Table: family_pact_providers_profile_cy_2021_2022 , provider_business_legal_name like W*

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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
1033272521 1033272521 1 1 WOMENS TOTAL CARE MEDICAL 01Jun2000 026 PHYSICIANS A00044407 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 42 Santa Barbara CLINIC INC 314 W JUNIPERO ST None SANTA BARBARA CA 931054305 34.431341 -119.723353 181b 3.02
1063496396 1063496396 2 1 WESTERN SIERRA MEDICAL 02Jun2010 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 29 Nevada CLINIC INC 844 OLD TUNNEL ROAD None GRASS VALLEY CA 959458524 39.242138 -121.031009 113 8.02
1083003321 1083003321 1 1 WHITE MEMORIAL COMMUNITY 01Apr2018 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles HEALTH CENTER 1828 E CESAR E CHAVEZ AV SUITE 5000 LOS ANGELES CA 900332496 34.050489 -118.216032 78.2ffff 2035
1356344758 1356344758 1 1 WEST COUNTY HEALTH CENTERS 03Feb2006 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 49 Sonoma None 16387 FIRST STREET None GUERNEVILLE CA 954460000 38.501940 -122.997131 207 1537.04
1407033301 1407033301 1 1 WESTSIDE NEIGHBORHOOD 17Jul2005 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 42 Santa Barbara CLINIC 628 W MICHELTORENA ST None SANTA BARBARA CA 931014131 34.419291 -119.715644 181a 11.01
1437375953 1437375953 1 1 WALK-IN MEDICAL CARE 19Apr2007 022 PHYSICIANS GROUP FNP017979 None UNKNOWN 0 In state provider 19 Los Angeles None 18326 PIONEER BLVD None ARTESIA CA 907015533 33.865287 -118.082211 78.2rrr 5549
1447332036 1447332036 1 1 WELLSPACE HEALTH 09Feb2010 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 34 Sacramento None 8233 E STOCKTON BLVD SUITE D SACRAMENTO CA 958288203 38.458962 -121.409001 139h 93.20
1447332036 1447332036 1 14 WELLSPACE HEALTH 25May2021 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 34 Sacramento INTERMITTENT 7601 HOSPITAL DR SUITE 220 SACRAMENTO CA 958235408 38.464241 -121.415612 139h 96.06
1447332036 1447332036 1 15 WELLSPACE HEALTH 29Jun2021 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 34 Sacramento INTERMITTENT 3946 NORWOOD AVE None SACRAMENTO CA 958383300 38.639436 -121.456910 139j 67.02
1457472177 1457472177 1 1 WEST OAKLAND HEALTH CTR 09Jun1997 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 01 Alameda None 700 ADELINE ST None OAKLAND CA 946072608 37.803961 -122.288171 2c 4025
1467696203 1467696203 1 1 WESTSIDE MEDICAL GROUP 21Jul2009 058 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 10 Fresno None 1107 O STREET None FIREBAUGH CA 936222224 36.858817 -120.456357 25 84.01
1477649119 1477649119 1 1 WATTS HEALTHCARE 18Aug2003 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles CORPORATION 10300 COMPTON AVE None LOS ANGELES CA 900023628 33.943243 -118.246239 78.2fff 2427
1548789050 1548789050 1 1 WELLSPACE HEALTH 25May2021 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 34 Sacramento None 2433 MARCONI AVE None SACRAMENTO CA 958214807 38.618042 -121.405255 139j 62.01
1588843155 1588843155 1 1 WE CARE MORE FAMILY 15Aug2005 010 GROUP CERTIFIED NURSE PRACTITIONER RN426211 None UNKNOWN 0 In state provider 19 Los Angeles None 3737 MARTIN LUTHER KING # 605B LYNWOOD CA 902623513 33.928529 -118.200486 78.2sss 5402.03
