Table: family_pact_providers_profile_cy_2021_2022 , provider_business_legal_name like O*

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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
1033426002 1033426002 1 1 OMNI FAMILY HEALTH 21Dec2010 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 15 Kern None 1014 CALLOWAY DRIVE BLDG F BAKERSFIELD CA 933126337 35.392827 -119.122089 66d 38.07
1063925717 1063925717 1 1 OMNI FAMILY HEALTH 29Dec2021 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 15 Kern None 912 FREMONT ST None DELANO CA 932152713 35.767091 -119.249719 60 48
1073547220 1073547220 1 1 OSIBAMIRO, ADE MD INC 22Apr2005 026 PHYSICIANS A64972 05 Anesthesiology 0 In state provider 19 Los Angeles None 2637 E CARSON STREET None CARSON CA 908101508 33.831718 -118.220075 78.2v 5440.02
1073997326 1073997326 1 1 OMNI FAMILY HEALTH 14Dec2017 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 15 Kern None 4151 MEXICALI DRIVE None BAKERSFIELD CA 933132065 35.317752 -119.081668 66c 31.23
1083940597 1083940597 1 1 OC URGENTCARE MEDICAL GROUP 29Apr2010 022 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 30 Orange GROUP INCORPORATED 631 S BROOKHURST ST SUITE # 101 ANAHEIM CA 928043510 33.824352 -117.958938 116c 877.01
1164806410 1164806410 1 1 OMNI FAMILY HEALTH 03Dec2017 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 15 Kern None 1022 CALLOWAY DRIVE None BAKERSFIELD CA 933126337 35.365417 -119.114148 66d 38.12
1205134517 1205134517 1 1 OPERATION SAMAHAN INC 09Oct2019 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego None 2101 GRANGER AVE SUITE 101A NATIONAL CITY CA 919506208 32.672654 -117.073920 161g 121.02
1245777358 1245777358 1 1 OMNI FAMILY HEALTH 14Dec2017 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 10 Fresno None 925 G STREET None REEDLEY CA 936542626 36.598178 -119.452641 32 66.02
1275617169 1275617169 1 1 OPERATION SAMAHAN INC 28Aug2018 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego None 2835 HIGHLAND AVE SUITE A NATIONAL CITY CA 919507406 32.660558 -117.091927 161k 116.02
1295913366 1295913366 1 1 OLE HEALTH 01Jan2010 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 28 Napa CLINIC OLE 1222 PINE ST STE A SAINT HELENA CA 945741830 38.506025 -122.472105 111.1 2016.02
1306252051 1306252051 1 1 OPEN DOOR COMMUNITY HEALTH 26Jul2016 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 12 Humboldt CENTERS 3750 ROHNERVILLE ROAD None FORTUNA CA 955403118 40.563970 -124.126673 42 110
1306852496 1306852496 1 1 OMNI FAMILY HEALTH 18Dec2017 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 15 Kern None 1215 JEFFERSON ST None DELANO CA 932152203 35.771991 -119.244972 60 50.04
1326585431 1326585431 1 1 OMNI FAMILY HEALTH 16Jul2018 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 10 Fresno None 1530 E MANNING AVENUE None REEDLEY CA 936542626 36.604125 -119.432889 32 66.04
1396721197 1396721197 1 1 OMNI WOMENS HEALTH MEDICAL 05Jan2004 022 PHYSICIANS GROUP FNP030976 None UNKNOWN 0 In state provider 10 Fresno HEALTH MEDICAL GRP INC 2944 FRESNO ST STE 101 FRESNO CA 937211405 36.742799 -119.782517 35c 5.02
1396721197 1396721197 1 2 OMNI WOMENS HEALTH MEDICAL 06May2004 022 PHYSICIANS GROUP FNP030976 None UNKNOWN 0 In state provider 10 Fresno HEALTH MEDICAL GRP INC 2210 E ILLINOIS STE 201 FRESNO CA 937012167 36.745030 -119.784780 35c 5.02
