BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP)....

162
2021 2021 Provider Directory Provider Directory Brand New Day Harmony Choice Plan (HMO CSNP) 20 Brand New Day Harmony Choice Plan (HMO CSNP) 20 Brand New Day Dual Access Plan (HMO DSNP) 24 Brand New Day Dual Access Plan (HMO DSNP) 24 Brand New Day Classic Care I Plan (HMO) 25 Brand New Day Classic Care I Plan (HMO) 25 Brand New Day Bridges Care Plan (HMO CSNP) 28 Brand New Day Bridges Care Plan (HMO CSNP) 28 Brand New Day Bridges Choice Plan (HMO CSNP) 29 Brand New Day Bridges Choice Plan (HMO CSNP) 29 Brand New Day Harmony Care Plan (HMO CSNP) 32 Brand New Day Harmony Care Plan (HMO CSNP) 32 Brand New Day Classic Choice Plan (HMO) 33 Brand New Day Classic Choice Plan (HMO) 33 Brand New Day Classic Care II Plan (HMO) 37 Brand New Day Classic Care II Plan (HMO) 37 Brand New Day Embrace Care Plan (HMO CSNP) 39-1 Brand New Day Embrace Care Plan (HMO CSNP) 39-1 Brand New Day Embrace Choice Plan (HMO CSNP) 40-1 Brand New Day Embrace Choice Plan (HMO CSNP) 40-1 Brand New Day Select Care I Plan (HMO ISNP) 42 Brand New Day Select Care I Plan (HMO ISNP) 42 Brand New Day Select Choice I Plan (HMO ISNP) 44 Brand New Day Select Choice I Plan (HMO ISNP) 44 This directory is current as of December 07,2020. This directory provides a list of Brand New Day’s current network providers. This directory is for Riverside County. To access Brand New Day’s online provider directory, you can visit www.bndhmo.com . For any questions about the information contained in this directory (hardcopy or online), please call our Member Service Department at 1-866-255-4795, Monday through Friday from 8:00 am to 8:00 pm and weekends from 8:00 am to 8:00 pm (between October 1st and March 31st). TTY/TDD users should call 711. Brand New Day is a HMO with Medicare contract. Enrollment in Brand New Day depends on contract renewal. The provider network may change at any time. You will receive notice when necessary. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-866-255-4795 (TTY: 711). H0838_2260.201019_C 1

Transcript of BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP)....

Page 1: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

20212021Provider DirectoryProvider Directory

Brand New Day Harmony Choice Plan (HMO CSNP) 20Brand New Day Harmony Choice Plan (HMO CSNP) 20Brand New Day Dual Access Plan (HMO DSNP) 24Brand New Day Dual Access Plan (HMO DSNP) 24

Brand New Day Classic Care I Plan (HMO) 25Brand New Day Classic Care I Plan (HMO) 25Brand New Day Bridges Care Plan (HMO CSNP) 28Brand New Day Bridges Care Plan (HMO CSNP) 28

Brand New Day Bridges Choice Plan (HMO CSNP) 29Brand New Day Bridges Choice Plan (HMO CSNP) 29Brand New Day Harmony Care Plan (HMO CSNP) 32Brand New Day Harmony Care Plan (HMO CSNP) 32

Brand New Day Classic Choice Plan (HMO) 33Brand New Day Classic Choice Plan (HMO) 33Brand New Day Classic Care I I Plan (HMO) 37Brand New Day Classic Care I I Plan (HMO) 37

Brand New Day Embrace Care Plan (HMO CSNP) 39-1Brand New Day Embrace Care Plan (HMO CSNP) 39-1Brand New Day Embrace Choice Plan (HMO CSNP) 40-1Brand New Day Embrace Choice Plan (HMO CSNP) 40-1

Brand New Day Select Care I Plan (HMO ISNP) 42Brand New Day Select Care I Plan (HMO ISNP) 42Brand New Day Select Choice I Plan (HMO ISNP) 44Brand New Day Select Choice I Plan (HMO ISNP) 44

This directory is current as of December 07,2020.

This directory provides a list of Brand New Day’s current network providers.

This directory is for Riverside County.

To access Brand New Day’s online provider directory, you can visit www.bndhmo.com .For any questions about the information contained in this directory (hardcopy or online),please call our Member Service Department at 1-866-255-4795, Monday through Fridayfrom 8:00 am to 8:00 pm and weekends from 8:00 am to 8:00 pm (between October 1stand March 31st). TTY/TDD users should call 711. Brand New Day is a HMO with Medicarecontract. Enrollment in Brand New Day depends on contract renewal. The providernetwork may change at any time. You will receive notice when necessary. ATENCIÓN: sihabla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al1-866-255-4795 (TTY: 711).

H0838_2260.201019_C

1

Page 2: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Table of Content sTable of Content s

Sect ion 1 – Int roduct ionSect ion 1 – Int roduct ion 3

What is the service area for Brand New Day ? 4

How do you find Brand New Day providers in your area? 4

Sect ion 2 – List of Network ProvidersSect ion 2 – List of Network Providers 5

Vision, Dental and Ancillary Providers 5

Primary Care Physicians Affiliated with IPAs 7

Specialists Affiliated with IPAs 38

Primary Care Physicians Affiliated Directly with Brand New Day 138

Specialists Affiliated Directly with Brand New Day 148

Hospitals 153

Skilled Nursing Facilities (SNF) 154

Urgent Care 156

Wellness Centers 158

2

Page 3: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Sect ion 1 – Int roduct ionSect ion 1 – Int roduct ion

This directory provides a list of Brand New Day network providers. To get detailedinformation about your health care coverage, please see your Evidence of Coverage(EOC).

Use this directory to find Brand New Day network providers for your care needs. Networkproviders are the doctors and other health care professionals, medical groups, hospitals,and other health care facilities that have an agreement with us to accept our paymentand any plan cost sharing as payment in full. We have arranged for these providers todeliver covered services to members in our plan.

It is important to know which providers are with our network because, with limitedexceptions, while you are a member of our plan you must use network providers toobtain your medical care and services. The only exceptions are emergencies, urgentlyneeded care when the network is not available (generally when you are out of the area),out-of-area dialysis services, and cases in which Brand New Day authorizes use of out-of-network providers.

You will have to choose one of our network providers listed in this directory to be yourPrimary Care Provider (PCP). Generally, you must get your health care services from yourPCP. Your PCP is a physician who meets State requirements and is trained to give youbasic medical care. Your PCP will provide most of your care and will help arrange orcoordinate the rest of the covered services you get as a member of our Plan. Thisincludes: x-rays, laboratory tests, therapy, care from doctors who are specialists, hospitaladmissions, and follow up care.

The “network providers” listed in this directory have agreed to provide you with yourHealth care and vision coverage. You may go to any of our network providers listed in thisdirectory; however, some services may require a referral and prior authorization fromBrand New Day.

If you have been going to one network provider, you are not required to continue to goto that same provider. Other physicians/providers are available in our network. In somecases, you may get covered services from non-network providers.

The “network providers” listed in this directory have agreed to provide you with yourmedical health care, vision and dental services. You may go to any of our networkproviders listed in this directory; however, some services require a referral and priorauthorization from Brand New Day.

If you have been going to one network provider, you are not required to continue to goto that same provider. Other physicians/providers are available in our network. In somecases, you may get covered services from non-network providers.

Med ical groups and Independent Pract ice Associat ionsMed ical groups and Independent Pract ice Associat ions

Brand New Day’s Network includes providers associated with Independent PracticeAssociations (IPAs) and Medical Groups. An IPA is a group of physicians under contract toprovide services to members. If you select a doctor that belongs to an IPA or medicalgroup as your PCP, you may be required to only use doctors that belong to that IPA orMedical Group for care. Additionally, you may need to obtain prior authorization for carefrom the IPA or medical group instead of from Brand New Day.

You must use network providers except in emergency or urgent care situations. If youobtain routine care from out-of-network providers, neither Medicare nor Brand New Daywill be responsible for the costs.

3

Page 4: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

If you receive a bill from an out-of-network provider that gave you emergent or urgentcare (or out of area renal dialysis, do not pay the bill. Submit the bill to Brand New Dayfor review.

