Table: family_pact_providers_profile_cys_2020_2021 , provider_business_legal_name like G*

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
1003955519	1003955519	1	1	Garcia-Nique, Luis O Md	31-Aug-88	26	PHYSICIANS	A00033647	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	30	Orange	None	3010 W Orange Ave	Ste 202	Anaheim	CA	92804-3171	(714) 527-8827	33.82475	-117.993763	116c	869.02
1023380425	1023380425	1	1	George Delshad Md A Professi	16-Nov-12	26	PHYSICIANS	G00083566	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	IC	15211 Vanowen Street	Suite 310	Van Nuys	CA	91405-3615	(818) 830-6970	34.19391	-118.464223	78.2cc	1278.05
1033240650	1033240650	1	1	Galdamez, Luis A Md Inc	23-May-05	22	PHYSICIANS GROUP	FNP020761	8	Family Practice	0	In state provider	19	Los Angeles	CLINICA MEDICA VIRGEN DE	6831 Seville Ave	None	Huntington Park	CA	90255-4805	(323) 581-8234	33.97748	-118.222551	78.2fff	5331.04
1033322771	1033322771	1	1	Golden Valley Health Ctr	18-Nov-05	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	50	Stanislaus	None	1121 Hammond St	None	Modesto	CA	95351-3509	(209) 576-4437	37.615276	-121.018607	215c	16.04
1043423205	1043423205	1	1	Golden Valley Health Ctr	1-Mar-97	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	50	Stanislaus	GUSTINE-NEWMAN	637 Merced St	None	Newman	CA	95360-9603	(209) 826-0271	37.314626	-121.016781	213	35
1073733879	1073733879	1	1	Golden Valley Health Ctr	4-Jun-21	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	24	Merced	None	3940 Sandpiper Avenue	None	Merced	CA	95340-8372	(209) 381-4104	37.307387	-120.583271	96	7.02
1083619753	1083619753	1	1	Gomez, Harold A	20-Sep-99	7	CERTIFIED NURSE PRACTIONER	RN0487974	None	UNKNOWN	0	In state provider	19	Los Angeles	None	1220 S Glendora Avenue	None	West Covina	CA	91790-4924	(626) 919-3800	34.055234	-117.938703	78.2www	4067.01
1124204292	1124204292	1	1	Golden Valley Health Ctr	20-Jul-07	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	50	Stanislaus	None	2760 3rd St	None	Ceres	CA	95307-3220	(209) 556-5011	37.591963	-120.954519	214	26.02
1144358748	1144358748	1	1	Gardner Family Hlth Ntwr	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	43	Santa Clara	GARDNER SO CO HEALTH CTR	7526 Monterey St	None	Gilroy	CA	95020-5826	(408) 846-6755	37.008533	-121.56939	182	5126.03
1164552931	1164552931	1	1	Gardner Family Hlth Ntwk	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	43	Santa Clara	ALVISO HEALTH CENTER	1621 Gold St	None	Alviso	CA	95002-1240	(408) 935-3900	37.424063	-121.976109	183l	5046.02
1194048884	1194048884	1	1	Genesis Clinica De La Mujer	20-Sep-11	26	PHYSICIANS	G75190	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	43	Santa Clara	INC	244 N Jackson Ave	Ste 209	San Jose	CA	95116-1604	(408) 258-3724	37.364025	-121.848918	183b	5037.12
1225168024	1225168024	1	1	Galdamez, Luis A Md Inc	25-Jan-96	22	PHYSICIANS GROUP	FNP020761	1	General Practice	0	In state provider	19	Los Angeles	CLINICA MEDICA VIRGEN DE	2955 E Florence Ave	None	Huntington Park	CA	90255-5836	(323) 585-0732	33.973308	-118.216415	78.2ccc	5331.07
1235342981	1235342981	1	1	Golden Valley Health Ctr	10-Feb-06	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	50	Stanislaus	PO BOX 7	301 Howard Rd	None	Westley	CA	95387-0000	(209) 894-3141	37.55006	-121.202124	213	33
1245420660	1245420660	1	1	George L Mee Mem Hosp	19-Dec-79	15	COMMUNITY OUTPATIENT HOSPITAL	270700777	None	UNKNOWN	0	In state provider	27	Monterey	None	300 Canal St	None	King City	CA	93930-3431	(408) 385-5491	36.207089	-121.132356	105	113.04
1275965105	1275965105	1	1	Gonzales, Rommel Medical	31-Dec-14	26	PHYSICIANS	A122760	1	General Practice	0	In state provider	19	Los Angeles	GROUP INC	508 S Alvarado St	None	Los Angeles	CA	90057-2904	(213) 483-3600	34.060315	-118.27436	78.2ffff	2088.01
