Table: family_pact_providers_profile_cy_2021_2022 , provider_business_legal_name like C*

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_desc	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
1003173279	1003173279	1	1	CLINICA DE SALUD DEL VALLE	02Aug2018	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	44	Santa Cruz	DE SALINAS	29 BISHOP STREET	SUITE A	ROYAL OAKS	CA	950765266	36.901764	-121.749238	109.1	101.01
1003961251	1003961251	1	1	CHILDRENS HOSPITAL MEDICAL	01Dec1977	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	None	None	UNKNOWN	0	In state provider	01	Alameda	None	747 52ND STREET	None	OAKLAND	CA	946091809	37.837208	-122.268341	2c	4010
1003995317	1003995317	1	1	CONTRA COSTA CO HLTH	22Jul2002	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	07	Contra Costa	PITTSBURG HEALTH CO HLTH	2311 LOVERIDGE RD	None	PITTSBURG	CA	945655117	38.008133	-121.870803	18d	3131.02
1013058106	1013058106	1	1	CLINICA DE SALUD DEL	07May1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	27	Monterey	VALLE DE SALINAS	10561 MERRITT ST	None	CASTROVILLE	CA	950123310	36.766872	-121.759584	108	104
1023159811	1023159811	1	1	CLINICA DE SALUD DEL	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	27	Monterey	VALLE DE SALINAS	950 CIRCLE DR	None	SALINAS	CA	939052150	36.679672	-121.627166	109.2	5.02
1023188687	1023188687	1	1	CLINICAS DE SALUD DEL	01Oct1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	33	Riverside	PUEBLO INC	91275 66TH AVE	STE 500	MECCA	CA	922540000	33.569318	-116.073780	128	456.04
1023234465	1023234465	1	1	CLINICAS DEL CAMINO REAL	01Nov2000	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	None	500 E MAIN ST	None	SANTA PAULA	CA	930602607	34.351145	-119.068914	237	6
1033488416	1033488416	1	1	CENTRAL CITY COMMUNITY	15Jun2013	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	33	Riverside	HEALTH CENTER INC	1860 HAMNER AVE	None	NORCO	CA	928602945	33.909013	-117.561194	135e	408.13
1033534466	1033534466	1	1	COPPERTOWER FAMILY MEDICAL	01Apr2014	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	49	Sonoma	CENTER	6 TARMAN DR	None	CLOVERDALE	CA	954253932	38.798264	-123.017593	206	1542.01
1033593108	1033593108	1	1	CLINICAS DE SALUD DEL PUEBLO	06Nov2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	33	Riverside	INC	1023 E FLORIDA AVE	None	HEMET	CA	925434510	33.747587	-116.961681	132	434.01
1033596911	1033596911	1	1	COUNTY OF MONTEREY	28Nov2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	27	Monterey	None	1441 CONSTITUTION BLVD	BLDG 400 SUITE 301	SALINAS	CA	939063100	36.696823	-121.629620	109.2	106.08
1043242142	1043242142	1	1	CALIFORNIA MEDICAL CLINC INC	05Oct2004	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	36	San Bernardino	None	402 E HOLT BLVD	None	ONTARIO	CA	917611618	34.063397	-117.647211	151c	14
1043351133	1043351133	1	1	CLINICAS DE SALUD DEL	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	27	Monterey	VALLE DE SALINAS-GRNFLD	808 OAK AVE	None	GREENFIELD	CA	939275648	36.321352	-121.242563	107	112.03
1043380330	1043380330	1	1	COUNTY OF SAN BERNARDINO	01Dec1977	061	COUNTY HOSPITAL OUTPATIENT	360601320	None	UNKNOWN	0	In state provider	36	San Bernardino	None	400 N PEPPER AVE	None	COLTON	CA	923241801	34.070885	-117.352841	151f	36.12
1043462443	1043462443	1	1	CLINICA FAMILIAR SAN LUCAS	18Nov2008	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	11050 S ATLANTIC AVE	None	LYNWOOD	CA	902623068	33.929036	-118.184196	78.2ooo	5400
1053452136	1053452136	1	1	CLINICA DE SALUD DE	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	27	Monterey	SOLEDAD	799 FRONT ST	None	SOLEDAD	CA	939603017	36.424937	-121.326171	107	111.02
1063616613	1063616613	1	1	COUNTY OF MONTEREY	01Jul1971	061	COUNTY HOSPITAL OUTPATIENT	None	None	UNKNOWN	0	In state provider	27	Monterey	NATIVIDAD MEDICAL CTR	1441 CONSTITUTION BLVD	None	SALINAS	CA	939063100	36.696798	-121.629630	109.2	106.08
1063748242	1063748242	1	1	COMMUNITY HEALTH ALLIANCE	08Jul2013	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	OF PASADENA	1595 NORTH LAKE AVENUE	None	PASADENA	CA	911042307	34.173311	-118.132048	78.2hhh	4615.01
1073647350	1073647350	1	1	CLINICA SIERRA VISTA	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	15	Kern	HEALTH CENTER	301 BRUNDAGE LN	None	BAKERSFIELD	CA	933043248	35.353865	-119.004963	66b	20
1093226243	1093226243	1	1	COMMUNITY HEALTH SYSTEMS INC	21Feb2019	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	36	San Bernardino	None	18651 VALLEY BLVD	None	BLOOMINGTON	CA	923161831	34.070447	-117.397334	151f	36.06
1093717779	1093717779	1	1	CLINICA SIERRA VISTA INC	13Jan2009	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	15	Kern	34TH ST COMM HEALTH CTR	2000 PHYSICIANS BLVD	None	BAKERSFIELD	CA	933011277	35.396189	-119.009485	66a	6
1093717779	1093717779	1	4	CLINICA SIERRA VISTA INC	20May2021	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	15	Kern	INTERMITTENT	1611 1ST ST	None	BAKERSFIELD	CA	933042901	35.355061	-119.020280	66b	19.02
1093933194	1093933194	1	1	CLINICAS DEL CAMINO REAL INC	31Jul2006	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	KAREN R BURNHAM HEALTH	1100 W GONZALES RD	None	OXNARD	CA	930363336	34.219133	-119.188951	241b	33
1104024744	1104024744	2	1	CHILDRENS HOSPITAL LOS	18Jan2013	071	LICENSED CLINICAL SOCIAL WORKER GROUP	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	5000 W SUNSET BLVD	FL 4	LOS ANGELES	CA	900275861	34.098139	-118.298323	78.2g	1912.01
1104163781	1104163781	1	1	CHAVA, SREEDHAR MD INC	10Apr2013	022	PHYSICIANS GROUP	A00102291	08	Family Practice	0	In state provider	19	Los Angeles	None	1651 N HACIENDA BLVD	None	LA PUENTE	CA	917441137	34.049085	-117.945495	78.2yyy	4075.01
1104367572	1104367572	1	1	CENTER FOR FAMILY HEALTH &	30Sep2021	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	AFFILIATED	3229 SANTA ANITA AVE	FIRST FLOOR	EL MONTE	CA	917330882	34.067056	-118.042460	78.2oo	4332
1104889724	1104889724	1	1	CHOU, SUSANNA I MD	18Sep2003	026	PHYSICIANS	A00073158	08	Family Practice	0	In state provider	37	San Diego	None	340 4TH AVE	STE 5A	CHULA VISTA	CA	919103813	32.638989	-117.083532	161k	127
1114057163	1114057163	1	1	CHAPA-DE-INDIAN HEALTH	15Oct2009	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	31	Placer	PROGRAM	11670 ATWOOD RD	None	AUBURN	CA	956039522	38.934832	-121.099190	119	215.01
1124045158	1124045158	1	1	COMMUNITY HEALTH CENTERS	01Nov2005	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	40	San Luis Obispo	WOMEN'S HEALTH	1551 BISHOP ST	STE 240	SAN LUIS OBISPO	CA	934014661	35.274341	-120.646177	172	110.02
1124073366	1124073366	1	1	CHILDRENS HOSPITAL OF LA	01Dec1977	016	COMMUNITY INPATIENT HOSPITAL	190000170	None	UNKNOWN	0	In state provider	19	Los Angeles	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	900276062	34.098158	-118.292210	78.2g	1912.01
1124533492	1124533492	1	1	CAMARENA HEALTH	25Jan2019	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	20	Madera	None	705 W PECAN AVENUE	None	MADERA	CA	936376254	36.938282	-120.049708	80	5.02
1134208853	1134208853	1	1	CARREON, JORGE F MD INC	30Nov1989	026	PHYSICIANS	A00032576	None	UNKNOWN	0	In state provider	19	Los Angeles	None	4500 TWEEDY BLVD	None	SOUTH GATE	CA	902806334	33.942777	-118.192708	78.2sss	5359.02
1134360076	1134360076	1	1	COUNTY OF VENTURA	31Aug2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	None	828 VENTURA ST	SUITE 100	FILLMORE	CA	930151877	34.377654	-118.933229	237	3.03
