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Page 1 of 16 This is a list of clinics that are considered prequalified for the Medi-Cal EHR Incentive Program for the 2015 Program Year. The list is current as of 10/31/2016. Prequalification for most clinics is based on data submitted to OSHPD for 2014. For some Indian Health Clinics, prequalification is based on data submitted by Indian Health Services. If your clinic is on this list, but no NPI has been documented, please email [email protected] with your OSHPD ID# and the corresponding NPI. For other questions, please visit the "Group/Clinic FAQ" document found at our website www.medi-cal.ehr.ca.gov. Please note that the NPIs with an asterisk (*) are prequalified as supergroups. If you have several groups/clinics that you want to prequalify as one supergroup, please send a request to [email protected]. NPI (This NPI is the NPI OSHPD_ID FAC_NAME COUNTY 2015 PREQUALIFICATION STATUS that is Prequalified in the State Level Registry) 1003068206 306197172 ST. JOHNS WELL CHILD AND FAMILY CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS 1003818444 306154020 MC FARLAND COMMUNITY HEALTH CENTER Kern PREQUALIFIED WITH MEDICAID ENCOUNTERS 1003826009 306234010 CONSOLIDATED TRIBAL HEALTH PROJECT, INC Mendocino PREQUALIFIED WITH MEDICAID ENCOUNTERS 1003842360 306196757 VENICE FAMILY CLINIC - COLEN FAMILY HEALTH CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS 1003860446 306200087 PLANNED PARENTHOOD MAR MONTE-MADERA Madera PREQUALIFIED WITH MEDICAID ENCOUNTERS 1003863622 306584009 PEACH TREE CLINIC Yuba PREQUALIFIED WITH MEDICAID ENCOUNTERS 1003869363 306371654 NATIONAL CITY FAMILY CLINIC San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS 1003885518 306364243 PLANNED PARENTHOOD - ORANGE AND SAN BERNARDINO CO. INC San Bernardino PREQUALIFIED WITH MEDICAID ENCOUNTERS 1003900101 306214047 MARIN COMMUNITY CLINIC - NOVATO Marin PREQUALIFIED WITH MEDICAID ENCOUNTERS 1003902917 306371581 SAN DIEGO AMERICAN INDIAN HEALTH CENTER San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS 1003974064 306071247 PLANNED PARENTHOOD OF CONTRA COSTA Contra Costa PREQUALIFIED WITH MEDICAID ENCOUNTERS 1013057371 306196692 ST JOHNS WELL CHILD AND FAMILY CENTER - DR. LOUIS Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS 1013058106 306274030 CLINICA DE SALUD DEL VALLE DE SALINAS - CASTROVILLE Monterey PREQUALIFIED WITH MEDICAID ENCOUNTERS 1013083666 306191103 QUEENSCARE HEALTH CENTERS Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS 1013085778 306014210 TECHNICLINIC Alameda PREQUALIFIED WITH MEDICAID ENCOUNTERS 1013088582 306472258 BUTTE VALLEY HEALTH CENTER Siskiyou PREQUALIFIED WITH MEDICAID ENCOUNTERS 1013100023 306214033 MARIN PREGNANCY CLINIC Marin PREQUALIFIED WITH MEDICAID ENCOUNTERS 1013199264 306197151 SUN VALLEY HEALTH CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS 1013222785 306134027 EHMAN WOMENS CENTER Imperial PREQUALIFIED WITH MEDICAID ENCOUNTERS 1013931476 306454035 HAPPY VALLEY FAMILY HEALTH CENTER Shasta PREQUALIFIED WITH MEDICAID ENCOUNTERS 1013932797 306454041 SHASTA LAKE CITY FAMILY HEALTH CENTER Shasta PREQUALIFIED WITH MEDICAID ENCOUNTERS 1013935915 306364196 SAC NORTON San Bernardino PREQUALIFIED WITH MEDICAID ENCOUNTERS 1013935923 306364223 SAC-ARROWHEAD San Bernardino PREQUALIFIED WITH MEDICAID ENCOUNTERS 1013952597 306374438 LOGAN HEIGHTS FAMILY COUNSELING CENTER San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS 1023054004 306374471 CITY HEIGHTS FAMILY HEALTH CENTER San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS 1023062593 306105075 FAMILYFIRST HEALTH CARE, A SERVICE OF PLND. PARNT. - FRESNO - 1ST Fresno PREQUALIFIED WITH MEDICAID ENCOUNTERS 1023159811 306271848 CLINICA DE SALUD DEL VALLE DE SALINAS - SALINAS Monterey PREQUALIFIED WITH MEDICAID ENCOUNTERS 1023164019 306196731 PLANNED PARENTHOOD EAGLE ROCK EXPRESS Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS 1023234465 306564103 CLINICAS DEL CAMINO REAL, INC., SANTA PAULA Ventura PREQUALIFIED WITH MEDICAID ENCOUNTERS 1023287679 306195048 T.H.E. CLINIC AT RUTH TEMPLE HEALTH CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS 1023349883 306374448 CENTRO MEDICO, ESCONDIDO San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS 1033144027 306334524 PLANNED PARENTHOOD - MORENO VALLEY CENTER Riverside PREQUALIFIED WITH MEDICAID ENCOUNTERS 1033390273 306197039 HERALD CHRISTIAN HEALTH CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS 1033426002 306154161 OMNI FAMILY HEALTH Kern PREQUALIFIED WITH MEDICAID ENCOUNTERS 1033486048 306105092 WEST SHAW COMMUNITY HEALTH CENTER Fresno PREQUALIFIED WITH MEDICAID ENCOUNTERS 1033534466 306494100 ALEXANDER VALLEY HEALTHCARE Sonoma PREQUALIFIED WITH MEDICAID ENCOUNTERS 1043263189 306430976 PLANNED PARENTHOOD - SAN JOSE - THE ALAMEDA Santa Clara PREQUALIFIED WITH MEDICAID ENCOUNTERS 1043351133 306274015 CLINICA DE SALUD DEL VALLE DE SALINAS - GREENFIELD Monterey PREQUALIFIED WITH MEDICAID ENCOUNTERS 1043413321 306374401 ALLIANCE HEALTH CLINIC, INC. San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS 1043542111 306197598 ST JOHNS WELL CHILD AND FAMILY CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS 1053312587 306196205 MACLAY HEALTH CENTER FOR CHILDREN Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS 1053364034 306271860 PLANNED PARENTHOOD - SALINAS Monterey PREQUALIFIED WITH MEDICAID ENCOUNTERS 1053364109 306434219 PLANNED PARENTHOOD - GILROY Santa Clara PREQUALIFIED WITH MEDICAID ENCOUNTERS 1053420844 306214009 POINT REYES MEDICAL CLINIC Marin PREQUALIFIED WITH MEDICAID ENCOUNTERS 1053452136 306274007 CLINICA DE SALUD DEL VALLE DE SALINAS-SOLEDAD Monterey PREQUALIFIED WITH MEDICAID ENCOUNTERS 1053560631 306105065 GARLAND COMMUNITY HEALTH CENTER Fresno PREQUALIFIED WITH MEDICAID ENCOUNTERS 1063438232 306421172 EASTSIDE NEIGHBORHOOD CLINIC Santa Barbara PREQUALIFIED WITH MEDICAID ENCOUNTERS 1063447050 306371451 PLANNED PARENTHOOD - ESCONDIDO CENTER San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS 1063481562 306304334 PLANNED PARENTHOOD/ORANGE AND SAN BERNARDINO CO. Orange PREQUALIFIED WITH MEDICAID ENCOUNTERS 1063496651 306424030 MARIAN COMMUNITY CLINICS-SANTA MARIA Santa Barbara PREQUALIFIED WITH MEDICAID ENCOUNTERS 1063562130 306196159 ST. ANTHONY MEDICAL CENTER/HOLLYWOOD CLINIC Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS 1063658029 306434203 SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC. Santa Clara PREQUALIFIED WITH MEDICAID ENCOUNTERS 1063659985 306304441 ALTAMED MEDICAL GROUP - ANAHEIM, LINCOLN AVE Orange PREQUALIFIED WITH MEDICAID ENCOUNTERS 1063684207 306334567 MECCA HEALTH CLINIC Riverside PREQUALIFIED WITH MEDICAID ENCOUNTERS 1063748242 306197400 CHAP - LAKE Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS 1073515425 306154113 SOUTH BAKERSFIELD COMMUNITY HEALTH CENTER Kern PREQUALIFIED WITH MEDICAID ENCOUNTERS 1073533089 306404066 COMMUNITY HEALTH CENTERS, ATASCADERO San Luis Obispo PREQUALIFIED WITH MEDICAID ENCOUNTERS 1073640918 306414102 RAVENSWOOD FAMILY HEALTH CENTER AT BELLE HAVEN San Mateo PREQUALIFIED WITH MEDICAID ENCOUNTERS 1073653630 306197141 ST. JOHNS WELL CHILD AND FAMILY CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS 1073669040 306190611 PLANNED PARENTHOOD OF PASADENA Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS 2015 PREQUALIFIED CLINIC LIST

2015 Prequalified Clinic List - California Department of … 1 of 16 This is a list of clinics that are considered prequalified for the Medi-Cal EHR Incentive Program for the 2015

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Page 1: 2015 Prequalified Clinic List - California Department of … 1 of 16 This is a list of clinics that are considered prequalified for the Medi-Cal EHR Incentive Program for the 2015

Page 1 of 16

This is a list of clinics that are considered prequalified for the Medi-Cal EHR Incentive Program for the 2015 Program Year. The list is current as of 10/31/2016. Prequalification for most clinics is based on data submitted to OSHPD for 2014. For some Indian Health Clinics, prequalification is based on data submitted by Indian Health Services. If your clinic is on this list, but no NPI has been documented, please email [email protected] with your OSHPD ID# and the corresponding NPI. For other questions, please visit the "Group/Clinic FAQ" document found at our website www.medi-cal.ehr.ca.gov.

Please note that the NPIs with an asterisk (*) are prequalified as supergroups. If you have several groups/clinics that you want to prequalify as one supergroup, please send a request to [email protected].

NPI (This NPI is the NPI OSHPD_ID FAC_NAME COUNTY 2015 PREQUALIFICATION STATUSthat is Prequalified in the State Level Registry)1003068206 306197172 ST. JOHNS WELL CHILD AND FAMILY CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1003818444 306154020 MC FARLAND COMMUNITY HEALTH CENTER Kern PREQUALIFIED WITH MEDICAID ENCOUNTERS1003826009 306234010 CONSOLIDATED TRIBAL HEALTH PROJECT, INC Mendocino PREQUALIFIED WITH MEDICAID ENCOUNTERS1003842360 306196757 VENICE FAMILY CLINIC - COLEN FAMILY HEALTH CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1003860446 306200087 PLANNED PARENTHOOD MAR MONTE-MADERA Madera PREQUALIFIED WITH MEDICAID ENCOUNTERS1003863622 306584009 PEACH TREE CLINIC Yuba PREQUALIFIED WITH MEDICAID ENCOUNTERS1003869363 306371654 NATIONAL CITY FAMILY CLINIC San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1003885518 306364243 PLANNED PARENTHOOD - ORANGE AND SAN BERNARDINO CO. INC San Bernardino PREQUALIFIED WITH MEDICAID ENCOUNTERS1003900101 306214047 MARIN COMMUNITY CLINIC - NOVATO Marin PREQUALIFIED WITH MEDICAID ENCOUNTERS1003902917 306371581 SAN DIEGO AMERICAN INDIAN HEALTH CENTER San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1003974064 306071247 PLANNED PARENTHOOD OF CONTRA COSTA Contra Costa PREQUALIFIED WITH MEDICAID ENCOUNTERS1013057371 306196692 ST JOHNS WELL CHILD AND FAMILY CENTER - DR. LOUIS Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1013058106 306274030 CLINICA DE SALUD DEL VALLE DE SALINAS - CASTROVILLE Monterey PREQUALIFIED WITH MEDICAID ENCOUNTERS1013083666 306191103 QUEENSCARE HEALTH CENTERS Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1013085778 306014210 TECHNICLINIC Alameda PREQUALIFIED WITH MEDICAID ENCOUNTERS1013088582 306472258 BUTTE VALLEY HEALTH CENTER Siskiyou PREQUALIFIED WITH MEDICAID ENCOUNTERS1013100023 306214033 MARIN PREGNANCY CLINIC Marin PREQUALIFIED WITH MEDICAID ENCOUNTERS1013199264 306197151 SUN VALLEY HEALTH CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1013222785 306134027 EHMAN WOMENS CENTER Imperial PREQUALIFIED WITH MEDICAID ENCOUNTERS1013931476 306454035 HAPPY VALLEY FAMILY HEALTH CENTER Shasta PREQUALIFIED WITH MEDICAID ENCOUNTERS1013932797 306454041 SHASTA LAKE CITY FAMILY HEALTH CENTER Shasta PREQUALIFIED WITH MEDICAID ENCOUNTERS1013935915 306364196 SAC NORTON San Bernardino PREQUALIFIED WITH MEDICAID ENCOUNTERS1013935923 306364223 SAC-ARROWHEAD San Bernardino PREQUALIFIED WITH MEDICAID ENCOUNTERS1013952597 306374438 LOGAN HEIGHTS FAMILY COUNSELING CENTER San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1023054004 306374471 CITY HEIGHTS FAMILY HEALTH CENTER San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1023062593 306105075 FAMILYFIRST HEALTH CARE, A SERVICE OF PLND. PARNT. - FRESNO - 1ST Fresno PREQUALIFIED WITH MEDICAID ENCOUNTERS1023159811 306271848 CLINICA DE SALUD DEL VALLE DE SALINAS - SALINAS Monterey PREQUALIFIED WITH MEDICAID ENCOUNTERS1023164019 306196731 PLANNED PARENTHOOD EAGLE ROCK EXPRESS Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1023234465 306564103 CLINICAS DEL CAMINO REAL, INC., SANTA PAULA Ventura PREQUALIFIED WITH MEDICAID ENCOUNTERS1023287679 306195048 T.H.E. CLINIC AT RUTH TEMPLE HEALTH CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1023349883 306374448 CENTRO MEDICO, ESCONDIDO San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1033144027 306334524 PLANNED PARENTHOOD - MORENO VALLEY CENTER Riverside PREQUALIFIED WITH MEDICAID ENCOUNTERS1033390273 306197039 HERALD CHRISTIAN HEALTH CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1033426002 306154161 OMNI FAMILY HEALTH Kern PREQUALIFIED WITH MEDICAID ENCOUNTERS1033486048 306105092 WEST SHAW COMMUNITY HEALTH CENTER Fresno PREQUALIFIED WITH MEDICAID ENCOUNTERS1033534466 306494100 ALEXANDER VALLEY HEALTHCARE Sonoma PREQUALIFIED WITH MEDICAID ENCOUNTERS1043263189 306430976 PLANNED PARENTHOOD - SAN JOSE - THE ALAMEDA Santa Clara PREQUALIFIED WITH MEDICAID ENCOUNTERS1043351133 306274015 CLINICA DE SALUD DEL VALLE DE SALINAS - GREENFIELD Monterey PREQUALIFIED WITH MEDICAID ENCOUNTERS1043413321 306374401 ALLIANCE HEALTH CLINIC, INC. San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1043542111 306197598 ST JOHNS WELL CHILD AND FAMILY CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1053312587 306196205 MACLAY HEALTH CENTER FOR CHILDREN Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1053364034 306271860 PLANNED PARENTHOOD - SALINAS Monterey PREQUALIFIED WITH MEDICAID ENCOUNTERS1053364109 306434219 PLANNED PARENTHOOD - GILROY Santa Clara PREQUALIFIED WITH MEDICAID ENCOUNTERS1053420844 306214009 POINT REYES MEDICAL CLINIC Marin PREQUALIFIED WITH MEDICAID ENCOUNTERS1053452136 306274007 CLINICA DE SALUD DEL VALLE DE SALINAS-SOLEDAD Monterey PREQUALIFIED WITH MEDICAID ENCOUNTERS1053560631 306105065 GARLAND COMMUNITY HEALTH CENTER Fresno PREQUALIFIED WITH MEDICAID ENCOUNTERS1063438232 306421172 EASTSIDE NEIGHBORHOOD CLINIC Santa Barbara PREQUALIFIED WITH MEDICAID ENCOUNTERS1063447050 306371451 PLANNED PARENTHOOD - ESCONDIDO CENTER San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1063481562 306304334 PLANNED PARENTHOOD/ORANGE AND SAN BERNARDINO CO. Orange PREQUALIFIED WITH MEDICAID ENCOUNTERS1063496651 306424030 MARIAN COMMUNITY CLINICS-SANTA MARIA Santa Barbara PREQUALIFIED WITH MEDICAID ENCOUNTERS1063562130 306196159 ST. ANTHONY MEDICAL CENTER/HOLLYWOOD CLINIC Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1063658029 306434203 SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC. Santa Clara PREQUALIFIED WITH MEDICAID ENCOUNTERS1063659985 306304441 ALTAMED MEDICAL GROUP - ANAHEIM, LINCOLN AVE Orange PREQUALIFIED WITH MEDICAID ENCOUNTERS1063684207 306334567 MECCA HEALTH CLINIC Riverside PREQUALIFIED WITH MEDICAID ENCOUNTERS1063748242 306197400 CHAP - LAKE Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1073515425 306154113 SOUTH BAKERSFIELD COMMUNITY HEALTH CENTER Kern PREQUALIFIED WITH MEDICAID ENCOUNTERS1073533089 306404066 COMMUNITY HEALTH CENTERS, ATASCADERO San Luis Obispo PREQUALIFIED WITH MEDICAID ENCOUNTERS1073640918 306414102 RAVENSWOOD FAMILY HEALTH CENTER AT BELLE HAVEN San Mateo PREQUALIFIED WITH MEDICAID ENCOUNTERS1073653630 306197141 ST. JOHNS WELL CHILD AND FAMILY CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1073669040 306190611 PLANNED PARENTHOOD OF PASADENA Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS

2015 PREQUALIFIED CLINIC LIST

Page 2: 2015 Prequalified Clinic List - California Department of … 1 of 16 This is a list of clinics that are considered prequalified for the Medi-Cal EHR Incentive Program for the 2015

Page 2 of 16

2015 PREQUALIFIED CLINIC LISTThis is a list of clinics that are considered prequalified for the Medi-Cal EHR Incentive Program for the 2015 Program Year. The list is current as of 10/31/2016. Prequalification for most clinics is based on data submitted to OSHPD for 2014. For some Indian Health Clinics, prequalification is based on data submitted by Indian Health Services. If your clinic is on this list, but no NPI has been documented, please email [email protected] with your OSHPD ID# and the corresponding NPI. For other questions, please visit the "Group/Clinic FAQ" document found at our website www.medi-cal.ehr.ca.gov.

