Table: family_pact_providers_profile_cy_2021_2022 , provider_business_legal_name like S*

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
1003068206 1003068206 1 1 ST JOHNS WELL CHILD 12Aug2009 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles None 6505 8TH AVE None LOS ANGELES CA 900434313 33.980563 -118.326486 78.2k 2349.01
1003822453 1003822453 1 1 SOLEDAD COMMUNITY HEALTH 01Jan1983 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 27 Monterey CARE DISTRICT 600 MAIN ST None SOLEDAD CA 939602533 36.432917 -121.324452 107 111.02
1003869363 1003869363 1 1 SAN YSIDRO HEALTH CENTER 28Apr1997 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego COMUNIDAD DE SAN YSIDRO 1136 D AVE None NATIONAL CITY CA 919503412 32.674098 -117.101713 161k 117
1003902917 1003902917 1 1 SAN DIEGO AMERICAN 10Jan1997 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego INDIAN HEALTH CENTER 2630 1ST AVE None SAN DIEGO CA 921036599 32.732739 -117.163959 161e 60
1013057371 1013057371 1 1 ST JOHNS WELL CHILD 10Jan2008 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles AND FAMILY CENTER 5701 S HOOVER ST None LOS ANGELES CA 900374045 33.990528 -118.287099 78.2ggg 2327
1013932797 1013932797 1 1 SHASTA COMMUNITY HLTH CT 25Sep2008 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 45 Shasta SHASTA LAKE CITY FAMILY 4215 FRONT ST None SHASTA LAKE CA 960199430 40.681041 -122.366859 189.3 117.03
1013935915 1013935915 1 1 SAC NORTON COMMUNITY 26Jan2012 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 36 San Bernardino HEALTH SERVICES 1454 E 2ND ST None SAN BERNARDINO CA 924080118 34.102722 -117.267878 151k 65
1013950807 1013950807 1 51 SUTTER BAY MEDICAL FOUNDATIO 22Jan2015 078 MARRIAGE AND FAMILY THERAPIST GROUP None None UNKNOWN 0 In state provider 44 Santa Cruz FOR HEALTHCARE RESEARCH 2907 CHANTICLEER AVE None SANTA CRUZ CA 950651815 36.987837 -121.978157 185.1 1213
1023243193 1023243193 1 1 SAINT JOSEPH FAMILY MEDICAL 19Apr2010 022 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 19 Los Angeles CLINIC INC 2643 SANTA ANA ST None SOUTH GATE CA 902802025 33.965302 -118.224142 78.2ccc 5355.01
1033142278 1033142278 1 1 SAN BERNARDINO WOMENS HEALTH 01Jan2002 026 PHYSICIANS A00070551 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles MEDICAL GROUP INC 1226 N PARK AVE None POMONA CA 917683029 34.070321 -117.754977 78.2ss 4023.03
1043542111 1043542111 1 1 ST JOHNS WELL CHILD FAMILY 02Aug2011 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles CENTER INC 15715 S ATLANTIC AVE #2 E RANCHO DMNGZ CA 902214242 33.890491 -118.193031 78.2bbb 5421.06
1053456400 1053456400 1 2 SIERRA PARK FAMILY 10Mar1997 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 26 Mono P O BOX 660 85 SIERRA PARK RD None MAMMOTH LAKES CA 935460660 37.646574 -118.963863 103 2
1063406551 1063406551 1 1 SANTA CLARA MED CTR 17Mar2012 061 COUNTY HOSPITAL OUTPATIENT None None UNKNOWN 0 In state provider 43 Santa Clara None 751 S BASCOM AVE None SAN JOSE CA 951282604 37.313397 -121.931908 183j 5021.01
1063562130 1063562130 1 1 ST ANTHONY MEDICAL CTR 06Jun2001 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles HOLLYWOOD CLINIC 6368 HOLLYWOOD BLVD None HOLLYWOOD CA 900286320 34.101591 -118.328814 78.2g 1907
1063589174 1063589174 1 1 SOUTHERN INYO HOSP DIST 02Jan2012 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 14 Inyo None 501 E LOCUST ST None LONE PINE CA 935451009 36.608372 -118.057549 55 8
1063728145 1063728145 1 2 SONOMA COUNTY JUNIOR COLLEGE 14Apr2021 045 CLINIC EXEMP FROM LICENSURE None None UNKNOWN 0 In state provider 49 Sonoma DISTRICT 1501 MENDOCINO AVENUE BERTOLINI BUILDING SANTA ROSA CA 954014395 38.454785 -122.717382 210.1 1521
1063836526 1063836526 1 1 ST JOHNS WELL CHILD AND 21Mar2016 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles PRIMARY CARE CLINIC 3628 E IMPERIAL HWY SUITE 301 LYNWOOD CA 902622646 33.930859 -118.204247 78.2sss 5402.02
1073534608 1073534608 1 1 SAN GABRIEL HEALTH CLINI 02Mar2006 022 PHYSICIANS GROUP FNP034454 08 Family Practice 0 In state provider 19 Los Angeles None 2630 SAN GABRIEL BLVD STE 105 ROSEMEAD CA 917705204 34.060029 -118.090603 78.2qqq 4825.03
1073653630 1073653630 1 1 ST JOHN'S WELL CHILD CTR 11Apr2002 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles None 1910 SOUTH MAGNOLIA AVE None LOS ANGELES CA 900071220 34.039828 -118.286449 78.2b 2216.02
1073830485 1073830485 1 1 SAN ANTONIO FAMILY MEDICAL 14Sep2010 022 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 37 San Diego CLINIC INC 36 C NORTH EUCLID AVE None NATIONAL CITY CA 919501955 32.690121 -117.085220 161g 119.02
