Table: family_pact_providers_profile_cys_2020_2021 , provider_business_legal_name like B*

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
1003824020	1003824020	1	1	Baylon, Paul M Md	1-Jan-89	26	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	90255-5830	(323) 587-1616	33.972891	-118.212379	78.2ccc	5332.03
1003867565	1003867565	1	1	Barton Healthcare System	18-Aug-11	17	LONG TERM CARE FACILITY	None	None	UNKNOWN	0	In state provider	9	El Dorado	None	2170 South Ave	None	S Lake Tahoe	CA	96150-7026	(530) 541-3420	38.912336	-119.998043	24	304.02
1003902610	1003902610	1	1	Bristol-Mcfadden Med Grp	27-Aug-82	22	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	30	Orange	INC	1212 S Bristol St	Ste 16	Santa Ana	CA	92704-3439	(714) 966-0646	33.732396	-117.885194	116g	747.02
1023349883	1023349883	1	1	Borrego Comm Hlth Foundation	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	None	1121 E Washington Ave	None	Escondido	CA	92025-2214	(760) 871-0606	33.13229	-117.069344	156e	202.02
1053310326	1053310326	1	1	Barton Healthcare System	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	9	El Dorado	None	2201 South Ave	None	South Lake Tahoe	CA	96150-7025	(530) 543-5623	38.912339	-119.996603	24	304.02
1053386565	1053386565	1	1	Betre, Abraham Do	25-Jul-08	26	PHYSICIANS	20A10290	9	Gynecology (D.O. only)	0	In state provider	54	Tulare	None	925 Merritt Ave	None	Tulare	CA	93274-2247	(559) 688-6400	36.222009	-119.334354	230	23.03
1053691337	1053691337	1	1	Be, Viet A Md Inc	15-Sep-11	26	PHYSICIANS	G00048753	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	30	Orange	None	11160 Warner Avenue	Suite 301	Fountain Valley	CA	92708-4055	(714) 210-5665	33.716327	-117.934948	116j	992.26
1083735203	1083735203	1	1	Batres, Eric R Md	9-Mar-04	26	PHYSICIANS	G00044726	None	UNKNOWN	0	In state provider	19	Los Angeles	MEDICAL CORP	5101 Florence Ave	Ste 4	Bell	CA	90201-3801	(323) 560-4673	33.969061	-118.176068	78.2ddd	5338.05
1124115431	1124115431	1	1	Blythe Health Clinic	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	33	Riverside	None	321 W Hobsonway	Ste C	Blythe	CA	92225-1651	(619) 922-4981	33.61031	-114.599743	126	461.02
1134144165	1134144165	1	1	Borrego Community Health	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	FOUNDATION	4343 Yaqui Pass Rd	None	Borrego Springs	CA	92004-0000	(760) 760-5051	33.193148	-116.330451	152	210
1154480069	1154480069	1	1	Borrego Community Health	22-Feb-20	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	92020-3954	(619) 401-0404	32.794864	-116.962732	161h	158.02
1184065088	1184065088	1	1	Borrego Community Health	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	33	Riverside	FOUNDATION	11750 Cholla Drive	Suite B	Desert Hot Spring	CA	92240-3064	(760) 251-0044	33.963253	-116.514526	129.4	445.09
1215100417	1215100417	1	1	Banta, Dante A Md Inc	1-Aug-08	26	PHYSICIANS	A044079	8	Family Practice	0	In state provider	19	Los Angeles	None	875 N Western Ave	None	Los Angeles	CA	90029-3759	(323) 461-0777	34.086121	-118.309136	78.2g	1916.1
1255490819	1255490819	1	1	Borrego Comm Hlth Fndtn	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	33	Riverside	CENTRO MEDICO OASIS	88775 Ave 76	Ste 1	Thermal	CA	92274-9681	(760) 397-2501	33.498948	-116.117237	128	456.05
