NEWMedicare Advantage 2027 plans are live in the API.Read the changelog
STATE

Provider networks in California.

InPlan holds provider listings for 40 Medicare Advantage plans that serve California. Ask whether a plan lists a provider and get the answer with its source type and the date we read the directory.

MEDICARE ADVANTAGE PLANS
40
PLAN YEARS
2026 and 2027
INSURERS AND PLAN ORGANIZATIONS
11
LATEST READ
2026-10-29

What we hold in California.

Plans whose provider directories list providers in our data.

Plans with provider listings in California, by market
MARKETPLANSINSURERSPLAN YEARSLATEST READ
Medicare Advantage40112026 and 20272026-10-29

How we count: a plan counts when its provider directory lists at least one provider in our data. A provider-plan link is one listing of one provider in one plan. For marketplace plans it counts each plan year and network tier the directory gives; for Medicare Advantage plans it counts each provider once per plan.

Insurers in California.

Plans with provider listings for each insurer or plan organization, as they publish their names. A Medicare Advantage plan counts in every state it serves.

Insurers with plans that list providers in California
INSURERMARKETPLANS
Blue Shield of CaliforniaMedicare Advantage20
Astiva HealthMedicare Advantage6
Molina HealthcareMedicare Advantage4
Align Senior CareMedicare Advantage3
AHFMedicare Advantage1
Alameda Alliance for HealthMedicare Advantage1
Central California Alliance for HealthMedicare Advantage1
Contra Costa Health Care Plus (HMO D-SNP)Medicare Advantage1
Gold Coast Health PlanMedicare Advantage1
HEALTH PLAN OF SAN MATEOMedicare Advantage1
San Francisco Health PlanMedicare Advantage1

Who the Medicare Advantage directories list.

More than 115,000 providers who practise in California appear in the Medicare Advantage plans we hold. The most common primary specialties among them:

  • Dentist10,693
  • Nurse Practitioner7,886
  • Marriage and Family Therapist7,479
  • Family Practice7,172
  • Internal Medicine6,966
  • Optometry5,580
  • Clinical Social Worker4,707
  • Pediatric Medicine4,500

Specialties as the national provider registries record them. A provider counts once per specialty.

Example plans in California.

Plans with the most provider-plan links, with the plan ID the API takes. Look any plan ID up for free with the plan ID lookup.

Example plans with provider listings
PLANPLAN IDYEARTYPEPROVIDER-PLAN LINKS
Contra Costa Health Care Plus (HMO D-SNP)Contra Costa Health Care Plus (HMO D-SNP)H5119-001-0002027Medicare AdvantageHMO D-SNP · Special Needs Plan64,747
Molina Medicare Complete Care Plus (HMO D-SNP)Molina Healthcare of CaliforniaH3038-004-0012027Medicare AdvantageHMO D-SNP · Special Needs Plan38,419
Blue Shield 65 Plus (HMO)Blue Shield of CaliforniaH0504-015-0002027Medicare AdvantageHMO27,951
Astiva Health C-SNP Deluxe (HMO C-SNP)Astiva HealthH1993-007-0002026Medicare AdvantageHMO C-SNP · Special Needs Plan12,564
Senior Care (HMO I-SNP)Align Senior CareH3274-001-0002027Medicare AdvantageHMO I-SNP · Special Needs Plan8,459
SAMPLE ANSWER

A real California answer.

Christian N. Kirman, MD, who practises in Walnut Creek, is listed in H5119-001-000. This is the answer the API gives today for that pair, with its source type and the date we read the listing.

Requestany language that speaks HTTP
curl -H "Authorization: Bearer $INPLAN_KEY" \
  "https://api.inplan.io/v1/check?npi=1003090267&plan_id=H5119-001-000"
Response, trimmed200 OK
{
  "npi": "1003090267",
  "plan_id": "H5119-001-000",
  "market": "ma",
  "in_network": true,
  "answer": "listed",
  "plan_year": 2027,
  "source": { "type": "plan_directory", "as_of": "2026-10-29" }
}
NPI 1003090267PLAN H5119-001-000

Christian N. Kirman, MD

Plastic and Reconstructive Surgery · Walnut Creek, CA

Listed

PLAN
Contra Costa Health Care Plus (HMO D-SNP)
INSURER
Contra Costa Health Care Plus (HMO D-SNP)
MARKET
Medicare Advantage, plan year 2027
PLAN TYPE
HMO D-SNP
NEW PATIENTS
Accepting, per the directory
SOURCE
plan_directory · read 2026-10-29
One real answer, as the API returns itCheck another pair
DATA FILE

Every California provider, with every plan that lists them.

The California data file is one CSV: one row for each provider and plan pair, for every provider practising in California, with the source type and read date on each row.

FREE API KEY

Check California providers in your own product.

Send an NPI and a plan ID, get an answer with its evidence. Or ask for every plan that lists a provider. A free key gives 500 calls a month.