Table: family_pact_providers_profile_cys_2020_2021 , provider_business_legal_name like C*

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
1003173279 1003173279 1 1 Clinica De Salud Del Valle 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 44 Santa Cruz DE SALINAS 29 Bishop Street Suite A Royal Oaks CA 95076-5266 (831) 728-2505 36.901764 -121.749238 109.1 101.01
1003961251 1003961251 1 1 Childrens Hospital Medical 10-Jan-03 35 RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER None None UNKNOWN 0 In state provider 1 Alameda None 747 52nd Street None Oakland CA 94609-1809 (951) 679-6858 37.837208 -122.268341 2c 4010
1003995317 1003995317 1 1 Contra Costa Co Hlth 25-Sep-02 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 7 Contra Costa PITTSBURG HEALTH CO HLTH 2311 Loveridge Rd None Pittsburg CA 94565-5117 (510) 370-5100 38.008133 -121.870803 18d 3131.02
1013058106 1013058106 1 1 Clinica De Salud Del 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 27 Monterey VALLE DE SALINAS 10561 Merritt St None Castroville CA 95012-3310 (408) 633-1514 36.766872 -121.759584 108 104
1023159811 1023159811 1 1 Clinica De Salud Del 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 27 Monterey VALLE DE SALINAS 950 Circle Dr None Salinas CA 93905-2150 (408) 757-6237 36.679672 -121.627166 109.2 5.02
1023188687 1023188687 1 1 Clinicas De Salud Del 19-Feb-99 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 33 Riverside PUEBLO INC 91275 66th Ave Ste 500 Mecca CA 92254-0000 (760) 396-0152 33.569318 -116.07378 128 456.04
1023234465 1023234465 1 1 Clinicas Del Camino Real 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura None 500 E Main St None Santa Paula CA 93060-2607 (805) 933-0895 34.351145 -119.068914 237 6
1033488416 1033488416 1 1 Central City Community 30-Apr-21 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 33 Riverside HEALTH CENTER INC 1860 Hamner Ave None Norco CA 92860-2945 (951) 479-0070 33.909013 -117.561194 135e 408.13
1033534466 1033534466 1 1 Coppertower Family Medical 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 49 Sonoma CENTER 6 Tarman Dr None Cloverdale CA 95425-3932 (707) 894-4229 38.798264 -123.017593 206 1542.01
1033593108 1033593108 1 1 Clinicas De Salud Del Pueblo 27-Jan-22 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 33 Riverside INC 1023 E Florida Ave None Hemet CA 92543-4510 (760) 344-9951 33.747587 -116.961681 132 434.01
1033596911 1033596911 1 1 County Of Monterey 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 27 Monterey None 1441 Constitution Blvd Bldg 400 Suite 301 Salinas CA 93906-3100 (831) 755-4000 36.696823 -121.62962 109.2 106.08
1043242142 1043242142 1 1 California Medical Clinc Inc 5-Oct-04 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 36 San Bernardino None 402 E Holt Blvd None Ontario CA 91761-1618 (909) 467-1605 34.063397 -117.647211 151c 14
1043351133 1043351133 1 1 Clinicas De Salud Del 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 27 Monterey VALLE DE SALINAS-GRNFLD 808 Oak Ave None Greenfield CA 93927-5648 (408) 674-5344 36.321352 -121.242563 107 112.03
1043380330 1043380330 1 1 County Of San Bernardino 1-Dec-77 61 COUNTY HOSPITAL OUTPATIENT 360601320 None UNKNOWN 0 In state provider 36 San Bernardino None 400 N Pepper Ave None Colton CA 92324-1801 (909) 580-3210 34.070885 -117.352841 151f 36.12
1043462443 1043462443 1 1 Clinica Familiar San Lucas 2-Feb-09 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 19 Los Angeles None 11050 S Atlantic Ave None Lynwood CA 90262-3068 (310) 635-3800 33.929036 -118.184196 78.2ooo 5400
1053452136 1053452136 1 1 Clinica De Salud De 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 27 Monterey SOLEDAD 799 Front St None Soledad CA 93960-3017 (408) 678-0881 36.424937 -121.326171 107 111.02
1063551257 1063551257 1 1 Comprehensive Medical 17-May-04 22 PHYSICIANS GROUP FNP031642 38 Geriatrics 0 In state provider 19 Los Angeles CENTER INC 10301 Garvey Ave Ste 100 El Monte CA 91733-2180 (626) 448-0468 34.06274 -118.045845 78.2oo 4332
1063616613 1063616613 1 1 County Of Monterey 28-Feb-20 61 COUNTY HOSPITAL OUTPATIENT None None UNKNOWN 0 In state provider 27 Monterey NATIVIDAD MEDICAL CTR 1441 Constitution Blvd None Salinas CA 93906-3100 (831) 755-4111 36.696798 -121.62963 109.2 106.08
1063748242 1063748242 1 1 Community Health Alliance 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles OF PASADENA 1595 North Lake Avenue None Pasadena CA 91104-2307 (626) 398-6300 34.173311 -118.132048 78.2hhh 4615.01
1073647350 1073647350 1 1 Clinica Sierra Vista 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 15 Kern HEALTH CENTER 301 Brundage Ln None Bakersfield CA 93304-3248 (805) 323-6086 35.353865 -119.004963 66b 20
1083832927 1083832927 1 1 Chao, Stephen C Md 1-Jun-05 26 PHYSICIANS G00031842 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 36 San Bernardino None 8110 Mango Ave Ste 106 Fontana CA 92335-3603 (909) 266-0090 34.106405 -117.431459 151h 29.01
1093226243 1093226243 1 1 Community Health Systems Inc 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 36 San Bernardino None 18651 Valley Blvd None Bloomington CA 92316-1831 (909) 546-7520 34.070447 -117.397334 151f 36.06
1093717779 1093717779 1 1 Clinica Sierra Vista Inc 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 15 Kern 34TH ST COMM HEALTH CTR 2000 Physicians Blvd None Bakersfield CA 93301-1277 (661) 635-6050 35.396189 -119.009485 66a 6
1093717779 1093717779 1 4 Clinica Sierra Vista Inc 1-Apr-22 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 15 Kern INTERMITTENT 1611 1st St None Bakersfield CA 93304-2901 (661) 635-6050 35.355061 -119.02028 66b 19.02
1093933194 1093933194 1 1 Clinicas Del Camino Real Inc 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura KAREN R BURNHAM HEALTH 1100 W Gonzales Rd None Oxnard CA 93036-3336 (805) 988-0053 34.219133 -119.188951 241b 33
1104024744 1104024744 2 1 Childrens Hospital Los 11-Jun-22 71 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 90027-5861 (323) 361-2337 34.098139 -118.298323 78.2g 1912.01
1104163781 1104163781 1 1 Chava, Sreedhar Md Inc 8-Jul-13 22 PHYSICIANS GROUP A00102291 8 Family Practice 0 In state provider 19 Los Angeles None 1651 N Hacienda Blvd None La Puente CA 91744-1137 (626) 917-8700 34.049085 -117.945495 78.2yyy 4075.01
1104367572 1104367572 1 1 Center For Family Health & 31-May-22 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles AFFILIATED 3229 Santa Anita Ave First Floor El Monte CA 91733-0882 (626) 575-4584 34.067056 -118.04246 78.2oo 4332
1104889724 1104889724 1 1 Chou, Susanna I Md 18-Sep-03 26 PHYSICIANS A00073158 8 Family Practice 0 In state provider 37 San Diego None 340 4th Ave Ste 5a Chula Vista CA 91910-3813 (619) 425-5559 32.638989 -117.083532 161k 127
1114057163 1114057163 1 1 Chapa-De-Indian Health 25-Jan-22 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 31 Placer PROGRAM 11670 Atwood Rd None Auburn CA 95603-9522 (916) 885-3757 38.934832 -121.09919 119 215.01
1124045158 1124045158 1 1 Community Health Centers 22-Feb-20 200 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 93401-4661 (805) 549-0402 35.274341 -120.646177 172 110.02
1124073366 1124073366 1 1 Childrens Hospital Of La 19-Dec-79 16 COMMUNITY INPATIENT HOSPITAL 190000170 None UNKNOWN 0 In state provider 19 Los Angeles None 4650 W Sunset Blvd None Los Angeles CA 90027-6062 (323) 660-2450 34.098158 -118.29221 78.2g 1912.01
