Table: family_pact_providers_profile_cy_2021_2022 , provider_business_legal_name like V*

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
1033598412 1033598412 1 1 VALLEY HEALTH TEAM INC 09Nov2018 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 10 Fresno None 121 SIERRA STREET None KINGSBURG CA 936311732 36.517900 -119.567714 30 72.02
1043246317 1043246317 1 1 VUONG-DAC, MAN MD INC 01Jan1999 026 PHYSICIANS A00050243 08 Family Practice 0 In state provider 19 Los Angeles None 3649 FLORENCE AVE None BELL CA 902013352 33.971740 -118.201475 78.2ddd 5336.03
1073604716 1073604716 1 1 VALERY, HAROLD C MD INC 01Jan1989 026 PHYSICIANS A00035020 01 General Practice 0 In state provider 19 Los Angeles CARDINAL MEDICAL GROUP 920 PACIFIC AVE None LONG BEACH CA 908134228 33.778207 -118.193720 78.2jjj 5758.03
1083743652 1083743652 1 1 VENTURA COUNTY OB/GYN 01Jan1979 022 PHYSICIANS GROUP ZZZ82842Z 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 56 Ventura MED GRP INC 2795 LOMA VISTA RD None VENTURA CA 930031544 34.275251 -119.258623 241c 19
1144304817 1144304817 1 1 VALLEY OBSTETRICS AND 09Aug1993 022 PHYSICIANS GROUP FNP020942 None UNKNOWN 0 In state provider 36 San Bernardino None 400 N PEPPER AVE None COLTON CA 923241801 34.070885 -117.352841 151f 36.12
1154873230 1154873230 1 1 VALLEY WOMEN'S HEALTHCARE ME 29Dec2016 022 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 10 Fresno DICAL GROUP, INC 5293 N FIRST STREET None FRESNO CA 937107007 36.814021 -119.772367 35f 54.10
1154873230 1154873230 1 3 VALLEY WOMEN'S HEALTHCARE ME 29Dec2016 022 PHYSICIANS GROUP None 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 10 Fresno DICAL GROUP, INC 1187 E HERNDON AVE 106 FRESNO CA 937203166 36.837217 -119.767535 35f 54.06
1184883936 1184883936 1 1 VENICE FAMILY CLINIC 28Apr1997 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 19 Los Angeles BURKE HEALTH CENTER 2509 PICO BLVD None SANTA MONICA CA 904051828 34.022715 -118.463511 78.2kkkk 7018.01
1184885972 1184885972 1 1 VENICE FAMILY CLINIC 28Apr1997 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 19 Los Angeles None 604 ROSE AVE None VENICE CA 902912767 33.999203 -118.471926 78.2z 2732
1295822658 1295822658 1 1 VISTA COMM CLINIC 02Jan1997 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego None 1000 VALE TERRACE DR None VISTA CA 920845218 33.209018 -117.229179 156d 196.01
1386134815 1386134815 1 1 VENTURA COUNTY COMMUNITY 18Jul2018 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 56 Ventura COLLEGE DISTRICT 4667 TELEGRAPH ROAD None VENTURA CA 930033872 34.275755 -119.230559 241c 18
1437245412 1437245412 1 1 VISTA COMMUNITY CLINIC 14Feb2007 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego HORNE 517 N HORNE ST None OCEANSIDE CA 920542518 33.200852 -117.378031 156a 184
1457385163 1457385163 1 1 VISALIA HEALTH CARE CTR 01Mar1997 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 54 Tulare None 2611 N DINUBA BLVD None VISALIA CA 932919003 36.351142 -119.296956 233 10.04
1467612820 1467612820 1 1 VASQUEZ, JULIO N MD INC 31Oct1990 026 PHYSICIANS A00045461 01 General Practice 0 In state provider 19 Los Angeles A PROFESSIONAL CORP 8540 RESEDA BLVD SUITE 240 NORTHRIDGE CA 913246142 34.225603 -118.536075 78.2kk 1154.03
1497001226 1497001226 1 1 VIA CARE COMMUNITY HEALTH 13Jun2013 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles CENTER INC 507 S. ATLANTIC BLVD None LOS ANGELES CA 900223211 34.026948 -118.155282 78.2d 5303.01