1396721197 1396721197 1 10 OMNI WOMENS HEALTH MEDICAL 19Jan1996 022 PHYSICIANS GROUP FNP023486 None UNKNOWN 0 In state provider 10 Fresno GROUP INC 3812 N FIRST ST None FRESNO CA 937264301 36.787118 -119.772381 35d 52.04
1417474966 1417474966 1 1 OPEN DOOR COMMUNITY HEALTH 18Mar2021 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 12 Humboldt CENTERS 2350 BUHNE STREET SUITE A EUREKA CA 955013205 40.785949 -124.141008 39 6
1467858696 1467858696 1 1 OMNI FAMILY HEALTH 14Dec2017 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 15 Kern None 210 N CHESTER AVE None BAKERSFIELD CA 933084841 35.406952 -119.020929 66a 4
1477522019 1477522019 1 1 ORCHARD HOSPITAL 01Dec1977 016 COMMUNITY INPATIENT HOSPITAL 040300802 None UNKNOWN 0 In state provider 04 Butte None 240 SPRUCE ST None GRIDLEY CA 959482216 39.366966 -121.690577 9 35.02
1497130280 1497130280 1 1 OLE HEALTH 08Apr2016 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 48 Solano None 470 CHADBOURNE ROAD STE A FAIRFIELD CA 945349600 38.235172 -122.083839 202b 2524.02
1508896275 1508896275 1 1 OTUECHERE, VALENTINE U MD 04Aug2009 026 PHYSICIANS A00093662 None UNKNOWN 0 In state provider 33 Riverside None 8990 GARFIELD ST SUITE 6 RIVERSIDE CA 925033922 33.928878 -117.439726 135c 315.01
1548301633 1548301633 1 1 OAK VALLEY HOSPITAL DIST 01Mar1997 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 50 Stanislaus None 2603 PATTERSON RD STE 3 RIVERBANK CA 953673407 37.732702 -120.948196 211 3.02
1558875203 1558875203 1 1 OMNI FAMILY HEALTH 04Jun2019 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 15 Kern None 1701 STINE ROAD None BAKERSFIELD CA 933094827 35.339488 -119.050542 66c 28.14
1558903898 1558903898 1 1 OMNI FAMILY HEALTH 18Nov2020 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 15 Kern INTERMITTENT 2811 H ST None BAKERSFIELD CA 933011913 35.384912 -119.021184 66a 16
1598178915 1598178915 1 1 OPEN DOOR COMMUNITY HEALTH 09Nov2015 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 12 Humboldt CENTERS 638 MAIN STREET None FERNDALE CA 955369521 40.578153 -124.261982 42 112
1598858169 1598858169 1 1 OPEN DOOR COMM HLTH CTRS 21Jul1999 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 12 Humboldt OPEN DOOR MCKINLEYVILLE 1644 CENTRAL AVE STE A,B,C,D,E&F MCKINLEYVILLE CA 955194342 40.935090 -124.100882 40 105.01
1629558721 1629558721 1 1 OMNI FAMILY HEALTH 15Mar2022 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 54 Tulare INTERMITTENT 311 W NOBLE AVENUE None VISALIA CA 932772669 36.326459 -119.294699 233 17.01
1649318338 1649318338 3 1 OSTOYA, PAUL W MD INC 01Oct1996 026 PHYSICIANS A00052252 None UNKNOWN 0 In state provider 10 Fresno None 1095 E WARNER AVE STE 101 FRESNO CA 937104000 36.836212 -119.769775 35f 54.06
1669569109 1669569109 1 1 OPEN DOOR COMMUNITY HEALTH 01Mar1997 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 12 Humboldt CENTERS 2200 TYDD STREET None EUREKA CA 955011284 40.802174 -124.146604 39 5
1689688004 1689688004 1 2 OMNI FAMILY HEALTH 08Mar2022 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 15 Kern None 2101 7TH ST BLDG A-F WASCO CA 932801502 35.594252 -119.349796 58.2 44.01
1689778813 1689778813 1 1 OPEN DOOR COMM HLTH CTRS 13Oct2000 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 12 Humboldt NORTHCOUNTRY CLIN-ARCATA 785 18TH ST None ARCATA CA 955215770 40.876180 -124.083992 39 10
1699780536 1699780536 1 2 OMNI FAMILY HEALTH 08Mar2022 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 15 Kern None 1100 4TH STREET None TAFT CA 932682415 35.149522 -119.453312 57.2 35