1073927877 1073927877 1 1 SOUTH ORANGE COUNTY 26Sep2014 055 LOCAL EDUCATION AGENCY None None UNKNOWN 0 In state provider 30 Orange COMMUNITY COLLEGE DISTRI 5500 IRVINE CENTER DRIVE SC 150 IRVINE CA 926180301 33.679185 -117.778355 116o 525.17
1083648810 1083648810 1 1 SAN FRANCISCO GEN HOSP 01Jul2005 061 COUNTY HOSPITAL OUTPATIENT None None UNKNOWN 0 In state provider 38 San Francisco BUSINESS OFFICE WARD 14 1001 POTRERO AVE None SAN FRANCISCO CA 941103594 37.756216 -122.406616 162c 228.02
1083715890 1083715890 1 1 SAN DIEGO STATE UNIV 24Sep2004 045 CLINIC EXEMP FROM LICENSURE None None UNKNOWN 0 In state provider 37 San Diego STUDENT HEALTH SERVICES 5500 CAMPANILE DR None SAN DIEGO CA 921824701 32.772884 -117.071665 161e 28.01
1083755631 1083755631 1 1 SCHOOL HEALTH CLINICS 01Sep2006 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 43 Santa Clara OF SANTA CLARA COUNTY 1835 CUNNINGHAM AVE None SAN JOSE CA 951221712 37.329682 -121.829731 183e 5035.04
1083845275 1083845275 1 1 SOLANO COUNTY HLTH & SOCIAL 02Nov2009 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 48 Solano SERVICES FAMILY HLTH SVC 2201 COURAGE DRIVE None FAIRFIELD CA 945336717 38.236808 -122.071120 202b 2524.02
1093892275 1093892275 1 2 SISKIYOU HOSPITAL, INC 05Jan2009 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 47 Siskiyou FAIRCHILD MEDICAL CENTER 475 BRUCE ST STE 500-700 YREKA CA 960973463 41.718582 -122.643902 195 7.02
1093910275 1093910275 1 1 STANISLAUS COUNTY HLTH 20Sep2007 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 50 Stanislaus MCHENRY MEDICAL OFFICE 1209 WOODROW AVENUE STE B10 MODESTO CA 953501273 37.685706 -121.011057 215a 8.01
1104920438 1104920438 1 2 SENECA HEALTHCARE DIST 19Dec2006 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 32 Plumas LAKE ALMANOR CLINIC 199 REYNOLDS RD None CHESTER CA 960200737 40.305653 -121.232544 125 5.01
1124025739 1124025739 1 1 SALJOUGHY, TOGROL MD 31Jul1987 026 PHYSICIANS A00040320 None UNKNOWN 0 In state provider 54 Tulare None 115 E HONOLULU ST None LINDSAY CA 932472526 36.202638 -119.089895 228.2 28
1124296496 1124296496 1 1 SAENZ, LUCY M MD 01Dec2002 026 PHYSICIANS A00056461 None UNKNOWN 0 In state provider 30 Orange None 1203 N EUCLID ST None ANAHEIM CA 928011954 33.850820 -117.941811 116l 867.01
1134132343 1134132343 1 1 SL HEALTH INC 27Jun2006 022 PHYSICIANS GROUP FNP034557 None UNKNOWN 0 In state provider 19 Los Angeles COGAN HEALTH INC 780 ATLANTIC AVENUE None LONG BEACH CA 908139080 33.776413 -118.185050 78.2kkk 5763.01
1134298318 1134298318 1 1 SAN MARTIN DE PORRES MED 22Aug1993 022 PHYSICIANS GROUP FNP030801 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles CLINIC OF SOUTH GATE INC 10001 CALIFORNIA AVE None SOUTH GATE CA 902806005 33.943535 -118.207674 78.2ccc 5358.02
1134306772 1134306772 1 1 SANTA CLARA VLY MED CTR 19May1997 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 43 Santa Clara None 7475 CAMINO ARROYO None GILROY CA 950207348 37.019947 -121.560817 182 5126.02
1144316217 1144316217 1 1 SUNMOON URGENT CARE MEDICAL 19Oct2004 026 PHYSICIANS A84584 None UNKNOWN 0 In state provider 19 Los Angeles None 1304 ECHO PARK AVE None LOS ANGELES CA 900263318 34.077411 -118.256951 78.2a 1974.20
1144407784 1144407784 1 1 SANTA CLARA VLY CTR 19May1997 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 43 Santa Clara VALLEY HEALTH CTR BASCOM 750 S BASCOM AVE None SAN JOSE CA 951282603 37.313576 -121.931728 183j 5021.02
1154402675 1154402675 1 2 SAMUEL DIXON FAMILY 19Apr2010 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles HEALTH CENTER 30257 SAN MARTINEZ RD None VAL VERDE CA 913842472 34.447177 -118.663603 76.2 9201.06
1164061461 1164061461 1 2 SEQUOIA QUALITY HEALTH INC 07Oct2021 022 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 19 Los Angeles None 2007 WILSHIRE BLVD FL 3, 1A LOS ANGELES CA 900573519 34.057428 -118.274758 78.2ffff 2089.03
1164061461 1164061461 1 3 SEQUOIA QUALITY HEALTH INC 07Oct2021 022 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 19 Los Angeles None 2007 WILSHIRE BLVD FL 3, 1A LOS ANGELES CA 900573519 34.057428 -118.274758 78.2ffff 2089.03
1174023857 1174023857 1 1 SAINT ANNE MEDICAL GROUP 05Jul2018 022 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 36 San Bernardino INC 9655 MONTE VISTA AVE STE 405 MONTCLAIR CA 917632238 34.078500 -117.698246 151c 2.03
1184674830 1184674830 1 1 SAN MARCOS MED GRP INC 01Dec1999 022 PHYSICIANS GROUP FNP026904 None UNKNOWN 0 In state provider 36 San Bernardino METROPOLITAN FAMILY MED 1574 W BASE LINE ST STE 107 SAN BERNARDINO CA 924111736 34.121331 -117.325963 151g 42.01