1497203541 1497203541 1 1 VISTA COMMUNITY CLINIC 24Jul2017 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 30 Orange None 201 S HARBOR BLVD None LA HABRA CA 906315654 33.931040 -117.933045 116k 14.04
1497889810 1497889810 1 2 VAZQUEZ, LORENZO M MD 04Mar2010 026 PHYSICIANS None 08 Family Practice 0 In state provider 19 Los Angeles None 1840 N HACIENDA BLVD #10 LA PUENTE CA 917441143 34.051605 -117.942759 78.2yyy 4075.01
1538346523 1538346523 1 1 VESEK POLAK CHILDRENS 01Nov2006 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 19 Los Angeles CLINIC FAMILY HEALTH CTR 1057 PINE AVE None LONG BEACH CA 908133118 33.779744 -118.192385 78.2jjj 5758.03
1548201965 1548201965 1 1 VALLEY OB-GYN MEDICAL GROUP 03Apr2006 022 PHYSICIANS GROUP FNP033183 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 33 Riverside None 1600 E FLORIDA AVE STE 315 HEMET CA 925448639 33.747646 -116.955375 132 433.09
1558638601 1558638601 1 1 VALLEY HEALTH TEAM INC 20Mar2014 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 10 Fresno None 927 O STREET None FIREBAUGH CA 936222220 36.860624 -120.458268 25 84.01
1578081089 1578081089 1 1 VF ALLIANCE, A MEDICAL CORPO 01Mar2019 022 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 37 San Diego None 969 S. SANTA FE AVE A VISTA CA 920836910 33.192881 -117.231933 156d 196.02
1578529285 1578529285 1 1 VALLEY PRESBYTERIAN HOSP 01Dec1977 016 COMMUNITY INPATIENT HOSPITAL 190990812 None UNKNOWN 0 In state provider 19 Los Angeles None 15107 VANOWEN ST None VAN NUYS CA 914054597 34.193908 -118.461948 78.2cc 1278.05
1588171383 1588171383 1 1 VALLEY HEALTH TEAM, INC 19Mar2019 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 54 Tulare None 888 N ALTA AVE None DINUBA CA 936183001 36.551597 -119.395011 227.1 4.02
1588740989 1588740989 1 1 VALLEY COMMUNITY HEALTHCARE 30Jun2011 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles None 6801 COLDWATER CANYON AV None NORTH HOLLYWOOD CA 916055162 34.193956 -118.413799 78.2bb 1234.20
1598821027 1598821027 1 1 VALLEY HEALTH TEAM INC 01Mar1997 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 10 Fresno SAN JOAQUIN HEALTH CTR 21890 COLORADO AVE None SAN JOAQUIN CA 936600737 36.607706 -120.188838 26 82
1649363375 1649363375 1 1 VISTA COMM CLINIC-WEST 02Jan1997 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego None 818 PIER VIEW WAY None OCEANSIDE CA 920542803 33.198338 -117.377573 156a 184
1649662719 1649662719 1 1 VISTA COMMUNITY CLINIC 20Apr2016 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 33 Riverside None 30195 FRASER DRIVE None LAKE ELSINORE CA 925307006 33.684922 -117.367501 131a 430.05
1689760100 1689760100 1 1 VISTA COMMUNITY CLINIC 30Mar2005 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego None 4700 N RIVER RD None OCEANSIDE CA 920576043 33.245388 -117.308731 156a 185.07
1699818278 1699818278 1 1 VALLEY MISSION MEDICAL 01Aug1996 022 PHYSICIANS GROUP A00046449 01 General Practice 0 In state provider 19 Los Angeles A MEDICAL CORPORATION 6410 VAN NUYS BLVD STE B VAN NUYS CA 914011449 34.186908 -118.448715 78.2cc 1278.06
1750703237 1750703237 1 1 VALLEY HEALTH TEAM INC 02Jun2014 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 10 Fresno None 180 W SHAW AVENUE SUITE B CLOVIS CA 936123746 36.808413 -119.713397 35b 31.02