1134369366	1134369366	1	1	CLINICAS DEL CAMINO REAL	17Sep2009	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	INC, EL RIO	2600 E VINEYARD AVE	None	OXNARD	CA	930361615	34.234235	-119.171465	241b	50.03
1144340670	1144340670	1	1	CAL STATE UNIVERSITY SAN MAR	07Dec2007	045	CLINIC EXEMP FROM LICENSURE	None	None	UNKNOWN	0	In state provider	37	San Diego	COS SHCS	CAL STATE UNIVERSITY SAN	333 S TWIN OAKS VALLEY R	SAN MARCOS	CA	920960001	33.131640	-117.164454	156c	203.06
1144464025	1144464025	1	1	CHICO STATE UNIVERSITY	15Jun2009	045	CLINIC EXEMP FROM LICENSURE	None	None	UNKNOWN	0	In state provider	04	Butte	None	WARNER AVE & COLLEGE DR	None	CHICO	CA	959290777	39.731243	-121.850181	7.1	6.04
1144897505	1144897505	1	1	CLINICA SIERRA VISTA	07Mar2022	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	15	Kern	AFFILIATE	625 34TH STREET	SUITES 100 AND 200	BAKERSFIELD	CA	933012207	35.390464	-119.009143	66a	6
1154461580	1154461580	1	1	CA STATE UNIV	20Jun2006	045	CLINIC EXEMP FROM LICENSURE	CLF1239	None	UNKNOWN	0	In state provider	19	Los Angeles	NORTHRIDGE KLOTZ	18111 NORDHOFF ST	None	NORTHRIDGE	CA	913300001	34.235482	-118.527572	78.2kk	1152.02
1154487148	1154487148	1	1	COUNTY OF SANTA BARBARA	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	42	Santa Barbara	COUNTY HEALTH CLINIC	2115 CENTERPOINTE PKWY	None	SANTA MARIA	CA	934551334	34.922699	-120.428604	180.1	20.07
1164463345	1164463345	1	1	CHEN, DR. EDWARD J MD	01May2001	026	PHYSICIANS	C00050499	None	UNKNOWN	0	In state provider	19	Los Angeles	None	500 N GARFIELD AVE	STE 206	MONTEREY PARK	CA	917541242	34.056240	-118.124710	78.2nn	4822.01
1164672747	1164672747	1	1	CLINICA SIERRA VISTA	14Oct2008	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	10	Fresno	HEALTH CENTER	1350 SOUTH ORANGE AVE	None	FRESNO	CA	937023463	36.729147	-119.763665	35e	4
1174727143	1174727143	1	1	COUNTY OF MONTEREY	01Dec1995	027	PODIATRISTS	None	None	UNKNOWN	0	In state provider	27	Monterey	None	1441 CONSTITUTION BLVD	None	SALINAS	CA	939063100	36.696798	-121.629630	109.2	106.08
1174757967	1174757967	1	1	CENTRAL CITY COMMUNITY	01Sep2010	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	30	Orange	HEALTH CENTER INC	12116 BEACH BLVD	None	STANTON	CA	906803704	33.786171	-117.992846	116r	881.04
1174764021	1174764021	1	1	COUNTY OF VENTURA	31Aug2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	None	612 SPRING RD	BLDG A	MOORPARK	CA	930211298	34.281850	-118.882139	239	76.11
1174859425	1174859425	1	1	COMM HLTH CTR OF CENT COAST	08Mar2010	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	42	Santa Barbara	None	1418 EAST MAIN STREET	SUITE 210	SANTA MARIA	CA	934544833	34.952900	-120.413575	180.1	22.11
1184793143	1184793143	1	1	CABRILLO COMMUNITY COLLEGE	28Sep2011	055	LOCAL EDUCATION AGENCY	None	None	UNKNOWN	0	In state provider	44	Santa Cruz	DISTRICT	6500 SOQUEL DR	SHS ROOM 912	APTOS	CA	950033119	36.988843	-121.927115	185.1	1220.03
1194804401	1194804401	1	1	CONTRA COSTA REG MED CTR	22Jul2002	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	07	Contra Costa	BAY POINT FAMILY HEALTH	215 PACIFICA AVE	None	BAY POINT	CA	945652904	38.034024	-121.966407	18d	3142
1194850461	1194850461	1	1	CITY & CO SAN FRANCISCO	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	38	San Francisco	None	1050 WISCONSIN ST	None	SAN FRANCISCO	CA	941073328	37.754254	-122.398675	162f	614
1194853861	1194853861	1	1	COUNTY OF MONTEREY	25Feb2002	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	27	Monterey	None	559 E ALISAL ST	STE 201	SALINAS	CA	939052516	36.673821	-121.636401	109.2	5.01
1194978973	1194978973	1	1	CLINICA SIERRA VISTA	13Jan2009	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	10	Fresno	HEALTH CENTER	302 FRESNO ST	STE 101 103 200 204	FRESNO	CA	937063641	36.723699	-119.809304	35e	3
1205102068	1205102068	1	1	COMMUNITY HEALTH SYSTEMS INC	09Jul2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	33	Riverside	None	2933 UNIVERSITY AVE	None	RIVERSIDE	CA	925075364	33.977562	-117.365144	135a	304
1205222544	1205222544	1	1	CLINICA SIERRA VISTA	11Oct2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	15	Kern	None	1015 BAKER STREET	SUITE 4	BAKERSFIELD	CA	933059998	35.378997	-118.992215	66b	13
1205940145	1205940145	1	1	COUNTY OF RIVERSIDE	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	33	Riverside	None	2813 S MAIN ST	None	CORONA	CA	928825942	33.846532	-117.570809	135f	418.08
1215007893	1215007893	1	1	CONTRA COSTA COUNTY	22Jul2002	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	07	Contra Costa	CONCORD HEALTH CENTER	3052 WILLOW PASS RD	None	CONCORD	CA	945197600	37.980801	-122.021313	18c	3300
1215022918	1215022918	1	1	CALIFORNIA MEDICAL CLINIC	04Oct2005	022	PHYSICIANS GROUP	None	08	Family Practice	0	In state provider	36	San Bernardino	INC	16701 VALLEY BLVD	STE F	FONTANA	CA	923356696	34.070327	-117.439997	151f	33.01
1215061528	1215061528	1	1	CLINICA SIERRA VISTA	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	15	Kern	None	704 LEBEC RD	None	LEBEC	CA	932250000	34.772888	-119.040689	237	1
1215155031	1215155031	1	1	COMMUNICARE HEALTH CTRS	24Aug2004	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	57	Yolo	SALUD CLINIC	500 JEFFERSON BLVD	STE B180	WEST SACRAMENTO	CA	956052394	38.587516	-121.526961	245	101.01
1215903018	1215903018	1	1	COMMUNITY MEMORIAL HEALTH	01Dec1977	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	None	147 N BRENT ST	None	VENTURA	CA	930032809	34.274201	-119.257241	241c	19
1225061856	1225061856	1	1	CHEN, LUNING MD	01Apr1999	026	PHYSICIANS	A00067442	08	Family Practice	0	In state provider	19	Los Angeles	MEDICAL CORPORATION	737 GARFIELD AVE	#A	ALHAMBRA	CA	918011321	34.101705	-118.131470	78.2eeee	4804
1225156375	1225156375	1	1	COMMUNITY MEDICAL CTRS	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	39	San Joaquin	TRACY FAMILY PRACTICE	730 CENTRAL AVE	None	TRACY	CA	953764104	37.735833	-121.425790	163	54.05
1225177751	1225177751	1	1	CRENSHAW HEALTHCARE	18Aug2003	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	CORPOATION	3756 SANTA ROSALIA DR	STE 400	LOS ANGELES	CA	900083614	34.008440	-118.338719	78.2nnn	2361
1225254055	1225254055	1	1	CLINICA MEDICA FAMILIAR	06Oct2004	022	PHYSICIANS GROUP	FNP030239	08	Family Practice	0	In state provider	19	Los Angeles	SAN JUDAS INC	3900 W 3RD ST	None	LOS ANGELES	CA	900202675	34.069020	-118.299221	78.2e	2119.10
1235283094	1235283094	1	1	CENTRAL CITY COMMUNITY	01Aug2003	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	HEALTH CENTER INC	5970 S CENTRAL AVE	None	LOS ANGELES	CA	900011150	33.985662	-118.256441	78.2ggg	2392.02
1235500513	1235500513	1	1	COMMUNITY MEDICAL WELLNESS	15Aug2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	CENTERS USA	1360 E ANAHEIM ST	SUITE 101	LONG BEACH	CA	908135514	33.782589	-118.174821	78.2jjj	5764.02
1245364538	1245364538	1	1	CLINICA SIERRA VISTA INC	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	15	Kern	EAST BAKERSFIELD COMM	815 MARTIN LUTHER KING B	# J	BAKERSFIELD	CA	933071365	35.365882	-118.985188	66b	22
1245366715	1245366715	1	1	CENTRO MEDICO COMM CLNC	05Feb2003	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	33	Riverside	None	1307 W 6TH ST	STE 113	CORONA	CA	928823168	33.877807	-117.588941	135d	417.03
