Table family_pact_providers_profile_cys_2020

Table: family_pact_providers_profile_cys_2020_2021 , provider_business_legal_name like N*

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
1003830258	1003830258	1	1	Nieto, Sandra Md	23-Nov-10	26	PHYSICIANS	A00084185	16	Obstetrics-Gynecology (M.D. Only) Neonatal	In state provider	19	Los Angeles	None	433 N 4th St	Ste 211	Montebello	CA	90640-4309	(323) 786-8833	34.015139	-118.102132	78.2ww	5301.01
1013199264	1013199264	1	1	Northeast Valley Health Corp	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	19	Los Angeles	SUN VALLEY HEALTH CENTER	7223 Fair Ave	None	Sun Valley	CA	91352-4964	(818) 898-1388	34.201895	-118.374679	78.2bb	1230.1
1053655704	1053655704	1	1	North East Medical Services	27-Sep-13	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	In state provider	38	San Francisco	None	1400 Noriega St	None	San Francisco	CA	94122-4432	(415) 391-9686	37.754135	-122.478652	162e	328.02
1063684405	1063684405	1	1	National Health Svcs Inc	20-Mar-07	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	In state provider	15	Kern	TEHACHAPI COMM MEDICAL	161 N Mill St	None	Tehachapi	CA	93561-1347	(661) 822-9054	35.133735	-118.452088	62	61
1063699080	1063699080	1	1	Northeast Valley Hospita	25-Apr-08	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	In state provider	19	Los Angeles	None	1600 San Fernando Rd	None	San Fernando	CA	91340-3115	(818) 365-8086	34.28879	-118.447881	78.2ll	3203
1073529681	1073529681	1	1	North County Health Project	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	37	San Diego	INC	220 Rotanzi Street	None	Ramona	CA	92065-2583	(760) 736-6767	33.029292	-116.889594	158.1	208.05
1083035505	1083035505	1	1	North East Medical Services	12-Jun-14	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	In state provider	43	Santa Clara	None	1870 Lundy Avenue	None	San Jose	CA	95131-1826	(408) 573-9686	37.39265	-121.890281	183o	5043.22
1093933939	1093933939	1	1	Nobel Care Medical Group Inc	21-Jun-02	26	PHYSICIANS	20A7033	None	UNKNOWN	In state provider	19	Los Angeles	SAN FERNANDO MED CTR	501 N Maclay Ave	None	San Fernando	CA	91340-2424	(818) 361-3788	34.287696	-118.435277	78.2ll	3202.02
1104819945	1104819945	1	1	Nguyen, Hung V Md	15-Sep-87	26	PHYSICIANS	A00042303	1	General Practice	In state provider	19	Los Angeles	None	7227 Reseda Blvd	None	Reseda	CA	91335-3046	(818) 708-7227	34.201649	-118.536045	78.2zz	1318
1114104015	1114104015	1	1	Northeast Vly Hlth Corp	25-Apr-08	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	In state provider	19	Los Angeles	EARLY INTERVENTION	6551 Van Nuys Blvd	Ste 201	Van Nuys	CA	91402-4839	(818) 898-1388	34.211805	-118.448675	78.2zz	1203
1114220357	1114220357	1	1	North Kern South Tulare	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	15	Kern	HOSPITAL DISTRICT	1500 6th Avenue	None	Delano	CA	93215-3011	(559) 720-2100	35.764977	-119.237689	60	50.03
1124205182	1124205182	1	1	North East Medical Svcs	10-Apr-08	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	In state provider	38	San Francisco	NORIEGA	1450 Noriega St	None	San Francisco	CA	94122-4432	(415) 391-9686	37.754117	-122.479194	162e	328.02
1124460274	1124460274	1	1	Northeast Community Clinics	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	19	Los Angeles	None	2975 Zoe Avenue	None	Huntington Park	CA	90255-0000	(323) 826-9449	33.979374	-118.215302	78.2ccc	5331.06
1144407487	1144407487	1	1	North East Medical Svs	16-Apr-08	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	In state provider	38	San Francisco	None	1520 Stockton St	None	San Francisco	CA	94133-3354	(415) 391-9686	37.799729	-122.409086	162a	106