Mai l b i l l s f or Prescr ip t ion d rugs t o:Mai l b i l l s f or Prescr ip t ion d rugs t o:Brand New Day c/o Med Impact Claims Depart mentBrand New Day c/o Med Impact Claims Depart ment10181 Scr ipps Gat eway Court10181 Scr ipps Gat eway CourtSan Diego, CA 92131San Diego, CA 92131

Mai l b i l l s f or med ical care t o:Mai l b i l l s f or med ical care t o:Brand New Day Brand New Day AT T N: Claims Depart ment AT T N: Claims Depart ment P.O. Box 794 P.O. Box 794 Park Ridge, I l l inois 60068Park Ridge, I l l inois 60068

What i s t he service area f or Brand New Day?What i s t he service area f or Brand New Day?

The counties in our service area are listed below. Fresno, Imperial, Kings, Kern, Los Angeles, Orange, San Bernardino, Riverside, San Diego,San Mateo, Santa Clara, Tulare, San Francisco, San Joaquin, Sacramento, and MaderaCounties.

How do you f ind Brand New Day p roviders in your area?How do you f ind Brand New Day p roviders in your area?

You may look for a provider using this directory in several ways. To find a provider in yourarea, look for the county or area first. Then search the list of providers for that area. If youknow the name of the provider you are looking for, use our alphabetical index located inthe back of this directory. Our providers are listed according to their associated MedicalGroup or IPA.

Our directory includes Brand New Day contracted specialists, hospitals, urgent care, andskilled nursing facilities. In addition, the directory includes contracted dental providers(We are contracted with Liberty Dental and Western Dental to use their network ofdentists) and vision providers (We are contracted with MES Vision Care to use theirnetwork of vision care providers).

If you have questions about Brand New Day or require assistance in selecting a PCP,please call our Member Service Department at 1-866-255-4795, Monday through Friday8:00 am to 8:00 pm and weekends from 8:00 am to 8:00 pm (between October 1st andMarch 31st). TTY/TDD users should call 711. Or, visit http://www.bndhmo.com.

4

Page 5: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Sect ion 2 – List of Network ProvidersSect ion 2 – List of Network Providers

Vision, Denta l and Anci l la r y Provider sVision, Denta l and Anci l la r y Provider s

FIT NESS AND HEALT HFIT NESS AND HEALT H

PROVIDER : SILVERSNEAKERSPROVIDER : SILVERSNEAKERSMonday - Friday, 5 a.m. - 5 p.m.Phone: 1-888-423-4632Website: www.silversneakers.com

For Hear ing impair ed T T Y user s: 711For Hear ing impair ed T T Y user s: 711

T RANSPORAT IONT RANSPORAT ION

SCHEDULE ROUT INE T RANSPORT AT ION (T O AND FROM DOCT OR)SCHEDULE ROUT INE T RANSPORT AT ION (T O AND FROM DOCT OR)Monday-Friday 8 a.m. - 8 p.m.Phone: 1-855-804-3340

SCHEDULE MEDICAL T RANSPORT AT ION (NON-URGENT )SCHEDULE MEDICAL T RANSPORT AT ION (NON-URGENT )Monday-Friday 8 a.m. - 8 p.m.Phone: 1-855-804-3484

REQUEST A BUS PASS (HARMONY PLANS 20 AND 32 ONLY)REQUEST A BUS PASS (HARMONY PLANS 20 AND 32 ONLY)7 days a week, 8 a.m. - 5 p.m. (Office Hours), 5 p.m. – 8 a.m. (After Hours)Phone: 1-855-804-3661

For Hear ing impair ed T T Y user s: 711For Hear ing impair ed T T Y user s: 711

VISIONVISION

PROVIDER: MES VISIONPROVIDER: MES VISIONMonday - Friday, 8 a.m. - 5 p.m.Phone: 1-833-240-7289Website: www.mesvision.com/bndhmo

For Hear ing impair ed T T Y user s: 1 -877-735-2929For Hear ing impair ed T T Y user s: 1 -877-735-2929

CHIROPRACT OR AND ACCUPUNCT URECHIROPRACT OR AND ACCUPUNCT URE

PROVIDER: AMERICAN SPECIALT Y HEALT H (ASH)PROVIDER: AMERICAN SPECIALT Y HEALT H (ASH)Monday - Friday, 5 a.m. - 8 p.m.Phone: 1-800-678-9133Website: www.ashlink.com/ASH/brandnewday

For Hear ing impair ed T T Y user s: 1 -800-735-2922For Hear ing impair ed T T Y user s: 1 -800-735-2922

5

Page 6: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Vision, Denta l and Anci l la r y Provider sVision, Denta l and Anci l la r y Provider s

T ELEHEALT HT ELEHEALT H

PROVIDER: T ELADOCPROVIDER: T ELADOC24 hours, 7 days a weekPhone: 1-855-835-2362Website: www.teladoc.com

For Hear ing impair ed T T Y user s: 1 -855-636-1578For Hear ing impair ed T T Y user s: 1 -855-636-1578

DENT ALDENT AL

PROVIDER: L IBERT Y DENT ALPROVIDER: L IBERT Y DENT ALMonday-Friday, 8 a.m. – 8 p.m.Phone: 1-888-704-9830Website: www.libertydentalplan.com

For Hear ing impair ed T T Y user s: 1 -877-855-8039For Hear ing impair ed T T Y user s: 1 -877-855-8039

PROVIDER: WEST ERN DENT ALPROVIDER: WEST ERN DENT ALMonday - Friday, 8:30 am - 5 pmPhone: 1-855-203-5900Website: www.westerndentalbenefits.com

For Hear ing impair ed T T Y user s: 711For Hear ing impair ed T T Y user s: 711

PHARMACYPHARMACY

PROVIDER: CONVEY OT CPROVIDER: CONVEY OT CMonday - Friday, 5 a.m. – 8 p.m.Phone: 1-855-804-3555Website: www.bndotc.com

For Hear ing impair ed T T Y user s: 711For Hear ing impair ed T T Y user s: 711

PROVIDER: MEDIMPACT (MAIL ORDER PHARMACY)PROVIDER: MEDIMPACT (MAIL ORDER PHARMACY)Monday - Friday, 5 a.m. - 5 p.m.Saturdays 6 a.m. - 2 p.m.Phone: 1-855-873-8739Website: www.medimpactdirect.com

For Hear ing impair ed T T Y user s: 711For Hear ing impair ed T T Y user s: 711

NURSE ADVICE L INENURSE ADVICE L INE

PROVIDER: BRAND NEW DAYPROVIDER: BRAND NEW DAY24 hours, 7 days a weekPhone: 1-888-687-7321

For Hear ing impair ed T T Y user s: 711For Hear ing impair ed T T Y user s: 711

6

Page 7: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

PRIMARYPRIMARYCARECAREPHYSICIANSPHYSICIANSAFFIL IATEDAFFIL IATEDWITH IPASWITH IPAS

Pr imary Care Physic ians Af f i l ia ted with IPAsPr imary Care Physic ians Af f i l ia ted with IPAs

BanningBanning

FAMILYFAMILYPRACT ICEPRACT ICE

LEE-WANG,LEE-WANG,CANDICE MDCANDICE MDVantage MedicalGroup (P09)Provider # CALE09264 N HLANDSPRINGS, AVE #4Banning, CA 92220760-690-5900760-690-5900

LLOYD, FREDERICKLLOYD, FREDERICKImperial HealthHolding MedicalGroup (MH76)La Salle MedicalAssociates_IE (M201)Provider # LLFR264 N HIGHLAND,SPRINGS #5ABanning, CA 92220951-769-0079951-769-0079

SMIT H, ELLENSMIT H, ELLENVantage MedicalGroup (P09)Provider # ELSM1264 N HIGHLANDSPRIN, BLVDBanning, CA 92220951-769-0079951-769-0079

INT ERNALINT ERNALMEDICINEMEDICINE

LEE , MICHAEL MDLEE, MICHAEL MDPrimary Care Associatesof California (MH61)Vantage MedicalGroup (P09)Provider # MILE1169 W RAMSEY,Banning, CA 92220951-849-1543951-849-1543