1265572903	1265572903	1	1	Brookdale Medica Center	30-Mar-06	22	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	19	Los Angeles	INC	2809 Tweedy Blvd	None	South Gate	CA	90280-5538	(323) 567-9909	33.945986	-118.221942	78.2ccc	5356.06
1275656761	1275656761	1	1	Bir, Raghbir S Md	2-Nov-98	22	PHYSICIANS GROUP	A00042345	41	Internal Medicine	0	In state provider	36	San Bernardino	None	280 N Riverside Ave	None	Rialto	CA	92376-5924	(909) 421-2121	34.10391	-117.370486	151h	37
1275849283	1275849283	1	1	Borrego Community Health	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	33	Riverside	FOUNDATION	66675 Pierson Blvd	None	Desert Hot Spring	CA	92240-3737	(760) 676-5240	33.961413	-116.498025	129.4	445.1
1306131545	1306131545	1	1	Borrego Community Health	6-Sep-22	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	33	Riverside	FOUNDATION	8856 Arlington Ave	None	Riverside	CA	92503-1365	(951) 710-3970	33.946501	-117.467871	135d	411.01
1346353679	1346353679	1	1	Banning Health Center	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	33	Riverside	None	3055 W Ramsey St	None	Banning	CA	92220-3781	(951) 849-6794	33.925769	-116.910767	134	441.01
1346492055	1346492055	1	1	Beshay, Isaac N Md	13-Nov-08	26	PHYSICIANS	A00089039	8	Family Practice	0	In state provider	30	Orange	None	2200 Harbor Blvd	Ste B 210	Costa Mesa	CA	92627-2501	(949) 548-2273	33.654345	-117.919091	116p	639.06
1356438261	1356438261	1	2	Big Valley Medical Ctr	1-Mar-97	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	18	Lassen	PO BOX 277	554-850 Medical Center	None	Bieber	CA	96009-0000	(916) 294-5241	41.121216	-121.14119	73	401
1376761940	1376761940	1	1	Benevolence Industries Inc	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	3533 W Pico Blvd	None	Los Angeles	CA	90019-4534	(323) 734-1600	34.047164	-118.319297	78.2e	2181.2
1376843771	1376843771	1	1	Bristol-Mcfadden Medical	25-Feb-11	22	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	30	Orange	GROUP INC	1226 E Mcfadden Ave	None	Santa Ana	CA	92705-4106	(714) 245-0288	33.733603	-117.855114	116g	744.03
1386069995	1386069995	1	1	Borrego Community Health	24-Aug-22	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	92262-4800	(760) 416-3390	33.839669	-116.545605	129.4	446.06
1508109794	1508109794	1	1	Baltaian, Lilit Md Inc	7-Apr-14	26	PHYSICIANS	A00105197	1	General Practice	0	In state provider	19	Los Angeles	None	7412 Foothill Blvd	None	Tujunga	CA	91042-2722	(818) 353-1512	34.251551	-118.293456	78.2rr	1012.1
1528345915	1528345915	1	1	Baldwin Park Medical Center	28-Aug-14	26	PHYSICIANS	20A7473	1	General Practice	0	In state provider	19	Los Angeles	INC	14362 E Ramona Blvd	None	Baldwin Park	CA	91706-3241	(626) 337-0676	34.086349	-117.960992	78.2zzz	4052.02
1548659105	1548659105	1	1	Behavioral Health Services	22-Feb-20	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	90250-3317	(424) 456-8933	33.916464	-118.320423	78.2bbbb	6026
1548795453	1548795453	1	1	Borrego Community Health	24-Aug-22	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	36	San Bernardino	FOUNDATION	750 E Main St	None	Barstow	CA	92311-0000	(442) 347-2800	34.89879	-117.015867	149	94
1568585024	1568585024	1	1	Bir, R S Md Inc	26-Nov-01	22	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	36	San Bernardino	None	9792 Sierra Ave	None	Fontana	CA	92335-6717	(909) 434-6000	34.075913	-117.435763	151f	33.01
