Table: family_pact_providers_profile_cys_2020_2021 , provider_business_legal_name like all*

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
1003068206 1003068206 1 1 St Johns Well Child 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles None 6505 8th Ave None Los Angeles CA 90043-4313 (323) 750-9232 33.980563 -118.326486 78.2k 2349.01
1003134545 1003134545 1 1 Asian Health Services 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 1 Alameda None 250 E 18th St 2nd Floor Oakland CA 94606-1729 (510) 986-8688 37.800015 -122.252625 2c 4053.01
1003173279 1003173279 1 1 Clinica De Salud Del Valle 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 44 Santa Cruz DE SALINAS 29 Bishop Street Suite A Royal Oaks CA 95076-5266 (831) 728-2505 36.901764 -121.749238 109.1 101.01
1003250093 1003250093 1 1 Hurtt Family Health Clinic 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 30 Orange INC 1100 B N. Tustin Ave Suites A, D, F Santa Ana CA 92705-3509 (714) 247-0300 33.751117 -117.836388 116h 754.03
1003373812 1003373812 1 1 Unicare Community Health 2-Jun-22 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 36 San Bernardino AFFILIATED 17500 Foothill Blvd Ste A2 Fontana CA 92335-3798 (909) 428-0170 34.10674 -117.422739 151h 29.02
1003822453 1003822453 1 1 Soledad Community Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 27 Monterey CARE DISTRICT 600 Main St None Soledad CA 93960-2533 (831) 678-2665 36.432917 -121.324452 107 111.02
1003824020 1003824020 1 1 Baylon, Paul M Md 1-Jan-89 26 PHYSICIANS G00048547 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles None 3118-3120 E Florence Ave None Huntington Park CA 90255-5830 (323) 587-1616 33.972891 -118.212379 78.2ccc 5332.03
1003830258 1003830258 1 1 Nieto, Sandra Md 23-Nov-10 26 PHYSICIANS A00084185 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 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
1003856402 1003856402 1 1 Moas, Ovadia Md Inc 18-Feb-82 26 PHYSICIANS A00035730 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles None 9815 Las Tunas Dr None Temple City CA 91780-2209 (818) 285-7158 34.107336 -118.056401 78.2dddd 4319
1003860446 1003860446 1 1 Planned Prnthd Mar Monte 8-Apr-98 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 20 Madera None 500 E Almond Ave Ste 3 Madera CA 93637-5600 (209) 675-1133 36.945525 -120.052456 80 5.02
1003863622 1003863622 1 3 Peach Tree Healthcare 5-Apr-22 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 58 Yuba AFFILIATE 5730 Packard Ave Suite 500 Marysville CA 95901-7119 (530) 749-3242 39.11908 -121.565613 249 403.02
1003867565 1003867565 1 1 Barton Healthcare System 18-Aug-11 17 LONG TERM CARE FACILITY None None UNKNOWN 0 In state provider 9 El Dorado None 2170 South Ave None S Lake Tahoe CA 96150-7026 (530) 541-3420 38.912336 -119.998043 24 304.02
1003869363 1003869363 1 1 San Ysidro Health Center 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego COMUNIDAD DE SAN YSIDRO 1136 D Ave None National City CA 91950-3412 (619) 662-4100 32.674098 -117.101713 161k 117
1003885518 1003885518 1 1 Planned Parenthood 24-Oct-00 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 36 San Bernardino ORANGE & SAN BERN CO 1873 Commercenter W None San Bernardino CA 92408-3303 (909) 890-5511 34.067916 -117.286162 151f 124
1003902610 1003902610 1 1 Bristol-Mcfadden Med Grp 27-Aug-82 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 30 Orange INC 1212 S Bristol St Ste 16 Santa Ana CA 92704-3439 (714) 966-0646 33.732396 -117.885194 116g 747.02
1003902917 1003902917 1 1 San Diego American 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego INDIAN HEALTH CENTER 2630 1st Ave None San Diego CA 92103-6599 (619) 234-2158 32.732739 -117.163959 161e 60
1003920943 1003920943 1 1 Riverside Neighborhood 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 33 Riverside HEALTH CENTER 7140 Indiana Ave None Riverside CA 92504-4544 (951) 358-6000 33.938979 -117.397706 135c 313
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
1003961251 1003961251 1 1 Childrens Hospital Medical 10-Jan-03 35 RURAL HEALTH CLINICS/FEDERALLY QUALIFIED HEALTH CENTER None None UNKNOWN 0 In state provider 1 Alameda None 747 52nd Street None Oakland CA 94609-1809 (951) 679-6858 37.837208 -122.268341 2c 4010
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
1003974064 1003974064 1 1 Planned Parenthood 19-Dec-79 41 COMMUNITY CLINIC ZZR11657 None UNKNOWN 0 In state provider 7 Contra Costa SHASTA DIABLO INC 1357 Oakland Ct None Walnut Creek CA 94596-4337 (925) 935-3010 37.897711 -122.070358 18j 3390.02
1003995317 1003995317 1 1 Contra Costa Co Hlth 25-Sep-02 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 7 Contra Costa PITTSBURG HEALTH CO HLTH 2311 Loveridge Rd None Pittsburg CA 94565-5117 (510) 370-5100 38.008133 -121.870803 18d 3131.02
1013035716 1013035716 1 1 Regents Of The University Of 10-Oct-07 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 37 San Diego UCSD PEDIATRICS ASSOC 7910 Frost St Ste 350 San Diego CA 92123-2753 (858) 203-4962 32.800255 -117.154565 161b 87.02
1013057371 1013057371 1 1 St Johns Well Child 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles AND FAMILY CENTER 5701 S Hoover St None Los Angeles CA 90037-4045 (323) 541-1600 33.990528 -118.287099 78.2ggg 2327
1013058106 1013058106 1 1 Clinica De Salud Del 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 27 Monterey VALLE DE SALINAS 10561 Merritt St None Castroville CA 95012-3310 (408) 633-1514 36.766872 -121.759584 108 104
1013085778 1013085778 1 1 La Clinica De La Raza 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 1 Alameda TECHNICLINIC 4351 Broadway None Oakland CA 94611-4612 (510) 879-1907 37.831449 -122.254346 2b 4012
1013088582 1013088582 1 1 Mountain Valleys Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 47 Siskiyou PO BOX 170 610 W Third St None Dorris CA 96023-0000 (530) 397-8411 41.964223 -121.918911 200 2
1013088582 1013088582 1 3 Mountain Valleys Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 47 Siskiyou INTERMITTENT 101 Old Mccloud Road None Mt Shasta CA 96067-2796 (530) 397-8411 41.305179 -122.311032 197 10
1013088582 1013088582 1 4 Mountain Valleys Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 47 Siskiyou INTERMITTENT 50 Alamo Avenue None Weed CA 96094-2352 (530) 938-3491 41.427041 -122.385043 197 9
1013156520 1013156520 1 1 Hull, Janice L Md Inc 27-Jan-11 26 PHYSICIANS A00080999 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles None 8475 S Van Ness Ave Suite 101 Inglewood CA 90305-1566 (323) 778-7990 33.960868 -118.317759 None None
1013199264 1013199264 1 1 Northeast Valley Health Corp 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 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
1013311448 1013311448 1 1 Korean Health Education 12-Mar-21 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles INFORMATION & RESEARCH 3255 Wilshire Blvd Ste 120 Los Angeles CA 90010-1405 (213) 637-1070 34.061805 -118.292895 78.2e 2121.01
1013932797 1013932797 1 1 Shasta Community Hlth Ct 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 45 Shasta SHASTA LAKE CITY FAMILY 4215 Front St None Shasta Lake CA 96019-9430 (530) 276-9168 40.681041 -122.366859 189.3 117.03
1013932979 1013932979 1 1 Florence Medical Ctr Inc 23-Dec-98 22 PHYSICIANS GROUP FNP025933 8 Family Practice 0 In state provider 19 Los Angeles None 1557 E Florence Ave None Los Angeles CA 90001-2597 (323) 584-1490 33.974759 -118.246322 78.2fff 5350.02
1013935915 1013935915 1 1 Sac Norton Community 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 36 San Bernardino HEALTH SERVICES 1454 E 2nd St None San Bernardino CA 92408-0118 (909) 335-9038 34.102722 -117.267878 151k 65
1013950807 1013950807 1 51 Sutter Bay Medical Foundatio 26-May-22 78 MARRIAGE AND FAMILY THERAPIST GROUP None None UNKNOWN 0 In state provider 44 Santa Cruz FOR HEALTHCARE RESEARCH 2907 Chanticleer Ave None Santa Cruz CA 95065-1815 (831) 477-2375 36.987837 -121.978157 185.1 1213
1023011632 1023011632 1 1 Altura Centers For Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 54 Tulare None 1101 N Cherry St None Tulare CA 93274-2231 (559) 686-9097 36.224116 -119.337111 230 23.03
1023062593 1023062593 1 1 Planned Parenthood Mar 30-Mar-98 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 10 Fresno MONTE INC 6095 N First St None Fresno CA 93710-5444 (559) 437-4520 36.824945 -119.772339 35f 54.05
1023116811 1023116811 1 1 Long Beach Dept Of Hlth 19-Dec-79 41 COMMUNITY CLINIC ZZT11624 None UNKNOWN 0 In state provider 19 Los Angeles AND HUMAN SERVICES 2525 Grand Ave None Long Beach CA 90815-1765 (310) 570-4000 33.802261 -118.148042 78.2lll 5742.02
1023122967 1023122967 1 1 Indio Family Care Center 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 33 Riverside None 47923 Oasis St None Indio CA 92201-6950 (909) 358-4487 33.700857 -116.220937 128 455.01
1023159811 1023159811 1 1 Clinica De Salud Del 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 27 Monterey VALLE DE SALINAS 950 Circle Dr None Salinas CA 93905-2150 (408) 757-6237 36.679672 -121.627166 109.2 5.02
1023167541 1023167541 1 1 Kern County Department 15-Sep-93 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 15 Kern PUBLIC HEALTH 1800 Mount Vernon Ave None Bakersfield CA 93306-3302 (661) 321-3000 35.383041 -118.967549 None None
1023179546 1023179546 1 1 Rodriguez, Maria E Inc 18-Feb-92 26 PHYSICIANS A00043620 1 General Practice 0 In state provider 19 Los Angeles INC 2417 Whittier Blvd None Los Angeles CA 90023-1355 (323) 887-1181 34.034261 -118.215405 78.2h 2047
1023188687 1023188687 1 1 Clinicas De Salud Del 19-Feb-99 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 33 Riverside PUEBLO INC 91275 66th Ave Ste 500 Mecca CA 92254-0000 (760) 396-0152 33.569318 -116.07378 128 456.04
1023234465 1023234465 1 1 Clinicas Del Camino Real 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura None 500 E Main St None Santa Paula CA 93060-2607 (805) 933-0895 34.351145 -119.068914 237 6
1023243193 1023243193 1 1 Saint Joseph Family Medical 19-May-10 22 PHYSICIANS GROUP None 1 General Practice 0 In state provider 19 Los Angeles CLINIC INC 2643 Santa Ana St None South Gate CA 90280-2025 (323) 277-9010 33.965302 -118.224142 78.2ccc 5355.01
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
1023308145 1023308145 1 1 Rogers, Nicholas A Md Inc 19-Jul-11 26 PHYSICIANS A00112189 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles None 1245 Wilshire Blvd Ste 916 Los Angeles CA 90017-4809 (213) 741-1220 34.053349 -118.265665 78.2ffff 2091.02
1023349883 1023349883 1 1 Borrego Comm Hlth Foundation 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego None 1121 E Washington Ave None Escondido CA 92025-2214 (760) 871-0606 33.13229 -117.069344 156e 202.02
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
1023445780 1023445780 1 1 La Clinica De La Raza Inc 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 1 Alameda None 1700 28th Ave None Oakland CA 94601-2455 (510) 535-6440 37.782358 -122.227524 2d 4062.02
1033142278 1033142278 1 1 San Bernardino Womens Health 12-Jul-02 26 PHYSICIANS A00070551 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles MEDICAL GROUP INC 1226 N Park Ave None Pomona CA 91768-3029 (909) 591-1743 34.070321 -117.754977 78.2ss 4023.03
1033144027 1033144027 1 1 Planned Parenthood 5-Nov-02 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 33 Riverside OF THE PACIFIC SOUTHWEST 12900 Frederick St Ste C Moreno Valley CA 92553-5266 (619) 881-4516 33.9331 -117.261386 135b 425.13
1033235973 1033235973 1 1 Hazel Hawkins Memorial 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 35 San Benito HEALTH CLINIC 930 Sunset Dr Building 3 Hollister CA 95023-5620 (831) 636-2664 36.8351 -121.385743 140 6
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
1033267216 1033267216 1 1 Advanced Family Care 28-Jan-16 22 PHYSICIANS GROUP CLA322416 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles MEDICAL GROUP 1201 E Florence Ave None Los Angeles CA 90001-2432 (323) 588-0084 33.974765 -118.254103 78.2fff 5350.01
1033272521 1033272521 1 1 Womens Total Care Medical 22-Sep-08 26 PHYSICIANS A00044407 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 42 Santa Barbara CLINIC INC 314 W Junipero St None Santa Barbara CA 93105-4305 (805) 682-7109 34.431341 -119.723353 181b 3.02
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
1033418785 1033418785 1 1 Rios, Dr Javier A Medical 31-Oct-11 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 33 Riverside CORPORATION 141 North Main Street None Lake Elsinore CA 92530-4118 (951) 354-3173 33.668746 -117.327369 131a 430.01
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
1033488416 1033488416 1 1 Central City Community 30-Apr-21 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 33 Riverside HEALTH CENTER INC 1860 Hamner Ave None Norco CA 92860-2945 (951) 479-0070 33.909013 -117.561194 135e 408.13
1033534466 1033534466 1 1 Coppertower Family Medical 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 49 Sonoma CENTER 6 Tarman Dr None Cloverdale CA 95425-3932 (707) 894-4229 38.798264 -123.017593 206 1542.01
1033593108 1033593108 1 1 Clinicas De Salud Del Pueblo 27-Jan-22 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 33 Riverside INC 1023 E Florida Ave None Hemet CA 92543-4510 (760) 344-9951 33.747587 -116.961681 132 434.01
1033596911 1033596911 1 1 County Of Monterey 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 27 Monterey None 1441 Constitution Blvd Bldg 400 Suite 301 Salinas CA 93906-3100 (831) 755-4000 36.696823 -121.62962 109.2 106.08
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
1043217359 1043217359 1 1 Dang, Alan Md 28-Feb-13 26 PHYSICIANS A82876 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 30 Orange None 2621 S Bristol St Ste 300 Santa Ana CA 92704-5766 (714) 540-7720 33.712311 -117.885379 116g 740.05
1043241821 1043241821 1 1 Ruiz, Ruben Md Amc 15-Mar-94 22 PHYSICIANS GROUP FNP020842 None UNKNOWN 0 In state provider 36 San Bernardino FAMILIAR 403 W F St None Ontario CA 91762-3207 (909) 988-3288 34.069429 -117.654823 151c 14
1043242142 1043242142 1 1 California Medical Clinc Inc 5-Oct-04 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 36 San Bernardino None 402 E Holt Blvd None Ontario CA 91761-1618 (909) 467-1605 34.063397 -117.647211 151c 14
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
1043263189 1043263189 1 1 Planned Parenthood Assc 15-Feb-08 54 EXPANDED ACCESS TO PRIMARY CARE None None UNKNOWN 0 In state provider 43 Santa Clara None 1691 The Alameda None San Jose CA 95126-2203 (408) 287-7532 37.336894 -121.91858 183j 5006
1043272172 1043272172 1 1 Kaweah Delta Health Care 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 54 Tulare DISTRICT 1014 San Juan Ave None Exeter CA 93221-1312 (559) 624-2000 36.298896 -119.132496 228.2 15.01
1043304009 1043304009 1 1 Jwch Institue Inc 6-Sep-05 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 19 Los Angeles None 14371 Clark Ave None Bellflower CA 90706-2901 (213) 484-1186 33.903214 -118.13406 78.2m 5540.01
1043304769 1043304769 1 1 Family Planning Assoc 6-Dec-80 22 PHYSICIANS GROUP FNP034901 None UNKNOWN 0 In state provider 19 Los Angeles MEDICAL GROUP INC 2777 Long Beach Blvd Ste 200 Long Beach CA 90806-1513 (562) 595-5653 33.807712 -118.189457 78.2lll 5722.02
1043305485 1043305485 1 1 Family Planning Associates 23-Feb-83 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 19 Los Angeles MEDICAL GROUP INC 1996 Indian Hill Blvd None Pomona CA 91767-3620 (909) 626-2463 34.079513 -117.719271 78.2ss 4027.03
1043348543 1043348543 1 1 Plumas Hospital District 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 32 Plumas None 1065 Bucks Lake Road None Quincy CA 95971-9507 (530) 283-2121 39.939316 -120.962712 123.1 1
1043351133 1043351133 1 1 Clinicas De Salud Del 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 27 Monterey VALLE DE SALINAS-GRNFLD 808 Oak Ave None Greenfield CA 93927-5648 (408) 674-5344 36.321352 -121.242563 107 112.03
1043354111 1043354111 1 1 Redlands Community Hosp 1-Jun-83 16 COMMUNITY INPATIENT HOSPITAL 360691308 None UNKNOWN 0 In state provider 36 San Bernardino None 350 Terracina Blvd None Redlands CA 92373-4897 (714) 793-3101 34.037065 -117.204335 151j 83.01
1043380330 1043380330 1 1 County Of San Bernardino 1-Dec-77 61 COUNTY HOSPITAL OUTPATIENT 360601320 None UNKNOWN 0 In state provider 36 San Bernardino None 400 N Pepper Ave None Colton CA 92324-1801 (909) 580-3210 34.070885 -117.352841 151f 36.12
1043395064 1043395064 1 1 Randhawa Medical Group 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None 1 General Practice 0 In state provider 50 Stanislaus INC 1349 Main St None Newman CA 95360-1326 (209) 862-3604 37.315275 -121.022641 213 35
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
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
1043462443 1043462443 1 1 Clinica Familiar San Lucas 2-Feb-09 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 19 Los Angeles None 11050 S Atlantic Ave None Lynwood CA 90262-3068 (310) 635-3800 33.929036 -118.184196 78.2ooo 5400
1043542111 1043542111 1 1 St Johns Well Child Family 7-Sep-22 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles CENTER INC 15715 S Atlantic Ave #2 E Rancho Dmngz CA 90221-4242 (310) 604-5000 33.890491 -118.193031 78.2bbb 5421.06
1043593304 1043593304 1 1 Mission City Community 15-Dec-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles NETWORK INC 15210 Parthenia Street None North Hills CA 91343-5305 (818) 895-3100 34.228183 -118.463571 78.2kk 1175.3
1043664766 1043664766 1 1 Family Healthcare Network 3-Apr-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 54 Tulare None 1008 N Cherry Street None Tulare CA 93274-2212 (559) 688-5437 36.223372 -119.337472 230 23.03
1053310326 1053310326 1 1 Barton Healthcare System 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 9 El Dorado None 2201 South Ave None South Lake Tahoe CA 96150-7025 (530) 543-5623 38.912339 -119.996603 24 304.02
1053324715 1053324715 1 1 Los Angeles County 28-Apr-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 19 Los Angeles HUDSON FAMILY PLANNING 2829 S Grand Ave None Los Angeles CA 90007-3304 (213) 744-3677 34.024316 -118.273658 78.2l 2246
1053364034 1053364034 1 1 Planned Parenthood 1-Jan-95 41 COMMUNITY CLINIC 270791860 None UNKNOWN 0 In state provider 27 Monterey None 316 N Main St None Salinas CA 93901-2855 (408) 758-8261 36.682402 -121.653513 109.2 18.02
1053364109 1053364109 1 1 Planned Parenthood 15-Feb-83 41 COMMUNITY CLINIC 430791861 None UNKNOWN 0 In state provider 43 Santa Clara MAR MONTE INC 760 Renz Lane None Gilroy CA 95020-9584 (408) 847-1739 37.006408 -121.557346 182 5126.02
1053386565 1053386565 1 1 Betre, Abraham Do 25-Jul-08 26 PHYSICIANS 20A10290 9 Gynecology (D.O. only) 0 In state provider 54 Tulare None 925 Merritt Ave None Tulare CA 93274-2247 (559) 688-6400 36.222009 -119.334354 230 23.03
1053437509 1053437509 1 1 East Valley Community 18-Jun-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 19 Los Angeles HEALTH CENTER 420 S Glendora Ave None West Covina CA 91790-3001 (818) 919-5724 34.06713 -117.92573 78.2www 4067.02
1053452136 1053452136 1 1 Clinica De Salud De 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 27 Monterey SOLEDAD 799 Front St None Soledad CA 93960-3017 (408) 678-0881 36.424937 -121.326171 107 111.02
1053456400 1053456400 1 2 Sierra Park Family 17-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 26 Mono P O BOX 660 85 Sierra Park Rd None Mammoth Lakes CA 93546-0660 (619) 934-3311 37.646574 -118.963863 103 2
1053526756 1053526756 1 1 La Maestra Family Clinic Inc 13-Oct-06 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 37 San Diego NATIONAL CITY 217 Highland Ave None National City CA 91950-1518 (619) 434-7308 32.683182 -117.10069 161k 118.01
1053655704 1053655704 1 1 North East Medical Services 27-Sep-13 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 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
1053691337 1053691337 1 1 Be, Viet A Md Inc 15-Sep-11 26 PHYSICIANS G00048753 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 30 Orange None 11160 Warner Avenue Suite 301 Fountain Valley CA 92708-4055 (714) 210-5665 33.716327 -117.934948 116j 992.26
1053725317 1053725317 1 1 Akhavan, Parviz Do A Medical 7-Oct-14 26 PHYSICIANS 20A7522 1 General Practice 0 In state provider 19 Los Angeles CORP 5113 S Vermont Ave None Los Angeles CA 90037-3515 (323) 305-2220 33.996409 -118.291513 78.2l 2323
1053875484 1053875484 1 1 Family Healthcare Network 15-Jul-21 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 54 Tulare None 65 N Hockett St None Porterville CA 93257-3619 (877) 960-3426 36.066565 -119.017056 231 38.02
1063406551 1063406551 1 1 Santa Clara Med Ctr 23-Mar-12 61 COUNTY HOSPITAL OUTPATIENT None None UNKNOWN 0 In state provider 43 Santa Clara None 751 S Bascom Ave None San Jose CA 95128-2604 (408) 885-7200 37.313397 -121.931908 183j 5021.01
1063426898 1063426898 1 1 Los Angeles County 28-Apr-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 19 Los Angeles LONG BEACH FAM PLANNING 1333 Chestnut Ave None Long Beach CA 90813-2944 (562) 599-2153 33.783223 -118.196371 78.2jjj 5754.01
1063447050 1063447050 1 1 Planned Parenthood - 19-Dec-79 41 COMMUNITY CLINIC 370891451 None UNKNOWN 0 In state provider 37 San Diego OF THE PACIFIC SOUTHWEST 347 W Mission Ave None Escondido CA 92025-1729 (619) 881-4516 33.128992 -117.089754 156e 202.14
1063481562 1063481562 1 1 Planned Parenthood/ 19-Dec-79 41 COMMUNITY CLINIC ZZT11586 None UNKNOWN 0 In state provider 30 Orange ORANGE & SAN BERNARDINO 1421 E 17th St None Santa Ana CA 92705-8505 (714) 633-6373 33.759921 -117.848692 116h 754.03
1063496396 1063496396 2 1 Western Sierra Medical 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 29 Nevada CLINIC INC 844 Old Tunnel Road None Grass Valley CA 95945-5952 (530) 265-7845 39.242138 -121.031009 113 8.02
1063496651 1063496651 1 31 Pacific Central Coast Health 9-Jun-20 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 42 Santa Barbara INTERMITTENT 1300 East Cypress Street Suite B1 Santa Maria CA 93454-4730 (805) 922-8006 34.951072 -120.415673 180.1 22.11
1063551257 1063551257 1 1 Comprehensive Medical 17-May-04 22 PHYSICIANS GROUP FNP031642 38 Geriatrics 0 In state provider 19 Los Angeles CENTER INC 10301 Garvey Ave Ste 100 El Monte CA 91733-2180 (626) 448-0468 34.06274 -118.045845 78.2oo 4332
1063562130 1063562130 1 1 St Anthony Medical Ctr 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles HOLLYWOOD CLINIC 6368 Hollywood Blvd None Hollywood CA 90028-6320 (323) 469-5555 34.101591 -118.328814 78.2g 1907
1063589174 1063589174 1 1 Southern Inyo Hosp Dist 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 14 Inyo None 501 E Locust St None Lone Pine CA 93545-1009 (760) 876-5501 36.608372 -118.057549 55 8
1063616613 1063616613 1 1 County Of Monterey 28-Feb-20 61 COUNTY HOSPITAL OUTPATIENT None None UNKNOWN 0 In state provider 27 Monterey NATIVIDAD MEDICAL CTR 1441 Constitution Blvd None Salinas CA 93906-3100 (831) 755-4111 36.696798 -121.62963 109.2 106.08
1063623387 1063623387 1 1 Alas-Pocasangre, Juan L 22-Dec-03 26 PHYSICIANS A00055051 8 Family Practice 0 In state provider 19 Los Angeles ALAS MEDICAL CLINIC INC 545 N San Gabriel Ave None Azusa CA 91702-2939 (626) 815-1511 34.13068 -117.908823 78.2qq 4043.01
1063636876 1063636876 2 1 Purdom Ii, Kenneth R Md Inc 23-Apr-14 26 PHYSICIANS A00021180 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles None 11807 E Whittier Blvd None Whittier CA 90601-3941 (562) 463-7742 33.980566 -118.050334 78.2uu 5014
1063684405 1063684405 1 1 National Health Svcs Inc 20-Mar-07 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 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 0 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
1063748242 1063748242 1 1 Community Health Alliance 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles OF PASADENA 1595 North Lake Avenue None Pasadena CA 91104-2307 (626) 398-6300 34.173311 -118.132048 78.2hhh 4615.01
1063836526 1063836526 1 1 St Johns Well Child And 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles PRIMARY CARE CLINIC 3628 E Imperial Hwy Suite 301 Lynwood CA 90262-2646 (323) 541-1411 33.930859 -118.204247 78.2sss 5402.02
1073519443 1073519443 1 1 Pioneers Memorial Health 19-Dec-79 16 COMMUNITY INPATIENT HOSPITAL ZZT30342 None UNKNOWN 0 In state provider 13 Imperial CARE DISTRICT 207 W Legion Rd None Brawley CA 92227-7780 (760) 351-3333 32.959944 -115.551744 50 106
1073529681 1073529681 1 1 North County Health Project 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 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
1073534608 1073534608 1 1 San Gabriel Health Clini 11-May-06 22 PHYSICIANS GROUP FNP034454 8 Family Practice 0 In state provider 19 Los Angeles None 2630 San Gabriel Blvd Ste 105 Rosemead CA 91770-5204 (626) 288-2007 34.060029 -118.090603 78.2qqq 4825.03
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
1073578134 1073578134 1 1 Kamras & Polansky Mds In 25-May-80 22 PHYSICIANS GROUP YYY49032Y None UNKNOWN 0 In state provider 34 Sacramento None 5821 Jameson Ct None Carmichael CA 95608-0820 (916) 486-0411 38.651156 -121.328832 139b 76.01
1073582888 1073582888 1 1 Ucla Ob/Gyn Med Grp 25-May-80 22 PHYSICIANS GROUP ZZZ000000 None UNKNOWN 0 In state provider 19 Los Angeles None 200 Med Plaza Ste 430 None Los Angeles CA 90095-0001 (310) 794-8282 34.055254 -118.481726 78.2aa 2640
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
1073608675 1073608675 1 1 Family Planning Assoc 2-Sep-80 22 PHYSICIANS GROUP FNP034901 None UNKNOWN 0 In state provider 50 Stanislaus MEDICAL GROUP INC 2030 Coffee Rd Ste A1 Modesto CA 95355-2498 (209) 578-0443 37.67251 -120.975726 215b 9.1
1073642682 1073642682 1 1 Asian Pacific Health 22-May-01 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 19 Los Angeles CARE VENTURE, INC 1530 Hillhurst Ave Ste 200 Los Angeles CA 90027-5516 (323) 644-3880 34.098928 -118.287426 78.2a 1953
1073647350 1073647350 1 1 Clinica Sierra Vista 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 15 Kern HEALTH CENTER 301 Brundage Ln None Bakersfield CA 93304-3248 (805) 323-6086 35.353865 -119.004963 66b 20
1073653630 1073653630 1 1 St John's Well Child Ctr 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles None 1910 South Magnolia Ave None Los Angeles CA 90007-1220 (323) 541-1600 34.039828 -118.286449 78.2b 2216.02
1073669040 1073669040 1 1 Planned Parenthood Pasadena 20-Feb-08 54 EXPANDED ACCESS TO PRIMARY CARE None None UNKNOWN 0 In state provider 19 Los Angeles None 1045 N Lake Ave None Pasadena CA 91104-4521 (213) 798-0708 34.163799 -118.132464 78.2hhh 4624
1073675385 1073675385 1 1 Alianza Medical Center 30-Jan-98 22 PHYSICIANS GROUP FNP28762 8 Family Practice 0 In state provider 19 Los Angeles INC 6907 Seville Ave None Huntington Park CA 90255-4901 (323) 588-1100 33.976879 -118.222534 78.2fff 5331.04
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
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
1073830485 1073830485 1 1 San Antonio Family Medical 20-Dec-10 22 PHYSICIANS GROUP None 8 Family Practice 0 In state provider 37 San Diego CLINIC INC 36 C North Euclid Ave None National City CA 91950-1955 (619) 255-2950 32.690121 -117.08522 161g 119.02
1073927877 1073927877 1 1 South Orange County 8-Aug-22 55 LOCAL EDUCATION AGENCY None None UNKNOWN 0 In state provider 30 Orange COMMUNITY COLLEGE DISTRI 5500 Irvine Center Drive Sc 150 Irvine CA 92618-0301 (949) 451-5221 33.679185 -117.778355 116o 525.17
1073997201 1073997201 1 1 Family Healthcare Network 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 54 Tulare None 263 S West Street None Tulare CA 93274-3411 (559) 684-7505 36.204102 -119.366819 230 22.02
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
1083035505 1083035505 1 1 North East Medical Services 12-Jun-14 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 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
1083611156 1083611156 1 1 Family Healthcare Netwrk 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 54 Tulare None 1107 W Poplar Ave None Porterville CA 93257-5839 (559) 737-4700 36.051586 -119.043341 231 34
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
1083627749 1083627749 1 1 Los Angeles County 28-Apr-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 19 Los Angeles ROYBAL FAMILY PLANNING 245 S Fetterly Ave None Los Angeles CA 90022-1605 (213) 780-2253 34.034141 -118.160915 78.2d 5304
1083648810 1083648810 1 1 San Francisco Gen Hosp 3-May-06 61 COUNTY HOSPITAL OUTPATIENT None None UNKNOWN 0 In state provider 38 San Francisco BUSINESS OFFICE WARD 14 1001 Potrero Ave None San Francisco CA 94110-3594 (415) 206-8455 37.756216 -122.406616 162c 228.02
1083667323 1083667323 1 1 Planned Parenthood 17-Apr-96 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 44 Santa Cruz None 398 S Green Valley Road None Watsonville CA 95076-3099 (831) 786-2000 36.930332 -121.777043 184 1105.02
1083715890 1083715890 1 1 San Diego State Univ 15-Mar-05 45 CLINIC EXEMP FROM LICENSURE None None UNKNOWN 0 In state provider 37 San Diego STUDENT HEALTH SERVICES 5500 Campanile Dr None San Diego CA 92182-4701 (619) 594-6681 32.772884 -117.071665 161e 28.01
1083735203 1083735203 1 1 Batres, Eric R Md 9-Mar-04 26 PHYSICIANS G00044726 None UNKNOWN 0 In state provider 19 Los Angeles MEDICAL CORP 5101 Florence Ave Ste 4 Bell CA 90201-3801 (323) 560-4673 33.969061 -118.176068 78.2ddd 5338.05
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
1083755631 1083755631 1 1 School Health Clinics 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 43 Santa Clara OF SANTA CLARA COUNTY 1835 Cunningham Ave None San Jose CA 95122-1712 (408) 347-5988 37.329682 -121.829731 183e 5035.04
1083832927 1083832927 1 1 Chao, Stephen C Md 1-Jun-05 26 PHYSICIANS G00031842 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 36 San Bernardino None 8110 Mango Ave Ste 106 Fontana CA 92335-3603 (909) 266-0090 34.106405 -117.431459 151h 29.01
1083845275 1083845275 1 1 Solano County Hlth & Social 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 48 Solano SERVICES FAMILY HLTH SVC 2201 Courage Drive None Fairfield CA 94533-6717 (707) 784-2010 38.236808 -122.07112 202b 2524.02
1083851992 1083851992 1 1 Altamed Health Services Corp 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 30 Orange GARDEN GROVE, HARBOR 12751 Harbor Blvd None Garden Grove CA 92840-5800 (714) 636-7852 33.777546 -117.915085 116r 885.02
1083858823 1083858823 1 1 Roots Community Health 14-May-13 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 1 Alameda CENTER 9925 International Blvd Ste 5 Oakland CA 94603-2558 (510) 777-1177 37.743159 -122.169686 2h 4093
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
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
1093019051 1093019051 1 1 All Inclusive Community Hlth 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles None 1311 N San Fernando Blvd None Burbank CA 91504-4236 (818) 843-9900 34.189332 -118.320301 78.2ttt 3106.01
1093023277 1093023277 1 1 Universal Community Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles CENTER 1005 E Washington Blvd Ste A Los Angeles CA 90021-3020 (213) 745-3636 34.025688 -118.252933 78.2mmm 2260.01
1093042970 1093042970 1 4 Paulus Santoso Md A Professi 29-Jan-19 22 PHYSICIANS GROUP None 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 33 Riverside None 6969 Brockton Ave Suite A-B Riverside CA 92506-3809 (951) 530-8989 33.947056 -117.396787 135c 311
1093095192 1093095192 1 1 Yehowa Medical Services 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles None 1039 W Florence Avenue None Los Angeles CA 90044-2441 (323) 776-1500 33.974618 -118.292755 78.2ggg 2374.01
1093226243 1093226243 1 1 Community Health Systems Inc 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 36 San Bernardino None 18651 Valley Blvd None Bloomington CA 92316-1831 (909) 546-7520 34.070447 -117.397334 151f 36.06
1093717779 1093717779 1 1 Clinica Sierra Vista Inc 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 15 Kern 34TH ST COMM HEALTH CTR 2000 Physicians Blvd None Bakersfield CA 93301-1277 (661) 635-6050 35.396189 -119.009485 66a 6
1093717779 1093717779 1 4 Clinica Sierra Vista Inc 1-Apr-22 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 15 Kern INTERMITTENT 1611 1st St None Bakersfield CA 93304-2901 (661) 635-6050 35.355061 -119.02028 66b 19.02
1093732554 1093732554 2 1 Reedley Community Hospital 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 10 Fresno None 300 S Leon S Peters Blvd None Fowler CA 93625-2439 (559) 834-1614 36.630002 -119.678325 31 16
1093892275 1093892275 1 2 Siskiyou Hospital, Inc 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 47 Siskiyou FAIRCHILD MEDICAL CENTER 475 Bruce St Ste 500-700 Yreka CA 96097-3463 (530) 842-3507 41.718582 -122.643902 195 7.02
1093910275 1093910275 1 1 Stanislaus County Hlth 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 50 Stanislaus MCHENRY MEDICAL OFFICE 1209 Woodrow Avenue Ste B10 Modesto CA 95350-1273 (209) 558-5312 37.685706 -121.011057 215a 8.01
1093933194 1093933194 1 1 Clinicas Del Camino Real Inc 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura KAREN R BURNHAM HEALTH 1100 W Gonzales Rd None Oxnard CA 93036-3336 (805) 988-0053 34.219133 -119.188951 241b 33
1093933939 1093933939 1 1 Nobel Care Medical Group Inc 21-Jun-02 26 PHYSICIANS 20A7033 None UNKNOWN 0 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
1093969115 1093969115 1 1 Planned Parenthood Of La 22-Feb-10 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 19 Los Angeles None 400 W 30th Street None Los Angeles CA 90007-3320 (213) 284-3200 34.023953 -118.275541 78.2l 2246
1093969115 1093969115 1 2 Planned Parenthood Of La 16-Aug-19 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 19 Los Angeles INTERMITTENT 1500 W Washington Blvd None Los Angeles CA 90007-1257 (213) 284-3200 34.040011 -118.289621 78.2b 2216.02
1093969115 1093969115 1 3 Planned Parenthood Of La 16-Aug-19 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 19 Los Angeles INTERMITTENT 4211 Dozier Street None Los Angeles CA 90063-3422 (213) 284-3200 34.04149 -118.175516 78.2d 5310
1093969115 1093969115 1 4 Planned Parenthood Of La 16-Aug-19 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 19 Los Angeles INTERMITTENT 3351 Firestone Boulevard None South Gate CA 90280-2937 (213) 284-3200 33.95457 -118.209808 78.2sss 5357.02
1093969115 1093969115 1 5 Planned Parenthood Of La 16-Aug-19 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 19 Los Angeles INTERMITTENT 2720 Tweedy Boulevard None South Gate CA 90280-5539 (213) 284-3200 33.946148 -118.223399 78.2ccc 5356.06
1093969115 1093969115 1 6 Planned Parenthood Of La 16-Aug-19 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 19 Los Angeles INTERMITTENT 4328 Bell Ave None Bell CA 90201-2528 (213) 284-3200 33.974739 -118.19033 78.2ddd 5336.02
1093969115 1093969115 1 7 Planned Parenthood Of La 24-Mar-20 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 19 Los Angeles INTERMITTENT 18230 Kittridge St None Reseda CA 91335-6121 (213) 284-3200 34.190229 -118.530475 78.2hhhh 1327
1093969115 1093969115 1 8 Planned Parenthood Of La 24-Mar-20 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 19 Los Angeles INTERMITTENT 12431 Roscoe Blvd None Sun Valley CA 91352-3723 (213) 284-3200 34.221659 -118.403958 78.2ppp 1210.1
1093969115 1093969115 1 9 Planned Parenthood Of La 24-Mar-20 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 19 Los Angeles INTERMITTENT 10027 Lurline Ave None Chatsworth CA 91311-3153 (213) 284-3200 34.25229 -118.584194 78.2cccc 1133.21
1093969115 1093969115 1 10 Planned Parenthood Of La 24-Mar-20 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 19 Los Angeles INTERMITTENT 14200 Van Nuys Blvd None Arleta CA 91331-5103 (213) 284-3200 34.251036 -118.442753 78.2ll 1192.02
1093969115 1093969115 1 11 Planned Parenthood Of La 29-Sep-20 41 COMMUNITY CLINIC 550001161 None UNKNOWN 0 In state provider 19 Los Angeles INTERMITTENT 8800 San Pedro St None Los Angeles CA 90003-3541 (213) 284-3200 33.957189 -118.269492 78.2fff 2400.1
1093969115 1093969115 1 14 Planned Parenthood Of La 29-Sep-20 41 COMMUNITY CLINIC 550001161 None UNKNOWN 0 In state provider 19 Los Angeles INTERMITTENT 24300 Western Avenue None Harbor City CA 90710-1742 (213) 284-3200 33.804147 -118.307375 78.2aaaa 2933.02
1093969115 1093969115 1 15 Planned Parenthood Of La 23-Oct-20 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 19 Los Angeles INTERMITTENT 450 N Grand Ave None Los Angeles CA 90012-2123 (213) 284-3200 34.05943 -118.245133 78.2ffff 2071.01
1093969115 1093969115 1 18 Planned Parenthood Of La 27-Oct-20 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 19 Los Angeles INTERMITTENT 11800 Texas Ave None Los Angeles CA 90025-1402 (213) 284-3200 34.045765 -118.461356 78.2kkkk 2674.04
1093969115 1093969115 1 20 Planned Parenthood Of La 6-Nov-20 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 19 Los Angeles INTERMITTENT 6020 Miles Ave None Huntington Park CA 90255-3109 (213) 284-3200 33.986763 -118.219277 78.2ccc 5326.06
1093969115 1093969115 1 23 Planned Parenthood Of La 10-Nov-20 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 19 Los Angeles INTERMITTENT 300 E 53rd St None Los Angeles CA 90011-4522 (213) 284-3200 33.994249 -118.270132 78.2ggg 2294.1
1093969115 1093969115 1 28 Planned Parenthood Of La 22-Jan-21 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 19 Los Angeles INTERMITTENT 5461 Winnetka Ave None Woodland Hills CA 91364-2548 (213) 284-3200 34.169432 -118.570975 78.2yy 1375.01
1093980823 1093980823 2 1 Reedley Community Hospital 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 10 Fresno None 1939 Academy Avenue None Sanger CA 93657-3737 (559) 875-6900 36.690124 -119.554709 31 61
1104014414 1104014414 1 1 Mercy Medical Center 30-Mar-10 22 PHYSICIANS GROUP FNP020342 1 General Practice 0 In state provider 19 Los Angeles None 16444 Paramount Blvd Ste 103 Paramount CA 90723-5453 (562) 531-7790 33.884591 -118.15997 78.2m 5539.02
1104024744 1104024744 2 1 Childrens Hospital Los 11-Jun-22 71 LICENSED CLINICAL SOCIAL WORKER GROUP None None UNKNOWN 0 In state provider 19 Los Angeles None 5000 W Sunset Blvd Fl 4 Los Angeles CA 90027-5861 (323) 361-2337 34.098139 -118.298323 78.2g 1912.01
1104067636 1104067636 1 1 Kaweah Delta Hlth Care Dist 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 54 Tulare None 839 N Sequoia Ave None Lindsay CA 93247-1424 (559) 624-2000 36.212938 -119.096107 228.2 26.01
1104163781 1104163781 1 1 Chava, Sreedhar Md Inc 8-Jul-13 22 PHYSICIANS GROUP A00102291 8 Family Practice 0 In state provider 19 Los Angeles None 1651 N Hacienda Blvd None La Puente CA 91744-1137 (626) 917-8700 34.049085 -117.945495 78.2yyy 4075.01
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
1104367572 1104367572 1 1 Center For Family Health & 31-May-22 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles AFFILIATED 3229 Santa Anita Ave First Floor El Monte CA 91733-0882 (626) 575-4584 34.067056 -118.04246 78.2oo 4332
1104819945 1104819945 1 1 Nguyen, Hung V Md 15-Sep-87 26 PHYSICIANS A00042303 1 General Practice 0 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
