276	1609932276	1	1	COUNTY HLTH CLIN LOMPOC	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	42	Santa Barbara	COUNTY HLTH CLIN LOMPOC	301 N R ST	None	LOMPOC	CA	93436	34.642342	-120.47052	179	27.02
1609972777	1609972777	1	1	RIO HONDO MEDICAL GROUP	4-Mar-99	Physicians Group (022)	PHYSICIANS GROUP	FNP36933	0	General Practioner (Dentists Only)	0	In state provider	19	Los Angeles	INC	12444 E WASHINGTON BLVD	None	WHITTIER	CA	90602	33.96766	-118.046707	78.2uu	5021
1619036514	1619036514	1	1	CENTRO MEDICO CTHDRL CTY	22-May-08	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	33	Riverside	CENTRO MEDICO CTHDRL CTY	69175 RAMON ROAD	STE A	CATHEDRAL CITY	CA	92234	33.815899	-116.456507	129.4	9406
1619056926	1619056926	1	1	TIGER HEALTH CLINIC	10-Jan-07	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	1	Alameda	TIGER HEALTH CLINIC	4610 FOOTHILL BLVD	None	OAKLAND	CA	94601	37.774134	-122.210633	2d	4074
1619144227	1619144227	1	1	ROYAL CARE MEDICAL CENTER	11-Jan-11	Physicians Group (022)	PHYSICIANS GROUP	None	8	Family Practice	0	In state provider	36	San Bernardino	CENTER INC	653 E E ST	STE 109	ONTARIO	CA	91764	34.068248	-117.642495	151c	15.01
1619145307	1619145307	1	1	LMC-HOWARD DANIEL CLINIC	1-Apr-09	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	1	Alameda	None	9933 MACARTHUR BLVD	None	OAKLAND	CA	94605	37.746523	-122.156651	2d	4101
1619154606	1619154606	1	1	CHILDREN'S CLINIC	1-Nov-06	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	FAMILY HEALTH CENTER	1060 E 70TH ST	None	LONG BEACH	CA	90805	33.881841	-118.179432	78.2iii	5702.02
1619232808	1619232808	1	1	CRUZ, MARILOU G MD INC	19-Jun-13	Physicians (026)	PHYSICIANS	A44484	40	Pediatrics, Periodontist (Dentists Only)	0	In state provider	19	Los Angeles	None	8535 FLORENCE AVE	SUITE 201	DOWNEY	CA	90240	33.949367	-118.120853	78.2eee	5506.02
1619244688	1619244688	1	1	PINNACLE PRIMARY CARE INC	13-Sep-12	Physicians Group (022)	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	15	Kern	None	7400 DISTRICT BLVD	SUITE C	BAKERSFIELD	CA	93313	35.31313	-119.084459	66c	31.23
1619271947	1619271947	1	1	FLORES, CARLOS A MD	29-Jan-13	Physicians (026)	PHYSICIANS	A00112638	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	500 E OLIVE AVE	STE 420	BURBANK	CA	91501	34.184375	-118.305036	78.2ttt	3107.02
1619361730	1619361730	1	1	PEACH TREE MIDTOWN	12-Jul-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	34	Sacramento	None	1900 T STREET	None	SACRAMENTO	CA	95811	38.566039	-121.485984	139i	20
1619994191	1619994191	1	1	PLANNED PARENTHOOD OF THOUSA	2-Oct-06	Community Clinics (041)	COMMUNITY CLINIC	550000092	99	Unknown (on EDS claims)	0	In state provider	56	Ventura	CALIFORNIA CENTRAL COAST	1200 W HILLCREST DR	STE 100	THOUSAND OAKS	CA	91320	34.184783	-118.904204	240b	61
1629018817	1629018817	1	2	UNITED MEDICAL CENTER	1-May-97	Physicians (026)	PHYSICIANS	G00048366	30	Radiology, Pedodontist (Dentists Only)	0	In state provider	36	San Bernardino	MEYER, BRUCE D MD	1996 NORTH D ST	None	SAN BERNARDINO	CA	92405	34.133793	-117.291922	151g	54
1629070461	1629070461	1	1	CLINICA SIERRA VISTA INC	13-Jan-09	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	15	Kern	CENTER	8787 HALL RD	None	LAMONT	CA	93241	35.259734	-118.907169	61	64.01
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
1629107636	1629107636	1	1	YASHARPOUR, FARID MD INC	10-Jan-06	Physicians Group (022)	PHYSICIANS GROUP	A00065312	8	Family Practice	0	In state provider	19	Los Angeles	None	14671 RINALDI ST	None	SAN FERNANDO	CA	91340	34.280984	-118.452973	78.2ll	1095
1629130240	1629130240	1	1	FEATHER RIVER TRIBAL HLTH	11-May-02	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	4	Butte	HEALTH	2145 5TH AVE	None	OROVILLE	CA	95965	39.50309	-121.564806	10	28
1629167457	1629167457	1	1	VENTURA COUNTY MEDICAL CENTE	1-Mar-97	County Hospital Outpatient (061)	COUNTY HOSPITAL OUTPATIENT	561700481	99	Unknown (on EDS claims)	0	In state provider	56	Ventura	None	300 HILLMONT AVE	None	VENTURA	CA	93003	34.278975	-119.254362	241c	19
1629192133	1629192133	1	1	BEVERLY, SHEREEN L MD	25-Mar-05	Physicians (026)	PHYSICIANS	G00068251	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	INC	16812 HAWTHORNE BLVD	None	LAWNDALE	CA	90260	33.87838	-118.352348	78.2iiii	6041
1629198791	1629198791	1	1	UNITED CARE FAMILY MEDICAL	19-Mar-12	Physicians Group (022)	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	19	Los Angeles	CORPORATION	2324 W PICO BLVD	None	LOS ANGELES	CA	90006	34.047262	-118.287597	78.2b	2211.1
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
1629269618	1629269618	1	1	CLINICA DEL VALLE DEL PA	18-May-07	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	44	Santa Cruz	CLINICA DEL VALLE DEL PA	45 NIELSON ST	None	WATSONVILLE	CA	95076	36.92829	-121.792529	184	1106
1629296447	1629296447	1	1	DAVIS COMMUNITY CLINIC	24-Aug-04	Health Access Program (058)	HEALTH ACCESS PROGRAM	30000146	99	Unknown (on EDS claims)	0	In state provider	57	Yolo	None	2051 JOHN JONES RD	None	DAVIS	CA	95616	38.561423	-121.770387	244	105.05
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
1629456900	1629456900	1	1	HILLCREST FAMILY HEALTH CENT	2-Dec-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	OF SAN DIEGO INC	4094 4TH AVENUE	None	SAN DIEGO	CA	92103	32.751189	-117.161628	161b	4
1629462312	1629462312	1	1	INDIAN HEALTH CENTER OF SANT	27-Mar-18	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	43	Santa Clara	OF SANTA CLARA	2039 FOREST AVENUE	STE 105	SAN JOSE	CA	95128	37.327064	-121.934245	183j	5005
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
1629599535	1629599535	1	1	UNITED HEALTH CENTERS OF THE	13-Nov-18	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	SAN JOAQUIN VALLEY	1570 7TH STREET	None	SANGER	CA	93657	36.706003	-119.559559	31	60
1639100027	1639100027	2	1	CASTLE FAMILY HEALTH CTR	27-Sep-00	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	24	Merced	CENTERS INC	3605 HOSPITAL RD	None	ATWATER	CA	95301	37.364981	-120.57606	96	5.03
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
1639168594	1639168594	1	1	REGENTS/UCDPBG/GYNECOLOG	26-May-10	Physicians Group (022)	PHYSICIANS GROUP	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	34	Sacramento	None	4860 Y ST	None	SACRAMENTO	CA	95817	38.5525	-121.448868	139f	17
1639171028	1639171028	1	1	NORTH OF THE RIVER	13-Jan-09	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	15	Kern	COMMUNITY HEALTH CENTER	2525 N CHESTER AVE	None	BAKERSFIELD	CA	93308	35.429211	-119.021322	66a	1.01
1639185317	1639185317	1	1	OCEANSIDE CARLSBAD COMM CLIN	6-Jan-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	OCEANSIDE CLINIC	605 CROUCH STREET	BLDG C	OCEANSIDE	CA	92054	33.196018	-117.353708	156a	185.09
1639194004	1639194004	1	1	AMPLA HEALTH GRIDLEY MEDICAL	25-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	4	Butte	None	520 KENTUCKY ST	None	GRIDLEY	CA	95948	39.363794	-121.696554	9	35.01
1639207343	1639207343	1	1	DELANO REGIONAL MED CNTR	19-Jul-11	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	15	Kern	FOUNDATION FOR HEALTH	2300 7TH ST	None	WASCO	CA	93280	35.594264	-119.351512	58.2	44.01
1639264419	1639264419	1	1	VISTA FAMILY HEALTH CENTER A	7-Apr-97	Physicians Group (022)	PHYSICIANS GROUP	FNP035944	1	General Practice	0	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
1639271935	1639271935	1	1	TUOLUMNE CO HEALTH DEPT	1-Mar-97	County Clinics not assoc w/hosp (048)	COUNTY CLINICS NOT ASSOCIATED WITH HOSPITAL	None	99	Unknown (on EDS claims)	0	In state provider	55	Tuolumne	None	20111 CEDAR RD N	None	SONORA	CA	95370	37.985782	-120.365421	236	41
1639283674	1639283674	1	1	GUPTA, PARUL MD	17-Sep-09	Physicians (026)	PHYSICIANS	A67050	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	54	Tulare	None	858 N CHERRY ST	STE F	TULARE	CA	93274	36.222084	-119.337643	230	23.03
1639336803	1639336803	1	1	CENTRAL NEIGHBORHOOD HEALTH	18-Aug-10	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	FOUNDATION	2707 S CENTRAL AVE	None	LOS ANGELES	CA	90011	34.017418	-118.255486	78.2l	2267
1639400260	1639400260	1	1	ASSUTA FAMILY MEDICAL GROUP	18-Feb-10	Physicians Group (022)	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	19	Los Angeles	APMC	12922 VICTORY BLVD	None	NORTH HOLLYWOOD	CA	91606	34.186685	-118.41488	78.2bb	1234.2
1639449135	1639449135	1	1	CARING FOR WOMEN	17-Jan-12	Physicians (026)	PHYSICIANS	20A11655	9	Gynecology (D.O. only)	0	In state provider	33	Riverside	None	79440 CORPORATE CENTER D	STE 102	LA QUINTA	CA	92253	33.709326	-116.278767	129.1	452.15
1649209743	1649209743	1	1	HOLLYWOOD CROSS MEDICAL	28-Apr-97	Physicians Group (022)	PHYSICIANS GROUP	FNP019131	1	General Practice	0	In state provider	19	Los Angeles	CLINIC INC	1110 N WESTERN AVE	STE 201	LOS ANGELES	CA	90029	34.090999	-118.309191	78.2g	1909.01
1649223777	1649223777	1	1	FAMILY CARE SPECIALISTS	7-Aug-02	Physicians Group (022)	PHYSICIANS GROUP	FNP017470	8	Family Practice	0	In state provider	19	Los Angeles	FAMILY CARE SPECIALISTS	1701 CESAR CHAVEZ	# 402	LOS ANGELES	CA	90033	34.051199	-118.217598	78.2ffff	2035
1649252198	1649252198	1	1	UN HLTH CTRS SAN JOAQUIN	9-Aug-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	ORANGE COVE	445 11TH ST	None	ORANGE COVE	CA	93646	36.627221	-119.319001	32	65.02
1649269747	1649269747	1	1	CLIN DE SALUD DEL PUEBLO	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	13	Imperial	PUEBLO	900 MAIN ST	None	BRAWLEY	CA	92227	32.978601	-115.528657	50	107
1649292715	1649292715	1	1	GALSTYAN, KEVIN G MD INC	20-Jun-07	Physicians (026)	PHYSICIANS	A00087568	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	1420 S CENTRAL AVE	None	GLENDALE	CA	91204	34.128432	-118.2578	78.2ee	3024.01
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
1649318338	1649318338	3	1	OSTOYA, PAUL W MD INC	23-Dec-97	Physicians (026)	PHYSICIANS	A00052252	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	None	1095 E WARNER AVE	STE 101	FRESNO	CA	93710	36.836212	-119.769775	35f	54.06
1649324443	1649324443	1	1	EAST VALLEY COMM HLTH CT	2-Jun-14	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	CENTER INC	1555 SOUTH GAREY AVE	None	POMONA	CA	91766	34.043219	-117.749671	78.2ss	4030
1649363375	1649363375	1	1	VISTA COMM CLINIC-WEST	6-Jan-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	None	818 PIER VIEW WAY	None	OCEANSIDE	CA	92054	33.198338	-117.377573	156a	184
1649386707	1649386707	1	1	GUPTA, PRAVEEN B MD	28-Apr-97	Physicians (026)	PHYSICIANS	A00025680	0	General Practioner (Dentists Only)	0	In state provider	19	Los Angeles	None	9435 VENICE BLVD	None	CULVER CITY	CA	90232	34.025348	-118.395423	78.2y	2701
1649426990	1649426990	1	1	FLORENCE HOOPER FAMILY MEDIC	28-May-10	Physicians Group (022)	PHYSICIANS GROUP	None	8	Family Practice	0	In state provider	19	Los Angeles	None	1318 E FLORENCE AVE	None	LOS ANGELES	CA	90001	33.974773	-118.251468	78.2mmm	5329
1649442088	1649442088	1	1	OMNI FAMILY HEALTH	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	15	Kern	None	21138 PASO ROBLES HWY	None	LOST HILLS	CA	93249	35.678848	-119.792484	58.2	45
1649449885	1649449885	1	1	VHC SUNNYVALE	1-Nov-07	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	43	Santa Clara	None	660 S FAIROAKS AVE	None	SUNNYVALE	CA	94086	37.365052	-122.023818	183c	5085.04
1649457474	1649457474	1	1	FEMINIST WOMENS HEALTH	1-Mar-97	Community Clinics (041)	COMMUNITY CLINIC	452392318	99	Unknown (on EDS claims)	0	In state provider	45	Shasta	CENTER-REDDING	1901 VICTOR AVE	None	REDDING	CA	96002	40.578619	-122.338663	189.2	103
1649519646	1649519646	1	1	NORWALK FEMALE MEDICAL	3-Oct-13	Physicians (026)	PHYSICIANS	A21180	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	12311 S NORWALK BLVD	None	NORWALK	CA	90650	33.919733	-118.072712	78.2jjjj	5501
1649598772	1649598772	1	1	CLINICA MEDICA DE LA MORA	10-Aug-10	Physicians Group (022)	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	37	San Diego	INC	995 GATEWAY CENTER WAY	STE 202	SAN DIEGO	CA	92102	32.71406	-117.115796	161g	34.03
1649662719	1649662719	1	1	VCC: LAKE ELSINORE	20-Apr-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	33	Riverside	None	30195 FRASER DRIVE	None	LAKE ELSINORE	CA	92530	33.684922	-117.367501	131a	430.05
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
1659335701	1659335701	1	1	DELAROSA, JOSE L MD	28-Apr-97	Physicians (026)	PHYSICIANS	A00043518	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	16415 COLORADO AVE	STE 103	PARAMOUNT	CA	90723	33.88528	-118.161428	78.2m	5538.02
1659337749	1659337749	1	1	ECONOMIC OPPORTUNITIES	1-Mar-97	Community Clinics (041)	COMMUNITY CLINIC	ZZR11511	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	HEALTH CLINIC	1047 R ST	STE 1047	FRESNO	CA	93721	36.740186	-119.782458	35c	5.02
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
1659373017	1659373017	1	1	CENTRAL BAKERSFIELD COMMTY	13-Jan-09	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	15	Kern	HEALTH CENTER	301 BRUNDAGE LN	None	BAKERSFIELD	CA	93304	35.353865	-119.004963	66b	20
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
1659419307	1659419307	1	1	DEL ROSARIO MEDICAL	28-Apr-97	Physicians Group (022)	PHYSICIANS GROUP	FNP017692	1	General Practice	0	In state provider	19	Los Angeles	CLINIC, INC	3400 E FLORENCE AVE	None	HUNTINGTON PARK	CA	90255	33.97223	-118.205979	78.2ccc	5332.03
1659580926	1659580926	1	1	UN HLTH CTRS SAN JOAQU	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	54	Tulare	EARLIMART	476 E WASHINGTON AVE	None	EARLIMART	CA	93219	35.884294	-119.271473	231	44
1659671600	1659671600	1	2	PLANNED PARENTHOOD UKIAH HEA	1-Mar-17	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	23	Mendocino	DABLO INC	242-A HOSPITAL DRIVE	None	UKIAH	CA	95482	39.151898	-123.203549	93.1	115
1669407656	1669407656	1	1	RANCHO MIRAGE CENTER	6-Jan-97	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	33	Riverside	OF THE PACIFIC SOUTHWEST	71777 SAN JACINTO DR	STE 202&203	RANCHO MIRAGE	CA	92270	33.743334	-116.411813	129.1	451.03
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
1669513222	1669513222	1	1	LA SIERRA MEDICAL CLINIC	1-Mar-06	Physicians Group (022)	PHYSICIANS GROUP	FNP032530	99	Unknown (on EDS claims)	0	In state provider	33	Riverside	None	4712B LA SIERRA AVE	None	RIVERSIDE	CA	92505	33.916593	-117.486873	135d	409.01
1669547618	1669547618	1	1	BARARSANI, MOHAMMAD MD	17-Sep-13	Physicians (026)	PHYSICIANS	A35392	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	18051 CRENSHAW BLVD	SUITE #C	TORRANCE	CA	90504	33.866761	-118.326468	78.2iiii	6501.02
1669548483	1669548483	1	1	ROBERTS, DENNIS F DO	15-Dec-97	Physicians (026)	PHYSICIANS	20A6099	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	33	Riverside	A PROFESSIONAL CORP	81767 DR. CARREON BLVD	STE 200	INDIO	CA	92201	33.707426	-116.238634	128	452.07
1669569109	1669569109	1	1	EUREKA COMM HEALTH CTR	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	12	Humboldt	CENTERS	2200 TYDD STREET	None	EUREKA	CA	95501	40.802174	-124.146604	39	5
1669617197	1669617197	1	11	RADY CHILDRENS SPECIALISTS	28-May-14	Physicians Group (022)	PHYSICIANS GROUP	None	24	Plastic Surgery	0	In state provider	37	San Diego	SAN DIEGO	7920 FROST STREET	SUITE 200	SAN DIEGO	CA	92123	32.800253	-117.153975	161b	87.02
1669617783	1669617783	1	1	HAYFORK COMMUNITY HLTH CLNC	3-Jan-11	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	53	Trinity	None	6961 HIGHWAY 3	None	HAYFORK	CA	96041	40.504781	-123.175191	225	3