Please note that the NPIs with an asterisk (*) are prequalified as supergroups. If you have several groups/clinics that you want to prequalify as one supergroup, please send a request to [email protected].

NPI (This NPI is the NPI OSHPD_ID FAC_NAME COUNTY 2015 PREQUALIFICATION STATUSthat is Prequalified in the State Level Registry)1073676243 306014194 TIBURCIO VASQUEZ HEALTH CENTER Alameda PREQUALIFIED WITH MEDICAID ENCOUNTERS1083611156 306542019 FAMILY HEALTHCARE NETWORK Tulare PREQUALIFIED WITH MEDICAID ENCOUNTERS1083624423 306194229 EL PROYECTO DEL BARRIO, INC Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1083667323 306444026 PLANNED PARENTHOOD - WATSONVILLE Santa Cruz PREQUALIFIED WITH MEDICAID ENCOUNTERS1083755631 306434105 OVERFELT HIGH SCHOOL HEALTH CLINIC Santa Clara PREQUALIFIED WITH MEDICAID ENCOUNTERS1083783757 306234003 MENDOCINO COAST CLINICS, INC - FORT BRAGG Mendocino PREQUALIFIED WITH MEDICAID ENCOUNTERS1083851992 306304439 ALTAMED MEDICAL GROUP - GARDEN GROVE, HARBOR Orange PREQUALIFIED WITH MEDICAID ENCOUNTERS1083959464 306374493 RICE FAMILY HEALTH CENTER San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1093023277 306197581 UNIVERSAL COMMUNITY HEALTH CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1093716474 306196105 PEDIATRIC HEALTH AND WIC CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1093717779 306154167 34TH STREET COMMUNITY HEALTH CENTER Kern PREQUALIFIED WITH MEDICAID ENCOUNTERS1093886251 306196662 QUEENSCARE HEALTH CENTERS Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1093933194 306564138 CLINICAS DEL CAMINO REAL INC NORTH OXNARD Ventura PREQUALIFIED WITH MEDICAID ENCOUNTERS1093974065 306344153 ELICA HEALTH CENTERS Sacramento PREQUALIFIED WITH MEDICAID ENCOUNTERS1093992844 306434202 NORTH EAST MEDICAL SERVICES Santa Clara PREQUALIFIED WITH MEDICAID ENCOUNTERS1104861681 306374280 CHASE AVENUE FAMILY HEALTH CENTER San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1104945831 306420847 MARIAN COMMUNITY CLINICS - GUADALUPE Santa Barbara PREQUALIFIED WITH MEDICAID ENCOUNTERS1104955483 306105012 COALINGA VALLEY HEALTH CLINICS, INC. - HURON Fresno PREQUALIFIED WITH MEDICAID ENCOUNTERS1114057163 306312257 CHAPA-DE INDIAN HEALTH PROGRAM, INC Placer PREQUALIFIED WITH MEDICAID ENCOUNTERS1114901121 306244036 GOLDEN VALLEY HEALTH CENTER - LESHER MERCED Merced PREQUALIFIED WITH MEDICAID ENCOUNTERS1114928595 306190962 NORTHEAST VALLEY HEALTH - PACOIMA HEALTH CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1124035159 306014196 FAMILY OPTICAL I Alameda PREQUALIFIED WITH MEDICAID ENCOUNTERS1124045042 306404035 COMMUNITY HEALTH CENTERS, PASO San Luis Obispo PREQUALIFIED WITH MEDICAID ENCOUNTERS1124045158 306404064 COMMUNITY HEALTH CENTERS, WOMENS HEALTH San Luis Obispo PREQUALIFIED WITH MEDICAID ENCOUNTERS1124053111 306374025 PLANNED PARENTHOOD/MIRA MESA CLINIC San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1124054564 306194818 VENICE FAMILY CLINIC - ROBERT LEVINE FAMILY HEALTH. Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1124109202 306134014 WINTERHAVEN HEALTH CLINIC Imperial PREQUALIFIED WITH MEDICAID ENCOUNTERS1124112933 306341898 WELLSPACE HEALTH J STREET COMMUNITY HEALTH CENTER Sacramento PREQUALIFIED WITH MEDICAID ENCOUNTERS1124115431 306330061 BLYTHE HEALTH CLINIC Riverside PREQUALIFIED WITH MEDICAID ENCOUNTERS1124182977 306197571 WESLEY HEALTH CENTER (LYNWOOD) Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1124257324 306344163 WELLSPACE HEALTH OAK PARK COMMUNITY HEALTH CENTER Sacramento PREQUALIFIED WITH MEDICAID ENCOUNTERS1134101686 306101872 UNITED HEALTH CTRS OF SAN JOAQUIN VALLEY Fresno PREQUALIFIED WITH MEDICAID ENCOUNTERS1134144165 306374281 BORREGO MEDICAL CLINIC San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1134318959 306154142 WEST DELANO DENTAL CENTER Kern PREQUALIFIED WITH MEDICAID ENCOUNTERS1134369366 306564192 CLINICAS DEL CAMINO REAL, INC., EL RIO Ventura PREQUALIFIED WITH MEDICAID ENCOUNTERS1144336181 306014188 LA CLINICA DE LA RAZA Alameda PREQUALIFIED WITH MEDICAID ENCOUNTERS1154322642 306196173 LOS ANGELES MISSION COLLEGE, STUDENT HLTH CTR Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1154356145 306374387 PLANNED PARENTHOOD - EL CAJON CLINIC San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1154375624 306504049 PLANNED PARENTHOOD - MODESTO Stanislaus PREQUALIFIED WITH MEDICAID ENCOUNTERS1154413854 306564078 CASA PACIFICA HEALTH CLINIC Ventura PREQUALIFIED WITH MEDICAID ENCOUNTERS1154480069 306374414 CENTRO MEDICO, EL CAJON San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1154503399 306214045 MARIN COMMUNITY CLINIC - SAN RAFAEL Marin PREQUALIFIED WITH MEDICAID ENCOUNTERS1154547065 306364252 KIDS COME FIRST COMMUNITY CLINIC San Bernardino PREQUALIFIED WITH MEDICAID ENCOUNTERS1164456323 306154156 OMNI FAMILY HEALTH Kern PREQUALIFIED WITH MEDICAID ENCOUNTERS1164517744 306544089 FAMILY HEALTHCARE NETWORK Tulare PREQUALIFIED WITH MEDICAID ENCOUNTERS1164593331 306196114 QUEENSCARE HEALTH CENTERS Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1164643862 306431525 INDIAN HEALTH CENTER OF SANTA CLARA VALLEY Santa Clara PREQUALIFIED WITH MEDICAID ENCOUNTERS1164672853 306196121 FOSHAY CLINIC Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1174549232 306374398 SHERMAN HEIGHTS FAMILY HEALTH CENTER San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1174560585 306374476 KIDCARE EXPRESS II (MOBILE UNIT) San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1174579957 306390985 PLANNED PARENTHOOD - STOCKTON - NO. WILSON San Joaquin PREQUALIFIED WITH MEDICAID ENCOUNTERS1174665905 306196696 ARROYO VISTA FAMILY HEALTH CENTER-LINCOLN HEIGHTS Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1174859425 306414114 COMMUNITY HEALTH CENTERS ARBOR Santa Barbara PREQUALIFIED WITH MEDICAID ENCOUNTERS1184606634 306104041 UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY Fresno PREQUALIFIED WITH MEDICAID ENCOUNTERS1184625568 306194641 NORTHEAST VALLEY HEALTH CORP - HOMELESS DIVISION Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1184641664 306564004 PLANNED PARENTHOOD OF VENTURA Ventura PREQUALIFIED WITH MEDICAID ENCOUNTERS1184674582 306204026 HORISONS UNLIMITED Madera PREQUALIFIED WITH MEDICAID ENCOUNTERS1184677163 306344019 PLANNED PARENTHOOD - NORTH HIGHLANDS Sacramento PREQUALIFIED WITH MEDICAID ENCOUNTERS1184744138 306014018 WILLIAM BYRON RUMFORD MEDICAL CLINIC Alameda PREQUALIFIED WITH MEDICAID ENCOUNTERS1184913956 306384221 SOUTH OF MARKET HEALTH CENTER San Francisco PREQUALIFIED WITH MEDICAID ENCOUNTERS

Page 3: 2015 Prequalified Clinic List - California Department of … 1 of 16 This is a list of clinics that are considered prequalified for the Medi-Cal EHR Incentive Program for the 2015

Page 3 of 16

NPI (This NPI is the NPI OSHPD_ID FAC_NAME COUNTY 2015 PREQUALIFICATION STATUSthat is Prequalified in the State Level Registry)1184915092 306514040 SUTTER COUNTY - PEACH TREE CLINIC Sutter PREQUALIFIED WITH MEDICAID ENCOUNTERS1184957771 306414115 RAVENSWOOD FAMILY DENTISTRY San Mateo PREQUALIFIED WITH MEDICAID ENCOUNTERS1194893248 306190306 THE SABAN COMMUNITY CLINIC - BEVERLY HEALTH CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1194974402 306304356 NORTH ORANGE COUNTY REGIONAL HEALTH FOUNDATION Orange PREQUALIFIED WITH MEDICAID ENCOUNTERS1205102068 306334650 UNIVERSITY COMMUNITY HEALTH CENTER Riverside PREQUALIFIED WITH MEDICAID ENCOUNTERS1205134517 306374519 GRANGER SCHOOL BASED HEALTH CENTER San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1205810389 306504017 GOLDEN VALLEY HEALTH CENTER-HAMMOND ST. MODESTO Stanislaus PREQUALIFIED WITH MEDICAID ENCOUNTERS1215095575 306072898 PLANNED PARENTHOOD - ANTIOCH Contra Costa PREQUALIFIED WITH MEDICAID ENCOUNTERS1215246996 306374450 NESTOR COMMUNITY HEALTH CENTER San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1215962204 306374301 PLANNED PARENTHOOD - MISSION BAY CLINIC San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1225054414 306420850 WESTSIDE NEIGHBORHOOD CLINIC Santa Barbara PREQUALIFIED WITH MEDICAID ENCOUNTERS1225081227 306441891 PLANNED PARENTHOOD - WESTSIDE Santa Cruz PREQUALIFIED WITH MEDICAID ENCOUNTERS1225149222 306301235 LAGUNA BEACH COMMUNITY CLINIC, INC Orange PREQUALIFIED WITH MEDICAID ENCOUNTERS1225164056 306504008 SIERRA HEALTH CENTER Stanislaus PREQUALIFIED WITH MEDICAID ENCOUNTERS1225177751 306196169 CRENSHAW COMMUNITY HEALTH CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1225188204 306196164 ST. ANTHONY MEDICAL CENTER/IMPERIAL CLINIC Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1225357114 306197431 SOUTHERN CALIFORNIA MEDICAL CENTER, INC. Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1225397409 306304275 ST. JUDE DENTAL CLINIC Orange PREQUALIFIED WITH MEDICAID ENCOUNTERS1235108713 306304411 PLANNED PARENTHOOD/ORANGE AND SAN BERNARDINO CO - MISSION VIEJO Orange PREQUALIFIED WITH MEDICAID ENCOUNTERS1235114745 306242217 GOLDEN VALLEY HEALTH CENTER - PLANADA Merced PREQUALIFIED WITH MEDICAID ENCOUNTERS1235130600 306190567 NORTHEAST VALLEY HEALTH CORPORATION Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1235157967 306584010 MARYSVILLE IMMEDIATE CARE Yuba PREQUALIFIED WITH MEDICAID ENCOUNTERS1235206087 306121917 REDWOODS RURAL HEALTH CENTER. INC Humboldt PREQUALIFIED WITH MEDICAID ENCOUNTERS1235245275 306014205 CLINICA ALTA VISTA Alameda PREQUALIFIED WITH MEDICAID ENCOUNTERS1235271065 306194414 THE SABAN COMMUNITY CLINIC - HOLLYWOOD HEALTH CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1235376047 306304443 ALTAMED MEDICAL GROUP-ANAHEIM-LINCOLN, WEST Orange PREQUALIFIED WITH MEDICAID ENCOUNTERS1245257708 306374360 PLANNED PARENTHOOD - ISABELLA CENTER San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1245265230 306371686 PLANNED PARENTHOOD - FRANCES TORBERT CENTER San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1245489814 306104012 ELM COMMUNITY HEALTH CENTER Fresno PREQUALIFIED WITH MEDICAID ENCOUNTERS1245493097 306394093 PLANNED PARENTHOOD MAR MONTE - TRACY HEALTH CENTER San Joaquin PREQUALIFIED WITH MEDICAID ENCOUNTERS1245516301 306151765 FAMILY HEALTH CENTER Kern PREQUALIFIED WITH MEDICAID ENCOUNTERS1255339644 306240945 GOLDEN VALLEY HEALTH CENTER - W. CHILDS MERCED Merced PREQUALIFIED WITH MEDICAID ENCOUNTERS1255347704 306374480 NCHS CARLSBAD FAMILY MEDICINE San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1255350351 306514007 AMPLA HEALTH RICHLAND MEDICAL Sutter PREQUALIFIED WITH MEDICAID ENCOUNTERS1255366241 306374118 PLANNED PARENTHOOD - CHULA VISTA CENTER San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1255387106 306514002 PLANNED PARENTHOOD- YUBA CITY Sutter PREQUALIFIED WITH MEDICAID ENCOUNTERS1255435533 306120983 HUMBOLDT OPEN DOOR CLINIC Humboldt PREQUALIFIED WITH MEDICAID ENCOUNTERS1255441358 306214024 STINSON BEACH MEDICAL CENTER Marin PREQUALIFIED WITH MEDICAID PLUS NEEDY ENCOUNTERS1255472924 306196556 SOUTH BAY FAMILY HEALTHCARE CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1255490819 306334585 CENTRO MEDICO, OASIS Riverside PREQUALIFIED WITH MEDICAID ENCOUNTERS1255542601 306196538 ALTAMED MEDICAL AND DENTAL GROUP-E.L.A.BOYLE HEIGHTS Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1265457980 306491021 SONOMA COUNTY INDIAN HEALTH PROJECT, INC Sonoma PREQUALIFIED WITH MEDICAID ENCOUNTERS1265458434 306420845 ISLA VISTA NEIGHBORHOOD CLINIC Santa Barbara PREQUALIFIED WITH MEDICAID ENCOUNTERS1265521488 306104048 KINGS WINERY MEDICAL CLINIC Fresno PREQUALIFIED WITH MEDICAID ENCOUNTERS1265567127 306044148 NORTHERN VALLEY INDIAN HEALTH, INC Butte PREQUALIFIED WITH MEDICAID ENCOUNTERS1265569008 306304155 CLINICA CHOC PARA NINOS Orange PREQUALIFIED WITH MEDICAID ENCOUNTERS1265618185 306374395 NEIGHBORHOOD HEALTHCARE - PEDIATRICS AND PRENATAL San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1275550295 306404074 COMMUNITY HEALTH CENTERS TEMPLETON San Luis Obispo PREQUALIFIED WITH MEDICAID ENCOUNTERS1275553257 306404049 COMMUNITY HEALTH CENTERS, SAN LUIS OBISPO San Luis Obispo PREQUALIFIED WITH MEDICAID ENCOUNTERS1275562969 306364366 INLAND FAMILY COMMUNITY HEALTH CENTER San Bernardino PREQUALIFIED WITH MEDICAID ENCOUNTERS1275617169 306374426 OPERATION SAMAHAN COMMUNITY HEALTH CENTER San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1275629495 306194031 CLINICA MSR OSCAR A ROMERO Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1285667758 306112582 AMPLA HEALTH ORLAND MEDICAL AND DENTAL Glenn PREQUALIFIED WITH MEDICAID ENCOUNTERS1285708818 306304484 SOUTHLAND HEALTH CENTER Orange PREQUALIFIED WITH MEDICAID ENCOUNTERS1285754234 306010802 EAST OAKLAND HEALTH CENTER Alameda PREQUALIFIED WITH MEDICAID ENCOUNTERS1285804948 306214048 MARIN CITY HEALTH AND WELLNESS CENTER Marin PREQUALIFIED WITH MEDICAID ENCOUNTERS1285874826 306197306 ST JOHNS CHILD AND FAMILY CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1295719813 306504039 GOLDEN VALLEY HEALTH CENTERS-6TH ST. MODESTO Stanislaus PREQUALIFIED WITH MEDICAID ENCOUNTERS1295752384 306114003 NORTHERN VALLEY INDIAN HEALTH, INC. Glenn PREQUALIFIED WITH MEDICAID ENCOUNTERS1295810174 306351812 SAN BENITO HEALTH FOUNDATION San Benito PREQUALIFIED WITH MEDICAID ENCOUNTERS

2015 PREQUALIFIED CLINIC LISTThis is a list of clinics that are considered prequalified for the Medi-Cal EHR Incentive Program for the 2015 Program Year. The list is current as of 10/31/2016. Prequalification for most clinics is based on data submitted to OSHPD forprequalification is based on data submitted by Indian Health Services. If your clinic is on this list, but no NPI has been documented, please email [email protected] with your OSHPD ID# and the corresponding NPI. For otherFAQ" document found at our website www.medi-cal.ehr.ca.gov.