1154786846	1154786846	1	10	Neighborhood Healthcare	22-Nov-21	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	33	Riverside	INTERMITTENT	26926 Cherry Hills Blvd	Ste B	Menifee	CA	92586-2500	(951) 216-6100	33.711116	-117.189081	133.1	427.11
1154786846	1154786846	1	12	Neighborhood Healthcare	24-Feb-22	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	33	Riverside	INTERMITTENT	31720 Temecula Parkway	Suite 200	Temecula	CA	92592-5895	(951) 216-6100	33.470664	-117.117197	131c	432.5
1154786846	1154786846	1	13	Neighborhood Healthcare	26-May-22	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	33	Riverside	INTERMITTENT	41840 Enterprise Cir N	None	Temecula	CA	92590-5654	(951) 216-6100	33.517198	-117.169596	131c	512
1194974402	1194974402	1	1	North Orange County Reg	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	30	Orange	None	1182 N Euclid St	None	Anaheim	CA	92801-1900	(714) 441-0411	33.850125	-117.941723	116l	866.01
1235473984	1235473984	1	1	North East Medical Services	25-Nov-13	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	In state provider	38	San Francisco	None	1033 Clement St	None	San Francisco	CA	94118-2112	(415) 391-9686	37.782707	-122.47015	162h	402
1245246917	1245246917	1	1	North County Health Project	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	37	San Diego	INCORPORATED	150 Valpreda Rd	None	San Marcos	CA	92069-2973	(760) 736-6700	33.141908	-117.156473	156e	200.23
1255347704	1255347704	1	1	North County Health Project	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	37	San Diego	INC	1295 Carlsbad Village Dr	Ste 100	Carlsbad	CA	92008-1950	(760) 720-7767	33.164606	-117.340019	156b	178.01
1255347894	1255347894	1	1	North County Health Project	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	37	San Diego	INC	2210 Mesa Dr	Ste 300	Oceanside	CA	92069-3756	(760) 736-6767	33.208349	-117.359004	156a	185.1
1295752384	1295752384	1	1	Northern Valley Indian	25-Jan-22	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	11	Glenn	HEALTH	207 N Butte St	None	Willows	CA	95988-2803	(916) 934-4641	39.521923	-122.195357	37	104
1346527918	1346527918	1	1	Northeast Medical Services	12-Oct-12	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	In state provider	41	San Mateo	None	211 Eastmoor Ave	None	Daly City	CA	94015-2036	(415) 391-9686	37.684799	-122.479069	176d	6014
1356469381	1356469381	2	1	North Broadway Med Clinic	9-Mar-10	22	PHYSICIANS GROUP	A00025805	None	UNKNOWN	In state provider	19	Los Angeles	INC	2926 N Broadway	None	Los Angeles	CA	90031-2611	(000) 000-0000	34.073699	-118.211366	78.2i	1998
1356528376	1356528376	1	1	Northeast Valley Health	24-Apr-08	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	In state provider	19	Los Angeles	None	12756 Van Nuys Blvd	None	Pacoima	CA	91331-1696	(818) 896-0531	34.274345	-118.410738	78.2ppp	1041.05
1366501629	1366501629	1	1	Nouri, Jahanbakhsh Md	30-Dec-96	26	PHYSICIANS	A00053484	None	UNKNOWN	In state provider	19	Los Angeles	CARE INC	8725 Woodman Ave	None	Arleta	CA	91331-6560	(818) 891-4455	34.22838	-118.43485	78.2ll	1198
1396852455	1396852455	1	1	North County Health Proj	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	37	San Diego	NCHS WOMEN'S HEALTH SVS	2210 Mesa Dr	Ste 5&7	Oceanside	CA	92054-3756	(760) 736-6767	33.208349	-117.359004	156a	185.1
1417032921	1417032921	1	1	Northern Inyo County	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	14	Inyo	LOCAL HOSPITAL DISTRICT	153 Pioneer Ln	None	Bishop	CA	93514-2517	(000) 000-0000	37.361988	-118.407362	53	4