LOERA, ROBERTLOERA, ROBERTVantage MedicalGroup (P09)Provider # ROLO264 N HIGHLAND,SPRINGS AVE #1ABanning, CA 92220951-769-7191951-769-7191

BeaumontBeaumont

INT ERNALINT ERNALMEDICINEMEDICINE

DUKE, ANDREW TDUKE, ANDREW TMDMDLa Salle MedicalAssociates (M131)Provider # ANDU3701 HIGHLANDSPRING,Beaumont, CA 92223951-321-6315951-321-6315

MOSES, DEVADASMOSES, DEVADASMDMDMedex Health NetworkInc (M167)Provider # DEMO1701 HIGHLANDSPRINGS, AVE STE 5Beaumont, CA 92223951-845-2342951-845-2342

Bl yt heBl yt he

FAMILYFAMILYPRACT ICEPRACT ICE

LUCERO, KENNET HLUCERO, KENNET HImperial HealthHolding MedicalGroup (MH76)Imperial Health Plan(M138)Provider # KNLU205 N FIRST, STE ABlythe, CA 92225760-921-3468760-921-3468

FED QUALFED QUALHEALT H CT RHEALT H CT R

CLIN ICAS DECLIN ICAS DESALUD, DELSALUD, DELPUEBLOPUEBLOCommunity Care IPA(MH89)Provider # BLHC321 W HOBSONWAY#C,Blythe, CA 92225760-922-4981760-922-4981

INT ERNALINT ERNALMEDICINEMEDICINE

PAGLINAWAN,PAGLINAWAN,ADOLFO M MDADOLFO M MDImperial Health Plan(M138)Provider # ADPA44332 W HOBSONWAY,Blythe, CA 92225760-922-9101760-922-9101

Cat hed r al Cit yCat hed r al Cit y

FAMILYFAMILYPRACT ICEPRACT ICE

REZ AI , DAMOUNREZ AI , DAMOUNMDMDLa Salle MedicalAssociates_IE (M201)Provider # DARE69175 RAMON RD,Cathedral City, CA92234760-321-6776760-321-6776

T ABIKH, MEHYOT ABIKH, MEHYOISSAM MDISSAM MDLa Salle MedicalAssociates (M131)Provider # META1269175 RAMON RD,BLDG ACathedral City, CA92234760-321-6776760-321-6776

7

Page 8: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Pr imary Care Physic ians Af f i l ia ted with IPAsPr imary Care Physic ians Af f i l ia ted with IPAs

Z ADSHIR , ASHRAFZ ADSHIR , ASHRAFMDMDLa Salle MedicalAssociates_IE (M201)Provider # ASZA69175 RAMON RDBLDG, ACathedral City, CA92234760-321-6776760-321-6776

GENERALGENERALPRACT ICEPRACT ICE

Z EBRACK,Z EBRACK,MORT ON MDMORT ON MDAlpha Care MedicalGroup (M136)Provider # MOZE1234131 DATE PALM DR,#F2, CATHEDRAL CITYCathedral City, CA92234760-770-4600760-770-4600

INT ERNALINT ERNALMEDICINEMEDICINE

POURSAT IP,POURSAT IP,MARYAM MDMARYAM MDLa Salle MedicalAssociates_IE (M201)Provider # MAPO869175 RAMON RDBLDG, ACathedral City, CA92234760-321-6776760-321-6776

Coac hel l aCoac hel l a

FAMILYFAMILYPRACT ICEPRACT ICE

CAT LET T , ST EVENCAT LET T , ST EVENAlpha Care MedicalGroup (M136)Primary Care Associatesof California (MH61)Vantage MedicalGroup (P09)Provider # STCA1293 6TH ST,Coachella, CA 92236760-391-5151760-391-5151

GIBBS, RANDOLPHGIBBS, RANDOLPHDDCommunity Care IPA(MH89)Provider # GIRN50249 CESAR CHAVEZ,#KCoachella, CA 92236760-393-0555760-393-0555

GRAHAM, GLORIAGRAHAM, GLORIAMDMDAlpha Care MedicalGroup (M136)Provider # GLGR1250249 CESAR CHAVEZ,ST #KCoachella, CA 92236760-393-0555760-393-0555

HACOPIAN, AVAHACOPIAN, AVAMDMDCommunity Care IPA(MH89)Provider # AVHA50249 CESAR CHAVEZ,ST #KCoachella, CA 92236760-393-0555760-393-0555

PANDEY, MANIKAPANDEY, MANIKACommunity Care IPA(MH89)Provider # MAPA4949111 HWY 111,Coachella, CA 92236760-393-0555760-393-0555

RAMIREZ ,RAMIREZ ,EDUARDO MDEDUARDO MDAlpha Care MedicalGroup (M136)Vantage MedicalGroup (P09)Provider # EDRA21293 6TH ST,Coachella, CA 92236760-775-4181760-775-4181

SNYDER,SNYDER,CHRIST OPHER DOCHRIST OPHER DOAlpha Care MedicalGroup (M136)Primary Care Associatesof California (MH61)Provider # CHSN101293 6TH ST,Coachella, CA 92236760-391-5151760-391-5151

WHEELER, J ENNYWHEELER, J ENNYM M MDMDAlpha Care MedicalGroup (M136)Provider # JEWH0150249 CESAR CHAVEZ,ST #KCoachella, CA 92236760-393-0555760-393-0555

FED QUALFED QUALHEALT H CT RHEALT H CT R

CLIN ICAS DECLIN ICAS DESALUD, DELSALUD, DELPUEBLOPUEBLOCommunity Care IPA(MH89)Provider # CLHC50249 CESAR CHAVEZ,#KCoachella, CA 92236760-344-9951760-344-9951

GENERALGENERALPRACT ICEPRACT ICE

8

Page 9: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Pr imary Care Physic ians Af f i l ia ted with IPAsPr imary Care Physic ians Af f i l ia ted with IPAs

ACOST A, J UAN MACOST A, J UAN MBuenaventura AffiliatedPhysician (M146)Imperial HealthHolding MedicalGroup (MH76)Imperial Health Plan(M138)Primary Care Associatesof California (MH61)Vantage MedicalGroup (P09)Provider # JUAC52565 HARRISON ST,#104Coachella, CA 92236760-398-0606760-398-0606* Does not ac c ept* Does not ac c eptMed i-CalMed i-Cal

CURRY, FRANK MDCURRY, FRANK MDAlpha Care MedicalGroup (M136)Primary Care Associatesof California (MH61)Vantage MedicalGroup (P09)Provider # FRCU11293 6TH ST,Coachella, CA 92236760-391-5151760-391-5151* Does not ac c ept* Does not ac c eptMed i-CalMed i-Cal

DRENNING-DRENNING-MANRRIQUEZ ,MANRRIQUEZ ,ROGELIO MDROGELIO MDAlpha Care MedicalGroup (M136)Provider # RODR4949617 CESAR CHAVEZS, T #BCoachella, CA 92236760-398-3555760-398-3555

MAJ IDIAN, SALLY JMAJ IDIAN, SALLY JMDMDPrimary Care Associatesof California (MH61)Provider # SAMA71293 6TH ST,Coachella, CA 92236760-391-5151760-391-5151

ST ARKS, WAYNE DST ARKS, WAYNE DAlpha Care MedicalGroup (M136)Provider # WAST751335 HARRISON ST,#107Coachella, CA 92236760-391-9062760-391-9062

INT ERNALINT ERNALMEDICINEMEDICINE

MOST YN, MICHAELMOST YN, MICHAELAlpha Care MedicalGroup (M136)Vantage MedicalGroup (P09)Provider # MIMO41293 6TH STREET,Coachella, CA 92236760-391-5151760-391-5151

NARAYAN,NARAYAN,DHARMAVIJ AYPALDHARMAVIJ AYPALR MDR MDAlpha Care MedicalGroup (M136)Provider # DHNA31494 W 6TH ST,Coachella, CA 92236760-699-2740760-699-2740

Cor onaCor ona

FAMILYFAMILYPRACT ICEPRACT ICE

HARAST I , EVA MDHARAST I , EVA MDPrimeCare MedicalNetwork (M132)Provider # EVHA800 MAGNOLIA AVE,#109Corona, CA 92879951-520-9392951-520-9392