Please note that the NPIs with an asterisk (*) are prequalified as supergroups. If you have several groups/clinics that you want to prequalify as one supergroup, please send a request to [email protected].

2014. For some Indian Health Clinics, questions, please visit the "Group/Clinic

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NPI (This NPI is the NPI OSHPD_ID FAC_NAME COUNTY 2015 PREQUALIFICATION STATUSthat is Prequalified in the State Level Registry)1295822658 306370856 VISTA COMMUNITY CLINIC San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1295829109 306194813 BELL GARDENS COMMUNITY HEALTH CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1295913366 306284015 COMMUNITY HEALTH CLINIC OLE - ST. HELENA Napa PREQUALIFIED WITH MEDICAID ENCOUNTERS1306015425 306301807 ALTAMED MEDICAL GROUP - HUNTINGTON BEACH COMMUNITY CLINIC Orange PREQUALIFIED WITH MEDICAID ENCOUNTERS1306017603 306196716 MISSION CITY COMTY NETWORK - PACOIMA MIDDLE SCHOOL Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1306131545 306334577 ARLANZA FAMILY HEALTH CENTER Riverside PREQUALIFIED WITH MEDICAID ENCOUNTERS1306827332 306370936 MID-CITY COMMUNITY CLINIC San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1306852496 306154115 OMNI FAMILY HEALTH Kern PREQUALIFIED WITH MEDICAID ENCOUNTERS1306871397 306371589 PLANNED PARENTHOOD ASSN OF SAN DIEGO CO (CLAIREMONT) San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1306965587 306304423 HURTT FAMILY HEALTH CLINIC Orange PREQUALIFIED WITH MEDICAID ENCOUNTERS1306967021 306010992 WEST OAKLAND HEALTH CENTER Alameda PREQUALIFIED WITH MEDICAID ENCOUNTERS1316033533 306196513 CLINICA MONSENOR OSCAR A. ROMERO Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1316039241 306194784 LAWNDALE MEDICAL AND MENTAL HEALTH SERVICES Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1316044522 306190127 EISNER PEDIATRIC AND FAMILY MEDICAL CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1316050107 306094023 EL DORADO COUNTY COMMUNITY HEALTH CENTER El Dorado PREQUALIFIED WITH MEDICAID ENCOUNTERS1316088479 306196231 ARROYO VISTA FAMILY HEALTH CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1316096894 306514038 LIVE OAK MEDICAL CLINIC Sutter PREQUALIFIED WITH MEDICAID ENCOUNTERS1316116221 306304372 ALTAMED MEDICAL GROUP - ORANGE, CHAPMAN Orange PREQUALIFIED WITH MEDICAID ENCOUNTERS1316163736 306564045 OJAI VALLEY COMMUNITY HEALTH CENTER Ventura PREQUALIFIED WITH MEDICAID ENCOUNTERS1316169618 306294009 SIERRA FAMILY MEDICAL CLINIC, INC. Nevada PREQUALIFIED WITH MEDICAID ENCOUNTERS1316188543 306014262 SAN LORENZO HIGH HEALTH CENTER Alameda PREQUALIFIED WITH MEDICAID ENCOUNTERS1316206592 306304388 ST. JUDE NEIGHBORHOOD HEALTH CENTER Orange PREQUALIFIED WITH MEDICAID PLUS NEEDY ENCOUNTERS1316916836 306304338 PLANNED PARENTHOOD/ORANGE AND SAN BERNARDINO CO. Orange PREQUALIFIED WITH MEDICAID ENCOUNTERS1316949837 306154070 DELANO COMMUNITY HEALTH CENTER Kern PREQUALIFIED WITH MEDICAID ENCOUNTERS1316963606 306044016 AMPLA HEALTH CHICO MEDICAL, DENTAL AND PEDIATRICS Butte PREQUALIFIED WITH MEDICAID ENCOUNTERS1316991714 306344093 PLANNED PARENTHOOD - CAPITOL PLAZA Sacramento PREQUALIFIED WITH MEDICAID ENCOUNTERS1326065103 306424078 COMMUNITY HEALTH CENTERS, LOMPOC Santa Barbara PREQUALIFIED WITH MEDICAID ENCOUNTERS1326154360 306013346 LA CLINICA DE LA RAZA DENTAL Alameda PREQUALIFIED WITH MEDICAID ENCOUNTERS1326175100 306344177 WELLSPACE HEALTH NORTH HIGHLANDS COMMUNITY HEALTH CENTER Sacramento PREQUALIFIED WITH MEDICAID ENCOUNTERS1326225632 306371285 COMPREHENSIVE HEALTH CENTER - METRO San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1326297904 306105035 WEST FRESNO COMMUNITY HEALTH CENTER Fresno PREQUALIFIED WITH MEDICAID ENCOUNTERS1326317819 306544087 FAMILY HEALTHCARE NETWORK Tulare PREQUALIFIED WITH MEDICAID ENCOUNTERS1326335464 306234037 MENDOCINO COAST CLINICS PEDIATRIC GROUP Mendocino PREQUALIFIED WITH MEDICAID ENCOUNTERS1326486861 306374498 CHULA VISTA MEDICAL PLAZA San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1336150051 306182322 WESTWOOD FAMILY PRACTICE Lassen PREQUALIFIED WITH MEDICAID ENCOUNTERS1336163898 306404034 DOCTORS OFFICE/FAIR OAKS COMMUNITY HEALTH CENTERS San Luis Obispo PREQUALIFIED WITH MEDICAID ENCOUNTERS1336173020 306124030 TELEHEALTH AND VISITING SPECIALIST CENTER Humboldt PREQUALIFIED WITH MEDICAID ENCOUNTERS1336174325 306334547 PLANNED PARENTHOOD - COACHELLA VALLEY Riverside PREQUALIFIED WITH MEDICAID ENCOUNTERS1336237072 306544091 FAMILY HEALTHCARE NETWORK Tulare PREQUALIFIED WITH MEDICAID ENCOUNTERS1336281179 306196283 THE SABAN COMMUNITY CLINIC - HOLLYWOOD WILSHIRE HEALTH CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1336398908 306105015 EASTON COMMUNITY HEALTH CENTER Fresno PREQUALIFIED WITH MEDICAID ENCOUNTERS1346200342 306197052 ARROYO VISTA FAMILY HEALTH CENTER - LOMA DRIVE Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1346224417 306502214 GOLDEN VALLEY HEALTH CENTER - 6TH ST MODESTO Stanislaus PREQUALIFIED WITH MEDICAID ENCOUNTERS1346262292 306014187 LA CLINICA DENTAL AT CHILDRENS HOSPITAL, OAKLAND Alameda PREQUALIFIED WITH MEDICAID ENCOUNTERS1346450103 306194670 ALTAMED/BUENACARE HEALTH CLINIC Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1346460607 306214025 CENTER POINT INC Marin PREQUALIFIED WITH MEDICAID PLUS NEEDY ENCOUNTERS1346480837 306374421 CHULA VISTA FAMILY HEALTH CENTER San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1346486511 306544080 TULARE COMMUNITY HEALTH CLINIC Tulare PREQUALIFIED WITH MEDICAID ENCOUNTERS1346507928 306197741 PLANNED PARENTHOOD LOS ANGELES STOLLER FILER HEALTH CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1356325310 306244038 GOLDEN VALLEY HEALTH CENTER-LE GRAND Merced PREQUALIFIED WITH MEDICAID ENCOUNTERS1356343735 306154110 KERN VALLEY MEDICAL CENTER Kern PREQUALIFIED WITH MEDICAID ENCOUNTERS1356344758 306491059 RUSSIAN RIVER HEALTH CENTER Sonoma PREQUALIFIED WITH MEDICAID ENCOUNTERS1356368138 306424058 COMMUNITY HEALTH CENTERS, SANTA MARIA HIGH SCHOOL Santa Barbara PREQUALIFIED WITH MEDICAID ENCOUNTERS1356438261 306182250 BIG VALLEY MEDICAL CENTER Lassen PREQUALIFIED WITH MEDICAID PLUS NEEDY ENCOUNTERS1356445753 306504060 GOLDEN VALLEY HEALTH CENTERS - TURLOCK Stanislaus PREQUALIFIED WITH MEDICAID ENCOUNTERS1366463085 306154114 OMNI FAMILY HEALTH Kern PREQUALIFIED WITH MEDICAID ENCOUNTERS1366496838 306394110 PLANNED PARENTHOOD - STOCKTON - PRECISSI San Joaquin PREQUALIFIED WITH MEDICAID ENCOUNTERS1366560393 306304335 CAMINO HEALTH CENTER Orange PREQUALIFIED WITH MEDICAID ENCOUNTERS1376558221 306150023 OMNI FAMILY HEALTH Kern PREQUALIFIED WITH MEDICAID ENCOUNTERS1376560151 306424059 COMMUNITY HEALTH CENTERS, GUADALUPE Santa Barbara PREQUALIFIED WITH MEDICAID ENCOUNTERS

2015 PREQUALIFIED CLINIC LISTThis is a list of clinics that are considered prequalified for the Medi-Cal EHR Incentive Program for the 2015 Program Year. The list is current as of 10/31/2016. Prequalification for most clinics is based on data submitted to OSHPD for 2014. For some Indian Health Clinics, prequalification is based on data submitted by Indian Health Services. If your clinic is on this list, but no NPI has been documented, please email [email protected] with your OSHPD ID# and the corresponding NPI. For other questions, please visit the "Group/Clinic FAQ" document found at our website www.medi-cal.ehr.ca.gov.

Please note that the NPIs with an asterisk (*) are prequalified as supergroups. If you have several groups/clinics that you want to prequalify as one supergroup, please send a request to [email protected].

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NPI (This NPI is the NPI OSHPD_ID FAC_NAME COUNTY 2015 PREQUALIFICATION STATUSthat is Prequalified in the State Level Registry)1376683151 306434155 FRANKLIN MCKINLEY DISTRICT CLINIC Santa Clara PREQUALIFIED WITH MEDICAID ENCOUNTERS1376684456 306274085 CLINICA DE SALUD DEL VALLE DE SALINAS-KING CITY Monterey PREQUALIFIED WITH MEDICAID ENCOUNTERS1376770750 306196884 MISSION CITY COMMUNITY NETWORK - MISSION HILLS Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1386670610 306544005 FAMILY HEALTHCARE NETWORK Tulare PREQUALIFIED WITH MEDICAID ENCOUNTERS1386689701 306370847 BEACH AREA FAMILY HEALTH CENTER San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1386708634 306196808 JWCH NORWALK REGIONAL HEALTH CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1386738177 306544058 FAMILY HEALTHCARE NETWORK - SPRINGVILLE Tulare PREQUALIFIED WITH MEDICAID ENCOUNTERS1386912202 306197723 EAST VALLEY COMMUNITY HEALTH CENTER, INC. - VILLACORTA SCHOOL CLINIC Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1396814893 306195016 VAN NUYS MEDICAL AND MENTAL HEALTH SERVICES Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1396823522 306194222 PREGNANCY HELP CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1396891909 306191356 SOUTH CENTRAL FAMILY HEALTH CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1396961884 306561169 CLINICAS DEL CAMINO REAL, INC., OXNARD Ventura PREQUALIFIED WITH MEDICAID ENCOUNTERS1407031693 306374263 NEIGHBORHOOD HEALTHCARE - PAUMA VALLEY San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1407044175 306454056 PLANNED PARENTHOOD SHASTA - DIABLO Shasta PREQUALIFIED WITH MEDICAID ENCOUNTERS1407808058 306197450 JWCH INSTITUTE, INC, MEDICAL CLINIC/WEINGART CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1407914260 306452320 HILL COUNTRY COMMUNITY CLINIC Shasta PREQUALIFIED WITH MEDICAID ENCOUNTERS1417900531 306430860 PLANNED PARENTHOOD - MOUNTAIN VIEW Santa Clara PREQUALIFIED WITH MEDICAID ENCOUNTERS1417939968 306540003 UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY - EARLIMART Tulare PREQUALIFIED WITH MEDICAID ENCOUNTERS1417958943 306194046 NORTHEAST VALLEY HEALTH CORPORATION Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1417962457 306150786 OMNI FAMILY HEALTH Kern PREQUALIFIED WITH MEDICAID ENCOUNTERS1427046754 306191109 CHINATOWN SERVICE CENTER FAMILY HEALTH CLINIC Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1427070374 306013628 SAN ANTONIO NEIGHBORHOOD HEALTH CENTER Alameda PREQUALIFIED WITH MEDICAID ENCOUNTERS1427081652 306371594 PLANNED PARENTHOOD ASSN OF SAN DIEGO COUNTY San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1427110329 306240921 LIVINGSTON COMMUNITY HEALTH SERVICES Merced PREQUALIFIED WITH MEDICAID ENCOUNTERS1427121375 306304331 CHOC ORANGE CLINIC Orange PREQUALIFIED WITH MEDICAID ENCOUNTERS1427127174 306194189 TAVARUA MEDICAL AND MENTAL SERVICES Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1427207000 306105040 REGIONAL MEDICAL COMMUNITY HEALTH CENTER Fresno PREQUALIFIED WITH MEDICAID ENCOUNTERS1427276278 306564122 CLINICAS DEL CAMINO REAL, INC., OCEANVIEW Ventura PREQUALIFIED WITH MEDICAID ENCOUNTERS1427282466 306374436 LEMON GROVE FAMILY HEALTH CENTER San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1437151800 306150030 KERN RIVER HEALTH CENTER Kern PREQUALIFIED WITH MEDICAID ENCOUNTERS1437153848 306334508 CENTRO MEDICO COMMUNITY CLINIC Riverside PREQUALIFIED WITH MEDICAID ENCOUNTERS1437213279 306444011 DIENTES COMMUNITY DENTAL CARE Santa Cruz PREQUALIFIED WITH MEDICAID ENCOUNTERS1437245412 306374295 VISTA COMMUNITY CLINIC - HORNE STREET San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1437308004 306105072 DIVISADERO COMMUNITY HEALTH CENTER Fresno PREQUALIFIED WITH MEDICAID ENCOUNTERS1437335148 306334665 NEIGHBORHOOD HEALTHCARE - TEMECULA Riverside PREQUALIFIED WITH MEDICAID ENCOUNTERS1437335353 306374286 RAY M DICKINSON WELLNESS CENTER San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1437377454 306196729 KHEIR HEALTH SERVICE CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1447206321 306312342 PLANNED PARENTHOOD - ROSEVILLE Placer PREQUALIFIED WITH MEDICAID ENCOUNTERS1447277355 306424010 COMMUNITY HEALTH CENTERS, SANTA MARIA Santa Barbara PREQUALIFIED WITH MEDICAID ENCOUNTERS1447279310 306384165 GLIDE HEALTH SERVICES San Francisco PREQUALIFIED WITH MEDICAID ENCOUNTERS1447281936 306370813 LOGAN HEIGHTS FAMILY HEALTH CENTER San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1447332036 306344164 WELLSPACE SOUTH VALLEY COMMUNITY HEALTH CENTER Sacramento PREQUALIFIED WITH MEDICAID ENCOUNTERS1447353701 306191135 ARROYO VISTA FAMILY HEALTH CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1447390265 306434156 SAN JOSE HIGH NEIGHBORHOOD CLINIC Santa Clara PREQUALIFIED WITH MEDICAID ENCOUNTERS1447477591 306414071 SONRISAS COMMUNITY DENTAL CLINIC San Mateo PREQUALIFIED WITH MEDICAID ENCOUNTERS1457353831 306154132 FRAZIER MOUNTAIN COMMUNITY HEALTH CENTER Kern PREQUALIFIED WITH MEDICAID ENCOUNTERS1457427411 306380891 MISSION NEIGHBORHOOD HEALTH CENTER San Francisco PREQUALIFIED WITH MEDICAID ENCOUNTERS1457470684 306196197 ANGELES COMPREHENSIVE COMMUNITY CLINIC, INC Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1457599631 306197168 PICO ALISO COMMUNITY CLINIC Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1457633364 306197275 ALL FOR HEALTH, HEALTH FOR ALL, INC. Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1467190425 306196329 HARBOR FREE CLINIC PEDIATRIC CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1467490425 306190363 HARBOR COMMUNITY CLINIC Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1467504530 306164028 FAMILY HEALTHCARE NETWORK - HANFORD Kings PREQUALIFIED WITH MEDICAID ENCOUNTERS1477563518 306184010 NORTHEASTERN HEALTH CENTER Lassen PREQUALIFIED WITH MEDICAID ENCOUNTERS1477586808 306064002 AMPLA HEALTH COLUSA MEDICAL AND DENTAL Colusa PREQUALIFIED WITH MEDICAID ENCOUNTERS1477649119 306191084 WATTS HEALTH CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1477694263 306274023 CLINICA DE SALUD DEL VALLE DE SALINAS-SANBORN Monterey PREQUALIFIED WITH MEDICAID ENCOUNTERS1477730737 306374409 SAN DIEGO CHILDRENS DENTAL CLINIC San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1487607222 306394056 PLANNED PARENTHOOD - MANTECA San Joaquin PREQUALIFIED WITH MEDICAID ENCOUNTERS1487639027 306244048 GOLDEN VALLEY HEALTH CENTERS - W. EL PORTAL MERCED Merced PREQUALIFIED WITH MEDICAID ENCOUNTERS

2015 PREQUALIFIED CLINIC LISTThis is a list of clinics that are considered prequalified for the Medi-Cal EHR Incentive Program for the 2015 Program Year. The list is current as of 10/31/2016. Prequalification for most clinics is based on data submitted to OSHPD for 2014. For some Indian Health Clinics, prequalification is based on data submitted by Indian Health Services. If your clinic is on this list, but no NPI has been documented, please email [email protected] with your OSHPD ID# and the corresponding NPI. For other questions, please visit the "Group/Clinic FAQ" document found at our website www.medi-cal.ehr.ca.gov.