1184753790 1184753790 1 1 SAN DIEGO FAMILY CARE 02Jan1997 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 37 San Diego None 6973 LINDA VISTA RD None SAN DIEGO CA 921116342 32.786812 -117.170026 161a 88
1184844607 1184844607 1 1 SPECIALTY CARE & SURGERY 01Jul1993 022 PHYSICIANS GROUP FNP035334 None UNKNOWN 0 In state provider 17 Lake CENTER 5685 MAIN ST None KELSEYVILLE CA 954518945 38.971691 -122.830112 70.1 10
1194090688 1194090688 1 1 SAMOUHA, PEJMAN MD INC 22Mar2016 026 PHYSICIANS A106358 None UNKNOWN 0 In state provider 19 Los Angeles SPECIALTY CENTER 1435 S VERMONT AVE SUITE 100 LOS ANGELES CA 900064554 34.045900 -118.291598 78.2b 2212.20
1205859733 1205859733 1 1 SANCHEZ, DENNIS J MD 30Jun1988 086 MEDICAL DIRECTORS G00048388 08 Family Practice 0 In state provider 19 Los Angeles SANCHEZ MEDICAL CENTER 3529 FIRESTONE BLVD None SOUTH GATE CA 902803031 33.954163 -118.205752 78.2sss 5357.02
1205859733 1205859733 1 2 SANCHEZ, DENNIS J MD 01Jan2003 026 PHYSICIANS G00048388 01 General Practice 0 In state provider 19 Los Angeles SANCHEZ MEDICAL CENTER 9306 ALONDRA BLVD None BELLFLOWER CA 907064212 33.889269 -118.135996 78.2m 5542.01
1215022736 1215022736 1 1 SMALL, GEORGE H MD 20Jun2005 026 PHYSICIANS A00034324 None UNKNOWN 0 In state provider 36 San Bernardino PROGRESSIVE OB GYN MEDIC 576 S MT VERNON AVE None SAN BERNARDINO CA 924102745 34.090558 -117.313887 151f 124
1215351705 1215351705 1 1 SANTA BARBARA NEIGHBORHOOD 04Jun2014 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 42 Santa Barbara CLINICS 334 S PATTERSON AVE SUITE 203 GOLETA CA 931112400 34.434188 -119.809268 181a 30.01
1215991278 1215991278 1 1 SAN FERNANDO MISSION MEDICAL 18Aug1993 022 PHYSICIANS GROUP None 08 Family Practice 0 In state provider 19 Los Angeles None 8215 VAN NUYS BLVD SUITE 210-204 PANORAMA CITY CA 914024833 34.220010 -118.448778 78.2zz 1200.20
1225063761 1225063761 1 2 SAN JOAQUIN FACULTY 12Mar1991 031 PSYCHOLOGISTS None None UNKNOWN 0 In state provider 39 San Joaquin MEDICAL GROUP 500 W HOSPITAL ROAD None FRENCH CAMP CA 952319693 37.886456 -121.281847 169b 38.03
1225188204 1225188204 1 1 ST ANTHONY MEDICAL CTR 06Jun2001 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles IMPERIAL CLINIC 837 W IMPERIAL HWY None LOS ANGELES CA 900444110 33.930968 -118.290380 78.2s 2412.02
1225357114 1225357114 1 1 SOUTHERN CALIFORNIA MED CTR 01Jun2013 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles None 12100 VALLEY BLVD STE 109A EL MONTE CA 917323100 34.061477 -118.016647 78.2oo 4333.02
1235189978 1235189978 1 1 SAN MARCOS MED GRP INC 01Dec2002 022 PHYSICIANS GROUP FNP026904 None UNKNOWN 0 In state provider 36 San Bernardino METROPOLITAN FAMILY MED 742 W HIGHLAND AVE None SAN BERNARDINO CA 924053839 34.136012 -117.299612 151g 54
1245669555 1245669555 1 1 SAN FERNANDO COMMUNITY 29Jun2015 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles HOSPITAL 732 MOTT STREET SUITE 100 AND 110 SAN FERNANDO CA 913404240 34.276119 -118.443627 78.2ll 3203
1255472924 1255472924 1 1 SOUTH BAY FAMILY 21Aug2006 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles HEALTHCARE CTR-INGLEWOOD 1091 S LA BREA AVE None INGLEWOOD CA 903013817 33.949217 -118.352729 78.2q 6012.02
1255729661 1255729661 1 1 SOUTHERN CALIFORNIA MEDICAL 08May2017 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles CENTER INC 14550 HAYNES ST None VAN NUYS CA 914111613 34.189679 -118.449977 78.2cc 1278.06
1265457980 1265457980 1 1 SONOMA CO INDIAN HEALTH 09Jul2004 200 DEVELOPMENTAL SCREENING AND TRAUMA None 08 Family Practice 0 In state provider 49 Sonoma PROJECT 144 STONY POINT RD None SANTA ROSA CA 954014122 38.440394 -122.744516 210.1 1530.02
1275545725 1275545725 1 1 SERRA COMMUNITY MEDICAL 27Mar2000 027 PODIATRISTS None None UNKNOWN 0 In state provider 19 Los Angeles CLINIC 9375 SAN FERNANDO RD None SUN VALLEY CA 913521418 34.239401 -118.393854 78.2ppp 1212.10
1285708818 1285708818 1 1 SOUTHLAND INTEGRATED 21Feb2007 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 30 Orange SERVICES INC 9862 CHAPMAN AVE None GARDEN GROVE CA 928412726 33.788524 -117.960954 116r 882.03
1285733725 1285733725 1 1 SIERRA COUNTY HLTH DEPT 03May2006 045 CLINIC EXEMP FROM LICENSURE None None UNKNOWN 0 In state provider 46 Sierra None 202 FRONT STREET None LOYALTON CA 961180007 39.674005 -120.241193 191 100
1285782664 1285782664 1 1 SORAYA MEDICAL GROUP INC 18Sep1997 022 PHYSICIANS GROUP FNP024939 01 General Practice 0 In state provider 19 Los Angeles None 2701 FIRESTONE BLVD STE W SOUTH GATE CA 902802778 33.956116 -118.224810 78.2ccc 5356.03