1568747137	1568747137	1	1	Borrego Community Health	24-Aug-22	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	FOUNDATION	8851 Center Dr	Suite 210	La Mesa	CA	91942-3045	(619) 463-9195	32.782249	-117.005653	161f	150
1568800100	1568800100	1	1	Best Start Midwife Services	24-Apr-17	89	ELECTRONIC HEALTH RECORD INCENTIVE PROGRAM	None	None	UNKNOWN	0	In state provider	37	San Diego	None	3630 Enterprise Street	None	San Diego	CA	92110-3212	(619) 255-4444	32.746298	-117.198357	161b	65
1578708285	1578708285	1	1	Biggs Gridley Mem Hosp	5-Apr-02	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	4	Butte	FAMILY CARE CTR	240 Spruce St	None	Gridley	CA	95948-2216	(530) 846-9080	39.366966	-121.690577	9	35.02
1578763207	1578763207	1	1	Benevolence Industries Inc	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	3631 Crenshaw Blvd	Suite 109	Los Angeles	CA	90016-4869	(323) 732-0100	34.022751	-118.335126	78.2nnn	2200
1619036514	1619036514	1	1	Borrego Comm Hlth Fndtn	22-Feb-20	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	92234-3344	(760) 321-6776	33.815899	-116.456507	129.4	9406
1629192133	1629192133	1	1	Beverly, Shereen L Md	21-Aug-08	26	PHYSICIANS	G00068251	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	INC	16812 Hawthorne Blvd	None	Lawndale	CA	90260-3218	(310) 303-3170	33.87838	-118.352348	78.2iiii	6041
1669547618	1669547618	1	1	Bararsani, Mohammad Md	19-Feb-13	26	PHYSICIANS	A35392	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	18051 Crenshaw Blvd	Suite #c	Torrance	CA	90504-5144	(310) 715-2323	33.866761	-118.326468	78.2iiii	6501.02
1710261284	1710261284	1	1	Bella Medical Group Inc	28-Nov-12	22	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	2933 Whittier Blvd	None	Los Angeles	CA	90023-1528	(323) 263-2669	34.030985	-118.208139	78.2h	2047
1710261284	1710261284	1	2	Bella Medical Group Inc	29-Aug-14	22	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	9916 San Juan Ave	None	South Gate	CA	90280-6108	(323) 564-1100	33.943627	-118.203163	78.2ccc	5358.02
1740303247	1740303247	1	1	Bir, R S Md Inc	2-Nov-98	22	PHYSICIANS GROUP	A00042345	41	Internal Medicine	0	In state provider	36	San Bernardino	None	11692 Central Ave	None	Chino	CA	91710-1923	(909) 627-6278	34.040964	-117.689596	151l	4.04
1750728663	1750728663	1	1	Baldwin Park Medical Clinic	26-Jun-14	26	PHYSICIANS	G62452	None	UNKNOWN	0	In state provider	19	Los Angeles	INC	14051 Ramona Pkwy	None	Baldwin Park	CA	91706-4114	(626) 960-3753	34.085143	-117.96785	78.2zzz	4051.02
1760584049	1760584049	1	1	Bolinas Family Practice	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	21	Marin	PO BOX 1038	88 Mesa Rd	None	Bolinas	CA	94924-9713	(415) 868-9656	37.909408	-122.70008	81	1321
1760936884	1760936884	1	2	Beverlycare	1-Apr-22	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	INTERMITTENT	1920 W Whittier Blvd	None	Montebello	CA	90640-4009	(323) 725-5073	34.012936	-118.12152	78.2ww	5301.02
1760936884	1760936884	1	4	Beverlycare	5-Apr-22	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	INTERMITTENT	8862 Whittier Blvd	None	Pico Rivera	CA	90660-2658	(323) 837-5147	34.00153	-118.084447	78.2ww	5006
1780038042	1780038042	1	1	Borrego Community Health	24-Aug-22	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	36	San Bernardino	FOUNDATION	590 North D Street	None	San Bernardino	CA	92401-1352	(909) 453-6900	34.109961	-117.291883	151g	57.01
