Table family_pact_providers_profile_cy_2021

Table: family_pact_providers_profile_cy_2021_2022 , provider_business_legal_name like E*

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

provider_number	npi_provider_number	owner_number	service_location_number	provider_business_legal_name	enrollment_status_effective_date	provider_type_code	provider_type_code_desc	provider_license_number	provider_specialty_code	provider_specialty_code_desc	out_of_state_ind_desc	provider_address_county_code	provider_address_county_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
1053437509	1053437509	1	1	EAST VALLEY COMMUNITY	01May1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	In state provider	19	Los Angeles	HEALTH CENTER	420 S GLENDORA AVE	None	WEST COVINA	CA	917903001	34.067130	-117.925730	78.2www	4067.02
1134320716	1134320716	1	1	ESPINOZA, MARIA A MD INC	29Aug2005	026	PHYSICIANS	A00065846	34	Urology and Urological Surgery	In state provider	19	Los Angeles	None	2151 W 6TH ST	None	LOS ANGELES	CA	900573121	34.059796	-118.275482	78.2ffff	2088.01
1154730828	1154730828	1	1	EL PROYECTO DEL BARRIO INC	10Feb2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	19	Los Angeles	None	3942 MAINE AVE	None	BALDWIN PARK	CA	917064220	34.084525	-117.961854	78.2zzz	4052.02
1174501225	1174501225	1	1	EXUM, JANICE M	26Jun2004	026	PHYSICIANS	G00066570	None	UNKNOWN	In state provider	19	Los Angeles	None	555 W COMPTON BLVD	STE 202	COMPTON	CA	902203092	33.895903	-118.232876	78.2bbb	5425.02
1205341336	1205341336	1	1	ELICA HEALTH CENTERS	07May2021	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	57	Yolo	None	1276 HALYARD DR	None	WEST SACRAMENTO	CA	956913412	38.572247	-121.550075	245	102.03
1205341336	1205341336	1	2	ELICA HEALTH CENTERS	23Feb2021	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	57	Yolo	INTERMITTENT	155 15TH STREET	SUITE A	WEST SACRAMENTO	CA	956913737	38.571129	-121.525514	245	102.01
1245668607	1245668607	1	1	ELITE WOMEN HEALTH APMC	16Jun2015	026	PHYSICIANS	A99801	None	UNKNOWN	In state provider	15	Kern	None	1801 28TH ST	None	BAKERSFIELD	CA	933012101	35.384822	-119.022352	66a	16
1285046847	1285046847	1	1	EAST VALLEY COMMUNITY HEALTH	01Dec2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	19	Los Angeles	APCC	276 WEST COLLEGE STREET	None	COVINA	CA	917231902	34.087506	-117.894026	78.2qq	4061.01
1386912202	1386912202	1	1	EAST VALLEY COMMUNITY HEALTH	26Nov2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	19	Los Angeles	CENTER INC	17840 VILLA CORTA STREET	None	LA PUENTE	CA	917445342	34.018124	-117.912171	78.2www	4081.38
1528074044	1528074044	1	1	ELDESSOUKY, AMANI A MD	25Feb2005	026	PHYSICIANS	A00056426	None	UNKNOWN	In state provider	19	Los Angeles	INC	1704 W MANCHESTER AVE	# 109	LOS ANGELES	CA	900473034	33.959981	-118.306973	None	None
1639449135	1639449135	1	1	EMILY REKUC D.O., INC.	17Jan2012	026	PHYSICIANS	20A11655	None	UNKNOWN	In state provider	33	Riverside	None	79440 HIGHWAY 111	STE 104 & 105	LA QUINTA	CA	922537243	33.707423	-116.277890	129.1	452.15
1649324443	1649324443	1	1	EAST VALLEY COMMUNITY HEALTH	02Jun2014	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	19	Los Angeles	CENTER INC	1555 SOUTH GAREY AVE	None	POMONA	CA	917665222	34.043219	-117.749671	78.2ss	4030
1700830296	1700830296	1	1	EAST VALLEY COMMUNITY CLINIC	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	In state provider	43	Santa Clara	INC	2470 ALVIN AVE	SUITE 60	SAN JOSE	CA	951211664	37.319456	-121.827395	183h	5033.04
1770760670	1770760670	1	1	EASTSIDE NEIGHBORHOOD	22Apr2008	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	In state provider	42	Santa Barbara	CLINIC	915 N MILPAS ST	None	SANTA BARBARA	CA	931032331	34.430176	-119.690580	181b	6