Table: family_pact_providers_profile_cy_2021_2022 , provider_business_legal_name like all*

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
1003134545	1003134545	1	1	ASIAN HEALTH SERVICES	23Feb2011	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	01	Alameda	None	250 E 18TH ST	2ND FLOOR	OAKLAND	CA	946061729	37.800015	-122.252625	2c	4053.01
1003173279	1003173279	1	1	CLINICA DE SALUD DEL VALLE	02Aug2018	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	44	Santa Cruz	DE SALINAS	29 BISHOP STREET	SUITE A	ROYAL OAKS	CA	950765266	36.901764	-121.749238	109.1	101.01
1003250093	1003250093	1	1	HURTT FAMILY HEALTH CLINIC	14Sep2018	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	30	Orange	INC	1100 B N. TUSTIN AVE	SUITES A, D, F	SANTA ANA	CA	927053509	33.751117	-117.836388	116h	754.03
1003373812	1003373812	1	1	UNICARE COMMUNITY HEALTH	08Apr2021	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	36	San Bernardino	AFFILIATED	17500 FOOTHILL BLVD	STE A2	FONTANA	CA	923353798	34.106740	-117.422739	151h	29.02
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
1003824020	1003824020	1	1	BAYLON, PAUL M MD	01Jan1989	026	PHYSICIANS	G00048547	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	3118-3120 E FLORENCE AVE	None	HUNTINGTON PARK	CA	902555830	33.972891	-118.212379	78.2ccc	5332.03
1003830258	1003830258	1	1	NIETO, SANDRA MD	23Nov2010	026	PHYSICIANS	A00084185	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	433 N 4TH ST	STE 211	MONTEBELLO	CA	906404309	34.015139	-118.102132	78.2ww	5301.01
1003856402	1003856402	1	1	MOAS, OVADIA MD INC	01Jan1982	026	PHYSICIANS	A00035730	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	9815 LAS TUNAS DR	None	TEMPLE CITY	CA	917802209	34.107336	-118.056401	78.2dddd	4319
1003860446	1003860446	1	1	PLANNED PRNTHD MAR MONTE	01Jul1997	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	20	Madera	None	500 E ALMOND AVE	STE 3	MADERA	CA	936375600	36.945525	-120.052456	80	5.02
1003863622	1003863622	1	3	PEACH TREE HEALTHCARE	24Nov2021	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	58	Yuba	AFFILIATE	5730 PACKARD AVE	SUITE 500	MARYSVILLE	CA	959017119	39.119080	-121.565613	249	403.02
1003867565	1003867565	1	1	BARTON HEALTHCARE SYSTEM	01Dec1977	017	LONG TERM CARE FACILITY	None	None	UNKNOWN	0	In state provider	09	El Dorado	None	2170 SOUTH AVE	None	S LAKE TAHOE	CA	961507026	38.912336	-119.998043	24	304.02
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
1003885518	1003885518	1	1	PLANNED PARENTHOOD	14Sep2000	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	36	San Bernardino	ORANGE & SAN BERN CO	1873 COMMERCENTER W	None	SAN BERNARDINO	CA	924083303	34.067916	-117.286162	151f	124
1003902610	1003902610	1	1	BRISTOL-MCFADDEN MED GRP	01Aug1982	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	30	Orange	INC	1212 S BRISTOL ST	STE 16	SANTA ANA	CA	927043439	33.732396	-117.885194	116g	747.02
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
1003920943	1003920943	1	1	RIVERSIDE NEIGHBORHOOD	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	33	Riverside	HEALTH CENTER	7140 INDIANA AVE	None	RIVERSIDE	CA	925044544	33.938979	-117.397706	135c	313
1003955519	1003955519	1	1	GARCIA-NIQUE, LUIS O MD	31Aug1988	026	PHYSICIANS	A00033647	None	UNKNOWN	0	In state provider	30	Orange	None	3010 W ORANGE AVE	STE 202	ANAHEIM	CA	928043171	33.824750	-117.993763	116c	869.02
1003961251	1003961251	1	1	CHILDRENS HOSPITAL MEDICAL	01Dec1977	035	RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER	None	None	UNKNOWN	0	In state provider	01	Alameda	None	747 52ND STREET	None	OAKLAND	CA	946091809	37.837208	-122.268341	2c	4010
1003974064	1003974064	1	1	PLANNED PARENTHOOD	01Dec1977	041	COMMUNITY CLINIC	ZZR11657	None	UNKNOWN	0	In state provider	07	Contra Costa	SHASTA DIABLO INC	1357 OAKLAND CT	None	WALNUT CREEK	CA	945964337	37.897711	-122.070358	18j	3390.02
1003995317	1003995317	1	1	CONTRA COSTA CO HLTH	22Jul2002	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	07	Contra Costa	PITTSBURG HEALTH CO HLTH	2311 LOVERIDGE RD	None	PITTSBURG	CA	945655117	38.008133	-121.870803	18d	3131.02
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
1013058106	1013058106	1	1	CLINICA DE SALUD DEL	07May1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	27	Monterey	VALLE DE SALINAS	10561 MERRITT ST	None	CASTROVILLE	CA	950123310	36.766872	-121.759584	108	104
1013085778	1013085778	1	1	LA CLINICA DE LA RAZA	10Jan2007	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	01	Alameda	TECHNICLINIC	4351 BROADWAY	None	OAKLAND	CA	946114612	37.831449	-122.254346	2b	4012
1013088582	1013088582	1	1	MOUNTAIN VALLEYS HEALTH	24Sep2001	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	47	Siskiyou	PO BOX 170	610 W THIRD ST	None	DORRIS	CA	960230000	41.964223	-121.918911	200	2
1013088582	1013088582	1	3	MOUNTAIN VALLEYS HEALTH	07Jun2019	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	47	Siskiyou	INTERMITTENT	101 OLD MCCLOUD ROAD	None	MT SHASTA	CA	960672796	41.305179	-122.311032	197	10
1013088582	1013088582	1	4	MOUNTAIN VALLEYS HEALTH	02Aug2018	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	47	Siskiyou	INTERMITTENT	50 ALAMO AVENUE	None	WEED	CA	960942352	41.427041	-122.385043	197	9
1013156520	1013156520	1	1	HULL, JANICE L MD INC	01Nov2002	026	PHYSICIANS	A00080999	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	8475 S VAN NESS AVE	SUITE 101	INGLEWOOD	CA	903051566	33.960868	-118.317759	None	None
1013199264	1013199264	1	1	NORTHEAST VALLEY HEALTH CORP	11Mar2009	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	SUN VALLEY HEALTH CENTER	7223 FAIR AVE	None	SUN VALLEY	CA	913524964	34.201895	-118.374679	78.2bb	1230.10
1013199264	1013199264	1	4	NORTHEAST VALLEY HEALTH CORP	02Jul2021	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	INTERMITTENT	11051 N O'MELVENY AVE	None	SAN FERNANDO	CA	913404426	34.271102	-118.440638	78.2ll	1095
1013311448	1013311448	1	1	KOREAN HEALTH EDUCATION	05May2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	INFORMATION & RESEARCH	3255 WILSHIRE BLVD	STE 120	LOS ANGELES	CA	900101405	34.061805	-118.292895	78.2e	2121.01
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
1013932979	1013932979	1	1	FLORENCE MEDICAL CTR INC	20Oct1998	022	PHYSICIANS GROUP	FNP025933	None	UNKNOWN	0	In state provider	19	Los Angeles	None	1557 E FLORENCE AVE	None	LOS ANGELES	CA	900012597	33.974759	-118.246322	78.2fff	5350.02
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
1023011632	1023011632	1	1	ALTURA CENTERS FOR HEALTH	28Jul2005	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	54	Tulare	None	1101 N CHERRY ST	None	TULARE	CA	932742231	36.224116	-119.337111	230	23.03
1023062593	1023062593	1	1	PLANNED PARENTHOOD MAR	01Jul1997	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	10	Fresno	MONTE INC	6095 N FIRST ST	None	FRESNO	CA	937105444	36.824945	-119.772339	35f	54.05
1023116811	1023116811	1	1	LONG BEACH DEPT OF HLTH	02Jan1976	041	COMMUNITY CLINIC	ZZT11624	None	UNKNOWN	0	In state provider	19	Los Angeles	AND HUMAN SERVICES	2525 GRAND AVE	None	LONG BEACH	CA	908151765	33.802261	-118.148042	78.2lll	5742.02
1023122967	1023122967	1	1	INDIO FAMILY CARE CENTER	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	33	Riverside	None	47923 OASIS ST	None	INDIO	CA	922016950	33.700857	-116.220937	128	455.01
1023159811	1023159811	1	1	CLINICA DE SALUD DEL	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	27	Monterey	VALLE DE SALINAS	950 CIRCLE DR	None	SALINAS	CA	939052150	36.679672	-121.627166	109.2	5.02
1023167541	1023167541	1	1	KERN COUNTY DEPARTMENT	20Jun1993	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	15	Kern	PUBLIC HEALTH	1800 MOUNT VERNON AVE	None	BAKERSFIELD	CA	933063302	35.383041	-118.967549	66b	12.01
1023179546	1023179546	1	1	RODRIGUEZ, MARIA E MD	31May1991	026	PHYSICIANS	A00043620	None	UNKNOWN	0	In state provider	19	Los Angeles	INC	2417 WHITTIER BLVD	None	LOS ANGELES	CA	900231355	34.034261	-118.215405	78.2h	2047
1023188687	1023188687	1	1	CLINICAS DE SALUD DEL	01Oct1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	33	Riverside	PUEBLO INC	91275 66TH AVE	STE 500	MECCA	CA	922540000	33.569318	-116.073780	128	456.04
1023234465	1023234465	1	1	CLINICAS DEL CAMINO REAL	01Nov2000	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	None	500 E MAIN ST	None	SANTA PAULA	CA	930602607	34.351145	-119.068914	237	6
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
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
1023308145	1023308145	1	1	ROGERS, NICHOLAS A MD INC	18Apr2011	026	PHYSICIANS	A00112189	None	UNKNOWN	0	In state provider	19	Los Angeles	None	1245 WILSHIRE BLVD	STE 916	LOS ANGELES	CA	900174809	34.053349	-118.265665	78.2ffff	2091.02
1023349883	1023349883	1	1	BORREGO COMM HLTH FOUNDATION	10Dec2014	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	None	1121 E WASHINGTON AVE	None	ESCONDIDO	CA	920252214	33.132290	-117.069344	156e	202.02
1023380425	1023380425	1	1	GEORGE DELSHAD MD A PROFESSI	07May2012	026	PHYSICIANS	G00083566	None	UNKNOWN	0	In state provider	19	Los Angeles	IC	15211 VANOWEN STREET	SUITE 310	VAN NUYS	CA	914053615	34.193910	-118.464223	78.2cc	1278.05
1023445780	1023445780	1	1	LA CLINICA DE LA RAZA INC	05Feb2014	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	01	Alameda	None	1700 28TH AVE	None	OAKLAND	CA	946012455	37.782358	-122.227524	2d	4062.02
1023518768	1023518768	1	1	NEIGHBORHOOD HEALTHCARE	16Feb2022	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	None	13010 POWAY RD	None	POWAY	CA	920640000	32.956600	-117.048686	161q	170.41
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
1033144027	1033144027	1	1	PLANNED PARENTHOOD	02Oct2002	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	33	Riverside	OF THE PACIFIC SOUTHWEST	12900 FREDERICK ST	STE C	MORENO VALLEY	CA	925535266	33.933100	-117.261386	135b	425.13
1033235973	1033235973	1	1	HAZEL HAWKINS MEMORIAL	04Jan2010	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	35	San Benito	HEALTH CLINIC	930 SUNSET DR	BUILDING 3	HOLLISTER	CA	950235620	36.835100	-121.385743	140	6
1033240650	1033240650	1	1	GALDAMEZ, LUIS A MD INC	29Sep2004	022	PHYSICIANS GROUP	FNP020761	08	Family Practice	0	In state provider	19	Los Angeles	CLINICA MEDICA VIRGEN DE	6831 SEVILLE AVE	None	HUNTINGTON PARK	CA	902554805	33.977480	-118.222551	78.2fff	5331.04
1033267216	1033267216	1	1	ADVANCED FAMILY CARE	02Feb2015	022	PHYSICIANS GROUP	CLA322416	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	MEDICAL GROUP	1201 E FLORENCE AVE	None	LOS ANGELES	CA	900012432	33.974765	-118.254103	78.2fff	5350.01
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
1033322771	1033322771	1	1	GOLDEN VALLEY HEALTH CTR	18Nov2005	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	50	Stanislaus	None	1121 HAMMOND ST	None	MODESTO	CA	953513509	37.615276	-121.018607	215c	16.04
1033418785	1033418785	1	1	RIOS, DR JAVIER A MEDICAL	16Jul2011	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	33	Riverside	CORPORATION	141 NORTH MAIN STREET	None	LAKE ELSINORE	CA	925304118	33.668746	-117.327369	131a	430.01
1033426002	1033426002	1	1	OMNI FAMILY HEALTH	21Dec2010	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	15	Kern	None	1014 CALLOWAY DRIVE	BLDG F	BAKERSFIELD	CA	933126337	35.392827	-119.122089	66d	38.07
1033488416	1033488416	1	1	CENTRAL CITY COMMUNITY	15Jun2013	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	33	Riverside	HEALTH CENTER INC	1860 HAMNER AVE	None	NORCO	CA	928602945	33.909013	-117.561194	135e	408.13
1033534466	1033534466	1	1	COPPERTOWER FAMILY MEDICAL	01Apr2014	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	49	Sonoma	CENTER	6 TARMAN DR	None	CLOVERDALE	CA	954253932	38.798264	-123.017593	206	1542.01
1033593108	1033593108	1	1	CLINICAS DE SALUD DEL PUEBLO	06Nov2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	33	Riverside	INC	1023 E FLORIDA AVE	None	HEMET	CA	925434510	33.747587	-116.961681	132	434.01
1033596911	1033596911	1	1	COUNTY OF MONTEREY	28Nov2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	27	Monterey	None	1441 CONSTITUTION BLVD	BLDG 400 SUITE 301	SALINAS	CA	939063100	36.696823	-121.629620	109.2	106.08
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
1043216021	1043216021	1	1	UNITED INDIAN HEALTH	29Oct2003	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	08	Del Norte	SERVICES INC	1675 NORTHCREST DR	None	CRESCENT CITY	CA	955318928	41.775751	-124.199769	19	1.04
1043217359	1043217359	1	1	DANG, ALAN MD	04Jun2012	026	PHYSICIANS	A82876	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	30	Orange	None	2621 S BRISTOL ST	STE 300	SANTA ANA	CA	927045766	33.712311	-117.885379	116g	740.05
1043241821	1043241821	1	1	RUIZ, RUBEN MD AMC	31Jan1992	022	PHYSICIANS GROUP	FNP020842	None	UNKNOWN	0	In state provider	36	San Bernardino	FAMILIAR	403 W F ST	None	ONTARIO	CA	917623207	34.069429	-117.654823	151c	14
1043242142	1043242142	1	1	CALIFORNIA MEDICAL CLINC INC	05Oct2004	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	36	San Bernardino	None	402 E HOLT BLVD	None	ONTARIO	CA	917611618	34.063397	-117.647211	151c	14
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
1043263189	1043263189	1	1	PLANNED PARENTHOOD ASSC	01May1974	054	EXPANDED ACCESS TO PRIMARY CARE	None	None	UNKNOWN	0	In state provider	43	Santa Clara	None	1691 THE ALAMEDA	None	SAN JOSE	CA	951262203	37.336894	-121.918580	183j	5006
1043272172	1043272172	1	1	KAWEAH DELTA HEALTH CARE	08Aug1998	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	54	Tulare	DISTRICT	1014 SAN JUAN AVE	None	EXETER	CA	932211312	36.298896	-119.132496	228.2	15.01
1043304009	1043304009	1	1	JWCH INSTITUE INC	06Sep2005	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	14371 CLARK AVE	None	BELLFLOWER	CA	907062901	33.903214	-118.134060	78.2m	5540.01
1043304769	1043304769	1	1	FAMILY PLANNING ASSOC	01Nov1980	022	PHYSICIANS GROUP	FNP034901	None	UNKNOWN	0	In state provider	19	Los Angeles	MEDICAL GROUP INC	2777 LONG BEACH BLVD	STE 200	LONG BEACH	CA	908061513	33.807712	-118.189457	78.2lll	5722.02
1043305485	1043305485	1	1	FAMILY PLANNING ASSOCIATES M	01Jan1983	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	36	San Bernardino	EDICAL GROUP INC	1060 N. 13TH AVE	None	UPLAND	CA	917863402	34.108155	-117.633540	151d	8.08
1043348543	1043348543	1	1	PLUMAS HOSPITAL DISTRICT	19Apr1999	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	32	Plumas	None	1065 BUCKS LAKE ROAD	None	QUINCY	CA	959719507	39.939316	-120.962712	123.1	1
1043351133	1043351133	1	1	CLINICAS DE SALUD DEL	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	27	Monterey	VALLE DE SALINAS-GRNFLD	808 OAK AVE	None	GREENFIELD	CA	939275648	36.321352	-121.242563	107	112.03
1043354111	1043354111	1	1	REDLANDS COMMUNITY HOSP	01Dec1977	016	COMMUNITY INPATIENT HOSPITAL	360691308	None	UNKNOWN	0	In state provider	36	San Bernardino	None	350 TERRACINA BLVD	None	REDLANDS	CA	923734897	34.037065	-117.204335	151j	83.01
1043380330	1043380330	1	1	COUNTY OF SAN BERNARDINO	01Dec1977	061	COUNTY HOSPITAL OUTPATIENT	360601320	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
1043395064	1043395064	1	1	RANDHAWA MEDICAL GROUP	01Jun2009	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	01	General Practice	0	In state provider	50	Stanislaus	INC	1349 MAIN ST	None	NEWMAN	CA	953601326	37.315275	-121.022641	213	35
1043423205	1043423205	1	1	GOLDEN VALLEY HEALTH CTR	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	50	Stanislaus	GUSTINE-NEWMAN	637 MERCED ST	None	NEWMAN	CA	953609603	37.314626	-121.016781	213	35
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
1043462443	1043462443	1	1	CLINICA FAMILIAR SAN LUCAS	18Nov2008	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	11050 S ATLANTIC AVE	None	LYNWOOD	CA	902623068	33.929036	-118.184196	78.2ooo	5400
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
1043593304	1043593304	1	1	MISSION CITY COMMUNITY	15Dec2020	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	NETWORK INC	15210 PARTHENIA STREET	None	NORTH HILLS	CA	913435305	34.228183	-118.463571	78.2kk	1175.30
1043664766	1043664766	1	1	FAMILY HEALTHCARE NETWORK	02Jul2019	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	54	Tulare	None	1008 N CHERRY STREET	None	TULARE	CA	932742212	36.223372	-119.337472	230	23.03
1053310326	1053310326	1	1	BARTON HEALTHCARE SYSTEM	02Mar2004	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	09	El Dorado	None	2201 SOUTH AVE	None	SOUTH LAKE TAHOE	CA	961507025	38.912339	-119.996603	24	304.02
1053324715	1053324715	1	1	LOS ANGELES COUNTY	28Apr1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	19	Los Angeles	HUDSON FAMILY PLANNING	2829 S GRAND AVE	None	LOS ANGELES	CA	900073304	34.024316	-118.273658	78.2l	2246
1053364034	1053364034	1	1	PLANNED PARENTHOOD	01Jan1995	041	COMMUNITY CLINIC	270791860	None	UNKNOWN	0	In state provider	27	Monterey	None	316 N MAIN ST	None	SALINAS	CA	939012855	36.682402	-121.653513	109.2	18.02
1053364109	1053364109	1	1	PLANNED PARENTHOOD	24Nov1982	041	COMMUNITY CLINIC	430791861	None	UNKNOWN	0	In state provider	43	Santa Clara	MAR MONTE INC	760 RENZ LANE	None	GILROY	CA	950209584	37.006408	-121.557346	182	5126.02
1053386565	1053386565	1	1	BETRE, ABRAHAM DO	02Jun2008	026	PHYSICIANS	20A10290	09	Gynecology (D.O. only)	0	In state provider	54	Tulare	None	925 MERRITT AVE	None	TULARE	CA	932742247	36.222009	-119.334354	230	23.03
1053437509	1053437509	1	1	EAST VALLEY COMMUNITY	01May1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	19	Los Angeles	HEALTH CENTER	420 S GLENDORA AVE	None	WEST COVINA	CA	917903001	34.067130	-117.925730	78.2www	4067.02
1053452136	1053452136	1	1	CLINICA DE SALUD DE	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	27	Monterey	SOLEDAD	799 FRONT ST	None	SOLEDAD	CA	939603017	36.424937	-121.326171	107	111.02
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
1053526756	1053526756	1	1	LA MAESTRA FAMILY CLINIC INC	02Oct2006	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	37	San Diego	NATIONAL CITY	217 HIGHLAND AVE	None	NATIONAL CITY	CA	919501518	32.683182	-117.100690	161k	118.01
1053655704	1053655704	1	1	NORTH EAST MEDICAL SERVICES	25Jun2013	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	38	San Francisco	None	1400 NORIEGA ST	None	SAN FRANCISCO	CA	941224432	37.754135	-122.478652	162e	328.02
1053691337	1053691337	1	1	BE, VIET A MD INC	01Sep2000	026	PHYSICIANS	G00048753	None	UNKNOWN	0	In state provider	30	Orange	None	11160 WARNER AVENUE	SUITE 301	FOUNTAIN VALLEY	CA	927084055	33.716327	-117.934948	116j	992.26
1053725317	1053725317	1	1	AKHAVAN, PARVIZ DO A MEDICAL	23Dec2013	026	PHYSICIANS	20A7522	01	General Practice	0	In state provider	19	Los Angeles	CORP	5113 S VERMONT AVE	None	LOS ANGELES	CA	900373515	33.996409	-118.291513	78.2l	2323
1053875484	1053875484	1	1	FAMILY HEALTHCARE NETWORK	22May2020	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	54	Tulare	None	65 N HOCKETT ST	None	PORTERVILLE	CA	932573619	36.066565	-119.017056	231	38.02
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
1063426898	1063426898	1	1	LOS ANGELES COUNTY	28Apr1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	19	Los Angeles	LONG BEACH FAM PLANNING	1333 CHESTNUT AVE	None	LONG BEACH	CA	908132944	33.783223	-118.196371	78.2jjj	5754.01
1063447050	1063447050	1	1	PLANNED PARENTHOOD -	01Dec1977	041	COMMUNITY CLINIC	370891451	None	UNKNOWN	0	In state provider	37	San Diego	OF THE PACIFIC SOUTHWEST	347 W MISSION AVE	None	ESCONDIDO	CA	920251729	33.128992	-117.089754	156e	202.14
1063481562	1063481562	1	1	PLANNED PARENTHOOD/	01Dec1977	041	COMMUNITY CLINIC	ZZT11586	None	UNKNOWN	0	In state provider	30	Orange	ORANGE & SAN BERNARDINO	1421 E 17TH ST	None	SANTA ANA	CA	927058505	33.759921	-117.848692	116h	754.03
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
1063496651	1063496651	1	31	PACIFIC CENTRAL COAST HEALTH	09Jun2020	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	42	Santa Barbara	INTERMITTENT	1300 EAST CYPRESS STREET	SUITE B1	SANTA MARIA	CA	934544730	34.951072	-120.415673	180.1	22.11
1063501880	1063501880	1	1	LANTRY, SELENA C MD	01Oct1995	026	PHYSICIANS	G00055968	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	1505 WILSON TER	STE 130	GLENDALE	CA	912064074	34.149530	-118.231281	78.2ee	3010
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
1063616613	1063616613	1	1	COUNTY OF MONTEREY	01Jul1971	061	COUNTY HOSPITAL OUTPATIENT	None	None	UNKNOWN	0	In state provider	27	Monterey	NATIVIDAD MEDICAL CTR	1441 CONSTITUTION BLVD	None	SALINAS	CA	939063100	36.696798	-121.629630	109.2	106.08
1063623387	1063623387	1	1	ALAS-POCASANGRE, JUAN L	22Dec2003	026	PHYSICIANS	A00055051	08	Family Practice	0	In state provider	19	Los Angeles	ALAS MEDICAL CLINIC INC	545 N SAN GABRIEL AVE	None	AZUSA	CA	917022939	34.130680	-117.908823	78.2qq	4043.01
1063636876	1063636876	2	1	PURDOM II, KENNETH R MD INC	03Oct2013	026	PHYSICIANS	A00021180	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	11807 E WHITTIER BLVD	None	WHITTIER	CA	906013941	33.980566	-118.050334	78.2uu	5014
1063684405	1063684405	1	1	NATIONAL HEALTH SVCS INC	14Mar2007	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	15	Kern	TEHACHAPI COMM MEDICAL	161 N MILL ST	None	TEHACHAPI	CA	935611347	35.133735	-118.452088	62	61
1063699080	1063699080	1	1	NORTHEAST VALLEY HOSPITA	28Apr2007	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	1600 SAN FERNANDO RD	None	SAN FERNANDO	CA	913403115	34.288790	-118.447881	78.2ll	3203
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
1063748242	1063748242	1	1	COMMUNITY HEALTH ALLIANCE	08Jul2013	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	OF PASADENA	1595 NORTH LAKE AVENUE	None	PASADENA	CA	911042307	34.173311	-118.132048	78.2hhh	4615.01
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
1063925717	1063925717	1	1	OMNI FAMILY HEALTH	29Dec2021	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	15	Kern	None	912 FREMONT ST	None	DELANO	CA	932152713	35.767091	-119.249719	60	48
1073108957	1073108957	1	1	PLANNED PARENTHOOD	31Dec2021	041	COMMUNITY CLINIC	550007735	None	UNKNOWN	0	In state provider	56	Ventura	AFFILIATE	2651 SOUTH C STREET	SUITE 100	OXNARD	CA	930333560	34.175330	-119.181207	241b	38.02
1073519443	1073519443	1	1	PIONEERS MEMORIAL HEALTH	01Dec1977	016	COMMUNITY INPATIENT HOSPITAL	ZZT30342	None	UNKNOWN	0	In state provider	13	Imperial	CARE DISTRICT	207 W LEGION RD	None	BRAWLEY	CA	922277780	32.959944	-115.551744	50	106
1073529681	1073529681	1	1	NORTH COUNTY HEALTH PROJECT	06Jan1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	INC	220 ROTANZI STREET	None	RAMONA	CA	920652583	33.029292	-116.889594	158.1	208.05
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
1073547220	1073547220	1	1	OSIBAMIRO, ADE MD INC	22Apr2005	026	PHYSICIANS	A64972	05	Anesthesiology	0	In state provider	19	Los Angeles	None	2637 E CARSON STREET	None	CARSON	CA	908101508	33.831718	-118.220075	78.2v	5440.02
1073578134	1073578134	1	1	KAMRAS & POLANSKY MDS IN	01Jan1979	022	PHYSICIANS GROUP	YYY49032Y	None	UNKNOWN	0	In state provider	34	Sacramento	None	5821 JAMESON CT	None	CARMICHAEL	CA	956080820	38.651156	-121.328832	139b	76.01
1073582888	1073582888	1	1	UCLA OB/GYN MED GRP	01Jan1979	022	PHYSICIANS GROUP	ZZZ000000	None	UNKNOWN	0	In state provider	19	Los Angeles	None	200 MED PLAZA STE 430	None	LOS ANGELES	CA	900950001	34.055254	-118.481726	78.2aa	2640
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
1073608675	1073608675	1	1	FAMILY PLANNING ASSOC	07Apr1980	022	PHYSICIANS GROUP	FNP034901	None	UNKNOWN	0	In state provider	50	Stanislaus	MEDICAL GROUP INC	2030 COFFEE RD	STE A1	MODESTO	CA	953552498	37.672510	-120.975726	215b	9.10
1073642682	1073642682	1	1	ASIAN PACIFIC HEALTH	01Jan2001	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	19	Los Angeles	CARE VENTURE, INC	1530 HILLHURST AVE	STE 200	LOS ANGELES	CA	900275516	34.098928	-118.287426	78.2a	1953
1073647350	1073647350	1	1	CLINICA SIERRA VISTA	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	15	Kern	HEALTH CENTER	301 BRUNDAGE LN	None	BAKERSFIELD	CA	933043248	35.353865	-119.004963	66b	20
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
1073669040	1073669040	1	1	PLANNED PARENTHOOD PASADENA	01Dec1977	054	EXPANDED ACCESS TO PRIMARY CARE	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	1045 N LAKE AVE	None	PASADENA	CA	911044521	34.163799	-118.132464	78.2hhh	4624
1073675385	1073675385	1	1	ALIANZA MEDICAL CENTER	10Jun1997	022	PHYSICIANS GROUP	FNP28762	08	Family Practice	0	In state provider	19	Los Angeles	INC	6907 SEVILLE AVE	None	HUNTINGTON PARK	CA	902554901	33.976879	-118.222534	78.2fff	5331.04
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
1073733879	1073733879	1	1	GOLDEN VALLEY HEALTH CTR	02Jun2021	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	24	Merced	None	3940 SANDPIPER AVENUE	None	MERCED	CA	953408372	37.307387	-120.583271	96	7.02
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
1073997201	1073997201	1	1	FAMILY HEALTHCARE NETWORK	05Jan2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	54	Tulare	None	263 S WEST STREET	None	TULARE	CA	932743411	36.204102	-119.366819	230	22.02
1073997326	1073997326	1	1	OMNI FAMILY HEALTH	14Dec2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	15	Kern	None	4151 MEXICALI DRIVE	None	BAKERSFIELD	CA	933132065	35.317752	-119.081668	66c	31.23
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
1083035505	1083035505	1	1	NORTH EAST MEDICAL SERVICES	30Dec2013	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	43	Santa Clara	None	1870 LUNDY AVENUE	None	SAN JOSE	CA	951311826	37.392650	-121.890281	183o	5043.22
1083611156	1083611156	1	1	FAMILY HEALTHCARE NETWRK	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	54	Tulare	None	1107 W POPLAR AVE	None	PORTERVILLE	CA	932575839	36.051586	-119.043341	231	34
1083619753	1083619753	1	1	GOMEZ, HAROLD A RN	01Jun1999	007	CERTIFIED NURSE PRACTIONER	RN0487974	None	UNKNOWN	0	In state provider	19	Los Angeles	None	1220 S GLENDORA AVENUE	None	WEST COVINA	CA	917904924	34.055234	-117.938703	78.2www	4067.01
1083627749	1083627749	1	1	LOS ANGELES COUNTY	28Apr1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	19	Los Angeles	ROYBAL FAMILY PLANNING	245 S FETTERLY AVE	None	LOS ANGELES	CA	900221605	34.034141	-118.160915	78.2d	5304
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
1083667323	1083667323	1	1	PLANNED PARENTHOOD	01Jan1995	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	44	Santa Cruz	None	398 S GREEN VALLEY ROAD	None	WATSONVILLE	CA	950763099	36.930332	-121.777043	184	1105.02
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
1083735203	1083735203	1	1	BATRES, ERIC R MD	09Mar2004	026	PHYSICIANS	G00044726	None	UNKNOWN	0	In state provider	19	Los Angeles	MEDICAL CORP	5101 FLORENCE AVE	STE 4	BELL	CA	902013801	33.969061	-118.176068	78.2ddd	5338.05
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
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
1083851992	1083851992	1	1	ALTAMED HEALTH SERVICES CORP	01Apr2009	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	30	Orange	GARDEN GROVE, HARBOR	12751 HARBOR BLVD	None	GARDEN GROVE	CA	928405800	33.777546	-117.915085	116r	885.02
1083858823	1083858823	1	1	ROOTS COMMUNITY HEALTH	11Feb2013	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	01	Alameda	CENTER	9925 INTERNATIONAL BLVD	STE 5	OAKLAND	CA	946032558	37.743159	-122.169686	2h	4093
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
1083940597	1083940597	1	1	OC URGENTCARE MEDICAL GROUP	29Apr2010	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	30	Orange	GROUP INCORPORATED	631 S BROOKHURST ST	SUITE # 101	ANAHEIM	CA	928043510	33.824352	-117.958938	116c	877.01
1083959464	1083959464	1	1	FAMILY HEALTH CENTERS OF	07Aug2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	SAN DIEGO INC	352 L STREET	None	CHULA VISTA	CA	919111208	32.619978	-117.073972	161k	130
1093019051	1093019051	1	1	ALL INCLUSIVE COMMUNITY HLTH	01Dec2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	1311 N SAN FERNANDO BLVD	None	BURBANK	CA	915044236	34.189332	-118.320301	78.2ttt	3106.01
1093023277	1093023277	1	1	UNIVERSAL COMMUNITY HEALTH	19Apr2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	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
1093042970	1093042970	1	1	PAULUS SANTOSO MD A PROFESSI	17Sep2009	026	PHYSICIANS	A85478	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	33	Riverside	None	6969 BROCKTON AVE	SUITE A	RIVERSIDE	CA	925068309	33.947056	-117.396787	135c	311
1093042970	1093042970	1	4	PAULUS SANTOSO MD A PROFESSI	09Aug2018	022	PHYSICIANS GROUP	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	33	Riverside	None	6969 BROCKTON AVE	SUITE A-B	RIVERSIDE	CA	925063809	33.947056	-117.396787	135c	311
1093095192	1093095192	1	1	YEHOWA MEDICAL SERVICES	01Jun2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	1039 W FLORENCE AVENUE	None	LOS ANGELES	CA	900442441	33.974618	-118.292755	78.2ggg	2374.01
1093226243	1093226243	1	1	COMMUNITY HEALTH SYSTEMS INC	21Feb2019	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	36	San Bernardino	None	18651 VALLEY BLVD	None	BLOOMINGTON	CA	923161831	34.070447	-117.397334	151f	36.06
1093236986	1093236986	1	1	FAMILY PLANNING ASSOCIATES M	21Jun2019	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	4922 WHITTIER BLVD	None	LOS ANGELES	CA	900221111	34.021628	-118.163009	78.2d	5316.04
1093717779	1093717779	1	1	CLINICA SIERRA VISTA INC	13Jan2009	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	15	Kern	34TH ST COMM HEALTH CTR	2000 PHYSICIANS BLVD	None	BAKERSFIELD	CA	933011277	35.396189	-119.009485	66a	6
1093717779	1093717779	1	4	CLINICA SIERRA VISTA INC	20May2021	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	15	Kern	INTERMITTENT	1611 1ST ST	None	BAKERSFIELD	CA	933042901	35.355061	-119.020280	66b	19.02
1093732554	1093732554	2	1	REEDLEY COMMUNITY HOSPITAL	01Dec2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	10	Fresno	None	300 S LEON S PETERS BLVD	None	FOWLER	CA	936252439	36.630002	-119.678325	31	16
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
1093933194	1093933194	1	1	CLINICAS DEL CAMINO REAL INC	31Jul2006	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	KAREN R BURNHAM HEALTH	1100 W GONZALES RD	None	OXNARD	CA	930363336	34.219133	-119.188951	241b	33
1093933939	1093933939	1	1	NOBEL CARE MEDICAL GROUP INC	21Jun2002	026	PHYSICIANS	20A7033	None	UNKNOWN	0	In state provider	19	Los Angeles	SAN FERNANDO MED CTR	501 N MACLAY AVE	None	SAN FERNANDO	CA	913402424	34.287696	-118.435277	78.2ll	3202.02
1093969115	1093969115	1	1	PLANNED PARENTHOOD OF LA	22Oct2009	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	400 W 30TH STREET	None	LOS ANGELES	CA	900073320	34.023953	-118.275541	78.2l	2246
1093969115	1093969115	1	2	PLANNED PARENTHOOD OF LA	12Aug2019	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	19	Los Angeles	INTERMITTENT	1500 W WASHINGTON BLVD	None	LOS ANGELES	CA	900071257	34.040011	-118.289621	78.2b	2216.02
1093969115	1093969115	1	3	PLANNED PARENTHOOD OF LA	12Aug2019	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	19	Los Angeles	INTERMITTENT	4211 DOZIER STREET	None	LOS ANGELES	CA	900633422	34.041490	-118.175516	78.2d	5310
1093969115	1093969115	1	4	PLANNED PARENTHOOD OF LA	12Aug2019	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	19	Los Angeles	INTERMITTENT	3351 FIRESTONE BOULEVARD	None	SOUTH GATE	CA	902802937	33.954570	-118.209808	78.2sss	5357.02
1093969115	1093969115	1	5	PLANNED PARENTHOOD OF LA	12Aug2019	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	19	Los Angeles	INTERMITTENT	2720 TWEEDY BOULEVARD	None	SOUTH GATE	CA	902805539	33.946148	-118.223399	78.2ccc	5356.06
1093969115	1093969115	1	6	PLANNED PARENTHOOD OF LA	12Aug2019	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	19	Los Angeles	INTERMITTENT	4328 BELL AVE	None	BELL	CA	902012528	33.974739	-118.190330	78.2ddd	5336.02
1093969115	1093969115	1	7	PLANNED PARENTHOOD OF LA	02Feb2020	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	19	Los Angeles	INTERMITTENT	18230 KITTRIDGE ST	None	RESEDA	CA	913356121	34.190229	-118.530475	78.2hhhh	1327
1093969115	1093969115	1	8	PLANNED PARENTHOOD OF LA	02Feb2020	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	19	Los Angeles	INTERMITTENT	12431 ROSCOE BLVD	None	SUN VALLEY	CA	913523723	34.221659	-118.403958	78.2ppp	1210.10
1093969115	1093969115	1	9	PLANNED PARENTHOOD OF LA	02Feb2020	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	19	Los Angeles	INTERMITTENT	10027 LURLINE AVE	None	CHATSWORTH	CA	913113153	34.252290	-118.584194	78.2cccc	1133.21
1093969115	1093969115	1	10	PLANNED PARENTHOOD OF LA	02Feb2020	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	19	Los Angeles	INTERMITTENT	14200 VAN NUYS BLVD	None	ARLETA	CA	913315103	34.251036	-118.442753	78.2ll	1192.02
1093969115	1093969115	1	11	PLANNED PARENTHOOD OF LA	14Sep2020	041	COMMUNITY CLINIC	550001161	None	UNKNOWN	0	In state provider	19	Los Angeles	INTERMITTENT	8800 SAN PEDRO ST	None	LOS ANGELES	CA	900033541	33.957189	-118.269492	78.2fff	2400.10
1093969115	1093969115	1	14	PLANNED PARENTHOOD OF LA	14Sep2020	041	COMMUNITY CLINIC	550001161	None	UNKNOWN	0	In state provider	19	Los Angeles	INTERMITTENT	24300 WESTERN AVENUE	None	HARBOR CITY	CA	907101742	33.804147	-118.307375	78.2aaaa	2933.02
1093969115	1093969115	1	15	PLANNED PARENTHOOD OF LA	12Oct2020	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	19	Los Angeles	INTERMITTENT	450 N GRAND AVE	None	LOS ANGELES	CA	900122123	34.059430	-118.245133	78.2ffff	2071.01
1093969115	1093969115	1	16	PLANNED PARENTHOOD OF LA	12Oct2020	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	19	Los Angeles	INTERMITTENT	1200 W COLTON ST	None	LOS ANGELES	CA	900265816	34.062017	-118.254504	78.2ffff	2080
1093969115	1093969115	1	17	PLANNED PARENTHOOD OF LA	12Oct2020	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	19	Los Angeles	INTERMITTENT	2955 S ROBERTSON BLVD	None	LOS ANGELES	CA	900343116	34.033455	-118.389665	78.2x	2697
1093969115	1093969115	1	18	PLANNED PARENTHOOD OF LA	12Oct2020	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	19	Los Angeles	INTERMITTENT	11800 TEXAS AVE	None	LOS ANGELES	CA	900251402	34.045765	-118.461356	78.2kkkk	2674.04
1093969115	1093969115	1	19	PLANNED PARENTHOOD OF LA	12Oct2020	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	19	Los Angeles	INTERMITTENT	825 W 60TH ST	None	LOS ANGELES	CA	900445512	33.985531	-118.287767	78.2ggg	2371.01
1093969115	1093969115	1	20	PLANNED PARENTHOOD OF LA	06Apr2020	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	19	Los Angeles	INTERMITTENT	6020 MILES AVE	None	HUNTINGTON PARK	CA	902553109	33.986763	-118.219277	78.2ccc	5326.06
1093969115	1093969115	1	21	PLANNED PARENTHOOD OF LA	06Apr2020	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	19	Los Angeles	INTERMITTENT	322 LUCAS AVE	None	LOS ANGELES	CA	900171406	34.058067	-118.261780	78.2ffff	2091.03
1093969115	1093969115	1	22	PLANNED PARENTHOOD OF LA	06Apr2020	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	19	Los Angeles	INTERMITTENT	6125 PINE AVE	None	MAYWOOD	CA	902703110	33.983218	-118.188445	78.2ddd	5334.03
1093969115	1093969115	1	23	PLANNED PARENTHOOD OF LA	06Apr2020	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	19	Los Angeles	INTERMITTENT	300 E 53RD ST	None	LOS ANGELES	CA	900114522	33.994249	-118.270132	78.2ggg	2294.10
1093969115	1093969115	1	24	PLANNED PARENTHOOD OF LA	11Jan2021	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	19	Los Angeles	INTERMITTENT	13000 OXNARD ST	None	VAN NUYS	CA	914014114	34.179403	-118.415769	78.2cc	1236.01
1093969115	1093969115	1	25	PLANNED PARENTHOOD OF LA	11Jan2021	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	19	Los Angeles	INTERMITTENT	8015 VAN NUYS BLVD	None	PANORAMA CITY	CA	914026009	34.216524	-118.448749	78.2zz	1200.30
1093969115	1093969115	1	26	PLANNED PARENTHOOD OF LA	11Jan2021	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	19	Los Angeles	INTERMITTENT	10445 BALBOA BLVD	None	GRANADA HILLS	CA	913447323	34.260314	-118.502304	78.2hh	1114
1093969115	1093969115	1	28	PLANNED PARENTHOOD OF LA	11Jan2021	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	19	Los Angeles	INTERMITTENT	5461 WINNETKA AVE	None	WOODLAND HILLS	CA	913642548	34.169432	-118.570975	78.2yy	1375.01
1093980823	1093980823	2	1	REEDLEY COMMUNITY HOSPITAL	01Dec2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	10	Fresno	None	1939 ACADEMY AVENUE	None	SANGER	CA	936573737	36.690124	-119.554709	31	61
1104014414	1104014414	1	1	MERCY MEDICAL CENTER	04Mar1993	022	PHYSICIANS GROUP	FNP020342	01	General Practice	0	In state provider	19	Los Angeles	None	16444 PARAMOUNT BLVD	STE 103	PARAMOUNT	CA	907235453	33.884591	-118.159970	78.2m	5539.02