1245397298	1245397298	1	1	COUNTY OF SANTA BARBARA	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	42	Santa Barbara	FRANKLIN CLINIC	1136 E MONTECITO ST	None	SANTA BARBARA	CA	931032635	34.427180	-119.679853	181a	8.04
1245480821	1245480821	1	1	CLINICA SIERRA VISTA	14Oct2008	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	10	Fresno	None	2798 ELM AVENUE	None	FRESNO	CA	937065435	36.699621	-119.790735	30	10
1265569008	1265569008	1	1	CHILDRENS HOSP ORANGE CO	01Mar2000	054	EXPANDED ACCESS TO PRIMARY CARE	None	None	UNKNOWN	0	In state provider	30	Orange	None	406 S MAIN ST	None	SANTA ANA	CA	927015712	33.742201	-117.867666	116g	746.01
1265585038	1265585038	1	1	CHAMBI, MIRNA R MD INC	19Mar2003	026	PHYSICIANS	A53149	None	UNKNOWN	0	In state provider	30	Orange	None	7151 LINCOLN AVE	STE B	BUENA PARK	CA	906204614	33.832005	-118.008373	116a	1102.01
1275550295	1275550295	1	1	COMMUNITY HEALTH CENTERS	01Nov2005	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	40	San Luis Obispo	AT TEMPLETON	1330 LAS TABLAS RD	None	TEMPLETON	CA	934659758	35.554381	-120.723461	170	127.04
1275553257	1275553257	1	1	COMMUNITY HEALTH CENTERS	01Nov2005	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	40	San Luis Obispo	SAN LUIS OBISPO	1551 BISHOP ST	STE B260	SAN LUIS OBISPO	CA	934014635	35.274341	-120.646177	172	110.02
1275629495	1275629495	1	1	CLINICA MSR OSCAR ROMERO	01Apr2000	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	123 S ALVARADO ST	None	LOS ANGELES	CA	900572201	34.066074	-118.270693	78.2ffff	2085.02
1285059923	1285059923	1	1	COMMUNITY MEDICAL CENTERS	14Dec2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	39	San Joaquin	APCC	1031 WATERLOO ROAD	None	STOCKTON	CA	952054256	37.967107	-121.272467	169b	16
1285059923	1285059923	1	17	COMMUNITY MEDICAL CENTERS	28Apr2021	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	39	San Joaquin	INTERMITTENT	5151 PACIFIC AVE	ROOM 126	STOCKTON	CA	952076304	37.998275	-121.315545	169c	31.11
1285788059	1285788059	1	1	CENTRAL CITY COMM HLTH CTR	15Jun2007	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	30	Orange	None	2237 W BALL RD	None	ANAHEIM	CA	928045314	33.817761	-117.961234	116c	877.01
1295280576	1295280576	1	1	CHILDRENS HOSPITAL OF ORANGE	16Nov2016	022	PHYSICIANS GROUP	None	40	Pediatrics	0	In state provider	30	Orange	COUNTY	1120 W LA VETA AVE	STE 125	ORANGE	CA	928684235	33.780333	-117.864535	116h	760
1316033533	1316033533	1	1	CLINICA MONSENOR OSCAR A. RO	31May2005	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	2032 MARENGO ST	None	LOS ANGELES	CA	900331319	34.056602	-118.207395	78.2ffff	2033
1316163736	1316163736	1	1	CLINICAS DEL CAMINO REAL	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	None	1200 MARICOPA HWY	None	OJAI	CA	930233129	34.442068	-119.262664	238	9.01
1316188253	1316188253	1	1	COUNTY OF VENTURA	31Aug2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	None	125 W THOUSAND OAKS BLVD	SUITE 300	THOUSAND OAKS	CA	913604460	34.178690	-118.880960	240b	69
1316970932	1316970932	1	1	CMCLA PATHOLOGY MED GRP	31May1993	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	900153010	34.037180	-118.265408	78.2ffff	2240.10
1326065103	1326065103	1	1	COMMUNITY HEALTH CENTERS	01Mar2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	42	Santa Barbara	OF THE CENTRAL COAST INC	1300 WEST OCEAN AVE	None	LOMPOC	CA	934365678	34.639076	-120.475310	179	27.07
1326133083	1326133083	1	1	CALIFORNIA MEDICAL CLINIC IN	04Oct2005	022	PHYSICIANS GROUP	FNP001458	08	Family Practice	0	In state provider	33	Riverside	C.	23900 IRONWOOD AVE	STE F	MORENO VALLEY	CA	925577151	33.946590	-117.245981	135g	424.05
1326225632	1326225632	2	1	CENTRO DE SALUD DE LA	25Aug2008	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	COMUNIDAD DE SAN YSIDRO	3177 OCEAN VIEW BLVD	None	SAN DIEGO	CA	921131432	32.701187	-117.125663	161c	39.02
1326486861	1326486861	1	1	CENTRO DE SALUD DE LA	30Sep2013	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	COMUNIDAD DE SAN YSIDRO	678 THIRD AVE	None	CHULA VISTA	CA	919105736	32.628201	-117.074787	161k	130
1336163898	1336163898	1	1	COMMUNITY HEALTH CENTERS	01Nov2005	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	40	San Luis Obispo	DOCTORS' OFF/FAIR OAKS	1057 E GRAND AVE	None	ARROYO GRANDE	CA	934202504	35.118989	-120.595087	171	119.02
1336275437	1336275437	1	1	CITY & COUNTY SAN FRAN	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	38	San Francisco	None	555 COLE ST	None	SAN FRANCISCO	CA	941172800	37.770010	-122.450320	162g	166
1336311679	1336311679	1	1	COMMUNITY MEDICAL CTRS	10Jan2008	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	48	Solano	None	600 NUT TREE RD	STE 310	VACAVILLE	CA	956874686	38.361369	-121.949662	202a	2529.11
1336453950	1336453950	1	1	CUELLAR, FRANCISCO MD APC	31Jan2011	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	917672994	34.075639	-117.750836	78.2tt	4021.02
1346490927	1346490927	1	1	CLINICA SIERRA VISTA	14Oct2008	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	10	Fresno	None	2505 E DIVISADERO ST	None	FRESNO	CA	937211401	36.743216	-119.781989	35c	5.02
1356362743	1356362743	1	1	COMPREHENSIVE COMMUNITY	22Aug2007	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	HEALTH CENTERS GLENDALE	801 S CHEVY CHASE DR	STE 250	GLENDALE	CA	912054433	34.137132	-118.239588	78.2ff	3021.02
1356362743	1356362743	1	2	COMPREHENSIVE COMMUNITY	23Sep2019	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	INTERMITTENT	5059 YORK BLVD	None	LOS ANGELES	CA	900421713	34.121237	-118.205626	78.2i	1834.01
1356569172	1356569172	1	1	COMMUNICARE HEALTH CTRS	24Aug2004	058	HEALTH ACCESS PROGRAM	550002588	None	UNKNOWN	0	In state provider	57	Yolo	None	215 W BEAMER ST	None	WOODLAND	CA	956952510	38.684883	-121.793848	246.1	109.01
1356702633	1356702633	1	1	CHIBUIKE ENYEREIBE ANUCHA MD	10Oct2016	026	PHYSICIANS	A89094	None	UNKNOWN	0	In state provider	15	Kern	PC	3941 SAN DIMAS STREET	BLDG 104	BAKERSFIELD	CA	933015734	35.395624	-119.008204	66a	6
1356723936	1356723936	1	1	COMMUNITY MEDICAL CENTERS	07Oct2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	39	San Joaquin	INC	1801 E MARCH LANE	SUITE D-470	STOCKTON	CA	952106609	38.003429	-121.285555	169a	34.09
1366422776	1366422776	1	1	CALIFORNIA STATE UNIVERSITY	01May2001	022	PHYSICIANS GROUP	None	01	General Practice	0	In state provider	01	Alameda	EAST BAY	25800 CARLOS BEE BLVD	None	HAYWARD	CA	945423000	37.658760	-122.061939	2f	4351.02
1366570038	1366570038	1	1	COUNTY OF MONTEREY	01Jul2005	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	27	Monterey	None	1441 CONSTITUTION BLVD	None	SALINAS	CA	939063100	36.696798	-121.629630	109.2	106.08
1376560151	1376560151	1	1	COMMUNITY HEALTH CENTERS	01Nov2005	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	42	Santa Barbara	GUADALUPE	4723 WEST MAIN STREET	SUITE H	GUADALUPE	CA	934341787	34.957569	-120.576642	180.2	25.02
1376654566	1376654566	1	1	CROWNOVER, DAVID W MD	10Nov2011	026	PHYSICIANS	C00054069	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	56	Ventura	None	147 N BRENT STREET	None	VENTURA	CA	930032809	34.274201	-119.257241	241c	19
1376659896	1376659896	1	1	CALIF STATE UNIV SACTO	01Sep2001	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	34	Sacramento	STUDENT HEALTH CENTER	6000 J ST	None	SACRAMENTO	CA	958192605	38.566806	-121.427834	139g	52.01
