Table: family_pact_providers_profile_cys_2020_2021 , provider_business_legal_name like A*

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_phone_number	provider_address_latitude	provider_address_longitude	mssa_id	tract_id
1003134545	1003134545	1	1	Asian Health Services	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	1	Alameda	None	250 E 18th St	2nd Floor	Oakland	CA	94606-1729	(510) 986-8688	37.800015	-122.252625	2c	4053.01
1023011632	1023011632	1	1	Altura Centers For Health	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	54	Tulare	None	1101 N Cherry St	None	Tulare	CA	93274-2231	(559) 686-9097	36.224116	-119.337111	230	23.03
1033267216	1033267216	1	1	Advanced Family Care	28-Jan-16	22	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	90001-2432	(323) 588-0084	33.974765	-118.254103	78.2fff	5350.01
1053725317	1053725317	1	1	Akhavan, Parviz Do A Medical	7-Oct-14	26	PHYSICIANS	20A7522	1	General Practice	0	In state provider	19	Los Angeles	CORP	5113 S Vermont Ave	None	Los Angeles	CA	90037-3515	(323) 305-2220	33.996409	-118.291513	78.2l	2323
1063623387	1063623387	1	1	Alas-Pocasangre, Juan L	22-Dec-03	26	PHYSICIANS	A00055051	8	Family Practice	0	In state provider	19	Los Angeles	ALAS MEDICAL CLINIC INC	545 N San Gabriel Ave	None	Azusa	CA	91702-2939	(626) 815-1511	34.13068	-117.908823	78.2qq	4043.01
1073642682	1073642682	1	1	Asian Pacific Health	22-May-01	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	19	Los Angeles	CARE VENTURE, INC	1530 Hillhurst Ave	Ste 200	Los Angeles	CA	90027-5516	(323) 644-3880	34.098928	-118.287426	78.2a	1953
1073675385	1073675385	1	1	Alianza Medical Center	30-Jan-98	22	PHYSICIANS GROUP	FNP28762	8	Family Practice	0	In state provider	19	Los Angeles	INC	6907 Seville Ave	None	Huntington Park	CA	90255-4901	(323) 588-1100	33.976879	-118.222534	78.2fff	5331.04
1083851992	1083851992	1	1	Altamed Health Services Corp	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	30	Orange	GARDEN GROVE, HARBOR	12751 Harbor Blvd	None	Garden Grove	CA	92840-5800	(714) 636-7852	33.777546	-117.915085	116r	885.02
1093019051	1093019051	1	1	All Inclusive Community Hlth	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	1311 N San Fernando Blvd	None	Burbank	CA	91504-4236	(818) 843-9900	34.189332	-118.320301	78.2ttt	3106.01
1114104858	1114104858	1	1	Altamed Comm Health Cln	28-Apr-97	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	19	Los Angeles	EL MONTE	10418 Valley Blvd	Ste B	El Monte	CA	91731-2402	(818) 453-8466	34.076514	-118.045907	78.2oo	4328.01
1124189212	1124189212	1	1	Ardmore Med Group Inc	10-Apr-92	22	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	90005-2902	(213) 384-4633	34.057663	-118.307051	78.2e	2125.02
1134206436	1134206436	1	1	Angel Family Practice	4-Jan-93	26	PHYSICIANS	A00050182	1	General Practice	0	In state provider	19	Los Angeles	MEDICAL GROUP INC	2015 E Florence Ave	None	Los Angeles	CA	90001-2754	(323) 581-0000	33.974782	-118.234728	78.2mmm	5330.02
1134237993	1134237993	1	1	Adv Women's Healthcare	6-Jan-06	22	PHYSICIANS GROUP	FNP032887	None	UNKNOWN	0	In state provider	33	Riverside	AMC	1100 N Palm Canyon Dr	Ste 212	Palm Springs	CA	92262-4426	(760) 327-7900	33.837621	-116.546779	129.4	446.06
1134421860	1134421860	1	1	Aguilar, Alejandro F Md Inc	16-May-16	26	PHYSICIANS	A36086	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	3034 E Florence Avenue	None	Huntington Park	CA	90255-5828	(323) 587-1743	33.973091	-118.214284	78.2ccc	5331.07