1104024744	1104024744	2	1	CHILDRENS HOSPITAL LOS	18Jan2013	071	LICENSED CLINICAL SOCIAL WORKER GROUP	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	5000 W SUNSET BLVD	FL 4	LOS ANGELES	CA	900275861	34.098139	-118.298323	78.2g	1912.01
1104067636	1104067636	1	1	KAWEAH DELTA HLTH CARE DIST	10Oct2011	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	54	Tulare	None	839 N SEQUOIA AVE	None	LINDSAY	CA	932471424	36.212938	-119.096107	228.2	26.01
1104163781	1104163781	1	1	CHAVA, SREEDHAR MD INC	10Apr2013	022	PHYSICIANS GROUP	A00102291	08	Family Practice	0	In state provider	19	Los Angeles	None	1651 N HACIENDA BLVD	None	LA PUENTE	CA	917441137	34.049085	-117.945495	78.2yyy	4075.01
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
1104367572	1104367572	1	1	CENTER FOR FAMILY HEALTH &	30Sep2021	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	AFFILIATED	3229 SANTA ANITA AVE	FIRST FLOOR	EL MONTE	CA	917330882	34.067056	-118.042460	78.2oo	4332
1104819945	1104819945	1	1	NGUYEN, HUNG V MD	31Jul1987	026	PHYSICIANS	A00042303	01	General Practice	0	In state provider	19	Los Angeles	None	7227 RESEDA BLVD	None	RESEDA	CA	913353046	34.201649	-118.536045	78.2zz	1318
1104856095	1104856095	1	1	DESERT REGIONAL MEDICAL	31May1997	072	MENTAL HEALTH INPATIENT SERVICES	None	None	UNKNOWN	0	In state provider	33	Riverside	CENTER INC	1150 N INDIAN CANYON DR	None	PALM SPRINGS	CA	922624872	33.838898	-116.545608	129.4	446.06
1104881523	1104881523	1	1	KUMARATNE, MOHAN MD	09Jun1980	026	PHYSICIANS	A35327	01	General Practice	0	In state provider	30	Orange	None	17692 BEACH BLVD	STE 200	HUNTINGTON BEACH	CA	926476810	33.705708	-117.989099	116s	992.12
1104889724	1104889724	1	1	CHOU, SUSANNA I MD	18Sep2003	026	PHYSICIANS	A00073158	08	Family Practice	0	In state provider	37	San Diego	None	340 4TH AVE	STE 5A	CHULA VISTA	CA	919103813	32.638989	-117.083532	161k	127
1104906569	1104906569	1	1	FRESNO COMMUNITY HOSPITAL	01Dec1977	072	MENTAL HEALTH INPATIENT SERVICES	None	None	UNKNOWN	0	In state provider	10	Fresno	AND MEDICAL CENTER	2823 FRESNO ST	None	FRESNO	CA	937211324	36.742581	-119.783025	35c	5.02
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
1104991744	1104991744	1	1	HUMBOLDT STATE UNIVERSTY	18Jun2007	045	CLINIC EXEMP FROM LICENSURE	CLF1419	None	UNKNOWN	0	In state provider	12	Humboldt	STUDENT HLTH CENTER	PLAZA AVENUE	NEAR LIBRARY CIRCLE	ARCATA	CA	955218299	40.874139	-124.081652	39	10
1114031051	1114031051	1	1	HEMET FAMILY CARE CENTER	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	33	Riverside	None	880 N STATE ST	None	HEMET	CA	925431459	33.761717	-116.971874	132	435.07
1114057163	1114057163	1	1	CHAPA-DE-INDIAN HEALTH	15Oct2009	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	31	Placer	PROGRAM	11670 ATWOOD RD	None	AUBURN	CA	956039522	38.934832	-121.099190	119	215.01
1114104015	1114104015	1	1	NORTHEAST VLY HLTH CORP	01May1998	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	19	Los Angeles	EARLY INTERVENTION	6551 VAN NUYS BLVD	STE 201	VAN NUYS	CA	914024839	34.211805	-118.448675	78.2zz	1203
1114104858	1114104858	1	1	ALTAMED COMM HEALTH CLN	28Apr1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	19	Los Angeles	EL MONTE	10418 VALLEY BLVD	STE B	EL MONTE	CA	917312402	34.076514	-118.045907	78.2oo	4328.01
1114220357	1114220357	1	1	NORTH KERN SOUTH TULARE	27Apr2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	15	Kern	HOSPITAL DISTRICT	1500 6TH AVENUE	None	DELANO	CA	932153011	35.764977	-119.237689	60	50.03
1114290780	1114290780	1	1	INDIAN HEALTH CENTER OF	03May2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	43	Santa Clara	SANTA CLARA VALLEY	455 O'CONNOR DRIVE	STE 200	SAN JOSE	CA	951281633	37.326705	-121.939855	183j	5020.01
1114322518	1114322518	1	1	PLANNED PARENTHOOD	28Aug2015	041	COMMUNITY CLINIC	550003216	None	UNKNOWN	0	In state provider	19	Los Angeles	LOS ANGELES	8704 SANTA MONICA BLVD	SUITE 300	WEST HOLLYWOOD	CA	900694548	34.087189	-118.380479	78.2f	7004
1114322518	1114322518	1	3	PLANNED PARENTHOOD	28Feb2022	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	19	Los Angeles	INTERMITTENT	3224 W OLYMPIC BLVD	STE 101	LOS ANGELES	CA	900062317	34.052618	-118.306865	78.2b	2132.01
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
1124045158	1124045158	1	1	COMMUNITY HEALTH CENTERS	01Nov2005	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	40	San Luis Obispo	WOMEN'S HEALTH	1551 BISHOP ST	STE 240	SAN LUIS OBISPO	CA	934014661	35.274341	-120.646177	172	110.02
1124053111	1124053111	1	1	PLANNED PARENTHOOD OF THE	21Apr1988	041	COMMUNITY CLINIC	080000305	None	UNKNOWN	0	In state provider	37	San Diego	PACIFIC SOUTHWEST	10717 CAMINO RUIZ	STE 258	SAN DIEGO	CA	921262360	32.913229	-117.143807	161v	83.57
1124073366	1124073366	1	1	CHILDRENS HOSPITAL OF LA	01Dec1977	016	COMMUNITY INPATIENT HOSPITAL	190000170	None	UNKNOWN	0	In state provider	19	Los Angeles	None	4650 W SUNSET BLVD	None	LOS ANGELES	CA	900276062	34.098158	-118.292210	78.2g	1912.01
1124106646	1124106646	1	1	LANARK FAMILY MED CLINIC	01May2002	082	LICENSED MIDWIVES	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	8040 VAN NUYS BLVD	None	PANORAMA CITY	CA	914026010	34.217232	-118.448759	78.2zz	1203
1124115431	1124115431	1	1	BLYTHE HEALTH CLINIC	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	33	Riverside	None	321 W HOBSONWAY	STE C	BLYTHE	CA	922251651	33.610310	-114.599743	126	461.02
1124130620	1124130620	2	1	HARMONY HEALTH MEDICAL	12Aug2015	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	58	Yuba	CLINIC & FAMILY RESOURCE	1908 N BEALE ROAD	SUITE E	MARYSVILLE	CA	959016937	39.127859	-121.545877	249	403.01
1124182977	1124182977	1	1	JWCH INSTITUTE INC	29Jun2009	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	3591 E IMPERIAL HIGHWAY	None	LYNWOOD	CA	902622684	33.930479	-118.205406	78.2sss	5402.02
1124189212	1124189212	1	1	ARDMORE MED GROUP INC	10Apr1992	022	PHYSICIANS GROUP	FNP030539	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	ARDMORE MED GROUP INC	3518 W 8TH ST	None	LOS ANGELES	CA	900052902	34.057663	-118.307051	78.2e	2125.02
1124204292	1124204292	1	1	GOLDEN VALLEY HEALTH CTR	09Jul2007	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	50	Stanislaus	None	2760 3RD ST	None	CERES	CA	953073220	37.591963	-120.954519	214	26.02
1124205182	1124205182	1	1	NORTH EAST MEDICAL SVCS	29Sep2006	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	38	San Francisco	NORIEGA	1450 NORIEGA ST	None	SAN FRANCISCO	CA	941224432	37.754117	-122.479194	162e	328.02
1124296413	1124296413	1	1	DUEL, EBRAHIM MD INC	03Sep2008	022	PHYSICIANS GROUP	FNP033834	None	UNKNOWN	0	In state provider	30	Orange	None	301 N MAIN ST	None	SANTA ANA	CA	927014852	33.747129	-117.867626	116b	750.02
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
1124300207	1124300207	1	1	LIVINGSTON COMMUNITY HEALTH	25Oct2013	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	24	Merced	None	7970 N LANDER AVE	SUITE A & B	HILMAR	CA	953248350	37.403898	-120.850126	95	4.02
1124460274	1124460274	1	1	NORTHEAST COMMUNITY CLINICS	02Dec2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	2975 ZOE AVENUE	None	HUNTINGTON PARK	CA	902550000	33.979374	-118.215302	78.2ccc	5331.06
1124533492	1124533492	1	1	CAMARENA HEALTH	25Jan2019	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	20	Madera	None	705 W PECAN AVENUE	None	MADERA	CA	936376254	36.938282	-120.049708	80	5.02
1124561741	1124561741	1	1	FAMILY PLANNING ASSOCIATES M	21Jun2019	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	56	Ventura	None	1700 LOMBARD ST	STE 110	OXNARD	CA	930308211	34.218377	-119.149324	241b	49.01
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
1134144165	1134144165	1	1	BORREGO COMMUNITY HEALTH	01Nov2006	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	FOUNDATION	4343 YAQUI PASS RD	None	BORREGO SPRINGS	CA	920040000	33.193148	-116.330451	152	210
1134206436	1134206436	1	1	ANGEL FAMILY PRACTICE MEDICA	31Oct1991	026	PHYSICIANS	A00050182	None	UNKNOWN	0	In state provider	19	Los Angeles	MEDICAL GROUP INC	2015 E FLORENCE AVE	None	LOS ANGELES	CA	900012754	33.974782	-118.234728	78.2mmm	5330.02
1134208853	1134208853	1	1	CARREON, JORGE F MD INC	30Nov1989	026	PHYSICIANS	A00032576	None	UNKNOWN	0	In state provider	19	Los Angeles	None	4500 TWEEDY BLVD	None	SOUTH GATE	CA	902806334	33.942777	-118.192708	78.2sss	5359.02
1134237993	1134237993	1	1	ADVANCED WOMEN'S HEALTHCARE,	05Aug2005	022	PHYSICIANS GROUP	FNP032887	None	UNKNOWN	0	In state provider	33	Riverside	AMC	1100 N PALM CANYON DR	STE 212	PALM SPRINGS	CA	922624426	33.837621	-116.546779	129.4	446.06
1134271380	1134271380	1	1	FAWWAZ, AMIN R MD INC	11Aug2003	026	PHYSICIANS	C00039280	None	UNKNOWN	0	In state provider	30	Orange	None	3010 W ORANGE AVE	STE 408	ANAHEIM	CA	928043173	33.824750	-117.993763	116c	869.02
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
1134320716	1134320716	1	1	ESPINOZA, MARIA A MD INC	29Aug2005	026	PHYSICIANS	A00065846	34	Urology and Urological Surgery	0	In state provider	19	Los Angeles	None	2151 W 6TH ST	None	LOS ANGELES	CA	900573121	34.059796	-118.275482	78.2ffff	2088.01
1134360076	1134360076	1	1	COUNTY OF VENTURA	31Aug2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	None	828 VENTURA ST	SUITE 100	FILLMORE	CA	930151877	34.377654	-118.933229	237	3.03
1134369366	1134369366	1	1	CLINICAS DEL CAMINO REAL	17Sep2009	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	INC, EL RIO	2600 E VINEYARD AVE	None	OXNARD	CA	930361615	34.234235	-119.171465	241b	50.03
1134421860	1134421860	1	1	AGUILAR, ALEJANDRO F MD INC	08Dec2015	026	PHYSICIANS	A36086	None	UNKNOWN	0	In state provider	19	Los Angeles	None	3034 E FLORENCE AVENUE	None	HUNTINGTON PARK	CA	902555828	33.973091	-118.214284	78.2ccc	5331.07
1134492937	1134492937	1	1	ALTAMED HEALTH SERVICES CORP	29Jun2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	EAST LA 1ST STREET	2219 E 1ST STREET	None	LOS ANGELES	CA	900333901	34.044415	-118.211965	78.2h	2044.20
1134570708	1134570708	1	1	LE, ANHDAO V MD INC	25Jul2016	026	PHYSICIANS	A81117	01	General Practice	0	In state provider	19	Los Angeles	None	1024 E PACIFIC COAST HWY	None	LONG BEACH	CA	908065017	33.789849	-118.180128	78.2jjj	5752.01
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
1144273194	1144273194	1	1	MORENO VALLEY URGENT CARE	15Feb2008	026	PHYSICIANS	None	08	Family Practice	0	In state provider	33	Riverside	CLINIC INC	24318 HEMLOCK AVE	SUITE E1	MORENO VALLEY	CA	925577107	33.941954	-117.236551	135g	424.04
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
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
1144336181	1144336181	1	1	LA CLINICA DE LA RAZA	21Aug2006	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	01	Alameda	None	3451 E 12TH ST	None	OAKLAND	CA	946013425	37.775796	-122.223557	2d	4061
1144340670	1144340670	1	1	CAL STATE UNIVERSITY SAN MAR	07Dec2007	045	CLINIC EXEMP FROM LICENSURE	None	None	UNKNOWN	0	In state provider	37	San Diego	COS SHCS	CAL STATE UNIVERSITY SAN	333 S TWIN OAKS VALLEY R	SAN MARCOS	CA	920960001	33.131640	-117.164454	156c	203.06
1144358748	1144358748	1	1	GARDNER FAMILY HLTH NTWR	14Dec2009	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	43	Santa Clara	GARDNER SO CO HEALTH CTR	7526 MONTEREY ST	None	GILROY	CA	950205826	37.008533	-121.569390	182	5126.03
1144371436	1144371436	1	1	KIM, MEE SOOK, MD	31Oct1984	026	PHYSICIANS	A00039215	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	14624 SHERMAN WAY	STE 207	VAN NUYS	CA	914052288	34.201206	-118.451927	78.2zz	1272.20
1144385766	1144385766	1	2	HY PHUNG NGO MD INC	22Oct2008	026	PHYSICIANS	A00069736	None	UNKNOWN	0	In state provider	19	Los Angeles	None	5801 S FIGUEROA STREET	None	LOS ANGELES	CA	900031016	33.989727	-118.282663	78.2ggg	2327
1144407487	1144407487	1	1	NORTH EAST MEDICAL SVS	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	38	San Francisco	None	1520 STOCKTON ST	None	SAN FRANCISCO	CA	941333354	37.799729	-122.409086	162a	106
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
1144464025	1144464025	1	1	CHICO STATE UNIVERSITY	15Jun2009	045	CLINIC EXEMP FROM LICENSURE	None	None	UNKNOWN	0	In state provider	04	Butte	None	WARNER AVE & COLLEGE DR	None	CHICO	CA	959290777	39.731243	-121.850181	7.1	6.04
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
1144760943	1144760943	1	1	HURTT FAMILY HEALTH CLINIC,	21May2018	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	30	Orange	INC	947 S ANAHEIM BLVD	SUITE 260	ANAHEIM	CA	928055582	33.822047	-117.909480	116l	874.05
1144897505	1144897505	1	1	CLINICA SIERRA VISTA	07Mar2022	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	15	Kern	AFFILIATE	625 34TH STREET	SUITES 100 AND 200	BAKERSFIELD	CA	933012207	35.390464	-119.009143	66a	6
1154327138	1154327138	1	1	LIFELONG MEDICAL CARE	11Feb2009	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	01	Alameda	EAST OAKLAND	10700 MACARTHUR BLVD	STE 14B	OAKLAND	CA	946055260	37.742368	-122.151705	2d	4101
1154347797	1154347797	1	1	FLORENCE WESTERN	17Oct2005	022	PHYSICIANS GROUP	FNP001793	None	UNKNOWN	0	In state provider	19	Los Angeles	None	7301 S WESTERN AVE	None	LOS ANGELES	CA	900472254	33.973656	-118.308969	None	None
1154356145	1154356145	1	1	PLANNED PARENTHOOD OF	19Jun1979	041	COMMUNITY CLINIC	370801307	None	UNKNOWN	0	In state provider	37	San Diego	SAN DIEGO COUNTY	1685 E MAIN ST	STE 301	EL CAJON	CA	920215292	32.811611	-116.919014	161u	164.01
1154375624	1154375624	1	1	PLANNED PARENTHOOD	31Jan1997	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	50	Stanislaus	None	1431 MCHENRY AVE	STE 100	MODESTO	CA	953504534	37.664830	-120.993934	215a	11
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
1154420933	1154420933	2	1	PERRIS VALLEY PHYSICIANS	17Jul2012	022	PHYSICIANS GROUP	A00092039	01	General Practice	0	In state provider	33	Riverside	ASSOCIATES, AMC	735 SOUTH D ST	None	PERRIS	CA	925702419	33.778979	-117.228803	133.1	428
1154455434	1154455434	1	1	DELANO COMM HEALTH CTR	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	15	Kern	None	1508 GARCES HWY	STE 1	DELANO	CA	932153687	35.761345	-119.237152	60	50.03
1154461580	1154461580	1	1	CA STATE UNIV	20Jun2006	045	CLINIC EXEMP FROM LICENSURE	CLF1239	None	UNKNOWN	0	In state provider	19	Los Angeles	NORTHRIDGE KLOTZ	18111 NORDHOFF ST	None	NORTHRIDGE	CA	913300001	34.235482	-118.527572	78.2kk	1152.02
1154480069	1154480069	1	1	BORREGO COMMUNITY HEALTH	22May2008	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	FOUNDATION	133 WEST MAIN STREET	STE 100	EL CAJON	CA	920203954	32.794864	-116.962732	161h	158.02
1154487148	1154487148	1	1	COUNTY OF SANTA BARBARA	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	42	Santa Barbara	COUNTY HEALTH CLINIC	2115 CENTERPOINTE PKWY	None	SANTA MARIA	CA	934551334	34.922699	-120.428604	180.1	20.07
1154503399	1154503399	1	1	MARIN COMM CLINIC SAN RAFAEL	09Dec2008	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	21	Marin	None	3110 KERNER BLVD	None	SAN RAFAEL	CA	949015439	37.957757	-122.500253	83b	1122.02
1154614097	1154614097	1	1	KAWEAH DELTA HEALTH CARE	12Jan2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	54	Tulare	DISTRICT	180 E ANTELOPE AVE	None	WOODLAKE	CA	932861506	36.415571	-119.097881	228.1	7.02
1154636793	1154636793	1	1	LOS ANGELES COUNTY	27Dec2010	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	19	Los Angeles	HIGH DESERT HLTH SYSTEMS	44900 60TH ST W	None	LANCASTER	CA	935367618	34.696359	-118.236642	77.5	9012.05
1154730828	1154730828	1	1	EL PROYECTO DEL BARRIO INC	10Feb2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	3942 MAINE AVE	None	BALDWIN PARK	CA	917064220	34.084525	-117.961854	78.2zzz	4052.02
1154736429	1154736429	1	1	AVENAL COMMUNITY HEALTH CENT	01Dec2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	10	Fresno	None	3554 W MT WHITNEY AVE	None	RIVERDALE	CA	936560000	36.430906	-119.861917	30	77
1154786846	1154786846	1	10	NEIGHBORHOOD HEALTHCARE	27Oct2020	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	33	Riverside	INTERMITTENT	26926 CHERRY HILLS BLVD	STE B	MENIFEE	CA	925862500	33.711116	-117.189081	133.1	427.11
1154786846	1154786846	1	12	NEIGHBORHOOD HEALTHCARE	27Oct2020	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	33	Riverside	INTERMITTENT	31720 TEMECULA PARKWAY	SUITE 200	TEMECULA	CA	925925895	33.470664	-117.117197	131c	432.50
1154786846	1154786846	1	13	NEIGHBORHOOD HEALTHCARE	12Feb2021	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	33	Riverside	INTERMITTENT	41840 ENTERPRISE CIR N	None	TEMECULA	CA	925905654	33.517198	-117.169596	131c	512
1154788560	1154788560	1	1	POMONA COMMUNITY HEALTH	31Aug2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	36	San Bernardino	CENTER	1556 S SULTANA AVE	None	ONTARIO	CA	917614241	34.045424	-117.646000	151c	18.12
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
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
1164428488	1164428488	1	1	MCCLOUD HEALTHCARE CLINIC	03Sep2003	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	47	Siskiyou	None	116 W MINNESOTA AVE	None	MC CLOUD	CA	960571143	41.252132	-122.137348	199	12
1164463345	1164463345	1	1	CHEN, DR. EDWARD J MD	01May2001	026	PHYSICIANS	C00050499	None	UNKNOWN	0	In state provider	19	Los Angeles	None	500 N GARFIELD AVE	STE 206	MONTEREY PARK	CA	917541242	34.056240	-118.124710	78.2nn	4822.01
1164503652	1164503652	1	1	LAS PALMAS MEDICAL GROUP	30Mar2004	022	PHYSICIANS GROUP	FNP035097	01	General Practice	0	In state provider	33	Riverside	CORPORATION	1003 N STATE STREET	None	HEMET	CA	925434435	33.763055	-116.971873	132	435.07
1164517744	1164517744	1	1	FAMILY HEALTHCARE NETWORK	28Aug2001	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	54	Tulare	None	201 EAST LAKEVIEW AVE	None	WOODLAKE	CA	932861301	36.417357	-119.097641	228.1	7.02
1164552931	1164552931	1	1	GARDNER FAMILY HLTH NTWK	14Dec2009	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	43	Santa Clara	ALVISO HEALTH CENTER	1621 GOLD ST	None	ALVISO	CA	950021240	37.424063	-121.976109	183l	5046.02
1164557815	1164557815	1	1	HEALTH CENTER #3	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	38	San Francisco	None	1525 SILVER AVE	None	SAN FRANCISCO	CA	941341229	37.732483	-122.405640	162f	257.01
1164643862	1164643862	1	1	INDIAN HEALTH CENTER OF	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	43	Santa Clara	SANTA CLARA VALLEY	1333 MERIDIAN AVE	None	SAN JOSE	CA	951255250	37.301556	-121.913574	183e	5023.01
1164668786	1164668786	1	1	PREMIER FAMILY MEDICINE	05Feb2009	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	19	Los Angeles	ASSOCIATES, INC	1601 N MONTE VISTA AVE	#100	CLAREMONT	CA	917116601	34.113060	-117.698479	78.2tt	4018
1164672747	1164672747	1	1	CLINICA SIERRA VISTA	14Oct2008	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	10	Fresno	HEALTH CENTER	1350 SOUTH ORANGE AVE	None	FRESNO	CA	937023463	36.729147	-119.763665	35e	4
1164728788	1164728788	1	1	HESPERIA CLINICA MEDICA	08Nov2012	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	36	San Bernardino	FAMILIAR A MEDICAL CORP	15888 MAIN STREET	SUITE 112B	HESPERIA	CA	923453467	34.423632	-117.315930	145.1a	100.19
1164806410	1164806410	1	1	OMNI FAMILY HEALTH	03Dec2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	15	Kern	None	1022 CALLOWAY DRIVE	None	BAKERSFIELD	CA	933126337	35.365417	-119.114148	66d	38.12
1164886040	1164886040	1	1	PEACH TREE HEALTHCARE	31Jul2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	34	Sacramento	None	3810 ROSIN CT	SUITE 100	SACRAMENTO	CA	958341656	38.637429	-121.475545	139j	70.01
1164886040	1164886040	1	6	PEACH TREE HEALTHCARE	29Dec2021	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	51	Sutter	INTERMITTENT	9980 LIVE OAK BLVD	None	LIVE OAK	CA	959532334	39.275793	-121.661125	218	507.01
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
1174501225	1174501225	1	1	EXUM, JANICE M	26Jun2004	026	PHYSICIANS	G00066570	None	UNKNOWN	0	In state provider	19	Los Angeles	None	555 W COMPTON BLVD	STE 202	COMPTON	CA	902203092	33.895903	-118.232876	78.2bbb	5425.02
1174579957	1174579957	1	1	PLANNED PARENTHOOD MAR MONTE	31Jan1997	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	39	San Joaquin	INC	678 N WILSON WAY	STE G	STOCKTON	CA	952054272	37.962577	-121.273374	169b	16
1174626618	1174626618	1	1	UCSD OB GYN MEDICAL GRP	01Jan1979	078	MARRIAGE AND FAMILY THERAPIST GROUP	None	None	UNKNOWN	0	In state provider	37	San Diego	None	200 W ARBOR DR	None	SAN DIEGO	CA	921039001	32.753784	-117.164978	161b	4
1174665905	1174665905	1	1	ARROYO VISTA FAMILY	21Oct2005	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	HEALTH CTR-LINCOLN HGHTS	2411 N BROADWAY	None	LOS ANGELES	CA	900312218	34.073633	-118.216200	78.2i	1997
1174700710	1174700710	1	1	ALTAMED MEDICAL GROUP	28Apr1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	19	Los Angeles	ELA/WHITTIER	5427 WHITTIER BLVD	None	LOS ANGELES	CA	900224101	34.019621	-118.153528	78.2d	5317.01
1174727143	1174727143	1	1	COUNTY OF MONTEREY	01Dec1995	027	PODIATRISTS	None	None	UNKNOWN	0	In state provider	27	Monterey	None	1441 CONSTITUTION BLVD	None	SALINAS	CA	939063100	36.696798	-121.629630	109.2	106.08
1174757967	1174757967	1	1	CENTRAL CITY COMMUNITY	01Sep2010	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	30	Orange	HEALTH CENTER INC	12116 BEACH BLVD	None	STANTON	CA	906803704	33.786171	-117.992846	116r	881.04
1174759583	1174759583	1	1	PLANNED PARENTHOOD OF LA	18Nov2010	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	5519 E DEL AMO BLVD	None	LAKEWOOD	CA	907132307	33.847120	-118.124646	78.2n	5709.02
1174764021	1174764021	1	1	COUNTY OF VENTURA	31Aug2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	None	612 SPRING RD	BLDG A	MOORPARK	CA	930211298	34.281850	-118.882139	239	76.11
1174859425	1174859425	1	1	COMM HLTH CTR OF CENT COAST	08Mar2010	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	42	Santa Barbara	None	1418 EAST MAIN STREET	SUITE 210	SANTA MARIA	CA	934544833	34.952900	-120.413575	180.1	22.11
1174913776	1174913776	1	2	UNIVERSAL COMMUNITY HEALTH	31Aug2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	2801 SOUTH SAN PEDRO ST	None	LOS ANGELES	CA	900112023	34.019812	-118.262438	78.2l	2267
1174923684	1174923684	1	1	PLANNED PARENTHOOD MAR MONTE	11Dec2014	041	COMMUNITY CLINIC	550002918	None	UNKNOWN	0	In state provider	01	Alameda	None	1032 A STREET	None	HAYWARD	CA	945414106	37.674240	-122.083314	2h	4354
1174984041	1174984041	1	1	UNICARE COMMUNITY HEALTH	09Apr2018	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	36	San Bernardino	CENTER, INC	16127 FOOTHILL BLVD	None	FONTANA	CA	923353374	34.106542	-117.453053	151h	28.03
1174996177	1174996177	1	1	ALL-INCLUSIVE COMMUNITY	26Nov2019	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	HEALTH CENTER	3920 EAGLE ROCK BLVD	SUITE A	LOS ANGELES	CA	900653606	34.119362	-118.230122	78.2ff	1863.02
1184606634	1184606634	1	1	UNITED HLTH CTRS-MENDOTA	09Aug2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	10	Fresno	None	121 BARBOZA ST	None	MENDOTA	CA	936401901	36.765512	-120.383672	25	83.01
1184641664	1184641664	1	1	PLANNED PARENTHOOD	19Jan1988	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	56	Ventura	CALIFORNIA	5400 RALSTON ST	None	VENTURA	CA	930036002	34.259757	-119.217858	241c	15.02
1184641664	1184641664	1	2	PLANNED PARENTHOOD	01May2021	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	56	Ventura	INTERMITTENT	2651 SOUTH C ST	SUITE 100	OXNARD	CA	930333560	34.175330	-119.181207	241b	38.02
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
1184677163	1184677163	1	1	PLANNED PARENTHOOD MAR MONTE	01Oct1996	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	34	Sacramento	INC	5700 WATT AVE	None	NORTH HIGHLANDS	CA	956604752	38.670306	-121.382800	139j	73.01
1184722779	1184722779	1	1	REGENTS OF THE UNIV CA	01Jul2008	016	COMMUNITY INPATIENT HOSPITAL	None	None	UNKNOWN	0	In state provider	37	San Diego	MEDICAL CENTER-SAN DIEGO	200 W ARBOR DR	None	SAN DIEGO	CA	921031911	32.753784	-117.164978	161b	4
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
1184791998	1184791998	1	1	BAY AREA COMMUNITY HEALTH	27Apr2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	01	Alameda	None	1999 MOWRY AVENUE	None	FREMONT	CA	945381738	37.557757	-121.981042	2j	4419.23
1184793143	1184793143	1	1	CABRILLO COMMUNITY COLLEGE	28Sep2011	055	LOCAL EDUCATION AGENCY	None	None	UNKNOWN	0	In state provider	44	Santa Cruz	DISTRICT	6500 SOQUEL DR	SHS ROOM 912	APTOS	CA	950033119	36.988843	-121.927115	185.1	1220.03
1184833501	1184833501	1	1	FAMILY HLTH CTRS OF LA	15Aug2003	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	6501 GARFIELD AVE	None	BELL GARDENS	CA	902011805	33.972803	-118.147588	78.2c	5339.02
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
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
1194048884	1194048884	1	1	GENESIS CLINICA DE LA MUJER	30Mar2010	026	PHYSICIANS	G75190	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	43	Santa Clara	INC	244 N JACKSON AVE	STE 209	SAN JOSE	CA	951161604	37.364025	-121.848918	183b	5037.12
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
1194122457	1194122457	1	1	FAMILIES TOGETHER OF ORANGE	01Dec2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	30	Orange	COUNTY	661 W FIRST ST	STE G	TUSTIN	CA	927802939	33.745750	-117.831106	116h	755.05
1194709535	1194709535	1	1	LING, DAVID MD	01Jan1979	026	PHYSICIANS	C00029051	None	UNKNOWN	0	In state provider	19	Los Angeles	None	2031 W ALAMEDA AVE	STE 214	BURBANK	CA	915062959	34.159851	-118.323310	78.2ttt	3117
1194804401	1194804401	1	1	CONTRA COSTA REG MED CTR	22Jul2002	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	07	Contra Costa	BAY POINT FAMILY HEALTH	215 PACIFICA AVE	None	BAY POINT	CA	945652904	38.034024	-121.966407	18d	3142
1194839035	1194839035	1	1	PERRIS FAMILY CARE CTR	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	33	Riverside	None	308 E SAN JACINTO AVE	None	PERRIS	CA	925702878	33.786591	-117.221638	133.1	427.19
1194848580	1194848580	1	1	YACOUB, NADER M MD	18Jun1984	026	PHYSICIANS	A00040916	01	General Practice	0	In state provider	19	Los Angeles	None	14282 AMAR RD	None	LA PUENTE	CA	917462162	34.049076	-117.968273	78.2yyy	4071.01
1194850461	1194850461	1	1	CITY & CO SAN FRANCISCO	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	38	San Francisco	None	1050 WISCONSIN ST	None	SAN FRANCISCO	CA	941073328	37.754254	-122.398675	162f	614
1194853861	1194853861	1	1	COUNTY OF MONTEREY	25Feb2002	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	27	Monterey	None	559 E ALISAL ST	STE 201	SALINAS	CA	939052516	36.673821	-121.636401	109.2	5.01
1194866525	1194866525	1	1	MAYER, RALPH MD	08Apr2005	022	PHYSICIANS GROUP	G00069356	08	Family Practice	0	In state provider	19	Los Angeles	None	2568 CLARENDON AVE	None	HUNTINGTON PARK	CA	902554073	33.983576	-118.225815	78.2ccc	5326.05
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
1194974402	1194974402	1	1	NORTH ORANGE COUNTY REG	16Oct2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	30	Orange	None	1182 N EUCLID ST	None	ANAHEIM	CA	928011900	33.850125	-117.941723	116l	866.01
1194978973	1194978973	1	1	CLINICA SIERRA VISTA	13Jan2009	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	10	Fresno	HEALTH CENTER	302 FRESNO ST	STE 101 103 200 204	FRESNO	CA	937063641	36.723699	-119.809304	35e	3
1205100740	1205100740	1	1	FAMILY PLANNING ASSOCIATES M	09Dec2013	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	33	Riverside	EDICAL GROUP INC	29645 RANCHO CALIFORNIA	SUITE 237	TEMECULA	CA	925915285	33.505849	-117.143946	131b	432.20
1205102068	1205102068	1	1	COMMUNITY HEALTH SYSTEMS INC	09Jul2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	33	Riverside	None	2933 UNIVERSITY AVE	None	RIVERSIDE	CA	925075364	33.977562	-117.365144	135a	304
1205134517	1205134517	1	1	OPERATION SAMAHAN INC	09Oct2019	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	None	2101 GRANGER AVE	SUITE 101A	NATIONAL CITY	CA	919506208	32.672654	-117.073920	161g	121.02
1205137452	1205137452	1	1	LALEZARI, BAHMAN MD INC	30Sep1995	026	PHYSICIANS	A00051462	01	General Practice	0	In state provider	19	Los Angeles	None	4944 W PICO BLVD	None	LOS ANGELES	CA	900194228	34.047892	-118.344541	78.2x	2172
1205162013	1205162013	1	1	POWERPLAY LYDIE HAZAN MD INC	06Nov2000	026	PHYSICIANS	A00053116	01	General Practice	0	In state provider	19	Los Angeles	None	5800 WILSHIRE BLVD	None	LOS ANGELES	CA	900364501	34.062420	-118.354965	78.2x	2151.01
1205222544	1205222544	1	1	CLINICA SIERRA VISTA	11Oct2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	15	Kern	None	1015 BAKER STREET	SUITE 4	BAKERSFIELD	CA	933059998	35.378997	-118.992215	66b	13
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
1205341336	1205341336	1	1	ELICA HEALTH CENTERS	07May2021	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	57	Yolo	None	1276 HALYARD DR	None	WEST SACRAMENTO	CA	956913412	38.572247	-121.550075	245	102.03
1205341336	1205341336	1	2	ELICA HEALTH CENTERS	23Feb2021	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	57	Yolo	INTERMITTENT	155 15TH STREET	SUITE A	WEST SACRAMENTO	CA	956913737	38.571129	-121.525514	245	102.01
1205393238	1205393238	1	1	UNICARE COMMUNITY HEALTH	22Oct2021	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	36	San Bernardino	CENTER INC	190 E HIGHLAND AVE	None	SAN BERNARDINO	CA	924043658	34.135947	-117.282719	151g	53
1205465747	1205465747	1	2	HEALING GROVE HEALTH CENTER	20Apr2020	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	43	Santa Clara	None	226 W ALMA AVE	SUITE 10	SAN JOSE	CA	951103520	37.313128	-121.878658	183d	5031.13
1205845583	1205845583	1	1	KIM, HYUK DO INC	01Oct2001	026	PHYSICIANS	20A7982	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	13563 VAN NUYS BLVD	None	PACOIMA	CA	913313029	34.261391	-118.428525	78.2ppp	1046.20
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
1205863784	1205863784	1	1	PATEL, DILIPKUMAR G MD	31Mar1989	026	PHYSICIANS	A00037584	None	UNKNOWN	0	In state provider	19	Los Angeles	INC	3131 SANTA ANITA AVE	STE 103	EL MONTE	CA	917331369	34.065104	-118.042737	78.2oo	4332
1205940145	1205940145	1	1	COUNTY OF RIVERSIDE	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	33	Riverside	None	2813 S MAIN ST	None	CORONA	CA	928825942	33.846532	-117.570809	135f	418.08
1215007893	1215007893	1	1	CONTRA COSTA COUNTY	22Jul2002	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	07	Contra Costa	CONCORD HEALTH CENTER	3052 WILLOW PASS RD	None	CONCORD	CA	945197600	37.980801	-122.021313	18c	3300
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
1215022918	1215022918	1	1	CALIFORNIA MEDICAL CLINIC	04Oct2005	022	PHYSICIANS GROUP	None	08	Family Practice	0	In state provider	36	San Bernardino	INC	16701 VALLEY BLVD	STE F	FONTANA	CA	923356696	34.070327	-117.439997	151f	33.01
1215030747	1215030747	1	1	INTEGRATIVE MEDICAL CTR	01Dec1993	022	PHYSICIANS GROUP	FNP12667	None	UNKNOWN	0	In state provider	30	Orange	None	526 W 17TH ST	None	SANTA ANA	CA	927063619	33.759988	-117.872775	116b	751
1215061528	1215061528	1	1	CLINICA SIERRA VISTA	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	15	Kern	None	704 LEBEC RD	None	LEBEC	CA	932250000	34.772888	-119.040689	237	1
1215095575	1215095575	1	1	PLANNED PARENTHOOD-	01Dec1977	041	COMMUNITY CLINIC	ZZR11927	None	UNKNOWN	0	In state provider	07	Contra Costa	ANTIOCH	1104 BUCHANAN RD	None	ANTIOCH	CA	945094205	37.998373	-121.822850	18d	3072.05
1215100417	1215100417	1	1	BANTA, DANTE A MD INC	01Jul1993	026	PHYSICIANS	A044079	08	Family Practice	0	In state provider	19	Los Angeles	None	875 N WESTERN AVE	None	LOS ANGELES	CA	900293759	34.086121	-118.309136	78.2g	1916.10
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
1215110879	1215110879	2	1	REEDLEY COMMUNITY HOSPITAL	01Dec2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	16	Kings	None	216 E FRESNO ST	None	AVENAL	CA	932041525	36.003533	-120.135901	67	17.01
1215155031	1215155031	1	1	COMMUNICARE HEALTH CTRS	24Aug2004	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	57	Yolo	SALUD CLINIC	500 JEFFERSON BLVD	STE B180	WEST SACRAMENTO	CA	956052394	38.587516	-121.526961	245	101.01
1215246996	1215246996	1	1	IMPERIAL BEACH COMMUNITY	27Jan2011	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	CLINIC	1016 OUTER ROAD	None	SAN DIEGO	CA	921541351	32.578619	-117.083338	161j	101.07
1215310008	1215310008	1	1	FAMILY HEALTH CARE CENTERS	13Nov2018	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	OF GREATER LOS ANGELES	6119 AGRA STREET	None	BELL GARDENS	CA	902011705	33.975589	-118.154266	78.2c	5339.01
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
1215494257	1215494257	1	1	UNICARE COMMUNITY HEALTH	06Apr2021	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	36	San Bernardino	AFFILIATED	1151 E WALNUT ST	None	ONTARIO	CA	917616155	34.026707	-117.630793	151l	18.06
1215903018	1215903018	1	1	COMMUNITY MEMORIAL HEALTH	01Dec1977	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	None	147 N BRENT ST	None	VENTURA	CA	930032809	34.274201	-119.257241	241c	19
1215962204	1215962204	1	1	PLANNED PARENTHOOD OF THE	31May2002	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	37	San Diego	PACIFIC SOUTHWEST	4501 MISSION BAY DR	STE 1C&D	SAN DIEGO	CA	921094923	32.802898	-117.216446	161a	78
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
1225044662	1225044662	1	1	LOS ANGELES COUNTY	28Apr1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	19	Los Angeles	WILMINGTON FAM PLANNING	1325 BROAD AVE	None	WILMINGTON	CA	907442604	33.789816	-118.261561	78.2p	2946.10
1225061856	1225061856	1	1	CHEN, LUNING MD	01Apr1999	026	PHYSICIANS	A00067442	08	Family Practice	0	In state provider	19	Los Angeles	MEDICAL CORPORATION	737 GARFIELD AVE	#A	ALHAMBRA	CA	918011321	34.101705	-118.131470	78.2eeee	4804
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
1225081227	1225081227	1	1	PLANNED PARENTHOOD	01Jul1995	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	44	Santa Cruz	WESTSIDE	1119 PACIFIC AVE	STE 200	SANTA CRUZ	CA	950604464	36.971894	-122.025496	185.1	1010
1225149222	1225149222	1	1	LAGUNA BEACH COMM CLINIC	01Dec2018	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	30	Orange	None	362 3RD ST	None	LAGUNA BEACH	CA	926512307	33.543763	-117.780912	115.2d	626.05
1225156375	1225156375	1	1	COMMUNITY MEDICAL CTRS	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	39	San Joaquin	TRACY FAMILY PRACTICE	730 CENTRAL AVE	None	TRACY	CA	953764104	37.735833	-121.425790	163	54.05
1225168024	1225168024	1	1	GALDAMEZ, LUIS A MD INC	01Jan1995	022	PHYSICIANS GROUP	FNP020761	01	General Practice	0	In state provider	19	Los Angeles	CLINICA MEDICA VIRGEN DE	2955 E FLORENCE AVE	None	HUNTINGTON PARK	CA	902555836	33.973308	-118.216415	78.2ccc	5331.07
1225177751	1225177751	1	1	CRENSHAW HEALTHCARE	18Aug2003	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	CORPOATION	3756 SANTA ROSALIA DR	STE 400	LOS ANGELES	CA	900083614	34.008440	-118.338719	78.2nnn	2361
1225179641	1225179641	1	1	ASIAN HEALTH SERVICE	23Feb2011	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	01	Alameda	None	835 WEBSTER ST	None	OAKLAND	CA	946074219	37.799511	-122.271239	2c	4030
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
1225254055	1225254055	1	1	CLINICA MEDICA FAMILIAR	06Oct2004	022	PHYSICIANS GROUP	FNP030239	08	Family Practice	0	In state provider	19	Los Angeles	SAN JUDAS INC	3900 W 3RD ST	None	LOS ANGELES	CA	900202675	34.069020	-118.299221	78.2e	2119.10
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
1225364060	1225364060	3	1	REEDLEY COMMUNITY HOSPITAL	01Dec2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	10	Fresno	None	1781 SIMPSON ST	None	KINGSBURG	CA	936311934	36.517481	-119.558622	30	72.01
1225376809	1225376809	1	1	PLANNED PARENTHOOD OF ORANGE	21Aug2013	041	COMMUNITY CLINIC	550002375	None	UNKNOWN	0	In state provider	36	San Bernardino	AND SAN BERNARDINO	15403 PARK AVENUE EAST	None	VICTORVILLE	CA	923922482	34.506371	-117.326592	145.1a	99.04
1225426588	1225426588	1	1	PLANNED PARENTHOOD MAR MONTE	17May2015	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	01	Alameda	None	8480 ENTERPRISE WAY	None	OAKLAND	CA	946211318	37.742148	-122.192691	2d	4090
1225546575	1225546575	1	1	FAMILY HEALTHCARE NETWORK	20Feb2019	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	10	Fresno	290 NORTH WAYTE LANE	STE 1200-1300, 1600-1800	STE 2100-2300, 2500-2600	FRESNO	CA	937012124	36.743671	-119.786032	35c	5.02
1235108713	1235108713	1	1	PLANNED PARENTHOOD/	19Sep1980	041	COMMUNITY CLINIC	300690060	None	UNKNOWN	0	In state provider	30	Orange	ORANGE & SAN BERNARDINO	26137 LA PAZ RD	STE 200	MISSION VIEJO	CA	926915321	33.600397	-117.673489	115.2a	320.12
1235138363	1235138363	1	1	RIOS, JAVIER R MD INC	04Aug1999	022	PHYSICIANS GROUP	FNP026679	None	UNKNOWN	0	In state provider	33	Riverside	MAGNOLIA CLINICA MEDICA	9939 MAGNOLIA AVE	None	RIVERSIDE	CA	925033528	33.915825	-117.454765	135d	412.01
