Table: family_pact_providers_profile_cys_2020_2021 , provider_business_legal_name like O*

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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
1033426002 1033426002 1 1 Omni Family Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 15 Kern None 1014 Calloway Drive Bldg F Bakersfield CA 93312-6337 (661) 377-0439 35.392827 -119.122089 66d 38.07
1073547220 1073547220 1 1 Osibamiro, Ade Md Inc 22-Apr-05 26 PHYSICIANS A64972 5 Anesthesiology 0 In state provider 19 Los Angeles None 2637 E Carson Street None Carson CA 90810-1508 (310) 847-1321 33.831718 -118.220075 78.2v 5440.02
1073997326 1073997326 1 1 Omni Family Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 15 Kern None 4151 Mexicali Drive None Bakersfield CA 93313-2065 (800) 300-6664 35.317752 -119.081668 66c 31.23
1083940597 1083940597 1 1 Oc Urgentcare Medical 6-Jul-10 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 30 Orange GROUP INCORPORATED 631 S Brookhurst St Suite # 101 Anaheim CA 92804-3510 (714) 991-5700 33.824352 -117.958938 116c 877.01
1164806410 1164806410 1 1 Omni Family Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 15 Kern None 1022 Calloway Drive None Bakersfield CA 93312-6337 (800) 300-6664 35.365417 -119.114148 66d 38.12
1205367646 1205367646 1 1 Omni Family Health 24-May-19 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 10 Fresno INTERMITTENT 4844 N 1st Street Suite 104 Fresno CA 93726-0529 (661) 630-7051 36.80568 -119.772105 35f 53.02
1245777358 1245777358 1 1 Omni Family Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 10 Fresno None 925 G Street None Reedley CA 93654-2626 (661) 459-1900 36.598178 -119.452641 32 66.02
1275617169 1275617169 1 1 Operation Samahan Inc 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego None 2835 Highland Ave Suite A National City CA 91950-7406 (844) 200-2426 32.660558 -117.091927 161k 116.02
1295913366 1295913366 1 1 Ole Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 28 Napa CLINIC OLE 1222 Pine St Ste A Saint Helena CA 94574-1830 (707) 709-2308 38.506025 -122.472105 111.1 2016.02
1306252051 1306252051 1 1 Open Door Community Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 12 Humboldt CENTERS 3750 Rohnerville Road None Fortuna CA 95540-3118 (707) 725-6101 40.56397 -124.126673 42 110
1306852496 1306852496 1 1 Omni Family Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 15 Kern None 1215 Jefferson St None Delano CA 93215-2203 (800) 300-6664 35.771991 -119.244972 60 50.04
1326585431 1326585431 1 1 Omni Family Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 10 Fresno None 1530 E Manning Avenue None Reedley CA 93654-2626 (800) 300-6664 36.604125 -119.432889 32 66.04
1396721197 1396721197 1 1 Omni Womens Health Medical 15-Jun-04 22 PHYSICIANS GROUP FNP030976 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 10 Fresno HEALTH MEDICAL GRP INC 2944 Fresno St Ste 101 Fresno CA 93721-1405 (559) 495-3120 36.742799 -119.782517 35c 5.02
1396721197 1396721197 1 2 Omni Womens Health Medical 15-Jun-04 22 PHYSICIANS GROUP FNP030976 None UNKNOWN 0 In state provider 10 Fresno HEALTH MEDICAL GRP INC 2210 E Illinois Ste 201 Fresno CA 93701-2167 (559) 266-2496 36.74503 -119.78478 35c 5.02
1396721197 1396721197 1 8 Omni Womens Health Medical 16-Jul-08 22 PHYSICIANS GROUP FNP030976 None UNKNOWN 0 In state provider 10 Fresno None 2550 Merced St None Fresno CA 93721-1812 (559) 266-2496 36.740913 -119.7878 35c 6
1396721197 1396721197 1 10 Omni Womens Health Medical 12-Jan-09 22 PHYSICIANS GROUP FNP023486 None UNKNOWN 0 In state provider 10 Fresno GROUP INC 3812 N First St None Fresno CA 93726-4301 (559) 495-3120 36.787118 -119.772381 35d 52.04
1417474966 1417474966 1 1 Open Door Community Health 22-Mar-21 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 12 Humboldt CENTERS 2350 Buhne Street Suite A Eureka CA 95501-3205 (707) 443-4593 40.785949 -124.141008 39 6
1467858696 1467858696 1 1 Omni Family Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 15 Kern None 210 N Chester Ave None Bakersfield CA 93308-4841 (800) 300-6664 35.406952 -119.020929 66a 4
1477522019 1477522019 1 1 Orchard Hospital 19-Dec-79 16 COMMUNITY INPATIENT HOSPITAL 40300802 None UNKNOWN 0 In state provider 4 Butte None 240 Spruce St None Gridley CA 95948-2216 (530) 846-9000 39.366966 -121.690577 9 35.02
1508896275 1508896275 1 1 Otuechere, Valentine U Md 4-Aug-09 26 PHYSICIANS A00093662 None UNKNOWN 0 In state provider 33 Riverside None 8990 Garfield St Suite 6 Riverside CA 92503-3922 (951) 343-1616 33.928878 -117.439726 135c 315.01
1548301633 1548301633 1 1 Oak Valley Hospital Dist 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 50 Stanislaus None 2603 Patterson Rd Ste 3 Riverbank CA 95367-3407 (209) 848-4128 37.732702 -120.948196 211 3.02
1558875203 1558875203 1 1 Omni Family Health 10-Aug-21 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 15 Kern None 1701 Stine Road None Bakersfield CA 93309-4827 (800) 300-6664 35.339488 -119.050542 66c 28.14