1285658690	1285658690	1	1	Gumbs, Joslyn L Md	6-Feb-13	26	PHYSICIANS	A00087245	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	5255 W Sunset Blvd	None	Los Angeles	CA	90027-5716	(323) 257-1814	34.098107	-118.304455	78.2g	1911.1
1316150576	1316150576	1	1	Golden Valley Health Ctr	1-Mar-97	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	24	Merced	WOMEN'S HEALTH	797 W Childs Ave	None	Merced	CA	95340-6805	(209) 383-5871	37.288207	-120.496348	97.2	15.03
1316162829	1316162829	1	1	Golden Valley Health Ctr	1-Mar-97	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	24	Merced	None	847 W Childs Ave	None	Merced	CA	95341-0000	(209) 383-1848	37.288202	-120.497174	97.2	16.02
1316393010	1316393010	1	1	Golden Valley Health Centers	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	50	Stanislaus	None	1920 Memorial Drive	None	Ceres	CA	95307-1827	(209) 541-3000	37.600357	-120.961059	215c	26.04
1366633638	1366633638	1	1	George L Mee Mem Hosp	2-Dec-99	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	27	Monterey	MEDICAL CLINIC	467 El Camino Real	None	Greenfield	CA	93927-4915	(831) 674-4177	36.325892	-121.247649	107	112.02
1396047775	1396047775	1	1	Golbari, Abraham Md Inc	12-Jun-12	26	PHYSICIANS	A00055387	41	Internal Medicine	0	In state provider	19	Los Angeles	None	14030 Crenshaw Blvd	None	Gardena	CA	90249-2715	(310) 327-8746	33.904231	-118.326495	78.2bbbb	6026
1407941586	1407941586	1	1	Gandhi, Shobhana Md Inc	3-Dec-03	22	PHYSICIANS GROUP	A00029540	None	UNKNOWN	0	In state provider	19	Los Angeles	None	1300 N Vermont Ave	Suite 307	Los Angeles	CA	90027-6005	(323) 953-8821	34.095557	-118.291741	78.2g	1913.02
1407985534	1407985534	2	1	Gardner Family Health	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	43	Santa Clara	NETWORK, INC	195 E Virginia St	None	San Jose	CA	95112-5844	(408) 918-5500	37.325925	-121.877594	183d	5016
1467672253	1467672253	1	1	Golden Valley Health Ctr	2-Dec-05	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	24	Merced	None	13161 Jefferson St	None	Le Grand	CA	95333-9766	(209) 389-1900	37.230464	-120.249626	97.3	19.02
1497968010	1497968010	1	1	Golden Valley Health Ctr	19-Feb-20	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	50	Stanislaus	WEST MODESTO MEDICAL CTR	1114 6th St	None	Modesto	CA	95354-2203	(209) 576-2845	37.638749	-121.005396	215c	17
1497969166	1497969166	1	1	Golden Valley Health Ctr	1-Mar-97	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	50	Stanislaus	PATTERSON MEDICAL CTR	200 C St	None	Patterson	CA	95363-2701	(209) 892-8441	37.467494	-121.125671	213	32.02
1518187319	1518187319	1	1	Golden Valley Hlth Ctr	1-Mar-97	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	24	Merced	LOS BANOS	821 Texas Ave	None	Los Banos	CA	93635-3453	(209) 826-1045	37.064774	-120.860329	94	22.01
1548568421	1548568421	1	1	Golden Valley Health Centers	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	50	Stanislaus	None	4150 Patterson Road	None	Riverbank	CA	95367-2566	(209) 863-3990	37.732634	-120.919841	211	4.02
1558491043	1558491043	1	1	Gardner Family Health	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	43	Santa Clara	NETWORK INC	3030 Alum Rock Ave	None	San Jose	CA	95127-2807	(408) 272-6300	37.365085	-121.829369	183e	5040.01
1649292715	1649292715	1	1	Galstyan, Kevin G Md Inc	24-Jan-12	26	PHYSICIANS	A00087568	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
1649386707	1649386707	1	1	Gupta, Praveen Dr	18-Jul-08	26	PHYSICIANS	A00025680	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	9435 Venice Blvd	None	Culver City	CA	90232-2623	(310) 559-0575	34.025348	-118.395423	78.2y	2701
1679013726	1679013726	1	1	Golden Valley Health Centers	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	39	San Joaquin	None	250 Northgate Drive	None	Manteca	CA	95336-3161	(209) 239-5299	37.819051	-121.219685	164.1	51.26