1235138363	1235138363	1	2	RIOS, JAVIER R MD INC	18Feb2000	022	PHYSICIANS GROUP	FNP027284	None	UNKNOWN	0	In state provider	33	Riverside	None	4022 CHICAGO AVE	None	RIVERSIDE	CA	925075340	33.972376	-117.348514	135a	305.01
1235154006	1235154006	2	1	REEDLEY COMMUNITY HOSPITAL	01Jan2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	10	Fresno	None	1455 PARK BLVD	None	ORANGE COVE	CA	936469322	36.624650	-119.322665	32	65.01
1235189275	1235189275	1	1	FACULTY PHYSICIANS AND	01Jan2000	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	36	San Bernardino	SURGEONS OF LLUSM	11370 ANDERSON ST	# 3900	LOMA LINDA	CA	923543450	34.047569	-117.261113	151i	73.02
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
1235245275	1235245275	1	1	LA CLINICA DE LA RAZA	21Aug2006	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	01	Alameda	CLINICA ALTA VISTA	1515 FRUITVALE AVE	None	OAKLAND	CA	946012355	37.778916	-122.225196	2d	4062.02
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
1235283094	1235283094	1	1	CENTRAL CITY COMMUNITY	01Aug2003	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	HEALTH CENTER INC	5970 S CENTRAL AVE	None	LOS ANGELES	CA	900011150	33.985662	-118.256441	78.2ggg	2392.02
1235299637	1235299637	1	1	ARDMORE MED GROUP INC	10Apr1992	022	PHYSICIANS GROUP	FNP030539	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	2765 E FLORENCE AVE	None	HUNTINGTON PARK	CA	902555750	33.973783	-118.220898	78.2ccc	5331.07
1235342981	1235342981	1	1	GOLDEN VALLEY HEALTH CTR	01Feb2006	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	50	Stanislaus	PO BOX 7	301 HOWARD RD	None	WESTLEY	CA	953870000	37.550060	-121.202124	213	33
1235475484	1235475484	1	1	REEDLEY COMMUNITY HOSPITAL	01Feb2014	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	16	Kings	None	1310 HANNA AVENUE	SUITE 1 AND SUITE 3	CORCORAN	CA	932122334	36.099722	-119.563708	68	14.02
1235500513	1235500513	1	1	COMMUNITY MEDICAL WELLNESS	15Aug2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	CENTERS USA	1360 E ANAHEIM ST	SUITE 101	LONG BEACH	CA	908135514	33.782589	-118.174821	78.2jjj	5764.02
1235521782	1235521782	1	1	FAMILY HEALTH CENTERS	07Aug2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	OF SAN DIEGO INC	2325 COMMERCIAL ST	STE 1400	SAN DIEGO	CA	921131195	32.705218	-117.142992	161c	49
1235578444	1235578444	1	1	REEDLEY COMMUNITY HOSPITAL	16Jul2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	54	Tulare	None	444 W EL MONTE WAY	None	DINUBA	CA	936181500	36.545923	-119.399107	227.1	5.02
1245246917	1245246917	1	1	NORTH COUNTY HEALTH PROJECT	06Jan1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	INCORPORATED	150 VALPREDA RD	None	SAN MARCOS	CA	920692973	33.141908	-117.156473	156e	200.23
1245257708	1245257708	1	1	PLANNED PARENTHOOD OF THE	22Sep1983	041	COMMUNITY CLINIC	370891662	None	UNKNOWN	0	In state provider	37	San Diego	PACIFIC SOUTHWEST	1964 VIA CENTRE DR	None	VISTA	CA	920816056	33.184162	-117.283003	156d	198.05
1245261023	1245261023	1	2	R. RUIZ, M.D., A PROFESSIONA	28Dec2018	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	19	Los Angeles	NTAL	833 W WHITTIER BLVD	None	MONTEBELLO	CA	906404735	34.010196	-118.108726	78.2ww	5301.02
1245265230	1245265230	1	1	PLANNED PARENTHOOD OF THE	03Jul1984	041	COMMUNITY CLINIC	370891686	None	UNKNOWN	0	In state provider	37	San Diego	PACIFIC SOUTHWEST	220 EUCLID AVE	SUITE 30	SAN DIEGO	CA	921143617	32.706291	-117.085087	161g	33.04
1245301308	1245301308	1	1	MOUNTAIN VALLEYS HEALTH	01Oct2002	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	45	Shasta	BURNEY HEALTH CENTER	37491 ENTERPRISE DR	None	BURNEY	CA	960134380	40.887165	-121.647469	190	127.01
1245329440	1245329440	1	1	PLANNED PARENTHOOD LOS	20Jan1996	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	19	Los Angeles	ANGELES JONES CENTER	7655 GREENLEAF AVE	None	WHITTIER	CA	906021626	33.972647	-118.037379	78.2uu	5018.03
1245364538	1245364538	1	1	CLINICA SIERRA VISTA INC	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	15	Kern	EAST BAKERSFIELD COMM	815 MARTIN LUTHER KING B	# J	BAKERSFIELD	CA	933071365	35.365882	-118.985188	66b	22
1245366715	1245366715	1	1	CENTRO MEDICO COMM CLNC	05Feb2003	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	33	Riverside	None	1307 W 6TH ST	STE 113	CORONA	CA	928823168	33.877807	-117.588941	135d	417.03
1245384742	1245384742	1	1	MARSHALL MEDICAL CENTER	03Feb2006	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	09	El Dorado	PRIMARY CARE OB-GYN	3501 PALMER DR	STE 204	CAMERON PARK	CA	956828276	38.661810	-120.966419	23.1	308.03
1245397298	1245397298	1	1	COUNTY OF SANTA BARBARA	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	42	Santa Barbara	FRANKLIN CLINIC	1136 E MONTECITO ST	None	SANTA BARBARA	CA	931032635	34.427180	-119.679853	181a	8.04
1245420660	1245420660	1	1	GEORGE L MEE MEM HOSP	01Dec1977	015	COMMUNITY OUTPATIENT HOSPITAL	270700777	None	UNKNOWN	0	In state provider	27	Monterey	None	300 CANAL ST	None	KING CITY	CA	939303431	36.207089	-121.132356	105	113.04
1245480821	1245480821	1	1	CLINICA SIERRA VISTA	14Oct2008	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	10	Fresno	None	2798 ELM AVENUE	None	FRESNO	CA	937065435	36.699621	-119.790735	30	10
1245493097	1245493097	1	1	PLANNED PARENTHOOD MAR	01Jun2009	041	COMMUNITY CLINIC	550001082	None	UNKNOWN	0	In state provider	39	San Joaquin	MONTE	1441 N TRACY BLVD	None	TRACY	CA	953863445	37.743986	-121.435062	163	53.03
1245548932	1245548932	1	2	ZAHEDY-KAPUSTA, SEPIDEH MD	01Mar2013	026	PHYSICIANS	A00099099	01	General Practice	0	In state provider	30	Orange	None	2094 W LA HABRA BLVD	None	LA HABRA	CA	906310012	33.931848	-117.968840	116k	11.02
1245668607	1245668607	1	1	ELITE WOMEN HEALTH APMC	16Jun2015	026	PHYSICIANS	A99801	None	UNKNOWN	0	In state provider	15	Kern	None	1801 28TH ST	None	BAKERSFIELD	CA	933012101	35.384822	-119.022352	66a	16
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
1245671726	1245671726	1	1	LA CLINICA DE LA RAZA INC	16Sep2013	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	01	Alameda	None	1390 66TH AVE	None	OAKLAND	CA	946213506	37.762067	-122.193395	2d	4088
1245694306	1245694306	1	1	REEDLEY COMMUNITY HOSPITAL	08Jan2018	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	15	Kern	None	1040 7TH STREET	None	WASCO	CA	932801934	35.594225	-119.337212	58.2	44.02
1245777358	1245777358	1	1	OMNI FAMILY HEALTH	14Dec2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	10	Fresno	None	925 G STREET	None	REEDLEY	CA	936542626	36.598178	-119.452641	32	66.02
1255347704	1255347704	1	1	NORTH COUNTY HEALTH PROJECT	29Dec1999	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	INC	1295 CARLSBAD VILLAGE DR	STE 100	CARLSBAD	CA	920081950	33.164606	-117.340019	156b	178.01
1255347894	1255347894	1	1	NORTH COUNTY HEALTH PROJECT	06Jan1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	INC	2210 MESA DR	STE 300	OCEANSIDE	CA	920693756	33.208349	-117.359004	156a	185.10
1255350351	1255350351	1	1	AMPLA HEALTH	25Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	51	Sutter	None	355 SAMUEL DR	None	YUBA CITY	CA	959916324	39.123108	-121.609927	216	503.02
1255366241	1255366241	1	1	PLANNED PARENTHOOD OF THE	26Feb1993	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	37	San Diego	THE PACIFIC SOUTHWEST	1295 BROADWAY	# 201 & #202	CHULA VISTA	CA	919112976	32.603890	-117.078792	161j	132.06
1255387106	1255387106	1	1	PLANNED PARENTHOOD	01Sep1996	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	51	Sutter	None	430 N PALORA AVE	STE G	YUBA CITY	CA	959914707	39.127950	-121.633329	216	502.01
1255405429	1255405429	1	1	YOO, JEUNG C MD INC	01Jan1979	026	PHYSICIANS	A00032076	None	UNKNOWN	0	In state provider	33	Riverside	AVE BLDG 2 #B	264 N HIGHLAND SPRINGS A	STE 2-B	BANNING	CA	922203082	33.930826	-116.946902	134	438.18
1255420436	1255420436	1	1	PLANNED PARENTHOOD	24Apr1992	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	19	Los Angeles	LOS ANGELES BURBANK CTR	916 W BURBANK BLVD	STE M	BURBANK	CA	915061450	34.184129	-118.321902	78.2ttt	3108
1255435533	1255435533	1	1	HUMBOLDT OPEN DOOR CLIN	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	12	Humboldt	None	770 10TH ST	None	ARCATA	CA	955216210	40.869801	-124.086240	39	10
1255471868	1255471868	2	1	R & R CLINICAL & MEDICA	16Sep2005	022	PHYSICIANS GROUP	FNP029855	08	Family Practice	0	In state provider	19	Los Angeles	CLINICA MEDICA NUESTRA	1403 N FAIR OAKS AVE	STE 3	PASADENA	CA	911031876	34.170316	-118.150687	None	None
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
1255490819	1255490819	1	1	BORREGO COMM HLTH FNDTN	22May2008	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	33	Riverside	CENTRO MEDICO OASIS	88775 AVE 76	STE 1	THERMAL	CA	922749681	33.498948	-116.117237	128	456.05
1255542601	1255542601	1	1	ALTAMED MEDICAL & DENTAL	05Jan2005	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	GROUP, WHITTIER WEST	3945 WHITTIER BLVD	None	LOS ANGELES	CA	900232440	34.023930	-118.187753	78.2d	5312.02
1255549879	1255549879	1	1	UNITED HEALTH CENTERS-	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	10	Fresno	HURON	16928 11TH STREET	None	HURON	CA	932340000	36.205390	-120.102483	28	78.02
1255587630	1255587630	1	1	FOZOUNI, DERAKHSH MD	05Sep2008	022	PHYSICIANS GROUP	A00095051	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	33	Riverside	None	555 TACHEVAH DR	STE 2W-103	PALM SPRINGS	CA	922625764	33.837622	-116.541784	129.4	446.02
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
1255738423	1255738423	1	1	DEL ROSARIO, GELEN R MD INC	08Sep2017	089	ELECTRONIC HEALTH RECORD INCENTIVE PROGRAM	None	None	UNKNOWN	0	In state provider	37	San Diego	None	502 SOUTH EUCLID AVE	SUITE 300	NATIONAL CITY	CA	919502931	32.685307	-117.083365	161g	220
1255795258	1255795258	1	1	LOS ANGELES COMMUNITY	14Oct2016	055	LOCAL EDUCATION AGENCY	None	None	UNKNOWN	0	In state provider	19	Los Angeles	COLLEGE DISTRICT	6201 WINNETKA AVENUE	None	WOODLAND HILLS	CA	913710001	34.182912	-118.570945	78.2ii	1393.01
1255849238	1255849238	1	1	YASHARPOUR MEDICAL DOCTOR	28Feb2018	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	19	Los Angeles	INC APMC	6330 VAN NUYS BLVD	None	VAN NUYS	CA	914012610	34.185673	-118.448715	78.2cc	1283.03
1265440010	1265440010	1	1	LOS ANGELES CO	28Apr1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	19	Los Angeles	MID VALLEY COMP HLTH CTR	7515 VAN NUYS BLVD	None	VAN NUYS	CA	914051949	34.207156	-118.448789	78.2zz	1272.20
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
1265530018	1265530018	2	1	REEDLEY COMMUNITY HOSPITAL	01Dec2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	10	Fresno	None	1041 ROSE AVE	None	SELMA	CA	936623240	36.568884	-119.595897	30	70.04
1265538060	1265538060	1	1	REPRODUCTIVE ASSOC MED	01Jan1989	022	PHYSICIANS GROUP	FNP012460	None	UNKNOWN	0	In state provider	19	Los Angeles	GROUP INC	1045 ATLANTIC AVE	STE 508	LONG BEACH	CA	908133411	33.779811	-118.185050	78.2kkk	5763.01
1265539712	1265539712	1	1	LUDMIR, JAIME MD	01Jul1984	026	PHYSICIANS	A00035195	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	30	Orange	None	2810 S BRISTOL ST	None	SANTA ANA	CA	927046204	33.709712	-117.885429	116g	740.05
1265569008	1265569008	1	1	CHILDRENS HOSP ORANGE CO	01Mar2000	054	EXPANDED ACCESS TO PRIMARY CARE	None	None	UNKNOWN	0	In state provider	30	Orange	None	406 S MAIN ST	None	SANTA ANA	CA	927015712	33.742201	-117.867666	116g	746.01
1265572903	1265572903	1	1	BROOKDALE MEDICA CENTER	05Dec2005	022	PHYSICIANS GROUP	None	01	General Practice	0	In state provider	19	Los Angeles	INC	2809 TWEEDY BLVD	None	SOUTH GATE	CA	902805538	33.945986	-118.221942	78.2ccc	5356.06
1265585038	1265585038	1	1	CHAMBI, MIRNA R MD INC	19Mar2003	026	PHYSICIANS	A53149	None	UNKNOWN	0	In state provider	30	Orange	None	7151 LINCOLN AVE	STE B	BUENA PARK	CA	906204614	33.832005	-118.008373	116a	1102.01
1265737043	1265737043	1	1	PUEBLO MEDICAL CENTER INC	14Jun2019	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	30	Orange	None	8045 CERRITOS AVE	None	STANTON	CA	906802436	33.810150	-117.992288	116c	878.03
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
1265854061	1265854061	1	1	UNICARE COMMUNITY HEALTH	26Aug2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	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
1275030009	1275030009	1	1	M PAKOUR MD INC	26Apr2018	026	PHYSICIANS	None	08	Family Practice	0	In state provider	19	Los Angeles	None	3671 W 6TH ST.	STE.B	LOS ANGELES	CA	900203026	34.063571	-118.302245	78.2e	2118.02
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
1275550295	1275550295	1	1	COMMUNITY HEALTH CENTERS	01Nov2005	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	40	San Luis Obispo	AT TEMPLETON	1330 LAS TABLAS RD	None	TEMPLETON	CA	934659758	35.554381	-120.723461	170	127.04
1275553257	1275553257	1	1	COMMUNITY HEALTH CENTERS	01Nov2005	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	40	San Luis Obispo	SAN LUIS OBISPO	1551 BISHOP ST	STE B260	SAN LUIS OBISPO	CA	934014635	35.274341	-120.646177	172	110.02
1275562969	1275562969	1	1	INLAND BEHAVIORAL AND HEALTH	01Jul2000	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	36	San Bernardino	HEALTH CENTER	665 N D ST	None	SAN BERNARDINO	CA	924011109	34.111371	-117.291881	151g	57.01
1275583007	1275583007	1	1	FACULTY PHYSICIANS	10Dec2007	031	PSYCHOLOGISTS	None	None	UNKNOWN	0	In state provider	36	San Bernardino	AND SURGEONS OF LLUSM	25845 BARTON RD	STE F	LOMA LINDA	CA	923543857	34.048273	-117.237207	151i	73.02
1275617169	1275617169	1	1	OPERATION SAMAHAN INC	28Aug2018	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	None	2835 HIGHLAND AVE	SUITE A	NATIONAL CITY	CA	919507406	32.660558	-117.091927	161k	116.02
1275629495	1275629495	1	1	CLINICA MSR OSCAR ROMERO	01Apr2000	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	123 S ALVARADO ST	None	LOS ANGELES	CA	900572201	34.066074	-118.270693	78.2ffff	2085.02
1275656761	1275656761	1	1	BIR, RAGHBIR S MD	01Jul1998	022	PHYSICIANS GROUP	A00042345	41	Internal Medicine	0	In state provider	36	San Bernardino	None	280 N RIVERSIDE AVE	None	RIALTO	CA	923765924	34.103910	-117.370486	151h	37
1275661811	1275661811	1	1	JOHN MARSHALL HIGH	02Oct2006	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	19	Los Angeles	SCHOOL HEALTH CENTER	3939 TRACY ST	None	LOS ANGELES	CA	900273207	34.107740	-118.277634	78.2ff	1952.01
1275753071	1275753071	1	1	GOLDEN VALLEY HEALTH CTR	18Nov2005	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	24	Merced	None	401 LESHER DR	None	MERCED	CA	953416572	37.293741	-120.504168	97.2	15.03
1275778847	1275778847	1	1	REDWOOD COAST MEDICAL	01Oct2010	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	23	Mendocino	None	30 MILL ST	None	POINT ARENA	CA	954680000	38.908425	-123.691820	88	111.02
1275849283	1275849283	1	1	BORREGO COMMUNITY HEALTH	30Jan2014	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	33	Riverside	FOUNDATION	66675 PIERSON BLVD	None	DESERT HOT SPRING	CA	922403737	33.961413	-116.498025	129.4	445.10
1275918674	1275918674	1	1	AVENAL COMMUNITY HEALTH	22Jun2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	16	Kings	CENTER	304 BECKY PEASE ST	None	KETTLEMAN CITY	CA	932390000	36.008942	-119.960194	68	16.01
1275965105	1275965105	1	1	GONZALES, ROMMEL MEDICAL	04Aug2014	026	PHYSICIANS	A122760	01	General Practice	0	In state provider	19	Los Angeles	GROUP INC	508 S ALVARADO ST	None	LOS ANGELES	CA	900572904	34.060315	-118.274360	78.2ffff	2088.01
1275974461	1275974461	1	1	PACIFIC CENTRAL COAST HEALTH	04Apr2014	041	COMMUNITY CLINIC	550002625	None	UNKNOWN	0	In state provider	42	Santa Barbara	CENTERS	210 SOUTH PALISADE DRIVE	SUITE 101	SANTA MARIA	CA	934548901	34.951946	-120.412113	180.1	22.11
1285046847	1285046847	1	1	EAST VALLEY COMMUNITY HEALTH	01Dec2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	APCC	276 WEST COLLEGE STREET	None	COVINA	CA	917231902	34.087506	-117.894026	78.2qq	4061.01
1285059923	1285059923	1	1	COMMUNITY MEDICAL CENTERS	14Dec2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	39	San Joaquin	APCC	1031 WATERLOO ROAD	None	STOCKTON	CA	952054256	37.967107	-121.272467	169b	16
1285059923	1285059923	1	17	COMMUNITY MEDICAL CENTERS	28Apr2021	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	39	San Joaquin	INTERMITTENT	5151 PACIFIC AVE	ROOM 126	STOCKTON	CA	952076304	37.998275	-121.315545	169c	31.11
1285623256	1285623256	1	1	MERCED FACULTY ASSOCIATES ME	01Jan1988	022	PHYSICIANS GROUP	P14747	08	Family Practice	0	In state provider	24	Merced	DICAL GROUP	127 EL PORTAL	None	MERCED	CA	953482853	37.326774	-120.470477	97.1	10.02
1285651745	1285651745	2	1	REEDLEY COMMUNITY HOSPITAL	01Dec2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	10	Fresno	None	2440 W TAHOE	None	CARUTHERS	CA	936099476	36.540413	-119.835456	30	75
1285658690	1285658690	1	1	GUMBS, JOSLYN L MD	06Feb2013	026	PHYSICIANS	A00087245	None	UNKNOWN	0	In state provider	19	Los Angeles	None	5255 W SUNSET BLVD	None	LOS ANGELES	CA	900275716	34.098107	-118.304455	78.2g	1911.10
1285667758	1285667758	1	1	AMPLA HEALTH	25Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	11	Glenn	& DENTAL	1211 CORTINA DR	None	ORLAND	CA	959631699	39.742278	-122.202481	36.1	101
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
1285788059	1285788059	1	1	CENTRAL CITY COMM HLTH CTR	15Jun2007	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	30	Orange	None	2237 W BALL RD	None	ANAHEIM	CA	928045314	33.817761	-117.961234	116c	877.01
1285795773	1285795773	2	2	GOOD SAMARITAN MEDICAL CLINI	08Jun2020	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	30	Orange	C, INC	801 N HARBOR BLVD	None	ANAHEIM	CA	928051810	33.842956	-117.922468	116l	866.02
1285804948	1285804948	1	1	MARIN CITY HEALTH AND	01Aug2011	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	21	Marin	WELLNESS CENTER	630 DRAKE AVE	None	SAUSALITO	CA	949651107	37.873813	-122.514554	82	1290
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
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
1285937631	1285937631	1	1	MIYOCO MEDICAL CENTER INC	02Apr2015	026	PHYSICIANS	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	30	Orange	None	15975 HARBOR BOULEVARD	None	FOUNTAIN VALLEY	CA	927081303	33.731272	-117.920027	116i	992.02
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
1295280576	1295280576	1	1	CHILDRENS HOSPITAL OF ORANGE	16Nov2016	022	PHYSICIANS GROUP	None	40	Pediatrics	0	In state provider	30	Orange	COUNTY	1120 W LA VETA AVE	STE 125	ORANGE	CA	928684235	33.780333	-117.864535	116h	760
1295353431	1295353431	1	1	PLANNED PARENTHOOD LOS	05Feb2021	041	COMMUNITY CLINIC	550005995	None	UNKNOWN	0	In state provider	19	Los Angeles	AFFILIATED	4402 E COMPTON BLVD	EAST RANCHO	DOMINGUEZ	CA	902213667	33.896138	-118.193950	78.2bbb	5421.06
1295353431	1295353431	1	2	PLANNED PARENTHOOD LOS	27Dec2021	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	19	Los Angeles	INTERMITTENT	905 N LA BREA AVE	None	INGLEWOOD	CA	903022207	33.974647	-118.357667	78.2k	6013.03
1295746949	1295746949	1	1	UNIQUE HEALTHCARE FOR WOMEN	01Jul2002	026	PHYSICIANS	A00072235	None	UNKNOWN	0	In state provider	37	San Diego	None	891 KUHN DRIVE	STE. 111	CHULA VISTA	CA	919502995	32.685292	-117.083375	161g	220
1295752384	1295752384	1	1	NORTHERN VALLEY INDIAN	12Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	11	Glenn	HEALTH	207 N BUTTE ST	None	WILLOWS	CA	959882803	39.521923	-122.195357	37	104
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
1295821296	1295821296	1	1	ASPEN MEDICAL GROUP INC	25Feb2005	022	PHYSICIANS GROUP	FNP031995	None	UNKNOWN	0	In state provider	33	Riverside	None	9041 MAGNOLIA AVE	STE 305	RIVERSIDE	CA	925033957	33.925272	-117.438078	135c	315.01
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
1295824498	1295824498	1	1	PLANNED PARENTHOOD WORLD	01Dec1977	041	COMMUNITY CLINIC	ZZT11690	None	UNKNOWN	0	In state provider	19	Los Angeles	CANOGA PARK CLINIC	21001 SHERMAN WAY	STE 9	CANOGA PARK	CA	913033683	34.201103	-118.590600	78.2hhhh	1340.01
1295887024	1295887024	2	1	LA LIBERTAD MEDICAL	01Jul2008	022	PHYSICIANS GROUP	FNP024664	None	UNKNOWN	0	In state provider	19	Los Angeles	CLINIC INC	8225 LONG BEACH BLVD	STE C	SOUTH GATE	CA	902802010	33.963767	-118.225108	78.2ccc	5355.01
1295893550	1295893550	1	1	PLANNED PARENTHOOD	17Jul1981	041	COMMUNITY CLINIC	140000214	None	UNKNOWN	0	In state provider	07	Contra Costa	SHASTA-DIABLO INC	200 PORTER DRIVE	SUITE 200	SAN RAMON	CA	945831524	37.774939	-121.991560	18h	3452.02
1295900439	1295900439	1	1	FACULTY PHYS & SURG OF	25Jun2008	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	36	San Bernardino	LLUSM	11370 ANDERSON ST	STE 2050	LOMA LINDA	CA	923543450	34.047569	-117.261113	151i	73.02
1295913366	1295913366	1	1	OLE HEALTH	01Jan2010	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	28	Napa	CLINIC OLE	1222 PINE ST	STE A	SAINT HELENA	CA	945741830	38.506025	-122.472105	111.1	2016.02
1295944015	1295944015	1	1	UNITED HLTH CTRS-MENDOTA	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	10	Fresno	None	121 BARBOZA ST	None	MENDOTA	CA	936401901	36.765512	-120.383672	25	83.01
1306015425	1306015425	1	1	ALTAMED HEALTH SERVICES CORP	13Feb2008	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	30	Orange	HUNTINGTON BCH COMM CLIN	8041 NEWMAN AVE	None	HUNTINGTON BEACH	CA	926477034	33.704838	-117.988640	116s	992.12
1306047196	1306047196	1	1	ALAMEDA COUNTY MED CTR	01Jul1998	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	01	Alameda	WINTON WELLNESS CENTER	24100 AMADOR ST	None	HAYWARD	CA	945441273	37.658958	-122.094685	2n	4368
1306131545	1306131545	1	1	BORREGO COMMUNITY HEALTH	02Jan2013	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	33	Riverside	FOUNDATION	8856 ARLINGTON AVE	None	RIVERSIDE	CA	925031365	33.946501	-117.467871	135d	411.01
1306252051	1306252051	1	1	OPEN DOOR COMMUNITY HEALTH	26Jul2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	12	Humboldt	CENTERS	3750 ROHNERVILLE ROAD	None	FORTUNA	CA	955403118	40.563970	-124.126673	42	110
1306852496	1306852496	1	1	OMNI FAMILY HEALTH	18Dec2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	15	Kern	None	1215 JEFFERSON ST	None	DELANO	CA	932152203	35.771991	-119.244972	60	50.04
1306871397	1306871397	1	1	PLANNED PARENTHOOD OF	22Oct1980	041	COMMUNITY CLINIC	370891589	None	UNKNOWN	0	In state provider	37	San Diego	SAN DIEGO COUNTY	7035 CONVOY COURT	None	SAN DIEGO	CA	921111016	32.834670	-117.164248	161o	85.11
1306930052	1306930052	1	1	FAMILY PLANNING ASSOCIATES M	01Jan1983	022	PHYSICIANS GROUP	FNP034901	None	UNKNOWN	0	In state provider	19	Los Angeles	EDICAL GROUP INC	425 EAST COLORADO STREET	SUITE 420	GLENDALE	CA	912055123	34.142621	-118.250670	78.2ff	3022.02
1306930961	1306930961	1	1	FAMILY PLANNING ASSOCIAT	01Jan1988	022	PHYSICIANS GROUP	FNP034901	None	UNKNOWN	0	In state provider	19	Los Angeles	MEDICAL GROUP INC	10200 SEPULVEDA BLVD	STE 200	MISSION HILLS	CA	913452657	34.255450	-118.467269	78.2kk	1096.03
1306931266	1306931266	1	1	FAMILY PLANNING ASSOC	17Nov1977	078	MARRIAGE AND FAMILY THERAPIST GROUP	None	None	UNKNOWN	0	In state provider	19	Los Angeles	MEDICAL GROUP INC	601 S WESTMORELAND AVE	None	LOS ANGELES	CA	900053999	34.063643	-118.288432	78.2e	2111.20
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
1306965587	1306965587	1	1	HURTT FAMILY HEALTH CLINIC,	13May2010	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	30	Orange	INC	1 HOPE DR	None	TUSTIN	CA	927820221	33.741803	-117.786753	116v	756.07
1316033533	1316033533	1	1	CLINICA MONSENOR OSCAR A. RO	31May2005	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	2032 MARENGO ST	None	LOS ANGELES	CA	900331319	34.056602	-118.207395	78.2ffff	2033
1316038169	1316038169	1	2	DARDASHTI, MALIHE MD	01Dec1998	026	PHYSICIANS	A00041092	08	Family Practice	0	In state provider	19	Los Angeles	SAN PEDRO ADAMS MEDICAL	2530 S SAN PEDRO ST	None	LOS ANGELES	CA	900111520	34.021969	-118.261057	78.2mmm	2264.10
1316061674	1316061674	1	1	ABAIAN, ALI MD	01Apr2001	026	PHYSICIANS	A00072830	None	UNKNOWN	0	In state provider	19	Los Angeles	None	8460 S CENTRAL AVENUE	None	LOS ANGELES	CA	900013761	33.961796	-118.256403	78.2fff	2398.02
1316075062	1316075062	1	1	LASALLE MEDICAL ASSOC	01Apr1998	022	PHYSICIANS GROUP	FNP023625	None	UNKNOWN	0	In state provider	36	San Bernardino	None	16455 MAIN ST	STE 1	HESPERIA	CA	923453500	34.421826	-117.303329	145.1a	100.14
1316088479	1316088479	1	1	ARROYO VISTA FAMILY	21Nov2001	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	HEALTH CENTER	4815 VALLEY BLVD	STE C	LOS ANGELES	CA	900323300	34.066174	-118.179911	78.2i	2016.01
1316116221	1316116221	1	1	ALTAMED HEALTH SERVICES CORP	13Feb2008	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	30	Orange	ORANGE, CHAPMAN	4010 E CHAPMAN AVE	None	ORANGE	CA	928693990	33.787757	-117.811405	116h	758.07
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
1316150576	1316150576	1	1	GOLDEN VALLEY HEALTH CTR	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	24	Merced	WOMEN'S HEALTH	797 W CHILDS AVE	None	MERCED	CA	953406805	37.288207	-120.496348	97.2	15.03
1316162829	1316162829	1	1	GOLDEN VALLEY HEALTH CTR	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	24	Merced	None	847 W CHILDS AVE	None	MERCED	CA	953410000	37.288202	-120.497174	97.2	16.02
1316163736	1316163736	1	1	CLINICAS DEL CAMINO REAL	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	None	1200 MARICOPA HWY	None	OJAI	CA	930233129	34.442068	-119.262664	238	9.01
1316188253	1316188253	1	1	COUNTY OF VENTURA	31Aug2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	None	125 W THOUSAND OAKS BLVD	SUITE 300	THOUSAND OAKS	CA	913604460	34.178690	-118.880960	240b	69
1316188543	1316188543	1	1	LA CLINICA DE LA RAZA INC	23Jul2009	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	01	Alameda	None	50 E LEWELLING BLVD	None	SAN LORENZO	CA	945801732	37.686688	-122.122192	2h	4337
1316221617	1316221617	1	1	PLANNED PARENTHOOD MAR MONTE	20Jun2013	041	COMMUNITY CLINIC	550002300	None	UNKNOWN	0	In state provider	41	San Mateo	INC	29 BAYWOOD AVE	None	SAN MATEO	CA	944021516	37.565055	-122.328552	176e	6064
1316247182	1316247182	1	1	PALMDALE REGIONAL WOMEN'S	08Nov2010	026	PHYSICIANS	None	09	Gynecology (D.O. only)	0	In state provider	19	Los Angeles	None	520 W PALMDALE BLVD.	STE Q	PALMDALE	CA	935514231	34.583612	-118.138998	77.1a	9104.01
1316393010	1316393010	1	1	GOLDEN VALLEY HEALTH CENTERS	01May2018	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	50	Stanislaus	None	1920 MEMORIAL DRIVE	None	CERES	CA	953071827	37.600357	-120.961059	215c	26.04
1316455363	1316455363	1	1	YASHARPOUR MEDICAL DOCTOR	28Feb2018	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	19	Los Angeles	INC APMC	7400 VAN NUYS BLVD	STE 120	VAN NUYS	CA	914051972	34.205432	-118.448764	78.2zz	1272.20
1316597693	1316597693	1	1	JOON CHOI MD A PROFESSIONAL	01Mar2020	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	19	Los Angeles	CORPORATION	8100 SUNLAND BLVD	None	SUN VALLEY	CA	913523948	34.217683	-118.370170	78.2ppp	1221.22
1316916836	1316916836	1	1	PLANNED PARENTHOOD/	15Jun1981	041	COMMUNITY CLINIC	300690073	None	UNKNOWN	0	In state provider	30	Orange	ORANGE & SAN BERNARDINO	14372 BEACH BLVD	None	WESTMINSTER	CA	926834578	33.753479	-117.989492	116s	998.03
1316963606	1316963606	1	1	AMPLA HEALTH	25Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	04	Butte	None	680 COHASSET RD	None	CHICO	CA	959262213	39.752588	-121.845384	7.1	3
1316970932	1316970932	1	1	CMCLA PATHOLOGY MED GRP	31May1993	022	PHYSICIANS GROUP	FNP020595	22	Pathology (M.D. only)	0	In state provider	19	Los Angeles	None	1401 S GRAND AVE	None	LOS ANGELES	CA	900153010	34.037180	-118.265408	78.2ffff	2240.10
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
1316991714	1316991714	1	1	PLANNED PARENTHOOD MAR MONTE	01Oct1996	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	34	Sacramento	INC	1125 10TH ST	None	SACRAMENTO	CA	958143503	38.578954	-121.494027	139j	11.01
1326063199	1326063199	2	1	REEDLEY COMMUNITY HOSPITAL	01Jan2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	10	Fresno	None	372 W CYPRESS AVE	None	REEDLEY	CA	936542113	36.607796	-119.451265	32	66.03
1326065103	1326065103	1	1	COMMUNITY HEALTH CENTERS	01Mar2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	42	Santa Barbara	OF THE CENTRAL COAST INC	1300 WEST OCEAN AVE	None	LOMPOC	CA	934365678	34.639076	-120.475310	179	27.07
1326133083	1326133083	1	1	CALIFORNIA MEDICAL CLINIC IN	04Oct2005	022	PHYSICIANS GROUP	FNP001458	08	Family Practice	0	In state provider	33	Riverside	C.	23900 IRONWOOD AVE	STE F	MORENO VALLEY	CA	925577151	33.946590	-117.245981	135g	424.05
1326225632	1326225632	2	1	CENTRO DE SALUD DE LA	25Aug2008	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	COMUNIDAD DE SAN YSIDRO	3177 OCEAN VIEW BLVD	None	SAN DIEGO	CA	921131432	32.701187	-117.125663	161c	39.02
1326244096	1326244096	1	1	ALLIANCE MEDICAL CENTER	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	49	Sonoma	None	1381 UNIVERSITY ST	None	HEALDSBURG	CA	954483314	38.627712	-122.863743	205.1	1539.02
1326317819	1326317819	1	1	FAMILY HEALTHCARE NETWORK	03Feb2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	54	Tulare	None	730 N FARMERSVILLE BLVD	None	FARMERSVILLE	CA	932231220	36.303414	-119.207126	233	16.01
1326384579	1326384579	1	1	REEDLEY COMMUNITY HOSPITAL	01Feb2014	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	16	Kings	None	337 E KINGS STREET	None	AVENAL	CA	932041630	36.002536	-120.133939	67	17.01
1326486861	1326486861	1	1	CENTRO DE SALUD DE LA	30Sep2013	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	COMUNIDAD DE SAN YSIDRO	678 THIRD AVE	None	CHULA VISTA	CA	919105736	32.628201	-117.074787	161k	130
1326585431	1326585431	1	1	OMNI FAMILY HEALTH	16Jul2018	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	10	Fresno	None	1530 E MANNING AVENUE	None	REEDLEY	CA	936542626	36.604125	-119.432889	32	66.04
1336163898	1336163898	1	1	COMMUNITY HEALTH CENTERS	01Nov2005	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	40	San Luis Obispo	DOCTORS' OFF/FAIR OAKS	1057 E GRAND AVE	None	ARROYO GRANDE	CA	934202504	35.118989	-120.595087	171	119.02
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
1336174325	1336174325	1	1	PLANNED PARENTHOOD- OF THE	18Jun2004	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	33	Riverside	PACIFIC SOUTHWEST	49-111 HWY 111	UNIT 6	COACHELLA	CA	922360000	33.688120	-116.181014	128	9404
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
1336237072	1336237072	1	1	FAMILY HEALTHCARE NETWRK	08Jan2007	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	54	Tulare	None	31180 ROAD 72	None	GOSHEN	CA	932279997	36.343505	-119.419152	233	9
1336275437	1336275437	1	1	CITY & COUNTY SAN FRAN	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	38	San Francisco	None	555 COLE ST	None	SAN FRANCISCO	CA	941172800	37.770010	-122.450320	162g	166
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
1336311679	1336311679	1	1	COMMUNITY MEDICAL CTRS	10Jan2008	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	48	Solano	None	600 NUT TREE RD	STE 310	VACAVILLE	CA	956874686	38.361369	-121.949662	202a	2529.11
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
1336350438	1336350438	1	1	UNITED HEALTH CENTERS-	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	10	Fresno	ORANGE COVE	445 11TH ST	None	ORANGE COVE	CA	936462211	36.627221	-119.319001	32	65.02
1336353721	1336353721	1	1	LA MAESTRA FAMILY CLINIC	09Feb1999	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	37	San Diego	None	4060 FAIRMOUNT AVE	None	SAN DIEGO	CA	921051609	32.750726	-117.100866	161d	23.02
1336366509	1336366509	1	1	AXIS COMMUNITY HEALTH	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	01	Alameda	None	4361 RAILROAD AVE	None	PLEASANTON	CA	945666611	37.661529	-121.873610	2k	4506.07
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
1336432947	1336432947	1	1	FAMILY PLANNING ASSOCIATES M	02Jun2011	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	01	Alameda	EDICAL GROUP INC	2915 TELEGRAPH AVENUE	SUITE 101	BERKELEY	CA	947052069	37.857126	-122.259510	2b	4236.01
1336453950	1336453950	1	1	CUELLAR, FRANCISCO MD APC	31Jan2011	026	PHYSICIANS	A00076446	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	PROFESSIONAL MEDICAL	160 E ARTESIA STREET	SUITE 150	POMONA	CA	917672994	34.075639	-117.750836	78.2tt	4021.02
1336525906	1336525906	1	2	FAMILY HEALTH CENTERS	20Sep2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	OF SAN DIEGO INC	5160 FEDERAL BLVD	None	SAN DIEGO	CA	921055429	32.721447	-117.083502	161f	27.12
1346226693	1346226693	1	1	MARSHALL MEDICAL CENTER	27May1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	09	El Dorado	None	6065 HIGHWAY 193	None	GEORGETOWN	CA	956340872	38.908043	-120.851714	22	306.02
1346250347	1346250347	1	1	AVALON MEDICAL DEVELOPMENT C	08Jul1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	CENTER	100 FALLS CANYON ROAD	None	AVALON	CA	907041563	33.339766	-118.335504	78.1	5990
1346353679	1346353679	1	1	BANNING HEALTH CENTER	01Sep1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	33	Riverside	None	3055 W RAMSEY ST	None	BANNING	CA	922203781	33.925769	-116.910767	134	441.01
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
1346490927	1346490927	1	1	CLINICA SIERRA VISTA	14Oct2008	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	10	Fresno	None	2505 E DIVISADERO ST	None	FRESNO	CA	937211401	36.743216	-119.781989	35c	5.02
1346492055	1346492055	1	1	BESHAY, ISAAC N MD	12Sep2008	026	PHYSICIANS	A00089039	None	UNKNOWN	0	In state provider	30	Orange	None	2200 HARBOR BLVD	STE B 210	COSTA MESA	CA	926272501	33.654345	-117.919091	116p	639.06
1346527918	1346527918	1	1	NORTHEAST MEDICAL SERVICES	14Aug2012	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	41	San Mateo	None	211 EASTMOOR AVE	None	DALY CITY	CA	940152036	37.684799	-122.479069	176d	6014
1356341671	1356341671	1	1	LETAMENDI, ROBERT F MD	01Aug1995	026	PHYSICIANS	A00050002	01	General Practice	0	In state provider	44	Santa Cruz	CLINICA MEDICA SANTA MAR	21 BRENNAN ST	STE 21	WATSONVILLE	CA	950764337	36.913352	-121.757620	184	1103
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
1356362743	1356362743	1	1	COMPREHENSIVE COMMUNITY	22Aug2007	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	HEALTH CENTERS GLENDALE	801 S CHEVY CHASE DR	STE 250	GLENDALE	CA	912054433	34.137132	-118.239588	78.2ff	3021.02
1356362743	1356362743	1	2	COMPREHENSIVE COMMUNITY	23Sep2019	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	INTERMITTENT	5059 YORK BLVD	None	LOS ANGELES	CA	900421713	34.121237	-118.205626	78.2i	1834.01
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
1356422307	1356422307	2	1	MOUNTAIN COMMUNITIES	02Aug2010	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	53	Trinity	HEALTHCARE DISTRICT	31 EASTER AVENUE	None	WEAVERVILLE	CA	960931229	40.737530	-122.939235	224	1.02
1356438261	1356438261	1	2	BIG VALLEY MEDICAL CTR	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	18	Lassen	PO BOX 277	554-850 MEDICAL CENTER	None	BIEBER	CA	960090000	41.121216	-121.141190	73	401
1356439921	1356439921	1	1	PONI, ESTEBAN S MD	07Feb2011	026	PHYSICIANS	A93185	None	UNKNOWN	0	In state provider	36	San Bernardino	None	598 N F ST	None	SAN BERNARDINO	CA	924103110	34.110232	-117.296379	151g	57.01
1356455299	1356455299	1	1	RUBIDOUX FAMILY CARE CTR	17Jul2008	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	33	Riverside	COUNTY OF RIVERSIDE	5256 MISSION BLVD	None	RIVERSIDE	CA	925094624	33.992644	-117.398662	135a	402.03
1356469381	1356469381	2	1	NORTH BROADWAY MED CLINIC	01Jan1979	022	PHYSICIANS GROUP	ZZZ78903Z	None	UNKNOWN	0	In state provider	19	Los Angeles	INC	2926 N BROADWAY	None	LOS ANGELES	CA	900312611	34.073699	-118.211366	78.2i	1998
1356498935	1356498935	1	1	PARA LATINO MEDICAL CENTER I	16Jun1999	022	PHYSICIANS GROUP	FNP026517	None	UNKNOWN	0	In state provider	19	Los Angeles	INC	15717 PARAMOUNT BLVD	None	PARAMOUNT	CA	907235113	33.889997	-118.160170	78.2m	5538.01
1356528376	1356528376	1	1	NORTHEAST VALLEY HEALTH	06Feb2008	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	12756 VAN NUYS BLVD	None	PACOIMA	CA	913311696	34.274345	-118.410738	78.2ppp	1041.05
1356569172	1356569172	1	1	COMMUNICARE HEALTH CTRS	24Aug2004	058	HEALTH ACCESS PROGRAM	550002588	None	UNKNOWN	0	In state provider	57	Yolo	None	215 W BEAMER ST	None	WOODLAND	CA	956952510	38.684883	-121.793848	246.1	109.01
1356702633	1356702633	1	1	CHIBUIKE ENYEREIBE ANUCHA MD	10Oct2016	026	PHYSICIANS	A89094	None	UNKNOWN	0	In state provider	15	Kern	PC	3941 SAN DIMAS STREET	BLDG 104	BAKERSFIELD	CA	933015734	35.395624	-119.008204	66a	6
1356723936	1356723936	1	1	COMMUNITY MEDICAL CENTERS	07Oct2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	39	San Joaquin	INC	1801 E MARCH LANE	SUITE D-470	STOCKTON	CA	952106609	38.003429	-121.285555	169a	34.09
1356763155	1356763155	1	1	UNICARE COMMUNITY HEALTH	26Aug2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	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