1285845503 1285845503 1 1 SAN ANTONIO MEDICAL CLINIC, 29Jan2008 026 PHYSICIANS A00056155 None UNKNOWN 0 In state provider 30 Orange INC. 325 E LA HABRA BLVD None LA HABRA CA 906315439 33.931882 -117.943183 116k 12.02
1285874826 1285874826 1 1 ST JOHN'S WELL CHILD AND 01Jun2011 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles FAMILY HLTH CTR, INC 808 WEST 58TH STREET None LOS ANGELES CA 900373632 33.989703 -118.287318 78.2ggg 2327
1295082774 1295082774 1 1 SHARE OUR SELVES CORPORATION 09Sep2016 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 30 Orange None 1014 N BROADWAY ST None SANTA ANA CA 927013408 33.753510 -117.869751 116b 750.03
1295810174 1295810174 1 1 SAN BENITO HEALTH FNDTN 01Mar1997 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 35 San Benito None 351 FELICE DR None HOLLISTER CA 950233361 36.853334 -121.417073 140 3
1306939624 1306939624 1 1 SANO MEDICAL CLINIC 01Oct1983 022 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 30 Orange None 700 W 19TH ST None COSTA MESA CA 926273517 33.643401 -117.927655 116p 636.05
1316124951 1316124951 1 1 SANTA CLARA VLY MED CTR 19May1997 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 43 Santa Clara VALLEY HEALTH CHABOYA 500 TULLY RD None SAN JOSE CA 951111917 37.306535 -121.849592 183h 5032.14
1336201318 1336201318 1 1 SAN MATEO CLINIC 39TH AVE 24Jan2011 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 41 San Mateo None 222 W 39TH AVE None SAN MATEO CA 944034364 37.530196 -122.299214 176e 6072
1336330646 1336330646 1 1 SISKIYOU HOSPITAL, INC 05Jan2009 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 47 Siskiyou None 8 COMMERCIAL ST None ETNA CA 960270000 41.462910 -122.889482 194 8
1336367515 1336367515 1 1 SOUTHERN HUMBOLDT COMM 12Mar1997 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 12 Humboldt CLINIC 509 ELM ST None GARBERVILLE CA 955423204 40.102830 -123.794024 44 116
1346403813 1346403813 1 1 SHAFEE, REZA MD INC 01May2008 026 PHYSICIANS A00085480 None UNKNOWN 0 In state provider 30 Orange None 520 N MAIN STREET STE 100 SANTA ANA CA 927014623 33.749243 -117.867606 116b 750.02
1356374359 1356374359 1 2 SAN GABRIEL WOMENS 01Apr1998 026 PHYSICIANS G00060420 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles SAN GABRIEL WOMEN'S HLTH 601 LAS TUNAS DR STE 101 ARCADIA CA 910078485 34.107545 -118.051006 78.2dddd 4316
1356779797 1356779797 1 1 SUTTER BAY HOSPITALS 10Dec2014 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 17 Lake None 5196 HILL ROAD E SUITE 300 LAKEPORT CA 954536374 39.100412 -122.912335 70.1 3
1366521650 1366521650 1 1 SANCHEZ, FELIX J 30Apr1986 026 PHYSICIANS A00040821 None UNKNOWN 0 In state provider 50 Stanislaus None 900 DELBON AVENUE None TURLOCK CA 953822015 37.510478 -120.838693 212.1 39.07
1376683151 1376683151 1 1 SCHOOL HEALTH CLINICS 01Sep2006 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 43 Santa Clara OF SANTA CLARA COUNTY 645 WOOL CREEK DR None SAN JOSE CA 951122617 37.314289 -121.848615 183e 5031.22
1386721900 1386721900 1 1 SUNSHINE MEDICAL CLINIC 09Jul2001 022 PHYSICIANS GROUP FNP029062 01 General Practice 0 In state provider 19 Los Angeles None 555 W COMPTON BLVD STE 104 COMPTON CA 902203099 33.895903 -118.232876 78.2bbb 5425.02
1386728533 1386728533 1 1 SAN MATEO CO HEALTH SVS 28Aug2018 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 41 San Mateo FAIR OAKS FAMILY HEALTH 2710 MIDDLEFIELD RD None REDWOOD CITY CA 940633404 37.476719 -122.211447 176b 6105
1386915593 1386915593 1 1 SANTIAGO CANYON COLLEGE 15May2012 045 CLINIC EXEMP FROM LICENSURE None None UNKNOWN 0 In state provider 30 Orange STUDENT HEALTH CENTER 8045 EAST CHAPMAN AVE None ORANGE CA 928694512 33.793802 -117.766526 116n 756.05
1396879680 1396879680 1 1 SOUTH BAKERSFIELD 01Sep2004 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 15 Kern COMMUNITY HEALTH CENTER 2400 WIBLE RD STE 14 BAKERSFIELD CA 933044734 35.333159 -119.038949 66b 29
1396891909 1396891909 1 1 SOUTH CENTRAL FAMILY 28Apr1997 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles HEALTH CTR 4425 S CENTRAL AVE None LOS ANGELES CA 900113629 34.003304 -118.256479 78.2ggg 2286
1396941464 1396941464 1 1 STANISLAUS CO HLTH SVS 20Sep2007 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 50 Stanislaus PARADISE MEDICAL OFFICE 401 PARADISE RD STE E MODESTO CA 953513163 37.627826 -121.011734 215c 22
1396981700 1396981700 1 1 ST JOHNS WELL CHILD AND 27May2014 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles FAMILY CENTER INC 4085 S VERMONT AVE None LOS ANGELES CA 900374045 34.009285 -118.291548 78.2l 2316