1376684456	1376684456	1	1	CLINICA DE SALUD DEL VALLE	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	27	Monterey	DE SALINAS-KING CITY	122 E SAN ANTONIO DR	None	KING CITY	CA	939302508	36.222736	-121.126067	105	113.04
1386723690	1386723690	1	1	CONTRA COSTA COUNTY	22Jul2002	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	07	Contra Costa	MARTINEZ HEALTH CTR	2500 ALHAMBRA AVE	None	MARTINEZ	CA	945533156	38.006474	-122.130888	18a	3180
1386758225	1386758225	1	1	COUNTY OF RIVERSIDE	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	33	Riverside	PALM SPRINGS FAMILY CARE	1515 N SUNRISE WAY	None	PALM SPRINGS	CA	922625309	33.843142	-116.528252	129.4	446.02
1386770477	1386770477	1	1	CITY & CO SAN FRANCISCO	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	38	San Francisco	None	1044 LARKIN ST	None	SAN FRANCISCO	CA	941095707	37.787601	-122.418434	162b	120
1386886117	1386886117	1	1	COUNTY OF VENTURA	31Aug2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	None	1227 E LOS ANGELES AVE	None	SIMI VALLEY	CA	930652871	34.271817	-118.774328	240c	78
1396961884	1396961884	1	1	CLINICAS DEL CAMINO REAL	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	OXNARD	650 META ST	None	OXNARD	CA	930307182	34.195704	-119.176003	241b	91
1407032212	1407032212	1	1	CITY HEIGHTS FAMILY	01Jul2004	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	37	San Diego	HEALTH CENTER	5379 EL CAJON BLVD	None	SAN DIEGO	CA	921154730	32.757703	-117.079921	161d	27.08
1417036484	1417036484	1	1	CONTRA COSTA COUNTY	22Jul2002	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	07	Contra Costa	RICHMOND HEALTH CENTER	100 38TH ST	None	RICHMOND	CA	948052207	37.933705	-122.333316	18f	3810
1427046754	1427046754	1	1	CHINATOWN SERVICE CENTER	01Jan2005	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	FAMILY HEALTH CLINIC	767 N HILL ST	STE 200	LOS ANGELES	CA	900122365	34.062104	-118.239871	78.2ffff	2071.02
1427121375	1427121375	1	1	CHILDRENS HOSPITAL OF ORANGE	10Aug2004	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	30	Orange	COUNTY	3745 W CHAPMAN AVE	1ST FLOOR	ORANGE	CA	928681656	33.789019	-117.893151	116r	761.02
1427123504	1427123504	1	1	CLINICA MEDICA INTERNACIONAL	28Feb1994	026	PHYSICIANS	A00035730	None	UNKNOWN	0	In state provider	19	Los Angeles	CLINICA MED INTER MD CTR	7444 LANKERSHIM BLVD	None	NORTH HOLLYWOOD	CA	916052801	34.205981	-118.387785	78.2bb	1224.10
1427276278	1427276278	1	1	CLINICAS DEL CAMINO REAL	20Jan2005	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	INC-OCEANVIEW	4400 OLDS RD	None	OXNARD	CA	930338061	34.156849	-119.148869	241a	47.15
1427699396	1427699396	1	1	CLINICA SIERRA VISTA	09Jun2021	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	15	Kern	None	425 DEL SOL PARKWAY	None	DELANO	CA	932153442	35.771850	-119.238062	60	50.04
1437407582	1437407582	1	1	CAMARENA HEALTH	13Dec2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	20	Madera	None	49169 ROAD 426	None	OAKHURST	CA	936448702	37.328044	-119.648057	79.1	1.04
1437642345	1437642345	1	1	COUNTY OF RIVERSIDE	12Jul2019	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	33	Riverside	TH CENTER	23520 CACTUS AVE	None	MORENO VALLEY	CA	925538906	33.910228	-117.251921	135b	425.11
1447277355	1447277355	1	1	COMMUNITY HEALTH CENTERS	01Nov2005	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	42	Santa Barbara	OF THE CENTRAL COAST INC	2801 SANTA MARIA WAY	BLDG A	SANTA MARIA	CA	934552118	34.909290	-120.433971	180.1	20.07
1447281746	1447281746	2	1	CASTLE FAMILY HEALTH	05Oct2007	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	24	Merced	CENTERS INC	6029 N WINTON WAY	None	WINTON	CA	953889515	37.391296	-120.613416	96	5.04
1447297379	1447297379	1	1	CARES COMMUNITY HEALTH	01Jul2014	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	34	Sacramento	EDUCATION & SVS-SACTO	1500 21ST ST	None	SACRAMENTO	CA	958115216	38.570826	-121.480908	139i	13
1447309885	1447309885	1	1	CAMARENA HEALTH	25Jul2006	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	24	Merced	None	300 PROSPERITY BLVD	BUILDING A & B	CHOWCHILLA	CA	936108498	37.109626	-120.269855	79.2	3
1447321120	1447321120	1	1	COMMUNITY ACTION PARTNERSHIP	01Dec1977	041	COMMUNITY CLINIC	ZZT11858	None	UNKNOWN	0	In state provider	40	San Luis Obispo	OF SAN LUIS OBISPO	705 GRAND AVE	None	SAN LUIS OBISPO	CA	934012639	35.289849	-120.652925	172	110.02
1457347239	1457347239	1	1	CORONA REGIONAL MED CTR	01Jan2004	089	ELECTRONIC HEALTH RECORD INCENTIVE PROGRAM	None	None	UNKNOWN	0	In state provider	33	Riverside	None	800 S MAIN ST	None	CORONA	CA	928823420	33.873330	-117.566679	135d	416
1457489122	1457489122	1	1	COUNTY OF MONTEREY	01Jul2005	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	27	Monterey	LAURAL FAMILY PRACTICE	1441 CONSTITUTION BLVD	None	SALINAS	CA	939063100	36.696798	-121.629630	109.2	106.08
1457744476	1457744476	1	1	COMMUNITY MEDICINE, INC	01Mar2018	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	8540 ALONDRA BLVD	SUITE B-2	PARAMOUNT	CA	907235200	33.889147	-118.150562	78.2m	5539.02
1467411744	1467411744	1	1	CARDIN, JOHN P JR MD	31May1990	026	PHYSICIANS	A00041250	None	UNKNOWN	0	In state provider	19	Los Angeles	None	2880 ATLANTIC AVE	STE 230	LONG BEACH	CA	908061735	33.809514	-118.184973	78.2lll	5722.02
1477632784	1477632784	1	1	CONTRA COSTA COUNTY	22Jul2002	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	07	Contra Costa	BRENTWOOD HEALTH CENTER	118 OAK ST	None	BRENTWOOD	CA	945131335	37.933726	-121.692856	17	3031.03
1477694263	1477694263	1	1	CLINICAS DE SALUD DEL	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	27	Monterey	VALLE DE SALINAS-SANBORN	219 N SANBORN RD	None	SALINAS	CA	939052218	36.677503	-121.626509	109.2	5.02
1487299699	1487299699	1	1	CALIFORNIA DREAMS MEDICAL CO	12Feb2020	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	10	Fresno	None	3656 W SHAW AVE	None	FRESNO	CA	937113231	36.808331	-119.858996	35a	42.12
1487706347	1487706347	1	1	COMMUNITY HEALTH SYSTEMS	26Aug1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	36	San Bernardino	INC	18601 VALLEY BLVD	None	BLOOMINGTON	CA	923161831	34.070443	-117.398320	151f	36.06
1487741773	1487741773	1	1	CLINICAS DE SALUD DEL	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	13	Imperial	PUEBLO INC	852 E DANENBERG DR	None	EL CENTRO	CA	922438511	32.767107	-115.561826	48	118.03
1487787248	1487787248	1	1	CHULA VISTA WOMENN CARE	14Dec1992	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	37	San Diego	INC	752 MEDICAL CENTER CT	STE 106	CHULA VISTA	CA	919116659	32.618955	-117.024857	161s	133.10
1497702724	1497702724	1	1	CADUCEUS PHYSICIANS MEDICAL	01Dec1998	022	PHYSICIANS GROUP	FNP026171	None	UNKNOWN	0	In state provider	30	Orange	MEDICAL GROUP INC	18210 YORBA LINDA BLVD	SUITE 404	YORBA LINDA	CA	928864060	33.888487	-117.816183	116m	218.02
1497702724	1497702724	1	3	CADUCEUS PHYSICIANS MEDICAL	18Sep2018	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	30	Orange	None	1110 W LA PALMA AVE	STE 4	ANAHEIM	CA	928012823	33.847170	-117.932184	116l	866.01
1497778443	1497778443	2	1	CASTLE FAMILY HEALTH	27Sep2000	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	24	Merced	CENTERS INC	1251 GROVE ST	None	ATWATER	CA	953013653	37.350908	-120.607161	96	7.01
1508187329	1508187329	1	1	COUNTY OF VENTURA	31Aug2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	None	325 W CHANNEL ISLAND BLV	None	OXNARD	CA	930334501	34.173722	-119.180277	241b	38.02
