Table family_pact_providers_profile_cy_2021

Table: family_pact_providers_profile_cy_2021_2022 , provider_business_legal_name like F*

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
1013932979	1013932979	1	1	FLORENCE MEDICAL CTR INC	20Oct1998	022	PHYSICIANS GROUP	FNP025933	None	UNKNOWN	In state provider	19	Los Angeles	None	1557 E FLORENCE AVE	None	LOS ANGELES	CA	900012597	33.974759	-118.246322	78.2fff	5350.02
1043304769	1043304769	1	1	FAMILY PLANNING ASSOC	01Nov1980	022	PHYSICIANS GROUP	FNP034901	None	UNKNOWN	In state provider	19	Los Angeles	MEDICAL GROUP INC	2777 LONG BEACH BLVD	STE 200	LONG BEACH	CA	908061513	33.807712	-118.189457	78.2lll	5722.02
1043305485	1043305485	1	1	FAMILY PLANNING ASSOCIATES M	01Jan1983	022	PHYSICIANS GROUP	None	None	UNKNOWN	In state provider	36	San Bernardino	EDICAL GROUP INC	1060 N. 13TH AVE	None	UPLAND	CA	917863402	34.108155	-117.633540	151d	8.08
1043664766	1043664766	1	1	FAMILY HEALTHCARE NETWORK	02Jul2019	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	54	Tulare	None	1008 N CHERRY STREET	None	TULARE	CA	932742212	36.223372	-119.337472	230	23.03
1053875484	1053875484	1	1	FAMILY HEALTHCARE NETWORK	22May2020	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	54	Tulare	None	65 N HOCKETT ST	None	PORTERVILLE	CA	932573619	36.066565	-119.017056	231	38.02
1073608675	1073608675	1	1	FAMILY PLANNING ASSOC	07Apr1980	022	PHYSICIANS GROUP	FNP034901	None	UNKNOWN	In state provider	50	Stanislaus	MEDICAL GROUP INC	2030 COFFEE RD	STE A1	MODESTO	CA	953552498	37.672510	-120.975726	215b	9.10
1073997201	1073997201	1	1	FAMILY HEALTHCARE NETWORK	05Jan2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	54	Tulare	None	263 S WEST STREET	None	TULARE	CA	932743411	36.204102	-119.366819	230	22.02
1083611156	1083611156	1	1	FAMILY HEALTHCARE NETWRK	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	54	Tulare	None	1107 W POPLAR AVE	None	PORTERVILLE	CA	932575839	36.051586	-119.043341	231	34
1083959464	1083959464	1	1	FAMILY HEALTH CENTERS OF	07Aug2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	37	San Diego	SAN DIEGO INC	352 L STREET	None	CHULA VISTA	CA	919111208	32.619978	-117.073972	161k	130
1093236986	1093236986	1	1	FAMILY PLANNING ASSOCIATES M	21Jun2019	022	PHYSICIANS GROUP	None	None	UNKNOWN	In state provider	19	Los Angeles	None	4922 WHITTIER BLVD	None	LOS ANGELES	CA	900221111	34.021628	-118.163009	78.2d	5316.04
1104906569	1104906569	1	1	FRESNO COMMUNITY HOSPITAL	01Dec1977	072	MENTAL HEALTH INPATIENT SERVICES	None	None	UNKNOWN	In state provider	10	Fresno	AND MEDICAL CENTER	2823 FRESNO ST	None	FRESNO	CA	937211324	36.742581	-119.783025	35c	5.02
1124561741	1124561741	1	1	FAMILY PLANNING ASSOCIATES M	21Jun2019	022	PHYSICIANS GROUP	None	None	UNKNOWN	In state provider	56	Ventura	None	1700 LOMBARD ST	STE 110	OXNARD	CA	930308211	34.218377	-119.149324	241b	49.01
1134271380	1134271380	1	1	FAWWAZ, AMIN R MD INC	11Aug2003	026	PHYSICIANS	C00039280	None	UNKNOWN	In state provider	30	Orange	None	3010 W ORANGE AVE	STE 408	ANAHEIM	CA	928043173	33.824750	-117.993763	116c	869.02
1154347797	1154347797	1	1	FLORENCE WESTERN	17Oct2005	022	PHYSICIANS GROUP	FNP001793	None	UNKNOWN	In state provider	19	Los Angeles	None	7301 S WESTERN AVE	None	LOS ANGELES	CA	900472254	33.973656	-118.308969	None	None