1134492937	1134492937	1	1	Altamed Health Services Corp	22-Feb-20	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	90033-3901	(323) 269-0421	34.044415	-118.211965	78.2h	2044.2
1154736429	1154736429	1	1	Avenal Community Health Cent	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	10	Fresno	None	3554 W Mt Whitney Ave	None	Riverdale	CA	93656-0000	(559) 867-4000	36.430906	-119.861917	30	77
1174665905	1174665905	1	1	Arroyo Vista Family	22-Feb-20	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	90031-2218	(323) 987-2000	34.073633	-118.2162	78.2i	1997
1174700710	1174700710	1	1	Altamed Medical Group	28-Apr-97	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	19	Los Angeles	ELA/WHITTIER	5427 Whittier Blvd	None	Los Angeles	CA	90022-4101	(213) 266-1122	34.019621	-118.153528	78.2d	5317.01
1225179641	1225179641	1	1	Asian Health Service	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	1	Alameda	None	835 Webster St	None	Oakland	CA	94607-4219	(510) 318-5800	37.799511	-122.271239	2c	4030
1235299637	1235299637	1	1	Ardmore Med Group Inc	10-Apr-92	22	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	90255-5750	(323) 588-6888	33.973783	-118.220898	78.2ccc	5331.07
1255350351	1255350351	1	1	Ampla Health	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	51	Sutter	None	355 Samuel Dr	None	Yuba City	CA	95991-6324	(530) 674-9200	39.123108	-121.609927	216	503.02
1255542601	1255542601	1	1	Altamed Medical & Dental	22-Feb-20	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	90023-2440	(323) 265-1998	34.02393	-118.187753	78.2d	5312.02
1275918674	1275918674	1	1	Avenal Community Health	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	16	Kings	CENTER	304 Becky Pease St	None	Kettleman City	CA	93239-0000	(559) 386-4501	36.008942	-119.960194	68	16.01
1285667758	1285667758	1	1	Ampla Health	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	11	Glenn	& DENTAL	1211 Cortina Dr	None	Orland	CA	95963-1699	(530) 865-5544	39.742278	-122.202481	36.1	101
1295821296	1295821296	1	1	Aspen Medical Group Inc	12-Jul-05	22	PHYSICIANS GROUP	FNP031995	None	UNKNOWN	0	In state provider	33	Riverside	None	9041 Magnolia Ave	Ste 305	Riverside	CA	92503-3957	(951) 343-3477	33.925272	-117.438078	135c	315.01
1306015425	1306015425	1	1	Altamed Health Services Corp	22-Feb-20	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	92647-7034	(714) 500-0224	33.704838	-117.98864	116s	992.12
1306047196	1306047196	1	1	Alameda County Med Ctr	5-Jun-08	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	1	Alameda	WINTON WELLNESS CENTER	24100 Amador St	None	Hayward	CA	94544-1273	(510) 670-5300	37.658958	-122.094685	2n	4368
1316061674	1316061674	1	1	Abaian, Ali Md	6-Nov-01	26	PHYSICIANS	A00072830	None	UNKNOWN	0	In state provider	19	Los Angeles	None	8460 S Central Avenue	None	Los Angeles	CA	90001-3761	(323) 581-7400	33.961796	-118.256403	78.2fff	2398.02
1316088479	1316088479	1	1	Arroyo Vista Family	22-Feb-20	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	90032-3300	(323) 222-1134	34.066174	-118.179911	78.2i	2016.01
1316116221	1316116221	1	1	Altamed Health Services Corp	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	30	Orange	ORANGE, CHAPMAN	4010 E Chapman Ave	None	Orange	CA	92869-3990	(714) 532-6222	33.787757	-117.811405	116h	758.07
1316963606	1316963606	1	1	Ampla Health	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	4	Butte	None	680 Cohasset Rd	None	Chico	CA	95926-2213	(530) 342-4395	39.752588	-121.845384	7.1	3