1508415274	1508415274	1	1	CAMARENA HEALTH	21Dec2020	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	20	Madera	AFFILIATED	1159 COUNTRY CLUB DR	None	MADERA	CA	936381537	36.975824	-120.074135	80	6.04
1508936030	1508936030	1	1	COUNTY OF SACRAMENTO	10Nov2010	045	CLINIC EXEMP FROM LICENSURE	None	None	UNKNOWN	0	In state provider	34	Sacramento	None	4600 BROADWAY	STE 1300	SACRAMENTO	CA	958201527	38.546763	-121.452589	139f	17
1518046846	1518046846	1	1	CONTRA COSTA REG MED CTR	22Jul2002	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	07	Contra Costa	ANTIOCH HEALTH CENTER	3505 LONE TREE WAY	STE 1&4	ANTIOCH	CA	945096067	37.988292	-121.807220	18e	3080.01
1518183904	1518183904	1	1	CLINICAS DEL CAMINO REAL	12Mar2002	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	MARAVILLA	450 W CLARA ST	None	OXNARD	CA	930338363	34.151193	-119.182212	241b	45.06
1518996313	1518996313	1	1	CONSULTORIO MEDICO	14Aug1995	022	PHYSICIANS GROUP	FNP023072	42	Nuclear Medicine	0	In state provider	19	Los Angeles	LATINO MEDICAL CENTER	15730 PARAMOUNT BLVD	None	PARAMOUNT	CA	907234333	33.889872	-118.160002	78.2m	5539.01
1528270147	1528270147	1	1	CENTURY MEDICAL CTR APC	02Nov2004	022	PHYSICIANS GROUP	FNP032272	40	Pediatrics	0	In state provider	19	Los Angeles	None	3451 W CENTURY BLVD	None	INGLEWOOD	CA	903031218	33.945523	-118.332501	78.2r	6007.02
1528477882	1528477882	1	1	CENTRAL CITY COMMUNITY	02Dec2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	HEALTH CENTER INC	13742 AMAR ROAD	None	LA PUENTE	CA	917461683	34.054017	-117.977387	78.2yyy	4071.01
1538243977	1538243977	1	1	CANCER TREATMENT MEDICAL	31Dec1995	026	PHYSICIANS	A48498	None	UNKNOWN	0	In state provider	30	Orange	CENTER	2571 W LA PALMA AVE	None	ANAHEIM	CA	928012622	33.846852	-117.974997	116c	868.02
1538262092	1538262092	1	1	CENTRO DE SALUD DE LA	13Aug2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	COMUNIDAD DE SAN YSIDRO	950 S EUCLID AVENUE	None	SAN DIEGO	CA	921146201	32.696292	-117.085103	161g	31.01
1538300488	1538300488	1	1	COUNTY OF VENTURA	31Aug2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	None	2000 OUTLET CENTER DR	STE 110	OXNARD	CA	930360608	34.218953	-119.149318	241b	49.02
1538400353	1538400353	1	1	COUNTY OF SAN JOAQUIN	01Dec2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	39	San Joaquin	None	1414 N CALIFORNIA STREET	STE B	STOCKTON	CA	952021515	37.967517	-121.288334	169b	4.02
1538500798	1538500798	1	1	COMFORT FAMILY CLINIC INC	12Aug2013	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	936 N. WILMINGTON BLVD.	None	WILMINGTON	CA	907444102	33.781301	-118.274338	78.2p	2943.02
1548401409	1548401409	1	1	COUNTY OF VENTURA	31Aug2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	None	845 N 10TH ST	STE 3	SANTA PAULA	CA	930601348	34.365840	-119.065531	237	8
1548535685	1548535685	1	1	COX, LUCIEN O MD INC A	01Jan1982	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	900173908	34.052510	-118.263750	78.2ffff	2092
1548538911	1548538911	1	1	COMMUNITY HEALTH SYSTEM INC	02Apr2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	33	Riverside	None	9380 MAGNOLIA AVE	None	RIVERSIDE	CA	925033749	33.921652	-117.444212	135c	316.01
1548648801	1548648801	1	1	COMMUNITY HEALTH CENTERS	05Jul2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	40	San Luis Obispo	OF THE CENTRAL COAST INC	292 POSADA LANE	STE A	TEMPLETON	CA	934654054	35.553456	-120.721421	170	127.04
1558852947	1558852947	1	1	CENTRO DE SALUD DE LA	03Jun2019	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	COMUNIDAD DE SAN YSIDRO	4050 BEYER BLVD	None	SAN YSIDRO	CA	921732007	32.558244	-117.046830	161j	100.13
1568845741	1568845741	1	1	CENTRO DE SALUD DE LA	17Nov2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	COMUNIDAD DE SAN YSIDRO	875 EL CAJON BLVD	None	EL CAJON	CA	920205714	32.784988	-116.977328	161h	159.02
1578535845	1578535845	1	1	COUNTY OF SAN BERNARDINO	20Nov2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	None	UNKNOWN	None	PUBLIC HEALTH DEPARTMENT	351 N. MT. VIEW AVE.	SAN BERNARDINO	CA	92415	34.126876	-117.267731	151k	63.01
1578535845	1578535845	1	5	COUNTY OF SAN BERNARDINO	20Jul2009	045	CLINIC EXEMP FROM LICENSURE	None	None	UNKNOWN	0	In state provider	36	San Bernardino	None	477 SUMMIT BLVD	None	BIG BEAR LAKE	CA	923152835	34.244060	-116.888382	146	112.03
1578535845	1578535845	1	6	COUNTY OF SAN BERNARDINO	23Jan2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	36	San Bernardino	None	150 E HOLT BLVD	None	ONTARIO	CA	917611613	34.063374	-117.650205	151c	14
1578535845	1578535845	1	8	COUNTY OF SAN BERNARDINO	23Jan2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	36	San Bernardino	None	606 E MILL STREET	None	SAN BERNARDINO	CA	924150011	34.092145	-117.296227	151f	124
1578535845	1578535845	1	9	COUNTY OF SAN BERNARDINO	20Jul2009	045	CLINIC EXEMP FROM LICENSURE	None	None	UNKNOWN	0	In state provider	36	San Bernardino	None	351 N MOUNTAIN VIEW AVE	None	SAN BERNARDINO	CA	924150003	34.105564	-117.287364	151g	58
1578535845	1578535845	1	10	COUNTY OF SAN BERNARDINO	20Jul2009	045	CLINIC EXEMP FROM LICENSURE	None	None	UNKNOWN	0	In state provider	36	San Bernardino	None	303 E MOUNTAIN VIEW ST	None	BARSTOW	CA	923112840	34.892770	-117.026308	149	95
1578535845	1578535845	1	11	COUNTY OF SAN BERNARDINO	20Nov2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	36	San Bernardino	None	11336 BARTLETT AVE	UNITS 11, 12	ADELANTO	CA	923012025	34.581919	-117.421764	145.2	91.16
1578552543	1578552543	1	5	COMMUNITY MEDICAL CENTERS	11Sep2020	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	39	San Joaquin	INTERMITTENT	2415 W VINE ST	SUITE 105	LODI	CA	952423731	38.122820	-121.305114	166	43.03
1578567038	1578567038	1	1	CLINICA MEDICA LA SAGRADA	30Apr1993	022	PHYSICIANS GROUP	FNP018256	None	UNKNOWN	0	In state provider	19	Los Angeles	LA SAGRADA FAMILIA	15955 PARAMOUNT BLVD	STE A	PARAMOUNT	CA	907235113	33.887704	-118.160150	78.2m	5538.02
1578680310	1578680310	1	2	COUNTY OF SANTA CRUZ DBA	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	44	Santa Cruz	None	1080 EMELINE AVE	None	SANTA CRUZ	CA	950601966	36.991840	-122.017534	185.3	1212
1578803425	1578803425	1	1	COUNTY OF SAN JOAQUIN	01Dec2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	39	San Joaquin	None	500 W HOSPITAL RD	STE B	FRENCH CAMP	CA	952319693	37.886456	-121.281847	169b	38.03
1588086771	1588086771	1	1	CAMARENA HEALTH	20Oct2014	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	20	Madera	None	124 SOUTH A STREET	None	MADERA	CA	936383619	36.964478	-120.055059	80	8
1588798870	1588798870	1	1	CLINICA SIERRA VISTA	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	15	Kern	None	2000 PHYSICIANS BLVD	None	BAKERSFIELD	CA	933011277	35.396189	-119.009485	66a	6
1598064008	1598064008	1	1	COMMUNITY HEALTH CENTERS OF	30Jan2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	40	San Luis Obispo	THE CENTRAL COAST INC	260 STATION WAY	None	ARROYO GRANDE	CA	934203359	35.119778	-120.577980	171	118
1598075442	1598075442	1	1	COMMUNITY PEDIATRIC CLINIC	22May2013	026	PHYSICIANS	None	None	UNKNOWN	0	In state provider	19	Los Angeles	INC	10210 ORR AND DAY RD	STE A	SANTA FE SPRINGS	CA	906703581	33.944232	-118.090502	78.2vv	5028.01
1598907487	1598907487	1	1	CENTRO DE SALUD DE LA	24Aug2009	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	COMUNIDAD DE SAN YSIDRO	2400 EAST 8TH ST	STE A	NATIONAL CITY	CA	919502956	32.682723	-117.082363	161g	120.02