1356775878	1356775878	1	1	ALTAMED HEALTH SERVICES CORP	16Dec2013	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	6336 PASSONS BLVD	None	PICO RIVERA	CA	906603355	33.985836	-118.085868	78.2ww	5008
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
1366419517	1366419517	1	1	ANTELOPE VALLEY HEALTHCARE	01Dec1977	072	MENTAL HEALTH INPATIENT SERVICES	None	None	UNKNOWN	0	In state provider	19	Los Angeles	HEALTHCARE DISTRICT	1600 W AVENUE J	None	LANCASTER	CA	935342814	34.689378	-118.159814	77.1c	9008.05
1366422776	1366422776	1	1	CALIFORNIA STATE UNIVERSITY	01May2001	022	PHYSICIANS GROUP	None	01	General Practice	0	In state provider	01	Alameda	EAST BAY	25800 CARLOS BEE BLVD	None	HAYWARD	CA	945423000	37.658760	-122.061939	2f	4351.02
1366467375	1366467375	1	1	LONG VALLEY HEALTH CTR	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	23	Mendocino	PO BOX 870	50 BRANSCOMB RD	None	LAYTONVILLE	CA	954540870	39.687775	-123.484850	90	102
1366496838	1366496838	1	1	PLANNED PARENTHOOD MAR MONTE	31Jan1997	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	39	San Joaquin	INC	4555 PRECISSI LANE	None	STOCKTON	CA	952076239	37.988852	-121.315026	169a	31.13
1366501629	1366501629	1	1	NOURI, JAHANBAKHSH MD	01Dec1995	026	PHYSICIANS	A00053484	None	UNKNOWN	0	In state provider	19	Los Angeles	CARE INC	8725 WOODMAN AVE	None	ARLETA	CA	913316560	34.228380	-118.434850	78.2ll	1198
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
1366570038	1366570038	1	1	COUNTY OF MONTEREY	01Jul2005	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	27	Monterey	None	1441 CONSTITUTION BLVD	None	SALINAS	CA	939063100	36.696798	-121.629630	109.2	106.08
1366592982	1366592982	1	1	H JOSEPH KHAN M D INC	22May2000	022	PHYSICIANS GROUP	FNP027745	None	UNKNOWN	0	In state provider	30	Orange	PARAMOUNT CARE MED	1629 W 17TH ST	STE A&B	SANTA ANA	CA	927063335	33.760086	-117.890487	116h	753.02
1366633638	1366633638	1	1	GEORGE L MEE MEM HOSP	03Nov1999	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	27	Monterey	MEDICAL CLINIC	467 EL CAMINO REAL	None	GREENFIELD	CA	939274915	36.325892	-121.247649	107	112.02
1376556555	1376556555	1	1	LOS ANGELES COUNTY	28Apr1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	19	Los Angeles	SAN FERNANDO FAM PLAN	1212 PICO ST	None	SAN FERNANDO	CA	913403503	34.283360	-118.444415	78.2ll	3203
1376560151	1376560151	1	1	COMMUNITY HEALTH CENTERS	01Nov2005	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	42	Santa Barbara	GUADALUPE	4723 WEST MAIN STREET	SUITE H	GUADALUPE	CA	934341787	34.957569	-120.576642	180.2	25.02
1376565309	1376565309	1	1	LOS ANGELES COUNTY	28Apr1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	19	Los Angeles	H/UCLA WOMEN CLINIC N28	1000 W CARSON ST	# L4	TORRANCE	CA	905022004	33.831586	-118.293386	78.2aaaa	5435.03
1376610923	1376610923	1	1	LOVATO, ESTEBAN MD	09May2006	026	PHYSICIANS	G00075190	None	UNKNOWN	0	In state provider	01	Alameda	None	3022 INTERNATIONAL BLVD	STE 210	OAKLAND	CA	946012226	37.778594	-122.227871	2d	4061
1376654566	1376654566	1	1	CROWNOVER, DAVID W MD	10Nov2011	026	PHYSICIANS	C00054069	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	56	Ventura	None	147 N BRENT STREET	None	VENTURA	CA	930032809	34.274201	-119.257241	241c	19
1376659896	1376659896	1	1	CALIF STATE UNIV SACTO	01Sep2001	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	34	Sacramento	STUDENT HEALTH CENTER	6000 J ST	None	SACRAMENTO	CA	958192605	38.566806	-121.427834	139g	52.01
1376674770	1376674770	1	1	MARIO A OCHOA MD INC	12Aug2008	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	08	Family Practice	0	In state provider	10	Fresno	None	3275 MCCALL AVE	STE 102	SELMA	CA	936622505	36.582589	-119.610629	30	70.04
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
1376684456	1376684456	1	1	CLINICA DE SALUD DEL VALLE	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	27	Monterey	DE SALINAS-KING CITY	122 E SAN ANTONIO DR	None	KING CITY	CA	939302508	36.222736	-121.126067	105	113.04
1376687061	1376687061	1	1	KINGS CO HLTH DEPT 2	01Dec1977	048	COUNTY CLINICS NOT ASSOCIATED WITH HOSPITAL	ZZT11796	None	UNKNOWN	0	In state provider	16	Kings	OUTPATIENT CLINIC	330 CAMPUS DR	None	HANFORD	CA	932304375	36.326796	-119.663642	69	10.02
1376761940	1376761940	1	1	BENEVOLENCE INDUSTRIES INC	01Feb2013	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	3533 W PICO BLVD	None	LOS ANGELES	CA	900194534	34.047164	-118.319297	78.2e	2181.20
1376843771	1376843771	1	1	BRISTOL-MCFADDEN MEDICAL	15Feb2011	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	30	Orange	GROUP INC	1226 E MCFADDEN AVE	None	SANTA ANA	CA	927054106	33.733603	-117.855114	116g	744.03
1376871566	1376871566	1	1	AGABABIAN MEDICAL CLINIC INC	19Jan2010	026	PHYSICIANS	A93668	None	UNKNOWN	0	In state provider	19	Los Angeles	None	6608 SAN FERNANDO ROAD	None	GLENDALE	CA	912011703	34.169011	-118.292464	78.2dd	3016.01
1376893420	1376893420	1	1	MCCLOUD HEALTHCARE CLINIC	27Dec2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	47	Siskiyou	INC	4309 STAGECOACH ROAD	None	DUNSMUIR	CA	960251812	41.222461	-122.278075	198	11
1386025773	1386025773	1	1	L A STAR MEDICAL GROUP INC	21Jan2016	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	4161 REDONDO BEACH BLVD	SUITE 100	LAWNDALE	CA	902601477	33.876068	-118.347605	78.2iiii	6041
1386065480	1386065480	1	1	MARSHALL MEDICAL CENTER	09Jun2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	09	El Dorado	None	4341 GOLDEN CENTER DR	BLDG A	PLACERVILLE	CA	956676260	38.705981	-120.827051	23.3	315.02
1386069995	1386069995	1	1	BORREGO COMMUNITY HEALTH	19May2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	33	Riverside	FOUNDATION	1180 N INDIAN CANYON DR	SUITE W-300	PALM SPRINGS	CA	922624800	33.839669	-116.545605	129.4	446.06
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
1386291466	1386291466	1	1	ALTAMED HEALTH SERVICES	06May2021	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	30	Orange	CORPORATION	1325 N ANAHEIM BLVD	STE 101	ANAHEIM	CA	928011202	33.852950	-117.919900	116l	865.01
1386299899	1386299899	1	1	PLANNED PARENTHOOD MAR MONTE	13Nov2020	041	COMMUNITY CLINIC	550005839	None	UNKNOWN	0	In state provider	43	Santa Clara	AFFILIATED	2500 CALIFORNIA ST	STE A	MOUNTAIN VIEW	CA	940401397	37.403035	-122.106218	183l	5094.04
1386646404	1386646404	1	1	JAMES CORONA MD	17Sep2009	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	41	Internal Medicine	0	In state provider	11	Glenn	None	203 WALKER ST	# 2	ORLAND	CA	959639904	39.747371	-122.191484	36.1	101
1386670610	1386670610	1	1	FAMILY HLTHCARE NETWORK	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	54	Tulare	None	33025 ROAD 159	None	IVANHOE	CA	932351234	36.388970	-119.217980	228.1	8
1386689453	1386689453	1	1	DIEGO, LORAINE V MD INC	01Jan2001	026	PHYSICIANS	A67445	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	2405 W 8TH ST	STE 105	LOS ANGELES	CA	900575016	34.056301	-118.281071	78.2b	2094.01
1386708634	1386708634	1	1	JWCH INSTITUTE, INC	29Jun2009	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	JWCH NORWALK REGIONAL	12360 FIRESTONE BLVD	None	NORWALK	CA	906504324	33.906084	-118.069630	78.2jjjj	5522
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
1386723690	1386723690	1	1	CONTRA COSTA COUNTY	22Jul2002	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	07	Contra Costa	MARTINEZ HEALTH CTR	2500 ALHAMBRA AVE	None	MARTINEZ	CA	945533156	38.006474	-122.130888	18a	3180
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
1386738177	1386738177	1	1	FAMILY HEALTHCARE NETWRK	28Aug2001	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	54	Tulare	None	35800 HIGHWAY 190	None	SPRINGVILLE	CA	932659116	36.127390	-118.821163	232	27
1386758225	1386758225	1	1	COUNTY OF RIVERSIDE	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	33	Riverside	PALM SPRINGS FAMILY CARE	1515 N SUNRISE WAY	None	PALM SPRINGS	CA	922625309	33.843142	-116.528252	129.4	446.02
1386770477	1386770477	1	1	CITY & CO SAN FRANCISCO	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	38	San Francisco	None	1044 LARKIN ST	None	SAN FRANCISCO	CA	941095707	37.787601	-122.418434	162b	120
1386852416	1386852416	1	1	RIVERSIDE CO REGIONAL	01Jul2005	061	COUNTY HOSPITAL OUTPATIENT	None	None	UNKNOWN	0	In state provider	33	Riverside	MEDICAL CENTER	26520 CACTUS AVE	None	MORENO VALLEY	CA	925553927	33.910048	-117.201657	134	487
1386886117	1386886117	1	1	COUNTY OF VENTURA	31Aug2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	None	1227 E LOS ANGELES AVE	None	SIMI VALLEY	CA	930652871	34.271817	-118.774328	240c	78
1386912202	1386912202	1	1	EAST VALLEY COMMUNITY HEALTH	26Nov2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	CENTER INC	17840 VILLA CORTA STREET	None	LA PUENTE	CA	917445342	34.018124	-117.912171	78.2www	4081.38
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
1386934875	1386934875	1	1	PEDIATRIC & FAMILY MEDICAL	01Jul2011	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	CENTER	1400 S GRAND AVE	SUITE 101	LOS ANGELES	CA	900153023	34.037180	-118.265408	78.2ffff	2240.10
1396047775	1396047775	1	1	GOLBARI, ABRAHAM MD INC	01Oct2001	026	PHYSICIANS	A00055387	41	Internal Medicine	0	In state provider	19	Los Angeles	None	14030 CRENSHAW BLVD	None	GARDENA	CA	902492715	33.904231	-118.326495	78.2bbbb	6026
1396067500	1396067500	1	1	AAA COMPREHENSIVE HEALTHCARE	26Aug2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	7451 N LANKERSHIM BLVD	None	NORTH HOLLYWOOD	CA	916052803	34.205963	-118.387784	78.2bb	1224.10
1396253340	1396253340	1	1	YASHARPOUR MEDICAL DOCTOR	28Feb2018	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	19	Los Angeles	INC APMC	21013 SHERMAN WAY	STE 4	CANOGA PARK	CA	913033675	34.201101	-118.590877	78.2hhhh	1340.01
1396721197	1396721197	1	1	OMNI WOMENS HEALTH MEDICAL	05Jan2004	022	PHYSICIANS GROUP	FNP030976	None	UNKNOWN	0	In state provider	10	Fresno	HEALTH MEDICAL GRP INC	2944 FRESNO ST	STE 101	FRESNO	CA	937211405	36.742799	-119.782517	35c	5.02
1396721197	1396721197	1	2	OMNI WOMENS HEALTH MEDICAL	06May2004	022	PHYSICIANS GROUP	FNP030976	None	UNKNOWN	0	In state provider	10	Fresno	HEALTH MEDICAL GRP INC	2210 E ILLINOIS	STE 201	FRESNO	CA	937012167	36.745030	-119.784780	35c	5.02
1396721197	1396721197	1	10	OMNI WOMENS HEALTH MEDICAL	19Jan1996	022	PHYSICIANS GROUP	FNP023486	None	UNKNOWN	0	In state provider	10	Fresno	GROUP INC	3812 N FIRST ST	None	FRESNO	CA	937264301	36.787118	-119.772381	35d	52.04
1396817193	1396817193	1	3	LOS ALAMITOS OB GYN MEDICAL	27Jul2020	026	PHYSICIANS	20A6917	None	UNKNOWN	0	In state provider	30	Orange	GROUP INC	8615 KNOTT	5	BUENA PARK	CA	906203841	33.837742	-118.011124	116a	1102.01
1396836094	1396836094	1	1	LOPEZ, ROBERT MD	01Oct1999	026	PHYSICIANS	G00075281	None	UNKNOWN	0	In state provider	36	San Bernardino	None	12586 CENTRAL AVE	None	CHINO	CA	917103507	34.024898	-117.689451	151a	6.04
1396852455	1396852455	1	1	NORTH COUNTY HEALTH PROJ	01Feb2000	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	NCHS WOMEN'S HEALTH SVS	2210 MESA DR	STE 5&7	OCEANSIDE	CA	920543756	33.208349	-117.359004	156a	185.10
1396859179	1396859179	1	1	LAKE ELSINORE FAMILY	01Sep1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	33	Riverside	CARE CENTER	2499 E LAKESHORE DR	None	LAKE ELSINORE	CA	925304446	33.660351	-117.301362	131a	430.01
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
1396893723	1396893723	1	1	KPADUWA, JULIUS C MD AMC	01Dec2001	022	PHYSICIANS GROUP	G00051500	None	UNKNOWN	0	In state provider	19	Los Angeles	None	11017 VALLEY MALL	None	EL MONTE	CA	917312617	34.073931	-118.035333	78.2oo	4327
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
1396961884	1396961884	1	1	CLINICAS DEL CAMINO REAL	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	OXNARD	650 META ST	None	OXNARD	CA	930307182	34.195704	-119.176003	241b	91
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
1407029259	1407029259	1	1	MISION AREA HLTH ASSOC	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	38	San Francisco	HEALTH CTR	240 SHOTWELL ST	None	SAN FRANCISCO	CA	941101323	37.764620	-122.416380	162a	177
1407032212	1407032212	1	1	CITY HEIGHTS FAMILY	01Jul2004	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	37	San Diego	HEALTH CENTER	5379 EL CAJON BLVD	None	SAN DIEGO	CA	921154730	32.757703	-117.079921	161d	27.08
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
1407044175	1407044175	1	1	PLANNED PARENTHOOD	27Jun2007	041	COMMUNITY CLINIC	CNC305010	None	UNKNOWN	0	In state provider	45	Shasta	SHASTA-DIABLO	2935 BECHELLI LANE	STE C	REDDING	CA	960021905	40.564564	-122.362631	189.2	109
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
1407268709	1407268709	1	1	PEDIATRIC & FAMILY MEDICAL	09Sep2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	CENTER	3680 E IMPERIAL HIGHWAY	STE 200	LYNWOOD	CA	902622659	33.932110	-118.201393	78.2sss	5402.02
1407406630	1407406630	1	1	PLANNED PARENTHOOD PASADENA	24Nov2020	041	COMMUNITY CLINIC	550006140	None	UNKNOWN	0	In state provider	19	Los Angeles	AFFILIATED	5903 N FIGUEROA ST	None	LOS ANGELES	CA	900424229	34.110710	-118.190550	78.2i	1836.20
1407821523	1407821523	1	1	UNIVERSITY OF CALIFORNIA	01Jan1979	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	38	San Francisco	None	1001 POTRERO AVE	RM 6D14	SAN FRANCISCO	CA	941103518	37.754506	-122.406453	162c	229.03
1407880040	1407880040	1	2	FLORES, CARLOS A MD	01Oct2002	026	PHYSICIANS	A00041653	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	14673 PARTHENIA ST	STE 101	PANORAMA CITY	CA	914022991	34.228211	-118.452683	78.2ll	1201.03
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
1407914260	1407914260	1	3	HILL COUNTRY COMM CLINIC	07Apr1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	45	Shasta	PO BOX 228	29632 HWY 299 EAST	None	ROUND MOUNTAIN	CA	960840000	40.802795	-121.939255	188.1	126.01
1407941586	1407941586	1	1	GANDHI, SHOBHANA MD INC	01Jul2003	022	PHYSICIANS GROUP	A00029540	None	UNKNOWN	0	In state provider	19	Los Angeles	None	1300 N VERMONT AVE	SUITE 307	LOS ANGELES	CA	900276005	34.095557	-118.291741	78.2g	1913.02
1407941719	1407941719	1	2	FAMILY PLANNING ASSOCIATES M	16Apr2020	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	37	San Diego	EDICAL GROUP, INC	1625 E MAIN STREET	SUITE 202	EL CAJON	CA	920219101	32.808763	-116.920970	161u	164.01
1407945629	1407945629	1	1	PLANNED PARENTHOOD WORLD	01Dec1977	041	COMMUNITY CLINIC	ZZT11984	None	UNKNOWN	0	In state provider	19	Los Angeles	MAR VISTA	1316 3RD STREET PROMENAD	STE 201	SANTA MONICA	CA	904011382	34.016739	-118.497415	78.2z	7019.02
1407973043	1407973043	2	1	LIFELONG MEDICAL CARE	07Mar2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	07	Contra Costa	None	150 HARBOUR WAY	None	RICHMOND	CA	948013554	37.933302	-122.360005	18f	3770
1407985534	1407985534	2	1	GARDNER FAMILY HEALTH	21Feb2011	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	43	Santa Clara	NETWORK, INC	195 E VIRGINIA ST	None	SAN JOSE	CA	951125844	37.325925	-121.877594	183d	5016
1417005695	1417005695	1	1	JOHNSON, LORNA M CNM	27Jul2004	005	CERTIFIED NURSE MIDWIFE	303602	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	1201 E FLORENCE AVE	None	LOS ANGELES	CA	900012432	33.974765	-118.254103	78.2fff	5350.01
1417032921	1417032921	1	1	NORTHERN INYO COUNTY	10Jul2013	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	14	Inyo	LOCAL HOSPITAL DISTRICT	153 PIONEER LN	None	BISHOP	CA	935142517	37.361988	-118.407362	53	4
1417036484	1417036484	1	1	CONTRA COSTA COUNTY	22Jul2002	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	07	Contra Costa	RICHMOND HEALTH CENTER	100 38TH ST	None	RICHMOND	CA	948052207	37.933705	-122.333316	18f	3810
1417082165	1417082165	1	1	HEALTH CENTER #2	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	38	San Francisco	None	1301 PIERCE ST	None	SAN FRANCISCO	CA	941154005	37.781964	-122.435815	162g	158.01
1417211426	1417211426	1	1	POMONA COMMUNITY HEALTH	18Jan2013	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	CENTER	1450 E HOLT AVE	None	POMONA	CA	917675822	34.063022	-117.721687	78.2ss	4027.02
1417321746	1417321746	1	1	NORTH COUNTY HEALTH PROJECT	22May2018	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	33	Riverside	INC	1675 N PERRIS BLVD	STE G1	PERRIS	CA	925714748	33.802522	-117.226030	133.1	426.17
1417365545	1417365545	1	1	DORNIKA MEDICAL INC	05May2015	026	PHYSICIANS	A76326	01	General Practice	0	In state provider	19	Los Angeles	None	2121 S SAN PEDRO ST	UNIT E	LOS ANGELES	CA	900111160	34.025300	-118.258932	78.2mmm	2264.10
1417378597	1417378597	1	1	KEDREN COMMUNITY HEALTH	28May2014	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	CENTER INC	4211 SOUTH AVALON BLVD	SUITE A	LOS ANGELES	CA	900115622	34.007344	-118.265245	78.2ggg	2283.20
1417474966	1417474966	1	1	OPEN DOOR COMMUNITY HEALTH	18Mar2021	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	12	Humboldt	CENTERS	2350 BUHNE STREET	SUITE A	EUREKA	CA	955013205	40.785949	-124.141008	39	6
1417499518	1417499518	1	2	FAMILY PLANNING ASSOCIATES M	30Jul2019	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	7023 OWENSMOUTH AVE	None	CANOGA PARK	CA	913032006	34.197803	-118.601555	78.2hhhh	1345.20
1417907940	1417907940	1	1	LPCH MEDICAL GROUP DIV OF LU	05Jul2005	082	LICENSED MIDWIVES	None	None	UNKNOWN	0	In state provider	43	Santa Clara	EN'S HOSPITAL AT STANFOR	725 WELCH RD	None	PALO ALTO	CA	943041601	37.436857	-122.172778	183a	5116.09
1417907940	1417907940	1	2	LPCH MEDICAL GROUP DIV OF LU	22Apr2014	071	LICENSED CLINICAL SOCIAL WORKER GROUP	None	None	UNKNOWN	0	In state provider	01	Alameda	LUCILE	1359 PARK AVE	None	ALAMEDA	CA	945014511	37.763084	-122.242226	2e	4281
1417907940	1417907940	1	16	LPCH MEDICAL GROUP DIV OF LU	22Apr2014	071	LICENSED CLINICAL SOCIAL WORKER GROUP	None	None	UNKNOWN	0	In state provider	41	San Mateo	LUCILE	50 S SAN MATEO DR	SUITE 180	SAN MATEO	CA	944013859	37.566377	-122.326053	176f	6063
1417907940	1417907940	1	20	LPCH MEDICAL GROUP DIV OF LU	22Apr2014	071	LICENSED CLINICAL SOCIAL WORKER GROUP	None	None	UNKNOWN	0	In state provider	07	Contra Costa	LUCILE	1776 YGNACIO VALLEY ROAD	STE 100	WALNUT CREEK	CA	945983100	37.917186	-122.039677	18j	3382.04
1417907940	1417907940	1	21	LPCH MEDICAL GROUP DIV OF LU	22Apr2014	071	LICENSED CLINICAL SOCIAL WORKER GROUP	None	None	UNKNOWN	0	In state provider	07	Contra Costa	LUCILE	2160 APPIAN WAY	SUITE 100	PINOLE	CA	945642524	37.996790	-122.301668	18a	3591.02
1417907940	1417907940	1	27	LPCH MEDICAL GROUP DIV OF LU	17Nov2014	071	LICENSED CLINICAL SOCIAL WORKER GROUP	None	None	UNKNOWN	0	In state provider	01	Alameda	None	5720 STONERIDGE MALL RD	#240	PLEASANTON	CA	945882830	37.692504	-121.930127	2k	4506.02
1417930892	1417930892	2	1	REEDLEY COMMUNITY HOSPITAL	02Oct2018	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	16	Kings	None	1025 N DOUTY ST	None	HANFORD	CA	932303722	36.335154	-119.646037	69	9
1417939968	1417939968	1	1	UNITED HEALTH CENTERS-	09Aug2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	54	Tulare	None	476 E WASHINGTON AVE	None	EARLIMART	CA	932190000	35.884294	-119.271473	231	44
1417972282	1417972282	2	1	REEDLEY COMMUNITY HOSPITAL	01Jan2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	10	Fresno	None	155 S NEWMARK AVE	None	PARLIER	CA	936482531	36.606721	-119.529845	32	68.02
1427025691	1427025691	2	1	REEDLEY COMMUNITY HOSPITAL	01Dec2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	54	Tulare	None	1451 E EL MONTE WAY	None	DINUBA	CA	936181812	36.545476	-119.379434	227.1	5.01
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
1427046754	1427046754	1	1	CHINATOWN SERVICE CENTER	01Jan2005	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	FAMILY HEALTH CLINIC	767 N HILL ST	STE 200	LOS ANGELES	CA	900122365	34.062104	-118.239871	78.2ffff	2071.02
1427070168	1427070168	1	1	LOS ANGELES COUNTY	18Jun2013	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	HARBOR-UCLA MEDICAL CTR	1000 W CARSON ST	# L4	TORRANCE	CA	905022004	33.831586	-118.293386	78.2aaaa	5435.03
1427070374	1427070374	1	1	LA CLINICA DE LA RAZA	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	01	Alameda	SAN ANTONIO NBRHD HLTH	1030 INTERNATIONAL BLVD	None	OAKLAND	CA	946063730	37.791860	-122.249437	2e	4060
1427081652	1427081652	1	1	PLANNED PARENTHOOD OF	16Jun1981	041	COMMUNITY CLINIC	370891594	None	UNKNOWN	0	In state provider	37	San Diego	THE PACIFIC SOUTHWEST	4575 COLLEGE AVE	None	SAN DIEGO	CA	921154011	32.760085	-117.066696	161f	27.02
1427110329	1427110329	1	1	LIVINGSTON COMMUNITY HEALTH	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	24	Merced	None	600 B ST	BUILDING B	LIVINGSTON	CA	953349593	37.385959	-120.728973	95	3.04
1427121375	1427121375	1	1	CHILDRENS HOSPITAL OF ORANGE	10Aug2004	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	30	Orange	COUNTY	3745 W CHAPMAN AVE	1ST FLOOR	ORANGE	CA	928681656	33.789019	-117.893151	116r	761.02
1427123496	1427123496	2	1	ANAND NARAYAN MD INC	01Jan2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	54	Tulare	None	468 VERMONT AVE	None	DINUBA	CA	936181631	36.549079	-119.389343	227.1	4.02
1427123504	1427123504	1	1	CLINICA MEDICA INTERNACIONAL	28Feb1994	026	PHYSICIANS	A00035730	None	UNKNOWN	0	In state provider	19	Los Angeles	CLINICA MED INTER MD CTR	7444 LANKERSHIM BLVD	None	NORTH HOLLYWOOD	CA	916052801	34.205981	-118.387785	78.2bb	1224.10
1427220862	1427220862	1	1	JOY CARINO KIMPO WOMENS	08Dec2006	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	15	Kern	HEALTH CENTER	320 JAMES ST	None	SHAFTER	CA	932632033	35.503304	-119.277388	58.1	41.01
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
1427276278	1427276278	1	1	CLINICAS DEL CAMINO REAL	20Jan2005	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	INC-OCEANVIEW	4400 OLDS RD	None	OXNARD	CA	930338061	34.156849	-119.148869	241a	47.15
1427497866	1427497866	1	1	REEDLEY COMMUNITY HOSPITAL	16Jul2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	54	Tulare	None	41696 ROAD 128	None	OROSI	CA	936472059	36.546447	-119.286924	227.2	2.01
1427699396	1427699396	1	1	CLINICA SIERRA VISTA	09Jun2021	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	15	Kern	None	425 DEL SOL PARKWAY	None	DELANO	CA	932153442	35.771850	-119.238062	60	50.04
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
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
1437335759	1437335759	1	1	HSU, YAO W MD INC	01Oct1999	026	PHYSICIANS	A61296	None	UNKNOWN	0	In state provider	19	Los Angeles	None	5240 E BEVERLY BLVD	None	LOS ANGELES	CA	900222002	34.031448	-118.152553	78.2d	5303.01
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
1437407582	1437407582	1	1	CAMARENA HEALTH	13Dec2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	20	Madera	None	49169 ROAD 426	None	OAKHURST	CA	936448702	37.328044	-119.648057	79.1	1.04
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
1437632742	1437632742	1	2	FAMILY PLANNING ASSOCIATES M	21Jun2019	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	43845 W 10TH ST	STE 1E	LANCASTER	CA	935341111	34.679849	-118.147924	77.1b	9007.03
1437642345	1437642345	1	1	COUNTY OF RIVERSIDE	12Jul2019	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	33	Riverside	TH CENTER	23520 CACTUS AVE	None	MORENO VALLEY	CA	925538906	33.910228	-117.251921	135b	425.11
1447206321	1447206321	1	1	PLANNED PARENTHOOD MAR MONTE	01Oct1996	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	31	Placer	INC	729 SUNRISE AVE	STE 900	ROSEVILLE	CA	956614525	38.733819	-121.272036	121.1	207.13
1447223326	1447223326	1	1	MUSINSKI, SCOTT E	01Jun2000	026	PHYSICIANS	G00085560	None	UNKNOWN	0	In state provider	37	San Diego	None	310 SANTA FE DR	STE 112	ENCINITAS	CA	920245123	33.036204	-117.284300	156c	174.01
1447267349	1447267349	1	1	NORTH COUNTY HEALTH PROJ	01Feb2000	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	NCHS WOMEN'S HEALTH SVS	1130 2ND ST	None	ENCINITAS	CA	920245008	33.037620	-117.293663	156a	175.01
1447277355	1447277355	1	1	COMMUNITY HEALTH CENTERS	01Nov2005	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	42	Santa Barbara	OF THE CENTRAL COAST INC	2801 SANTA MARIA WAY	BLDG A	SANTA MARIA	CA	934552118	34.909290	-120.433971	180.1	20.07
1447281746	1447281746	2	1	CASTLE FAMILY HEALTH	05Oct2007	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	24	Merced	CENTERS INC	6029 N WINTON WAY	None	WINTON	CA	953889515	37.391296	-120.613416	96	5.04
1447297379	1447297379	1	1	CARES COMMUNITY HEALTH	01Jul2014	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	34	Sacramento	EDUCATION & SVS-SACTO	1500 21ST ST	None	SACRAMENTO	CA	958115216	38.570826	-121.480908	139i	13
1447309885	1447309885	1	1	CAMARENA HEALTH	25Jul2006	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	24	Merced	None	300 PROSPERITY BLVD	BUILDING A & B	CHOWCHILLA	CA	936108498	37.109626	-120.269855	79.2	3
1447321120	1447321120	1	1	COMMUNITY ACTION PARTNERSHIP	01Dec1977	041	COMMUNITY CLINIC	ZZT11858	None	UNKNOWN	0	In state provider	40	San Luis Obispo	OF SAN LUIS OBISPO	705 GRAND AVE	None	SAN LUIS OBISPO	CA	934012639	35.289849	-120.652925	172	110.02
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
1447353701	1447353701	1	1	ARROYO VISTA FAMILY	09Mar1999	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	HEALTH CENTER	6000 N FIGUEROA ST	None	LOS ANGELES	CA	900424232	34.111407	-118.189096	78.2i	1836.20
1447388251	1447388251	1	1	LASALLE MEDICAL ASSOC	01May2000	022	PHYSICIANS GROUP	FNP023625	None	UNKNOWN	0	In state provider	36	San Bernardino	None	565 N MOUNT VERNON AVE	None	SAN BERNARDINO	CA	924112661	34.109573	-117.313834	151g	48
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
1447391719	1447391719	1	1	ASIAN HEALTH SERVICES	14Feb2019	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	01	Alameda	None	818 WEBSTER ST	None	OAKLAND	CA	946074220	37.799398	-122.271306	2c	4030
1447604582	1447604582	1	1	UNICARE COMMUNITY HEALTH	03Apr2018	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	36	San Bernardino	CENTER INC	308 N LA CADENA DR	None	COLTON	CA	923242946	34.068080	-117.324092	151f	125
1457347239	1457347239	1	1	CORONA REGIONAL MED CTR	01Jan2004	089	ELECTRONIC HEALTH RECORD INCENTIVE PROGRAM	None	None	UNKNOWN	0	In state provider	33	Riverside	None	800 S MAIN ST	None	CORONA	CA	928823420	33.873330	-117.566679	135d	416
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
1457446411	1457446411	1	1	FAMILY PLANNING ASSOC	09Jan2012	022	PHYSICIANS GROUP	FNP034901	None	UNKNOWN	0	In state provider	19	Los Angeles	MEDICAL GROUP INC	12304 SANTA MONICA BLVD	STE 116	LOS ANGELES	CA	900252586	34.039566	-118.465558	78.2kkkk	2674.02
1457460503	1457460503	1	1	JAYASINGHE MED GROUP INC	01May1983	022	PHYSICIANS GROUP	FNP024603	None	UNKNOWN	0	In state provider	19	Los Angeles	LOS ANGELES MEDICAL CTR	319 N SOTO ST	None	LOS ANGELES	CA	900331837	34.047290	-118.207479	78.2h	2036
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
1457489122	1457489122	1	1	COUNTY OF MONTEREY	01Jul2005	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	27	Monterey	LAURAL FAMILY PRACTICE	1441 CONSTITUTION BLVD	None	SALINAS	CA	939063100	36.696798	-121.629630	109.2	106.08
1457596371	1457596371	1	1	ALLSAFE MEDICAL GROUP INC	17Aug2011	026	PHYSICIANS	None	None	UNKNOWN	0	In state provider	19	Los Angeles	APC	8077 FLORENCE AVE	STE 112	DOWNEY	CA	902403894	33.952489	-118.127878	78.2eee	5506.02
1457596371	1457596371	1	2	ALLSAFE MEDICAL GROUP INC	17Aug2011	026	PHYSICIANS	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	11061 ATLANTIC AVE	None	LYNWOOD	CA	902623048	33.928797	-118.184411	78.2ooo	5401.01
1457596371	1457596371	1	3	ALLSAFE MEDICAL GROUP INC	06Jun2013	022	PHYSICIANS GROUP	A00096862	None	UNKNOWN	0	In state provider	19	Los Angeles	PROFESSIONAL CORPORATION	4156 S CENTRAL AVE	None	LOS ANGELES	CA	900113154	34.008004	-118.256505	78.2ggg	2283.20
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
1457724924	1457724924	1	1	UNITED HEALTH CENTERS	03May2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	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
1457744476	1457744476	1	1	COMMUNITY MEDICINE, INC	01Mar2018	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	8540 ALONDRA BLVD	SUITE B-2	PARAMOUNT	CA	907235200	33.889147	-118.150562	78.2m	5539.02
1457758724	1457758724	1	1	LIFELONG MEDICAL CARE	22Apr2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	01	Alameda	None	3075 ADELINE ST	SUITE 280	BERKELEY	CA	947032590	37.852694	-122.269722	2a	4239.01
1467073502	1467073502	1	2	KC WELLNESS CENTER, A NURSE	14Jun2021	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	15	Kern	PRACTITIONER LED NURSING	331 S H ST	None	BAKERSFIELD	CA	933043403	35.350709	-119.021347	66b	27
1467411744	1467411744	1	1	CARDIN, JOHN P JR MD	31May1990	026	PHYSICIANS	A00041250	None	UNKNOWN	0	In state provider	19	Los Angeles	None	2880 ATLANTIC AVE	STE 230	LONG BEACH	CA	908061735	33.809514	-118.184973	78.2lll	5722.02
1467442749	1467442749	1	1	LUCILE SALTER PACKARD	03Jul1989	016	COMMUNITY INPATIENT HOSPITAL	None	None	UNKNOWN	0	In state provider	43	Santa Clara	CHILDRENS HOSP/STANFORD	725 WELCH RD	None	PALO ALTO	CA	943041601	37.436857	-122.172778	183a	5116.09
1467490425	1467490425	1	1	HARBOR COMMUNITY CLINIC	25Nov2005	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	593 W 6TH ST	None	SAN PEDRO	CA	907312521	33.738769	-118.289996	78.2p	2966
1467504530	1467504530	1	1	FAMILY HEALTHCARE NETWRK	16Oct2007	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	16	Kings	None	250 W 5TH ST	None	HANFORD	CA	932305033	36.324339	-119.647647	69	9
1467599605	1467599605	1	1	MBAGWU, K N SOLOMON MD	31Oct1991	026	PHYSICIANS	G00042217	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	1218 S INGLEWOOD AVE	None	INGLEWOOD	CA	903013649	33.946609	-118.361324	78.2q	6014.02
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
1467672253	1467672253	1	1	GOLDEN VALLEY HEALTH CTR	18Nov2005	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	24	Merced	None	13161 JEFFERSON ST	None	LE GRAND	CA	953339766	37.230464	-120.249626	97.3	19.02
1467678342	1467678342	2	1	REEDLEY COMMUNITY HOSPITAL	01Dec2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	16	Kings	None	11899 SHAW PLACE	None	HANFORD	CA	932306644	36.301860	-119.630937	69	11
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
1467762294	1467762294	1	1	L.T. DUONG, M.D., INC.	23Feb2011	026	PHYSICIANS	A00074045	None	UNKNOWN	0	In state provider	30	Orange	None	2708 WESTMINSTER AVE	STE 110	SANTA ANA	CA	927062192	33.759815	-117.905808	116i	891.04
1467858696	1467858696	1	1	OMNI FAMILY HEALTH	14Dec2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	15	Kern	None	210 N CHESTER AVE	None	BAKERSFIELD	CA	933084841	35.406952	-119.020929	66a	4
1477020121	1477020121	1	1	GOLDEN VALLEY HEALTH CENTERS	26Aug2021	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	39	San Joaquin	None	302 NORTHGATE DR	None	MANTECA	CA	953363139	37.819087	-121.220536	164.1	51.26
1477522019	1477522019	1	1	ORCHARD HOSPITAL	01Dec1977	016	COMMUNITY INPATIENT HOSPITAL	040300802	None	UNKNOWN	0	In state provider	04	Butte	None	240 SPRUCE ST	None	GRIDLEY	CA	959482216	39.366966	-121.690577	9	35.02
1477563518	1477563518	1	1	NORTHEASTERN HEALTH CTR	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	18	Lassen	None	1850 SPRING RIDGE DR	None	SUSANVILLE	CA	961306100	40.438386	-120.649774	72	403.05
1477586808	1477586808	1	1	AMPLA HEALTH	25Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	06	Colusa	None	555 FREMONT ST	None	COLUSA	CA	959322534	39.207950	-122.011142	15	5
1477610640	1477610640	2	2	DIGNITY COMMUNITY CARE	01Feb2019	015	COMMUNITY OUTPATIENT HOSPITAL	930000099	None	UNKNOWN	0	In state provider	19	Los Angeles	None	222 W EULALIA ST	STE 211	GLENDALE	CA	912042851	34.126566	-118.256064	78.2ee	3024.01
1477632784	1477632784	1	1	CONTRA COSTA COUNTY	22Jul2002	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	07	Contra Costa	BRENTWOOD HEALTH CENTER	118 OAK ST	None	BRENTWOOD	CA	945131335	37.933726	-121.692856	17	3031.03
1477647386	1477647386	1	1	ASHOK, NAGASAMUDRA S	07Aug2008	026	PHYSICIANS	A00041589	41	Internal Medicine	0	In state provider	33	Riverside	MD INC	229 W 7TH ST	None	SAN JACINTO	CA	925834662	33.780353	-116.960315	132	436.02
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
1477692408	1477692408	1	1	HAWTHORNE MORNINGSIDE MEDICA	30Oct2001	022	PHYSICIANS GROUP	FNP028545	None	UNKNOWN	0	In state provider	19	Los Angeles	L CLINIC	15901 HAWTHORNE BLVD	SUITE 250	LAWNDALE	CA	902609025	33.886420	-118.352682	78.2iiii	6040.01
1477694263	1477694263	1	1	CLINICAS DE SALUD DEL	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	27	Monterey	VALLE DE SALINAS-SANBORN	219 N SANBORN RD	None	SALINAS	CA	939052218	36.677503	-121.626509	109.2	5.02
1477866010	1477866010	1	1	AIRPORT URGENT CARE &	29Dec2011	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	19	Los Angeles	INDUSTRIAL MEDICINE A	1117 W MANCHESTER DR	SUITE K	INGLEWOOD	CA	903011500	33.959892	-118.375593	78.2q	6014.01
1477953933	1477953933	1	1	FAMILY HEALTH CENTERS	07Aug2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	OF SAN DIEGO INC	4874 POLK AVENUE	None	SAN DIEGO	CA	921052026	32.751328	-117.089571	161d	27.07
1477977973	1477977973	1	1	PLANNED PARENTHOOD MAR MONTE	05Jun2014	041	COMMUNITY CLINIC	550002728	None	UNKNOWN	0	In state provider	41	San Mateo	- REDWOOD CITY	2907 EL CAMINO REAL	None	REDWOOD CITY	CA	940614003	37.469439	-122.212294	176b	6107
1477979722	1477979722	1	1	UNITED HEALTH CENTERS OF THE	10Dec2014	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	10	Fresno	SAN JOAQUIN VALLEY	429 E MANNING AVE	None	PARLIER	CA	936482666	36.605229	-119.574740	32	85.01
1487012779	1487012779	1	1	LIVINGSTON COMMUNITY HEALTH	01Aug2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	24	Merced	None	1617 MAIN STREET	None	LIVINGSTON	CA	953341250	37.377435	-120.723449	95	3.04
1487095337	1487095337	1	1	PAYMAN P JOSEPH, MD, A	01Oct1998	026	PHYSICIANS	A00060633	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	7232 VAN NUYS BLVD	STE 101	VAN NUYS	CA	914052231	34.202042	-118.448748	78.2cc	1271.02
1487299699	1487299699	1	1	CALIFORNIA DREAMS MEDICAL CO	12Feb2020	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	10	Fresno	None	3656 W SHAW AVE	None	FRESNO	CA	937113231	36.808331	-119.858996	35a	42.12
1487602546	1487602546	1	1	REGENTS OF THE UNIVERSITY OF	01Jun1983	031	PSYCHOLOGISTS	None	None	UNKNOWN	0	In state provider	30	Orange	ATES	101 CITY DR S	None	ORANGE	CA	928683201	33.780142	-117.894305	116r	761.02
1487607222	1487607222	1	1	PLANNED PARENTHOOD	18Dec1998	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	39	San Joaquin	MANTECA	965 E YOSEMITE AVE	STE 2	MANTECA	CA	953365938	37.797466	-121.203674	164.1	51.10
1487613766	1487613766	2	1	INLAND CENTER MED GRP PC	11Apr2008	027	PODIATRISTS	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	36	San Bernardino	None	9220 HAVEN AVENUE	SUITE 210	RANCHO CUCAMONGA	CA	917308551	34.086016	-117.575867	151b	21.10
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
1487696191	1487696191	2	1	LIFELONG MEDICAL CARE	07Mar2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	07	Contra Costa	SAN PABLO	2023 VALE ROAD	#107	SAN PABLO	CA	948063834	37.953560	-122.338006	18f	3690.01
1487706347	1487706347	1	1	COMMUNITY HEALTH SYSTEMS	26Aug1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	36	San Bernardino	INC	18601 VALLEY BLVD	None	BLOOMINGTON	CA	923161831	34.070443	-117.398320	151f	36.06
1487741773	1487741773	1	1	CLINICAS DE SALUD DEL	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	13	Imperial	PUEBLO INC	852 E DANENBERG DR	None	EL CENTRO	CA	922438511	32.767107	-115.561826	48	118.03
1487749495	1487749495	1	1	FAMILY PLANNING ASSOCIATES	01Jan1983	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	36	San Bernardino	MEDICAL GROUP INC	855 E HOSPITALITY LANE	None	SAN BERNARDINO	CA	924083596	34.068304	-117.268233	151k	72
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
1487764064	1487764064	2	1	LAST FRONTIER HEALTHCARE	08Aug2013	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	25	Modoc	DISTRICT	1111 N NAGLE ST	None	ALTURAS	CA	961013841	41.487319	-120.552867	98	1
1487787248	1487787248	1	1	CHULA VISTA WOMENN CARE	14Dec1992	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	37	San Diego	INC	752 MEDICAL CENTER CT	STE 106	CHULA VISTA	CA	919116659	32.618955	-117.024857	161s	133.10
1487795753	1487795753	1	1	MORAN, JORGE L MD INC	02Jan2007	026	PHYSICIANS	A63662	None	UNKNOWN	0	In state provider	19	Los Angeles	CLINICA MEDICA SAN FELIP	210 S LOCUST ST	None	INGLEWOOD	CA	903012304	33.961652	-118.350368	78.2q	6010.01
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
1497006126	1497006126	1	1	REEDLEY COMMUNITY HOSPITAL	01Feb2014	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	10	Fresno	None	1150 E WASHINGTON AVE	None	REEDLEY	CA	936544239	36.591473	-119.436990	32	66.02
