Table: family_pact_providers_profile_cys_2020_2021 , provider_business_legal_name like T*

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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
1003965658	1003965658	1	2	Tabibzadeh, Kamrooz H Md	16-May-94	26	PHYSICIANS	G00057734	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	THE MATERNITY CLINIC	6618 Van Nuys Blvd	None	Van Nuys	CA	91405-4617	(818) 909-2229	34.191	-118.448709	78.2cc	1281.02
1023287679	1023287679	1	1	T H E Clinic At Ruth	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	TEMPLE HEALTH CENTER	3834 S Western Ave	None	Los Angeles	CA	90062-1104	(323) 730-1920	34.016711	-118.308893	78.2l	2313
1043427388	1043427388	1	1	Tehama County	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	8	Family Practice	0	In state provider	52	Tehama	None	1850 Walnut St	None	Red Bluff	CA	96080-3611	(530) 527-0350	40.168405	-122.261328	221	4
1073676243	1073676243	1	1	Tiburcio Vasquez Health	2-Oct-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	1	Alameda	CENTER-HAYWARD	22331 Mission Blvd	None	Hayward	CA	94541-3911	(510) 471-5907	37.674523	-122.086789	2h	4354
1083903124	1083903124	1	1	Torrance Health Association	17-Jul-14	22	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	19	Los Angeles	INC	824 E Carson St	Suite 203	Carson	CA	90745-2262	(310) 543-5448	33.83162	-118.260525	78.2v	5439.03
1104247329	1104247329	1	1	Torreblanca, Jose Md Inc	17-Mar-16	22	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	19	Los Angeles	None	7128 Seville Ave	None	Huntington Park	CA	90255-4906	(323) 588-2186	33.974651	-118.222487	78.2fff	5331.04
1134668304	1134668304	1	1	Tender Care Community Clinic	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	INC	7862 Firestone Blvd	None	Downey	CA	90241-4221	(562) 869-7007	33.944234	-118.140787	78.2eee	5514.02
1184791998	1184791998	1	1	Tri-City Health Center	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	1	Alameda	None	1999 Mowry Avenue	None	Fremont	CA	94538-1738	(510) 770-8040	37.557757	-121.981042	2j	4419.23
1194893248	1194893248	1	1	The Los Angeles Free Clinic	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	8405 Beverly Blvd	None	Los Angeles	CA	90048-3401	(323) 653-8622	34.076063	-118.373295	78.2f	1945
1205250263	1205250263	1	1	The Childrens Clinic Serving	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	CHILDREN AND FAMILIES	2125 Santa Fe Avenue	None	Long Beach	CA	90810-3547	(562) 264-4858	33.795733	-118.215523	78.2p	5728
1215103304	1215103304	1	1	Torres, Rebecca Md Amc	10-Feb-15	26	PHYSICIANS	None	1	General Practice	0	In state provider	33	Riverside	None	1530 West 6th Street	Suite 109	Corona	CA	92882-2784	(951) 279-2171	33.878466	-117.595001	135f	419.06
1215103304	1215103304	1	3	Torres, Rebecca Md Amc	10-Feb-15	22	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	36	San Bernardino	None	1605 S Riverside Ave	Ste B	Rialto	CA	92376-7707	(909) 873-5902	34.072944	-117.370219	151f	36.12
1235271065	1235271065	1	1	The Los Angeles Free Clinic	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	HOLLYWOOD HEALTH CENTER	6043 Hollywood Blvd	None	Hollywood	CA	90028-5411	(323) 330-1668	34.101663	-118.3211	78.2a	1910
1265766166	1265766166	1	1	Tam, Jonathan N Md Inc	29-Jan-10	26	PHYSICIANS	G66009	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	105 N Hill	Ste 203	Pasadena	CA	91106-1934	(626) 449-2800	34.147846	-118.121359	78.2hhh	4623.02