1124533492 1124533492 1 1 Camarena Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 20 Madera None 705 W Pecan Avenue None Madera CA 93637-6254 (559) 664-4000 36.938282 -120.049708 80 5.02
1134208853 1134208853 1 1 Carreon, Jorge F Md Inc 30-Nov-89 26 PHYSICIANS A00032576 1 General Practice 0 In state provider 19 Los Angeles None 4500 Tweedy Blvd None South Gate CA 90280-6334 (323) 567-9661 33.942777 -118.192708 78.2sss 5359.02
1134360076 1134360076 1 1 County Of Ventura 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura None 828 Ventura St Suite 100 Fillmore CA 93015-1877 (805) 524-2000 34.377654 -118.933229 237 3.03
1134369366 1134369366 1 1 Clinicas Del Camino Real 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura INC, EL RIO 221 Ventura Blvd Ste 126 Oxnard CA 93036-0277 (805) 436-3444 34.233356 -119.171593 241b 50.03
1144340670 1144340670 1 1 California State University 25-Mar-08 45 CLINIC EXEMP FROM LICENSURE None None UNKNOWN 0 In state provider 37 San Diego SAN MARCOS 333 S. Twin Oaks Valley Ste 100 San Marcos CA 92096-0001 (760) 750-4005 33.131638 -117.164471 156c 203.06
1144464025 1144464025 1 1 Chico State University 14-Dec-09 45 CLINIC EXEMP FROM LICENSURE None None UNKNOWN 0 In state provider 4 Butte None Warner Ave & College Dr None Chico CA 95929-0777 (530) 898-5241 39.731243 -121.850181 7.1 6.04
1154461580 1154461580 1 1 Ca State Univ 9-Nov-06 45 CLINIC EXEMP FROM LICENSURE CLF1239 None UNKNOWN 0 In state provider 19 Los Angeles NORTHRIDGE KLOTZ 18111 Nordhoff St None Northridge CA 91330-0001 (818) 677-3666 34.235482 -118.527572 78.2kk 1152.02
1154487148 1154487148 1 1 County Of Santa Barbara 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 42 Santa Barbara COUNTY HEALTH CLINIC 2115 Centerpointe Pkwy None Santa Maria CA 93455-1334 (805) 346-8410 34.922699 -120.428604 180.1 20.07
1164463345 1164463345 1 1 Chen, Edward J Md 29-Oct-01 26 PHYSICIANS C00050499 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles None 500 N Garfield Ave Ste 206 Monterey Park CA 91754-1242 (626) 288-4218 34.05624 -118.12471 78.2nn 4822.01
1164672747 1164672747 1 1 Clinica Sierra Vista 17-Oct-08 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 10 Fresno HEALTH CENTER 1350 South Orange Ave None Fresno CA 93702-3463 (559) 437-1530 36.729147 -119.763665 35e 4
1174727143 1174727143 1 1 County Of Monterey 27-Dec-18 27 PODIATRISTS None None UNKNOWN 0 In state provider 27 Monterey None 1441 Constitution Blvd None Salinas CA 93906-3100 (831) 755-4235 36.696798 -121.62963 109.2 106.08
1174757967 1174757967 1 1 Central City Community 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 30 Orange HEALTH CENTER INC 12116 Beach Blvd None Stanton CA 90680-3704 (714) 898-2222 33.786171 -117.992846 116r 881.04
1174764021 1174764021 1 1 County Of Ventura 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura None 612 Spring Rd Bldg A Moorpark CA 93021-1298 (805) 523-5400 34.28185 -118.882139 239 76.11
1174859425 1174859425 1 1 Comm Hlth Ctr Of Cent Coast 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 42 Santa Barbara None 1418 East Main Street Suite 210 Santa Maria CA 93454-4833 (805) 928-6408 34.9529 -120.413575 180.1 22.11
1194850461 1194850461 1 1 City & Co San Francisco 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 38 San Francisco None 1050 Wisconsin St None San Francisco CA 94107-3328 (415) 920-1250 37.754254 -122.398675 162f 614
1194853861 1194853861 1 1 County Of Monterey 12-Apr-02 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 27 Monterey None 559 E Alisal St Ste 201 Salinas CA 93905-2516 (831) 769-8800 36.673821 -121.636401 109.2 5.01
1194978973 1194978973 1 1 Clinica Sierra Vista 9-Feb-10 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 10 Fresno HEALTH CENTER 302 Fresno St Ste 101 103 200 204 Fresno CA 93706-3641 (559) 437-1530 36.723699 -119.809304 35e 3
1205102068 1205102068 1 1 Community Health Systems Inc 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 33 Riverside None 2933 University Ave None Riverside CA 92507-5364 (951) 571-2300 33.977562 -117.365144 135a 304
1205222544 1205222544 1 1 Clinica Sierra Vista 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 15 Kern None 1015 Baker Street Suite 4 Bakersfield CA 93305-9998 (661) 328-4283 35.378997 -118.992215 66b 13
1205940145 1205940145 1 1 County Of Riverside 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 33 Riverside None 2813 S Main St None Corona CA 92882-5942 (951) 272-5489 33.846532 -117.570809 135f 418.08
1215007893 1215007893 1 1 Contra Costa County 30-Sep-02 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 7 Contra Costa CONCORD HEALTH CENTER 3052 Willow Pass Rd None Concord CA 94519-7600 (510) 370-5100 37.980801 -122.021313 18c 3300
1215022918 1215022918 1 1 California Medical Clinic 4-Oct-05 22 PHYSICIANS GROUP None 8 Family Practice 0 In state provider 36 San Bernardino INC 16701 Valley Blvd Ste F Fontana CA 92335-6696 (909) 434-4755 34.070327 -117.439997 151f 33.01
1215061528 1215061528 1 1 Clinica Sierra Vista 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 15 Kern None 704 Lebec Rd None Lebec CA 93225-0000 (805) 245-3773 34.772888 -119.040689 237 1
1215155031 1215155031 1 1 Communicare Health Ctrs 17-Nov-04 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 57 Yolo SALUD CLINIC 500 Jefferson Blvd Ste B180 West Sacramento CA 95605-2394 (530) 375-6400 38.587516 -121.526961 245 101.01
1215903018 1215903018 1 1 Community Memorial Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura None 147 N Brent St None Ventura CA 93003-2809 (805) 652-5011 34.274201 -119.257241 241c 19
1225061856 1225061856 1 1 Chen, Luning Md 9-Aug-99 26 PHYSICIANS A00067442 8 Family Practice 0 In state provider 19 Los Angeles MEDICAL CORPORATION 737 Garfield Ave #a Alhambra CA 91801-1321 (626) 289-7999 34.101705 -118.13147 78.2eeee 4804
1225156375 1225156375 1 1 Community Medical Ctrs 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 39 San Joaquin TRACY FAMILY PRACTICE 730 Central Ave None Tracy CA 95376-4104 (209) 820-1500 37.735833 -121.42579 163 54.05
1225177751 1225177751 1 1 Crenshaw Healthcare 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles CORPOATION 3756 Santa Rosalia Dr Ste 400 Los Angeles CA 90008-3614 (323) 357-6680 34.00844 -118.338719 78.2nnn 2361
1225254055 1225254055 1 1 Clinica Medica Familiar 10-Mar-05 22 PHYSICIANS GROUP FNP030239 8 Family Practice 0 In state provider 19 Los Angeles SAN JUDAS INC 3900 W 3rd St None Los Angeles CA 90020-2675 (213) 427-0400 34.06902 -118.299221 78.2e 2119.1
1235283094 1235283094 1 1 Central City Community 22-Feb-20 200 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 90001-1150 (323) 234-3280 33.985662 -118.256441 78.2ggg 2392.02
1235500513 1235500513 1 1 Community Medical Wellness 22-Feb-20 200 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 90813-5514 (562) 591-0105 33.782589 -118.174821 78.2jjj 5764.02
1245364538 1245364538 1 1 Clinica Sierra Vista Inc 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 15 Kern EAST BAKERSFIELD COMM 815 Martin Luther King B # J Bakersfield CA 93307-1365 (805) 322-3905 35.365882 -118.985188 66b 22
1245366715 1245366715 1 1 Centro Medico Comm Clnc 11-Jun-03 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 33 Riverside None 1307 W 6th St Ste 113 Corona CA 92882-3168 (909) 278-8910 33.877807 -117.588941 135d 417.03
1245397298 1245397298 1 1 County Of Santa Barbara 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 42 Santa Barbara FRANKLIN CLINIC 1136 E Montecito St None Santa Barbara CA 93103-2635 (805) 766-2550 34.42718 -119.679853 181a 8.04
