Table: family_pact_providers_profile_cys_2020_2021 , provider_business_legal_name like V*

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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
1033598412	1033598412	1	1	Valley Health Team Inc	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	10	Fresno	None	1250 Smith Street	None	Kingsburg	CA	93631-2216	(559) 326-5320	36.512871	-119.548922	30	72.01
1043246317	1043246317	1	1	Vuong-Dac, Man Md Inc	10-May-99	26	PHYSICIANS	A00050243	8	Family Practice	0	In state provider	19	Los Angeles	None	3649 Florence Ave	None	Bell	CA	90201-3352	(323) 583-6333	33.97174	-118.201475	78.2ddd	5336.03
1073604716	1073604716	1	1	Valery, Harold C Md Inc	1-Jan-89	26	PHYSICIANS	A00035020	1	General Practice	0	In state provider	19	Los Angeles	CARDINAL MEDICAL GROUP	920 Pacific Ave	None	Long Beach	CA	90813-4228	(562) 495-3985	33.778207	-118.19372	78.2jjj	5758.03
1083743652	1083743652	1	1	Ventura County Ob/Gyn	25-May-80	22	PHYSICIANS GROUP	ZZZ82842Z	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	56	Ventura	MED GRP INC	2795 Loma Vista Rd	None	Ventura	CA	93003-1544	(805) 643-8695	34.275251	-119.258623	241c	19
1144304817	1144304817	1	1	Valley Obstetrics And	25-Jan-94	22	PHYSICIANS GROUP	FNP020942	None	UNKNOWN	0	In state provider	36	San Bernardino	None	400 N Pepper Ave	None	Colton	CA	92324-1801	(909) 580-6320	34.070885	-117.352841	151f	36.12
1154873230	1154873230	1	1	Valley Women's Healthcare Me	25-Jan-18	22	PHYSICIANS GROUP	None	None	UNKNOWN	0	In state provider	10	Fresno	DICAL GROUP, INC	5293 N First Street	None	Fresno	CA	93710-7007	(559) 244-0133	36.814021	-119.772367	35f	54.1
1154873230	1154873230	1	3	Valley Women's Healthcare Me	28-Mar-18	22	PHYSICIANS GROUP	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	10	Fresno	DICAL GROUP, INC	1187 E Herndon Ave	106	Fresno	CA	93720-3166	(559) 538-3080	36.837217	-119.767535	35f	54.06
1184883936	1184883936	1	1	Venice Family Clinic	12-Aug-08	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	19	Los Angeles	BURKE HEALTH CENTER	2509 Pico Blvd	None	Santa Monica	CA	90405-1828	(310) 392-8630	34.022715	-118.463511	78.2kkkk	7018.01
1184885972	1184885972	1	1	Venice Family Clinic	12-Aug-08	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	604 Rose Ave	None	Venice	CA	90291-2767	(310) 664-7600	33.999203	-118.471926	78.2z	2732
1194068379	1194068379	1	1	Valley Health Team	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	10	Fresno	INCORPORATED	702 S Eighth Street	None	Kerman	CA	93630-1743	(559) 364-2975	36.724597	-120.05654	29	40.02
1295822658	1295822658	1	1	Vista Comm Clinic	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	None	1000 Vale Terrace Dr	None	Vista	CA	92084-5218	(760) 631-5000	33.209018	-117.229179	156d	196.01
1386134815	1386134815	1	1	Ventura County Community	2-Jan-19	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	56	Ventura	COLLEGE DISTRICT	4667 Telegraph Road	None	Ventura	CA	93003-3872	(805) 289-6346	34.275755	-119.230559	241c	18
1437245412	1437245412	1	1	Vista Community Clinic	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	HORNE	517 N Horne St	None	Oceanside	CA	92054-2518	(760) 631-5009	33.200852	-117.378031	156a	184
1457385163	1457385163	1	1	Visalia Health Care Ctr	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	54	Tulare	None	2611 N Dinuba Blvd	None	Visalia	CA	93291-9003	(559) 733-6342	36.351142	-119.296956	233	10.04
1467612820	1467612820	1	1	Vasquez, Julio N Md Inc	6-Nov-08	26	PHYSICIANS	A00045461	1	General Practice	0	In state provider	19	Los Angeles	A PROFESSIONAL CORP	8540 Reseda Blvd	Suite 240	Northridge	CA	91324-6142	(818) 722-7023	34.225603	-118.536075	78.2kk	1154.03