1669657219	1669657219	1	1	HEALTH CENTER ROCKLIN CAMPUS	27-Oct-08	Exempt from Licensure Clinics (045)	CLINIC EXEMP FROM LICENSURE	None	99	Unknown (on EDS claims)	0	In state provider	31	Placer	COLLEGE DISTRICT	5100 SIERRA COLLEGE BLVD	None	ROCKLIN	CA	95677	38.793975	-121.205752	121.2	206.02
1669658373	1669658373	1	1	CHASE AVE FAMILY HEALTH	27-Sep-00	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	CENTER	1111 WEST CHASE AVE	None	EL CAJON	CA	92020	32.781491	-116.976242	161h	159.02
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
1669685467	1669685467	1	1	GOLDEN VALLEY HEALTH CTR	18-Nov-05	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	50	Stanislaus	None	1130 6TH ST	None	MODESTO	CA	95354	37.638904	-121.005583	215c	17
1669720157	1669720157	1	1	COMMUNITY MEDICAL CENTERS	1-Apr-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	39	San Joaquin	INC	2015 S MARIPOSA RD	None	STOCKTON	CA	95205	37.939244	-121.244788	169b	21
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
1669776175	1669776175	1	1	PRENATAL CLINIC JONATHAN	8-Mar-11	Physicians Group (022)	PHYSICIANS GROUP	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	AZIZZADEH MD INC	1300 N VERMONT AVENUE	STE 304	LOS ANGELES	CA	90027	34.095557	-118.291741	78.2g	1913.02
1669799896	1669799896	1	1	HUNTINGTON PARK FAMILY	5-Aug-11	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	HEALTH CENTER (SCFHC)	2680 SATURN AVE	STE 110, 220 & 280	HUNTINGTON PARK	CA	90225	33.97674	-118.22288	None	None
1669870739	1669870739	1	1	ROHNERT PARK HEALTH CENTER	1-Nov-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	49	Sonoma	APCC	5900 STATE FARM DRIVE	STE 200	ROHNERT PARK	CA	94928	38.353106	-122.706941	209.1	1513.08
1669881926	1669881926	1	1	CENTRAL CITY COMMUNITY HLTH	2-Dec-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	HEALTH CENTER INC	4126 N MAINE AVE	None	BALDWIN PARK	CA	91706	34.087158	-117.960362	78.2zzz	4051.02
1669940003	1669940003	1	1	BUENA MEDICAL CLINIC	18-Apr-19	Physicians (026)	PHYSICIANS	None	8	Family Practice	0	In state provider	56	Ventura	None	631 COOPER RD	None	OXNARD	CA	93030	34.204553	-119.172425	241b	32.01
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
1679024467	1679024467	1	1	LA CLINIQUITA DE PICO RIVERA	22-May-17	Physicians (026)	PHYSICIANS	A123276	1	General Practice	0	In state provider	19	Los Angeles	None	6505 ROSEMEAD BLVD	STE 106	PICO RIVERA	CA	90660	33.986991	-118.094339	78.2ww	5007
1679512024	1679512024	1	1	ESCONDIDO OB-GYN MED GRP	24-Mar-97	Physicians Group (022)	PHYSICIANS GROUP	FNP015503	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	37	San Diego	None	488 E VALLEY PKWY	STE 310	ESCONDIDO	CA	92025	33.125652	-117.076448	156e	202.14
1679526610	1679526610	1	1	PLANNED PRNTHD MAR MONTE	1-Mar-97	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	34	Sacramento	FRUITRIDGE	5385 FRANKLIN BLVD	STE A-D	SACRAMENTO	CA	95820	38.526721	-121.472194	139f	37
1679526693	1679526693	1	1	PLANNED PRNTHD MAR MONTE	1-Mar-97	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	34	Sacramento	MONTE B ST HEALTH CTR	201 29TH ST	None	SACRAMENTO	CA	95816	38.582249	-121.464064	139i	4
1679534374	1679534374	1	1	WEST COVINA FAMILY MEDICAL C	6-Mar-01	Physicians (026)	PHYSICIANS	20A6784	1	General Practice	0	In state provider	19	Los Angeles	ENTER	2425 S. AZUSA AVE	None	WEST COVINA	CA	91792	34.032617	-117.914161	78.2www	4080.04
1679553192	1679553192	1	1	COMPREHENSIVE COMM HLTH	23-Feb-05	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	HEALTH CTR-EAGLE ROCK	1704 COLORADO BLVD	None	LOS ANGELES	CA	90041	34.139343	-118.203853	78.2dd	1814
1679600852	1679600852	1	1	CHOC CLINIC BOYS & GIRLS	5-Oct-05	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	30	Orange	CHOC CLINIC BOYS & GIRLS	1000 HIGHLAND ST	None	SANTA ANA	CA	92703	33.737216	-117.878662	116g	749.02
1679607964	1679607964	1	1	CLINICA SIERRA VISTA	21-Jun-05	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	15	Kern	COMMUNITY HEALTH CENTER	2525 N CHESTER AVE	None	BAKERSFIELD	CA	93308	35.429211	-119.021322	66a	1.01
1679626428	1679626428	1	1	CLINICA SALUD & FAMILIA	21-Jan-11	Group Cert. Pediatric/Family NP (010)	GROUP CERTIFIED NURSE PRACTITIONER	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	CORPORATION NURSING	1019 E HOLT AVE	None	POMONA	CA	91767	34.062863	-117.730336	78.2ss	4027.02
1679626436	1679626436	2	1	AZUL MEDICAL CLINIC INC	4-Aug-15	Physicians Group (022)	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	19	Los Angeles	None	6517 EASTERN AVE	None	BELL GARDENS	CA	90201	33.974093	-118.163952	78.2c	5341.01
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
1679645121	1679645121	1	1	TULELAKE HEALTH CENTER	25-Feb-02	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	47	Siskiyou	TULELAKE HEALTH CENTER	850 MAIN ST	None	TULELAKE	CA	96134	41.947527	-121.47653	196	1
1679713192	1679713192	1	1	CLINICA INTERNACIONAL	19-Jun-09	Physicians Group (022)	PHYSICIANS GROUP	FNP038747	1	General Practice	0	In state provider	37	San Diego	BUENA SALUD INC	3802 NATIONAL AVE	None	SAN DIEGO	CA	92113	32.696022	-117.112387	161c	36.02
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
1679819742	1679819742	1	1	ADVENTIST HEALTH REEDLEY	1-Feb-14	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	None	3567 W MOUNT WHITNEY AVE	None	RIVERDALE	CA	93656	36.430776	-119.862118	30	77
1679846190	1679846190	1	1	CLINICA MEDICA LA ROSS	8-Aug-13	Physicians (026)	PHYSICIANS	A00064270	8	Family Practice	0	In state provider	36	San Bernardino	None	15381 7TH ST	STE 2-3	VICTORVILLE	CA	92395	34.531206	-117.298456	145.1a	98
1689011637	1689011637	1	1	ALTURA CENTERS FOR HEALTH	17-Sep-13	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	54	Tulare	None	3035 E BARDSLEY AVE	None	TULARE	CA	93274	36.196097	-119.505561	230	21
1689048241	1689048241	1	1	CLINICA DE SALUD DEL VALLE	6-Dec-18	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	27	Monterey	None	126 FIFTH ST	None	GONZALES	CA	93926	36.508372	-121.444503	107	108.04
1689066029	1689066029	1	1	FAMILY FIRST MEDICAL CARE	28-Nov-16	Physicians Group (022)	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	50	Stanislaus	APC	1317 OAKDALE RD	SUITE 440	MODESTO	CA	95355	37.662164	-120.957504	215b	9.05
1689158941	1689158941	1	1	FAMILY HEALTHCARE NETWORK	29-Oct-19	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	54	Tulare	None	2333 S MOONEY BLVD	None	VISALIA	CA	93277	36.309194	-119.313939	233	20.03
1689609679	1689609679	1	1	PLANNED PARENTHOOD FTC	6-Jan-97	Community Clinics (041)	COMMUNITY CLINIC	370891307	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	PACIFIC SOUTHWEST	2017 1ST AVE	STE 301	SAN DIEGO	CA	92101	32.72631	-117.163903	161e	57
1689687345	1689687345	1	1	LA PUENTE SUBCENTER	28-Apr-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	LA PUENTE FAM PLANNING	15930 CENTRAL AVE	None	LA PUENTE	CA	91744	34.019862	-117.951064	78.2yyy	4077.02
1689699415	1689699415	1	1	AMPLA HEALTH HAMILTON CITY	25-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	11	Glenn	None	278 MAIN STREET	None	HAMILTON CITY	CA	95951	39.741273	-122.011779	36.2	105.01
1689760100	1689760100	1	1	VISTA COMMUNITY CLINIC	30-Mar-05	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	None	4700 N RIVER RD	None	OCEANSIDE	CA	92057	33.245388	-117.308731	156a	185.07
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
1689778813	1689778813	1	1	NORTHCOUNTRY CLIN-ARCATA	13-Oct-00	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	12	Humboldt	NORTHCOUNTRY CLIN-ARCATA	785 18TH ST	None	ARCATA	CA	95521	40.87618	-124.083992	39	10
1689851222	1689851222	1	1	VALLEY HLTH EAST VALLEY	19-May-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	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
1689863516	1689863516	1	1	NATIVE AMERICAN HEALTH CTR	10-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	1	Alameda	CENTER INC	2950 INTERNATIONAL BLVD	None	OAKLAND	CA	94601	37.77873	-122.228048	2d	4062.02
1689875478	1689875478	1	1	NEWARK HEALTH CENTER	1-Jul-98	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	1	Alameda	NEWARK HEALTH CENTER	6066 CIVIC TERRACE AVE	None	NEWARK	CA	94560	37.536685	-122.028158	2j	4445
1689880072	1689880072	1	1	UN HLTH CTRS SAN JOAQU	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	PARLIER	650 S ZEDIKER AVE	None	PARLIER	CA	93648	36.633221	-119.520673	32	68.02
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
1699041566	1699041566	1	1	GARDNER DOWNTOWN HEALTH CNTR	18-May-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	43	Santa Clara	NETWORK INC	725 E SANTA CLARA ST	None	SAN JOSE	CA	95112	37.343203	-121.875735	183d	5013
1699129403	1699129403	1	1	PLANNED PARENTHOOD MAR MONTE	21-Mar-18	Community Clinics (041)	COMMUNITY CLINIC	550003928	99	Unknown (on EDS claims)	0	In state provider	41	San Mateo	INC	435 GRAND AVENUE	None	S SAN FRANCISCO	CA	94080	37.656021	-122.413948	176a	6022
1699152058	1699152058	1	1	JOON CHOI, MD. APC	3-Oct-17	Physicians Group (022)	PHYSICIANS GROUP	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	8215 VAN NUYS BLVD	SUITE 104	PANORAMA CITY	CA	91402	34.22001	-118.448778	78.2zz	1200.2
1699204552	1699204552	1	1	FCWC	15-Feb-18	Certified Nurse Midwife (005)	CERTIFIED NURSE MIDWIFE	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	APNC	8162 VAN NUYS BLVD	None	PANORAMA CITY	CA	91402	34.219096	-118.448773	78.2zz	1200.2
1699758003	1699758003	2	1	ADVENTIST HEALTH REEDLEY	2-Oct-18	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	16	Kings	None	810 E D STREET	None	LEMOORE	CA	93245	36.299488	-119.768013	69	4.05
1699767517	1699767517	2	1	BELL PLAZA MEDICAL CLINIC	13-May-13	Physicians Group (022)	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	19	Los Angeles	CORPORATION	4827 GAGE AVENUE	None	BELL	CA	90201	33.977217	-118.179412	78.2ddd	5338.04
1699812099	1699812099	1	1	ORANGE CNTY HLTH DEPT	1-Mar-97	County Clinics not assoc w/hosp (048)	COUNTY CLINICS NOT ASSOCIATED WITH HOSPITAL	ZZT11732F	99	Unknown (on EDS claims)	0	In state provider	30	Orange	None	1725 W 17TH ST	None	SANTA ANA	CA	92706	33.76006	-117.892138	116h	753.02
1699818278	1699818278	1	1	VALLEY MISSION MEDICAL	1-Sep-97	Physicians Group (022)	PHYSICIANS GROUP	A00046449	1	General Practice	0	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
1699883157	1699883157	1	1	APODACA, LEONEL JR MD	1-Mar-97	Physicians (026)	PHYSICIANS	G00066374	41	Internal Medicine	0	In state provider	10	Fresno	None	1165 PHELPS AVE	STE 101	COALINGA	CA	93210	36.15096	-120.335866	27	79.02
1699958868	1699958868	1	1	JWCH INSTITUTE, INC	15-May-06	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	BELL GARDENS COMM HEALTH	6912 AJAX AVE	None	BELL GARDENS	CA	90201	33.969702	-118.163038	78.2c	5341.02
1700023942	1700023942	1	1	CHAVA, SREEDHAR MD INC	5-Aug-13	Physicians Group (022)	PHYSICIANS GROUP	A00102291	8	Family Practice	0	In state provider	19	Los Angeles	None	3580 SANTA ANITA AVE	STE A	EL MONTE	CA	91731	34.074604	-118.041542	78.2oo	4327
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
1700087590	1700087590	1	1	HIGHLAND HOSPITAL	1-Mar-97	County Hospital Outpatient (061)	COUNTY HOSPITAL OUTPATIENT	140000046	99	Unknown (on EDS claims)	0	In state provider	1	Alameda	None	1411 E 31ST ST	None	OAKLAND	CA	94602	37.799262	-122.231207	2c	4057
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
1700097540	1700097540	1	1	NORTHEAST COMM CLINIC	18-Sep-08	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	200 E ANAHEIM STREET	None	WILMINGTON	CA	90744	33.780037	-118.261143	78.2p	2947.01
1700211703	1700211703	1	1	VERMONT COMMUNITY CLINIC	1-Jun-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	5320 S VERMONT AVE	None	LOS ANGELES	CA	90037	33.993936	-118.29149	78.2ggg	2327
1700373008	1700373008	1	1	COMMUNITY MEDICAL CENTERS WE	21-Dec-18	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	39	San Joaquin	INC	7912 WEST LANE	SUITE 221	STOCKTON	CA	95210	38.021118	-121.294776	169a	34.05
1700803285	1700803285	1	1	PLANNED PARENTHOOD OF SAN LU	1-Mar-97	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	40	San Luis Obispo	CALIFORNIA CENTRAL COAST	743 PISMO ST	None	SAN LUIS OBISPO	CA	93401	35.277102	-120.661668	172	111.02
1700811791	1700811791	3	1	LAM, JACINTO MD	27-Jan-03	Physicians (026)	PHYSICIANS	A39722	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	3500 WHITTIER BLVD	STE 107	LOS ANGELES	CA	90023	34.026687	-118.198514	78.2h	2049.1
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
1700910080	1700910080	1	1	ARVIN COMMUNITY HEALTH	1-Jun-00	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	15	Kern	ARVIN COMMUNITY HEALTH	1305 BEAR MOUNTAIN BLVD	None	ARVIN	CA	93203	35.208978	-118.838883	61	63.03
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
1700915097	1700915097	1	1	GARDNER FMLY HLTH NTWRK	14-Dec-09	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	43	Santa Clara	None	55 E JULIAN STREET	None	SAN JOSE	CA	95112	37.341105	-121.892644	183d	5010
1700975927	1700975927	1	1	PLANNED PARENTHOOD WORLD	28-Apr-97	Community Clinics (041)	COMMUNITY CLINIC	ZZT11928	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	EL MONTE	4786 PECK RD	None	EL MONTE	CA	91732	34.090757	-118.01455	78.2oo	4326.01
1700976503	1700976503	1	3	COMMUNITY HLTH CLIN OLE	10-Sep-04	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	28	Napa	None	1141 PEAR TREE LN	None	NAPA	CA	94558	38.321291	-122.29228	112.2	2005.04
1710009659	1710009659	1	1	WOODBRIDGE MEDICAL GRO	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	39	San Joaquin	WOODBRIDGE MED GRP	2401 W TURNER RD	STE 450	LODI	CA	95242	38.145692	-121.344779	168	41.06
1710029616	1710029616	1	1	WOMEN'S CLINIC OF INGLEW	17-Oct-05	Physicians Group (022)	PHYSICIANS GROUP	FNP029465	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	ASSOCIATES AMC	401 W MANCHESTER BLVD	None	INGLEWOOD	CA	90301	33.961713	-118.361731	78.2q	6014.01
1710037346	1710037346	1	1	PARAMOUNT CARE MED	2-Dec-02	Physicians Group (022)	PHYSICIANS GROUP	FNP027745	8	Family Practice	0	In state provider	30	Orange	PARAMOUNT CARE MED GRP	12881 CHAPMAN AVE	None	GARDEN GROVE	CA	92840	33.788871	-117.908123	116r	884.03
1710076997	1710076997	1	1	PLANNED PARENTHOOD	28-Apr-97	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	ANGELES POMONA CENTER	1550 N GAREY AVE	None	POMONA	CA	91767	34.073584	-117.75226	78.2ss	4023.03
1710077961	1710077961	2	1	LA PAZ MEDICAL GROUP	2-Dec-97	Physicians (026)	PHYSICIANS	A00046128	1	General Practice	0	In state provider	19	Los Angeles	None	1107 S ALVARADO ST	None	LOS ANGELES	CA	90006	34.050166	-118.280829	78.2b	2098.1
1710105408	1710105408	1	1	AXIS COMMUNITY HEALTH	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	1	Alameda	None	3311 PACIFIC AVE	None	LIVERMORE	CA	94550	37.67615	-121.755169	1.2	4515.01
1710164702	1710164702	1	1	CHILDREN'S CLINIC, THE	15-Aug-99	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	455 E COLUMBIA ST	STE 201	LONG BEACH	CA	90806	33.808978	-118.187329	78.2lll	5722.02
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
1710191283	1710191283	1	1	ALTAMED HEALTH SERVICES	28-Apr-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	CORPORATION	9436 SLAUSON AVE	None	PICO RIVERA	CA	90660	33.968332	-118.096522	78.2ww	5026.01
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
1710211214	1710211214	1	1	COMMUNITY MEDICAL CENTER	8-Jan-13	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	39	San Joaquin	INC	200 COTTAGE AVE	SUITE 103	MANTECA	CA	95336	37.799232	-121.198208	164.1	51.1