Please note that the NPIs with an asterisk (*) are prequalified as supergroups. If you have several groups/clinics that you want to prequalify as one supergroup, please send a request to [email protected].

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NPI (This NPI is the NPI OSHPD_ID FAC_NAME COUNTY 2015 PREQUALIFICATION STATUSthat is Prequalified in the State Level Registry)1487706347 306360209 BLOOMINGTON COMMUNITY HEALTH CENTER San Bernardino PREQUALIFIED WITH MEDICAID ENCOUNTERS1487741773 306134024 EL CENTRO HEALTH CLINIC Imperial PREQUALIFIED WITH MEDICAID ENCOUNTERS1487826772 306374410 NEIGHBORHOOD HEALTHCARE - GRAND AVE San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1497778443 306244051 CASTLE FAMILY HEALTH CENTER AT BLOSS Merced PREQUALIFIED WITH MEDICAID ENCOUNTERS1497780480 306374040 PLANNED PARENTHOOD OF SDRC-SURGICAL SERVICES San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1497805790 306014112 LOGAN HEALTH CENTER Alameda PREQUALIFIED WITH MEDICAID ENCOUNTERS1497840656 306084005 DEL NORTE COMMUNITY HEALTH CENTER Del Norte PREQUALIFIED WITH MEDICAID ENCOUNTERS1497889158 306304465 NHAN HOA COMPREHENSIVE HEALTH CLINIC Orange PREQUALIFIED WITH MEDICAID ENCOUNTERS1497931828 306064005 AMPLA HEALTH ARBUCKLE MEDICAL AND DENTAL Colusa PREQUALIFIED WITH MEDICAID ENCOUNTERS1508010554 306074135 PLANNED PARENTHOOD PITTSBURG CENTER Contra Costa PREQUALIFIED WITH MEDICAID ENCOUNTERS1508073685 306304013 SHARE OUR SELVES COMMUNITY HEALTH CENTER Orange PREQUALIFIED WITH MEDICAID ENCOUNTERS1508105008 306424091 COMMUNITY HEALTH CENTERS - NEW CUYAMA Santa Barbara PREQUALIFIED WITH MEDICAID ENCOUNTERS1508172842 306384214 MISSION NEIGHBORHOOD RESOURCE CENTER San Francisco PREQUALIFIED WITH MEDICAID ENCOUNTERS1508801069 306374260 GROSSMONT SPRING VALLEY FAMILY HEALTH CENTER San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1508840562 306244037 GOLDEN VALLEY HEALTH CENTERS - WEST I ST.LOS BANOS Merced PREQUALIFIED WITH MEDICAID ENCOUNTERS1508949645 306374479 LA MAESTRA COMMUNITY HEALTH CENTERS - NATIONAL CITY San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1508977414 306300052 SIERRA HEALTH CENTER Orange PREQUALIFIED WITH MEDICAID ENCOUNTERS1508994930 306274074 CLINICA DE SALUD DEL VALLE DE SALINAS - ALVIN Monterey PREQUALIFIED WITH MEDICAID ENCOUNTERS1518171016 306196523 ALTAMED MEDICAL GROUP, BELL Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1518183904 306564083 CLINICAS DEL CAMINO REAL, INC., MARAVILLA Ventura PREQUALIFIED WITH MEDICAID ENCOUNTERS1518298306 306504026 GOLDEN VALLEY HEALTH CENTER-FLORIDA AVE. MODESTO Stanislaus PREQUALIFIED WITH MEDICAID ENCOUNTERS1518911304 306382711 NORTH EAST MEDICAL SERVICES San Francisco PREQUALIFIED WITH MEDICAID ENCOUNTERS1518969211 306154136 ARVIN COMMUNITY HEALTH CENTER Kern PREQUALIFIED WITH MEDICAID ENCOUNTERS1528037041 306364037 PLANNED PARENTHOOD/ORANGE-SAN BERNARDINO COUNTIES San Bernardino PREQUALIFIED WITH MEDICAID ENCOUNTERS1528042512 306244010 GOLDEN VALLEY HEALTH CENTER - WOMENS HEALTH-MERCED Merced PREQUALIFIED WITH MEDICAID ENCOUNTERS1528063153 306254001 CANBY FAMILY PRACTICE Modoc PREQUALIFIED WITH MEDICAID ENCOUNTERS1528080470 306074084 LA CLINICA PITTSBURG DENTAL Contra Costa PREQUALIFIED WITH MEDICAID ENCOUNTERS1528108610 306544053 ALTA FAMILY HEALTH CLINIC, INC. Tulare PREQUALIFIED WITH MEDICAID ENCOUNTERS1528136389 306384045 MISSION NEIGHBORHOOD HEALTH CTR.-EXCELSIOR CLINIC San Francisco PREQUALIFIED WITH MEDICAID ENCOUNTERS1528331287 306374495 ELM STREET FAMILY HEALTH CENTER San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1538130893 306195042 EL PROYECTO DEL BARRIO, INC. - WINNETKA CLINIC Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1538180245 306344147 SACRAMENTO COMMUNITY CLINIC - DEL PASO Sacramento PREQUALIFIED WITH MEDICAID ENCOUNTERS1538181482 306074159 LA CLINICA MONUMENT Contra Costa PREQUALIFIED WITH MEDICAID ENCOUNTERS1538181557 306454058 SHASTA COMMUNITY HEALTH DENTAL CLINIC Shasta PREQUALIFIED WITH MEDICAID ENCOUNTERS1538231832 306197102 NORTHEAST COMMUNITY CLINIC Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1538262092 306374491 KING-CHAVEZ HEALTH CENTER San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1538303516 306304445 ALTAMED DENTAL GROUP-ANAHEIM LINCOLN Orange PREQUALIFIED WITH MEDICAID ENCOUNTERS1538334065 306494107 SEBASTOPOL COMMUNITY HEALTH CENTER Sonoma PREQUALIFIED WITH MEDICAID ENCOUNTERS1548298532 306194433 JEFFERY GOODMAN SPECIAL CARE CLINIC Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1548301229 306190733 SOUTH BAY FAMILY HEALTH CARE CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1548425853 306344157 ELICA HEALTH CENTERS Yolo PREQUALIFIED WITH MEDICAID ENCOUNTERS1548538911 306334647 MAGNOLIA COMMUNITY HEALTH CENTER Riverside PREQUALIFIED WITH MEDICAID ENCOUNTERS1558314609 306431850 PLANNED PARENTHOOD - SAN JOSE - THORNWOOD Santa Clara PREQUALIFIED WITH MEDICAID ENCOUNTERS1558366823 306574020 DAVIS COMMUNITY CLINIC Yolo PREQUALIFIED WITH MEDICAID ENCOUNTERS1558397067 306194819 VENICE FAMILY CLINIC SIMMS/MANN HEALTH AND WELLNESS Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1558420695 306044173 PLANNED PARENTHOOD OF THE NORTH VALLEY- CHICO CTR. Butte PREQUALIFIED WITH MEDICAID ENCOUNTERS1558424374 306014231 WESTCOAST CHILDRENS CLINIC Alameda PREQUALIFIED WITH MEDICAID ENCOUNTERS1558454256 306544059 FAMILY HEALTHCARE NETWORK Tulare PREQUALIFIED WITH MEDICAID ENCOUNTERS1558469064 306574021 HANSEN FAMILY HEALTH CENTER Yolo PREQUALIFIED WITH MEDICAID ENCOUNTERS1558524264 306197423 CLINICA MSR. OSCAR A. ROMERO Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1558554519 306544090 FAMILY HEALTHCARE NETWORK Tulare PREQUALIFIED WITH MEDICAID ENCOUNTERS1558693622 306384212 MISSION NEIGHBORHOOD HEALTH CENTER - VALENCIA CLINIC San Francisco PREQUALIFIED WITH MEDICAID ENCOUNTERS1558693655 306196865 SANTA CLARITA HEALTH CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1568415495 306574003 PLANNED PARENTHOOD - WOODLAND Yolo PREQUALIFIED WITH MEDICAID ENCOUNTERS1568439081 306334054 DESERT AIDS PROJECT Riverside PREQUALIFIED WITH MEDICAID ENCOUNTERS1568449304 306232313 ANDERSON VALLEY HEALTH CENTER, INC Mendocino PREQUALIFIED WITH MEDICAID ENCOUNTERS1568531036 306195015 PALMDALE MEDICAL AND MENTAL HEALTH SERVICES Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1568556363 306382714 LYON-MARTIN WOMENS HEALTH SERVICES San Francisco PREQUALIFIED WITH MEDICAID ENCOUNTERS1568567220 306197090 ALL FOR HEALTH, HEALTH FOR ALL, INC. Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1568599769 306304363 CHOC CLINIC GARDEN GROVE Orange PREQUALIFIED WITH MEDICAID ENCOUNTERS

2015 PREQUALIFIED CLINIC LISTThis is a list of clinics that are considered prequalified for the Medi-Cal EHR Incentive Program for the 2015 Program Year. The list is current as of 10/31/2016. Prequalification for most clinics is based on data submitted to OSHPD for 2014. For some Indian Health Clinics, prequalification is based on data submitted by Indian Health Services. If your clinic is on this list, but no NPI has been documented, please email [email protected] with your OSHPD ID# and the corresponding NPI. For other questions, please visit the "Group/Clinic FAQ" document found at our website www.medi-cal.ehr.ca.gov.

Please note that the NPIs with an asterisk (*) are prequalified as supergroups. If you have several groups/clinics that you want to prequalify as one supergroup, please send a request to [email protected].

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NPI (This NPI is the NPI OSHPD_ID FAC_NAME COUNTY 2015 PREQUALIFICATION STATUSthat is Prequalified in the State Level Registry)1578604369 306274199 CLINICA DE SALUD DEL VALLE DE SALINAS-MHC (HOMES) Monterey PREQUALIFIED WITH MEDICAID PLUS NEEDY ENCOUNTERS1578834164 306074160 LA CLINICA OAKLEY Contra Costa PREQUALIFIED WITH MEDICAID ENCOUNTERS1588656268 306494066 PETALUMA HEALTH CENTER Sonoma PREQUALIFIED WITH MEDICAID ENCOUNTERS1588699151 306540898 FAMILY HEALTHCARE NETWORK - N. BRIDGE Tulare PREQUALIFIED WITH MEDICAID ENCOUNTERS1588740989 306190564 VALLEY COMMUNITY HEALTHCARE Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1588756530 306342248 SACRAMENTO NATIVE AMERICAN HEALTH CENTER, INC. Sacramento PREQUALIFIED WITH MEDICAID ENCOUNTERS1588799449 306524015 NORTHERN VALLEY INDIAN HEALTH, INC Tehama PREQUALIFIED WITH MEDICAID ENCOUNTERS1588826374 306514045 FEATHER RIVER TRIBAL HEALTH, INC. - YUBA CITY OFFICE Sutter PREQUALIFIED WITH MEDICAID ENCOUNTERS1588901045 306374494 DTFHC AT CONNECTIONS San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1598064008 306404076 COMMUNITY HEALTH CENTERS, ARROYO GRANDE San Luis Obispo PREQUALIFIED WITH MEDICAID ENCOUNTERS1598703647 306374093 NEIGHBORHOOD HEALTHCARE ESCONDIDO San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1598719189 306244043 PLANNED PARENTHOOD MAR MONTE - MERCED - COLLINS Merced PREQUALIFIED WITH MEDICAID ENCOUNTERS1598768962 306494014 OCCIDENTAL AREA HEALTH CENTER Sonoma PREQUALIFIED WITH MEDICAID ENCOUNTERS1598786352 306494081 RUSSIAN RIVER HEALTH CENTER BUILDING NO.2 Sonoma PREQUALIFIED WITH MEDICAID ENCOUNTERS1598821027 306100021 SAN JOAQUIN HEALTH CENTER Fresno PREQUALIFIED WITH MEDICAID ENCOUNTERS1598829350 306196557 JWCH MEDICAL CLINIC Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1598858169 306124017 MCKINLEYVILLE COMMUNITY HEALTH CENTER Humboldt PREQUALIFIED WITH MEDICAID ENCOUNTERS1598907487 306374432 PARADISE HILLS FAMILY CLINIC San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1609029362 306094026 PLACERVILLE HEALTH AND WELLNESS CENTER El Dorado PREQUALIFIED WITH MEDICAID ENCOUNTERS1609845171 306300071 PLANNED PARENTHOOD/ORANGE AND SAN BERNARDINO CO-COST Orange PREQUALIFIED WITH MEDICAID ENCOUNTERS1609849074 306374445 LA MAESTRA COMMUNITY HEALTH CENTERS - CITY HEIGHTS San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1619036514 306334582 CENTRO MEDICO, CATHEDRAL CITY Riverside PREQUALIFIED WITH MEDICAID ENCOUNTERS1619056926 306014211 TIGER HEALTH CLINIC Alameda PREQUALIFIED WITH MEDICAID ENCOUNTERS1619952397 306554016 TUOLUMNE ME-WUK INDIAN HEALTH CENTER Tuolumne PREQUALIFIED WITH MEDICAID ENCOUNTERS1619994191 306564204 PLANNED PARENTHOOOD OF THOUSAND OAKS Ventura PREQUALIFIED WITH MEDICAID ENCOUNTERS1629070461 306151071 LAMONT COMMUNITY HEALTH CENTER Kern PREQUALIFIED WITH MEDICAID ENCOUNTERS1629079009 306196829 NORTHEAST VALLEY HEALTH CORPORATION - EARLY INTERV Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1629130240 306042284 FEATHER RIVER TRIBAL HEALTH, INC. Butte PREQUALIFIED WITH MEDICAID ENCOUNTERS1629283197 306196681 ALTAMED GENERAL PEDIATRICS @ CHILDRENS HOSPITAL Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1629377452 306404078 COMMUNITY HEALTH CENTERS CASA San Luis Obispo PREQUALIFIED WITH MEDICAID ENCOUNTERS1629498118 306384220 WOMENS COMMUNITY CLINIC San Francisco PREQUALIFIED WITH MEDICAID ENCOUNTERS1639100027 306244049 CASTLE FAMILY HEALTH CENTER AT CASTLE Merced PREQUALIFIED WITH MEDICAID ENCOUNTERS1639171028 306154128 NORTH OF THE RIVER COMMUNITY HEALTH CENTER Kern PREQUALIFIED WITH MEDICAID ENCOUNTERS1639194004 306044002 AMPLA HEALTH GRIDLEY MEDICAL Butte PREQUALIFIED WITH MEDICAID ENCOUNTERS1639241888 306194816 QUEENSCARE HEALTH CENTERS Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1639336803 306196981 CENTRAL NEIGHBORHOOD HEALTH FOUNDATION Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1649252198 306100771 UNITED HEALTH CTRS OF SAN JOAQUIN VALLEY - ORANGE Fresno PREQUALIFIED WITH MEDICAID ENCOUNTERS1649269747 306130675 CLINICAS DE SALUD DEL PUEBLO, INC - BRAWLEY Imperial PREQUALIFIED WITH MEDICAID ENCOUNTERS1649363375 306374180 VISTA COMMUNITY CLINIC - PIER VIEW WAY San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1659337749 306100716 FRESNO COUNTY E.O.C. HEALTH CLINIC Fresno PREQUALIFIED WITH MEDICAID ENCOUNTERS1659373017 306154027 CENTRAL BAKERSFIELD COMMUNITY HEALTH CENTER Kern PREQUALIFIED WITH MEDICAID ENCOUNTERS1659415131 306374018 ST. VINCENT DE PAUL VILLAGE FAMILY HEALTH CENTER San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1659490308 306374342 LA MAESTRA COMMUNITY HEALTH CENTERS - CITY HEIGHTS DENTAL San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1659671600 306494120 PLANNED PARENTHOOD SANTA ROSA CENTER Sonoma PREQUALIFIED WITH MEDICAID ENCOUNTERS1669407656 306334451 PLANNED PARENTHOOD-RANCHO MIRAGE CENTER Riverside PREQUALIFIED WITH MEDICAID ENCOUNTERS1669418513 306190817 VENICE FAMILY CLINIC Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1669532750 306231463 ROUND VALLEY INDIAN HEALTH CENTER, INC. Mendocino PREQUALIFIED WITH MEDICAID ENCOUNTERS1669569109 306124039 EUREKA COMMUNITY HEALTH CENTER Humboldt PREQUALIFIED WITH MEDICAID ENCOUNTERS1669621447 306105094 ELM WOMENS AND PEDIATRIC COMMUNITY HEALTH CENTER Fresno PREQUALIFIED WITH MEDICAID ENCOUNTERS1669720447 306374520 OPERATION SAMAHAN-PACIFIC AMER. ACA. SCHOOL BASED HLTH CTR. San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1669799896 306197407 HUNTINGTON PARK FAMILY HEALTH CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1679526610 306344013 PLANNED PARENTHOOD - FRUITRIDGE Sacramento PREQUALIFIED WITH MEDICAID ENCOUNTERS1679526693 306342208 PLANNED PARENTHOOD MAR MONTE B STREET HEALTH CTR. Sacramento PREQUALIFIED WITH MEDICAID ENCOUNTERS1679600852 306304272 CHOC CLINIC AT THE BOYS AND GIRLS CLUB OF S.A. Orange PREQUALIFIED WITH MEDICAID ENCOUNTERS1679631907 306561202 CLINICAS DEL CAMINO REAL, INC. VENTURA Ventura PREQUALIFIED WITH MEDICAID ENCOUNTERS1679645121 306472345 TULELAKE HEALTH CENTER Siskiyou PREQUALIFIED WITH MEDICAID ENCOUNTERS1679654750 306134005 NILAND HEALTH CLINIC Imperial PREQUALIFIED WITH MEDICAID ENCOUNTERS1679749501 306334611 MORENO VALLEY FAMILY HEALTH CENTER Riverside PREQUALIFIED WITH MEDICAID ENCOUNTERS1689609679 306371128 PLANNED PARENTHOOD OF SDRC - FIRST AVENUE CENTER San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1689620478 306434164 GILROY NEIGHBORHOOD CLINIC AT SOUTH VALLEY JR H.S. Santa Clara PREQUALIFIED WITH MEDICAID ENCOUNTERS

2015 PREQUALIFIED CLINIC LISTThis is a list of clinics that are considered prequalified for the Medi-Cal EHR Incentive Program for the 2015 Program Year. The list is current as of 10/31/2016. Prequalification for most clinics is based on data submitted to OSHPD for 2014. For some Indian Health Clinics, prequalification is based on data submitted by Indian Health Services. If your clinic is on this list, but no NPI has been documented, please email [email protected] with your OSHPD ID# and the corresponding NPI. For other questions, please visit the "Group/Clinic FAQ" document found at our website www.medi-cal.ehr.ca.gov.