1609291996	1609291996	1	1	CLINICAS DEL CAMINO REAL INC	21Mar2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	None	4370 EVE ROAD	None	SIMI VALLEY	CA	930632187	34.282610	-118.709576	240a	84.01
1609932276	1609932276	1	1	COUNTY OF SANTA BARBARA	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	42	Santa Barbara	COUNTY HLTH CLIN LOMPOC	301 N R ST	None	LOMPOC	CA	934365226	34.642342	-120.470520	179	27.02
1619154606	1619154606	1	1	CHILDREN'S CLINIC	01Nov2006	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	19	Los Angeles	FAMILY HEALTH CENTER	1060 E 70TH ST	None	LONG BEACH	CA	908051008	33.881841	-118.179432	78.2iii	5702.02
1629167457	1629167457	1	1	COUNTY OF VENTURA	01Dec1977	078	MARRIAGE AND FAMILY THERAPIST GROUP	None	None	UNKNOWN	0	In state provider	56	Ventura	None	300 HILLMONT AVE	None	VENTURA	CA	930033099	34.278975	-119.254362	241c	19
1629167457	1629167457	1	2	COUNTY OF VENTURA	01Dec1977	061	COUNTY HOSPITAL OUTPATIENT	561700481	None	UNKNOWN	0	In state provider	56	Ventura	None	825 N TENTH ST	None	SANTA PAULA	CA	930601309	34.365624	-119.065292	237	8
1629296447	1629296447	1	1	COMMUNICARE HEALTH CTRS	24Aug2004	058	HEALTH ACCESS PROGRAM	030000146	None	UNKNOWN	0	In state provider	57	Yolo	None	2051 JOHN JONES RD	None	DAVIS	CA	956169701	38.561423	-121.770387	244	105.05
1629319447	1629319447	1	1	COUNTY OF SAN JOAQUIN	01Dec2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	39	San Joaquin	None	500 W HOSPITAL ROAD	STE A	FRENCH CAMP	CA	952319693	37.886456	-121.281847	169b	38.03
1639100027	1639100027	2	1	CASTLE FAMILY HEALTH	27Sep2000	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	24	Merced	CENTERS INC	3605 HOSPITAL RD	None	ATWATER	CA	953015173	37.364981	-120.576060	96	5.03
1639207343	1639207343	1	1	CENTRAL CALIFORNIA	19Jul2011	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	15	Kern	FOUNDATION FOR HEALTH	2300 7TH ST	None	WASCO	CA	932801585	35.594264	-119.351512	58.2	44.01
1639336803	1639336803	1	1	CENTRAL NEIGHBORHOOD HEALTH	18Aug2010	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	FOUNDATION	2707 S CENTRAL AVE	None	LOS ANGELES	CA	900115527	34.017418	-118.255486	78.2l	2267
1649269747	1649269747	1	1	CLINICAS DE SALUD DEL	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	13	Imperial	PUEBLO	900 MAIN ST	None	BRAWLEY	CA	922272630	32.978601	-115.528657	50	107
1649426990	1649426990	1	1	CHEN, LULU L MD INC	28May2010	022	PHYSICIANS GROUP	None	08	Family Practice	0	In state provider	19	Los Angeles	None	1318 E FLORENCE AVE	None	LOS ANGELES	CA	900011935	33.974773	-118.251468	78.2mmm	5329
1649449885	1649449885	1	1	COUNTY OF SANTA CLARA	01Nov2007	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	43	Santa Clara	None	660 S FAIROAKS AVE	None	SUNNYVALE	CA	940867913	37.365052	-122.023818	183c	5085.04
1659407740	1659407740	1	1	CITY & CO SAN FRANCISCO	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	38	San Francisco	None	2401 KEITH ST	None	SAN FRANCISCO	CA	941243231	37.726226	-122.392227	162f	234
1669500336	1669500336	1	1	COUNTY OF MONTEREY	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	27	Monterey	None	1156 FREMONT BLVD	None	SEASIDE	CA	939555715	36.601811	-121.848973	110	136
1669720157	1669720157	1	1	COMMUNITY MEDICAL CENTERS	01Apr2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	39	San Joaquin	INC	2015 S MARIPOSA RD	None	STOCKTON	CA	952057735	37.939244	-121.244788	169b	21
1669738159	1669738159	1	1	COUNTY OF VENTURA	31Aug2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	None	2220 E GONZALES ROAD	SUITE 120-A	OXNARD	CA	930363707	34.219285	-119.200549	241a	29.05
1669881926	1669881926	1	1	CENTRAL CITY COMMUNITY	02Dec2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	HEALTH CENTER INC	4126 N MAINE AVE	None	BALDWIN PARK	CA	917065010	34.087158	-117.960362	78.2zzz	4051.02
1679553192	1679553192	1	1	COMPREHENSIVE COMMUNITY	23Feb2005	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	HEALTH CTR-EAGLE ROCK	1704 COLORADO BLVD	None	LOS ANGELES	CA	900411338	34.139343	-118.203853	78.2dd	1814
1679600852	1679600852	1	1	CHILDRENS HOSP ORANGE CO	19Feb2001	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	30	Orange	CHOC CLINIC BOYS & GIRLS	1000 HIGHLAND ST	None	SANTA ANA	CA	927034822	33.737216	-117.878662	116g	749.02
1679631907	1679631907	1	1	CLINICAS DEL CAMINO REAL	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	INC VENTURA	200 S WELLS RD	STE 100	VENTURA	CA	930041302	34.293009	-119.159490	237	12.01
1679749501	1679749501	1	1	COMM HLTH SYSTEMS INC	22Feb2010	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	33	Riverside	None	22675 ALESSANDRO BLVD	None	MORENO VALLEY	CA	925538551	33.916984	-117.267305	135b	467
1689048241	1689048241	1	1	CLINICA DE SALUD DEL VALLE	06Dec2018	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	27	Monterey	None	126 FIFTH ST	None	GONZALES	CA	939260000	36.508372	-121.444503	107	108.04
1689170870	1689170870	1	1	CITY & COUNTY OF SAN	18Apr2019	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	38	San Francisco	FRANCISCO	1728 BANCROFT AVE	None	SAN FRANCISCO	CA	941242697	37.726598	-122.394491	162f	233
1689199648	1689199648	1	1	CENTER FOR FAMILY HEALTH	29Oct2019	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	& EDUCATION INC	14901 RINALDI ST	SUITE 202	MISSION HILLS	CA	913453205	34.278989	-118.457401	78.2hh	1091
1689851222	1689851222	1	1	COUNTY OF SANTA CLARA	19May1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	43	Santa Clara	VALLEY HLTH EAST VALLEY	1993 MCKEE RD	None	SAN JOSE	CA	951161406	37.360053	-121.857630	183b	5037.07
1700023942	1700023942	1	1	CHAVA, SREEDHAR MD INC	10Apr2013	026	PHYSICIANS	A00102291	08	Family Practice	0	In state provider	19	Los Angeles	None	3580 SANTA ANITA AVE	STE A	EL MONTE	CA	917312455	34.074604	-118.041542	78.2oo	4327
1700373008	1700373008	1	1	COMMUNITY MEDICAL CENTERS	21Dec2018	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	39	San Joaquin	INC	7912 WEST LANE	SUITE 221	STOCKTON	CA	952103159	38.021118	-121.294776	169a	34.05
1700910080	1700910080	1	1	CLINICA SIERRA VISTA	01Jun2000	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	15	Kern	ARVIN COMMUNITY HEALTH	1305 BEAR MOUNTAIN BLVD	None	ARVIN	CA	932031231	35.208978	-118.838883	61	63.03
1700959863	1700959863	1	1	COUNTY OF NEVADA	01Dec1977	089	ELECTRONIC HEALTH RECORD INCENTIVE PROGRAM	None	None	UNKNOWN	0	In state provider	29	Nevada	None	500 CROWN POINT CIR	STE 110	GRASS VALLEY	CA	959459514	39.219388	-121.033202	113	6
1710009659	1710009659	1	1	COMMUNITY MEDICAL CTRS	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	39	San Joaquin	WOODBRIDGE MED GRP	2401 W TURNER RD	STE 450	LODI	CA	952422191	38.145692	-121.344779	168	41.06
1710164702	1710164702	1	1	CHILDREN'S CLINIC, THE	15Aug1999	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	455 E COLUMBIA ST	STE 201	LONG BEACH	CA	908061620	33.808978	-118.187329	78.2lll	5722.02
1710211214	1710211214	1	1	COMMUNITY MEDICAL CENTERS	08Jan2013	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	39	San Joaquin	INC	200 COTTAGE AVE	SUITE 103	MANTECA	CA	953364935	37.799232	-121.198208	164.1	51.10
1710228531	1710228531	1	1	COUNTY OF SAN JOAQUIN	01Dec2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	39	San Joaquin	None	500 W HOSPITAL ROAD	STE C	FRENCH CAMP	CA	952319693	37.886456	-121.281847	169b	38.03