1245480821 1245480821 1 1 Clinica Sierra Vista 17-Oct-08 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 10 Fresno None 2798 Elm Avenue None Fresno CA 93706-5435 (559) 457-5200 36.699621 -119.790735 30 10
1265569008 1265569008 1 1 Childrens Hosp Orange Co 21-Oct-04 54 EXPANDED ACCESS TO PRIMARY CARE None None UNKNOWN 0 In state provider 30 Orange None 406 S Main St None Santa Ana CA 92701-5712 (714) 509-4800 33.742201 -117.867666 116g 746.01
1265585038 1265585038 1 1 Chambi, Mirna R Md Inc 19-Mar-03 26 PHYSICIANS A53149 None UNKNOWN 0 In state provider 30 Orange None 7151 Lincoln Ave Ste B Buena Park CA 90620-4614 (714) 821-6506 33.832005 -118.008373 116a 1102.01
1275550295 1275550295 1 1 Community Health Centers 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 40 San Luis Obispo AT TEMPLETON 1330 Las Tablas Rd None Templeton CA 93465-9758 (805) 346-3911 35.554381 -120.723461 170 127.04
1275553257 1275553257 1 1 Community Health Centers 22-Feb-20 200 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 93401-4635 (805) 781-4230 35.274341 -120.646177 172 110.02
1275629495 1275629495 1 1 Clinica Msr Oscar Romero 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles None 123 S Alvarado St None Los Angeles CA 90057-2201 (213) 989-7700 34.066074 -118.270693 78.2ffff 2085.02
1285059923 1285059923 1 1 Community Medical Centers 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 39 San Joaquin APCC 1031 Waterloo Road None Stockton CA 95205-4256 (209) 940-5600 37.967107 -121.272467 169b 16
1285059923 1285059923 1 17 Community Medical Centers 8-Sep-21 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 39 San Joaquin INTERMITTENT 5151 Pacific Ave Room 126 Stockton CA 95207-6304 (209) 940-5600 37.998275 -121.315545 169c 31.11
1285788059 1285788059 1 1 Central City Comm Hlth Ctr 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 30 Orange None 2237 W Ball Rd None Anaheim CA 92804-5314 (714) 490-2750 33.817761 -117.961234 116c 877.01
1316033533 1316033533 1 1 Clinica Monsenor Oscar A. Ro 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles None 2032 Marengo St None Los Angeles CA 90033-1319 (323) 780-6336 34.056602 -118.207395 78.2ffff 2033
1316163736 1316163736 1 1 Clinicas Del Camino Real 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura None 1200 Maricopa Hwy None Ojai CA 93023-3129 (805) 640-8293 34.442068 -119.262664 238 9.01
1316188253 1316188253 1 1 County Of Ventura 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura None 125 W Thousand Oaks Blvd Suite 300 Thousand Oaks CA 91360-4460 (805) 418-9100 34.17869 -118.88096 240b 69
1316970932 1316970932 1 1 Cmcla Pathology Med Grp 27-Dec-93 22 PHYSICIANS GROUP FNP020595 22 Pathology (M.D. only) 0 In state provider 19 Los Angeles None 1401 S Grand Ave None Los Angeles CA 90015-3010 (213) 742-5796 34.03718 -118.265408 78.2ffff 2240.1
1326065103 1326065103 1 1 Community Health Centers 22-Feb-20 200 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 93436-5678 (805) 737-1169 34.639076 -120.47531 179 27.07
1326133083 1326133083 1 1 California Medical Clinic In 4-Oct-05 22 PHYSICIANS GROUP FNP001458 8 Family Practice 0 In state provider 33 Riverside C. 23900 Ironwood Ave Ste F Moreno Valley CA 92557-7151 (951) 485-2570 33.94659 -117.245981 135g 424.05
1326225632 1326225632 2 1 Centro De Salud De La 22-Feb-20 200 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 92113-1432 (619) 231-3200 32.701187 -117.125663 161c 39.02
1326486861 1326486861 1 1 Centro De Salud De La 22-Feb-20 200 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 91910-5736 (619) 662-4100 32.628201 -117.074787 161k 130
1336163898 1336163898 1 1 Community Health Centers 22-Feb-20 200 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 93420-2504 (805) 481-7220 35.118989 -120.595087 171 119.02
1336275437 1336275437 1 1 City & County San Fran 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 38 San Francisco None 555 Cole St None San Francisco CA 94117-2800 (415) 751-8181 37.77001 -122.45032 162g 166
1336311679 1336311679 1 1 Community Medical Ctrs 10-Apr-08 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 48 Solano None 600 Nut Tree Rd Ste 310 Vacaville CA 95687-4686 (707) 359-1800 38.361369 -121.949662 202a 2529.11
1336453950 1336453950 1 1 Cuellar, Francisco Md Apc 31-Oct-11 26 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 91767-2994 (909) 784-2490 34.075639 -117.750836 78.2tt 4021.02
1346490927 1346490927 1 1 Clinica Sierra Vista 17-Oct-08 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 10 Fresno None 2505 E Divisadero St None Fresno CA 93721-1401 (559) 437-5500 36.743216 -119.781989 35c 5.02
1356362743 1356362743 1 1 Comprehensive Community 22-Feb-20 200 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 91205-4433 (818) 265-2264 34.137132 -118.239588 78.2ff 3021.02
1356362743 1356362743 1 2 Comprehensive Community 26-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles INTERMITTENT 5059 York Blvd None Los Angeles CA 90042-1713 (818) 265-2264 34.121237 -118.205626 78.2i 1834.01
1356569172 1356569172 1 1 Communicare Health Ctrs 16-Nov-04 58 HEALTH ACCESS PROGRAM 550002588 None UNKNOWN 0 In state provider 57 Yolo None 215 W Beamer St None Woodland CA 95695-2510 (530) 753-3498 38.684883 -121.793848 246.1 109.01
1356702633 1356702633 1 1 Chibuike Enyereibe Anucha Md 8-Feb-17 26 PHYSICIANS A89094 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 15 Kern PC 3941 San Dimas Street Bldg 104 Bakersfield CA 93301-5734 (661) 637-1006 35.395624 -119.008204 66a 6
1356723936 1356723936 1 1 Community Medical Centers 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 39 San Joaquin INC 1801 E March Lane Suite D-470 Stockton CA 95210-6609 (209) 570-7000 38.003429 -121.285555 169a 34.09
1366422776 1366422776 1 1 California State University 14-Sep-01 22 PHYSICIANS GROUP None 1 General Practice 0 In state provider 1 Alameda EAST BAY 25800 Carlos Bee Blvd None Hayward CA 94542-3000 (510) 885-3735 37.65876 -122.061939 2f 4351.02
1366570038 1366570038 1 1 County Of Monterey 8-Sep-05 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 27 Monterey None 1441 Constitution Blvd None Salinas CA 93906-3100 (831) 755-8640 36.696798 -121.62963 109.2 106.08
1376560151 1376560151 1 1 Community Health Centers 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 42 Santa Barbara GUADALUPE 4723 West Main Street Suite H Guadalupe CA 93434-1787 (805) 343-5577 34.957569 -120.576642 180.2 25.02
1376654566 1376654566 1 1 Crownover, David W Md 21-Feb-12 26 PHYSICIANS C00054069 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 56 Ventura None 147 N Brent Street None Ventura CA 93003-2809 (805) 652-5011 34.274201 -119.257241 241c 19
1376659896 1376659896 1 1 Calif State Univ Sacto 1-Mar-02 22 PHYSICIANS GROUP None 8 Family Practice 0 In state provider 34 Sacramento STUDENT HEALTH CENTER 6000 J St None Sacramento CA 95819-2605 (916) 278-6461 38.566806 -121.427834 139g 52.01
1376684456 1376684456 1 1 Clinica De Salud Del Valle 22-Feb-20 200 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 93930-2508 (408) 757-6237 36.222736 -121.126067 105 113.04
1386758225 1386758225 1 1 County Of Riverside 22-Feb-20 200 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 92262-5309 (760) 778-2210 33.843142 -116.528252 129.4 446.02
1386770477 1386770477 1 1 City & Co San Francisco 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 38 San Francisco None 1044 Larkin St None San Francisco CA 94109-5707 (415) 673-2319 37.787601 -122.418434 162b 120
