{"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":2979,"network_name":["TRIO"],"provider_groups":[{"npi":[1205167350],"tin":{"type":"ein","value":"27-1504911","business_name":"EDINGER MEDICAL GROUP"}}]},{"provider_group_id":2980,"network_name":["TRIO"],"provider_groups":[{"npi":[1962442012,1992724959],"tin":{"type":"ein","value":"27-1504911","business_name":"EDINGER MEDICAL GROUP"}}]},{"provider_group_id":2981,"network_name":["TRIO"],"provider_groups":[{"npi":[1487075578,1649503319],"tin":{"type":"ein","value":"27-2767291","business_name":"ALLIANCE DESERT PHYSICIANS"}}]},{"provider_group_id":2982,"network_name":["TRIO"],"provider_groups":[{"npi":[1346252533],"tin":{"type":"ein","value":"33-0073515","business_name":"TORRANCE MEMORIAL IPA"}}]},{"provider_group_id":2983,"network_name":["TRIO"],"provider_groups":[{"npi":[1609925957,1871607762],"tin":{"type":"ein","value":"33-0185031","business_name":"HOAG AFFILIATED PHYSICIANS"}}]},{"provider_group_id":2984,"network_name":["TRIO"],"provider_groups":[{"npi":[1770537466],"tin":{"type":"ein","value":"33-0185031","business_name":"HOAG AFFILIATED PHYSICIANS"}}]},{"provider_group_id":2985,"network_name":["TRIO"],"provider_groups":[{"npi":[1851092035],"tin":{"type":"ein","value":"33-0219957","business_name":"CAL-CARE IPA"}}]},{"provider_group_id":2986,"network_name":["TRIO"],"provider_groups":[{"npi":[1922127422],"tin":{"type":"ein","value":"33-0457134","business_name":"OPTUM CARE NETWORK - SDPMG"}}]},{"provider_group_id":2987,"network_name":["TRIO"],"provider_groups":[{"npi":[1770655847],"tin":{"type":"ein","value":"33-0556584","business_name":"ALPHA CARE MEDICAL GROUP"}}]},{"provider_group_id":2988,"network_name":["TRIO"],"provider_groups":[{"npi":[1750454260],"tin":{"type":"ein","value":"33-0607478","business_name":"OPTUM CARE NETWORK - DESERT CITIES"}}]},{"provider_group_id":2989,"network_name":["TRIO"],"provider_groups":[{"npi":[1942799523],"tin":{"type":"ein","value":"33-0676831","business_name":"HOAG MEDICAL GROUP"}}]},{"provider_group_id":2990,"network_name":["TRIO"],"provider_groups":[{"npi":[1689797342],"tin":{"type":"ein","value":"33-0724304","business_name":"PHYSICIAN CHOICE MED GRP OF SAN LUIS OBISPO"}}]},{"provider_group_id":2991,"network_name":["TRIO"],"provider_groups":[{"npi":[1134252802,1881636108],"tin":{"type":"ein","value":"33-0782099","business_name":"SCRIPPS CLINIC MEDICAL GROUP"}}]},{"provider_group_id":2992,"network_name":["TRIO"],"provider_groups":[{"npi":[1386721934],"tin":{"type":"ein","value":"33-0865659","business_name":"SEAVIEW IPA"}}]},{"provider_group_id":2993,"network_name":["TRIO"],"provider_groups":[{"npi":[1902697832],"tin":{"type":"ein","value":"33-4465522","business_name":"RINCON HEALTH NETWORK"}}]},{"provider_group_id":2994,"network_name":["TRIO"],"provider_groups":[{"npi":[1700803418],"tin":{"type":"ein","value":"34-1996544","business_name":"MERCY MEDICAL GROUP"}}]},{"provider_group_id":2995,"network_name":["TRIO"],"provider_groups":[{"npi":[1477074474],"tin":{"type":"ein","value":"35-2567959","business_name":"DIGNITY HEALTH MEDICAL NETWORK - SANTA CRUZ"}}]},{"provider_group_id":2996,"network_name":["TRIO"],"provider_groups":[{"npi":[1316219868],"tin":{"type":"ein","value":"45-0518247","business_name":"REDLANDS YUCAIPA MEDICAL GROUP"}}]},{"provider_group_id":2997,"network_name":["TRIO"],"provider_groups":[{"npi":[9999999999],"tin":{"type":"ein","value":"46-1567681","business_name":"ASPIRE HEALTH PLAN"}}]},{"provider_group_id":2998,"network_name":["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":2999,"network_name":["TRIO"],"provider_groups":[{"npi":[1811421670],"tin":{"type":"ein","value":"46-5371819","business_name":"EMANATE HEALTH IPA"}}]},{"provider_group_id":3000,"network_name":["TRIO"],"provider_groups":[{"npi":[1275657827],"tin":{"type":"ein","value":"47-3366764","business_name":"GEMCARE MEDICAL GROUP INC BAKERSFIELD REGION"}}]},{"provider_group_id":3001,"network_name":["TRIO"],"provider_groups":[{"npi":[1144497678],"tin":{"type":"ein","value":"57-1205856","business_name":"WOODLAND CLINIC"}}]},{"provider_group_id":3002,"network_name":["TRIO"],"provider_groups":[{"npi":[1841407665],"tin":{"type":"ein","value":"68-0360801","business_name":"JOHN MUIR PHYSICIAN NETWORK"}}]},{"provider_group_id":3003,"network_name":["TRIO"],"provider_groups":[{"npi":[1316023013],"tin":{"type":"ein","value":"77-0243333","business_name":"ALLCARE IPA"}}]},{"provider_group_id":3004,"network_name":["TRIO"],"provider_groups":[{"npi":[1780746610],"tin":{"type":"ein","value":"77-0339753","business_name":"KEY MEDICAL GROUP"}}]},{"provider_group_id":3005,"network_name":["TRIO"],"provider_groups":[{"npi":[1336438902],"tin":{"type":"ein","value":"81-4542216","business_name":"SAINT JOHNS PHYSICIAN PARTNERS"}}]},{"provider_group_id":3006,"network_name":["TRIO"],"provider_groups":[{"npi":[1508502782],"tin":{"type":"ein","value":"87-2160320","business_name":"ADVENTIST HEALTH CARE NETWORK-GLENDALE"}}]},{"provider_group_id":3007,"network_name":["TRIO"],"provider_groups":[{"npi":[1417052739],"tin":{"type":"ein","value":"94-2944896","business_name":"HILL PHYS MEDICAL GROUP SOLANO"}}]},{"provider_group_id":3008,"network_name":["TRIO"],"provider_groups":[{"npi":[1902930381],"tin":{"type":"ein","value":"94-3008941","business_name":"SANTA CLARA CNTY IPA"}}]},{"provider_group_id":3009,"network_name":["TRIO"],"provider_groups":[{"npi":[1265719033],"tin":{"type":"ein","value":"94-3168453","business_name":"ALTA BATES MEDICAL GROUP"}}]},{"provider_group_id":3010,"network_name":["TRIO"],"provider_groups":[{"npi":[1306049226],"tin":{"type":"ein","value":"94-3168453","business_name":"ALTA BATES MEDICAL GROUP"}}]},{"provider_group_id":3011,"network_name":["TRIO"],"provider_groups":[{"npi":[1912982216],"tin":{"type":"ein","value":"95-1643359","business_name":"PROVIDENCE