1407189525 1407189525 1 1 SAN BERNARDINO COMMUNITY 19Dec2011 055 LOCAL EDUCATION AGENCY None None UNKNOWN 0 In state provider 36 San Bernardino COLLEGE DISTRICT 701 S MOUNT VERNON AVE None SAN BERNARDINO CA 924102705 34.089166 -117.313783 151f 124
1407886948 1407886948 1 1 SINGLETON, CHRYSTAL J MD 28May2000 026 PHYSICIANS A00065522 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 10 Fresno None 3410 MCCALL AVE STE 115 SELMA CA 936622500 36.584107 -119.610620 30 70.04
1427220870 1427220870 1 1 SHAFTER COMMUNITY 08Dec2006 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 15 Kern MEDICAL & DENTAL CENTER 655 S CENTRAL VALLEY HWY None SHAFTER CA 932632790 35.496554 -119.266365 58.1 41.02
1437334331 1437334331 1 1 SHENOUDA, EMILE G MD INC 25Jul2016 026 PHYSICIANS A56273 01 General Practice 0 In state provider 19 Los Angeles None 15340 DEVONSHIRE ST STE 8 MISSION HILLS CA 913452760 34.257290 -118.465984 78.2kk 1096.04
1437577103 1437577103 1 1 SANTA CLARITA COMMUNITY 06Mar2015 045 CLINIC EXEMP FROM LICENSURE None None UNKNOWN 0 In state provider 19 Los Angeles COLLEGE DISTRICT 26455 ROCKWELL CANYON RD None SANTA CLARITA CA 913551803 34.407250 -118.567505 76.1a 9203.30
1447390265 1447390265 1 1 SAN JOSE HIGH 13Jun2022 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 43 Santa Clara NEIGHBORHOOD HLTH CLINIC 1149 E JULIAN ST BLDG H SAN JOSE CA 951161005 37.350919 -121.871327 183d 5014.01
1457724858 1457724858 1 1 SAN DIEGO FAMILY CARE 20Jun2017 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego None 7011 LINDA VISTA RD None SAN DIEGO CA 921116307 32.787389 -117.169706 161a 88
1487752895 1487752895 2 1 SAN BERNARDINO PHYSICIANS 17Jul2012 022 PHYSICIANS GROUP A00092039 None UNKNOWN 0 In state provider 36 San Bernardino ASSOCIATES, AMC 407 E GILBERT ST STE 1 SAN BERNARDINO CA 924045325 34.126801 -117.276822 151k 63.01
1497841258 1497841258 1 1 SULTANA, SAYEEDA MD 30Oct2008 026 PHYSICIANS A00053436 None UNKNOWN 0 In state provider 19 Los Angeles None 5060 ROSEMEAD BLVD None PICO RIVERA CA 906602402 34.000464 -118.083965 78.2ww 5007
1497975882 1497975882 1 1 SAN JOSE-EVERGREEN COMMUNITY 29Feb1980 045 CLINIC EXEMP FROM LICENSURE None None UNKNOWN 0 In state provider 43 Santa Clara COLLEGE DISTRICT 3095 YERBA BUENA ROAD None SAN JOSE CA 951351513 37.297887 -121.763134 183k 5033.30
1508073685 1508073685 1 1 SHARE OUR SELVES CORP 01Jun2012 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 30 Orange None 1550 SUPERIOR AVE None COSTA MESA CA 926273653 33.633025 -117.926653 116p 636.05
1508895871 1508895871 1 1 SON-HA AND DIEM-CHI A 09Sep1998 022 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 19 Los Angeles MEDICAL 1951 PACIFIC AVENUE None LONG BEACH CA 908065321 33.792600 -118.193784 78.2jjj 5730.04
1528144755 1528144755 1 1 SANO MEDICAL CLINIC INC 01Jul1982 022 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 30 Orange None 1444 S MAIN ST None SANTA ANA CA 927071717 33.728187 -117.867787 116b 746.02
1528167467 1528167467 1 1 SALCEDA, NORMA C M D INC 22Jun1999 026 PHYSICIANS A00033244 None UNKNOWN 0 In state provider 19 Los Angeles SAINT ANA WOMEN MED CLNC 13676 VAN NUYS BLVD None PACOIMA CA 913313616 34.259701 -118.430828 78.2ll 1045
1528235355 1528235355 1 1 STRONGKIDS MEDICAL GROUP 04Jun2007 022 PHYSICIANS GROUP FNP035330 None UNKNOWN 0 In state provider 30 Orange INC 1491 E LA PALMA AVE STE B ANAHEIM CA 928051564 33.847273 -117.898006 116q 864.04
1538344437 1538344437 1 2 SHENOUDA, EMILE G MD INC 25Jul2016 026 PHYSICIANS A56273 01 General Practice 0 In state provider 19 Los Angeles None 10132 CALIFORNIA AVE None SOUTH GATE CA 902806008 33.942359 -118.207811 78.2ccc 5358.02
1548210297 1548210297 1 1 SAN MARCOS MED GRP INC 01Dec1999 022 PHYSICIANS GROUP FNP026904 None UNKNOWN 0 In state provider 36 San Bernardino None 7576 STERLING AVE STE C&D SAN BERNARDINO CA 924104202 34.116162 -117.243662 151k 76.01
1548301229 1548301229 1 1 SOUTH BAY FAMILY HEALTH- 09Jul2004 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles CARE CENTER 2114 ARTESIA BLVD None REDONDO BEACH CA 902783014 33.872801 -118.374586 78.2iiii 6207.01
1548367436 1548367436 1 1 SAENZ, LUCY M MD 01May1998 026 PHYSICIANS A00056461 None UNKNOWN 0 In state provider 30 Orange None 1215 E 17TH ST None SANTA ANA CA 927012640 33.759898 -117.853557 116h 754.03
1548494149 1548494149 1 1 SCHWARTZ, STANLEY H MD INC 30Aug2011 026 PHYSICIANS A00042271 40 Pediatrics 0 In state provider 33 Riverside None 12980 FREDERICK ST STE I MORENO VALLEY CA 925535263 33.932093 -117.261368 135b 425.13
1568521938 1568521938 1 1 SWANSON, WILLIAM C MD 08Aug2003 026 PHYSICIANS G00011394 08 Family Practice 0 In state provider 19 Los Angeles None 4200 PECK RD STE B EL MONTE CA 917322177 34.080443 -118.019581 78.2oo 4324.02