1598768962 1598768962 1 1 WEST COUNTY HEALTH CTRS 01May2000 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 49 Sonoma OCCIDENTAL AREA HEALTH 3802 MAIN ST None OCCIDENTAL CA 954650100 38.408661 -122.947471 210.2 1543.02
1730165564 1730165564 1 1 WOODGLEN OB-GYN MED GRP 01Jan1996 022 PHYSICIANS GROUP None 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles NAJI BOUZ & N KASSAR MDS 315 E ROUTE 66 STE 201 GLENDORA CA 917406257 34.128817 -117.861010 78.2qq 4011.02
1730282286 1730282286 1 1 WALTER JAYASINGHE MD APC 31Dec1988 022 PHYSICIANS GROUP FNP024603 None UNKNOWN 0 In state provider 19 Los Angeles LOS ANGELES MEDICAL CTR 2010 WILSHIRE BLVD FL 2 LOS ANGELES CA 900573507 34.057437 -118.274815 78.2ffff 2089.03
1760479745 1760479745 1 1 W L BROWN MEDICAL CORP 05Sep1987 022 PHYSICIANS GROUP None 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 10 Fresno None 6225 N FRESNO ST SUITE 104 FRESNO CA 937105268 36.827016 -119.781423 35f 45.04
1811060262 1811060262 1 1 WHITE MEMORIAL GYN OB 01Jan1979 022 PHYSICIANS GROUP FNP004602 None UNKNOWN 0 In state provider 19 Los Angeles MEDICAL GROUP 1701 CESAR CHAVEZ AVENUE STE 200 225 LOS ANGELES CA 900336720 34.049148 -118.207603 78.2h 2036
1831287978 1831287978 1 1 WESTSIDE FAMILY HLTH CTR 20May2009 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles None 3861 SEPULVEDA BLVD None CULVER CITY CA 902304605 34.011807 -118.416327 78.2y 7028.01
1851513469 1851513469 1 1 WESTERN SIERRA MED CLIN 04May2000 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 46 Sierra None 209 NEVADA ST None DOWNIEVILLE CA 959360286 39.559105 -120.829588 191 100
1871553347 1871553347 1 1 WOMAN TO WOMAN OB & GYN 31Mar1986 022 PHYSICIANS GROUP P12304 None UNKNOWN 0 In state provider 36 San Bernardino MEDICAL GROUP 249 E HIGHLAND AVE None SAN BERNARDINO CA 924043700 34.135927 -117.280692 151g 54
1932194586 1932194586 1 1 WILMINGTON COMMUNITY CLN 01Aug2004 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles None 1009 N AVALON BLVD None WILMINGTON CA 907444505 33.783041 -118.262690 78.2p 2945.20
1962499616 1962499616 1 1 WANG, GEORGE H 01Jan2002 026 PHYSICIANS A00073256 None UNKNOWN 0 In state provider 19 Los Angeles OB/GYN MEDICAL CORP 2211 S ATLANTIC BLVD STE B MONTEREY PARK CA 917546833 34.038357 -118.145128 78.2nn 4827.01
1972863611 1972863611 1 1 WILMINGTON URGENT CARE AND 10Jan2013 026 PHYSICIANS A00097561 None UNKNOWN 0 In state provider 19 Los Angeles FAMILY CLINIC INC 714 N AVALON BLVD None WILMINGTON CA 907445809 33.778733 -118.262346 78.2p 2948.20
1992142277 1992142277 1 1 WEST SIDE HEALTH CARE 19Dec2017 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 15 Kern DISTRICT 100 E NORTH ST None TAFT CA 932683606 35.139727 -119.451950 57.2 35
1992736086 1992736086 1 1 WINTERS HEATHCARE FNDTN 01Mar2006 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 57 Yolo None 172 EAST GRANT AVE None WINTERS CA 956941780 38.526234 -121.967445 242 113
1992894539 1992894539 1 1 WRIGHT, BENNY L DO 03Apr2015 026 PHYSICIANS 20A13319 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 24 Merced None 502 WASHINGTON AVE None LOS BANOS CA 936353460 37.055966 -120.853095 94 23.01