Table: family_pact_providers_profile_cy_2021_2022 , provider_business_legal_name like N*

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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
1003830258 1003830258 1 1 NIETO, SANDRA MD 23Nov2010 026 PHYSICIANS A00084185 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles None 433 N 4TH ST STE 211 MONTEBELLO CA 906404309 34.015139 -118.102132 78.2ww 5301.01
1013199264 1013199264 1 1 NORTHEAST VALLEY HEALTH CORP 11Mar2009 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles SUN VALLEY HEALTH CENTER 7223 FAIR AVE None SUN VALLEY CA 913524964 34.201895 -118.374679 78.2bb 1230.10
1013199264 1013199264 1 4 NORTHEAST VALLEY HEALTH CORP 02Jul2021 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles INTERMITTENT 11051 N O'MELVENY AVE None SAN FERNANDO CA 913404426 34.271102 -118.440638 78.2ll 1095
1023518768 1023518768 1 1 NEIGHBORHOOD HEALTHCARE 16Feb2022 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego None 13010 POWAY RD None POWAY CA 920640000 32.956600 -117.048686 161q 170.41
1053655704 1053655704 1 1 NORTH EAST MEDICAL SERVICES 25Jun2013 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 38 San Francisco None 1400 NORIEGA ST None SAN FRANCISCO CA 941224432 37.754135 -122.478652 162e 328.02
1063684405 1063684405 1 1 NATIONAL HEALTH SVCS INC 14Mar2007 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 15 Kern TEHACHAPI COMM MEDICAL 161 N MILL ST None TEHACHAPI CA 935611347 35.133735 -118.452088 62 61
1063699080 1063699080 1 1 NORTHEAST VALLEY HOSPITA 28Apr2007 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 19 Los Angeles None 1600 SAN FERNANDO RD None SAN FERNANDO CA 913403115 34.288790 -118.447881 78.2ll 3203
1073529681 1073529681 1 1 NORTH COUNTY HEALTH PROJECT 06Jan1997 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego INC 220 ROTANZI STREET None RAMONA CA 920652583 33.029292 -116.889594 158.1 208.05
1083035505 1083035505 1 1 NORTH EAST MEDICAL SERVICES 30Dec2013 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 43 Santa Clara None 1870 LUNDY AVENUE None SAN JOSE CA 951311826 37.392650 -121.890281 183o 5043.22
1093933939 1093933939 1 1 NOBEL CARE MEDICAL GROUP INC 21Jun2002 026 PHYSICIANS 20A7033 None UNKNOWN 0 In state provider 19 Los Angeles SAN FERNANDO MED CTR 501 N MACLAY AVE None SAN FERNANDO CA 913402424 34.287696 -118.435277 78.2ll 3202.02
1104819945 1104819945 1 1 NGUYEN, HUNG V MD 31Jul1987 026 PHYSICIANS A00042303 01 General Practice 0 In state provider 19 Los Angeles None 7227 RESEDA BLVD None RESEDA CA 913353046 34.201649 -118.536045 78.2zz 1318
1114104015 1114104015 1 1 NORTHEAST VLY HLTH CORP 01May1998 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 19 Los Angeles EARLY INTERVENTION 6551 VAN NUYS BLVD STE 201 VAN NUYS CA 914024839 34.211805 -118.448675 78.2zz 1203
1114220357 1114220357 1 1 NORTH KERN SOUTH TULARE 27Apr2012 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 15 Kern HOSPITAL DISTRICT 1500 6TH AVENUE None DELANO CA 932153011 35.764977 -119.237689 60 50.03
1124205182 1124205182 1 1 NORTH EAST MEDICAL SVCS 29Sep2006 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 38 San Francisco NORIEGA 1450 NORIEGA ST None SAN FRANCISCO CA 941224432 37.754117 -122.479194 162e 328.02
1124460274 1124460274 1 1 NORTHEAST COMMUNITY CLINICS 02Dec2015 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles None 2975 ZOE AVENUE None HUNTINGTON PARK CA 902550000 33.979374 -118.215302 78.2ccc 5331.06