1497094114	1497094114	1	1	PLANNED PARENTHOOD PASADENA	21Aug2013	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	19	Los Angeles	AND SAN GABRIEL VALLEY	130 W ROUTE 66	STE 100	GLENDORA	CA	917406250	34.128692	-117.864560	78.2qq	4011.02
1497130280	1497130280	1	1	OLE HEALTH	08Apr2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	48	Solano	None	470 CHADBOURNE ROAD	STE A	FAIRFIELD	CA	945349600	38.235172	-122.083839	202b	2524.02
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
1497373641	1497373641	1	1	PLANNED PARENTHOOD LOS	12Jan2021	041	COMMUNITY CLINIC	550005945	None	UNKNOWN	0	In state provider	19	Los Angeles	AFFILIATED	661 E UNIVERSITY AVE	None	CARSON	CA	907461966	33.858257	-118.263349	78.2v	5433.21
1497702724	1497702724	1	1	CADUCEUS PHYSICIANS MEDICAL	01Dec1998	022	PHYSICIANS GROUP	FNP026171	None	UNKNOWN	0	In state provider	30	Orange	MEDICAL GROUP INC	18210 YORBA LINDA BLVD	SUITE 404	YORBA LINDA	CA	928864060	33.888487	-117.816183	116m	218.02
1497702724	1497702724	1	3	CADUCEUS PHYSICIANS MEDICAL	18Sep2018	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	30	Orange	None	1110 W LA PALMA AVE	STE 4	ANAHEIM	CA	928012823	33.847170	-117.932184	116l	866.01
1497751572	1497751572	1	1	UNITED INDIAN HEALTH SERVICE	18Aug2003	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	12	Humboldt	None	1600 WEEOT WAY	None	ARCATA	CA	955214734	40.898260	-124.094173	39	11.01
1497761324	1497761324	1	1	LOS ANGELES COUNTY	28Apr1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	19	Los Angeles	HUMPHREY FAMILY PLANNING	5850 S MAIN ST	None	LOS ANGELES	CA	900031215	33.988724	-118.273922	78.2ggg	2392.02
1497776322	1497776322	1	1	NABIL & JANET F SOLIMAN	17Aug1992	022	PHYSICIANS GROUP	FNP019887	01	General Practice	0	In state provider	19	Los Angeles	CENTRO MEDICO INC	11946 S HAWTHORNE BLVD	None	HAWTHORNE	CA	902503016	33.924681	-118.352379	78.2r	6021.04
1497778443	1497778443	2	1	CASTLE FAMILY HEALTH	27Sep2000	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	24	Merced	CENTERS INC	1251 GROVE ST	None	ATWATER	CA	953013653	37.350908	-120.607161	96	7.01
1497780480	1497780480	1	1	PLANNED PARENTHOOD OF	10Jan1989	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	37	San Diego	THE PACIFIC SOUTHWEST	2017 1ST AVE	STE 100	SAN DIEGO	CA	921019001	32.726310	-117.163903	161e	57
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
1497840656	1497840656	1	1	HUMBOLDT OPEN DOOR CLN	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	08	Del Norte	DEL NORTE COMM HLTH CTR	550 E WASHINGTON BLVD	STE 100	CRESCENT CITY	CA	955318342	41.772734	-124.198201	19	1.04
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
1497847487	1497847487	1	1	FAMILY PLANNING ASSOC	01Jan1979	022	PHYSICIANS GROUP	FNP034901	None	UNKNOWN	0	In state provider	15	Kern	MEDICAL GROUP INC	2500 H ST	None	BAKERSFIELD	CA	933012818	35.381962	-119.021186	66a	16
1497882252	1497882252	1	2	NARCOTICS PREVENTION	15Dec2016	041	COMMUNITY CLINIC	550003737	None	UNKNOWN	0	In state provider	19	Los Angeles	ASSOCIATION, INC	922 S ATLANTIC BLVD	None	LOS ANGELES	CA	900224004	34.019813	-118.157453	78.2d	5317.02
1497889158	1497889158	1	1	NHAN HOA COMPREHENSIVE	01Nov2013	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	30	Orange	HEALTH CARE CLINIC INC	7761 GARDEN GROVE BLVD	None	GARDEN GROVE	CA	928414200	33.773758	-117.997515	116s	998.01
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
1497931828	1497931828	1	1	AMPLA HEALTH	01Jan2009	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	06	Colusa	MEDICAL & DENTAL	89 PUTNAM WAY	None	ARBUCKLE	CA	959129814	39.019971	-122.061021	16.3	1
1497932396	1497932396	1	1	NORTHEAST VALLEY HEALTH	28Apr1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	19	Los Angeles	LAC-CANOGA PARK	7107 REMMET AVE	None	CANOGA PARK	CA	913032016	34.199348	-118.600274	78.2hhhh	1345.20
1497933691	1497933691	1	1	KORYO HEALTH FOUNDATION	28Apr1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	1058 S VERMONT AVE	None	LOS ANGELES	CA	900062721	34.050843	-118.291606	78.2b	2134.02
1497968010	1497968010	1	1	GOLDEN VALLEY HEALTH CTR	19Feb2020	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	50	Stanislaus	WEST MODESTO MEDICAL CTR	1114 6TH ST	None	MODESTO	CA	953542203	37.638749	-121.005396	215c	17
1497969166	1497969166	1	1	GOLDEN VALLEY HEALTH CTR	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	50	Stanislaus	PATTERSON MEDICAL CTR	200 C ST	None	PATTERSON	CA	953632701	37.467494	-121.125671	213	32.02
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
1508088840	1508088840	1	1	ABDEL-MALEK, SHAHIRA MD	01Jul1996	022	PHYSICIANS GROUP	A00036609	40	Pediatrics	0	In state provider	19	Los Angeles	INC	3100 E FLORENCE AVE	STE 1	HUNTINGTON PARK	CA	902555848	33.972891	-118.212379	78.2ccc	5332.03
1508109794	1508109794	1	1	BALTAIAN, LILIT MD INC	08Nov2013	026	PHYSICIANS	A00105197	01	General Practice	0	In state provider	19	Los Angeles	None	7412 FOOTHILL BLVD	None	TUJUNGA	CA	910422722	34.251551	-118.293456	78.2rr	1012.10
1508187329	1508187329	1	1	COUNTY OF VENTURA	31Aug2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	None	325 W CHANNEL ISLAND BLV	None	OXNARD	CA	930334501	34.173722	-119.180277	241b	38.02
1508222647	1508222647	1	1	DIGNITY HEALTH MEDICAL FOUND	01Mar2016	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	19	Los Angeles	-NORTHRIDGE FAMILY MEDIC	18406 ROSCOE	STE A	NORTHRIDGE	CA	913254107	34.220741	-118.534065	78.2zz	1314
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
1508415274	1508415274	1	1	CAMARENA HEALTH	21Dec2020	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	20	Madera	AFFILIATED	1159 COUNTRY CLUB DR	None	MADERA	CA	936381537	36.975824	-120.074135	80	6.04
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
1508881376	1508881376	2	1	REEDLEY COMMUNITY HOSPITAL	01Jan2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	54	Tulare	None	250 W EL MONTE WAY	None	DINUBA	CA	936181554	36.545888	-119.396881	227.1	5.02
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
1508896275	1508896275	1	1	OTUECHERE, VALENTINE U MD	04Aug2009	026	PHYSICIANS	A00093662	None	UNKNOWN	0	In state provider	33	Riverside	None	8990 GARFIELD ST	SUITE 6	RIVERSIDE	CA	925033922	33.928878	-117.439726	135c	315.01
1508936030	1508936030	1	1	COUNTY OF SACRAMENTO	10Nov2010	045	CLINIC EXEMP FROM LICENSURE	None	None	UNKNOWN	0	In state provider	34	Sacramento	None	4600 BROADWAY	STE 1300	SACRAMENTO	CA	958201527	38.546763	-121.452589	139f	17
1508977414	1508977414	1	1	REPRODUCTIVE HLTH CARE	24Sep1990	054	EXPANDED ACCESS TO PRIMARY CARE	None	None	UNKNOWN	0	In state provider	30	Orange	SIERRA HEALTH CENTER	501 S BROOKHURST RD	None	FULLERTON	CA	928333207	33.865197	-117.959367	116f	19.02
1518046846	1518046846	1	1	CONTRA COSTA REG MED CTR	22Jul2002	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	07	Contra Costa	ANTIOCH HEALTH CENTER	3505 LONE TREE WAY	STE 1&4	ANTIOCH	CA	945096067	37.988292	-121.807220	18e	3080.01
1518183904	1518183904	1	1	CLINICAS DEL CAMINO REAL	12Mar2002	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	MARAVILLA	450 W CLARA ST	None	OXNARD	CA	930338363	34.151193	-119.182212	241b	45.06
1518187319	1518187319	1	1	GOLDEN VALLEY HLTH CTR	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	24	Merced	LOS BANOS	821 TEXAS AVE	None	LOS BANOS	CA	936353453	37.064774	-120.860329	94	22.01
1518361435	1518361435	1	1	PLANNED PARENTHOOD OF THE	27May2015	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	13	Imperial	PACIFIC SOUTHWEST	1463 S 4TH ST	None	EL CENTRO	CA	922434456	32.781076	-115.552338	48	117
1518958313	1518958313	1	1	AMARA, DOMINIC P MD	01Mar1999	026	PHYSICIANS	G00076226	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	49	Sonoma	None	181 ANDRIEUX ST	STE 108	SONOMA	CA	954766920	38.288118	-122.461580	208	1502.04
1518963321	1518963321	1	1	LEE, JAY K MD	01Jul2005	026	PHYSICIANS	A00085767	None	UNKNOWN	0	In state provider	33	Riverside	None	12980 FREDERICK ST	STE A	MORENO VALLEY	CA	925535263	33.932093	-117.261368	135b	425.13
1518963693	1518963693	1	1	LIFELONG MEDICAL CARE	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	01	Alameda	BERKELEY PRIMARY CARE	2001 DWIGHT WAY	None	BERKELEY	CA	947042608	37.863641	-122.269858	2a	4235
1518996313	1518996313	1	1	CONSULTORIO MEDICO	14Aug1995	022	PHYSICIANS GROUP	FNP023072	42	Nuclear Medicine	0	In state provider	19	Los Angeles	LATINO MEDICAL CENTER	15730 PARAMOUNT BLVD	None	PARAMOUNT	CA	907234333	33.889872	-118.160002	78.2m	5539.01
1528037041	1528037041	1	1	PLANNED PARENTHOOD	01May1989	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	36	San Bernardino	ORANGE & SAN BERNARDINO	918 W FOOTHILL BLVD	STE A	UPLAND	CA	917863772	34.106903	-117.663048	151d	8.24
1528041779	1528041779	2	1	REEDLEY COMMUNITY HOSPITAL	01Dec2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	10	Fresno	None	16916 5TH STREET	None	HURON	CA	932340250	36.200382	-120.101343	28	78.01
1528074044	1528074044	1	1	ELDESSOUKY, AMANI A MD	25Feb2005	026	PHYSICIANS	A00056426	None	UNKNOWN	0	In state provider	19	Los Angeles	INC	1704 W MANCHESTER AVE	# 109	LOS ANGELES	CA	900473034	33.959981	-118.306973	None	None
1528078573	1528078573	1	1	LAC USC MEDICAL CENTER	28Apr1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	19	Los Angeles	LAC+USC W+C OP RM 4P81	1200 N STATE ST	None	LOS ANGELES	CA	900331083	34.059119	-118.209851	78.2ffff	2033
1528084878	1528084878	1	1	HAN, ABRAHAM P MD	01Sep1991	026	PHYSICIANS	G00072378	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	1850 S AZUSA AVE	STE 309	HACIENDA HEIGHTS	CA	917456854	33.988954	-117.932320	78.2pp	4086.28
1528120151	1528120151	1	1	NORTH COUNTY HEALTH CTR	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	41	San Mateo	None	380 90TH ST	None	DALY CITY	CA	940151807	37.691132	-122.474097	176d	6012
1528137791	1528137791	1	1	REYES, ADORACION A MD	28Feb1993	026	PHYSICIANS	A00051639	01	General Practice	0	In state provider	19	Los Angeles	None	1350 CHESTNUT AVE	None	LONG BEACH	CA	908132945	33.783157	-118.196370	78.2jjj	5754.01
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
1528172541	1528172541	1	2	MCH MEDICAL CLINIC	18Sep2006	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	36	San Bernardino	PO BOX 70	29099 HOSPITAL RD	STE 200	LAKE ARROWHEAD	CA	923520072	34.265922	-117.167117	147	109.02
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
1528270147	1528270147	1	1	CENTURY MEDICAL CTR APC	02Nov2004	022	PHYSICIANS GROUP	FNP032272	40	Pediatrics	0	In state provider	19	Los Angeles	None	3451 W CENTURY BLVD	None	INGLEWOOD	CA	903031218	33.945523	-118.332501	78.2r	6007.02
1528299849	1528299849	1	1	RAPOZA, RUSSELL P MD APC	23Aug2005	026	PHYSICIANS	G71959	None	UNKNOWN	0	In state provider	30	Orange	None	11190 WARNER AVENUE	SUITE 410	FOUNTAIN VALLEY	CA	927084019	33.716345	-117.933111	116j	992.26
1528345915	1528345915	1	1	BALDWIN PARK MEDICAL CENTER	25Jun2014	026	PHYSICIANS	20A7473	01	General Practice	0	In state provider	19	Los Angeles	INC	14362 E RAMONA BLVD	None	BALDWIN PARK	CA	917063241	34.086349	-117.960992	78.2zzz	4052.02
1528365285	1528365285	1	1	AKRAM, TAHIRA MD INC	01Mar2011	026	PHYSICIANS	C00054187	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	36	San Bernardino	None	12588-90 CENTRAL AVE	None	CHINO	CA	917103507	34.024698	-117.689448	151a	6.04
1528433588	1528433588	1	1	LIVINGSTON COMMUNITY HEALTH	01Aug2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	50	Stanislaus	None	12619 BENTLEY ST	None	WATERFORD	CA	953869011	37.640669	-120.761329	214	28.01
1528477882	1528477882	1	1	CENTRAL CITY COMMUNITY	02Dec2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	HEALTH CENTER INC	13742 AMAR ROAD	None	LA PUENTE	CA	917461683	34.054017	-117.977387	78.2yyy	4071.01
1528478211	1528478211	1	1	UNITED HEALTH CENTERS OF THE	10Dec2014	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	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	0	In state provider	10	Fresno	INTERMITTENT	2705 S HIGHLAND AVE	None	SELMA	CA	936623389	36.573725	-119.628778	30	71
1538141627	1538141627	1	1	HANFORD COMMUNITY HOSPITAL	01Dec1977	016	COMMUNITY INPATIENT HOSPITAL	550001439	None	UNKNOWN	0	In state provider	16	Kings	None	115 MALL DRIVE	None	HANFORD	CA	932303513	36.327307	-119.668471	69	10.02
1538180245	1538180245	1	1	HEALTH AND LIFE	30Nov2009	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	34	Sacramento	ORGANIZATION INC	2200 DEL PASO BLVD	None	SACRAMENTO	CA	958153102	38.610077	-121.450815	139j	69
1538181482	1538181482	1	1	LA CLINICA DE LA RAZA INC	21Aug2006	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	07	Contra Costa	None	2000 SIERRA ROAD	None	CONCORD	CA	945182905	37.952425	-122.037196	18c	3372
1538183389	1538183389	1	1	LIU, LONG-DEI MD	08Dec1980	026	PHYSICIANS	A00036134	None	UNKNOWN	0	In state provider	30	Orange	None	12555 GARDEN GROVE BLVD	STE 402	GARDEN GROVE	CA	928431903	33.774488	-117.914305	116r	885.02
1538203971	1538203971	1	1	PACIFIC WOMEN'S MEDICAL	01Jul2000	026	PHYSICIANS	A00051569	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	CLINIC	4750 GAGE AVE	None	BELL	CA	902011351	33.977372	-118.180957	78.2ddd	5338.04
1538240908	1538240908	1	1	LOPEZ, IRMA MD	17Jan2008	026	PHYSICIANS	G57022	08	Family Practice	0	In state provider	36	San Bernardino	None	527 N PALM AVE	SUITE 106	ONTARIO	CA	917623215	34.068542	-117.653605	151c	14
1538243977	1538243977	1	1	CANCER TREATMENT MEDICAL	31Dec1995	026	PHYSICIANS	A48498	None	UNKNOWN	0	In state provider	30	Orange	CENTER	2571 W LA PALMA AVE	None	ANAHEIM	CA	928012622	33.846852	-117.974997	116c	868.02
1538262092	1538262092	1	1	CENTRO DE SALUD DE LA	13Aug2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	COMUNIDAD DE SAN YSIDRO	950 S EUCLID AVENUE	None	SAN DIEGO	CA	921146201	32.696292	-117.085103	161g	31.01
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
1538300488	1538300488	1	1	COUNTY OF VENTURA	31Aug2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	None	2000 OUTLET CENTER DR	STE 110	OXNARD	CA	930360608	34.218953	-119.149318	241b	49.02
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
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
1538400353	1538400353	1	1	COUNTY OF SAN JOAQUIN	01Dec2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	39	San Joaquin	None	1414 N CALIFORNIA STREET	STE B	STOCKTON	CA	952021515	37.967517	-121.288334	169b	4.02
1538482286	1538482286	1	1	MINEVICH, GREGORY A MD PMC	26Jan2010	026	PHYSICIANS	A00093150	None	UNKNOWN	0	In state provider	01	Alameda	None	1290 B ST	STE 305	HAYWARD	CA	945412967	37.676347	-122.077819	2h	4354
1538500798	1538500798	1	1	COMFORT FAMILY CLINIC INC	12Aug2013	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	936 N. WILMINGTON BLVD.	None	WILMINGTON	CA	907444102	33.781301	-118.274338	78.2p	2943.02
1538562996	1538562996	1	1	NAPA VALLEY COMMUNITY	21May2015	055	LOCAL EDUCATION AGENCY	None	None	UNKNOWN	0	In state provider	28	Napa	COLLEGE DISTRICT	2277 NAPA VALLEJO HWY	None	NAPA	CA	945586236	38.272041	-122.272436	112.1	2009
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
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
1548247943	1548247943	1	1	YEH, ANDREW DO INC	16Jul2004	026	PHYSICIANS	20A8178	None	UNKNOWN	0	In state provider	19	Los Angeles	None	612 W DUARTE RD	SUITE 504	ARCADIA	CA	910079239	34.126533	-118.051732	78.2xxx	4307.24
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
1548301633	1548301633	1	1	OAK VALLEY HOSPITAL DIST	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	50	Stanislaus	None	2603 PATTERSON RD	STE 3	RIVERBANK	CA	953673407	37.732702	-120.948196	211	3.02
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
1548359730	1548359730	1	1	PLANNED PARENTHOOD-LOS	21Jun1995	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	19	Los Angeles	ANGELES, SOUTH BAY CTR	14623 HAWTHORNE BLVD	STE 300	LAWNDALE	CA	902601590	33.899017	-118.352739	78.2t	6039
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
1548401409	1548401409	1	1	COUNTY OF VENTURA	31Aug2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	None	845 N 10TH ST	STE 3	SANTA PAULA	CA	930601348	34.365840	-119.065531	237	8
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
1548535685	1548535685	1	1	COX, LUCIEN O MD INC A	01Jan1982	026	PHYSICIANS	A34370	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	PROFESSIONAL CORPORATION	1127 WILSHIRE BLVD	STE 700	LOS ANGELES	CA	900173908	34.052510	-118.263750	78.2ffff	2092
1548538911	1548538911	1	1	COMMUNITY HEALTH SYSTEM INC	02Apr2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	33	Riverside	None	9380 MAGNOLIA AVE	None	RIVERSIDE	CA	925033749	33.921652	-117.444212	135c	316.01
1548568421	1548568421	1	1	GOLDEN VALLEY HEALTH CENTERS	22Jun2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	50	Stanislaus	None	4150 PATTERSON ROAD	None	RIVERBANK	CA	953672566	37.732634	-120.919841	211	4.02
1548648801	1548648801	1	1	COMMUNITY HEALTH CENTERS	05Jul2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	40	San Luis Obispo	OF THE CENTRAL COAST INC	292 POSADA LANE	STE A	TEMPLETON	CA	934654054	35.553456	-120.721421	170	127.04
1548659105	1548659105	1	1	BEHAVIORAL HEALTH SERVICES	04Sep2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	INC	2501 W EL SEGUNDO BLVD	SUITE B	HAWTHORNE	CA	902503317	33.916464	-118.320423	78.2bbbb	6026
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
1548795453	1548795453	1	1	BORREGO COMMUNITY HEALTH	28Mar2019	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	36	San Bernardino	FOUNDATION	750 E MAIN ST	None	BARSTOW	CA	923110000	34.898790	-117.015867	149	94
1558314609	1558314609	1	1	PLANNED PARENTHOOD MAR MONTE	30Sep1981	041	COMMUNITY CLINIC	430791850	None	UNKNOWN	0	In state provider	43	Santa Clara	INC	5440 THORNWOOD DR	STE G	SAN JOSE	CA	951231217	37.253465	-121.861042	183g	5120.27
1558420695	1558420695	1	1	PLANNED PARENTHOOD OF	07Dec1981	041	COMMUNITY CLINIC	040392306	None	UNKNOWN	0	In state provider	04	Butte	NORTHERN VALLEY	3100 COHASSET RD	None	CHICO	CA	959730962	39.773380	-121.843647	7.1	2.02
1558454256	1558454256	1	1	FAMILY HEALTHCARE NETWRK	07Dec2001	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	54	Tulare	None	41651 SIERRA DR	STE A	THREE RIVERS	CA	932719678	36.419705	-118.921140	229	1
1558491043	1558491043	1	1	GARDNER FAMILY HEALTH	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	43	Santa Clara	NETWORK INC	3030 ALUM ROCK AVE	None	SAN JOSE	CA	951272807	37.365085	-121.829369	183e	5040.01
1558527572	1558527572	1	1	LEW, PO LONG DO	01Jan1988	026	PHYSICIANS	20A5380	08	Family Practice	0	In state provider	19	Los Angeles	A MEDICAL CORPORATION	9308 VALLEY BLVD	None	ROSEMEAD	CA	917701924	34.081055	-118.066612	78.2qqq	4329.01
1558632570	1558632570	1	1	UNITED HEALTH CENTERS OF THE	06Apr2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	16	Kings	SAN JOAQUIN VALLEY	1000 CHITTENDEN AVE	None	CORCORAN	CA	932132407	36.099724	-119.559692	68	14.02
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
1558693655	1558693655	1	1	NORTHEAST VALLEY HEALTH	11Apr2011	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	18533 SOLEDAD CANYON RD	None	SANTA CLARITA	CA	913513722	34.416489	-118.456574	76.1b	9200.35
1558852947	1558852947	1	1	CENTRO DE SALUD DE LA	03Jun2019	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	COMUNIDAD DE SAN YSIDRO	4050 BEYER BLVD	None	SAN YSIDRO	CA	921732007	32.558244	-117.046830	161j	100.13
1558875203	1558875203	1	1	OMNI FAMILY HEALTH	04Jun2019	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	15	Kern	None	1701 STINE ROAD	None	BAKERSFIELD	CA	933094827	35.339488	-119.050542	66c	28.14
1558903898	1558903898	1	1	OMNI FAMILY HEALTH	18Nov2020	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	15	Kern	INTERMITTENT	2811 H ST	None	BAKERSFIELD	CA	933011913	35.384912	-119.021184	66a	16
1558981381	1558981381	1	1	BLESSING COMMUNITY HEALTH	01Feb2021	041	COMMUNITY CLINIC	550006055	None	UNKNOWN	0	In state provider	36	San Bernardino	CENTER	3972 N WATERMAN AVE	STE 104	SAN BERNARDINO	CA	924041767	34.164306	-117.278699	151k	51
1568415495	1568415495	1	1	PLANNED PARENTHOOD	01Oct1996	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	57	Yolo	WOODLAND	520 COTTONWOOD ST	STE 10	WOODLAND	CA	956953603	38.675447	-121.793328	246.1	110.01
1568449304	1568449304	1	3	ANDERSON VALLEY HEALTH	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	23	Mendocino	CENTER	13500 AIRPORT ROAD	None	BOONVILLE	CA	954150338	39.010387	-123.377385	87.1	112
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
1568567220	1568567220	1	1	ALL FOR HEALTH, HEALTH	21Nov2005	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	FOR ALL, INC	519 E BROADWAY	None	GLENDALE	CA	912051110	34.146338	-118.249859	78.2ee	3020.02
1568567600	1568567600	1	1	A TU SALUD A MEDICAL	06Oct2008	026	PHYSICIANS	A00091739	08	Family Practice	0	In state provider	36	San Bernardino	CORPORATION	10563 MILLS AVE	None	MONTCLAIR	CA	917634610	34.062204	-117.717686	151c	3.01
1568585024	1568585024	1	1	BIR, R S MD INC	01Jul2001	022	PHYSICIANS GROUP	None	01	General Practice	0	In state provider	36	San Bernardino	None	9792 SIERRA AVE	None	FONTANA	CA	923356717	34.075913	-117.435763	151f	33.01
1568598829	1568598829	1	1	LIFELONG MEDICAL CARE-	11Feb2009	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	01	Alameda	DOWNTOWN OAKLAND CLINIC	616 16TH ST	None	OAKLAND	CA	946121205	37.807251	-122.274341	2c	4028
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
1568663573	1568663573	1	1	URGENT CARE AMERICA	31Dec1995	022	PHYSICIANS GROUP	FNP001223	08	Family Practice	0	In state provider	19	Los Angeles	MEDICAL CLINIC INC	13470 TELEGRAPH RD	None	WHITTIER	CA	906053436	33.938916	-118.044588	78.2vv	5029.02
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
1568747137	1568747137	1	1	BORREGO COMMUNITY HEALTH	19May2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	FOUNDATION	8851 CENTER DR	SUITE 210	LA MESA	CA	919423045	32.782249	-117.005653	161f	150
1568791390	1568791390	1	1	PLANNED PARENTHOOD LOS ANGEL	08Nov2011	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	3637 S LA BREA AVENUE	None	LOS ANGELES	CA	900165311	34.020346	-118.355604	78.2j	2360
1568798296	1568798296	1	1	AMIR G NASSERI MD PC	19Aug2009	026	PHYSICIANS	A00068974	None	UNKNOWN	0	In state provider	30	Orange	None	1155 W CENTRAL AVE	STE 214	SANTA ANA	CA	927073165	33.712562	-117.883916	116g	740.05
1568800100	1568800100	1	1	BEST START MIDWIFE SERVICES	02Feb2015	089	ELECTRONIC HEALTH RECORD INCENTIVE PROGRAM	None	None	UNKNOWN	0	In state provider	37	San Diego	None	3630 ENTERPRISE STREET	None	SAN DIEGO	CA	921103212	32.746298	-117.198357	161b	65
1568827210	1568827210	1	1	ALTURA CENTERS FOR HEALTH	11Apr2018	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	54	Tulare	None	1500 W TULARE DRIVE	None	TULARE	CA	932743424	36.206312	-119.368597	230	22.02
1568845741	1568845741	1	1	CENTRO DE SALUD DE LA	17Nov2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	COMUNIDAD DE SAN YSIDRO	875 EL CAJON BLVD	None	EL CAJON	CA	920205714	32.784988	-116.977328	161h	159.02
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
1578535845	1578535845	1	1	COUNTY OF SAN BERNARDINO	20Nov2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	None	UNKNOWN	None	PUBLIC HEALTH DEPARTMENT	351 N. MT. VIEW AVE.	SAN BERNARDINO	CA	92415	34.126876	-117.267731	151k	63.01
1578535845	1578535845	1	5	COUNTY OF SAN BERNARDINO	20Jul2009	045	CLINIC EXEMP FROM LICENSURE	None	None	UNKNOWN	0	In state provider	36	San Bernardino	None	477 SUMMIT BLVD	None	BIG BEAR LAKE	CA	923152835	34.244060	-116.888382	146	112.03
1578535845	1578535845	1	6	COUNTY OF SAN BERNARDINO	23Jan2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	36	San Bernardino	None	150 E HOLT BLVD	None	ONTARIO	CA	917611613	34.063374	-117.650205	151c	14
1578535845	1578535845	1	8	COUNTY OF SAN BERNARDINO	23Jan2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	36	San Bernardino	None	606 E MILL STREET	None	SAN BERNARDINO	CA	924150011	34.092145	-117.296227	151f	124
1578535845	1578535845	1	9	COUNTY OF SAN BERNARDINO	20Jul2009	045	CLINIC EXEMP FROM LICENSURE	None	None	UNKNOWN	0	In state provider	36	San Bernardino	None	351 N MOUNTAIN VIEW AVE	None	SAN BERNARDINO	CA	924150003	34.105564	-117.287364	151g	58
1578535845	1578535845	1	10	COUNTY OF SAN BERNARDINO	20Jul2009	045	CLINIC EXEMP FROM LICENSURE	None	None	UNKNOWN	0	In state provider	36	San Bernardino	None	303 E MOUNTAIN VIEW ST	None	BARSTOW	CA	923112840	34.892770	-117.026308	149	95
1578535845	1578535845	1	11	COUNTY OF SAN BERNARDINO	20Nov2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	36	San Bernardino	None	11336 BARTLETT AVE	UNITS 11, 12	ADELANTO	CA	923012025	34.581919	-117.421764	145.2	91.16
1578552543	1578552543	1	5	COMMUNITY MEDICAL CENTERS	11Sep2020	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	39	San Joaquin	INTERMITTENT	2415 W VINE ST	SUITE 105	LODI	CA	952423731	38.122820	-121.305114	166	43.03
1578567038	1578567038	1	1	CLINICA MEDICA LA SAGRADA	30Apr1993	022	PHYSICIANS GROUP	FNP018256	None	UNKNOWN	0	In state provider	19	Los Angeles	LA SAGRADA FAMILIA	15955 PARAMOUNT BLVD	STE A	PARAMOUNT	CA	907235113	33.887704	-118.160150	78.2m	5538.02
1578572145	1578572145	1	1	FELAHY-AL AZAWI A MEDICAL	09May2011	026	PHYSICIANS	A00040702	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	16660 PARAMOUNT BLVD	STE 105	PARAMOUNT	CA	907235457	33.882563	-118.159974	78.2m	5539.02
1578577490	1578577490	1	2	PIXLEY MEDICAL CLINIC	26Nov2001	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	54	Tulare	None	205 EAST DAVIS STREET	None	PIXLEY	CA	932561025	35.968268	-119.293781	231	42
1578599809	1578599809	1	1	RUIZ, R A MEDICAL CORP	21Jul2005	022	PHYSICIANS GROUP	CLA328915	None	UNKNOWN	0	In state provider	36	San Bernardino	RIALTO CLINICA MEDICA	436 S RIVERSIDE AVE	None	RIALTO	CA	923766523	34.093420	-117.370336	151h	37
1578605390	1578605390	1	1	HANA MEDICAL GROUP	01Oct1994	022	PHYSICIANS GROUP	A00035505	None	UNKNOWN	0	In state provider	30	Orange	None	8615 KNOTT AVE	STE 3	BUENA PARK	CA	906203886	33.837742	-118.011124	116a	1102.01
1578624672	1578624672	1	1	ARDMORE MED GROUP INC	10Apr1992	022	PHYSICIANS GROUP	FNP030539	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	ARDMORE MED GRP INC	3564 SANTA ANITA AVE	STE A	EL MONTE	CA	917312458	34.074056	-118.041644	78.2oo	4327
1578658878	1578658878	1	1	FAMILY PLANNING ASSOC	01Jan1979	022	PHYSICIANS GROUP	FNP034901	None	UNKNOWN	0	In state provider	30	Orange	MEDICAL GROUP INC	1901 NTUSTIN AVE	None	SANTA ANA	CA	927057817	33.762626	-117.835155	116h	757.01
1578680310	1578680310	1	2	COUNTY OF SANTA CRUZ DBA	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	44	Santa Cruz	None	1080 EMELINE AVE	None	SANTA CRUZ	CA	950601966	36.991840	-122.017534	185.3	1212
1578685137	1578685137	1	1	AGRICULTURAL WORKERS	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	48	Solano	HLTH CTRS/DIXON FAMILY	131 W A ST	STE 1	DIXON	CA	956203437	38.445522	-121.822871	201	2534.02
1578708285	1578708285	1	1	BIGGS GRIDLEY MEM HOSP	05Apr2002	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	04	Butte	FAMILY CARE CTR	240 SPRUCE ST	None	GRIDLEY	CA	959482216	39.366966	-121.690577	9	35.02
1578763207	1578763207	1	1	BENEVOLENCE INDUSTRIES INC	02Jan2013	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	3631 CRENSHAW BLVD	SUITE 109	LOS ANGELES	CA	900164869	34.022751	-118.335126	78.2nnn	2200
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
1578803425	1578803425	1	1	COUNTY OF SAN JOAQUIN	01Dec2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	39	San Joaquin	None	500 W HOSPITAL RD	STE B	FRENCH CAMP	CA	952319693	37.886456	-121.281847	169b	38.03
1578823647	1578823647	1	1	INLAND BEHAVIORAL AND HEALTH	01Dec2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	33	Riverside	SERVICES INC	1070 E RAMSEY STREET	None	BANNING	CA	922205924	33.925352	-116.864988	134	442
1578834164	1578834164	1	1	LA CLINICA DE LA RAZA INC	29Oct2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	07	Contra Costa	None	2021 MAIN ST	None	OAKLEY	CA	945613302	38.002703	-121.732358	18e	3020.05
1588012124	1588012124	1	1	MOKADEM, HESHAM EL MD INC	30Sep2016	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	33	Riverside	None	3975 JACKSON STREET	SUITE 110	RIVERSIDE	CA	925033946	33.927349	-117.441424	135c	316.02
1588086771	1588086771	1	1	CAMARENA HEALTH	20Oct2014	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	20	Madera	None	124 SOUTH A STREET	None	MADERA	CA	936383619	36.964478	-120.055059	80	8
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
1588249940	1588249940	1	1	PLANNED PARENTHOOD OF THE	11Jan2022	041	COMMUNITY CLINIC	550007754	None	UNKNOWN	0	In state provider	33	Riverside	AFFILIATE	1780 E FLORIDA AVE	None	HEMET	CA	925444679	33.747658	-116.953245	132	433.09
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
1588656268	1588656268	1	1	PETALUMA HEALTH CTR, INC	01Jul2000	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	49	Sonoma	None	1179 NORTH MCDOWELL BLVD	None	PETALUMA	CA	949546559	38.268863	-122.659911	209.1	1506.07
1588663769	1588663769	1	1	KAWEAH DELTA HEALTH CARE	01Jun1976	024	PHARMACIES/PHARMACISTS	120000580	None	UNKNOWN	0	In state provider	54	Tulare	DISTRICT	400 W MINERAL KING AVE	None	VISALIA	CA	932916237	36.327346	-119.293437	233	12
1588699151	1588699151	1	1	FAMILY HEALTHCARE NETWRK	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	54	Tulare	None	501 N BRIDGE ST	None	VISALIA	CA	932915014	36.333790	-119.289018	233	12
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
1588753701	1588753701	1	1	PLANNED PARENTHOOD WORLD	01Dec1977	041	COMMUNITY CLINIC	ZZT11988	None	UNKNOWN	0	In state provider	19	Los Angeles	SHERMAN OAKS	7100 VAN NUYS BLVD	None	VAN NUYS	CA	914053063	34.199365	-118.448737	78.2cc	1279.10
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
1588798870	1588798870	1	1	CLINICA SIERRA VISTA	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	15	Kern	None	2000 PHYSICIANS BLVD	None	BAKERSFIELD	CA	933011277	35.396189	-119.009485	66a	6
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
1588826374	1588826374	1	1	FEATHER RIVER TRIBAL	02Jan2014	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	51	Sutter	HEALTH INC	555 W ONSTOTT RD	None	YUBA CITY	CA	959935654	39.129999	-121.634970	216	505.01
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
1598064008	1598064008	1	1	COMMUNITY HEALTH CENTERS OF	30Jan2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	40	San Luis Obispo	THE CENTRAL COAST INC	260 STATION WAY	None	ARROYO GRANDE	CA	934203359	35.119778	-120.577980	171	118
1598075442	1598075442	1	1	COMMUNITY PEDIATRIC CLINIC	22May2013	026	PHYSICIANS	None	None	UNKNOWN	0	In state provider	19	Los Angeles	INC	10210 ORR AND DAY RD	STE A	SANTA FE SPRINGS	CA	906703581	33.944232	-118.090502	78.2vv	5028.01
1598178915	1598178915	1	1	OPEN DOOR COMMUNITY HEALTH	09Nov2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	12	Humboldt	CENTERS	638 MAIN STREET	None	FERNDALE	CA	955369521	40.578153	-124.261982	42	112
1598180655	1598180655	1	1	ADVENTIST HEALTH PHYSICIANS	20Feb2020	045	CLINIC EXEMP FROM LICENSURE	None	None	UNKNOWN	0	In state provider	23	Mendocino	NETWORK	415 HOSPITAL DR	A	UKIAH	CA	954824545	39.154146	-123.202309	93.1	115
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
1598291015	1598291015	1	1	RIOS, DR JAVIER RIOS AMC	05May2017	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	33	Riverside	None	31946 MISSION TRAIL	STE A	LAKE ELSINORE	CA	925304539	33.657190	-117.298338	131a	464.04
1598703647	1598703647	1	1	NEIGHBORHOOD HEALTHCARE	20Dec2019	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	ESCONDIDO	460 N ELM ST	None	ESCONDIDO	CA	920253002	33.128479	-117.072910	156e	202.02
1598703647	1598703647	1	11	NEIGHBORHOOD HEALTHCARE	27Oct2020	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	INTERMITTENT	728 EAST VALLEY PARKWAY	None	ESCONDIDO	CA	920253052	33.127460	-117.073548	156e	202.02
1598703647	1598703647	1	14	NEIGHBORHOOD HEALTHCARE	27Oct2020	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	INTERMITTENT	488 EAST VALLEY PARKWAY	SUITE 404	ESCONDIDO	CA	920253379	33.125652	-117.076448	156e	202.14
1598703647	1598703647	1	27	NEIGHBORHOOD HEALTHCARE	09Feb2022	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	INTERMITTENT	1001 E GRAND AVE	None	ESCONDIDO	CA	920254604	33.126297	-117.068481	156e	206.02
1598703647	1598703647	1	29	NEIGHBORHOOD HEALTHCARE	15Apr2021	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	INTERMITTENT	28477 LIZARD ROCKS RD	None	VALLEY CENTER	CA	920826206	33.229860	-117.022042	153.2	191.06
1598719189	1598719189	1	1	PLANNED PRNTHD MAR MONTE	01Jul1997	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	24	Merced	None	3166 COLLINS DR	None	MERCED	CA	953483132	37.322070	-120.476113	97.1	10.04
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
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
1598829350	1598829350	1	1	JWCH INSTITUTE, INC	29Jun2009	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	954 N VERMONT AVE	None	LOS ANGELES	CA	900293529	34.088852	-118.291720	78.2g	1914.10
1598858169	1598858169	1	1	OPEN DOOR COMM HLTH CTRS	21Jul1999	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	12	Humboldt	OPEN DOOR MCKINLEYVILLE	1644 CENTRAL AVE	STE A,B,C,D,E&F	MCKINLEYVILLE	CA	955194342	40.935090	-124.100882	40	105.01
1598907487	1598907487	1	1	CENTRO DE SALUD DE LA	24Aug2009	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	COMUNIDAD DE SAN YSIDRO	2400 EAST 8TH ST	STE A	NATIONAL CITY	CA	919502956	32.682723	-117.082363	161g	120.02
1598936254	1598936254	1	1	NATIONAL HEALTH SERVICES	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	15	Kern	PO BOX 917	277 E FRONT ST	None	BUTTONWILLOW	CA	932069725	35.399690	-119.466007	59	37
1598941825	1598941825	2	1	REEDLEY COMMUNITY HOSPITAL	01Dec2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	10	Fresno	None	811 E 11TH STREET	None	REEDLEY	CA	936542926	36.603598	-119.440294	32	66.04
1598984288	1598984288	1	1	AMAVI, A PMC	01Jan1979	022	PHYSICIANS GROUP	FNP030498	01	General Practice	0	In state provider	19	Los Angeles	GUADALAJARA MED CLIN INC	2705 WHITTIER BLVD	None	LOS ANGELES	CA	900231441	34.032548	-118.211588	78.2h	2047
1609000405	1609000405	1	1	FAMILY HEALTH CENTERS OF	04Feb2009	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	37	San Diego	SAN DIEGO	251 LANDIS	None	CHULA VISTA	CA	919102628	32.642413	-117.081483	161k	123.02
1609062389	1609062389	1	1	MARSHALL MEDICAL CENTER	29Nov2004	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	09	El Dorado	None	1095 MARSHALL WAY	2N FL	PLACERVILLE	CA	956675722	38.725203	-120.790637	23.3	312
1609064435	1609064435	1	1	ADV WOMEN'S HEALTHCARE	05Jul2007	022	PHYSICIANS GROUP	FNP032887	None	UNKNOWN	0	In state provider	33	Riverside	AMC	79-200 CORPORATE CTR DR	STE 201	LA QUINTA	CA	922537245	33.710407	-116.283100	129.1	452.15
1609249994	1609249994	1	1	AXIS COMMUNITY HEALTH INC	05Jul2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	01	Alameda	None	5925 W LAS POSITAS BLVD	STE 100	PLEASANTON	CA	945886239	37.683516	-121.899160	2k	4507.43
1609286418	1609286418	1	1	PLANNED PARENTHOOD SHASTA	04Aug2014	041	COMMUNITY CLINIC	550002763	None	UNKNOWN	0	In state provider	12	Humboldt	DIABLO INC	3225 TIMBERFALL COURT	SUITE B	EUREKA	CA	955034892	40.760201	-124.165618	39	4
1609291996	1609291996	1	1	CLINICAS DEL CAMINO REAL INC	21Mar2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	None	4370 EVE ROAD	None	SIMI VALLEY	CA	930632187	34.282610	-118.709576	240a	84.01
1609803733	1609803733	1	1	RAM, ASHER MD	29Nov1988	026	PHYSICIANS	A00045553	None	UNKNOWN	0	In state provider	19	Los Angeles	CENTRO MEDICO FAMILIAR	14547 VICTORY BLVD	None	VAN NUYS	CA	914111619	34.186659	-118.450019	78.2cc	1283.03
1609845171	1609845171	1	1	PLANNED PARENTHOOD/	19Sep1980	041	COMMUNITY CLINIC	300690061	None	UNKNOWN	0	In state provider	30	Orange	ORANGE & SAN BERNARDINO	1520 NUTMEG PL	SUITE 101	COSTA MESA	CA	926262501	33.681958	-117.919830	116p	638.06
1609899087	1609899087	1	1	MOJTAHEDIAN, EMMANUEL MD	06Mar1995	026	PHYSICIANS	A00039395	01	General Practice	0	In state provider	19	Los Angeles	INC.	6425 WHITTIER BLVD	None	LOS ANGELES	CA	900224603	34.015439	-118.133723	78.2c	5318
1609932276	1609932276	1	1	COUNTY OF SANTA BARBARA	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	42	Santa Barbara	COUNTY HLTH CLIN LOMPOC	301 N R ST	None	LOMPOC	CA	934365226	34.642342	-120.470520	179	27.02
1609972777	1609972777	1	1	RIO HONDO MEDICAL GROUP	21Feb1980	022	PHYSICIANS GROUP	FNP36933	None	UNKNOWN	0	In state provider	19	Los Angeles	INC	12444 E WASHINGTON BLVD	None	WHITTIER	CA	906021005	33.967660	-118.046707	78.2uu	5021
1619036514	1619036514	1	1	BORREGO COMM HLTH FNDTN	22May2008	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	33	Riverside	CENTRO MEDICO CTHDRL CTY	69175 RAMON ROAD	STE A	CATHEDRAL CITY	CA	922343344	33.815899	-116.456507	129.4	9406