1104856095 1104856095 1 1 Desert Regional Medical 25-Jun-98 72 MENTAL HEALTH INPATIENT SERVICES None None UNKNOWN 0 In state provider 33 Riverside CENTER INC 1150 N Indian Canyon Dr None Palm Springs CA 92262-4872 (760) 323-6511 33.838898 -116.545608 129.4 446.06
1104881523 1104881523 1 1 Kumaratne, Mohan Md 13-Mar-81 26 PHYSICIANS A35327 1 General Practice 0 In state provider 30 Orange None 17692 Beach Blvd Ste 200 Huntington Beach CA 92647-6810 (714) 847-6975 33.705708 -117.989099 116s 992.12
1104889724 1104889724 1 1 Chou, Susanna I Md 18-Sep-03 26 PHYSICIANS A00073158 8 Family Practice 0 In state provider 37 San Diego None 340 4th Ave Ste 5a Chula Vista CA 91910-3813 (619) 425-5559 32.638989 -117.083532 161k 127
1104906569 1104906569 1 1 Fresno Community Hospital 6-Jan-95 72 MENTAL HEALTH INPATIENT SERVICES None None UNKNOWN 0 In state provider 10 Fresno AND MEDICAL CENTER 2823 Fresno St None Fresno CA 93721-1324 (559) 459-1672 36.742581 -119.783025 35c 5.02
1104920438 1104920438 1 2 Seneca Healthcare Dist 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 32 Plumas LAKE ALMANOR CLINIC 199 Reynolds Rd None Chester CA 96020-0737 (530) 258-4257 40.305653 -121.232544 125 5.01
1104991744 1104991744 1 1 Humboldt State Universty 26-Sep-07 45 CLINIC EXEMP FROM LICENSURE CLF1419 None UNKNOWN 0 In state provider 12 Humboldt STUDENT HLTH CENTER Plaza Avenue Near Library Circle Arcata CA 95521-8299 (707) 826-3146 40.874139 -124.081652 39 10
1114031051 1114031051 1 1 Hemet Family Care Center 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 33 Riverside None 880 N State St None Hemet CA 92543-1459 (951) 766-2450 33.761717 -116.971874 132 435.07
1114057163 1114057163 1 1 Chapa-De-Indian Health 25-Jan-22 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 31 Placer PROGRAM 11670 Atwood Rd None Auburn CA 95603-9522 (916) 885-3757 38.934832 -121.09919 119 215.01
1114104015 1114104015 1 1 Northeast Vly Hlth Corp 25-Apr-08 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 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
1114104858 1114104858 1 1 Altamed Comm Health Cln 28-Apr-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 19 Los Angeles EL MONTE 10418 Valley Blvd Ste B El Monte CA 91731-2402 (818) 453-8466 34.076514 -118.045907 78.2oo 4328.01
1114220357 1114220357 1 1 North Kern South Tulare 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 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
1114290780 1114290780 1 1 Indian Health Center Of 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 43 Santa Clara SANTA CLARA VALLEY 455 O'connor Drive Ste 200 San Jose CA 95128-1633 (408) 445-3400 37.326705 -121.939855 183j 5020.01
1114322518 1114322518 1 1 Planned Parenthood 28-Oct-15 41 COMMUNITY CLINIC 550003216 None UNKNOWN 0 In state provider 19 Los Angeles LOS ANGELES 8704 Santa Monica Blvd Suite 300 West Hollywood CA 90069-4548 (213) 284-3130 34.087189 -118.380479 78.2f 7004
1124025739 1124025739 1 1 Saljoughy, Togrol Md 23-Feb-89 26 PHYSICIANS A00040320 None UNKNOWN 0 In state provider 54 Tulare None 115 E Honolulu St None Lindsay CA 93247-2526 (559) 562-2278 36.202638 -119.089895 228.2 28
1124045158 1124045158 1 1 Community Health Centers 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 40 San Luis Obispo WOMEN'S HEALTH 1551 Bishop St Ste 240 San Luis Obispo CA 93401-4661 (805) 549-0402 35.274341 -120.646177 172 110.02
1124051578 1124051578 1 1 M.D. Medical Center, Inc 8-Aug-17 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 19 Los Angeles None 600 N Garfield Ave Suite 111 Monterey Park CA 91754-1166 (626) 280-3651 34.068526 -118.122924 78.2nn 4817.13
1124053111 1124053111 1 1 Planned Parenthood Of The 2-Sep-88 41 COMMUNITY CLINIC 80000305 None UNKNOWN 0 In state provider 37 San Diego PACIFIC SOUTHWEST 10717 Camino Ruiz Ste 258 San Diego CA 92126-2360 (619) 566-4223 32.913229 -117.143807 161v 83.57
1124073366 1124073366 1 1 Childrens Hospital Of La 19-Dec-79 16 COMMUNITY INPATIENT HOSPITAL 190000170 None UNKNOWN 0 In state provider 19 Los Angeles None 4650 W Sunset Blvd None Los Angeles CA 90027-6062 (323) 660-2450 34.098158 -118.29221 78.2g 1912.01
1124106646 1124106646 1 1 Lanark Family Med Clinic 3-Jan-20 82 LICENSED MIDWIVES None None UNKNOWN 0 In state provider 19 Los Angeles None 8040 Van Nuys Blvd None Panorama City CA 91402-6010 (818) 373-4870 34.217232 -118.448759 78.2zz 1203
1124115431 1124115431 1 1 Blythe Health Clinic 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 33 Riverside None 321 W Hobsonway Ste C Blythe CA 92225-1651 (619) 922-4981 33.61031 -114.599743 126 461.02
1124130620 1124130620 2 1 Harmony Health Medical 21-Mar-16 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 58 Yuba CLINIC & FAMILY RESOURCE 1908 N Beale Road Suite E Marysville CA 95901-6937 (530) 743-6888 39.127859 -121.545877 249 403.01
1124182977 1124182977 1 1 Jwch Institute Inc 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles None 3591 E Imperial Highway None Lynwood CA 90262-2684 (310) 638-9025 33.930479 -118.205406 78.2sss 5402.02
1124189212 1124189212 1 1 Ardmore Med Group Inc 10-Apr-92 22 PHYSICIANS GROUP FNP030539 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles ARDMORE MED GROUP INC 3518 W 8th St None Los Angeles CA 90005-2902 (213) 384-4633 34.057663 -118.307051 78.2e 2125.02
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
1124205182 1124205182 1 1 North East Medical Svcs 10-Apr-08 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 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
1124220249 1124220249 1 1 Mendocino Coast Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 23 Mendocino CARE DISTRICT 721 River Dr Suites A, B, & C Fort Bragg CA 95437-5402 (707) 961-4631 39.431693 -123.800817 89 105
1124296413 1124296413 1 1 Duel, Ebrahim Md Inc 9-Oct-08 22 PHYSICIANS GROUP FNP033834 None UNKNOWN 0 In state provider 30 Orange None 301 N Main St None Santa Ana CA 92701-4852 (714) 547-6641 33.747129 -117.867626 116b 750.02
1124296496 1124296496 1 1 Saenz, Lucy M Md 21-Jul-03 26 PHYSICIANS A00056461 8 Family Practice 0 In state provider 30 Orange None 1203 N Euclid St None Anaheim CA 92801-1954 (714) 547-4411 33.85082 -117.941811 116l 867.01
1124300207 1124300207 1 1 Livingston Community Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 24 Merced None 7970 N Lander Ave Suite A & B Hilmar CA 95324-8350 (209) 850-3500 37.403898 -120.850126 95 4.02
1124460274 1124460274 1 1 Northeast Community Clinics 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 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
1124533492 1124533492 1 1 Camarena Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 20 Madera None 705 W Pecan Avenue None Madera CA 93637-6254 (559) 664-4000 36.938282 -120.049708 80 5.02
1124561741 1124561741 1 1 Family Planning Associates M 24-Feb-20 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 56 Ventura None 1700 Lombard St Ste 110 Oxnard CA 93030-8211 (805) 822-5879 34.218377 -119.149324 241b 49.01
1134132343 1134132343 1 1 Sl Health Inc 21-Jul-06 22 PHYSICIANS GROUP FNP034557 None UNKNOWN 0 In state provider 19 Los Angeles COGAN HEALTH INC 780 Atlantic Avenue None Long Beach CA 90813-9080 (562) 989-5722 33.776413 -118.18505 78.2kkk 5763.01
1134144165 1134144165 1 1 Borrego Community Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego FOUNDATION 4343 Yaqui Pass Rd None Borrego Springs CA 92004-0000 (760) 760-5051 33.193148 -116.330451 152 210
1134206436 1134206436 1 1 Angel Family Practice 4-Jan-93 26 PHYSICIANS A00050182 1 General Practice 0 In state provider 19 Los Angeles MEDICAL GROUP INC 2015 E Florence Ave None Los Angeles CA 90001-2754 (323) 581-0000 33.974782 -118.234728 78.2mmm 5330.02
1134208853 1134208853 1 1 Carreon, Jorge F Md Inc 30-Nov-89 26 PHYSICIANS A00032576 1 General Practice 0 In state provider 19 Los Angeles None 4500 Tweedy Blvd None South Gate CA 90280-6334 (323) 567-9661 33.942777 -118.192708 78.2sss 5359.02
1134237993 1134237993 1 1 Adv Women's Healthcare 6-Jan-06 22 PHYSICIANS GROUP FNP032887 None UNKNOWN 0 In state provider 33 Riverside AMC 1100 N Palm Canyon Dr Ste 212 Palm Springs CA 92262-4426 (760) 327-7900 33.837621 -116.546779 129.4 446.06
1134271380 1134271380 1 1 Fawwaz, Amin R Md Inc 11-Aug-03 26 PHYSICIANS C00039280 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 30 Orange None 3010 W Orange Ave Ste 408 Anaheim CA 92804-3173 (714) 995-1866 33.82475 -117.993763 116c 869.02
1134298318 1134298318 1 1 San Martin De Porres Med 22-Aug-94 22 PHYSICIANS GROUP FNP030801 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles CLINIC OF SOUTH GATE INC 10001 California Ave None South Gate CA 90280-6005 (323) 564-4408 33.943535 -118.207674 78.2ccc 5358.02
1134306772 1134306772 1 1 Santa Clara Vly Med Ctr 28-May-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 43 Santa Clara None 7475 Camino Arroyo None Gilroy CA 95020-7348 (408) 885-7200 37.019947 -121.560817 182 5126.02
1134320716 1134320716 1 1 Espinoza, Maria A Md Inc 24-Nov-08 26 PHYSICIANS A00065846 34 Urology and Urological Surgery 0 In state provider 19 Los Angeles None 2151 W 6th St None Los Angeles CA 90057-3121 (213) 483-2222 34.059796 -118.275482 78.2ffff 2088.01
1134360076 1134360076 1 1 County Of Ventura 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura None 828 Ventura St Suite 100 Fillmore CA 93015-1877 (805) 524-2000 34.377654 -118.933229 237 3.03
1134369366 1134369366 1 1 Clinicas Del Camino Real 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura INC, EL RIO 221 Ventura Blvd Ste 126 Oxnard CA 93036-0277 (805) 436-3444 34.233356 -119.171593 241b 50.03
1134421860 1134421860 1 1 Aguilar, Alejandro F Md Inc 16-May-16 26 PHYSICIANS A36086 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles None 3034 E Florence Avenue None Huntington Park CA 90255-5828 (323) 587-1743 33.973091 -118.214284 78.2ccc 5331.07
1134492937 1134492937 1 1 Altamed Health Services Corp 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles EAST LA 1ST STREET 2219 E 1st Street None Los Angeles CA 90033-3901 (323) 269-0421 34.044415 -118.211965 78.2h 2044.2
1134570708 1134570708 1 1 Le, Anhdao V Md Inc 28-Sep-16 26 PHYSICIANS A81117 1 General Practice 0 In state provider 19 Los Angeles None 1024 E Pacific Coast Hwy None Long Beach CA 90806-5017 (562) 218-0131 33.789849 -118.180128 78.2jjj 5752.01
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
1144273194 1144273194 1 1 Moreno Valley Urgent Care 27-Jun-08 26 PHYSICIANS None 8 Family Practice 0 In state provider 33 Riverside CLINIC INC 24318 Hemlock Ave Suite E1 Moreno Valley CA 92557-7107 (951) 243-5050 33.941954 -117.236551 135g 424.04
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
1144316217 1144316217 1 1 Sunmoon Urgent Care Medical 22-Mar-05 26 PHYSICIANS A84584 22 Pathology (M.D. only) 0 In state provider 19 Los Angeles SUNMOON MED GRP INC 1304 Echo Park Ave None Los Angeles CA 90026-3318 (213) 484-1289 34.077411 -118.256951 78.2a 1974.2
1144336181 1144336181 1 1 La Clinica De La Raza 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 1 Alameda None 3451 E 12th St None Oakland CA 94601-3425 (510) 535-4000 37.775796 -122.223557 2d 4061
1144340670 1144340670 1 1 California State University 25-Mar-08 45 CLINIC EXEMP FROM LICENSURE None None UNKNOWN 0 In state provider 37 San Diego SAN MARCOS 333 S. Twin Oaks Valley Ste 100 San Marcos CA 92096-0001 (760) 750-4005 33.131638 -117.164471 156c 203.06
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
1144371436 1144371436 1 1 Kim, Mee Sook, Md 3-May-85 26 PHYSICIANS A00039215 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles None 14624 Sherman Way Ste 207 Van Nuys CA 91405-2288 (818) 781-8970 34.201206 -118.451927 78.2zz 1272.2
1144385766 1144385766 1 2 Hy Phung Ngo Md Inc 23-Dec-08 26 PHYSICIANS A00069736 41 Internal Medicine 0 In state provider 19 Los Angeles None 5801 S Figueroa Street None Los Angeles CA 90003-1016 (323) 971-3883 33.989727 -118.282663 78.2ggg 2327
1144407487 1144407487 1 1 North East Medical Svs 16-Apr-08 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 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
1144407784 1144407784 1 1 Santa Clara Vly Ctr 28-May-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 43 Santa Clara VALLEY HEALTH CTR BASCOM 750 S Bascom Ave None San Jose CA 95128-2603 (408) 885-7200 37.313576 -121.931728 183j 5021.02
1144464025 1144464025 1 1 Chico State University 14-Dec-09 45 CLINIC EXEMP FROM LICENSURE None None UNKNOWN 0 In state provider 4 Butte None Warner Ave & College Dr None Chico CA 95929-0777 (530) 898-5241 39.731243 -121.850181 7.1 6.04
1144557539 1144557539 1 1 Henawi, I Md Inc 22-Apr-10 26 PHYSICIANS A00062143 1 General Practice 0 In state provider 33 Riverside None 4020 W Florida Ave None Hemet CA 92545-5279 (951) 765-5000 33.745223 -117.015231 132 435.04
1144760943 1144760943 1 1 Hurtt Family Health Clinic, 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 30 Orange INC 947 S Anaheim Blvd Suite 260 Anaheim CA 92805-5582 (714) 247-0300 33.822047 -117.90948 116l 874.05
1154327138 1154327138 1 1 Lifelong Medical Care 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 1 Alameda EAST OAKLAND 10700 Macarthur Blvd Ste 14b Oakland CA 94605-5260 (510) 615-4870 37.742368 -122.151705 2d 4101
1154347797 1154347797 1 1 Florence Western 9-Jun-06 22 PHYSICIANS GROUP FNP001793 None UNKNOWN 0 In state provider 19 Los Angeles None 7301 S Western Ave None Los Angeles CA 90047-2254 (323) 778-2131 33.973656 -118.308969 None None
1154356145 1154356145 1 1 Planned Parenthood Of 11-May-82 41 COMMUNITY CLINIC 370801307 None UNKNOWN 0 In state provider 37 San Diego SAN DIEGO COUNTY 1685 E Main St Ste 301 El Cajon CA 92021-5292 (619) 881-4516 32.811611 -116.919014 161u 164.01
1154375624 1154375624 1 1 Planned Parenthood 21-May-97 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 50 Stanislaus None 1431 Mchenry Ave Ste 100 Modesto CA 95350-4534 (209) 549-2300 37.66483 -120.993934 215a 11
1154402675 1154402675 1 2 Samuel Dixon Family 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles HEALTH CENTER 30257 San Martinez Rd None Val Verde CA 91384-2472 (661) 257-2339 34.447177 -118.663603 76.2 9201.06
1154420933 1154420933 2 1 Perris Valley Physicians 9-Jul-13 22 PHYSICIANS GROUP A00092039 1 General Practice 0 In state provider 33 Riverside ASSOCIATES, AMC 735 South D St None Perris CA 92570-2419 (951) 657-3177 33.778979 -117.228803 133.1 428
1154461580 1154461580 1 1 Ca State Univ 9-Nov-06 45 CLINIC EXEMP FROM LICENSURE CLF1239 None UNKNOWN 0 In state provider 19 Los Angeles NORTHRIDGE KLOTZ 18111 Nordhoff St None Northridge CA 91330-0001 (818) 677-3666 34.235482 -118.527572 78.2kk 1152.02
1154480069 1154480069 1 1 Borrego Community Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego FOUNDATION 133 West Main Street Ste 100 El Cajon CA 92020-3954 (619) 401-0404 32.794864 -116.962732 161h 158.02
1154487148 1154487148 1 1 County Of Santa Barbara 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 42 Santa Barbara COUNTY HEALTH CLINIC 2115 Centerpointe Pkwy None Santa Maria CA 93455-1334 (805) 346-8410 34.922699 -120.428604 180.1 20.07
1154503399 1154503399 1 1 Marin Comm Clinic San Rafael 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 21 Marin None 3110 Kerner Blvd None San Rafael CA 94901-5439 (415) 526-8512 37.957757 -122.500253 83b 1122.02
1154614097 1154614097 1 1 Kaweah Delta Health Care 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 54 Tulare DISTRICT 180 E Antelope Ave None Woodlake CA 93286-1506 (559) 624-2000 36.415571 -119.097881 228.1 7.02
1154636793 1154636793 1 1 Los Angeles County 6-Apr-11 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 19 Los Angeles HIGH DESERT HLTH SYSTEMS 44900 60th St W None Lancaster CA 93536-7618 (661) 945-8461 34.696359 -118.236642 77.5 9012.05
1154730828 1154730828 1 1 El Proyecto Del Barrio Inc 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles None 3942 Maine Ave None Baldwin Park CA 91706-4220 (626) 969-7885 34.084525 -117.961854 78.2zzz 4052.02
1154736429 1154736429 1 1 Avenal Community Health Cent 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 10 Fresno None 3554 W Mt Whitney Ave None Riverdale CA 93656-0000 (559) 867-4000 36.430906 -119.861917 30 77
1154786846 1154786846 1 10 Neighborhood Healthcare 22-Nov-21 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 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 0 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 0 In state provider 33 Riverside INTERMITTENT 41840 Enterprise Cir N None Temecula CA 92590-5654 (951) 216-6100 33.517198 -117.169596 131c 512
1154788560 1154788560 1 1 Pomona Community Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 36 San Bernardino CENTER 1556 S Sultana Ave None Ontario CA 91761-4241 (909) 984-7384 34.045424 -117.646 151c 18.12
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
1164428488 1164428488 1 1 Mccloud Healthcare Clinic 17-Feb-10 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 47 Siskiyou None 116 W Minnesota Ave None Mc Cloud CA 96057-1143 (530) 964-2389 41.252132 -122.137348 199 12
1164463345 1164463345 1 1 Chen, Edward J Md 29-Oct-01 26 PHYSICIANS C00050499 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles None 500 N Garfield Ave Ste 206 Monterey Park CA 91754-1242 (626) 288-4218 34.05624 -118.12471 78.2nn 4822.01
1164503652 1164503652 1 1 Las Palmas Medical Group 3-May-04 22 PHYSICIANS GROUP FNP035097 1 General Practice 0 In state provider 33 Riverside CORPORATION 1003 N State Street None Hemet CA 92543-4435 (951) 652-0090 33.763055 -116.971873 132 435.07
1164517744 1164517744 1 1 Family Healthcare Network 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 54 Tulare None 201 East Lakeview Ave None Woodlake CA 93286-1301 (559) 564-0100 36.417357 -119.097641 228.1 7.02
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
1164557815 1164557815 1 1 Health Center #3 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 38 San Francisco None 1525 Silver Ave None San Francisco CA 94134-1229 (415) 715-0310 37.732483 -122.40564 162f 257.01
1164643862 1164643862 1 1 Indian Health Center Of 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 43 Santa Clara SANTA CLARA VALLEY 1333 Meridian Ave None San Jose CA 95125-5250 (408) 445-3400 37.301556 -121.913574 183e 5023.01
1164668786 1164668786 1 1 Premier Family Medicine 5-Oct-12 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 19 Los Angeles ASSOCIATES, INC 1601 N Monte Vista Ave #100 Claremont CA 91711-6601 (909) 630-7938 34.11306 -117.698479 78.2tt 4018
1164672747 1164672747 1 1 Clinica Sierra Vista 17-Oct-08 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 10 Fresno HEALTH CENTER 1350 South Orange Ave None Fresno CA 93702-3463 (559) 437-1530 36.729147 -119.763665 35e 4
1164728788 1164728788 1 1 Hesperia Clinica Medica 30-May-13 22 PHYSICIANS GROUP None 8 Family Practice 0 In state provider 36 San Bernardino FAMILIAR A MEDICAL CORP 15888 Main Street Suite 112b Hesperia CA 92345-3467 (760) 948-2242 34.423632 -117.31593 145.1a 100.19
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
1164886040 1164886040 1 1 Peach Tree Healthcare 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 34 Sacramento None 3810 Rosin Ct Suite 100 Sacramento CA 95834-1656 (916) 779-7656 38.637429 -121.475545 139j 70.01
1174023857 1174023857 1 1 Saint Anne Medical Group 18-Dec-18 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 36 San Bernardino INC 9655 Monte Vista Ave Ste 405 Montclair CA 91763-2238 (909) 230-0101 34.0785 -117.698246 151c 2.03
1174501225 1174501225 1 1 Exum, Janice M Md 26-Jun-04 26 PHYSICIANS G00066570 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles None 555 W Compton Blvd Ste 202 Compton CA 90220-3092 (310) 537-2440 33.895903 -118.232876 78.2bbb 5425.02
1174579957 1174579957 1 1 Planned Parenthood Mar Monte 21-May-97 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 39 San Joaquin INC 678 N Wilson Way Ste 25-26 Stockton CA 95205-4272 (209) 469-4160 37.962577 -121.273374 169b 16
1174626618 1174626618 1 1 Ucsd Ob Gyn Medical Grp 27-Mar-20 78 MARRIAGE AND FAMILY THERAPIST GROUP None None UNKNOWN 0 In state provider 37 San Diego None 200 W Arbor Dr None San Diego CA 92103-9001 (619) 543-1899 32.753784 -117.164978 161b 4
1174665905 1174665905 1 1 Arroyo Vista Family 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles HEALTH CTR-LINCOLN HGHTS 2411 N Broadway None Los Angeles CA 90031-2218 (323) 987-2000 34.073633 -118.2162 78.2i 1997
1174700710 1174700710 1 1 Altamed Medical Group 28-Apr-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 19 Los Angeles ELA/WHITTIER 5427 Whittier Blvd None Los Angeles CA 90022-4101 (213) 266-1122 34.019621 -118.153528 78.2d 5317.01
1174727143 1174727143 1 1 County Of Monterey 27-Dec-18 27 PODIATRISTS None None UNKNOWN 0 In state provider 27 Monterey None 1441 Constitution Blvd None Salinas CA 93906-3100 (831) 755-4235 36.696798 -121.62963 109.2 106.08
1174757967 1174757967 1 1 Central City Community 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 30 Orange HEALTH CENTER INC 12116 Beach Blvd None Stanton CA 90680-3704 (714) 898-2222 33.786171 -117.992846 116r 881.04
1174759583 1174759583 1 1 Planned Parenthood Of La 4-Mar-11 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 19 Los Angeles None 5519 E Del Amo Blvd None Lakewood CA 90713-2307 (213) 284-3126 33.84712 -118.124646 78.2n 5709.02
1174764021 1174764021 1 1 County Of Ventura 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura None 612 Spring Rd Bldg A Moorpark CA 93021-1298 (805) 523-5400 34.28185 -118.882139 239 76.11
1174859425 1174859425 1 1 Comm Hlth Ctr Of Cent Coast 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 42 Santa Barbara None 1418 East Main Street Suite 210 Santa Maria CA 93454-4833 (805) 928-6408 34.9529 -120.413575 180.1 22.11
1174913776 1174913776 1 2 Universal Community Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles None 2801 South San Pedro St None Los Angeles CA 90011-2023 (323) 233-3100 34.019812 -118.262438 78.2l 2267
1174923684 1174923684 1 1 Planned Parenthood Mar Monte 25-Feb-15 41 COMMUNITY CLINIC 550002918 None UNKNOWN 0 In state provider 1 Alameda None 1032 A Street None Hayward CA 94541-4106 (510) 300-3800 37.67424 -122.083314 2h 4354
1174984041 1174984041 1 1 Unicare Community Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 36 San Bernardino CENTER, INC 16127 Foothill Blvd None Fontana CA 92335-3374 (909) 347-0700 34.106542 -117.453053 151h 28.03
1184065088 1184065088 1 1 Borrego Community Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 33 Riverside FOUNDATION 11750 Cholla Drive Suite B Desert Hot Spring CA 92240-3064 (760) 251-0044 33.963253 -116.514526 129.4 445.09
1184606634 1184606634 1 1 United Hlth Ctrs-Mendota 25-Aug-21 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 10 Fresno None 121 Barboza St None Mendota CA 93640-1901 (559) 655-5000 36.765512 -120.383672 25 83.01
1184641664 1184641664 1 1 Planned Parenthood 13-May-88 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 56 Ventura CALIFORNIA 5400 Ralston St None Ventura CA 93003-6002 (805) 658-3223 34.259757 -119.217858 241c 15.02
1184674830 1184674830 1 1 San Marcos Med Grp Inc 19-Jul-00 22 PHYSICIANS GROUP FNP026904 None UNKNOWN 0 In state provider 36 San Bernardino METROPOLITAN FAMILY MED 1574 W Base Line St Ste 107 San Bernardino CA 92411-1736 (909) 386-1880 34.121331 -117.325963 151g 42.01
1184677163 1184677163 1 1 Planned Parenthood Mar Monte 25-Nov-96 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 34 Sacramento INC 5700 Watt Ave None North Highlands CA 95660-4752 (916) 338-8399 38.670306 -121.3828 139j 73.01
1184722779 1184722779 1 1 Regents Of The Univ Ca 1-Jul-08 16 COMMUNITY INPATIENT HOSPITAL None None UNKNOWN 0 In state provider 37 San Diego MEDICAL CENTER-SAN DIEGO 200 W Arbor Dr None San Diego CA 92103-1911 (619) 543-6060 32.753784 -117.164978 161b 4
1184753790 1184753790 1 1 San Diego Family Care 2-Jan-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 37 San Diego None 6973 Linda Vista Rd None San Diego CA 92111-6342 (619) 279-0925 32.786812 -117.170026 161a 88
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
1184833501 1184833501 1 1 Family Hlth Ctrs Of La 28-Jan-04 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 19 Los Angeles None 6501 Garfield Ave None Bell Gardens CA 90201-1805 (562) 928-9600 33.972803 -118.147588 78.2c 5339.02
1184844607 1184844607 1 1 Specialty Care & Surgery 13-Jul-94 22 PHYSICIANS GROUP FNP035334 None UNKNOWN 0 In state provider 17 Lake CENTER 5685 Main St None Kelseyville CA 95451-8945 (707) 279-8733 38.971691 -122.830112 70.1 10
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
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
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
1194090688 1194090688 1 1 Samouha, Pejman Md Inc 17-Jun-16 26 PHYSICIANS A106358 None UNKNOWN 0 In state provider 19 Los Angeles SPECIALTY CENTER 1435 S Vermont Ave Suite 100 Los Angeles CA 90006-4554 (213) 386-2511 34.0459 -118.291598 78.2b 2212.2
1194122457 1194122457 1 1 Families Together Of Orange 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 30 Orange COUNTY 661 W First St Ste G Tustin CA 92780-2939 (714) 665-9890 33.74575 -117.831106 116h 755.05
1194709535 1194709535 1 1 Ling, David Md 25-May-80 26 PHYSICIANS C00029051 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles None 2031 W Alameda Ave Ste 214 Burbank CA 91506-2959 (818) 954-0208 34.159851 -118.32331 78.2ttt 3117
1194839035 1194839035 1 1 Perris Family Care Ctr 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 33 Riverside None 308 E San Jacinto Ave None Perris CA 92570-2878 (951) 210-1400 33.786591 -117.221638 133.1 427.19
1194848580 1194848580 1 1 Yacoub, Nader M Md 24-Jul-84 26 PHYSICIANS A00040916 1 General Practice 0 In state provider 19 Los Angeles None 14282 Amar Rd None La Puente CA 91746-2162 (626) 917-4481 34.049076 -117.968273 78.2yyy 4071.01
1194850461 1194850461 1 1 City & Co San Francisco 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 38 San Francisco None 1050 Wisconsin St None San Francisco CA 94107-3328 (415) 920-1250 37.754254 -122.398675 162f 614
1194853861 1194853861 1 1 County Of Monterey 12-Apr-02 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 27 Monterey None 559 E Alisal St Ste 201 Salinas CA 93905-2516 (831) 769-8800 36.673821 -121.636401 109.2 5.01
1194866525 1194866525 1 1 Mayer, Ralph Md 10-Apr-06 22 PHYSICIANS GROUP G00069356 8 Family Practice 0 In state provider 19 Los Angeles None 2568 Clarendon Ave None Huntington Park CA 90255-4073 (323) 582-5444 33.983576 -118.225815 78.2ccc 5326.05
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
1194974402 1194974402 1 1 North Orange County Reg 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 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
1194978973 1194978973 1 1 Clinica Sierra Vista 9-Feb-10 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 10 Fresno HEALTH CENTER 302 Fresno St Ste 101 103 200 204 Fresno CA 93706-3641 (559) 437-1530 36.723699 -119.809304 35e 3
1205076536 1205076536 1 1 Hazel Hawkins Memorial 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 35 San Benito HOSPITAL 321 1st Street None Hollister CA 95023-3712 (831) 638-1652 36.855669 -121.402339 140 4
1205100740 1205100740 1 1 Family Planning Associates M 11-Mar-15 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 33 Riverside EDICAL GROUP INC 29645 Rancho California Suite 237 Temecula CA 92591-5285 (951) 296-0454 33.505849 -117.143946 131b 432.2
1205102068 1205102068 1 1 Community Health Systems Inc 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 33 Riverside None 2933 University Ave None Riverside CA 92507-5364 (951) 571-2300 33.977562 -117.365144 135a 304
1205137452 1205137452 1 1 Lalezari, Bahman Md Inc 20-Oct-11 26 PHYSICIANS A00051462 1 General Practice 0 In state provider 19 Los Angeles None 4944 W Pico Blvd None Los Angeles CA 90019-4228 (323) 939-5346 34.047892 -118.344541 78.2x 2172
1205162013 1205162013 1 1 Powerplay Lydie Hazan Md Inc 19-Nov-09 26 PHYSICIANS A00053116 1 General Practice 0 In state provider 19 Los Angeles None 5800 Wilshire Blvd None Los Angeles CA 90036-4501 (310) 289-8242 34.06242 -118.354965 78.2x 2151.01
1205222544 1205222544 1 1 Clinica Sierra Vista 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 15 Kern None 1015 Baker Street Suite 4 Bakersfield CA 93305-9998 (661) 328-4283 35.378997 -118.992215 66b 13
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
1205341336 1205341336 1 1 Elica Health Centers 29-Nov-21 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 57 Yolo None 1276 Halyard Dr None West Sacramento CA 95691-3412 (855) 354-2242 38.572247 -121.550075 245 102.03
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
1205465747 1205465747 1 2 Healing Grove Health Center 1-Jan-21 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 43 Santa Clara None 226 W Alma Ave Suite 10 San Jose CA 95110-3520 (408) 583-6338 37.313128 -121.878658 183d 5031.13
1205845583 1205845583 1 1 Kim, Hyuk Do Inc 11-Oct-01 26 PHYSICIANS 20A7982 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles None 13563 Van Nuys Blvd None Pacoima CA 91331-3029 (818) 890-5300 34.261391 -118.428525 78.2ppp 1046.2
1205859733 1205859733 1 1 Sanchez, Dennis J Md 8-Apr-16 86 MEDICAL DIRECTORS G00048388 8 Family Practice 0 In state provider 19 Los Angeles SANCHEZ MEDICAL CENTER 3529 Firestone Blvd None South Gate CA 90280-3031 (323) 566-1700 33.954163 -118.205752 78.2sss 5357.02
1205859733 1205859733 1 2 Sanchez, Dennis J Md 1-Jan-03 26 PHYSICIANS G00048388 1 General Practice 0 In state provider 19 Los Angeles SANCHEZ MEDICAL CENTER 9306 Alondra Blvd None Bellflower CA 90706-4212 (323) 566-1700 33.889269 -118.135996 78.2m 5542.01
1205863784 1205863784 1 1 Patel, Dilipkumar G Md 31-Mar-89 26 PHYSICIANS A00037584 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles INC 3131 Santa Anita Ave Ste 103 El Monte CA 91733-1369 (626) 448-1234 34.065104 -118.042737 78.2oo 4332
1205940145 1205940145 1 1 County Of Riverside 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 33 Riverside None 2813 S Main St None Corona CA 92882-5942 (951) 272-5489 33.846532 -117.570809 135f 418.08
1215007893 1215007893 1 1 Contra Costa County 30-Sep-02 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 7 Contra Costa CONCORD HEALTH CENTER 3052 Willow Pass Rd None Concord CA 94519-7600 (510) 370-5100 37.980801 -122.021313 18c 3300
1215022736 1215022736 1 1 Small, George H Md 20-Jun-05 26 PHYSICIANS A00034324 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 36 San Bernardino PROGRESSIVE OB GYN MEDIC 576 S Mt Vernon Ave None San Bernardino CA 92410-2745 (909) 885-1542 34.090558 -117.313887 151f 124
1215022918 1215022918 1 1 California Medical Clinic 4-Oct-05 22 PHYSICIANS GROUP None 8 Family Practice 0 In state provider 36 San Bernardino INC 16701 Valley Blvd Ste F Fontana CA 92335-6696 (909) 434-4755 34.070327 -117.439997 151f 33.01
1215030747 1215030747 1 1 Integrative Medical Ctr 1-Dec-93 22 PHYSICIANS GROUP FNP12667 None UNKNOWN 0 In state provider 30 Orange None 526 W 17th St None Santa Ana CA 92706-3619 (714) 558-9355 33.759988 -117.872775 116b 751
1215061528 1215061528 1 1 Clinica Sierra Vista 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 15 Kern None 704 Lebec Rd None Lebec CA 93225-0000 (805) 245-3773 34.772888 -119.040689 237 1
1215095575 1215095575 1 1 Planned Parenthood- 19-Dec-79 41 COMMUNITY CLINIC ZZR11927 None UNKNOWN 0 In state provider 7 Contra Costa ANTIOCH 1104 Buchanan Rd None Antioch CA 94509-4205 (510) 754-4550 37.998373 -121.82285 18d 3072.05
1215100417 1215100417 1 1 Banta, Dante A Md Inc 1-Aug-08 26 PHYSICIANS A044079 8 Family Practice 0 In state provider 19 Los Angeles None 875 N Western Ave None Los Angeles CA 90029-3759 (323) 461-0777 34.086121 -118.309136 78.2g 1916.1
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
1215110879 1215110879 2 1 Reedley Community Hospital 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 16 Kings None 216 E Fresno St None Avenal CA 93204-1525 (559) 356-5364 36.003533 -120.135901 67 17.01
1215155031 1215155031 1 1 Communicare Health Ctrs 17-Nov-04 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 57 Yolo SALUD CLINIC 500 Jefferson Blvd Ste B180 West Sacramento CA 95605-2394 (530) 375-6400 38.587516 -121.526961 245 101.01
1215246996 1215246996 1 1 Imperial Beach Community 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego CLINIC 1016 Outer Road None San Diego CA 92154-1351 (619) 429-3733 32.578619 -117.083338 161j 101.07
1215310008 1215310008 1 1 Family Health Care Centers 18-Feb-22 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles OF GREATER LOS ANGELES 6119 Agra Street None Bell Gardens CA 90201-1705 (562) 928-9600 33.975589 -118.154266 78.2c 5339.01
1215351705 1215351705 1 1 Santa Barbara Neighborhood 21-Jan-15 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 42 Santa Barbara CLINICS 334 S Patterson Ave Suite 203 Goleta CA 93111-2400 (805) 617-7878 34.434188 -119.809268 181a 30.01
1215903018 1215903018 1 1 Community Memorial Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura None 147 N Brent St None Ventura CA 93003-2809 (805) 652-5011 34.274201 -119.257241 241c 19
1215962204 1215962204 1 1 Planned Parenthood Of The 18-Jul-02 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 37 San Diego PACIFIC SOUTHWEST 4501 Mission Bay Dr Ste 1c&d San Diego CA 92109-4923 (619) 881-4516 32.802898 -117.216446 161a 78
1215991278 1215991278 1 1 San Fernando Mission Medical 30-Dec-93 22 PHYSICIANS GROUP None 8 Family Practice 0 In state provider 19 Los Angeles None 8215 Van Nuys Blvd Suite 210-204 Panorama City CA 91402-4833 (818) 901-0373 34.22001 -118.448778 78.2zz 1200.2
1225044662 1225044662 1 1 Los Angeles County 28-Apr-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 19 Los Angeles WILMINGTON FAM PLANNING 1325 Broad Ave None Wilmington CA 90744-2604 (310) 518-8800 33.789816 -118.261561 78.2p 2946.1
1225061856 1225061856 1 1 Chen, Luning Md 9-Aug-99 26 PHYSICIANS A00067442 8 Family Practice 0 In state provider 19 Los Angeles MEDICAL CORPORATION 737 Garfield Ave #a Alhambra CA 91801-1321 (626) 289-7999 34.101705 -118.13147 78.2eeee 4804
1225063761 1225063761 1 2 San Joaquin Faculty 23-Oct-20 31 PSYCHOLOGISTS None None UNKNOWN 0 In state provider 39 San Joaquin MEDICAL GROUP 500 W Hospital Road None French Camp CA 95231-9693 (209) 468-6000 37.886456 -121.281847 169b 38.03
1225081227 1225081227 1 1 Planned Parenthood 11-Mar-96 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 44 Santa Cruz WESTSIDE 1119 Pacific Ave Ste 200 Santa Cruz CA 95060-4464 (408) 426-5550 36.971894 -122.025496 185.1 1010
1225149222 1225149222 1 1 Laguna Beach Comm Clinic 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 30 Orange None 362 3rd St None Laguna Beach CA 92651-2307 (714) 494-0761 33.543763 -117.780912 115.2d 626.05
1225156375 1225156375 1 1 Community Medical Ctrs 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 39 San Joaquin TRACY FAMILY PRACTICE 730 Central Ave None Tracy CA 95376-4104 (209) 820-1500 37.735833 -121.42579 163 54.05
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
1225177751 1225177751 1 1 Crenshaw Healthcare 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles CORPOATION 3756 Santa Rosalia Dr Ste 400 Los Angeles CA 90008-3614 (323) 357-6680 34.00844 -118.338719 78.2nnn 2361
1225179641 1225179641 1 1 Asian Health Service 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 1 Alameda None 835 Webster St None Oakland CA 94607-4219 (510) 318-5800 37.799511 -122.271239 2c 4030
1225188204 1225188204 1 1 St Anthony Medical Ctr 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles IMPERIAL CLINIC 837 W Imperial Hwy None Los Angeles CA 90044-4110 (323) 755-9555 33.930968 -118.29038 78.2s 2412.02
1225254055 1225254055 1 1 Clinica Medica Familiar 10-Mar-05 22 PHYSICIANS GROUP FNP030239 8 Family Practice 0 In state provider 19 Los Angeles SAN JUDAS INC 3900 W 3rd St None Los Angeles CA 90020-2675 (213) 427-0400 34.06902 -118.299221 78.2e 2119.1
1225357114 1225357114 1 1 Southern California Med Ctr 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles None 12100 Valley Blvd Ste 109a El Monte CA 91732-3100 (626) 575-7500 34.061477 -118.016647 78.2oo 4333.02
1225364060 1225364060 3 1 Reedley Community Hospital 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 10 Fresno None 1781 Simpson St None Kingsburg CA 93631-1934 (559) 897-6610 36.517481 -119.558622 30 72.01
1225376809 1225376809 1 1 Planned Parenthood Of Orange 8-Nov-13 41 COMMUNITY CLINIC 550002375 None UNKNOWN 0 In state provider 36 San Bernardino AND SAN BERNARDINO 15403 Park Avenue East None Victorville CA 92392-2482 (909) 890-5511 34.506371 -117.326592 145.1a 99.04
1225426588 1225426588 1 1 Planned Parenthood Mar Monte 26-Jun-15 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 1 Alameda None 8480 Enterprise Way None Oakland CA 94621-1318 (510) 746-4700 37.742148 -122.192691 2d 4090
1225546575 1225546575 1 1 Family Healthcare Network 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 10 Fresno 290 NORTH WAYTE LANE Ste 1200-1300, 1600-1800 Ste 2100-2300, 2500-2600 Fresno CA 93701-2124 (877) 960-3426 36.743671 -119.786032 35c 5.02
1235108713 1235108713 1 1 Planned Parenthood/ 20-Nov-81 41 COMMUNITY CLINIC 300690060 None UNKNOWN 0 In state provider 30 Orange ORANGE & SAN BERNARDINO 26137 La Paz Rd Ste 200 Mission Viejo CA 92691-5321 (714) 768-3643 33.600397 -117.673489 115.2a 320.12
1235138363 1235138363 1 1 Rios, Javier R Md Inc 4-Aug-99 22 PHYSICIANS GROUP FNP026679 None UNKNOWN 0 In state provider 33 Riverside MAGNOLIA CLINICA MEDICA 9939 Magnolia Ave None Riverside CA 92503-3528 (951) 687-8802 33.915825 -117.454765 135d 412.01
1235138363 1235138363 1 2 Rios, Javier R Md Inc 9-Jan-01 22 PHYSICIANS GROUP FNP027284 None UNKNOWN 0 In state provider 33 Riverside None 4022 Chicago Ave None Riverside CA 92507-5340 (909) 369-9134 33.972376 -117.348514 135a 305.01
1235189275 1235189275 1 1 Faculty Physicians And 1-Jan-00 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 36 San Bernardino SURGEONS OF LLUSM 11370 Anderson St # 3900 Loma Linda CA 92354-3450 (909) 558-2806 34.047569 -117.261113 151i 73.02
1235189978 1235189978 1 1 San Marcos Med Grp Inc 30-Oct-03 22 PHYSICIANS GROUP FNP026904 None UNKNOWN 0 In state provider 36 San Bernardino METROPOLITAN FAMILY MED 742 W Highland Ave None San Bernardino CA 92405-3839 (909) 881-7320 34.136012 -117.299612 151g 54
1235245275 1235245275 1 1 La Clinica De La Raza 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 1 Alameda CLINICA ALTA VISTA 1515 Fruitvale Ave None Oakland CA 94601-2355 (510) 535-4000 37.778916 -122.225196 2d 4062.02
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
1235283094 1235283094 1 1 Central City Community 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles HEALTH CENTER INC 5970 S Central Ave None Los Angeles CA 90001-1150 (323) 234-3280 33.985662 -118.256441 78.2ggg 2392.02
1235299637 1235299637 1 1 Ardmore Med Group Inc 10-Apr-92 22 PHYSICIANS GROUP FNP030539 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles None 2765 E Florence Ave None Huntington Park CA 90255-5750 (323) 588-6888 33.973783 -118.220898 78.2ccc 5331.07
1235317561 1235317561 1 1 Yu Care Medical Group Inc 23-Apr-08 22 PHYSICIANS GROUP None 8 Family Practice 0 In state provider 19 Los Angeles None 1722 South Desire Ave Suite 102 Rowland Heights CA 91478-0000 (626) 581-0700 33.987392 -117.89638 78.2pp 4087.04