1558903898 1558903898 1 1 Omni Family Health 22-Sep-21 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 15 Kern INTERMITTENT 2811 H St None Bakersfield CA 93301-1913 (661) 630-7063 35.384912 -119.021184 66a 16
1598178915 1598178915 1 1 Open Door Community Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 12 Humboldt CENTERS 638 Main Street None Ferndale CA 95536-9521 (707) 786-4028 40.578153 -124.261982 42 112
1598858169 1598858169 1 1 Open Door Comm Hlth Ctrs 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 12 Humboldt OPEN DOOR MCKINLEYVILLE 1644 Central Ave Ste A,b,c,d,e&f Mckinleyville CA 95519-4342 (707) 839-3068 40.93509 -124.100882 40 105.01
1629558721 1629558721 1 1 Omni Family Health 12-May-22 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 54 Tulare INTERMITTENT 311 W Noble Avenue None Visalia CA 93277-2669 (661) 630-7063 36.326459 -119.294699 233 17.01
1649318338 1649318338 3 1 Ostoya, Paul W Md Inc 2-Oct-08 26 PHYSICIANS None None UNKNOWN 0 In state provider 10 Fresno None 1095 E Warner Ave Ste 101 Fresno CA 93710-4000 (559) 435-3567 36.836212 -119.769775 35f 54.06
1669569109 1669569109 1 1 Open Door Community Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 12 Humboldt CENTERS 2200 Tydd Street None Eureka CA 95501-1284 (707) 441-1624 40.802174 -124.146604 39 5
1689778813 1689778813 1 1 Open Door Comm Hlth Ctrs 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 12 Humboldt NORTHCOUNTRY CLIN-ARCATA 785 18th St None Arcata CA 95521-5683 (707) 822-2481 40.87618 -124.083992 39 10
1699812099 1699812099 1 1 Orange Cnty Hlth Dept 19-Dec-79 48 COUNTY CLINICS NOT ASSOCIATED WITH HOSPITAL ZZT11732F None UNKNOWN 0 In state provider 30 Orange None 1725 W 17th St None Santa Ana CA 92706-2316 (714) 568-4395 33.76006 -117.892138 116h 753.02
1700976503 1700976503 1 3 Ole Health 22-Oct-04 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 28 Napa None 1141 Pear Tree Ln None Napa CA 94558-6484 (707) 254-1775 38.321291 -122.29228 112.2 2005.04
1730330739 1730330739 1 1 Open Door Community Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 12 Humboldt None 38883 Hwy 299 None Willow Creek CA 95573-0000 (530) 629-3111 40.936419 -123.625819 38 101.02
1770624553 1770624553 1 1 Oak Valley Hospital Dist 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 39 San Joaquin HEALTH CLINIC 2080 Mchenry Ave Suite 200 Escalon CA 95320-9484 (209) 848-4128 37.793504 -120.996556 164.2 49.01
1780928986 1780928986 1 1 Omni Family Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 15 Kern None 4600 Panama Lane Suite 102b Bakersfield CA 93313-3509 (800) 300-6664 35.295989 -119.053828 66c 31.14
1801907449 1801907449 1 1 Operation Samahan Inc 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego None 2743 Highland Ave None National City CA 91950-7410 (844) 200-2426 32.661316 -117.09223 161k 116.02
1821237355 1821237355 1 1 Omni Family Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 15 Kern None 1133 N Chelsea St None Ridgecrest CA 93555-5537 (800) 300-6664 35.638142 -117.675674 64 54.01
1841331626 1841331626 1 1 Oak Valley Hospital District 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 50 Stanislaus None 1420 W H St None Oakdale CA 95361-3557 (209) 848-4180 37.758018 -120.862179 211 2.02
1841476686 1841476686 1 1 Omni Family Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 15 Kern None 3409 Calloway Dr Ste 300 Bakersfield CA 93312-2528 (800) 300-6664 35.391031 -119.110086 66d 38.07
1851713929 1851713929 1 1 Omni Family Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 15 Kern None 4131 Ming Ave None Bakersfield CA 93309-4994 (800) 300-6664 35.339464 -119.049305 66c 28.14
1861867590 1861867590 1 1 Omni Family Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 15 Kern None 659 Central Valley Hwy None Shafter CA 93263-2790 (800) 300-6664 35.504066 -119.276012 58.1 41.01
1871680397 1871680397 1 1 Operation Samahan Inc 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego None 10737 Camino Ruiz Ste 235 San Diego CA 92126-2375 (844) 200-2426 32.91375 -117.143814 161v 83.57
1902106198 1902106198 1 1 Ole Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 28 Napa None 300 Hartle Court None Napa CA 94559-4078 (707) 254-1774 38.287257 -122.288484 112.1 2002.03
1922318047 1922318047 1 1 Open Door Community Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 12 Humboldt CENTERS 3800 Janes Road Ste 101 Arcata CA 95521-4742 (707) 822-1385 40.9036 -124.090373 39 13
1962506295 1962506295 1 1 Oroville Hospital 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 4 Butte None 2809 Olive Highway Suite 210 & 320 Oroville CA 95966-6133 (530) 532-8687 39.50469 -121.542356 10 30.01
1982756425 1982756425 1 1 Oroville Hospital 19-Dec-79 15 COMMUNITY OUTPATIENT HOSPITAL 42390937 None UNKNOWN 0 In state provider 4 Butte None 2767 Olive Hwy None Oroville CA 95966-6118 (530) 533-8500 39.504939 -121.54275 10 27