1710218409	1710218409	1	1	ALLIANCE MEDICAL CTR WINDSOR	24-Apr-14	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	49	Sonoma	None	8465 OLD REDWOOD HWY	SUITE 320	WINDSOR	CA	95492	38.543841	-122.801258	205.2	1538.08
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
1710247085	1710247085	1	1	PONRARTANA, SORNYA MD INC	2-Jul-12	Physicians (026)	PHYSICIANS	A00102825	40	Pediatrics, Periodontist (Dentists Only)	0	In state provider	30	Orange	None	3526 WEST 1ST ST	None	SANTA ANA	CA	92703	33.745198	-117.916254	116i	891.05
1710254313	1710254313	1	1	WAHID MEDICAL CORPORATION	30-Jun-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	50	Stanislaus	None	1108 WARD AVENUE	BLDG A,STE 1	PATTERSON	CA	95363	37.499497	-121.177223	213	33
1710261284	1710261284	1	1	BELLA MEDICAL GROUP INC	26-Mar-12	Physicians Group (022)	PHYSICIANS GROUP	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	2933 WHITTIER BLVD	None	LOS ANGELES	CA	90023	34.030985	-118.208139	78.2h	2047
1710309513	1710309513	1	1	UNICARE COMMUNITY HEALTH	26-Aug-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	550002956	99	Unknown (on EDS claims)	0	In state provider	36	San Bernardino	CENTER INC	437 N EUCLID AVE	None	ONTARIO	CA	91762	34.067462	-117.651217	151c	14
1710975727	1710975727	1	1	PLANNED PARENTHOOD	1-Mar-97	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	30	Orange	ORANGE & SAN BERNARDINO	303 W LINCOLN AVE	STE 105	ANAHEIM	CA	92805	33.835153	-117.917616	116l	873
1720031388	1720031388	1	1	NOVAK, ADAM J MD	7-Apr-97	Physicians (026)	PHYSICIANS	A00044835	1	General Practice	0	In state provider	36	San Bernardino	None	9625 MONTE VISTA AVE	STE 108	MONTCLAIR	CA	91763	34.079041	-117.698241	151c	2.03
1720084163	1720084163	1	1	WEST BERKELEY FAMILY	10-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	1	Alameda	WEST BERKELEY FAMILY	2031 6TH ST	None	BERKELEY	CA	94710	37.867562	-122.297568	2a	4232
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
1720130784	1720130784	1	1	PEART, HAROLD T MD	28-Apr-97	Physicians (026)	PHYSICIANS	G00040523	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	6091 W PICO BLVD	None	LOS ANGELES	CA	90035	34.052875	-118.373795	78.2x	2167
1720171242	1720171242	1	1	UMMA COMMUNITY CLINIC	20-Jan-06	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	UMMA COMMUNITY CLINIC	711 W FLORENCE AVE	None	LOS ANGELES	CA	90044	33.974649	-118.286057	78.2s	2376
1720234701	1720234701	1	1	LEE, CHANG L MD INC	3-Feb-09	Physicians (026)	PHYSICIANS	A00099010	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	36	San Bernardino	None	399 E HIGHLAND AVE	SUITE 223	SAN BERNARDINO	CA	92404	34.135924	-117.2773	151k	63.01
1720243454	1720243454	1	1	LA CLINICA NORTH VALLEJO	10-Feb-09	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	48	Solano	None	220 HOSPITAL DRIVE	None	VALLEJO	CA	94589	38.131074	-122.239758	204	2519.01
1720256647	1720256647	1	1	PLANNED PARENTHOOD	2-Mar-09	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	LOS ANGELES CENTER	5068 WHITTIER BLVD	None	LOS ANGELES	CA	90022	34.021028	-118.160176	78.2d	5316.04
1720264641	1720264641	1	1	NEIGHBORHOOD HEALTHCARE	17-Dec-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	WOMENS CENTER	401 E VALLEY PKWY	None	ESCONDIDO	CA	92025	33.12463	-117.078041	156e	202.02
1720269194	1720269194	1	1	HEALTH CARE ANGELS MEDICAL	16-Jun-98	Physicians (026)	PHYSICIANS	A00064183	1	General Practice	0	In state provider	19	Los Angeles	CLINIC INC	9146 SEPULVEDA BLVD	None	NORTH HILLS	CA	91343	34.236181	-118.46745	78.2kk	1171.01
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
1720347149	1720347149	1	1	NORTH FINE COMMUNITY HEALTH	16-Mar-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	550002558	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	None	1945 N FINE AVENUE	STE 100	FRESNO	CA	93727	36.768481	-119.728929	35b	31.04
1720362056	1720362056	1	1	CLINICAS DEL CAMINO REAL INC	28-Jan-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	56	Ventura	None	1424 MADERA RD	None	SIMI VALLEY	CA	93065	34.265329	-118.796221	240c	77
1720387640	1720387640	1	1	NORTH EAST MED SVCS TARAVAL	14-Aug-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	38	San Francisco	None	2308 TARAVAL ST	None	SAN FRANCISCO	CA	94116	37.742429	-122.490831	162e	329.01
1720395874	1720395874	1	1	CHAP-DEL MAR	8-Jul-13	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	PASADENA	3160 E DEL MAR BLVD	STE 100	PASADENA	CA	91107	34.142202	-118.085156	78.2mm	4632
1720401607	1720401607	1	1	PIONEERS HEALTH CENTER	21-Mar-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	13	Imperial	DISTRICT	751 W LEGION RD	SUITE 103	BRAWLEY	CA	92227	32.959931	-115.556846	50	106
1720405491	1720405491	1	1	TIBURCIO VASQUEZ HEALTH	12-Oct-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	1	Alameda	CENTER INC	16110 E 14TH ST	None	SAN LEANDRO	CA	94578	37.697844	-122.117864	2h	4339
1720459514	1720459514	1	1	ADVENTIST HEALTH REEDLEY	4-Dec-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	20	Madera	None	11976 ROAD 37	None	MADERA	CA	93636	36.92305	-119.876131	80	5.09
1720468804	1720468804	1	1	EISNER PEDIATRIC & FAMILY ME	15-Dec-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	1513 S GRAND AVE	STE 220 & 250	LOS ANGELES	CA	90015	34.036322	-118.265961	78.2ffff	2240.1
1730119553	1730119553	1	2	AFFILIATED PATHOLOGISTS	8-May-13	Physicians Group (022)	PHYSICIANS GROUP	None	22	Pathology (M.D. only)	0	In state provider	19	Los Angeles	None	1225 WILSHIRE BLVD	None	LOS ANGELES	CA	90017	34.053179	-118.265299	78.2ffff	2091.02
1730136680	1730136680	1	3	CAPITAL OB/GYN INC	10-Oct-11	Physicians Group (022)	PHYSICIANS GROUP	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	34	Sacramento	None	8120 TIMBERLAKE WAY	STE 201	SACRAMENTO	CA	95823	38.46171	-121.413243	139h	96.06
1730165564	1730165564	1	1	WOODGLEN OB-GYN MED GRP	22-May-97	Physicians Group (022)	PHYSICIANS GROUP	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	NAJI BOUZ & N KASSAR MDS	315 E ROUTE 66	STE 201	GLENDORA	CA	91740	34.128817	-117.86101	78.2qq	4011.02
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
1730231523	1730231523	1	1	CESAR VELEZ MEDICAL	3-Mar-06	Physicians Group (022)	PHYSICIANS GROUP	FNP34580	1	General Practice	0	In state provider	19	Los Angeles	GROUP INC	1411 W SUNSET BLVD	STE 203	LOS ANGELES	CA	90026	34.074475	-118.25227	78.2a	1973
1730237116	1730237116	1	1	CHICO FEM WOMENS HEALTH	1-Mar-97	Community Clinics (041)	COMMUNITY CLINIC	40301222	99	Unknown (on EDS claims)	0	In state provider	4	Butte	None	1469 HUMBOLDT RD	FL 2	CHICO	CA	95928	39.735489	-121.81523	7.1	9.03
1730249947	1730249947	1	1	CENTRO MEDICO, COACHELLA	27-Mar-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	33	Riverside	CENTRO MEDICO, COACHELLA	55497 VAN BUREN STREET	None	THERMAL	CA	92274	33.645673	-116.198785	128	456.09
1730254988	1730254988	1	1	GEDDES, PETER G MD	1-Jan-98	Physicians (026)	PHYSICIANS	G39881	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	30	Orange	None	705 W LA VETA AVE	STE 115	ORANGE	CA	92868	33.78065	-117.860795	116h	760
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
1730279423	1730279423	1	1	KARUK TRIBAL HEALTH	1-May-06	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	47	Siskiyou	None	1519 S OREGON ST	None	YREKA	CA	96097	41.717309	-122.642054	195	7.02
1730282286	1730282286	1	1	LOS ANGELES MEDICAL CTR	28-Apr-97	Physicians Group (022)	PHYSICIANS GROUP	FNP024603	40	Pediatrics, Periodontist (Dentists Only)	0	In state provider	19	Los Angeles	LOS ANGELES MEDICAL CTR	2010 WILSHIRE BLVD	FL 2	LOS ANGELES	CA	90057	34.057437	-118.274815	78.2ffff	2089.03
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
1730300617	1730300617	1	1	PICO UNION FAMILY CARE	4-Jun-08	Physicians (026)	PHYSICIANS	A00083337	8	Family Practice	0	In state provider	19	Los Angeles	None	1513 S GRAND AVE	STE 320	LOS ANGELES	CA	90015	34.036322	-118.265961	78.2ffff	2240.1
1730310236	1730310236	1	1	COUNTY OF SOLANO	26-Oct-09	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	48	Solano	None	365 TUOLUMNE ST	None	VALLEJO	CA	94590	38.102682	-122.238282	204	2512
1730330739	1730330739	1	1	WILLOW CREEK COMMUNITY CENTE	10-Mar-09	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	12	Humboldt	None	38883 HWY 299	None	WILLOW CREEK	CA	95573	40.936419	-123.625819	38	101.02
1730360579	1730360579	1	2	CLINICA MEDICA CENTRO	19-Dec-11	Physicians Group (022)	PHYSICIANS GROUP	None	8	Family Practice	0	In state provider	36	San Bernardino	HISPANO INC	2336 N SIERRA WAY	None	SAN BERNARDINO	CA	92405	34.137242	-117.285187	151g	53
1730363151	1730363151	1	1	HEALTHRIGHT 360	25-Feb-10	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	38	San Francisco	None	1563 MISSION ST	5TH FL	SAN FRANCISCO	CA	94103	37.773185	-122.418346	162a	177
1730421330	1730421330	1	1	FREMONT WELLNESS CENTER	15-Apr-14	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	ASSOCIATION INC	7821 AVALON BLVD	None	LOS ANGELES	CA	90003	33.968215	-118.265132	78.2fff	2395.02
1730481318	1730481318	1	1	ALTAMED MEDICAL AND DENTAL	14-Dec-11	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	CORPORATION	1300 S SUNSET AVE	None	WEST COVINA	CA	91790	34.060137	-117.947437	78.2www	4068
1730499872	1730499872	1	1	ANTELOPE VALLEY COMM CLINIC	10-Jan-11	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	HEALTH & WELLNESS CENTER	45104 10TH STREET WEST	None	LANCASTER	CA	93534	34.702493	-118.148144	77.1c	9008.05
1730502725	1730502725	1	1	FAMILY HEALTHCARE NETWORK	26-Jun-14	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	54	Tulare	None	401 E SCHOOL AVE	None	VISALIA	CA	93291	36.332883	-119.289016	233	12
1730519927	1730519927	1	1	PROHEALTH PARTNERS	5-May-16	Physicians Group (022)	PHYSICIANS GROUP	None	8	Family Practice	0	In state provider	19	Los Angeles	A MEDICAL GROUP	12131 CARSON ST	None	HAWAIIAN GARDENS	CA	90716	33.831531	-118.073794	78.2n	5551.02
1740299833	1740299833	2	1	GARVEY HEALTHY FAMILY	20-May-16	Physicians (026)	PHYSICIANS	A54127	1	General Practice	0	In state provider	19	Los Angeles	MEDICAL CLINIC INC	705 E GARVEY AVE	None	MONTEREY PARK	CA	91755	34.062637	-118.112845	78.2qqq	4817.12
1740303247	1740303247	1	1	RS BIR MD INC CLINICA MEDIC	16-Aug-02	Physicians Group (022)	PHYSICIANS GROUP	A00042345	41	Internal Medicine	0	In state provider	36	San Bernardino	None	11692 CENTRAL AVE	None	CHINO	CA	91710	34.040964	-117.689596	151l	4.04
1740335678	1740335678	1	1	UNITED AMER IND INV INC	22-Mar-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	INVOLVEMENT	1125 W 6TH ST	STE 103	LOS ANGELES	CA	90017	34.054205	-118.262475	78.2ffff	2092
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
1740427657	1740427657	1	1	ALTAMED MEDICAL AND DENTAL G	1-Apr-09	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	30	Orange	SANTA ANA, MAIN	1400 N MAIN ST	None	SANTA ANA	CA	92701	33.756667	-117.867582	116b	750.04
1740505262	1740505262	1	1	PLANNED PARENTHOOD EL CE	16-Jul-10	Community Clinics (041)	COMMUNITY CLINIC	550001317	99	Unknown (on EDS claims)	0	In state provider	7	Contra Costa	SHASTA DIABLO INC	320 EL CERRITO PLAZA	None	EL CERRITO	CA	94530	37.899688	-122.299059	18g	3891
1740524552	1740524552	1	1	BARDOWELL, RICHARD MD INC	1-Jan-13	Physicians (026)	PHYSICIANS	A00041037	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	2701 W ALAMEDA AVE	STE 303	BURBANK	CA	91505	34.157535	-118.330146	78.2ttt	3116
1750316741	1750316741	1	2	PLANNED PARENTHOOD CORONA HE	1-Mar-19	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	33	Riverside	INTERMITTENT	2079 COMPTON AVE	SUITE 104	CORONA	CA	92881	33.848673	-117.536215	135f	418.09
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
1750434254	1750434254	1	1	GRUPO MEDICO FAMILIAR	28-Apr-97	Physicians Group (022)	PHYSICIANS GROUP	FNP034311	1	General Practice	0	In state provider	19	Los Angeles	SANTA FE INC	4070 E OLYMPIC BLVD	None	LOS ANGELES	CA	90023	34.018886	-118.186907	78.2d	5313.02
1750442836	1750442836	1	2	ZACOALCO MEDICAL GROUP	13-Jul-98	Physicians Group (022)	PHYSICIANS GROUP	FNP024838	1	General Practice	0	In state provider	19	Los Angeles	None	1414 E FLORENCE AVE	None	LOS ANGELES	CA	90001	33.974773	-118.249384	78.2mmm	5329
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
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
1750582557	1750582557	1	1	EASTMONT WELLNESS CTR	1-Jul-98	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	1	Alameda	EASTMONT WELLNESS CTR	6955 FOOTHILL BLVD	STE 200	OAKLAND	CA	94605	37.769479	-122.174806	2d	4086
1750608931	1750608931	1	1	KAMALI, POURANG MD INC	17-Nov-11	Physicians (026)	PHYSICIANS	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	37	San Diego	None	769 MEDICAL CENTER CT	STE 301	CHULA VISTA	CA	91911	32.618563	-117.024187	161s	133.1
1750703237	1750703237	1	1	CLOVIS COMMUNITY HEALTH CTR	2-Jun-14	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	None	180 W SHAW AVENUE	SUITE B	CLOVIS	CA	93612	36.808413	-119.713397	35b	31.02
1750728663	1750728663	1	1	BALDWIN PARK FAMILY CLINIC	29-Apr-14	Physicians (026)	PHYSICIANS	G62452	1	General Practice	0	In state provider	19	Los Angeles	INC	14135 FRANCISQUITO AVE	STE 106	BALDWIN PARK	CA	91706	34.064032	-117.967911	78.2zzz	4048.03
1750733176	1750733176	1	1	GARABEDYAN, TIGRAN DO INC	1-Jun-17	Physicians (026)	PHYSICIANS	20A11397	66	Emergency Medicine (Urgent Care)	0	In state provider	19	Los Angeles	None	13711 FOOTHILL BLVD	STE B	SYLMAR	CA	91342	34.308737	-118.431951	78.2gg	1061.14
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
1760425862	1760425862	1	1	PROVIDENCE LITTLE COMPANY OF	17-Nov-11	Physicians Group (022)	PHYSICIANS GROUP	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	621 S BUTTE STREET	None	SAN PEDRO	CA	90732	33.738629	-118.30649	78.2o	6099
1760427843	1760427843	1	1	HEALTHRIGHT 360	17-Aug-00	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	38	San Francisco	None	558 CLAYTON ST	None	SAN FRANCISCO	CA	94117	37.770203	-122.44867	162g	166
1760479745	1760479745	1	1	W L BROWN MEDICAL CORP	1-Mar-97	Physicians Group (022)	PHYSICIANS GROUP	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	10	Fresno	None	6225 N FRESNO ST	SUITE 104	FRESNO	CA	93710	36.827016	-119.781423	35f	45.04
1760489389	1760489389	1	1	WITH OPEN ARMS REPRODUCTIVE	29-May-15	Physicians (026)	PHYSICIANS	G44510	1	General Practice	0	In state provider	12	Humboldt	None	2505 LUCAS ST	SUITE B	EUREKA	CA	95501	40.791275	-124.139511	39	8
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
1760545503	1760545503	1	6	KATUKOTA, VIJAY C A MEDICAL	14-Sep-10	Physicians Group (022)	PHYSICIANS GROUP	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	459 S AZUSA AVENUE	SUITE F	AZUSA	CA	91702	34.114996	-117.907741	78.2zzz	4044.02
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
1760584049	1760584049	1	1	PT REYES MEDICAL CLINIC	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	21	Marin	PO BOX 1038	88 MESA RD	None	BOLINAS	CA	94924	37.909408	-122.70008	81	1321
1760596712	1760596712	1	1	KERN WOMENS HEALTH GROUP	1-Jan-09	Physicians Group (022)	PHYSICIANS GROUP	FNP033148	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	15	Kern	GROUP INC	2005 17TH STREET	None	BAKERSFIELD	CA	93301	35.374371	-119.02478	66d	17
1760651814	1760651814	1	1	ALTAMED MEDICAL GROUP	9-Apr-09	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	30	Orange	CORPORATION	2720 S BRISTOL STREET	SUITE 110	SANTA ANA	CA	92704	33.710916	-117.8854	116g	740.05
1760660831	1760660831	1	1	OLE HEALTH	1-Jan-10	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	28	Napa	CLINIC OLE	911 WASHINGTON ST	None	CALISTOGA	CA	94515	38.578096	-122.577062	111.2	2020