1326244096	1326244096	1	1	Alliance Medical Center	1-Mar-97	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	49	Sonoma	None	1381 University St	None	Healdsburg	CA	95448-3314	(707) 431-8234	38.627712	-122.863743	205.1	1539.02
1336366509	1336366509	1	1	Axis Community Health	1-Mar-97	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	1	Alameda	None	4361 Railroad Ave	None	Pleasanton	CA	94566-6611	(510) 462-1755	37.661529	-121.87361	2k	4506.07
1346250347	1346250347	1	1	Avalon Medical Development C	15-Jun-22	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	CENTER	100 Falls Canyon Road	None	Avalon	CA	90704-1563	(310) 510-0700	33.339766	-118.335504	78.1	5990
1356775878	1356775878	1	1	Altamed Health Services Corp	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	6336 Passons Blvd	None	Pico Rivera	CA	90660-3355	(562) 949-6069	33.985836	-118.085868	78.2ww	5008
1366419517	1366419517	1	1	Antelope Valley Healthcare	6-Jan-95	72	MENTAL HEALTH INPATIENT SERVICES	None	None	UNKNOWN	0	In state provider	19	Los Angeles	HEALTHCARE DISTRICT	1600 W Avenue J	None	Lancaster	CA	93534-2814	(661) 949-5000	34.689378	-118.159814	77.1c	9008.05
1376871566	1376871566	1	1	Agababian Medical Clinic Inc	2-Feb-11	26	PHYSICIANS	A93668	None	UNKNOWN	0	In state provider	19	Los Angeles	None	6608 San Fernando Road	None	Glendale	CA	91201-1703	(818) 246-1824	34.169011	-118.292464	78.2dd	3016.01
1396067500	1396067500	1	1	Aaa Comprehensive Healthcare	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	7451 N Lankershim Blvd	None	North Hollywood	CA	91605-2803	(818) 503-9800	34.205963	-118.387784	78.2bb	1224.1
1427123496	1427123496	2	1	Anand Narayan Md Inc	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	54	Tulare	None	468 Vermont Ave	None	Dinuba	CA	93618-1631	(559) 591-6200	36.549079	-119.389343	227.1	4.02
1447353701	1447353701	1	1	Arroyo Vista Family	22-Feb-20	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	90042-4232	(323) 254-5291	34.111407	-118.189096	78.2i	1836.2
1447391719	1447391719	1	1	Asian Health Services	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	1	Alameda	None	818 Webster St	None	Oakland	CA	94607-4220	(510) 986-6800	37.799398	-122.271306	2c	4030
1457596371	1457596371	1	1	Alladawi, Ayman Md Inc	21-Oct-11	26	PHYSICIANS	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	APC	8077 Florence Ave	Ste 112	Downey	CA	90240-3894	(562) 904-6031	33.952489	-118.127878	78.2eee	5506.02
1457596371	1457596371	1	2	Alladawi, Ayman Md Inc	17-Aug-11	26	PHYSICIANS	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	11061 Atlantic Ave	None	Lynwood	CA	90262-3048	(310) 885-5816	33.928797	-118.184411	78.2ooo	5401.01
1457596371	1457596371	1	3	Alladawi, Ayman Md Inc	6-Jun-13	22	PHYSICIANS GROUP	A00096862	None	UNKNOWN	0	In state provider	19	Los Angeles	PROFESSIONAL CORPORATION	4156 S Central Ave	None	Los Angeles	CA	90011-3154	(562) 904-6031	34.008004	-118.256505	78.2ggg	2283.2
1477586808	1477586808	1	1	Ampla Health	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	6	Colusa	None	555 Fremont St	None	Colusa	CA	95932-2534	(530) 458-8635	39.20795	-122.011142	15	5
1477647386	1477647386	1	1	Ashok, Nagasamudra S	3-Oct-08	26	PHYSICIANS	A00041589	40	Pediatrics, Periodontist (Dentists Only)	0	In state provider	33	Riverside	MD INC	229 W 7th St	None	San Jacinto	CA	92583-4662	(951) 487-2550	33.780353	-116.960315	132	436.02
1477866010	1477866010	1	1	Airport Urgent Care &	14-Jun-12	22	PHYSICIANS GROUP	None	66	Emergency Medicine (Urgent Care)	0	In state provider	19	Los Angeles	INDUSTRIAL MEDICINE A	1117 W Manchester Dr	Suite K	Inglewood	CA	90301-1500	(310) 215-3555	33.959892	-118.375593	78.2q	6014.01