1386886117 1386886117 1 1 County Of Ventura 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura None 1227 E Los Angeles Ave None Simi Valley CA 93065-2871 (805) 652-6075 34.271817 -118.774328 240c 78
1396961884 1396961884 1 1 Clinicas Del Camino Real 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura OXNARD 650 Meta St None Oxnard CA 93030-7182 (805) 487-5351 34.195704 -119.176003 241b 91
1407032212 1407032212 1 1 City Heights Family 28-Mar-08 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 37 San Diego HEALTH CENTER 5379 El Cajon Blvd None San Diego CA 92115-4730 (000) 000-0000 32.757703 -117.079921 161d 27.08
1417036484 1417036484 1 1 Contra Costa County 25-Sep-02 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 7 Contra Costa RICHMOND HEALTH CENTER 100 38th St None Richmond CA 94805-2207 (510) 370-5100 37.933705 -122.333316 18f 3810
1427046754 1427046754 1 1 Chinatown Service Center 22-Feb-20 200 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 90012-2365 (213) 808-1700 34.062104 -118.239871 78.2ffff 2071.02
1427121375 1427121375 1 1 Childrens Hospital Of Orange 13-Oct-04 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 30 Orange COUNTY 3745 W Chapman Ave 1st Floor Orange CA 92868-1656 (888) 770-2462 33.789019 -117.893151 116r 761.02
1427123504 1427123504 1 1 Clinica Medica Internacional 30-Mar-95 26 PHYSICIANS A00035730 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles CLINICA MED INTER MD CTR 7444 Lankershim Blvd None North Hollywood CA 91605-2801 (818) 765-4917 34.205981 -118.387785 78.2bb 1224.1
1427276278 1427276278 1 1 Clinicas Del Camino Real 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura INC-OCEANVIEW 4400 Olds Rd None Oxnard CA 93033-8061 (805) 986-5551 34.156849 -119.148869 241a 47.15
1427699396 1427699396 1 1 Clinica Sierra Vista 15-Feb-22 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 15 Kern None 425 Del Sol Parkway None Delano CA 93215-3442 (661) 635-3050 35.77185 -119.238062 60 50.04
1437407582 1437407582 1 1 Camarena Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 20 Madera None 49169 Road 426 None Oakhurst CA 93644-8702 (559) 664-4000 37.328044 -119.648057 79.1 1.04
1437642345 1437642345 1 1 County Of Riverside 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 33 Riverside TH CENTER 23520 Cactus Ave None Moreno Valley CA 92553-8906 (951) 867-3900 33.910228 -117.251921 135b 425.11
1447277355 1447277355 1 1 Community Health Centers 22-Feb-20 200 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 93455-2118 (805) 929-3211 34.90929 -120.433971 180.1 20.07
1447281746 1447281746 2 1 Castle Family Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 24 Merced CENTERS INC 6596 N Winton Way None Winton CA 95388-9532 (209) 357-7755 37.39712 -120.613309 96 5.04
1447297379 1447297379 1 1 Cares Community Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 34 Sacramento EDUCATION & SVS-SACTO 1500 21st St None Sacramento CA 95811-5216 (916) 443-3299 38.570826 -121.480908 139i 13
1447309885 1447309885 1 1 Camarena Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 24 Merced None 300 Prosperity Blvd Building A & B Chowchilla CA 93610-8498 (559) 664-4000 37.109626 -120.269855 79.2 3
1447321120 1447321120 1 1 Community Action Partnership 19-Dec-79 41 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 93401-2639 (805) 544-2478 35.289849 -120.652925 172 110.02
1457347239 1457347239 1 1 Corona Regional Med Ctr 16-Feb-12 89 ELECTRONIC HEALTH RECORD INCENTIVE PROGRAM None None UNKNOWN 0 In state provider 33 Riverside None 800 S Main St None Corona CA 92882-3420 (909) 737-4343 33.87333 -117.566679 135d 416
1457489122 1457489122 1 1 County Of Monterey 8-Sep-05 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 27 Monterey LAURAL FAMILY PRACTICE 1441 Constitution Blvd None Salinas CA 93906-3100 (831) 755-4123 36.696798 -121.62963 109.2 106.08
1457744476 1457744476 1 1 Community Medicine, Inc 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles None 8540 Alondra Blvd Suite B-2 Paramount CA 90723-5200 (562) 602-2508 33.889147 -118.150562 78.2m 5539.02
1467411744 1467411744 1 1 Cardin, John P Jr Md 13-Sep-91 26 PHYSICIANS A00041250 None UNKNOWN 0 In state provider 19 Los Angeles None 2880 Atlantic Ave Ste 230 Long Beach CA 90806-1735 (562) 424-4404 33.809514 -118.184973 78.2lll 5722.02
1477632784 1477632784 1 1 Contra Costa County 30-Sep-02 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 7 Contra Costa BRENTWOOD HEALTH CENTER 118 Oak St None Brentwood CA 94513-1335 (510) 370-5100 37.933726 -121.692856 17 3031.03
1477694263 1477694263 1 1 Clinicas De Salud Del 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 27 Monterey VALLE DE SALINAS-SANBORN 219 N Sanborn Rd None Salinas CA 93905-2218 (408) 757-1365 36.677503 -121.626509 109.2 5.02
1487299699 1487299699 1 1 California Dreams Medical Co 18-Aug-20 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 10 Fresno None 3656 W Shaw Ave None Fresno CA 93711-3231 (559) 823-5252 36.808331 -119.858996 35a 42.12
1487706347 1487706347 1 1 Community Health Systems 13-May-21 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 36 San Bernardino INC 18601 Valley Blvd None Bloomington CA 92316-1831 (951) 571-2300 34.070443 -117.39832 151f 36.06
1487741773 1487741773 1 1 Clinicas De Salud Del 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 13 Imperial PUEBLO INC 852 E Danenberg Dr None El Centro CA 92243-8511 (760) 352-2257 32.767107 -115.561826 48 118.03
1487787248 1487787248 1 1 Chula Vista Womenn Care 18-Feb-93 22 PHYSICIANS GROUP None 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 37 San Diego INC 752 Medical Center Ct Ste 106 Chula Vista CA 91911-6659 (619) 482-8406 32.618955 -117.024857 161s 133.1
1497130280 1497130280 1 1 Community Health Clinic Ole 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 48 Solano None 470 Chadbourne Road Ste A Fairfield CA 94534-9600 (707) 419-8989 38.235172 -122.083839 202b 2524.02
1497702724 1497702724 1 1 Caduceus Physicians Medical 1-Dec-98 22 PHYSICIANS GROUP FNP026171 None UNKNOWN 0 In state provider 30 Orange MEDICAL GROUP INC 18210 Yorba Linda Blvd Suite 404 Yorba Linda CA 92886-4060 (714) 577-6031 33.888487 -117.816183 116m 218.02
1497778443 1497778443 2 1 Castle Family Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 24 Merced CENTERS INC 1251 Grove St None Atwater CA 95301-3653 (209) 358-8201 37.350908 -120.607161 96 7.01
1508187329 1508187329 1 1 County Of Ventura 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura None 325 W Channel Island Blv None Oxnard CA 93033-4501 (805) 204-9500 34.173722 -119.180277 241b 38.02
1508415274 1508415274 1 1 Camarena Health 26-Apr-21 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 20 Madera AFFILIATED 1159 Country Club Dr None Madera CA 93638-1537 (559) 664-4000 36.975824 -120.074135 80 6.04
1508936030 1508936030 1 1 County Of Sacramento 25-Apr-11 45 CLINIC EXEMP FROM LICENSURE None None UNKNOWN 0 In state provider 34 Sacramento None 4600 Broadway Ste 1300 Sacramento CA 95820-1527 (916) 874-9823 38.546763 -121.452589 139f 17
1518046846 1518046846 1 1 Contra Costa Reg Med Ctr 30-Sep-02 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 7 Contra Costa ANTIOCH HEALTH CENTER 3505 Lone Tree Way Ste 1&4 Antioch CA 94509-6067 (925) 757-5496 37.988292 -121.80722 18e 3080.01