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
1235473984 1235473984 1 1 North East Medical Services 25-Nov-13 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 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
1235475484 1235475484 1 1 Reedley Community Hospital 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 16 Kings None 1310 Hanna Avenue Suite 1 And Suite 3 Corcoran CA 93212-2334 (559) 992-8200 36.099722 -119.563708 68 14.02
1235500513 1235500513 1 1 Community Medical Wellness 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles CENTERS USA 1360 E Anaheim St Suite 101 Long Beach CA 90813-5514 (562) 591-0105 33.782589 -118.174821 78.2jjj 5764.02
1235521782 1235521782 1 1 Family Health Centers 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego OF SAN DIEGO INC 2325 Commercial St Ste 1400 San Diego CA 92113-1195 (619) 515-2422 32.705218 -117.142992 161c 49
1235578444 1235578444 1 1 Reedley Community Hospital 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 54 Tulare None 444 W El Monte Way None Dinuba CA 93618-1500 (559) 591-4166 36.545923 -119.399107 227.1 5.02
1245246917 1245246917 1 1 North County Health Project 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 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
1245257708 1245257708 1 1 Planned Parenthood Of The 20-Oct-83 41 COMMUNITY CLINIC 370891662 None UNKNOWN 0 In state provider 37 San Diego PACIFIC SOUTHWEST 1964 Via Centre Dr None Vista CA 92081-6056 (619) 881-4571 33.184162 -117.283003 156d 198.05
1245261023 1245261023 1 2 R. Ruiz, M.D., A Professiona 22-May-19 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 19 Los Angeles NTAL 833 W Whittier Blvd None Montebello CA 90640-4735 (323) 712-4811 34.010196 -118.108726 78.2ww 5301.02
1245265230 1245265230 1 1 Planned Parenthood Of The 17-Aug-84 41 COMMUNITY CLINIC 370891686 None UNKNOWN 0 In state provider 37 San Diego PACIFIC SOUTHWEST 220 Euclid Ave Suite 30 San Diego CA 92114-3617 (619) 881-4516 32.706291 -117.085087 161g 33.04
1245301308 1245301308 1 1 Mountain Valleys Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 45 Shasta BURNEY HEALTH CENTER 37491 Enterprise Dr None Burney CA 96013-4380 (530) 335-5457 40.887165 -121.647469 190 127.01
1245329440 1245329440 1 1 Planned Parenthood Los 26-Mar-96 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 19 Los Angeles ANGELES JONES CENTER 7655 Greenleaf Ave None Whittier CA 90602-1626 (213) 284-3123 33.972647 -118.037379 78.2uu 5018.03
1245364538 1245364538 1 1 Clinica Sierra Vista Inc 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 15 Kern EAST BAKERSFIELD COMM 815 Martin Luther King B # J Bakersfield CA 93307-1365 (805) 322-3905 35.365882 -118.985188 66b 22
1245366715 1245366715 1 1 Centro Medico Comm Clnc 11-Jun-03 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 33 Riverside None 1307 W 6th St Ste 113 Corona CA 92882-3168 (909) 278-8910 33.877807 -117.588941 135d 417.03
1245380799 1245380799 1 2 Mountains Community Hosp 12-Jul-90 15 COMMUNITY OUTPATIENT HOSPITAL None None UNKNOWN 0 In state provider 36 San Bernardino None 29101 Hospital Road None Lake Arrowhead CA 92352-0070 (714) 336-3651 34.265903 -117.167097 147 109.02
1245384742 1245384742 1 1 Marshall Medical Center 16-Mar-06 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 9 El Dorado PRIMARY CARE OB-GYN 3501 Palmer Dr Ste 204 Cameron Park CA 95682-8276 (530) 621-3600 38.66181 -120.966419 23.1 308.03
1245397298 1245397298 1 1 County Of Santa Barbara 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 42 Santa Barbara FRANKLIN CLINIC 1136 E Montecito St None Santa Barbara CA 93103-2635 (805) 766-2550 34.42718 -119.679853 181a 8.04
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
1245480821 1245480821 1 1 Clinica Sierra Vista 17-Oct-08 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 10 Fresno None 2798 Elm Avenue None Fresno CA 93706-5435 (559) 457-5200 36.699621 -119.790735 30 10
1245483825 1245483825 1 1 Inland Women's Care Associat 3-Feb-09 22 PHYSICIANS GROUP FNP038355 None UNKNOWN 0 In state provider 36 San Bernardino ASSOCIATES 255 Terracina Blvd Ste 205a Redlands CA 92373-4870 (909) 307-5736 34.03816 -117.206039 151j 83.01
1245493097 1245493097 1 1 Planned Parenthood Mar 2-Jul-09 41 COMMUNITY CLINIC 550001082 None UNKNOWN 0 In state provider 39 San Joaquin MONTE 1441 N Tracy Blvd None Tracy CA 95386-3445 (209) 835-8910 37.743986 -121.435062 163 53.03
1245548932 1245548932 1 2 Zahedy-Kapusta, Sepideh Md 5-Apr-13 26 PHYSICIANS A00099099 1 General Practice 0 In state provider 30 Orange None 2094 W La Habra Blvd None La Habra CA 90631-0012 (562) 696-1001 33.931848 -117.96884 116k 11.02
1245668607 1245668607 1 1 Elite Women Health Apmc 20-Nov-15 26 PHYSICIANS A99801 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 15 Kern None 901 34th Street None Bakersfield CA 93301-2101 (661) 335-7747 35.390496 -119.011781 66a 6
1245669555 1245669555 1 1 San Fernando Community 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles HOSPITAL 732 Mott Street Suite 100 And 110 San Fernando CA 91340-4240 (818) 365-5059 34.276119 -118.443627 78.2ll 3203
1245671726 1245671726 1 1 La Clinica De La Raza Inc 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 1 Alameda None 1390 66th Ave None Oakland CA 94621-3506 (510) 639-1981 37.762067 -122.193395 2d 4088
1245694306 1245694306 1 1 Reedley Community Hospital 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 15 Kern None 1040 7th Street None Wasco CA 93280-1934 (559) 758-7801 35.594225 -119.337212 58.2 44.02
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
1255347704 1255347704 1 1 North County Health Project 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 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 0 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
1255350351 1255350351 1 1 Ampla Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 51 Sutter None 355 Samuel Dr None Yuba City CA 95991-6324 (530) 674-9200 39.123108 -121.609927 216 503.02
1255366241 1255366241 1 1 Planned Parenthood Of The 5-Apr-93 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 37 San Diego THE PACIFIC SOUTHWEST 1295 Broadway # 201 & #202 Chula Vista CA 91911-2976 (619) 881-4516 32.60389 -117.078792 161j 132.06
1255387106 1255387106 1 1 Planned Parenthood 26-Feb-97 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 51 Sutter None 430 N Palora Ave Ste G Yuba City CA 95991-4707 (916) 674-2603 39.12795 -121.633329 216 502.01
1255420436 1255420436 1 1 Planned Parenthood 5-Oct-92 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 19 Los Angeles LOS ANGELES BURBANK CTR 916 W Burbank Blvd Ste M Burbank CA 91506-1450 (213) 284-3120 34.184129 -118.321902 78.2ttt 3108
1255435533 1255435533 1 1 Humboldt Open Door Clin 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 12 Humboldt None 770 10th St None Arcata CA 95521-6210 (707) 826-8610 40.869801 -124.08624 39 10
1255472924 1255472924 1 1 South Bay Family 8-Aug-22 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles HEALTHCARE CTR-INGLEWOOD 1091 S La Brea Ave None Inglewood CA 90301-3817 (310) 802-6177 33.949217 -118.352729 78.2q 6012.02
1255490819 1255490819 1 1 Borrego Comm Hlth Fndtn 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 33 Riverside CENTRO MEDICO OASIS 88775 Ave 76 Ste 1 Thermal CA 92274-9681 (760) 397-2501 33.498948 -116.117237 128 456.05
1255542601 1255542601 1 1 Altamed Medical & Dental 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles GROUP, WHITTIER WEST 3945 Whittier Blvd None Los Angeles CA 90023-2440 (323) 265-1998 34.02393 -118.187753 78.2d 5312.02
1255587630 1255587630 1 1 Fozouni, Derakhsh Md 5-Aug-22 22 PHYSICIANS GROUP A00095051 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 33 Riverside None 555 Tachevah Dr Ste 2w-103 Palm Springs CA 92262-5764 (760) 327-2707 33.837622 -116.541784 129.4 446.02
1255729661 1255729661 1 1 Southern California Medical 24-Feb-21 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles CENTER INC 14550 Haynes St None Van Nuys CA 91411-1613 (562) 699-4477 34.189679 -118.449977 78.2cc 1278.06
1255738423 1255738423 1 1 Del Rosario, Gelen R Md Inc 6-Dec-17 89 ELECTRONIC HEALTH RECORD INCENTIVE PROGRAM None 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 37 San Diego None 502 South Euclid Ave Suite 300 National City CA 91950-2931 (619) 475-1261 32.685307 -117.083365 161g 220
1255795258 1255795258 1 1 Los Angeles Community 26-Jun-17 55 LOCAL EDUCATION AGENCY None None UNKNOWN 0 In state provider 19 Los Angeles COLLEGE DISTRICT 6201 Winnetka Avenue None Woodland Hills CA 91371-0001 (818) 710-4270 34.182912 -118.570945 78.2ii 1393.01
1255849238 1255849238 1 1 Yasharpour Medical Doctor 25-Feb-19 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 19 Los Angeles INC APMC 6330 Van Nuys Blvd None Van Nuys CA 91401-2610 (818) 994-9822 34.185673 -118.448715 78.2cc 1283.03
1265457980 1265457980 1 1 Sonoma Co Indian Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None 8 Family Practice 0 In state provider 49 Sonoma PROJECT 144 Stony Point Rd None Santa Rosa CA 95401-4122 (707) 521-4630 38.440394 -122.744516 210.1 1530.02
1265530018 1265530018 2 1 Reedley Community Hospital 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 10 Fresno None 1041 Rose Ave None Selma CA 93662-3240 (559) 856-6090 36.568884 -119.595897 30 70.04
1265538060 1265538060 1 1 Reproductive Assoc Med 1-Jan-89 22 PHYSICIANS GROUP FNP012460 None UNKNOWN 0 In state provider 19 Los Angeles GROUP INC 1045 Atlantic Ave Ste 508 Long Beach CA 90813-3411 (562) 437-1882 33.779811 -118.18505 78.2kkk 5763.01
1265539712 1265539712 1 1 Ludmir, Jaime Md 1-Jul-84 26 PHYSICIANS A00035195 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 30 Orange None 2810 S Bristol St None Santa Ana CA 92704-6204 (714) 754-7799 33.709712 -117.885429 116g 740.05
1265569008 1265569008 1 1 Childrens Hosp Orange Co 21-Oct-04 54 EXPANDED ACCESS TO PRIMARY CARE None None UNKNOWN 0 In state provider 30 Orange None 406 S Main St None Santa Ana CA 92701-5712 (714) 509-4800 33.742201 -117.867666 116g 746.01
1265572903 1265572903 1 1 Brookdale Medica Center 30-Mar-06 22 PHYSICIANS GROUP None 1 General Practice 0 In state provider 19 Los Angeles INC 2809 Tweedy Blvd None South Gate CA 90280-5538 (323) 567-9909 33.945986 -118.221942 78.2ccc 5356.06
1265585038 1265585038 1 1 Chambi, Mirna R Md Inc 19-Mar-03 26 PHYSICIANS A53149 None UNKNOWN 0 In state provider 30 Orange None 7151 Lincoln Ave Ste B Buena Park CA 90620-4614 (714) 821-6506 33.832005 -118.008373 116a 1102.01
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
1265854061 1265854061 1 1 Unicare Community Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 36 San Bernardino CENTER INC 570 S Mt Vernon Ave Ste G San Bernardino CA 92410-2737 (909) 884-6700 34.090692 -117.313886 151f 124
1275030009 1275030009 1 1 M Pakour Md Inc 27-Jul-18 26 PHYSICIANS None 8 Family Practice 0 In state provider 19 Los Angeles None 3671 W 6th St. Ste.B Los Angeles CA 90020-3026 (213) 375-7511 34.063571 -118.302245 78.2e 2118.02
1275545725 1275545725 1 1 Serra Community Medical 20-Jun-22 27 PODIATRISTS None None UNKNOWN 0 In state provider 19 Los Angeles CLINIC 9375 San Fernando Rd None Sun Valley CA 91352-1418 (818) 768-3000 34.239401 -118.393854 78.2ppp 1212.1
1275550295 1275550295 1 1 Community Health Centers 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 40 San Luis Obispo AT TEMPLETON 1330 Las Tablas Rd None Templeton CA 93465-9758 (805) 346-3911 35.554381 -120.723461 170 127.04
1275553257 1275553257 1 1 Community Health Centers 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 40 San Luis Obispo SAN LUIS OBISPO 1551 Bishop St Ste B260 San Luis Obispo CA 93401-4635 (805) 781-4230 35.274341 -120.646177 172 110.02
1275562969 1275562969 1 1 Inland Behavioral And Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 36 San Bernardino HEALTH CENTER 665 N D St None San Bernardino CA 92401-1109 (909) 881-6146 34.111371 -117.291881 151g 57.01
1275583007 1275583007 1 1 Faculty Physicians 5-Mar-08 31 PSYCHOLOGISTS None None UNKNOWN 0 In state provider 36 San Bernardino AND SURGEONS OF LLUSM 25845 Barton Rd Ste F Loma Linda CA 92354-3857 (909) 558-2828 34.048273 -117.237207 151i 73.02
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
1275629495 1275629495 1 1 Clinica Msr Oscar Romero 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles None 123 S Alvarado St None Los Angeles CA 90057-2201 (213) 989-7700 34.066074 -118.270693 78.2ffff 2085.02
1275656761 1275656761 1 1 Bir, Raghbir S Md 2-Nov-98 22 PHYSICIANS GROUP A00042345 41 Internal Medicine 0 In state provider 36 San Bernardino None 280 N Riverside Ave None Rialto CA 92376-5924 (909) 421-2121 34.10391 -117.370486 151h 37
1275661811 1275661811 1 1 John Marshall High 30-Oct-06 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 19 Los Angeles SCHOOL HEALTH CENTER 3939 Tracy St None Los Angeles CA 90027-3207 (323) 644-3880 34.10774 -118.277634 78.2ff 1952.01
1275778847 1275778847 1 1 Redwood Coast Medical 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 23 Mendocino None 30 Mill St None Point Arena CA 95468-0000 (707) 882-2189 38.908425 -123.69182 88 111.02
1275849283 1275849283 1 1 Borrego Community Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 33 Riverside FOUNDATION 66675 Pierson Blvd None Desert Hot Spring CA 92240-3737 (760) 676-5240 33.961413 -116.498025 129.4 445.1
1275918674 1275918674 1 1 Avenal Community Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 16 Kings CENTER 304 Becky Pease St None Kettleman City CA 93239-0000 (559) 386-4501 36.008942 -119.960194 68 16.01
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
1275974461 1275974461 1 1 Pacific Central Coast Health 29-Jul-14 41 COMMUNITY CLINIC 550002625 None UNKNOWN 0 In state provider 42 Santa Barbara CENTERS 210 South Palisade Drive Suite 101 Santa Maria CA 93454-8901 (805) 922-0481 34.951946 -120.412113 180.1 22.11
1285046847 1285046847 1 1 East Valley Community Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles APCC 276 West College Street None Covina CA 91723-1902 (626) 919-4333 34.087506 -117.894026 78.2qq 4061.01
1285059923 1285059923 1 1 Community Medical Centers 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 39 San Joaquin APCC 1031 Waterloo Road None Stockton CA 95205-4256 (209) 940-5600 37.967107 -121.272467 169b 16
1285059923 1285059923 1 17 Community Medical Centers 8-Sep-21 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 39 San Joaquin INTERMITTENT 5151 Pacific Ave Room 126 Stockton CA 95207-6304 (209) 940-5600 37.998275 -121.315545 169c 31.11
1285623256 1285623256 1 1 Merced Faculty Associates Me 5-Jan-89 22 PHYSICIANS GROUP P14747 8 Family Practice 0 In state provider 24 Merced DICAL GROUP 127 El Portal None Merced CA 95348-2853 (209) 723-3704 37.326774 -120.470477 97.1 10.02
1285651745 1285651745 2 1 Reedley Community Hospital 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 10 Fresno None 2440 W Tahoe None Caruthers CA 93609-9476 (559) 864-3212 36.540413 -119.835456 30 75
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
1285667758 1285667758 1 1 Ampla Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 11 Glenn & DENTAL 1211 Cortina Dr None Orland CA 95963-1699 (530) 865-5544 39.742278 -122.202481 36.1 101
1285708818 1285708818 1 1 Southland Integrated 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 30 Orange SERVICES INC 9862 Chapman Ave None Garden Grove CA 92841-2726 (714) 620-7001 33.788524 -117.960954 116r 882.03
1285733725 1285733725 1 1 Sierra County Hlth Dept 27-Jul-06 45 CLINIC EXEMP FROM LICENSURE None None UNKNOWN 0 In state provider 46 Sierra None 202 Front Street None Loyalton CA 96118-0007 (530) 993-6704 39.674005 -120.241193 191 100
1285782664 1285782664 1 1 Soraya Medical Group Inc 28-Oct-97 22 PHYSICIANS GROUP FNP024939 1 General Practice 0 In state provider 19 Los Angeles None 2701 Firestone Blvd Ste W South Gate CA 90280-2778 (232) 249-6162 33.956116 -118.22481 78.2ccc 5356.03
1285788059 1285788059 1 1 Central City Comm Hlth Ctr 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 30 Orange None 2237 W Ball Rd None Anaheim CA 92804-5314 (714) 490-2750 33.817761 -117.961234 116c 877.01
1285804948 1285804948 1 1 Marin City Health And 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 21 Marin WELLNESS CENTER 630 Drake Ave None Sausalito CA 94965-1107 (415) 339-8813 37.873813 -122.514554 82 1290
1285845503 1285845503 1 1 San Antonio Medical Clinic, 23-Apr-08 26 PHYSICIANS A00056155 8 Family Practice 0 In state provider 30 Orange INC. 325 E La Habra Blvd None La Habra CA 90631-5439 (562) 691-7100 33.931882 -117.943183 116k 12.02
1285874826 1285874826 1 1 St John's Well Child And 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles FAMILY HLTH CTR, INC 808 West 58th Street None Los Angeles CA 90037-3632 (323) 541-1600 33.989703 -118.287318 78.2ggg 2327
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
1285937631 1285937631 1 1 Miyoco Medical Center Inc 1-Mar-19 26 PHYSICIANS None 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 30 Orange None 15975 Harbor Boulevard None Fountain Valley CA 92708-1303 (714) 546-6575 33.731272 -117.920027 116i 992.02
1295082774 1295082774 1 1 Share Our Selves Corporation 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 30 Orange None 1014 N Broadway St None Santa Ana CA 92701-3408 (949) 270-2100 33.75351 -117.869751 116b 750.03
1295353431 1295353431 1 1 Planned Parenthood Los 7-Apr-21 41 COMMUNITY CLINIC 550005995 None UNKNOWN 0 In state provider 19 Los Angeles AFFILIATED 4402 E Compton Blvd East Rancho Dominguez CA 90221-3667 (213) 284-3125 33.896138 -118.19395 78.2bbb 5421.06
1295746949 1295746949 1 1 Unique Healthcare For Women 26-Mar-08 26 PHYSICIANS A00072235 66 Emergency Medicine (Urgent Care) 0 In state provider 37 San Diego MEDICAL CORPORATION 891 Kuhn Drive Suite 111 Chula Vista CA 91914-3551 (619) 475-9744 32.651338 -116.965415 161t 134.19
1295752384 1295752384 1 1 Northern Valley Indian 25-Jan-22 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 11 Glenn HEALTH 207 N Butte St None Willows CA 95988-2803 (916) 934-4641 39.521923 -122.195357 37 104
1295810174 1295810174 1 1 San Benito Health Fndtn 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 35 San Benito None 351 Felice Dr None Hollister CA 95023-3361 (408) 637-5783 36.853334 -121.417073 140 3
1295821296 1295821296 1 1 Aspen Medical Group Inc 12-Jul-05 22 PHYSICIANS GROUP FNP031995 None UNKNOWN 0 In state provider 33 Riverside None 9041 Magnolia Ave Ste 305 Riverside CA 92503-3957 (951) 343-3477 33.925272 -117.438078 135c 315.01
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
1295824498 1295824498 1 1 Planned Parenthood World 19-Dec-79 41 COMMUNITY CLINIC ZZT11690 None UNKNOWN 0 In state provider 19 Los Angeles CANOGA PARK CLINIC 21001 Sherman Way Ste 9 Canoga Park CA 91303-3683 (213) 284-3112 34.201103 -118.5906 78.2hhhh 1340.01
1295887024 1295887024 2 1 La Libertad Medical 26-Sep-08 22 PHYSICIANS GROUP FNP024664 None UNKNOWN 0 In state provider 19 Los Angeles CLINIC INC 8225 Long Beach Blvd Ste C South Gate CA 90280-2010 (323) 585-1056 33.963767 -118.225108 78.2ccc 5355.01
1295893550 1295893550 1 1 Planned Parenthood 31-Dec-81 41 COMMUNITY CLINIC 140000214 None UNKNOWN 0 In state provider 7 Contra Costa SHASTA-DIABLO INC 200 Porter Drive Suite 200 San Ramon CA 94583-1524 (925) 838-2108 37.774939 -121.99156 18h 3452.02
1295900439 1295900439 1 1 Faculty Phys & Surg Of 23-Oct-17 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 36 San Bernardino LLUSM 11370 Anderson St Ste 2050 Loma Linda CA 92354-3450 (909) 558-2799 34.047569 -117.261113 151i 73.02
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
1295944015 1295944015 1 1 United Hlth Ctrs-Mendota 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 10 Fresno None 121 Barboza St None Mendota CA 93640-1901 (209) 655-5000 36.765512 -120.383672 25 83.01
1306015425 1306015425 1 1 Altamed Health Services Corp 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 30 Orange HUNTINGTON BCH COMM CLIN 8041 Newman Ave None Huntington Beach CA 92647-7034 (714) 500-0224 33.704838 -117.98864 116s 992.12
1306047196 1306047196 1 1 Alameda County Med Ctr 5-Jun-08 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 1 Alameda WINTON WELLNESS CENTER 24100 Amador St None Hayward CA 94544-1273 (510) 670-5300 37.658958 -122.094685 2n 4368
1306131545 1306131545 1 1 Borrego Community Health 6-Sep-22 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 33 Riverside FOUNDATION 8856 Arlington Ave None Riverside CA 92503-1365 (951) 710-3970 33.946501 -117.467871 135d 411.01
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
1306871397 1306871397 1 1 Planned Parenthood Of 21-Apr-82 41 COMMUNITY CLINIC 370891589 None UNKNOWN 0 In state provider 37 San Diego SAN DIEGO COUNTY 7035 Convoy Court None San Diego CA 92111-1016 (619) 881-4500 32.83467 -117.164248 161o 85.11
1306930052 1306930052 1 1 Family Planning Associates M 23-Feb-83 22 PHYSICIANS GROUP FNP034901 None UNKNOWN 0 In state provider 19 Los Angeles EDICAL GROUP INC 425 East Colorado Street Suite 420 Glendale CA 91205-5123 (818) 502-1341 34.142621 -118.25067 78.2ff 3022.02
1306930961 1306930961 1 1 Family Planning Associat 1-Jan-88 22 PHYSICIANS GROUP FNP034901 None UNKNOWN 0 In state provider 19 Los Angeles MEDICAL GROUP INC 10200 Sepulveda Blvd Ste 200 Mission Hills CA 91345-2657 (818) 893-6949 34.25545 -118.467269 78.2kk 1096.03
1306931266 1306931266 1 1 Family Planning Assoc 30-Oct-21 78 MARRIAGE AND FAMILY THERAPIST GROUP None None UNKNOWN 0 In state provider 19 Los Angeles MEDICAL GROUP INC 601 S Westmoreland Ave None Los Angeles CA 90005-3999 (213) 738-7283 34.063643 -118.288432 78.2e 2111.2
1306939624 1306939624 1 1 Sano Medical Clinic 1-Nov-17 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 30 Orange None 700 W 19th St None Costa Mesa CA 92627-3517 (949) 645-9334 33.643401 -117.927655 116p 636.05
1316033533 1316033533 1 1 Clinica Monsenor Oscar A. Ro 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles None 2032 Marengo St None Los Angeles CA 90033-1319 (323) 780-6336 34.056602 -118.207395 78.2ffff 2033
1316038169 1316038169 1 1 Dardashti, Malihe Md 22-Oct-84 26 PHYSICIANS A00041092 8 Family Practice 0 In state provider 19 Los Angeles None 8500 Wilshire Blvd Ste 625 Beverly Hills CA 90211-3120 (310) 360-9785 34.065251 -118.37624 78.2w 7008.02
1316038169 1316038169 1 2 Dardashti, Malihe Md 1-Dec-98 26 PHYSICIANS A00041092 8 Family Practice 0 In state provider 19 Los Angeles SAN PEDRO ADAMS MEDICAL 2530 S San Pedro St None Los Angeles CA 90011-1520 (213) 748-0449 34.021969 -118.261057 78.2mmm 2264.1
1316061674 1316061674 1 1 Abaian, Ali Md 6-Nov-01 26 PHYSICIANS A00072830 None UNKNOWN 0 In state provider 19 Los Angeles None 8460 S Central Avenue None Los Angeles CA 90001-3761 (323) 581-7400 33.961796 -118.256403 78.2fff 2398.02
1316075062 1316075062 1 1 Lasalle Medical Assoc 18-Sep-98 22 PHYSICIANS GROUP FNP023625 None UNKNOWN 0 In state provider 36 San Bernardino None 16455 Main St Ste 1 Hesperia CA 92345-3500 (909) 890-0407 34.421826 -117.303329 145.1a 100.14
1316088479 1316088479 1 1 Arroyo Vista Family 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles HEALTH CENTER 4815 Valley Blvd Ste C Los Angeles CA 90032-3300 (323) 222-1134 34.066174 -118.179911 78.2i 2016.01
1316116221 1316116221 1 1 Altamed Health Services Corp 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 30 Orange ORANGE, CHAPMAN 4010 E Chapman Ave None Orange CA 92869-3990 (714) 532-6222 33.787757 -117.811405 116h 758.07
1316124951 1316124951 1 1 Santa Clara Vly Med Ctr 28-May-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 43 Santa Clara VALLEY HEALTH CHABOYA 500 Tully Rd None San Jose CA 95111-1917 (408) 885-7200 37.306535 -121.849592 183h 5032.14
1316135296 1316135296 1 1 Stavropoulos, Elvia Md 22-Jan-09 26 PHYSICIANS A00025605 1 General Practice 0 In state provider 19 Los Angeles None 5373 Whittier Blvd None Los Angeles CA 90022-4033 (323) 721-6103 34.01993 -118.155027 78.2d 5317.01
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
1316163736 1316163736 1 1 Clinicas Del Camino Real 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura None 1200 Maricopa Hwy None Ojai CA 93023-3129 (805) 640-8293 34.442068 -119.262664 238 9.01
1316188253 1316188253 1 1 County Of Ventura 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura None 125 W Thousand Oaks Blvd Suite 300 Thousand Oaks CA 91360-4460 (805) 418-9100 34.17869 -118.88096 240b 69
1316188543 1316188543 1 1 La Clinica De La Raza Inc 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 1 Alameda None 50 E Lewelling Blvd None San Lorenzo CA 94580-1732 (510) 317-3167 37.686688 -122.122192 2h 4337
1316221617 1316221617 1 1 Planned Parenthood Mar Monte 5-Sep-13 41 COMMUNITY CLINIC 550002300 None UNKNOWN 0 In state provider 41 San Mateo INC 29 Baywood Ave None San Mateo CA 94402-1516 (650) 235-7940 37.565055 -122.328552 176e 6064
1316247182 1316247182 1 1 Palmdale Regional Women's 24-Feb-11 26 PHYSICIANS None 9 Gynecology (D.O. only) 0 In state provider 19 Los Angeles None 520 W Palmdale Blvd. Ste Q Palmdale CA 93551-4231 (000) 000-0000 34.583612 -118.138998 77.1a 9104.01
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
1316455363 1316455363 1 1 Yasharpour Medical Doctor 25-Feb-19 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 19 Los Angeles INC APMC 7400 Van Nuys Blvd Ste 120 Van Nuys CA 91405-1972 (818) 782-9892 34.205432 -118.448764 78.2zz 1272.2
1316916836 1316916836 1 1 Planned Parenthood/ 29-Oct-81 41 COMMUNITY CLINIC 300690073 None UNKNOWN 0 In state provider 30 Orange ORANGE & SAN BERNARDINO 14372 Beach Blvd None Westminster CA 92683-4578 (714) 891-0955 33.753479 -117.989492 116s 998.03
1316963606 1316963606 1 1 Ampla Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 4 Butte None 680 Cohasset Rd None Chico CA 95926-2213 (530) 342-4395 39.752588 -121.845384 7.1 3
1316970932 1316970932 1 1 Cmcla Pathology Med Grp 27-Dec-93 22 PHYSICIANS GROUP FNP020595 22 Pathology (M.D. only) 0 In state provider 19 Los Angeles None 1401 S Grand Ave None Los Angeles CA 90015-3010 (213) 742-5796 34.03718 -118.265408 78.2ffff 2240.1
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
1316991714 1316991714 1 1 Planned Parenthood Mar Monte 26-Nov-96 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 34 Sacramento INC 1125 10th St None Sacramento CA 95814-3503 (916) 558-1414 38.578954 -121.494027 139j 11.01
1326063199 1326063199 2 1 Reedley Community Hospital 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 10 Fresno None 372 W Cypress Ave None Reedley CA 93654-2113 (559) 391-3110 36.607796 -119.451265 32 66.03
1326065103 1326065103 1 1 Community Health Centers 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 42 Santa Barbara OF THE CENTRAL COAST INC 1300 West Ocean Ave None Lompoc CA 93436-5678 (805) 737-1169 34.639076 -120.47531 179 27.07
1326133083 1326133083 1 1 California Medical Clinic In 4-Oct-05 22 PHYSICIANS GROUP FNP001458 8 Family Practice 0 In state provider 33 Riverside C. 23900 Ironwood Ave Ste F Moreno Valley CA 92557-7151 (951) 485-2570 33.94659 -117.245981 135g 424.05
1326225632 1326225632 2 1 Centro De Salud De La 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego COMUNIDAD DE SAN YSIDRO 3177 Ocean View Blvd None San Diego CA 92113-1432 (619) 231-3200 32.701187 -117.125663 161c 39.02
1326244096 1326244096 1 1 Alliance Medical Center 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 49 Sonoma None 1381 University St None Healdsburg CA 95448-3314 (707) 431-8234 38.627712 -122.863743 205.1 1539.02
1326317819 1326317819 1 1 Family Healthcare Network 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 54 Tulare None 730 N Farmersville Blvd None Farmersville CA 93223-1220 (559) 747-1470 36.303414 -119.207126 233 16.01
1326486861 1326486861 1 1 Centro De Salud De La 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego COMUNIDAD DE SAN YSIDRO 678 Third Ave None Chula Vista CA 91910-5736 (619) 662-4100 32.628201 -117.074787 161k 130
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
1336163898 1336163898 1 1 Community Health Centers 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 40 San Luis Obispo DOCTORS' OFF/FAIR OAKS 1057 E Grand Ave None Arroyo Grande CA 93420-2504 (805) 481-7220 35.118989 -120.595087 171 119.02
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
1336174325 1336174325 1 1 Planned Parenthood- Of The 20-Jan-05 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 33 Riverside PACIFIC SOUTHWEST 49-111 Hwy 111 Unit 6 Coachella CA 92236-0000 (760) 398-0057 33.68812 -116.181014 128 9404
1336201318 1336201318 1 1 San Mateo Clinic 39th Ave 8-Feb-11 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 41 San Mateo None 222 W 39th Ave None San Mateo CA 94403-4364 (650) 573-2851 37.530196 -122.299214 176e 6072
1336237072 1336237072 1 1 Family Healthcare Netwrk 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 54 Tulare None 31180 Road 72 None Goshen CA 93227-9997 (559) 784-5465 36.343505 -119.419152 233 9
1336275437 1336275437 1 1 City & County San Fran 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 38 San Francisco None 555 Cole St None San Francisco CA 94117-2800 (415) 751-8181 37.77001 -122.45032 162g 166
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
1336311679 1336311679 1 1 Community Medical Ctrs 10-Apr-08 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 48 Solano None 600 Nut Tree Rd Ste 310 Vacaville CA 95687-4686 (707) 359-1800 38.361369 -121.949662 202a 2529.11
1336330646 1336330646 1 1 Siskiyou Hospital, Inc 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 47 Siskiyou None 8 Commercial St None Etna CA 96027-0000 (530) 467-5393 41.46291 -122.889482 194 8
1336350438 1336350438 1 1 United Health Centers- 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 10 Fresno ORANGE COVE 445 11th St None Orange Cove CA 93646-2211 (209) 626-4031 36.627221 -119.319001 32 65.02
1336353721 1336353721 1 1 La Maestra Family Clinic 30-Mar-99 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 37 San Diego None 4060 Fairmount Ave None San Diego CA 92105-1609 (619) 584-1612 32.750726 -117.100866 161d 23.02
1336366509 1336366509 1 1 Axis Community Health 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 1 Alameda None 4361 Railroad Ave None Pleasanton CA 94566-6611 (510) 462-1755 37.661529 -121.87361 2k 4506.07
1336367515 1336367515 1 1 Southern Humboldt Comm 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 12 Humboldt CLINIC 509 Elm St None Garberville CA 95542-3204 (707) 923-3921 40.10283 -123.794024 44 116
1336432947 1336432947 1 1 Family Planning Associates M 19-Oct-11 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 1 Alameda EDICAL GROUP INC 2915 Telegraph Avenue Suite 101 Berkeley CA 94705-2069 (510) 899-7099 37.857126 -122.25951 2b 4236.01
1336453950 1336453950 1 1 Cuellar, Francisco Md Apc 31-Oct-11 26 PHYSICIANS A00076446 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles PROFESSIONAL MEDICAL 160 E Artesia Street Suite 150 Pomona CA 91767-2994 (909) 784-2490 34.075639 -117.750836 78.2tt 4021.02
1336525906 1336525906 1 2 Family Health Centers 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego OF SAN DIEGO INC 5160 Federal Blvd None San Diego CA 92105-5429 (619) 515-2454 32.721447 -117.083502 161f 27.12
1346226693 1346226693 1 1 Marshall Medical Center 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 9 El Dorado None 6065 Highway 193 None Georgetown CA 95634-0872 (530) 333-2548 38.908043 -120.851714 22 306.02
1346250347 1346250347 1 1 Avalon Medical Development C 15-Jun-22 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles CENTER 100 Falls Canyon Road None Avalon CA 90704-1563 (310) 510-0700 33.339766 -118.335504 78.1 5990
1346353679 1346353679 1 1 Banning Health Center 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 33 Riverside None 3055 W Ramsey St None Banning CA 92220-3781 (951) 849-6794 33.925769 -116.910767 134 441.01
1346403813 1346403813 1 1 Shafee, Reza Md Inc 23-Sep-08 26 PHYSICIANS A00085480 8 Family Practice 0 In state provider 30 Orange None 520 N Main Street Ste 100 Santa Ana CA 92701-4623 (714) 953-4242 33.749243 -117.867606 116b 750.02
1346490927 1346490927 1 1 Clinica Sierra Vista 17-Oct-08 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 10 Fresno None 2505 E Divisadero St None Fresno CA 93721-1401 (559) 437-5500 36.743216 -119.781989 35c 5.02
1346492055 1346492055 1 1 Beshay, Isaac N Md 13-Nov-08 26 PHYSICIANS A00089039 8 Family Practice 0 In state provider 30 Orange None 2200 Harbor Blvd Ste B 210 Costa Mesa CA 92627-2501 (949) 548-2273 33.654345 -117.919091 116p 639.06
1346527918 1346527918 1 1 Northeast Medical Services 12-Oct-12 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 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
1356341671 1356341671 1 1 Letamendi, Robert F Md 1-Aug-95 26 PHYSICIANS A00050002 1 General Practice 0 In state provider 44 Santa Cruz CLINICA MEDICA SANTA MAR 21 Brennan St Ste 21 Watsonville CA 95076-4337 (831) 728-4030 36.913352 -121.75762 184 1103
1356344758 1356344758 1 1 West County Health Centers 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 49 Sonoma None 16319 Third St None Guerneville CA 95446-0000 (707) 887-2314 38.502556 -122.997431 207 1537.04
1356362743 1356362743 1 1 Comprehensive Community 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles HEALTH CENTERS GLENDALE 801 S Chevy Chase Dr Ste 250 Glendale CA 91205-4433 (818) 265-2264 34.137132 -118.239588 78.2ff 3021.02
1356362743 1356362743 1 2 Comprehensive Community 26-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles INTERMITTENT 5059 York Blvd None Los Angeles CA 90042-1713 (818) 265-2264 34.121237 -118.205626 78.2i 1834.01
1356374359 1356374359 1 2 San Gabriel Womens 11-Aug-08 26 PHYSICIANS G00060420 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles SAN GABRIEL WOMEN'S HLTH 601 Las Tunas Dr Ste 101 Arcadia CA 91007-8485 (626) 462-0000 34.107545 -118.051006 78.2dddd 4316
1356422307 1356422307 2 1 Mountain Communities 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 53 Trinity HEALTHCARE DISTRICT 31 Easter Avenue None Weaverville CA 96093-1229 (000) 000-0000 40.73753 -122.939235 224 1.02
1356438261 1356438261 1 2 Big Valley Medical Ctr 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 18 Lassen PO BOX 277 554-850 Medical Center None Bieber CA 96009-0000 (916) 294-5241 41.121216 -121.14119 73 401
1356455299 1356455299 1 1 Rubidoux Family Care Ctr 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 33 Riverside COUNTY OF RIVERSIDE 5256 Mission Blvd None Riverside CA 92509-4624 (951) 955-0840 33.992644 -117.398662 135a 402.03
1356469381 1356469381 2 1 North Broadway Med Clinic 9-Mar-10 22 PHYSICIANS GROUP A00025805 None UNKNOWN 0 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
1356498935 1356498935 1 1 Para Latino Medical Center 10-Aug-99 22 PHYSICIANS GROUP FNP026517 None UNKNOWN 0 In state provider 19 Los Angeles INC 15717 Paramount Blvd None Paramount CA 90723-5113 (562) 531-2231 33.889997 -118.16017 78.2m 5538.01
1356528376 1356528376 1 1 Northeast Valley Health 24-Apr-08 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 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
1356569172 1356569172 1 1 Communicare Health Ctrs 16-Nov-04 58 HEALTH ACCESS PROGRAM 550002588 None UNKNOWN 0 In state provider 57 Yolo None 215 W Beamer St None Woodland CA 95695-2510 (530) 753-3498 38.684883 -121.793848 246.1 109.01
1356702633 1356702633 1 1 Chibuike Enyereibe Anucha Md 8-Feb-17 26 PHYSICIANS A89094 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 15 Kern PC 3941 San Dimas Street Bldg 104 Bakersfield CA 93301-5734 (661) 637-1006 35.395624 -119.008204 66a 6
1356723936 1356723936 1 1 Community Medical Centers 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 39 San Joaquin INC 1801 E March Lane Suite D-470 Stockton CA 95210-6609 (209) 570-7000 38.003429 -121.285555 169a 34.09
1356763155 1356763155 1 1 Unicare Community Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles CENTER INC 1501 E Holt Avenue Ste A Pomona CA 91767-5823 (909) 623-3600 34.063208 -117.720788 78.2ss 4027.02
1356775878 1356775878 1 1 Altamed Health Services Corp 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles None 6336 Passons Blvd None Pico Rivera CA 90660-3355 (562) 949-6069 33.985836 -118.085868 78.2ww 5008
1356779797 1356779797 1 1 Sutter Bay Hospitals 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 17 Lake None 5196 Hill Road E Suite 300 Lakeport CA 95453-6374 (707) 263-6885 39.100412 -122.912335 70.1 3
1366419517 1366419517 1 1 Antelope Valley Healthcare 6-Jan-95 72 MENTAL HEALTH INPATIENT SERVICES None None UNKNOWN 0 In state provider 19 Los Angeles HEALTHCARE DISTRICT 1600 W Avenue J None Lancaster CA 93534-2814 (661) 949-5000 34.689378 -118.159814 77.1c 9008.05
1366422776 1366422776 1 1 California State University 14-Sep-01 22 PHYSICIANS GROUP None 1 General Practice 0 In state provider 1 Alameda EAST BAY 25800 Carlos Bee Blvd None Hayward CA 94542-3000 (510) 885-3735 37.65876 -122.061939 2f 4351.02
1366467375 1366467375 1 1 Long Valley Health Ctr 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 23 Mendocino PO BOX 870 50 Branscomb Rd None Laytonville CA 95454-0870 (707) 984-6999 39.687775 -123.48485 90 102
1366496838 1366496838 1 1 Planned Parenthood Mar Monte 21-May-97 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 39 San Joaquin INC 4555 Precissi Lane None Stockton CA 95207-6239 (209) 477-4103 37.988852 -121.315026 169a 31.13
1366501629 1366501629 1 1 Nouri, Jahanbakhsh Md 30-Dec-96 26 PHYSICIANS A00053484 None UNKNOWN 0 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
1366521650 1366521650 1 1 Sanchez, Felix J 30-Apr-86 26 PHYSICIANS A00040821 None UNKNOWN 0 In state provider 50 Stanislaus None 900 Delbon Avenue None Turlock CA 95382-2015 (209) 667-8544 37.510478 -120.838693 212.1 39.07
1366570038 1366570038 1 1 County Of Monterey 8-Sep-05 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 27 Monterey None 1441 Constitution Blvd None Salinas CA 93906-3100 (831) 755-8640 36.696798 -121.62963 109.2 106.08
1366592982 1366592982 1 1 H Joseph Khan M D Inc 26-Dec-00 22 PHYSICIANS GROUP FNP027745 8 Family Practice 0 In state provider 30 Orange PARAMOUNT CARE MED 1629 W 17th St Ste A&b Santa Ana CA 92706-3335 (714) 647-1300 33.760086 -117.890487 116h 753.02
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
1376556555 1376556555 1 1 Los Angeles County 28-Apr-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 19 Los Angeles SAN FERNANDO FAM PLAN 1212 Pico St None San Fernando CA 91340-3503 (818) 365-6341 34.28336 -118.444415 78.2ll 3203
1376560151 1376560151 1 1 Community Health Centers 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 42 Santa Barbara GUADALUPE 4723 West Main Street Suite H Guadalupe CA 93434-1787 (805) 343-5577 34.957569 -120.576642 180.2 25.02
1376565309 1376565309 1 1 Los Angeles County 28-Apr-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 19 Los Angeles H/UCLA WOMEN CLINIC N28 1000 W Carson St # L4 Torrance CA 90502-2004 (310) 222-3520 33.831586 -118.293386 78.2aaaa 5435.03
1376610923 1376610923 1 1 Lovato, Esteban D Md 9-May-06 26 PHYSICIANS G00075190 41 Internal Medicine 0 In state provider 1 Alameda None 3022 International Blvd Ste 210 Oakland CA 94601-2226 (510) 261-1677 37.778594 -122.227871 2d 4061