1497931828	1497931828	1	1	Ampla Health	29-Oct-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	6	Colusa	MEDICAL & DENTAL	89 Putnam Way	None	Arbuckle	CA	95912-9814	(530) 476-2200	39.019971	-122.061021	16.3	1
1508088840	1508088840	1	1	Abdel-Malek, Shahira Md	18-Jul-97	22	PHYSICIANS GROUP	A00036609	40	Pediatrics, Periodontist (Dentists Only)	0	In state provider	19	Los Angeles	INC	3100 E Florence Ave	Ste 1	Huntington Park	CA	90255-5848	(323) 583-4115	33.972891	-118.212379	78.2ccc	5332.03
1508103672	1508103672	1	1	Amin, Ajaykumar Apmc	11-Mar-13	26	PHYSICIANS	20A9715	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	6901 S Atlantic Ave	None	Bell	CA	90201-3646	(323) 326-1618	33.97379	-118.18768	78.2ddd	5336.03
1518958313	1518958313	1	1	Amara, Dominic P Md	1-Mar-99	26	PHYSICIANS	G00076226	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	49	Sonoma	None	181 Andrieux St	Ste 108	Sonoma	CA	95476-6920	(707) 938-3300	38.288118	-122.46158	208	1502.04
1528319449	1528319449	1	1	Ahad, George Md Inc	24-Jul-14	22	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	30	Orange	None	947 S Anaheim Blvd	Suite 240	Anaheim	CA	92805-5584	(714) 774-8870	33.822047	-117.90948	116l	874.05
1528365285	1528365285	1	1	Akram, Tahira Md Inc	24-May-11	26	PHYSICIANS	C00054187	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	36	San Bernardino	None	12588-90 Central Ave	None	Chino	CA	91710-3507	(909) 593-4400	34.024698	-117.689448	151a	6.04
1568449304	1568449304	1	3	Anderson Valley Health	1-Mar-97	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	23	Mendocino	CENTER	13500 Airport Road	None	Boonville	CA	95415-0338	(707) 895-3477	39.010387	-123.377385	87.1	112
1568567220	1568567220	1	1	All For Health, Health	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	FOR ALL, INC	519 E Broadway	None	Glendale	CA	91205-1110	(818) 409-3022	34.146338	-118.249859	78.2ee	3020.02
1568567600	1568567600	1	1	A Tu Salud A Medical	19-Nov-08	26	PHYSICIANS	A00091739	8	Family Practice	0	In state provider	36	San Bernardino	CORPORATION	10563 Mills Ave	None	Montclair	CA	91763-4610	(909) 626-4020	34.062204	-117.717686	151c	3.01
1568798296	1568798296	1	1	Amir G Nasseri Md Pc	15-Dec-09	26	PHYSICIANS	A00068974	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	30	Orange	None	1155 W Central Ave	Ste 214	Santa Ana	CA	92707-3165	(714) 966-9094	33.712562	-117.883916	116g	740.05
1568827210	1568827210	1	1	Altura Centers For Health	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	54	Tulare	None	1500 W Tulare Drive	None	Tulare	CA	93274-3424	(559) 686-9097	36.206312	-119.368597	230	22.02
1578624672	1578624672	1	1	Ardmore Med Group Inc	4-May-93	22	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	91731-2458	(213) 384-4633	34.074056	-118.041644	78.2oo	4327
1578685137	1578685137	1	1	Agricultural Workers	1-Mar-97	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	48	Solano	HLTH CTRS/DIXON FAMILY	131 W A St	Ste 1	Dixon	CA	95620-3437	(209) 635-1600	38.445522	-121.822871	201	2534.02
1598180655	1598180655	1	1	Adventist Health Physicians	18-Apr-20	45	CLINIC EXEMP FROM LICENSURE	None	None	UNKNOWN	0	In state provider	23	Mendocino	NETWORK	415 Hospital Dr	A	Ukiah	CA	95482-4545	(916) 406-0087	39.154146	-123.202309	93.1	115
1598984288	1598984288	1	1	Amavi, A Pmc	25-May-80	22	PHYSICIANS GROUP	FNP030498	1	General Practice	0	In state provider	19	Los Angeles	GUADALAJARA MED CLIN INC	2705 Whittier Blvd	None	Los Angeles	CA	90023-1441	(323) 263-3861	34.032548	-118.211588	78.2h	2047