1518064948 1518064948 1 2 County Of San Luis Obispo 25-Mar-16 48 COUNTY CLINICS NOT ASSOCIATED WITH HOSPITAL None None UNKNOWN 0 In state provider 40 San Luis Obispo None 723 Walnut Drive None Paso Robles CA 93446-2315 (805) 237-3050 35.628529 -120.672603 173 102.01
1518183904 1518183904 1 1 Clinicas Del Camino Real 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura MARAVILLA 450 W Clara St None Oxnard CA 93033-8363 (805) 659-1740 34.151193 -119.182212 241b 45.06
1518996313 1518996313 1 1 Consultorio Medico 11-Dec-95 22 PHYSICIANS GROUP FNP023072 42 Nuclear Medicine 0 In state provider 19 Los Angeles LATINO MEDICAL CENTER 15730 Paramount Blvd None Paramount CA 90723-4333 (562) 634-1000 33.889872 -118.160002 78.2m 5539.01
1528270147 1528270147 1 1 Century Medical Ctr Apc 7-Apr-05 22 PHYSICIANS GROUP FNP032272 40 Pediatrics, Periodontist (Dentists Only) 0 In state provider 19 Los Angeles None 3451 W Century Blvd None Inglewood CA 90303-1218 (310) 677-9400 33.945523 -118.332501 78.2r 6007.02
1528477882 1528477882 1 1 Central City Community 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles HEALTH CENTER INC 13742 Amar Road None La Puente CA 91746-1683 (626) 919-0400 34.054017 -117.977387 78.2yyy 4071.01
1538243977 1538243977 1 1 Cancer Treatment Medical 13-Aug-09 26 PHYSICIANS A48498 None UNKNOWN 0 In state provider 30 Orange CENTER 2571 W La Palma Ave None Anaheim CA 92801-2622 (714) 827-9797 33.846852 -117.974997 116c 868.02
1538262092 1538262092 1 1 Centro De Salud De La 22-Feb-20 200 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 92114-6201 (619) 662-4100 32.696292 -117.085103 161g 31.01
1538300488 1538300488 1 1 County Of Ventura 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura None 2000 Outlet Center Dr Ste 110 Oxnard CA 93036-0608 (805) 604-4588 34.218953 -119.149318 241b 49.02
1538400353 1538400353 1 1 County Of San Joaquin 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 39 San Joaquin None 1414 N California Street Ste B Stockton CA 95202-1515 (209) 468-3983 37.967517 -121.288334 169b 4.02
1538500798 1538500798 1 1 Comfort Family Clinic Inc 10-Nov-14 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 19 Los Angeles None 936 N. Wilmington Blvd. None Wilmington CA 90744-4102 (310) 816-3111 33.781301 -118.274338 78.2p 2943.02
1548401409 1548401409 1 1 County Of Ventura 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura None 845 N 10th St Ste 3 Santa Paula CA 93060-1348 (805) 652-6075 34.36584 -119.065531 237 8
1548535685 1548535685 1 1 Cox, Lucien O Md Inc A 30-Jan-13 26 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 90017-3908 (213) 482-9697 34.05251 -118.26375 78.2ffff 2092
1548538911 1548538911 1 1 Community Health System Inc 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 33 Riverside None 9380 Magnolia Ave None Riverside CA 92503-3749 (951) 571-2300 33.921652 -117.444212 135c 316.01
1548648801 1548648801 1 1 Community Health Centers 22-Feb-20 200 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 93465-4054 (805) 929-3211 35.553456 -120.721421 170 127.04
1558852947 1558852947 1 1 Centro De Salud De La 13-Feb-20 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 37 San Diego COMUNIDAD DE SAN YSIDRO 4050 Beyer Blvd None San Ysidro CA 92173-2007 (619) 662-4100 32.558244 -117.04683 161j 100.13
1568845741 1568845741 1 1 Centro De Salud De La 22-Feb-20 200 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 92020-5714 (619) 662-4100 32.784988 -116.977328 161h 159.02
1578535845 1578535845 1 1 County Of San Bernardino 22-Feb-20 200 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- (760) 956-4422 34.126876 -117.267731 151k 63.01
1578535845 1578535845 1 5 County Of San Bernardino 28-Apr-10 45 CLINIC EXEMP FROM LICENSURE None None UNKNOWN 0 In state provider 36 San Bernardino None 477 Summit Blvd None Big Bear Lake CA 92315-2835 (909) 866-0177 34.24406 -116.888382 146 112.03
1578535845 1578535845 1 6 County Of San Bernardino 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 36 San Bernardino None 150 E Holt Blvd None Ontario CA 91761-1613 (909) 458-9447 34.063374 -117.650205 151c 14
1578535845 1578535845 1 8 County Of San Bernardino 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 36 San Bernardino None 606 E Mill Street None San Bernardino CA 92415-0011 (909) 383-3001 34.092145 -117.296227 151f 124
1578535845 1578535845 1 9 County Of San Bernardino 28-Apr-10 45 CLINIC EXEMP FROM LICENSURE None None UNKNOWN 0 In state provider 36 San Bernardino None 351 N Mountain View Ave None San Bernardino CA 92415-0003 (909) 387-6218 34.105564 -117.287364 151g 58
1578535845 1578535845 1 10 County Of San Bernardino 28-Apr-10 45 CLINIC EXEMP FROM LICENSURE None None UNKNOWN 0 In state provider 36 San Bernardino None 303 E Mountain View St None Barstow CA 92311-2840 (760) 256-4705 34.89277 -117.026308 149 95
1578535845 1578535845 1 11 County Of San Bernardino 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 36 San Bernardino None 11336 Bartlett Ave Units 11, 12 Adelanto CA 92301-2025 (760) 246-1272 34.581919 -117.421764 145.2 91.16
1578552543 1578552543 1 5 Community Medical Centers 2-Apr-21 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 39 San Joaquin INTERMITTENT 2415 W Vine St Suite 105 Lodi CA 95242-3731 (209) 373-2810 38.12282 -121.305114 166 43.03
1578567038 1578567038 1 1 Clinica Medica La Sagrada 30-Nov-94 22 PHYSICIANS GROUP FNP018256 None UNKNOWN 0 In state provider 19 Los Angeles LA SAGRADA FAMILIA 15955 Paramount Blvd Ste A Paramount CA 90723-5113 (562) 531-9806 33.887704 -118.16015 78.2m 5538.02
1578680310 1578680310 1 2 County Of Santa Cruz Dba 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 44 Santa Cruz None 1080 Emeline Ave None Santa Cruz CA 95060-1966 (831) 454-4587 36.99184 -122.017534 185.3 1212
1578803425 1578803425 1 1 County Of San Joaquin 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 39 San Joaquin None 500 W Hospital Rd Ste B French Camp CA 95231-9693 (209) 468-6709 37.886456 -121.281847 169b 38.03
1588086771 1588086771 1 1 Camarena Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 20 Madera None 124 South A Street None Madera CA 93638-3619 (559) 664-4000 36.964478 -120.055059 80 8
1588798870 1588798870 1 1 Clinica Sierra Vista 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 15 Kern None 2000 Physicians Blvd None Bakersfield CA 93301-1277 (661) 635-3050 35.396189 -119.009485 66a 6
1598064008 1598064008 1 1 Community Health Centers Of 22-Feb-20 200 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 93420-3359 (805) 481-3652 35.119778 -120.57798 171 118
1598075442 1598075442 1 1 Community Pediatric Clinic 25-Jun-14 26 PHYSICIANS None 40 Pediatrics, Periodontist (Dentists Only) 0 In state provider 19 Los Angeles INC 10210 Orr And Day Rd Ste A Santa Fe Springs CA 90670-3581 (562) 864-4000 33.944232 -118.090502 78.2vv 5028.01
1598907487 1598907487 1 1 Centro De Salud De La 22-Feb-20 200 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 91950-2956 (619) 662-4100 32.682723 -117.082363 161g 120.02
1609291996 1609291996 1 1 Clinicas Del Camino Real Inc 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura None 4370 Eve Road None Simi Valley CA 93063-2187 (805) 659-1740 34.28261 -118.709576 240a 84.01
1609932276 1609932276 1 1 County Of Santa Barbara 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 42 Santa Barbara COUNTY HLTH CLIN LOMPOC 301 N R St None Lompoc CA 93436-5226 (805) 737-6450 34.642342 -120.47052 179 27.02
