Table: family_pact_providers_profile_cy_2021_2022 , provider_business_legal_name like T*

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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
1023287679 1023287679 1 1 T H E CLINIC AT RUTH 01Feb2008 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles TEMPLE HEALTH CENTER 3834 S WESTERN AVE None LOS ANGELES CA 900621104 34.016711 -118.308893 78.2l 2313
1043427388 1043427388 1 1 TEHAMA COUNTY 03Mar1997 200 DEVELOPMENTAL SCREENING AND TRAUMA None 08 Family Practice 0 In state provider 52 Tehama None 1850 WALNUT ST None RED BLUFF CA 960803611 40.168405 -122.261328 221 4
1073676243 1073676243 1 1 TIBURCIO VASQUEZ HEALTH 15Nov2006 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 01 Alameda CENTER-HAYWARD 22331 MISSION BLVD None HAYWARD CA 945413911 37.674523 -122.086789 2h 4354
1083903124 1083903124 1 1 TORRANCE HEALTH ASSOCIATION 10Feb2014 022 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 19 Los Angeles INC 824 E CARSON ST SUITE 203 CARSON CA 907452262 33.831620 -118.260525 78.2v 5439.03
1104247329 1104247329 1 1 TORREBLANCA, JOSE MD INC 23Dec2015 022 PHYSICIANS GROUP None 01 General Practice 0 In state provider 19 Los Angeles None 7128 SEVILLE AVE None HUNTINGTON PARK CA 902554906 33.974651 -118.222487 78.2fff 5331.04
1134668304 1134668304 1 1 TENDER CARE COMMUNITY CLINIC 29Mar2019 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles INC 7862 FIRESTONE BLVD None DOWNEY CA 902414221 33.944234 -118.140787 78.2eee 5514.02
1144597477 1144597477 1 1 TIBURCIO VASQUEZ HEALTH 09Jan2013 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 01 Alameda CENTER INC 680 W TENNYSON RD None HAYWARD CA 945445236 37.631794 -122.068714 2n 4382.03
1194893248 1194893248 1 1 THE LOS ANGELES FREE CLINIC 28Apr1997 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles None 8405 BEVERLY BLVD None LOS ANGELES CA 900483401 34.076063 -118.373295 78.2f 1945
1205250263 1205250263 1 1 THE CHILDRENS CLINIC SERVING 03Mar2014 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles CHILDREN AND FAMILIES 2125 SANTA FE AVENUE None LONG BEACH CA 908103547 33.795733 -118.215523 78.2p 5728
1215103304 1215103304 1 1 TORRES, REBECCA MD AMC 14Nov2014 026 PHYSICIANS None 08 Family Practice 0 In state provider 33 Riverside None 1530 WEST 6TH STREET SUITE 109 CORONA CA 928822784 33.878466 -117.595001 135f 419.06
1215103304 1215103304 1 3 TORRES, REBECCA MD AMC 14Nov2014 022 PHYSICIANS GROUP None 01 General Practice 0 In state provider 36 San Bernardino None 1605 S RIVERSIDE AVE STE B RIALTO CA 923767707 34.072944 -117.370219 151f 36.12
1235271065 1235271065 1 1 THE LOS ANGELES FREE CLINIC 01Feb2000 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles HOLLYWOOD HEALTH CENTER 6043 HOLLYWOOD BLVD None HOLLYWOOD CA 900285411 34.101663 -118.321100 78.2a 1910
1265766166 1265766166 1 1 TAM, JONATHAN N MD INC 31Dec1990 026 PHYSICIANS G66009 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles None 105 N HILL STE 203 PASADENA CA 911061934 34.147846 -118.121359 78.2hhh 4623.02
1285930396 1285930396 1 4 TARZANA TREATMENT CENTERS, I 20Oct2020 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles None 320 EAST PALMDALE BLVD None PALMDALE CA 935504598 34.579825 -118.124442 77.1a 9104.03