1609064435	1609064435	1	1	Adv Women's Healthcare	5-Sep-07	22	PHYSICIANS GROUP	FNP032887	None	UNKNOWN	0	In state provider	33	Riverside	AMC	79-200 Corporate Ctr Dr	Ste 201	La Quinta	CA	92253-7245	(760) 564-7900	33.710407	-116.2831	129.1	452.15
1609249994	1609249994	1	1	Axis Community Health Inc	15-Sep-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	1	Alameda	None	5925 W Las Positas Blvd	Ste 100	Pleasanton	CA	94588-6239	(925) 462-1755	37.683516	-121.89916	2k	4507.43
1629198791	1629198791	1	1	Alfred Lavi Do Professional	17-Aug-12	22	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	19	Los Angeles	CORPORATION	2324 W Pico Blvd	None	Los Angeles	CA	90006-4002	(213) 383-3600	34.047262	-118.287597	78.2b	2211.1
1629198791	1629198791	1	2	Alfred Lavi Do Professional	17-Aug-12	22	PHYSICIANS GROUP	FNP001534	None	UNKNOWN	0	In state provider	19	Los Angeles	None	1835 S La Cienega Blvd	Ste 205 & 215	Los Angeles	CA	90035-4651	(310) 836-2273	34.043839	-118.376744	78.2x	2696.01
1639194004	1639194004	1	1	Ampla Health	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	4	Butte	None	520 Kentucky St	None	Gridley	CA	95948-2116	(530) 846-6231	39.363794	-121.696554	9	35.01
1639400260	1639400260	1	1	Assuta Family Medical Group	1-Apr-10	22	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	19	Los Angeles	APMC	12922 Victory Blvd	None	North Hollywood	CA	91606-2924	(818) 760-2800	34.186685	-118.41488	78.2bb	1234.2
1679626436	1679626436	2	1	Azul Medical Clinic Inc	11-Mar-15	22	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	19	Los Angeles	None	6517 Eastern Ave	None	Bell Gardens	CA	90201-3003	(323) 773-8295	33.974093	-118.163952	78.2c	5341.01
1689011637	1689011637	1	1	Altura Centers For Health	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	54	Tulare	None	3035 E Bardsley Ave	None	Tulare	CA	93274-6122	(559) 686-9097	36.196097	-119.505561	230	21
1689699415	1689699415	1	1	Ampla Health	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	11	Glenn	None	278 Main Street	None	Hamilton City	CA	95951-0000	(530) 826-3694	39.741273	-122.011779	36.2	105.01
1689875478	1689875478	1	1	Alameda County Med Ctr	28-May-08	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	1	Alameda	NEWARK HEALTH CENTER	6066 Civic Terrace Ave	None	Newark	CA	94560-3746	(510) 795-2414	37.536685	-122.028158	2j	4445
1699883157	1699883157	1	1	Apodaca, Leonel Jr Md	17-Jan-91	26	PHYSICIANS	G00066374	41	Internal Medicine	0	In state provider	10	Fresno	None	1165 Phelps Ave	Ste 101	Coalinga	CA	93210-9665	(209) 935-3878	36.15096	-120.335866	27	79.02
1700087590	1700087590	1	1	Alameda Health System	19-Dec-79	61	COUNTY HOSPITAL OUTPATIENT	140000046	None	UNKNOWN	0	In state provider	1	Alameda	None	1411 E 31st St	None	Oakland	CA	94602-1018	(510) 437-4800	37.799262	-122.231207	2c	4057
1710105408	1710105408	1	1	Axis Community Health	1-Mar-97	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	1	Alameda	None	3311 Pacific Ave	None	Livermore	CA	94550-7007	(510) 447-1881	37.67615	-121.755169	1.2	4515.01
1710191283	1710191283	1	1	Altamed Health Services	12-Mar-21	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	CORPORATION	9436 Slauson Ave	None	Pico Rivera	CA	90660-4748	(323) 725-8751	33.968332	-118.096522	78.2ww	5026.01
1710218409	1710218409	1	1	Alliance Medical Center	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	49	Sonoma	None	8465 Old Redwood Hwy	Suite 320	Windsor	CA	95492-8090	(707) 433-5494	38.543841	-122.801258	205.2	1538.08
