{"reporting_entity_name":"Blue Shield of California","reporting_entity_type":"Health Insurance Issuer","last_updated_on":"2026-07-15","version":"2.0.0","provider_references":[{"provider_group_id":1747,"network_name":["IFP TRIO"],"provider_groups":[{"npi":[1205167350],"tin":{"type":"ein","value":"27-1504911","business_name":"EDINGER MEDICAL GROUP"}}]},{"provider_group_id":1748,"network_name":["IFP TRIO"],"provider_groups":[{"npi":[1962442012,1992724959],"tin":{"type":"ein","value":"27-1504911","business_name":"EDINGER MEDICAL GROUP"}}]},{"provider_group_id":1749,"network_name":["IFP TRIO"],"provider_groups":[{"npi":[1487075578,1649503319],"tin":{"type":"ein","value":"27-2767291","business_name":"ALLIANCE DESERT PHYSICIANS"}}]},{"provider_group_id":1750,"network_name":["IFP TRIO"],"provider_groups":[{"npi":[1346252533],"tin":{"type":"ein","value":"33-0073515","business_name":"TORRANCE MEMORIAL IPA"}}]},{"provider_group_id":1751,"network_name":["IFP TRIO"],"provider_groups":[{"npi":[1770537466],"tin":{"type":"ein","value":"33-0185031","business_name":"HOAG AFFILIATED PHYSICIANS"}}]},{"provider_group_id":1752,"network_name":["IFP TRIO"],"provider_groups":[{"npi":[1851092035],"tin":{"type":"ein","value":"33-0219957","business_name":"CAL-CARE IPA"}}]},{"provider_group_id":1753,"network_name":["IFP TRIO"],"provider_groups":[{"npi":[1922127422],"tin":{"type":"ein","value":"33-0457134","business_name":"OPTUM CARE NETWORK - SDPMG"}}]},{"provider_group_id":1754,"network_name":["IFP TRIO"],"provider_groups":[{"npi":[1770655847],"tin":{"type":"ein","value":"33-0556584","business_name":"ALPHA CARE MEDICAL GROUP"}}]},{"provider_group_id":1755,"network_name":["IFP TRIO"],"provider_groups":[{"npi":[1841290228],"tin":{"type":"ein","value":"33-0587660","business_name":"OPTUM CARE NETWORK - MONARCH"}},{"npi":[1659312593],"tin":{"type":"ein","value":"46-2385459","business_name":"HARRIMAN JONES MED GRP A DIV HEALTHCARE PARTNERS"}}]},{"provider_group_id":1756,"network_name":["IFP TRIO"],"provider_groups":[{"npi":[1750454260],"tin":{"type":"ein","value":"33-0607478","business_name":"OPTUM CARE NETWORK - DESERT CITIES"}}]},{"provider_group_id":1757,"network_name":["IFP TRIO"],"provider_groups":[{"npi":[1942799523],"tin":{"type":"ein","value":"33-0676831","business_name":"HOAG MEDICAL GROUP"}}]},{"provider_group_id":1758,"network_name":["IFP TRIO"],"provider_groups":[{"npi":[1689797342],"tin":{"type":"ein","value":"33-0724304","business_name":"PHYSICIAN CHOICE MED GRP OF SAN LUIS OBISPO"}}]},{"provider_group_id":1759,"network_name":["IFP TRIO"],"provider_groups":[{"npi":[1134252802,1881636108],"tin":{"type":"ein","value":"33-0782099","business_name":"SCRIPPS CLINIC MEDICAL GROUP"}}]},{"provider_group_id":1760,"network_name":["IFP TRIO"],"provider_groups":[{"npi":[1386721934],"tin":{"type":"ein","value":"33-0865659","business_name":"SEAVIEW IPA"}}]},{"provider_group_id":1761,"network_name":["IFP TRIO"],"provider_groups":[{"npi":[1902697832],"tin":{"type":"ein","value":"33-4465522","business_name":"RINCON HEALTH NETWORK"}}]},{"provider_group_id":1762,"network_name":["IFP TRIO"],"provider_groups":[{"npi":[1700803418],"tin":{"type":"ein","value":"34-1996544","business_name":"MERCY MEDICAL GROUP"}}]},{"provider_group_id":1763,"network_name":["IFP TRIO"],"provider_groups":[{"npi":[1477074474],"tin":{"type":"ein","value":"35-2567959","business_name":"DIGNITY HEALTH MEDICAL NETWORK - SANTA CRUZ"}}]},{"provider_group_id":1764,"network_name":["IFP TRIO"],"provider_groups":[{"npi":[1316219868],"tin":{"type":"ein","value":"45-0518247","business_name":"REDLANDS YUCAIPA MEDICAL GROUP"}}]},{"provider_group_id":1765,"network_name":["IFP TRIO"],"provider_groups":[{"npi":[9999999999],"tin":{"type":"ein","value":"46-1567681","business_name":"ASPIRE HEALTH PLAN"}}]},{"provider_group_id":1766,"network_name":["IFP TRIO"],"provider_groups":[{"npi":[1659312593,1851599369],"tin":{"type":"ein","value":"46-2385459","business_name":"HARRIMAN JONES MED GRP A DIV HEALTHCARE PARTNERS"}}]},{"provider_group_id":1767,"network_name":["IFP TRIO"],"provider_groups":[{"npi":[1811421670],"tin":{"type":"ein","value":"46-5371819","business_name":"EMANATE HEALTH IPA"}}]},{"provider_group_id":1768,"network_name":["IFP TRIO"],"provider_groups":[{"npi":[1275657827],"tin":{"type":"ein","value":"47-3366764","business_name":"GEMCARE MEDICAL GROUP INC BAKERSFIELD REGION"}}]},{"provider_group_id":1769,"network_name":["IFP TRIO"],"provider_groups":[{"npi":[1144497678],"tin":{"type":"ein","value":"57-1205856","business_name":"WOODLAND CLINIC"}}]},{"provider_group_id":1770,"network_name":["IFP TRIO"],"provider_groups":[{"npi":[1841407665],"tin":{"type":"ein","value":"68-0360801","business_name":"JOHN MUIR PHYSICIAN NETWORK"}}]},{"provider_group_id":1771,"network_name":["IFP