ST JOSEPH HOSPITAL"}}]},{"provider_group_id":3012,"network_name":["TRIO"],"provider_groups":[{"npi":[1003095464],"tin":{"type":"ein","value":"95-2810095","business_name":"ALTAMED HEALTH SERVICES"}}]},{"provider_group_id":3013,"network_name":["TRIO"],"provider_groups":[{"npi":[1588829006],"tin":{"type":"ein","value":"95-3942828","business_name":"PIH HEALTH PHYSICIANS WHITTIER"}}]},{"provider_group_id":3014,"network_name":["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":3015,"network_name":["TRIO"],"provider_groups":[{"npi":[1457548091],"tin":{"type":"ein","value":"95-4247138","business_name":"BLUE ZONES HEALTH OF CA - LA"}}]},{"provider_group_id":3016,"network_name":["TRIO"],"provider_groups":[{"npi":[1710031588],"tin":{"type":"ein","value":"95-4322584","business_name":"FACEY MED FOUND SAN FERNANDO VALLEY"}}]},{"provider_group_id":3017,"network_name":["TRIO"],"provider_groups":[{"npi":[1477760940],"tin":{"type":"ein","value":"95-4385217","business_name":"ALLIED PACIFIC OF CALIF IPA"}}]},{"provider_group_id":3018,"network_name":["TRIO"],"provider_groups":[{"npi":[1629291810],"tin":{"type":"ein","value":"95-4469504","business_name":"SEOUL MEDICAL GROUP"}}]},{"provider_group_id":3019,"network_name":["TRIO"],"provider_groups":[{"npi":[1477677961],"tin":{"type":"ein","value":"95-4582615","business_name":"FAMILY CARE SPEC MONTEBELLO"}}]},{"provider_group_id":3020,"network_name":["TRIO"],"provider_groups":[{"npi":[1881720001],"tin":{"type":"ein","value":"95-4582920","business_name":"AFFILIATED DRS OF ORANGE CTY"}}]},{"provider_group_id":3021,"network_name":["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":3022,"network_name":["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":[2979],"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":[2980],"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":[2981],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":166.88,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2982],"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":[2983],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":119,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2984],"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":[2985],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":134.17,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2986],"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":[2987],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":94.68,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2988],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":144.02,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2989],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":125.11,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2990],"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":[2991],"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":[2992],"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":[2993],"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":[2994],"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":[2995],"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":[2996],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":149.9,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2997],"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":[2998],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":110.72,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2999],"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":[3000],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":139.71,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[3001],"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":[3002],"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":[3003],"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":[3004],"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":[3005],"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":[3006],"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":[3007],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":193.46,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"},{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":196.21,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"},{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":196.63,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"},{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":199.43,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[3008],"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":[3009],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":148.33,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[3010],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":157.42,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[3011],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":176.95,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"institutional"}]},{"provider_references":[3012],"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":[3013],"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":[3014],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":151.53,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[3015],"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":[3016],"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":[3017],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":115.63,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[3018],"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":[3019],"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":[3020],"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":[3021],"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":[3022],"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"}]}]}