1730119553	1730119553	1	2	Affiliated Pathologists Medi	24-Aug-98	22	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	1225 Wilshire Blvd	None	Los Angeles	CA	90017-2395	(310) 225-3244	34.053179	-118.265299	78.2ffff	2091.02
1730481318	1730481318	1	1	Altamed Health Services	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	CORPORATION	1300 S Sunset Ave	None	West Covina	CA	91790-3342	(626) 960-6999	34.060137	-117.947437	78.2www	4068
1740427657	1740427657	1	1	Altamed Health Services Corp	22-Feb-20	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	92701-2321	(714) 541-6815	33.756667	-117.867582	116b	750.04
1750582557	1750582557	1	1	Alameda County Med Ctr	28-May-08	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	1	Alameda	EASTMONT WELLNESS CTR	6955 Foothill Blvd	Ste 200	Oakland	CA	94605-2426	(510) 577-5604	37.769479	-122.174806	2d	4086
1760651814	1760651814	1	1	Altamed Health Services	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	30	Orange	CORPORATION	2720 S Bristol Street	Suite 110	Santa Ana	CA	92704-6210	(714) 500-0497	33.710916	-117.8854	116g	740.05
1770006728	1770006728	1	1	Altamed Health Services	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	CORPORATION	972 Goodrich Blvd	None	Commerce	CA	90022-4114	(323) 725-8751	34.018027	-118.154486	78.2c	5323.03
1770649097	1770649097	1	1	Ardmore Med Group Inc	4-May-93	22	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	90023-1746	(213) 384-4633	34.026687	-118.198514	78.2h	2049.1
1790177582	1790177582	1	1	Altamed Health Services	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	CORPORATION	1900 E Slauson Ave	None	Huntington Park	CA	90255-2725	(323) 487-4110	33.989207	-118.236549	78.2ccc	5326.03
1801202676	1801202676	1	1	Anphon Corporation	27-Oct-16	41	COMMUNITY CLINIC	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	333 E Nutwood Street	Suite C	Inglewood	CA	90301-2357	(310) 912-6100	33.9605	-118.351035	78.2q	6010.01
1801829296	1801829296	1	1	Ampla Health	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	58	Yuba	MEDICAL & DENTAL	4941 Olivehurst Ave	None	Olivehurst	CA	95961-4225	(530) 743-4611	39.097071	-121.551527	249	405
1811129091	1811129091	1	1	Asian Pacific Health Care	22-Jun-12	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	19	Los Angeles	VENTURE INC	1575 W 2nd Street	None	Los Angeles	CA	90026-5701	(213) 265-1837	34.061229	-118.263118	78.2ffff	2083.02
1811329899	1811329899	1	1	Ampla Health	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	52	Tehama	None	7981 Highway 99 E	None	Los Molinos	CA	96055-9782	(530) 384-4010	40.04884	-122.100654	220	1
1821210329	1821210329	1	1	Akhavan, Afshin Do A	28-Oct-09	22	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	19	Los Angeles	PROFESSIONAL CORPORATION	2409 S Vermont Ave	None	Los Angeles	CA	90007-1661	(323) 730-1663	34.034219	-118.291535	78.2b	2217.1
1821210329	1821210329	1	2	Akhavan, Afshin Do A	13-Jun-11	22	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	530 E Washington Blvd	None	Los Angeles	CA	90015-3723	(213) 747-2626	34.03393	-118.271189	78.2ffff	2240.2
1821492836	1821492836	1	1	Advanced Healthcare For	21-Jul-15	10	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	91786-4359	(909) 581-4667	34.101605	-117.670115	151d	8.23
1831115070	1831115070	1	1	Ampla Health	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	51	Sutter	CENTER	1000 Sutter Street	None	Yuba City	CA	95991-3459	(530) 673-9420	39.140392	-121.609917	216	502.02
