Table family_pact_providers_profile_cy_2021

Table: family_pact_providers_profile_cy_2021_2022 , provider_business_legal_name like U*

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_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
1003373812	1003373812	1	1	UNICARE COMMUNITY HEALTH	08Apr2021	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	36	San Bernardino	AFFILIATED	17500 FOOTHILL BLVD	STE A2	FONTANA	CA	923353798	34.106740	-117.422739	151h	29.02
1043216021	1043216021	1	1	UNITED INDIAN HEALTH	29Oct2003	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	08	Del Norte	SERVICES INC	1675 NORTHCREST DR	None	CRESCENT CITY	CA	955318928	41.775751	-124.199769	19	1.04
1073582888	1073582888	1	1	UCLA OB/GYN MED GRP	01Jan1979	022	PHYSICIANS GROUP	ZZZ000000	None	UNKNOWN	In state provider	19	Los Angeles	None	200 MED PLAZA STE 430	None	LOS ANGELES	CA	900950001	34.055254	-118.481726	78.2aa	2640
1093023277	1093023277	1	1	UNIVERSAL COMMUNITY HEALTH	19Apr2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	19	Los Angeles	CENTER	1005 E WASHINGTON BLVD	STE A	LOS ANGELES	CA	900213020	34.025688	-118.252933	78.2mmm	2260.01
1174626618	1174626618	1	1	UCSD OB GYN MEDICAL GRP	01Jan1979	078	MARRIAGE AND FAMILY THERAPIST GROUP	None	None	UNKNOWN	In state provider	37	San Diego	None	200 W ARBOR DR	None	SAN DIEGO	CA	921039001	32.753784	-117.164978	161b	4
1174913776	1174913776	1	2	UNIVERSAL COMMUNITY HEALTH	31Aug2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	19	Los Angeles	None	2801 SOUTH SAN PEDRO ST	None	LOS ANGELES	CA	900112023	34.019812	-118.262438	78.2l	2267
1174984041	1174984041	1	1	UNICARE COMMUNITY HEALTH	09Apr2018	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	36	San Bernardino	CENTER, INC	16127 FOOTHILL BLVD	None	FONTANA	CA	923353374	34.106542	-117.453053	151h	28.03
1184606634	1184606634	1	1	UNITED HLTH CTRS-MENDOTA	09Aug2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	10	Fresno	None	121 BARBOZA ST	None	MENDOTA	CA	936401901	36.765512	-120.383672	25	83.01
1205393238	1205393238	1	1	UNICARE COMMUNITY HEALTH	22Oct2021	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	36	San Bernardino	CENTER INC	190 E HIGHLAND AVE	None	SAN BERNARDINO	CA	924043658	34.135947	-117.282719	151g	53
1215494257	1215494257	1	1	UNICARE COMMUNITY HEALTH	06Apr2021	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	36	San Bernardino	AFFILIATED	1151 E WALNUT ST	None	ONTARIO	CA	917616155	34.026707	-117.630793	151l	18.06
1255549879	1255549879	1	1	UNITED HEALTH CENTERS-	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	In state provider	10	Fresno	HURON	16928 11TH STREET	None	HURON	CA	932340000	36.205390	-120.102483	28	78.02
1265854061	1265854061	1	1	UNICARE COMMUNITY HEALTH	26Aug2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	36	San Bernardino	CENTER INC	570 S MT VERNON AVE	STE G	SAN BERNARDINO	CA	924102737	34.090692	-117.313886	151f	124
1295746949	1295746949	1	1	UNIQUE HEALTHCARE FOR WOMEN	01Jul2002	026	PHYSICIANS	A00072235	None	UNKNOWN	In state provider	37	San Diego	None	891 KUHN DRIVE	STE. 111	CHULA VISTA	CA	919502995	32.685292	-117.083375	161g	220
1295944015	1295944015	1	1	UNITED HLTH CTRS-MENDOTA	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	In state provider	10	Fresno	None	121 BARBOZA ST	None	MENDOTA	CA	936401901	36.765512	-120.383672	25	83.01