1376654566 1376654566 1 1 Crownover, David W Md 21-Feb-12 26 PHYSICIANS C00054069 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 56 Ventura None 147 N Brent Street None Ventura CA 93003-2809 (805) 652-5011 34.274201 -119.257241 241c 19
1376659896 1376659896 1 1 Calif State Univ Sacto 1-Mar-02 22 PHYSICIANS GROUP None 8 Family Practice 0 In state provider 34 Sacramento STUDENT HEALTH CENTER 6000 J St None Sacramento CA 95819-2605 (916) 278-6461 38.566806 -121.427834 139g 52.01
1376674770 1376674770 1 1 Mario A Ochoa Md Inc 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None 8 Family Practice 0 In state provider 10 Fresno None 3275 Mccall Ave Ste 102 Selma CA 93662-2505 (559) 896-3808 36.582589 -119.610629 30 70.04
1376683151 1376683151 1 1 School Health Clinics 26-Aug-22 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 43 Santa Clara OF SANTA CLARA COUNTY 645 Wool Creek Dr None San Jose CA 95112-2617 (408) 283-6051 37.314289 -121.848615 183e 5031.22
1376684456 1376684456 1 1 Clinica De Salud Del Valle 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 27 Monterey DE SALINAS-KING CITY 122 E San Antonio Dr None King City CA 93930-2508 (408) 757-6237 36.222736 -121.126067 105 113.04
1376687061 1376687061 1 1 Kings Co Hlth Dept 2 19-Dec-79 48 COUNTY CLINICS NOT ASSOCIATED WITH HOSPITAL ZZT11796 None UNKNOWN 0 In state provider 16 Kings OUTPATIENT CLINIC 330 Campus Dr None Hanford CA 93230-4375 (209) 582-3211 36.326796 -119.663642 69 10.02
1376761940 1376761940 1 1 Benevolence Industries Inc 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles None 3533 W Pico Blvd None Los Angeles CA 90019-4534 (323) 734-1600 34.047164 -118.319297 78.2e 2181.2
1376843771 1376843771 1 1 Bristol-Mcfadden Medical 25-Feb-11 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 30 Orange GROUP INC 1226 E Mcfadden Ave None Santa Ana CA 92705-4106 (714) 245-0288 33.733603 -117.855114 116g 744.03
1376871566 1376871566 1 1 Agababian Medical Clinic Inc 2-Feb-11 26 PHYSICIANS A93668 None UNKNOWN 0 In state provider 19 Los Angeles None 6608 San Fernando Road None Glendale CA 91201-1703 (818) 246-1824 34.169011 -118.292464 78.2dd 3016.01
1376893420 1376893420 1 1 Mccloud Healthcare Clinic 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 47 Siskiyou INC 4309 Stagecoach Road None Dunsmuir CA 96025-1812 (530) 235-4138 41.222461 -122.278075 198 11
1386025773 1386025773 1 1 L A Star Medical Group Inc 22-Jul-16 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 19 Los Angeles None 4161 Redondo Beach Blvd Suite 100 Lawndale CA 90260-1477 (310) 214-1407 33.876068 -118.347605 78.2iiii 6041
1386065480 1386065480 1 1 Marshall Medical Center 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 9 El Dorado None 4341 Golden Center Dr Bldg A Placerville CA 95667-6260 (530) 626-1144 38.705981 -120.827051 23.3 315.02
1386069995 1386069995 1 1 Borrego Community Health 24-Aug-22 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 33 Riverside FOUNDATION 1180 N Indian Canyon Dr Suite W-300 Palm Springs CA 92262-4800 (760) 416-3390 33.839669 -116.545605 129.4 446.06
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
1386299899 1386299899 1 1 Planned Parenthood Mar Monte 10-Dec-20 41 COMMUNITY CLINIC 550005839 None UNKNOWN 0 In state provider 43 Santa Clara AFFILIATED 2500 California St Ste A Mountain View CA 94040-1397 (650) 947-4539 37.403035 -122.106218 183l 5094.04
1386646404 1386646404 1 1 James Corona Md 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None 41 Internal Medicine 0 In state provider 11 Glenn None 203 Walker St # 2 Orland CA 95963-9904 (530) 865-6430 39.747371 -122.191484 36.1 101
1386670610 1386670610 1 1 Family Hlthcare Network 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 54 Tulare None 33025 Road 159 None Ivanhoe CA 93235-1234 (559) 798-1877 36.38897 -119.21798 228.1 8
1386689453 1386689453 1 1 Diego, Loraine V Md Inc 30-Aug-01 26 PHYSICIANS A67445 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles None 2405 W 8th St Ste 105 Los Angeles CA 90057-5016 (213) 388-2229 34.056301 -118.281071 78.2b 2094.01
1386708634 1386708634 1 1 Jwch Institute, Inc 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles JWCH NORWALK REGIONAL 12360 Firestone Blvd None Norwalk CA 90650-4324 (562) 281-0305 33.906084 -118.06963 78.2jjjj 5522
1386721900 1386721900 1 1 Sunshine Medical Clinic 12-Sep-01 22 PHYSICIANS GROUP FNP029062 1 General Practice 0 In state provider 19 Los Angeles None 555 W Compton Blvd Ste 104 Compton CA 90220-3099 (310) 639-7200 33.895903 -118.232876 78.2bbb 5425.02
1386728533 1386728533 1 1 San Mateo Co Health Svs 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 41 San Mateo FAIR OAKS FAMILY HEALTH 2710 Middlefield Rd None Redwood City CA 94063-3404 (415) 573-4602 37.476719 -122.211447 176b 6105
1386738177 1386738177 1 1 Family Healthcare Netwrk 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 54 Tulare None 35800 Highway 190 None Springville CA 93265-9116 (559) 737-4700 36.12739 -118.821163 232 27
1386758225 1386758225 1 1 County Of Riverside 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 33 Riverside PALM SPRINGS FAMILY CARE 1515 N Sunrise Way None Palm Springs CA 92262-5309 (760) 778-2210 33.843142 -116.528252 129.4 446.02
1386770477 1386770477 1 1 City & Co San Francisco 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 38 San Francisco None 1044 Larkin St None San Francisco CA 94109-5707 (415) 673-2319 37.787601 -122.418434 162b 120
1386852416 1386852416 1 1 Riverside Co Regional 3-May-06 61 COUNTY HOSPITAL OUTPATIENT None None UNKNOWN 0 In state provider 33 Riverside MEDICAL CENTER 26520 Cactus Ave None Moreno Valley CA 92555-3927 (714) 785-7116 33.910048 -117.201657 134 487
1386859619 1386859619 1 1 Modern Concepts Med Grp 15-Mar-99 22 PHYSICIANS GROUP FNP024624 8 Family Practice 0 In state provider 19 Los Angeles INC 1701 Cesar Chavez Ave #354 Los Angeles CA 90033-0000 (323) 221-5366 34.051199 -118.217598 78.2ffff 2035
1386886117 1386886117 1 1 County Of Ventura 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura None 1227 E Los Angeles Ave None Simi Valley CA 93065-2871 (805) 652-6075 34.271817 -118.774328 240c 78
1386912202 1386912202 1 1 East Valley Community Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles CENTER INC 17840 Villa Corta Street None La Puente CA 91744-5342 (626) 919-4333 34.018124 -117.912171 78.2www 4081.38
1386915593 1386915593 1 1 Santiago Canyon College 10-Dec-12 45 CLINIC EXEMP FROM LICENSURE None None UNKNOWN 0 In state provider 30 Orange STUDENT HEALTH CENTER 8045 East Chapman Ave None Orange CA 92869-4512 (714) 628-4773 33.793802 -117.766526 116n 756.05
1386934875 1386934875 1 1 Pediatric & Family Medical 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles CENTER 1400 S Grand Ave Suite 101 Los Angeles CA 90015-3023 (213) 746-1037 34.03718 -118.265408 78.2ffff 2240.1
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
1396067500 1396067500 1 1 Aaa Comprehensive Healthcare 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles None 7451 N Lankershim Blvd None North Hollywood CA 91605-2803 (818) 503-9800 34.205963 -118.387784 78.2bb 1224.1
1396253340 1396253340 1 1 Yasharpour Medical Doctor 20-Feb-19 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 19 Los Angeles INC APMC 21013 Sherman Way Ste 4 Canoga Park CA 91303-3675 (818) 887-9697 34.201101 -118.590877 78.2hhhh 1340.01
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
1396817193 1396817193 1 3 Los Alamitos Ob Gyn Medical 27-Jul-20 26 PHYSICIANS 20A6917 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 30 Orange GROUP INC 8615 Knott 5 Buena Park CA 90620-3841 (562) 596-5566 33.837742 -118.011124 116a 1102.01
1396836094 1396836094 1 1 Lopez, Robert Md 1-Oct-99 26 PHYSICIANS G00075281 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 36 San Bernardino None 12586 Central Ave None Chino CA 91710-3507 (909) 548-6820 34.024898 -117.689451 151a 6.04
1396852455 1396852455 1 1 North County Health Proj 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 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
1396859179 1396859179 1 1 Lake Elsinore Family 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 33 Riverside CARE CENTER 2499 E Lakeshore Dr None Lake Elsinore CA 92530-4446 (951) 471-4200 33.660351 -117.301362 131a 430.01
1396879680 1396879680 1 1 South Bakersfield 4-Oct-04 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 15 Kern COMMUNITY HEALTH CENTER 2400 Wible Rd Ste 14 Bakersfield CA 93304-4734 (661) 835-1240 35.333159 -119.038949 66b 29
1396891909 1396891909 1 1 South Central Family 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles HEALTH CTR 4425 S Central Ave None Los Angeles CA 90011-3629 (213) 233-1626 34.003304 -118.256479 78.2ggg 2286
1396893723 1396893723 1 1 Kpaduwa, Julius C Md Amc 22-Jul-02 22 PHYSICIANS GROUP G00051500 None UNKNOWN 0 In state provider 19 Los Angeles None 11017 Valley Mall None El Monte CA 91731-2617 (626) 575-8342 34.073931 -118.035333 78.2oo 4327
1396941464 1396941464 1 1 Stanislaus Co Hlth Svs 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 50 Stanislaus PARADISE MEDICAL OFFICE 401 Paradise Rd Ste E Modesto CA 95351-3163 (209) 558-4000 37.627826 -121.011734 215c 22
1396961884 1396961884 1 1 Clinicas Del Camino Real 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura OXNARD 650 Meta St None Oxnard CA 93030-7182 (805) 487-5351 34.195704 -119.176003 241b 91
1396981700 1396981700 1 1 St Johns Well Child And 9-Sep-22 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles FAMILY CENTER INC 4085 S Vermont Ave None Los Angeles CA 90037-4045 (323) 541-1600 34.009285 -118.291548 78.2l 2316
1407029259 1407029259 1 1 Mision Area Hlth Assoc 3-Jul-08 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 38 San Francisco HEALTH CTR 240 Shotwell St None San Francisco CA 94110-1323 (415) 552-3870 37.76462 -122.41638 162a 177
1407032212 1407032212 1 1 City Heights Family 28-Mar-08 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 37 San Diego HEALTH CENTER 5379 El Cajon Blvd None San Diego CA 92115-4730 (000) 000-0000 32.757703 -117.079921 161d 27.08
1407033301 1407033301 1 1 Westside Neighborhood 9-May-08 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 42 Santa Barbara CLINIC 628 W Micheltorena St None Santa Barbara CA 93101-4131 (805) 617-7858 34.419291 -119.715644 181a 11.01
1407044175 1407044175 1 1 Planned Parenthood 27-Sep-07 41 COMMUNITY CLINIC CNC305010 None UNKNOWN 0 In state provider 45 Shasta SHASTA-DIABLO 2935 Bechelli Lane Ste C Redding CA 96002-1905 (925) 676-0505 40.564564 -122.362631 189.2 109
1407189525 1407189525 1 1 San Bernardino Community 17-Apr-17 55 LOCAL EDUCATION AGENCY None None UNKNOWN 0 In state provider 36 San Bernardino COLLEGE DISTRICT 701 S Mount Vernon Ave None San Bernardino CA 92410-2705 (909) 384-8273 34.089166 -117.313783 151f 124
1407268709 1407268709 1 1 Pediatric & Family Medical 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles CENTER 3680 E Imperial Highway Ste 200 Lynwood CA 90262-2659 (310) 608-4898 33.93211 -118.201393 78.2sss 5402.02
1407406630 1407406630 1 1 Planned Parenthood Pasadena 6-Apr-21 41 COMMUNITY CLINIC 550006140 None UNKNOWN 0 In state provider 19 Los Angeles AFFILIATED 5903 N Figueroa St None Los Angeles CA 90042-4229 (626) 794-5737 34.11071 -118.19055 78.2i 1836.2
1407821523 1407821523 1 1 University Of California 27-Feb-18 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 38 San Francisco None 1001 Potrero Ave Rm 6d14 San Francisco CA 94110-3518 (415) 883-3600 37.754506 -122.406453 162c 229.03
1407880040 1407880040 1 2 Flores, Carlos A Md 1-Oct-02 26 PHYSICIANS A00041653 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles None 14673 Parthenia St Ste 101 Panorama City CA 91402-2991 (818) 785-7300 34.228211 -118.452683 78.2ll 1201.03
1407886948 1407886948 1 1 Singleton, Chrystal J Md 28-May-00 26 PHYSICIANS A00065522 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 10 Fresno None 3410 Mccall Ave Ste 115 Selma CA 93662-2500 (559) 891-7390 36.584107 -119.61062 30 70.04
1407914260 1407914260 1 3 Hill Country Comm Clinic 15-Oct-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 45 Shasta PO BOX 228 29632 Hwy 299 East None Round Mountain CA 96084-0000 (916) 337-6243 40.802795 -121.939255 188.1 126.01
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
1407945629 1407945629 1 1 Planned Parenthood World 19-Dec-79 41 COMMUNITY CLINIC ZZT11984 None UNKNOWN 0 In state provider 19 Los Angeles MAR VISTA 1316 3rd Street Promenad Ste 201 Santa Monica CA 90401-1382 (213) 284-3118 34.016739 -118.497415 78.2z 7019.02
1407973043 1407973043 2 1 Lifelong Medical Care 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 7 Contra Costa None 150 Harbour Way None Richmond CA 94801-3554 (510) 215-5001 37.933302 -122.360005 18f 3770
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
1417005695 1417005695 1 1 Johnson, Lorna M Cnm 27-Jul-04 5 CERTIFIED NURSE MIDWIFE 303602 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles None 1201 E Florence Ave None Los Angeles CA 90001-2432 (323) 588-0084 33.974765 -118.254103 78.2fff 5350.01
1417032921 1417032921 1 1 Northern Inyo County 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 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
1417036484 1417036484 1 1 Contra Costa County 25-Sep-02 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 7 Contra Costa RICHMOND HEALTH CENTER 100 38th St None Richmond CA 94805-2207 (510) 370-5100 37.933705 -122.333316 18f 3810
1417082165 1417082165 1 1 Health Center #2 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 38 San Francisco None 1301 Pierce St None San Francisco CA 94115-4005 (415) 292-1300 37.781964 -122.435815 162g 158.01
1417211426 1417211426 1 1 Pomona Community Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles CENTER 1450 E Holt Ave None Pomona CA 91767-5822 (909) 630-7927 34.063022 -117.721687 78.2ss 4027.02
1417321746 1417321746 1 1 North County Health Project 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 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
1417365545 1417365545 1 1 Dornika Medical Inc 15-May-15 26 PHYSICIANS A76326 1 General Practice 0 In state provider 19 Los Angeles None 2121 S San Pedro St Unit E Los Angeles CA 90011-1160 (213) 742-0300 34.0253 -118.258932 78.2mmm 2264.1
1417378597 1417378597 1 1 Kedren Community Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles CENTER INC 4211 South Avalon Blvd Suite A Los Angeles CA 90011-5622 (323) 233-0425 34.007344 -118.265245 78.2ggg 2283.2
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
1417907940 1417907940 1 1 Lpch Medical Group Div Of Lu 25-Apr-20 82 LICENSED MIDWIVES None None UNKNOWN 0 In state provider 43 Santa Clara EN'S HOSPITAL AT STANFOR 725 Welch Rd None Palo Alto CA 94304-1601 (650) 497-8000 37.436857 -122.172778 183a 5116.09
1417907940 1417907940 1 2 Lpch Medical Group Div Of Lu 14-Oct-21 71 LICENSED CLINICAL SOCIAL WORKER GROUP None None UNKNOWN 0 In state provider 1 Alameda LUCILE 1359 Park Ave None Alameda CA 94501-4511 (510) 523-8162 37.763084 -122.242226 2e 4281
1417907940 1417907940 1 16 Lpch Medical Group Div Of Lu 2-Feb-22 71 LICENSED CLINICAL SOCIAL WORKER GROUP None None UNKNOWN 0 In state provider 41 San Mateo LUCILE 50 S San Mateo Dr Suite 180 San Mateo CA 94401-3859 (650) 342-4145 37.566377 -122.326053 176f 6063
1417907940 1417907940 1 20 Lpch Medical Group Div Of Lu 2-Feb-22 71 LICENSED CLINICAL SOCIAL WORKER GROUP None None UNKNOWN 0 In state provider 7 Contra Costa LUCILE 1776 Ygnacio Valley Road Ste 100 Walnut Creek CA 94598-3100 (925) 933-4383 37.917186 -122.039677 18j 3382.04
1417907940 1417907940 1 21 Lpch Medical Group Div Of Lu 2-Feb-22 71 LICENSED CLINICAL SOCIAL WORKER GROUP None None UNKNOWN 0 In state provider 7 Contra Costa LUCILE 2160 Appian Way Suite 100 Pinole CA 94564-2524 (510) 724-8300 37.99679 -122.301668 18a 3591.02
1417907940 1417907940 1 27 Lpch Medical Group Div Of Lu 2-Feb-22 71 LICENSED CLINICAL SOCIAL WORKER GROUP None None UNKNOWN 0 In state provider 1 Alameda None 5720 Stoneridge Mall Rd #240 Pleasanton CA 94588-2830 (925) 463-1234 37.692504 -121.930127 2k 4506.02
1417930892 1417930892 2 1 Reedley Community Hospital 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 16 Kings None 1025 N Douty St None Hanford CA 93230-3722 (559) 537-0170 36.335154 -119.646037 69 9
1417939968 1417939968 1 1 United Health Centers- 31-Aug-21 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 54 Tulare None 476 E Washington Ave None Earlimart CA 93219-0000 (661) 849-2781 35.884294 -119.271473 231 44
1417972282 1417972282 2 1 Reedley Community Hospital 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 10 Fresno None 155 S Newmark Ave None Parlier CA 93648-2531 (559) 646-1200 36.606721 -119.529845 32 68.02
1427025691 1427025691 2 1 Reedley Community Hospital 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 54 Tulare None 1451 E El Monte Way None Dinuba CA 93618-1812 (559) 000-0000 36.545476 -119.379434 227.1 5.01
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
1427046754 1427046754 1 1 Chinatown Service Center 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles FAMILY HEALTH CLINIC 767 N Hill St Ste 200 Los Angeles CA 90012-2365 (213) 808-1700 34.062104 -118.239871 78.2ffff 2071.02
1427070168 1427070168 1 1 Los Angeles County 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles HARBOR-UCLA MEDICAL CTR 1000 W Carson St # L4 Torrance CA 90502-2004 (310) 222-2345 33.831586 -118.293386 78.2aaaa 5435.03
1427070374 1427070374 1 1 La Clinica De La Raza 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 1 Alameda SAN ANTONIO NBRHD HLTH 1030 International Blvd None Oakland CA 94606-3730 (510) 238-5400 37.79186 -122.249437 2e 4060
1427081652 1427081652 1 1 Planned Parenthood Of 15-Jan-82 41 COMMUNITY CLINIC 370891594 None UNKNOWN 0 In state provider 37 San Diego THE PACIFIC SOUTHWEST 4575 College Ave None San Diego CA 92115-4011 (619) 881-4516 32.760085 -117.066696 161f 27.02
1427089150 1427089150 1 1 Kings Comprehensive 1-Apr-96 22 PHYSICIANS GROUP FNP022686 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 16 Kings WOMEN'S HLTHCARE MED GRP 460 Greenfield Ave Ste 1 Hanford CA 93230-3500 (559) 584-0141 36.331054 -119.657461 69 10.01
1427110329 1427110329 1 1 Livingston Community Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 24 Merced None 600 B St Building B Livingston CA 95334-9593 (209) 850-3500 37.385959 -120.728973 95 3.04
1427121375 1427121375 1 1 Childrens Hospital Of Orange 13-Oct-04 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 30 Orange COUNTY 3745 W Chapman Ave 1st Floor Orange CA 92868-1656 (888) 770-2462 33.789019 -117.893151 116r 761.02
1427123496 1427123496 2 1 Anand Narayan Md Inc 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 54 Tulare None 468 Vermont Ave None Dinuba CA 93618-1631 (559) 591-6200 36.549079 -119.389343 227.1 4.02
1427123504 1427123504 1 1 Clinica Medica Internacional 30-Mar-95 26 PHYSICIANS A00035730 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles CLINICA MED INTER MD CTR 7444 Lankershim Blvd None North Hollywood CA 91605-2801 (818) 765-4917 34.205981 -118.387785 78.2bb 1224.1
1427220862 1427220862 1 1 Joy Carino Kimpo Womens 17-Jun-08 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 15 Kern HEALTH CENTER 320 James St None Shafter CA 93263-2033 (661) 459-1800 35.503304 -119.277388 58.1 41.01
1427220870 1427220870 1 1 Shafter Community 16-Jun-08 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 15 Kern MEDICAL & DENTAL CENTER 655 S Central Valley Hwy None Shafter CA 93263-2790 (661) 746-9194 35.496554 -119.266365 58.1 41.02
1427276278 1427276278 1 1 Clinicas Del Camino Real 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura INC-OCEANVIEW 4400 Olds Rd None Oxnard CA 93033-8061 (805) 986-5551 34.156849 -119.148869 241a 47.15
1427497866 1427497866 1 1 Reedley Community Hospital 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 54 Tulare None 41696 Road 128 None Orosi CA 93647-2059 (559) 528-6966 36.546447 -119.286924 227.2 2.01
1427699396 1427699396 1 1 Clinica Sierra Vista 15-Feb-22 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 15 Kern None 425 Del Sol Parkway None Delano CA 93215-3442 (661) 635-3050 35.77185 -119.238062 60 50.04
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
1437334331 1437334331 1 1 Shenouda, Emile G Md Inc 5-Apr-17 26 PHYSICIANS A56273 1 General Practice 0 In state provider 19 Los Angeles None 15340 Devonshire St Ste 8 Mission Hills CA 91345-2760 (818) 894-9411 34.25729 -118.465984 78.2kk 1096.04
1437335759 1437335759 1 1 Hsu, Yao W Md Inc 28-Apr-08 26 PHYSICIANS A61296 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles None 5240 E Beverly Blvd None Los Angeles CA 90022-2002 (323) 727-9904 34.031448 -118.152553 78.2d 5303.01
1437375953 1437375953 1 1 Walk-In Medical Care 9-Aug-07 22 PHYSICIANS GROUP FNP017979 None UNKNOWN 0 In state provider 19 Los Angeles None 18326 Pioneer Blvd None Artesia CA 90701-5533 (562) 860-5599 33.865287 -118.082211 78.2rrr 5549
1437407582 1437407582 1 1 Camarena Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 20 Madera None 49169 Road 426 None Oakhurst CA 93644-8702 (559) 664-4000 37.328044 -119.648057 79.1 1.04
1437577103 1437577103 1 1 Santa Clarita Community 26-Aug-15 45 CLINIC EXEMP FROM LICENSURE None None UNKNOWN 0 In state provider 19 Los Angeles COLLEGE DISTRICT 26455 Rockwell Canyon Rd None Santa Clarita CA 91355-1803 (661) 362-3259 34.40725 -118.567505 76.1a 9203.3
1437642345 1437642345 1 1 County Of Riverside 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 33 Riverside TH CENTER 23520 Cactus Ave None Moreno Valley CA 92553-8906 (951) 867-3900 33.910228 -117.251921 135b 425.11
1447206321 1447206321 1 1 Planned Parenthood Mar Monte 26-Nov-96 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 31 Placer INC 729 Sunrise Ave Ste 900 Roseville CA 95661-4525 (916) 771-6539 38.733819 -121.272036 121.1 207.13
1447223326 1447223326 1 1 Musinski, Scott E 26-Jan-01 26 PHYSICIANS G00085560 8 Family Practice 0 In state provider 37 San Diego None 310 Santa Fe Dr Ste 112 Encinitas CA 92024-5123 (760) 632-9600 33.036204 -117.2843 156c 174.01
1447267349 1447267349 1 1 North County Health Proj 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 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
1447277355 1447277355 1 1 Community Health Centers 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 42 Santa Barbara OF THE CENTRAL COAST INC 2801 Santa Maria Way Bldg A Santa Maria CA 93455-2118 (805) 929-3211 34.90929 -120.433971 180.1 20.07
1447281746 1447281746 2 1 Castle Family Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 24 Merced CENTERS INC 6596 N Winton Way None Winton CA 95388-9532 (209) 357-7755 37.39712 -120.613309 96 5.04
1447297379 1447297379 1 1 Cares Community Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 34 Sacramento EDUCATION & SVS-SACTO 1500 21st St None Sacramento CA 95811-5216 (916) 443-3299 38.570826 -121.480908 139i 13
1447309885 1447309885 1 1 Camarena Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 24 Merced None 300 Prosperity Blvd Building A & B Chowchilla CA 93610-8498 (559) 664-4000 37.109626 -120.269855 79.2 3
1447321120 1447321120 1 1 Community Action Partnership 19-Dec-79 41 COMMUNITY CLINIC ZZT11858 None UNKNOWN 0 In state provider 40 San Luis Obispo OF SAN LUIS OBISPO 705 Grand Ave None San Luis Obispo CA 93401-2639 (805) 544-2478 35.289849 -120.652925 172 110.02
1447332036 1447332036 1 1 Wellspace Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 34 Sacramento None 8233 E Stockton Blvd Suite D Sacramento CA 95828-8203 (916) 737-5555 38.458962 -121.409001 139h 93.2
1447332036 1447332036 1 14 Wellspace Health 2-Jun-21 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 34 Sacramento INTERMITTENT 7601 Hospital Dr Suite 220 Sacramento CA 95823-5408 (916) 737-5555 38.464241 -121.415612 139h 96.06
1447353701 1447353701 1 1 Arroyo Vista Family 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles HEALTH CENTER 6000 N Figueroa St None Los Angeles CA 90042-4232 (323) 254-5291 34.111407 -118.189096 78.2i 1836.2
1447388251 1447388251 1 1 Lasalle Medical Assoc 18-Dec-00 22 PHYSICIANS GROUP FNP023625 None UNKNOWN 0 In state provider 36 San Bernardino None 565 N Mount Vernon Ave None San Bernardino CA 92411-2661 (909) 890-0407 34.109573 -117.313834 151g 48
1447390265 1447390265 1 1 San Jose High 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 43 Santa Clara NEIGHBORHOOD HLTH CLINIC 1149 E Julian St Bldg H San Jose CA 95116-1005 (408) 535-6001 37.350919 -121.871327 183d 5014.01
1447391719 1447391719 1 1 Asian Health Services 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 1 Alameda None 818 Webster St None Oakland CA 94607-4220 (510) 986-6800 37.799398 -122.271306 2c 4030
1447604582 1447604582 1 1 Unicare Community Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 36 San Bernardino CENTER INC 308 N La Cadena Dr None Colton CA 92324-2946 (909) 321-4700 34.06808 -117.324092 151f 125
1457347239 1457347239 1 1 Corona Regional Med Ctr 16-Feb-12 89 ELECTRONIC HEALTH RECORD INCENTIVE PROGRAM None None UNKNOWN 0 In state provider 33 Riverside None 800 S Main St None Corona CA 92882-3420 (909) 737-4343 33.87333 -117.566679 135d 416
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
1457446411 1457446411 1 1 Family Planning Assoc 9-Jan-12 22 PHYSICIANS GROUP FNP034901 None UNKNOWN 0 In state provider 19 Los Angeles MEDICAL GROUP INC 12304 Santa Monica Blvd Ste 116 Los Angeles CA 90025-2586 (310) 820-8084 34.039566 -118.465558 78.2kkkk 2674.02
1457460503 1457460503 1 1 Jayasinghe Med Group Inc 23-Jun-83 22 PHYSICIANS GROUP FNP024603 None UNKNOWN 0 In state provider 19 Los Angeles LOS ANGELES MEDICAL CTR 319 N Soto St None Los Angeles CA 90033-1837 (323) 266-6730 34.04729 -118.207479 78.2h 2036
1457472177 1457472177 1 1 West Oakland Health Ctr 13-Jun-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 1 Alameda None 700 Adeline St None Oakland CA 94607-2608 (510) 835-9610 37.803961 -122.288171 2c 4025
1457489122 1457489122 1 1 County Of Monterey 8-Sep-05 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 27 Monterey LAURAL FAMILY PRACTICE 1441 Constitution Blvd None Salinas CA 93906-3100 (831) 755-4123 36.696798 -121.62963 109.2 106.08
1457596371 1457596371 1 1 Alladawi, Ayman Md Inc 21-Oct-11 26 PHYSICIANS None 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles APC 8077 Florence Ave Ste 112 Downey CA 90240-3894 (562) 904-6031 33.952489 -118.127878 78.2eee 5506.02
1457596371 1457596371 1 2 Alladawi, Ayman Md Inc 17-Aug-11 26 PHYSICIANS None None UNKNOWN 0 In state provider 19 Los Angeles None 11061 Atlantic Ave None Lynwood CA 90262-3048 (310) 885-5816 33.928797 -118.184411 78.2ooo 5401.01
1457596371 1457596371 1 3 Alladawi, Ayman Md Inc 6-Jun-13 22 PHYSICIANS GROUP A00096862 None UNKNOWN 0 In state provider 19 Los Angeles PROFESSIONAL CORPORATION 4156 S Central Ave None Los Angeles CA 90011-3154 (562) 904-6031 34.008004 -118.256505 78.2ggg 2283.2
1457724858 1457724858 1 1 San Diego Family Care 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego None 7011 Linda Vista Rd None San Diego CA 92111-6307 (858) 279-9676 32.787389 -117.169706 161a 88
1457724924 1457724924 1 1 United Health Centers 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 10 Fresno OF THE SAN JOAQUIN VLY 2630 Tuolumne St None Fresno CA 93721-1227 (559) 825-2630 36.742662 -119.787768 35c 6
1457744476 1457744476 1 1 Community Medicine, Inc 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles None 8540 Alondra Blvd Suite B-2 Paramount CA 90723-5200 (562) 602-2508 33.889147 -118.150562 78.2m 5539.02
1457758724 1457758724 1 1 Lifelong Medical Care 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 1 Alameda None 3075 Adeline St Suite 280 Berkeley CA 94703-2590 (510) 981-4100 37.852694 -122.269722 2a 4239.01
1467411744 1467411744 1 1 Cardin, John P Jr Md 13-Sep-91 26 PHYSICIANS A00041250 None UNKNOWN 0 In state provider 19 Los Angeles None 2880 Atlantic Ave Ste 230 Long Beach CA 90806-1735 (562) 424-4404 33.809514 -118.184973 78.2lll 5722.02
1467442749 1467442749 1 1 Lucile Salter Packard 2-Mar-90 16 COMMUNITY INPATIENT HOSPITAL None None UNKNOWN 0 In state provider 43 Santa Clara CHILDRENS HOSP/STANFORD 725 Welch Rd None Palo Alto CA 94304-1601 (650) 497-8000 37.436857 -122.172778 183a 5116.09
1467490425 1467490425 1 1 Harbor Community Clinic 6-Mar-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles None 593 W 6th St None San Pedro CA 90731-2521 (310) 547-0202 33.738769 -118.289996 78.2p 2966
1467504530 1467504530 1 1 Family Healthcare Netwrk 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 16 Kings None 250 W 5th St None Hanford CA 93230-5033 (877) 960-3426 36.324339 -119.647647 69 9
1467599605 1467599605 1 1 Mbagwu, K N Solomon Md 13-Dec-93 26 PHYSICIANS G00042217 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles None 1218 S Inglewood Ave None Inglewood CA 90301-3649 (310) 672-4881 33.946609 -118.361324 78.2q 6014.02
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
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
1467678342 1467678342 2 1 Reedley Community Hospital 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 16 Kings None 11899 Shaw Place None Hanford CA 93230-6644 (559) 537-0192 36.30186 -119.630937 69 11
1467696203 1467696203 1 1 Westside Medical Group 21-Jul-09 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 10 Fresno None 1107 O Street None Firebaugh CA 93622-2224 (559) 659-9000 36.858817 -120.456357 25 84.01
1467762294 1467762294 1 1 L.T. Duong, M.D., Inc. 4-May-11 26 PHYSICIANS A00074045 None UNKNOWN 0 In state provider 30 Orange None 2708 Westminster Ave Ste 110 Santa Ana CA 92706-2192 (714) 554-7350 33.759815 -117.905808 116i 891.04
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
1477563518 1477563518 1 1 Northeastern Health Ctr 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 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
1477586808 1477586808 1 1 Ampla Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 6 Colusa None 555 Fremont St None Colusa CA 95932-2534 (530) 458-8635 39.20795 -122.011142 15 5
1477632784 1477632784 1 1 Contra Costa County 30-Sep-02 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 7 Contra Costa BRENTWOOD HEALTH CENTER 118 Oak St None Brentwood CA 94513-1335 (510) 370-5100 37.933726 -121.692856 17 3031.03
1477647386 1477647386 1 1 Ashok, Nagasamudra S 3-Oct-08 26 PHYSICIANS A00041589 40 Pediatrics, Periodontist (Dentists Only) 0 In state provider 33 Riverside MD INC 229 W 7th St None San Jacinto CA 92583-4662 (951) 487-2550 33.780353 -116.960315 132 436.02
1477649119 1477649119 1 1 Watts Healthcare 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles CORPORATION 10300 Compton Ave None Los Angeles CA 90002-3628 (323) 357-6680 33.943243 -118.246239 78.2fff 2427
1477692408 1477692408 1 1 Hawthorne Morningside 2-Apr-03 22 PHYSICIANS GROUP FNP028545 8 Family Practice 0 In state provider 19 Los Angeles MEDICAL CLINIC 12954 Hawthorne Blvd Ste 104 Hawthorne CA 90250-4418 (310) 679-0269 33.914542 -118.352355 78.2bbbb 6024.03
1477694263 1477694263 1 1 Clinicas De Salud Del 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 27 Monterey VALLE DE SALINAS-SANBORN 219 N Sanborn Rd None Salinas CA 93905-2218 (408) 757-1365 36.677503 -121.626509 109.2 5.02
1477866010 1477866010 1 1 Airport Urgent Care & 14-Jun-12 22 PHYSICIANS GROUP None 66 Emergency Medicine (Urgent Care) 0 In state provider 19 Los Angeles INDUSTRIAL MEDICINE A 1117 W Manchester Dr Suite K Inglewood CA 90301-1500 (310) 215-3555 33.959892 -118.375593 78.2q 6014.01
1477953933 1477953933 1 1 Family Health Centers 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego OF SAN DIEGO INC 4874 Polk Avenue None San Diego CA 92105-2026 (619) 515-2426 32.751328 -117.089571 161d 27.07
1477977973 1477977973 1 1 Planned Parenthood Mar Monte 12-Aug-14 41 COMMUNITY CLINIC 550002728 None UNKNOWN 0 In state provider 41 San Mateo #NAME? 2907 El Camino Real None Redwood City CA 94061-4003 (650) 503-7810 37.469439 -122.212294 176b 6107
1477979722 1477979722 1 1 United Health Centers Of The 1-Jan-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 10 Fresno SAN JOAQUIN VALLEY 429 E Manning Ave None Parlier CA 93648-2666 (800) 492-4227 36.605229 -119.57474 32 85.01
1487012779 1487012779 1 1 Livingston Community Health 12-Jun-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 24 Merced None 1617 Main Street None Livingston CA 95334-1250 (209) 850-3500 37.377435 -120.723449 95 3.04
1487095337 1487095337 1 1 Payman P Joseph, Md, A 10-Apr-14 26 PHYSICIANS A00060633 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles None 7232 Van Nuys Blvd Ste 101 Van Nuys CA 91405-2231 (818) 785-1890 34.202042 -118.448748 78.2cc 1271.02
1487299699 1487299699 1 1 California Dreams Medical Co 18-Aug-20 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 10 Fresno None 3656 W Shaw Ave None Fresno CA 93711-3231 (559) 823-5252 36.808331 -119.858996 35a 42.12
1487602546 1487602546 1 1 Regents Of The University Of 22-Dec-21 31 PSYCHOLOGISTS None None UNKNOWN 0 In state provider 30 Orange ATES 101 City Dr S None Orange CA 92868-3201 (714) 456-7890 33.780142 -117.894305 116r 761.02
1487607222 1487607222 1 1 Planned Parenthood 15-Mar-99 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 39 San Joaquin MANTECA 965 E Yosemite Ave None Manteca CA 95336-5938 (209) 239-2528 37.797466 -121.203674 164.1 51.1
1487613766 1487613766 2 1 Inland Center Med Grp Pc 20-Jun-16 27 PODIATRISTS None 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 36 San Bernardino None 9220 Haven Avenue Suite 210 Rancho Cucamonga CA 91730-8551 (909) 989-7551 34.086016 -117.575867 151b 21.1
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
1487696191 1487696191 2 1 Lifelong Medical Care 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 7 Contra Costa SAN PABLO 2023 Vale Road #107 San Pablo CA 94806-3834 (510) 215-9092 37.95356 -122.338006 18f 3690.01
1487706347 1487706347 1 1 Community Health Systems 13-May-21 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 36 San Bernardino INC 18601 Valley Blvd None Bloomington CA 92316-1831 (951) 571-2300 34.070443 -117.39832 151f 36.06
1487741773 1487741773 1 1 Clinicas De Salud Del 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 13 Imperial PUEBLO INC 852 E Danenberg Dr None El Centro CA 92243-8511 (760) 352-2257 32.767107 -115.561826 48 118.03
1487749495 1487749495 1 1 Family Planning Associates 23-Feb-83 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 36 San Bernardino MEDICAL GROUP INC 855 E Hospitality Lane None San Bernardino CA 92408-3596 (909) 885-0282 34.068304 -117.268233 151k 72
1487752895 1487752895 2 1 San Bernardino Physicians 9-Jul-13 22 PHYSICIANS GROUP A00092039 None UNKNOWN 0 In state provider 36 San Bernardino ASSOCIATES, AMC 407 E Gilbert St Ste 1 San Bernardino CA 92404-5325 (909) 889-1136 34.126801 -117.276822 151k 63.01
1487764064 1487764064 2 1 Last Frontier Healthcare 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 25 Modoc DISTRICT 1111 N Nagle St None Alturas CA 96101-3841 (530) 233-5131 41.487319 -120.552867 98 1
1487787248 1487787248 1 1 Chula Vista Womenn Care 18-Feb-93 22 PHYSICIANS GROUP None 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 37 San Diego INC 752 Medical Center Ct Ste 106 Chula Vista CA 91911-6659 (619) 482-8406 32.618955 -117.024857 161s 133.1
1487795753 1487795753 1 1 Moran, Jorge L Md Inc 2-Jan-07 26 PHYSICIANS A63662 8 Family Practice 0 In state provider 19 Los Angeles CLINICA MEDICA SAN FELIP 210 S Locust St None Inglewood CA 90301-2304 (310) 673-9920 33.961652 -118.350368 78.2q 6010.01
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
1497006126 1497006126 1 1 Reedley Community Hospital 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 10 Fresno None 1150 E Washington Ave None Reedley CA 93654-4239 (559) 391-3105 36.591473 -119.43699 32 66.02
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
1497094114 1497094114 1 1 Planned Parenthood Pasadena 8-Nov-13 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 19 Los Angeles AND SAN GABRIEL VALLEY 130 W Route 66 Ste 100 Glendora CA 91740-6250 (626) 794-5737 34.128692 -117.86456 78.2qq 4011.02
1497130280 1497130280 1 1 Community Health Clinic Ole 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 48 Solano None 470 Chadbourne Road Ste A Fairfield CA 94534-9600 (707) 419-8989 38.235172 -122.083839 202b 2524.02
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
1497373641 1497373641 1 1 Planned Parenthood Los 9-Apr-21 41 COMMUNITY CLINIC 550005945 None UNKNOWN 0 In state provider 19 Los Angeles AFFILIATED 661 E University Ave None Carson CA 90746-1966 (213) 284-3131 33.858257 -118.263349 78.2v 5433.21
1497702724 1497702724 1 1 Caduceus Physicians Medical 1-Dec-98 22 PHYSICIANS GROUP FNP026171 None UNKNOWN 0 In state provider 30 Orange MEDICAL GROUP INC 18210 Yorba Linda Blvd Suite 404 Yorba Linda CA 92886-4060 (714) 577-6031 33.888487 -117.816183 116m 218.02
1497751572 1497751572 1 1 United Indian Health Service 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 12 Humboldt EUREKA 1600 Weeot Way None Arcata CA 95521-4734 (707) 441-3100 40.89826 -124.094173 39 11.01
1497761324 1497761324 1 1 Los Angeles County 28-Apr-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 19 Los Angeles HUMPHREY FAMILY PLANNING 5850 S Main St None Los Angeles CA 90003-1215 (213) 846-4312 33.988724 -118.273922 78.2ggg 2392.02
1497776322 1497776322 1 1 Nabil & Janet F Soliman 9-Jul-93 22 PHYSICIANS GROUP FNP019887 1 General Practice 0 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
1497778443 1497778443 2 1 Castle Family Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 24 Merced CENTERS INC 1251 Grove St None Atwater CA 95301-3653 (209) 358-8201 37.350908 -120.607161 96 7.01
1497780480 1497780480 1 1 Planned Parenthood Of 28-Aug-89 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 37 San Diego THE PACIFIC SOUTHWEST 2017 1st Ave Ste 100 San Diego CA 92101-9001 (619) 881-4516 32.72631 -117.163903 161e 57
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
1497840656 1497840656 1 1 Humboldt Open Door Cln 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 8 Del Norte DEL NORTE COMM HLTH CTR 550 E Washington Blvd Ste 100 Crescent City CA 95531-8342 (707) 465-6925 41.772734 -124.198201 19 1.04
1497841258 1497841258 1 1 Sultana, Sayeeda Md 30-Oct-08 26 PHYSICIANS A00053436 None UNKNOWN 0 In state provider 19 Los Angeles None 5060 Rosemead Blvd None Pico Rivera CA 90660-2402 (310) 942-9895 34.000464 -118.083965 78.2ww 5007
1497847487 1497847487 1 1 Family Planning Assoc 25-May-80 22 PHYSICIANS GROUP FNP034901 None UNKNOWN 0 In state provider 15 Kern MEDICAL GROUP INC 2500 H St None Bakersfield CA 93301-2818 (661) 323-6023 35.381962 -119.021186 66a 16
1497882252 1497882252 1 2 Narcotics Prevention 9-Nov-17 41 COMMUNITY CLINIC 550003737 None UNKNOWN 0 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 0 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
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
1497931828 1497931828 1 1 Ampla Health 29-Oct-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 6 Colusa MEDICAL & DENTAL 89 Putnam Way None Arbuckle CA 95912-9814 (530) 476-2200 39.019971 -122.061021 16.3 1