1760667950	1760667950	1	1	NEIGHBORHOOD HEALTHCARE	6-Jan-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	EL CAJON	855 E MADISON AVENUE	None	EL CAJON	CA	92020	32.800293	-116.951663	161h	163.01
1760669667	1760669667	1	1	NORTHEAST VALLEY HEALTH	28-Apr-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	LAC-VALENCIA	23763 VALENCIA BLVD	None	VALENCIA	CA	91355	34.414766	-118.550458	76.1a	9203.29
1760671077	1760671077	1	2	UNIVERSAL MEDICAL CLINIC	21-Apr-08	Physicians Group (022)	PHYSICIANS GROUP	FNP36837	1	General Practice	0	In state provider	19	Los Angeles	None	18701 SHERMAN WAY	STE 4	RESEDA	CA	91335	34.201179	-118.540408	78.2hhhh	1310.2
1760689715	1760689715	1	2	TOTALCARE WALK IN CLINIC	30-May-18	Physicians Group (022)	PHYSICIANS GROUP	None	6	Cardiovascular Disease (M.D. only)	0	In state provider	33	Riverside	None	13334 LIMONITE AVE.	130	EASTVALE	CA	92880	33.983053	-117.565635	135e	406.07
1760704035	1760704035	1	1	ORANUSI, VICTOR A. MD INC	1-May-10	Physicians (026)	PHYSICIANS	A00063000	38	Geriatrics	0	In state provider	19	Los Angeles	None	3737 MARTIN LUTHER KING	STE 105	LYNWOOD	CA	90262	33.928529	-118.200486	78.2sss	5402.03
1760756860	1760756860	1	1	DR JAMIE A LIPELES APMC	29-Mar-12	Physicians (026)	PHYSICIANS	20A10501	9	Gynecology (D.O. only)	0	In state provider	19	Los Angeles	None	4560 ADMIRALTY WAY	STE 105	MARINA DEL REY	CA	90292	33.983132	-118.442606	78.2j	7029.01
1760916951	1760916951	1	1	PINERIDGE OBSTETRIX	30-Nov-17	Physicians (026)	PHYSICIANS	20A11716	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	10	Fresno	& GYNECOLOGY INC	2137 HERNDON AVE	STE 102	CLOVIS	CA	93611	36.83732	-119.673845	35b	57.02
1760936884	1760936884	1	1	BEVERLYCARE	12-Feb-19	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	101 E BEVERLY BLVD	SUITE 303	MONTEBELLO	CA	90640	34.015664	-118.098592	78.2nn	5300.04
1770006728	1770006728	1	1	ALTAMED MEDICAL AND DENTAL G	24-Oct-18	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	CORPORATION	972 GOODRICH BLVD	None	COMMERCE	CA	90022	34.018027	-118.154486	78.2c	5323.03
1770034530	1770034530	1	2	VIA CARE 607	9-Jan-19	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	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
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
1770597270	1770597270	1	1	HWANG, JIUNN-BOR MD INC	28-Apr-97	Physicians (026)	PHYSICIANS	A00030755	0	General Practioner (Dentists Only)	0	In state provider	19	Los Angeles	None	850 S ATLANTIC BLVD	STE 204	MONTEREY PARK	CA	91754	34.051118	-118.13798	78.2nn	4820.02
1770624553	1770624553	1	1	ESCALON COMM HEALTH CLINIC	11-Jul-05	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	39	San Joaquin	HEALTH CLINIC	2080 MCHENRY AVE	SUITE 200	ESCALON	CA	95320	37.793504	-120.996556	164.2	49.01
1770638033	1770638033	1	1	TAM, THOMAS MD	30-Sep-98	Physicians (026)	PHYSICIANS	A00024893	0	General Practioner (Dentists Only)	0	In state provider	19	Los Angeles	None	455 N GARFIELD AVE	STE 101	MONTEREY PARK	CA	91754	34.066821	-118.122898	78.2nn	4817.13
1770641482	1770641482	1	1	PLANNED PARENTHOOD	1-Mar-97	Community Clinics (041)	COMMUNITY CLINIC	ZZR11925	99	Unknown (on EDS claims)	0	In state provider	7	Contra Costa	RICHMOND CENTER	2970 HILLTOP MALL	STE 307	RICHMOND	CA	94806	37.976763	-122.322936	18g	3671
1770649097	1770649097	1	1	ARDMORE SPEC MED GROUP	28-Apr-97	Physicians Group (022)	PHYSICIANS GROUP	FNP030539	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	3500 WHITTIER BLVD	STE 105	LOS ANGELES	CA	90023	34.026687	-118.198514	78.2h	2049.1
1770653362	1770653362	1	1	ADVENTIST HEALTH UKIAH VALLE	8-Sep-11	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	23	Mendocino	None	1050 N STATE ST	None	UKIAH	CA	95482	39.160088	-123.209058	93.1	115
1770663551	1770663551	1	1	VALLEY IMMEDIATE CARE ME	8-Jul-05	Physicians Group (022)	PHYSICIANS GROUP	FNP030643	1	General Practice	0	In state provider	37	San Diego	CORPORATION	750 E GRAND AVE	STE B&C	ESCONDIDO	CA	92025	33.125149	-117.072137	156e	202.02
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
1770703571	1770703571	1	1	GOLDEN VALLEY HEALTH C	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	24	Merced	DOS PALOS	1405 CALIFORNIA AVE	None	DOS PALOS	CA	93620	36.98748	-120.629074	94	24.02
1770709149	1770709149	1	1	WATSON HEALTH CTR	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	44	Santa Cruz	WATSONVILLE HEALTH CTR	9 CRESTVIEW DR	None	WATSONVILLE	CA	95076	36.926481	-121.764521	184	1102
1770760670	1770760670	1	1	EASTSIDE NEIGHBORHOOD CLINIC	17-Jul-05	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	42	Santa Barbara	CLINICS	915 N MILPAS ST	None	SANTA BARBARA	CA	93103	34.430176	-119.69058	181b	6
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
1770920787	1770920787	1	1	ALLAN HANCOCK JOINT	23-Dec-13	Exempt from Licensure Clinics (045)	CLINIC EXEMP FROM LICENSURE	None	99	Unknown (on EDS claims)	0	In state provider	42	Santa Barbara	COMMUNITY COLLEGE DIST	800 S COLLEGE DRIVE	None	SANTA MARIA	CA	93454	34.944504	-120.424828	180.1	21.02
1770988370	1770988370	1	1	WESLEY HEALTH CENTERS DOWNEY	25-Feb-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	8530 FIRESTONE BLVD	None	DOWNEY	CA	90241	33.937987	-118.128996	78.2eee	5513
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
1780008839	1780008839	1	1	RIVERSIDE COMMUNITY COLLEGE	10-Dec-14	Exempt from Licensure Clinics (045)	CLINIC EXEMP FROM LICENSURE	None	99	Unknown (on EDS claims)	0	In state provider	33	Riverside	DISTRICT	4800 MAGNOLIA AVENUE	None	RIVERSIDE	CA	92506	33.971379	-117.384767	135c	307
1780038042	1780038042	1	1	D STREET MEDICAL CENTER	13-Sep-18	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	36	San Bernardino	FOUNDATION	590 NORTH D STREET	None	SAN BERNARDINO	CA	92401	34.109961	-117.291883	151g	57.01
1780054379	1780054379	1	1	TRI-CITY HEALTH CENTER IRVIN	1-Aug-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	1	Alameda	None	40910 FREMONT BLVD	None	FREMONT	CA	94538	37.533942	-121.960851	2j	4423.02
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
1780637645	1780637645	1	1	PLANNED PRNTHD MAR MONTE	1-Mar-97	Community Clinics (041)	COMMUNITY CLINIC	430791915	99	Unknown (on EDS claims)	0	In state provider	43	Santa Clara	None	3131 ALUM ROCK AVE	None	SAN JOSE	CA	95127	37.366358	-121.827149	183b	5039.02
1780718957	1780718957	1	1	KERN VALLEY MEDICAL CTR	1-Sep-04	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	15	Kern	KERN VALLEY MEDICAL CTR	6310 LAKE ISABELLA BLVD	None	LAKE ISABELLA	CA	93240	35.628167	-118.472665	63	52.04
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
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
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
1780821660	1780821660	1	1	WEST VENTURA MEDICAL CLINIC	31-Aug-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	56	Ventura	None	133 W SANTA CLARA ST	None	VENTURA	CA	93001	34.279541	-119.303092	241c	24
1780899484	1780899484	1	1	LA MAESTRA FAMILY CLINIC	1-Oct-06	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	None	165 S 1ST ST	None	EL CAJON	CA	92019	32.794038	-116.944599	161h	157.03
1780921536	1780921536	1	1	ELM STREET FAMILY HEALTH	9-Dec-13	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	None	140 ELM STREET	None	SAN DIEGO	CA	92101	32.724057	-117.163509	161e	57
1780928986	1780928986	1	1	OMNI FAMILY HEALTH	23-Feb-13	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	15	Kern	None	4600 PANAMA LANE	SUITE 102B	BAKERSFIELD	CA	93313	35.295989	-119.053828	66c	31.14
1780958462	1780958462	1	1	BAHARI MEDICAL GROUP	1-Feb-16	Physicians (026)	PHYSICIANS	20A7938	1	General Practice	0	In state provider	19	Los Angeles	PROFESSIONAL MEDICAL C	20829 VENTURA BLVD	None	WOODLAND HILLS	CA	91364	34.166363	-118.586542	78.2yy	1375.01
1790051423	1790051423	1	1	FHCCGLA DOWNEY FAMILY	6-Jun-14	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	OF GREATER LA INC	12113 WOODRUFF AVE	STE A	DOWNEY	CA	90241	33.924077	-118.116706	78.2eee	5511.01
1790075315	1790075315	1	1	EASTSIDE HEALTH CENTER	2-Jan-13	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	33	Riverside	FOUNDATION	1970 UNIVERSITY AVE	None	RIVERSIDE	CA	92507	33.975622	-117.354517	135a	305.01
1790100402	1790100402	1	1	GASTON MIDDLE SCHOOL HEALTH	8-Aug-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	None	1120 EAST CHURCH AVENUE	None	FRESNO	CA	93706	36.714143	-119.79521	30	9.02
1790128536	1790128536	1	1	GREENFIELD COMMUNITY HEALTH	19-Aug-13	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	15	Kern	None	9001 SOUTH H STREET	None	BAKERSFIELD	CA	93307	35.274016	-119.021275	66c	32.02
1790154862	1790154862	1	3	FAMILY HEALTHCARE NETWORK	9-Jan-19	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	54	Tulare	INTERMITTENT	324 N VERMONT AVENUE	None	DINUBA	CA	93618	36.547838	-119.389362	227.1	4.02
1790177582	1790177582	1	1	ALTAMED MEDICAL GROUP HUNTIN	23-Oct-18	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	CORPORATION	1900 E SLAUSON AVE	None	HUNTINGTON PARK	CA	90255	33.989207	-118.236549	78.2ccc	5326.03
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
1790701514	1790701514	1	1	CLINICA MEDICA FAMILIAR DE S	28-Apr-97	Physicians Group (022)	PHYSICIANS GROUP	G37709	8	Family Practice	0	In state provider	30	Orange	ANTA ANA	517 N MAIN ST	STE 100	SANTA ANA	CA	92701	33.749393	-117.867605	116b	750.02
1790718351	1790718351	1	1	IMPERIAL BEACH HEALTH CT	6-Jan-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	None	949 PALM AVE	None	IMPERIAL BEACH	CA	91932	32.58379	-117.113362	161j	105.02
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
1790739126	1790739126	1	1	PLANNED PRNTHD MAR MONTE	1-Jul-97	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	None	650 N FULTON ST	None	FRESNO	CA	93728	36.751781	-119.800354	35c	23
1790836500	1790836500	1	2	PICKET, ANTHONY C MD IN	16-Mar-98	Physicians (026)	PHYSICIANS	G00076921	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	MATERNITY CENTER OF VERN	4230 S FIGUEROA ST	None	LOS ANGELES	CA	90037	34.006364	-118.282727	78.2l	2317.2
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
1790967453	1790967453	1	1	FRESNO STATE UNIVERSITY	21-Oct-08	Exempt from Licensure Clinics (045)	CLINIC EXEMP FROM LICENSURE	CLF2089	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	None	5044 N BARTON AVE	M/S HC81	FRESNO	CA	93740	36.81006	-119.74979	None	None
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
1801147707	1801147707	1	1	PLANNED PARENTHOOD CLEARLAKE	26-Feb-15	Community Clinics (041)	COMMUNITY CLINIC	550002643	99	Unknown (on EDS claims)	0	In state provider	17	Lake	DIABLO INC	14671 OLYMPIC DR	None	CLEARLAKE	CA	95422	38.961823	-122.636372	71.1	8.02
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
1801202676	1801202676	1	1	ANPHON MEDICAL CENTER	22-Feb-18	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	333 E NUTWOOD STREET	SUITE C	INGLEWOOD	CA	90301	33.9605	-118.351035	78.2q	6010.01
1801214853	1801214853	1	1	NILOO MEDICAL GROUP INC	5-Jul-17	Physicians (026)	PHYSICIANS	A112671	1	General Practice	0	In state provider	19	Los Angeles	None	4075 WHITTIER BLVD	None	LOS ANGELES	CA	90023	34.023929	-118.183597	78.2d	5312.02
1801244223	1801244223	1	1	POLOMAR COLLEGE	6-Jul-16	Exempt from Licensure Clinics (045)	CLINIC EXEMP FROM LICENSURE	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	DISTRICT	1140 WEST MISSION RD	None	SAN MARCOS	CA	92069	33.147343	-117.185863	156e	200.21
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
1801808357	1801808357	1	1	PLAZITA MEDICAL CLINIC	17-Jul-07	Physicians Group (022)	PHYSICIANS GROUP	FNP010813	8	Family Practice	0	In state provider	44	Santa Cruz	INC	1150 MAIN ST	STE 3	WATSONVILLE	CA	95076	36.916529	-121.769697	184	1105.01
1801829296	1801829296	1	1	AMPLA HEALTH LINDHURST	25-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	58	Yuba	MEDICAL & DENTAL	4941 OLIVEHURST AVE	None	OLIVEHURST	CA	95961	39.097071	-121.551527	249	405
1801831227	1801831227	1	1	FARMERSVILLE HLTH CARE	4-Jun-01	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	54	Tulare	FARMERSVILLE HLTH CARE	660 E VISALIA RD	None	FARMERSVILLE	CA	93223	36.297786	-119.201164	233	16.01
1801851043	1801851043	1	1	FAMILY MEDICINE CENTER	23-Jul-03	Physicians Group (022)	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	19	Los Angeles	A MEDICAL CORPORATION	801 S CHEVY CHASE DR	STE 230	GLENDALE	CA	91205	34.137132	-118.239588	78.2ff	3021.02
1801861190	1801861190	1	1	TRI-CITY MEDICAL CENTER	1-May-11	Community Hosp Outpatient (015)	COMMUNITY OUTPATIENT HOSPITAL	ZZT40128	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	DISTRICT	4002 VISTA WAY	None	OCEANSIDE	CA	92056	33.183699	-117.29234	156d	185.18
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
1801921952	1801921952	1	5	ROY MEDICAL GROUP INC	8-Apr-16	Physicians Group (022)	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	19	Los Angeles	None	8001 LAUREL CANYON BLVD	STE 109	NORTH HOLLYWOOD	CA	91605	34.215715	-118.396526	78.2ppp	1210.2
1801955125	1801955125	1	1	CARPINTERIA COMM HLTH	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	42	Santa Barbara	CARPINTERIA COMM HLTH CT	931 WALNUT AVE	None	CARPINTERIA	CA	93013	34.396949	-119.517038	177	16.04
1801985049	1801985049	1	3	EAST COMPTON CENTER	1-Jun-19	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	INTERMITTENT	4402 E COMPTON BLVD	None	EAST RANCHO DOMIN	CA	90221	33.896157	-118.194502	78.2bbb	5421.03
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
1811032436	1811032436	1	1	HAWAIIAN GARDENS HLTH CT	17-May-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	HAWAIIAN GARDENS HLTH CT	22310 WARDHAM AVE	None	HAWAIIAN GARDENS	CA	90716	33.826186	-118.06523	78.2n	5552.12
1811060262	1811060262	1	1	WHITE MEMORIAL GYNECOLOG	28-Apr-97	Physicians Group (022)	PHYSICIANS GROUP	FNP004602	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	MEDICAL GROUP	1701 CESAR CHAVEZ AVENUE	STE 200 225	LOS ANGELES	CA	90033	34.049148	-118.207603	78.2h	2036
1811105554	1811105554	1	1	UNITED HLTH CTRS OF SJ	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	THE SAN JOAQUIN VALLEY	2502 JENSEN AVE	None	SANGER	CA	93657	36.706737	-119.571975	31	60
1811129091	1811129091	1	1	ASIAN PACIFIC HLTHCRE VENTUR	31-May-11	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	VENTURE INC	1575 W 2ND STREET	None	LOS ANGELES	CA	90026	34.061229	-118.263118	78.2ffff	2083.02
1811158603	1811158603	1	1	VENICE FAMILY CLINIC	28-Apr-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	ROBERT LEVINE FAM HEALTH	905 VENICE BLVD	None	VENICE	CA	90291	33.993268	-118.454462	78.2z	2736
1811174022	1811174022	1	1	NE VALLEY HLTH-HOMELESS	7-Feb-00	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	CORPORATION	7843 LANKERSHIM BLVD	None	NORTH HOLLYWOOD	CA	91605	34.212866	-118.387804	78.2ppp	1218.02
1811185259	1811185259	1	1	URBAN INDIAN HLTH BOARD	10-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	38	San Francisco	None	160 CAPP ST	None	SAN FRANCISCO	CA	94110	37.764144	-122.418535	162c	201
1811199672	1811199672	1	1	VISHWANATH, VASANTH M MD	6-Aug-12	Physicians Group (022)	PHYSICIANS GROUP	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	INC	7075 N MAPLE AVE	STE 102	FRESNO	CA	93720	36.838177	-119.745113	35a	55.09
1811258510	1811258510	2	14	COMMUNITY FOUNDATION MEDICAL	22-Oct-14	Physicians Group (022)	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	10	Fresno	GROUP	2210 E ILLINOIS AVE	STE 505	FRESNO	CA	93701	36.74503	-119.78478	35c	5.02