1619056926	1619056926	1	1	LA CLINICA DE LA RAZA	10Jan2007	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	01	Alameda	TIGER HEALTH CLINIC	4610 FOOTHILL BLVD	None	OAKLAND	CA	946014618	37.774134	-122.210633	2d	4074
1619145307	1619145307	1	1	LIFELONG MEDICAL CARE	01Apr2009	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	01	Alameda	None	9933 MACARTHUR BLVD	None	OAKLAND	CA	946054853	37.746523	-122.156651	2d	4101
1619154606	1619154606	1	1	CHILDREN'S CLINIC	01Nov2006	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	19	Los Angeles	FAMILY HEALTH CENTER	1060 E 70TH ST	None	LONG BEACH	CA	908051008	33.881841	-118.179432	78.2iii	5702.02
1619232808	1619232808	1	1	MARILOU G. CRUZ, MD, INC.	30Nov1989	026	PHYSICIANS	A44484	None	UNKNOWN	0	In state provider	19	Los Angeles	None	9317 FIRESTONE BLVD	None	DOWNEY	CA	902415322	33.932286	-118.117214	78.2eee	5511.02
1619244688	1619244688	1	1	PINNACLE PRIMARY CARE INC	07May2012	022	PHYSICIANS GROUP	None	01	General Practice	0	In state provider	15	Kern	None	7400 DISTRICT BLVD	SUITE C	BAKERSFIELD	CA	933134818	35.313130	-119.084459	66c	31.23
1619271947	1619271947	1	1	FLORES, CARLOS A MD	24Oct2012	026	PHYSICIANS	A00112638	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	500 E OLIVE AVE	STE 420	BURBANK	CA	915012171	34.184375	-118.305036	78.2ttt	3107.02
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
1619994191	1619994191	1	1	PLANNED PARENTHOOD	11Nov2005	041	COMMUNITY CLINIC	550000092	None	UNKNOWN	0	In state provider	56	Ventura	CALIFORNIA CENTRAL COAST	1200 W HILLCREST DR	STE 100	THOUSAND OAKS	CA	913202734	34.184783	-118.904204	240b	61
1629018817	1629018817	1	2	MEYER, BRUCE D MD	01Apr1990	026	PHYSICIANS	CLM322111	30	Radiology	0	In state provider	36	San Bernardino	MEYER, BRUCE D MD	1996 NORTH D ST	None	SAN BERNARDINO	CA	924053912	34.133793	-117.291922	151g	54
1629070461	1629070461	1	1	LAMONT COMMUNITY HEALTH	13Jan2009	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	15	Kern	CENTER	8787 HALL RD	None	LAMONT	CA	932411953	35.259734	-118.907169	61	64.01
1629107636	1629107636	1	1	YASHARPOUR, FARID MD INC	08Sep2004	022	PHYSICIANS GROUP	A00065312	None	UNKNOWN	0	In state provider	19	Los Angeles	None	14671 RINALDI ST	None	SAN FERNANDO	CA	913404199	34.280984	-118.452973	78.2ll	1095
1629130240	1629130240	1	1	FEATHER RIVER TRIBAL	11May2002	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	04	Butte	HEALTH	2145 5TH AVE	None	OROVILLE	CA	959655870	39.503090	-121.564806	10	28
1629167457	1629167457	1	1	COUNTY OF VENTURA	01Dec1977	078	MARRIAGE AND FAMILY THERAPIST GROUP	None	None	UNKNOWN	0	In state provider	56	Ventura	None	300 HILLMONT AVE	None	VENTURA	CA	930033099	34.278975	-119.254362	241c	19
1629167457	1629167457	1	2	COUNTY OF VENTURA	01Dec1977	061	COUNTY HOSPITAL OUTPATIENT	561700481	None	UNKNOWN	0	In state provider	56	Ventura	None	825 N TENTH ST	None	SANTA PAULA	CA	930601309	34.365624	-119.065292	237	8
1629192133	1629192133	1	1	BEVERLY, SHEREEN L MD	06Oct2004	026	PHYSICIANS	G00068251	None	UNKNOWN	0	In state provider	19	Los Angeles	INC	16812 HAWTHORNE BLVD	None	LAWNDALE	CA	902603218	33.878380	-118.352348	78.2iiii	6041
1629198791	1629198791	1	1	ALFRED LAVI DO PROFESSIONAL	19Mar2012	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	19	Los Angeles	CORPORATION	2324 W PICO BLVD	None	LOS ANGELES	CA	900064002	34.047262	-118.287597	78.2b	2211.10
1629198791	1629198791	1	2	ALFRED LAVI DO PROFESSIONAL	19Mar2012	022	PHYSICIANS GROUP	FNP001534	None	UNKNOWN	0	In state provider	19	Los Angeles	None	1835 S LA CIENEGA BLVD	STE 205 & 215	LOS ANGELES	CA	900354651	34.043839	-118.376744	78.2x	2696.01
1629257191	1629257191	1	1	UY, EDUARDO S MD INC	04Nov2003	026	PHYSICIANS	A00053016	40	Pediatrics	0	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	0	In state provider	36	San Bernardino	None	595 W HIGHLAND AVE	None	SAN BERNARDINO	CA	924053811	34.135998	-117.296307	151g	53
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
1629296447	1629296447	1	1	COMMUNICARE HEALTH CTRS	24Aug2004	058	HEALTH ACCESS PROGRAM	030000146	None	UNKNOWN	0	In state provider	57	Yolo	None	2051 JOHN JONES RD	None	DAVIS	CA	956169701	38.561423	-121.770387	244	105.05
1629319447	1629319447	1	1	COUNTY OF SAN JOAQUIN	01Dec2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	39	San Joaquin	None	500 W HOSPITAL ROAD	STE A	FRENCH CAMP	CA	952319693	37.886456	-121.281847	169b	38.03
1629418512	1629418512	1	1	FAMILY PLANNING ASSOCIATES	28Jun2013	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	34	Sacramento	None	2322 BUTANO DRIVE	STE 205	SACRAMENTO	CA	958250629	38.606680	-121.381741	139d	57.01
1629456900	1629456900	1	1	FAMILY HEALTH CENTERS	02Dec2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	OF SAN DIEGO INC	4094 4TH AVENUE	None	SAN DIEGO	CA	921032143	32.751189	-117.161628	161b	4
1629462312	1629462312	1	1	INDIAN HEALTH CENTER	27Mar2018	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	43	Santa Clara	OF SANTA CLARA	2039 FOREST AVENUE	STE 105	SAN JOSE	CA	951284833	37.327064	-121.934245	183j	5005
1629558721	1629558721	1	1	OMNI FAMILY HEALTH	15Mar2022	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	54	Tulare	INTERMITTENT	311 W NOBLE AVENUE	None	VISALIA	CA	932772669	36.326459	-119.294699	233	17.01
1629599535	1629599535	1	1	UNITED HEALTH CENTERS OF THE	13Nov2018	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	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	0	In state provider	10	Fresno	AFFILIATED	17008 13TH STREET	None	HURON	CA	932349997	36.208094	-120.101748	28	78.02
1639100027	1639100027	2	1	CASTLE FAMILY HEALTH	27Sep2000	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	24	Merced	CENTERS INC	3605 HOSPITAL RD	None	ATWATER	CA	953015173	37.364981	-120.576060	96	5.03
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
1639168594	1639168594	1	1	REGENTS/UCDPBG/GYNECOLOG	12Jul1989	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	34	Sacramento	None	4860 Y ST	None	SACRAMENTO	CA	958172307	38.552500	-121.448868	139f	17
1639185317	1639185317	1	1	NORTH COUNTY HLTH PRJCT, INC	06Jan1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	None	605 CROUCH STREET	BLDG C	OCEANSIDE	CA	920544415	33.196018	-117.353708	156a	185.09
1639194004	1639194004	1	1	AMPLA HEALTH	25Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	04	Butte	None	520 KENTUCKY ST	None	GRIDLEY	CA	959482116	39.363794	-121.696554	9	35.01
1639207343	1639207343	1	1	CENTRAL CALIFORNIA	19Jul2011	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	15	Kern	FOUNDATION FOR HEALTH	2300 7TH ST	None	WASCO	CA	932801585	35.594264	-119.351512	58.2	44.01
1639336803	1639336803	1	1	CENTRAL NEIGHBORHOOD HEALTH	18Aug2010	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	FOUNDATION	2707 S CENTRAL AVE	None	LOS ANGELES	CA	900115527	34.017418	-118.255486	78.2l	2267
1639400260	1639400260	1	1	ASSUTA FAMILY MEDICAL GROUP	18Feb2010	022	PHYSICIANS GROUP	None	01	General Practice	0	In state provider	19	Los Angeles	APMC	12922 VICTORY BLVD	None	NORTH HOLLYWOOD	CA	916062924	34.186685	-118.414880	78.2bb	1234.20
1639449135	1639449135	1	1	EMILY REKUC D.O., INC.	17Jan2012	026	PHYSICIANS	20A11655	None	UNKNOWN	0	In state provider	33	Riverside	None	79440 HIGHWAY 111	STE 104 & 105	LA QUINTA	CA	922537243	33.707423	-116.277890	129.1	452.15
1649223777	1649223777	1	1	FCS MEDICAL CORPORTION	01Dec2000	022	PHYSICIANS GROUP	FNP017470	15	Obstetrics (D.O. only)	0	In state provider	19	Los Angeles	FAMILY CARE SPECIALISTS	1701 CESAR CHAVEZ	# 402	LOS ANGELES	CA	900332496	34.051199	-118.217598	78.2ffff	2035
1649269747	1649269747	1	1	CLINICAS DE SALUD DEL	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	13	Imperial	PUEBLO	900 MAIN ST	None	BRAWLEY	CA	922272630	32.978601	-115.528657	50	107
1649292715	1649292715	1	1	GALSTYAN, KEVIN G MD INC	24Jan2012	026	PHYSICIANS	A00087568	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	1420 S CENTRAL AVE	None	GLENDALE	CA	912042508	34.128432	-118.257800	78.2ee	3024.01
1649318338	1649318338	3	1	OSTOYA, PAUL W MD INC	01Oct1996	026	PHYSICIANS	A00052252	None	UNKNOWN	0	In state provider	10	Fresno	None	1095 E WARNER AVE	STE 101	FRESNO	CA	937104000	36.836212	-119.769775	35f	54.06
1649324443	1649324443	1	1	EAST VALLEY COMMUNITY HEALTH	02Jun2014	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	CENTER INC	1555 SOUTH GAREY AVE	None	POMONA	CA	917665222	34.043219	-117.749671	78.2ss	4030
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
1649386707	1649386707	1	1	GUPTA, PRAVEEN DR	01Jan1979	026	PHYSICIANS	A00025680	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	9435 VENICE BLVD	None	CULVER CITY	CA	902322623	34.025348	-118.395423	78.2y	2701
1649426990	1649426990	1	1	CHEN, LULU L MD INC	28May2010	022	PHYSICIANS GROUP	None	08	Family Practice	0	In state provider	19	Los Angeles	None	1318 E FLORENCE AVE	None	LOS ANGELES	CA	900011935	33.974773	-118.251468	78.2mmm	5329
1649442088	1649442088	1	1	NATIONAL HEALTH SERVICES	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	15	Kern	None	21138 PASO ROBLES HWY	None	LOST HILLS	CA	932499731	35.731274	-119.826455	58.2	45
1649449885	1649449885	1	1	COUNTY OF SANTA CLARA	01Nov2007	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	43	Santa Clara	None	660 S FAIROAKS AVE	None	SUNNYVALE	CA	940867913	37.365052	-122.023818	183c	5085.04
1649457474	1649457474	1	1	FEMINIST WOMENS HEALTH	19Feb1993	041	COMMUNITY CLINIC	452392318	None	UNKNOWN	0	In state provider	45	Shasta	CENTER-REDDING	1901 VICTOR AVE	None	REDDING	CA	960020412	40.578619	-122.338663	189.2	103
1649519646	1649519646	1	1	PURDOM II, KENNETH R MD INC	03Oct2013	026	PHYSICIANS	A21180	None	UNKNOWN	0	In state provider	19	Los Angeles	None	12311 S NORWALK BLVD	None	NORWALK	CA	906502039	33.919733	-118.072712	78.2jjjj	5501
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
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
1659335701	1659335701	1	1	DELAROSA, JOSE L MD	19Jul2002	026	PHYSICIANS	A00043518	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	16415 COLORADO AVE	STE 103	PARAMOUNT	CA	907235051	33.885280	-118.161428	78.2m	5538.02
1659337749	1659337749	1	1	FRESNO COUNTY E O C	01Dec1977	041	COMMUNITY CLINIC	ZZR11511	None	UNKNOWN	0	In state provider	10	Fresno	HEALTH CLINIC	1047 R ST	STE 1047	FRESNO	CA	937211312	36.740186	-119.782458	35c	5.02
1659407740	1659407740	1	1	CITY & CO SAN FRANCISCO	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	38	San Francisco	None	2401 KEITH ST	None	SAN FRANCISCO	CA	941243231	37.726226	-122.392227	162f	234
1659419307	1659419307	1	1	DEL ROSARIO MEDICAL	31Oct1994	022	PHYSICIANS GROUP	FNP017692	None	UNKNOWN	0	In state provider	19	Los Angeles	CLINIC, INC	3400 E FLORENCE AVE	None	HUNTINGTON PARK	CA	902555835	33.972230	-118.205979	78.2ccc	5332.03
1659580926	1659580926	1	1	UNITED HEALTH CENTERS-	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	54	Tulare	EARLIMART	476 E WASHINGTON AVE	None	EARLIMART	CA	932199716	35.884294	-119.271473	231	44
1659654663	1659654663	1	1	KAI, PATRICIA A C NP	14Dec2012	007	CERTIFIED NURSE PRACTIONER	RN0656033	None	UNKNOWN	0	In state provider	19	Los Angeles	None	15747 WOODRUFF AVE	None	BELLFLOWER	CA	907064017	33.890512	-118.117474	78.2m	5541.04
1659671600	1659671600	1	1	PLANNED PARENTHOOD SHASTA	11Apr2011	041	COMMUNITY CLINIC	550001568	None	UNKNOWN	0	In state provider	49	Sonoma	ROSA CENTER	1140 SONOMA AVENUE	None	SANTA ROSA	CA	954054817	38.441077	-122.700218	210.1	1518
1669407656	1669407656	1	1	PLANNED PARENTHOOD -	14Jul1995	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	33	Riverside	OF THE PACIFIC SOUTHWEST	71777 SAN JACINTO DR	STE 202&203	RANCHO MIRAGE	CA	922704457	33.743334	-116.411813	129.1	451.03
1669407656	1669407656	1	2	PLANNED PARENTHOOD -	15Jun2021	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	33	Riverside	INTERMITTENT	1780 E FLORIDA AVE	None	HEMET	CA	925444679	33.747658	-116.953245	132	433.09
1669500336	1669500336	1	1	COUNTY OF MONTEREY	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	27	Monterey	None	1156 FREMONT BLVD	None	SEASIDE	CA	939555715	36.601811	-121.848973	110	136
1669513222	1669513222	1	1	LA SIERRA MEDICAL CORPORATIO	28Jul2005	022	PHYSICIANS GROUP	FNP032530	01	General Practice	0	In state provider	33	Riverside	None	10600 MAGNOLIA AVE	I	RIVERSIDE	CA	925051819	33.908375	-117.467435	135d	414.08
1669547618	1669547618	1	1	BARARSANI, MOHAMMAD MD	09Oct2012	026	PHYSICIANS	A35392	None	UNKNOWN	0	In state provider	19	Los Angeles	None	18051 CRENSHAW BLVD	SUITE #C	TORRANCE	CA	905045144	33.866761	-118.326468	78.2iiii	6501.02
1669548483	1669548483	1	1	ROBERTS, DENNIS F DO	07Jul2003	026	PHYSICIANS	20A6099	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	33	Riverside	A PROFESSIONAL CORP	81767 DR. CARREON BLVD	STE 200	INDIO	CA	922015559	33.707426	-116.238634	128	452.07
1669561890	1669561890	1	1	PLANNED PARENTHOOD LA	26Aug2004	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	2690 PACIFIC AVENUE	SUITE 370	LONG BEACH	CA	908062661	33.806055	-118.193675	78.2lll	5722.02
1669569109	1669569109	1	1	OPEN DOOR COMMUNITY HEALTH	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	12	Humboldt	CENTERS	2200 TYDD STREET	None	EUREKA	CA	955011284	40.802174	-124.146604	39	5
1669617197	1669617197	1	3	RADY CHILDREN'S HOSPITAL-SAN	01Sep2009	071	LICENSED CLINICAL SOCIAL WORKER GROUP	None	None	UNKNOWN	0	In state provider	37	San Diego	SAN DIEGO	8110 BIRMINGHAM WAY	BLDG 28	SAN DIEGO	CA	921232758	32.796784	-117.153495	161b	87.02
1669617783	1669617783	1	1	MOUNTAIN COMM HEALTHCARE DST	03Jan2011	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	53	Trinity	None	6961 HIGHWAY 3	None	HAYFORK	CA	960410220	40.504781	-123.175191	225	3
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
1669658373	1669658373	1	1	FAMILY HEALTHY CTRS OF SD	27Sep2000	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	37	San Diego	CENTER	1111 W CHASE AVE	None	EL CAJON	CA	920205710	32.781491	-116.976242	161h	159.02
1669673646	1669673646	1	1	MADERA COMMUNITY HOSPIT	01Dec1977	016	COMMUNITY INPATIENT HOSPITAL	200491281	None	UNKNOWN	0	In state provider	20	Madera	None	1250 E ALMOND AVE	None	MADERA	CA	936375696	36.945447	-120.045618	80	5.02
1669720157	1669720157	1	1	COMMUNITY MEDICAL CENTERS	01Apr2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	39	San Joaquin	INC	2015 S MARIPOSA RD	None	STOCKTON	CA	952057735	37.939244	-121.244788	169b	21
1669738159	1669738159	1	1	COUNTY OF VENTURA	31Aug2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	None	2220 E GONZALES ROAD	SUITE 120-A	OXNARD	CA	930363707	34.219285	-119.200549	241a	29.05
1669776175	1669776175	1	1	PRENATAL CLINIC JONATHAN	07Mar2012	026	PHYSICIANS	None	None	UNKNOWN	0	In state provider	19	Los Angeles	AZIZZADEH MD INC	1300 N VERMONT AVENUE	STE 304	LOS ANGELES	CA	900276005	34.095557	-118.291741	78.2g	1913.02
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
1669870739	1669870739	1	1	PETALUMA HEALTH CENTER INC	01Nov2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	49	Sonoma	APCC	5900 STATE FARM DRIVE	STE 200	ROHNERT PARK	CA	949282149	38.353106	-122.706941	209.1	1513.08
1669881926	1669881926	1	1	CENTRAL CITY COMMUNITY	02Dec2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	HEALTH CENTER INC	4126 N MAINE AVE	None	BALDWIN PARK	CA	917065010	34.087158	-117.960362	78.2zzz	4051.02
1679013726	1679013726	1	1	GOLDEN VALLEY HEALTH CENTERS	02Oct2018	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	39	San Joaquin	None	250 NORTHGATE DRIVE	None	MANTECA	CA	953363161	37.819051	-121.219685	164.1	51.26
1679024467	1679024467	1	1	LA CLINIQUITA, INC	19Dec2016	026	PHYSICIANS	A123276	01	General Practice	0	In state provider	19	Los Angeles	None	6505 ROSEMEAD BLVD	STE 106	PICO RIVERA	CA	906603542	33.986991	-118.094339	78.2ww	5007
1679198279	1679198279	1	1	UNITED HEALTH CENTERS OF THE	29Oct2021	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	10	Fresno	SAN JOAQUIN VALLEY	1110 N BLACKSTONE AVE	None	FRESNO	CA	937011016	36.756895	-119.790553	35c	23
1679526610	1679526610	1	1	PLANNED PARENTHOOD MAR MONTE	01Oct1996	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	34	Sacramento	INC	5385 FRANKLIN BLVD	STE A-D	SACRAMENTO	CA	958204717	38.526721	-121.472194	139f	37
1679526693	1679526693	1	1	PLANNED PARENTHOOD MAR MONTE	01Oct1996	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	34	Sacramento	INC	201 29TH ST	None	SACRAMENTO	CA	958163271	38.582249	-121.464064	139i	4
1679553192	1679553192	1	1	COMPREHENSIVE COMMUNITY	23Feb2005	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	HEALTH CTR-EAGLE ROCK	1704 COLORADO BLVD	None	LOS ANGELES	CA	900411338	34.139343	-118.203853	78.2dd	1814
1679600852	1679600852	1	1	CHILDRENS HOSP ORANGE CO	19Feb2001	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	30	Orange	CHOC CLINIC BOYS & GIRLS	1000 HIGHLAND ST	None	SANTA ANA	CA	927034822	33.737216	-117.878662	116g	749.02
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
1679626436	1679626436	2	1	AZUL MEDICAL CLINIC INC	14Oct2014	022	PHYSICIANS GROUP	None	01	General Practice	0	In state provider	19	Los Angeles	None	6517 EASTERN AVE	None	BELL GARDENS	CA	902013003	33.974093	-118.163952	78.2c	5341.01
1679631907	1679631907	1	1	CLINICAS DEL CAMINO REAL	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	INC VENTURA	200 S WELLS RD	STE 100	VENTURA	CA	930041302	34.293009	-119.159490	237	12.01
1679691810	1679691810	1	1	HOLLYWOOD SUNSET FREE CL	07Feb1997	040	FREE CLINIC	ZZT11942	None	UNKNOWN	0	In state provider	19	Los Angeles	None	3324 W SUNSET BLVD	None	LOS ANGELES	CA	900262190	34.086732	-118.275453	78.2a	1954
1679749501	1679749501	1	1	COMM HLTH SYSTEMS INC	22Feb2010	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	33	Riverside	None	22675 ALESSANDRO BLVD	None	MORENO VALLEY	CA	925538551	33.916984	-117.267305	135b	467
1679819742	1679819742	1	1	REEDLEY COMMUNITY HOSPITAL	01Feb2014	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	10	Fresno	None	3567 W MOUNT WHITNEY AVE	None	RIVERDALE	CA	936560000	36.430776	-119.862118	30	77
1679846190	1679846190	1	1	JIMENEZ, ARTHUR E MD INC	24Jan2013	026	PHYSICIANS	A00064270	08	Family Practice	0	In state provider	36	San Bernardino	None	15381 7TH ST	STE 2-3	VICTORVILLE	CA	923953858	34.531206	-117.298456	145.1a	98
1689011637	1689011637	1	1	ALTURA CENTERS FOR HEALTH	17Sep2013	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	54	Tulare	None	3035 E BARDSLEY AVE	None	TULARE	CA	932746122	36.196097	-119.505561	230	21
1689048241	1689048241	1	1	CLINICA DE SALUD DEL VALLE	06Dec2018	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	27	Monterey	None	126 FIFTH ST	None	GONZALES	CA	939260000	36.508372	-121.444503	107	108.04
1689066029	1689066029	1	1	FAMILY FIRST MEDICAL CARE	08Apr2015	078	MARRIAGE AND FAMILY THERAPIST GROUP	None	None	UNKNOWN	0	In state provider	50	Stanislaus	APC	1317 OAKDALE RD	SUITE 440	MODESTO	CA	953553364	37.662164	-120.957504	215b	9.05
1689158941	1689158941	1	1	FAMILY HEALTHCARE NETWORK	29Oct2019	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	54	Tulare	None	2333 S MOONEY BLVD	None	VISALIA	CA	932776228	36.309194	-119.313939	233	20.03
1689170870	1689170870	1	1	CITY & COUNTY OF SAN	18Apr2019	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	38	San Francisco	FRANCISCO	1728 BANCROFT AVE	None	SAN FRANCISCO	CA	941242697	37.726598	-122.394491	162f	233
1689199648	1689199648	1	1	CENTER FOR FAMILY HEALTH	29Oct2019	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	& EDUCATION INC	14901 RINALDI ST	SUITE 202	MISSION HILLS	CA	913453205	34.278989	-118.457401	78.2hh	1091
1689609679	1689609679	1	1	PLANNED PARENTHOOD OF THE	22Dec1981	041	COMMUNITY CLINIC	370891307	None	UNKNOWN	0	In state provider	37	San Diego	PACIFIC SOUTHWEST	2017 1ST AVE	STE 301	SAN DIEGO	CA	921012033	32.726310	-117.163903	161e	57
1689687345	1689687345	1	1	LOS ANGELES COUNTY	28Apr1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	19	Los Angeles	LA PUENTE FAM PLANNING	15930 CENTRAL AVE	None	LA PUENTE	CA	917445410	34.019862	-117.951064	78.2yyy	4077.02
1689688004	1689688004	1	2	OMNI FAMILY HEALTH	08Mar2022	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	15	Kern	None	2101 7TH ST	BLDG A-F	WASCO	CA	932801502	35.594252	-119.349796	58.2	44.01
1689699415	1689699415	1	1	AMPLA HEALTH	25Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	11	Glenn	None	278 MAIN STREET	None	HAMILTON CITY	CA	959510000	39.741273	-122.011779	36.2	105.01
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
1689760316	1689760316	1	1	MOY, CARL K MD INC	01Jan1994	022	PHYSICIANS GROUP	G43977	None	UNKNOWN	0	In state provider	19	Los Angeles	None	711 W COLLEGE ST	SUITE M88	LOS ANGELES	CA	900121163	34.065427	-118.241528	78.2ffff	2071.03
1689778813	1689778813	1	1	OPEN DOOR COMM HLTH CTRS	13Oct2000	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	12	Humboldt	NORTHCOUNTRY CLIN-ARCATA	785 18TH ST	None	ARCATA	CA	955215770	40.876180	-124.083992	39	10
1689851222	1689851222	1	1	COUNTY OF SANTA CLARA	19May1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	43	Santa Clara	VALLEY HLTH EAST VALLEY	1993 MCKEE RD	None	SAN JOSE	CA	951161406	37.360053	-121.857630	183b	5037.07
1689863516	1689863516	1	1	NATIVE AMERICAN HEALTH	10Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	01	Alameda	CENTER INC	2950 INTERNATIONAL BLVD	None	OAKLAND	CA	946012228	37.778730	-122.228048	2d	4062.02
1689875478	1689875478	1	1	ALAMEDA COUNTY MED CTR	21Feb2001	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	01	Alameda	NEWARK HEALTH CENTER	6066 CIVIC TERRACE AVE	None	NEWARK	CA	945603746	37.536685	-122.028158	2j	4445
1699041566	1699041566	1	1	GARDNER FAMILY HEALTH	18May2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	43	Santa Clara	NETWORK INC	725 E SANTA CLARA ST	None	SAN JOSE	CA	951121900	37.343203	-121.875735	183d	5013
1699129403	1699129403	1	1	PLANNED PARENTHOOD MAR MONTE	27Jul2017	041	COMMUNITY CLINIC	550003928	None	UNKNOWN	0	In state provider	41	San Mateo	SOUTH SAN FRANCISCO	435 GRAND AVENUE	None	S SAN FRANCISCO	CA	940803635	37.656021	-122.413948	176a	6022
1699152058	1699152058	1	1	JOON CHOI, MD. APC	03Oct2017	026	PHYSICIANS	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	8215 VAN NUYS BLVD	SUITE 104	PANORAMA CITY	CA	914024810	34.220010	-118.448778	78.2zz	1200.20
1699204552	1699204552	1	1	FIRST CHOICE WOMANS CLINIC	12Jun2017	005	CERTIFIED NURSE MIDWIFE	None	None	UNKNOWN	0	In state provider	19	Los Angeles	APNC	8162 VAN NUYS BLVD	None	PANORAMA CITY	CA	914024806	34.219096	-118.448773	78.2zz	1200.20
1699232454	1699232454	1	1	KWANG HE WON HEALTH CENTER	08Mar2021	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	815 S ARDMORE AVE	FIRST FLOOR	LOS ANGELES	CA	900052597	34.057735	-118.303073	78.2b	2124.10
1699758003	1699758003	2	1	REEDLEY COMMUNITY HOSPITAL	01Dec2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	16	Kings	None	810 E D STREET	None	LEMOORE	CA	932459545	36.299488	-119.768013	69	4.05
1699767517	1699767517	2	1	M ZARRABI MEDICAL	13May2013	022	PHYSICIANS GROUP	None	01	General Practice	0	In state provider	19	Los Angeles	CORPORATION	4827 GAGE AVENUE	None	BELL	CA	902011424	33.977217	-118.179412	78.2ddd	5338.04
1699780536	1699780536	1	2	OMNI FAMILY HEALTH	08Mar2022	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	15	Kern	None	1100 4TH STREET	None	TAFT	CA	932682415	35.149522	-119.453312	57.2	35
1699812099	1699812099	1	1	ORANGE CNTY HLTH DEPT	01Dec1977	048	COUNTY CLINICS NOT ASSOCIATED WITH HOSPITAL	ZZT11732F	None	UNKNOWN	0	In state provider	30	Orange	None	1725 W 17TH ST	None	SANTA ANA	CA	927062316	33.760060	-117.892138	116h	753.02
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
1699860999	1699860999	1	1	FAMILY PLANNING ASSOCIATES M	01Jan1979	022	PHYSICIANS GROUP	FNP034901	None	UNKNOWN	0	In state provider	33	Riverside	EDICAL GROUP INC	703 MAGNOLIA AVE	None	CORONA	CA	928793118	33.858197	-117.555971	135f	418.13
1699883157	1699883157	1	1	APODACA, LEONEL JR MD	31Aug1989	026	PHYSICIANS	G00066374	41	Internal Medicine	0	In state provider	10	Fresno	None	1165 PHELPS AVE	STE 101	COALINGA	CA	932109665	36.150960	-120.335866	27	79.02
1699958868	1699958868	1	1	JWCH INSTITUTE, INC	15May2006	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	19	Los Angeles	BELL GARDENS COMM HEALTH	6912 AJAX AVE	None	BELL GARDENS	CA	902014057	33.969702	-118.163038	78.2c	5341.02
1700023942	1700023942	1	1	CHAVA, SREEDHAR MD INC	10Apr2013	026	PHYSICIANS	A00102291	08	Family Practice	0	In state provider	19	Los Angeles	None	3580 SANTA ANITA AVE	STE A	EL MONTE	CA	917312455	34.074604	-118.041542	78.2oo	4327
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
1700087590	1700087590	1	1	ALAMEDA HEALTH SYSTEM	01Jul1971	061	COUNTY HOSPITAL OUTPATIENT	140000046	None	UNKNOWN	0	In state provider	01	Alameda	None	1411 E 31ST ST	None	OAKLAND	CA	946021018	37.799262	-122.231207	2c	4057
1700092137	1700092137	1	1	MAD RIVER COMM HOSPITAL	15Mar1974	015	COMMUNITY OUTPATIENT HOSPITAL	ZZR00028F	None	UNKNOWN	0	In state provider	12	Humboldt	PO BOX 1115	3800 JANES RD	None	ARCATA	CA	955214788	40.903600	-124.090373	39	13
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
1700211703	1700211703	1	1	YEHOWA MEDICAL SERVICES	01Jun2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	5320 S VERMONT AVE	None	LOS ANGELES	CA	900373530	33.993936	-118.291490	78.2ggg	2327
1700373008	1700373008	1	1	COMMUNITY MEDICAL CENTERS	21Dec2018	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	39	San Joaquin	INC	7912 WEST LANE	SUITE 221	STOCKTON	CA	952103159	38.021118	-121.294776	169a	34.05
1700803285	1700803285	1	1	PLANNED PARENTHOOD	21Aug1987	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	40	San Luis Obispo	CALIFORNIA CENTRAL COAST	743 PISMO ST	None	SAN LUIS OBISPO	CA	934013921	35.277102	-120.661668	172	111.02
1700830296	1700830296	1	1	EAST VALLEY COMMUNITY CLINIC	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	43	Santa Clara	INC	2470 ALVIN AVE	SUITE 60	SAN JOSE	CA	951211664	37.319456	-121.827395	183h	5033.04
1700910080	1700910080	1	1	CLINICA SIERRA VISTA	01Jun2000	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	15	Kern	ARVIN COMMUNITY HEALTH	1305 BEAR MOUNTAIN BLVD	None	ARVIN	CA	932031231	35.208978	-118.838883	61	63.03
1700911765	1700911765	1	1	HEALTH CENTER #1	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	38	San Francisco	None	3850 17TH ST	None	SAN FRANCISCO	CA	941142031	37.762703	-122.431844	162g	203
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
1700959863	1700959863	1	1	COUNTY OF NEVADA	01Dec1977	089	ELECTRONIC HEALTH RECORD INCENTIVE PROGRAM	None	None	UNKNOWN	0	In state provider	29	Nevada	None	500 CROWN POINT CIR	STE 110	GRASS VALLEY	CA	959459514	39.219388	-121.033202	113	6
1700975927	1700975927	1	1	PLANNED PARENTHOOD WORLD	01Dec1977	041	COMMUNITY CLINIC	ZZT11928	None	UNKNOWN	0	In state provider	19	Los Angeles	EL MONTE	4786 PECK RD	None	EL MONTE	CA	917321349	34.090757	-118.014550	78.2oo	4326.01
1700976503	1700976503	1	3	OLE HEALTH	10Sep2004	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	28	Napa	None	1141 PEAR TREE LN	None	NAPA	CA	945586484	38.321291	-122.292280	112.2	2005.04
1710009659	1710009659	1	1	COMMUNITY MEDICAL CTRS	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	39	San Joaquin	WOODBRIDGE MED GRP	2401 W TURNER RD	STE 450	LODI	CA	952422191	38.145692	-121.344779	168	41.06
1710029616	1710029616	1	1	MATERNAL- FETAL MEDICINE	06Aug2004	022	PHYSICIANS GROUP	FNP029465	None	UNKNOWN	0	In state provider	19	Los Angeles	ASSOCIATES AMC	401 W MANCHESTER BLVD	None	INGLEWOOD	CA	903011109	33.961713	-118.361731	78.2q	6014.01
1710037346	1710037346	1	1	KHAN,H JOSEPH MD INC	01Apr2001	022	PHYSICIANS GROUP	FNP027745	08	Family Practice	0	In state provider	30	Orange	PARAMOUNT CARE MED GRP	12881 CHAPMAN AVE	None	GARDEN GROVE	CA	928404100	33.788871	-117.908123	116r	884.03
1710076997	1710076997	1	1	PLANNED PARENTHOOD LOS	12Feb1987	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	19	Los Angeles	ANGELES POMONA CENTER	1550 N GAREY AVE	None	POMONA	CA	917673826	34.073584	-117.752260	78.2ss	4023.03
1710077961	1710077961	2	1	L AND P MEDICAL GROUP INC	31Oct1994	026	PHYSICIANS	A00046128	01	General Practice	0	In state provider	19	Los Angeles	None	1107 S ALVARADO ST	None	LOS ANGELES	CA	900064184	34.050166	-118.280829	78.2b	2098.10
1710105408	1710105408	1	1	AXIS COMMUNITY HEALTH	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	01	Alameda	None	3311 PACIFIC AVE	None	LIVERMORE	CA	945507007	37.676150	-121.755169	1.2	4515.01
1710164702	1710164702	1	1	CHILDREN'S CLINIC, THE	15Aug1999	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	455 E COLUMBIA ST	STE 201	LONG BEACH	CA	908061620	33.808978	-118.187329	78.2lll	5722.02
1710191283	1710191283	1	1	ALTAMED HEALTH SERVICES	28Apr1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	CORPORATION	9436 SLAUSON AVE	None	PICO RIVERA	CA	906604748	33.968332	-118.096522	78.2ww	5026.01
1710211214	1710211214	1	1	COMMUNITY MEDICAL CENTERS	08Jan2013	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	39	San Joaquin	INC	200 COTTAGE AVE	SUITE 103	MANTECA	CA	953364935	37.799232	-121.198208	164.1	51.10
1710218409	1710218409	1	1	ALLIANCE MEDICAL CENTER	24Apr2014	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	49	Sonoma	None	8465 OLD REDWOOD HWY	SUITE 320	WINDSOR	CA	954928090	38.543841	-122.801258	205.2	1538.08
1710228531	1710228531	1	1	COUNTY OF SAN JOAQUIN	01Dec2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	39	San Joaquin	None	500 W HOSPITAL ROAD	STE C	FRENCH CAMP	CA	952319693	37.886456	-121.281847	169b	38.03
1710261284	1710261284	1	1	BELLA MEDICAL GROUP INC	26Mar2012	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	2933 WHITTIER BLVD	None	LOS ANGELES	CA	900231528	34.030985	-118.208139	78.2h	2047
1710261284	1710261284	1	2	BELLA MEDICAL GROUP INC	02May2013	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	9916 SAN JUAN AVE	None	SOUTH GATE	CA	902806108	33.943627	-118.203163	78.2ccc	5358.02
1710309513	1710309513	1	1	UNICARE COMMUNITY HEALTH	26Aug2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	36	San Bernardino	CENTER INC	437 N EUCLID AVE	None	ONTARIO	CA	917623456	34.067462	-117.651217	151c	14
1710370747	1710370747	1	1	MISSION CITY COMMUNITY	15Dec2020	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	NETWORK INC	8527 SEPULVEDA BOULEVARD	None	NORTH HILLS	CA	913435824	34.225117	-118.467683	78.2kk	1175.30
1710537303	1710537303	1	1	PLANNED PARENTHOOD PASADENA	24Nov2020	041	COMMUNITY CLINIC	550005996	None	UNKNOWN	0	In state provider	19	Los Angeles	AFFILIATED	4070 STERLING WAY	None	BALDWIN PARK	CA	917064223	34.085225	-117.962051	78.2zzz	4052.02
1710590971	1710590971	1	1	JAVIER R RIOS MD, A PROFESSI	12Jul2021	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	33	Riverside	None	6926 BROCKTON AVE	STE 7	RIVERSIDE	CA	925063804	33.948018	-117.396781	135c	311
1710975727	1710975727	1	1	PLANNED PARENTHOOD/	15Mar1990	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	30	Orange	ORANGE & SAN BERNARDINO	303 W LINCOLN AVE	STE 105	ANAHEIM	CA	928052928	33.835153	-117.917616	116l	873
1720084163	1720084163	1	1	LIFELONG MEDICAL CARE	10Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	01	Alameda	WEST BERKELEY FAMILY	2031 6TH ST	None	BERKELEY	CA	947102006	37.867562	-122.297568	2a	4232
1720101645	1720101645	1	1	RAGLAND, HOWARD K MD	14Jul2009	026	PHYSICIANS	A00051837	None	UNKNOWN	0	In state provider	19	Los Angeles	None	2716 S VERMONT	UNIT 1	LOS ANGELES	CA	900073369	34.030207	-118.291536	78.2b	2218.10
1720130784	1720130784	1	1	PEART, HAROLD T	31Aug1986	026	PHYSICIANS	G00040523	None	UNKNOWN	0	In state provider	19	Los Angeles	None	6091 W PICO BLVD	None	LOS ANGELES	CA	900352648	34.052875	-118.373795	78.2x	2167
1720171242	1720171242	1	1	UNIVERSITY MUSLIM MED	20Jan2006	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	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
1720234701	1720234701	1	1	LEE, CHANG L MD INC	14Oct2008	026	PHYSICIANS	A00099010	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	36	San Bernardino	None	399 E HIGHLAND AVE	SUITE 223	SAN BERNARDINO	CA	924043864	34.135924	-117.277300	151k	63.01
1720243454	1720243454	1	1	LA CLINICA DE LA RAZA	10Feb2009	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	48	Solano	None	220 HOSPITAL DRIVE	None	VALLEJO	CA	945892517	38.131074	-122.239758	204	2519.01
1720256647	1720256647	1	1	PLANNED PARENTHOOD EAST	28Mar2008	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	19	Los Angeles	LOS ANGELES CENTER	5068 WHITTIER BLVD	None	LOS ANGELES	CA	900223128	34.021028	-118.160176	78.2d	5316.04
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
1720347149	1720347149	1	1	CLINICA SIERRA VISTA	16Mar2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	10	Fresno	None	1945 N FINE AVENUE	STE 100	FRESNO	CA	937271528	36.768481	-119.728929	35b	31.04
1720362056	1720362056	1	1	CLINICAS DEL CAMINO REAL INC	28Jan2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	None	1424 MADERA RD	None	SIMI VALLEY	CA	930653053	34.265329	-118.796221	240c	77
1720401607	1720401607	1	1	PIONEERS MEMORIAL HEALTHCARE	21Mar2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	13	Imperial	DISTRICT	751 W LEGION RD	SUITE 103	BRAWLEY	CA	922277780	32.959931	-115.556846	50	106
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
1720459514	1720459514	1	1	REEDLEY COMMUNITY HOSPITAL	04Dec2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	20	Madera	None	11976 ROAD 37	None	MADERA	CA	936368612	36.923050	-119.876131	80	5.09
1720468804	1720468804	1	1	PEDIATRIC & FAMILY MEDICAL	15Dec2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	1513 S GRAND AVE	STE 220 & 250	LOS ANGELES	CA	900153075	34.036322	-118.265961	78.2ffff	2240.10
1730119553	1730119553	1	2	AFFILIATED PATHOLOGISTS MEDI	01Apr1998	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	1225 WILSHIRE BLVD	None	LOS ANGELES	CA	900172395	34.053179	-118.265299	78.2ffff	2091.02
1730136680	1730136680	1	1	CAPITAL OB/GYN, INC.	09Feb2006	022	PHYSICIANS GROUP	FNP033077	None	UNKNOWN	0	In state provider	34	Sacramento	None	77 CADILLAC DR	STE 230	SACRAMENTO	CA	958255453	38.574976	-121.418101	139j	54.02
1730136680	1730136680	1	3	CAPITAL OB/GYN, INC.	10Oct2011	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	34	Sacramento	None	8120 TIMBERLAKE WAY	STE 201	SACRAMENTO	CA	958235414	38.461710	-121.413243	139h	96.06
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
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
1730231523	1730231523	1	1	CESAR VELEZ MEDICAL	07Apr2006	022	PHYSICIANS GROUP	FNP34580	None	UNKNOWN	0	In state provider	19	Los Angeles	GROUP INC	1411 W SUNSET BLVD	STE 203	LOS ANGELES	CA	900263431	34.074475	-118.252270	78.2a	1973
1730237116	1730237116	1	1	CHICO FEM WOMENS HEALTH	01Dec1977	041	COMMUNITY CLINIC	040301222	None	UNKNOWN	0	In state provider	04	Butte	None	1469 HUMBOLDT RD	FL 2	CHICO	CA	959289116	39.735489	-121.815230	7.1	9.03
1730258765	1730258765	1	1	MOMMY & ME MEDICAL GROUP	01Jul2004	022	PHYSICIANS GROUP	FNP029836	None	UNKNOWN	0	In state provider	36	San Bernardino	None	1711 ORANGE ST	None	REDLANDS	CA	923742254	34.079279	-117.182387	151i	80.01
1730258765	1730258765	1	2	MOMMY & ME MEDICAL GROUP	11Jun2007	022	PHYSICIANS GROUP	FNP092836	None	UNKNOWN	0	In state provider	33	Riverside	None	4190 CHICAGO AVE	None	RIVERSIDE	CA	925075348	33.971862	-117.348520	135a	305.01
1730258765	1730258765	1	3	MOMMY & ME MEDICAL GROUP	13Feb2008	022	PHYSICIANS GROUP	FNP029836	None	UNKNOWN	0	In state provider	33	Riverside	None	1688 N PERRIS BLVD	STE H4	PERRIS	CA	925714746	33.802745	-117.226204	133.1	426.20
1730258765	1730258765	1	4	MOMMY & ME MEDICAL GROUP	19Jun2008	022	PHYSICIANS GROUP	FNP029836	None	UNKNOWN	0	In state provider	33	Riverside	None	498 W 4TH ST	None	PERRIS	CA	925702070	33.782338	-117.236939	133.1	428
1730258765	1730258765	1	6	MOMMY & ME MEDICAL GROUP	02Mar2010	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	36	San Bernardino	None	416 W FOOTHILL BLVD	None	RIALTO	CA	923764953	34.106816	-117.377276	151h	35.09
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
1730300617	1730300617	1	1	DAVID STEINBERG MD INC	27Dec2007	026	PHYSICIANS	A00083337	None	UNKNOWN	0	In state provider	19	Los Angeles	None	1513 S GRAND AVE	STE 320	LOS ANGELES	CA	900153021	34.036322	-118.265961	78.2ffff	2240.10
1730310236	1730310236	1	1	COUNTY OF SOLANO	26Oct2009	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	48	Solano	None	365 TUOLUMNE ST	None	VALLEJO	CA	945905700	38.102682	-122.238282	204	2512
1730330739	1730330739	1	1	OPEN DOOR COMMUNITY HEALTH	10Mar2009	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	12	Humboldt	None	38883 HWY 299	None	WILLOW CREEK	CA	955730000	40.936419	-123.625819	38	101.02
1730360579	1730360579	1	1	CLINICA MEDICA CENTRO HISPAN	04Nov2008	026	PHYSICIANS	A00053766	08	Family Practice	0	In state provider	36	San Bernardino	O INC	360 E 7TH ST	H	UPLAND	CA	917866701	None	None	None	None