1144407487 1144407487 1 1 NORTH EAST MEDICAL SVS 01Mar1997 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 38 San Francisco None 1520 STOCKTON ST None SAN FRANCISCO CA 941333354 37.799729 -122.409086 162a 106
1154786846 1154786846 1 10 NEIGHBORHOOD HEALTHCARE 27Oct2020 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 33 Riverside INTERMITTENT 26926 CHERRY HILLS BLVD STE B MENIFEE CA 925862500 33.711116 -117.189081 133.1 427.11
1154786846 1154786846 1 12 NEIGHBORHOOD HEALTHCARE 27Oct2020 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 33 Riverside INTERMITTENT 31720 TEMECULA PARKWAY SUITE 200 TEMECULA CA 925925895 33.470664 -117.117197 131c 432.50
1154786846 1154786846 1 13 NEIGHBORHOOD HEALTHCARE 12Feb2021 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 33 Riverside INTERMITTENT 41840 ENTERPRISE CIR N None TEMECULA CA 925905654 33.517198 -117.169596 131c 512
1194974402 1194974402 1 1 NORTH ORANGE COUNTY REG 16Oct2012 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 30 Orange None 1182 N EUCLID ST None ANAHEIM CA 928011900 33.850125 -117.941723 116l 866.01
1245246917 1245246917 1 1 NORTH COUNTY HEALTH PROJECT 06Jan1997 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego INCORPORATED 150 VALPREDA RD None SAN MARCOS CA 920692973 33.141908 -117.156473 156e 200.23
1255347704 1255347704 1 1 NORTH COUNTY HEALTH PROJECT 29Dec1999 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego INC 1295 CARLSBAD VILLAGE DR STE 100 CARLSBAD CA 920081950 33.164606 -117.340019 156b 178.01
1255347894 1255347894 1 1 NORTH COUNTY HEALTH PROJECT 06Jan1997 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego INC 2210 MESA DR STE 300 OCEANSIDE CA 920693756 33.208349 -117.359004 156a 185.10
1295752384 1295752384 1 1 NORTHERN VALLEY INDIAN 12Mar1997 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 11 Glenn HEALTH 207 N BUTTE ST None WILLOWS CA 959882803 39.521923 -122.195357 37 104
1346527918 1346527918 1 1 NORTHEAST MEDICAL SERVICES 14Aug2012 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 41 San Mateo None 211 EASTMOOR AVE None DALY CITY CA 940152036 37.684799 -122.479069 176d 6014
1356469381 1356469381 2 1 NORTH BROADWAY MED CLINIC 01Jan1979 022 PHYSICIANS GROUP ZZZ78903Z None UNKNOWN 0 In state provider 19 Los Angeles INC 2926 N BROADWAY None LOS ANGELES CA 900312611 34.073699 -118.211366 78.2i 1998
1356528376 1356528376 1 1 NORTHEAST VALLEY HEALTH 06Feb2008 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 19 Los Angeles None 12756 VAN NUYS BLVD None PACOIMA CA 913311696 34.274345 -118.410738 78.2ppp 1041.05
1366501629 1366501629 1 1 NOURI, JAHANBAKHSH MD 01Dec1995 026 PHYSICIANS A00053484 None UNKNOWN 0 In state provider 19 Los Angeles CARE INC 8725 WOODMAN AVE None ARLETA CA 913316560 34.228380 -118.434850 78.2ll 1198
1396852455 1396852455 1 1 NORTH COUNTY HEALTH PROJ 01Feb2000 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego NCHS WOMEN'S HEALTH SVS 2210 MESA DR STE 5&7 OCEANSIDE CA 920543756 33.208349 -117.359004 156a 185.10
1417032921 1417032921 1 1 NORTHERN INYO COUNTY 10Jul2013 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 14 Inyo LOCAL HOSPITAL DISTRICT 153 PIONEER LN None BISHOP CA 935142517 37.361988 -118.407362 53 4
1417321746 1417321746 1 1 NORTH COUNTY HEALTH PROJECT 22May2018 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 33 Riverside INC 1675 N PERRIS BLVD STE G1 PERRIS CA 925714748 33.802522 -117.226030 133.1 426.17