Please note that the NPIs with an asterisk (*) are prequalified as supergroups. If you have several groups/clinics that you want to prequalify as one supergroup, please send a request to [email protected].

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NPI (This NPI is the NPI OSHPD_ID FAC_NAME COUNTY 2015 PREQUALIFICATION STATUSthat is Prequalified in the State Level Registry)1689632374 306196744 ORTHOPAEDIC INSTITUTE FOR CHILDREN Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1689658668 306244045 GOLDEN VALLEY HEALTH CENTER-GUSTINE-NEWMAN Stanislaus PREQUALIFIED WITH MEDICAID ENCOUNTERS1689688004 306154028 WASCO MEDICAL/DENTAL CENTER Kern PREQUALIFIED WITH MEDICAID ENCOUNTERS1689699415 306114005 AMPLA HEALTH HAMILTON CITY MEDICAL Glenn PREQUALIFIED WITH MEDICAID ENCOUNTERS1689760100 306374329 VISTA COMMUNITY CLINIC - N RIVER RD San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1689778813 306121005 NORTHCOUNTRY CLINIC-ARCATA Humboldt PREQUALIFIED WITH MEDICAID ENCOUNTERS1689863516 306014240 NATIVE AMERICAN HEALTH CENTER Alameda PREQUALIFIED WITH MEDICAID ENCOUNTERS1689885428 306196519 NORTHEAST COMMUNITY CLINIC-BELL Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1689885907 306194804 CALIFORNIA FAMILY CARE Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1689925729 306197745 NORTHEAST VALLEY HEALTH CORP. - RAINBOW DENTAL CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1689961302 306197677 PEOPLES COMMUNITY CLINIC Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1699780536 306154042 OMNI FAMILY HEALTH Kern PREQUALIFIED WITH MEDICAID ENCOUNTERS1699859421 306134020 BRAWLEY DENTAL CLINIC Imperial PREQUALIFIED WITH MEDICAID ENCOUNTERS1700097540 306197557 NORTHEAST COMMUNITY CLINIC - WILMINGTON Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1700803285 306404001 PLANNED PARENTHOOD OF SAN LUIS OBISPO COUNTY San Luis Obispo PREQUALIFIED WITH MEDICAID ENCOUNTERS1700804556 306154126 OMNI FAMILY HEALTH Kern PREQUALIFIED WITH MEDICAID ENCOUNTERS1700821303 306374160 NORTH PARK FAMILY HEALTH CENTER San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1700830296 306430761 MAR MONTE COMMUNITY CLINIC - SAN JOSE - ALVIN Santa Clara PREQUALIFIED WITH MEDICAID ENCOUNTERS1700882156 306191169 INGLEWOOD MEDICAL AND MENTAL HEALTH SERVICES Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1700891660 306150014 OMNI FAMILY HEALTH Kern PREQUALIFIED WITH MEDICAID ENCOUNTERS1700906757 306014019 ALBERT J. THOMAS MEDICAL CLINIC Alameda PREQUALIFIED WITH MEDICAID ENCOUNTERS1700946969 306374422 JULIAN MEDICAL CLINIC San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1700960267 306084006 SUTTER COAST COMMUNTIY CLINIC Del Norte PREQUALIFIED WITH MEDICAID ENCOUNTERS1700976503 306281467 COMMUNITY HEALTH CLINIC OLE - NAPA Napa PREQUALIFIED WITH MEDICAID ENCOUNTERS1710087515 306574014 SALUD CLINIC Yolo PREQUALIFIED WITH MEDICAID ENCOUNTERS1710102009 306196258 MISSION CITY COMMUNITY NETWORK-HOLLYWOOD Los Angeles PREQUALIFIED WITH MEDICAID PLUS NEEDY ENCOUNTERS1710191283 306194050 ALTAMED MEDICAL GROUP Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1710218409 306494115 ALLIANCE MEDICAL CENTER - WINDSOR Sonoma PREQUALIFIED WITH MEDICAID ENCOUNTERS1710236120 306374489 RANCHO PENASQUITOS COMMUNITY HEALTH CENTER San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1710237029 306134030 BRAWLEY OPEN ACCESS HEALTH CENTER Imperial PREQUALIFIED WITH MEDICAID ENCOUNTERS1710975727 306304038 PLANNED PARENTHOOD/ORANGE AND SAN BERNARDINO CO-LA H Orange PREQUALIFIED WITH MEDICAID ENCOUNTERS1720171242 306196234 UMMA COMMUNITY CLINIC Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1720243454 306484058 LA CLINICA NORTH VALLEJO Solano PREQUALIFIED WITH MEDICAID ENCOUNTERS1720264641 306374481 NEIGHBORHOOD HEALTHCARE - VALLEY PARKWAY San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1720362056 306564234 CLINICAS DEL CAMINO REAL, INC. - SIMI VALLEY Ventura PREQUALIFIED WITH MEDICAID ENCOUNTERS1730163734 306242279 GOLDEN VALLEY HEALTH CENTER - LOS BANOS Merced PREQUALIFIED WITH MEDICAID ENCOUNTERS1730180118 306194810 NORTHEAST VALLEY HLTH CORP LAC-VALENCIA HLTH CNTR Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1730279423 306474001 KARUK TRIBAL HEALTH PROGRAM Siskiyou PREQUALIFIED WITH MEDICAID ENCOUNTERS1730330739 306124016 WILLOW CREEK COMMUNITY HEALTH CENTER Humboldt PREQUALIFIED WITH MEDICAID ENCOUNTERS1730363151 306384196 HEALTHRIGHT 360 San Francisco PREQUALIFIED WITH MEDICAID ENCOUNTERS1730481318 306197629 ALTAMED MEDICAL AND DENTAL GROUP - WEST COVINA Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1730502725 306544096 FAMILY HEALTHCARE NETWORK- VISALIA SCHOOL Tulare PREQUALIFIED WITH MEDICAID ENCOUNTERS1740222934 306424040 AMERICAN INDIAN HEALTH AND SERVICES Santa Barbara PREQUALIFIED WITH MEDICAID ENCOUNTERS1740281120 306194809 NORTHEAST VALLEY HEALTH CORP LAC-CANOGA PARK HLTH Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1740335678 306196846 UNITED AMERICAN INDIAN INVOLVEMENT INC. Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1740336734 306344146 SACRAMENTO COMMUNITY CLINIC - SOUTHGATE Sacramento PREQUALIFIED WITH MEDICAID ENCOUNTERS1740427657 306304440 ALTAMED MEDICAL GROUP - SANTA ANA, MAIN Orange PREQUALIFIED WITH MEDICAID ENCOUNTERS1740437961 306197031 NEVHC HOMELESS MOBILE CLINIC Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1740439314 306100019 ORANGE AND BUTLER COMMUNITY HEALTH CENTER Fresno PREQUALIFIED WITH MEDICAID ENCOUNTERS1740505262 306074144 PLANNED PARENTHOOD EL CERRITO CENTER Contra Costa PREQUALIFIED WITH MEDICAID ENCOUNTERS1750316741 306330135 PLANNED PARENTHOOD - RIVERSIDE CLINIC Riverside PREQUALIFIED WITH MEDICAID ENCOUNTERS1750387072 306452335 SHINGLETOWN MEDICAL CENTER Shasta PREQUALIFIED WITH MEDICAID ENCOUNTERS1750399796 306491404 ALLIANCE MEDICAL CENTER Sonoma PREQUALIFIED WITH MEDICAID ENCOUNTERS1750490363 306431867 ASIAN AMERICANS FOR COMM INVOLVEMENT SANTA CLARA Santa Clara PREQUALIFIED WITH MEDICAID ENCOUNTERS1760409791 306194138 MISSION CITY COMMUNITY NETWORK, INC. Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1760427843 306380827 HEALTHRIGHT 360 San Francisco PREQUALIFIED WITH MEDICAID ENCOUNTERS1760480610 306274059 GARFIELD HEALTH CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1760517213 306196916 CHILDRENS DENTAL HEALTH CLINIC Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1760584049 306214044 BOLINAS FAMILY PRACTICE Marin PREQUALIFIED WITH MEDICAID ENCOUNTERS1760660831 306284016 COMMUNITY HEALTH CLINIC OLE - CALISTOGA Napa PREQUALIFIED WITH MEDICAID ENCOUNTERS

2015 PREQUALIFIED CLINIC LISTThis is a list of clinics that are considered prequalified for the Medi-Cal EHR Incentive Program for the 2015 Program Year. The list is current as of 10/31/2016. Prequalification for most clinics is based on data submitted to OSHPD for 2014. For some Indian Health Clinics, prequalification is based on data submitted by Indian Health Services. If your clinic is on this list, but no NPI has been documented, please email [email protected] with your OSHPD ID# and the corresponding NPI. For other questions, please visit the "Group/Clinic FAQ" document found at our website www.medi-cal.ehr.ca.gov.

Please note that the NPIs with an asterisk (*) are prequalified as supergroups. If you have several groups/clinics that you want to prequalify as one supergroup, please send a request to [email protected].

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NPI (This NPI is the NPI OSHPD_ID FAC_NAME COUNTY 2015 PREQUALIFICATION STATUSthat is Prequalified in the State Level Registry)1760667950 306371511 NEIGHBORHOOD HEALTHCARE EL CAJON San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1770567778 306244001 GOLDEN VALLEY HEALTH CENTER - DOS PALOS Merced PREQUALIFIED WITH MEDICAID ENCOUNTERS1770568347 306504033 GOLDEN VALLEY HEALTH CENTER-WESTLEY Stanislaus PREQUALIFIED WITH MEDICAID ENCOUNTERS1770641482 306071248 PLANNED PARENTHOOD OF CONTRA COSTA-RICHMOND CENTER Contra Costa PREQUALIFIED WITH MEDICAID ENCOUNTERS1770696023 306196735 EL PROYECTO DEL BARRIO - AZUSA Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1770859084 306044174 CHILDRENS HEALTH CENTER Butte PREQUALIFIED WITH MEDICAID ENCOUNTERS1770895138 306105081 ELM DENTAL CENTER Fresno PREQUALIFIED WITH MEDICAID ENCOUNTERS1780606632 306484047 LA CLINICA VALLEJO DENTAL Solano PREQUALIFIED WITH MEDICAID ENCOUNTERS1780637645 306431915 PLANNED PARENTHOOD - SAN JOSE - ALUM ROCK Santa Clara PREQUALIFIED WITH MEDICAID ENCOUNTERS1780665877 306370738 LINDA VISTA HEALTH CARE CENTER San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1780668863 306504020 GOLDEN VALLEY HEALTH CENTERS-LAS VEGAS ST-MODESTO Stanislaus PREQUALIFIED WITH MEDICAID ENCOUNTERS1790075315 306334505 EASTSIDE HEALTH CENTER Riverside PREQUALIFIED WITH MEDICAID ENCOUNTERS1790718351 306370876 IMPERIAL BEACH HEALTH CENTER San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1790739126 306100777 PLANNED PARENTHOOD MAR MONTE-FRESNO-FULTON Fresno PREQUALIFIED WITH MEDICAID ENCOUNTERS1801028303 306197743 ST. JOHNS WELL CHILD AND FAMILY CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1801804398 306154100 OMNI FAMILY HEALTH Kern PREQUALIFIED WITH MEDICAID ENCOUNTERS1801829296 306582254 AMPLA HEALTH LINDHURST MEDICAL AND DENTAL Yuba PREQUALIFIED WITH MEDICAID ENCOUNTERS1801878350 306101191 UNITED HEALTH CTRS OF SAN JOAQUIN VALLEY - PARLIER Fresno PREQUALIFIED WITH MEDICAID ENCOUNTERS1801907449 306371602 OPERATION SAMAHAN HEALTH CLINIC San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1801967062 306196099 QUEENSCARE HEALTH CENTERS Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1811185259 306380896 NATIVE AMERICAN HEALTH CENTER San Francisco PREQUALIFIED WITH MEDICAID ENCOUNTERS1811279763 306197701 BARTZ-ALTADONNA COMMUNITY HEALTH CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1811914674 306421184 PLANNED PARENTHOOD OF SANTA MARIA Santa Barbara PREQUALIFIED WITH MEDICAID ENCOUNTERS1811926058 306421062 PLANNED PARENTHOOD OF SANTA BARBARA COUNTY, INC. Santa Barbara PREQUALIFIED WITH MEDICAID ENCOUNTERS1821167305 306196133 AMERICAN HEALTH SERVICES AT HAWAIIAN GARDENS Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1821170044 306414076 RAVENSWOOD FAMILY HEALTH CENTER San Mateo PREQUALIFIED WITH MEDICAID ENCOUNTERS1821186727 306544063 FAMILY HEALTHCARE NETWORK Tulare PREQUALIFIED WITH MEDICAID ENCOUNTERS1821275132 306374261 COMPREHENSIVE HEALTH CENTER - EUCLID San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1821302027 306197165 ARROYO VISTA FAMILY HEALTH CENTER-ES HUNTINGTON DRIVE Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1831115070 306514041 AMPLA HEALTH YUBA CITY MEDICAL Sutter PREQUALIFIED WITH MEDICAID ENCOUNTERS1831243625 306191053 EAST VALLEY COMMUNITY HEALTH CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1831287978 306190936 WESTSIDE FAMILY HEALTH CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1831383637 306374378 PLANNED PARENTHOOD - CITY HEIGHTS CLINIC San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1831390954 306196742 NORTHEAST COMMUNITY CLINIC WOMENS HEALTH CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1831520048 306544095 FAMILY HEALTHCARE NETWORK Tulare PREQUALIFIED WITH MEDICAID ENCOUNTERS1841217866 306401170 NIPOMO COMMUNITY MEDICAL CENTER San Luis Obispo PREQUALIFIED WITH MEDICAID ENCOUNTERS1841217866 306404081 COMMUNITY HEALTH CENTERS, MOBILE DENTAL VAN 2 San Luis Obispo PREQUALIFIED WITH MEDICAID ENCOUNTERS1841217866 306404071 COMMUNITY HEALTH CENTERS, MOBILE DENTAL San Luis Obispo PREQUALIFIED WITH MEDICAID ENCOUNTERS1841225836 306371609 PLANNED PARENTHOOD PACIFIC BEACH CLINIC San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1841476686 306154146 OMNI FAMILY HEAALTH Kern PREQUALIFIED WITH MEDICAID ENCOUNTERS1841556404 306564230 CLINICAS DEL CAMINO REAL, INC. - MOORPARK Ventura PREQUALIFIED WITH MEDICAID ENCOUNTERS1851300123 306374031 VISTA COMMUNITY CLINIC - GRAPEVINE San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1851325021 306154137 OMNI FAMILY HEALTH Kern PREQUALIFIED WITH MEDICAID ENCOUNTERS1851373401 306105044 UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY Fresno PREQUALIFIED WITH MEDICAID ENCOUNTERS1851389696 306011057 TIBURCIO VASQUEZ HEALTH CENTER, INC. Alameda PREQUALIFIED WITH MEDICAID ENCOUNTERS1851431647 306434132 WASHINGTON NEIGHBORHOOD HEALTH CLINIC Santa Clara PREQUALIFIED WITH MEDICAID ENCOUNTERS1851486989 306124027 EUREKA COMMUNITY HEALTH CENTER - BURRE DENTAL CTR Humboldt PREQUALIFIED WITH MEDICAID ENCOUNTERS1851513469 306461280 WESTERN SIERRA MEDICAL CLINIC Sierra PREQUALIFIED WITH MEDICAID PLUS NEEDY ENCOUNTERS1851522015 306014277 ROOSEVELT HEALTH CENTER Alameda PREQUALIFIED WITH MEDICAID ENCOUNTERS1851692560 306384219 PLANNED PARENTHOOD SAN FRANCISCO CENTER San Francisco PREQUALIFIED WITH MEDICAID ENCOUNTERS1861494338 306150057 EAST BAKERSFIELD COMMUNITY HEALTH CENTER Kern PREQUALIFIED WITH MEDICAID ENCOUNTERS1861636177 306197328 PLANNED PARENTHOOD ALHAMBRA HEALTH CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1861670093 306234029 MENDOCINO COAST CLINICS, INC. Mendocino PREQUALIFIED WITH MEDICAID ENCOUNTERS1861791378 306424079 COMMUNITY HEALTH CENTERS BROADWAY Santa Barbara PREQUALIFIED WITH MEDICAID ENCOUNTERS1871524363 306374474 KIDCARE EXPRESS III (MOBILE MEDICAL UNIT) San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1871634568 306191020 SOUTH BAY FAMILY HEALTH CARE CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1871680397 306371354 OPERATION SAMAHAN MIRA MESA OUTREACH CLINIC San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1871689315 306195098 COMMUNITY HEALTH ALLIANCE OF PASADENA Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1871818138 306304415 FRIENDS OF FAMILY HEALTH CENTER Orange PREQUALIFIED WITH MEDICAID ENCOUNTERS1871853481 306197742 CENTER FOR FAMILY HEALTH AND EDUCATION Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS

2015 PREQUALIFIED CLINIC LISTThis is a list of clinics that are considered prequalified for the Medi-Cal EHR Incentive Program for the 2015 Program Year. The list is current as of 10/31/2016. Prequalification for most clinics is based on data submitted to OSHPD for 2014. For some Indian Health Clinics, prequalification is based on data submitted by Indian Health Services. If your clinic is on this list, but no NPI has been documented, please email [email protected] with your OSHPD ID# and the corresponding NPI. For other questions, please visit the "Group/Clinic FAQ" document found at our website www.medi-cal.ehr.ca.gov.