MAGINA, FAT IMAMAGINA, FAT IMAMDMDAffiliated Partners(MH97)Provider # FAMG222 W 6TH STREET,Corona, CA 92882951-278-2530951-278-2530

MULLER, J EFFERYMULLER, J EFFERYA MDA MDTemecula ValleyPhysicians MedicalGroup (M153)Provider # JEMU92815 S MAIN ST, #210Corona, CA 92882951-735-9211951-735-9211

NELSON, ROBERTNELSON, ROBERTGGAlliance Health Systems(MH25)Provider # RONE7818 MAGNOLIA AVE,#101Corona, CA 92879909-737-0910909-737-0910

OHRI , SAMEEROHRI , SAMEERFreedom PhysiciansCorporation (M151)Provider # OHRI1280 CORONAPOINTE, CT #118Corona, CA 92879951-817-5000951-817-5000

OHRI , SAMEER MDOHRI , SAMEER MDAligned CommunityPhysicians (M145)Alpha Care MedicalGroup (M136)Provider # SAOH1800 MAGNOLIA AVE,#105Corona, CA 92879951-268-7573951-268-7573

9

Page 10: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Pr imary Care Physic ians Af f i l ia ted with IPAsPr imary Care Physic ians Af f i l ia ted with IPAs

OWIESY, FAROUGHOWIESY, FAROUGHMDMDAligned CommunityPhysicians (M145)Alpha Care MedicalGroup (M136)Nexus IPA (M133)Primary Care Associatesof California (MH61)Provider # FAOW802 MAGNOLIA AVE,#106Corona, CA 92879951-371-9500951-371-9500

PAT EL , HIT ESH MDPAT EL, HIT ESH MDLa Salle MedicalAssociates_IE (M201)Provider # HIPA5127 N MCKINLEY ST #,101Corona, CA 92879951-278-2600951-278-2600

SANCHEZ , J OSESANCHEZ , J OSEMDMDAffiliated Partners(MH97)Provider # JOSA222 W 6TH ST,Corona, CA 92882951-278-2530951-278-2530

SAT HYA,SAT HYA,ANURADHA MDANURADHA MDAlpha Care MedicalGroup (M136)Provider # ANSA42083 COMPTON AVE,#105Corona, CA 92881951-808-3000951-808-3000

SHAH, RUPAL BSHAH, RUPAL BImperial HealthHolding MedicalGroup (MH76)Primary Care Associatesof California (MH61)Vantage MedicalGroup (P09)Provider # RUSH5770 MAGNOLIA AVE,#1KCorona, CA 92879951-738-0303951-738-0303

SHOJ A, AL IREZ ASHOJ A, AL IREZ AMDMDLa Salle MedicalAssociates (M131)Provider # ALSH22791 GREEN RIVER,RD #103Corona, CA 92882951-735-5570951-735-5570

SUNNY, MERL INSUNNY, MERL INDODOAligned CommunityPhysicians (M145)Provider # MESU4341 MAGNOLIA AVE,#201Corona, CA 92879951-735-6969951-735-6969

VIDAL, MONICAVIDAL, MONICADODOAll United MedicalGroup (P94)La Salle MedicalAssociates_IE (M201)Provider # VIMO1217 EAST 3RD ST,Corona, CA 92879951-273-1188951-273-1188

VU, HOANG-VU, HOANG-CHUONG MDCHUONG MDAligned CommunityPhysicians (M145)Alpha Care MedicalGroup (M136)Provider # HOVU351820 FULLERTON AVE,#230Corona, CA 92881951-268-6995951-268-6995

GENERALGENERALPRACT ICEPRACT ICE

ANDERSON,ANDERSON,ANDREA MDANDREA MDPrimary Care Associatesof California (MH61)Provider # ANAN122815 S MAIN ST, #215Corona, CA 92882951-493-1992951-493-1992

KHALIL , NABILKHALIL , NABILFOLLAD MDFOLLAD MDAll United MedicalGroup (P94)Provider # NAKH04217 E THIRD ST.,Corona, CA 92879760-948-4219760-948-4219

WANG, J IANGNAMWANG, J IANGNAMMDMDVantage MedicalGroup (P09)Provider # JIWA6513334 LIMONITE, AVE#A130Corona, CA 92880909-591-8200909-591-8200

INT ERNALINT ERNALMEDICINEMEDICINE

CHEN, XINKE MDCHEN, XINKE MDVantage MedicalGroup (P09)Provider # XICH1482 CORONA MALL,Corona, CA 92879951-549-9791951-549-9791

CHIDI , GEORGECHIDI , GEORGEMDMDAlpha Care MedicalGroup (M136)Freedom PhysiciansCorporation (M151)Nexus IPA (M133)Vantage MedicalGroup (P09)Provider # GECH2340 N. MCKINLEY ST.,#105Corona, CA 92879951-272-5900951-272-5900

DIAZ , T ARCISIO CDIAZ , T ARCISIO CPrimary Care Associatesof California (MH61)Provider # TADI900 S MAIN ST,Corona, CA 92882951-738-9081951-738-9081

10

Page 11: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Pr imary Care Physic ians Af f i l ia ted with IPAsPr imary Care Physic ians Af f i l ia ted with IPAs

HAGAN, MOWBRAYHAGAN, MOWBRAYP MDP MDAlpha Care MedicalGroup (M136)Vantage MedicalGroup (P09)Provider # MOHA3482 CORONA MALL,Corona, CA 92879951-734-6110951-734-6110

PHAM, T HUY DICHPHAM, T HUY DICHDODOAlpha Care MedicalGroup (M136)Provider # THPH241530 W 6TH ST,Corona, CA 92879951-354-3216951-354-3216

SHAREEF,SHAREEF,T AHSEEN MDT AHSEEN MDAlpha Care MedicalGroup (M136)Provider # TASH31307 W 6TH ST, #113Corona, CA 92882951-278-8910951-278-8910

T ABEL, GHASAN M.T ABEL, GHASAN M.Freedom PhysiciansCorporation (M151)Provider # GHTA1160 W. FOOTHILLPKWY, #105 - 348Corona, CA 92882800-548-8447800-548-8447

Z HANG, XIAO-L INGZ HANG, XIAO-L INGMDMDVantage MedicalGroup (P09)Provider # XILZ1334 LIMONITE AVE,#A130Corona, CA 92880909-591-8200909-591-8200

Deser t HotDeser t HotSpr ing sSpr ing s

FAMILYFAMILYPRACT ICEPRACT ICE

GYIMAH, SILAS MDGYIMAH, SILAS MDLa Salle MedicalAssociates (M131)Provider # SIGY3466675 PIERSON BLVD,Desert Hot Springs, CA92240760-676-5240760-676-5240

GENERALGENERALPRACT ICEPRACT ICE

Z EBRACK,Z EBRACK,MORT ON MDMORT ON MDAlpha Care MedicalGroup (M136)Provider # MOZE1313-560 PALM DRIVE,Desert Hot Springs, CA92240760-329-1776760-329-1776

INT ERNALINT ERNALMEDICINEMEDICINE

POURSAT IP,POURSAT IP,MARYAM MDMARYAM MDLa Salle MedicalAssociates_IE (M201)Provider # MAPO766675 PIERSON BLVD,Desert Hot Springs, CA92240760-676-5240760-676-5240

HemetHemet

FAMILYFAMILYPRACT ICEPRACT ICE

ARANAS, J UDIT HARANAS, J UDIT HMDMDHemet CommunityMedical Group (M127)Provider # JUAR341701 E FLORIDA AVE,Hemet, CA 92544951-658-4486951-658-4486

ASHRAF, HADIA MDASHRAF, HADIA MDAlpha Care MedicalGroup (M136)Hemet CommunityMedical Group (M127)Provider # HAAS1903 E DEVONSHIREAVE, #FHemet, CA 92543951-929-1611951-929-1611

CASSADAY,CASSADAY,DONALD M MDDONALD M MDHemet CommunityMedical Group (M127)Provider # DOCA152390 E FLORIDA AVE,#101Hemet, CA 92543951-925-1449951-925-1449