1447267349 1447267349 1 1 NORTH COUNTY HEALTH PROJ 01Feb2000 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego NCHS WOMEN'S HEALTH SVS 1130 2ND ST None ENCINITAS CA 920245008 33.037620 -117.293663 156a 175.01
1477563518 1477563518 1 1 NORTHEASTERN HEALTH CTR 01Mar1997 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 18 Lassen None 1850 SPRING RIDGE DR None SUSANVILLE CA 961306100 40.438386 -120.649774 72 403.05
1497776322 1497776322 1 1 NABIL & JANET F SOLIMAN 17Aug1992 022 PHYSICIANS GROUP FNP019887 01 General Practice 0 In state provider 19 Los Angeles CENTRO MEDICO INC 11946 S HAWTHORNE BLVD None HAWTHORNE CA 902503016 33.924681 -118.352379 78.2r 6021.04
1497882252 1497882252 1 2 NARCOTICS PREVENTION 15Dec2016 041 COMMUNITY CLINIC 550003737 None UNKNOWN 0 In state provider 19 Los Angeles ASSOCIATION, INC 922 S ATLANTIC BLVD None LOS ANGELES CA 900224004 34.019813 -118.157453 78.2d 5317.02
1497889158 1497889158 1 1 NHAN HOA COMPREHENSIVE 01Nov2013 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 30 Orange HEALTH CARE CLINIC INC 7761 GARDEN GROVE BLVD None GARDEN GROVE CA 928414200 33.773758 -117.997515 116s 998.01
1497932396 1497932396 1 1 NORTHEAST VALLEY HEALTH 28Apr1997 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 19 Los Angeles LAC-CANOGA PARK 7107 REMMET AVE None CANOGA PARK CA 913032016 34.199348 -118.600274 78.2hhhh 1345.20
1528120151 1528120151 1 1 NORTH COUNTY HEALTH CTR 01Mar1997 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 41 San Mateo None 380 90TH ST None DALY CITY CA 940151807 37.691132 -122.474097 176d 6012
1538562996 1538562996 1 1 NAPA VALLEY COMMUNITY 21May2015 055 LOCAL EDUCATION AGENCY None None UNKNOWN 0 In state provider 28 Napa COLLEGE DISTRICT 2277 NAPA VALLEJO HWY None NAPA CA 945586236 38.272041 -122.272436 112.1 2009
1558693655 1558693655 1 1 NORTHEAST VALLEY HEALTH 11Apr2011 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles None 18533 SOLEDAD CANYON RD None SANTA CLARITA CA 913513722 34.416489 -118.456574 76.1b 9200.35
1598703647 1598703647 1 1 NEIGHBORHOOD HEALTHCARE 20Dec2019 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego ESCONDIDO 460 N ELM ST None ESCONDIDO CA 920253002 33.128479 -117.072910 156e 202.02
1598703647 1598703647 1 11 NEIGHBORHOOD HEALTHCARE 27Oct2020 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego INTERMITTENT 728 EAST VALLEY PARKWAY None ESCONDIDO CA 920253052 33.127460 -117.073548 156e 202.02
1598703647 1598703647 1 14 NEIGHBORHOOD HEALTHCARE 27Oct2020 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego INTERMITTENT 488 EAST VALLEY PARKWAY SUITE 404 ESCONDIDO CA 920253379 33.125652 -117.076448 156e 202.14
1598703647 1598703647 1 27 NEIGHBORHOOD HEALTHCARE 09Feb2022 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego INTERMITTENT 1001 E GRAND AVE None ESCONDIDO CA 920254604 33.126297 -117.068481 156e 206.02
1598703647 1598703647 1 29 NEIGHBORHOOD HEALTHCARE 15Apr2021 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego INTERMITTENT 28477 LIZARD ROCKS RD None VALLEY CENTER CA 920826206 33.229860 -117.022042 153.2 191.06
1598936254 1598936254 1 1 NATIONAL HEALTH SERVICES 01Mar1997 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 15 Kern PO BOX 917 277 E FRONT ST None BUTTONWILLOW CA 932069725 35.399690 -119.466007 59 37