1285930396	1285930396	1	4	Tarzana Treatment Centers, I	26-May-22	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	320 East Palmdale Blvd	None	Palmdale	CA	93550-4598	(818) 996-1051	34.579825	-118.124442	77.1a	9104.03
1316983877	1316983877	1	1	Tran, Tiffany U Md Inc	10-Nov-98	26	PHYSICIANS	G00079948	None	UNKNOWN	0	In state provider	30	Orange	None	27800 Medical Center Rd	Ste 230	Mission Viejo	CA	92691-6447	(949) 347-6777	33.560069	-117.665857	115.2a	320.22
1336173020	1336173020	1	1	Telehealth & Visiting	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	12	Humboldt	SPECIALIST CENTER	2426 Buhne St	None	Eureka	CA	95501-3207	(707) 442-4038	40.785957	-124.140326	39	6
1336281179	1336281179	1	1	The Los Angeles Free Clinic	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	HOLLYWOOD WILSHIRE HLTH	5205 Melrose Ave	None	Los Angeles	CA	90038-3144	(323) 337-1718	34.08352	-118.313671	78.2g	1917.1
1427043389	1427043389	1	1	Tarzana Treatment Centers, I	19-Feb-21	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	FAMILY MEDICAL CLINIC	8330 Reseda Blvd	None	Northridge	CA	91324-4619	(818) 996-1051	34.221313	-118.536063	78.2kk	1154.03
1487659116	1487659116	1	1	Torkan, Bruce Md Inc	12-Jan-87	22	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	19	Los Angeles	CLINICA MEDICA FATIMA	820 S Alvarado St	None	Los Angeles	CA	90057-4010	(213) 384-0604	34.054569	-118.27802	78.2b	2094.02
1497021109	1497021109	1	1	Tri City Health Center	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	1	Alameda	None	3607 Main Street	Suite B	Fremont	CA	94538-4390	(510) 770-8040	37.533912	-121.954841	2j	4423.02
1497805790	1497805790	1	1	Tiburcio Vasquez Health	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	1	Alameda	CENTER INC	1800 H Street	Room 80	Union City	CA	94587-3321	(510) 471-5880	37.59161	-122.026468	2n	4403.08
1508278359	1508278359	1	1	The Roads Foundation	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	INC	121 S Long Beach Blvd	None	Compton	CA	90221-3423	(310) 627-5850	33.895597	-118.207927	78.2bbb	5424.01
1508865528	1508865528	1	5	Tahoe Carson Valley	3-Dec-21	78	MARRIAGE AND FAMILY THERAPIST GROUP	None	None	UNKNOWN	0	In state provider	9	El Dorado	MEDICAL GROUP INC	2170 South Ave	None	South Lake Tahoe	CA	96150-7026	(530) 542-5807	38.912336	-119.998043	24	304.02
1538265780	1538265780	1	1	Tahoe Forest Hosp Dist	19-Dec-79	16	COMMUNITY INPATIENT HOSPITAL	290391053	None	UNKNOWN	0	In state provider	29	Nevada	None	10121 Pine Ave	None	Truckee	CA	96161-4835	(530) 857-6011	39.324497	-120.201227	114	12.06
1548302144	1548302144	1	1	Tormed Womens Med Grp In	25-May-80	22	PHYSICIANS GROUP	ZZZ49548	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	19	Los Angeles	None	3400 Lomita Blvd	Ste 602	Torrance	CA	90505-4984	(213) 326-5150	33.813241	-118.345161	78.2aaaa	6511.01
1548344625	1548344625	1	1	Tan, Benita B Md Inc	28-Nov-94	26	PHYSICIANS	A53599	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	1	Alameda	None	19682 Hesperian Blvd	Suite 202	Hayward	CA	94541-4752	(510) 266-0077	37.668216	-122.119524	2n	4362
1679626428	1679626428	1	1	Tovar, Sonia Y Professional	16-May-11	10	GROUP CERTIFIED NURSE PRACTITIONER	None	None	UNKNOWN	0	In state provider	19	Los Angeles	CORPORATION NURSING	1019 E Holt Ave	None	Pomona	CA	91767-5720	(909) 623-7799	34.062863	-117.730336	78.2ss	4027.02