GANT A, SANYASI RGANT A, SANYASI RMDMDHemet CommunityMedical Group (M127)Medex Health NetworkInc (M167)Preferred IPA ofCalifornia (MH81)Provider # SAGA99225 N LAURSEN ST,Hemet, CA 92543951-925-6657951-925-6657

HENDERSON,HENDERSON,PAULA C MDPAULA C MDHemet CommunityMedical Group (M127)Provider # PAHE11391 N SAN JACINTOST,Hemet, CA 92543951-929-6003951-929-6003

HOWARD, NAT HANHOWARD, NAT HANS MDS MDHemet CommunityMedical Group (M127)Provider # NAHO9850 E LATHAM, #205Hemet, CA 92543951-658-7205951-658-7205

11

Page 12: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Pr imary Care Physic ians Af f i l ia ted with IPAsPr imary Care Physic ians Af f i l ia ted with IPAs

HUGHES, LARRYHUGHES, LARRYMDMDFamily Seniors MedicalGroup (M155)Provider # LAHU24020 W FLORIDA AVE,Hemet, CA 92545951-925-9565951-925-9565

HUGHES HICKS,HUGHES HICKS,HEAT HER MDHEAT HER MDFamily Seniors MedicalGroup (M155)Provider # HEHI14020 W FLORIDA AVE,Hemet, CA 92545951-925-9565951-925-9565

J ENK INS,J ENK INS,DONELLA MDDONELLA MDHemet CommunityMedical Group (M127)Provider # DOJE2226960 CHERRY HILLS,BLVD #AHemet, CA 92543951-672-2856951-672-2856

O'BR IEN,O'BR IEN,KAT HARINE DOKAT HARINE DOHemet CommunityMedical Group (M127)Primary Care Associatesof California (MH61)Provider # KAOB141600 E FLORIDA AVE,#103Hemet, CA 92544951-929-8121951-929-8121

PEREZ , J OSE MDPEREZ , J OSE MDAlpha Care MedicalGroup (M136)La Salle MedicalAssociates_IE (M201)Medex Health NetworkInc (M167)Provider # JOPE14540 N SAN JACINTO,#P & #QHemet, CA 92543951-929-4000951-929-4000

RAMIREZ , MARKRAMIREZ , MARKMDMDHemet CommunityMedical Group (M127)Vantage MedicalGroup (P09)Provider # MARA21000 E LATHAM, #GHemet, CA 92543951-765-5594951-765-5594

SCHOONMAKER,SCHOONMAKER,J OHN L DOJ OHN L DOHemet CommunityMedical Group (M127)Provider # JOSC2541511 E FLORDIA, AVEHemet, CA 92544951-658-3227951-658-3227

SHARIF, SUBHI MDSHARIF, SUBHI MDAlpha Care MedicalGroup (M136)Vantage MedicalGroup (P09)Provider # SUSH750 E LATHAM AVE, #2Hemet, CA 92543951-658-7455951-658-7455

T AECHARVONG,T AECHARVONG,VEERAT MDVEERAT MDVantage MedicalGroup (P09)Provider # VETA34903 E DEVONSHIREAVE,Hemet, CA 92543951-246-6100951-246-6100

YEH, WEILEE E MDYEH, WEILEE E MDHemet CommunityMedical Group (M127)Provider # WEYE1117 E DEVONSHIREAV,Hemet, CA 92543951-658-3227951-658-3227

YEH, WEILEE E MDYEH, WEILEE E MDHemet CommunityMedical Group (M127)Provider # WEYE0841511 E. FLORIDAAVE,Hemet, CA 92544951-658-3227951-658-3227

FED QUALFED QUALHEALT H CT RHEALT H CT R

CLIN ICAS DECLIN ICAS DESALUD, DELSALUD, DELPUEBLOPUEBLOCommunity Care IPA(MH89)Provider # CLDE101023 E FLORIDA AVE,Hemet, CA 92543951-599-9403951-599-9403

GENERALGENERALPRACT ICEPRACT ICE

AT IYA, J OSEPHAT IYA, J OSEPHAlpha Care MedicalGroup (M136)Vantage MedicalGroup (P09)Provider # JOAT22573 W FLORIDA AVE,Hemet, CA 92545951-658-7284951-658-7284* Does not ac c ept* Does not ac c eptMed i-CalMed i-Cal

EL-HENAWI, IGLALEL-HENAWI, IGLALMDMDAlpha Care MedicalGroup (M136)Family Seniors MedicalGroup (M155)Imperial HealthHolding MedicalGroup (MH76)Vantage MedicalGroup (P09)Provider # IGEL4020 W FLORIDA AVE,#EHemet, CA 92543951-765-5000951-765-5000* Does not ac c ept* Does not ac c eptMed i-CalMed i-Cal

KOKA, VIDHYA MDKOKA, VIDHYA MDHemet CommunityMedical Group (M127)Provider # VIKO15422 N SAN JACINTO,STHemet, CA 92543951-665-1100951-665-1100

12

Page 13: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Pr imary Care Physic ians Af f i l ia ted with IPAsPr imary Care Physic ians Af f i l ia ted with IPAs

KOKA,KOKA,VIDHYALAKSHMIVIDHYALAKSHMIMDMDVantage MedicalGroup (P09)Provider # VIKO33903 E DEVONSHIREAVE,Hemet, CA 92543951-216-6100951-216-6100

LOPEZ , IRMA MDLOPEZ , IRMA MDAlpha Care MedicalGroup (M136)Provider # IRLO21003 N STATE ST,Hemet, CA 92543951-652-0090951-652-0090

RAJ A, MANIKANDARAJ A, MANIKANDAGGHemet CommunityMedical Group (M127)Provider # MARA201701 E FLORIDA AVE,Hemet, CA 92544951-658-4486951-658-4486

SOLIMAN, KARIM ASOLIMAN, KARIM AAlpha Care MedicalGroup (M136)Provider # KASO3540 SAN JACINTO, #QHemet, CA 92543951-929-4000951-929-4000

INT ERNALINT ERNALMEDICINEMEDICINE

BARVE, PRANAVBARVE, PRANAVMDMDFreedom PhysiciansCorporation (M151)Hemet CommunityMedical Group (M127)Provider # PRBA11278 LATHAM AVE,Hemet, CA 92543951-925-6625951-925-6625

BARVE, PRANAVBARVE, PRANAVMDMDPrimary Care Associatesof California (MH61)Provider # PRBA31600 E FLORIDA AVE,#103Hemet, CA 92544951-929-8121951-929-8121

BISHOP, SHARMABISHOP, SHARMAMDMDHemet CommunityMedical Group (M127)Provider # SHBI61001 S STATE ST,Hemet, CA 92543951-925-2525951-925-2525* Does not ac c ept* Does not ac c eptMed i-CalMed i-Cal

CORSINO, CASEYCORSINO, CASEYDODOHemet CommunityMedical Group (M127)Provider # CACO331278 E LATHAM AVE,Hemet, CA 92543951-925-6625951-925-6625

HARSANY J R ,HARSANY J R ,J OHN MDJ OHN MDMedex Health NetworkInc (M167)Preferred IPA ofCalifornia (MH81)Provider # JOHA65225 LAURSEN ST,Hemet, CA 92543951-925-6657951-925-6657

HUSSAIN , ABID MDHUSSAIN, ABID MDHemet CommunityMedical Group (M127)Imperial HealthHolding MedicalGroup (MH76)Primary Care Associatesof California (MH61)Provider # ABHU255 N GILBERT, BLDGB4Hemet, CA 92543951-652-0060951-652-0060

KOLL I , HEMCHANDKOLLI , HEMCHANDMDMDHemet CommunityMedical Group (M127)Medex Health NetworkInc (M167)Provider # HEKO991278 E LATHAM AVE,Hemet, CA 92543951-929-8121951-929-8121

KOLL I , HEMCHANDKOLLI , HEMCHANDHemet CommunityMedical Group (M127)Imperial Health Plan(M138)Primary Care Associatesof California (MH61)Provider # HEKO21278 E LATHAM AVE,#CHemet, CA 92543951-925-6625951-925-6625