Please note that the NPIs with an asterisk (*) are prequalified as supergroups. If you have several groups/clinics that you want to prequalify as one supergroup, please send a request to [email protected].

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NPI (This NPI is the NPI OSHPD_ID FAC_NAME COUNTY 2015 PREQUALIFICATION STATUSthat is Prequalified in the State Level Registry)1881611705 306404056 COMMUNITY HEALTH CENTERS, CAMBRIA San Luis Obispo PREQUALIFIED WITH MEDICAID ENCOUNTERS1881798288 306504061 GOLDEN VALLEY HEALTH CENTERS - CERES Stanislaus PREQUALIFIED WITH MEDICAID ENCOUNTERS1881960128 306574006 NORTHERN VALLEY INDIAN HEALTH, INC. Yolo PREQUALIFIED WITH MEDICAID ENCOUNTERS1891011599 306374437 LA MAESTRA COMMUNITY HEALTH CENTERS - LEMON GROVE San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1891028171 306197630 NORTHEAST COMMUNITY CLINIC - HAWTHORNE Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1891118147 306424099 CHC PALISADE WOMENS HEALTH Santa Barbara PREQUALIFIED WITH MEDICAID ENCOUNTERS1891710638 306454008 SHASTA COMMUNITY HEALTH CENTER Shasta PREQUALIFIED WITH MEDICAID ENCOUNTERS1891837621 306196420 ARROYO VISTA FAMILY HEALTH CENTER-MOBILE CLINIC II Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1891925905 306424074 COMMUNITY HEALTH CENTERS - SANTA MARIA III Santa Barbara PREQUALIFIED WITH MEDICAID ENCOUNTERS1902025059 306104069 CENTRAL VALLEY INDIAN HEALTH CLINIC PRATHER Fresno PREQUALIFIED WITH MEDICAID ENCOUNTERS1902106198 306284020 COMMUNITY HEALTH CLINIC OLE - TRANCAS ST Napa PREQUALIFIED WITH MEDICAID ENCOUNTERS1902109580 306197463 PLANNED PARENTHOOD LOS ANGELES ANTELOPE VALLEY CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1902923329 306441847 SANTA CRUZ WOMENS HEALTH CENTER Santa Cruz PREQUALIFIED WITH MEDICAID ENCOUNTERS1912093451 306544061 FAMILY HEALTHCARE NETWORK Tulare PREQUALIFIED WITH MEDICAID ENCOUNTERS1912123431 306561895 CLINICAS DEL CAMINO REAL, INCORPORATED, FILLMORE Ventura PREQUALIFIED WITH MEDICAID ENCOUNTERS1912220781 306214051 MARIN COMMUNITY CLINIC - NOVATO DENTAL Marin PREQUALIFIED WITH MEDICAID ENCOUNTERS1912907114 306196123 FAMILY HEALTH CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1912976408 306304242 PLANNED PARENTHOOD/ORANGE AND SAN BERNARDINO CO Orange PREQUALIFIED WITH MEDICAID ENCOUNTERS1922051812 306371226 OTAY FAMILY HEALTH CLINIC San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1922082007 306502212 GOLDEN VALLEY HEALTH CENTER-PATTERSON Stanislaus PREQUALIFIED WITH MEDICAID ENCOUNTERS1922138841 306294021 CHAPA-DE INDIAN HEALTH PROGRAM, INC. Nevada PREQUALIFIED WITH MEDICAID ENCOUNTERS1922179498 306454044 FALL RIVER VALLEY HEALTH CENTER Shasta PREQUALIFIED WITH MEDICAID ENCOUNTERS1922249077 306504070 GOLDEN VALLEY HEALTH CENTER - TURLOCK Stanislaus PREQUALIFIED WITH MEDICAID ENCOUNTERS1922303437 306214054 MARIN COMMUNITY CLINIC - SAN RAFAEL CAMPUS Marin PREQUALIFIED WITH MEDICAID ENCOUNTERS1922318047 306124036 PERINATAL SERVICES OF NORTHCOUNTRY CLINIC Humboldt PREQUALIFIED WITH MEDICAID ENCOUNTERS1922356369 306364466 TRI-STATE COMMUNITY HEALTHCARE CENTER San Bernardino PREQUALIFIED WITH MEDICAID ENCOUNTERS1932134921 306374377 PLANNED PARENTHOOD - MISSION VALLEY EXPRESS San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1932169240 306164018 AVENAL COMMUNITY HEALTH CENTER Kings PREQUALIFIED WITH MEDICAID ENCOUNTERS1932194586 306191038 WILMINGTON COMMUNITY CLINIC Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1932249505 306196520 ST. JOHNS WELL CHILD AND FAM CENTER-LINCOLN HEIGHTS Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1932249596 306196147 ST JOHNS WELL CHILD CENTER/COMPTON Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1932269644 306482331 PLANNED PARENTHOOD - FAIRFIELD CENTER Solano PREQUALIFIED WITH MEDICAID ENCOUNTERS1932280633 306334568 MECCA HEALTH CLINIC Riverside PREQUALIFIED WITH MEDICAID ENCOUNTERS1932381605 306334608 COACHELLA HEALTH CLINIC Riverside PREQUALIFIED WITH MEDICAID ENCOUNTERS1932384120 306374164 NEIGHBORHOOD HEALTHCARE - LAKESIDE San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1942225719 306454034 ANDERSON FAMILY HEALTH CENTER Shasta PREQUALIFIED WITH MEDICAID ENCOUNTERS1942369012 306482328 PLANNED PARENTHOOD - VALLEJO CENTER Solano PREQUALIFIED WITH MEDICAID ENCOUNTERS1942387188 306014156 TRI CITY HEALTH CENTER Alameda PREQUALIFIED WITH MEDICAID ENCOUNTERS1942398367 306194839 LOS ANGELES CHRISTIAN HEALTH CENTERS Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1942508270 306154163 EAST BAKERSFIELD DENTAL CLINIC Kern PREQUALIFIED WITH MEDICAID ENCOUNTERS1952326811 306514029 AMPLA HEALTH YUBA CITY PEDIATRICS Sutter PREQUALIFIED WITH MEDICAID ENCOUNTERS1952333635 306044166 AMPLA HEALTH OROVILLE MEDICAL AND DENTAL Butte PREQUALIFIED WITH MEDICAID ENCOUNTERS1952364747 306371257 SAN YSIDRO HEALTH CENTER San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1952451031 306196166 ST. ANTHONY MEDICAL CENTER/ PICO CLINIC Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1952460032 306484046 PLANNED PARENTHOOD: SHASTA-DIABLO Solano PREQUALIFIED WITH MEDICAID ENCOUNTERS1962433458 306374470 KIDCARE EXPRESS San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1962456558 306154180 PLANNED PARENTHOOD - BAKERSFIELD Kern PREQUALIFIED WITH MEDICAID ENCOUNTERS1962483040 306374324 MID-CITY COMMUNITY CLINIC (PEDIATRICS) San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1962527390 306197351 THE FAMILY CLINIC OF LONG BEACH Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1962567388 306105068 KERMAN HEALTH CENTER Fresno PREQUALIFIED WITH MEDICAID ENCOUNTERS1962599266 306131254 CLINICAS DE SALUD DEL PUEBLO INC - CALEXICO Imperial PREQUALIFIED WITH MEDICAID ENCOUNTERS1962680421 306504067 GOLDEN VALLEY HEALTH CENTERS - TENAYA DR. MODESTO Stanislaus PREQUALIFIED WITH MEDICAID ENCOUNTERS1972505469 306140067 DEATH VALLEY HEALTH CENTER Inyo PREQUALIFIED WITH MEDICAID PLUS NEEDY ENCOUNTERS1972525822 306074083 LA CLINICA PITTSBURG - MEDICAL Contra Costa PREQUALIFIED WITH MEDICAID ENCOUNTERS1972556967 306271845 PLANNED PARENTHOOD - SEASIDE Monterey PREQUALIFIED WITH MEDICAID ENCOUNTERS1982635470 306374277 TEEN HEALTH CENTER San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1982756086 306374446 FALLBROOK FAMILY HEALTH CENTER San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1982763090 306073663 PLANNED PARENTHOOD OF CONTRA COSTA-CONCORD CENTER Contra Costa PREQUALIFIED WITH MEDICAID ENCOUNTERS1982784740 306384210 NORTH EAST MEDICAL SERVICES - NORIEGA San Francisco PREQUALIFIED WITH MEDICAID ENCOUNTERS1982814745 306197101 ALTAMED MEDICAL GROUP Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS

2015 PREQUALIFIED CLINIC LISTThis is a list of clinics that are considered prequalified for the Medi-Cal EHR Incentive Program for the 2015 Program Year. The list is current as of 10/31/2016. Prequalification for most clinics is based on data submitted to OSHPD for 2014. For some Indian Health Clinics, prequalification is based on data submitted by Indian Health Services. If your clinic is on this list, but no NPI has been documented, please email [email protected] with your OSHPD ID# and the corresponding NPI. For other questions, please visit the "Group/Clinic FAQ" document found at our website www.medi-cal.ehr.ca.gov.

Please note that the NPIs with an asterisk (*) are prequalified as supergroups. If you have several groups/clinics that you want to prequalify as one supergroup, please send a request to [email protected].

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NPI (This NPI is the NPI OSHPD_ID FAC_NAME COUNTY 2015 PREQUALIFICATION STATUSthat is Prequalified in the State Level Registry)1982820221 306564155 CLINICAS DEL CAMINO REAL, INC. NEWBURY PARK Ventura PREQUALIFIED WITH MEDICAID ENCOUNTERS1982938213 306197350 NORTHEAST COMMUNITY CLINIC - GRAND Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1992736086 306574017 WINTERS HEALTHCARE CLINIC Yolo PREQUALIFIED WITH MEDICAID ENCOUNTERS1992787444 306105022 UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY Fresno PREQUALIFIED WITH MEDICAID ENCOUNTERS1992811392 306484019 LA CLINICA VALLEJO Solano PREQUALIFIED WITH MEDICAID ENCOUNTERS1992863096 306484048 LA CLINICA VALLEJO GREAT BEGINNINGS Solano PREQUALIFIED WITH MEDICAID ENCOUNTERS1023011632* 306544076 TULARE COMMUNITY HEALTH CLINIC, INC Tulare PREQUALIFIED WITH MEDICAID ENCOUNTERS1023011632* 306544050 TULARE COMMUNITY HEALTH CLINIC Tulare PREQUALIFIED WITH MEDICAID ENCOUNTERS1083654545* 306434004 ST. JAMES HEALTH CENTER Santa Clara PREQUALIFIED WITH MEDICAID ENCOUNTERS1083654545* 306434186 GARDNER SOUTH COUNTY HEALTH CENTER Santa Clara PREQUALIFIED WITH MEDICAID ENCOUNTERS1083654545* 306430775 GARDNER HEALTH CENTER Santa Clara PREQUALIFIED WITH MEDICAID ENCOUNTERS1083654545* 306434235 GARDNER DOWNTOWN HEALTH CENTER Santa Clara PREQUALIFIED WITH MEDICAID ENCOUNTERS1083654545* 306431874 COMPRECARE HEALTH CENTER Santa Clara PREQUALIFIED WITH MEDICAID ENCOUNTERS1083654545* 306430707 ALVISO HEALTH CENTER Santa Clara PREQUALIFIED WITH MEDICAID PLUS NEEDY ENCOUNTERS1093969115* 306191082 PLANNED PARENTHOOD/BIXBY CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1093969115* 306197107 PLANNED PARENTHOOD, EAST LOS ANGELES CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1093969115* 306197308 PLANNED PARENTHOOD OF LOS ANGELES S. MARK TAPER FOR MEDICAL TRAINING CNTR Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1093969115* 306191009 PLANNED PARENTHOOD LOS ANGELES-EL MONTE CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1093969115* 306196661 PLANNED PARENTHOOD LOS ANGELES-DOROTHY HECHT CTR Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1093969115* 306190621 PLANNED PARENTHOOD LOS ANGELES-CANOGA PARK CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1093969115* 306194483 PLANNED PARENTHOOD LOS ANGELES, SOUTH BAY CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1093969115* 306191040 PLANNED PARENTHOOD LOS ANGELES VAN NUYS CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1093969115* 306190905 PLANNED PARENTHOOD LOS ANGELES POMONA CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1093969115* 306190622 PLANNED PARENTHOOD LOS ANGELES- HOLLYWOOD CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1093969115* 306194297 PLANNED PARENTHOOD LOS ANGELES- BURBANK CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1093969115* 306194820 PLANNED PARENTHOOD LOS ANGELES - WHITTIER CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1093969115* 306197589 PLANNED PARENTHOOD LOS ANGELES - LONG BEACH CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1093969115* 306191065 PLANNED PARENTHOOD LOS ANGELES - LAKEWOOD CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1093969115* 306174012 PLANNED PARENTHOOD BASICS, LAKEWOOD Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1093969115* 306197613 PLANNED PARENTHOOD BASICS, BALDWIN HILLS/CRENSHAW Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1093969115* 306191025 PLANNED PARENTHOOD LOS ANGELES - SANTA MONICA CTR. Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1154402675* 306194195 SAMUEL DIXON FAMILY HEALTH CENTER, INC. Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1154402675* 306196160 SAMUEL DIXON FAMILY HEALTH CENTER CYN CNTRY CLINIC Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1154402675* 306197331 NEWHALL HEALTH CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1235283094* 306304383 CENTRAL CITY COMMUNITY HEALTH CLINIC Orange PREQUALIFIED WITH MEDICAID ENCOUNTERS1235283094* 306304371 CENTRAL CITY COMMUNITY HEALTH CENTER, INC. Orange PREQUALIFIED WITH MEDICAID ENCOUNTERS1235283094* 306304489 CENTRAL CITY COMMUNITY HEALTH CENTER, INC. Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1235283094* 306194705 CENTRAL CITY COMMUNITY HEALTH CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1235283094* 306334643 CENTRAL CITY COMMUNITY HEALTH CENTER Riverside PREQUALIFIED WITH MEDICAID ENCOUNTERS1245210749* 306374434 OCEANSIDE-CARLSBAD COMMUNITY CLINIC San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1245210749* 306371576 NORTH COUNTY HEALTH SERVICES SAN MARCOS San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1245210749* 306371400 NORTH COUNTY HEALTH SERVICES RAMONA San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1245210749* 306374449 NORTH COUNTY HEALTH SERVICES - LA MISION San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1245210749* 306374419 NORTH COUNTY HEALTH SERVICES - GRAND AVENUE FAMILY MEDICINE San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1245210749* 306374433 NCHS-MISSION MESA DENTAL San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1245210749* 306374274 NCHS WOMENS HEALTH SERVICES - OCEANSIDE San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1245210749* 306374359 NCHS WOMENS HEALTH SERVICES - ENCINITAS San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1245210749* 306374200 NCHS MISSION MESA COMMUNITY HEALTH CENTER San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1245210749* 306196530 COMPREHENSIVE COMMUNITY HEALTH CTR., INC-N HOLLYWOOD Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1245210749* 306196529 COMPREHENSIVE COMMUNITY HEALTH CTR., INC-HIGHLAND PARK Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1245210749* 306196528 COMPREHENSIVE COMMUNITY HEALTH CTR. INC-EAGLE ROCK Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1245210749* 306196855 COMPREHENSIVE COMMUNITY HEALTH CENTERS, INC Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1306929443* 306374374 LA MAESTRA DENTAL CLINIC - EL CAJON San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1306929443* 306374341 LA MAESTRA COMMUNITY HEALTH CENTERS - EL CAJON San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1336208255* 306197676 ASIAN PACIFIC HEALTH CARE VENTURE, INC.- EL MONTE/ROSEMEAD HEALTH Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1336208255* 306197784 ASIAN PACIFIC HEALTH CARE VENTURE, INC. - BELMONT HEALTH CNT Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1336208255* 306194983 ASIAN PACIFIC HEALTH CARE VENTURE, INC - LOS FELIZ HEALTHCARE CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1336208255* 306196199 ASIAN PACIFIC HEALTH CARE VENTURE - JMHS HEALTH CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1346439817* 306014113 WEST BERKELEY FAMILY PRACTICE Alameda PREQUALIFIED WITH MEDICAID ENCOUNTERS1346439817* 306014161 OVER 60 HEALTH CENTER Alameda PREQUALIFIED WITH MEDICAID ENCOUNTERS

2015 PREQUALIFIED CLINIC LISTThis is a list of clinics that are considered prequalified for the Medi-Cal EHR Incentive Program for the 2015 Program Year. The list is current as of 10/31/2016. Prequalification for most clinics is based on data submitted to OSHPD for 2014. For some Indian Health Clinics, prequalification is based on data submitted by Indian Health Services. If your clinic is on this list, but no NPI has been documented, please email [email protected] with your OSHPD ID# and the corresponding NPI. For other questions, please visit the "Group/Clinic FAQ" document found at our website www.medi-cal.ehr.ca.gov.