1164517744	1164517744	1	1	FAMILY HEALTHCARE NETWORK	28Aug2001	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	54	Tulare	None	201 EAST LAKEVIEW AVE	None	WOODLAKE	CA	932861301	36.417357	-119.097641	228.1	7.02
1184833501	1184833501	1	1	FAMILY HLTH CTRS OF LA	15Aug2003	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	In state provider	19	Los Angeles	None	6501 GARFIELD AVE	None	BELL GARDENS	CA	902011805	33.972803	-118.147588	78.2c	5339.02
1194122457	1194122457	1	1	FAMILIES TOGETHER OF ORANGE	01Dec2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	30	Orange	COUNTY	661 W FIRST ST	STE G	TUSTIN	CA	927802939	33.745750	-117.831106	116h	755.05
1205100740	1205100740	1	1	FAMILY PLANNING ASSOCIATES M	09Dec2013	022	PHYSICIANS GROUP	None	None	UNKNOWN	In state provider	33	Riverside	EDICAL GROUP INC	29645 RANCHO CALIFORNIA	SUITE 237	TEMECULA	CA	925915285	33.505849	-117.143946	131b	432.20
1215310008	1215310008	1	1	FAMILY HEALTH CARE CENTERS	13Nov2018	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	19	Los Angeles	OF GREATER LOS ANGELES	6119 AGRA STREET	None	BELL GARDENS	CA	902011705	33.975589	-118.154266	78.2c	5339.01
1225546575	1225546575	1	1	FAMILY HEALTHCARE NETWORK	20Feb2019	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	10	Fresno	290 NORTH WAYTE LANE	STE 1200-1300, 1600-1800	STE 2100-2300, 2500-2600	FRESNO	CA	937012124	36.743671	-119.786032	35c	5.02
1235189275	1235189275	1	1	FACULTY PHYSICIANS AND	01Jan2000	022	PHYSICIANS GROUP	None	None	UNKNOWN	In state provider	36	San Bernardino	SURGEONS OF LLUSM	11370 ANDERSON ST	# 3900	LOMA LINDA	CA	923543450	34.047569	-117.261113	151i	73.02
1235521782	1235521782	1	1	FAMILY HEALTH CENTERS	07Aug2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	37	San Diego	OF SAN DIEGO INC	2325 COMMERCIAL ST	STE 1400	SAN DIEGO	CA	921131195	32.705218	-117.142992	161c	49
1255587630	1255587630	1	1	FOZOUNI, DERAKHSH MD	05Sep2008	022	PHYSICIANS GROUP	A00095051	16	Obstetrics-Gynecology (M.D. Only) Neonatal	In state provider	33	Riverside	None	555 TACHEVAH DR	STE 2W-103	PALM SPRINGS	CA	922625764	33.837622	-116.541784	129.4	446.02
1275583007	1275583007	1	1	FACULTY PHYSICIANS	10Dec2007	031	PSYCHOLOGISTS	None	None	UNKNOWN	In state provider	36	San Bernardino	AND SURGEONS OF LLUSM	25845 BARTON RD	STE F	LOMA LINDA	CA	923543857	34.048273	-117.237207	151i	73.02
1295900439	1295900439	1	1	FACULTY PHYS & SURG OF	25Jun2008	022	PHYSICIANS GROUP	None	None	UNKNOWN	In state provider	36	San Bernardino	LLUSM	11370 ANDERSON ST	STE 2050	LOMA LINDA	CA	923543450	34.047569	-117.261113	151i	73.02
1306930052	1306930052	1	1	FAMILY PLANNING ASSOCIATES M	01Jan1983	022	PHYSICIANS GROUP	FNP034901	None	UNKNOWN	In state provider	19	Los Angeles	EDICAL GROUP INC	425 EAST COLORADO STREET	SUITE 420	GLENDALE	CA	912055123	34.142621	-118.250670	78.2ff	3022.02
1306930961	1306930961	1	1	FAMILY PLANNING ASSOCIAT	01Jan1988	022	PHYSICIANS GROUP	FNP034901	None	UNKNOWN	In state provider	19	Los Angeles	MEDICAL GROUP INC	10200 SEPULVEDA BLVD	STE 200	MISSION HILLS	CA	913452657	34.255450	-118.467269	78.2kk	1096.03
1306931266	1306931266	1	1	FAMILY PLANNING ASSOC	17Nov1977	078	MARRIAGE AND FAMILY THERAPIST GROUP	None	None	UNKNOWN	In state provider	19	Los Angeles	MEDICAL GROUP INC	601 S WESTMORELAND AVE	None	LOS ANGELES	CA	900053999	34.063643	-118.288432	78.2e	2111.20