1497001226	1497001226	1	1	Via Care Community Health	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	CENTER INC	507 S. Atlantic Blvd	None	Los Angeles	CA	90022-3211	(323) 268-9191	34.026948	-118.155282	78.2d	5303.01
1497203541	1497203541	1	1	Vista Community Clinic	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	30	Orange	None	201 S Harbor Blvd	None	La Habra	CA	90631-5654	(562) 691-3263	33.93104	-117.933045	116k	14.04
1497889810	1497889810	1	2	Vazquez, Lorenzo M Md	29-Apr-10	26	PHYSICIANS	None	8	Family Practice	0	In state provider	19	Los Angeles	None	1840 N Hacienda Blvd	#10	La Puente	CA	91744-1143	(626) 931-6618	34.051605	-117.942759	78.2yyy	4075.01
1538346523	1538346523	1	1	Vesek Polak Childrens	13-Dec-06	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	19	Los Angeles	CLINIC FAMILY HEALTH CTR	1057 Pine Ave	None	Long Beach	CA	90813-3118	(562) 933-0506	33.779744	-118.192385	78.2jjj	5758.03
1548201965	1548201965	1	1	Valley Ob-Gyn Medical Group	3-Apr-06	22	PHYSICIANS GROUP	FNP033183	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	33	Riverside	None	1600 E Florida Ave	Ste 315	Hemet	CA	92544-8639	(951) 765-1766	33.747646	-116.955375	132	433.09
1558638601	1558638601	1	1	Valley Health Team Inc	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	10	Fresno	None	927 O Street	None	Firebaugh	CA	93622-2220	(559) 659-3037	36.860624	-120.458268	25	84.01
1578081089	1578081089	1	1	Vf Alliance, A Medical Corpo	27-May-19	22	PHYSICIANS GROUP	None	1	General Practice	0	In state provider	37	San Diego	None	969 S. Santa Fe Ave	A	Vista	CA	92083-6910	(760) 941-7050	33.192881	-117.231933	156d	196.02
1578529285	1578529285	1	1	Valley Presbyterian Hosp	19-Dec-79	16	COMMUNITY INPATIENT HOSPITAL	190990812	None	UNKNOWN	0	In state provider	19	Los Angeles	None	15107 Vanowen St	None	Van Nuys	CA	91405-4597	(818) 782-6600	34.193908	-118.461948	78.2cc	1278.05
1588171383	1588171383	1	1	Valley Health Team, Inc	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	54	Tulare	None	888 N Alta Ave	None	Dinuba	CA	93618-3001	(559) 595-1000	36.551597	-119.395011	227.1	4.02
1588740989	1588740989	1	1	Valley Community Healthcare	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	6801 Coldwater Canyon Av	None	North Hollywood	CA	91605-5162	(818) 301-6306	34.193956	-118.413799	78.2bb	1234.2
1598821027	1598821027	1	1	Valley Health Team Inc	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	10	Fresno	SAN JOAQUIN HEALTH CTR	21890 Colorado Ave	None	San Joaquin	CA	93660-0737	(209) 693-2462	36.607706	-120.188838	26	82
1649363375	1649363375	1	1	Vista Comm Clinic-West	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	None	818 Pier View Way	None	Oceanside	CA	92054-2803	(760) 631-5250	33.198338	-117.377573	156a	184
1649662719	1649662719	1	1	Vista Community Clinic	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	33	Riverside	None	30195 Fraser Drive	None	Lake Elsinore	CA	92530-7006	(951) 252-2720	33.684922	-117.367501	131a	430.05
1689760100	1689760100	1	1	Vista Community Clinic	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	None	4700 N River Rd	None	Oceanside	CA	92057-6043	(760) 433-6880	33.245388	-117.308731	156a	185.07
1699818278	1699818278	1	1	Valley Mission Medical	12-Aug-97	22	PHYSICIANS GROUP	A00046449	1	General Practice	0	In state provider	19	Los Angeles	A MEDICAL CORPORATION	6410 Van Nuys Blvd	Ste B	Van Nuys	CA	91401-1449	(818) 908-2300	34.186908	-118.448715	78.2cc	1278.06