1780958462	1780958462	1	1	Bahari-Nejad, Pejam Do A	28-Apr-15	26	PHYSICIANS	20A7938	1	General Practice	0	In state provider	19	Los Angeles	PROFESSIONAL MEDICAL C	20829 Ventura Blvd	None	Woodland Hills	CA	91364-2319	(818) 887-2787	34.166363	-118.586542	78.2yy	1375.01
1790075315	1790075315	1	1	Borrego Community Health	6-Sep-22	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	33	Riverside	FOUNDATION	1970 University Ave	None	Riverside	CA	92507-5202	(951) 213-3450	33.975622	-117.354517	135a	305.01
1790886117	1790886117	1	1	Butte County Hlth Dept	19-Dec-79	48	COUNTY CLINICS NOT ASSOCIATED WITH HOSPITAL	ZZR11557	None	UNKNOWN	0	In state provider	4	Butte	None	78 Table Mountain Blvd	None	Oroville	CA	95965-3578	(530) 538-7341	39.521343	-121.554687	10	25
1790886117	1790886117	1	2	Butte County Hlth Dept	27-Jul-09	45	CLINIC EXEMP FROM LICENSURE	None	None	UNKNOWN	0	In state provider	4	Butte	OF PUBLIC HEALTH CLINICS	695 Oleander Ave	None	Chico	CA	95926-3924	(530) 891-2731	39.735314	-121.84166	7.1	7
1811279763	1811279763	1	1	Bartz Altadonna Community	22-Feb-20	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	93535-4569	(661) 874-4050	34.671365	-118.122268	77.1c	9005.04
1841419793	1841419793	1	1	Black, Robin	13-Apr-07	7	CERTIFIED NURSE PRACTIONER	RN0268672	None	UNKNOWN	0	In state provider	30	Orange	None	2077 Harbor Blvd	Ste C	Costa Mesa	CA	92627-2630	(949) 722-2510	33.649959	-117.919049	116p	637.02
1851577662	1851577662	1	1	Beach Area Family Health	26-Mar-08	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	37	San Diego	CENTER	3705 Mission Blvd	None	San Diego	CA	92109-7104	(000) 000-0000	32.782645	-117.25244	161a	76
1861680712	1861680712	1	1	Bienestar Medical Center	6-Jun-08	22	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	92701-2620	(714) 285-1100	33.759883	-117.854493	116h	754.03
1891862553	1891862553	1	1	Baseline Medical Clinic Inc	31-May-84	22	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	36	San Bernardino	None	330 N D St	Ste 300	San Bernardino	CA	92401-1522	(909) 888-6602	34.105201	-117.291884	151g	57.01
1922124866	1922124866	1	2	Baychildren's Physicians	21-Aug-17	22	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	1	Alameda	None	1555 Doolittle Drive	None	San Leandro	CA	94577-2239	(415) 476-4407	37.71189	-122.184754	2g	4324
1932225208	1932225208	1	1	Badymoghaddam, Yaghoub	9-Sep-05	26	PHYSICIANS	A00052570	1	General Practice	0	In state provider	19	Los Angeles	None	5726 E Olympic Blvd	None	Los Angeles	CA	90022-5120	(323) 727-7000	34.013977	-118.147502	78.2c	5323.03
1942623657	1942623657	1	1	Borrego Community Health	22-Feb-20	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	92539-9331	(619) 463-7775	33.55747	-116.638921	130	444.03
1942638978	1942638978	1	1	Brighter Beginnings	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	7	Contra Costa	None	2727 Macdonald Ave	None	Richmond	CA	94804-3006	(510) 437-8950	37.935033	-122.342699	18f	3740
1962560896	1962560896	1	1	Berganza, Jose D Md Inc	23-Jan-98	22	PHYSICIANS GROUP	None	8	Family Practice	0	In state provider	19	Los Angeles	SAN JOSE MULTISPECIALTY	14514 Ramona Blvd	Ste 3	Baldwin Park	CA	91706-3361	(626) 337-0424	34.086815	-117.958895	78.2zzz	4052.01
1992732192	1992732192	1	1	Bolsa Medical Group	8-Jul-94	22	PHYSICIANS GROUP	FNP021388	None	UNKNOWN	0	In state provider	30	Orange	None	10362 Bolsa Ave	Ste 110	Westminster	CA	92683-6763	(714) 531-2091	33.744983	-117.948356	116i	889.04