1326317819	1326317819	1	1	FAMILY HEALTHCARE NETWORK	03Feb2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	54	Tulare	None	730 N FARMERSVILLE BLVD	None	FARMERSVILLE	CA	932231220	36.303414	-119.207126	233	16.01
1336237072	1336237072	1	1	FAMILY HEALTHCARE NETWRK	08Jan2007	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	54	Tulare	None	31180 ROAD 72	None	GOSHEN	CA	932279997	36.343505	-119.419152	233	9
1336432947	1336432947	1	1	FAMILY PLANNING ASSOCIATES M	02Jun2011	022	PHYSICIANS GROUP	None	None	UNKNOWN	In state provider	01	Alameda	EDICAL GROUP INC	2915 TELEGRAPH AVENUE	SUITE 101	BERKELEY	CA	947052069	37.857126	-122.259510	2b	4236.01
1336525906	1336525906	1	2	FAMILY HEALTH CENTERS	20Sep2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	37	San Diego	OF SAN DIEGO INC	5160 FEDERAL BLVD	None	SAN DIEGO	CA	921055429	32.721447	-117.083502	161f	27.12
1386670610	1386670610	1	1	FAMILY HLTHCARE NETWORK	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	54	Tulare	None	33025 ROAD 159	None	IVANHOE	CA	932351234	36.388970	-119.217980	228.1	8
1386738177	1386738177	1	1	FAMILY HEALTHCARE NETWRK	28Aug2001	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	54	Tulare	None	35800 HIGHWAY 190	None	SPRINGVILLE	CA	932659116	36.127390	-118.821163	232	27
1407880040	1407880040	1	2	FLORES, CARLOS A MD	01Oct2002	026	PHYSICIANS	A00041653	16	Obstetrics-Gynecology (M.D. Only) Neonatal	In state provider	19	Los Angeles	None	14673 PARTHENIA ST	STE 101	PANORAMA CITY	CA	914022991	34.228211	-118.452683	78.2ll	1201.03
1407941719	1407941719	1	2	FAMILY PLANNING ASSOCIATES M	16Apr2020	022	PHYSICIANS GROUP	None	None	UNKNOWN	In state provider	37	San Diego	EDICAL GROUP, INC	1625 E MAIN STREET	SUITE 202	EL CAJON	CA	920219101	32.808763	-116.920970	161u	164.01
1417499518	1417499518	1	2	FAMILY PLANNING ASSOCIATES M	30Jul2019	022	PHYSICIANS GROUP	None	None	UNKNOWN	In state provider	19	Los Angeles	None	7023 OWENSMOUTH AVE	None	CANOGA PARK	CA	913032006	34.197803	-118.601555	78.2hhhh	1345.20
1437632742	1437632742	1	2	FAMILY PLANNING ASSOCIATES M	21Jun2019	022	PHYSICIANS GROUP	None	None	UNKNOWN	In state provider	19	Los Angeles	None	43845 W 10TH ST	STE 1E	LANCASTER	CA	935341111	34.679849	-118.147924	77.1b	9007.03
1457446411	1457446411	1	1	FAMILY PLANNING ASSOC	09Jan2012	022	PHYSICIANS GROUP	FNP034901	None	UNKNOWN	In state provider	19	Los Angeles	MEDICAL GROUP INC	12304 SANTA MONICA BLVD	STE 116	LOS ANGELES	CA	900252586	34.039566	-118.465558	78.2kkkk	2674.02
1467504530	1467504530	1	1	FAMILY HEALTHCARE NETWRK	16Oct2007	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	16	Kings	None	250 W 5TH ST	None	HANFORD	CA	932305033	36.324339	-119.647647	69	9
1477953933	1477953933	1	1	FAMILY HEALTH CENTERS	07Aug2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	37	San Diego	OF SAN DIEGO INC	4874 POLK AVENUE	None	SAN DIEGO	CA	921052026	32.751328	-117.089571	161d	27.07
1487749495	1487749495	1	1	FAMILY PLANNING ASSOCIATES	01Jan1983	022	PHYSICIANS GROUP	None	None	UNKNOWN	In state provider	36	San Bernardino	MEDICAL GROUP INC	855 E HOSPITALITY LANE	None	SAN BERNARDINO	CA	924083596	34.068304	-117.268233	151k	72