1336350438	1336350438	1	1	UNITED HEALTH CENTERS-	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	In state provider	10	Fresno	ORANGE COVE	445 11TH ST	None	ORANGE COVE	CA	936462211	36.627221	-119.319001	32	65.02
1356763155	1356763155	1	1	UNICARE COMMUNITY HEALTH	26Aug2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	19	Los Angeles	CENTER INC	1501 E HOLT AVENUE	STE A	POMONA	CA	917675823	34.063208	-117.720788	78.2ss	4027.02
1407821523	1407821523	1	1	UNIVERSITY OF CALIFORNIA	01Jan1979	022	PHYSICIANS GROUP	None	None	UNKNOWN	In state provider	38	San Francisco	None	1001 POTRERO AVE	RM 6D14	SAN FRANCISCO	CA	941103518	37.754506	-122.406453	162c	229.03
1417939968	1417939968	1	1	UNITED HEALTH CENTERS-	09Aug2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	54	Tulare	None	476 E WASHINGTON AVE	None	EARLIMART	CA	932190000	35.884294	-119.271473	231	44
1447604582	1447604582	1	1	UNICARE COMMUNITY HEALTH	03Apr2018	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	36	San Bernardino	CENTER INC	308 N LA CADENA DR	None	COLTON	CA	923242946	34.068080	-117.324092	151f	125
1457724924	1457724924	1	1	UNITED HEALTH CENTERS	03May2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	10	Fresno	OF THE SAN JOAQUIN VLY	2848 W ASHLAN AVE	None	FRESNO	CA	937051757	36.793770	-119.843614	35e	47.01
1477979722	1477979722	1	1	UNITED HEALTH CENTERS OF THE	10Dec2014	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	10	Fresno	SAN JOAQUIN VALLEY	429 E MANNING AVE	None	PARLIER	CA	936482666	36.605229	-119.574740	32	85.01
1497751572	1497751572	1	1	UNITED INDIAN HEALTH SERVICE	18Aug2003	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	12	Humboldt	None	1600 WEEOT WAY	None	ARCATA	CA	955214734	40.898260	-124.094173	39	11.01
1528478211	1528478211	1	1	UNITED HEALTH CENTERS OF THE	10Dec2014	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	10	Fresno	SAN JOAQUIN VALLEY	1790 E MANNING AVE	None	REEDLEY	CA	936549467	36.604089	-119.429087	32	63
1528478211	1528478211	1	2	UNITED HEALTH CENTERS OF THE	22Nov2021	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	10	Fresno	INTERMITTENT	2705 S HIGHLAND AVE	None	SELMA	CA	936623389	36.573725	-119.628778	30	71
1558632570	1558632570	1	1	UNITED HEALTH CENTERS OF THE	06Apr2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	16	Kings	SAN JOAQUIN VALLEY	1000 CHITTENDEN AVE	None	CORCORAN	CA	932132407	36.099724	-119.559692	68	14.02
1568663573	1568663573	1	1	URGENT CARE AMERICA	31Dec1995	022	PHYSICIANS GROUP	FNP001223	08	Family Practice	In state provider	19	Los Angeles	MEDICAL CLINIC INC	13470 TELEGRAPH RD	None	WHITTIER	CA	906053436	33.938916	-118.044588	78.2vv	5029.02
1629257191	1629257191	1	1	UY, EDUARDO S MD INC	04Nov2003	026	PHYSICIANS	A00053016	40	Pediatrics	In state provider	36	San Bernardino	None	9717 SIERRA AVE	None	FONTANA	CA	923356716	34.077276	-117.435606	151f	33.02
1629257191	1629257191	1	2	UY, EDUARDO S MD INC	02Jul2010	026	PHYSICIANS	A00053016	40	Pediatrics	In state provider	36	San Bernardino	None	595 W HIGHLAND AVE	None	SAN BERNARDINO	CA	924053811	34.135998	-117.296307	151g	53
1629599535	1629599535	1	1	UNITED HEALTH CENTERS OF THE	13Nov2018	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	10	Fresno	SAN JOAQUIN VALLEY	1570 7TH STREET	None	SANGER	CA	936579405	36.706003	-119.559559	31	60