1417321746	1417321746	1	1	North County Health Project	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	33	Riverside	INC	1675 N Perris Blvd	Ste G1	Perris	CA	92571-4748	(760) 736-6767	33.802522	-117.22603	133.1	426.17
1447267349	1447267349	1	1	North County Health Proj	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	37	San Diego	NCHS WOMEN'S HEALTH SVS	1130 2nd St	None	Encinitas	CA	92024-5008	(760) 736-6767	33.03762	-117.293663	156a	175.01
1477563518	1477563518	1	1	Northeastern Health Ctr	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	18	Lassen	None	1850 Spring Ridge Dr	None	Susanville	CA	96130-6100	(530) 251-5000	40.438386	-120.649774	72	403.05
1497776322	1497776322	1	1	Nabil & Janet F Soliman	9-Jul-93	22	PHYSICIANS GROUP	FNP019887	1	General Practice	In state provider	19	Los Angeles	CENTRO MEDICO INC	11946 S Hawthorne Blvd	None	Hawthorne	CA	90250-3016	(310) 675-1136	33.924681	-118.352379	78.2r	6021.04
1497882252	1497882252	1	2	Narcotics Prevention	9-Nov-17	41	COMMUNITY CLINIC	550003737	None	UNKNOWN	In state provider	19	Los Angeles	ASSOCIATION, INC	922 S Atlantic Blvd	None	Los Angeles	CA	90022-4004	(323) 263-9700	34.019813	-118.157453	78.2d	5317.02
1497889158	1497889158	1	1	Nhan Hoa Comprehensive	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	30	Orange	HEALTH CARE CLINIC INC	7761 Garden Grove Blvd	None	Garden Grove	CA	92841-4200	(714) 898-8888	33.773758	-117.997515	116s	998.01
1497932396	1497932396	1	1	Northeast Valley Health	25-Apr-08	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	In state provider	19	Los Angeles	LAC-CANOGA PARK	7107 Remmet Ave	None	Canoga Park	CA	91303-2016	(818) 898-1388	34.199348	-118.600274	78.2hhhh	1345.2
1528120151	1528120151	1	1	North County Health Ctr	1-Mar-97	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	In state provider	41	San Mateo	None	380 90th St	None	Daly City	CA	94015-1807	(415) 301-8640	37.691132	-122.474097	176d	6012
1538562996	1538562996	1	1	Napa Valley Community	20-Mar-17	55	LOCAL EDUCATION AGENCY	None	None	UNKNOWN	In state provider	28	Napa	COLLEGE DISTRICT	2277 Napa Vallejo Hwy	None	Napa	CA	94558-6236	(707) 256-7780	38.272041	-122.272436	112.1	2009
1558693655	1558693655	1	1	Northeast Valley Health	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	19	Los Angeles	None	18533 Soledad Canyon Rd	None	Santa Clarita	CA	91351-3722	(661) 673-8800	34.416489	-118.456574	76.1b	9200.35
1598703647	1598703647	1	1	Neighborhood Healthcare	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	37	San Diego	ESCONDIDO	460 N Elm St	None	Escondido	CA	92025-3002	(760) 737-2000	33.128479	-117.07291	156e	202.02
1598703647	1598703647	1	11	Neighborhood Healthcare	29-Jun-21	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	37	San Diego	INTERMITTENT	728 East Valley Parkway	None	Escondido	CA	92025-3052	(760) 737-2000	33.12746	-117.073548	156e	202.02
1598703647	1598703647	1	14	Neighborhood Healthcare	12-Mar-21	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	37	San Diego	INTERMITTENT	488 East Valley Parkway	Suite 404	Escondido	CA	92025-3379	(760) 737-2000	33.125652	-117.076448	156e	202.14
1598703647	1598703647	1	29	Neighborhood Healthcare	10-Jun-21	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	37	San Diego	INTERMITTENT	28477 Lizard Rocks Rd	None	Valley Center	CA	92082-6206	(760) 737-2000	33.22986	-117.022042	153.2	191.06
1598936254	1598936254	1	1	National Health Services	17-Jun-08	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	In state provider	15	Kern	PO BOX 917	277 E Front St	None	Buttonwillow	CA	93206-9725	(661) 764-5211	35.39969	-119.466007	59	37