1497847487	1497847487	1	1	FAMILY PLANNING ASSOC	01Jan1979	022	PHYSICIANS GROUP	FNP034901	None	UNKNOWN	In state provider	15	Kern	MEDICAL GROUP INC	2500 H ST	None	BAKERSFIELD	CA	933012818	35.381962	-119.021186	66a	16
1558454256	1558454256	1	1	FAMILY HEALTHCARE NETWRK	07Dec2001	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	54	Tulare	None	41651 SIERRA DR	STE A	THREE RIVERS	CA	932719678	36.419705	-118.921140	229	1
1578572145	1578572145	1	1	FELAHY-AL AZAWI A MEDICAL	09May2011	026	PHYSICIANS	A00040702	16	Obstetrics-Gynecology (M.D. Only) Neonatal	In state provider	19	Los Angeles	None	16660 PARAMOUNT BLVD	STE 105	PARAMOUNT	CA	907235457	33.882563	-118.159974	78.2m	5539.02
1578658878	1578658878	1	1	FAMILY PLANNING ASSOC	01Jan1979	022	PHYSICIANS GROUP	FNP034901	None	UNKNOWN	In state provider	30	Orange	MEDICAL GROUP INC	1901 NTUSTIN AVE	None	SANTA ANA	CA	927057817	33.762626	-117.835155	116h	757.01
1588699151	1588699151	1	1	FAMILY HEALTHCARE NETWRK	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	54	Tulare	None	501 N BRIDGE ST	None	VISALIA	CA	932915014	36.333790	-119.289018	233	12
1588826374	1588826374	1	1	FEATHER RIVER TRIBAL	02Jan2014	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	51	Sutter	HEALTH INC	555 W ONSTOTT RD	None	YUBA CITY	CA	959935654	39.129999	-121.634970	216	505.01
1609000405	1609000405	1	1	FAMILY HEALTH CENTERS OF	04Feb2009	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	In state provider	37	San Diego	SAN DIEGO	251 LANDIS	None	CHULA VISTA	CA	919102628	32.642413	-117.081483	161k	123.02
1619271947	1619271947	1	1	FLORES, CARLOS A MD	24Oct2012	026	PHYSICIANS	A00112638	16	Obstetrics-Gynecology (M.D. Only) Neonatal	In state provider	19	Los Angeles	None	500 E OLIVE AVE	STE 420	BURBANK	CA	915012171	34.184375	-118.305036	78.2ttt	3107.02
1629130240	1629130240	1	1	FEATHER RIVER TRIBAL	11May2002	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	04	Butte	HEALTH	2145 5TH AVE	None	OROVILLE	CA	959655870	39.503090	-121.564806	10	28
1629418512	1629418512	1	1	FAMILY PLANNING ASSOCIATES	28Jun2013	022	PHYSICIANS GROUP	None	None	UNKNOWN	In state provider	34	Sacramento	None	2322 BUTANO DRIVE	STE 205	SACRAMENTO	CA	958250629	38.606680	-121.381741	139d	57.01
1629456900	1629456900	1	1	FAMILY HEALTH CENTERS	02Dec2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	37	San Diego	OF SAN DIEGO INC	4094 4TH AVENUE	None	SAN DIEGO	CA	921032143	32.751189	-117.161628	161b	4
1649223777	1649223777	1	1	FCS MEDICAL CORPORTION	01Dec2000	022	PHYSICIANS GROUP	FNP017470	15	Obstetrics (D.O. only)	In state provider	19	Los Angeles	FAMILY CARE SPECIALISTS	1701 CESAR CHAVEZ	# 402	LOS ANGELES	CA	900332496	34.051199	-118.217598	78.2ffff	2035
1649457474	1649457474	1	1	FEMINIST WOMENS HEALTH	19Feb1993	041	COMMUNITY CLINIC	452392318	None	UNKNOWN	In state provider	45	Shasta	CENTER-REDDING	1901 VICTOR AVE	None	REDDING	CA	960020412	40.578619	-122.338663	189.2	103
1659337749	1659337749	1	1	FRESNO COUNTY E O C	01Dec1977	041	COMMUNITY CLINIC	ZZR11511	None	UNKNOWN	In state provider	10	Fresno	HEALTH CLINIC	1047 R ST	STE 1047	FRESNO	CA	937211312	36.740186	-119.782458	35c	5.02
1669658373	1669658373	1	1	FAMILY HEALTHY CTRS OF SD	27Sep2000	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	In state provider	37	San Diego	CENTER	1111 W CHASE AVE	None	EL CAJON	CA	920205710	32.781491	-116.976242	161h	159.02