1568645653 1568645653 1 1 SUPERIOR FAMILY MEDICAL 30Nov1988 026 PHYSICIANS G00050737 08 Family Practice 0 In state provider 30 Orange GROUP 1840 S STANDARD AVE STE 108 SANTA ANA CA 927072464 33.724307 -117.856450 116g 744.03
1568665073 1568665073 1 1 SOUTHWEST COMM HEALTH CT 09May2002 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 49 Sonoma None 599 BELLEVUE AVE None SANTA ROSA CA 954077713 38.401833 -122.734668 210.1 1532
1578766085 1578766085 1 1 SOUTHWEST COMMUNITY HLTH 06Apr1998 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 49 Sonoma None 751 LOMBARDI CT None SANTA ROSA CA 954076793 38.427222 -122.748425 210.1 1533
1588651426 1588651426 1 1 SOUTH BAY OB/GYN MEDICAL 05Feb1994 022 PHYSICIANS GROUP FNP1290 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 37 San Diego GROUP INC OF SAN DIEGO 655 EUCLID AVE STE 409 NATIONAL CITY CA 919502981 32.683980 -117.082855 161g 220
1588756530 1588756530 1 3 SACRAMENTO NATIVE 03May2017 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 34 Sacramento None 2020 J ST None SACRAMENTO CA 958113120 38.576631 -121.479589 139j 11.01
1588804819 1588804819 2 1 SAN BENITO HEALTH CARE 04Jan2010 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 35 San Benito DISTRICT 991 FOURTH STREET None HOLLISTER CA 950233424 36.852740 -121.412685 140 4
1598270191 1598270191 1 1 SHENOUDA, SAMEH MD INC 09Jan2018 026 PHYSICIANS None 01 General Practice 0 In state provider 19 Los Angeles None 7963 VAN NUYS BLVD SUITE 101 PANORAMA CITY CA 914026070 34.215846 -118.448742 78.2zz 1200.30
1629269618 1629269618 1 1 SALUD PARA LA GENTE, INC 18May2007 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 44 Santa Cruz CLINICA DEL VALLE DEL PA 45 NIELSON ST None WATSONVILLE CA 950762468 36.928290 -121.792529 184 1106
1639129372 1639129372 1 1 SAN MARCOS MED GRP INC 01Dec1999 022 PHYSICIANS GROUP FNP026904 None UNKNOWN 0 In state provider 36 San Bernardino None 7965 SIERRA AVE STE E FONTANA CA 923363329 34.109307 -117.435848 151h 28.01
1639129372 1639129372 1 2 SAN MARCOS MED GRP INC 25Jan2011 022 PHYSICIANS GROUP FNP026904 None UNKNOWN 0 In state provider 36 San Bernardino None 425 E FOOTHILL BLVD None RIALTO CA 923765153 34.106709 -117.363264 151h 39
1649792615 1649792615 1 1 SOUTH CENTRAL FAMILY HEALTH 26Oct2018 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles CENTER 1028 E VERNON AVE None LOS ANGELES CA 900113717 34.003930 -118.257792 78.2ggg 2286
1669657219 1669657219 1 1 SIERRA JOINT COMMUNITY 13Feb2008 045 CLINIC EXEMP FROM LICENSURE None None UNKNOWN 0 In state provider 31 Placer COLLEGE DISTRICT 5100 SIERRA COLLEGE BLVD None ROCKLIN CA 956773855 38.793975 -121.205752 121.2 206.02
1669799896 1669799896 1 1 SOUTH CENTRAL FAMILY 05Aug2011 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles HEALTH CENTER (SCFHC) 2680 SATURN AVE STE 110, 220 & 280 HUNTINGTON PARK CA 902254568 None None None None
1700057981 1700057981 1 1 ST ISABEL FAMILY MEDICAL 19May2008 022 PHYSICIANS GROUP FNP37220 01 General Practice 0 In state provider 19 Los Angeles CLINIC, INC 1535 W LOMITA BLVD None HARBOR CITY CA 907102024 33.797820 -118.303687 78.2aaaa 2933.02
1700915097 1700915097 1 1 ST JAMES HEALTH CENTER 14Dec2009 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 43 Santa Clara None 55 E JULIAN STREET None SAN JOSE CA 951124007 37.341105 -121.892644 183d 5010
1720279094 1720279094 1 1 SOUTHERN MONTEREY CO MEM 03Nov1999 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 27 Monterey MEE MEMORIAL HOSP OP CLN 210 CANAL ST None KING CITY CA 939303432 36.207637 -121.132788 105 113.04
1730169756 1730169756 1 1 SALUD PARA LA GENTE 01Mar1997 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 44 Santa Cruz None 204 E BEACH ST None WATSONVILLE CA 950764809 36.912114 -121.754330 184 1103
1740413798 1740413798 1 2 SUTTER BAY HOSPITALS 01Jan2010 016 COMMUNITY INPATIENT HOSPITAL None None UNKNOWN 0 In state provider 49 Sonoma HOSPITAL 30 MARK WEST SPRINGS RD None SANTA ROSA CA 954031436 38.496376 -122.751516 210.1 1527.02
1740822360 1740822360 1 1 SAINT YOUSTINA 26Apr2022 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 30 Orange None 809 S MAIN ST SUITE A SANTA ANA CA 927015719 33.738258 -117.867697 116b 746.02
1750469318 1750469318 1 1 SGHIATTI, VINCENT R APC 01Jan1981 026 PHYSICIANS G00042926 None UNKNOWN 0 In state provider 19 Los Angeles None 6316 HOLMES AVE None LOS ANGELES CA 900011824 33.982620 -118.241186 78.2mmm 5327
1770669715 1770669715 1 1 SONOMA VALLEY COMM HLTH 01Mar1997 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 49 Sonoma None 19270 SONOMA HIGHWAY 12 None SONOMA CA 954765414 38.298949 -122.475185 208 1502.02