1720347149	1720347149	1	1	CLINICA SIERRA VISTA	16Mar2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	10	Fresno	None	1945 N FINE AVENUE	STE 100	FRESNO	CA	937271528	36.768481	-119.728929	35b	31.04
1720362056	1720362056	1	1	CLINICAS DEL CAMINO REAL INC	28Jan2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	None	1424 MADERA RD	None	SIMI VALLEY	CA	930653053	34.265329	-118.796221	240c	77
1730136680	1730136680	1	1	CAPITAL OB/GYN, INC.	09Feb2006	022	PHYSICIANS GROUP	FNP033077	None	UNKNOWN	0	In state provider	34	Sacramento	None	77 CADILLAC DR	STE 230	SACRAMENTO	CA	958255453	38.574976	-121.418101	139j	54.02
1730136680	1730136680	1	3	CAPITAL OB/GYN, INC.	10Oct2011	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	34	Sacramento	None	8120 TIMBERLAKE WAY	STE 201	SACRAMENTO	CA	958235414	38.461710	-121.413243	139h	96.06
1730231523	1730231523	1	1	CESAR VELEZ MEDICAL	07Apr2006	022	PHYSICIANS GROUP	FNP34580	None	UNKNOWN	0	In state provider	19	Los Angeles	GROUP INC	1411 W SUNSET BLVD	STE 203	LOS ANGELES	CA	900263431	34.074475	-118.252270	78.2a	1973
1730237116	1730237116	1	1	CHICO FEM WOMENS HEALTH	01Dec1977	041	COMMUNITY CLINIC	040301222	None	UNKNOWN	0	In state provider	04	Butte	None	1469 HUMBOLDT RD	FL 2	CHICO	CA	959289116	39.735489	-121.815230	7.1	9.03
1730310236	1730310236	1	1	COUNTY OF SOLANO	26Oct2009	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	48	Solano	None	365 TUOLUMNE ST	None	VALLEJO	CA	945905700	38.102682	-122.238282	204	2512
1730360579	1730360579	1	1	CLINICA MEDICA CENTRO HISPAN	04Nov2008	026	PHYSICIANS	A00053766	08	Family Practice	0	In state provider	36	San Bernardino	O INC	360 E 7TH ST	H	UPLAND	CA	917866701	None	None	None	None
1730360579	1730360579	1	2	CLINICA MEDICA CENTRO HISPAN	19Dec2011	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	36	San Bernardino	HISPANO INC	2336 N SIERRA WAY	None	SAN BERNARDINO	CA	924053546	34.137242	-117.285187	151g	53
1750419420	1750419420	1	1	COUNTY OF MONTEREY	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	27	Monterey	AT MARINA	3155 DE FOREST RD	None	MARINA	CA	939332702	36.684998	-121.793273	108	143.02
1770709149	1770709149	1	1	COUNTY OF SNTA CRUZ	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	44	Santa Cruz	WATSONVILLE HEALTH CTR	9 CRESTVIEW DR	None	WATSONVILLE	CA	950762723	36.926481	-121.764521	184	1102
1780821660	1780821660	1	1	COUNTY OF VENTURA	31Aug2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	None	133 W SANTA CLARA ST	None	VENTURA	CA	930012543	34.279541	-119.303092	241c	24
1790100402	1790100402	1	1	CLINIC SIERRA VISTA	08Aug2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	10	Fresno	None	1120 EAST CHURCH AVENUE	None	FRESNO	CA	937064257	36.714143	-119.795210	30	9.02
1801955125	1801955125	1	1	COUNTY OF SANTA BARBARA	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	42	Santa Barbara	CARPINTERIA COMM HLTH CT	931 WALNUT AVE	None	CARPINTERIA	CA	930132028	34.396949	-119.517038	177	16.04
1811258510	1811258510	2	14	COMMUNITY FOUNDATION MEDICAL	01May2014	027	PODIATRISTS	None	None	UNKNOWN	0	In state provider	10	Fresno	GROUP	2210 E ILLINOIS AVE	STE 505	FRESNO	CA	937012184	36.745030	-119.784780	35c	5.02
1811258510	1811258510	2	17	COMMUNITY FOUNDATION MEDICAL	29Apr2014	027	PODIATRISTS	None	None	UNKNOWN	0	In state provider	10	Fresno	GROUP	722 MEDICAL CENTER DR	STE 105	CLOVIS	CA	936116810	36.840901	-119.662109	31	59.07
1821215914	1821215914	1	1	CLINICA MEDICA CUZCATLAN	01Sep2002	022	PHYSICIANS GROUP	FNP025800	01	General Practice	0	In state provider	19	Los Angeles	CUZCATLAN MEDICAL CLINIC	3559 E GAGE AVE	None	BELL	CA	902011042	33.979609	-118.201578	78.2ddd	5336.01
1821275132	1821275132	2	1	CENTRO DE SALUD DE LA	25Aug2008	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	COMUNIDAD DE SAN YSIDRO	286 EUCLID AVE	STE 302	SAN DIEGO	CA	921143613	32.707504	-117.085083	161g	33.04
1821278771	1821278771	1	2	CHOI, JOON MD APC	18May2015	026	PHYSICIANS	G80351	None	UNKNOWN	0	In state provider	19	Los Angeles	None	1577 E CHEVY CHASE DRIVE	SUITE 110	GLENDALE	CA	912064091	34.153201	-118.229688	78.2ee	3010
1841217866	1841217866	1	1	COMMUNITY HEALTH CENTERS	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	40	San Luis Obispo	OF THE CENTRAL COAST	150 TEJAS PL	None	NIPOMO	CA	934449123	35.026495	-120.498724	171	124.02
1841431707	1841431707	1	1	COUNTY OF VENTURA	31Aug2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	None	254 W HARVARD BLVD	STE B	SANTA PAULA	CA	930603920	34.345063	-119.075905	237	7.01
1841556404	1841556404	1	1	CLINICAS DEL CAMINO REAL INC	03Jul2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	MOORPARK	4279 TIERRA REJADA ROAD	None	MOORPARK	CA	930213775	34.268766	-118.898426	239	76.07
1851429658	1851429658	1	1	CENTRAL CALIFORNIA	23Dec2003	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	15	Kern	FOUNDATION FOR HEALTH	1201 JEFFERSON ST	None	DELANO	CA	932152203	35.771809	-119.244929	60	50.04
1851757215	1851757215	1	1	CENTRO DE SALUD DE LA	23May2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	COMUNIDAD DE SAN YSIDRO	330-340 E 8TH STREET	None	NATIONAL CITY	CA	919500000	32.676837	-117.103305	161k	118.01
1861633703	1861633703	1	1	COUNTY OF VENTURA	31Aug2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	None	2240 E GONZALES RD	STE 100	OXNARD	CA	930368212	34.219284	-119.200902	241a	29.05
1861641441	1861641441	1	1	CLINICA SIERRA VISTA	15Oct2008	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	10	Fresno	None	2790 SOUTH ELM	None	FRESNO	CA	937065435	36.699889	-119.790721	30	10
1871573360	1871573360	1	1	COMPREHENSIVE COMMUNITY	23Feb2005	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	HEALTH CTR-NO HOLLYWOOD	12157 VICTORY BLVD	None	NORTH HOLLYWOOD	CA	916063204	34.186676	-118.397818	78.2bb	1239.01
1871607713	1871607713	1	1	COUNTY OF RIVERSIDE	07Jul2004	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	33	Riverside	None	8876 MISSION BLVD	None	JURUPA VALLEY	CA	925092811	34.011774	-117.477184	135e	405.01
1871627042	1871627042	1	1	CLINICA SIERRA VISTA INC	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	15	Kern	PO BOX 1150	67 EVANS RD	None	WOFFORD HEIGHTS	CA	932859640	35.706666	-118.457985	63	52.01
1871689315	1871689315	1	1	COMMUNITY HEALTH	19Apr2005	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	ALLIANCE OF PASADENA	1855 N FAIR OAKS AVE	STE 200	PASADENA	CA	911031620	34.177957	-118.150740	None	None
1871853481	1871853481	1	1	CENTER FOR FAMILY HEALTH	01Aug2014	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	& EDUCATION INC	8727 VAN NUYS BLVD	STE 102 & 203	PANORAMA CITY	CA	914022400	34.228244	-118.450268	78.2ll	1201.03
1881617934	1881617934	1	1	COUNTY OF LOS ANGELES	28Apr1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	19	Los Angeles	OLIVE VIEW-UCLA MED CTR	14445 OLIVE VIEW DR	None	SYLMAR	CA	913421437	34.324172	-118.448013	78.2gg	1060.10
1881871424	1881871424	1	1	COUNTY OF SANTA CLARA	01Nov2003	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	43	Santa Clara	None	143 N MAIN ST	None	MILPITAS	CA	950355302	37.432995	-121.907546	183o	5045.07
1891036612	1891036612	1	1	COUNTY OF SAN JOAQUIN	01Dec2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	39	San Joaquin	None	1414 N CALIFORNIA ST	STE C	STOCKTON	CA	952021515	37.967517	-121.288334	169b	4.02
1891247573	1891247573	1	1	CENTER FOR FAMILY HEALTH &	31Dec2019	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	AFFILIATED	500 W WILLOW ST	SUITE 101	LONG BEACH	CA	908062531	33.804321	-118.198073	78.2lll	5731