1689066029	1689066029	1	1	FAMILY FIRST MEDICAL CARE	08Apr2015	078	MARRIAGE AND FAMILY THERAPIST GROUP	None	None	UNKNOWN	In state provider	50	Stanislaus	APC	1317 OAKDALE RD	SUITE 440	MODESTO	CA	953553364	37.662164	-120.957504	215b	9.05
1689158941	1689158941	1	1	FAMILY HEALTHCARE NETWORK	29Oct2019	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	54	Tulare	None	2333 S MOONEY BLVD	None	VISALIA	CA	932776228	36.309194	-119.313939	233	20.03
1699204552	1699204552	1	1	FIRST CHOICE WOMANS CLINIC	12Jun2017	005	CERTIFIED NURSE MIDWIFE	None	None	UNKNOWN	In state provider	19	Los Angeles	APNC	8162 VAN NUYS BLVD	None	PANORAMA CITY	CA	914024806	34.219096	-118.448773	78.2zz	1200.20
1699860999	1699860999	1	1	FAMILY PLANNING ASSOCIATES M	01Jan1979	022	PHYSICIANS GROUP	FNP034901	None	UNKNOWN	In state provider	33	Riverside	EDICAL GROUP INC	703 MAGNOLIA AVE	None	CORONA	CA	928793118	33.858197	-117.555971	135f	418.13
1730502725	1730502725	1	1	FAMILY HEALTHCARE NETWORK	26Jun2014	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	54	Tulare	None	401 E SCHOOL AVE	None	VISALIA	CA	932915032	36.332883	-119.289016	233	12
1740757996	1740757996	1	1	FAMILY MEDICINE HEADQUARTERS	08Aug2019	026	PHYSICIANS	None	None	UNKNOWN	In state provider	19	Los Angeles	None	521 N AZUSA AVE	None	AZUSA	CA	917022936	34.130239	-117.907537	78.2qq	4043.01
1780921536	1780921536	1	1	FAMILY HEALTH CENTERS	09Dec2013	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	In state provider	37	San Diego	None	140 ELM STREET	None	SAN DIEGO	CA	921012602	32.724057	-117.163509	161e	57
1790051423	1790051423	1	1	FAMILY HEALTH CARE CENTER	06Jun2014	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	19	Los Angeles	OF GREATER LA INC	12113 WOODRUFF AVE	STE A	DOWNEY	CA	902415605	33.924077	-118.116706	78.2eee	5511.01
1790154862	1790154862	1	1	FAMILY HEALTHCARE NETWORK	22Jan2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	54	Tulare	None	4177 AVENUE 368	None	TRAVER	CA	936730000	36.452524	-119.486749	227.1	3.02
1790967453	1790967453	1	1	FRESNO STATE UNIVERSITY	07Jan2008	045	CLINIC EXEMP FROM LICENSURE	CLF2089	None	UNKNOWN	In state provider	10	Fresno	None	5044 N BARTON AVE	M/S HC81	FRESNO	CA	937408012	None	None	None	None
1801440276	1801440276	1	1	FAMILY PLANNING ASSOCAITES M	19Dec2019	022	PHYSICIANS GROUP	None	None	UNKNOWN	In state provider	19	Los Angeles	EDICAL GROUP INC	301 N PRAIRIE AVENUE	SUITE 611	INGLEWOOD	CA	903014513	33.965435	-118.343999	78.2q	6010.01
1821081647	1821081647	2	1	FRIENDLY OB-GYN MEDICAL	28Feb2013	026	PHYSICIANS	G71778	16	Obstetrics-Gynecology (M.D. Only) Neonatal	In state provider	33	Riverside	GROUP INC	12810 HEACOCK ST	STE B105	MORENO VALLEY	CA	925533171	33.934607	-117.243736	135b	425.15
1821186727	1821186727	1	1	FAMILY HEALTHCARE	10Jan2005	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	54	Tulare	NETWORK	400 E OAK AVE	None	VISALIA	CA	932915034	36.331986	-119.289034	233	12
1831513373	1831513373	1	1	FAMILY HEALTH CENTERS OF	23Jun2014	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	In state provider	37	San Diego	None	1250 6TH AVE	STE 100	SAN DIEGO	CA	921014368	32.718310	-117.159277	161c	53
1831520048	1831520048	1	1	FAMILY HEALTHCARE NETWORK	16Jan2014	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	54	Tulare	None	9416 ROAD 238	None	TERRA BELLA	CA	932709400	35.960618	-119.040026	231	45