1750873113 1750873113 1 1 VENTURA COUNTY COMMUNITY 02Jul2018 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 56 Ventura COLLEGE DISTRICT 7075 CAMPUS ROAD None MOORPARK CA 930211605 34.299854 -118.831967 239 76.14
1770034530 1770034530 1 2 VIA CARE COMMUNITY HEALTH 07May2018 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles CENTER INC 607 S ATLANTIC BLVD None LOS ANGELES CA 900223211 34.024751 -118.155960 78.2d 5317.01
1790221703 1790221703 1 1 VALLEY HEALTHCARE CENTERS 17May2019 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 54 Tulare None 590 W PUTNAM AVE None PORTERVILLE CA 932573257 36.069610 -119.030364 231 38.01
1811158603 1811158603 1 1 VENICE FAMILY CLINIC 28Apr1997 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 19 Los Angeles None 905 VENICE BLVD None VENICE CA 902914904 33.993268 -118.454462 78.2z 2736
1811199672 1811199672 1 1 VISHWANATH, VASANTH M MD 06Aug2012 026 PHYSICIANS None 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 10 Fresno INC 7075 N MAPLE AVE STE 102 FRESNO CA 937208014 36.838177 -119.745113 35a 55.09
1851300123 1851300123 1 1 VISTA COMMUNITY CLINIC 02Jan1997 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego None 134 GRAPEVINE ROAD None VISTA CA 920834004 33.191412 -117.275088 156d 194.05
1891206264 1891206264 1 1 VENTURA COUNTY COMMUNITY 13Feb2018 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 56 Ventura COLLEGE DISTRICT 4000 S ROSE AVENUE None OXNARD CA 930336699 34.163740 -119.159358 241a 47.10
1932501996 1932501996 1 1 VALLEY COMMUNITY HEALTHCARE 27Jul2015 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles APCC 9119 HASKELL AVENUE None NORTH HILLS CA 913433114 34.235886 -118.476335 78.2kk 1172.02
1942343785 1942343785 1 1 VALLEY MISSION MEDICAL, A ME 01Apr1996 022 PHYSICIANS GROUP FNP022751 None UNKNOWN 0 In state provider 19 Los Angeles EDICAL CORPORATION 220 N MACLAY AVE STE 2 SAN FERNANDO CA 913402909 34.285150 -118.438738 78.2ll 3202.01
1952485641 1952485641 1 2 VALENZUELA MEDICAL GROUP I 01Jul2002 022 PHYSICIANS GROUP FNP26802 None UNKNOWN 0 In state provider 33 Riverside None 24226 SUNNYMEAD BLVD None MORENO VALLEY CA 925537739 33.939065 -117.239950 135b 425.15
1962567388 1962567388 1 1 VALLEY HEALTH TEAM, INC 19Feb1999 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 10 Fresno KERMAN HEALTH CENTER 449 S MADERA AVE None KERMAN CA 936301537 36.728602 -120.060296 29 40.01
1992183669 1992183669 1 2 VALLEY HEALTH TEAM INC 09Nov2018 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 10 Fresno None 4711 WEST ASHLAN AVENUE None FRESNO CA 937224307 36.793553 -119.877435 35e 38.09
1992754899 1992754899 1 1 VACHIRAKORNTONG, VIRUCH 01May1998 026 PHYSICIANS A00052656 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 36 San Bernardino MD INC 705 E VIRGINIA WAY STE L BARSTOW CA 923113978 34.888129 -117.017333 149 95
1992754899 1992754899 1 2 VACHIRAKORNTONG, VIRUCH 01Feb2001 026 PHYSICIANS A00052656 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 36 San Bernardino MD INC 15998 QUANTICO RD STE A APPLE VALLEY CA 923071302 34.541990 -117.270836 145.1b 121.01
1992964746 1992964746 1 1 VENICE FAMILY CLINIC 08Sep2006 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 19 Los Angeles COLEN FAMILY HEALTH CTR 4700 INGLEWOOD BLVD SUITE 102 CULVER CITY CA 902305896 33.993211 -118.415276 78.2z 2755