1699041566	1699041566	1	1	Gardner Family Health	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	43	Santa Clara	NETWORK INC	725 E Santa Clara St	None	San Jose	CA	95112-1900	(408) 918-2662	37.343203	-121.875735	183d	5013
1740299833	1740299833	2	1	Garvey Healthy Family	5-May-16	26	PHYSICIANS	A00052220	1	General Practice	0	In state provider	19	Los Angeles	MEDICAL CLINIC INC	705 E Garvey Ave	None	Monterey Park	CA	91755-3024	(626) 312-5488	34.062637	-118.112845	78.2qqq	4817.12
1770703571	1770703571	1	1	Golden Valley Health Ctr	1-Mar-97	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	24	Merced	DOS PALOS	1405 California Ave	None	Dos Palos	CA	93620-2300	(209) 392-2111	36.98748	-120.629074	94	24.02
1841476652	1841476652	1	1	Grossmont Spring Valley	28-Mar-08	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	37	San Diego	None	8788 Jamacha Rd	None	Spring Valley	CA	91977-4035	(619) 515-2300	32.714791	-117.009764	161i	139.06
1851465256	1851465256	1	1	Georgiou, Stephen J Md	21-Sep-94	26	PHYSICIANS	G81674	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	24	Merced	None	502 Washington Ave	None	Los Banos	CA	93635-4649	(209) 826-0668	37.055966	-120.853095	94	23.01
1871779934	1871779934	1	1	Golden Valley Health Ctr	20-Jul-07	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	50	Stanislaus	None	1141 N Olive Ave	None	Turlock	CA	95380-3365	(209) 381-6364	37.503653	-120.839809	212.1	39.06
1891724993	1891724993	1	1	Ghalili, Saman Md	4-Aug-05	26	PHYSICIANS	A00088734	41	Internal Medicine	0	In state provider	19	Los Angeles	None	2101 S San Pedro St	None	Los Angeles	CA	90011-1125	(213) 745-8766	34.025797	-118.258617	78.2mmm	2264.1
1891839270	1891839270	1	1	Gardens Medical Center Inc	26-Dec-13	26	PHYSICIANS	None	8	Family Practice	0	In state provider	19	Los Angeles	None	7218 Garfield Ave	None	Bell Gardens	CA	90201-4812	(562) 927-1111	33.96621	-118.151108	78.2c	5339.02
1891904686	1891904686	1	1	Gage Medical Center	18-Feb-05	22	PHYSICIANS GROUP	FNP033884	40	Pediatrics, Periodontist (Dentists Only)	0	In state provider	19	Los Angeles	None	2719 E Gage Ave	None	Huntington Park	CA	90255-4202	(323) 277-0272	33.981669	-118.222164	78.2ccc	5326.06
1922249077	1922249077	1	1	Golden Valley Health Center	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	50	Stanislaus	None	1200 W Main St	None	Turlock	CA	95380-3411	(209) 668-5388	37.504718	-120.831871	212.1	39.07
1932399441	1932399441	1	1	Gupta, Aruna Md Apc	3-Dec-07	26	PHYSICIANS	A00088415	None	UNKNOWN	0	In state provider	33	Riverside	None	6850 Brockton Ave	Ste 108	Riverside	CA	92506-3816	(951) 867-1988	33.949252	-117.396777	135c	311
1942413786	1942413786	1	1	Golden Valley Health Ctr	2-Dec-05	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	50	Stanislaus	None	1717 Las Vegas St	None	Modesto	CA	95358-5500	(209) 576-4200	37.605347	-121.002716	215c	24.02
1942414214	1942414214	1	1	Golden Valley Health Ctr	1-Mar-97	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	50	Stanislaus	MCHENRY	1510 Florida Ave	Ste B	Modesto	CA	95350-4437	(209) 574-1365	37.665699	-120.996216	215a	13
1952323800	1952323800	1	1	Goodfaith Family Medical	24-Dec-98	22	PHYSICIANS GROUP	None	40	Pediatrics, Periodontist (Dentists Only)	0	In state provider	19	Los Angeles	GROUP, A MEDICAL CORP	7770 Garvey Ave	None	Rosemead	CA	91770-3061	(626) 307-4785	34.062585	-118.100159	78.2qqq	4825.02
1962680421	1962680421	1	1	Golden Valley Health Centers	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	50	Stanislaus	None	2101 Tenaya Dr	None	Modesto	CA	95354-3930	(209) 576-6766	37.632392	-120.959098	215c	21
1992970016	1992970016	1	1	Gerke, Thomas J Md Inc	26-Aug-08	26	PHYSICIANS	G00059290	1	General Practice	0	In state provider	19	Los Angeles	None	10811 S Grevillea Ave	None	Lennox	CA	90304-2325	(310) 673-1922	33.938069	-118.354856	78.2r	6017