1316983877 1316983877 1 1 TRAN, TIFFANY U MD INC 10Nov1998 026 PHYSICIANS G00079948 None UNKNOWN 0 In state provider 30 Orange None 27800 MEDICAL CENTER RD SUITE 144 MISSION VIEJO CA 926916447 33.560069 -117.665857 115.2a 320.22
1336173020 1336173020 1 1 TELEHEALTH & VISITING 08Nov2006 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 12 Humboldt SPECIALIST CENTER 2426 BUHNE ST None EUREKA CA 955013207 40.785957 -124.140326 39 6
1336281179 1336281179 1 1 THE LOS ANGELES FREE CLINIC 04Feb2011 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles HOLLYWOOD WILSHIRE HLTH 5205 MELROSE AVE None LOS ANGELES CA 900383144 34.083520 -118.313671 78.2g 1917.10
1427043389 1427043389 1 1 TARZANA TREATMENT CENTERS, I 01Dec2020 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles FAMILY MEDICAL CLINIC 8330 RESEDA BLVD None NORTHRIDGE CA 913244619 34.221313 -118.536063 78.2kk 1154.03
1487659116 1487659116 1 1 TORKAN, BRUCE MD INC 28Feb1986 022 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 19 Los Angeles CLINICA MEDICA FATIMA 820 S ALVARADO ST None LOS ANGELES CA 900574010 34.054569 -118.278020 78.2b 2094.02
1497805790 1497805790 1 1 TIBURCIO VASQUEZ HEALTH 01Mar1997 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 01 Alameda CENTER INC 1800 H STREET ROOM 80 UNION CITY CA 945873321 37.591610 -122.026468 2n 4403.08
1508278359 1508278359 1 1 THE ROADS FOUNDATION 11Jan2016 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles INC 121 S LONG BEACH BLVD None COMPTON CA 902213423 33.895597 -118.207927 78.2bbb 5424.01
1508865528 1508865528 1 4 TAHOE CARSON VALLEY 31Aug1991 078 MARRIAGE AND FAMILY THERAPIST GROUP None None UNKNOWN 0 In state provider 09 El Dorado MEDICAL GROUP INC 1090 3RD ST None SOUTH LAKE TAHOE CA 961503462 38.914832 -119.996623 24 304.02
1508865528 1508865528 1 5 TAHOE CARSON VALLEY 10Nov2005 078 MARRIAGE AND FAMILY THERAPIST GROUP None None UNKNOWN 0 In state provider 09 El Dorado MEDICAL GROUP INC 2170 SOUTH AVE None SOUTH LAKE TAHOE CA 961507026 38.912336 -119.998043 24 304.02
1538265780 1538265780 1 1 TAHOE FOREST HOSP DIST 01Dec1977 016 COMMUNITY INPATIENT HOSPITAL 290391053 None UNKNOWN 0 In state provider 29 Nevada None 10121 PINE AVE None TRUCKEE CA 961614835 39.324497 -120.201227 114 12.06
1548302144 1548302144 1 1 TORMED WOMENS MED GRP IN 01Jan1979 022 PHYSICIANS GROUP ZZZ49548 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles None 3400 LOMITA BLVD STE 602 TORRANCE CA 905054984 33.813241 -118.345161 78.2aaaa 6511.01
1548344625 1548344625 1 1 TAN, BENITA B MD INC 05Oct1994 026 PHYSICIANS A53599 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 01 Alameda None 19682 HESPERIAN BLVD SUITE 202 HAYWARD CA 945414752 37.668216 -122.119524 2n 4362
1619471802 1619471802 1 1 THE LOS ANGELES FREE CLINIC 23Mar2021 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles INTERMITTENT 137 N VIRGIL AVE None LOS ANGELES CA 900044811 34.073999 -118.286794 78.2e 2111.22
1679626428 1679626428 1 1 TOVAR, SONIA Y PROFESSIONAL 21Jan2011 010 GROUP CERTIFIED NURSE PRACTITIONER None None UNKNOWN 0 In state provider 19 Los Angeles CORPORATION NURSING 1019 E HOLT AVE None POMONA CA 917675720 34.062863 -117.730336 78.2ss 4027.02