1750703237	1750703237	1	1	Valley Health Team Inc	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	10	Fresno	None	180 W Shaw Avenue	Suite B	Clovis	CA	93612-3746	(559) 693-2462	36.808413	-119.713397	35b	31.02
1750873113	1750873113	1	1	Ventura County Community	31-Jan-19	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	56	Ventura	COLLEGE DISTRICT	7075 Campus Road	None	Moorpark	CA	93021-1605	(805) 378-1413	34.299854	-118.831967	239	76.14
1770034530	1770034530	1	2	Via Care Community Health	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	CENTER INC	607 S Atlantic Blvd	None	Los Angeles	CA	90022-3211	(323) 268-9191	34.024751	-118.15596	78.2d	5317.01
1790221703	1790221703	1	1	Valley Healthcare Centers	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	54	Tulare	None	590 W Putnam Ave	None	Porterville	CA	93257-3257	(559) 781-3700	36.06961	-119.030364	231	38.01
1811158603	1811158603	1	1	Venice Family Clinic	12-Aug-08	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	19	Los Angeles	None	905 Venice Blvd	None	Venice	CA	90291-4904	(310) 392-8630	33.993268	-118.454462	78.2z	2736
1811199672	1811199672	1	1	Vishwanath, Vasanth M Md	6-Nov-12	26	PHYSICIANS	None	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	10	Fresno	INC	7075 N Maple Ave	Ste 102	Fresno	CA	93720-8014	(559) 299-8800	36.838177	-119.745113	35a	55.09
1851300123	1851300123	1	1	Vista Community Clinic	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	37	San Diego	None	134 Grapevine Road	None	Vista	CA	92083-4004	(760) 631-5030	33.191412	-117.275088	156d	194.05
1932501996	1932501996	1	1	Valley Community Healthcare	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	19	Los Angeles	APCC	9119 Haskell Avenue	None	North Hills	CA	91343-3114	(818) 301-6388	34.235886	-118.476335	78.2kk	1172.02
1942343785	1942343785	1	1	Valley Mission Medical	15-Apr-97	22	PHYSICIANS GROUP	FNP022751	1	General Practice	0	In state provider	19	Los Angeles	A MEDICAL CORPORATION	220 N Maclay Ave	Ste 2	San Fernando	CA	91340-2909	(818) 837-1355	34.28515	-118.438738	78.2ll	3202.01
1952485641	1952485641	1	2	Valenzuela Medical Group I	4-Nov-02	22	PHYSICIANS GROUP	FNP26802	None	UNKNOWN	0	In state provider	33	Riverside	None	24226 Sunnymead Blvd	None	Moreno Valley	CA	92553-7739	(951) 601-6802	33.939065	-117.23995	135b	425.15
1962567388	1962567388	1	1	Valley Health Team, Inc	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	10	Fresno	KERMAN HEALTH CENTER	449 S Madera Ave	None	Kerman	CA	93630-1537	(209) 693-2462	36.728602	-120.060296	29	40.01
1992183669	1992183669	1	2	Valley Health Team Inc	22-Feb-20	200	DEVELOPMENTAL SCREENING AND TRAUMA	None	None	UNKNOWN	0	In state provider	10	Fresno	None	4711 West Ashlan Avenue	None	Fresno	CA	93722-4307	(559) 203-6660	36.793553	-119.877435	35e	38.09
1992754899	1992754899	1	1	Vachirakorntong, Viruch	7-Feb-05	26	PHYSICIANS	A00052656	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	36	San Bernardino	MD INC	705 E Virginia Way	Ste L	Barstow	CA	92311-3978	(760) 256-0383	34.888129	-117.017333	149	95
1992754899	1992754899	1	2	Vachirakorntong, Viruch	7-Jun-01	26	PHYSICIANS	A00052656	16	Obstetrics-Gynecology (M.D. Only) Neonatal	0	In state provider	36	San Bernardino	MD INC	15998 Quantico Rd	Ste A	Apple Valley	CA	92307-1302	(760) 242-2271	34.54199	-117.270836	145.1b	121.01
1992964746	1992964746	1	1	Venice Family Clinic	12-Aug-08	58	HEALTH ACCESS PROGRAM	None	None	UNKNOWN	0	In state provider	19	Los Angeles	COLEN FAMILY HEALTH CTR	4700 Inglewood Blvd	Suite 102	Culver City	CA	90230-5896	(310) 392-8630	33.993211	-118.415276	78.2z	2755