1811258510	1811258510	2	16	COMMUNITY FOUNDATION MEDICAL	22-Oct-14	Physicians Group (022)	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	10	Fresno	GROUP	2570 JENSEN AVE	STE 103	SANGER	CA	93657	36.706751	-119.573385	31	60
1811279763	1811279763	1	1	BARTZ ALTADONNA COMMUNITY	1-Jun-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	HEALTH CENTER	43322 GINGHAM AVE	SUITE 104 & 105	LANCASTER	CA	93535	34.671365	-118.122268	77.1c	9005.04
1811302045	1811302045	1	1	WELLSPACE HEALTH HEALTH CARE	22-Oct-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	34	Sacramento	None	7601 HOSPITAL DRIVE	STE 220	SACRAMENTO	CA	95823	38.464241	-121.415612	139h	96.06
1811914377	1811914377	2	1	ADVENTIST HEALTH REEDLEY	1-Dec-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	None	2141 HIGH STREET	None	SELMA	CA	93662	36.57026	-119.613523	30	70.02
1811914674	1811914674	1	1	PLANNED PARENTHOOD OF SANTA	1-Mar-97	Community Clinics (041)	COMMUNITY CLINIC	421701184	99	Unknown (on EDS claims)	0	In state provider	42	Santa Barbara	CALIFORNIA CENTER COAST	415 E CHAPEL ST	None	SANTA MARIA	CA	93454	34.954297	-120.431239	180.1	22.06
1811926058	1811926058	1	1	PLANNED PARENTHOOD STA BARB	1-Mar-97	Community Clinics (041)	COMMUNITY CLINIC	ZZT11744	99	Unknown (on EDS claims)	0	In state provider	42	Santa Barbara	CALIFORNIA CENTRAL COAST	518 GARDEN ST	None	SANTA BARBARA	CA	93101	34.420202	-119.692355	181a	9
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
1821081647	1821081647	2	1	FRIENDLY OB-GYN MEDICAL	5-Aug-15	Physicians (026)	PHYSICIANS	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	33	Riverside	GROUP INC	12810 HEACOCK ST	STE B105	MORENO VALLEY	CA	92553	33.934607	-117.243736	135b	425.15
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
1821132671	1821132671	1	1	AKA GR0003090 00G38477+	29-Apr-97	Physicians (026)	PHYSICIANS	G00038477	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	22110 ROSCOE BLVD	STE 203	WEST HILLS	CA	91304	34.219627	-118.608082	78.2cccc	1343.04
1821155433	1821155433	1	1	LLAMAS CLINICA MEDICA FAMILI	18-Nov-09	Physicians (026)	PHYSICIANS	A00044548	8	Family Practice	0	In state provider	36	San Bernardino	None	9653 ALDER AVE	None	FONTANA	CA	92335	34.078519	-117.41827	151f	32
1821170044	1821170044	1	1	RAVENSWOOD FAMILY HLTH	21-Dec-01	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	41	San Mateo	HEALTH CENTER INC	1885 BAY ROAD	None	EAST PALO ALTO	CA	94303	37.472764	-122.132391	176b	6118
1821186727	1821186727	1	1	FAMILY HLTHCARE NETWORK	11-Jan-05	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	54	Tulare	NETWORK	400 E OAK AVE	None	VISALIA	CA	93291	36.331986	-119.289034	233	12
1821210329	1821210329	1	2	AKHAVAN, AFSHIN DO A PROFESS	12-Apr-11	Physicians Group (022)	PHYSICIANS GROUP	None	8	Family Practice	0	In state provider	19	Los Angeles	None	530 E WASHINGTON BLVD	None	LOS ANGELES	CA	90015	34.03393	-118.271189	78.2ffff	2240.2
1821215914	1821215914	1	1	CUZCATLAN MEDICAL CLINIC	18-Aug-03	Physicians Group (022)	PHYSICIANS GROUP	FNP025800	1	General Practice	0	In state provider	19	Los Angeles	CUZCATLAN MEDICAL CLINIC	3559 E GAGE AVE	None	BELL	CA	90201	33.979609	-118.201578	78.2ddd	5336.01
1821237355	1821237355	1	1	OMNI FAMILY HEALTH	13-Aug-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	15	Kern	None	1133 N CHELSEA ST	None	RIDGECREST	CA	93555	35.638142	-117.675674	64	54.01
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
1821278771	1821278771	1	2	CHOI, JOON MD APC	23-Nov-15	Physicians (026)	PHYSICIANS	G80351	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	1577 E CHEVY CHASE DRIVE	SUITE 110	GLENDALE	CA	91206	34.153201	-118.229688	78.2ee	3010
1821429838	1821429838	1	1	PROHEALTH PARTNERS A MEDICAL	5-May-16	Physicians Group (022)	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	19	Los Angeles	None	711 EAST ROSECRANS AVE	None	COMPTON	CA	90221	33.903456	-118.216159	78.2bbb	5416.04
1821492836	1821492836	1	1	ADVANCED HEALTHCARE FOR	24-Aug-15	Group Cert. Pediatric/Family NP (010)	GROUP CERTIFIED NURSE PRACTITIONER	None	99	Unknown (on EDS claims)	0	In state provider	36	San Bernardino	WOMEN AND CHILDREN A	600 NORTH MOUNTAIN AVE	SUITE A104	UPLAND	CA	91786	34.101605	-117.670115	151d	8.23
1821593971	1821593971	1	1	UNITED HEALTH CENTERS OF THE	24-May-19	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	16	Kings	SAN JOAQUIN VALLEY	250 E HANFORD ARMONA RD	None	LEMOORE	CA	93245	36.313463	-119.776828	69	4.03
1831115070	1831115070	1	1	AMPLA HEALTH YUBA CITY MED	15-Sep-09	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	51	Sutter	CENTER	1000 SUTTER STREET	None	YUBA CITY	CA	95991	39.140392	-121.609917	216	502.02
1831188275	1831188275	1	1	GLENDALE ADVENTIST MED	21-Feb-01	Community Hosp Outpatient (015)	COMMUNITY OUTPATIENT HOSPITAL	91909003	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	CENTER	1509 WILSON TER	None	GLENDALE	CA	91206	34.149428	-118.231026	78.2ee	3010
1831287978	1831287978	1	1	WESTSIDE FAMILY HLTH CTR	20-May-09	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	1711 OCEAN PARK BLVD	None	SANTA MONICA	CA	90405	34.01253	-118.466732	78.2z	7022.01
1831335116	1831335116	1	1	ORCHARD MEDICAL CENTER	28-May-09	Physicians (026)	PHYSICIANS	A66698	8	Family Practice	0	In state provider	10	Fresno	INC	555 SIXTH ST	None	ORANGE COVE	CA	93646	36.62521	-119.312366	32	65.02
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
1831383637	1831383637	1	1	PLANNED PARENTHOOD CHC	8-Apr-09	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	PACIFIC SOUTHWEST	4305 UNIVERSITY AVE	STE 350	SAN DIEGO	CA	92105	32.749622	-117.101883	161d	22.02
1831394998	1831394998	1	1	TURLOCK MEDICAL OFFICE	20-Sep-07	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	50	Stanislaus	TURLOCK MEDICAL OFFICE	800 DELBON AVE	None	TURLOCK	CA	95382	37.510478	-120.839859	212.1	39.07
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
1831462712	1831462712	1	1	ROMAN, RICARDO MD INC	24-May-12	Physicians (026)	PHYSICIANS	A00079013	41	Internal Medicine	0	In state provider	19	Los Angeles	None	4708 EAGLE ROCK BLVD	None	EAGLE ROCK	CA	90041	34.130386	-118.216567	78.2dd	1834.02
1831513373	1831513373	1	1	DTFHC AT CONNECTIONS	23-Jun-14	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	None	1250 6TH AVE	STE 100	SAN DIEGO	CA	92101	32.71831	-117.159277	161c	53
1831520048	1831520048	1	1	FAMILY HEALTHCARE NETWORK	16-Jan-14	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	54	Tulare	None	9416 ROAD 238	None	TERRA BELLA	CA	93270	35.960618	-119.040026	231	45
1841201449	1841201449	1	1	WOMENS COMPREHENSIVE HEA	13-Jan-05	Physicians Group (022)	PHYSICIANS GROUP	FNP30827	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	36	San Bernardino	INC	309 E MOUNTAIN VIEW ST	STE 110	BARSTOW	CA	92311	34.892789	-117.026203	149	95
1841217866	1841217866	1	1	NIPOMO COMM MED CTR	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	40	San Luis Obispo	OF THE CENTRAL COAST	150 TEJAS PL	None	NIPOMO	CA	93444	35.026495	-120.498724	171	124.02
1841331626	1841331626	1	1	OAKDALE COMMUNITY HEALTH CTR	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	50	Stanislaus	None	1420 W H ST	None	OAKDALE	CA	95361	37.758018	-120.862179	211	2.02
1841419793	1841419793	1	1	BLACK, ROBIN	5-Jun-07	Certified Pediatric/Family NP (007)	CERTIFIED NURSE PRACTIONER	RN0268672	99	Unknown (on EDS claims)	0	In state provider	30	Orange	None	2077 HARBOR BLVD	STE C	COSTA MESA	CA	92627	33.649959	-117.919049	116p	637.02
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
1841437241	1841437241	1	1	H STREET CLINIC INC	16-Jul-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	36	San Bernardino	None	1329 NORTH H ST	None	SAN BERNARDINO	CA	92405	34.123981	-117.300904	151g	55
1841476447	1841476447	1	1	ADVENTIST HLTH CLRLK HOS	14-Nov-06	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	17	Lake	FAMILY HEALTH CENTER	15230 LAKESHORE DR	None	CLEARLAKE	CA	95422	38.949833	-122.627225	71.1	8.01
1841476652	1841476652	1	1	FAMILY HEALTH CTRS OF SD	24-Nov-99	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	None	8788 JAMACHA RD	None	SPRING VALLEY	CA	91977	32.714791	-117.009764	161i	139.06
1841476686	1841476686	1	1	OMNI FAMILY HEALTH	5-Nov-08	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	15	Kern	None	3409 CALLOWAY DR	STE 300	BAKERSFIELD	CA	93312	35.391031	-119.110086	66d	38.07
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
1841525862	1841525862	1	1	FAMILY HEALTH MEDICAL CENTER	29-Jul-11	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	24	Merced	None	1045 5TH STREET	None	LOS BANOS	CA	93635	37.059805	-120.850568	94	22.01
1841556404	1841556404	1	1	CLINICAS DEL CAMINO REAL INC	3-Jul-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	56	Ventura	MOORPARK	4279 TIERRA REJADA ROAD	None	MOORPARK	CA	93021	34.268766	-118.898426	239	76.07
1841607801	1841607801	1	1	KAWEAH DELTA DINUBA HEALTH	1-Feb-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	54	Tulare	DISTRICT	355 MONTE VISTA DRIVE	STE A	DINUBA	CA	93618	36.540128	-119.403985	227.1	5.02
1841612082	1841612082	1	1	HI-DESERT FAMILY HEALTH CLIN	4-May-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	36	San Bernardino	CARE DISTRICT	58375 29 PALMS HIGHWAY	None	YUCCA VALLEY	CA	92284	34.125044	-116.409008	144.2	104.11
1841617958	1841617958	1	1	NEIGHBORHOOD HEALTHCARE	5-Oct-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	33	Riverside	None	26926 CHERRY HILLS BLVD	SUITE B	MENIFEE	CA	92586	33.711116	-117.189081	133.1	427.11
1841723327	1841723327	1	2	PEACH TREE-YUBA CITY COLUSA	17-May-18	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	51	Sutter	None	1275 THARP ROAD	None	YUBA CITY	CA	95993	39.146221	-121.648517	216	506.03
1851300123	1851300123	1	1	VISTA COMMUNITY CLINIC	6-Jan-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	None	134 GRAPEVINE ROAD	None	VISTA	CA	92083	33.191412	-117.275088	156d	194.05
1851325906	1851325906	1	1	UNIV OF CALIF, IRVINE	1-Jul-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	30	Orange	UCI FAMILY HEALTH CTR	800 N MAIN ST	None	SANTA ANA	CA	92701	33.751182	-117.867611	116b	750.02
1851373401	1851373401	1	1	UNITED HLTH CTRS OF SJ	9-Aug-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	None	517 S MADERA AVE	None	KERMAN	CA	93630	36.72717	-120.060315	29	40.01
1851389696	1851389696	1	1	TIBURCIO VASQUEZ HTLH CT	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	1	Alameda	None	33255 9TH ST	None	UNION CITY	CA	94587	37.603184	-122.02637	2n	4402
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
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
1851429658	1851429658	1	1	DELANO WOMAN'S CLINIC	23-Dec-03	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	15	Kern	FOUNDATION FOR HEALTH	1201 JEFFERSON ST	None	DELANO	CA	93215	35.771809	-119.244929	60	50.04
1851431647	1851431647	1	1	WASHINGTON NEIGHBORHOOD	1-Sep-06	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	43	Santa Clara	HEALTH CLINIC	100 OAK ST	None	SAN JOSE	CA	95110	37.321834	-121.881625	183d	5017
1851454037	1851454037	1	1	PLUMAS COUNTY HEALTH SVS	1-Nov-97	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	32	Plumas	None	270 COUNTY HOSPITAL RD	None	QUINCY	CA	95971	39.952512	-120.963326	123.1	1
1851465256	1851465256	1	1	GEORGIOU, STEPHEN J MD	27-Aug-12	Physicians (026)	PHYSICIANS	G00081674	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	24	Merced	None	807 ILLINOIS AVE	None	LOS BANOS	CA	93635	37.064419	-120.857751	94	22.01
1851513469	1851513469	1	1	WESTERN SIERRA MED CLN	4-May-00	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	46	Sierra	None	209 NEVADA ST	None	DOWNIEVILLE	CA	95936	39.559105	-120.829588	191	100
1851522015	1851522015	1	1	ROOSEVELT HEALTH CENTER	25-Mar-10	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	1	Alameda	None	1926 19TH AVE	None	OAKLAND	CA	94606	37.789727	-122.23799	2c	4059.02
1851537708	1851537708	1	1	PAT T KOUWABUNPAT MD	10-Aug-09	Physicians (026)	PHYSICIANS	A00097918	8	Family Practice	0	In state provider	30	Orange	None	1610 W EDINGER AVE	STE B	SANTA ANA	CA	92704	33.727205	-117.890282	116b	747.01
1851552434	1851552434	1	1	HERNANDEZ, JESUS N MD INC	9-Apr-02	Physicians (026)	PHYSICIANS	A00030246	99	Unknown (on EDS claims)	0	In state provider	30	Orange	None	1211 W LA PALMA AVENUE	STE 609	ANAHEIM	CA	92801	33.847148	-117.934634	116l	866.01
1851577662	1851577662	1	1	BEACH AREA FAM HLTH CNTR	6-Jan-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	SAN DIEGO INC	3705 MISSION BLVD	None	SAN DIEGO	CA	92109	32.782645	-117.25244	161a	76
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
1851625396	1851625396	1	1	LAKE ELSINORE FAM MED CLINIC	28-Jan-10	Physicians Group (022)	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	33	Riverside	FAMILIAR	31739 RIVERSIDE DR	STE A1	LAKE ELSINORE	CA	92530	33.676989	-117.373381	131a	430.01
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
1851692560	1851692560	1	1	PLANNED PARENTHOOD	20-Apr-11	Community Clinics (041)	COMMUNITY CLINIC	550001548	99	Unknown (on EDS claims)	0	In state provider	38	San Francisco	SAN FRANCISCO CENTER	1650 VALENCIA STREET	None	SAN FRANCISCO	CA	94110	37.746174	-122.420095	162c	253
1851709406	1851709406	1	1	UPLAND ONTARIO MEDICAL CLIN	26-Jun-17	Physicians Group (022)	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	36	San Bernardino	None	1520 N MOUNTAIN AVE	BLDG F STE 128	ONTARIO	CA	91762	34.061468	-117.664432	151c	16
1851713929	1851713929	1	1	OMNI FAMILY HEALTH	16-Jul-18	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	15	Kern	None	4131 MING AVE	None	BAKERSFIELD	CA	93309	35.339464	-119.049305	66c	28.14
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
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
1861433526	1861433526	1	1	TRAN, BRYAN H MD INC	11-Mar-00	Physicians (026)	PHYSICIANS	A00054928	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	30	Orange	None	27800 MEDICAL CENTER RD	STE 230	MISSION VIEJO	CA	92691	33.560069	-117.665857	115.2a	320.22
1861449522	1861449522	1	1	INDIAN HLTH COUNCIL, INC	8-Jan-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	None	50100 GOLSH ROAD	None	VALLEY CENTER	CA	92082	33.277133	-116.951859	153.2	191.06
1861501025	1861501025	1	1	NAMBIAR, MANI MD	14-Apr-00	Physicians (026)	PHYSICIANS	A00040026	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	33	Riverside	None	130 S BUENA VISTA ST	None	HEMET	CA	92543	33.747008	-116.967353	132	434.01
1861581043	1861581043	1	1	PLANNED PARENTHOOD HLYWD	28-Apr-97	Community Clinics (041)	COMMUNITY CLINIC	190991495	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	HOLLYWOOD	1014 1/2 N VERMONT AVE	None	LOS ANGELES	CA	90029	34.09031	-118.291737	78.2g	1915
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
1861603151	1861603151	1	1	25TH ST FAMILY MEDICINE	25-Mar-08	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	25TH ST FAMILY MEDICINE	316 25TH ST	None	SAN DIEGO	CA	92102	32.708729	-117.14023	161c	48
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
1861636177	1861636177	1	1	PLANNED PARENTHOOD ALHAMBRA	10-Jun-15	Community Clinics (041)	COMMUNITY CLINIC	550001114	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	& SAN GABRIEL VALLEY	330 S GARFIELD AVE	SUITE 300	ALHAMBRA	CA	91801	34.09186	-118.124551	78.2eeee	4810.02
1861641441	1861641441	1	1	ELM COMMUNITY HEALTH CTR	15-Oct-08	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	None	2790 SOUTH ELM	None	FRESNO	CA	93706	36.699889	-119.790721	30	10
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