1841525862	1841525862	1	1	FAMILY HEALTH MEDICAL CENTER	29Jul2011	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	24	Merced	None	1045 5TH STREET	None	LOS BANOS	CA	936354204	37.059805	-120.850568	94	22.01
1871818138	1871818138	1	1	FRIENDS OF FAMILY	01Jun2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	30	Orange	HEALTH CENTER	501 S IDAHO ST	SUITE 100 & 190	LA HABRA	CA	906316047	33.927278	-117.959191	116k	13.01
1881811404	1881811404	1	1	FOOTHILL COMMUN MED CORP	23Oct2001	022	PHYSICIANS GROUP	FNP029412	08	Family Practice	In state provider	19	Los Angeles	SAN RAFAEL COMM MED CLIN	647 E ARROW HWY	None	AZUSA	CA	917025802	34.106798	-117.897471	78.2qq	4041
1891929691	1891929691	1	1	FAMLIY HLTH CTR OF SAN DIEGO	18Dec2010	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	In state provider	37	San Diego	None	7592 BROADWAY	None	LEMON GROVE	CA	919451604	32.742714	-117.034388	161g	144
1891971131	1891971131	1	1	FARID, SAMY F MD INC	19Feb2008	022	PHYSICIANS GROUP	None	None	UNKNOWN	In state provider	19	Los Angeles	None	1729 W AVENUE J	SUITE 101	LANCASTER	CA	935344014	34.689505	-118.161947	77.1c	9008.05
1912093451	1912093451	1	1	FAMILY HEALTHCARE NETWRK	07Dec2001	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	54	Tulare	None	12586 AVENUE 408	None	OROSI	CA	936479454	36.530270	-119.290183	227.2	6
1922416411	1922416411	1	1	FAMILY HEALTH CARE CENTERS	08Jan2018	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	19	Los Angeles	OF GREATER LOS ANGELES	4943 SLAUSON AVENUE	None	MAYWOOD	CA	902703020	33.986164	-118.175589	78.2c	5337.03
1932561198	1932561198	1	1	FAMILY HEALTH CENTERS OF SAN	28Aug2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	37	San Diego	DIEGO INC	525 E MAIN STREET	None	EL CAJON	CA	920204007	32.794861	-116.956026	161h	158.02
1942255195	1942255195	1	1	FCS MEDICAL CORPORATION	01Aug1988	022	PHYSICIANS GROUP	FNP017470	None	UNKNOWN	In state provider	19	Los Angeles	FAMILY CARE SPECIALISTS	1701 E CESAR E CHAVEZ AV	STE 230	LOS ANGELES	CA	900332496	34.051199	-118.217598	78.2ffff	2035
1942531983	1942531983	1	1	FIRST STEPS PRENATAL CARE	05Apr2012	026	PHYSICIANS	A00036515	16	Obstetrics-Gynecology (M.D. Only) Neonatal	In state provider	33	Riverside	AMC	34151 DATE PALM DR	STE E	CATHEDRAL CITY	CA	922346831	33.800261	-116.458127	129.3	9411
1952729303	1952729303	1	1	FAMILY HEALTH CENTERS	07Aug2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	37	San Diego	OF SAN DIEGO INC	1550 BROADWAY	STE 2	SAN DIEGO	CA	921015713	32.715751	-117.149938	161c	52
1972010684	1972010684	1	1	FAMILY HEALTHCARE NETWORK	23May2019	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	54	Tulare	None	22817 AVENUE 196	None	STRATHMORE	CA	932679404	36.145549	-119.062624	228.2	33
1982798831	1982798831	1	1	FAMILY PLANNING ASSOC	01Jun1984	022	PHYSICIANS GROUP	FNP034901	None	UNKNOWN	In state provider	19	Los Angeles	MEDICAL GROUP INC	8635 FIRESTONE BLVD	STE 100	DOWNEY	CA	902415242	33.937040	-118.127018	78.2eee	5513
1992899769	1992899769	1	1	FAMILY PLANNING ASSOC	01Jan1979	022	PHYSICIANS GROUP	FNP034901	None	UNKNOWN	In state provider	10	Fresno	MEDICAL GROUP INC	165 N CLARK ST	None	FRESNO	CA	937012108	36.744431	-119.786018	35c	5.02