1700097540	1700097540	1	1	The Northeast Community Clnc	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	200 E Anaheim Street	None	Wilmington	CA	90744-4516	(310) 816-9700	33.780037	-118.261143	78.2p	2947.01
1720405491	1720405491	1	1	Tiburcio Vasquez Health	30-Sep-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	1	Alameda	CENTER INC	16110 E 14th St	None	San Leandro	CA	94578-3002	(510) 471-5880	37.697844	-122.117864	2h	4339
1760689715	1760689715	1	1	Totalcare Walk In Clinic Inc	1-Dec-08	22	PHYSICIANS GROUP	FNP036221	None	UNKNOWN	0	In state provider	36	San Bernardino	INC	13768 Roswell Avenue	Suite 118	Chino	CA	91710-1402	(909) 591-8200	34.003696	-117.721842	151a	4.01
1760689715	1760689715	1	2	Totalcare Walk In Clinic Inc	28-Aug-18	22	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	33	Riverside	None	13334 Limonite Ave.	130	Eastvale	CA	92880-7257	(951) 407-1460	33.983053	-117.565635	135e	406.07
1770638033	1770638033	1	1	Tam, Thomas Md	25-May-80	26	PHYSICIANS	A00024893	1	General Practice	0	In state provider	19	Los Angeles	None	455 N Garfield Ave	Ste 101	Monterey Park	CA	91754-1201	(213) 289-6373	34.066821	-118.122898	78.2nn	4817.13
1780054379	1780054379	1	1	Tri-City Health Center	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	1	Alameda	None	40910 Fremont Blvd	None	Fremont	CA	94538-4375	(510) 770-0840	37.533942	-121.960851	2j	4423.02
1801831227	1801831227	1	1	Tulare County Hlth Svs	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	54	Tulare	FARMERSVILLE HLTH CARE	660 E Visalia Rd	None	Farmersville	CA	93223-1641	(559) 594-6788	36.297786	-119.201164	233	16.01
1801861190	1801861190	1	1	Tri City Hospital	19-Dec-79	16	COMMUNITY INPATIENT HOSPITAL	370890753	None	UNKNOWN	0	In state provider	37	San Diego	DISTRICT	4002 Vista Way	None	Oceanside	CA	92056-4506	(760) 940-3100	33.183699	-117.29234	156d	185.18
1851389696	1851389696	1	1	Tiburcio Vasquez Hlth Ct	17-Mar-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	1	Alameda	None	33255 9th St	None	Union City	CA	94587-2137	(510) 471-5907	37.603184	-122.02637	2n	4402
1861433526	1861433526	1	1	Tran, Bryan H Md Inc	1-Jun-99	26	PHYSICIANS	A00054928	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	30	Orange	None	27800 Medical Center Rd	Ste 230	Mission Viejo	CA	92691-6447	(949) 347-6777	33.560069	-117.665857	115.2a	320.22
1861860306	1861860306	1	1	Tiburcio Vasquez Health	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	1	Alameda	CENTER INC	28300 Huntwood Ave	None	Hayward	CA	94544-5470	(510) 471-5907	37.632037	-122.063468	2n	4382.04
1891028171	1891028171	1	1	The Northeast Community	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	CLINIC	4455 W 117 St	Suite 300	Hawthorne	CA	90250-2240	(213) 765-7500	33.928245	-118.353821	78.2q	6021.03
1942424106	1942424106	1	1	Tri-City Health Center	7-Jan-00	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	1	Alameda	LIBERTY	39500 Liberty St	None	Fremont	CA	94538-2211	(510) 797-1111	37.548418	-121.977297	2j	4419.27
1962685966	1962685966	1	1	Tweety Family Clinic Inc	21-May-08	22	PHYSICIANS GROUP	FNP034796	40	Pediatrics, Periodontist (Dentists Only)	0	In state provider	19	Los Angeles	INC	3050 Tweety Blvd	None	South Gate	CA	90280-5742	(323) 357-0700	33.945511	-118.21745	78.2ccc	5356.07
1972776540	1972776540	1	1	Tran, Anh C Md Medical Corp	9-Jun-09	26	PHYSICIANS	A00079019	None	UNKNOWN	0	In state provider	30	Orange	None	1714 N Bush St	None	Santa Ana	CA	92706-2812	(714) 541-8883	33.760244	-117.86635	116b	750.04