1861680712	1861680712	1	1	BIENESTAR MEDICAL CENTER	8-Sep-09	Physicians Group (022)	PHYSICIANS GROUP	FNP030110	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	30	Orange	INC	1125 E 17TH STREET	SUITE N 152	SANTA ANA	CA	92701	33.759883	-117.854493	116h	754.03
1861711863	1861711863	1	1	AME MEDICAL GROUP INC	11-May-16	Physicians Group (022)	PHYSICIANS GROUP	None	8	Family Practice	0	In state provider	19	Los Angeles	None	11942 PARAMOUNT BLVD	STE B	DOWNEY	CA	90242	33.933591	-118.144709	78.2sss	5515.02
1861731523	1861731523	1	1	PLANNED PARENTHOOD MAR MONTE	15-May-18	Community Clinics (041)	COMMUNITY CLINIC	550002330	99	Unknown (on EDS claims)	0	In state provider	1	Alameda	INCORPORATED	1682 7TH STREET	None	OAKLAND	CA	94607	37.806561	-122.300345	2c	4022
1861796161	1861796161	1	1	ARLINGTON CLINICA MEDICA FAM	30-Mar-11	Physicians Group (022)	PHYSICIANS GROUP	None	8	Family Practice	0	In state provider	33	Riverside	A MEDICAL CORPORATION	8151 ARLINGTON AVE	STE U-V	RIVERSIDE	CA	92503	33.946358	-117.459837	135d	411.01
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
1861860306	1861860306	1	1	TIBURCIO VASQUEZ HEALTH CENT	30-Mar-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	1	Alameda	CENTER INC	28300 HUNTWOOD AVE	None	HAYWARD	CA	94544	37.632037	-122.063468	2n	4382.04
1861867590	1861867590	1	1	OMNI FAMILY HEALTH	27-Feb-18	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	15	Kern	None	659 CENTRAL VALLEY HWY	None	SHAFTER	CA	93263	35.504066	-119.276012	58.1	41.01
1861882946	1861882946	1	1	LA LIBERTAD MEDICAL CLINIC	6-Jun-16	Physicians Group (022)	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	19	Los Angeles	INC	7900 PACIFIC BLVD	SUITE C AND D	WALNUT PARK	CA	90255	33.966707	-118.225207	78.2fff	5348.03
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
1871553347	1871553347	1	1	WOMAN TO WOMAN OB & GYN	1-Mar-97	Physicians Group (022)	PHYSICIANS GROUP	P12304	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	36	San Bernardino	MEDICAL GROUP	249 E HIGHLAND AVE	None	SAN BERNARDINO	CA	92404	34.135927	-117.280692	151g	54
1871573360	1871573360	1	1	COMPREHENSIVE COMM HLTH	23-Feb-05	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	HEALTH CTR-NO HOLLYWOOD	12157 VICTORY BLVD	None	NORTH HOLLYWOOD	CA	91606	34.186676	-118.397818	78.2bb	1239.01
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
1871607713	1871607713	1	1	JURUPA VALLEY COMMUNITY HEAL	7-Jul-04	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	33	Riverside	None	8876 MISSION BLVD	None	JURUPA VALLEY	CA	92509	34.011774	-117.477184	135e	405.01
1871627042	1871627042	1	1	KERN RIVER HELATH CTR	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	15	Kern	PO BOX 1150	67 EVANS RD	None	WOFFORD HEIGHTS	CA	93285	35.706666	-118.457985	63	52.01
1871627166	1871627166	1	1	CLINICA SIERRA VISTA I	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	15	Kern	PO BOX 457	8787 HALL RD	None	LAMONT	CA	93241	35.259734	-118.907169	61	64.01
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
1871653816	1871653816	1	1	LIEN, THOI H MD	14-Feb-05	Physicians (026)	PHYSICIANS	A00075628	8	Family Practice	0	In state provider	19	Los Angeles	None	1004 E GARVEY AVE	None	MONTEREY PARK	CA	91755	34.062538	-118.10931	78.2nn	4822.02
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
1871689315	1871689315	1	1	COMMUNITY HLTH ALLIANCE	19-Apr-05	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	ALLIANCE OF PASADENA	1855 N FAIR OAKS AVE	STE 200	PASADENA	CA	91103	34.177957	-118.15074	78.2hhh	4615.02
1871768200	1871768200	1	1	REDWOOD WOMENS CENTER PC	31-Jan-11	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	12	Humboldt	None	3309 RENNER DR	None	FORTUNA	CA	95540	40.582582	-124.135433	42	109.01
1871779934	1871779934	1	1	GOLDEN VALLEY HEALTH CTR	9-Jul-07	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	50	Stanislaus	None	1141 N OLIVE AVE	None	TURLOCK	CA	95380	37.503653	-120.839809	212.1	39.06
1871818138	1871818138	1	1	FRIENDS OF THE FAMILY	1-Jun-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	30	Orange	HEALTH CENTER	501 S IDAHO ST	SUITE 100 & 190	LA HABRA	CA	90631	33.927278	-117.959191	116k	13.01
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
1871839027	1871839027	1	1	ADVENTIST HEALTH COMMUNITY	1-Feb-14	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	None	275 S MADERA AVE	STE 201	KERMAN	CA	93630	36.732172	-120.060246	29	40.01
1871853481	1871853481	1	1	CENTER FOR FAMILY HEALTH	1-Aug-14	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	& EDUCATION INC	8727 VAN NUYS BLVD	STE 102 & 203	PANORAMA CITY	CA	91402	34.228244	-118.450268	78.2ll	1201.03
1881104313	1881104313	1	1	NEWHALL HEALTH CENTER	9-Oct-18	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	CORPORATION	23413 LYONS AVE	None	SANTA CLARITA	CA	91355	34.37967	-118.543938	76.1a	9203.22
1881607547	1881607547	1	1	EL MONTE COMPREHENSIVE	28-Apr-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	EL MONTE FAMILY PLANNING	10953 RAMONA BLVD	None	EL MONTE	CA	91731	34.072049	-118.037139	78.2oo	4327
1881611705	1881611705	1	1	COMMUNITY HEALTH CENTERS	1-Jun-11	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	40	San Luis Obispo	CAMBRIA	2515 MAIN ST	STE B,C	CAMBRIA	CA	93428	35.566011	-121.079295	174	104.04
1881617934	1881617934	1	1	OIVE VIEW-UCLA MED CTR	28-Apr-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	OLIVE VIEW-UCLA MED CTR	14445 OLIVE VIEW DR	None	SYLMAR	CA	91342	34.324172	-118.448013	78.2gg	1060.1
1881627057	1881627057	1	1	CLINICA MED SAN MIGUEL	18-Dec-97	Physicians Group (022)	PHYSICIANS GROUP	FNP012633	1	General Practice	0	In state provider	19	Los Angeles	CLINICA MED SAN MIGUEL	8781 VAN NUYS BLVD	None	PANORAMA CITY	CA	91402	34.229441	-118.450262	78.2ll	1201.03
1881677292	1881677292	2	1	ADVENTIST HEALTH REEDLEY	1-Dec-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	16	Kings	None	1212 HANNA AVENUE	None	CORCORAN	CA	93212	36.099724	-119.56245	68	14.02
1881697381	1881697381	1	1	LAKE COUNTY TRIBAL HLTH	20-Jul-10	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	17	Lake	PO BOX 1950	925 BEVINS CT	None	LAKEPORT	CA	95453	39.037772	-122.922507	70.1	4
1881703957	1881703957	1	1	RURAL HEALTH CLINIC	21-Jan-09	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	36	San Bernardino	COMMUNITAL HOSPITAL DIST	31900 HILLTOP BLVD	None	RUNNING SPRINGS	CA	92382	34.206947	-117.152437	146	111.01
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
1881825305	1881825305	1	1	N E MED SRVCS SAN BRUNO	3-Jan-10	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	38	San Francisco	None	2574 SAN BRUNO AVE	None	SAN FRANCISCO	CA	94134	37.729162	-122.404263	162f	257.02
1881847424	1881847424	1	1	ADVANCE URGENT MED GROUP INC	6-Jan-10	Physicians Group (022)	PHYSICIANS GROUP	None	41	Internal Medicine	0	In state provider	30	Orange	None	1401 W 1ST STREET	STE 101	SANTA ANA	CA	92703	33.745446	-117.886918	116b	748.01
1881866309	1881866309	1	1	COMMUNITY MED CTRS,INC	10-Jan-08	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	39	San Joaquin	HAMMER SITE	1721 E HAMMER LN	None	STOCKTON	CA	95210	38.020978	-121.29155	169a	34.05
1881871424	1881871424	1	1	VALLEY HEALTH CENTER MILPITA	1-Nov-03	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	43	Santa Clara	None	143 N MAIN ST	None	MILPITAS	CA	95035	37.432995	-121.907546	183o	5045.07
1881871721	1881871721	1	1	LA MISSION COLLEGE STUDENT	17-Aug-02	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	MISSION COLLEGE	13356 ELDRIDGE AVE	None	SYLMAR	CA	91342	34.314627	-118.420426	78.2gg	1061.11
1881930964	1881930964	1	1	ADVENTIST HEALTH REEDLEY	1-Feb-14	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	None	2357 W TAHOE	None	CARUTHERS	CA	93609	36.541741	-119.833791	30	75
1881941409	1881941409	1	1	ALESSANDRO CLINICA MEDICA	28-Jan-13	Physicians Group (022)	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	33	Riverside	PROFESSIONAL CORPORATION	13925 INDIAN ST	None	MORENO VALLEY	CA	92553	33.918406	-117.234983	135g	425.21
1881987576	1881987576	1	1	ELIZABETH HEALTH CENTER-NECC	1-Dec-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	2822 E FLORENCE AVENUE	None	HUNTINGTON PARK	CA	90255	33.973614	-118.219292	78.2ccc	5331.07
1881997963	1881997963	1	1	INDIAN HEALTH CENTER OF SANT	1-May-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	43	Santa Clara	CLARA VALLEY	1642 E CAPITOL EXPY	None	SAN JOSE	CA	95121	37.306075	-121.811998	183h	5033.37
1891028171	1891028171	1	1	NORTHEAST COMMUNITY CLINIC	20-Sep-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	CLINIC	4455 W 117 ST	SUITE 300	HAWTHORNE	CA	90250	33.928245	-118.353821	78.2q	6021.03
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
1891097176	1891097176	1	1	DR VERONICA ABUSLEME MD INC	6-Jan-12	Physicians (026)	PHYSICIANS	A00038422	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	14621 NORDHOFF ST	STE 2A	PANORAMA CITY	CA	91402	34.235408	-118.451136	78.2ll	1193.4
1891118147	1891118147	1	1	CHC PALISADE WOMENS HEALTH	2-Jan-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	42	Santa Barbara	THE CENTRAL COAST INC	210 S PALISADE DR	SUITE 102	SANTA MARIA	CA	93454	34.951946	-120.412113	180.1	22.11
1891206264	1891206264	1	1	VENTURA COUNTY COMMUNITY COL	13-Feb-18	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	56	Ventura	COLLEGE DISTRICT	4000 S ROSE AVENUE	None	OXNARD	CA	93033	34.16374	-119.159358	241a	47.1
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
1891724993	1891724993	1	1	GHALILI, SAMAN MD	20-Nov-13	Physicians (026)	PHYSICIANS	A00088734	41	Internal Medicine	0	In state provider	19	Los Angeles	None	2101 S SAN PEDRO ST	None	LOS ANGELES	CA	90011	34.025797	-118.258617	78.2mmm	2264.1
1891762985	1891762985	1	1	PIT RIVER HEALTH SVS	26-Apr-00	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	45	Shasta	None	36977 PARK AVE	None	BURNEY	CA	96013	40.876239	-121.672424	190	127.01
1891778114	1891778114	1	4	ALMOND WOMEN'S SERVICES	24-May-19	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	20	Madera	INTERMITTENT	363 E ALMOND AVENUE	SUITE 101	MADERA	CA	93637	36.945549	-120.053545	80	5.02
1891795613	1891795613	1	1	TRI-CITY MEDICAL GROUP	27-Jan-98	Physicians (026)	PHYSICIANS	A00054433	8	Family Practice	0	In state provider	19	Los Angeles	TRI-CITY MEDICAL GROUP	11900 AVALON BLVD	STE 100	LOS ANGELES	CA	90061	33.924665	-118.265174	78.2uuu	2410.02
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
1891808481	1891808481	1	1	LEE, JEFFREY MD	3-Oct-97	Physicians (026)	PHYSICIANS	A00035939	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	130 W ROUTE 66	SUITE 320	GLENDORA	CA	91740	34.128692	-117.86456	78.2qq	4011.02
1891811907	1891811907	1	1	HAZEL HAWKINS MEM HOSP	4-Jan-10	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	35	San Benito	None	301 THE ALAMEDA	STE B3	SAN JUAN BAUTISTA	CA	95045	36.841377	-121.533923	140	2
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
1891839270	1891839270	1	1	GARDENS MEDICAL CENTER INC	15-Aug-12	Physicians Group (022)	PHYSICIANS GROUP	None	8	Family Practice	0	In state provider	19	Los Angeles	None	7218 GARFIELD AVE	None	BELL GARDENS	CA	90201	33.96621	-118.151108	78.2c	5339.02
1891852778	1891852778	1	1	COUNTY HEALTH CLINIC	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	42	Santa Barbara	COUNTY HEALTH CLINIC	315 CAMINO DEL REMEDIO	None	SANTA BARBARA	CA	93110	34.445738	-119.779547	181b	1.01
1891862553	1891862553	1	1	BASELINE MEDICAL CLINIC INC	3-Oct-97	Physicians Group (022)	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	36	San Bernardino	None	330 N D ST	STE 300	SAN BERNARDINO	CA	92401	34.105201	-117.291884	151g	57.01
1891899175	1891899175	2	1	CORONA CLINIC MEDICA	2-Jan-13	Physicians Group (022)	PHYSICIANS GROUP	A00092039	1	General Practice	0	In state provider	33	Riverside	A MEDICAL CORPORATION	217 E 3RD STREET	None	CORONA	CA	92879	33.878362	-117.564507	135d	416
1891904686	1891904686	1	1	GAGE MEDICAL CENTER	3-Jun-05	Physicians Group (022)	PHYSICIANS GROUP	FNP033884	40	Pediatrics, Periodontist (Dentists Only)	0	In state provider	19	Los Angeles	None	2719 E GAGE AVE	None	HUNTINGTON PARK	CA	90255	33.981669	-118.222164	78.2ccc	5326.06
1891929691	1891929691	1	1	LEMON GROVE FAMILY HLTH CTR	18-Dec-10	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	None	7592 BROADWAY	None	LEMON GROVE	CA	91945	32.742714	-117.034388	161g	144
1891971131	1891971131	1	1	FARID, SAMY F MD INC	3-Jan-12	Physicians Group (022)	PHYSICIANS GROUP	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	1729 W AVENUE J	SUITE 101	LANCASTER	CA	93534	34.689505	-118.161947	77.1c	9008.05
1891991741	1891991741	1	1	FAMILY AND PEDIATRIC HEALTH	20-Sep-07	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	50	Stanislaus	None	830 SCENIC DR	STE A	MODESTO	CA	95350	37.647196	-120.983922	215b	10.02
1902106198	1902106198	1	1	OLE HEALTH	6-Apr-11	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	28	Napa	None	300 HARTLE COURT	None	NAPA	CA	94559	38.287257	-122.288484	112.1	2002.03
1902108541	1902108541	1	1	PLANNED PARENTHOOD SAN RFL	20-Apr-11	Community Clinics (041)	COMMUNITY CLINIC	550001570	99	Unknown (on EDS claims)	0	In state provider	21	Marin	DIABLO INC	2 H STREET	None	SAN RAFAEL	CA	94901	37.974226	-122.538613	83b	1110
1902109580	1902109580	1	1	PLANNED PARENTHOOD ANTELOPE	20-Jun-13	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	ANGELES	533 E PALMDALE BLVD	STE A-1	PALMDALE	CA	93550	34.579718	-118.120019	77.1a	9104.02
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
1902185630	1902185630	1	1	CAMARENA HEALTH	15-Nov-11	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	20	Madera	None	505 E ALMOND AVE	SUITE 101	MADERA	CA	93637	36.945525	-120.052425	80	5.02
1902196256	1902196256	1	1	ARVIN MEDICAL CLINIC	18-Oct-11	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	15	Kern	INC	146 N HILL ROAD	None	ARVIN	CA	93203	35.209734	-118.830934	61	63.01
1902267479	1902267479	1	1	ALTAMED MEDICAL AND DENTAL	28-Jul-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	CORPORATION	8627 ATLANTIC AVENUE	None	SOUTH GATE	CA	90280	33.954724	-118.18383	78.2sss	5360
1902803315	1902803315	1	1	RONALD REAGAN UCLA MED	1-Jul-05	Community Hosp Outpatient (015)	COMMUNITY OUTPATIENT HOSPITAL	930000165	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	CALIFORNIA	757 WESTWOOD PLAZA	None	LOS ANGELES	CA	90095	34.068908	-118.445025	78.2w	2653.01
1902823461	1902823461	2	1	ADVENTIST HEALTH REEDLEY	1-Dec-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	None	1000 S MADERA AVE	None	KERMAN	CA	93630	36.720618	-120.060098	29	40.02
1902833734	1902833734	1	1	PATEL, HITESH C MD	5-Mar-97	Physicians (026)	PHYSICIANS	A50723	8	Family Practice	0	In state provider	30	Orange	None	7915 WESTMINSTER BLVD	None	WESTMINSTER	CA	92683	33.759275	-117.991117	116s	998.02
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
1902944796	1902944796	1	1	BERKELEY PUBLIC HLTH CLINIC	15-Jun-10	Exempt from Licensure Clinics (045)	CLINIC EXEMP FROM LICENSURE	None	99	Unknown (on EDS claims)	0	In state provider	1	Alameda	COMP FAMILY PLANNING PRO	830 UNIVERSITY AVE	None	BERKELEY	CA	94710	37.867938	-122.297686	2a	4232
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
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
1912093451	1912093451	1	1	FAMILY HEALTHCARE NETWRK	7-Dec-01	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	54	Tulare	None	12586 AVENUE 408	None	OROSI	CA	93647	36.53027	-119.290183	227.2	6