1730360579	1730360579	1	2	CLINICA MEDICA CENTRO HISPAN	19Dec2011	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	36	San Bernardino	HISPANO INC	2336 N SIERRA WAY	None	SAN BERNARDINO	CA	924053546	34.137242	-117.285187	151g	53
1730363151	1730363151	1	1	HEALTHRIGHT 360	25Feb2010	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	38	San Francisco	None	1563 MISSION ST	5TH FL	SAN FRANCISCO	CA	941032543	37.773185	-122.418346	162a	177
1730421330	1730421330	1	1	UNIVERSITY MUSLIM MEDICAL	15Apr2014	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	ASSOCIATION INC	7821 AVALON BLVD	None	LOS ANGELES	CA	900032358	33.968215	-118.265132	78.2fff	2395.02
1730481318	1730481318	1	1	ALTAMED HEALTH SERVICES	14Dec2011	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	CORPORATION	1300 S SUNSET AVE	None	WEST COVINA	CA	917903342	34.060137	-117.947437	78.2www	4068
1730502725	1730502725	1	1	FAMILY HEALTHCARE NETWORK	26Jun2014	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	54	Tulare	None	401 E SCHOOL AVE	None	VISALIA	CA	932915032	36.332883	-119.289016	233	12
1730519927	1730519927	1	1	PROHEALTH PARTNERS	25Aug2014	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	19	Los Angeles	A MEDICAL GROUP	12131 CARSON ST	None	HAWAIIAN GARDENS	CA	907161154	33.831531	-118.073794	78.2n	5551.02
1730530254	1730530254	1	1	LIVINGSTON COMMUNITY HEALTH	30Aug2018	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	24	Merced	None	16233 KING STREET	None	DELHI	CA	953159460	37.433512	-120.780637	95	2.03
1740299833	1740299833	2	1	GARVEY HEALTHY FAMILY	14Dec2015	026	PHYSICIANS	A54127	01	General Practice	0	In state provider	19	Los Angeles	MEDICAL CLINIC INC	705 E GARVEY AVE	None	MONTEREY PARK	CA	917553024	34.062637	-118.112845	78.2qqq	4817.12
1740303247	1740303247	1	1	BIR, R S MD INC	01Jul1998	022	PHYSICIANS GROUP	A00042345	41	Internal Medicine	0	In state provider	36	San Bernardino	None	11692 CENTRAL AVE	None	CHINO	CA	917101923	34.040964	-117.689596	151l	4.04
1740335678	1740335678	1	1	UNITED AMERICAN INDIAN	22Mar2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	INVOLVEMENT	1125 W 6TH ST	STE 103	LOS ANGELES	CA	900171896	34.054205	-118.262475	78.2ffff	2092
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
1740427657	1740427657	1	1	ALTAMED HEALTH SERVICES CORP	01Apr2009	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	30	Orange	SANTA ANA, MAIN	1400 N MAIN ST	None	SANTA ANA	CA	927012321	33.756667	-117.867582	116b	750.04
1740505262	1740505262	1	1	PLANNED PARENTHOOD	16Jul2010	041	COMMUNITY CLINIC	550001317	None	UNKNOWN	0	In state provider	07	Contra Costa	SHASTA DIABLO INC	320 EL CERRITO PLAZA	None	EL CERRITO	CA	945304004	37.899688	-122.299059	18g	3891
1740634286	1740634286	1	1	NORTHERN VALLEY INDIAN	02Sep2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	04	Butte	HEALTH INC	500 COHASSET ROAD	STE 15	CHICO	CA	959262260	39.751732	-121.848332	7.1	3
1740688894	1740688894	1	1	KAWEAH DELTA HEALTH CARE	08Oct2015	071	LICENSED CLINICAL SOCIAL WORKER GROUP	None	None	UNKNOWN	0	In state provider	54	Tulare	-WILLOW	202 W WILLOW AVE	SUITE 502	VISALIA	CA	932916238	36.328328	-119.293473	233	12
1740757996	1740757996	1	1	FAMILY MEDICINE HEADQUARTERS	08Aug2019	026	PHYSICIANS	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	521 N AZUSA AVE	None	AZUSA	CA	917022936	34.130239	-117.907537	78.2qq	4043.01
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
1750316741	1750316741	1	1	PLANNED PARENTHOOD OF THE	28Oct1983	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	33	Riverside	PACIFIC SOUTHWEST	3772 TIBBETTS ST	None	RIVERSIDE	CA	925062605	33.947307	-117.399424	135c	311
1750419420	1750419420	1	1	COUNTY OF MONTEREY	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	27	Monterey	AT MARINA	3155 DE FOREST RD	None	MARINA	CA	939332702	36.684998	-121.793273	108	143.02
1750442836	1750442836	1	2	ZACOALCO MEDICAL GRP INC	31Aug1996	022	PHYSICIANS GROUP	FNP024838	None	UNKNOWN	0	In state provider	19	Los Angeles	None	1414 E FLORENCE AVE	None	LOS ANGELES	CA	900011937	33.974773	-118.249384	78.2mmm	5329
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
1750503017	1750503017	1	1	LONG BEACH MEMORIAL MED	01Aug2000	022	PHYSICIANS GROUP	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	2865 ATLANTIC AVE	STE 110	LONG BEACH	CA	908067408	33.809325	-118.185091	78.2lll	5722.02
1750582557	1750582557	1	1	ALAMEDA COUNTY MED CTR	07Feb2008	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	01	Alameda	EASTMONT WELLNESS CTR	6955 FOOTHILL BLVD	STE 200	OAKLAND	CA	946052426	37.769479	-122.174806	2d	4086
1750608931	1750608931	1	1	KAMALI, POURANG MD INC	03Mar2010	026	PHYSICIANS	A00090859	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	37	San Diego	None	769 MEDICAL CENTER CT	STE 301	CHULA VISTA	CA	919116602	32.618563	-117.024187	161s	133.10
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
1760409791	1760409791	1	1	MISSION CITY COMMUNITY	15Dec2020	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	NETWORK	15206 PARTHENIA ST	None	NORTH HILLS	CA	913435305	34.228175	-118.463455	78.2kk	1175.30
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
1760545503	1760545503	1	1	KATUKOTA, VIJAY C MD INC	30Sep1983	026	PHYSICIANS	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	A MEDICAL CORPORATION	1177 N PARK AVE	None	POMONA	CA	917683028	34.069685	-117.754943	78.2ss	4023.03
1760545503	1760545503	1	5	KATUKOTA, VIJAY C MD INC	14Jun2010	022	PHYSICIANS GROUP	A00038343	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	36	San Bernardino	None	9190 SIERRA AVE	STE 104	FONTANA	CA	923358613	34.086871	-117.435753	151f	31.02
1760578413	1760578413	1	1	MOY, CARL K MD INC	01Jan1994	022	PHYSICIANS GROUP	G43977	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	500 N GARFIELD AVE	STE 104	MONTEREY PARK	CA	917541242	34.056240	-118.124710	78.2nn	4822.01
1760651814	1760651814	1	1	ALTAMED HEALTH SERVICES	09Apr2009	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	30	Orange	CORPORATION	2720 S BRISTOL STREET	SUITE 110	SANTA ANA	CA	927046210	33.710916	-117.885400	116g	740.05
1760667950	1760667950	1	1	NEIGHBORHOOD HEALTHCARE	02Jan1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	EL CAJON	855 E MADISON AVENUE	None	EL CAJON	CA	920203819	32.800293	-116.951663	161h	163.01
1760669667	1760669667	1	1	NORTHEAST VALLEY HEALTH	06Feb2008	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	19	Los Angeles	LAC-VALENCIA	23763 VALENCIA BLVD	None	VALENCIA	CA	913552105	34.414766	-118.550458	76.1a	9203.29
1760671077	1760671077	1	2	UNIVERSAL MEDICAL CLINIC, IN	06Nov2007	022	PHYSICIANS GROUP	FNP36837	None	UNKNOWN	0	In state provider	19	Los Angeles	RESEDA	18040 SHERMAN WAY	#310	RESEDA	CA	913354048	34.201065	-118.526213	78.2zz	1318
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
1760756860	1760756860	1	2	DR. JAMIE A. LIPELES, A PROF	08Mar2018	026	PHYSICIANS	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	12321 HAWTHORNE BLVD	STE A	HAWTHORNE	CA	902503832	33.920791	-118.352697	78.2bbbb	6021.06
1760916951	1760916951	1	1	PINERIDGE OBSTETRIX	03Jul2017	026	PHYSICIANS	20A11716	None	UNKNOWN	0	In state provider	10	Fresno	& GYNECOLOGY INC	2137 HERNDON AVE	STE 102	CLOVIS	CA	936116306	36.837320	-119.673845	35b	57.02
1760936884	1760936884	1	2	BEVERLYCARE	21May2020	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	INTERMITTENT	1920 W WHITTIER BLVD	None	MONTEBELLO	CA	906404009	34.012936	-118.121520	78.2ww	5301.02
1760936884	1760936884	1	4	BEVERLYCARE	11Aug2020	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	INTERMITTENT	8862 WHITTIER BLVD	None	PICO RIVERA	CA	906602658	34.001530	-118.084447	78.2ww	5006
1770006728	1770006728	1	1	ALTAMED HEALTH SERVICES	24Oct2018	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	CORPORATION	972 GOODRICH BLVD	None	COMMERCE	CA	900224114	34.018027	-118.154486	78.2c	5323.03
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
1770516304	1770516304	1	1	MENDOCINO COMMUNITY HEALTH	25Nov2003	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	17	Lake	CLINIC INC	5335 LAKESHORE BLVD	None	LAKEPORT	CA	954536123	39.111527	-122.906666	70.1	3
1770624553	1770624553	1	1	OAK VALLEY HOSPITAL DIST	11Jul2005	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	39	San Joaquin	HEALTH CLINIC	2080 MCHENRY AVE	SUITE 200	ESCALON	CA	953209484	37.793504	-120.996556	164.2	49.01
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
1770641482	1770641482	1	1	PLANNED PARENTHOOD	01Dec1977	041	COMMUNITY CLINIC	ZZR11925	None	UNKNOWN	0	In state provider	07	Contra Costa	RICHMOND CENTER	2970 HILLTOP MALL	STE 307	RICHMOND	CA	948065238	37.976763	-122.322936	18g	3671
1770649097	1770649097	1	1	ARDMORE MED GROUP INC	10Apr1992	022	PHYSICIANS GROUP	FNP030539	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	3500 WHITTIER BLVD	STE 105	LOS ANGELES	CA	900231746	34.026687	-118.198514	78.2h	2049.10
1770663551	1770663551	1	1	LAS PALMAS MEDICAL GROUP	14May2003	022	PHYSICIANS GROUP	FNP030643	01	General Practice	0	In state provider	37	San Diego	CORPORATION	750 E GRAND AVE	STE B&C	ESCONDIDO	CA	920254460	33.125149	-117.072137	156e	202.02
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
1770703571	1770703571	1	1	GOLDEN VALLEY HEALTH CTR	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	24	Merced	DOS PALOS	1405 CALIFORNIA AVE	None	DOS PALOS	CA	936202300	36.987480	-120.629074	94	24.02
1770709149	1770709149	1	1	COUNTY OF SNTA CRUZ	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	44	Santa Cruz	WATSONVILLE HEALTH CTR	9 CRESTVIEW DR	None	WATSONVILLE	CA	950762723	36.926481	-121.764521	184	1102
1770760670	1770760670	1	1	EASTSIDE NEIGHBORHOOD	22Apr2008	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	42	Santa Barbara	CLINIC	915 N MILPAS ST	None	SANTA BARBARA	CA	931032331	34.430176	-119.690580	181b	6
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
1770988370	1770988370	1	1	JWCH INSTITUTE INC	25Feb2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	8530 FIRESTONE BLVD	None	DOWNEY	CA	902414926	33.937987	-118.128996	78.2eee	5513
1770997033	1770997033	1	1	PACIFIC CENTER COAST HEALTH	06Feb2016	041	COMMUNITY CLINIC	550003383	None	UNKNOWN	0	In state provider	42	Santa Barbara	CENTERS	220 S PALISADE DRIVE	STE 201, 202, 203B, 204B	SANTA MARIA	CA	934548904	34.952749	-120.412079	180.1	22.11
1780038042	1780038042	1	1	BORREGO COMMUNITY HEALTH	13Sep2018	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	36	San Bernardino	FOUNDATION	590 NORTH D STREET	None	SAN BERNARDINO	CA	924011352	34.109961	-117.291883	151g	57.01
1780054379	1780054379	1	1	BAY AREA COMMUNITY HEALTH	01Aug2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	01	Alameda	None	40910 FREMONT BLVD	None	FREMONT	CA	945384375	37.533942	-121.960851	2j	4423.02
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
1780637645	1780637645	1	1	PLANNED PARENTHOOD	07Aug1986	041	COMMUNITY CLINIC	430791915	None	UNKNOWN	0	In state provider	43	Santa Clara	None	3131 ALUM ROCK AVE	None	SAN JOSE	CA	951272902	37.366358	-121.827149	183b	5039.02
1780733048	1780733048	1	1	KPADUWA, JULIUS C MD AMC	01Apr1999	022	PHYSICIANS GROUP	None	30	Radiology	0	In state provider	19	Los Angeles	None	15913 AMAR RD	None	LA PUENTE	CA	917442202	34.036362	-117.937883	78.2yyy	4075.02
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
1780821660	1780821660	1	1	COUNTY OF VENTURA	31Aug2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	None	133 W SANTA CLARA ST	None	VENTURA	CA	930012543	34.279541	-119.303092	241c	24
1780899484	1780899484	1	1	LA MAESTRA FAMILY CLINIC	01Oct2006	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	37	San Diego	None	165 S 1ST ST	None	EL CAJON	CA	920194795	32.794038	-116.944599	161h	157.03
1780921536	1780921536	1	1	FAMILY HEALTH CENTERS	09Dec2013	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	37	San Diego	None	140 ELM STREET	None	SAN DIEGO	CA	921012602	32.724057	-117.163509	161e	57
1780928986	1780928986	1	1	OMNI FAMILY HEALTH	23Feb2013	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	15	Kern	None	4600 PANAMA LANE	SUITE 102B	BAKERSFIELD	CA	933133509	35.295989	-119.053828	66c	31.14
1780958462	1780958462	1	1	BAHARI-NEJAD, PEJAM DO A	21Oct2013	026	PHYSICIANS	20A7938	None	UNKNOWN	0	In state provider	19	Los Angeles	PROFESSIONAL MEDICAL C	20829 VENTURA BLVD	None	WOODLAND HILLS	CA	913642319	34.166363	-118.586542	78.2yy	1375.01
1790051423	1790051423	1	1	FAMILY HEALTH CARE CENTER	06Jun2014	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	OF GREATER LA INC	12113 WOODRUFF AVE	STE A	DOWNEY	CA	902415605	33.924077	-118.116706	78.2eee	5511.01
1790075315	1790075315	1	1	BORREGO COMMUNITY HEALTH	02Jan2013	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	33	Riverside	FOUNDATION	1970 UNIVERSITY AVE	None	RIVERSIDE	CA	925075202	33.975622	-117.354517	135a	305.01
1790100402	1790100402	1	1	CLINIC SIERRA VISTA	08Aug2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	10	Fresno	None	1120 EAST CHURCH AVENUE	None	FRESNO	CA	937064257	36.714143	-119.795210	30	9.02
1790154862	1790154862	1	1	FAMILY HEALTHCARE NETWORK	22Jan2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	54	Tulare	None	4177 AVENUE 368	None	TRAVER	CA	936730000	36.452524	-119.486749	227.1	3.02
1790177582	1790177582	1	1	ALTAMED HEALTH SERVICES	23Oct2018	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	CORPORATION	1900 E SLAUSON AVE	None	HUNTINGTON PARK	CA	902552725	33.989207	-118.236549	78.2ccc	5326.03
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
1790701514	1790701514	1	1	LATINO HEALTH SERVICES MEDIC	01Dec2003	022	PHYSICIANS GROUP	G37709	None	UNKNOWN	0	In state provider	30	Orange	ANTA ANA	517 N MAIN ST	STE 100	SANTA ANA	CA	927014619	33.749393	-117.867605	116b	750.02
1790718351	1790718351	1	1	IMPERIAL BEACH HEALTH CT	02Jan1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	None	949 PALM AVE	None	IMPERIAL BEACH	CA	919321503	32.583790	-117.113362	161j	105.02
1790739126	1790739126	1	1	PLANNED PRNTHD MAR MONTE	01Jul1997	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	10	Fresno	None	650 N FULTON ST	None	FRESNO	CA	937283404	36.751781	-119.800354	35c	23
1790836500	1790836500	1	1	PICKETT, ANTHONY C MD IN	01Aug1995	026	PHYSICIANS	G00076921	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	MATERNITY CENTER OF VERM	5859 S VERMONT AVE	None	LOS ANGELES	CA	900443741	33.988221	-118.291455	78.2ggg	2371.01
1790836500	1790836500	1	2	PICKETT, ANTHONY C MD IN	01Nov1996	026	PHYSICIANS	G00076921	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	MATERNITY CENTER OF VERN	4230 S FIGUEROA ST	None	LOS ANGELES	CA	900372640	34.006364	-118.282727	78.2l	2317.20
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
1790886117	1790886117	1	1	BUTTE COUNTY HLTH DEPT	01Dec1977	048	COUNTY CLINICS NOT ASSOCIATED WITH HOSPITAL	ZZR11557	None	UNKNOWN	0	In state provider	04	Butte	None	78 TABLE MOUNTAIN BLVD	None	OROVILLE	CA	959653578	39.521343	-121.554687	10	25
1790886117	1790886117	1	2	BUTTE COUNTY HLTH DEPT	27Jul2009	045	CLINIC EXEMP FROM LICENSURE	None	None	UNKNOWN	0	In state provider	04	Butte	OF PUBLIC HEALTH CLINICS	695 OLEANDER AVE	None	CHICO	CA	959263924	39.735314	-121.841660	7.1	7
1790967453	1790967453	1	1	FRESNO STATE UNIVERSITY	07Jan2008	045	CLINIC EXEMP FROM LICENSURE	CLF2089	None	UNKNOWN	0	In state provider	10	Fresno	None	5044 N BARTON AVE	M/S HC81	FRESNO	CA	937408012	None	None	None	None
1801138698	1801138698	1	1	YEHOWA MEDICAL SERVICES	27Dec2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	5720 IMPERIAL HWY	STE N-O	SOUTH GATE	CA	902807518	33.929963	-118.169141	78.2sss	5362
1801147707	1801147707	1	1	PLANNED PARENTHOOD SHASTA	25Mar2014	041	COMMUNITY CLINIC	550002643	None	UNKNOWN	0	In state provider	17	Lake	DIABLO INC	14671 OLYMPIC DR	None	CLEARLAKE	CA	954229516	38.961823	-122.636372	71.1	8.02
1801184841	1801184841	1	1	MAYWOOD FAMILY MEDICAL	08Aug2011	026	PHYSICIANS	A00045155	08	Family Practice	0	In state provider	19	Los Angeles	CENTER RAGAA Z ISKAROUS	5920 ATLANTIC BLVD	None	MAYWOOD	CA	902703101	33.986415	-118.185686	78.2ddd	5334.03
1801202676	1801202676	1	1	ANPHON CORPORATION	08Oct2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	333 E NUTWOOD STREET	SUITE C	INGLEWOOD	CA	903012357	33.960500	-118.351035	78.2q	6010.01
1801214853	1801214853	1	1	NILOO MEDICAL GROUP INC	11Aug2014	026	PHYSICIANS	A112671	None	UNKNOWN	0	In state provider	19	Los Angeles	None	4762 WHITTIER BLVD	None	LOS ANGELES	CA	900223026	34.022146	-118.165471	78.2d	5316.04
1801244223	1801244223	1	1	PALOMAR COMMUNITY COLLEGE	01Jul2016	055	LOCAL EDUCATION AGENCY	None	None	UNKNOWN	0	In state provider	37	San Diego	DISTRICT	1140 WEST MISSION RD	None	SAN MARCOS	CA	920691415	33.147343	-117.185863	156e	200.21
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
1801399860	1801399860	1	1	NORTHEAST VALLEY HEALTH	04Mar2020	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	AFFILIATED	12759 VAN NUYS BLVD	None	PACOIMA	CA	913311627	34.274312	-118.410783	78.2ppp	1041.05
1801440276	1801440276	1	1	FAMILY PLANNING ASSOCAITES M	19Dec2019	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	19	Los Angeles	EDICAL GROUP INC	301 N PRAIRIE AVENUE	SUITE 611	INGLEWOOD	CA	903014513	33.965435	-118.343999	78.2q	6010.01
1801808357	1801808357	1	1	PLAZITA MEDICAL CLINIC	07Dec2006	022	PHYSICIANS GROUP	FNP010813	None	UNKNOWN	0	In state provider	44	Santa Cruz	INC	1150 MAIN ST	STE 3	WATSONVILLE	CA	950763760	36.916529	-121.769697	184	1105.01
1801829296	1801829296	1	1	AMPLA HEALTH	25Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	58	Yuba	MEDICAL & DENTAL	4941 OLIVEHURST AVE	None	OLIVEHURST	CA	959614225	39.097071	-121.551527	249	405
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
1801907449	1801907449	1	1	OPERATION SAMAHAN, INC.	25Aug2006	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	None	2743 HIGHLAND AVE	None	NATIONAL CITY	CA	919507410	32.661316	-117.092230	161k	116.02
1801921952	1801921952	1	1	ROY MEDICAL GROUP INC	01Jan1996	022	PHYSICIANS GROUP	C00042697	None	UNKNOWN	0	In state provider	19	Los Angeles	None	21001 SHERMAN WAY	STE 15	CANOGA PARK	CA	913033678	34.201103	-118.590600	78.2hhhh	1340.01
1801921952	1801921952	1	5	ROY MEDICAL GROUP INC	24Mar2016	022	PHYSICIANS GROUP	None	01	General Practice	0	In state provider	19	Los Angeles	None	8001 LAUREL CANYON BLVD	STE 109	NORTH HOLLYWOOD	CA	916051400	34.215715	-118.396526	78.2ppp	1210.20
1801955125	1801955125	1	1	COUNTY OF SANTA BARBARA	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	42	Santa Barbara	CARPINTERIA COMM HLTH CT	931 WALNUT AVE	None	CARPINTERIA	CA	930132028	34.396949	-119.517038	177	16.04
1801985049	1801985049	1	1	PLANNED PARENTHOOD LA-	28Jul2005	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	19	Los Angeles	DOROTHY HEALTH CENTER	8520 S BROADWAY	None	LOS ANGELES	CA	900033335	33.961237	-118.278247	78.2fff	2397.02
1801985049	1801985049	1	2	PLANNED PARENTHOOD LA-	09Aug2016	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	19	Los Angeles	INTERMITTENT	1057 KINGSTON AVENUE	None	LOS ANGELES	CA	900331310	34.056816	-118.209639	78.2ffff	2033
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
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
1811129091	1811129091	1	1	ASIAN PACIFIC HEALTH CARE	31May2011	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	19	Los Angeles	VENTURE INC	1575 W 2ND STREET	None	LOS ANGELES	CA	900265701	34.061229	-118.263118	78.2ffff	2083.02
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
1811174022	1811174022	1	1	NORTHEAST VALLEY HEALTH	07Feb2000	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	19	Los Angeles	HOMELESS CLINIC	7843 LANKERSHIM BLVD	None	NORTH HOLLYWOOD	CA	916052523	34.212866	-118.387804	78.2ppp	1218.02
1811185259	1811185259	1	1	URBAN INDIAN HEALTH BOARD	10Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	38	San Francisco	None	160 CAPP ST	None	SAN FRANCISCO	CA	941101210	37.764144	-122.418535	162c	201
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
1811258510	1811258510	2	14	COMMUNITY FOUNDATION MEDICAL	01May2014	027	PODIATRISTS	None	None	UNKNOWN	0	In state provider	10	Fresno	GROUP	2210 E ILLINOIS AVE	STE 505	FRESNO	CA	937012184	36.745030	-119.784780	35c	5.02
1811258510	1811258510	2	17	COMMUNITY FOUNDATION MEDICAL	29Apr2014	027	PODIATRISTS	None	None	UNKNOWN	0	In state provider	10	Fresno	GROUP	722 MEDICAL CENTER DR	STE 105	CLOVIS	CA	936116810	36.840901	-119.662109	31	59.07
1811279763	1811279763	1	1	BARTZ ALTADONNA COMMUNITY	01Jun2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	HEALTH CENTER	43322 GINGHAM AVE	SUITE 104 & 105	LANCASTER	CA	935354569	34.671365	-118.122268	77.1c	9005.04
1811329899	1811329899	1	1	AMPLA HEALTH	15May2019	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	52	Tehama	None	7981 HIGHWAY 99 E	None	LOS MOLINOS	CA	960559782	40.048840	-122.100654	220	1
1811914377	1811914377	2	1	REEDLEY COMMUNITY HOSPITAL	01Dec2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	10	Fresno	None	2141 HIGH STREET	None	SELMA	CA	936623065	36.570260	-119.613523	30	70.02
1811914674	1811914674	1	1	PLANNED PARENTHOOD	01Nov1979	041	COMMUNITY CLINIC	421701184	None	UNKNOWN	0	In state provider	42	Santa Barbara	CALIFORNIA CENTER COAST	415 E CHAPEL ST	None	SANTA MARIA	CA	934544517	34.954297	-120.431239	180.1	22.06
1811926058	1811926058	1	1	PLANNED PARENTHOOD	01Dec1977	041	COMMUNITY CLINIC	ZZT11744	None	UNKNOWN	0	In state provider	42	Santa Barbara	CALIFORNIA CENTRAL COAST	518 GARDEN ST	None	SANTA BARBARA	CA	931011606	34.420202	-119.692355	181a	9
1811945082	1811945082	1	1	DURON, PAUL A MD	28Mar2018	026	PHYSICIANS	A50452	41	Internal Medicine	0	In state provider	19	Los Angeles	None	1141 N BRAND BLVD	SUITE 400	GLENDALE	CA	912022973	34.162350	-118.255076	78.2ee	3011
1811958952	1811958952	1	1	MENDOCINO COMMUNITY HEALTH	25Nov2003	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	23	Mendocino	None	333 LAWS AVE	None	UKIAH	CA	954826540	39.126481	-123.209702	93.1	113
1821081647	1821081647	2	1	FRIENDLY OB-GYN MEDICAL	28Feb2013	026	PHYSICIANS	G71778	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	33	Riverside	GROUP INC	12810 HEACOCK ST	STE B105	MORENO VALLEY	CA	925533171	33.934607	-117.243736	135b	425.15
1821132671	1821132671	1	1	MARTIN, MALVERSE MD AMC	31Oct1989	026	PHYSICIANS	G00038477	None	UNKNOWN	0	In state provider	19	Los Angeles	None	22110 ROSCOE BLVD	STE 203	WEST HILLS	CA	913043874	34.219627	-118.608082	78.2cccc	1343.04
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
1821186727	1821186727	1	1	FAMILY HEALTHCARE	10Jan2005	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	54	Tulare	NETWORK	400 E OAK AVE	None	VISALIA	CA	932915034	36.331986	-119.289034	233	12
1821210329	1821210329	1	1	AKHAVAN, AFSHIN DO A	25Aug2009	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	19	Los Angeles	PROFESSIONAL CORPORATION	2409 S VERMONT AVE	None	LOS ANGELES	CA	900071661	34.034219	-118.291535	78.2b	2217.10
1821210329	1821210329	1	2	AKHAVAN, AFSHIN DO A	12Apr2011	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	530 E WASHINGTON BLVD	None	LOS ANGELES	CA	900153723	34.033930	-118.271189	78.2ffff	2240.20
1821215914	1821215914	1	1	CLINICA MEDICA CUZCATLAN	01Sep2002	022	PHYSICIANS GROUP	FNP025800	01	General Practice	0	In state provider	19	Los Angeles	CUZCATLAN MEDICAL CLINIC	3559 E GAGE AVE	None	BELL	CA	902011042	33.979609	-118.201578	78.2ddd	5336.01
1821237355	1821237355	1	1	OMNI FAMILY HEALTH	13Aug2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	15	Kern	None	1133 N CHELSEA ST	None	RIDGECREST	CA	935555537	35.638142	-117.675674	64	54.01
1821275132	1821275132	2	1	CENTRO DE SALUD DE LA	25Aug2008	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	COMUNIDAD DE SAN YSIDRO	286 EUCLID AVE	STE 302	SAN DIEGO	CA	921143613	32.707504	-117.085083	161g	33.04
1821278771	1821278771	1	2	CHOI, JOON MD APC	18May2015	026	PHYSICIANS	G80351	None	UNKNOWN	0	In state provider	19	Los Angeles	None	1577 E CHEVY CHASE DRIVE	SUITE 110	GLENDALE	CA	912064091	34.153201	-118.229688	78.2ee	3010
1821429838	1821429838	1	1	PROHEALTH PARTNERS A MEDICAL	02Dec2014	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	711 EAST ROSECRANS AVE	None	COMPTON	CA	902212143	33.903456	-118.216159	78.2bbb	5416.04
1821492836	1821492836	1	1	ADVANCED HEALTHCARE FOR	23Jan2015	010	GROUP CERTIFIED NURSE PRACTITIONER	None	None	UNKNOWN	0	In state provider	36	San Bernardino	WOMEN AND CHILDREN A	600 NORTH MOUNTAIN AVE	SUITE A104	UPLAND	CA	917864359	34.101605	-117.670115	151d	8.23
1821593971	1821593971	1	1	UNITED HEALTH CENTERS OF THE	24May2019	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	16	Kings	SAN JOAQUIN VALLEY	250 E HANFORD ARMONA RD	None	LEMOORE	CA	932452141	36.313463	-119.776828	69	4.03
1831115070	1831115070	1	1	AMPLA HEALTH	15Sep2009	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	51	Sutter	CENTER	1000 SUTTER STREET	None	YUBA CITY	CA	959913459	39.140392	-121.609917	216	502.02
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
1831383637	1831383637	1	1	PLANNED PARENTHOOD OF THE	03Jul2006	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	37	San Diego	PACIFIC SOUTHWEST	4305 UNIVERSITY AVE	STE 350	SAN DIEGO	CA	921058602	32.749622	-117.101883	161d	22.02
1831513373	1831513373	1	1	FAMILY HEALTH CENTERS OF	23Jun2014	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	37	San Diego	None	1250 6TH AVE	STE 100	SAN DIEGO	CA	921014368	32.718310	-117.159277	161c	53
1831520048	1831520048	1	1	FAMILY HEALTHCARE NETWORK	16Jan2014	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	54	Tulare	None	9416 ROAD 238	None	TERRA BELLA	CA	932709400	35.960618	-119.040026	231	45
1841217866	1841217866	1	1	COMMUNITY HEALTH CENTERS	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	40	San Luis Obispo	OF THE CENTRAL COAST	150 TEJAS PL	None	NIPOMO	CA	934449123	35.026495	-120.498724	171	124.02
1841331626	1841331626	1	1	OAK VALLEY HOSPITAL DISTRICT	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	50	Stanislaus	None	1420 W H ST	None	OAKDALE	CA	953613557	37.758018	-120.862179	211	2.02
1841419793	1841419793	1	1	BLACK, ROBIN	07Feb2007	007	CERTIFIED NURSE PRACTIONER	RN0268672	None	UNKNOWN	0	In state provider	30	Orange	None	2077 HARBOR BLVD	STE C	COSTA MESA	CA	926272630	33.649959	-117.919049	116p	637.02
1841431707	1841431707	1	1	COUNTY OF VENTURA	31Aug2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	None	254 W HARVARD BLVD	STE B	SANTA PAULA	CA	930603920	34.345063	-119.075905	237	7.01
1841437241	1841437241	1	1	H STREET CLINIC INC	16Jul2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	36	San Bernardino	None	1329 NORTH H ST	None	SAN BERNARDINO	CA	924055039	34.123981	-117.300904	151g	55
1841437241	1841437241	1	4	H STREET CLINIC INC	24Jun2021	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	33	Riverside	INTERMITTENT	1490 1494 W SIXTH ST	None	COACHELLA	CA	922361712	33.678788	-116.176549	128	457.07
1841476553	1841476553	1	1	LOGAN HEIGHTS FAMILY	02Jan1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	37	San Diego	HEALTH CENTER	1809 NATIONAL AVE	None	SAN DIEGO	CA	921132113	32.701685	-117.146601	161c	50
1841476652	1841476652	1	1	GROSSMONT SPRING VALLEY	24Nov1999	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	37	San Diego	None	8788 JAMACHA RD	None	SPRING VALLEY	CA	919774035	32.714791	-117.009764	161i	139.06
1841476686	1841476686	1	1	OMNI FAMILY HEALTH	05Nov2008	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	15	Kern	None	3409 CALLOWAY DR	STE 300	BAKERSFIELD	CA	933122528	35.391031	-119.110086	66d	38.07
1841525862	1841525862	1	1	FAMILY HEALTH MEDICAL CENTER	29Jul2011	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	24	Merced	None	1045 5TH STREET	None	LOS BANOS	CA	936354204	37.059805	-120.850568	94	22.01
1841556404	1841556404	1	1	CLINICAS DEL CAMINO REAL INC	03Jul2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	MOORPARK	4279 TIERRA REJADA ROAD	None	MOORPARK	CA	930213775	34.268766	-118.898426	239	76.07
1841607801	1841607801	1	1	KAWEAH DELTA HEALTH CARE	01Feb2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	54	Tulare	DISTRICT	355 MONTE VISTA DRIVE	STE A	DINUBA	CA	936189229	36.540128	-119.403985	227.1	5.02
1841865839	1841865839	1	1	PICO RIVERA WOMENS AND CHILD	22Jul2021	026	PHYSICIANS	None	None	UNKNOWN	0	In state provider	19	Los Angeles	RENS MEDICAL CENTER	5060 ROSEMEAD BLVD	None	PICO RIVERA	CA	906602402	34.000464	-118.083965	78.2ww	5007
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
1851325906	1851325906	1	1	UNIVERSITY OF CA IRVINE	01Jul1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	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	0	In state provider	10	Fresno	None	517 S MADERA AVE	None	KERMAN	CA	936301523	36.727170	-120.060315	29	40.01
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
1851409924	1851409924	1	2	MELBA A BERBANO MD INC	12Mar2007	022	PHYSICIANS GROUP	A00053064	None	UNKNOWN	0	In state provider	39	San Joaquin	None	1801 E MARCH LN	STE C320	STOCKTON	CA	952106676	38.003429	-121.285555	169a	34.09
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
1851429658	1851429658	1	1	CENTRAL CALIFORNIA	23Dec2003	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	15	Kern	FOUNDATION FOR HEALTH	1201 JEFFERSON ST	None	DELANO	CA	932152203	35.771809	-119.244929	60	50.04
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
1851454037	1851454037	1	1	PLUMAS COUNTY HEALTH SVS	15Sep1997	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	32	Plumas	None	270 COUNTY HOSPITAL RD	None	QUINCY	CA	959719126	39.952512	-120.963326	123.1	1
1851465256	1851465256	1	1	GEORGIOU, STEPHEN J MD	28Jun1995	026	PHYSICIANS	G81674	None	UNKNOWN	0	In state provider	24	Merced	None	502 WASHINGTON AVE	None	LOS BANOS	CA	936354649	37.055966	-120.853095	94	23.01
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
1851522015	1851522015	1	1	LA CLINICA DE RAZA, INC	25Mar2010	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	01	Alameda	None	1926 19TH AVE	None	OAKLAND	CA	946064126	37.789727	-122.237990	2c	4059.02
1851537708	1851537708	1	1	P K A MEDICAL CORPORATION	30Mar2009	026	PHYSICIANS	None	None	UNKNOWN	0	In state provider	30	Orange	None	1610 W EDINGER AVE	STE B	SANTA ANA	CA	927044339	33.727205	-117.890282	116b	747.01
1851577662	1851577662	1	1	BEACH AREA FAMILY HEALTH	02Jan1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	37	San Diego	CENTER	3705 MISSION BLVD	None	SAN DIEGO	CA	921097104	32.782645	-117.252440	161a	76
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
1851692560	1851692560	1	1	PLANNED PARENTHOOD SHASTA	20Apr2011	041	COMMUNITY CLINIC	550001548	None	UNKNOWN	0	In state provider	38	San Francisco	DIABLO INC	1522 BUSH STREET	None	SAN FRANCISCO	CA	941095420	37.788465	-122.422396	162a	151
1851709406	1851709406	1	1	ASHOK, NAGASAMUDRA S MD INC	03Feb2016	022	PHYSICIANS GROUP	None	01	General Practice	0	In state provider	36	San Bernardino	None	1520 N MOUNTAIN AVE	BLDG F STE 128	ONTARIO	CA	917621132	34.061468	-117.664432	151c	16
1851713929	1851713929	1	1	OMNI FAMILY HEALTH	14Dec2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	15	Kern	None	4131 MING AVE	None	BAKERSFIELD	CA	933094994	35.339464	-119.049305	66c	28.14
1851757215	1851757215	1	1	CENTRO DE SALUD DE LA	23May2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	COMUNIDAD DE SAN YSIDRO	330-340 E 8TH STREET	None	NATIONAL CITY	CA	919500000	32.676837	-117.103305	161k	118.01
1861420069	1861420069	1	1	MALONEY, PATRICK L MD	01Jan1987	026	PHYSICIANS	C00039953	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	MAXSON BLDG	933 S SUNSET AVE	STE 106	WEST COVINA	CA	917903410	34.064572	-117.942863	78.2www	4067.02
1861433526	1861433526	1	1	BRYAN H TRAN MD INC	01Jun1999	026	PHYSICIANS	A00054928	None	UNKNOWN	0	In state provider	30	Orange	None	27800 MEDICAL CENTER RD	STE 230	MISSION VIEJO	CA	926916447	33.560069	-117.665857	115.2a	320.22
1861449522	1861449522	1	1	INDIAN HEALTH COUNCIL, INC	16Jan2007	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	None	50100 GOLSH RD	None	VALLEY CENTER	CA	920825338	33.277133	-116.951859	153.2	191.06
1861581043	1861581043	1	1	PLANNED PARENTHOOD	30Sep1986	041	COMMUNITY CLINIC	190991495	None	UNKNOWN	0	In state provider	19	Los Angeles	HOLLYWOOD	1014 1/2 N VERMONT AVE	None	LOS ANGELES	CA	900292620	34.090310	-118.291737	78.2g	1915
1861582033	1861582033	1	1	DEMIAN, ROMANY F MD	01Aug2003	026	PHYSICIANS	A00052286	None	UNKNOWN	0	In state provider	56	Ventura	SAN JUAN MED CLINIC INC	971 W 7TH ST	STE B	OXNARD	CA	930306757	34.195193	-119.189690	241b	86
1861633703	1861633703	1	1	COUNTY OF VENTURA	31Aug2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	None	2240 E GONZALES RD	STE 100	OXNARD	CA	930368212	34.219284	-119.200902	241a	29.05
1861636177	1861636177	1	1	PLANNED PARENTHOOD PASADENA	13Jul2009	041	COMMUNITY CLINIC	550001114	None	UNKNOWN	0	In state provider	19	Los Angeles	& SAN GABRIEL VALLEY	330 S GARFIELD AVE	SUITE 300	ALHAMBRA	CA	918013896	34.091860	-118.124551	78.2eeee	4810.02
1861641441	1861641441	1	1	CLINICA SIERRA VISTA	15Oct2008	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	10	Fresno	None	2790 SOUTH ELM	None	FRESNO	CA	937065435	36.699889	-119.790721	30	10
1861670093	1861670093	1	1	MENDOCINO COAST CLINICS INC	01Jan2013	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	23	Mendocino	None	855 SEQUOIA CIR	None	FORT BRAGG	CA	954375466	39.430413	-123.802315	89	105
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
1861680712	1861680712	1	1	BIENESTAR MEDICAL CENTER	02Nov2006	022	PHYSICIANS GROUP	FNP030110	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	30	Orange	INC	1125 E 17TH STREET	SUITE N 152	SANTA ANA	CA	927012620	33.759883	-117.854493	116h	754.03
1861711863	1861711863	1	1	AME MEDICAL GROUP, INC.	15Jun2010	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	11942 PARAMOUNT BLVD	STE B	DOWNEY	CA	902422306	33.933591	-118.144709	78.2sss	5515.02
1861796161	1861796161	1	1	ARLINGTON PHYSICIANS CHOICE	30Mar2011	022	PHYSICIANS GROUP	None	08	Family Practice	0	In state provider	33	Riverside	A MEDICAL CORPORATION	8151 ARLINGTON AVE	STE U-V	RIVERSIDE	CA	925030437	33.946358	-117.459837	135d	411.01
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
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
1861867590	1861867590	1	1	OMNI FAMILY HEALTH	27Feb2018	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	15	Kern	None	659 CENTRAL VALLEY HWY	None	SHAFTER	CA	932632790	35.504066	-119.276012	58.1	41.01
1861882946	1861882946	1	1	LA LIBERTAD MEDICAL CLINIC	08Dec2015	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	19	Los Angeles	INC	7900 PACIFIC BLVD	SUITE C AND D	WALNUT PARK	CA	902556662	33.966707	-118.225207	78.2fff	5348.03
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
1861925679	1861925679	1	1	UNICARE COMMUNITY HEALTH	22Jan2020	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	CENTER INC	2409 N BROADWAY	None	LOS ANGELES	CA	900312218	34.073633	-118.216214	78.2i	1990
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
1871573360	1871573360	1	1	COMPREHENSIVE COMMUNITY	23Feb2005	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	HEALTH CTR-NO HOLLYWOOD	12157 VICTORY BLVD	None	NORTH HOLLYWOOD	CA	916063204	34.186676	-118.397818	78.2bb	1239.01
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
1871607713	1871607713	1	1	COUNTY OF RIVERSIDE	07Jul2004	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	33	Riverside	None	8876 MISSION BLVD	None	JURUPA VALLEY	CA	925092811	34.011774	-117.477184	135e	405.01
1871627042	1871627042	1	1	CLINICA SIERRA VISTA INC	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	15	Kern	PO BOX 1150	67 EVANS RD	None	WOFFORD HEIGHTS	CA	932859640	35.706666	-118.457985	63	52.01
1871627166	1871627166	1	1	LAMONT COMMUNITY HEALTH	14Jan2002	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	15	Kern	PO BOX 457	8787 HALL RD	None	LAMONT	CA	932411953	35.259734	-118.907169	61	64.01
1871680397	1871680397	1	1	OPERATION SAMAHAN INC	01Mar2010	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	None	10737 CAMINO RUIZ	STE 235	SAN DIEGO	CA	921262375	32.913750	-117.143814	161v	83.57
1871689315	1871689315	1	1	COMMUNITY HEALTH	19Apr2005	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	ALLIANCE OF PASADENA	1855 N FAIR OAKS AVE	STE 200	PASADENA	CA	911031620	34.177957	-118.150740	None	None
1871768200	1871768200	1	1	REDWOOD WOMENS CENTER PC	31Jan2011	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	12	Humboldt	None	3309 RENNER DR	None	FORTUNA	CA	955403119	40.582582	-124.135433	42	109.01
1871779934	1871779934	1	1	GOLDEN VALLEY HEALTH CTR	09Jul2007	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	50	Stanislaus	None	1141 N OLIVE AVE	None	TURLOCK	CA	953803365	37.503653	-120.839809	212.1	39.06