TRIO"],"provider_groups":[{"npi":[1316023013],"tin":{"type":"ein","value":"77-0243333","business_name":"ALLCARE IPA"}}]},{"provider_group_id":1772,"network_name":["IFP TRIO"],"provider_groups":[{"npi":[1780746610],"tin":{"type":"ein","value":"77-0339753","business_name":"KEY MEDICAL GROUP"}}]},{"provider_group_id":1773,"network_name":["IFP TRIO"],"provider_groups":[{"npi":[1336438902],"tin":{"type":"ein","value":"81-4542216","business_name":"SAINT JOHNS PHYSICIAN PARTNERS"}}]},{"provider_group_id":1774,"network_name":["IFP TRIO"],"provider_groups":[{"npi":[1508502782],"tin":{"type":"ein","value":"87-2160320","business_name":"ADVENTIST HEALTH CARE NETWORK-GLENDALE"}}]},{"provider_group_id":1775,"network_name":["IFP TRIO"],"provider_groups":[{"npi":[1417052739],"tin":{"type":"ein","value":"94-2944896","business_name":"HILL PHYS MEDICAL GROUP SOLANO"}}]},{"provider_group_id":1776,"network_name":["IFP TRIO"],"provider_groups":[{"npi":[1902930381],"tin":{"type":"ein","value":"94-3008941","business_name":"SANTA CLARA CNTY IPA"}}]},{"provider_group_id":1777,"network_name":["IFP TRIO"],"provider_groups":[{"npi":[1265719033],"tin":{"type":"ein","value":"94-3168453","business_name":"ALTA BATES MEDICAL GROUP"}}]},{"provider_group_id":1778,"network_name":["IFP TRIO"],"provider_groups":[{"npi":[1306049226],"tin":{"type":"ein","value":"94-3168453","business_name":"ALTA BATES MEDICAL GROUP"}}]},{"provider_group_id":1779,"network_name":["IFP TRIO"],"provider_groups":[{"npi":[1003095464],"tin":{"type":"ein","value":"95-2810095","business_name":"ALTAMED HEALTH SERVICES"}}]},{"provider_group_id":1780,"network_name":["IFP TRIO"],"provider_groups":[{"npi":[1588829006],"tin":{"type":"ein","value":"95-3942828","business_name":"PIH HEALTH PHYSICIANS WHITTIER"}}]},{"provider_group_id":1781,"network_name":["IFP TRIO"],"provider_groups":[{"npi":[1902903388],"tin":{"type":"ein","value":"95-4142044","business_name":"POMONA VALLEY MED GRP INC DBA PRO MED HLTH NWK"}}]},{"provider_group_id":1782,"network_name":["IFP TRIO"],"provider_groups":[{"npi":[1457548091],"tin":{"type":"ein","value":"95-4247138","business_name":"BLUE ZONES HEALTH OF CA - LA"}}]},{"provider_group_id":1783,"network_name":["IFP TRIO"],"provider_groups":[{"npi":[1710031588],"tin":{"type":"ein","value":"95-4322584","business_name":"FACEY MED FOUND SAN FERNANDO VALLEY"}}]},{"provider_group_id":1784,"network_name":["IFP TRIO"],"provider_groups":[{"npi":[1477760940],"tin":{"type":"ein","value":"95-4385217","business_name":"ALLIED PACIFIC OF CALIF IPA"}}]},{"provider_group_id":1785,"network_name":["IFP TRIO"],"provider_groups":[{"npi":[1629291810],"tin":{"type":"ein","value":"95-4469504","business_name":"SEOUL MEDICAL GROUP"}}]},{"provider_group_id":1786,"network_name":["IFP TRIO"],"provider_groups":[{"npi":[1477677961],"tin":{"type":"ein","value":"95-4582615","business_name":"FAMILY CARE SPEC MONTEBELLO"}}]},{"provider_group_id":1787,"network_name":["IFP TRIO"],"provider_groups":[{"npi":[1881720001],"tin":{"type":"ein","value":"95-4582920","business_name":"AFFILIATED DRS OF ORANGE CTY"}}]},{"provider_group_id":1788,"network_name":["IFP TRIO"],"provider_groups":[{"npi":[1942293279],"tin":{"type":"ein","value":"95-4714494","business_name":"AXMINSTER MED GRP LITTLE CO OF MARY IPA TORRANCE"}}]},{"provider_group_id":1789,"network_name":["IFP TRIO"],"provider_groups":[{"npi":[1932121514],"tin":{"type":"ein","value":"95-6419205","business_name":"SANSUM CLINIC CENTRAL"}}]}],"in_network":[{"negotiation_arrangement":"capitation","name":"PMPM","description":"Per Member Per Month","billing_code_type":"CSTM-ALL","billing_code_type_version":"2026","billing_code":"CSTM-00","severity_of_illness":"","negotiated_rates":[{"provider_references":[1747],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":157.55,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[1748],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":141.53,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[1749],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":147.91,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[1750],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":138.6,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[1751],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":96.42,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[1752],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":114.04,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[1753],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":124.58,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[1754],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":74.02,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[1755],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":145.69,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[1756],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":127.65,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[1757],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":114.05,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[1758],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":137.52,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[1759],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":118.48,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[1760],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":157.99,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[1761],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":139.41,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[1762],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":148.04,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[1763],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":191.88,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[1764],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":133.24,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[1765],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":179.05,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[1766],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":106.67,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[1767],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":85.56,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[1768],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":147.45,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[1769],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":176.95,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[1770],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":208.87,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[1771],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":155.49,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[1772],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":168.05,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[1773],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":147.39,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[1774],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":99.06,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[1775],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":183.79,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"},{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":192.29,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"},{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":192.7,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"},{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":195.44,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[1776],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":159.42,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[1777],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":144.71,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[1778],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":130.54,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[1779],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":100.02,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[1780],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":138.11,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[1781],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":128.8,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[1782],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":102.13,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"},{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":125.26,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[1783],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":154.01,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[1784],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":90.4,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[1785],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":83.29,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[1786],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":88.56,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[1787],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":170.92,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[1788],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":142.74,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[1789],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":239.62,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]}],"covered_services":[{"billing_code_type":"CSTM-ALL","billing_code_type_version":"2026","billing_code":"CSTM-00","description":"Per Member Per Month"}]}]}

