Table: family_pact_providers_profile_cy_2021_2022 , provider_business_legal_name like K*

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
1013311448 1013311448 1 1 KOREAN HEALTH EDUCATION 05May2015 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles INFORMATION & RESEARCH 3255 WILSHIRE BLVD STE 120 LOS ANGELES CA 900101405 34.061805 -118.292895 78.2e 2121.01
1023167541 1023167541 1 1 KERN COUNTY DEPARTMENT 20Jun1993 041 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 15 Kern PUBLIC HEALTH 1800 MOUNT VERNON AVE None BAKERSFIELD CA 933063302 35.383041 -118.967549 66b 12.01
1043272172 1043272172 1 1 KAWEAH DELTA HEALTH CARE 08Aug1998 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 54 Tulare DISTRICT 1014 SAN JUAN AVE None EXETER CA 932211312 36.298896 -119.132496 228.2 15.01
1073578134 1073578134 1 1 KAMRAS & POLANSKY MDS IN 01Jan1979 022 PHYSICIANS GROUP YYY49032Y None UNKNOWN 0 In state provider 34 Sacramento None 5821 JAMESON CT None CARMICHAEL CA 956080820 38.651156 -121.328832 139b 76.01
1104067636 1104067636 1 1 KAWEAH DELTA HLTH CARE DIST 10Oct2011 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 54 Tulare None 839 N SEQUOIA AVE None LINDSAY CA 932471424 36.212938 -119.096107 228.2 26.01
1104881523 1104881523 1 1 KUMARATNE, MOHAN MD 09Jun1980 026 PHYSICIANS A35327 01 General Practice 0 In state provider 30 Orange None 17692 BEACH BLVD STE 200 HUNTINGTON BEACH CA 926476810 33.705708 -117.989099 116s 992.12
1144371436 1144371436 1 1 KIM, MEE SOOK, MD 31Oct1984 026 PHYSICIANS A00039215 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles None 14624 SHERMAN WAY STE 207 VAN NUYS CA 914052288 34.201206 -118.451927 78.2zz 1272.20
1154614097 1154614097 1 1 KAWEAH DELTA HEALTH CARE 12Jan2012 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 54 Tulare DISTRICT 180 E ANTELOPE AVE None WOODLAKE CA 932861506 36.415571 -119.097881 228.1 7.02
1205845583 1205845583 1 1 KIM, HYUK DO INC 01Oct2001 026 PHYSICIANS 20A7982 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles None 13563 VAN NUYS BLVD None PACOIMA CA 913313029 34.261391 -118.428525 78.2ppp 1046.20
1376687061 1376687061 1 1 KINGS CO HLTH DEPT 2 01Dec1977 048 COUNTY CLINICS NOT ASSOCIATED WITH HOSPITAL ZZT11796 None UNKNOWN 0 In state provider 16 Kings OUTPATIENT CLINIC 330 CAMPUS DR None HANFORD CA 932304375 36.326796 -119.663642 69 10.02
1396893723 1396893723 1 1 KPADUWA, JULIUS C MD AMC 01Dec2001 022 PHYSICIANS GROUP G00051500 None UNKNOWN 0 In state provider 19 Los Angeles None 11017 VALLEY MALL None EL MONTE CA 917312617 34.073931 -118.035333 78.2oo 4327
1417378597 1417378597 1 1 KEDREN COMMUNITY HEALTH 28May2014 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles CENTER INC 4211 SOUTH AVALON BLVD SUITE A LOS ANGELES CA 900115622 34.007344 -118.265245 78.2ggg 2283.20
1467073502 1467073502 1 2 KC WELLNESS CENTER, A NURSE 14Jun2021 022 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 15 Kern PRACTITIONER LED NURSING 331 S H ST None BAKERSFIELD CA 933043403 35.350709 -119.021347 66b 27