1912116385	1912116385	1	1	BAKERSFIELD HLTH SRVCS	16-Oct-07	Exempt from Licensure Clinics (045)	CLINIC EXEMP FROM LICENSURE	CLF3083	99	Unknown (on EDS claims)	0	In state provider	15	Kern	BAKERSFIELD HLTH SRVCS	9001 STOCKDALE HWY	# 28HC	BAKERSFIELD	CA	93311	35.354328	-119.103271	66d	28.06
1912123431	1912123431	1	1	CENTRO DE SALUD FAMILIAR	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	56	Ventura	INC, FILLMORE	355 CENTRAL AVE	None	FILLMORE	CA	93015	34.399844	-118.913595	237	3.02
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
1912176264	1912176264	1	2	DR M FORGHANI, S CORP	2-Jul-09	Physicians (026)	PHYSICIANS	20A8699	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	30	Orange	None	1515 N BROADWAY	None	SANTA ANA	CA	92706	33.758019	-117.869651	116b	750.03
1912248782	1912248782	1	1	RAINCROSS WOMENS MEDICAL GRP	25-Mar-14	Physicians Group (022)	PHYSICIANS GROUP	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	33	Riverside	None	6767 BROCKTON AVE	None	RIVERSIDE	CA	92506	33.950492	-117.396773	135c	311
1912312273	1912312273	1	1	ARIA COMMUNITY HEALTH CENTER	1-Dec-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	16	Kings	CENTER	148 E KINGS STREET	None	AVENAL	CA	93204	36.002543	-120.136991	67	17.01
1912907114	1912907114	1	1	PREMIER FAMILY MEDICINE	25-Apr-01	Physicians Group (022)	PHYSICIANS GROUP	FNP033251	8	Family Practice	0	In state provider	19	Los Angeles	ASSOCIATES, INC	1770 N ORANGE GROVE AVE	STE 101	POMONA	CA	91767	34.076086	-117.749421	78.2tt	4021.02
1912928540	1912928540	1	1	BERNARDITA DE LOS REYES	24-Apr-01	Physicians Group (022)	PHYSICIANS GROUP	FNP015026	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	CLINICA SANTA ISABEL MED	2760 E FLORENCE AVE	None	HUNTINGTON PARK	CA	90255	33.973776	-118.220823	78.2ccc	5331.07
1912976408	1912976408	1	1	PLANNED PRNTHD/ORANGE &	27-Aug-98	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	30	Orange	SAN BERNARDINO COUNTY	700 S TUSTIN ST	None	ORANGE	CA	92866	33.777372	-117.835746	116h	758.06
1922020585	1922020585	1	1	LITTLE LAKE CLINIC	25-Nov-03	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	23	Mendocino	LITTLE LAKE CLINIC	45 HAZEL ST	None	WILLITS	CA	95490	39.399795	-123.352139	91	107
1922033547	1922033547	1	1	HOLLYWOOD PRESBYTERIAN MED	1-Jan-05	Community Hosp Outpatient (015)	COMMUNITY OUTPATIENT HOSPITAL	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	CENTER LP	1300 N VERMONT AVE	None	LOS ANGELES	CA	90027	34.095557	-118.291741	78.2g	1913.02
1922036870	1922036870	1	1	CHO, DON D MD	4-Feb-03	Physicians (026)	PHYSICIANS	A00040341	41	Internal Medicine	0	In state provider	19	Los Angeles	None	13818 PIONEER BLVD	None	NORWALK	CA	90650	33.906164	-118.082581	78.2jjjj	5521
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
1922124866	1922124866	1	2	BAYCHILDREN'S PHYSICIANS	8-Oct-18	Physicians Group (022)	PHYSICIANS GROUP	None	40	Pediatrics, Periodontist (Dentists Only)	0	In state provider	1	Alameda	None	1555 DOOLITTLE DRIVE	None	SAN LEANDRO	CA	94577	37.71189	-122.184754	2g	4324
1922138841	1922138841	1	1	CHAPA DE INDIAN HEALTH	15-Oct-09	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	29	Nevada	PROGRAM INC	1350 E MAIN STREET	None	GRASS VALLEY	CA	95945	39.231289	-121.047114	113	5.01
1922179498	1922179498	1	1	FALL RIVER VLY HEALTH CT	1-Oct-02	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	45	Shasta	FALL RIVER VLY HEALTH CT	43658 HWY 299E	None	FALL RIVER MILLS	CA	96028	41.050027	-121.400829	190	127.02
1922249077	1922249077	1	1	GOLDEN VALLEY HEALTH CENTER	2-Jan-10	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	50	Stanislaus	None	1200 W MAIN ST	None	TURLOCK	CA	95380	37.504718	-120.831871	212.1	39.07
1922276328	1922276328	1	1	ALTAMED MED & DENTAL	5-Jan-05	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	3945 WHITTIER BLVD	None	LOS ANGELES	CA	90023	34.02393	-118.187753	78.2d	5312.02
1922297357	1922297357	1	1	GHAYOORI, RAMIN MD	2-Apr-14	Physicians (026)	PHYSICIANS	A00104182	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	15107 VANOWEN ST	None	VAN NUYS	CA	91405	34.193908	-118.461948	78.2cc	1278.05
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
1922318047	1922318047	1	1	PERINATAL SERVICES OF N CNTY	1-Dec-10	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	12	Humboldt	CENTERS	3800 JANES ROAD	STE 101	ARCATA	CA	95521	40.9036	-124.090373	39	13
1922416411	1922416411	1	1	FHCCGLA MAYWOOD FAMILY MED	8-Jan-18	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	OF GREATER LOS ANGELES	4943 SLAUSON AVENUE	None	MAYWOOD	CA	90270	33.986164	-118.175589	78.2c	5337.03
1922429349	1922429349	1	1	CHAPCARE GARVEY	15-Sep-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	550002826	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	OF PASADENA	10127 GARVEY AVE	None	EL MONTE	CA	91733	34.062754	-118.048527	78.2qqq	4331.01
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
1922489665	1922489665	1	1	FRIENDS OF FAMILY HEALTH CEN	16-Aug-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	30	Orange	CENTER	13152 NEWPORT AVE	STE B	TUSTIN	CA	92780	33.747788	-117.812336	116h	755.06
1922490960	1922490960	1	1	AGHABY COMPREHENSIVE	1-Sep-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	COMMUNITY HEALTH CENTER	349 W COMPTON BLVD	None	COMPTON	CA	90220	33.895943	-118.227565	78.2bbb	5425.02
1922495076	1922495076	1	1	PROHEALTH PARTNERS A MEDICAL	5-May-16	Physicians Group (022)	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	19	Los Angeles	GROUP INC	7643 S ATLANTIC AVE	None	CUDAHY	CA	90201	33.966515	-118.187287	78.2ddd	5344.04
1932115375	1932115375	1	1	BELLFLOWER HEALTH CENTER	28-Apr-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	BELLFLOWER FAM PLANNING	10005 E FLOWER AVE	None	BELLFLOWER	CA	90706	33.882105	-118.120765	78.2m	5542.03
1932169240	1932169240	1	1	AVENAL COMMUNITY HEALTH	3-Oct-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	16	Kings	PO BOX 700	1000 SKYLINE BLVD	None	AVENAL	CA	93204	36.006542	-120.124441	67	17.01
1932194586	1932194586	1	1	WILMINGTON COMM CLINIC	1-Aug-04	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	1009 N AVALON BLVD	None	WILMINGTON	CA	90744	33.783041	-118.26269	78.2p	2945.2
1932214657	1932214657	1	1	AJAY G MEKA MD INC	7-Aug-06	Physicians Group (022)	PHYSICIANS GROUP	A00039761	41	Internal Medicine	0	In state provider	30	Orange	None	2740 S BRISTOL ST	STE 208	SANTA ANA	CA	92704	33.710637	-117.885408	116g	740.05
1932225208	1932225208	1	1	BADYMOGHADDAM, YAGHOUB	21-Apr-06	Physicians (026)	PHYSICIANS	A00052570	1	General Practice	0	In state provider	19	Los Angeles	None	5726 E OLYMPIC BLVD	None	LOS ANGELES	CA	90022	34.013977	-118.147502	78.2c	5323.03
1932249315	1932249315	1	1	COMPREHENS MED CNTR INC	1-Apr-06	Physicians Group (022)	PHYSICIANS GROUP	FNP031642	41	Internal Medicine	0	In state provider	19	Los Angeles	CLINICA MED COMUNIDAD IN	2286 S GAREY AVE	None	POMONA	CA	91766	34.029889	-117.749089	78.2ss	4029.02
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
1932269644	1932269644	1	1	PLANNED PARENTHOOD	1-Mar-97	Community Clinics (041)	COMMUNITY CLINIC	480392331	99	Unknown (on EDS claims)	0	In state provider	48	Solano	FAIRFIELD CENTER	1325 TRAVIS BLVD	STE C	FAIRFIELD	CA	94533	38.258005	-122.051702	202b	2524.01
1932271517	1932271517	1	1	INYO COUNTY HEALTH DEPT	14-Mar-97	County Clinics not assoc w/hosp (048)	COUNTY CLINICS NOT ASSOCIATED WITH HOSPITAL	ZZT11964	99	Unknown (on EDS claims)	0	In state provider	14	Inyo	CLINIC	155 E MARKET	None	INDEPENDENCE	CA	93526	36.802768	-118.199076	54	5
1932278215	1932278215	1	1	CONTRA COSTA COUNTY HLTH	22-Jul-02	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	7	Contra Costa	MARTINEZ SPECIAL CLINIC	2500 ALHAMBRA AVE	None	MARTINEZ	CA	94553	38.006474	-122.130888	18a	3180
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
1932381605	1932381605	1	1	COACHELLA HEALTH CLINIC	17-Jun-08	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	33	Riverside	None	50249 CESAR CHAVEZ ST	UNIT K	COACHELLA	CA	92236	33.677724	-116.176444	128	457.07
1932399441	1932399441	1	1	GUPTA, ARUNA MD APCE	23-Jun-08	Physicians (026)	PHYSICIANS	A00088415	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	33	Riverside	None	6850 BROCKTON AVE	STE 108	RIVERSIDE	CA	92506	33.949252	-117.396777	135c	311
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
1932501996	1932501996	1	1	VALLEY COMMUNITY HEALTHCARE	27-Jul-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	APCC	9119 HASKELL AVENUE	None	NORTH HILLS	CA	91343	34.235886	-118.476335	78.2kk	1172.02
1932561198	1932561198	1	1	EJ CAJON FAMILY HEALTH CENTE	28-Aug-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	DIEGO INC	525 E MAIN STREET	None	EL CAJON	CA	92020	32.794861	-116.956026	161h	158.02
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
1932622446	1932622446	1	1	NEIGHBORHOOD HEALTCARE-PREN	28-Jan-19	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	None	488 EAST VALLEY PARKWAY	SUITE 404	ESCONDIDO	CA	92025	33.125652	-117.076448	156e	202.14
1942225719	1942225719	1	1	ANDERSON FAMILY HLTH CTR	25-Sep-08	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	45	Shasta	ANDERSON FAMILY HLTH CTR	2801 SILVER ST	None	ANDERSON	CA	96007	40.446997	-122.299502	186	120
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
1942255195	1942255195	1	1	FAMILY CARE SPECIALISTS	28-Apr-97	Physicians Group (022)	PHYSICIANS GROUP	FNP017470	8	Family Practice	0	In state provider	19	Los Angeles	FAMILY CARE SPECIALISTS	1701 E CESAR E CHAVEZ AV	STE 230	LOS ANGELES	CA	90033	34.051199	-118.217598	78.2ffff	2035
1942294285	1942294285	1	1	HORTA, ELISA E MD, MPH	28-Apr-06	Physicians (026)	PHYSICIANS	G00072518	8	Family Practice	0	In state provider	57	Yolo	PROFESSIONAL MED CORP	2050 LYNDELL TERRACE	STE 150	DAVIS	CA	95616	38.56247	-121.769173	244	105.05
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
1942343785	1942343785	1	1	VALLEY MISSION MEDICAL	28-Apr-97	Physicians Group (022)	PHYSICIANS GROUP	FNP022751	1	General Practice	0	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
1942361548	1942361548	1	2	ROMERO, ELIOTT MD	10-Apr-97	Physicians (026)	PHYSICIANS	G00048383	15	Obstetrics (D.O. only), Endodontist (Dentists Only)	0	In state provider	30	Orange	None	999 N TUSTIN AVE	STE 220	SANTA ANA	CA	92705	33.75355	-117.834094	116h	755.04
1942369012	1942369012	1	1	PLANNED PARENTHOOD -	1-Mar-97	Community Clinics (041)	COMMUNITY CLINIC	110000150	99	Unknown (on EDS claims)	0	In state provider	48	Solano	SHASTA-DIABLO, INC	303 SACRAMENTO STREET	None	VALLEJO	CA	94590	38.09935	-122.258426	204	2509
1942394457	1942394457	1	1	FUSSELL, SUZANNE L MD	25-Aug-98	Physicians (026)	PHYSICIANS	A00055383	8	Family Practice	0	In state provider	19	Los Angeles	None	2403 ATLANTIC AVE	None	LONG BEACH	CA	90806	33.800847	-118.185026	78.2lll	5732.01
1942413786	1942413786	1	1	GOLDEN VALLEY HEALTH CTR	18-Nov-05	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	50	Stanislaus	None	1717 LAS VEGAS ST	None	MODESTO	CA	95358	37.605347	-121.002716	215c	24.02
1942414214	1942414214	1	1	GOLDEN VALLEY HLTH CTR	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	50	Stanislaus	MCHENRY	1510 FLORIDA AVE	STE B	MODESTO	CA	95350	37.665699	-120.996216	215a	13
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
1942424106	1942424106	1	1	TRI-CITY HEALTH CENTER	24-Dec-99	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	1	Alameda	LIBERTY	39500 LIBERTY ST	None	FREMONT	CA	94538	37.548418	-121.977297	2j	4419.27
1942487848	1942487848	1	1	ISLA VISTA NEIGHBORHOOD	17-Jul-05	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	42	Santa Barbara	CLINICS	970 EMBARCADERO DEL MAR	None	GOLETA	CA	93117	34.411629	-119.857055	181a	29.24
1942531983	1942531983	1	1	FIRST STEPS PRENATAL CARE	24-Mar-10	Physicians (026)	PHYSICIANS	A00036515	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	33	Riverside	AMC	34151 DATE PALM DR	STE E	CATHEDRAL CITY	CA	92234	33.800261	-116.458127	129.3	9411
1942534839	1942534839	1	1	PRENATAL CLINIC-JONATHAN	19-Jan-10	Physicians Group (022)	PHYSICIANS GROUP	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	AZIZZADEH MD INC	4226 W BEVERLY BLVD	None	LOS ANGELES	CA	90004	34.076286	-118.301131	78.2g	1925.2
1942623657	1942623657	1	1	ANZA COMMUNITY HEALTH	19-May-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	33	Riverside	FOUNDATION	58581 US HIGHWAY 371	SUITE H	ANZA	CA	92539	33.55747	-116.638921	130	444.03
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
1942638978	1942638978	1	1	BRIGHTER BEGINNINGS FAMILY	1-Dec-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	550002684	99	Unknown (on EDS claims)	0	In state provider	7	Contra Costa	None	2727 MACDONALD AVE	None	RICHMOND	CA	94804	37.935033	-122.342699	18f	3740
1942756937	1942756937	1	1	CITY MEDICAL GROUP INC	9-Jul-18	Physicians Group (022)	PHYSICIANS GROUP	None	8	Family Practice	0	In state provider	19	Los Angeles	None	1508 E FLORENCE AVENUE	None	LOS ANGELES	CA	90001	33.974741	-118.247316	78.2fff	5350.02
1952323800	1952323800	1	1	GOODFAITH FAMILY MEDICAL	28-Oct-99	Physicians Group (022)	PHYSICIANS GROUP	None	40	Pediatrics, Periodontist (Dentists Only)	0	In state provider	19	Los Angeles	GROUP, A MEDICAL CORP	7770 GARVEY AVE	None	ROSEMEAD	CA	91770	34.062585	-118.100159	78.2qqq	4825.02
1952324204	1952324204	1	1	WOMENS HEALTH OF MORENO VALL	24-Jul-07	Physicians (026)	PHYSICIANS	C00039798	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	33	Riverside	None	26150 IRIS AVENUE	SUITE 7	MORENO VALLEY	CA	92555	33.892204	-117.204187	134	511
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
1952333635	1952333635	1	1	AMPLA HEALTH OROVILLE	25-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	4	Butte	MEDICAL & DENTAL	2800 LINCOLN BLVD	None	OROVILLE	CA	95966	39.502499	-121.551712	10	30.02
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
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
1952451031	1952451031	1	1	PICO CLINIC	6-Jun-01	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	PICO CLINIC	2515 W PICO BLVD	None	LOS ANGELES	CA	90006	34.047263	-118.29224	78.2b	2133.2
1952471542	1952471542	1	1	UKIAH VALLEY PRIMARY CARE	1-Jul-13	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	23	Mendocino	None	260 HOSPITAL DRIVE	None	UKIAH	CA	95482	39.152407	-123.203663	93.1	115
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
1952483406	1952483406	1	1	KARUK COMMUNITY HLTH CLINIC	23-Feb-05	Health Access Program (058)	HEALTH ACCESS PROGRAM	230000041	99	Unknown (on EDS claims)	0	In state provider	47	Siskiyou	KARUK TRIBE OF CALIF	64236 SECOND AVENUE	None	HAPPY CAMP	CA	96039	41.792364	-123.381045	193	5
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
1952506123	1952506123	1	1	CERES MEDICAL OFFICE	20-Sep-07	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	50	Stanislaus	CERES MEDICAL OFFICE	3109 E WHITMORE AVE	None	CERES	CA	95307	37.594733	-120.937445	214	26.02
1952542896	1952542896	1	1	LAS ISLAS FAMILY MEDICAL GRO	31-Aug-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	56	Ventura	None	2400 S C ST	None	OXNARD	CA	93030	34.216891	-119.180889	241b	33
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
1952628273	1952628273	1	1	ARANEZ, JOSE T MD INC	29-Mar-12	Physicians (026)	PHYSICIANS	C00051587	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	2701 W ALAMEDA AVE	STE 407	BURBANK	CA	91505	34.157535	-118.330146	78.2ttt	3116
1952641136	1952641136	1	1	NECC HARBOR CITY HEALTH	12-Aug-13	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	1403 LOMITA BLVD	STE 100,101, & 106	HARBOR CITY	CA	90710	33.79783	-118.30132	78.2aaaa	2933.02
