Table family_pact_providers_profile_cys_2020

Table: family_pact_providers_profile_cys_2020_2021 , provider_business_legal_name like D*

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_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
1043217359	1043217359	1	1	Dang, Alan Md	28-Feb-13	26	PHYSICIANS	A82876	16	Obstetrics-Gynecology (M.D. Only) Neonatal	In state provider	30	Orange	None	2621 S Bristol St	Ste 300	Santa Ana	CA	92704-5766	(714) 540-7720	33.712311	-117.885379	116g	740.05
1104856095	1104856095	1	1	Desert Regional Medical	25-Jun-98	72	MENTAL HEALTH INPATIENT SERVICES	None	None	UNKNOWN	In state provider	33	Riverside	CENTER INC	1150 N Indian Canyon Dr	None	Palm Springs	CA	92262-4872	(760) 323-6511	33.838898	-116.545608	129.4	446.06
1124296413	1124296413	1	1	Duel, Ebrahim Md Inc	9-Oct-08	22	PHYSICIANS GROUP	FNP033834	None	UNKNOWN	In state provider	30	Orange	None	301 N Main St	None	Santa Ana	CA	92701-4852	(714) 547-6641	33.747129	-117.867626	116b	750.02
1255738423	1255738423	1	1	Del Rosario, Gelen R Md Inc	6-Dec-17	89	ELECTRONIC HEALTH RECORD INCENTIVE PROGRAM	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	In state provider	37	San Diego	None	502 South Euclid Ave	Suite 300	National City	CA	91950-2931	(619) 475-1261	32.685307	-117.083365	161g	220
1316038169	1316038169	1	1	Dardashti, Malihe Md	22-Oct-84	26	PHYSICIANS	A00041092	8	Family Practice	In state provider	19	Los Angeles	None	8500 Wilshire Blvd	Ste 625	Beverly Hills	CA	90211-3120	(310) 360-9785	34.065251	-118.37624	78.2w	7008.02
1316038169	1316038169	1	2	Dardashti, Malihe Md	1-Dec-98	26	PHYSICIANS	A00041092	8	Family Practice	In state provider	19	Los Angeles	SAN PEDRO ADAMS MEDICAL	2530 S San Pedro St	None	Los Angeles	CA	90011-1520	(213) 748-0449	34.021969	-118.261057	78.2mmm	2264.1
1386689453	1386689453	1	1	Diego, Loraine V Md Inc	30-Aug-01	26	PHYSICIANS	A67445	16	Obstetrics-Gynecology (M.D. Only) Neonatal	In state provider	19	Los Angeles	None	2405 W 8th St	Ste 105	Los Angeles	CA	90057-5016	(213) 388-2229	34.056301	-118.281071	78.2b	2094.01
1417365545	1417365545	1	1	Dornika Medical Inc	15-May-15	26	PHYSICIANS	A76326	1	General Practice	In state provider	19	Los Angeles	None	2121 S San Pedro St	Unit E	Los Angeles	CA	90011-1160	(213) 742-0300	34.0253	-118.258932	78.2mmm	2264.1
1508222647	1508222647	1	1	Dignity Health Medical Found	13-May-16	22	PHYSICIANS GROUP	None	None	UNKNOWN	In state provider	19	Los Angeles	#NAME?	18406 Roscoe	Ste A	Northridge	CA	91325-4107	(818) 700-5678	34.220741	-118.534065	78.2zz	1314
1659335701	1659335701	1	1	Delarosa, Jose L Md	19-Jul-02	26	PHYSICIANS	A00043518	16	Obstetrics-Gynecology (M.D. Only) Neonatal	In state provider	19	Los Angeles	None	16415 Colorado Ave	Ste 103	Paramount	CA	90723-5051	(562) 531-0733	33.88528	-118.161428	78.2m	5538.02
1659419307	1659419307	1	1	Del Rosario Medical	3-Jul-96	22	PHYSICIANS GROUP	FNP017692	1	General Practice	In state provider	19	Los Angeles	CLINIC, INC	3400 E Florence Ave	None	Huntington Park	CA	90255-5835	(323) 589-9384	33.97223	-118.205979	78.2ccc	5332.03
1861582033	1861582033	1	1	Demian, Romany F Md	1-Aug-03	26	PHYSICIANS	A00052286	41	Internal Medicine	In state provider	56	Ventura	SAN JUAN MED CLINIC INC	971 W 7th St	Ste B	Oxnard	CA	93030-6757	(805) 483-2500	34.195193	-119.18969	241b	86
1891097176	1891097176	1	1	Dr Veronica Abusleme Md Inc	9-Apr-12	26	PHYSICIANS	A00038422	16	Obstetrics-Gynecology (M.D. Only) Neonatal	In state provider	19	Los Angeles	None	14621 Nordhoff St	Ste 2a	Panorama City	CA	91402-1835	(818) 891-0678	34.235408	-118.451136	78.2ll	1193.4
1902183098	1902183098	1	1	Deborah A Higer	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	47	Siskiyou	None	725 Pine Street	None	Mount Shasta	CA	96067-2133	(530) 926-4556	41.315387	-122.318452	197	10
1912176264	1912176264	1	1	Dr M Forghani S Corp	15-Sep-08	26	PHYSICIANS	20A8699	None	UNKNOWN	In state provider	30	Orange	DO	12665 Garden Grove Blvd	Ste 601	Garden Grove	CA	92843-1920	(714) 537-1387	33.774497	-117.912024	116r	885.02
1912176264	1912176264	1	2	Dr M Forghani S Corp	15-Oct-08	26	PHYSICIANS	20A8699	None	UNKNOWN	In state provider	30	Orange	None	1515 N Broadway	None	Santa Ana	CA	92706-3906	(714) 542-3500	33.758019	-117.869651	116b	750.03
1912928540	1912928540	1	1	De Los Reyes, Bernardita	22-Jan-01	22	PHYSICIANS GROUP	FNP015026	16	Obstetrics-Gynecology (M.D. Only) Neonatal	In state provider	19	Los Angeles	CLINICA SANTA ISABEL MED	2760 E Florence Ave	None	Huntington Park	CA	90255-5747	(323) 587-2222	33.973776	-118.220823	78.2ccc	5331.07
1962676064	1962676064	1	1	Diamond Neighborhoods	22-Dec-08	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	In state provider	37	San Diego	FAMILY HEALTH CENTER	220 Euclid Ave	Ste 40	San Diego	CA	92114-3617	(619) 515-2560	32.706291	-117.085087	161g	33.04
1972614758	1972614758	1	1	Do, Thutrang Do	22-Sep-06	26	PHYSICIANS	20A8885	41	Internal Medicine	In state provider	19	Los Angeles	DO MEDICAL, INC	15735 Hawthorne Blvd	Ste 111	Lawndale	CA	90260-2664	(310) 675-1300	33.888154	-118.352692	78.2t	6039
1972752368	1972752368	1	1	De Novo Health Care Inc	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	19	Los Angeles	None	803 Rosecrans Ave	None	E Rancho Domingue	CA	90221-2145	(310) 605-4800	33.903457	-118.215352	78.2bbb	5416.04
1972828085	1972828085	1	1	Durfee Family Care Medical	1-Mar-13	26	PHYSICIANS	A453810	8	Family Practice	In state provider	19	Los Angeles	GROUP, APC	2006 Durfee Ave	None	El Monte	CA	91733-3713	(626) 442-5015	34.045825	-118.02981	78.2oo	4339.02