1700097540 1700097540 1 1 THE NORTHEAST COMMUNITY CLNC 18Sep2008 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles None 200 E ANAHEIM STREET None WILMINGTON CA 907444516 33.780037 -118.261143 78.2p 2947.01
1720405491 1720405491 1 1 TIBURCIO VASQUEZ HEALTH 12Oct2015 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 01 Alameda CENTER INC 16110 E 14TH ST None SAN LEANDRO CA 945783002 37.697844 -122.117864 2h 4339
1760689715 1760689715 1 1 TOTALCARE WALK-IN CLINIC INC 09Oct2008 022 PHYSICIANS GROUP FNP036221 None UNKNOWN 0 In state provider 36 San Bernardino INC 13768 ROSWELL AVENUE SUITE 118 CHINO CA 917101402 34.003696 -117.721842 151a 4.01
1760689715 1760689715 1 2 TOTALCARE WALK-IN CLINIC INC 30May2018 022 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 33 Riverside None 13334 LIMONITE AVE. 130 EASTVALE CA 928807257 33.983053 -117.565635 135e 406.07
1760689715 1760689715 1 4 TOTALCARE WALK-IN CLINIC INC 24Aug2021 022 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 19 Los Angeles None 4784 PECK RD STE A EL MONTE CA 917321360 34.090716 -118.014570 78.2oo 4326.01
1770638033 1770638033 1 1 TAM, THOMAS MD 25Nov1975 026 PHYSICIANS A00024893 01 General Practice 0 In state provider 19 Los Angeles None 455 N GARFIELD AVE STE 101 MONTEREY PARK CA 917541201 34.066821 -118.122898 78.2nn 4817.13
1801831227 1801831227 1 1 TULARE COUNTY HLTH SVS 18Jun1998 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 54 Tulare FARMERSVILLE HLTH CARE 660 E VISALIA RD None FARMERSVILLE CA 932231641 36.297786 -119.201164 233 16.01
1801861190 1801861190 1 1 TRI CITY HOSPITAL 01Dec1977 016 COMMUNITY INPATIENT HOSPITAL 370890753 None UNKNOWN 0 In state provider 37 San Diego DISTRICT 4002 VISTA WAY None OCEANSIDE CA 920564506 33.183699 -117.292340 156d 185.18
1851389696 1851389696 1 1 TIBURCIO VASQUEZ HLTH CT 01Mar1997 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 01 Alameda None 33255 9TH ST None UNION CITY CA 945872137 37.603184 -122.026370 2n 4402
1861860306 1861860306 1 1 TIBURCIO VASQUEZ HEALTH 30Mar2016 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 01 Alameda CENTER INC 28300 HUNTWOOD AVE None HAYWARD CA 945445470 37.632037 -122.063468 2n 4382.04
1891028171 1891028171 1 1 THE NORTHEAST COMMUNITY 20Sep2012 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles CLINIC 4455 W 117 ST SUITE 300 HAWTHORNE CA 902502240 33.928245 -118.353821 78.2q 6021.03
1942424106 1942424106 1 1 TRI-CITY HEALTH CENTER 24Dec1999 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 01 Alameda LIBERTY 39500 LIBERTY ST None FREMONT CA 945382211 37.548418 -121.977297 2j 4419.27
1962685966 1962685966 1 1 TWEETY FAMILY CLINIC INC 22Jan2008 022 PHYSICIANS GROUP FNP034796 40 Pediatrics 0 In state provider 19 Los Angeles INC 3050 TWEETY BLVD None SOUTH GATE CA 902805742 33.945511 -118.217450 78.2ccc 5356.07
1972776540 1972776540 1 1 TRAN, ANH C MD MEDICAL CORP 30Mar2009 026 PHYSICIANS A00079019 None UNKNOWN 0 In state provider 30 Orange None 1714 N BUSH ST None SANTA ANA CA 927062812 33.760244 -117.866350 116b 750.04