KONDAPALLY,KONDAPALLY,YAMUNA MDYAMUNA MDHemet CommunityMedical Group (M127)Provider # YAKO111701 E FLORIDA AVE,Hemet, CA 92544951-658-4486951-658-4486

MAT HIAS, HERMANMAT HIAS, HERMANMDMDHemet CommunityMedical Group (M127)Imperial Health Plan(M138)Provider # HEMA391 N SAN JACINTOST,Hemet, CA 92543951-929-6003951-929-6003

13

Page 14: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Pr imary Care Physic ians Af f i l ia ted with IPAsPr imary Care Physic ians Af f i l ia ted with IPAs

NAWAZ , SIDDIQANAWAZ , SIDDIQAMDMDAlpha Care MedicalGroup (M136)La Salle MedicalAssociates (M131)Provider # SINA7540 N SAN JACINTO,RD #PHemet, CA 92543951-929-4000951-929-4000

RAHNAVARD, AMIRRAHNAVARD, AMIRDODOEmpire Healthcare IPA(M171)Hemet CommunityMedical Group (M127)Primary Care Associatesof California (MH61)Provider # AMRA151600 E FLORIDA AVE,#103Hemet, CA 92544951-929-8121951-929-8121

RAJ A, MANIKANDARAJ A, MANIKANDAGGHemet CommunityMedical Group (M127)Provider # MARA201701 E FLORIDA AVE,Hemet, CA 92544951-658-4486951-658-4486

SALEH, HANA MDSALEH, HANA MDHemet CommunityMedical Group (M127)Provider # HASA15391 N SAN JACINTO,STHemet, CA 92543951-929-6003951-929-6003

SHALABY, MOHSENSHALABY, MOHSENN MDN MDAlpha Care MedicalGroup (M136)Community Care IPA(MH89)Provider # MOSH21023 E FLORIDA AVE,Hemet, CA 92543951-599-8403951-599-8403

T AECHARVONG,T AECHARVONG,VEERAT MDVEERAT MDVantage MedicalGroup (P09)Provider # VETA34903 E DEVONSHIREAVE,Hemet, CA 92543951-246-6100951-246-6100

Z AW, MYO MDZ AW, MYO MDHemet CommunityMedical Group (M127)Provider # MYZA081278 E LATHAM AVE,Hemet, CA 92543951-925-6625951-925-6625

Id yl l wi l dId yl l wi l d

GENERALGENERALPRACT ICEPRACT ICE

AT IYA, J OSEPHAT IYA, J OSEPHVantage MedicalGroup (P09)Provider # JOAT354165 PINE CRESTAVE,Idyllwild, CA 92549951-659-4908951-659-4908* Does not ac c ept* Does not ac c eptMed i-CalMed i-Cal

INT ERNALINT ERNALMEDICINEMEDICINE

QURESHI , KAMRANQURESHI , KAMRANA MDA MDVantage MedicalGroup (P09)Provider # KAQU354165 PINE CRESTAVE,Idyllwild, CA 92549951-659-4908951-659-4908

Ind ian Wel l sInd ian Wel l s

INT ERNALINT ERNALMEDICINEMEDICINE

BUSH, RONALDBUSH, RONALDAlpha Care MedicalGroup (M136)Freedom PhysiciansCorporation (M151)Imperial HealthHolding MedicalGroup (MH76)Imperial Health Plan(M138)Primary Care Associatesof California (MH61)Provider # ROBU1545280 CLUB DRIVE,Indian Wells, CA 92210760-200-2992760-200-2992

Ind ioInd io

FAMILYFAMILYPRACT ICEPRACT ICE

BIR , ARVINDER SBIR , ARVINDER SMDMDAlpha Care MedicalGroup (M136)Provider # ARBI046883 MONROE ST#100,Indio, CA 92201760-424-8002760-424-8002

BIR , SEEMA MDBIR , SEEMA MDAlpha Care MedicalGroup (M136)Provider # SEBI146883 MONROE ST,3100Indio, CA 92201760-424-8008760-424-8008

14

Page 15: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Pr imary Care Physic ians Af f i l ia ted with IPAsPr imary Care Physic ians Af f i l ia ted with IPAs

CURRY, FRANKCURRY, FRANKImperial HealthHolding MedicalGroup (MH76)Imperial Health Plan(M138)Primary Care Associatesof California (MH61)Provider # FRCU81767 DR CARREONBLV, #203Indio, CA 92201760-391-5151760-391-5151* Does not ac c ept* Does not ac c eptMed i-CalMed i-Cal

L IN , SAM MDLIN , SAM MDAlpha Care MedicalGroup (M136)Provider # SALI0981709 DR CARREON,BLVD #C3Indio, CA 92201760-391-5151760-391-5151

MAW MAW, N INA KMAW MAW, N INA KMDMDPrimary Care Associatesof California (MH61)Provider # NIMA2381-812 DR CARREON,BLVD #CIndio, CA 92201760-324-2800760-324-2800

NOVAK, ST EVE MDNOVAK, ST EVE MDAlpha Care MedicalGroup (M136)Provider # STNO1280545 HWY 111,Indio, CA 92201760-347-9221760-347-9221

SMIT H, ELLEN MDSMIT H, ELLEN MDVantage MedicalGroup (P09)Provider # ELSM81767 DR CARREON,BLVD #201Indio, CA 92201760-541-5888760-541-5888

SNYDER,SNYDER,CHRIST OPHER DOCHRIST OPHER DOPrimary Care Associatesof California (MH61)Provider # CHSN981767 DR CARREON,BLVD #203Indio, CA 92201760-541-5888760-541-5888

SWEET , PAT R ICK H.SWEET , PAT R ICK H.MDMDPrimary Care Associatesof California (MH61)Provider # PASW0881709 DR. CARRIONBL, #C5Indio, CA 92201760-342-4200760-342-4200

YOUNESSI , DARIAYOUNESSI , DARIAPrimary Care Associatesof California (MH61)Provider # DAYO482013 DR CARREONBLV, #MIndio, CA 92201760-342-4242760-342-4242

GENERALGENERALPRACT ICEPRACT ICE

ACOST A, J UAN MDACOST A, J UAN MDImperial HealthHolding MedicalGroup (MH76)Imperial Health Plan(M138)Primary Care Associatesof California (MH61)Vantage MedicalGroup (P09)Provider # JUAC145-541 OASIS ST,Indio, CA 92201760-347-3113760-347-3113* Does not ac c ept* Does not ac c eptMed i-CalMed i-Cal

CASHAT T , T ROY DCASHAT T , T ROY DMDMDAlpha Care MedicalGroup (M136)Primary Care Associatesof California (MH61)Provider # TRCA481-709 DR CARREON,BLVD #C-3Indio, CA 92201760-541-5888760-541-5888

DARAWAL, ASSADDARAWAL, ASSADU. MDU. MDFreedom PhysiciansCorporation (M151)La Salle MedicalAssociates_IE (M201)Primary Care Associatesof California (MH61)Provider # DASA381893 DR. CARREONBL, VD #1Indio, CA 92201760-342-8005760-342-8005

GIBBS, RANDOLPHGIBBS, RANDOLPHDDCommunity Care IPA(MH89)Vantage MedicalGroup (P09)Provider # RAGI983791 DATE AVE,Indio, CA 92201760-848-7351760-848-7351

L IN , SAMLIN , SAMImperial HealthHolding MedicalGroup (MH76)Provider # SALI81767 DR CARREONBLV, #203Indio, CA 92201760-391-5151760-391-5151

L IND, N ICKOLASL IND, N ICKOLASMDMDAlpha Care MedicalGroup (M136)Provider # NILI1281709 DR CARREON,BLVD #D-1Indio, CA 92201760-342-3336760-342-3336

MAJ IDIAN, SALLY JMAJ IDIAN, SALLY JMDMDPrimary Care Associatesof California (MH61)Vantage MedicalGroup (P09)Provider # SAMA887-709 DR CARREON,BLVD #C-3Indio, CA 92201760-541-5888760-541-5888

15

Page 16: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Pr imary Care Physic ians Af f i l ia ted with IPAsPr imary Care Physic ians Af f i l ia ted with IPAs