1952705725	1952705725	1	1	HEALING HAND FAMILY CARE CLI	1-Dec-15	Physicians Group (022)	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	33	Riverside	CLINICS CORP	82013 DR CARREON BLVD	STE M	INDIO	CA	92201	33.707433	-116.233611	128	455.01
1952729303	1952729303	1	1	FAMILY HEALTH AT CITY COLLEG	7-Aug-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	OF SAN DIEGO INC	1550 BROADWAY	STE 2	SAN DIEGO	CA	92101	32.715751	-117.149938	161c	52
1952749541	1952749541	1	1	EAST CLIFF FAMILY HEALTH CEN	9-Jun-14	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	44	Santa Cruz	CENTERS	21507 E CLIFF DRIVE	None	SANTA CRUZ	CA	95062	36.963518	-121.990872	185.1	1215
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
1962456558	1962456558	1	1	PLANNED PARENTHOOD	29-Oct-97	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	15	Kern	PLANNED PARENTHOOD	2633 16TH STREET	None	BAKERSFIELD	CA	93301	35.372385	-119.03209	66d	17
1962499616	1962499616	1	1	WANG, GEORGE H MD	15-Jul-02	Physicians (026)	PHYSICIANS	A00073256	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	OB/GYN MEDICAL CORP	2211 S ATLANTIC BLVD	STE B	MONTEREY PARK	CA	91754	34.038357	-118.145128	78.2nn	4827.01
1962506295	1962506295	1	1	OROVILLE FAMILY PRACTICE	10-Apr-07	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	4	Butte	None	2809 OLIVE HIGHWAY	SUITE 210 & 320	OROVILLE	CA	95966	39.50469	-121.542356	10	30.01
1962530725	1962530725	1	1	REDWOOD COAST MED SVS	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	23	Mendocino	PO BOX 1100	46900 OCEAN DR	None	GUALALA	CA	95445	38.769796	-123.532881	88	111.02
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
1962538967	1962538967	1	1	BALBOA TEEN CLINIC	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	38	San Francisco	None	1000 CAYUGA AVE	None	SAN FRANCISCO	CA	94112	37.722083	-122.439807	162d	261
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
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
1962567388	1962567388	1	1	KERMAN HEALTH CENTER	19-Feb-99	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	KERMAN HEALTH CENTER	449 S MADERA AVE	None	KERMAN	CA	93630	36.728602	-120.060296	29	40.01
1962597807	1962597807	1	1	ADVANCED CA MED CTR INC	25-Jan-05	Physicians (026)	PHYSICIANS	A00055154	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	37	San Diego	ADVANCED CA MED CTR INC	10737 CAMINO RUIZ	STE 114	SAN DIEGO	CA	92126	32.91375	-117.143814	161v	83.57
1962599266	1962599266	1	1	CLIN DE SALUD DEL PUEBLO	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	13	Imperial	PUEBLO	223 W COLE RD	None	CALEXICO	CA	92231	32.693996	-115.500029	49	119
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
1962644138	1962644138	1	1	BUI, FRANCOIS P MD INC	1-Sep-10	Physicians (026)	PHYSICIANS	A106596	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	30	Orange	None	9741 BOLSA AVE	STE 119	WESTMINSTER	CA	92683	33.744915	-117.959345	116i	889.04
1962650820	1962650820	1	1	CALIFORNIA STATE UNIVERSITY	20-May-09	Physicians Group (022)	PHYSICIANS GROUP	None	8	Family Practice	0	In state provider	19	Los Angeles	LONG BEACH	1250 BELLFLOWER BLVD	None	LONG BEACH	CA	90840	33.786818	-118.123186	78.2kkk	5746.01
1962676064	1962676064	1	1	FAMILY HEALTH CTRS SD	8-May-08	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	FAMILY HEALTH CENTER	220 EUCLID AVE	STE 40	SAN DIEGO	CA	92114	32.706291	-117.085087	161g	33.04
1962680421	1962680421	1	1	GOLDEN VALLEY HEALTH CENTERS	30-Mar-09	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	50	Stanislaus	None	2101 TENAYA DR	None	MODESTO	CA	95354	37.632392	-120.959098	215c	21
1962685966	1962685966	1	1	TWEETY FAMILY CLINIC INC	30-Jun-08	Physicians Group (022)	PHYSICIANS GROUP	FNP034796	40	Pediatrics, Periodontist (Dentists Only)	0	In state provider	19	Los Angeles	INC	3050 TWEETY BLVD	None	SOUTH GATE	CA	90280	33.945511	-118.21745	78.2ccc	5356.07
1962688325	1962688325	1	1	ADLER, MITCHELL A MD APC	10-Oct-08	Physicians Group (022)	PHYSICIANS GROUP	G00072287	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	42	Santa Barbara	None	1300 E CYPRESS	BLDG B	SANTA MARIA	CA	93454	34.951072	-120.415673	180.1	22.11
1962709857	1962709857	1	1	LAS BRISAS OB/GYN	1-Apr-11	Physicians (026)	PHYSICIANS	A00102206	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	33	Riverside	None	24910 LAS BRISAS RD	#111	MURRIETA	CA	92562	33.57648	-117.183054	131a	504
1962805283	1962805283	1	2	ADVENTIST HEALTH COMMUNITY	14-Sep-18	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	None	550 W CYPRESS AVE	None	REEDLEY	CA	93654	36.607832	-119.45227	32	66.03
1962852939	1962852939	1	1	PRIMARY CARE AT HOME INC	28-Mar-19	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	1	Alameda	None	400-29TH ST	SUITE 306	OAKLAND	CA	94609	37.817763	-122.264986	2m	4013
1962876417	1962876417	1	1	CSVS NORTH MAIN	18-Dec-18	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	27	Monterey	None	2180 N MAIN ST	None	SALINAS	CA	93906	36.726655	-121.656249	109.2	105.06
1972010684	1972010684	1	1	FAMILY HEALTHCARE NETWORK	23-May-19	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	54	Tulare	None	22817 AVENUE 196	None	STRATHMORE	CA	93267	36.145549	-119.062624	228.2	33
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
1972525822	1972525822	1	1	LA CLINICA PITTSBURG-MED	10-Jul-00	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	7	Contra Costa	LA CLINICA PITTBURG-MED	2240 GLADSTONE DR	None	PITTSBURG	CA	94565	38.006542	-121.866438	18d	3131.02
1972556967	1972556967	1	1	PLANNED PRNTHD MAR MONTE	1-Mar-97	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	27	Monterey	None	625 HILBY AVE	None	SEASIDE	CA	93955	36.602279	-121.850542	110	140
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
1972614758	1972614758	1	1	DO, THUTRANG DO	29-May-07	Physicians (026)	PHYSICIANS	20A8885	41	Internal Medicine	0	In state provider	19	Los Angeles	DO MEDICAL, INC	15735 HAWTHORNE BLVD	STE 111	LAWNDALE	CA	90260	33.888154	-118.352692	78.2t	6039
1972625846	1972625846	1	1	CHANNEL MEDICAL CENTER	1-Mar-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	39	San Joaquin	CHANNEL MEDICAL CENTER	701 E CHANNEL ST	None	STOCKTON	CA	95202	37.955982	-121.282461	169b	1
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
1972662039	1972662039	1	1	PLANNED PARENT/CONTRA CO	1-Mar-97	Community Clinics (041)	COMMUNITY CLINIC	280192284	99	Unknown (on EDS claims)	0	In state provider	28	Napa	CENTER	1735 JEFFERSON ST	None	NAPA	CA	94559	38.303328	-122.294311	112.1	2005.01
1972752368	1972752368	1	1	DE NOVO HEALTH CARE	1-Apr-19	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	803 ROSECRANS AVE	None	E RANCHO DOMINGUE	CA	90221	33.903457	-118.215352	78.2bbb	5416.04
1972776540	1972776540	1	1	TRAN FAMILY MED CLINIC INC	18-Feb-05	Physicians (026)	PHYSICIANS	A00079019	8	Family Practice	0	In state provider	30	Orange	None	1714 N BUSH ST	None	SANTA ANA	CA	92706	33.760244	-117.86635	116b	750.04
1972813087	1972813087	1	1	RIDGECREST REG HOPSP RHC	25-Aug-10	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	15	Kern	None	1111 N CHINA LAKE BLVD	SUITE 190	RIDGECREST	CA	93555	35.640947	-117.669854	64	53
1972828085	1972828085	1	1	DURFEE FAMILY CARE MEDICAL	1-Jan-12	Physicians (026)	PHYSICIANS	A453810	8	Family Practice	0	In state provider	19	Los Angeles	GROUP, APC	2006 DURFEE AVE	None	EL MONTE	CA	91733	34.045825	-118.02981	78.2oo	4339.02
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
1972863611	1972863611	1	1	WILMINGTON URGENT CARE AND	18-Jun-13	Physicians (026)	PHYSICIANS	A00097561	1	General Practice	0	In state provider	19	Los Angeles	FAMILY CLINIC INC	714 N AVALON BLVD	None	WILMINGTON	CA	90744	33.778733	-118.262346	78.2p	2948.2
1972912236	1972912236	1	1	CENTRAL CITY COMMUNITY HLTH	2-Dec-15	Health Access Program (058)	HEALTH ACCESS PROGRAM	550003009	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	HEALTH CENTER INC	10050 GARVEY AVE	STE 111	EL MONTE	CA	91733	34.062746	-118.050224	78.2qqq	4331.01
1972954071	1972954071	1	2	COMPREHENSIVE COMMUNITY HEAL	12-Dec-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	HEALTH CENTERS INC	8316 FOOTHILL BLVD	None	SUNLAND	CA	91040	34.259691	-118.313998	78.2rr	1031.02
1982075107	1982075107	1	1	EISNER PEDIATRIC & FAMILY ME	12-Mar-19	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	CENTER	15477 VENTURA BLVD	SUITE 300	SHERMAN OAKS	CA	91403	34.154651	-118.471238	78.2yy	1414
1982079620	1982079620	1	1	UNITED HEALTH CENTERS OF THE	13-Mar-18	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	SAN JOAQUIN VALLEY	106 E MAIN ST	None	FOWLER	CA	93625	36.628827	-119.678773	31	16
1982663795	1982663795	1	1	AHN, EDWARD S MD	28-Apr-97	Physicians (026)	PHYSICIANS	A00040196	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	4620 BEVERLY BLVD	None	LOS ANGELES	CA	90004	34.076258	-118.309618	78.2g	1924.2
1982667663	1982667663	1	1	UCLA DEPT OF PEDIATRICS	3-Oct-05	Physicians Group (022)	PHYSICIANS GROUP	None	40	Pediatrics, Periodontist (Dentists Only)	0	In state provider	19	Los Angeles	GRP PRACTICE	10833 LE CONTE AVE	12311 MDCC	LOS ANGELES	CA	90095	34.068289	-118.444883	78.2w	2653.01
1982756086	1982756086	1	1	FALLBROOK FAMILY HEALTH CTR	1-Apr-98	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	None	1328 S MISSION RD	None	FALLBROOK	CA	92028	33.368587	-117.250778	160	189.06
1982756425	1982756425	1	1	OROVILLE HOSPITAL	8-Dec-99	Community Hosp Outpatient (015)	COMMUNITY OUTPATIENT HOSPITAL	42390937	99	Unknown (on EDS claims)	0	In state provider	4	Butte	None	2767 OLIVE HWY	None	OROVILLE	CA	95966	39.504939	-121.54275	10	27
1982763090	1982763090	1	1	PLANNED PARENTHOOD	1-Mar-97	Community Clinics (041)	COMMUNITY CLINIC	None	99	Unknown (on EDS claims)	0	In state provider	7	Contra Costa	CONCORD CENTER	2185 PACHECO ST	None	CONCORD	CA	94520	37.978853	-122.034417	18b	3280
1982820221	1982820221	1	1	CLINICAS DE CAMINO REAL	1-Sep-07	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	56	Ventura	REAL, INC NEWBURY PARK	1000 NEWBURY RD	STE 150	NEWBURY PARK	CA	91320	34.183029	-118.903463	240b	59.09
1982824785	1982824785	1	1	GOLDEN VALLEY HEALTH CTR	18-Nov-05	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	24	Merced	None	127 WEST PORTAL	STE B	MERCED	CA	95348	37.326774	-120.470477	97.1	10.02
1982846366	1982846366	1	1	LAS POSAS FAMILY MEDICAL GRO	31-Aug-17	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	56	Ventura	None	3801 LAS POSAS RD	SUITE 214	CAMARILLO	CA	93010	34.241839	-119.017193	239	52.02
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
1982938213	1982938213	1	1	NORTHEAST COMMUNITY CLINIC	20-Sep-12	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	None	1400 S GRAND AVE	STE 700	LOS ANGELES	CA	90015	34.03718	-118.265408	78.2ffff	2240.1
1992067896	1992067896	1	1	WOMENS CIRCLE NURSE MIDWIFE	18-Jan-12	Certified Nurse Midwife (005)	CERTIFIED NURSE MIDWIFE	CNM001785	99	Unknown (on EDS claims)	0	In state provider	51	Sutter	REGISTERED NURSING CERTI	1003 PLUMAS ST	None	YUBA CITY	CA	95991	39.14439	-121.617661	216	501.02
1992096630	1992096630	1	1	PRIMARY CARE CENTER OF NORTH	14-Nov-11	Physicians Group (022)	PHYSICIANS GROUP	None	41	Internal Medicine	0	In state provider	37	San Diego	COUNTY, APC	13525 MIDLAND ROAD	SUITE F	POWAY	CA	92064	32.960233	-117.036345	161q	170.41
1992117071	1992117071	1	1	EAST NILES COMMUNITY HEALTH	8-Aug-16	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	15	Kern	None	7800 NILES ST	None	BAKERSFIELD	CA	93306	35.37622	-118.917517	66a	9.07
1992183669	1992183669	1	2	CENTRAL FRESNO COMMUNITY HEA	9-Nov-18	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	10	Fresno	None	4711 WEST ASHLAN AVENUE	None	FRESNO	CA	93722	36.793553	-119.877435	35e	38.09
1992710768	1992710768	1	1	YIP, JAMES Y MD INC	22-Mar-10	Physicians Group (022)	PHYSICIANS GROUP	FNP029973	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	50	Stanislaus	HERA OB GYN MED GRP INC	1552 COFFEE RD	FL 1	MODESTO	CA	95355	37.665705	-120.975723	215b	10.02
1992713499	1992713499	1	1	GLENDALE 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	GLENDALE FAMILY PLANNING	501 N GLENDALE AVE	None	GLENDALE	CA	91206	34.15353	-118.243644	78.2ee	3019
1992732192	1992732192	1	1	BOLSA MEDICAL GROUP	18-Mar-97	Physicians Group (022)	PHYSICIANS GROUP	FNP021388	1	General Practice	0	In state provider	30	Orange	None	10362 BOLSA AVE	STE 110	WESTMINSTER	CA	92683	33.744983	-117.948356	116i	889.04
1992736086	1992736086	1	1	WINTERS HEALTHCARE FNDTN	1-Mar-06	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	57	Yolo	None	23 MAIN ST	None	WINTERS	CA	95694	38.521747	-121.969201	242	113
1992754899	1992754899	1	2	VACHIRAKORNTONG, VIRUCH	30-Dec-02	Physicians (026)	PHYSICIANS	A00052656	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	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
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
1992798730	1992798730	1	1	CABRERA, JOHN F MD	28-Apr-97	Physicians (026)	PHYSICIANS	G00081189	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	1420 S CENTRAL AVE	None	GLENDALE	CA	91204	34.128432	-118.2578	78.2ee	3024.01
1992798912	1992798912	1	1	REGENTS/UCDPBG/OB REI	26-May-10	Physicians Group (022)	PHYSICIANS GROUP	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	34	Sacramento	None	2521 STOCKTON BLVD	None	SACRAMENTO	CA	95817	38.552264	-121.455925	139f	18
1992811392	1992811392	1	1	LA CLINICA DE LA RAZA	28-May-03	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	48	Solano	None	243 GEORGIA ST	None	VALLEJO	CA	94590	38.101152	-122.25928	204	2509
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
1992850515	1992850515	1	1	CALIFORNIA ST UNIV FULL	14-Jul-03	Physicians Group (022)	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	30	Orange	STUDENT HLTH & COUSLTNG	800 N STATE COLLEGE BLVD	None	FULLERTON	CA	92831	33.878998	-117.889712	116f	115.03
1992863096	1992863096	1	1	LA CLINICA VALLEJO	21-Aug-07	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	48	Solano	GREAT BEGINNINGS	210 HOSPITAL DR	None	VALLEJO	CA	94589	38.131072	-122.239836	204	2519.01
1992873947	1992873947	1	1	ARDMORE MED GROUP INC	12-Dec-05	Physicians Group (022)	PHYSICIANS GROUP	FNP030539	8	Family Practice	0	In state provider	19	Los Angeles	None	5953 ATLANTIC BLVD	None	MAYWOOD	CA	90270	33.98593	-118.185766	78.2ddd	5334.03
1992894125	1992894125	1	1	PLANNED PARENTHOOD WLDPO	28-Apr-97	Community Clinics (041)	COMMUNITY CLINIC	190991065	99	Unknown (on EDS claims)	0	In state provider	19	Los Angeles	LAKEWOOD CENTER	5525 DEL AMO BLVD	None	LAKEWOOD	CA	90713	33.847122	-118.124496	78.2n	5709.02
1992894539	1992894539	1	1	WRIGHT, BENNY L DO	8-Apr-16	Physicians (026)	PHYSICIANS	20A13319	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	24	Merced	None	502 WASHINGTON AVE	None	LOS BANOS	CA	93635	37.055966	-120.853095	94	23.01
1992964746	1992964746	1	1	VENICE FAMILY CLINIC	8-Sep-06	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	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
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
1992983472	1992983472	1	1	NORTH PARK FAMILY HEALTH	6-Jan-97	Health Access Program (058)	HEALTH ACCESS PROGRAM	None	99	Unknown (on EDS claims)	0	In state provider	37	San Diego	DIEGO INC	3544 30TH ST	None	SAN DIEGO	CA	92104	32.743078	-117.130067	161d	14
1992994628	1992994628	1	1	CACHUR, THOMAS J JR DO	11-Jun-08	Physicians (026)	PHYSICIANS	20A9086	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	APMC	1513 S GRAND AVE	STE 320	LOS ANGELES	CA	90015	34.036322	-118.265961	78.2ffff	2240.1