1770685612 1770685612 1 1 SANTO NINO MEDICAL CLINC 01Aug2002 022 PHYSICIANS GROUP FNP028718 None UNKNOWN 0 In state provider 19 Los Angeles SANTO NINO MEDICAL CORP 14427 CHASE ST STE 100 PANORAMA CITY CA 914023020 34.224765 -118.447293 78.2ll 1201.04
1770803462 1770803462 1 1 SERVE THE PEOPLE INC 01Nov2013 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 30 Orange None 1206 E 17TH STREET STE 101 SANTA ANA CA 927012641 33.759898 -117.853620 116h 754.03
1770816829 1770816829 1 1 SUTTER BAY HOSPITALS 01Jan2010 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 17 Lake None 987 PARALLEL DR SUITE C LAKEPORT CA 954535702 39.036426 -122.927133 70.1 3
1780195255 1780195255 1 1 SANTA ROSA COMMUNITY HEALTH 02Apr2018 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 49 Sonoma CENTERS 1300 N DUTTON AVENUE None SANTA ROSA CA 954017112 38.449198 -122.732995 210.1 1530.01
1780784843 1780784843 1 1 SAN FRANCISCO STATE UNIVERSI 01Jun1999 022 PHYSICIANS GROUP None 08 Family Practice 0 In state provider 38 San Francisco SFSU STUDENT HEALTH 1600 HOLLOWAY AVE None SAN FRANCISCO CA 941321740 37.720836 -122.476424 162d 332.01
1790884633 1790884633 1 1 SALCEDA, NORMA C MD INC 31Mar1995 026 PHYSICIANS A00033244 None UNKNOWN 0 In state provider 19 Los Angeles SAINT ANA WOMEN MED CLNC 1535 S WESTERN AVE STE G LOS ANGELES CA 900064200 34.044508 -118.309026 78.2b 2213.03
1801270137 1801270137 1 1 SAC HEALTH SYSTEM 16Dec2016 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 36 San Bernardino None 250 SOUTH G STREET None SAN BERNARDINO CA 924103220 34.097379 -117.298641 151g 57.01
1801992565 1801992565 1 1 SAN MIGUEL MEDICAL 28Feb1994 022 PHYSICIANS GROUP FNP014677 01 General Practice 0 In state provider 19 Los Angeles CLINIC, INC. 8204 LONG BEACH BLVD STE B SOUTH GATE CA 902802011 33.964112 -118.225172 78.2ccc 5355.01
1821170044 1821170044 1 1 SOUTH COUNTY COMMUNITY 05Apr2002 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 41 San Mateo HEALTH CENTER INC 1885 BAY ROAD None EAST PALO ALTO CA 943031312 37.472764 -122.132391 176b 6118
1821170044 1821170044 1 7 SOUTH COUNTY COMMUNITY 16Jun2021 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 43 Santa Clara INTERMITTENT 900 MIRAMONTE AVE FLOOR 2 MOUNTAIN VIEW CA 940402457 37.385709 -122.087156 183a 5098.01
1851423925 1851423925 1 1 S A MEDICAL CENTER INC 01Oct1999 022 PHYSICIANS GROUP FNP036285 None UNKNOWN 0 In state provider 30 Orange SAN ANTONIO MED CENTER 610 W 17TH ST None SANTA ANA CA 927063916 33.759984 -117.873698 116b 751
1851431647 1851431647 1 1 SCHOOL HEALTH CLINICS 01Sep2006 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 43 Santa Clara HEALTH CLINIC 100 OAK ST None SAN JOSE CA 951102817 37.321834 -121.881625 183d 5017
1851643241 1851643241 1 1 SHARMA, RAHUL MD INC 23Mar2015 022 PHYSICIANS GROUP None 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 15 Kern None 9610 STOCKDALE HWY UNIT B BAKERSFIELD CA 933113626 35.354456 -119.110621 66d 28.06
1861678674 1861678674 1 1 SHERMAN HEIGHTS FAMILY 05Dec2000 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 37 San Diego HEALTH CENTER 2391 ISLAND AVE None SAN DIEGO CA 921022941 32.710477 -117.142516 161c 47
1861827057 1861827057 1 1 SANTA ROSA MIDWIFERY CENTER 01Jan2014 107 DOULA GROUP PROVIDER None None UNKNOWN 0 In state provider 49 Sonoma A PROFESSIONAL NURSING 583 SUMMERFIELD RD None SANTA ROSA CA 954055239 38.452608 -122.670361 210.1 1517
1861829061 1861829061 1 1 SANTA ANA COLLEGE 17Mar2014 045 CLINIC EXEMP FROM LICENSURE None None UNKNOWN 0 In state provider 30 Orange STUDENT HEALTH CENTER 1530 W 17TH STREET ROOM U120 SANTA ANA CA 927063398 33.759969 -117.888168 116b 752.02
1861893844 1861893844 1 1 ST JOHNS COMMUNITY HEALTH 02Dec2015 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles AND FAMILY CENTER INC 326 W 23RD STREET None LOS ANGELES CA 900072659 34.029241 -118.270976 78.2ffff 2240.20
1871597690 1871597690 1 1 SANCHEZ, ANA M MD 31Jan1991 026 PHYSICIANS G00054162 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 30 Orange None 424 S MAIN ST STE N ORANGE CA 928683828 33.781836 -117.867403 116h 760
1871826925 1871826925 1 1 SUTTER BAY HOSPITALS 01Jan2010 041 COMMUNITY CLINIC 550000230 None UNKNOWN 0 In state provider 38 San Francisco None 1580 VALENCIA STREET SUITE 508 SAN FRANCISCO CA 941104415 37.747184 -122.420209 162c 253
1881703957 1881703957 1 1 SAN BERNARDINO MOUNTAINS 21Jan2009 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 36 San Bernardino COMMUNITAL HOSPITAL DIST 31900 HILLTOP BLVD None RUNNING SPRINGS CA 923820000 34.206947 -117.152437 146 111.01