MOST YN, MICHAELMOST YN, MICHAELMDMDVantage MedicalGroup (P09)Provider # MIMO0881/767 DR, CARMENBL,Indio, CA 92201760-771-8420760-771-8420

PRADO, VENANCIOPRADO, VENANCIOEEPrimary Care Associatesof California (MH61)Provider # VEPR782016 DOCTORCARREON, BLVD #MIndio, CA 92201760-342-4242760-342-4242

ST ARKS, WAYNE DST ARKS, WAYNE DAlpha Care MedicalGroup (M136)Provider # WAST882-013 CARREONBLVD, #FIndio, CA 92201760-775-9500760-775-9500

INT ERNALINT ERNALMEDICINEMEDICINE

AHMAD, J AVEDAHMAD, J AVEDVantage MedicalGroup (P09)Provider # JAAH81833 DR CARREORBL, #2Indio, CA 92201760-863-0155760-863-0155* Does not ac c ept* Does not ac c eptMed i-CalMed i-Cal

AZ AM, SYED DCAZ AM, SYED DCAlpha Care MedicalGroup (M136)Provider # SYAZ0881840 AVE, 46Indio, CA 92201760-202-0686760-202-0686

CHANDRASHEKAR,CHANDRASHEKAR,J AMBUR MDJ AMBUR MDLa Salle MedicalAssociates (M131)Vantage MedicalGroup (P09)Provider # JBM13181-719 DR CARREONBL, VD #AIndio, CA 92201760-360-4433760-360-4433

LEE, MICHAEL MDLEE, MICHAEL MDPrimary Care Associatesof California (MH61)Vantage MedicalGroup (P09)Provider # MILE281833 DR CARREONBL, #8Indio, CA 92201760-863-1888760-863-1888

SCOFIELD, DEAN JSCOFIELD, DEAN JMDMDAlpha Care MedicalGroup (M136)Provider # DESC81709 DR CARREON,BLVD #E-1Indio, CA 92201760-342-3336760-342-3336

SIMAN, HOMANSIMAN, HOMANPrimary Care Associatesof California (MH61)Provider # HOSI382013 DOCTORCARREON, BLVD #MIndio, CA 92201760-342-4220760-342-4220

La Quint aLa Quint a

FAMILYFAMILYPRACT ICEPRACT ICE

DREISBACH,DREISBACH,J EREMIAH MDJ EREMIAH MDAlpha Care MedicalGroup (M136)La Salle MedicalAssociates (M131)Provider # JEDR334767 CALEO BAY, DR#210La Quinta, CA 92253760-771-1000760-771-1000

FINK , SAYDA MDFINK , SAYDA MDAlpha Care MedicalGroup (M136)Provider # SAFI0147647 CALEO BAY DR,#210La Quinta, CA 92253760-771-1000760-771-1000

KONDOVSK I ,KONDOVSK I ,SACHO DOSACHO DOPrimary Care Associatesof California (MH61)Provider # SAKO3379440 CORPORATECTR, DR #110La Quinta, CA 92253760-541-5888760-541-5888

L IN , SAM MDLIN , SAM MDAlpha Care MedicalGroup (M136)Provider # SALI5579430 HWY 111, #101La Quinta, CA 92253760-564-3533760-564-3533

RUIZ , EDWARD ARUIZ , EDWARD AMDMDAlpha Care MedicalGroup (M136)Primary Care Associatesof California (MH61)Vantage MedicalGroup (P09)Provider # EDRU147110 WASHINGTONST, #203La Quinta, CA 92253760-564-9205760-564-9205

16

Page 17: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Pr imary Care Physic ians Af f i l ia ted with IPAsPr imary Care Physic ians Af f i l ia ted with IPAs

RUIZ , ER ICA M MDRUIZ , ER ICA M MDAlpha Care MedicalGroup (M136)Primary Care Associatesof California (MH61)Vantage MedicalGroup (P09)Provider # ERRU347110 WASHINGTONST, #203La Quinta, CA 92253760-564-9205760-564-9205

SMIT H, ELLENSMIT H, ELLENVantage MedicalGroup (P09)Provider # ELSM279430 HWY 111 #102,La Quinta, CA 92253760-625-0569760-625-0569

Lake E l s ino r eLake E l s ino r e

FAMILYFAMILYPRACT ICEPRACT ICE

DANESH,DANESH,MOHAMMAD MDMOHAMMAD MDPrimary Care Associatesof California (MH61)Temecula ValleyPhysicians MedicalGroup (M153)Vantage MedicalGroup (P09)Provider # MODA131581 CANYONESTATES, DRLake Elsinore, CA92532951-244-3500951-244-3500* Does not ac c ept* Does not ac c eptMed i-CalMed i-Cal

J ACKSON, ANIT A CJ ACKSON, ANIT A CMDMDTemecula ValleyPhysicians MedicalGroup (M153)Provider # ANJA1031736 MISSION TRAIL,#GLake Elsinore, CA92530951-674-1505951-674-1505

KET CHEL, CL INTKET CHEL, CL INTMDMDCommunity Care IPA(MH89)Vantage MedicalGroup (P09)Provider # CLKE1230195 FRASER DR,Lake Elsinore, CA92530760-631-5000760-631-5000

KURMANELIEVA,KURMANELIEVA,T AMARA MDT AMARA MDAlpha Care MedicalGroup (M136)Provider # TAKU3331946 MISSION TRAIL,RD #ALake Elsinore, CA92530951-354-2229951-354-2229

MONARREZ , DAVIDMONARREZ , DAVIDAll United MedicalGroup (P94)Provider # DAM1031739 RIVERSIDE DR,#A-1Lake Elsinore, CA92530951-278-8910951-278-8910

R IOS, J AVIER R MDRIOS, J AVIER R MDAlpha Care MedicalGroup (M136)Primary Care Associatesof California (MH61)Rios Southwest MedicalGroup (M134)Provider # JARI1141 N MAIN ST,Lake Elsinore, CA92530951-245-7007951-245-7007

VEGA, ELOISA MDVEGA, ELOISA MDPrimary Care Associatesof California (MH61)Provider # ELVE31946 MISSION TRAIL,RD #ALake Elsinore, CA92530951-471-1800951-471-1800

VEGA, ELOISA MDVEGA, ELOISA MDVantage MedicalGroup (P09)Provider # ELVE0921091 RIDER ST, #218Lake Elsinore, CA92530855-505-7467855-505-7467

VEGA, ELOISA MDVEGA, ELOISA MDVantage MedicalGroup (P09)Provider # ELVE45141 N MAIN ST,Lake Elsinore, CA92530855-505-7467855-505-7467

VIDAL, MONICAVIDAL, MONICADODOVantage MedicalGroup (P09)Provider # MOVI0830195 FRASER,Lake Elsinore, CA92530951-252-2720951-252-2720

GENERALGENERALPRACT ICEPRACT ICE

ASPREC, J OSEPHASPREC, J OSEPHMDMDPrimary Care Associatesof California (MH61)Provider # JOAS31571 CANYONESTATES, DR #219Lake Elsinore, CA92532951-674-7811951-674-7811

17

Page 18: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Pr imary Care Physic ians Af f i l ia ted with IPAsPr imary Care Physic ians Af f i l ia ted with IPAs

OLIVE IRA, T HOMASOLIVE IRA, T HOMASDODOAlpha Care MedicalGroup (M136)Primary Care Associatesof California (MH61)Provider # THLO1506 W GRAHAM AVE,#107Lake Elsinore, CA92530951-471-5116951-471-5116

R IOS, J AVIER MDRIOS, J AVIER MDPrimary Care Associatesof California (MH61)Rios Southwest MedicalGroup (M134)Provider # JARI1031946 MISSION TRAIL,#ALake Elsinore, CA92530951-471-1800951-471-1800

INT ERNALINT ERNALMEDICINEMEDICINE

CABALLERO,CABALLERO,GABRIEL C MDGABRIEL C MDPrimary Care Associatesof California (MH61)Provider # GACA1231946 MISSION TRAIL,#ALake Elsinore, CA92530951-471-1800951-471-1800