1699812099 1699812099 1 1 ORANGE CNTY HLTH DEPT 01Dec1977 048 COUNTY CLINICS NOT ASSOCIATED WITH HOSPITAL ZZT11732F None UNKNOWN 0 In state provider 30 Orange None 1725 W 17TH ST None SANTA ANA CA 927062316 33.760060 -117.892138 116h 753.02
1700976503 1700976503 1 3 OLE HEALTH 10Sep2004 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 28 Napa None 1141 PEAR TREE LN None NAPA CA 945586484 38.321291 -122.292280 112.2 2005.04
1730330739 1730330739 1 1 OPEN DOOR COMMUNITY HEALTH 10Mar2009 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 12 Humboldt None 38883 HWY 299 None WILLOW CREEK CA 955730000 40.936419 -123.625819 38 101.02
1770624553 1770624553 1 1 OAK VALLEY HOSPITAL DIST 11Jul2005 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 39 San Joaquin HEALTH CLINIC 2080 MCHENRY AVE SUITE 200 ESCALON CA 953209484 37.793504 -120.996556 164.2 49.01
1780928986 1780928986 1 1 OMNI FAMILY HEALTH 23Feb2013 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 15 Kern None 4600 PANAMA LANE SUITE 102B BAKERSFIELD CA 933133509 35.295989 -119.053828 66c 31.14
1801907449 1801907449 1 1 OPERATION SAMAHAN, INC. 25Aug2006 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego None 2743 HIGHLAND AVE None NATIONAL CITY CA 919507410 32.661316 -117.092230 161k 116.02
1821237355 1821237355 1 1 OMNI FAMILY HEALTH 13Aug2012 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 15 Kern None 1133 N CHELSEA ST None RIDGECREST CA 935555537 35.638142 -117.675674 64 54.01
1841331626 1841331626 1 1 OAK VALLEY HOSPITAL DISTRICT 01Mar1997 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 50 Stanislaus None 1420 W H ST None OAKDALE CA 953613557 37.758018 -120.862179 211 2.02
1841476686 1841476686 1 1 OMNI FAMILY HEALTH 05Nov2008 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 15 Kern None 3409 CALLOWAY DR STE 300 BAKERSFIELD CA 933122528 35.391031 -119.110086 66d 38.07
1851713929 1851713929 1 1 OMNI FAMILY HEALTH 14Dec2017 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 15 Kern None 4131 MING AVE None BAKERSFIELD CA 933094994 35.339464 -119.049305 66c 28.14
1861867590 1861867590 1 1 OMNI FAMILY HEALTH 27Feb2018 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 15 Kern None 659 CENTRAL VALLEY HWY None SHAFTER CA 932632790 35.504066 -119.276012 58.1 41.01
1871680397 1871680397 1 1 OPERATION SAMAHAN INC 01Mar2010 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego None 10737 CAMINO RUIZ STE 235 SAN DIEGO CA 921262375 32.913750 -117.143814 161v 83.57
1902106198 1902106198 1 1 OLE HEALTH 06Apr2011 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 28 Napa None 300 HARTLE COURT None NAPA CA 945594078 38.287257 -122.288484 112.1 2002.03
1922318047 1922318047 1 1 OPEN DOOR COMMUNITY HEALTH 01Dec2010 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 12 Humboldt CENTERS 3800 JANES ROAD STE 101 ARCATA CA 955214742 40.903600 -124.090373 39 13
1962506295 1962506295 1 1 OROVILLE HOSPITAL 10Apr2007 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 04 Butte None 2809 OLIVE HIGHWAY SUITE 210 & 320 OROVILLE CA 959666133 39.504690 -121.542356 10 30.01
1982756425 1982756425 1 1 OROVILLE HOSPITAL 01Dec1977 015 COMMUNITY OUTPATIENT HOSPITAL 042390937 None UNKNOWN 0 In state provider 04 Butte None 2767 OLIVE HWY None OROVILLE CA 959666118 39.504939 -121.542750 10 27