1881795003 1881795003 1 1 SAN MATEO MEDICAL 01Apr1998 022 PHYSICIANS GROUP FNP021169 01 General Practice 0 In state provider 19 Los Angeles CLINIC INC 4055 WHITTIER BLVD None LOS ANGELES CA 900232536 34.023928 -118.184369 78.2d 5312.02
1891710638 1891710638 1 1 SHASTA COMM HEALTH CTR 01Mar1997 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 45 Shasta None 1035 PLACER ST None REDDING CA 960011125 40.583544 -122.385243 189.2 101
1891806329 1891806329 1 2 SABABA, LILIAN E 28Feb1991 026 PHYSICIANS A00048778 None UNKNOWN 0 In state provider 19 Los Angeles None 866 N VERMONT AVE None LOS ANGELES CA 900293587 34.087012 -118.291710 78.2g 1914.10
1891991741 1891991741 1 1 STANISLAUS COUNTY HEALTH 20Sep2007 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 50 Stanislaus None 830 SCENIC DR STE A MODESTO CA 953506131 37.647196 -120.983922 215b 10.02
1902923329 1902923329 1 1 SANTA CRUZ COMMUNITY HEALTH 01Nov2002 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 44 Santa Cruz CENTERS 250 LOCUST ST None SANTA CRUZ CA 950603813 36.974977 -122.028367 185.1 1007
1912033572 1912033572 1 1 SAN DIEGO FAMILY CARE 10Mar2004 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 37 San Diego None 4290 POLK AVE None SAN DIEGO CA 921051592 32.751447 -117.102149 161d 22.02
1922090885 1922090885 1 1 SOUTHERN INDIAN HEALTH 25Jan2019 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego COUNCIL 36350 CHURCH RD None CAMPO CA 919062715 32.671711 -116.369852 159 211
1932249596 1932249596 1 1 ST JOHN'S WELL CHILD CTR 18Feb2004 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles COMPTON 2115A N WILMINGTON AVE None COMPTON CA 902222030 33.911537 -118.239193 78.2ooo 5413
1932428828 1932428828 1 1 SOUTHERN CALIFORNIA MEDICAL 01Jun2013 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles CENTER INC 8825 WHITTIER BLVD None PICO RIVERA CA 906602600 34.001957 -118.085084 78.2ww 5006
1942225719 1942225719 1 1 SHASTA COMMUNITY HEALTH 25Sep2008 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 45 Shasta ANDERSON FAMILY HLTH CTR 2965 EAST STREET None ANDERSON CA 960074239 40.451054 -122.297978 186 121.01
1952327256 1952327256 1 12 SUTTER VALLEY MEDICAL FOUNDA 01Oct1995 037 SPEECH THERAPISTS None None UNKNOWN 0 In state provider 57 Yolo None 2020 SUTTER PL None DAVIS CA 956166201 38.561866 -121.772559 244 105.05
1952327256 1952327256 1 31 SUTTER VALLEY MEDICAL FOUNDA 28Feb1988 037 SPEECH THERAPISTS None None UNKNOWN 0 In state provider 34 Sacramento None 1201 ALHAMBRA BLVD STE 300 & 230 SACRAMENTO CA 958165238 38.570563 -121.466171 139i 14
1952327256 1952327256 1 58 SUTTER VALLEY MEDICAL FOUNDA 03Sep2010 037 SPEECH THERAPISTS None None UNKNOWN 0 In state provider 34 Sacramento None 2725 CAPITOL AVE None SACRAMENTO CA 958166004 38.570794 -121.471663 139i 14
1952327256 1952327256 1 69 SUTTER VALLEY MEDICAL FOUNDA 01Mar2012 037 SPEECH THERAPISTS None None UNKNOWN 0 In state provider 03 Amador None 100 MISSION BLVD STE 2600 JACKSON CA 956422536 38.346345 -120.772338 4 5
1952351686 1952351686 1 1 SAN MARCOS MED GRP INC 01May2000 022 PHYSICIANS GROUP FNP026904 None UNKNOWN 0 In state provider 33 Riverside METROPOLITAN FAMILY MED 4990 ARLINGTON AVE STE D RIVERSIDE CA 925042757 33.946074 -117.411872 135c 314.02
1952451031 1952451031 1 1 ST ANTHONY MEDICAL CTR 06Jun2001 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles PICO CLINIC 2515 W PICO BLVD None LOS ANGELES CA 900064003 34.047263 -118.292240 78.2b 2133.20
1952476525 1952476525 1 1 SAN JOAQUIN GENERAL HOSP 01Jul2005 061 COUNTY HOSPITAL OUTPATIENT None None UNKNOWN 0 In state provider 39 San Joaquin None 500 W HOSPITAL RD None FRENCH CAMP CA 952310000 37.886456 -121.281847 169b 38.03
1952749541 1952749541 1 1 SANTA CRUZ COMMUNITY HEALTH 09Jun2014 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 44 Santa Cruz CENTERS 1510 CAPITOLA RD None SANTA CRUZ CA 950622912 36.976321 -121.984677 185.1 1214.01
1962538173 1962538173 1 1 SWEENY, ALFREDO MD INC 01Mar2000 022 PHYSICIANS GROUP FNP006922 None UNKNOWN 0 In state provider 19 Los Angeles SUNSET FAMILY MED CLINIC 4719 S BROADWAY None LOS ANGELES CA 900373244 34.000697 -118.278335 78.2ggg 2319
1962613349 1962613349 1 1 SOUTHWEST COMM HLTH CTR 21Jul2006 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 49 Sonoma None 3569 ROUND BARN CIRCLE None SANTA ROSA CA 954035781 38.478892 -122.728979 210.1 1524
1992779417 1992779417 1 1 SANTA YNEZ TRIBAL HEALTH 16Jul2002 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 42 Santa Barbara CLINIC 90 VIA JUANA RD None SANTA YNEZ CA 934609679 34.606060 -120.093733 178.1 19.06