Please note that the NPIs with an asterisk (*) are prequalified as supergroups. If you have several groups/clinics that you want to prequalify as one supergroup, please send a request to [email protected].

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NPI (This NPI is the NPI OSHPD_ID FAC_NAME COUNTY 2015 PREQUALIFICATION STATUSthat is Prequalified in the State Level Registry)1346439817* 306014255 LIFELONG MEDICAL CARE - HOWARD DANIEL CLINIC Alameda PREQUALIFIED WITH MEDICAID ENCOUNTERS1346439817* 306014131 LIFELONG MEDICAL CARE - EAST OAKLAND Alameda PREQUALIFIED WITH MEDICAID ENCOUNTERS1346439817* 306014229 LIFELONG MEDICAL CARE - DOWNTOWN OAKLAND CLINIC Alameda PREQUALIFIED WITH MEDICAID ENCOUNTERS1346439817* 306013630 LIFELONG DENTAL CARE Alameda PREQUALIFIED WITH MEDICAID ENCOUNTERS1346439817* 306074133 LIFELONG BROOKSIDE COMMUNITY HEALTH CENTER - RICHMOND Contra Costa PREQUALIFIED WITH MEDICAID ENCOUNTERS1346439817* 306074080 LIFE LONG BROOKSIDE COMMUNITY HEALTH CENTER SAN PABLO Contra Costa PREQUALIFIED WITH MEDICAID ENCOUNTERS1346439817* 306014044 BERKELEY PRIMARY CARE ACCESS CLINIC, INC Alameda PREQUALIFIED WITH MEDICAID ENCOUNTERS1346563673* 306197818 ANTELOPE VALLEY COMMUNITY CLINIC MOBILE HEALTH CLINIC II Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1346563673* 306197872 ANTELOPE VALLEY COMMUNITY CLINIC MOBILE HEALTH CLINIC 1 Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1346563673* 306197488 ANTELOPE VALLEY COMMUNITY CLINIC HEALTH AND WELLNESS CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1346563673* 306197490 ANTELOPE VALLEY COMMUNITY CLINIC - PALMDALE Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1346563673* 306197793 ANTELOPE VALLEY COMMUNITY CLINIC - LANCASTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1366467375* 306234024 LONG VALLEY HEALTH CENTER DENTAL CLINIC Mendocino PREQUALIFIED WITH MEDICAID ENCOUNTERS1366467375* 306231010 LONG VALLEY HEALTH CENTER Mendocino PREQUALIFIED WITH MEDICAID ENCOUNTERS1396959060* 306196034 ALTAMED MOBIL MEDICAL CLINIC Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1396959060* 306190446 ALTAMED MEDICAL GROUP-E.L.A./WHITTIER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1407934458* 306394058 STAGG HEALTHY START CENTER San Joaquin PREQUALIFIED WITH MEDICAID ENCOUNTERS1407934458* 306394057 EDISON HEALTH CENTER San Joaquin PREQUALIFIED WITH MEDICAID ENCOUNTERS1417211426* 306197671 POMONA COMMUNITY HEALTH CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1417211426* 306195000 POMONA COMMUNITY HEALTH CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1447391719* 306014272 FRANK KIANG MEDICAL CENTER Alameda PREQUALIFIED WITH MEDICAID ENCOUNTERS1447391719* 306014182 ASIAN HEALTH SERVICES Alameda PREQUALIFIED WITH MEDICAID ENCOUNTERS1447391719* 306011006 ASIAN HEALTH SERVICE Alameda PREQUALIFIED WITH MEDICAID ENCOUNTERS1578552543* 306394013 COMMUNITY MEDICAL CENTERS, TRACY San Joaquin PREQUALIFIED WITH MEDICAID ENCOUNTERS1578552543* 306484040 COMMUNITY MEDICAL CENTERS - VACAVILLE Solano PREQUALIFIED WITH MEDICAID ENCOUNTERS1578552543* 306394111 COMMUNITY MEDICAL CENTERS - MARIPOSA ROAD San Joaquin PREQUALIFIED WITH MEDICAID ENCOUNTERS1578552543* 306394101 COMMUNITY MEDICAL CENTERS - MANTECA San Joaquin PREQUALIFIED WITH MEDICAID ENCOUNTERS1578552543* 306394014 COMMUNITY MEDICAL CENTERS - LODI San Joaquin PREQUALIFIED WITH MEDICAID ENCOUNTERS1578552543* 306394074 COMMUNITY MEDICAL CENTERS - HAMMER San Joaquin PREQUALIFIED WITH MEDICAID ENCOUNTERS1578552543* 306482335 COMMUNITY MEDICAL CENTERS - DIXON Solano PREQUALIFIED WITH MEDICAID ENCOUNTERS1578552543* 306394036 COMMUNITY MEDICAL CENTER - CHANNEL San Joaquin PREQUALIFIED WITH MEDICAID ENCOUNTERS1578552543* 306394083 COMMUNITY MEDICAL CENTER San Joaquin PREQUALIFIED WITH MEDICAID ENCOUNTERS1578552543* 306392272 COMMUNITY MEDICAL CENTE - CALIFORNIA STREET San Joaquin PREQUALIFIED WITH MEDICAID ENCOUNTERS1578631172* 306494117 VISTA FAMILY HEALTH CENTER Sonoma PREQUALIFIED WITH MEDICAID ENCOUNTERS1578631172* 306494058 SOUTHWEST COMMUNITY HEALTH CENTERS, INC Sonoma PREQUALIFIED WITH MEDICAID ENCOUNTERS1578631172* 306494122 ROSELAND PEDIATRICS Sonoma PREQUALIFIED WITH MEDICAID ENCOUNTERS1578631172* 306494080 ELSIE ALLEN HEALTH CENTER Sonoma PREQUALIFIED WITH MEDICAID ENCOUNTERS1578631172* 306494121 BROOKWOOD HEALTH CENTER Sonoma PREQUALIFIED WITH MEDICAID ENCOUNTERS1639233935* 306196500 VASEK POLAK CHILDRENS CLINIC FAM. HLTH CTR Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1639233935* 306197624 THE CHILDRENS CLINIC FAMILY HEALTH CTR IN CENTRAL LONG BEAC Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1639233935* 306197625 THE CHILDRENS CLINIC FAMILY HEALTH CENTER IN BELLFLOWER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1639233935* 306195054 THE CHILDENS CLINIC FAMILY HEALTH CENTER WESTSIDE Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1639233935* 306196887 S MARK TAPER FOUNDATION CHILDRENS CLINIC FAMILY HEALTH CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1639233935* 306196497 CHILDRENS CLINIC FAMILY HLTH CTR., THE/N. LONG BEACH Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1639233935* 306196625 CHILDRENS CLINIC FAM HLTH CTR AT CESAR CHAVEZ, THE Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1639233935* 306197171 CHILDRENS CLINIC AT THE LONG BEACH MULTI-SER CTR FOR THE HOMELESS Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1669403390* 306010834 AXIS COMMUNITY HEALTH Alameda PREQUALIFIED WITH MEDICAID ENCOUNTERS1669403390* 306013649 AXIS COMMUNITY HEALTH Alameda PREQUALIFIED WITH MEDICAID ENCOUNTERS1720178478* 306330136 SOBOBA INDIAN HEALTH CLINIC Riverside PREQUALIFIED WITH MEDICAID PLUS NEEDY ENCOUNTERS1720178478* 306364237 SAN MANUEL INDIAN HEALTH CLINIC San Bernardino PREQUALIFIED WITH MEDICAID PLUS NEEDY ENCOUNTERS1730169756* 306274083 SEASIDE COMMUNITY HEALTH CENTER Monterey PREQUALIFIED WITH MEDICAID ENCOUNTERS1730169756* 306441852 SALUD PARA LA GENTE CLINIC Santa Cruz PREQUALIFIED WITH MEDICAID ENCOUNTERS1730169756* 306444023 CLINICA DEL VALLE DEL PAJARO Santa Cruz PREQUALIFIED WITH MEDICAID ENCOUNTERS1730169756* 306444020 BEACH FLATS HEALTH CENTER Santa Cruz PREQUALIFIED WITH MEDICAID ENCOUNTERS1780796540* 306434179 MAYVIEW COMMUNITY HEALTH CENTER-CNC Santa Clara PREQUALIFIED WITH MEDICAID ENCOUNTERS1780796540* 306431857 MAYVIEW COMMUNITY HEALTH CENTER - PA Santa Clara PREQUALIFIED WITH MEDICAID ENCOUNTERS1780796540* 306434261 MAYVIEW COMMUNITY HEALTH CENTER - MV Santa Clara PREQUALIFIED WITH MEDICAID ENCOUNTERS1811958952* 306234011 MENDOCINO COMMUNITY HEALTH CLINIC, INC. Mendocino PREQUALIFIED WITH MEDICAID ENCOUNTERS1811958952* 306174009 MENDOCINO COMMUNITY HEALTH CLINIC - LAKESIDE CLINIC Mendocino PREQUALIFIED WITH MEDICAID ENCOUNTERS1811958952* 306234026 MENDOCINO COMM. HEALTH CLINIC-LITTLE LAKE CLINIC Mendocino PREQUALIFIED WITH MEDICAID ENCOUNTERS1891778114* 306200062 CAMERENA HEALTH - E 6th ST. Madera PREQUALIFIED WITH MEDICAID ENCOUNTERS1891778114* 306204027 CAMARENA HEALTH - E. ALMOND AVE Madera PREQUALIFIED WITH MEDICAID ENCOUNTERS1891778114* 306204022 CAMARENA HEALTH Madera PREQUALIFIED WITH MEDICAID ENCOUNTERS

2015 PREQUALIFIED CLINIC LISTThis is a list of clinics that are considered prequalified for the Medi-Cal EHR Incentive Program for the 2015 Program Year. The list is current as of 10/31/2016. Prequalification for most clinics is based on data submitted to OSHPD for 2014. For some Indian Health Clinics, prequalification is based on data submitted by Indian Health Services. If your clinic is on this list, but no NPI has been documented, please email [email protected] with your OSHPD ID# and the corresponding NPI. For other questions, please visit the "Group/Clinic FAQ" document found at our website www.medi-cal.ehr.ca.gov.

Please note that the NPIs with an asterisk (*) are prequalified as supergroups. If you have several groups/clinics that you want to prequalify as one supergroup, please send a request to [email protected].

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NPI (This NPI is the NPI OSHPD_ID FAC_NAME COUNTY 2015 PREQUALIFICATION STATUSthat is Prequalified in the State Level Registry)1891778114* 306204031 CAMARENA HEALTH Madera PREQUALIFIED WITH MEDICAID ENCOUNTERS1932192887* 306400771 THE CENTER FOR HEALTH AND PREVENTION San Luis Obispo PREQUALIFIED WITH MEDICAID ENCOUNTERS1932192887* 306400795 EOC HEALTH SERVICES-ARROYO GRANDE SITE San Luis Obispo PREQUALIFIED WITH MEDICAID ENCOUNTERS1972662039* 306234040 PLANNED PARENTHOOD UKIAH Mendocino PREQUALIFIED WITH MEDICAID ENCOUNTERS1972662039* 306284001 PLANNED PARENTHOOD - NAPA CENTER Napa PREQUALIFIED WITH MEDICAID ENCOUNTERS1982658142* 306371163 MOUNTAIN EMPIRE FAMILY MEDICINE San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1982658142* 306374404 ESCONDIDO FAMILY MEDICINE San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1982658142* 306374351 ALPINE FAMILY MEDICINE San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1982658142* 306374402 25TH STREET FAMILY MEDICINE San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERS1982781159* 306074112 BAART-ANTIOCH Contra Costa PREQUALIFIED WITH MEDICAID ENCOUNTERS1982781159* 306384192 BAART TURK STREET CLINIC San Francisco PREQUALIFIED WITH MEDICAID ENCOUNTERS1982781159* 306196249 BAART SOUTHEAST CLINIC Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1982781159* 306074113 BAART RICHMOND CLINIC Contra Costa PREQUALIFIED WITH MEDICAID ENCOUNTERS1982781159* 306384166 BAART MARKET CLINIC San Francisco PREQUALIFIED WITH MEDICAID ENCOUNTERS1982781159* 306196828 BAART LYNWOOD CLINIC Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1982781159* 306196246 BAART LA PUENTE CLINIC Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS1982781159* 306196244 BAART BEVERLY CLINIC Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306334621 YUCCA FAMILY MEDICAL CARE INC San Bernardino PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306494119 WOMENS HEALTH SPECIALISTS Sonoma PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306374485 WOMENS HEALTH AND WELLNESS CENTER San Diego PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306190890 WOMENS CLINIC Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197170 WISE AND HEALTHY AGING Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306364261 WHITNEY YOUNG FAMILY HEALTH CLINIC San Bernardino PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306294025 WESTERN SIERRA MEDICAL CLINIC - COMMUNITY MOBILE CLINIC Nevada PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306294027 WESTERN SIERRA MEDICAL CENTER Nevada PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197609 WEST COUNTY MEDICAL CORPORATION Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197785 WESLEY HEALTH CENTERS (LYNWOOD 2) Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197623 WESLEY HEALTH CENTERS Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306344190 WELLSPACE HEALTH SOUTH VALLEY COMMUNITY DENTAL CENTER Sacramento PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306344209 WELLSPACE HEALTH SAN JUAN COMMUNITY HEALTH CENTER Sacramento PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306314050 WELLSPACE HEALTH ROSEVILLE COMMUNITY HEALTH CENTER Placer PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306344189 WELLSPACE HEALTH RANCHO CORDOVA COMMUNITY HEALTH CENTER Sacramento PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197842 WELLNESS CENTER AT JEFFERSON HIGH SCHOOL Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197817 VISTA COMMUNITY HEALTH CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197863 VERMONT COMMUNITY CLINIC Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197559 USC-EISNER FAMILY MEDICINE CENTER AT CALIFORNIA HOSPITAL Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306084007 UNITED INDIAN HEALTH SERVICES, INC. Del Norte PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306164032 UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY-CORCORAN Kings PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306194016 UCLA SCHOOL OF NURSING HEALTH CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306374487 TURNING POINT PREGNANCY RESOURCE CENTER San Diego PREQUALIFIED WITH MEDICAID PLUS NEEDY ENCOUNTERSNPI Number Needed 306554021 TUOLUMNE ME-WUK HEALTH AND WELLNESS CENTER Tuolumne PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306544092 TULARE COMMUNITY HEALTH CLINIC - SOUTH TULARE Tulare PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306544084 TULARE COMMUNITY HEALTH CLINIC Tulare PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306014097 TRI-CITY HEALTH CENTER - MOWRY AVE Alameda PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306014309 TRI-CITY HEALTH CENTER - MAIN STREET VILLAGE Alameda PREQUALIFIED WITH MEDICAID PLUS NEEDY ENCOUNTERSNPI Number Needed 306014312 TIBURCIO VASQUEZ HEALTH CENTER, INC. - SILVA CAMPUS Alameda PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197841 THE ACHIEVABLE CLINIC Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306195049 TARZANA TREATMENT CTR FAMILY MED CLINIC-LANCASTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197786 TARZANA TREATMENT CENTERS FAMILY MEDICAL TARZANA CLINIC Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197739 TARZANA TREATMENT CENTERS FAMILY MEDICAL RESEDA CLINIC Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197593 TARZANA TREATMENT CENTERS Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197007 TARZANA TREATMENT CENTER FAMILY MEDICAL CLINIC Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306384183 ST. LUKES HEALTH CARE CENTER - WOMENS CLINIC San Francisco PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306384208 ST. LUKES HEALTH CARE CENTER - PEDIATRIC CLINIC San Francisco PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306381339 ST. LUKES HEALTH CARE CENTER - ADULT CLINIC San Francisco PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306494085 ST. JOSEPH DENTAL CLINIC Sonoma PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197796 ST. JOHNS WELL CHILD AND FAMILY CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197820 ST. JOHNS WELL CHILD AND FAMILY CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197823 ST. JOHNS WELL CHILD AND FAMILY CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306274084 SPLG-COMMUNITY ORAL HEALTH SERVICES (MOBILE 3) Monterey PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306532242 SOUTHERN TRINITY HEALTH SERVICES Trinity PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197169 SOUTHERN CALIFORNIA MEDICAL CENTER, INC. Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197779 SOUTH GATE COMMUNITY CLINIC Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS

2015 PREQUALIFIED CLINIC LISTThis is a list of clinics that are considered prequalified for the Medi-Cal EHR Incentive Program for the 2015 Program Year. The list is current as of 10/31/2016. Prequalification for most clinics is based on data submitted to OSHPD for 2014. For some Indian Health Clinics, prequalification is based on data submitted by Indian Health Services. If your clinic is on this list, but no NPI has been documented, please email [email protected] with your OSHPD ID# and the corresponding NPI. For other questions, please visit the "Group/Clinic FAQ" document found at our website www.medi-cal.ehr.ca.gov.