1871818138	1871818138	1	1	FRIENDS OF FAMILY	01Jun2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	30	Orange	HEALTH CENTER	501 S IDAHO ST	SUITE 100 & 190	LA HABRA	CA	906316047	33.927278	-117.959191	116k	13.01
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
1871853481	1871853481	1	1	CENTER FOR FAMILY HEALTH	01Aug2014	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	& EDUCATION INC	8727 VAN NUYS BLVD	STE 102 & 203	PANORAMA CITY	CA	914022400	34.228244	-118.450268	78.2ll	1201.03
1881104313	1881104313	1	1	NORTHEAST VALLEY HEALTH	09Oct2018	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	CORPORATION	23413 LYONS AVE	None	SANTA CLARITA	CA	913553028	34.379670	-118.543938	76.1a	9203.22
1881607547	1881607547	1	1	LOS ANGELES COUNTY	28Apr1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	19	Los Angeles	EL MONTE FAMILY PLANNING	10953 RAMONA BLVD	None	EL MONTE	CA	917312629	34.072049	-118.037139	78.2oo	4327
1881617934	1881617934	1	1	COUNTY OF LOS ANGELES	28Apr1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	19	Los Angeles	OLIVE VIEW-UCLA MED CTR	14445 OLIVE VIEW DR	None	SYLMAR	CA	913421437	34.324172	-118.448013	78.2gg	1060.10
1881677292	1881677292	2	1	REEDLEY COMMUNITY HOSPITAL	01Dec2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	16	Kings	None	1212 HANNA AVENUE	None	CORCORAN	CA	932122334	36.099724	-119.562450	68	14.02
1881697381	1881697381	1	1	LAKE COUNTY TRIBAL HLTH	20Jul2010	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	17	Lake	PO BOX 1950	925 BEVINS CT	None	LAKEPORT	CA	954539754	39.037772	-122.922507	70.1	4
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
1881765048	1881765048	1	1	PACHECO, SANTOS F MD INC	01Oct1998	026	PHYSICIANS	A00054292	22	Pathology (M.D. only)	0	In state provider	19	Los Angeles	SANTOS MEDICAL GROUP	15159 PRAIRIE AVE	None	LAWNDALE	CA	902602210	33.893559	-118.343819	78.2iiii	6037.02
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
1881811404	1881811404	1	1	FOOTHILL COMMUN MED CORP	23Oct2001	022	PHYSICIANS GROUP	FNP029412	08	Family Practice	0	In state provider	19	Los Angeles	SAN RAFAEL COMM MED CLIN	647 E ARROW HWY	None	AZUSA	CA	917025802	34.106798	-117.897471	78.2qq	4041
1881825305	1881825305	1	1	NORTH EAST MED SRVCS	03Jan2010	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	38	San Francisco	None	2574 SAN BRUNO AVE	None	SAN FRANCISCO	CA	941341505	37.729162	-122.404263	162f	257.02
1881847424	1881847424	1	1	ADVANCE URGENT MED GROUP INC	07Oct2009	022	PHYSICIANS GROUP	None	41	Internal Medicine	0	In state provider	30	Orange	None	1401 W 1ST STREET	STE 101	SANTA ANA	CA	927033757	33.745446	-117.886918	116b	748.01
1881871424	1881871424	1	1	COUNTY OF SANTA CLARA	01Nov2003	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	43	Santa Clara	None	143 N MAIN ST	None	MILPITAS	CA	950355302	37.432995	-121.907546	183o	5045.07
1881871721	1881871721	1	1	NORTHEAST VLY HLTH CORP	17Aug2002	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	19	Los Angeles	MISSION COLLEGE	13356 ELDRIDGE AVE	None	SYLMAR	CA	913423200	34.314627	-118.420426	78.2gg	1061.11
1881930964	1881930964	1	1	REEDLEY COMMUNITY HOSPITAL	01Feb2014	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	10	Fresno	None	2357 W TAHOE	None	CARUTHERS	CA	936099476	36.541741	-119.833791	30	75
1881941409	1881941409	1	1	ALESSANDRO MEDICAL	28Jan2013	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	33	Riverside	PROFESSIONAL CORPORATION	13925 INDIAN ST	None	MORENO VALLEY	CA	925535718	33.918406	-117.234983	135g	425.21
1881960128	1881960128	1	1	NORTHERN VALLEY INDIAN	02Jul2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	57	Yolo	HEALTH, INC	175 W COURT STREET	None	WOODLAND	CA	956952913	38.678923	-121.792324	246.1	109.02
1881987576	1881987576	1	1	NORTHEAST COMMUNITY CLINICS	01Dec2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	2822 E FLORENCE AVENUE	None	HUNTINGTON PARK	CA	902555749	33.973614	-118.219292	78.2ccc	5331.07
1881997963	1881997963	1	1	INDIAN HEALTH CENTER OF SANT	01May2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	43	Santa Clara	CLARA VALLEY	1642 E CAPITOL EXPY	None	SAN JOSE	CA	951211800	37.306075	-121.811998	183h	5033.37
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
1891036612	1891036612	1	1	COUNTY OF SAN JOAQUIN	01Dec2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	39	San Joaquin	None	1414 N CALIFORNIA ST	STE C	STOCKTON	CA	952021515	37.967517	-121.288334	169b	4.02
1891097176	1891097176	1	1	DR VERONICA ABUSLEME MD INC	06Jan2012	026	PHYSICIANS	A00038422	None	UNKNOWN	0	In state provider	19	Los Angeles	None	14621 NORDHOFF ST	STE 2A	PANORAMA CITY	CA	914021835	34.235408	-118.451136	78.2ll	1193.40
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
1891247573	1891247573	1	1	CENTER FOR FAMILY HEALTH &	31Dec2019	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	AFFILIATED	500 W WILLOW ST	SUITE 101	LONG BEACH	CA	908062531	33.804321	-118.198073	78.2lll	5731
1891352944	1891352944	1	1	COUNTY OF RIVERSIDE	18Dec2019	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	33	Riverside	TH CENTER	450 E SAN JACINTO AVE	None	PERRIS	CA	925712833	33.786603	-117.216728	133.1	427.06
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
1891724993	1891724993	1	1	GHALILI, SAMAN MD	26Apr2005	026	PHYSICIANS	A00088734	41	Internal Medicine	0	In state provider	19	Los Angeles	None	2101 S SAN PEDRO ST	None	LOS ANGELES	CA	900111125	34.025797	-118.258617	78.2mmm	2264.10
1891778114	1891778114	1	1	CAMARENA HEALTH	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	20	Madera	None	344 E 6TH ST	None	MADERA	CA	936383631	36.962718	-120.055993	80	8
1891778114	1891778114	1	4	CAMARENA HEALTH	24May2019	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	20	Madera	INTERMITTENT	363 E ALMOND AVENUE	SUITE 101	MADERA	CA	936375753	36.945549	-120.053545	80	5.02
1891795613	1891795613	1	1	AZAD, JACK MD INC	01Oct1996	026	PHYSICIANS	A00054433	08	Family Practice	0	In state provider	19	Los Angeles	TRI-CITY MEDICAL GROUP	11900 AVALON BLVD	STE 100	LOS ANGELES	CA	900612837	33.924665	-118.265174	78.2uuu	2410.02
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
1891811907	1891811907	1	1	HAZEL HAWKINS HEALTH CLN	04Jan2010	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	35	San Benito	None	301 THE ALAMEDA	STE B3	SAN JUAN BAUTISTA	CA	950459746	36.841377	-121.533923	140	2
1891830568	1891830568	1	1	MOSAIC FAMILY CARE	01Nov2001	022	PHYSICIANS GROUP	FNP029143	None	UNKNOWN	0	In state provider	19	Los Angeles	MEDICAL GROUP INC	4857 HUNTINGTON DR N	None	LOS ANGELES	CA	900321939	34.086261	-118.178400	78.2i	2014.01
1891839270	1891839270	1	1	GARDENS MEDICAL CENTER INC	15Aug2012	026	PHYSICIANS	None	08	Family Practice	0	In state provider	19	Los Angeles	None	7218 GARFIELD AVE	None	BELL GARDENS	CA	902014812	33.966210	-118.151108	78.2c	5339.02
1891852778	1891852778	1	1	COUNTY OF SANTA BARBARA	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	42	Santa Barbara	COUNTY HEALTH CLINIC	315 CAMINO DEL REMEDIO	None	SANTA BARBARA	CA	931101332	34.445738	-119.779547	181b	1.01
1891862553	1891862553	1	1	BASELINE MEDICAL CLINIC INC	06Apr1984	022	PHYSICIANS GROUP	None	01	General Practice	0	In state provider	36	San Bernardino	None	330 N D ST	STE 300	SAN BERNARDINO	CA	924011522	34.105201	-117.291884	151g	57.01
1891899175	1891899175	2	1	CORONA PHYSICIANS ASSOCIATES	17Jul2012	022	PHYSICIANS GROUP	A00092039	01	General Practice	0	In state provider	33	Riverside	A MEDICAL CORPORATION	217 E 3RD STREET	None	CORONA	CA	928791438	33.878362	-117.564507	135d	416
1891904686	1891904686	1	1	GAGE MEDICAL CENTER	16Aug2004	022	PHYSICIANS GROUP	FNP033884	40	Pediatrics	0	In state provider	19	Los Angeles	None	2719 E GAGE AVE	None	HUNTINGTON PARK	CA	902554202	33.981669	-118.222164	78.2ccc	5326.06
1891929691	1891929691	1	1	FAMLIY HLTH CTR OF SAN DIEGO	18Dec2010	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	37	San Diego	None	7592 BROADWAY	None	LEMON GROVE	CA	919451604	32.742714	-117.034388	161g	144
1891971131	1891971131	1	1	FARID, SAMY F MD INC	19Feb2008	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	1729 W AVENUE J	SUITE 101	LANCASTER	CA	935344014	34.689505	-118.161947	77.1c	9008.05
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
1902106198	1902106198	1	1	OLE HEALTH	06Apr2011	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	28	Napa	None	300 HARTLE COURT	None	NAPA	CA	945594078	38.287257	-122.288484	112.1	2002.03
1902108541	1902108541	1	1	PLANNED PARENTHOOD SHASTA	20Apr2011	041	COMMUNITY CLINIC	550001570	None	UNKNOWN	0	In state provider	21	Marin	DIABLO INC	2 H STREET	None	SAN RAFAEL	CA	949011700	37.974226	-122.538613	83b	1110
1902109580	1902109580	1	1	PLANNED PARENTHOOD LOS	16Jan2013	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	19	Los Angeles	ANGELES	533 E PALMDALE BLVD	STE A-1	PALMDALE	CA	935502375	34.579718	-118.120019	77.1a	9104.02
1902183098	1902183098	1	1	DEBORAH A HIGER	18Apr2012	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	47	Siskiyou	None	725 PINE STREET	None	MOUNT SHASTA	CA	960672133	41.315387	-122.318452	197	10
1902185630	1902185630	1	1	CAMARENA HEALTH	15Nov2011	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	20	Madera	None	505 E ALMOND AVE	SUITE 101	MADERA	CA	936375745	36.945525	-120.052425	80	5.02
1902196256	1902196256	1	1	KERN RURAL WELLNESS CENTERS	18Oct2011	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	15	Kern	INC	146 N HILL ROAD	None	ARVIN	CA	932031014	35.209734	-118.830934	61	63.01
1902267479	1902267479	1	1	ALTAMED HEALTH SERVICES	03Jul2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	CORPORATION	8627 ATLANTIC AVENUE	None	SOUTH GATE	CA	902803501	33.954724	-118.183830	78.2sss	5360
1902453731	1902453731	1	1	ALTAMED HEALTH SERVICES	21Apr2020	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	CORPORATION	2100 W 3RD STREET	STE 400	LOS ANGELES	CA	900572290	34.062959	-118.272688	78.2ffff	2088.01
1902803315	1902803315	1	1	REGENTS OF THE UNIVERSITY OF	01Jul2005	016	COMMUNITY INPATIENT HOSPITAL	930000165	None	UNKNOWN	0	In state provider	19	Los Angeles	CALIFORNIA	757 WESTWOOD PLAZA	None	LOS ANGELES	CA	900958358	34.068908	-118.445025	78.2w	2653.01
1902823461	1902823461	2	1	REEDLEY COMMUNITY HOSPITAL	01Dec2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	10	Fresno	None	1000 S MADERA AVE	None	KERMAN	CA	936301750	36.720618	-120.060098	29	40.02
1902833734	1902833734	1	1	PATEL, HITESH C MD	14Nov2005	026	PHYSICIANS	A50723	08	Family Practice	0	In state provider	30	Orange	None	7915 WESTMINSTER BLVD	None	WESTMINSTER	CA	926834001	33.759275	-117.991117	116s	998.02
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
1902944796	1902944796	1	1	CITY OF BERKELEY	15Jun2010	045	CLINIC EXEMP FROM LICENSURE	None	None	UNKNOWN	0	In state provider	01	Alameda	COMP FAMILY PLANNING PRO	830 UNIVERSITY AVE	None	BERKELEY	CA	947102044	37.867938	-122.297686	2a	4232
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
1912091018	1912091018	1	1	MARIN COMM CLINIC	06Mar2008	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	21	Marin	None	6090 REDWOOD BLVD	None	NOVATO	CA	949494569	38.094905	-122.561977	83b	1041.02
1912093451	1912093451	1	1	FAMILY HEALTHCARE NETWRK	07Dec2001	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	54	Tulare	None	12586 AVENUE 408	None	OROSI	CA	936479454	36.530270	-119.290183	227.2	6
1912116385	1912116385	1	1	CALIFORNIA STATE UNIV	09May2007	045	CLINIC EXEMP FROM LICENSURE	CLF3083	None	UNKNOWN	0	In state provider	15	Kern	BAKERSFIELD HLTH SRVCS	9001 STOCKDALE HWY	# 28HC	BAKERSFIELD	CA	933111022	35.354328	-119.103271	66d	28.06
1912123431	1912123431	1	1	CLINICAS DEL CAMINO REAL	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	INC, FILLMORE	355 CENTRAL AVE	None	FILLMORE	CA	930151920	34.399844	-118.913595	237	3.02
1912146887	1912146887	1	1	MLS CLINICAL & MEDICAL	20Apr2009	026	PHYSICIANS	A80070	None	UNKNOWN	0	In state provider	19	Los Angeles	CORPORATION	8530 FLORENCE AVE	STE 101	DOWNEY	CA	902404015	33.949426	-118.120969	78.2eee	5506.02
1912176264	1912176264	1	1	DR M FORGHANI S CORP	08Mar2005	026	PHYSICIANS	20A8699	None	UNKNOWN	0	In state provider	30	Orange	DO	12665 GARDEN GROVE BLVD	STE 601	GARDEN GROVE	CA	928431920	33.774497	-117.912024	116r	885.02
1912176264	1912176264	1	2	DR M FORGHANI S CORP	28Jul2008	026	PHYSICIANS	20A8699	None	UNKNOWN	0	In state provider	30	Orange	None	1515 N BROADWAY	None	SANTA ANA	CA	927063906	33.758019	-117.869651	116b	750.03
1912248782	1912248782	1	1	RAINCROSS WOMENS MEDICAL GRP	31Oct2013	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	33	Riverside	None	6767 BROCKTON AVE	None	RIVERSIDE	CA	925063023	33.950492	-117.396773	135c	311
1912312273	1912312273	1	1	AVENAL COMMUNITY HEALTH	01Dec2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	16	Kings	CENTER	148 E KINGS STREET	None	AVENAL	CA	932041529	36.002543	-120.136991	67	17.01
1912907114	1912907114	1	1	PREMIER FAMILY MEDICINE	01Sep1998	022	PHYSICIANS GROUP	FNP033251	None	UNKNOWN	0	In state provider	19	Los Angeles	ASSOCIATES, INC	1770 N ORANGE GROVE AVE	STE 101	POMONA	CA	917673027	34.076086	-117.749421	78.2tt	4021.02
1912928540	1912928540	1	1	DE LOS REYES, BERNARDITA	01Apr2000	022	PHYSICIANS GROUP	FNP015026	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	CLINICA SANTA ISABEL MED	2760 E FLORENCE AVE	None	HUNTINGTON PARK	CA	902555747	33.973776	-118.220823	78.2ccc	5331.07
1912976408	1912976408	1	1	PLANNED PRNTHD/ORANGE &	23Jul1998	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	30	Orange	SAN BERNARDINO COUNTY	700 S TUSTIN ST	None	ORANGE	CA	928663425	33.777372	-117.835746	116h	758.06
1922020585	1922020585	1	1	MENDOCINO COMMUNITY HEALTH	25Nov2003	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	23	Mendocino	LITTLE LAKE CLINIC	45 HAZEL ST	None	WILLITS	CA	954904222	39.399795	-123.352139	91	107
1922033547	1922033547	1	1	CHA HOLLYWOOD MEDICAL	01Jan2005	016	COMMUNITY INPATIENT HOSPITAL	None	None	UNKNOWN	0	In state provider	19	Los Angeles	CENTER LP	1300 N VERMONT AVE	None	LOS ANGELES	CA	900276005	34.095557	-118.291741	78.2g	1913.02
1922051812	1922051812	1	1	CENTRO DE SALUD DE LA	01Jan2004	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	COMUNIDAD DE SAN YSIDRO	1637 3RD AVE	STE B,C,F,H,I	CHULA VISTA	CA	919115823	32.596674	-117.064522	161j	132.04
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
1922124866	1922124866	1	2	BAYCHILDREN'S PHYSICIANS	01Oct2016	071	LICENSED CLINICAL SOCIAL WORKER GROUP	None	None	UNKNOWN	0	In state provider	01	Alameda	None	1555 DOOLITTLE DRIVE	None	SAN LEANDRO	CA	945772239	37.711890	-122.184754	2g	4324
1922179498	1922179498	1	1	MOUNTAIN VALLEYS HEALTH	01Oct2002	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	45	Shasta	FALL RIVER VLY HEALTH CT	43658 HWY 299E	None	FALL RIVER MILLS	CA	960280490	41.050027	-121.400829	190	127.02
1922249077	1922249077	1	1	GOLDEN VALLEY HEALTH CENTER	02Jan2010	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	50	Stanislaus	None	1200 W MAIN ST	None	TURLOCK	CA	953803411	37.504718	-120.831871	212.1	39.07
1922303437	1922303437	1	1	MARIN COMMUNITY CLINIC	04Apr2011	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	21	Marin	SAN RAFAEL CAMPUS	3260 KERNER BLVD	SUITE A	SAN RAFAEL	CA	949014840	37.962024	-122.501986	83b	1122.02
1922318047	1922318047	1	1	OPEN DOOR COMMUNITY HEALTH	01Dec2010	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	12	Humboldt	CENTERS	3800 JANES ROAD	STE 101	ARCATA	CA	955214742	40.903600	-124.090373	39	13
1922416411	1922416411	1	1	FAMILY HEALTH CARE CENTERS	08Jan2018	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	OF GREATER LOS ANGELES	4943 SLAUSON AVENUE	None	MAYWOOD	CA	902703020	33.986164	-118.175589	78.2c	5337.03
1922490960	1922490960	1	1	AGHABY COMPREHENSIVE	01Sep2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	COMMUNITY HEALTH CENTER	349 W COMPTON BLVD	None	COMPTON	CA	902203110	33.895943	-118.227565	78.2bbb	5425.02
1922495076	1922495076	1	1	PROHEALTH PARTNERS A MEDICAL	09Jun2015	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	19	Los Angeles	GROUP INC	7643 S ATLANTIC AVE	None	CUDAHY	CA	902015019	33.966515	-118.187287	78.2ddd	5344.04
1932115375	1932115375	1	1	LOS ANGELES COUNTY	28Apr1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	19	Los Angeles	BELLFLOWER FAM PLANNING	10005 E FLOWER AVE	None	BELLFLOWER	CA	907060000	33.882105	-118.120765	78.2m	5542.03
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
1932225208	1932225208	1	1	BADYMOGHADDAM, YAGHOUB	09Sep2005	026	PHYSICIANS	A00052570	01	General Practice	0	In state provider	19	Los Angeles	None	5726 E OLYMPIC BLVD	None	LOS ANGELES	CA	900225120	34.013977	-118.147502	78.2c	5323.03
1932249315	1932249315	1	1	COMPREHENS MED CNTR INC	12Aug2005	022	PHYSICIANS GROUP	FNP031642	41	Internal Medicine	0	In state provider	19	Los Angeles	CLINICA MED COMUNIDAD IN	2286 S GAREY AVE	None	POMONA	CA	917665645	34.029889	-117.749089	78.2ss	4029.02
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
1932269644	1932269644	1	1	PLANNED PARENTHOOD	29Feb1984	041	COMMUNITY CLINIC	480392331	None	UNKNOWN	0	In state provider	48	Solano	FAIRFIELD CENTER	1325 TRAVIS BLVD	STE C	FAIRFIELD	CA	945334611	38.258005	-122.051702	202b	2524.01
1932278215	1932278215	1	1	CONTRA COSTA COUNTY HLTH	22Jul2002	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	07	Contra Costa	MARTINEZ SPECIAL CLINIC	2500 ALHAMBRA AVE	None	MARTINEZ	CA	945533156	38.006474	-122.130888	18a	3180
1932340890	1932340890	1	1	COUNTY OF VENTURA	31Aug2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	None	1334 E MAIN ST	None	SANTA PAULA	CA	930602926	34.356226	-119.053341	237	6
1932381605	1932381605	1	1	CLINICAS DE SALUD DEL PUEBLO	17Jun2008	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	33	Riverside	None	50249 CESAR CHAVEZ ST	UNIT K	COACHELLA	CA	922361530	33.677724	-116.176444	128	457.07
1932399441	1932399441	1	1	GUPTA, ARUNA MD APC	01Jul2007	026	PHYSICIANS	A00088415	None	UNKNOWN	0	In state provider	33	Riverside	None	6850 BROCKTON AVE	STE 108	RIVERSIDE	CA	925063816	33.949252	-117.396777	135c	311
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
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
1932561198	1932561198	1	1	FAMILY HEALTH CENTERS OF SAN	28Aug2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	DIEGO INC	525 E MAIN STREET	None	EL CAJON	CA	920204007	32.794861	-116.956026	161h	158.02
1932756764	1932756764	1	1	ALTAMED HEALTH SERVICES	06May2021	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	30	Orange	CORPORATION	1325 N ANAHEIM BLVD	STE 200	ANAHEIM	CA	928011202	33.852950	-117.919900	116l	865.01
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
1942255195	1942255195	1	1	FCS MEDICAL CORPORATION	01Aug1988	022	PHYSICIANS GROUP	FNP017470	None	UNKNOWN	0	In state provider	19	Los Angeles	FAMILY CARE SPECIALISTS	1701 E CESAR E CHAVEZ AV	STE 230	LOS ANGELES	CA	900332496	34.051199	-118.217598	78.2ffff	2035
1942256094	1942256094	1	1	HUNTINGTON PARK CLINICA MEDI	05Mar1996	027	PODIATRISTS	None	None	UNKNOWN	0	In state provider	19	Los Angeles	MEDICA GENERAL, MED CNTR	6347 PACIFIC BLVD	None	HUNTINGTON PARK	CA	902554101	33.982689	-118.225228	78.2ccc	5326.05
1942294285	1942294285	1	1	HORTA, ELISA E MD, MPH	25May2004	026	PHYSICIANS	G00072518	None	UNKNOWN	0	In state provider	57	Yolo	PROFESSIONAL MED CORP	2050 LYNDELL TERRACE	STE 150	DAVIS	CA	956166206	38.562470	-121.769173	244	105.05
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
1942369012	1942369012	1	1	PLANNED PARENTHOOD:	17May1984	041	COMMUNITY CLINIC	110000150	None	UNKNOWN	0	In state provider	48	Solano	SHASTA-DIABLO, INC	303 SACRAMENTO STREET	None	VALLEJO	CA	945905901	38.099350	-122.258426	204	2509
1942413786	1942413786	1	1	GOLDEN VALLEY HEALTH CTR	18Nov2005	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	50	Stanislaus	None	1717 LAS VEGAS ST	None	MODESTO	CA	953585500	37.605347	-121.002716	215c	24.02
1942414214	1942414214	1	1	GOLDEN VALLEY HEALTH CTR	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	50	Stanislaus	MCHENRY	1510 FLORIDA AVE	STE B	MODESTO	CA	953504437	37.665699	-120.996216	215a	13
1942416045	1942416045	1	1	MANUEL F MENDOZA MD INC	04Jan2011	026	PHYSICIANS	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	11735 FIRESTONE BLVD	None	NORWALK	CA	906502808	33.913536	-118.083173	78.2jjjj	5520.02
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
1942449285	1942449285	1	1	KHALIFA, AHMAD S MD APC	05Dec2005	026	PHYSICIANS	A00079995	None	UNKNOWN	0	In state provider	19	Los Angeles	GY AND WOMEN'S HEALTH	720 ALAMITOS AVE	None	LONG BEACH	CA	908134726	33.775722	-118.180067	78.2jjj	5764.01
1942487848	1942487848	1	1	ISLA VISTA NEIGHBORHOOD	17Jul2005	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	42	Santa Barbara	CLINIC	970 EMBARCADERO DEL MAR	None	ISLA VISTA	CA	931174869	34.411629	-119.857055	181a	29.24
1942531983	1942531983	1	1	FIRST STEPS PRENATAL CARE	05Apr2012	026	PHYSICIANS	A00036515	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	33	Riverside	AMC	34151 DATE PALM DR	STE E	CATHEDRAL CITY	CA	922346831	33.800261	-116.458127	129.3	9411
1942623657	1942623657	1	1	BORREGO COMMUNITY HEALTH	19May2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	33	Riverside	FOUNDATION	58581 US HIGHWAY 371	SUITE F, G, H	ANZA	CA	925399331	33.557470	-116.638921	130	444.03
1942631460	1942631460	1	1	RIOS, JAVIER DR AMC	07Mar2014	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	33	Riverside	None	21091 RIDER ST	SUITE 218	PERRIS	CA	925708878	33.829854	-117.294868	133.3	429.04
1942638978	1942638978	1	1	BRIGHTER BEGINNINGS	01Dec2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	07	Contra Costa	None	2727 MACDONALD AVE	None	RICHMOND	CA	948043006	37.935033	-122.342699	18f	3740
1942729223	1942729223	1	1	CITY & COUNTY OF SAN	04Sep2019	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	38	San Francisco	FRANCISCO	2500 18TH ST	None	SAN FRANCISCO	CA	941102109	37.761962	-122.407218	162c	228.02
1942756937	1942756937	1	1	CITY MEDICAL GROUP INC	16Apr2018	022	PHYSICIANS GROUP	None	08	Family Practice	0	In state provider	19	Los Angeles	None	1508 E. FLORENCE AVENUE	None	LOS ANGELES	CA	900012536	33.974741	-118.247316	78.2fff	5350.02
1952323800	1952323800	1	1	GOODFAITH FAMILY MEDICAL	01Aug1998	022	PHYSICIANS GROUP	None	40	Pediatrics	0	In state provider	19	Los Angeles	GROUP, A MEDICAL CORP	7770 GARVEY AVE	None	ROSEMEAD	CA	917703061	34.062585	-118.100159	78.2qqq	4825.02
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
1952333635	1952333635	1	1	AMPLA HEALTH	25Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	04	Butte	MEDICAL & DENTAL	2800 LINCOLN BLVD	None	OROVILLE	CA	959665961	39.502499	-121.551712	10	30.02
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
1952364747	1952364747	1	1	CENTRO DE SALUD DE LA COMUNI	28Apr1997	071	LICENSED CLINICAL SOCIAL WORKER GROUP	None	None	UNKNOWN	0	In state provider	37	San Diego	HEALTH CENTER	4004 BEYER BLVD	None	SAN YSIDRO	CA	921732007	32.558402	-117.047923	161j	100.05
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
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
1952542896	1952542896	1	1	COUNTY OF VENTURA	31Aug2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	None	2400 S C ST	None	OXNARD	CA	930334555	34.177396	-119.181346	241b	38.02
1952574717	1952574717	1	1	MISSION NEIGHBORHOOD	17Apr2002	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	38	San Francisco	HEALTH CENTER	4434 MISSION ST	None	SAN FRANCISCO	CA	941121927	37.726694	-122.433397	162c	255
1952628273	1952628273	1	1	ARANEZ, JOSE T MD INC	08Jun2010	026	PHYSICIANS	C00051587	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	2701 W ALAMEDA AVE	STE 407	BURBANK	CA	915054409	34.157535	-118.330146	78.2ttt	3116
1952641136	1952641136	1	1	NORTHEAST COMMUNITY CLINICS	12Aug2013	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	1403 LOMITA BLVD	STE 100,101, & 106	HARBOR CITY	CA	907102084	33.797830	-118.301320	78.2aaaa	2933.02
1952729303	1952729303	1	1	FAMILY HEALTH CENTERS	07Aug2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	OF SAN DIEGO INC	1550 BROADWAY	STE 2	SAN DIEGO	CA	921015713	32.715751	-117.149938	161c	52
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
1962442012	1962442012	1	1	LONG BEACH MEMORIAL	01Mar1982	016	COMMUNITY INPATIENT HOSPITAL	190900525	None	UNKNOWN	0	In state provider	19	Los Angeles	MEDICAL CENTER	2801 ATLANTIC AVE	None	LONG BEACH	CA	908061701	33.808011	-118.185097	78.2lll	5722.02
1962456558	1962456558	1	1	PLANNED PRNTHD MAR MONTE	29Oct1997	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	15	Kern	PLANNED PARENTHOOD	2633 16TH STREET	None	BAKERSFIELD	CA	933013348	35.372385	-119.032090	66d	17
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
1962506295	1962506295	1	1	OROVILLE HOSPITAL	10Apr2007	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	04	Butte	None	2809 OLIVE HIGHWAY	SUITE 210 & 320	OROVILLE	CA	959666133	39.504690	-121.542356	10	30.01
1962530725	1962530725	1	1	REDWOOD COAST MED SVS	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	23	Mendocino	PO BOX 1100	46900 OCEAN DR	None	GUALALA	CA	954458353	38.769796	-123.532881	88	111.02
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
1962538967	1962538967	1	1	CITY AND COUNTY OF SF	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	38	San Francisco	None	1000 CAYUGA AVE	None	SAN FRANCISCO	CA	941121416	37.722083	-122.439807	162d	261
1962560896	1962560896	1	1	BERGANZA, JOSE D MD INC	01Jan1997	022	PHYSICIANS GROUP	None	08	Family Practice	0	In state provider	19	Los Angeles	SAN JOSE MULTISPECIALTY	14514 RAMONA BLVD	STE 3	BALDWIN PARK	CA	917063361	34.086815	-117.958895	78.2zzz	4052.01
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
1962599266	1962599266	1	1	CLINICAS DE SALUD DEL	01Mar1997	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	13	Imperial	PUEBLO	223 W COLE BLVD	None	CALEXICO	CA	922319722	32.693996	-115.500029	49	119
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
1962650820	1962650820	1	1	CALIFORNIA STATE UNIVERSITY	19May2008	022	PHYSICIANS GROUP	None	08	Family Practice	0	In state provider	19	Los Angeles	LONG BEACH	1250 BELLFLOWER BLVD	None	LONG BEACH	CA	908400201	33.786818	-118.123186	78.2kkk	5746.01
1962676064	1962676064	1	1	DIAMOND NEIGHBORHOODS	08May2008	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	37	San Diego	FAMILY HEALTH CENTER	220 EUCLID AVE	STE 40	SAN DIEGO	CA	921143617	32.706291	-117.085087	161g	33.04
1962680421	1962680421	1	1	GOLDEN VALLEY HEALTH CENTERS	30Mar2009	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	50	Stanislaus	None	2101 TENAYA DR	None	MODESTO	CA	953543930	37.632392	-120.959098	215c	21
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
1962709857	1962709857	1	1	CHIODI, MARTINA MD INC	01Apr2011	026	PHYSICIANS	A00102206	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	33	Riverside	None	24910 LAS BRISAS RD	#111	MURRIETA	CA	925624010	33.576480	-117.183054	131a	504
1962805283	1962805283	1	2	REEDLEY COMMUNITY HOSPITAL	14Sep2018	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	10	Fresno	None	550 W CYPRESS AVE	None	REEDLEY	CA	936542096	36.607832	-119.452270	32	66.03
1962876417	1962876417	1	1	CLINICA DE SALUD DEL VALLE	18Dec2018	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	27	Monterey	None	2180 N MAIN ST	None	SALINAS	CA	939061735	36.726655	-121.656249	109.2	105.06
1972010684	1972010684	1	1	FAMILY HEALTHCARE NETWORK	23May2019	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	54	Tulare	None	22817 AVENUE 196	None	STRATHMORE	CA	932679404	36.145549	-119.062624	228.2	33
1972503142	1972503142	1	1	MARSHALL MEDICAL CENTER	01Dec1977	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	09	El Dorado	None	1100 MARSHALL WAY	None	PLACERVILLE	CA	956676533	38.725642	-120.790980	23.3	312
1972525822	1972525822	1	1	LA CLINICA DE LA RAZA	10Jul2000	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	07	Contra Costa	LA CLINICA PITTBURG-MED	2240 GLADSTONE DR	None	PITTSBURG	CA	945655126	38.006542	-121.866438	18d	3131.02
1972556967	1972556967	1	1	PLANNED PARENTHOOD	01Jul1994	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	27	Monterey	None	625 HILBY AVE	None	SEASIDE	CA	939555720	36.602279	-121.850542	110	140
1972563617	1972563617	1	1	MEDICAL GRP OF PARAMOUNT	25Jan1994	022	PHYSICIANS GROUP	FNP21394	None	UNKNOWN	0	In state provider	19	Los Angeles	CLINICA MEDICA HISPANA	14906 PARAMOUNT BLVD	None	PARAMOUNT	CA	907233409	33.898173	-118.160087	78.2ooo	5536.01
1972614758	1972614758	1	1	DO, THUTRANG DO	22Sep2006	026	PHYSICIANS	20A8885	None	UNKNOWN	0	In state provider	19	Los Angeles	DO MEDICAL, INC	15735 HAWTHORNE BLVD	STE 111	LAWNDALE	CA	902602664	33.888154	-118.352692	78.2t	6039
1972625846	1972625846	1	1	COMMUNITY MEDICAL CTRS	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	39	San Joaquin	CHANNEL MEDICAL CENTER	701 E CHANNEL ST	None	STOCKTON	CA	952022628	37.955982	-121.282461	169b	1
1972662039	1972662039	1	1	PLANNED PARENTHOOD-NAPA	01Feb1985	041	COMMUNITY CLINIC	280192284	None	UNKNOWN	0	In state provider	28	Napa	CENTER	1735 JEFFERSON ST	None	NAPA	CA	945591702	38.303328	-122.294311	112.1	2005.01
1972752368	1972752368	1	1	DE NOVO HEALTH CARE INC	01Apr2019	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	803 ROSECRANS AVE	None	E RANCHO DOMINGUE	CA	902212145	33.903457	-118.215352	78.2bbb	5416.04
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
1972828085	1972828085	1	1	DURFEE FAMILY CARE MEDICAL	25Jun1996	026	PHYSICIANS	A453810	08	Family Practice	0	In state provider	19	Los Angeles	GROUP, APC	2006 DURFEE AVE	None	EL MONTE	CA	917333713	34.045825	-118.029810	78.2oo	4339.02
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
1972912236	1972912236	1	1	CENTRAL CITY COMMUNITY	02Dec2015	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	HEALTH CENTER INC	10050 GARVEY AVE	STE 111	EL MONTE	CA	917332088	34.062746	-118.050224	78.2qqq	4331.01
1972954071	1972954071	1	2	COMPREHENSIVE COMMUNITY	12Dec2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	HEALTH CENTERS INC	8316 FOOTHILL BLVD	None	SUNLAND	CA	910402850	34.259691	-118.313998	78.2rr	1031.02
1972955730	1972955730	1	1	MONTCLAIR MEDICAL	24Oct2016	022	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	36	San Bernardino	PROFESSIONAL CORPORATION	9675 MONTE VISTA AVE	STE C	MONTCLAIR	CA	917632233	34.078119	-117.698253	151c	2.03
1982075107	1982075107	1	1	PEDIATRIC AND FAMILY MEDICAL	12Mar2019	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	CENTER	15477 VENTURA BLVD	SUITE 300	SHERMAN OAKS	CA	914033006	34.154651	-118.471238	78.2yy	1414
1982075107	1982075107	1	2	PEDIATRIC AND FAMILY MEDICAL	20Aug2020	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	INTERMITTENT	15251 ROSCOE BLVD	None	PANORAMA CITY	CA	914024401	34.221422	-118.464810	78.2zz	1200.10
1982075107	1982075107	1	5	PEDIATRIC AND FAMILY MEDICAL	09Dec2020	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	INTERMITTENT	6618 VAN NUYS BLVD	None	VAN NUYS	CA	914054617	34.191000	-118.448709	78.2cc	1281.02
1982079620	1982079620	1	1	UNITED HEALTH CENTERS OF THE	29Mar2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	10	Fresno	SAN JOAQUIN VALLEY	106 E MAIN ST	None	FOWLER	CA	936252433	36.628827	-119.678773	31	16
1982179008	1982179008	1	1	ALL-INCLUSIVE COMMUNITY	01Jul2020	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	HEALTH CENTER	17114 DEVONSHIRE STREET	SUITE 200	NORTHRIDGE	CA	913251619	34.257552	-118.505989	78.2hh	1113.01
1982663795	1982663795	1	1	AHN, EDWARD S MD	01Jul2003	026	PHYSICIANS	A00040196	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	4620 BEVERLY BLVD	None	LOS ANGELES	CA	900043102	34.076258	-118.309618	78.2g	1924.20
1982667663	1982667663	1	1	UC REGENTS	01Jan1992	031	PSYCHOLOGISTS	None	None	UNKNOWN	0	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
1982756086	1982756086	1	1	COMMUNITY HEALTH SYSTEMS INC	01Apr1998	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	None	1328 S MISSION RD	None	FALLBROOK	CA	920284006	33.368587	-117.250778	160	189.06
1982756425	1982756425	1	1	OROVILLE HOSPITAL	01Dec1977	015	COMMUNITY OUTPATIENT HOSPITAL	042390937	None	UNKNOWN	0	In state provider	04	Butte	None	2767 OLIVE HWY	None	OROVILLE	CA	959666118	39.504939	-121.542750	10	27
1982763090	1982763090	1	1	PLANNED PARENTHOOD	17Nov1981	041	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	07	Contra Costa	CONCORD CENTER	2185 PACHECO ST	None	CONCORD	CA	945202309	37.978853	-122.034417	18b	3280
1982798831	1982798831	1	1	FAMILY PLANNING ASSOC	01Jun1984	022	PHYSICIANS GROUP	FNP034901	None	UNKNOWN	0	In state provider	19	Los Angeles	MEDICAL GROUP INC	8635 FIRESTONE BLVD	STE 100	DOWNEY	CA	902415242	33.937040	-118.127018	78.2eee	5513
1982820221	1982820221	1	1	CLINICAS DEL CAMINO	01Sep2007	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	REAL, INC NEWBURY PARK	1000 NEWBURY RD	STE 150	NEWBURY PARK	CA	913206438	34.183029	-118.903463	240b	59.09
1982846366	1982846366	1	1	COUNTY OF VENTURA	31Aug2017	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	56	Ventura	None	3801 LAS POSAS RD	SUITE 214	CAMARILLO	CA	930101426	34.241839	-119.017193	239	52.02
1982876322	1982876322	1	1	JOY CARINO KIMPO FAMILY	01Mar1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	15	Kern	MEDICAL CENTER	1001 MAIN ST	None	DELANO	CA	932151731	35.769010	-119.245635	60	50.04
1992096630	1992096630	1	1	PRIMARY CARE CENTER OF NORTH	09Sep2011	022	PHYSICIANS GROUP	None	41	Internal Medicine	0	In state provider	37	San Diego	COUNTY, APC	13525 MIDLAND ROAD	SUITE F	POWAY	CA	920644772	32.960233	-117.036345	161q	170.41
1992117071	1992117071	1	1	CLINICA SIERRA VISTA	08Aug2016	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	15	Kern	None	7800 NILES ST	None	BAKERSFIELD	CA	933064937	35.376220	-118.917517	66a	9.07
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
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
1992732192	1992732192	1	1	BOLSA MEDICAL GROUP	08Jul1994	022	PHYSICIANS GROUP	FNP021388	None	UNKNOWN	0	In state provider	30	Orange	None	10362 BOLSA AVE	STE 110	WESTMINSTER	CA	926836763	33.744983	-117.948356	116i	889.04
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
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
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
1992798730	1992798730	1	1	CABRERA, JOHN F MD	24Jan2012	026	PHYSICIANS	G00081189	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	1420 S CENTRAL AVE	None	GLENDALE	CA	912042508	34.128432	-118.257800	78.2ee	3024.01
1992811392	1992811392	1	1	LA CLINICA VALLEJO	28May2003	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	48	Solano	None	415 GEORGIA ST	None	VALLEJO	CA	945906004	38.101112	-122.256391	204	2509
1992850150	1992850150	1	1	MBA, HELENA O MD INC	11Jan2007	026	PHYSICIANS	A00075962	08	Family Practice	0	In state provider	33	Riverside	None	6485 DAY ST	STE 203	RIVERSIDE	CA	925070931	33.931874	-117.278843	135b	425.05
1992850515	1992850515	1	1	CALIFORNIA ST UNIV FULL	01Nov1997	022	PHYSICIANS GROUP	None	01	General Practice	0	In state provider	30	Orange	STUDENT HLTH & COUSLTNG	800 N STATE COLLEGE BLVD	None	FULLERTON	CA	928313547	33.878998	-117.889712	116f	115.03
1992863096	1992863096	1	1	LA CLINICA DE LA RAZA INC	21Aug2007	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	48	Solano	GREAT BEGINNINGS	210 HOSPITAL DR	None	VALLEJO	CA	945892517	38.131072	-122.239836	204	2519.01
1992873947	1992873947	1	1	ARDMORE MEDICAL GROUP INC	03Sep2003	022	PHYSICIANS GROUP	FNP030539	08	Family Practice	0	In state provider	19	Los Angeles	None	4528 SLAUSON AVE	None	MAYWOOD	CA	902702934	33.987116	-118.184956	78.2c	5337.01
1992894125	1992894125	1	1	PLANNED PARENTHOOD L A	01Dec1977	041	COMMUNITY CLINIC	190991065	None	UNKNOWN	0	In state provider	19	Los Angeles	LAKEWOOD CENTER	5525 DEL AMO BLVD	None	LAKEWOOD	CA	907132307	33.847122	-118.124496	78.2n	5709.02
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
1992899769	1992899769	1	1	FAMILY PLANNING ASSOC	01Jan1979	022	PHYSICIANS GROUP	FNP034901	None	UNKNOWN	0	In state provider	10	Fresno	MEDICAL GROUP INC	165 N CLARK ST	None	FRESNO	CA	937012108	36.744431	-119.786018	35c	5.02
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
1992970016	1992970016	1	1	GERKE, THOMAS J MD INC	01Apr1998	026	PHYSICIANS	G00059290	01	General Practice	0	In state provider	19	Los Angeles	None	10811 S GREVILLEA AVE	None	LENNOX	CA	903042325	33.938069	-118.354856	78.2r	6017
1992983472	1992983472	1	1	NORTH PARK FAMILY HLTH	02Jan1997	058	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	37	San Diego	CENTER	3544 30TH ST	None	SAN DIEGO	CA	921044120	32.743078	-117.130067	161d	14
1992994628	1992994628	1	1	CACHUR, THOMAS J JR DO	20Aug2007	026	PHYSICIANS	20A9086	None	UNKNOWN	0	In state provider	19	Los Angeles	APMC	1513 S GRAND AVE	STE 320	LOS ANGELES	CA	900153021	34.036322	-118.265961	78.2ffff	2240.10