1619154606 1619154606 1 1 Children's Clinic 13-Dec-06 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 19 Los Angeles FAMILY HEALTH CENTER 1060 E 70th St None Long Beach CA 90805-1008 (562) 531-7284 33.881841 -118.179432 78.2iii 5702.02
1619232808 1619232808 1 1 Cruz, Marilou G Md Inc 7-Nov-13 26 PHYSICIANS A44484 40 Pediatrics, Periodontist (Dentists Only) 0 In state provider 19 Los Angeles None 8535 Florence Ave Suite 201 Downey CA 90240-4014 (562) 861-1245 33.949367 -118.120853 78.2eee 5506.02
1629167457 1629167457 1 1 County Of Ventura 29-Jan-22 78 MARRIAGE AND FAMILY THERAPIST GROUP None None UNKNOWN 0 In state provider 56 Ventura None 300 Hillmont Ave None Ventura CA 93003-3099 (805) 652-6000 34.278975 -119.254362 241c 19
1629167457 1629167457 1 2 County Of Ventura 11-Mar-09 61 COUNTY HOSPITAL OUTPATIENT 561700481 None UNKNOWN 0 In state provider 56 Ventura None 825 N Tenth St None Santa Paula CA 93060-1309 (805) 652-6075 34.365624 -119.065292 237 8
1629296447 1629296447 1 1 Communicare Health Ctrs 17-Nov-04 58 HEALTH ACCESS PROGRAM 30000146 None UNKNOWN 0 In state provider 57 Yolo None 2051 John Jones Rd None Davis CA 95616-9701 (530) 753-3498 38.561423 -121.770387 244 105.05
1629319447 1629319447 1 1 County Of San Joaquin 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 39 San Joaquin None 500 W Hospital Road Ste A French Camp CA 95231-9693 (209) 468-6131 37.886456 -121.281847 169b 38.03
1639100027 1639100027 2 1 Castle Family Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 24 Merced CENTERS INC 3605 Hospital Rd None Atwater CA 95301-5173 (209) 358-8201 37.364981 -120.57606 96 5.03
1639207343 1639207343 1 1 Central California 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 15 Kern FOUNDATION FOR HEALTH 2300 7th St None Wasco CA 93280-1585 (661) 758-4784 35.594264 -119.351512 58.2 44.01
1639336803 1639336803 1 1 Central Neighborhood Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles FOUNDATION 2707 S Central Ave None Los Angeles CA 90011-5527 (323) 234-5000 34.017418 -118.255486 78.2l 2267
1649269747 1649269747 1 1 Clinicas De Salud Del 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 13 Imperial PUEBLO 900 Main St None Brawley CA 92227-2630 (760) 344-6471 32.978601 -115.528657 50 107
1649426990 1649426990 1 1 Chen, Lulu L Md Inc 26-Jul-10 22 PHYSICIANS GROUP None 8 Family Practice 0 In state provider 19 Los Angeles None 1318 E Florence Ave None Los Angeles CA 90001-1935 (323) 584-9525 33.974773 -118.251468 78.2mmm 5329
1649449885 1649449885 1 1 County Of Santa Clara 10-Jul-08 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 43 Santa Clara None 660 S Fairoaks Ave None Sunnyvale CA 94086-7913 (408) 885-7200 37.365052 -122.023818 183c 5085.04
1659407740 1659407740 1 1 City & Co San Francisco 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 38 San Francisco None 2401 Keith St None San Francisco CA 94124-3231 (415) 671-7000 37.726226 -122.392227 162f 234
1669500336 1669500336 1 1 County Of Monterey 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 27 Monterey None 1156 Fremont Blvd None Seaside CA 93955-5715 (831) 899-8100 36.601811 -121.848973 110 136
1669720157 1669720157 1 1 Community Medical Centers 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 39 San Joaquin INC 2015 S Mariposa Rd None Stockton CA 95205-7735 (209) 751-1900 37.939244 -121.244788 169b 21
1669738159 1669738159 1 1 County Of Ventura 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura None 2220 E Gonzales Road Suite 120-A Oxnard CA 93036-3707 (805) 652-6075 34.219285 -119.200549 241a 29.05
1669881926 1669881926 1 1 Central City Community 22-Feb-20 200 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 91706-5010 (626) 653-0800 34.087158 -117.960362 78.2zzz 4051.02
1679553192 1679553192 1 1 Comprehensive Community 22-Feb-20 200 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 90041-1338 (323) 256-4116 34.139343 -118.203853 78.2dd 1814
1679600852 1679600852 1 1 Childrens Hosp Orange Co 21-Mar-01 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 30 Orange CHOC CLINIC BOYS & GIRLS 1000 Highland St None Santa Ana CA 92703-4822 (000) 000-0000 33.737216 -117.878662 116g 749.02
1679631907 1679631907 1 1 Clinicas Del Camino Real 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura INC VENTURA 200 S Wells Rd Ste 100 Ventura CA 93004-1302 (805) 647-6322 34.293009 -119.15949 237 12.01
1679749501 1679749501 1 1 Comm Hlth Systems Inc 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 33 Riverside None 22675 Alessandro Blvd None Moreno Valley CA 92553-8551 (951) 571-2350 33.916984 -117.267305 135b 467
1689048241 1689048241 1 1 Clinica De Salud Del Valle 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 27 Monterey None 126 Fifth St None Gonzales CA 93926-0000 (831) 675-2930 36.508372 -121.444503 107 108.04
1689199648 1689199648 1 1 Center For Family Health 4-Mar-22 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles & EDUCATION INC 14901 Rinaldi St Suite 202 Mission Hills CA 91345-3205 (818) 361-7358 34.278989 -118.457401 78.2hh 1091
1689851222 1689851222 1 1 County Of Santa Clara 28-May-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 43 Santa Clara VALLEY HLTH EAST VALLEY 1993 Mckee Rd None San Jose CA 95116-1406 (408) 885-7200 37.360053 -121.85763 183b 5037.07
1700023942 1700023942 1 1 Chava, Sreedhar Md Inc 8-Jul-13 26 PHYSICIANS A00102291 8 Family Practice 0 In state provider 19 Los Angeles None 3580 Santa Anita Ave Ste A El Monte CA 91731-2455 (626) 444-2660 34.074604 -118.041542 78.2oo 4327
1700373008 1700373008 1 1 Community Medical Centers 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 39 San Joaquin INC 7912 West Lane Suite 221 Stockton CA 95210-3159 (209) 373-2831 38.021118 -121.294776 169a 34.05
1700910080 1700910080 1 1 Clinica Sierra Vista 17-Jan-01 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 15 Kern ARVIN COMMUNITY HEALTH 1305 Bear Mountain Blvd None Arvin CA 93203-1231 (661) 854-3131 35.208978 -118.838883 61 63.03
1700959863 1700959863 1 1 County Of Nevada 23-Sep-16 89 ELECTRONIC HEALTH RECORD INCENTIVE PROGRAM None None UNKNOWN 0 In state provider 29 Nevada None 500 Crown Point Cir Ste 110 Grass Valley CA 95945-9514 (530) 265-1450 39.219388 -121.033202 113 6
1710009659 1710009659 1 1 Community Medical Ctrs 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 39 San Joaquin WOODBRIDGE MED GRP 2401 W Turner Rd Ste 450 Lodi CA 95242-2191 (209) 370-1700 38.145692 -121.344779 168 41.06
1710164702 1710164702 1 1 Children's Clinic, The 28-Jan-00 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 19 Los Angeles None 455 E Columbia St Ste 201 Long Beach CA 90806-1620 (562) 933-0451 33.808978 -118.187329 78.2lll 5722.02
1710211214 1710211214 1 1 Community Medical Centers 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 39 San Joaquin INC 200 Cottage Ave Suite 103 Manteca CA 95336-4935 (209) 373-2810 37.799232 -121.198208 164.1 51.1
1710228531 1710228531 1 1 County Of San Joaquin 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 39 San Joaquin None 500 W Hospital Road Ste C French Camp CA 95231-9693 (209) 468-7425 37.886456 -121.281847 169b 38.03
1720347149 1720347149 1 1 Clinica Sierra Vista 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 10 Fresno None 1945 N Fine Avenue Ste 100 Fresno CA 93727-1528 (359) 457-5800 36.768481 -119.728929 35b 31.04
1720362056 1720362056 1 1 Clinicas Del Camino Real Inc 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura None 1424 Madera Rd None Simi Valley CA 93065-3053 (805) 522-5722 34.265329 -118.796221 240c 77