1497932396 1497932396 1 1 Northeast Valley Health 25-Apr-08 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 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
1497933691 1497933691 1 1 Koryo Health Foundation 2-Apr-08 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 19 Los Angeles None 1058 S Vermont Ave None Los Angeles CA 90006-2721 (213) 731-0686 34.050843 -118.291606 78.2b 2134.02
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
1497975882 1497975882 1 1 San Jose-Evergreen Community 29-Feb-80 45 CLINIC EXEMP FROM LICENSURE None None UNKNOWN 0 In state provider 43 Santa Clara COLLEGE DISTRICT 3095 Yerba Buena Road None San Jose CA 95135-1513 (408) 270-6480 37.297887 -121.763134 183k 5033.3
1508073685 1508073685 1 1 Share Our Selves Corp 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 30 Orange None 1550 Superior Ave None Costa Mesa CA 92627-3653 (949) 270-2100 33.633025 -117.926653 116p 636.05
1508088840 1508088840 1 1 Abdel-Malek, Shahira Md 18-Jul-97 22 PHYSICIANS GROUP A00036609 40 Pediatrics, Periodontist (Dentists Only) 0 In state provider 19 Los Angeles INC 3100 E Florence Ave Ste 1 Huntington Park CA 90255-5848 (323) 583-4115 33.972891 -118.212379 78.2ccc 5332.03
1508103672 1508103672 1 1 Amin, Ajaykumar Apmc 11-Mar-13 26 PHYSICIANS 20A9715 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles None 6901 S Atlantic Ave None Bell CA 90201-3646 (323) 326-1618 33.97379 -118.18768 78.2ddd 5336.03
1508109794 1508109794 1 1 Baltaian, Lilit Md Inc 7-Apr-14 26 PHYSICIANS A00105197 1 General Practice 0 In state provider 19 Los Angeles None 7412 Foothill Blvd None Tujunga CA 91042-2722 (818) 353-1512 34.251551 -118.293456 78.2rr 1012.1
1508187329 1508187329 1 1 County Of Ventura 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura None 325 W Channel Island Blv None Oxnard CA 93033-4501 (805) 204-9500 34.173722 -119.180277 241b 38.02
1508222647 1508222647 1 1 Dignity Health Medical Found 13-May-16 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 19 Los Angeles #NAME? 18406 Roscoe Ste A Northridge CA 91325-4107 (818) 700-5678 34.220741 -118.534065 78.2zz 1314
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
1508415274 1508415274 1 1 Camarena Health 26-Apr-21 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 20 Madera AFFILIATED 1159 Country Club Dr None Madera CA 93638-1537 (559) 664-4000 36.975824 -120.074135 80 6.04
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
1508881376 1508881376 2 1 Reedley Community Hospital 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 54 Tulare None 250 W El Monte Way None Dinuba CA 93618-1554 (559) 595-9890 36.545888 -119.396881 227.1 5.02
1508895871 1508895871 1 1 Son-Ha And Diem-Chi A 7-Jan-99 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 19 Los Angeles MEDICAL 1951 Pacific Avenue None Long Beach CA 90806-5321 (562) 218-8778 33.7926 -118.193784 78.2jjj 5730.04
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
1508936030 1508936030 1 1 County Of Sacramento 25-Apr-11 45 CLINIC EXEMP FROM LICENSURE None None UNKNOWN 0 In state provider 34 Sacramento None 4600 Broadway Ste 1300 Sacramento CA 95820-1527 (916) 874-9823 38.546763 -121.452589 139f 17
1508977414 1508977414 1 1 Reproductive Hlth Care 26-Sep-97 54 EXPANDED ACCESS TO PRIMARY CARE None None UNKNOWN 0 In state provider 30 Orange SIERRA HEALTH CENTER 501 S Brookhurst Rd None Fullerton CA 92833-3207 (714) 870-0717 33.865197 -117.959367 116f 19.02
1518046846 1518046846 1 1 Contra Costa Reg Med Ctr 30-Sep-02 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 7 Contra Costa ANTIOCH HEALTH CENTER 3505 Lone Tree Way Ste 1&4 Antioch CA 94509-6067 (925) 757-5496 37.988292 -121.80722 18e 3080.01
1518064948 1518064948 1 2 County Of San Luis Obispo 25-Mar-16 48 COUNTY CLINICS NOT ASSOCIATED WITH HOSPITAL None None UNKNOWN 0 In state provider 40 San Luis Obispo None 723 Walnut Drive None Paso Robles CA 93446-2315 (805) 237-3050 35.628529 -120.672603 173 102.01
1518183904 1518183904 1 1 Clinicas Del Camino Real 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura MARAVILLA 450 W Clara St None Oxnard CA 93033-8363 (805) 659-1740 34.151193 -119.182212 241b 45.06
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
1518361435 1518361435 1 1 Planned Parenthood Of The 3-Jul-15 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 13 Imperial PACIFIC SOUTHWEST 1463 S 4th St None El Centro CA 92243-4456 (619) 881-4500 32.781076 -115.552338 48 117
1518958313 1518958313 1 1 Amara, Dominic P Md 1-Mar-99 26 PHYSICIANS G00076226 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 49 Sonoma None 181 Andrieux St Ste 108 Sonoma CA 95476-6920 (707) 938-3300 38.288118 -122.46158 208 1502.04
1518963321 1518963321 1 1 Lee, Jay K Md 1-Jul-05 26 PHYSICIANS A00085767 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 33 Riverside None 12980 Frederick St Ste A Moreno Valley CA 92553-5263 (951) 924-0108 33.932093 -117.261368 135b 425.13
1518963693 1518963693 1 1 Lifelong Medical Care 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 1 Alameda BERKELEY PRIMARY CARE 2001 Dwight Way None Berkeley CA 94704-2608 (510) 204-4666 37.863641 -122.269858 2a 4235
1518996313 1518996313 1 1 Consultorio Medico 11-Dec-95 22 PHYSICIANS GROUP FNP023072 42 Nuclear Medicine 0 In state provider 19 Los Angeles LATINO MEDICAL CENTER 15730 Paramount Blvd None Paramount CA 90723-4333 (562) 634-1000 33.889872 -118.160002 78.2m 5539.01
1528037041 1528037041 1 1 Planned Parenthood 15-Jun-89 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 36 San Bernardino UPLAND 918 W Foothill Blvd Ste A Upland CA 91786-3772 (909) 985-0065 34.106903 -117.663048 151d 8.24
1528041779 1528041779 2 1 Reedley Community Hospital 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 10 Fresno None 16916 5th Street None Huron CA 93234-0250 (559) 945-9090 36.200382 -120.101343 28 78.01
1528074044 1528074044 1 1 Eldessouky, Amani A Md 25-Feb-05 26 PHYSICIANS A00056426 None UNKNOWN 0 In state provider 19 Los Angeles INC 1704 W Manchester Ave # 109 Los Angeles CA 90047-3034 (323) 778-8485 33.959981 -118.306973 None None
1528078573 1528078573 1 1 Lac Usc Medical Center 28-Apr-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 19 Los Angeles LAC+USC W+C OP RM 4P81 1200 N State St None Los Angeles CA 90033-1083 (213) 226-6924 34.059119 -118.209851 78.2ffff 2033
1528084878 1528084878 1 1 Han, Abraham P Md 28-Aug-92 26 PHYSICIANS G00072378 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles None 1850 S Azusa Ave Ste 309 Hacienda Heights CA 91745-6854 (818) 810-5998 33.988954 -117.93232 78.2pp 4086.28
1528120151 1528120151 1 1 North County Health Ctr 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 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
1528137791 1528137791 1 1 Reyes, Adoracion A Md 16-Feb-94 26 PHYSICIANS A00051639 1 General Practice 0 In state provider 19 Los Angeles None 1350 Chestnut Ave None Long Beach CA 90813-2945 (562) 599-1565 33.783157 -118.19637 78.2jjj 5754.01
1528144755 1528144755 1 1 Sano Medical Clinic Inc 1-Nov-17 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 30 Orange None 1444 S Main St None Santa Ana CA 92707-1717 (714) 835-4330 33.728187 -117.867787 116b 746.02
1528167467 1528167467 1 1 Salceda, Norma C M D Inc 27-Oct-99 26 PHYSICIANS A00033244 None UNKNOWN 0 In state provider 19 Los Angeles SAINT ANA WOMEN MED CLNC 13676 Van Nuys Blvd None Pacoima CA 91331-3616 (818) 897-3991 34.259701 -118.430828 78.2ll 1045
1528172541 1528172541 1 2 Mch Medical Clinic 2-Oct-06 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 36 San Bernardino PO BOX 70 29099 Hospital Rd Ste 200 Lake Arrowhead CA 92352-0072 (909) 336-9715 34.265922 -117.167117 147 109.02
1528235355 1528235355 1 1 Strongkids Medical Group 7-Sep-07 22 PHYSICIANS GROUP FNP035330 None UNKNOWN 0 In state provider 30 Orange INC 1491 E La Palma Ave Ste B Anaheim CA 92805-1564 (714) 535-3330 33.847273 -117.898006 116q 864.04
1528270147 1528270147 1 1 Century Medical Ctr Apc 7-Apr-05 22 PHYSICIANS GROUP FNP032272 40 Pediatrics, Periodontist (Dentists Only) 0 In state provider 19 Los Angeles None 3451 W Century Blvd None Inglewood CA 90303-1218 (310) 677-9400 33.945523 -118.332501 78.2r 6007.02
1528299849 1528299849 1 1 Rapoza, Russell P Md Apc 28-Aug-14 26 PHYSICIANS G71959 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 30 Orange None 11190 Warner Avenue Suite 410 Fountain Valley CA 92708-4019 (714) 444-4003 33.716345 -117.933111 116j 992.26
1528319449 1528319449 1 1 Ahad, George Md Inc 24-Jul-14 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 30 Orange None 947 S Anaheim Blvd Suite 240 Anaheim CA 92805-5584 (714) 774-8870 33.822047 -117.90948 116l 874.05
1528345915 1528345915 1 1 Baldwin Park Medical Center 28-Aug-14 26 PHYSICIANS 20A7473 1 General Practice 0 In state provider 19 Los Angeles INC 14362 E Ramona Blvd None Baldwin Park CA 91706-3241 (626) 337-0676 34.086349 -117.960992 78.2zzz 4052.02
1528365285 1528365285 1 1 Akram, Tahira Md Inc 24-May-11 26 PHYSICIANS C00054187 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 36 San Bernardino None 12588-90 Central Ave None Chino CA 91710-3507 (909) 593-4400 34.024698 -117.689448 151a 6.04
1528433588 1528433588 1 1 Livingston Community Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 50 Stanislaus None 12619 Bentley St None Waterford CA 95386-9011 (209) 850-3500 37.640669 -120.761329 214 28.01
1528477882 1528477882 1 1 Central City Community 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles HEALTH CENTER INC 13742 Amar Road None La Puente CA 91746-1683 (626) 919-0400 34.054017 -117.977387 78.2yyy 4071.01
1528478211 1528478211 1 1 United Health Centers Of The 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 10 Fresno SAN JOAQUIN VALLEY 1790 E Manning Ave None Reedley CA 93654-9467 (559) 638-2019 36.604089 -119.429087 32 63
1528478211 1528478211 1 2 United Health Centers Of The 8-Apr-22 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 10 Fresno INTERMITTENT 2705 S Highland Ave None Selma CA 93662-3389 (559) 638-2019 36.573725 -119.628778 30 71
1538113725 1538113725 1 1 Mendocino Coast Hosp 3-Oct-86 30 GROUND MEDICAL TRANSPORTATION 230191013 None UNKNOWN 0 In state provider 23 Mendocino None 700 River Dr None Fort Bragg CA 95437-5403 (707) 964-5381 39.432613 -123.800797 89 105
1538141627 1538141627 1 1 Hanford Community Hospital 19-Dec-79 16 COMMUNITY INPATIENT HOSPITAL 550001439 None UNKNOWN 0 In state provider 16 Kings None 115 Mall Drive None Hanford CA 93230-3513 (559) 582-9000 36.327307 -119.668471 69 10.02
1538180245 1538180245 1 1 Health And Life 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 34 Sacramento ORGANIZATION INC 2200 Del Paso Blvd None Sacramento CA 95815-3102 (916) 642-1867 38.610077 -121.450815 139j 69
1538181482 1538181482 1 1 La Clinica De La Raza Inc 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 7 Contra Costa None 2000 Sierra Road None Concord CA 94518-2905 (925) 363-2000 37.952425 -122.037196 18c 3372
1538183389 1538183389 1 1 Liu, Long-Dei Md 28-May-81 26 PHYSICIANS A00036134 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 30 Orange None 12555 Garden Grove Blvd Ste 402 Garden Grove CA 92843-1903 (714) 539-7030 33.774488 -117.914305 116r 885.02
1538203971 1538203971 1 1 Pacific Women's Medical 1-Jul-00 26 PHYSICIANS A00051569 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles CLINIC 4750 Gage Ave None Bell CA 90201-1351 (323) 562-1100 33.977372 -118.180957 78.2ddd 5338.04
1538240908 1538240908 1 1 Lopez, Irma Md 17-Jan-08 26 PHYSICIANS G57022 8 Family Practice 0 In state provider 36 San Bernardino None 527 N Palm Ave Suite 106 Ontario CA 91762-3215 (909) 391-3423 34.068542 -117.653605 151c 14
1538243977 1538243977 1 1 Cancer Treatment Medical 13-Aug-09 26 PHYSICIANS A48498 None UNKNOWN 0 In state provider 30 Orange CENTER 2571 W La Palma Ave None Anaheim CA 92801-2622 (714) 827-9797 33.846852 -117.974997 116c 868.02
1538262092 1538262092 1 1 Centro De Salud De La 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego COMUNIDAD DE SAN YSIDRO 950 S Euclid Avenue None San Diego CA 92114-6201 (619) 662-4100 32.696292 -117.085103 161g 31.01
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
1538300488 1538300488 1 1 County Of Ventura 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura None 2000 Outlet Center Dr Ste 110 Oxnard CA 93036-0608 (805) 604-4588 34.218953 -119.149318 241b 49.02
1538344437 1538344437 1 2 Shenouda, Emile G Md Inc 5-Apr-17 26 PHYSICIANS A56273 1 General Practice 0 In state provider 19 Los Angeles None 10132 California Ave None South Gate CA 90280-6008 (310) 678-2291 33.942359 -118.207811 78.2ccc 5358.02
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
1538400353 1538400353 1 1 County Of San Joaquin 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 39 San Joaquin None 1414 N California Street Ste B Stockton CA 95202-1515 (209) 468-3983 37.967517 -121.288334 169b 4.02
1538482286 1538482286 1 1 Minevich, Gregory A Md Pmc 22-Mar-10 26 PHYSICIANS A00093150 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 1 Alameda None 1290 B St Ste 305 Hayward CA 94541-2967 (510) 582-8281 37.676347 -122.077819 2h 4354
1538500798 1538500798 1 1 Comfort Family Clinic Inc 10-Nov-14 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 19 Los Angeles None 936 N. Wilmington Blvd. None Wilmington CA 90744-4102 (310) 816-3111 33.781301 -118.274338 78.2p 2943.02
1538562996 1538562996 1 1 Napa Valley Community 20-Mar-17 55 LOCAL EDUCATION AGENCY None None UNKNOWN 0 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
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
1548210297 1548210297 1 1 San Marcos Med Grp Inc 19-Jul-00 22 PHYSICIANS GROUP FNP026904 None UNKNOWN 0 In state provider 36 San Bernardino None 7576 Sterling Ave Ste C&d San Bernardino CA 92410-4202 (909) 381-8983 34.116162 -117.243662 151k 76.01
1548247943 1548247943 1 1 Yeh, Andrew Do Inc 20-Dec-04 26 PHYSICIANS 20A8178 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles None 612 W Duarte Rd Suite 504 Arcadia CA 91007-9239 (626) 821-9892 34.126533 -118.051732 78.2xxx 4307.24
1548293145 1548293145 1 1 Sehdeva, Parkash K Md 29-Jul-98 26 PHYSICIANS A00036163 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles None 12321 Hawthorne Blvd None Hawthorne CA 90250-3808 (310) 263-1400 33.920791 -118.352697 78.2bbbb 6021.06
1548301229 1548301229 1 1 South Bay Family Health- 17-Aug-22 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles CARE CENTER 2114 Artesia Blvd None Redondo Beach CA 90278-3014 (318) 802-6177 33.872801 -118.374586 78.2iiii 6207.01
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
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
1548359730 1548359730 1 1 Planned Parenthood-Los 3-Aug-95 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 19 Los Angeles ANGELES, SOUTH BAY CTR 14623 Hawthorne Blvd Ste 300 Lawndale CA 90260-1590 (213) 284-3124 33.899017 -118.352739 78.2t 6039
1548367436 1548367436 1 1 Saenz, Lucy M Md Inc 27-Aug-98 26 PHYSICIANS A00056461 8 Family Practice 0 In state provider 30 Orange None 1215 E 17th St None Santa Ana CA 92701-2640 (714) 547-4411 33.759898 -117.853557 116h 754.03
1548401409 1548401409 1 1 County Of Ventura 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura None 845 N 10th St Ste 3 Santa Paula CA 93060-1348 (805) 652-6075 34.36584 -119.065531 237 8
1548535685 1548535685 1 1 Cox, Lucien O Md Inc A 30-Jan-13 26 PHYSICIANS A34370 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles PROFESSIONAL CORPORATION 1127 Wilshire Blvd Ste 700 Los Angeles CA 90017-3908 (213) 482-9697 34.05251 -118.26375 78.2ffff 2092
1548538911 1548538911 1 1 Community Health System Inc 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 33 Riverside None 9380 Magnolia Ave None Riverside CA 92503-3749 (951) 571-2300 33.921652 -117.444212 135c 316.01
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
1548648801 1548648801 1 1 Community Health Centers 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 40 San Luis Obispo OF THE CENTRAL COAST INC 292 Posada Lane Ste A Templeton CA 93465-4054 (805) 929-3211 35.553456 -120.721421 170 127.04
1548659105 1548659105 1 1 Behavioral Health Services 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles INC 2501 W El Segundo Blvd Suite B Hawthorne CA 90250-3317 (424) 456-8933 33.916464 -118.320423 78.2bbbb 6026
1548789050 1548789050 1 1 Wellspace Health 2-Jun-21 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 34 Sacramento None 2433 Marconi Ave None Sacramento CA 95821-4807 (916) 822-8970 38.618042 -121.405255 139j 62.01
1548795453 1548795453 1 1 Borrego Community Health 24-Aug-22 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 36 San Bernardino FOUNDATION 750 E Main St None Barstow CA 92311-0000 (442) 347-2800 34.89879 -117.015867 149 94
1558314609 1558314609 1 1 Planned Parenthood Mar Monte 30-Sep-81 41 COMMUNITY CLINIC 430791850 None UNKNOWN 0 In state provider 43 Santa Clara INC 5440 Thornwood Dr Ste G San Jose CA 95123-1217 (408) 574-1039 37.253465 -121.861042 183g 5120.27
1558420695 1558420695 1 1 Planned Parenthood Of 26-Jan-82 41 COMMUNITY CLINIC 40392306 None UNKNOWN 0 In state provider 4 Butte NORTHERN VALLEY 3100 Cohasset Rd None Chico CA 95973-0962 (916) 342-8367 39.77338 -121.843647 7.1 2.02
1558454256 1558454256 1 1 Family Healthcare Netwrk 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 54 Tulare None 41651 Sierra Dr Ste A Three Rivers CA 93271-9678 (559) 737-4700 36.419705 -118.92114 229 1
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
1558527572 1558527572 1 1 Lew, Po Long Do 16-May-22 26 PHYSICIANS 20A5380 8 Family Practice 0 In state provider 19 Los Angeles A MEDICAL CORPORATION 9308 Valley Blvd None Rosemead CA 91770-1924 (626) 288-8881 34.081055 -118.066612 78.2qqq 4329.01
1558632570 1558632570 1 1 United Health Centers Of The 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 16 Kings SAN JOAQUIN VALLEY 1000 Chittenden Ave None Corcoran CA 93213-2407 (559) 992-5020 36.099724 -119.559692 68 14.02
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
1558693655 1558693655 1 1 Northeast Valley Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 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
1558852947 1558852947 1 1 Centro De Salud De La 13-Feb-20 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 37 San Diego COMUNIDAD DE SAN YSIDRO 4050 Beyer Blvd None San Ysidro CA 92173-2007 (619) 662-4100 32.558244 -117.04683 161j 100.13
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
1568415495 1568415495 1 1 Planned Parenthood 26-Nov-96 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 57 Yolo WOODLAND 520 Cottonwood St Ste 10 Woodland CA 95695-3603 (916) 662-4646 38.675447 -121.793328 246.1 110.01
1568449304 1568449304 1 3 Anderson Valley Health 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 23 Mendocino CENTER 13500 Airport Road None Boonville CA 95415-0338 (707) 895-3477 39.010387 -123.377385 87.1 112
1568521938 1568521938 1 1 Swanson, William C Md 8-Aug-03 26 PHYSICIANS G00011394 8 Family Practice 0 In state provider 19 Los Angeles None 4200 Peck Rd Ste B El Monte CA 91732-2177 (626) 350-5073 34.080443 -118.019581 78.2oo 4324.02
1568567220 1568567220 1 1 All For Health, Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles FOR ALL, INC 519 E Broadway None Glendale CA 91205-1110 (818) 409-3022 34.146338 -118.249859 78.2ee 3020.02
1568567600 1568567600 1 1 A Tu Salud A Medical 19-Nov-08 26 PHYSICIANS A00091739 8 Family Practice 0 In state provider 36 San Bernardino CORPORATION 10563 Mills Ave None Montclair CA 91763-4610 (909) 626-4020 34.062204 -117.717686 151c 3.01
1568585024 1568585024 1 1 Bir, R S Md Inc 26-Nov-01 22 PHYSICIANS GROUP None 1 General Practice 0 In state provider 36 San Bernardino None 9792 Sierra Ave None Fontana CA 92335-6717 (909) 434-6000 34.075913 -117.435763 151f 33.01
1568598829 1568598829 1 1 Lifelong Medical Care- 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 1 Alameda DOWNTOWN OAKLAND CLINIC 616 16th St None Oakland CA 94612-1205 (510) 981-4122 37.807251 -122.274341 2c 4028
1568645653 1568645653 1 1 Superior Family Medical 30-Nov-88 26 PHYSICIANS G00050737 8 Family Practice 0 In state provider 30 Orange GROUP 1840 S Standard Ave Ste 108 Santa Ana CA 92707-2464 (714) 650-0587 33.724307 -117.85645 116g 744.03
1568648277 1568648277 1 1 Kidcare Express 2-Apr-08 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 37 San Diego None 1809 National Ave None San Diego CA 92113-2113 (619) 515-2561 32.701685 -117.146601 161c 50
1568663573 1568663573 1 1 Urgent Care America 22-Aug-97 22 PHYSICIANS GROUP FNP001223 8 Family Practice 0 In state provider 19 Los Angeles MEDICAL CLINIC INC 13470 Telegraph Rd None Whittier CA 90605-3436 (562) 906-7766 33.938916 -118.044588 78.2vv 5029.02
1568665073 1568665073 1 1 Southwest Comm Health Ct 5-Jun-02 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 49 Sonoma None 599 Bellevue Ave None Santa Rosa CA 95407-7713 (707) 578-2005 38.401833 -122.734668 210.1 1532
1568747137 1568747137 1 1 Borrego Community Health 24-Aug-22 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego FOUNDATION 8851 Center Dr Suite 210 La Mesa CA 91942-3045 (619) 463-9195 32.782249 -117.005653 161f 150
1568791390 1568791390 1 1 Planned Parenthood Los Angel 12-Apr-12 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 19 Los Angeles None 3637 S La Brea Avenue None Los Angeles CA 90016-5311 (213) 284-3127 34.020346 -118.355604 78.2j 2360
1568798296 1568798296 1 1 Amir G Nasseri Md Pc 15-Dec-09 26 PHYSICIANS A00068974 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 30 Orange None 1155 W Central Ave Ste 214 Santa Ana CA 92707-3165 (714) 966-9094 33.712562 -117.883916 116g 740.05
1568800100 1568800100 1 1 Best Start Midwife Services 24-Apr-17 89 ELECTRONIC HEALTH RECORD INCENTIVE PROGRAM None None UNKNOWN 0 In state provider 37 San Diego None 3630 Enterprise Street None San Diego CA 92110-3212 (619) 255-4444 32.746298 -117.198357 161b 65
1568827210 1568827210 1 1 Altura Centers For Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 54 Tulare None 1500 W Tulare Drive None Tulare CA 93274-3424 (559) 686-9097 36.206312 -119.368597 230 22.02
1568845741 1568845741 1 1 Centro De Salud De La 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego COMUNIDAD DE SAN YSIDRO 875 El Cajon Blvd None El Cajon CA 92020-5714 (619) 662-4100 32.784988 -116.977328 161h 159.02
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
1578535845 1578535845 1 1 County Of San Bernardino 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider None Unknown None Public Health Department 351 N. Mt. View Ave. San Bernardino CA 92415- (760) 956-4422 34.126876 -117.267731 151k 63.01
1578535845 1578535845 1 5 County Of San Bernardino 28-Apr-10 45 CLINIC EXEMP FROM LICENSURE None None UNKNOWN 0 In state provider 36 San Bernardino None 477 Summit Blvd None Big Bear Lake CA 92315-2835 (909) 866-0177 34.24406 -116.888382 146 112.03
1578535845 1578535845 1 6 County Of San Bernardino 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 36 San Bernardino None 150 E Holt Blvd None Ontario CA 91761-1613 (909) 458-9447 34.063374 -117.650205 151c 14
1578535845 1578535845 1 8 County Of San Bernardino 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 36 San Bernardino None 606 E Mill Street None San Bernardino CA 92415-0011 (909) 383-3001 34.092145 -117.296227 151f 124
1578535845 1578535845 1 9 County Of San Bernardino 28-Apr-10 45 CLINIC EXEMP FROM LICENSURE None None UNKNOWN 0 In state provider 36 San Bernardino None 351 N Mountain View Ave None San Bernardino CA 92415-0003 (909) 387-6218 34.105564 -117.287364 151g 58
1578535845 1578535845 1 10 County Of San Bernardino 28-Apr-10 45 CLINIC EXEMP FROM LICENSURE None None UNKNOWN 0 In state provider 36 San Bernardino None 303 E Mountain View St None Barstow CA 92311-2840 (760) 256-4705 34.89277 -117.026308 149 95
1578535845 1578535845 1 11 County Of San Bernardino 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 36 San Bernardino None 11336 Bartlett Ave Units 11, 12 Adelanto CA 92301-2025 (760) 246-1272 34.581919 -117.421764 145.2 91.16
1578552543 1578552543 1 5 Community Medical Centers 2-Apr-21 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 39 San Joaquin INTERMITTENT 2415 W Vine St Suite 105 Lodi CA 95242-3731 (209) 373-2810 38.12282 -121.305114 166 43.03
1578567038 1578567038 1 1 Clinica Medica La Sagrada 30-Nov-94 22 PHYSICIANS GROUP FNP018256 None UNKNOWN 0 In state provider 19 Los Angeles LA SAGRADA FAMILIA 15955 Paramount Blvd Ste A Paramount CA 90723-5113 (562) 531-9806 33.887704 -118.16015 78.2m 5538.02
1578572145 1578572145 1 1 Felahy-Al Azawi A Medical 27-Oct-11 26 PHYSICIANS A00040702 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles None 16660 Paramount Blvd Ste 105 Paramount CA 90723-5457 (562) 529-7550 33.882563 -118.159974 78.2m 5539.02
1578577490 1578577490 1 2 Pixley Medical Clinic 10-Dec-01 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 54 Tulare None 205 East Davis Street None Pixley CA 93256-1025 (559) 757-2000 35.968268 -119.293781 231 42
1578599809 1578599809 1 1 Ruiz, R A Medical Corp 4-May-10 22 PHYSICIANS GROUP CLA328915 None UNKNOWN 0 In state provider 36 San Bernardino RIALTO CLINICA MEDICA 436 S Riverside Ave None Rialto CA 92376-6523 (909) 877-8868 34.09342 -117.370336 151h 37
1578605390 1578605390 1 1 Hana Medical Group 13-Oct-95 22 PHYSICIANS GROUP A00035505 None UNKNOWN 0 In state provider 30 Orange None 8615 Knott Ave Ste 3 Buena Park CA 90620-3886 (714) 527-4833 33.837742 -118.011124 116a 1102.01
1578624672 1578624672 1 1 Ardmore Med Group Inc 4-May-93 22 PHYSICIANS GROUP FNP030539 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles ARDMORE MED GRP INC 3564 Santa Anita Ave Ste A El Monte CA 91731-2458 (213) 384-4633 34.074056 -118.041644 78.2oo 4327
1578658878 1578658878 1 1 Family Planning Assoc 25-May-80 22 PHYSICIANS GROUP FNP034901 None UNKNOWN 0 In state provider 30 Orange MEDICAL GROUP INC 1901 Ntustin Ave None Santa Ana CA 92705-7817 (714) 978-3391 33.762626 -117.835155 116h 757.01
1578680310 1578680310 1 2 County Of Santa Cruz Dba 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 44 Santa Cruz None 1080 Emeline Ave None Santa Cruz CA 95060-1966 (831) 454-4587 36.99184 -122.017534 185.3 1212
1578685137 1578685137 1 1 Agricultural Workers 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 48 Solano HLTH CTRS/DIXON FAMILY 131 W A St Ste 1 Dixon CA 95620-3437 (209) 635-1600 38.445522 -121.822871 201 2534.02
1578708285 1578708285 1 1 Biggs Gridley Mem Hosp 5-Apr-02 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 4 Butte FAMILY CARE CTR 240 Spruce St None Gridley CA 95948-2216 (530) 846-9080 39.366966 -121.690577 9 35.02
1578763207 1578763207 1 1 Benevolence Industries Inc 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles None 3631 Crenshaw Blvd Suite 109 Los Angeles CA 90016-4869 (323) 732-0100 34.022751 -118.335126 78.2nnn 2200
1578766085 1578766085 1 1 Southwest Community Hlth 4-May-98 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 49 Sonoma None 751 Lombardi Ct None Santa Rosa CA 95407-6793 (707) 547-2220 38.427222 -122.748425 210.1 1533
1578803425 1578803425 1 1 County Of San Joaquin 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 39 San Joaquin None 500 W Hospital Rd Ste B French Camp CA 95231-9693 (209) 468-6709 37.886456 -121.281847 169b 38.03
1578823647 1578823647 1 1 Inland Behavioral And Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 33 Riverside SERVICES INC 1070 E Ramsey Street None Banning CA 92220-5924 (909) 881-6146 33.925352 -116.864988 134 442
1578834164 1578834164 1 1 La Clinica De La Raza Inc 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 7 Contra Costa None 2021 Main St None Oakley CA 94561-3302 (925) 776-8200 38.002703 -121.732358 18e 3020.05
1588012124 1588012124 1 1 Mokadem, Hesham El Md Inc 27-Feb-17 22 PHYSICIANS GROUP None 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 33 Riverside None 3975 Jackson Street Suite 110 Riverside CA 92503-3946 (951) 351-1071 33.927349 -117.441424 135c 316.02
1588012124 1588012124 1 3 Mokadem, Hesham El Md Inc 27-Feb-17 22 PHYSICIANS GROUP None 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 33 Riverside None 760 S Washburn Ave 3a Corona CA 92882-3303 (951) 734-7200 33.873859 -117.567848 135d 416
1588086771 1588086771 1 1 Camarena Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 20 Madera None 124 South A Street None Madera CA 93638-3619 (559) 664-4000 36.964478 -120.055059 80 8
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
1588651426 1588651426 1 1 South Bay Ob/Gyn Medical 20-Apr-95 22 PHYSICIANS GROUP FNP1290 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 37 San Diego GROUP INC OF SAN DIEGO 655 Euclid Ave Ste 409 National City CA 91950-2981 (619) 267-8313 32.68398 -117.082855 161g 220
1588656268 1588656268 1 1 Petaluma Health Ctr, Inc 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 49 Sonoma None 1179 North Mcdowell Blvd None Petaluma CA 94954-6559 (707) 559-7570 38.268863 -122.659911 209.1 1506.07
1588663769 1588663769 1 1 Kaweah Delta Health Care 1-Feb-02 24 PHARMACIES/PHARMACISTS 120000580 None UNKNOWN 0 In state provider 54 Tulare DISTRICT 400 W Mineral King Ave None Visalia CA 93291-6237 (559) 624-2000 36.327346 -119.293437 233 12
1588699151 1588699151 1 1 Family Healthcare Netwrk 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 54 Tulare None 501 N Bridge St None Visalia CA 93291-5014 (559) 737-4700 36.33379 -119.289018 233 12
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
1588753701 1588753701 1 1 Planned Parenthood World 19-Dec-79 41 COMMUNITY CLINIC ZZT11988 None UNKNOWN 0 In state provider 19 Los Angeles SHERMAN OAKS 7100 Van Nuys Blvd None Van Nuys CA 91405-3063 (213) 284-3119 34.199365 -118.448737 78.2cc 1279.1
1588756530 1588756530 1 3 Sacramento Native 6-Jun-17 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 34 Sacramento None 2020 J St None Sacramento CA 95811-3120 (916) 341-0575 38.576631 -121.479589 139j 11.01
1588798870 1588798870 1 1 Clinica Sierra Vista 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 15 Kern None 2000 Physicians Blvd None Bakersfield CA 93301-1277 (661) 635-3050 35.396189 -119.009485 66a 6
1588804819 1588804819 2 1 San Benito Health Care 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 35 San Benito DISTRICT 991 Fourth Street None Hollister CA 95023-3424 (831) 636-3277 36.85274 -121.412685 140 4
1588826374 1588826374 1 1 Feather River Tribal 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 51 Sutter HEALTH INC 555 W Onstott Rd None Yuba City CA 95993-5654 (530) 751-8454 39.129999 -121.63497 216 505.01
1588843155 1588843155 1 1 We Care More Family 15-Aug-05 10 GROUP CERTIFIED NURSE PRACTITIONER RN426211 None UNKNOWN 0 In state provider 19 Los Angeles None 3737 Martin Luther King # 605b Lynwood CA 90262-3513 (310) 639-9363 33.928529 -118.200486 78.2sss 5402.03
1598064008 1598064008 1 1 Community Health Centers Of 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 40 San Luis Obispo THE CENTRAL COAST INC 260 Station Way None Arroyo Grande CA 93420-3359 (805) 481-3652 35.119778 -120.57798 171 118
1598075442 1598075442 1 1 Community Pediatric Clinic 25-Jun-14 26 PHYSICIANS None 40 Pediatrics, Periodontist (Dentists Only) 0 In state provider 19 Los Angeles INC 10210 Orr And Day Rd Ste A Santa Fe Springs CA 90670-3581 (562) 864-4000 33.944232 -118.090502 78.2vv 5028.01
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
1598180655 1598180655 1 1 Adventist Health Physicians 18-Apr-20 45 CLINIC EXEMP FROM LICENSURE None None UNKNOWN 0 In state provider 23 Mendocino NETWORK 415 Hospital Dr A Ukiah CA 95482-4545 (916) 406-0087 39.154146 -123.202309 93.1 115
1598270191 1598270191 1 1 Shenouda, Sameh Md Inc 26-Jun-18 26 PHYSICIANS None 1 General Practice 0 In state provider 19 Los Angeles None 7963 Van Nuys Blvd Suite 101 Panorama City CA 91402-6070 (818) 988-9818 34.215846 -118.448742 78.2zz 1200.3
1598291015 1598291015 1 1 Rios, Dr Javier Rios Amc 15-Mar-19 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 33 Riverside None 31946 Mission Trail Ste A Lake Elsinore CA 92530-4539 (855) 505-7467 33.65719 -117.298338 131a 464.04
1598703647 1598703647 1 1 Neighborhood Healthcare 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 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 0 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 0 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 0 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
1598719189 1598719189 1 1 Planned Prnthd Mar Monte 26-Mar-98 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 24 Merced None 3166 Collins Dr None Merced CA 95348-3132 (209) 723-7751 37.32207 -120.476113 97.1 10.04
1598768962 1598768962 1 1 West County Health Ctrs 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 49 Sonoma OCCIDENTAL AREA HEALTH 3802 Main St None Occidental CA 95465-0100 (707) 874-2444 38.408661 -122.947471 210.2 1543.02
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
1598829350 1598829350 1 1 Jwch Institute, Inc 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles None 954 N Vermont Ave None Los Angeles CA 90029-3529 (323) 201-4516 34.088852 -118.29172 78.2g 1914.1
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
1598907487 1598907487 1 1 Centro De Salud De La 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego COMUNIDAD DE SAN YSIDRO 2400 East 8th St Ste A National City CA 91950-2956 (619) 662-4100 32.682723 -117.082363 161g 120.02
1598936254 1598936254 1 1 National Health Services 17-Jun-08 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 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
1598941825 1598941825 2 1 Reedley Community Hospital 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 10 Fresno None 811 E 11th Street None Reedley CA 93654-2926 (559) 391-3120 36.603598 -119.440294 32 66.04
1598984288 1598984288 1 1 Amavi, A Pmc 25-May-80 22 PHYSICIANS GROUP FNP030498 1 General Practice 0 In state provider 19 Los Angeles GUADALAJARA MED CLIN INC 2705 Whittier Blvd None Los Angeles CA 90023-1441 (323) 263-3861 34.032548 -118.211588 78.2h 2047
1609000405 1609000405 1 1 Family Health Centers Of 22-Dec-10 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 37 San Diego SAN DIEGO 251 Landis None Chula Vista CA 91910-2628 (619) 515-2300 32.642413 -117.081483 161k 123.02
1609062389 1609062389 1 1 Marshall Medical Center 12-May-08 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 9 El Dorado None 1095 Marshall Way 2n Fl Placerville CA 95667-5722 (530) 626-3682 38.725203 -120.790637 23.3 312
1609064435 1609064435 1 1 Adv Women's Healthcare 5-Sep-07 22 PHYSICIANS GROUP FNP032887 None UNKNOWN 0 In state provider 33 Riverside AMC 79-200 Corporate Ctr Dr Ste 201 La Quinta CA 92253-7245 (760) 564-7900 33.710407 -116.2831 129.1 452.15
1609249994 1609249994 1 1 Axis Community Health Inc 15-Sep-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 1 Alameda None 5925 W Las Positas Blvd Ste 100 Pleasanton CA 94588-6239 (925) 462-1755 37.683516 -121.89916 2k 4507.43
1609286418 1609286418 1 1 Planned Parenthood Shasta 3-Nov-14 41 COMMUNITY CLINIC 550002763 None UNKNOWN 0 In state provider 12 Humboldt DIABLO INC 3225 Timberfall Court Suite B Eureka CA 95503-4892 (707) 442-5700 40.760201 -124.165618 39 4
1609291996 1609291996 1 1 Clinicas Del Camino Real Inc 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura None 4370 Eve Road None Simi Valley CA 93063-2187 (805) 659-1740 34.28261 -118.709576 240a 84.01
1609803733 1609803733 1 1 Ram, Asher Md 18-Jan-90 26 PHYSICIANS A00045553 6 Cardiovascular Disease (M.D. only) 0 In state provider 19 Los Angeles CENTRO MEDICO FAMILIAR 14547 Victory Blvd None Van Nuys CA 91411-1619 (818) 997-3232 34.186659 -118.450019 78.2cc 1283.03
1609845171 1609845171 1 1 Planned Parenthood/ 20-Nov-81 41 COMMUNITY CLINIC 300690061 None UNKNOWN 0 In state provider 30 Orange ORANGE & SAN BERNARDINO 1520 Nutmeg Pl Suite 101 Costa Mesa CA 92626-2501 (714) 922-4100 33.681958 -117.91983 116p 638.06
1609932276 1609932276 1 1 County Of Santa Barbara 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 42 Santa Barbara COUNTY HLTH CLIN LOMPOC 301 N R St None Lompoc CA 93436-5226 (805) 737-6450 34.642342 -120.47052 179 27.02
1609972777 1609972777 1 1 Rio Hondo Medical Group 25-May-80 22 PHYSICIANS GROUP FNP36933 None UNKNOWN 0 In state provider 19 Los Angeles INC 12444 E Washington Blvd None Whittier CA 90602-1005 (562) 698-0161 33.96766 -118.046707 78.2uu 5021
1619036514 1619036514 1 1 Borrego Comm Hlth Fndtn 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 33 Riverside CENTRO MEDICO CTHDRL CTY 69175 Ramon Road Ste A Cathedral City CA 92234-3344 (760) 321-6776 33.815899 -116.456507 129.4 9406
1619056926 1619056926 1 1 La Clinica De La Raza 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 1 Alameda TIGER HEALTH CLINIC 4610 Foothill Blvd None Oakland CA 94601-4618 (510) 879-3020 37.774134 -122.210633 2d 4074
1619145307 1619145307 1 1 Lifelong Medical Care 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 1 Alameda None 9933 Macarthur Blvd None Oakland CA 94605-4853 (510) 568-3206 37.746523 -122.156651 2d 4101
1619154606 1619154606 1 1 Children's Clinic 13-Dec-06 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 19 Los Angeles FAMILY HEALTH CENTER 1060 E 70th St None Long Beach CA 90805-1008 (562) 531-7284 33.881841 -118.179432 78.2iii 5702.02
1619232808 1619232808 1 1 Cruz, Marilou G Md Inc 7-Nov-13 26 PHYSICIANS A44484 40 Pediatrics, Periodontist (Dentists Only) 0 In state provider 19 Los Angeles None 8535 Florence Ave Suite 201 Downey CA 90240-4014 (562) 861-1245 33.949367 -118.120853 78.2eee 5506.02
1619244688 1619244688 1 1 Pinnacle Primary Care Inc 1-Aug-12 22 PHYSICIANS GROUP None 1 General Practice 0 In state provider 15 Kern None 7400 District Blvd Suite C Bakersfield CA 93313-4818 (661) 847-9773 35.31313 -119.084459 66c 31.23
1619271947 1619271947 1 1 Flores, Carlos A Md 14-Jan-13 26 PHYSICIANS A00112638 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles None 500 E Olive Ave Ste 420 Burbank CA 91501-2171 (818) 566-9947 34.184375 -118.305036 78.2ttt 3107.02
1619994191 1619994191 1 1 Planned Parenthood 27-Dec-05 41 COMMUNITY CLINIC 550000092 None UNKNOWN 0 In state provider 56 Ventura CALIFORNIA CENTRAL COAST 1200 W Hillcrest Dr Ste 100 Thousand Oaks CA 91320-2734 (805) 498-6470 34.184783 -118.904204 240b 61
1629107636 1629107636 1 1 Yasharpour, Farid Md Inc 1-Mar-05 22 PHYSICIANS GROUP A00065312 None UNKNOWN 0 In state provider 19 Los Angeles None 14671 Rinaldi St None San Fernando CA 91340-4199 (818) 270-9030 34.280984 -118.452973 78.2ll 1095
1629130240 1629130240 1 1 Feather River Tribal 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 4 Butte HEALTH 2145 5th Ave None Oroville CA 95965-5870 (916) 534-3793 39.50309 -121.564806 10 28
1629167457 1629167457 1 1 County Of Ventura 29-Jan-22 78 MARRIAGE AND FAMILY THERAPIST GROUP None None UNKNOWN 0 In state provider 56 Ventura None 300 Hillmont Ave None Ventura CA 93003-3099 (805) 652-6000 34.278975 -119.254362 241c 19
1629167457 1629167457 1 2 County Of Ventura 11-Mar-09 61 COUNTY HOSPITAL OUTPATIENT 561700481 None UNKNOWN 0 In state provider 56 Ventura None 825 N Tenth St None Santa Paula CA 93060-1309 (805) 652-6075 34.365624 -119.065292 237 8