1891352944	1891352944	1	1	COUNTY OF RIVERSIDE	18Dec2019	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	33	Riverside	TH CENTER	450 E SAN JACINTO AVE	None	PERRIS	CA	925712833	33.786603	-117.216728	133.1	427.06
1891778114	1891778114	1	1	CAMARENA HEALTH	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	20	Madera	None	344 E 6TH ST	None	MADERA	CA	936383631	36.962718	-120.055993	80	8
1891778114	1891778114	1	4	CAMARENA HEALTH	24May2019	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	20	Madera	INTERMITTENT	363 E ALMOND AVENUE	SUITE 101	MADERA	CA	936375753	36.945549	-120.053545	80	5.02
1891852778	1891852778	1	1	COUNTY OF SANTA BARBARA	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	42	Santa Barbara	COUNTY HEALTH CLINIC	315 CAMINO DEL REMEDIO	None	SANTA BARBARA	CA	931101332	34.445738	-119.779547	181b	1.01
1891899175	1891899175	2	1	CORONA PHYSICIANS ASSOCIATES	17Jul2012	022	PHYSICIANS GROUP	A00092039	01	General Practice	0	In state provider	33	Riverside	A MEDICAL CORPORATION	217 E 3RD STREET	None	CORONA	CA	928791438	33.878362	-117.564507	135d	416
1902185630	1902185630	1	1	CAMARENA HEALTH	15Nov2011	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	20	Madera	None	505 E ALMOND AVE	SUITE 101	MADERA	CA	936375745	36.945525	-120.052425	80	5.02
1902944796	1902944796	1	1	CITY OF BERKELEY	15Jun2010	045	CLINIC EXEMP FROM LICENSURE	None	None	UNKNOWN	0	In state provider	01	Alameda	COMP FAMILY PLANNING PRO	830 UNIVERSITY AVE	None	BERKELEY	CA	947102044	37.867938	-122.297686	2a	4232
1912116385	1912116385	1	1	CALIFORNIA STATE UNIV	09May2007	045	CLINIC EXEMP FROM LICENSURE	CLF3083	None	UNKNOWN	0	In state provider	15	Kern	BAKERSFIELD HLTH SRVCS	9001 STOCKDALE HWY	# 28HC	BAKERSFIELD	CA	933111022	35.354328	-119.103271	66d	28.06
1912123431	1912123431	1	1	CLINICAS DEL CAMINO REAL	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	INC, FILLMORE	355 CENTRAL AVE	None	FILLMORE	CA	930151920	34.399844	-118.913595	237	3.02
1922033547	1922033547	1	1	CHA HOLLYWOOD MEDICAL	01Jan2005	016	COMMUNITY INPATIENT HOSPITAL	None	None	UNKNOWN	0	In state provider	19	Los Angeles	CENTER LP	1300 N VERMONT AVE	None	LOS ANGELES	CA	900276005	34.095557	-118.291741	78.2g	1913.02
1922051812	1922051812	1	1	CENTRO DE SALUD DE LA	01Jan2004	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	COMUNIDAD DE SAN YSIDRO	1637 3RD AVE	STE B,C,F,H,I	CHULA VISTA	CA	919115823	32.596674	-117.064522	161j	132.04
1932249315	1932249315	1	1	COMPREHENS MED CNTR INC	12Aug2005	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	917665645	34.029889	-117.749089	78.2ss	4029.02
1932278215	1932278215	1	1	CONTRA COSTA COUNTY HLTH	22Jul2002	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	07	Contra Costa	MARTINEZ SPECIAL CLINIC	2500 ALHAMBRA AVE	None	MARTINEZ	CA	945533156	38.006474	-122.130888	18a	3180
1932340890	1932340890	1	1	COUNTY OF VENTURA	31Aug2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	None	1334 E MAIN ST	None	SANTA PAULA	CA	930602926	34.356226	-119.053341	237	6
1932381605	1932381605	1	1	CLINICAS DE SALUD DEL PUEBLO	17Jun2008	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	33	Riverside	None	50249 CESAR CHAVEZ ST	UNIT K	COACHELLA	CA	922361530	33.677724	-116.176444	128	457.07
1942729223	1942729223	1	1	CITY & COUNTY OF SAN	04Sep2019	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	38	San Francisco	FRANCISCO	2500 18TH ST	None	SAN FRANCISCO	CA	941102109	37.761962	-122.407218	162c	228.02
1942756937	1942756937	1	1	CITY MEDICAL GROUP INC	16Apr2018	022	PHYSICIANS GROUP	None	08	Family Practice	0	In state provider	19	Los Angeles	None	1508 E. FLORENCE AVENUE	None	LOS ANGELES	CA	900012536	33.974741	-118.247316	78.2fff	5350.02
1952364747	1952364747	1	1	CENTRO DE SALUD DE LA COMUNI	28Apr1997	071	LICENSED CLINICAL SOCIAL WORKER GROUP	None	None	UNKNOWN	0	In state provider	37	San Diego	HEALTH CENTER	4004 BEYER BLVD	None	SAN YSIDRO	CA	921732007	32.558402	-117.047923	161j	100.05
1952542896	1952542896	1	1	COUNTY OF VENTURA	31Aug2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	None	2400 S C ST	None	OXNARD	CA	930334555	34.177396	-119.181346	241b	38.02
1962538967	1962538967	1	1	CITY AND COUNTY OF SF	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	38	San Francisco	None	1000 CAYUGA AVE	None	SAN FRANCISCO	CA	941121416	37.722083	-122.439807	162d	261
1962599266	1962599266	1	1	CLINICAS DE SALUD DEL	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	13	Imperial	PUEBLO	223 W COLE BLVD	None	CALEXICO	CA	922319722	32.693996	-115.500029	49	119
1962650820	1962650820	1	1	CALIFORNIA STATE UNIVERSITY	19May2008	022	PHYSICIANS GROUP	None	08	Family Practice	0	In state provider	19	Los Angeles	LONG BEACH	1250 BELLFLOWER BLVD	None	LONG BEACH	CA	908400201	33.786818	-118.123186	78.2kkk	5746.01
1962709857	1962709857	1	1	CHIODI, MARTINA MD INC	01Apr2011	026	PHYSICIANS	A00102206	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	33	Riverside	None	24910 LAS BRISAS RD	#111	MURRIETA	CA	925624010	33.576480	-117.183054	131a	504
1962876417	1962876417	1	1	CLINICA DE SALUD DEL VALLE	18Dec2018	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	27	Monterey	None	2180 N MAIN ST	None	SALINAS	CA	939061735	36.726655	-121.656249	109.2	105.06
1972625846	1972625846	1	1	COMMUNITY MEDICAL CTRS	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	39	San Joaquin	CHANNEL MEDICAL CENTER	701 E CHANNEL ST	None	STOCKTON	CA	952022628	37.955982	-121.282461	169b	1
1972912236	1972912236	1	1	CENTRAL CITY COMMUNITY	02Dec2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	HEALTH CENTER INC	10050 GARVEY AVE	STE 111	EL MONTE	CA	917332088	34.062746	-118.050224	78.2qqq	4331.01
1972954071	1972954071	1	2	COMPREHENSIVE COMMUNITY	12Dec2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	HEALTH CENTERS INC	8316 FOOTHILL BLVD	None	SUNLAND	CA	910402850	34.259691	-118.313998	78.2rr	1031.02
1982756086	1982756086	1	1	COMMUNITY HEALTH SYSTEMS INC	01Apr1998	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	None	1328 S MISSION RD	None	FALLBROOK	CA	920284006	33.368587	-117.250778	160	189.06
1982820221	1982820221	1	1	CLINICAS DEL CAMINO	01Sep2007	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	REAL, INC NEWBURY PARK	1000 NEWBURY RD	STE 150	NEWBURY PARK	CA	913206438	34.183029	-118.903463	240b	59.09
1982846366	1982846366	1	1	COUNTY OF VENTURA	31Aug2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	None	3801 LAS POSAS RD	SUITE 214	CAMARILLO	CA	930101426	34.241839	-119.017193	239	52.02
1992117071	1992117071	1	1	CLINICA SIERRA VISTA	08Aug2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	15	Kern	None	7800 NILES ST	None	BAKERSFIELD	CA	933064937	35.376220	-118.917517	66a	9.07
1992798730	1992798730	1	1	CABRERA, JOHN F MD	24Jan2012	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	912042508	34.128432	-118.257800	78.2ee	3024.01
1992850515	1992850515	1	1	CALIFORNIA ST UNIV FULL	01Nov1997	022	PHYSICIANS GROUP	None	01	General Practice	0	In state provider	30	Orange	STUDENT HLTH & COUSLTNG	800 N STATE COLLEGE BLVD	None	FULLERTON	CA	928313547	33.878998	-117.889712	116f	115.03
1992994628	1992994628	1	1	CACHUR, THOMAS J JR DO	20Aug2007	026	PHYSICIANS	20A9086	None	UNKNOWN	0	In state provider	19	Los Angeles	APMC	1513 S GRAND AVE	STE 320	LOS ANGELES	CA	900153021	34.036322	-118.265961	78.2ffff	2240.10