1730136680 1730136680 1 1 Capital Ob/Gyn, Inc. 27-Feb-06 22 PHYSICIANS GROUP FNP033077 None UNKNOWN 0 In state provider 34 Sacramento None 77 Cadillac Dr Ste 230 Sacramento CA 95825-5453 (916) 920-2082 38.574976 -121.418101 139j 54.02
1730136680 1730136680 1 3 Capital Ob/Gyn, Inc. 27-Jan-12 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 34 Sacramento None 8120 Timberlake Way Ste 201 Sacramento CA 95823-5414 (916) 920-2082 38.46171 -121.413243 139h 96.06
1730231523 1730231523 1 1 Cesar Velez Medical 12-Jun-06 22 PHYSICIANS GROUP FNP34580 1 General Practice 0 In state provider 19 Los Angeles GROUP INC 1411 W Sunset Blvd Ste 203 Los Angeles CA 90026-3431 (213) 482-8313 34.074475 -118.25227 78.2a 1973
1730237116 1730237116 1 1 Chico Fem Womens Health 1-Dec-77 41 COMMUNITY CLINIC 40301222 None UNKNOWN 0 In state provider 4 Butte None 1469 Humboldt Rd Fl 2 Chico CA 95928-9116 (530) 891-1917 39.735489 -121.81523 7.1 9.03
1730310236 1730310236 1 1 County Of Solano 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 48 Solano None 365 Tuolumne St None Vallejo CA 94590-5700 (707) 784-2010 38.102682 -122.238282 204 2512
1730360579 1730360579 1 1 Clinica Medica Centro 13-Jan-09 26 PHYSICIANS A00053766 8 Family Practice 0 In state provider 36 San Bernardino HISPANO INC 300 E 7th St Unit 2e & 2f Upland CA 91786-6778 (909) 985-8031 34.088864 -117.647379 151c 9.04
1730360579 1730360579 1 2 Clinica Medica Centro 9-Feb-12 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 36 San Bernardino HISPANO INC 2336 N Sierra Way None San Bernardino CA 92405-3546 (909) 474-1657 34.137242 -117.285187 151g 53
1750419420 1750419420 1 1 County Of Monterey 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 27 Monterey AT MARINA 3155 De Forest Rd None Marina CA 93933-2702 (831) 384-1445 36.684998 -121.793273 108 143.02
1760485445 1760485445 2 1 Cano, Miguel A Md Facog 16-Aug-19 26 PHYSICIANS G00075797 9 Gynecology (D.O. only) 0 In state provider 10 Fresno OG 372 W Cypress Ave None Reedley CA 93654-2113 (000) 000-0000 36.607796 -119.451265 32 66.03
1770709149 1770709149 1 1 County Of Snta Cruz 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 44 Santa Cruz WATSONVILLE HEALTH CTR 9 Crestview Dr None Watsonville CA 95076-2723 (831) 454-4587 36.926481 -121.764521 184 1102
1780821660 1780821660 1 1 County Of Ventura 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura None 133 W Santa Clara St None Ventura CA 93001-2543 (805) 641-5600 34.279541 -119.303092 241c 24
1801955125 1801955125 1 1 County Of Santa Barbara 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 42 Santa Barbara CARPINTERIA COMM HLTH CT 931 Walnut Ave None Carpinteria CA 93013-2028 (805) 560-1050 34.396949 -119.517038 177 16.04
1811258510 1811258510 2 14 Community Foundation Medical 29-Sep-20 27 PODIATRISTS None None UNKNOWN 0 In state provider 10 Fresno GROUP 2210 E Illinois Ave Ste 505 Fresno CA 93701-2184 (559) 233-7700 36.74503 -119.78478 35c 5.02
1811258510 1811258510 2 17 Community Foundation Medical 29-Sep-20 27 PODIATRISTS None None UNKNOWN 0 In state provider 10 Fresno GROUP 722 Medical Center Dr Ste 105 Clovis CA 93611-6810 (559) 299-6300 36.840901 -119.662109 31 59.07
1821215914 1821215914 1 1 Clinica Medica Cuzcatlan 10-Jun-03 22 PHYSICIANS GROUP FNP025800 1 General Practice 0 In state provider 19 Los Angeles CUZCATLAN MEDICAL CLINIC 3559 E Gage Ave None Bell CA 90201-1042 (323) 581-8485 33.979609 -118.201578 78.2ddd 5336.01
1821275132 1821275132 2 1 Centro De Salud De La 22-Feb-20 200 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 92114-3613 (619) 527-7330 32.707504 -117.085083 161g 33.04
1821278771 1821278771 1 2 Choi, Joon Md Apc 13-Oct-15 26 PHYSICIANS G80351 None UNKNOWN 0 In state provider 19 Los Angeles None 1577 E Chevy Chase Drive Suite 110 Glendale CA 91206-4091 (818) 242-6811 34.153201 -118.229688 78.2ee 3010
1841217866 1841217866 1 1 Community Health Centers 22-Feb-20 200 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 93444-9123 (805) 929-3211 35.026495 -120.498724 171 124.02
1841431707 1841431707 1 1 County Of Ventura 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura None 254 W Harvard Blvd Ste B Santa Paula CA 93060-3920 (805) 652-6075 34.345063 -119.075905 237 7.01
1841556404 1841556404 1 1 Clinicas Del Camino Real Inc 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura MOORPARK 4279 Tierra Rejada Road None Moorpark CA 93021-3775 (805) 222-2323 34.268766 -118.898426 239 76.07
1851429658 1851429658 1 1 Central California 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 15 Kern FOUNDATION FOR HEALTH 1201 Jefferson St None Delano CA 93215-2203 (661) 721-5760 35.771809 -119.244929 60 50.04
1851757215 1851757215 1 1 Centro De Salud De La 22-Feb-20 200 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 91950-0000 (619) 662-4100 32.676837 -117.103305 161k 118.01
1861633703 1861633703 1 1 County Of Ventura 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura None 2240 E Gonzales Rd Ste 100 Oxnard CA 93036-8212 (805) 981-5161 34.219284 -119.200902 241a 29.05
1861641441 1861641441 1 1 Clinica Sierra Vista 17-Oct-08 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 10 Fresno None 2790 South Elm None Fresno CA 93706-5435 (559) 437-1500 36.699889 -119.790721 30 10
1871573360 1871573360 1 1 Comprehensive Community 22-Feb-20 200 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 91606-3204 (818) 755-8000 34.186676 -118.397818 78.2bb 1239.01
1871607713 1871607713 1 1 County Of Riverside 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 33 Riverside None 8876 Mission Blvd None Jurupa Valley CA 92509-2811 (951) 360-8795 34.011774 -117.477184 135e 405.01
1871627042 1871627042 1 1 Clinica Sierra Vista Inc 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 15 Kern PO BOX 1150 67 Evans Rd None Wofford Heights CA 93285-9640 (619) 376-2276 35.706666 -118.457985 63 52.01
1871689315 1871689315 1 1 Community Health 22-Feb-20 200 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 91103-1620 (503) 943-2507 34.177957 -118.15074 None None
1871853481 1871853481 1 1 Center For Family Health 22-Feb-20 200 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 91402-2400 (818) 899-5555 34.228244 -118.450268 78.2ll 1201.03
1881617934 1881617934 1 1 County Of Los Angeles 27-Mar-98 58 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 91342-1437 (818) 364-4033 34.324172 -118.448013 78.2gg 1060.1
1881871424 1881871424 1 1 County Of Santa Clara 1-Nov-03 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 43 Santa Clara None 143 N Main St None Milpitas CA 95035-5302 (408) 885-7200 37.432995 -121.907546 183o 5045.07
1891036612 1891036612 1 1 County Of San Joaquin 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 39 San Joaquin None 1414 N California St Ste C Stockton CA 95202-1515 (209) 468-9540 37.967517 -121.288334 169b 4.02
1891247573 1891247573 1 1 Center For Family Health & 20-Sep-21 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles AFFILIATED 500 W Willow St Suite 101 Long Beach CA 90806-2531 (562) 427-1700 33.804321 -118.198073 78.2lll 5731
1891352944 1891352944 1 1 County Of Riverside 12-Mar-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 33 Riverside TH CENTER 450 E San Jacinto Ave None Perris CA 92571-2833 (951) 210-1488 33.786603 -117.216728 133.1 427.06
1891778114 1891778114 1 1 Camarena Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 20 Madera None 344 E 6th St None Madera CA 93638-3631 (559) 664-4000 36.962718 -120.055993 80 8