1497933691 1497933691 1 1 KORYO HEALTH FOUNDATION 28Apr1997 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 19 Los Angeles None 1058 S VERMONT AVE None LOS ANGELES CA 900062721 34.050843 -118.291606 78.2b 2134.02
1588663769 1588663769 1 1 KAWEAH DELTA HEALTH CARE 01Jun1976 024 PHARMACIES/PHARMACISTS 120000580 None UNKNOWN 0 In state provider 54 Tulare DISTRICT 400 W MINERAL KING AVE None VISALIA CA 932916237 36.327346 -119.293437 233 12
1659654663 1659654663 1 1 KAI, PATRICIA A C NP 14Dec2012 007 CERTIFIED NURSE PRACTIONER RN0656033 None UNKNOWN 0 In state provider 19 Los Angeles None 15747 WOODRUFF AVE None BELLFLOWER CA 907064017 33.890512 -118.117474 78.2m 5541.04
1699232454 1699232454 1 1 KWANG HE WON HEALTH CENTER 08Mar2021 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles None 815 S ARDMORE AVE FIRST FLOOR LOS ANGELES CA 900052597 34.057735 -118.303073 78.2b 2124.10
1710037346 1710037346 1 1 KHAN,H JOSEPH MD INC 01Apr2001 022 PHYSICIANS GROUP FNP027745 08 Family Practice 0 In state provider 30 Orange PARAMOUNT CARE MED GRP 12881 CHAPMAN AVE None GARDEN GROVE CA 928404100 33.788871 -117.908123 116r 884.03
1740688894 1740688894 1 1 KAWEAH DELTA HEALTH CARE 08Oct2015 071 LICENSED CLINICAL SOCIAL WORKER GROUP None None UNKNOWN 0 In state provider 54 Tulare -WILLOW 202 W WILLOW AVE SUITE 502 VISALIA CA 932916238 36.328328 -119.293473 233 12
1750608931 1750608931 1 1 KAMALI, POURANG MD INC 03Mar2010 026 PHYSICIANS A00090859 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 37 San Diego None 769 MEDICAL CENTER CT STE 301 CHULA VISTA CA 919116602 32.618563 -117.024187 161s 133.10
1760545503 1760545503 1 1 KATUKOTA, VIJAY C MD INC 30Sep1983 026 PHYSICIANS None 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles A MEDICAL CORPORATION 1177 N PARK AVE None POMONA CA 917683028 34.069685 -117.754943 78.2ss 4023.03
1760545503 1760545503 1 5 KATUKOTA, VIJAY C MD INC 14Jun2010 022 PHYSICIANS GROUP A00038343 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 36 San Bernardino None 9190 SIERRA AVE STE 104 FONTANA CA 923358613 34.086871 -117.435753 151f 31.02
1780733048 1780733048 1 1 KPADUWA, JULIUS C MD AMC 01Apr1999 022 PHYSICIANS GROUP None 30 Radiology 0 In state provider 19 Los Angeles None 15913 AMAR RD None LA PUENTE CA 917442202 34.036362 -117.937883 78.2yyy 4075.02
1841607801 1841607801 1 1 KAWEAH DELTA HEALTH CARE 01Feb2016 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 54 Tulare DISTRICT 355 MONTE VISTA DRIVE STE A DINUBA CA 936189229 36.540128 -119.403985 227.1 5.02
1902196256 1902196256 1 1 KERN RURAL WELLNESS CENTERS 18Oct2011 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 15 Kern INC 146 N HILL ROAD None ARVIN CA 932031014 35.209734 -118.830934 61 63.01
1942449285 1942449285 1 1 KHALIFA, AHMAD S MD APC 05Dec2005 026 PHYSICIANS A00079995 None UNKNOWN 0 In state provider 19 Los Angeles GY AND WOMEN'S HEALTH 720 ALAMITOS AVE None LONG BEACH CA 908134726 33.775722 -118.180067 78.2jjj 5764.01