1861711863	1861711863	1	1	Ame Medical Group, Inc.	25-Aug-10	22	PHYSICIANS GROUP	None	8	Family Practice	0	In state provider	19	Los Angeles	None	11942 Paramount Blvd	Ste B	Downey	CA	90242-2306	(562) 923-6060	33.933591	-118.144709	78.2sss	5515.02
1861796161	1861796161	1	1	Arlington Physicians Choice	3-Jun-11	22	PHYSICIANS GROUP	None	8	Family Practice	0	In state provider	33	Riverside	A MEDICAL CORPORATION	8151 Arlington Ave	Ste U-V	Riverside	CA	92503-0437	(951) 688-3001	33.946358	-117.459837	135d	411.01
1881847424	1881847424	1	1	Advance Urgent Med Group Inc	30-Oct-09	22	PHYSICIANS GROUP	None	41	Internal Medicine	0	In state provider	30	Orange	None	1401 W 1st Street	Ste 101	Santa Ana	CA	92703-3757	(714) 542-9700	33.745446	-117.886918	116b	748.01
1881941409	1881941409	1	1	Alessandro Medical	20-Dec-13	22	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	33	Riverside	PROFESSIONAL CORPORATION	13925 Indian St	None	Moreno Valley	CA	92553-5718	(951) 249-7292	33.918406	-117.234983	135g	425.21
1891795613	1891795613	1	1	Azad, Jack Md Inc	20-Oct-97	26	PHYSICIANS	A00054433	8	Family Practice	0	In state provider	19	Los Angeles	TRI-CITY MEDICAL GROUP	11900 Avalon Blvd	Ste 100	Los Angeles	CA	90061-2837	(323) 756-1317	33.924665	-118.265174	78.2uuu	2410.02
1902267479	1902267479	1	1	Altamed Health Services	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	CORPORATION	8627 Atlantic Avenue	None	South Gate	CA	90280-3501	(323) 326-1602	33.954724	-118.18383	78.2sss	5360
1902453731	1902453731	1	1	Altamed Health Services	24-Aug-21	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	90057-2290	(888) 499-9303	34.062959	-118.272688	78.2ffff	2088.01
1912312273	1912312273	1	1	Avenal Community Health	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	16	Kings	CENTER	148 E Kings Street	None	Avenal	CA	93204-1529	(559) 386-9000	36.002543	-120.136991	67	17.01
1922490960	1922490960	1	1	Aghaby Comprehensive	22-Feb-20	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	90220-3110	(310) 438-2151	33.895943	-118.227565	78.2bbb	5425.02
1932214657	1932214657	1	1	Ajay G. Meka M.D. Inc.	24-Nov-04	22	PHYSICIANS GROUP	A00039761	None	UNKNOWN	0	In state provider	30	Orange	None	2740 S Bristol St	Ste 208	Santa Ana	CA	92704-6233	(714) 979-5734	33.710637	-117.885408	116g	740.05
1932756764	1932756764	1	1	Altamed Health Services	25-Mar-22	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	30	Orange	CORPORATION	1325 N Anaheim Blvd	Ste 200	Anaheim	CA	92801-1202	(888) 499-9303	33.85295	-117.9199	116l	865.01
1952333635	1952333635	1	1	Ampla Health	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	4	Butte	MEDICAL & DENTAL	2800 Lincoln Blvd	None	Oroville	CA	95966-5961	(530) 534-7500	39.502499	-121.551712	10	30.02
1952628273	1952628273	1	1	Aranez, Jose T Md Inc	9-Aug-10	26	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	91505-4409	(818) 848-1420	34.157535	-118.330146	78.2ttt	3116
1982179008	1982179008	1	1	All-Inclusive Community	22-Nov-21	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	HEALTH CENTER	17114 Devonshire Street	Suite 200	Northridge	CA	91325-1619	(818) 646-1771	34.257552	-118.505989	78.2hh	1113.01
1982663795	1982663795	1	1	Ahn, Edward S Md	1-Jul-03	26	PHYSICIANS	A00040196	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	4620 Beverly Blvd	None	Los Angeles	CA	90004-3102	(323) 462-6423	34.076258	-118.309618	78.2g	1924.2
1992873947	1992873947	1	1	Ardmore Medical Group Inc	8-Jun-04	22	PHYSICIANS GROUP	FNP030539	8	Family Practice	0	In state provider	19	Los Angeles	None	4528 Slauson Ave	None	Maywood	CA	90270-2934	(323) 562-6170	33.987116	-118.184956	78.2c	5337.01