1629192133 1629192133 1 1 Beverly, Shereen L Md 21-Aug-08 26 PHYSICIANS G00068251 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles INC 16812 Hawthorne Blvd None Lawndale CA 90260-3218 (310) 303-3170 33.87838 -118.352348 78.2iiii 6041
1629198791 1629198791 1 1 Alfred Lavi Do Professional 17-Aug-12 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 19 Los Angeles CORPORATION 2324 W Pico Blvd None Los Angeles CA 90006-4002 (213) 383-3600 34.047262 -118.287597 78.2b 2211.1
1629198791 1629198791 1 2 Alfred Lavi Do Professional 17-Aug-12 22 PHYSICIANS GROUP FNP001534 None UNKNOWN 0 In state provider 19 Los Angeles None 1835 S La Cienega Blvd Ste 205 & 215 Los Angeles CA 90035-4651 (310) 836-2273 34.043839 -118.376744 78.2x 2696.01
1629257191 1629257191 1 1 Uy, Eduardo S Md Inc 1-Jul-09 26 PHYSICIANS A00053016 40 Pediatrics, Periodontist (Dentists Only) 0 In state provider 36 San Bernardino None 9717 Sierra Ave None Fontana CA 92335-6716 (909) 822-3400 34.077276 -117.435606 151f 33.02
1629257191 1629257191 1 2 Uy, Eduardo S Md Inc 7-Sep-10 26 PHYSICIANS A00053016 40 Pediatrics, Periodontist (Dentists Only) 0 In state provider 36 San Bernardino None 595 W Highland Ave None San Bernardino CA 92405-3811 (909) 886-8888 34.135998 -117.296307 151g 53
1629269618 1629269618 1 1 Salud Para La Gente, Inc 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 44 Santa Cruz CLINICA DEL VALLE DEL PA 45 Nielson St None Watsonville CA 95076-2468 (831) 728-0222 36.92829 -121.792529 184 1106
1629296447 1629296447 1 1 Communicare Health Ctrs 17-Nov-04 58 HEALTH ACCESS PROGRAM 30000146 None UNKNOWN 0 In state provider 57 Yolo None 2051 John Jones Rd None Davis CA 95616-9701 (530) 753-3498 38.561423 -121.770387 244 105.05
1629319447 1629319447 1 1 County Of San Joaquin 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 39 San Joaquin None 500 W Hospital Road Ste A French Camp CA 95231-9693 (209) 468-6131 37.886456 -121.281847 169b 38.03
1629418512 1629418512 1 1 Family Planning Associates 26-Nov-13 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 34 Sacramento None 2322 Butano Drive Ste 205 Sacramento CA 95825-0629 (916) 783-2885 38.60668 -121.381741 139d 57.01
1629456900 1629456900 1 1 Family Health Centers 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego OF SAN DIEGO INC 4094 4th Avenue None San Diego CA 92103-2143 (619) 515-2545 32.751189 -117.161628 161b 4
1629462312 1629462312 1 1 Indian Health Center 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 43 Santa Clara OF SANTA CLARA 2039 Forest Avenue Ste 105 San Jose CA 95128-4833 (408) 445-3400 37.327064 -121.934245 183j 5005
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
1629599535 1629599535 1 1 United Health Centers Of The 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 10 Fresno SAN JOAQUIN VALLEY 1570 7th Street None Sanger CA 93657-9405 (559) 875-0557 36.706003 -119.559559 31 60
1639100027 1639100027 2 1 Castle Family Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 24 Merced CENTERS INC 3605 Hospital Rd None Atwater CA 95301-5173 (209) 358-8201 37.364981 -120.57606 96 5.03
1639129372 1639129372 1 1 San Marcos Med Grp Inc 19-Jul-00 22 PHYSICIANS GROUP FNP026904 None UNKNOWN 0 In state provider 36 San Bernardino None 7965 Sierra Ave Ste E Fontana CA 92336-3329 (909) 356-4459 34.109307 -117.435848 151h 28.01
1639129372 1639129372 1 2 San Marcos Med Grp Inc 1-Jul-11 22 PHYSICIANS GROUP FNP026904 None UNKNOWN 0 In state provider 36 San Bernardino None 425 E Foothill Blvd None Rialto CA 92376-5153 (909) 546-1050 34.106709 -117.363264 151h 39
1639168594 1639168594 1 1 Regents/Ucdpbg/Gynecolog 12-Jul-90 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 34 Sacramento None 4860 Y St None Sacramento CA 95817-2307 (916) 734-3406 38.5525 -121.448868 139f 17
1639185317 1639185317 1 1 North County Hlth Prjct, Inc 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 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
1639194004 1639194004 1 1 Ampla Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 4 Butte None 520 Kentucky St None Gridley CA 95948-2116 (530) 846-6231 39.363794 -121.696554 9 35.01
1639207343 1639207343 1 1 Central California 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 15 Kern FOUNDATION FOR HEALTH 2300 7th St None Wasco CA 93280-1585 (661) 758-4784 35.594264 -119.351512 58.2 44.01
1639336803 1639336803 1 1 Central Neighborhood Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles FOUNDATION 2707 S Central Ave None Los Angeles CA 90011-5527 (323) 234-5000 34.017418 -118.255486 78.2l 2267
1639400260 1639400260 1 1 Assuta Family Medical Group 1-Apr-10 22 PHYSICIANS GROUP None 1 General Practice 0 In state provider 19 Los Angeles APMC 12922 Victory Blvd None North Hollywood CA 91606-2924 (818) 760-2800 34.186685 -118.41488 78.2bb 1234.2
1639449135 1639449135 1 1 Emily Rekuc D.O., Inc. 30-Apr-12 26 PHYSICIANS 20A11655 None UNKNOWN 0 In state provider 33 Riverside None 79440 Highway 111 Ste 104 & 105 La Quinta CA 92253-7243 (760) 777-4096 33.707423 -116.27789 129.1 452.15
1649223777 1649223777 1 1 Fcs Medical Corportion 3-Oct-01 22 PHYSICIANS GROUP FNP017470 15 Obstetrics (D.O. only), Endodontist (Dentists Only) 0 In state provider 19 Los Angeles FAMILY CARE SPECIALISTS 1701 Cesar Chavez # 402 Los Angeles CA 90033-2496 (323) 317-9200 34.051199 -118.217598 78.2ffff 2035
1649269747 1649269747 1 1 Clinicas De Salud Del 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 13 Imperial PUEBLO 900 Main St None Brawley CA 92227-2630 (760) 344-6471 32.978601 -115.528657 50 107
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
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
1649324443 1649324443 1 1 East Valley Community Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles CENTER INC 1555 South Garey Ave None Pomona CA 91766-5222 (626) 919-4333 34.043219 -117.749671 78.2ss 4030
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
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
1649426990 1649426990 1 1 Chen, Lulu L Md Inc 26-Jul-10 22 PHYSICIANS GROUP None 8 Family Practice 0 In state provider 19 Los Angeles None 1318 E Florence Ave None Los Angeles CA 90001-1935 (323) 584-9525 33.974773 -118.251468 78.2mmm 5329
1649442088 1649442088 1 1 National Health Services 17-Jun-08 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 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
1649449885 1649449885 1 1 County Of Santa Clara 10-Jul-08 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 43 Santa Clara None 660 S Fairoaks Ave None Sunnyvale CA 94086-7913 (408) 885-7200 37.365052 -122.023818 183c 5085.04
1649457474 1649457474 1 1 Feminist Womens Health 19-Feb-93 41 COMMUNITY CLINIC 452392318 None UNKNOWN 0 In state provider 45 Shasta CENTER-REDDING 1901 Victor Ave None Redding CA 96002-0412 (530) 221-0194 40.578619 -122.338663 189.2 103
1649519646 1649519646 1 1 Purdom Ii, Kenneth R Md Inc 21-Apr-14 26 PHYSICIANS A21180 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles None 12311 S Norwalk Blvd None Norwalk CA 90650-2039 (562) 864-1800 33.919733 -118.072712 78.2jjjj 5501
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
1649792615 1649792615 1 1 South Central Family Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles CENTER 1028 E Vernon Ave None Los Angeles CA 90011-3717 (323) 908-4200 34.00393 -118.257792 78.2ggg 2286
1659335701 1659335701 1 1 Delarosa, Jose L Md 19-Jul-02 26 PHYSICIANS A00043518 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles None 16415 Colorado Ave Ste 103 Paramount CA 90723-5051 (562) 531-0733 33.88528 -118.161428 78.2m 5538.02
1659337749 1659337749 1 1 Fresno County E O C 19-Dec-79 41 COMMUNITY CLINIC ZZR11511 None UNKNOWN 0 In state provider 10 Fresno HEALTH CLINIC 1047 R St Ste 1047 Fresno CA 93721-1312 (209) 263-1250 36.740186 -119.782458 35c 5.02
1659407740 1659407740 1 1 City & Co San Francisco 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 38 San Francisco None 2401 Keith St None San Francisco CA 94124-3231 (415) 671-7000 37.726226 -122.392227 162f 234
1659419307 1659419307 1 1 Del Rosario Medical 3-Jul-96 22 PHYSICIANS GROUP FNP017692 1 General Practice 0 In state provider 19 Los Angeles CLINIC, INC 3400 E Florence Ave None Huntington Park CA 90255-5835 (323) 589-9384 33.97223 -118.205979 78.2ccc 5332.03
1659580926 1659580926 1 1 United Health Centers- 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 54 Tulare EARLIMART 476 E Washington Ave None Earlimart CA 93219-9716 (661) 849-2781 35.884294 -119.271473 231 44
1659654663 1659654663 1 1 Kai, Patricia A C Np 14-Dec-12 7 CERTIFIED NURSE PRACTIONER RN0656033 None UNKNOWN 0 In state provider 19 Los Angeles None 15747 Woodruff Ave None Bellflower CA 90706-4017 (562) 867-1570 33.890512 -118.117474 78.2m 5541.04
1659671600 1659671600 1 1 Planned Parenthood Shasta 16-Jun-11 41 COMMUNITY CLINIC 550001568 None UNKNOWN 0 In state provider 49 Sonoma ROSA CENTER 1140 Sonoma Avenue None Santa Rosa CA 95405-4817 (707) 527-7656 38.441077 -122.700218 210.1 1518
1659671600 1659671600 1 2 Planned Parenthood Shasta 30-May-17 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 23 Mendocino DABLO INC 242-A Hospital Drive None Ukiah CA 95482-4556 (707) 462-4303 39.151898 -123.203549 93.1 115
1669407656 1669407656 1 1 Planned Parenthood - 16-Oct-95 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 33 Riverside OF THE PACIFIC SOUTHWEST 71777 San Jacinto Dr Ste 202&203 Rancho Mirage CA 92270-4457 (619) 881-4516 33.743334 -116.411813 129.1 451.03
1669407656 1669407656 1 2 Planned Parenthood - 24-Mar-22 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 33 Riverside INTERMITTENT 1780 E Florida Ave None Hemet CA 92544-4679 (619) 881-4516 33.747658 -116.953245 132 433.09
1669500336 1669500336 1 1 County Of Monterey 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 27 Monterey None 1156 Fremont Blvd None Seaside CA 93955-5715 (831) 899-8100 36.601811 -121.848973 110 136
1669513222 1669513222 1 1 La Sierra Medical Corporatio 8-Dec-05 22 PHYSICIANS GROUP FNP032530 1 General Practice 0 In state provider 33 Riverside None 10600 Magnolia Ave I Riverside CA 92505-1819 (951) 324-8100 33.908375 -117.467435 135d 414.08
1669547618 1669547618 1 1 Bararsani, Mohammad Md 19-Feb-13 26 PHYSICIANS A35392 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles None 18051 Crenshaw Blvd Suite #c Torrance CA 90504-5144 (310) 715-2323 33.866761 -118.326468 78.2iiii 6501.02
1669548483 1669548483 1 1 Roberts, Dennis F Do 7-Jul-03 26 PHYSICIANS 20A6099 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 33 Riverside A PROFESSIONAL CORP 81767 Dr. Carreon Blvd Ste 200 Indio CA 92201-5559 (760) 342-6407 33.707426 -116.238634 128 452.07
1669561890 1669561890 1 1 Planned Parenthood La 13-Oct-04 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 19 Los Angeles BIXBY BOYLE HEIGHTS CTR 2690 Pacific Avenue Suite 370 Long Beach CA 90806-2661 (213) 284-3125 33.806055 -118.193675 78.2lll 5722.02
1669561890 1669561890 1 2 Planned Parenthood La 2-Apr-21 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 19 Los Angeles INTERMITTENT 661 E University Drive 2 Carson CA 90746-1966 (213) 284-3125 33.858257 -118.263349 78.2v 5433.21
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
1669617197 1669617197 1 3 Rady Children's Hospital-San 21-May-21 71 LICENSED CLINICAL SOCIAL WORKER GROUP None None UNKNOWN 0 In state provider 37 San Diego SAN DIEGO 8110 Birmingham Way Bldg 28 San Diego CA 92123-2758 (858) 576-1700 32.796784 -117.153495 161b 87.02
1669617197 1669617197 1 11 Rady Children's Hospital-San 21-May-21 71 LICENSED CLINICAL SOCIAL WORKER GROUP None None UNKNOWN 0 In state provider 37 San Diego SAN DIEGO 7920 Frost Street Suite 200 San Diego CA 92123-4289 (858) 576-1700 32.800253 -117.153975 161b 87.02
1669617783 1669617783 1 1 Mountain Comm Healthcare Dst 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 53 Trinity None 6961 Highway 3 None Hayfork CA 96041-0220 (530) 628-5517 40.504781 -123.175191 225 3
1669657219 1669657219 1 1 Sierra Joint Community 22-Jul-08 45 CLINIC EXEMP FROM LICENSURE None None UNKNOWN 0 In state provider 31 Placer COLLEGE DISTRICT 5100 Sierra College Blvd None Rocklin CA 95677-3855 (916) 660-7490 38.793975 -121.205752 121.2 206.02
1669658373 1669658373 1 1 Family Healthy Ctrs Of Sd 25-Mar-08 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 37 San Diego CENTER 1111 W Chase Ave None El Cajon CA 92020-5710 (619) 515-2300 32.781491 -116.976242 161h 159.02
1669673646 1669673646 1 1 Madera Community Hospit 7-Jun-10 16 COMMUNITY INPATIENT HOSPITAL 200491281 None UNKNOWN 0 In state provider 20 Madera None 1250 E Almond Ave None Madera CA 93637-5696 (209) 673-5101 36.945447 -120.045618 80 5.02
1669720157 1669720157 1 1 Community Medical Centers 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 39 San Joaquin INC 2015 S Mariposa Rd None Stockton CA 95205-7735 (209) 751-1900 37.939244 -121.244788 169b 21
1669738159 1669738159 1 1 County Of Ventura 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura None 2220 E Gonzales Road Suite 120-A Oxnard CA 93036-3707 (805) 652-6075 34.219285 -119.200549 241a 29.05
1669799896 1669799896 1 1 South Central Family 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles HEALTH CENTER (SCFHC) 2680 Saturn Ave Ste 110, 220 & 280 Huntington Park CA 90225-4568 (323) 588-8847 None None None None
1669870739 1669870739 1 1 Petaluma Health Center Inc 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 49 Sonoma APCC 5900 State Farm Drive Ste 200 Rohnert Park CA 94928-2149 (707) 559-7600 38.353106 -122.706941 209.1 1513.08
1669881926 1669881926 1 1 Central City Community 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles HEALTH CENTER INC 4126 N Maine Ave None Baldwin Park CA 91706-5010 (626) 653-0800 34.087158 -117.960362 78.2zzz 4051.02
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
1679024467 1679024467 1 1 La Cliniquita, Inc 23-Jan-17 26 PHYSICIANS A123276 1 General Practice 0 In state provider 19 Los Angeles None 6505 Rosemead Blvd Ste 106 Pico Rivera CA 90660-3542 (562) 373-2007 33.986991 -118.094339 78.2ww 5007
1679198279 1679198279 1 1 United Health Centers Of The 8-Apr-22 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 10 Fresno SAN JOAQUIN VALLEY 1110 N Blackstone Ave None Fresno CA 93701-1016 (800) 492-4227 36.756895 -119.790553 35c 23
1679512024 1679512024 1 1 Escondido Ob-Gyn Med Grp 15-Oct-08 22 PHYSICIANS GROUP FNP015503 None UNKNOWN 0 In state provider 37 San Diego ISTS 488 E Valley Pkwy Ste 310 Escondido CA 92025-3373 (760) 233-1896 33.125652 -117.076448 156e 202.14
1679526610 1679526610 1 1 Planned Parenthood Mar Monte 26-Nov-96 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 34 Sacramento INC 5385 Franklin Blvd Ste A-D Sacramento CA 95820-4717 (916) 450-7305 38.526721 -121.472194 139f 37
1679526693 1679526693 1 1 Planned Parenthood Mar Monte 26-Nov-96 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 34 Sacramento INC 201 29th St None Sacramento CA 95816-3271 (916) 325-1741 38.582249 -121.464064 139i 4
1679553192 1679553192 1 1 Comprehensive Community 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles HEALTH CTR-EAGLE ROCK 1704 Colorado Blvd None Los Angeles CA 90041-1338 (323) 256-4116 34.139343 -118.203853 78.2dd 1814
1679600852 1679600852 1 1 Childrens Hosp Orange Co 21-Mar-01 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 30 Orange CHOC CLINIC BOYS & GIRLS 1000 Highland St None Santa Ana CA 92703-4822 (000) 000-0000 33.737216 -117.878662 116g 749.02
1679626170 1679626170 1 1 Zacoalco Medical Grp Inc 7-May-08 22 PHYSICIANS GROUP FNP002483 8 Family Practice 0 In state provider 15 Kern None 5901 Niles St None Bakersfield CA 93306-4780 (661) 363-7232 35.375942 -118.936475 66b 11.02
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
1679626436 1679626436 2 1 Azul Medical Clinic Inc 11-Mar-15 22 PHYSICIANS GROUP None 1 General Practice 0 In state provider 19 Los Angeles None 6517 Eastern Ave None Bell Gardens CA 90201-3003 (323) 773-8295 33.974093 -118.163952 78.2c 5341.01
1679631907 1679631907 1 1 Clinicas Del Camino Real 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura INC VENTURA 200 S Wells Rd Ste 100 Ventura CA 93004-1302 (805) 647-6322 34.293009 -119.15949 237 12.01
1679645121 1679645121 1 1 Mountain Valleys Health 22-Apr-21 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 47 Siskiyou TULELAKE HEALTH CENTER 498 Main St None Tulelake CA 96134-0000 (530) 667-2285 41.947527 -121.47653 196 1
1679691810 1679691810 1 1 Hollywood Sunset Free Cl 7-Feb-97 40 FREE CLINIC ZZT11942 None UNKNOWN 0 In state provider 19 Los Angeles None 3324 W Sunset Blvd None Los Angeles CA 90026-2190 (213) 660-2400 34.086732 -118.275453 78.2a 1954
1679749501 1679749501 1 1 Comm Hlth Systems Inc 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 33 Riverside None 22675 Alessandro Blvd None Moreno Valley CA 92553-8551 (951) 571-2350 33.916984 -117.267305 135b 467
1679819742 1679819742 1 1 Reedley Community Hospital 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 10 Fresno None 3567 W Mount Whitney Ave None Riverdale CA 93656-0000 (559) 867-7200 36.430776 -119.862118 30 77
1679846190 1679846190 1 1 Jimenez, Arthur E Md Inc 26-Mar-13 26 PHYSICIANS A00064270 8 Family Practice 0 In state provider 36 San Bernardino None 15381 7th St Ste 2-3 Victorville CA 92395-3858 (760) 245-2380 34.531206 -117.298456 145.1a 98
1689011637 1689011637 1 1 Altura Centers For Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 54 Tulare None 3035 E Bardsley Ave None Tulare CA 93274-6122 (559) 686-9097 36.196097 -119.505561 230 21
1689048241 1689048241 1 1 Clinica De Salud Del Valle 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 27 Monterey None 126 Fifth St None Gonzales CA 93926-0000 (831) 675-2930 36.508372 -121.444503 107 108.04
1689066029 1689066029 1 1 Family First Medical Care 22-May-21 78 MARRIAGE AND FAMILY THERAPIST GROUP None None UNKNOWN 0 In state provider 50 Stanislaus APC 1317 Oakdale Rd Suite 440 Modesto CA 95355-3364 (209) 522-3362 37.662164 -120.957504 215b 9.05
1689158941 1689158941 1 1 Family Healthcare Network 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 54 Tulare None 2333 S Mooney Blvd None Visalia CA 93277-6228 (877) 960-3426 36.309194 -119.313939 233 20.03
1689199648 1689199648 1 1 Center For Family Health 4-Mar-22 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles & EDUCATION INC 14901 Rinaldi St Suite 202 Mission Hills CA 91345-3205 (818) 361-7358 34.278989 -118.457401 78.2hh 1091
1689609679 1689609679 1 1 Planned Parenthood Of The 21-Apr-82 41 COMMUNITY CLINIC 370891307 None UNKNOWN 0 In state provider 37 San Diego PACIFIC SOUTHWEST 2017 1st Ave Ste 301 San Diego CA 92101-2033 (619) 881-4516 32.72631 -117.163903 161e 57
1689687345 1689687345 1 1 Los Angeles County 28-Apr-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 19 Los Angeles LA PUENTE FAM PLANNING 15930 Central Ave None La Puente CA 91744-5410 (818) 968-3711 34.019862 -117.951064 78.2yyy 4077.02
1689699415 1689699415 1 1 Ampla Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 11 Glenn None 278 Main Street None Hamilton City CA 95951-0000 (530) 826-3694 39.741273 -122.011779 36.2 105.01
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
1689760316 1689760316 1 1 Moy, Carl K Md Inc 7-Mar-95 22 PHYSICIANS GROUP G43977 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles None 711 W College St Suite M88 Los Angeles CA 90012-1163 (213) 626-5151 34.065427 -118.241528 78.2ffff 2071.03
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
1689851222 1689851222 1 1 County Of Santa Clara 28-May-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 43 Santa Clara VALLEY HLTH EAST VALLEY 1993 Mckee Rd None San Jose CA 95116-1406 (408) 885-7200 37.360053 -121.85763 183b 5037.07
1689863516 1689863516 1 1 Native American Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 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
1689875478 1689875478 1 1 Alameda County Med Ctr 28-May-08 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 1 Alameda NEWARK HEALTH CENTER 6066 Civic Terrace Ave None Newark CA 94560-3746 (510) 795-2414 37.536685 -122.028158 2j 4445
1689880072 1689880072 1 1 United Health Centers- 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 10 Fresno PARLIER 650 S Zediker Ave None Parlier CA 93648-2639 (209) 646-3561 36.633221 -119.520673 32 68.02
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
1699129403 1699129403 1 1 Planned Parenthood Mar Monte 10-Apr-18 41 COMMUNITY CLINIC 550003928 None UNKNOWN 0 In state provider 41 San Mateo SOUTH SAN FRANCISCO 435 Grand Avenue None S San Francisco CA 94080-3635 (408) 795-3600 37.656021 -122.413948 176a 6022
1699152058 1699152058 1 1 Joon Choi, Md. Apc 6-Jan-21 26 PHYSICIANS None 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles None 8215 Van Nuys Blvd Suite 104 Panorama City CA 91402-4810 (818) 990-4010 34.22001 -118.448778 78.2zz 1200.2
1699204552 1699204552 1 1 First Choice Womans Clinic 13-Feb-18 5 CERTIFIED NURSE MIDWIFE None None UNKNOWN 0 In state provider 19 Los Angeles APNC 8162 Van Nuys Blvd None Panorama City CA 91402-4806 (818) 787-0060 34.219096 -118.448773 78.2zz 1200.2
1699758003 1699758003 2 1 Reedley Community Hospital 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 16 Kings None 810 E D Street None Lemoore CA 93245-9545 (559) 924-7711 36.299488 -119.768013 69 4.05
1699767517 1699767517 2 1 M Zarrabi Medical 8-Nov-13 22 PHYSICIANS GROUP None 1 General Practice 0 In state provider 19 Los Angeles CORPORATION 4827 Gage Avenue None Bell CA 90201-1424 (323) 773-3000 33.977217 -118.179412 78.2ddd 5338.04
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
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
1699860999 1699860999 1 1 Family Planning Associates M 25-May-80 22 PHYSICIANS GROUP FNP034901 None UNKNOWN 0 In state provider 33 Riverside EDICAL GROUP INC 703 Magnolia Ave None Corona CA 92879-3118 (951) 637-2100 33.858197 -117.555971 135f 418.13
1699883157 1699883157 1 1 Apodaca, Leonel Jr Md 17-Jan-91 26 PHYSICIANS G00066374 41 Internal Medicine 0 In state provider 10 Fresno None 1165 Phelps Ave Ste 101 Coalinga CA 93210-9665 (209) 935-3878 36.15096 -120.335866 27 79.02
1699958868 1699958868 1 1 Jwch Institute, Inc 24-May-06 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 19 Los Angeles BELL GARDENS COMM HEALTH 6912 Ajax Ave None Bell Gardens CA 90201-4057 (323) 562-5813 33.969702 -118.163038 78.2c 5341.02
1700023942 1700023942 1 1 Chava, Sreedhar Md Inc 8-Jul-13 26 PHYSICIANS A00102291 8 Family Practice 0 In state provider 19 Los Angeles None 3580 Santa Anita Ave Ste A El Monte CA 91731-2455 (626) 444-2660 34.074604 -118.041542 78.2oo 4327
1700057981 1700057981 1 1 St Isabel Family Medical 11-Jul-08 22 PHYSICIANS GROUP FNP37220 1 General Practice 0 In state provider 19 Los Angeles CLINIC, INC 1535 W Lomita Blvd None Harbor City CA 90710-2024 (310) 530-9300 33.79782 -118.303687 78.2aaaa 2933.02
1700087590 1700087590 1 1 Alameda Health System 19-Dec-79 61 COUNTY HOSPITAL OUTPATIENT 140000046 None UNKNOWN 0 In state provider 1 Alameda None 1411 E 31st St None Oakland CA 94602-1018 (510) 437-4800 37.799262 -122.231207 2c 4057
1700092137 1700092137 1 1 Mad River Comm Hospital 19-Dec-79 15 COMMUNITY OUTPATIENT HOSPITAL ZZR00028F None UNKNOWN 0 In state provider 12 Humboldt PO BOX 1115 3800 Janes Rd None Arcata CA 95521-4788 (707) 822-3621 40.9036 -124.090373 39 13
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
1700211703 1700211703 1 1 Yehowa Medical Services 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles None 5320 S Vermont Ave None Los Angeles CA 90037-3530 (323) 776-1050 33.993936 -118.29149 78.2ggg 2327
1700373008 1700373008 1 1 Community Medical Centers 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 39 San Joaquin INC 7912 West Lane Suite 221 Stockton CA 95210-3159 (209) 373-2831 38.021118 -121.294776 169a 34.05
1700803285 1700803285 1 1 Planned Parenthood 15-Sep-87 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 40 San Luis Obispo CALIFORNIA CENTRAL COAST 743 Pismo St None San Luis Obispo CA 93401-3921 (805) 549-0547 35.277102 -120.661668 172 111.02
1700830296 1700830296 1 1 East Valley Community Clinic 1-Jul-98 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 43 Santa Clara INC 2470 Alvin Ave Suite 60 San Jose CA 95121-1664 (408) 274-7100 37.319456 -121.827395 183h 5033.04
1700910080 1700910080 1 1 Clinica Sierra Vista 17-Jan-01 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 15 Kern ARVIN COMMUNITY HEALTH 1305 Bear Mountain Blvd None Arvin CA 93203-1231 (661) 854-3131 35.208978 -118.838883 61 63.03
1700911765 1700911765 1 1 Health Center #1 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 38 San Francisco None 3850 17th St None San Francisco CA 94114-2031 (415) 487-7500 37.762703 -122.431844 162g 203
1700915097 1700915097 1 1 St James Health Center 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 43 Santa Clara None 55 E Julian Street None San Jose CA 95112-4007 (408) 918-2600 37.341105 -121.892644 183d 5010
1700959863 1700959863 1 1 County Of Nevada 23-Sep-16 89 ELECTRONIC HEALTH RECORD INCENTIVE PROGRAM None None UNKNOWN 0 In state provider 29 Nevada None 500 Crown Point Cir Ste 110 Grass Valley CA 95945-9514 (530) 265-1450 39.219388 -121.033202 113 6
1700975927 1700975927 1 1 Planned Parenthood World 19-Dec-79 41 COMMUNITY CLINIC ZZT11928 None UNKNOWN 0 In state provider 19 Los Angeles EL MONTE 4786 Peck Rd None El Monte CA 91732-1349 (213) 284-3113 34.090757 -118.01455 78.2oo 4326.01
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
1710009659 1710009659 1 1 Community Medical Ctrs 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 39 San Joaquin WOODBRIDGE MED GRP 2401 W Turner Rd Ste 450 Lodi CA 95242-2191 (209) 370-1700 38.145692 -121.344779 168 41.06
1710029616 1710029616 1 1 Maternal- Fetal Medicine 26-Jan-05 22 PHYSICIANS GROUP FNP029465 None UNKNOWN 0 In state provider 19 Los Angeles ASSOCIATES AMC 401 W Manchester Blvd None Inglewood CA 90301-1109 (310) 603-2345 33.961713 -118.361731 78.2q 6014.01
1710037346 1710037346 1 1 Khan,h Joseph Md Inc 1-Nov-01 22 PHYSICIANS GROUP FNP027745 8 Family Practice 0 In state provider 30 Orange PARAMOUNT CARE MED GRP 12881 Chapman Ave None Garden Grove CA 92840-4100 (714) 972-2111 33.788871 -117.908123 116r 884.03
1710076997 1710076997 1 1 Planned Parenthood Los 30-Jul-87 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 19 Los Angeles ANGELES POMONA CENTER 1550 N Garey Ave None Pomona CA 91767-3826 (213) 284-3116 34.073584 -117.75226 78.2ss 4023.03
1710077961 1710077961 2 1 L And P Medical Group Inc 22-Mar-21 26 PHYSICIANS None 1 General Practice 0 In state provider 19 Los Angeles None 1107 S Alvarado St None Los Angeles CA 90006-4184 (213) 380-9999 34.050166 -118.280829 78.2b 2098.1
1710105408 1710105408 1 1 Axis Community Health 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 1 Alameda None 3311 Pacific Ave None Livermore CA 94550-7007 (510) 447-1881 37.67615 -121.755169 1.2 4515.01
1710164702 1710164702 1 1 Children's Clinic, The 28-Jan-00 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 19 Los Angeles None 455 E Columbia St Ste 201 Long Beach CA 90806-1620 (562) 933-0451 33.808978 -118.187329 78.2lll 5722.02
1710191283 1710191283 1 1 Altamed Health Services 12-Mar-21 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles CORPORATION 9436 Slauson Ave None Pico Rivera CA 90660-4748 (323) 725-8751 33.968332 -118.096522 78.2ww 5026.01
1710199526 1710199526 1 1 Medrano, Jose M Md Pc 8-Feb-11 26 PHYSICIANS A75641 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles None 2211 W Magnolia Blvd Suite 250 Burbank CA 91506-1760 (818) 846-8981 34.172993 -118.331796 78.2ttt 3109
1710211214 1710211214 1 1 Community Medical Centers 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 39 San Joaquin INC 200 Cottage Ave Suite 103 Manteca CA 95336-4935 (209) 373-2810 37.799232 -121.198208 164.1 51.1
1710218409 1710218409 1 1 Alliance Medical Center 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 49 Sonoma None 8465 Old Redwood Hwy Suite 320 Windsor CA 95492-8090 (707) 433-5494 38.543841 -122.801258 205.2 1538.08
1710228531 1710228531 1 1 County Of San Joaquin 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 39 San Joaquin None 500 W Hospital Road Ste C French Camp CA 95231-9693 (209) 468-7425 37.886456 -121.281847 169b 38.03
1710261284 1710261284 1 1 Bella Medical Group Inc 28-Nov-12 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 19 Los Angeles None 2933 Whittier Blvd None Los Angeles CA 90023-1528 (323) 263-2669 34.030985 -118.208139 78.2h 2047
1710261284 1710261284 1 2 Bella Medical Group Inc 29-Aug-14 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 19 Los Angeles None 9916 San Juan Ave None South Gate CA 90280-6108 (323) 564-1100 33.943627 -118.203163 78.2ccc 5358.02
1710309513 1710309513 1 1 Unicare Community Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 36 San Bernardino CENTER INC 437 N Euclid Ave None Ontario CA 91762-3456 (909) 988-2555 34.067462 -117.651217 151c 14
1710370747 1710370747 1 1 Mission City Community 15-Dec-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles NETWORK INC 8527 Sepulveda Boulevard None North Hills CA 91343-5824 (818) 895-3100 34.225117 -118.467683 78.2kk 1175.3
1710537303 1710537303 1 1 Planned Parenthood Pasadena 6-Apr-21 41 COMMUNITY CLINIC 550005996 None UNKNOWN 0 In state provider 19 Los Angeles AFFILIATED 4070 Sterling Way None Baldwin Park CA 91706-4223 (626) 794-5737 34.085225 -117.962051 78.2zzz 4052.02
1710975727 1710975727 1 1 Planned Parenthood/ 18-May-90 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 30 Orange ORANGE & SAN BERNARDINO 303 W Lincoln Ave Ste 105 Anaheim CA 92805-2928 (714) 973-1733 33.835153 -117.917616 116l 873
1720084163 1720084163 1 1 Lifelong Medical Care 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 1 Alameda WEST BERKELEY FAMILY 2031 6th St None Berkeley CA 94710-2006 (510) 704-6000 37.867562 -122.297568 2a 4232
1720101645 1720101645 1 1 Ragland, Howard K 8-Oct-09 26 PHYSICIANS A00051837 None UNKNOWN 0 In state provider 19 Los Angeles None 2716 S Vermont Unit 1 Los Angeles CA 90007-3369 (323) 786-6370 34.030207 -118.291536 78.2b 2218.1
1720130784 1720130784 1 1 Peart, Harold T Md 31-Aug-86 26 PHYSICIANS G00040523 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles None 6091 W Pico Blvd None Los Angeles CA 90035-2648 (714) 543-8322 34.052875 -118.373795 78.2x 2167
1720171242 1720171242 1 1 University Muslim Med 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles UMMA COMMUNITY CLINIC 711 W Florence Ave None Los Angeles CA 90044-6105 (323) 967-0375 33.974649 -118.286057 78.2s 2376
1720234701 1720234701 1 1 Lee, Chang L Md Inc 19-Dec-08 26 PHYSICIANS A00099010 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 36 San Bernardino None 399 E Highland Ave Suite 223 San Bernardino CA 92404-3864 (909) 475-5200 34.135924 -117.2773 151k 63.01
1720243454 1720243454 1 1 La Clinica De La Raza 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 48 Solano None 220 Hospital Drive None Vallejo CA 94589-2517 (707) 641-1900 38.131074 -122.239758 204 2519.01
1720256647 1720256647 1 1 Planned Parenthood East 22-Jan-09 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 19 Los Angeles LOS ANGELES CENTER 5068 Whittier Blvd None Los Angeles CA 90022-3128 (213) 284-3200 34.021028 -118.160176 78.2d 5316.04
1720279094 1720279094 1 1 Southern Monterey Co Mem 2-Dec-99 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 27 Monterey MEE MEMORIAL HOSP OP CLN 210 Canal St None King City CA 93930-3432 (831) 385-7100 36.207637 -121.132788 105 113.04
1720347149 1720347149 1 1 Clinica Sierra Vista 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 10 Fresno None 1945 N Fine Avenue Ste 100 Fresno CA 93727-1528 (359) 457-5800 36.768481 -119.728929 35b 31.04
1720362056 1720362056 1 1 Clinicas Del Camino Real Inc 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura None 1424 Madera Rd None Simi Valley CA 93065-3053 (805) 522-5722 34.265329 -118.796221 240c 77
1720401607 1720401607 1 1 Pioneers Memorial Healthcare 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 13 Imperial DISTRICT 751 W Legion Rd Suite 103 Brawley CA 92227-7780 (760) 351-4400 32.959931 -115.556846 50 106
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
1720459514 1720459514 1 1 Reedley Community Hospital 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 20 Madera None 11976 Road 37 None Madera CA 93636-8612 (559) 645-4191 36.92305 -119.876131 80 5.09
1720468804 1720468804 1 1 Pediatric & Family Medical 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles None 1513 S Grand Ave Ste 220 & 250 Los Angeles CA 90015-3075 (213) 747-5542 34.036322 -118.265961 78.2ffff 2240.1
1730119553 1730119553 1 2 Affiliated Pathologists Medi 24-Aug-98 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 19 Los Angeles None 1225 Wilshire Blvd None Los Angeles CA 90017-2395 (310) 225-3244 34.053179 -118.265299 78.2ffff 2091.02
1730136680 1730136680 1 1 Capital Ob/Gyn, Inc. 27-Feb-06 22 PHYSICIANS GROUP FNP033077 None UNKNOWN 0 In state provider 34 Sacramento None 77 Cadillac Dr Ste 230 Sacramento CA 95825-5453 (916) 920-2082 38.574976 -121.418101 139j 54.02
1730136680 1730136680 1 3 Capital Ob/Gyn, Inc. 27-Jan-12 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 34 Sacramento None 8120 Timberlake Way Ste 201 Sacramento CA 95823-5414 (916) 920-2082 38.46171 -121.413243 139h 96.06
1730165564 1730165564 1 1 Woodglen Ob-Gyn Med Grp 14-Feb-97 22 PHYSICIANS GROUP None 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles NAJI BOUZ & N KASSAR MDS 315 E Route 66 Ste 201 Glendora CA 91740-6257 (626) 963-4124 34.128817 -117.86101 78.2qq 4011.02
1730169756 1730169756 1 1 Salud Para La Gente 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 44 Santa Cruz None 204 E Beach St None Watsonville CA 95076-4809 (831) 728-0222 36.912114 -121.75433 184 1103
1730231523 1730231523 1 1 Cesar Velez Medical 12-Jun-06 22 PHYSICIANS GROUP FNP34580 1 General Practice 0 In state provider 19 Los Angeles GROUP INC 1411 W Sunset Blvd Ste 203 Los Angeles CA 90026-3431 (213) 482-8313 34.074475 -118.25227 78.2a 1973
1730237116 1730237116 1 1 Chico Fem Womens Health 1-Dec-77 41 COMMUNITY CLINIC 40301222 None UNKNOWN 0 In state provider 4 Butte None 1469 Humboldt Rd Fl 2 Chico CA 95928-9116 (530) 891-1917 39.735489 -121.81523 7.1 9.03
1730258765 1730258765 1 1 Mommy & Me Medical Group 16-Nov-04 22 PHYSICIANS GROUP FNP029836 None UNKNOWN 0 In state provider 36 San Bernardino None 1711 Orange St None Redlands CA 92374-2254 (909) 580-6320 34.079279 -117.182387 151i 80.01
1730258765 1730258765 1 2 Mommy & Me Medical Group 26-Sep-07 22 PHYSICIANS GROUP FNP092836 None UNKNOWN 0 In state provider 33 Riverside None 4190 Chicago Ave None Riverside CA 92507-5348 (951) 683-2106 33.971862 -117.34852 135a 305.01
1730258765 1730258765 1 3 Mommy & Me Medical Group 11-Jul-08 22 PHYSICIANS GROUP FNP029836 None UNKNOWN 0 In state provider 33 Riverside None 1688 N Perris Blvd Ste H4 Perris CA 92571-4746 (951) 657-7876 33.802745 -117.226204 133.1 426.2
1730258765 1730258765 1 4 Mommy & Me Medical Group 4-Sep-08 22 PHYSICIANS GROUP FNP029836 None UNKNOWN 0 In state provider 33 Riverside None 498 W 4th St None Perris CA 92570-2070 (951) 943-8899 33.782338 -117.236939 133.1 428
1730258765 1730258765 1 6 Mommy & Me Medical Group 27-Apr-10 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 36 San Bernardino None 416 W Foothill Blvd None Rialto CA 92376-4953 (909) 421-0493 34.106816 -117.377276 151h 35.09
1730282286 1730282286 1 1 Walter Jayasinghe Md Apc 31-Dec-88 22 PHYSICIANS GROUP FNP024603 None UNKNOWN 0 In state provider 19 Los Angeles LOS ANGELES MEDICAL CTR 2010 Wilshire Blvd Fl 2 Los Angeles CA 90057-3507 (213) 483-9209 34.057437 -118.274815 78.2ffff 2089.03
1730299157 1730299157 1 1 Morningside Primary Care 15-Dec-05 22 PHYSICIANS GROUP FNP024384 8 Family Practice 0 In state provider 19 Los Angeles MEDICAL CENTER INC 617 W Manchester Ave None Los Angeles CA 90044-5718 (323) 750-9715 33.960064 -118.284871 78.2s 2403
1730300617 1730300617 1 1 Steinberg, David Md Inc 27-Mar-08 26 PHYSICIANS A00083337 8 Family Practice 0 In state provider 19 Los Angeles None 1513 S Grand Ave Ste 320 Los Angeles CA 90015-3021 (213) 380-8484 34.036322 -118.265961 78.2ffff 2240.1
1730310236 1730310236 1 1 County Of Solano 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 48 Solano None 365 Tuolumne St None Vallejo CA 94590-5700 (707) 784-2010 38.102682 -122.238282 204 2512
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
1730360579 1730360579 1 1 Clinica Medica Centro 13-Jan-09 26 PHYSICIANS A00053766 8 Family Practice 0 In state provider 36 San Bernardino HISPANO INC 300 E 7th St Unit 2e & 2f Upland CA 91786-6778 (909) 985-8031 34.088864 -117.647379 151c 9.04
1730360579 1730360579 1 2 Clinica Medica Centro 9-Feb-12 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 36 San Bernardino HISPANO INC 2336 N Sierra Way None San Bernardino CA 92405-3546 (909) 474-1657 34.137242 -117.285187 151g 53
1730363151 1730363151 1 1 Healthright 360 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 38 San Francisco None 1563 Mission St 5th Fl San Francisco CA 94103-2543 (415) 746-1940 37.773185 -122.418346 162a 177
1730421330 1730421330 1 1 University Muslim Medical 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles ASSOCIATION INC 7821 Avalon Blvd None Los Angeles CA 90003-2358 (323) 406-5790 33.968215 -118.265132 78.2fff 2395.02
1730481318 1730481318 1 1 Altamed Health Services 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles CORPORATION 1300 S Sunset Ave None West Covina CA 91790-3342 (626) 960-6999 34.060137 -117.947437 78.2www 4068
1730502725 1730502725 1 1 Family Healthcare Network 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 54 Tulare None 401 E School Ave None Visalia CA 93291-5032 (559) 741-4599 36.332883 -119.289016 233 12
1730519927 1730519927 1 1 Prohealth Partners 22-Oct-14 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 19 Los Angeles A MEDICAL GROUP 12131 Carson St None Hawaiian Gardens CA 90716-1154 (562) 809-0299 33.831531 -118.073794 78.2n 5551.02
1730530254 1730530254 1 1 Livingston Community Health 12-Jun-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 24 Merced None 16233 King Street None Delhi CA 95315-9460 (209) 850-3500 37.433512 -120.780637 95 2.03
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
1740303247 1740303247 1 1 Bir, R S Md Inc 2-Nov-98 22 PHYSICIANS GROUP A00042345 41 Internal Medicine 0 In state provider 36 San Bernardino None 11692 Central Ave None Chino CA 91710-1923 (909) 627-6278 34.040964 -117.689596 151l 4.04
1740335678 1740335678 1 1 United American Indian 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles INVOLVEMENT 1125 W 6th St Ste 103 Los Angeles CA 90017-1896 (213) 202-3970 34.054205 -118.262475 78.2ffff 2092
1740336734 1740336734 1 1 Health And Life 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 34 Sacramento ORGANIZATION INC 7275 E Southgate Dr Ste 204-206 Sacramento CA 95823-2628 (916) 642-1867 38.493421 -121.437707 139k 50.02
1740413798 1740413798 1 2 Sutter Bay Hospitals 14-Apr-10 16 COMMUNITY INPATIENT HOSPITAL None None UNKNOWN 0 In state provider 49 Sonoma HOSPITAL 30 Mark West Springs Rd None Santa Rosa CA 95403-1436 (707) 576-4000 38.496376 -122.751516 210.1 1527.02