1629621651	1629621651	1	1	UNITED HEALTH CENTERS OF THE	25Oct2021	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	10	Fresno	AFFILIATED	17008 13TH STREET	None	HURON	CA	932349997	36.208094	-120.101748	28	78.02
1659580926	1659580926	1	1	UNITED HEALTH CENTERS-	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	In state provider	54	Tulare	EARLIMART	476 E WASHINGTON AVE	None	EARLIMART	CA	932199716	35.884294	-119.271473	231	44
1679198279	1679198279	1	1	UNITED HEALTH CENTERS OF THE	29Oct2021	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	10	Fresno	SAN JOAQUIN VALLEY	1110 N BLACKSTONE AVE	None	FRESNO	CA	937011016	36.756895	-119.790553	35c	23
1710309513	1710309513	1	1	UNICARE COMMUNITY HEALTH	26Aug2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	36	San Bernardino	CENTER INC	437 N EUCLID AVE	None	ONTARIO	CA	917623456	34.067462	-117.651217	151c	14
1720171242	1720171242	1	1	UNIVERSITY MUSLIM MED	20Jan2006	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	19	Los Angeles	UMMA COMMUNITY CLINIC	711 W FLORENCE AVE	None	LOS ANGELES	CA	900446105	33.974649	-118.286057	78.2s	2376
1730421330	1730421330	1	1	UNIVERSITY MUSLIM MEDICAL	15Apr2014	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	19	Los Angeles	ASSOCIATION INC	7821 AVALON BLVD	None	LOS ANGELES	CA	900032358	33.968215	-118.265132	78.2fff	2395.02
1740335678	1740335678	1	1	UNITED AMERICAN INDIAN	22Mar2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	19	Los Angeles	INVOLVEMENT	1125 W 6TH ST	STE 103	LOS ANGELES	CA	900171896	34.054205	-118.262475	78.2ffff	2092
1760671077	1760671077	1	2	UNIVERSAL MEDICAL CLINIC, IN	06Nov2007	022	PHYSICIANS GROUP	FNP36837	None	UNKNOWN	In state provider	19	Los Angeles	RESEDA	18040 SHERMAN WAY	#310	RESEDA	CA	913354048	34.201065	-118.526213	78.2zz	1318
1811185259	1811185259	1	1	URBAN INDIAN HEALTH BOARD	10Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	38	San Francisco	None	160 CAPP ST	None	SAN FRANCISCO	CA	941101210	37.764144	-122.418535	162c	201
1821593971	1821593971	1	1	UNITED HEALTH CENTERS OF THE	24May2019	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	16	Kings	SAN JOAQUIN VALLEY	250 E HANFORD ARMONA RD	None	LEMOORE	CA	932452141	36.313463	-119.776828	69	4.03
1851325906	1851325906	1	1	UNIVERSITY OF CA IRVINE	01Jul1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	30	Orange	UCI FAMILY HEALTH CTR	800 N MAIN ST	None	SANTA ANA	CA	927013576	33.751182	-117.867611	116b	750.02
1851373401	1851373401	1	1	UNITED HLTH CTRS-KERMAN	09Aug2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	10	Fresno	None	517 S MADERA AVE	None	KERMAN	CA	936301523	36.727170	-120.060315	29	40.01
1861925679	1861925679	1	1	UNICARE COMMUNITY HEALTH	22Jan2020	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	19	Los Angeles	CENTER INC	2409 N BROADWAY	None	LOS ANGELES	CA	900312218	34.073633	-118.216214	78.2i	1990
1982079620	1982079620	1	1	UNITED HEALTH CENTERS OF THE	29Mar2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	10	Fresno	SAN JOAQUIN VALLEY	106 E MAIN ST	None	FOWLER	CA	936252433	36.628827	-119.678773	31	16
1982667663	1982667663	1	1	UC REGENTS	01Jan1992	031	PSYCHOLOGISTS	None	None	UNKNOWN	In state provider	19	Los Angeles	GRP PRACTICE	10833 LE CONTE AVE	12311 MDCC	LOS ANGELES	CA	900953075	34.068289	-118.444883	78.2w	2653.01