Table: family_pact_providers_profile_cy_2021_2022 , provider_business_legal_name like D*

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
1043217359 1043217359 1 1 DANG, ALAN MD 04Jun2012 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 927045766 33.712311 -117.885379 116g 740.05
1104856095 1104856095 1 1 DESERT REGIONAL MEDICAL 31May1997 072 MENTAL HEALTH INPATIENT SERVICES None None UNKNOWN 0 In state provider 33 Riverside CENTER INC 1150 N INDIAN CANYON DR None PALM SPRINGS CA 922624872 33.838898 -116.545608 129.4 446.06
1124296413 1124296413 1 1 DUEL, EBRAHIM MD INC 03Sep2008 022 PHYSICIANS GROUP FNP033834 None UNKNOWN 0 In state provider 30 Orange None 301 N MAIN ST None SANTA ANA CA 927014852 33.747129 -117.867626 116b 750.02
1154455434 1154455434 1 1 DELANO COMM HEALTH CTR 01Mar1997 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 15 Kern None 1508 GARCES HWY STE 1 DELANO CA 932153687 35.761345 -119.237152 60 50.03
1255738423 1255738423 1 1 DEL ROSARIO, GELEN R MD INC 08Sep2017 089 ELECTRONIC HEALTH RECORD INCENTIVE PROGRAM None None UNKNOWN 0 In state provider 37 San Diego None 502 SOUTH EUCLID AVE SUITE 300 NATIONAL CITY CA 919502931 32.685307 -117.083365 161g 220
1316038169 1316038169 1 2 DARDASHTI, MALIHE MD 01Dec1998 026 PHYSICIANS A00041092 08 Family Practice 0 In state provider 19 Los Angeles SAN PEDRO ADAMS MEDICAL 2530 S SAN PEDRO ST None LOS ANGELES CA 900111520 34.021969 -118.261057 78.2mmm 2264.10
1386689453 1386689453 1 1 DIEGO, LORAINE V MD INC 01Jan2001 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 900575016 34.056301 -118.281071 78.2b 2094.01
1417365545 1417365545 1 1 DORNIKA MEDICAL INC 05May2015 026 PHYSICIANS A76326 01 General Practice 0 In state provider 19 Los Angeles None 2121 S SAN PEDRO ST UNIT E LOS ANGELES CA 900111160 34.025300 -118.258932 78.2mmm 2264.10
1477610640 1477610640 2 2 DIGNITY COMMUNITY CARE 01Feb2019 015 COMMUNITY OUTPATIENT HOSPITAL 930000099 None UNKNOWN 0 In state provider 19 Los Angeles None 222 W EULALIA ST STE 211 GLENDALE CA 912042851 34.126566 -118.256064 78.2ee 3024.01
1508222647 1508222647 1 1 DIGNITY HEALTH MEDICAL FOUND 01Mar2016 022 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 19 Los Angeles -NORTHRIDGE FAMILY MEDIC 18406 ROSCOE STE A NORTHRIDGE CA 913254107 34.220741 -118.534065 78.2zz 1314
1659335701 1659335701 1 1 DELAROSA, JOSE L MD 19Jul2002 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 907235051 33.885280 -118.161428 78.2m 5538.02
1659419307 1659419307 1 1 DEL ROSARIO MEDICAL 31Oct1994 022 PHYSICIANS GROUP FNP017692 None UNKNOWN 0 In state provider 19 Los Angeles CLINIC, INC 3400 E FLORENCE AVE None HUNTINGTON PARK CA 902555835 33.972230 -118.205979 78.2ccc 5332.03
1730300617 1730300617 1 1 DAVID STEINBERG MD INC 27Dec2007 026 PHYSICIANS A00083337 None UNKNOWN 0 In state provider 19 Los Angeles None 1513 S GRAND AVE STE 320 LOS ANGELES CA 900153021 34.036322 -118.265961 78.2ffff 2240.10
1760756860 1760756860 1 2 DR. JAMIE A. LIPELES, A PROF 08Mar2018 026 PHYSICIANS None None UNKNOWN 0 In state provider 19 Los Angeles None 12321 HAWTHORNE BLVD STE A HAWTHORNE CA 902503832 33.920791 -118.352697 78.2bbbb 6021.06
1811945082 1811945082 1 1 DURON, PAUL A MD 28Mar2018 026 PHYSICIANS A50452 41 Internal Medicine 0 In state provider 19 Los Angeles None 1141 N BRAND BLVD SUITE 400 GLENDALE CA 912022973 34.162350 -118.255076 78.2ee 3011
1861582033 1861582033 1 1 DEMIAN, ROMANY F MD 01Aug2003 026 PHYSICIANS A00052286 None UNKNOWN 0 In state provider 56 Ventura SAN JUAN MED CLINIC INC 971 W 7TH ST STE B OXNARD CA 930306757 34.195193 -119.189690 241b 86
1891097176 1891097176 1 1 DR VERONICA ABUSLEME MD INC 06Jan2012 026 PHYSICIANS A00038422 None UNKNOWN 0 In state provider 19 Los Angeles None 14621 NORDHOFF ST STE 2A PANORAMA CITY CA 914021835 34.235408 -118.451136 78.2ll 1193.40
1902183098 1902183098 1 1 DEBORAH A HIGER 18Apr2012 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 47 Siskiyou None 725 PINE STREET None MOUNT SHASTA CA 960672133 41.315387 -122.318452 197 10
1912176264 1912176264 1 1 DR M FORGHANI S CORP 08Mar2005 026 PHYSICIANS 20A8699 None UNKNOWN 0 In state provider 30 Orange DO 12665 GARDEN GROVE BLVD STE 601 GARDEN GROVE CA 928431920 33.774497 -117.912024 116r 885.02
1912176264 1912176264 1 2 DR M FORGHANI S CORP 28Jul2008 026 PHYSICIANS 20A8699 None UNKNOWN 0 In state provider 30 Orange None 1515 N BROADWAY None SANTA ANA CA 927063906 33.758019 -117.869651 116b 750.03
1912928540 1912928540 1 1 DE LOS REYES, BERNARDITA 01Apr2000 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 902555747 33.973776 -118.220823 78.2ccc 5331.07
1962676064 1962676064 1 1 DIAMOND NEIGHBORHOODS 08May2008 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 37 San Diego FAMILY HEALTH CENTER 220 EUCLID AVE STE 40 SAN DIEGO CA 921143617 32.706291 -117.085087 161g 33.04
1972614758 1972614758 1 1 DO, THUTRANG DO 22Sep2006 026 PHYSICIANS 20A8885 None UNKNOWN 0 In state provider 19 Los Angeles DO MEDICAL, INC 15735 HAWTHORNE BLVD STE 111 LAWNDALE CA 902602664 33.888154 -118.352692 78.2t 6039
1972752368 1972752368 1 1 DE NOVO HEALTH CARE INC 01Apr2019 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles None 803 ROSECRANS AVE None E RANCHO DOMINGUE CA 902212145 33.903457 -118.215352 78.2bbb 5416.04
1972828085 1972828085 1 1 DURFEE FAMILY CARE MEDICAL 25Jun1996 026 PHYSICIANS A453810 08 Family Practice 0 In state provider 19 Los Angeles GROUP, APC 2006 DURFEE AVE None EL MONTE CA 917333713 34.045825 -118.029810 78.2oo 4339.02