1740427657 1740427657 1 1 Altamed Health Services Corp 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 30 Orange SANTA ANA, MAIN 1400 N Main St None Santa Ana CA 92701-2321 (714) 541-6815 33.756667 -117.867582 116b 750.04
1740505262 1740505262 1 1 Planned Parenthood 18-Aug-10 41 COMMUNITY CLINIC 550001317 None UNKNOWN 0 In state provider 7 Contra Costa SHASTA DIABLO INC 320 El Cerrito Plaza None El Cerrito CA 94530-4004 (510) 527-5806 37.899688 -122.299059 18g 3891
1740634286 1740634286 1 1 Northern Valley Indian 25-Jan-22 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 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
1750316741 1750316741 1 1 Planned Parenthood Of The 16-Feb-84 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 33 Riverside PACIFIC SOUTHWEST 3772 Tibbetts St None Riverside CA 92506-2605 (909) 682-8540 33.947307 -117.399424 135c 311
1750419420 1750419420 1 1 County Of Monterey 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 27 Monterey AT MARINA 3155 De Forest Rd None Marina CA 93933-2702 (831) 384-1445 36.684998 -121.793273 108 143.02
1750442836 1750442836 1 2 Zacoalco Medical Grp Inc 25-Nov-97 22 PHYSICIANS GROUP FNP024838 1 General Practice 0 In state provider 19 Los Angeles None 1414 E Florence Ave None Los Angeles CA 90001-1937 (323) 588-1383 33.974773 -118.249384 78.2mmm 5329
1750469318 1750469318 1 1 Sghiatti, Vincent R Apc 7-Apr-82 26 PHYSICIANS G00042926 None UNKNOWN 0 In state provider 19 Los Angeles None 6316 Holmes Ave None Los Angeles CA 90001-1824 (323) 583-5887 33.98262 -118.241186 78.2mmm 5327
1750503017 1750503017 1 1 Long Beach Memorial Med 10-Sep-01 22 PHYSICIANS GROUP None 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles None 2865 Atlantic Ave Ste 110 Long Beach CA 90806-7408 (562) 933-0590 33.809325 -118.185091 78.2lll 5722.02
1750582557 1750582557 1 1 Alameda County Med Ctr 28-May-08 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 1 Alameda EASTMONT WELLNESS CTR 6955 Foothill Blvd Ste 200 Oakland CA 94605-2426 (510) 577-5604 37.769479 -122.174806 2d 4086
1750608931 1750608931 1 1 Kamali, Pourang Md Inc 25-Mar-13 26 PHYSICIANS A00090859 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 37 San Diego None 769 Medical Center Ct Ste 301 Chula Vista CA 91911-6602 (619) 754-6120 32.618563 -117.024187 161s 133.1
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
1750728663 1750728663 1 1 Baldwin Park Medical Clinic 26-Jun-14 26 PHYSICIANS G62452 None UNKNOWN 0 In state provider 19 Los Angeles INC 14051 Ramona Pkwy None Baldwin Park CA 91706-4114 (626) 960-3753 34.085143 -117.96785 78.2zzz 4051.02
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
1760409791 1760409791 1 1 Mission City Community 15-Dec-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles NETWORK 15206 Parthenia St None North Hills CA 91343-5305 (818) 895-3100 34.228175 -118.463455 78.2kk 1175.3
1760479745 1760479745 1 1 W L Brown Medical Corp 8-Jul-05 22 PHYSICIANS GROUP None 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 10 Fresno None 6225 N Fresno St Suite 104 Fresno CA 93710-5268 (559) 265-4444 36.827016 -119.781423 35f 45.04
1760485445 1760485445 2 1 Cano, Miguel A Md Facog 16-Aug-19 26 PHYSICIANS G00075797 9 Gynecology (D.O. only) 0 In state provider 10 Fresno OG 372 W Cypress Ave None Reedley CA 93654-2113 (000) 000-0000 36.607796 -119.451265 32 66.03
1760545503 1760545503 1 1 Katukota, Vijay C Md Inc 28-Feb-08 26 PHYSICIANS None 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles A MEDICAL CORPORATION 1177 N Park Ave None Pomona CA 91768-3028 (909) 623-9900 34.069685 -117.754943 78.2ss 4023.03
1760545503 1760545503 1 5 Katukota, Vijay C Md Inc 28-Jul-10 22 PHYSICIANS GROUP A00038343 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 36 San Bernardino None 9190 Sierra Ave Ste 104 Fontana CA 92335-8613 (909) 356-4567 34.086871 -117.435753 151f 31.02
1760578413 1760578413 1 1 Moy, Carl K Md Inc 7-Mar-95 22 PHYSICIANS GROUP G43977 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles None 500 N Garfield Ave Ste 104 Monterey Park CA 91754-1242 (626) 280-3781 34.05624 -118.12471 78.2nn 4822.01
1760584049 1760584049 1 1 Bolinas Family Practice 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 21 Marin PO BOX 1038 88 Mesa Rd None Bolinas CA 94924-9713 (415) 868-9656 37.909408 -122.70008 81 1321
1760596712 1760596712 1 1 Kern Womens Health 25-Sep-07 22 PHYSICIANS GROUP FNP033148 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 15 Kern GROUP INC 2005 17th Street None Bakersfield CA 93301-4203 (661) 322-6700 35.374371 -119.02478 66d 17
1760651814 1760651814 1 1 Altamed Health Services 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 30 Orange CORPORATION 2720 S Bristol Street Suite 110 Santa Ana CA 92704-6210 (714) 500-0497 33.710916 -117.8854 116g 740.05
1760667950 1760667950 1 1 Neighborhood Healthcare 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 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 0 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
1760671077 1760671077 1 2 Universal Medical Clinic, In 6-Jun-08 22 PHYSICIANS GROUP FNP36837 None UNKNOWN 0 In state provider 19 Los Angeles RESEDA 18040 Sherman Way #310 Reseda CA 91335-4048 (818) 881-8989 34.201065 -118.526213 78.2zz 1318
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
1760916951 1760916951 1 1 Pineridge Obstetrix 21-Sep-17 26 PHYSICIANS 20A11716 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 10 Fresno & GYNECOLOGY INC 2137 Herndon Ave Ste 102 Clovis CA 93611-6306 (559) 466-7100 36.83732 -119.673845 35b 57.02
1760936884 1760936884 1 2 Beverlycare 1-Apr-22 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles INTERMITTENT 1920 W Whittier Blvd None Montebello CA 90640-4009 (323) 725-5073 34.012936 -118.12152 78.2ww 5301.02
1760936884 1760936884 1 4 Beverlycare 5-Apr-22 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles INTERMITTENT 8862 Whittier Blvd None Pico Rivera CA 90660-2658 (323) 837-5147 34.00153 -118.084447 78.2ww 5006
1770006728 1770006728 1 1 Altamed Health Services 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles CORPORATION 972 Goodrich Blvd None Commerce CA 90022-4114 (323) 725-8751 34.018027 -118.154486 78.2c 5323.03
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
1770516304 1770516304 1 1 Mendocino Community Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 17 Lake CLINIC INC 5335 Lakeshore Blvd None Lakeport CA 95453-6123 (707) 468-1010 39.111527 -122.906666 70.1 3
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
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
1770641482 1770641482 1 1 Planned Parenthood 19-Dec-79 41 COMMUNITY CLINIC ZZR11925 None UNKNOWN 0 In state provider 7 Contra Costa RICHMOND CENTER 2970 Hilltop Mall Ste 307 Richmond CA 94806-5238 (510) 222-5290 37.976763 -122.322936 18g 3671
1770649097 1770649097 1 1 Ardmore Med Group Inc 4-May-93 22 PHYSICIANS GROUP FNP030539 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles None 3500 Whittier Blvd Ste 105 Los Angeles CA 90023-1746 (213) 384-4633 34.026687 -118.198514 78.2h 2049.1
1770663551 1770663551 1 1 Las Palmas Medical Group 28-Apr-04 22 PHYSICIANS GROUP FNP030643 1 General Practice 0 In state provider 37 San Diego CORPORATION 750 E Grand Ave Ste B&c Escondido CA 92025-4460 (760) 480-4747 33.125149 -117.072137 156e 202.02
1770669715 1770669715 1 1 Sonoma Valley Comm Hlth 12-Jul-22 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 49 Sonoma None 19270 Sonoma Highway 12 None Sonoma CA 95476-5414 (707) 939-2370 38.298949 -122.475185 208 1502.02
1770685612 1770685612 1 1 Santo Nino Medical Clinc 8-Apr-03 22 PHYSICIANS GROUP FNP028718 None UNKNOWN 0 In state provider 19 Los Angeles SANTO NINO MEDICAL CORP 14427 Chase St Ste 100 Panorama City CA 91402-3020 (818) 830-7751 34.224765 -118.447293 78.2ll 1201.04
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
1770709149 1770709149 1 1 County Of Snta Cruz 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 44 Santa Cruz WATSONVILLE HEALTH CTR 9 Crestview Dr None Watsonville CA 95076-2723 (831) 454-4587 36.926481 -121.764521 184 1102
1770760670 1770760670 1 1 Eastside Neighborhood 9-May-08 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 42 Santa Barbara CLINIC 915 N Milpas St None Santa Barbara CA 93103-2331 (805) 617-7858 34.430176 -119.69058 181b 6
1770803462 1770803462 1 1 Serve The People Inc 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 30 Orange None 1206 E 17th Street Ste 101 Santa Ana CA 92701-2641 (714) 352-2911 33.759898 -117.85362 116h 754.03
1770816829 1770816829 1 1 Sutter Bay Hospitals 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 17 Lake None 987 Parallel Dr Suite C Lakeport CA 95453-5702 (707) 262-5088 39.036426 -122.927133 70.1 3
1770988370 1770988370 1 1 Jwch Institute Inc 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles None 8530 Firestone Blvd None Downey CA 90241-4926 (323) 201-4516 33.937987 -118.128996 78.2eee 5513
1770997033 1770997033 1 1 Pacific Center Coast Health 2-Mar-16 41 COMMUNITY CLINIC 550003383 None UNKNOWN 0 In state provider 42 Santa Barbara CENTERS 220 S Palisade Drive Ste 201, 202, 203b, 204b Santa Maria CA 93454-8904 (805) 354-7101 34.952749 -120.412079 180.1 22.11
1780008839 1780008839 1 1 Riverside Community College 31-Oct-14 45 CLINIC EXEMP FROM LICENSURE None None UNKNOWN 0 In state provider 33 Riverside DISTRICT 4800 Magnolia Avenue None Riverside CA 92506-1299 (951) 222-8151 33.971379 -117.384767 135c 307
1780038042 1780038042 1 1 Borrego Community Health 24-Aug-22 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 36 San Bernardino FOUNDATION 590 North D Street None San Bernardino CA 92401-1352 (909) 453-6900 34.109961 -117.291883 151g 57.01
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
1780195255 1780195255 1 1 Santa Rosa Community Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 49 Sonoma CENTERS 1300 N Dutton Avenue None Santa Rosa CA 95401-7112 (707) 303-3600 38.449198 -122.732995 210.1 1530.01
1780637645 1780637645 1 1 Planned Parenthood 12-Dec-86 41 COMMUNITY CLINIC 430791915 None UNKNOWN 0 In state provider 43 Santa Clara None 3131 Alum Rock Ave None San Jose CA 95127-2902 (408) 729-7600 37.366358 -121.827149 183b 5039.02
1780733048 1780733048 1 1 Kpaduwa, Julius C Md Amc 24-Jul-19 22 PHYSICIANS GROUP None 30 Radiology, Pedodontist (Dentists Only) 0 In state provider 19 Los Angeles None 15913 Amar Rd None La Puente CA 91744-2202 (626) 330-9535 34.036362 -117.937883 78.2yyy 4075.02
1780784843 1780784843 1 1 San Francisco State Universi 30-Sep-99 22 PHYSICIANS GROUP None 8 Family Practice 0 In state provider 38 San Francisco SFSU STUDENT HEALTH 1600 Holloway Ave None San Francisco CA 94132-1740 (415) 338-1251 37.720836 -122.476424 162d 332.01
1780821660 1780821660 1 1 County Of Ventura 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura None 133 W Santa Clara St None Ventura CA 93001-2543 (805) 641-5600 34.279541 -119.303092 241c 24
1780899484 1780899484 1 1 La Maestra Family Clinic 23-Oct-06 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 37 San Diego None 165 S 1st St None El Cajon CA 92019-4795 (619) 312-0347 32.794038 -116.944599 161h 157.03
1780921536 1780921536 1 1 Family Health Centers 23-Dec-13 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 37 San Diego None 140 Elm Street None San Diego CA 92101-2602 (619) 515-2520 32.724057 -117.163509 161e 57
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
1780958462 1780958462 1 1 Bahari-Nejad, Pejam Do A 28-Apr-15 26 PHYSICIANS 20A7938 1 General Practice 0 In state provider 19 Los Angeles PROFESSIONAL MEDICAL C 20829 Ventura Blvd None Woodland Hills CA 91364-2319 (818) 887-2787 34.166363 -118.586542 78.2yy 1375.01
1790051423 1790051423 1 1 Family Health Care Center 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles OF GREATER LA INC 12113 Woodruff Ave Ste A Downey CA 90241-5605 (562) 928-9600 33.924077 -118.116706 78.2eee 5511.01
1790075315 1790075315 1 1 Borrego Community Health 6-Sep-22 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 33 Riverside FOUNDATION 1970 University Ave None Riverside CA 92507-5202 (951) 213-3450 33.975622 -117.354517 135a 305.01
1790154862 1790154862 1 1 Family Healthcare Network 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 54 Tulare None 4177 Avenue 368 None Traver CA 93673-0000 (559) 741-4399 36.452524 -119.486749 227.1 3.02
1790177582 1790177582 1 1 Altamed Health Services 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles CORPORATION 1900 E Slauson Ave None Huntington Park CA 90255-2725 (323) 487-4110 33.989207 -118.236549 78.2ccc 5326.03
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
1790701514 1790701514 1 1 Latino Health Services Medic 1-Dec-03 22 PHYSICIANS GROUP G37709 8 Family Practice 0 In state provider 30 Orange ANTA ANA 517 N Main St Ste 100 Santa Ana CA 92701-4619 (714) 647-0401 33.749393 -117.867605 116b 750.02
1790718351 1790718351 1 1 Imperial Beach Health Ct 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego None 949 Palm Ave None Imperial Beach CA 91932-1503 (619) 429-5387 32.58379 -117.113362 161j 105.02
1790739126 1790739126 1 1 Planned Prnthd Mar Monte 25-Mar-98 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 10 Fresno None 650 N Fulton St None Fresno CA 93728-3404 (209) 488-4900 36.751781 -119.800354 35c 23
1790836500 1790836500 1 1 Pickett, Anthony C Md In 1-Aug-95 26 PHYSICIANS G00076921 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles MATERNITY CENTER OF VERM 5859 S Vermont Ave None Los Angeles CA 90044-3741 (213) 753-2229 33.988221 -118.291455 78.2ggg 2371.01
1790836500 1790836500 1 2 Pickett, Anthony C Md In 19-Nov-97 26 PHYSICIANS G00076921 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles MATERNITY CENTER OF VERN 4230 S Figueroa St None Los Angeles CA 90037-2640 (323) 846-7200 34.006364 -118.282727 78.2l 2317.2
1790884633 1790884633 1 1 Salceda, Norma C Md Inc 4-Aug-97 26 PHYSICIANS A00033244 None UNKNOWN 0 In state provider 19 Los Angeles SAINT ANA WOMEN MED CLNC 1535 S Western Ave Ste G Los Angeles CA 90006-4200 (323) 733-1885 34.044508 -118.309026 78.2b 2213.03
1790886117 1790886117 1 1 Butte County Hlth Dept 19-Dec-79 48 COUNTY CLINICS NOT ASSOCIATED WITH HOSPITAL ZZR11557 None UNKNOWN 0 In state provider 4 Butte None 78 Table Mountain Blvd None Oroville CA 95965-3578 (530) 538-7341 39.521343 -121.554687 10 25
1790886117 1790886117 1 2 Butte County Hlth Dept 27-Jul-09 45 CLINIC EXEMP FROM LICENSURE None None UNKNOWN 0 In state provider 4 Butte OF PUBLIC HEALTH CLINICS 695 Oleander Ave None Chico CA 95926-3924 (530) 891-2731 39.735314 -121.84166 7.1 7
1790967453 1790967453 1 1 Fresno State University 24-Jul-08 45 CLINIC EXEMP FROM LICENSURE CLF2089 None UNKNOWN 0 In state provider 10 Fresno None 5044 N Barton Ave M/S Hc81 Fresno CA 93740-8012 (559) 278-6715 None None None None
1801045778 1801045778 1 1 Lev Medical Group Apmc 8-Oct-09 26 PHYSICIANS A00092996 41 Internal Medicine 0 In state provider 19 Los Angeles None 7855 Santa Monica Blvd None West Hollywood CA 90046-5344 (310) 623-9222 34.090872 -118.360645 78.2f 7001.01
1801138698 1801138698 1 1 Yehowa Medical Services 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles None 5720 Imperial Hwy Ste N-O South Gate CA 90280-7518 (562) 250-3100 33.929963 -118.169141 78.2sss 5362
1801147707 1801147707 1 1 Planned Parenthood Shasta 7-Jul-14 41 COMMUNITY CLINIC 550002643 None UNKNOWN 0 In state provider 17 Lake DIABLO INC 14671 Olympic Dr None Clearlake CA 95422-9516 (707) 459-4907 38.961823 -122.636372 71.1 8.02
1801184841 1801184841 1 1 Maywood Family Medical 3-Nov-11 26 PHYSICIANS A00045155 8 Family Practice 0 In state provider 19 Los Angeles CENTER RAGAA Z ISKAROUS 5920 Atlantic Blvd None Maywood CA 90270-3101 (323) 562-2535 33.986415 -118.185686 78.2ddd 5334.03
1801202676 1801202676 1 1 Anphon Corporation 27-Oct-16 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 19 Los Angeles None 333 E Nutwood Street Suite C Inglewood CA 90301-2357 (310) 912-6100 33.9605 -118.351035 78.2q 6010.01
1801214853 1801214853 1 1 Niloo Medical Group Inc 10-Dec-14 26 PHYSICIANS A112671 None UNKNOWN 0 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
1801244223 1801244223 1 1 Palomar Community College 18-Sep-18 55 LOCAL EDUCATION AGENCY None None UNKNOWN 0 In state provider 37 San Diego DISTRICT 1140 West Mission Rd None San Marcos CA 92069-1415 (760) 744-1150 33.147343 -117.185863 156e 200.21
1801270137 1801270137 1 1 Sac Health System 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 36 San Bernardino None 250 South G Street None San Bernardino CA 92410-3220 (909) 382-7100 34.097379 -117.298641 151g 57.01
1801399860 1801399860 1 1 Northeast Valley Health 21-Sep-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 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
1801808357 1801808357 1 1 Plazita Medical Clinic 13-Apr-07 22 PHYSICIANS GROUP FNP010813 None UNKNOWN 0 In state provider 44 Santa Cruz INC 1150 Main St Ste 3 Watsonville CA 95076-3760 (831) 728-0551 36.916529 -121.769697 184 1105.01
1801829296 1801829296 1 1 Ampla Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 58 Yuba MEDICAL & DENTAL 4941 Olivehurst Ave None Olivehurst CA 95961-4225 (530) 743-4611 39.097071 -121.551527 249 405
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
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
1801921952 1801921952 1 5 Roy Medical Group Inc 3-Jun-16 22 PHYSICIANS GROUP None 1 General Practice 0 In state provider 19 Los Angeles None 8001 Laurel Canyon Blvd Ste 109 North Hollywood CA 91605-1400 (818) 767-4728 34.215715 -118.396526 78.2ppp 1210.2
1801955125 1801955125 1 1 County Of Santa Barbara 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 42 Santa Barbara CARPINTERIA COMM HLTH CT 931 Walnut Ave None Carpinteria CA 93013-2028 (805) 560-1050 34.396949 -119.517038 177 16.04
1801985049 1801985049 1 1 Planned Parenthood La- 29-Aug-05 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 19 Los Angeles DOROTHY HEALTH CENTER 8520 S Broadway None Los Angeles CA 90003-3335 (213) 284-3124 33.961237 -118.278247 78.2fff 2397.02
1801985049 1801985049 1 2 Planned Parenthood La- 23-Feb-18 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 19 Los Angeles INTERMITTENT 1057 Kingston Avenue None Los Angeles CA 90033-1310 (213) 284-3111 34.056816 -118.209639 78.2ffff 2033
1801985049 1801985049 1 3 Planned Parenthood La- 7-Apr-21 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 19 Los Angeles INTERMITTENT 4402 E Compton Blvd None East Rancho Domin CA 90221-3667 (213) 284-3124 33.896157 -118.194502 78.2bbb 5421.03
1801992565 1801992565 1 1 San Miguel Medical 31-Oct-95 22 PHYSICIANS GROUP FNP014677 1 General Practice 0 In state provider 19 Los Angeles CLINIC, INC. 8204 Long Beach Blvd Ste B South Gate CA 90280-2011 (213) 588-3300 33.964112 -118.225172 78.2ccc 5355.01
1811032436 1811032436 1 1 Family Planning Center 10-Jun-21 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles HAWAIIAN GARDENS HLTH CT 22310 Wardham Ave None Hawaiian Gardens CA 90716-1740 (562) 928-9600 33.826186 -118.06523 78.2n 5552.12
1811060262 1811060262 1 1 White Memorial Gyn Ob 25-May-80 22 PHYSICIANS GROUP FNP004602 None UNKNOWN 0 In state provider 19 Los Angeles MEDICAL GROUP 1701 Cesar Chavez Avenue Ste 200 225 Los Angeles CA 90033-6720 (323) 225-4600 34.049148 -118.207603 78.2h 2036
1811129091 1811129091 1 1 Asian Pacific Health Care 22-Jun-12 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 19 Los Angeles VENTURE INC 1575 W 2nd Street None Los Angeles CA 90026-5701 (213) 265-1837 34.061229 -118.263118 78.2ffff 2083.02
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
1811174022 1811174022 1 1 Northeast Valley Health 24-Apr-08 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 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
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
1811258510 1811258510 2 14 Community Foundation Medical 29-Sep-20 27 PODIATRISTS None None UNKNOWN 0 In state provider 10 Fresno GROUP 2210 E Illinois Ave Ste 505 Fresno CA 93701-2184 (559) 233-7700 36.74503 -119.78478 35c 5.02
1811258510 1811258510 2 17 Community Foundation Medical 29-Sep-20 27 PODIATRISTS None None UNKNOWN 0 In state provider 10 Fresno GROUP 722 Medical Center Dr Ste 105 Clovis CA 93611-6810 (559) 299-6300 36.840901 -119.662109 31 59.07
1811279763 1811279763 1 1 Bartz Altadonna Community 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles HEALTH CENTER 43322 Gingham Ave Suite 104 & 105 Lancaster CA 93535-4569 (661) 874-4050 34.671365 -118.122268 77.1c 9005.04
1811329899 1811329899 1 1 Ampla Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 52 Tehama None 7981 Highway 99 E None Los Molinos CA 96055-9782 (530) 384-4010 40.04884 -122.100654 220 1
1811914377 1811914377 2 1 Reedley Community Hospital 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 10 Fresno None 2141 High Street None Selma CA 93662-3065 (559) 856-6110 36.57026 -119.613523 30 70.02
1811914674 1811914674 1 1 Planned Parenthood 1-Feb-80 41 COMMUNITY CLINIC 421701184 None UNKNOWN 0 In state provider 42 Santa Barbara CALIFORNIA CENTER COAST 415 E Chapel St None Santa Maria CA 93454-4517 (805) 928-7671 34.954297 -120.431239 180.1 22.06
1811926058 1811926058 1 1 Planned Parenthood 19-Dec-79 41 COMMUNITY CLINIC ZZT11744 None UNKNOWN 0 In state provider 42 Santa Barbara CALIFORNIA CENTRAL COAST 518 Garden St None Santa Barbara CA 93101-1606 (805) 899-9818 34.420202 -119.692355 181a 9
1811958952 1811958952 1 1 Mendocino Community Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 23 Mendocino None 333 Laws Ave None Ukiah CA 95482-6540 (707) 468-1010 39.126481 -123.209702 93.1 113
1821081647 1821081647 2 1 Friendly Ob-Gyn Medical 30-Jul-14 26 PHYSICIANS FNP24555 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 33 Riverside GROUP INC 12810 Heacock St Ste B105 Moreno Valley CA 92553-3171 (951) 485-9133 33.934607 -117.243736 135b 425.15
1821132671 1821132671 1 1 Martin, Malverse Md Amc 31-Oct-89 26 PHYSICIANS G00038477 None UNKNOWN 0 In state provider 19 Los Angeles None 22110 Roscoe Blvd Ste 203 West Hills CA 91304-3874 (818) 704-5408 34.219627 -118.608082 78.2cccc 1343.04
1821155433 1821155433 1 1 Llamas, Antonio J Md 2-Mar-09 26 PHYSICIANS A00044548 8 Family Practice 0 In state provider 36 San Bernardino None 9653 Alder Ave None Fontana CA 92335-6168 (909) 356-8235 34.078519 -117.41827 151f 32
1821170044 1821170044 1 1 South County Community 9-Mar-16 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 41 San Mateo HEALTH CENTER INC 1885 Bay Road None East Palo Alto CA 94303-1312 (650) 330-7400 37.472764 -122.132391 176b 6118
1821170044 1821170044 1 7 South County Community 26-Oct-21 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 43 Santa Clara INTERMITTENT 900 Miramonte Ave Floor 2 Mountain View CA 94040-2457 (650) 617-7882 37.385709 -122.087156 183a 5098.01
1821186727 1821186727 1 1 Family Healthcare 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 54 Tulare NETWORK 400 E Oak Ave None Visalia CA 93291-5034 (559) 737-4700 36.331986 -119.289034 233 12
1821210329 1821210329 1 1 Akhavan, Afshin Do A 28-Oct-09 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 19 Los Angeles PROFESSIONAL CORPORATION 2409 S Vermont Ave None Los Angeles CA 90007-1661 (323) 730-1663 34.034219 -118.291535 78.2b 2217.1
1821210329 1821210329 1 2 Akhavan, Afshin Do A 13-Jun-11 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 19 Los Angeles None 530 E Washington Blvd None Los Angeles CA 90015-3723 (213) 747-2626 34.03393 -118.271189 78.2ffff 2240.2
1821215914 1821215914 1 1 Clinica Medica Cuzcatlan 10-Jun-03 22 PHYSICIANS GROUP FNP025800 1 General Practice 0 In state provider 19 Los Angeles CUZCATLAN MEDICAL CLINIC 3559 E Gage Ave None Bell CA 90201-1042 (323) 581-8485 33.979609 -118.201578 78.2ddd 5336.01
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
1821275132 1821275132 2 1 Centro De Salud De La 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego COMUNIDAD DE SAN YSIDRO 286 Euclid Ave Ste 302 San Diego CA 92114-3613 (619) 527-7330 32.707504 -117.085083 161g 33.04
1821278771 1821278771 1 2 Choi, Joon Md Apc 13-Oct-15 26 PHYSICIANS G80351 None UNKNOWN 0 In state provider 19 Los Angeles None 1577 E Chevy Chase Drive Suite 110 Glendale CA 91206-4091 (818) 242-6811 34.153201 -118.229688 78.2ee 3010
1821429838 1821429838 1 1 Prohealth Partners A Medical 19-Jun-15 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 19 Los Angeles None 711 East Rosecrans Ave None Compton CA 90221-2143 (310) 635-5223 33.903456 -118.216159 78.2bbb 5416.04
1821492836 1821492836 1 1 Advanced Healthcare For 21-Jul-15 10 GROUP CERTIFIED NURSE PRACTITIONER None None UNKNOWN 0 In state provider 36 San Bernardino WOMEN AND CHILDREN A 600 North Mountain Ave Suite A104 Upland CA 91786-4359 (909) 581-4667 34.101605 -117.670115 151d 8.23
1821593971 1821593971 1 1 United Health Centers Of The 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 16 Kings SAN JOAQUIN VALLEY 250 E Hanford Armona Rd None Lemoore CA 93245-2141 (559) 924-2015 36.313463 -119.776828 69 4.03
1831115070 1831115070 1 1 Ampla Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 51 Sutter CENTER 1000 Sutter Street None Yuba City CA 95991-3459 (530) 673-9420 39.140392 -121.609917 216 502.02
1831383637 1831383637 1 1 Planned Parenthood Of The 19-Sep-06 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 37 San Diego PACIFIC SOUTHWEST 4305 University Ave Ste 350 San Diego CA 92105-8602 (619) 881-4516 32.749622 -117.101883 161d 22.02
1831400795 1831400795 1 1 Strongkids Medical Group Inc 29-Dec-10 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 30 Orange None 2222 S Main St None Santa Ana CA 92707-3220 (714) 436-9999 33.717232 -117.867908 116g 742
1831513373 1831513373 1 1 Family Health Centers Of 14-Jul-14 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 37 San Diego None 1250 6th Ave Ste 100 San Diego CA 92101-4368 (619) 515-2430 32.71831 -117.159277 161c 53
1831520048 1831520048 1 1 Family Healthcare Network 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 54 Tulare None 9416 Road 238 None Terra Bella CA 93270-9400 (559) 737-4700 35.960618 -119.040026 231 45
1841217866 1841217866 1 1 Community Health Centers 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 40 San Luis Obispo OF THE CENTRAL COAST 150 Tejas Pl None Nipomo CA 93444-9123 (805) 929-3211 35.026495 -120.498724 171 124.02
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
1841419793 1841419793 1 1 Black, Robin 13-Apr-07 7 CERTIFIED NURSE PRACTIONER RN0268672 None UNKNOWN 0 In state provider 30 Orange None 2077 Harbor Blvd Ste C Costa Mesa CA 92627-2630 (949) 722-2510 33.649959 -117.919049 116p 637.02
1841431707 1841431707 1 1 County Of Ventura 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura None 254 W Harvard Blvd Ste B Santa Paula CA 93060-3920 (805) 652-6075 34.345063 -119.075905 237 7.01
1841437241 1841437241 1 1 H Street Clinic Inc 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 36 San Bernardino None 1329 North H St None San Bernardino CA 92405-5039 (909) 381-0803 34.123981 -117.300904 151g 55
1841476553 1841476553 1 1 Logan Heights Family 28-Mar-08 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 37 San Diego HEALTH CENTER 1809 National Ave None San Diego CA 92113-2113 (619) 515-2300 32.701685 -117.146601 161c 50
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
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
1841525862 1841525862 1 1 Family Health Medical Center 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 24 Merced None 1045 5th Street None Los Banos CA 93635-4204 (209) 827-4747 37.059805 -120.850568 94 22.01
1841556404 1841556404 1 1 Clinicas Del Camino Real Inc 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura MOORPARK 4279 Tierra Rejada Road None Moorpark CA 93021-3775 (805) 222-2323 34.268766 -118.898426 239 76.07
1841607801 1841607801 1 1 Kaweah Delta Health Care 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 54 Tulare DISTRICT 355 Monte Vista Drive Ste A Dinuba CA 93618-9229 (559) 624-2000 36.540128 -119.403985 227.1 5.02
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
1851325906 1851325906 1 1 University Of Ca Irvine 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 30 Orange UCI FAMILY HEALTH CTR 800 N Main St None Santa Ana CA 92701-3576 (714) 456-7890 33.751182 -117.867611 116b 750.02
1851373401 1851373401 1 1 United Hlth Ctrs-Kerman 31-Aug-21 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 10 Fresno None 517 S Madera Ave None Kerman CA 93630-1523 (559) 846-6330 36.72717 -120.060315 29 40.01
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
1851409924 1851409924 1 2 Melba A Berbano Md Inc 24-Mar-08 22 PHYSICIANS GROUP A00053064 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 39 San Joaquin None 1801 E March Ln Ste C320 Stockton CA 95210-6676 (209) 957-5888 38.003429 -121.285555 169a 34.09
1851423925 1851423925 1 1 S A Medical Center Inc 19-Jan-00 22 PHYSICIANS GROUP FNP036285 40 Pediatrics, Periodontist (Dentists Only) 0 In state provider 30 Orange SAN ANTONIO MED CENTER 610 W 17th St None Santa Ana CA 92706-3916 (714) 541-4090 33.759984 -117.873698 116b 751
1851429658 1851429658 1 1 Central California 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 15 Kern FOUNDATION FOR HEALTH 1201 Jefferson St None Delano CA 93215-2203 (661) 721-5760 35.771809 -119.244929 60 50.04
1851431647 1851431647 1 1 School Health Clinics 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 43 Santa Clara HEALTH CLINIC 100 Oak St None San Jose CA 95110-2817 (408) 295-0930 37.321834 -121.881625 183d 5017
1851454037 1851454037 1 1 Plumas County Health Svs 17-Oct-97 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 32 Plumas None 270 County Hospital Rd None Quincy CA 95971-9126 (916) 283-6330 39.952512 -120.963326 123.1 1
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
1851513469 1851513469 1 1 Western Sierra Med Clin 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 46 Sierra None 209 Nevada St None Downieville CA 95936-0286 (916) 289-3298 39.559105 -120.829588 191 100
1851522015 1851522015 1 1 La Clinica De Raza, Inc 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 1 Alameda None 1926 19th Ave None Oakland CA 94606-4126 (510) 879-2953 37.789727 -122.23799 2c 4059.02
1851537708 1851537708 1 1 P K A Medical Corporation 26-Apr-22 26 PHYSICIANS None None UNKNOWN 0 In state provider 30 Orange None 1610 W Edinger Ave Ste B Santa Ana CA 92704-4339 (714) 641-1610 33.727205 -117.890282 116b 747.01
1851577662 1851577662 1 1 Beach Area Family Health 26-Mar-08 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 37 San Diego CENTER 3705 Mission Blvd None San Diego CA 92109-7104 (000) 000-0000 32.782645 -117.25244 161a 76
1851643241 1851643241 1 1 Sharma, Rahul Md Inc 15-May-15 22 PHYSICIANS GROUP None 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 15 Kern None 9610 Stockdale Hwy Unit B Bakersfield CA 93311-3626 (661) 664-0314 35.354456 -119.110621 66d 28.06
1851692560 1851692560 1 1 Planned Parenthood Shasta 16-Jun-11 41 COMMUNITY CLINIC 550001548 None UNKNOWN 0 In state provider 38 San Francisco DIABLO INC 1522 Bush Street None San Francisco CA 94109-5420 (415) 821-1282 37.788465 -122.422396 162a 151
1851692560 1851692560 1 2 Planned Parenthood Shasta 8-Sep-21 41 COMMUNITY CLINIC 550001548 None UNKNOWN 0 In state provider 38 San Francisco INTERMITTENT 1522 Bush Street None San Francisco CA 94109-5420 (415) 821-1282 37.788465 -122.422396 162a 151
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
1851757215 1851757215 1 1 Centro De Salud De La 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego COMUNIDAD DE SAN YSIDRO 330-340 E 8th Street None National City CA 91950-0000 (619) 662-4100 32.676837 -117.103305 161k 118.01
1861420069 1861420069 1 1 Maloney, Patrick L Md 1-Jan-87 26 PHYSICIANS C00039953 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles MAXSON BLDG 933 S Sunset Ave Ste 106 West Covina CA 91790-3410 (818) 962-9884 34.064572 -117.942863 78.2www 4067.02
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
1861449522 1861449522 1 1 Indian Health Council, Inc 25-Jan-22 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego None 50100 Golsh Rd None Valley Center CA 92082-5338 (760) 749-1410 33.277133 -116.951859 153.2 191.06
1861581043 1861581043 1 1 Planned Parenthood 28-Jan-87 41 COMMUNITY CLINIC 190991495 None UNKNOWN 0 In state provider 19 Los Angeles HOLLYWOOD 1014 1/2 N Vermont Ave None Los Angeles CA 90029-2620 (213) 284-3115 34.09031 -118.291737 78.2g 1915
1861582033 1861582033 1 1 Demian, Romany F Md 1-Aug-03 26 PHYSICIANS A00052286 41 Internal Medicine 0 In state provider 56 Ventura SAN JUAN MED CLINIC INC 971 W 7th St Ste B Oxnard CA 93030-6757 (805) 483-2500 34.195193 -119.18969 241b 86
1861633703 1861633703 1 1 County Of Ventura 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura None 2240 E Gonzales Rd Ste 100 Oxnard CA 93036-8212 (805) 981-5161 34.219284 -119.200902 241a 29.05
1861636177 1861636177 1 1 Planned Parenthood Pasadena 11-Apr-12 41 COMMUNITY CLINIC 550001114 None UNKNOWN 0 In state provider 19 Los Angeles & SAN GABRIEL VALLEY 330 S Garfield Ave Suite 300 Alhambra CA 91801-3896 (626) 794-5737 34.09186 -118.124551 78.2eeee 4810.02
1861641441 1861641441 1 1 Clinica Sierra Vista 17-Oct-08 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 10 Fresno None 2790 South Elm None Fresno CA 93706-5435 (559) 437-1500 36.699889 -119.790721 30 10
1861670093 1861670093 1 1 Mendocino Coast Clinics Inc 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 23 Mendocino None 855 Sequoia Cir None Fort Bragg CA 95437-5466 (707) 964-1251 39.430413 -123.802315 89 105
1861678674 1861678674 1 1 Sherman Heights Family 7-Apr-08 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 37 San Diego HEALTH CENTER 2391 Island Ave None San Diego CA 92102-2941 (619) 515-2300 32.710477 -117.142516 161c 47
1861680712 1861680712 1 1 Bienestar Medical Center 6-Jun-08 22 PHYSICIANS GROUP FNP030110 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 30 Orange INC 1125 E 17th Street Suite N 152 Santa Ana CA 92701-2620 (714) 285-1100 33.759883 -117.854493 116h 754.03
1861711863 1861711863 1 1 Ame Medical Group, Inc. 25-Aug-10 22 PHYSICIANS GROUP None 8 Family Practice 0 In state provider 19 Los Angeles None 11942 Paramount Blvd Ste B Downey CA 90242-2306 (562) 923-6060 33.933591 -118.144709 78.2sss 5515.02
1861731523 1861731523 1 1 Planned Parenthood Mar Monte 8-Nov-13 41 COMMUNITY CLINIC 550002330 None UNKNOWN 0 In state provider 1 Alameda INCORPORATED 1682 7th Street None Oakland CA 94607-1351 (510) 433-8830 37.806561 -122.300345 2c 4022
1861796161 1861796161 1 1 Arlington Physicians Choice 3-Jun-11 22 PHYSICIANS GROUP None 8 Family Practice 0 In state provider 33 Riverside A MEDICAL CORPORATION 8151 Arlington Ave Ste U-V Riverside CA 92503-0437 (951) 688-3001 33.946358 -117.459837 135d 411.01
1861827057 1861827057 1 1 Santa Rosa Midwifery Center 21-Jul-14 5 CERTIFIED NURSE MIDWIFE None None UNKNOWN 0 In state provider 49 Sonoma A PROFESSIONAL NURSING 583 Summerfield Rd None Santa Rosa CA 95405-5239 (707) 539-1544 38.452608 -122.670361 210.1 1517
1861829061 1861829061 1 1 Santa Ana College 3-Jul-14 45 CLINIC EXEMP FROM LICENSURE None None UNKNOWN 0 In state provider 30 Orange STUDENT HEALTH CENTER 1530 W 17th Street Room U120 Santa Ana CA 92706-3398 (714) 564-6216 33.759969 -117.888168 116b 752.02
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
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
1861882946 1861882946 1 1 La Libertad Medical Clinic 4-Mar-16 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 19 Los Angeles INC 7900 Pacific Blvd Suite C And D Walnut Park CA 90255-6662 (323) 277-9455 33.966707 -118.225207 78.2fff 5348.03
1861893844 1861893844 1 1 St Johns Well Child 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles AND FAMILY CENTER INC 326 W 23rd Street None Los Angeles CA 90007-2659 (323) 541-1600 34.029241 -118.270976 78.2ffff 2240.2
1871553347 1871553347 1 1 Woman To Woman Ob & Gyn 23-May-86 22 PHYSICIANS GROUP P12304 None UNKNOWN 0 In state provider 36 San Bernardino MEDICAL GROUP 249 E Highland Ave None San Bernardino CA 92404-3700 (909) 881-1683 34.135927 -117.280692 151g 54
1871573360 1871573360 1 1 Comprehensive Community 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles HEALTH CTR-NO HOLLYWOOD 12157 Victory Blvd None North Hollywood CA 91606-3204 (818) 755-8000 34.186676 -118.397818 78.2bb 1239.01
1871597690 1871597690 1 1 Sanchez, Ana M Md 24-Sep-92 26 PHYSICIANS G00054162 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 30 Orange None 424 S Main St Ste N Orange CA 92868-3828 (714) 712-7373 33.781836 -117.867403 116h 760
1871607713 1871607713 1 1 County Of Riverside 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 33 Riverside None 8876 Mission Blvd None Jurupa Valley CA 92509-2811 (951) 360-8795 34.011774 -117.477184 135e 405.01
1871627042 1871627042 1 1 Clinica Sierra Vista Inc 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 15 Kern PO BOX 1150 67 Evans Rd None Wofford Heights CA 93285-9640 (619) 376-2276 35.706666 -118.457985 63 52.01
1871627166 1871627166 1 1 Lamont Community Health 14-Jan-02 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 15 Kern PO BOX 457 8787 Hall Rd None Lamont CA 93241-1953 (805) 845-3731 35.259734 -118.907169 61 64.01
1871653816 1871653816 1 1 Lien, Thoi H Md 6-Mar-04 26 PHYSICIANS A00075628 8 Family Practice 0 In state provider 19 Los Angeles None 1004 E Garvey Ave None Monterey Park CA 91755-3031 (626) 280-5035 34.062538 -118.10931 78.2nn 4822.02
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
1871689315 1871689315 1 1 Community Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles ALLIANCE OF PASADENA 1855 N Fair Oaks Ave Ste 200 Pasadena CA 91103-1620 (503) 943-2507 34.177957 -118.15074 None None
1871768200 1871768200 1 1 Redwood Womens Center Pc 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 12 Humboldt None 3309 Renner Dr None Fortuna CA 95540-3119 (707) 725-6108 40.582582 -124.135433 42 109.01
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
1871818138 1871818138 1 1 Friends Of The Family 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 30 Orange HEALTH CENTER 501 S Idaho St Suite 100 & 190 La Habra CA 90631-6047 (562) 690-0400 33.927278 -117.959191 116k 13.01
1871826925 1871826925 1 1 Sutter Bay Hospitals 17-Feb-10 41 COMMUNITY CLINIC 550000230 None UNKNOWN 0 In state provider 38 San Francisco None 1580 Valencia Street Suite 508 San Francisco CA 94110-4415 (415) 641-6996 37.747184 -122.420209 162c 253
1871853481 1871853481 1 1 Center For Family Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles & EDUCATION INC 8727 Van Nuys Blvd Ste 102 & 203 Panorama City CA 91402-2400 (818) 899-5555 34.228244 -118.450268 78.2ll 1201.03
1881104313 1881104313 1 1 Northeast Valley Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 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
1881607547 1881607547 1 1 Los Angeles County 28-Apr-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 19 Los Angeles EL MONTE FAMILY PLANNING 10953 Ramona Blvd None El Monte CA 91731-2629 (818) 579-8463 34.072049 -118.037139 78.2oo 4327