1639185317	1639185317	1	1	North County Hlth Prjct, Inc	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	37	San Diego	None	605 Crouch Street	Bldg C	Oceanside	CA	92054-4415	(760) 736-6767	33.196018	-117.353708	156a	185.09
1649442088	1649442088	1	1	National Health Services	17-Jun-08	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	In state provider	15	Kern	None	21138 Paso Robles Hwy	None	Lost Hills	CA	93249-9731	(661) 797-2667	35.731274	-119.826455	58.2	45
1689863516	1689863516	1	1	Native American Health	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	1	Alameda	CENTER INC	2950 International Blvd	None	Oakland	CA	94601-2228	(510) 535-4400	37.77873	-122.228048	2d	4062.02
1740634286	1740634286	1	1	Northern Valley Indian	25-Jan-22	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	4	Butte	HEALTH INC	500 Cohasset Road	Ste 15	Chico	CA	95926-2260	(530) 433-2500	39.751732	-121.848332	7.1	3
1760667950	1760667950	1	1	Neighborhood Healthcare	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	37	San Diego	EL CAJON	855 E Madison Avenue	None	El Cajon	CA	92020-3819	(619) 440-2751	32.800293	-116.951663	161h	163.01
1760669667	1760669667	1	1	Northeast Valley Health	25-Apr-08	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	In state provider	19	Los Angeles	LAC-VALENCIA	23763 Valencia Blvd	None	Valencia	CA	91355-2105	(818) 898-1388	34.414766	-118.550458	76.1a	9203.29
1801214853	1801214853	1	1	Niloo Medical Group Inc	10-Dec-14	26	PHYSICIANS	A112671	None	UNKNOWN	In state provider	19	Los Angeles	None	4762 Whittier Blvd	None	Los Angeles	CA	90022-3026	(323) 796-0500	34.022146	-118.165471	78.2d	5316.04
1801399860	1801399860	1	1	Northeast Valley Health	21-Sep-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	19	Los Angeles	AFFILIATED	12759 Van Nuys Blvd	None	Pacoima	CA	91331-1627	(818) 485-8250	34.274312	-118.410783	78.2ppp	1041.05
1811174022	1811174022	1	1	Northeast Valley Health	24-Apr-08	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	In state provider	19	Los Angeles	HOMELESS CLINIC	7843 Lankershim Blvd	None	North Hollywood	CA	91605-2523	(818) 898-1388	34.212866	-118.387804	78.2ppp	1218.02
1881104313	1881104313	1	1	Northeast Valley Health	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	19	Los Angeles	CORPORATION	23413 Lyons Ave	None	Santa Clarita	CA	91355-3028	(661) 593-7500	34.37967	-118.543938	76.1a	9203.22
1881825305	1881825305	1	1	North East Med Srvcs	29-Apr-10	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	In state provider	38	San Francisco	None	2574 San Bruno Ave	None	San Francisco	CA	94134-1505	(415) 391-9686	37.729162	-122.404263	162f	257.02
1881871721	1881871721	1	1	Northeast Vly Hlth Corp	25-Apr-08	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	In state provider	19	Los Angeles	MISSION COLLEGE	13356 Eldridge Ave	None	Sylmar	CA	91342-3200	(818) 898-1388	34.314627	-118.420426	78.2gg	1061.11
1881987576	1881987576	1	1	Northeast Community Clinics	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	19	Los Angeles	None	2822 E Florence Avenue	None	Huntington Park	CA	90255-5749	(323) 923-1900	33.973614	-118.219292	78.2ccc	5331.07
1952641136	1952641136	1	1	Northeast Community Clinics	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	In state provider	19	Los Angeles	None	1403 Lomita Blvd	Ste 100,101, & 106	Harbor City	CA	90710-2084	(310) 784-5800	33.79783	-118.30132	78.2aaaa	2933.02
1992983472	1992983472	1	1	North Park Family Hlth	2-Apr-08	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	In state provider	37	San Diego	CENTER	3544 30th St	None	San Diego	CA	92104-4120	(619) 515-2300	32.743078	-117.130067	161d	14