1891778114 1891778114 1 4 Camarena Health 11-Mar-22 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 20 Madera INTERMITTENT 363 E Almond Avenue Suite 101 Madera CA 93637-5753 (559) 664-4060 36.945549 -120.053545 80 5.02
1891852778 1891852778 1 1 County Of Santa Barbara 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 42 Santa Barbara COUNTY HEALTH CLINIC 315 Camino Del Remedio None Santa Barbara CA 93110-1332 (805) 681-5488 34.445738 -119.779547 181b 1.01
1891899175 1891899175 2 1 Corona Physicians Associates 26-Jul-13 22 PHYSICIANS GROUP A00092039 1 General Practice 0 In state provider 33 Riverside A MEDICAL CORPORATION 217 E 3rd Street None Corona CA 92879-1438 (909) 273-1188 33.878362 -117.564507 135d 416
1902185630 1902185630 1 1 Camarena Health 25-Jan-22 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 20 Madera None 505 E Almond Ave Suite 101 Madera CA 93637-5745 (559) 664-4000 36.945525 -120.052425 80 5.02
1902944796 1902944796 1 1 City Of Berkeley 30-Dec-10 45 CLINIC EXEMP FROM LICENSURE None None UNKNOWN 0 In state provider 1 Alameda COMP FAMILY PLANNING PRO 830 University Ave None Berkeley CA 94710-2044 (510) 981-5350 37.867938 -122.297686 2a 4232
1912116385 1912116385 1 1 California State Univ 21-Aug-07 45 CLINIC EXEMP FROM LICENSURE CLF3083 None UNKNOWN 0 In state provider 15 Kern BAKERSFIELD HLTH SRVCS 9001 Stockdale Hwy # 28hc Bakersfield CA 93311-1022 (661) 654-2394 35.354328 -119.103271 66d 28.06
1912123431 1912123431 1 1 Clinicas Del Camino Real 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura INC, FILLMORE 355 Central Ave None Fillmore CA 93015-1920 (805) 659-1740 34.399844 -118.913595 237 3.02
1922033547 1922033547 1 1 Cha Hollywood Medical 8-Mar-05 16 COMMUNITY INPATIENT HOSPITAL None None UNKNOWN 0 In state provider 19 Los Angeles CENTER LP 1300 N Vermont Ave None Los Angeles CA 90027-6005 (323) 644-4452 34.095557 -118.291741 78.2g 1913.02
1922051812 1922051812 1 1 Centro De Salud De La 22-Feb-20 200 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 91911-5823 (619) 662-4100 32.596674 -117.064522 161j 132.04
1922138841 1922138841 1 1 Chapa-De Indian Health 25-Jan-22 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 29 Nevada PROGRAM INC 1350 E Main Street None Grass Valley CA 95945-5208 (530) 477-8545 39.231289 -121.047114 113 5.01
1932249315 1932249315 1 1 Comprehens Med Cntr Inc 12-Dec-05 22 PHYSICIANS GROUP FNP031642 41 Internal Medicine 0 In state provider 19 Los Angeles CLINICA MED COMUNIDAD IN 2286 S Garey Ave None Pomona CA 91766-5645 (909) 464-2818 34.029889 -117.749089 78.2ss 4029.02
1932278215 1932278215 1 1 Contra Costa County Hlth 30-Sep-02 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 7 Contra Costa MARTINEZ SPECIAL CLINIC 2500 Alhambra Ave None Martinez CA 94553-3156 (510) 370-5310 38.006474 -122.130888 18a 3180
1932340890 1932340890 1 1 County Of Ventura 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura None 1334 E Main St None Santa Paula CA 93060-2926 (805) 652-6075 34.356226 -119.053341 237 6
1932381605 1932381605 1 1 Clinicas De Salud Del Pueblo 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 33 Riverside None 50249 Cesar Chavez St Unit K Coachella CA 92236-1530 (760) 933-0555 33.677724 -116.176444 128 457.07
1942729223 1942729223 1 1 City & County Of San 21-Jan-20 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 38 San Francisco FRANCISCO 2500 18th St None San Francisco CA 94110-2109 (415) 546-6756 37.761962 -122.407218 162c 228.02
1942756937 1942756937 1 1 City Medical Group Inc 2-Jul-18 22 PHYSICIANS GROUP None 8 Family Practice 0 In state provider 19 Los Angeles None 1508 E. Florence Avenue None Los Angeles CA 90001-2536 (323) 531-0915 33.974741 -118.247316 78.2fff 5350.02
1952364747 1952364747 1 1 Centro De Salud De La Comuni 6-Jan-22 71 LICENSED CLINICAL SOCIAL WORKER GROUP None None UNKNOWN 0 In state provider 37 San Diego HEALTH CENTER 4004 Beyer Blvd None San Ysidro CA 92173-2007 (619) 662-4100 32.558402 -117.047923 161j 100.05
1952542896 1952542896 1 1 County Of Ventura 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura None 2400 S C St None Oxnard CA 93033-4555 (805) 240-7000 34.177396 -119.181346 241b 38.02
1962538967 1962538967 1 1 City And County Of Sf 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 38 San Francisco None 1000 Cayuga Ave None San Francisco CA 94112-1416 (415) 469-4512 37.722083 -122.439807 162d 261
1962599266 1962599266 1 1 Clinicas De Salud Del 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 13 Imperial PUEBLO 223 W Cole Rd None Calexico CA 92231-9722 (619) 353-2900 32.693996 -115.500029 49 119
1962650820 1962650820 1 1 California State University 5-Nov-08 22 PHYSICIANS GROUP None 8 Family Practice 0 In state provider 19 Los Angeles LONG BEACH 1250 Bellflower Blvd None Long Beach CA 90840-0201 (562) 985-4771 33.786818 -118.123186 78.2kkk 5746.01
1962709857 1962709857 1 1 Chiodi, Martina Md Inc 10-May-11 26 PHYSICIANS A00102206 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 33 Riverside None 24910 Las Brisas Rd #111 Murrieta CA 92562-4010 (951) 461-2229 33.57648 -117.183054 131a 504
1962876417 1962876417 1 1 Clinica De Salud Del Valle 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 27 Monterey None 2180 N Main St None Salinas CA 93906-1735 (831) 443-2198 36.726655 -121.656249 109.2 105.06
1972625846 1972625846 1 1 Community Medical Ctrs 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 39 San Joaquin CHANNEL MEDICAL CENTER 701 E Channel St None Stockton CA 95202-2628 (209) 944-4700 37.955982 -121.282461 169b 1
1972912236 1972912236 1 1 Central City Community 22-Feb-20 200 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 91733-2088 (626) 652-0790 34.062746 -118.050224 78.2qqq 4331.01
1972954071 1972954071 1 2 Comprehensive Community 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles HEALTH CENTERS INC 8316 Foothill Blvd None Sunland CA 91040-2850 (818) 265-2264 34.259691 -118.313998 78.2rr 1031.02
1982756086 1982756086 1 1 Community Health Systems Inc 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego None 1328 S Mission Rd None Fallbrook CA 92028-4006 (760) 451-4720 33.368587 -117.250778 160 189.06
1982820221 1982820221 1 1 Clinicas Del Camino 22-Feb-20 200 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 91320-6438 (805) 498-3640 34.183029 -118.903463 240b 59.09
1982846366 1982846366 1 1 County Of Ventura 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura None 3801 Las Posas Rd Suite 214 Camarillo CA 93010-1426 (805) 652-6075 34.241839 -119.017193 239 52.02
1992117071 1992117071 1 1 Clinica Sierra Vista 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 15 Kern None 7800 Niles St None Bakersfield CA 93306-4937 (661) 328-4284 35.37622 -118.917517 66a 9.07
1992798730 1992798730 1 1 Cabrera, John F Md 24-Jan-12 26 PHYSICIANS G00081189 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles None 1420 S Central Ave None Glendale CA 91204-2508 (818) 502-4567 34.128432 -118.2578 78.2ee 3024.01
1992850515 1992850515 1 1 California St Univ Full 21-Apr-98 22 PHYSICIANS GROUP None 1 General Practice 0 In state provider 30 Orange STUDENT HLTH & COUSLTNG 800 N State College Blvd None Fullerton CA 92831-3547 (714) 278-2800 33.878998 -117.889712 116f 115.03
1992994628 1992994628 1 1 Cachur, Thomas J Jr Do 21-Sep-07 26 PHYSICIANS 20A9086 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles APMC 1513 S Grand Ave Ste 320 Los Angeles CA 90015-3021 (213) 747-7307 34.036322 -118.265961 78.2ffff 2240.1