1881617934 1881617934 1 1 County Of Los Angeles 27-Mar-98 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 19 Los Angeles OLIVE VIEW-UCLA MED CTR 14445 Olive View Dr None Sylmar CA 91342-1437 (818) 364-4033 34.324172 -118.448013 78.2gg 1060.1
1881677292 1881677292 2 1 Reedley Community Hospital 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 16 Kings None 1212 Hanna Avenue None Corcoran CA 93212-2334 (209) 992-2800 36.099724 -119.56245 68 14.02
1881697381 1881697381 1 1 Lake County Tribal Hlth 26-Jan-22 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 17 Lake PO BOX 1950 925 Bevins Ct None Lakeport CA 95453-9754 (707) 263-8382 39.037772 -122.922507 70.1 4
1881703957 1881703957 1 1 San Bernardino Mountains 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 36 San Bernardino COMMUNITAL HOSPITAL DIST 31900 Hilltop Blvd None Running Springs CA 92382-0000 (909) 867-6341 34.206947 -117.152437 146 111.01
1881765048 1881765048 1 1 Pacheco, Santos F Md Inc 1-Oct-98 26 PHYSICIANS A00054292 22 Pathology (M.D. only) 0 In state provider 19 Los Angeles SANTOS MEDICAL GROUP 15159 Prairie Ave None Lawndale CA 90260-2210 (310) 644-7964 33.893559 -118.343819 78.2iiii 6037.02
1881795003 1881795003 1 1 San Mateo Medical 21-Oct-98 22 PHYSICIANS GROUP FNP021169 1 General Practice 0 In state provider 19 Los Angeles CLINIC INC 4055 Whittier Blvd None Los Angeles CA 90023-2536 (213) 780-4000 34.023928 -118.184369 78.2d 5312.02
1881811404 1881811404 1 1 Foothill Commun Med Corp 16-Jan-02 22 PHYSICIANS GROUP FNP029412 8 Family Practice 0 In state provider 19 Los Angeles SAN RAFAEL COMM MED CLIN 647 E Arrow Hwy None Azusa CA 91702-5802 (626) 858-5199 34.106798 -117.897471 78.2qq 4041
1881825305 1881825305 1 1 North East Med Srvcs 29-Apr-10 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 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
1881847424 1881847424 1 1 Advance Urgent Med Group Inc 30-Oct-09 22 PHYSICIANS GROUP None 41 Internal Medicine 0 In state provider 30 Orange None 1401 W 1st Street Ste 101 Santa Ana CA 92703-3757 (714) 542-9700 33.745446 -117.886918 116b 748.01
1881871424 1881871424 1 1 County Of Santa Clara 1-Nov-03 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 43 Santa Clara None 143 N Main St None Milpitas CA 95035-5302 (408) 885-7200 37.432995 -121.907546 183o 5045.07
1881871721 1881871721 1 1 Northeast Vly Hlth Corp 25-Apr-08 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 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
1881930964 1881930964 1 1 Reedley Community Hospital 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 10 Fresno None 2357 W Tahoe None Caruthers CA 93609-9476 (559) 864-5200 36.541741 -119.833791 30 75
1881941409 1881941409 1 1 Alessandro Medical 20-Dec-13 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 33 Riverside PROFESSIONAL CORPORATION 13925 Indian St None Moreno Valley CA 92553-5718 (951) 249-7292 33.918406 -117.234983 135g 425.21
1881987576 1881987576 1 1 Northeast Community Clinics 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 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
1881997963 1881997963 1 1 Indian Health Center Of Sant 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 43 Santa Clara CLARA VALLEY 1642 E Capitol Expy None San Jose CA 95121-1800 (408) 445-3400 37.306075 -121.811998 183h 5033.37
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
1891036612 1891036612 1 1 County Of San Joaquin 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 39 San Joaquin None 1414 N California St Ste C Stockton CA 95202-1515 (209) 468-9540 37.967517 -121.288334 169b 4.02
1891097176 1891097176 1 1 Dr Veronica Abusleme Md Inc 9-Apr-12 26 PHYSICIANS A00038422 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles None 14621 Nordhoff St Ste 2a Panorama City CA 91402-1835 (818) 891-0678 34.235408 -118.451136 78.2ll 1193.4
1891247573 1891247573 1 1 Center For Family Health & 20-Sep-21 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles AFFILIATED 500 W Willow St Suite 101 Long Beach CA 90806-2531 (562) 427-1700 33.804321 -118.198073 78.2lll 5731
1891352944 1891352944 1 1 County Of Riverside 12-Mar-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 33 Riverside TH CENTER 450 E San Jacinto Ave None Perris CA 92571-2833 (951) 210-1488 33.786603 -117.216728 133.1 427.06
1891710638 1891710638 1 1 Shasta Comm Health Ctr 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 45 Shasta None 1035 Placer St None Redding CA 96001-1125 (530) 246-5710 40.583544 -122.385243 189.2 101
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
1891778114 1891778114 1 1 Camarena Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 20 Madera None 344 E 6th St None Madera CA 93638-3631 (559) 664-4000 36.962718 -120.055993 80 8
1891778114 1891778114 1 4 Camarena Health 11-Mar-22 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 20 Madera INTERMITTENT 363 E Almond Avenue Suite 101 Madera CA 93637-5753 (559) 664-4060 36.945549 -120.053545 80 5.02
1891795613 1891795613 1 1 Azad, Jack Md Inc 20-Oct-97 26 PHYSICIANS A00054433 8 Family Practice 0 In state provider 19 Los Angeles TRI-CITY MEDICAL GROUP 11900 Avalon Blvd Ste 100 Los Angeles CA 90061-2837 (323) 756-1317 33.924665 -118.265174 78.2uuu 2410.02
1891806329 1891806329 1 2 Sababa, Lilian E 14-May-08 26 PHYSICIANS A00048778 None UNKNOWN 0 In state provider 19 Los Angeles None 866 N Vermont Ave None Los Angeles CA 90029-3587 (213) 936-3600 34.087012 -118.29171 78.2g 1914.1
1891830568 1891830568 1 1 Mosaic Family Care 5-Aug-02 22 PHYSICIANS GROUP FNP029143 None UNKNOWN 0 In state provider 19 Los Angeles MEDICAL GROUP INC 4857 Huntington Dr N None Los Angeles CA 90032-1939 (323) 226-9042 34.086261 -118.1784 78.2i 2014.01
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
1891852778 1891852778 1 1 County Of Santa Barbara 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 42 Santa Barbara COUNTY HEALTH CLINIC 315 Camino Del Remedio None Santa Barbara CA 93110-1332 (805) 681-5488 34.445738 -119.779547 181b 1.01
1891862553 1891862553 1 1 Baseline Medical Clinic Inc 31-May-84 22 PHYSICIANS GROUP None 1 General Practice 0 In state provider 36 San Bernardino None 330 N D St Ste 300 San Bernardino CA 92401-1522 (909) 888-6602 34.105201 -117.291884 151g 57.01
1891899175 1891899175 2 1 Corona Physicians Associates 26-Jul-13 22 PHYSICIANS GROUP A00092039 1 General Practice 0 In state provider 33 Riverside A MEDICAL CORPORATION 217 E 3rd Street None Corona CA 92879-1438 (909) 273-1188 33.878362 -117.564507 135d 416
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
1891929691 1891929691 1 1 Famliy Hlth Ctr Of San Diego 10-Mar-11 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 37 San Diego None 7592 Broadway None Lemon Grove CA 91945-1604 (619) 515-2550 32.742714 -117.034388 161g 144
1891971131 1891971131 1 1 Farid, Samy F Md Inc 5-Jun-08 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 19 Los Angeles None 1729 W Avenue J Suite 101 Lancaster CA 93534-4014 (661) 723-0270 34.689505 -118.161947 77.1c 9008.05
1891991741 1891991741 1 1 Stanislaus County Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 50 Stanislaus None 830 Scenic Dr Ste A Modesto CA 95350-6131 (209) 558-8400 37.647196 -120.983922 215b 10.02
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
1902108541 1902108541 1 1 Planned Parenthood Shasta 16-Jun-11 41 COMMUNITY CLINIC 550001570 None UNKNOWN 0 In state provider 21 Marin DIABLO INC 2 H Street None San Rafael CA 94901-1700 (415) 459-4907 37.974226 -122.538613 83b 1110
1902109580 1902109580 1 1 Planned Parenthood Los 10-Apr-13 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 19 Los Angeles ANGELES 533 E Palmdale Blvd Ste A-1 Palmdale CA 93550-2375 (213) 284-2375 34.579718 -118.120019 77.1a 9104.02
1902183098 1902183098 1 1 Deborah A Higer 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 47 Siskiyou None 725 Pine Street None Mount Shasta CA 96067-2133 (530) 926-4556 41.315387 -122.318452 197 10
1902185630 1902185630 1 1 Camarena Health 25-Jan-22 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 20 Madera None 505 E Almond Ave Suite 101 Madera CA 93637-5745 (559) 664-4000 36.945525 -120.052425 80 5.02
1902196256 1902196256 1 1 Kern Rural Wellness Centers 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 15 Kern INC 146 N Hill Road None Arvin CA 93203-1014 (661) 855-4468 35.209734 -118.830934 61 63.01
1902267479 1902267479 1 1 Altamed Health Services 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles CORPORATION 8627 Atlantic Avenue None South Gate CA 90280-3501 (323) 326-1602 33.954724 -118.18383 78.2sss 5360
1902453731 1902453731 1 1 Altamed Health Services 24-Aug-21 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles CORPORATION 2100 W 3rd Street Ste 400 Los Angeles CA 90057-2290 (888) 499-9303 34.062959 -118.272688 78.2ffff 2088.01
1902803315 1902803315 1 1 Regents Of The University Of 3-May-06 16 COMMUNITY INPATIENT HOSPITAL 930000165 None UNKNOWN 0 In state provider 19 Los Angeles CALIFORNIA 757 Westwood Plaza None Los Angeles CA 90095-8358 (310) 825-8021 34.068908 -118.445025 78.2w 2653.01
1902823461 1902823461 2 1 Reedley Community Hospital 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 10 Fresno None 1000 S Madera Ave None Kerman CA 93630-1750 (559) 846-9370 36.720618 -120.060098 29 40.02
1902833734 1902833734 1 1 Patel, Hitesh C Md 14-Nov-05 26 PHYSICIANS A50723 8 Family Practice 0 In state provider 30 Orange None 7915 Westminster Blvd None Westminster CA 92683-4001 (714) 891-4549 33.759275 -117.991117 116s 998.02
1902923329 1902923329 1 1 Santa Cruz Community Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 44 Santa Cruz CENTERS 250 Locust St None Santa Cruz CA 95060-3813 (831) 427-3500 36.974977 -122.028367 185.1 1007
1902944796 1902944796 1 1 City Of Berkeley 30-Dec-10 45 CLINIC EXEMP FROM LICENSURE None None UNKNOWN 0 In state provider 1 Alameda COMP FAMILY PLANNING PRO 830 University Ave None Berkeley CA 94710-2044 (510) 981-5350 37.867938 -122.297686 2a 4232
1912033572 1912033572 1 1 San Diego Family Care 6-Oct-04 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 37 San Diego None 4290 Polk Ave None San Diego CA 92105-1592 (619) 563-0507 32.751447 -117.102149 161d 22.02
1912091018 1912091018 1 1 Marin Comm Clinic 16-Apr-21 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 21 Marin None 5 Bon Air Road Suite 117 Larkspur CA 94939-1143 (415) 448-1500 37.943695 -122.539762 83a 1200
1912093451 1912093451 1 1 Family Healthcare Netwrk 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 54 Tulare None 12586 Avenue 408 None Orosi CA 93647-9454 (559) 737-4700 36.53027 -119.290183 227.2 6
1912116385 1912116385 1 1 California State Univ 21-Aug-07 45 CLINIC EXEMP FROM LICENSURE CLF3083 None UNKNOWN 0 In state provider 15 Kern BAKERSFIELD HLTH SRVCS 9001 Stockdale Hwy # 28hc Bakersfield CA 93311-1022 (661) 654-2394 35.354328 -119.103271 66d 28.06
1912123431 1912123431 1 1 Clinicas Del Camino Real 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura INC, FILLMORE 355 Central Ave None Fillmore CA 93015-1920 (805) 659-1740 34.399844 -118.913595 237 3.02
1912146887 1912146887 1 1 Mls Clinical & Medical 14-Jul-09 26 PHYSICIANS A80070 8 Family Practice 0 In state provider 19 Los Angeles CORPORATION 8530 Florence Ave Ste 101 Downey CA 90240-4015 (562) 928-4642 33.949426 -118.120969 78.2eee 5506.02
1912176264 1912176264 1 1 Dr M Forghani S Corp 15-Sep-08 26 PHYSICIANS 20A8699 None UNKNOWN 0 In state provider 30 Orange DO 12665 Garden Grove Blvd Ste 601 Garden Grove CA 92843-1920 (714) 537-1387 33.774497 -117.912024 116r 885.02
1912176264 1912176264 1 2 Dr M Forghani S Corp 15-Oct-08 26 PHYSICIANS 20A8699 None UNKNOWN 0 In state provider 30 Orange None 1515 N Broadway None Santa Ana CA 92706-3906 (714) 542-3500 33.758019 -117.869651 116b 750.03
1912248782 1912248782 1 1 Raincross Womens Medical Grp 17-Mar-14 22 PHYSICIANS GROUP None 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 33 Riverside None 6767 Brockton Ave None Riverside CA 92506-3023 (951) 823-0441 33.950492 -117.396773 135c 311
1912312273 1912312273 1 1 Avenal Community Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 16 Kings CENTER 148 E Kings Street None Avenal CA 93204-1529 (559) 386-9000 36.002543 -120.136991 67 17.01
1912907114 1912907114 1 1 Premier Family Medicine 11-Jan-99 22 PHYSICIANS GROUP FNP033251 None UNKNOWN 0 In state provider 19 Los Angeles ASSOCIATES, INC 1770 N Orange Grove Ave Ste 101 Pomona CA 91767-3027 (909) 469-9494 34.076086 -117.749421 78.2tt 4021.02
1912928540 1912928540 1 1 De Los Reyes, Bernardita 22-Jan-01 22 PHYSICIANS GROUP FNP015026 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles CLINICA SANTA ISABEL MED 2760 E Florence Ave None Huntington Park CA 90255-5747 (323) 587-2222 33.973776 -118.220823 78.2ccc 5331.07
1912976408 1912976408 1 1 Planned Prnthd/Orange & 4-Aug-98 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 30 Orange SAN BERNARDINO COUNTY 700 S Tustin St None Orange CA 92866-3425 (714) 633-6373 33.777372 -117.835746 116h 758.06
1922020585 1922020585 1 1 Mendocino Community Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 23 Mendocino LITTLE LAKE CLINIC 45 Hazel St None Willits CA 95490-4222 (707) 472-4511 39.399795 -123.352139 91 107
1922033547 1922033547 1 1 Cha Hollywood Medical 8-Mar-05 16 COMMUNITY INPATIENT HOSPITAL None None UNKNOWN 0 In state provider 19 Los Angeles CENTER LP 1300 N Vermont Ave None Los Angeles CA 90027-6005 (323) 644-4452 34.095557 -118.291741 78.2g 1913.02
1922051812 1922051812 1 1 Centro De Salud De La 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego COMUNIDAD DE SAN YSIDRO 1637 3rd Ave Ste B,c,f,h,i Chula Vista CA 91911-5823 (619) 662-4100 32.596674 -117.064522 161j 132.04
1922090885 1922090885 1 1 Southern Indian Health 25-Jan-22 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego COUNCIL 36350 Church Rd None Campo CA 91906-2715 (619) 445-1188 32.671711 -116.369852 159 211
1922124866 1922124866 1 2 Baychildren's Physicians 21-Aug-17 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 1 Alameda None 1555 Doolittle Drive None San Leandro CA 94577-2239 (415) 476-4407 37.71189 -122.184754 2g 4324
1922138841 1922138841 1 1 Chapa-De Indian Health 25-Jan-22 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 29 Nevada PROGRAM INC 1350 E Main Street None Grass Valley CA 95945-5208 (530) 477-8545 39.231289 -121.047114 113 5.01
1922179498 1922179498 1 1 Mountain Valleys Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 45 Shasta FALL RIVER VLY HEALTH CT 43658 Hwy 299e None Fall River Mills CA 96028-0490 (530) 336-6535 41.050027 -121.400829 190 127.02
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
1922303437 1922303437 1 1 Marin Community Clinic 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 21 Marin SAN RAFAEL CAMPUS 3260 Kerner Blvd Suite A San Rafael CA 94901-4840 (415) 798-3109 37.962024 -122.501986 83b 1122.02
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
1922416411 1922416411 1 1 Family Health Care Centers 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles OF GREATER LOS ANGELES 4943 Slauson Avenue None Maywood CA 90270-3020 (562) 928-9600 33.986164 -118.175589 78.2c 5337.03
1922490960 1922490960 1 1 Aghaby Comprehensive 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles COMMUNITY HEALTH CENTER 349 W Compton Blvd None Compton CA 90220-3110 (310) 438-2151 33.895943 -118.227565 78.2bbb 5425.02
1922495076 1922495076 1 1 Prohealth Partners A Medical 28-Dec-15 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 19 Los Angeles GROUP INC 7643 S Atlantic Ave None Cudahy CA 90201-5019 (323) 771-1713 33.966515 -118.187287 78.2ddd 5344.04
1932115375 1932115375 1 1 Los Angeles County 28-Apr-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 19 Los Angeles BELLFLOWER FAM PLANNING 10005 E Flower Ave None Bellflower CA 90706-0000 (310) 804-8111 33.882105 -118.120765 78.2m 5542.03
1932194586 1932194586 1 1 Wilmington Community Cln 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles None 1009 N Avalon Blvd None Wilmington CA 90744-4505 (310) 549-5760 33.783041 -118.26269 78.2p 2945.2
1932214657 1932214657 1 1 Ajay G. Meka M.D. Inc. 24-Nov-04 22 PHYSICIANS GROUP A00039761 None UNKNOWN 0 In state provider 30 Orange None 2740 S Bristol St Ste 208 Santa Ana CA 92704-6233 (714) 979-5734 33.710637 -117.885408 116g 740.05
1932225208 1932225208 1 1 Badymoghaddam, Yaghoub 9-Sep-05 26 PHYSICIANS A00052570 1 General Practice 0 In state provider 19 Los Angeles None 5726 E Olympic Blvd None Los Angeles CA 90022-5120 (323) 727-7000 34.013977 -118.147502 78.2c 5323.03
1932249315 1932249315 1 1 Comprehens Med Cntr Inc 12-Dec-05 22 PHYSICIANS GROUP FNP031642 41 Internal Medicine 0 In state provider 19 Los Angeles CLINICA MED COMUNIDAD IN 2286 S Garey Ave None Pomona CA 91766-5645 (909) 464-2818 34.029889 -117.749089 78.2ss 4029.02
1932249596 1932249596 1 1 St John's Well Child Ctr 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles COMPTON 2115a N Wilmington Ave None Compton CA 90222-2030 (310) 603-1332 33.911537 -118.239193 78.2ooo 5413
1932269644 1932269644 1 1 Planned Parenthood 20-Mar-84 41 COMMUNITY CLINIC 480392331 None UNKNOWN 0 In state provider 48 Solano FAIRFIELD CENTER 1325 Travis Blvd Ste C Fairfield CA 94533-4611 (000) 000-0000 38.258005 -122.051702 202b 2524.01
1932278215 1932278215 1 1 Contra Costa County Hlth 30-Sep-02 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 7 Contra Costa MARTINEZ SPECIAL CLINIC 2500 Alhambra Ave None Martinez CA 94553-3156 (510) 370-5310 38.006474 -122.130888 18a 3180
1932340890 1932340890 1 1 County Of Ventura 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura None 1334 E Main St None Santa Paula CA 93060-2926 (805) 652-6075 34.356226 -119.053341 237 6
1932381605 1932381605 1 1 Clinicas De Salud Del Pueblo 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 33 Riverside None 50249 Cesar Chavez St Unit K Coachella CA 92236-1530 (760) 933-0555 33.677724 -116.176444 128 457.07
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
1932428828 1932428828 1 1 Southern California Medical 24-Feb-21 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles CENTER INC 8825 Whittier Blvd None Pico Rivera CA 90660-2600 (626) 575-7500 34.001957 -118.085084 78.2ww 5006
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
1932561198 1932561198 1 1 Family Health Centers Of San 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego DIEGO INC 525 E Main Street None El Cajon CA 92020-4007 (619) 515-2454 32.794861 -116.956026 161h 158.02
1932756764 1932756764 1 1 Altamed Health Services 25-Mar-22 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 30 Orange CORPORATION 1325 N Anaheim Blvd Ste 200 Anaheim CA 92801-1202 (888) 499-9303 33.85295 -117.9199 116l 865.01
1942225719 1942225719 1 1 Shasta Community Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 45 Shasta ANDERSON FAMILY HLTH CTR 2801 Silver St None Anderson CA 96007-4239 (530) 246-5765 40.446997 -122.299502 186 120
1942255195 1942255195 1 1 Fcs Medical Corporation 17-Oct-88 22 PHYSICIANS GROUP FNP017470 None UNKNOWN 0 In state provider 19 Los Angeles FAMILY CARE SPECIALISTS 1701 E Cesar E Chavez Av Ste 230 Los Angeles CA 90033-2496 (323) 226-1100 34.051199 -118.217598 78.2ffff 2035
1942256094 1942256094 1 1 Huntington Park Clinica 9-Oct-21 27 PODIATRISTS None None UNKNOWN 0 In state provider 19 Los Angeles MEDICA GENERAL, MED CNTR 6347 Pacific Blvd None Huntington Park CA 90255-4101 (323) 583-8383 33.982689 -118.225228 78.2ccc 5326.05
1942294285 1942294285 1 1 Horta, Elisa E Md, Mph 25-May-04 26 PHYSICIANS G00072518 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 57 Yolo PROFESSIONAL MED CORP 2050 Lyndell Terrace Ste 150 Davis CA 95616-6206 (530) 758-1563 38.56247 -121.769173 244 105.05
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
1942369012 1942369012 1 1 Planned Parenthood: 18-Aug-84 41 COMMUNITY CLINIC 110000150 None UNKNOWN 0 In state provider 48 Solano SHASTA-DIABLO, INC 303 Sacramento Street None Vallejo CA 94590-5901 (707) 643-4545 38.09935 -122.258426 204 2509
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
1942416045 1942416045 1 1 Manuel F Mendoza Md Inc 23-Mar-11 26 PHYSICIANS None None UNKNOWN 0 In state provider 19 Los Angeles None 11735 Firestone Blvd None Norwalk CA 90650-2808 (562) 925-7716 33.913536 -118.083173 78.2jjjj 5520.02
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
1942449285 1942449285 1 1 Khalifa, Ahmad S Md Apc 6-May-09 26 PHYSICIANS A00079995 None UNKNOWN 0 In state provider 19 Los Angeles GY AND WOMEN'S HEALTH 720 Alamitos Ave None Long Beach CA 90813-4726 (562) 546-2496 33.775722 -118.180067 78.2jjj 5764.01
1942487848 1942487848 1 1 Isla Vista Neighborhood 9-May-08 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 42 Santa Barbara CLINIC 970 Embarcadero Del Mar None Isla Vista CA 93117-4869 (805) 617-7858 34.411629 -119.857055 181a 29.24
1942531983 1942531983 1 1 First Steps Prenatal Care 5-Apr-12 26 PHYSICIANS A00036515 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 33 Riverside AMC 34151 Date Palm Dr Ste E Cathedral City CA 92234-6831 (760) 770-0210 33.800261 -116.458127 129.3 9411
1942623657 1942623657 1 1 Borrego Community Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 33 Riverside FOUNDATION 58581 Us Highway 371 Suite F, G, H Anza CA 92539-9331 (619) 463-7775 33.55747 -116.638921 130 444.03
1942631460 1942631460 1 1 Rios, Javier Dr Amc 12-Feb-15 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 33 Riverside None 21091 Rider St Suite 218 Perris CA 92570-8878 (951) 940-5511 33.829854 -117.294868 133.3 429.04
1942638978 1942638978 1 1 Brighter Beginnings 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 7 Contra Costa None 2727 Macdonald Ave None Richmond CA 94804-3006 (510) 437-8950 37.935033 -122.342699 18f 3740
1942729223 1942729223 1 1 City & County Of San 21-Jan-20 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 38 San Francisco FRANCISCO 2500 18th St None San Francisco CA 94110-2109 (415) 546-6756 37.761962 -122.407218 162c 228.02
1942756937 1942756937 1 1 City Medical Group Inc 2-Jul-18 22 PHYSICIANS GROUP None 8 Family Practice 0 In state provider 19 Los Angeles None 1508 E. Florence Avenue None Los Angeles CA 90001-2536 (323) 531-0915 33.974741 -118.247316 78.2fff 5350.02
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
1952327256 1952327256 1 12 Sutter Valley Medical Founda 26-Jan-21 25 PHYSICAL THERAPISTS None None UNKNOWN 0 In state provider 57 Yolo None 2020 Sutter Pl None Davis CA 95616-6201 (530) 750-5888 38.561866 -121.772559 244 105.05
1952327256 1952327256 1 31 Sutter Valley Medical Founda 26-Jul-22 31 PSYCHOLOGISTS None None UNKNOWN 0 In state provider 34 Sacramento None 1201 Alhambra Blvd Ste 300 & 230 Sacramento CA 95816-5238 (916) 733-5025 38.570563 -121.466171 139i 14
1952327256 1952327256 1 58 Sutter Valley Medical Founda 26-Jul-22 27 PODIATRISTS None None UNKNOWN 0 In state provider 34 Sacramento None 2725 Capitol Ave None Sacramento CA 95816-6004 (916) 262-9386 38.570794 -121.471663 139i 14
1952327256 1952327256 1 69 Sutter Valley Medical Founda 26-Jul-22 25 PHYSICAL THERAPISTS None None UNKNOWN 0 In state provider 3 Amador None 100 Mission Blvd Ste 2600 Jackson CA 95642-2536 (209) 257-1722 38.346345 -120.772338 4 5
1952333635 1952333635 1 1 Ampla Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 4 Butte MEDICAL & DENTAL 2800 Lincoln Blvd None Oroville CA 95966-5961 (530) 534-7500 39.502499 -121.551712 10 30.02
1952351686 1952351686 1 1 San Marcos Med Grp Inc 28-Feb-01 22 PHYSICIANS GROUP FNP026904 None UNKNOWN 0 In state provider 33 Riverside METROPOLITAN FAMILY MED 4990 Arlington Ave Ste D Riverside CA 92504-2757 (909) 785-9011 33.946074 -117.411872 135c 314.02
1952364747 1952364747 1 1 Centro De Salud De La Comuni 6-Jan-22 71 LICENSED CLINICAL SOCIAL WORKER GROUP None None UNKNOWN 0 In state provider 37 San Diego HEALTH CENTER 4004 Beyer Blvd None San Ysidro CA 92173-2007 (619) 662-4100 32.558402 -117.047923 161j 100.05
1952451031 1952451031 1 1 St Anthony Medical Ctr 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles PICO CLINIC 2515 W Pico Blvd None Los Angeles CA 90006-4003 (323) 469-5555 34.047263 -118.29224 78.2b 2133.2
1952476525 1952476525 1 1 San Joaquin General Hosp 3-May-06 61 COUNTY HOSPITAL OUTPATIENT None None UNKNOWN 0 In state provider 39 San Joaquin None 500 W Hospital Rd None French Camp CA 95231-0000 (209) 468-6937 37.886456 -121.281847 169b 38.03
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
1952542896 1952542896 1 1 County Of Ventura 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura None 2400 S C St None Oxnard CA 93033-4555 (805) 240-7000 34.177396 -119.181346 241b 38.02
1952574717 1952574717 1 1 Mission Neighborhood 8-Jul-08 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 38 San Francisco HEALTH CENTER 4434 Mission St None San Francisco CA 94112-1927 (415) 406-1353 37.726694 -122.433397 162c 255
1952628273 1952628273 1 1 Aranez, Jose T Md Inc 9-Aug-10 26 PHYSICIANS C00051587 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles None 2701 W Alameda Ave Ste 407 Burbank CA 91505-4409 (818) 848-1420 34.157535 -118.330146 78.2ttt 3116
1952641136 1952641136 1 1 Northeast Community Clinics 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 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
1952729303 1952729303 1 1 Family Health Centers 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego OF SAN DIEGO INC 1550 Broadway Ste 2 San Diego CA 92101-5713 (619) 515-2525 32.715751 -117.149938 161c 52
1952749541 1952749541 1 1 Santa Cruz Community Health 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 44 Santa Cruz CENTERS 21507 E Cliff Drive None Santa Cruz CA 95062-4844 (831) 427-3500 36.963518 -121.990872 185.1 1215
1962442012 1962442012 1 1 Long Beach Memorial 5-Oct-82 16 COMMUNITY INPATIENT HOSPITAL 190900525 None UNKNOWN 0 In state provider 19 Los Angeles MEDICAL CENTER 2801 Atlantic Ave None Long Beach CA 90806-1701 (562) 933-2000 33.808011 -118.185097 78.2lll 5722.02
1962456558 1962456558 1 1 Planned Prnthd Mar Monte 22-Jan-98 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 15 Kern PLANNED PARENTHOOD 2633 16th Street None Bakersfield CA 93301-3348 (661) 634-1000 35.372385 -119.03209 66d 17
1962499616 1962499616 1 1 Wang, George H Md 11-Jun-02 26 PHYSICIANS A00073256 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles OB/GYN MEDICAL CORP 2211 S Atlantic Blvd Ste B Monterey Park CA 91754-6833 (323) 266-1100 34.038357 -118.145128 78.2nn 4827.01
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
1962530725 1962530725 1 1 Redwood Coast Med Svs 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 23 Mendocino PO BOX 1100 46900 Ocean Dr None Gualala CA 95445-8353 (707) 884-9476 38.769796 -123.532881 88 111.02
1962538173 1962538173 1 1 Sweeny, Alfredo Md Inc 22-May-01 22 PHYSICIANS GROUP FNP006922 None UNKNOWN 0 In state provider 19 Los Angeles SUNSET FAMILY MED CLINIC 4719 S Broadway None Los Angeles CA 90037-3244 (323) 231-9983 34.000697 -118.278335 78.2ggg 2319
1962538967 1962538967 1 1 City And County Of Sf 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 38 San Francisco None 1000 Cayuga Ave None San Francisco CA 94112-1416 (415) 469-4512 37.722083 -122.439807 162d 261
1962560896 1962560896 1 1 Berganza, Jose D Md Inc 23-Jan-98 22 PHYSICIANS GROUP None 8 Family Practice 0 In state provider 19 Los Angeles SAN JOSE MULTISPECIALTY 14514 Ramona Blvd Ste 3 Baldwin Park CA 91706-3361 (626) 337-0424 34.086815 -117.958895 78.2zzz 4052.01
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
1962599266 1962599266 1 1 Clinicas De Salud Del 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 13 Imperial PUEBLO 223 W Cole Rd None Calexico CA 92231-9722 (619) 353-2900 32.693996 -115.500029 49 119
1962613349 1962613349 1 1 Southwest Comm Hlth Ctr 3-Aug-06 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 49 Sonoma None 3569 Round Barn Circle None Santa Rosa CA 95403-5781 (707) 547-2222 38.478892 -122.728979 210.1 1524
1962650820 1962650820 1 1 California State University 5-Nov-08 22 PHYSICIANS GROUP None 8 Family Practice 0 In state provider 19 Los Angeles LONG BEACH 1250 Bellflower Blvd None Long Beach CA 90840-0201 (562) 985-4771 33.786818 -118.123186 78.2kkk 5746.01
1962676064 1962676064 1 1 Diamond Neighborhoods 22-Dec-08 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 37 San Diego FAMILY HEALTH CENTER 220 Euclid Ave Ste 40 San Diego CA 92114-3617 (619) 515-2560 32.706291 -117.085087 161g 33.04
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
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
1962709857 1962709857 1 1 Chiodi, Martina Md Inc 10-May-11 26 PHYSICIANS A00102206 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 33 Riverside None 24910 Las Brisas Rd #111 Murrieta CA 92562-4010 (951) 461-2229 33.57648 -117.183054 131a 504
1962805283 1962805283 1 2 Reedley Community Hospital 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 10 Fresno None 550 W Cypress Ave None Reedley CA 93654-2096 (559) 391-3115 36.607832 -119.45227 32 66.03
1962876417 1962876417 1 1 Clinica De Salud Del Valle 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 27 Monterey None 2180 N Main St None Salinas CA 93906-1735 (831) 443-2198 36.726655 -121.656249 109.2 105.06
1972010684 1972010684 1 1 Family Healthcare Network 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 54 Tulare None 22817 Avenue 196 None Strathmore CA 93267-9404 (877) 960-3426 36.145549 -119.062624 228.2 33
1972503142 1972503142 1 1 Marshall Medical Center 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 9 El Dorado None 1100 Marshall Way None Placerville CA 95667-6533 (530) 626-2700 38.725642 -120.79098 23.3 312
1972525822 1972525822 1 1 La Clinica De La Raza 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 7 Contra Costa LA CLINICA PITTBURG-MED 2240 Gladstone Dr None Pittsburg CA 94565-5126 (925) 431-1230 38.006542 -121.866438 18d 3131.02
1972556967 1972556967 1 1 Planned Parenthood 27-Dec-94 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 27 Monterey None 625 Hilby Ave None Seaside CA 93955-5720 (831) 394-1691 36.602279 -121.850542 110 140
1972563617 1972563617 1 1 Medical Grp Of Paramount 10-May-94 22 PHYSICIANS GROUP FNP21394 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles CLINICA MEDICA HISPANA 14906 Paramount Blvd None Paramount CA 90723-3409 (562) 630-1991 33.898173 -118.160087 78.2ooo 5536.01
1972614758 1972614758 1 1 Do, Thutrang Do 22-Sep-06 26 PHYSICIANS 20A8885 41 Internal Medicine 0 In state provider 19 Los Angeles DO MEDICAL, INC 15735 Hawthorne Blvd Ste 111 Lawndale CA 90260-2664 (310) 675-1300 33.888154 -118.352692 78.2t 6039
1972625846 1972625846 1 1 Community Medical Ctrs 1-Mar-97 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 39 San Joaquin CHANNEL MEDICAL CENTER 701 E Channel St None Stockton CA 95202-2628 (209) 944-4700 37.955982 -121.282461 169b 1
1972662039 1972662039 1 1 Planned Parenthood-Napa 4-Apr-85 41 COMMUNITY CLINIC 280192284 None UNKNOWN 0 In state provider 28 Napa CENTER 1735 Jefferson St None Napa CA 94559-1702 (707) 252-8050 38.303328 -122.294311 112.1 2005.01
1972752368 1972752368 1 1 De Novo Health Care Inc 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles None 803 Rosecrans Ave None E Rancho Domingue CA 90221-2145 (310) 605-4800 33.903457 -118.215352 78.2bbb 5416.04
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
1972828085 1972828085 1 1 Durfee Family Care Medical 1-Mar-13 26 PHYSICIANS A453810 8 Family Practice 0 In state provider 19 Los Angeles GROUP, APC 2006 Durfee Ave None El Monte CA 91733-3713 (626) 442-5015 34.045825 -118.02981 78.2oo 4339.02
1972863611 1972863611 1 1 Wilmington Urgent Care And 29-May-13 26 PHYSICIANS A00097561 None UNKNOWN 0 In state provider 19 Los Angeles FAMILY CLINIC INC 714 N Avalon Blvd None Wilmington CA 90744-5809 (310) 522-4200 33.778733 -118.262346 78.2p 2948.2
1972912236 1972912236 1 1 Central City Community 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles HEALTH CENTER INC 10050 Garvey Ave Ste 111 El Monte CA 91733-2088 (626) 652-0790 34.062746 -118.050224 78.2qqq 4331.01
1972954071 1972954071 1 2 Comprehensive Community 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles HEALTH CENTERS INC 8316 Foothill Blvd None Sunland CA 91040-2850 (818) 265-2264 34.259691 -118.313998 78.2rr 1031.02
1982075107 1982075107 1 1 Pediatric And Family Medical 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles CENTER 15477 Ventura Blvd Suite 300 Sherman Oaks CA 91403-3006 (818) 907-0322 34.154651 -118.471238 78.2yy 1414
1982075107 1982075107 1 2 Pediatric And Family Medical 22-Nov-21 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles INTERMITTENT 15251 Roscoe Blvd None Panorama City CA 91402-4401 (818) 908-9962 34.221422 -118.46481 78.2zz 1200.1
1982075107 1982075107 1 5 Pediatric And Family Medical 3-Feb-22 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles INTERMITTENT 6618 Van Nuys Blvd None Van Nuys CA 91405-4617 (818) 907-0322 34.191 -118.448709 78.2cc 1281.02
1982079620 1982079620 1 1 United Health Centers Of The 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 10 Fresno SAN JOAQUIN VALLEY 106 E Main St None Fowler CA 93625-2433 (559) 834-3973 36.628827 -119.678773 31 16
1982179008 1982179008 1 1 All-Inclusive Community 22-Nov-21 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 19 Los Angeles HEALTH CENTER 17114 Devonshire Street Suite 200 Northridge CA 91325-1619 (818) 646-1771 34.257552 -118.505989 78.2hh 1113.01
1982663795 1982663795 1 1 Ahn, Edward S Md 1-Jul-03 26 PHYSICIANS A00040196 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles None 4620 Beverly Blvd None Los Angeles CA 90004-3102 (323) 462-6423 34.076258 -118.309618 78.2g 1924.2
1982667663 1982667663 1 1 Uc Regents 28-Jan-20 31 PSYCHOLOGISTS None None UNKNOWN 0 In state provider 19 Los Angeles GRP PRACTICE 10833 Le Conte Ave 12311 Mdcc Los Angeles CA 90095-3075 (310) 206-3952 34.068289 -118.444883 78.2w 2653.01
1982756086 1982756086 1 1 Community Health Systems Inc 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 37 San Diego None 1328 S Mission Rd None Fallbrook CA 92028-4006 (760) 451-4720 33.368587 -117.250778 160 189.06
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
1982763090 1982763090 1 1 Planned Parenthood 12-Jan-82 41 COMMUNITY CLINIC None None UNKNOWN 0 In state provider 7 Contra Costa CONCORD CENTER 2185 Pacheco St None Concord CA 94520-2309 (510) 676-0505 37.978853 -122.034417 18b 3280
1982798831 1982798831 1 1 Family Planning Assoc 6-Sep-84 22 PHYSICIANS GROUP FNP034901 None UNKNOWN 0 In state provider 19 Los Angeles MEDICAL GROUP INC 8635 Firestone Blvd Ste 100 Downey CA 90241-5242 (562) 862-5121 33.93704 -118.127018 78.2eee 5513
1982820221 1982820221 1 1 Clinicas Del Camino 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura REAL, INC NEWBURY PARK 1000 Newbury Rd Ste 150 Newbury Park CA 91320-6438 (805) 498-3640 34.183029 -118.903463 240b 59.09
1982846366 1982846366 1 1 County Of Ventura 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 56 Ventura None 3801 Las Posas Rd Suite 214 Camarillo CA 93010-1426 (805) 652-6075 34.241839 -119.017193 239 52.02
1982876322 1982876322 1 1 Joy Carino Kimpo Family 17-Jun-08 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 In state provider 15 Kern MEDICAL CENTER 1001 Main St None Delano CA 93215-1731 (661) 721-7080 35.76901 -119.245635 60 50.04
1992096630 1992096630 1 1 Primary Care Center Of North 4-Nov-11 22 PHYSICIANS GROUP None 41 Internal Medicine 0 In state provider 37 San Diego COUNTY, APC 13525 Midland Road Suite F Poway CA 92064-4772 (858) 486-9100 32.960233 -117.036345 161q 170.41
1992117071 1992117071 1 1 Clinica Sierra Vista 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 15 Kern None 7800 Niles St None Bakersfield CA 93306-4937 (661) 328-4284 35.37622 -118.917517 66a 9.07
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
1992732192 1992732192 1 1 Bolsa Medical Group 8-Jul-94 22 PHYSICIANS GROUP FNP021388 None UNKNOWN 0 In state provider 30 Orange None 10362 Bolsa Ave Ste 110 Westminster CA 92683-6763 (714) 531-2091 33.744983 -117.948356 116i 889.04
1992736086 1992736086 1 1 Winters Heathcare Fndtn 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 57 Yolo None 172 East Grant Ave None Winters CA 95694-1780 (530) 795-4377 38.526234 -121.967445 242 113
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
1992779417 1992779417 1 1 Santa Ynez Tribal Health 25-Jan-22 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 42 Santa Barbara CLINIC 90 Via Juana Rd None Santa Ynez CA 93460-9679 (805) 688-7070 34.60606 -120.093733 178.1 19.06
1992798730 1992798730 1 1 Cabrera, John F Md 24-Jan-12 26 PHYSICIANS G00081189 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
1992798912 1992798912 1 1 Regents/Ucdpbg/Ob Rei 16-Jul-86 22 PHYSICIANS GROUP None None UNKNOWN 0 In state provider 34 Sacramento None 2521 Stockton Blvd None Sacramento CA 95817-2207 (916) 453-3406 38.552264 -121.455925 139f 18
1992811392 1992811392 1 1 La Clinica Vallejo 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 48 Solano None 415 Georgia St None Vallejo CA 94590-6004 (707) 556-8100 38.101112 -122.256391 204 2509
1992850150 1992850150 1 1 Mba, Helena O Md Inc 11-Jan-07 26 PHYSICIANS A00075962 8 Family Practice 0 In state provider 33 Riverside None 6485 Day St Ste 203 Riverside CA 92507-0931 (951) 697-5800 33.931874 -117.278843 135b 425.05
1992850515 1992850515 1 1 California St Univ Full 21-Apr-98 22 PHYSICIANS GROUP None 1 General Practice 0 In state provider 30 Orange STUDENT HLTH & COUSLTNG 800 N State College Blvd None Fullerton CA 92831-3547 (714) 278-2800 33.878998 -117.889712 116f 115.03
1992863096 1992863096 1 1 La Clinica De La Raza Inc 22-Feb-20 200 DEVELOPMENTAL SCREENING AND TRAUMA None None UNKNOWN 0 In state provider 48 Solano GREAT BEGINNINGS 210 Hospital Dr None Vallejo CA 94589-2517 (707) 645-7316 38.131072 -122.239836 204 2519.01
1992873947 1992873947 1 1 Ardmore Medical Group Inc 8-Jun-04 22 PHYSICIANS GROUP FNP030539 8 Family Practice 0 In state provider 19 Los Angeles None 4528 Slauson Ave None Maywood CA 90270-2934 (323) 562-6170 33.987116 -118.184956 78.2c 5337.01
1992894125 1992894125 1 1 Planned Parenthood L A 19-Dec-79 41 COMMUNITY CLINIC 190991065 None UNKNOWN 0 In state provider 19 Los Angeles LAKEWOOD CENTER 5525 Del Amo Blvd None Lakewood CA 90713-2307 (213) 284-3114 33.847122 -118.124496 78.2n 5709.02
1992894539 1992894539 1 1 Wright, Benny L Do 18-Aug-15 26 PHYSICIANS 20A13319 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 24 Merced None 502 Washington Ave None Los Banos CA 93635-3460 (209) 826-4771 37.055966 -120.853095 94 23.01
1992899769 1992899769 1 1 Family Planning Assoc 25-May-80 22 PHYSICIANS GROUP FNP034901 None UNKNOWN 0 In state provider 10 Fresno MEDICAL GROUP INC 165 N Clark St None Fresno CA 93701-2108 (559) 233-8657 36.744431 -119.786018 35c 5.02
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
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
1992983472 1992983472 1 1 North Park Family Hlth 2-Apr-08 58 HEALTH ACCESS PROGRAM None None UNKNOWN 0 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
1992994628 1992994628 1 1 Cachur, Thomas J Jr Do 21-Sep-07 26 PHYSICIANS 20A9086 16 Obstetrics-Gynecology (M.D. Only) Neonatal 0 In state provider 19 Los Angeles APMC 1513 S Grand Ave Ste 320 Los Angeles CA 90015-3021 (213) 747-7307 34.036322 -118.265961 78.2ffff 2240.1