Please note that the NPIs with an asterisk (*) are prequalified as supergroups. If you have several groups/clinics that you want to prequalify as one supergroup, please send a request to [email protected].

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NPI (This NPI is the NPI OSHPD_ID FAC_NAME COUNTY 2015 PREQUALIFICATION STATUSthat is Prequalified in the State Level Registry)NPI Number Needed 306197826 SOUTH BAY FAMILY HEALTH CARE Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197558 SOUTH BAY CHILDRENS HEALTH CENTER ASSOCIATION, INC. Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306190169 SOUTH BAY CHILDRENS HEALTH CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306304564 SMILE MOBILE 2 Orange PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306304454 SMILE MOBILE Orange PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306454066 SHASTA COMMUNITY HEALTH CENTER HOPE VAN 2 - OUTREACH FOR PEOPLE EVERYWHERE Shasta PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306304470 SERVE THE PEOPLE COMMUNITY HEALTH CENTER Orange PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306124032 SECOND MOBILE UNIT Humboldt PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306344198 SACRAMENTO COMMUNITY CLINIC - DEL PASO DENTAL Sacramento PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306344180 SACRAMENTO COMMUNITY CLINIC - ASSEMBLY COURT Sacramento PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306105089 SABLAN HEALTH CENTER Fresno PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197430 S. MARK TAPER FOUNDATION HEALTH CLINIC Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306014311 ROOTS COMMUNITY HEALTH CENTER Alameda PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306014327 ROLLAND AND KATHRYN LOWE MEDICAL CENTER Alameda PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306214057 RITTER HEALTH CENTER Marin PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306381330 RICHMOND MAXI-CENTER San Francisco PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306234035 RCMS DENTAL Mendocino PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197997 QUEENSCARE HEALTH CENTERS Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306494076 PREGNANCY COUNSELING CENTER Sonoma PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306234032 POINT ARENA COMMUNITY HEALTH CENTER Mendocino PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306074169 PLANNED PARENTHOOD: SHASTA-DIABLO Contra Costa PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306074171 PLANNED PARENTHOOD SAN RAMON CENTER Contra Costa PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306214058 PLANNED PARENTHOOD SAN RAFAEL CENTER Marin PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306364484 PLANNED PARENTHOOD OF ORANGE AND SAN BERNARDINO COUNTIES San Bernardino PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306414138 PLANNED PARENTHOOD MAR MONTE, INC.- REDWOOD CITY HEALTH CENTER San Mateo PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306014319 PLANNED PARENTHOOD MAR MONTE, INC. - WEST OAKLAND Alameda PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197825 PLANNED PARENTHOOD GLENDORA HEALTH CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306174014 PLANNED PARENTHOOD CLEARLAKE CENTER Lake PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306414133 PLANNED PARENTHOOD - SAN MATEO - BAYWOOD San Mateo PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306494118 PETALUMA HEALTH CENTER DENTAL CLINIC Sonoma PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306014239 ORGANIZATION TO ACHIEVE SOLUTIONS IN SUBSTANCE ABUSE, INC. Alameda PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197556 OPEN ARMS PREGNANCY CENTER Los Angeles PREQUALIFIED WITH MEDICAID PLUS NEEDY ENCOUNTERSNPI Number Needed 306154173 OMNI FAMILY HEALTH Kern PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306154186 OMNI FAMILY HEALTH Kern PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306154172 OLD TOWN KERN COMMUNITY HEALTH CENTER Kern PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306384053 NORTH EAST MEDICAL SERVICES-LELAND AVENUE San Francisco PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306384178 NORTH EAST MEDICAL SERVICES - TARAVAL San Francisco PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306384207 NORTH EAST MEDICAL SERVICES - SAN BRUNO AVENUE San Francisco PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306414128 NORTH EAST MEDICAL SERVICES - EASTMOOR San Mateo PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306384225 NORTH EAST MEDICAL SERVICES - CLEMENT San Francisco PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306434262 NORTH EAST MEDICAL SERVICES - 1870 LUNDY Santa Clara PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306384227 NORTH EAST MEDICAL SERVICES - 1400 NORIEGA San Francisco PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197827 NECC HARBOR CITY HEALTH CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197844 NECC GAGE HEALTH CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306434250 MT. PLEASANT HEALTH CENTER Santa Clara PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306434255 MONTPELIER HEALTH CENTER Santa Clara PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306364485 MISSION CITY COMMUNITY NETWORK, INC. - VICTORVILLE San Bernardino PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197651 MISSION CITY COMMUNITY NETWORK, INC. - POMONA MOBILE CLINIC Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197648 MISSION CITY COMMUNITY NETWORK, INC. - PARTHENIA Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197646 MISSION CITY COMMUNITY NETWORK, INC. - ORANGE GROVE Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197482 MISSION CITY COMMUNITY NETWORK, INC. - NORTHRIDGE Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197647 MISSION CITY COMMUNITY NETWORK, INC. - MONROVIA Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197763 MISSION CITY COMMUNITY NETWORK, INC. - PRAIRIE Los Angeles PREQUALIFIED WITH MEDICAID PLUS NEEDY ENCOUNTERSNPI Number Needed 306197527 MISSION CITY COMMUNITY NETWORK - INGLEWOOD Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306474014 MCCLOUD HEALTHCARE CLINIC, INC. Siskiyou PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306224005 MARIPOSA INDIAN HEALTH CLINIC Mariposa PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306554009 MACT MEDICAL CLINIC, SONORA Tuolumne PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306054013 MACT MEDICAL CLINIC SAN ANDREAS Calaveras PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197830 LOS ANGELES CHRISTIAN HEALTH CENTERS - TELECARE SERVICE AREA 4 Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197831 LOS ANGELES CHRISTIAN HEALTH CENTERS - TELECARE CORE LA Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197829 LOS ANGELES CHRISTIAN HEALTH CENTERS - NEW GENESIS Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197828 LOS ANGELES CHRISTIAN HEALTH CENTERS - EXODUS RECOVERY - ICM Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306394091 LODI MEMORIAL COMMUNITY CLINIC - TRINITY San Joaquin PREQUALIFIED WITH MEDICAID ENCOUNTERS

2015 PREQUALIFIED CLINIC LISTThis is a list of clinics that are considered prequalified for the Medi-Cal EHR Incentive Program for the 2015 Program Year. The list is current as of 10/31/2016. Prequalification for most clinics is based on data submitted to OSHPD for 2014. For some Indian Health Clinics, prequalification is based on data submitted by Indian Health Services. If your clinic is on this list, but no NPI has been documented, please email [email protected] with your OSHPD ID# and the corresponding NPI. For other questions, please visit the "Group/Clinic FAQ" document found at our website www.medi-cal.ehr.ca.gov.

Please note that the NPIs with an asterisk (*) are prequalified as supergroups. If you have several groups/clinics that you want to prequalify as one supergroup, please send a request to [email protected].

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NPI (This NPI is the NPI OSHPD_ID FAC_NAME COUNTY 2015 PREQUALIFICATION STATUSthat is Prequalified in the State Level Registry)NPI Number Needed 306197886 LOCKE WELLNESS CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306294026 LIVINGWELL MEDICAL CLINIC Nevada PREQUALIFIED WITH MEDICAID PLUS NEEDY ENCOUNTERSNPI Number Needed 306304483 KOREAN COMMUNITY SERVICES Orange PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306105103 KERMAN UNIFIED SCHOOL DISTRICT COMMUNITY HEALTH CENTER Fresno PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306105064 KERMAN DENTAL CENTER Fresno PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197865 KEDREN COMMUNITY CARE CLINIC Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306196892 KAMILA COMPREHENSIVE HEALTH CENTER, INC. Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197746 JORDAN WELLNESS CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306334684 JAY HOFFMAN HEALTH CENTER Riverside PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306196569 INSTITUTE FOR MULTICULTURAL COUNSELING AND EDUCATION Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306194775 INST FOR MULTICULTURAL COUNSELING AND ED SVCS INC Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306434227 INDIAN HEALTH CENTER OF SANTA CLARA VALLEY Santa Clara PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306434234 INDIAN HEALTH CENTER OF SANTA CLARA VALLEY Santa Clara PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306304482 HURTT PEDIATRIC MOBILE CLINIC Orange PREQUALIFIED WITH MEDICAID PLUS NEEDY ENCOUNTERSNPI Number Needed 306304431 HURTT FAMILY MOBILE CLINIC Orange PREQUALIFIED WITH MEDICAID PLUS NEEDY ENCOUNTERSNPI Number Needed 306304555 HURTT FAMILY HEALTH CLINIC - SANTA ANA Orange PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306014227 HOPE PROJECT Alameda PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306244057 HILMAR COMMUNITY HEALTH CENTER Merced PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306105038 HEALTHY SMILES MOBILE DENTAL FOUNDATION Fresno PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306304360 HEALTHY SMILES FOR KIDS OF ORANGE COUNTY Orange PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306342332 HEALTH FOR ALL, INC Sacramento PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306344178 HEALTH FOR ALL NORTH AVENUE CLINIC Sacramento PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306344095 HEALTH FOR ALL FREEPORT CLINIC Sacramento PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306014325 HAVENSCOURT HEALTH CENTER Alameda PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306584012 HARMONY HEALTH MEDICAL CLINIC AND FAMILY RESOURCES CENTER Yuba PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306154177 GREENFIELD COMMUNITY HEALTH CENTER Kern PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306504073 GOLDEN VALLEY HEALTH CENTER - RIVERBANK Stanislaus PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306414140 GARDNER PACKARD CHILDRENS HEALTH CENTER San Mateo PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306434259 FOOTHILL FAMILY CLINIC Santa Clara PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197675 FLORENCE MEDICAL CLINIC Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306344199 FEMINIST WOMENS HEALTH CENTER Sacramento PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306452318 FEMINIST WOMENS HEALTH CENTER Shasta PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197724 ELIZABETH HEALTH CENTER - NECC Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306196548 EDISON PACIFIC Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306474016 DUNSMUIR COMMUNITY HEALTH CENTER Siskiyou PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197941 DOWNTOWN MEDICAL AND MENTAL HEALTH SERVICES Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306244047 DOS PALOS MEMORIAL HOSPITAL RHC Merced PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306334683 DESERT HOT SPRINGS HEALTH AND WELLNESS CENTER Riverside PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306334692 DESERT HOT SPRINGS COMMUNITY HEALTH CENTER Riverside PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306382735 CURRY SENIOR CENTER San Francisco PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197166 CSC COMMUNITY HEALTH CENTER - SAN GABRIEL VALLEY Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197050 COMPLETE CARE COMMUNITY HEALTH CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306195099 COMMUNITY HEALTH CARE CLINIC/N.P.P. Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306105013 COALINGA VALLEY HEALTH, INC. - COALINGA Fresno PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306274087 CLINICA DE SALUD DEL VALLE DE SALINAS - PAJARO Monterey PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306196140 CHILDRENS DENTAL HEALTH CLINIC - BELLFLOWER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306041222 CHICO FEMINIST WOMENS HEALTH CENTER Butte PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197952 CHAPCARE-GARVEY Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197834 CHAPCARE VACCO Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197163 CHAP - DEL MAR Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306334672 CENTRO MEDICO, COACHELLA Riverside PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197882 CENTRAL NEIGHBORHOOD HEALTH FOUNDATION Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197167 CENTRAL CITY COMMUNITY HEALTH CENTER MOBILE UNIT Los Angeles PREQUALIFIED WITH MEDICAID PLUS NEEDY ENCOUNTERSNPI Number Needed 306304563 CENTER FOR INHERITED BLOOD DISORDERS Orange PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306344027 CENTER FOR AIDS RESEARCH, ED AND SERVICES - SAC. Sacramento PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306244050 CASTLE FAMILY HEALTH CENTER AT WINTON Merced PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306014297 CAL-PEP Alameda PREQUALIFIED WITH MEDICAID ENCOUNTERS

2015 PREQUALIFIED CLINIC LISTThis is a list of clinics that are considered prequalified for the Medi-Cal EHR Incentive Program for the 2015 Program Year. The list is current as of 10/31/2016. Prequalification for most clinics is based on data submitted to OSHPD for 2014. For some Indian Health Clinics, prequalification is based on data submitted by Indian Health Services. If your clinic is on this list, but no NPI has been documented, please email [email protected] with your OSHPD ID# and the corresponding NPI. For other questions, please visit the "Group/Clinic FAQ" document found at our website www.medi-cal.ehr.ca.gov.

Please note that the NPIs with an asterisk (*) are prequalified as supergroups. If you have several groups/clinics that you want to prequalify as one supergroup, please send a request to [email protected].

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NPI (This NPI is the NPI OSHPD_ID FAC_NAME COUNTY 2015 PREQUALIFICATION STATUSthat is Prequalified in the State Level Registry)NPI Number Needed 306124038 BURRE MOBILE DENTAL Humboldt PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306014261 BREATHMOBILE - MOBILE PRIMARY CARE CLINIC Alameda PREQUALIFIED WITH MEDICAID PLUS NEEDY ENCOUNTERSNPI Number Needed 306344070 BIRTHING PROJECT CLINIC, THE Sacramento PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197068 BIENVENIDOS COMMUNITY HEALTH CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306334677 BANNING FAMILY COMMUNITY HEALTH CENTER Riverside PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306154111 BAKERSFIELD MEDICAL AND MENTAL HEALTH SERVICES Kern PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306154164 BAKERSFIELD HEALTH SERVICES Kern PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306105070 BAART COMMUNITY HEALTHCARE - E STREET CLINIC Fresno PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197881 AZUSA HEALTH SERVICES Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306364467 ASSURE PREGNANCY CLINIC San Bernardino PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306013648 ASIAN COMMUNITY MENTAL HEALTH SERVICES Alameda PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306164036 ARIA COMMUNITY HEALTH CENTER - MOBILE 2 Kings PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306164031 ARIA COMMUNITY HEALTH CENTER Kings PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306164035 ARIA COMMUNITY HEALTH CENTER Kings PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197797 APLA HEALTH AND WELLNESS CENTER - BALDWIN HILLS Los Angeles PREQUALIFIED WITH MEDICAID PLUS NEEDY ENCOUNTERSNPI Number Needed 306334661 ANZA INDIAN HEALTH CENTER Riverside PREQUALIFIED WITH MEDICAID PLUS NEEDY ENCOUNTERSNPI Number Needed 306044171 AMPLA HEALTH CHICO DENTAL Butte PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197835 AMH COMPREHENSIVE MEDICAL CENTERS Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197736 ALTAMED MEDICAL GROUP AT HOLLYWOOD PRESBYTERIAN MED. CTR. Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306304543 ALTAMED MEDICAL GROUP - SANTA ANA - BRISTOL Orange PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197858 ALTAMED MEDICAL GROUP - PICO RIVERA, PASSONS Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197727 ALTAMED MEDICAL GROUP - MONTEBELLO Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197668 ALTAMED MEDICAL AND DENTAL GROUP - EAST LOS ANGELES 1ST STREET Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306014225 ALTA BATES SUMMIT PERINATAL CENTER Alameda PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197569 ALL-INCLUSIVE COMMUNITY HEALTH CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197670 ALL FOR HEALTH, HEALTH FOR ALL, INC. Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197954 ALL FOR HEALTH, HEALTH FOR ALL, INC Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197866 ALL CARE ONE COMMUNITY HEALTH CENTER Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306014241 AIDS PROJECT OF THE EAST BAY Alameda PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306194615 AHF HEALTHCARE CENTER-WESTSIDE HEALTHCARE CLINIC Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306196135 AHF HEALTHCARE CENTER-VALLEY Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306194239 AHF HEALTHCARE CENTER - HOLLYWOOD Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197824 AHF HEALTHCARE CENTER - DOWNTOWN Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERSNPI Number Needed 306197949 AHF DOWNTOWN DENTAL OFFICE Los Angeles PREQUALIFIED WITH MEDICAID ENCOUNTERS

2015 PREQUALIFIED CLINIC LISTThis is a list of clinics that are considered prequalified for the Medi-Cal EHR Incentive Program for the 2015 Program Year. The list is current as of 10/31/2016. Prequalification for most clinics is based on data submitted to OSHPD for 2014. For some Indian Health Clinics, prequalification is based on data submitted by Indian Health Services. If your clinic is on this list, but no NPI has been documented, please email [email protected] with your OSHPD ID# and the corresponding NPI. For other questions, please visit the "Group/Clinic FAQ" document found at our website www.medi-cal.ehr.ca.gov.

Please note that the NPIs with an asterisk (*) are prequalified as supergroups. If you have several groups/clinics that you want to prequalify as one supergroup, please send a request to [email protected].