1639185317 1639185317 1 1 NORTH COUNTY HLTH PRJCT, INC 06Jan1997 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego None 605 CROUCH STREET BLDG C OCEANSIDE CA 920544415 33.196018 -117.353708 156a 185.09
1649442088 1649442088 1 1 NATIONAL HEALTH SERVICES 01Mar1997 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 15 Kern None 21138 PASO ROBLES HWY None LOST HILLS CA 932499731 35.731274 -119.826455 58.2 45
1689863516 1689863516 1 1 NATIVE AMERICAN HEALTH 10Mar1997 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 01 Alameda CENTER INC 2950 INTERNATIONAL BLVD None OAKLAND CA 946012228 37.778730 -122.228048 2d 4062.02
1740634286 1740634286 1 1 NORTHERN VALLEY INDIAN 02Sep2016 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 04 Butte HEALTH INC 500 COHASSET ROAD STE 15 CHICO CA 959262260 39.751732 -121.848332 7.1 3
1760667950 1760667950 1 1 NEIGHBORHOOD HEALTHCARE 02Jan1997 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego EL CAJON 855 E MADISON AVENUE None EL CAJON CA 920203819 32.800293 -116.951663 161h 163.01
1760669667 1760669667 1 1 NORTHEAST VALLEY HEALTH 06Feb2008 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 19 Los Angeles LAC-VALENCIA 23763 VALENCIA BLVD None VALENCIA CA 913552105 34.414766 -118.550458 76.1a 9203.29
1801214853 1801214853 1 1 NILOO MEDICAL GROUP INC 11Aug2014 026 PHYSICIANS A112671 None UNKNOWN 0 In state provider 19 Los Angeles None 4762 WHITTIER BLVD None LOS ANGELES CA 900223026 34.022146 -118.165471 78.2d 5316.04
1801399860 1801399860 1 1 NORTHEAST VALLEY HEALTH 04Mar2020 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles AFFILIATED 12759 VAN NUYS BLVD None PACOIMA CA 913311627 34.274312 -118.410783 78.2ppp 1041.05
1811174022 1811174022 1 1 NORTHEAST VALLEY HEALTH 07Feb2000 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 19 Los Angeles HOMELESS CLINIC 7843 LANKERSHIM BLVD None NORTH HOLLYWOOD CA 916052523 34.212866 -118.387804 78.2ppp 1218.02
1881104313 1881104313 1 1 NORTHEAST VALLEY HEALTH 09Oct2018 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles CORPORATION 23413 LYONS AVE None SANTA CLARITA CA 913553028 34.379670 -118.543938 76.1a 9203.22
1881825305 1881825305 1 1 NORTH EAST MED SRVCS 03Jan2010 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 38 San Francisco None 2574 SAN BRUNO AVE None SAN FRANCISCO CA 941341505 37.729162 -122.404263 162f 257.02
1881871721 1881871721 1 1 NORTHEAST VLY HLTH CORP 17Aug2002 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 19 Los Angeles MISSION COLLEGE 13356 ELDRIDGE AVE None SYLMAR CA 913423200 34.314627 -118.420426 78.2gg 1061.11
1881960128 1881960128 1 1 NORTHERN VALLEY INDIAN 02Jul2012 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 57 Yolo HEALTH, INC 175 W COURT STREET None WOODLAND CA 956952913 38.678923 -121.792324 246.1 109.02
1881987576 1881987576 1 1 NORTHEAST COMMUNITY CLINICS 01Dec2012 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles None 2822 E FLORENCE AVENUE None HUNTINGTON PARK CA 902555749 33.973614 -118.219292 78.2ccc 5331.07
1952641136 1952641136 1 1 NORTHEAST COMMUNITY CLINICS 12Aug2013 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles None 1403 LOMITA BLVD STE 100,101, & 106 HARBOR CITY CA 907102084 33.797830 -118.301320 78.2aaaa 2933.02
1992983472 1992983472 1 1 NORTH PARK FAMILY HLTH 02Jan1997 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 37 San Diego CENTER 3544 30TH ST None SAN DIEGO CA 921044120 32.743078 -117.130067 161d 14