DELGADO, PHILL IPDELGADO, PHILL IPImperial HealthHolding MedicalGroup (MH76)Imperial Health Plan(M138)Provider # PHDL31739 RIVERSIDE DR,#A-1Lake Elsinore, CA92530951-245-0505951-245-0505

PENGSON, J OELPENGSON, J OELVantage MedicalGroup (P09)Provider # JOPG31571 CANYONESTATES, DR # 225Lake Elsinore, CA92532951-243-6460951-243-6460

Mec c aMec c a

FAMILYFAMILYPRACT ICEPRACT ICE

WHEELER, J ENNYWHEELER, J ENNYM MDM MDAlpha Care MedicalGroup (M136)Provider # JEWH91275 66TH AVE, #500Mecca, CA 92254760-396-1249760-396-1249

FED QUALFED QUALHEALT H CT RHEALT H CT R

CLIN ICAS DECLIN ICAS DESALUD, DELSALUD, DELPUEBLOPUEBLOCommunity Care IPA(MH89)Provider # CLDE991275 66TH AVE #500,Mecca, CA 92254760-394-4338760-394-4338

CLIN ICAS DECLIN ICAS DESALUD, DELSALUD, DELPUEBLOPUEBLOCommunity Care IPA(MH89)Provider # MEHC191275 66TH AVE #500,Mecca, CA 92254760-396-0521760-396-0521

GENERALGENERALPRACT ICEPRACT ICE

FLOWERS,FLOWERS,FRANCESCA MDFRANCESCA MDAlpha Care MedicalGroup (M136)Provider # FRFL291275 66TH AVE, #500Mecca, CA 92254760-396-1249760-396-1249

Mir a LomaMir a Loma

FAMILYFAMILYPRACT ICEPRACT ICE

ROSSIN I , J OSEPHROSSIN I , J OSEPHEmpire Healthcare IPA(M171)Provider # JORO1710250 COUNTRYCLUB,Mira Loma, CA 91752951-200-6166951-200-6166

Mor eno Val l eyMor eno Val l ey

FAMILYFAMILYPRACT ICEPRACT ICE

AGUILERA,AGUILERA,ADOLFOADOLFOVantage MedicalGroup (P09)Provider # ADAG26520 CACTUS AVE,Moreno Valley, CA92555951-486-4000951-486-4000* Does not ac c ept* Does not ac c eptMed i-CalMed i-Cal

ARMAGHAN, AZ ADARMAGHAN, AZ ADVantage MedicalGroup (P09)Provider # ARAZ26520 CACTUS AVE,Moreno Valley, CA92555951-486-4000951-486-4000* Does not ac c ept* Does not ac c eptMed i-CalMed i-Cal

18

Page 19: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Pr imary Care Physic ians Af f i l ia ted with IPAsPr imary Care Physic ians Af f i l ia ted with IPAs

BACON, CARRIEBACON, CARRIEVantage MedicalGroup (P09)Provider # CABA26520 CACTUS AVE,Moreno Valley, CA92555951-486-5610951-486-5610* Does not ac c ept* Does not ac c eptMed i-CalMed i-Cal

BELAMIDE,BELAMIDE,T ERESIT A MDT ERESIT A MDPrimeCare MedicalNetwork (M132)Vantage MedicalGroup (P09)Provider # TEBE24060 FIR AVE, #AMoreno Valley, CA92553951-243-6460951-243-6460* Does not ac c ept* Does not ac c eptMed i-CalMed i-Cal

BELAMIDE,BELAMIDE,T ERESIT A CARIDADT ERESIT A CARIDADMDMDPrimeCare MedicalNetwork (M132)Provider # TECB2318 HEMLOCK AVE,#201Moreno Valley, CA92557951-243-6460951-243-6460* Does not ac c ept* Does not ac c eptMed i-CalMed i-Cal

BULLER, RYANBULLER, RYANVantage MedicalGroup (P09)Provider # RYBU26520 CACTUS AVE,Moreno Valley, CA92555951-486-4000951-486-4000* Does not ac c ept* Does not ac c eptMed i-CalMed i-Cal

CABRERA, J UDIT HCABRERA, J UDIT HMDMDPrimary Care Associatesof California (MH61)Provider # JUCA1113925 INDIAN ST,Moreno Valley, CA92553951-249-7272951-249-7272

FARHADIAN,FARHADIAN,PARAST OUPARAST OUVantage MedicalGroup (P09)Provider # PAFA26520 CACTUS AVE,Moreno Valley, CA92555951-486-4000951-486-4000* Does not ac c ept* Does not ac c eptMed i-CalMed i-Cal

GANDHI , PURNIMAGANDHI , PURNIMAVantage MedicalGroup (P09)Provider # PUGA26520 CACTUS AVE,Moreno Valley, CA92555951-486-5610951-486-5610* Does not ac c ept* Does not ac c eptMed i-CalMed i-Cal

GARCIA, EDUARDOGARCIA, EDUARDOMDMDPrimeCare MedicalNetwork (M132)Provider # EDGA1014114 BUSINESS CTR,DR #EMoreno Valley, CA92553951-656-3303951-656-3303

GORDON,GORDON,CHRIST OPHERCHRIST OPHERVantage MedicalGroup (P09)Provider # CHGO26520 CACTUS AVE,Moreno Valley, CA92555951-486-4000951-486-4000* Does not ac c ept* Does not ac c eptMed i-CalMed i-Cal

HUANG, LOUISEHUANG, LOUISEVantage MedicalGroup (P09)Provider # LOHU26520 CACTUS AVE,Moreno Valley, CA92555951-486-5610951-486-5610* Does not ac c ept* Does not ac c eptMed i-CalMed i-Cal

KYI , SANDARKYI , SANDARVantage MedicalGroup (P09)Provider # SAKY26520 CACTUS AVE,Moreno Valley, CA92555951-486-5610951-486-5610

LEUNG, GEOFFREYLEUNG, GEOFFREYVantage MedicalGroup (P09)Provider # GELE226520 CACTUS AVE,Moreno Valley, CA92555951-486-4000951-486-4000

LYONS, PAULLYONS, PAULVantage MedicalGroup (P09)Provider # PALY26520 CACTUS AVE,Moreno Valley, CA92555951-486-4000951-486-4000

NIZ AR, IBRAHIMNIZ AR, IBRAHIMMDMDImperial HealthHolding MedicalGroup (MH76)Imperial Health Plan(M138)Provider # IBNI24490 SUNNY MEAD,#117Moreno Valley, CA92553951-242-9595951-242-9595

RANGAVAJ HULA,RANGAVAJ HULA,RAMANI MDRAMANI MDLa Salle MedicalAssociates (M131)Rios Southwest MedicalGroup (M134)Provider # RARA13925 INDIAN ST,Moreno Valley, CA92553951-249-7272951-249-7272

19

Page 20: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Pr imary Care Physic ians Af f i l ia ted with IPAsPr imary Care Physic ians Af f i l ia ted with IPAs

T AVASSOLI , G IT AT AVASSOLI , G IT AVantage MedicalGroup (P09)Provider # GITA26520 CACTUS AVE,Moreno Valley, CA92555951-486-4000951-486-4000

T HOMPSON,T HOMPSON,DARREN R MDDARREN R MDNexus IPA (M133)Provider # DATH1224490 SUNNYMEADBLVD, #117Moreno Valley, CA92553951-242-9595951-242-9595

T SANG, SHUNLINGT SANG, SHUNLINGVantage MedicalGroup (P09)Provider # SHTS126520 CACTUS AVE,Moreno Valley, CA92555951-486-4000951-486-4000

VAZ QUEZ ,VAZ QUEZ ,LORENZ O MDLORENZ O MDAffiliated Partners(MH97)Aligned CommunityPhysicians (M145)Alpha Care MedicalGroup (M136)PrimeCare MedicalNetwork (M132)Vantage MedicalGroup (P09)Provider # LOVA24805 ALESSANDRO,BLVD #8Moreno Valley, CA92553951-601-6618951-601-6618

VICT OR, PR IYAVICT OR, PR IYAVantage MedicalGroup (P09)Provider # PRVI26520 CACTUS AVE,Moreno Valley, CA92555951-486-5610951-486-5610

WANG, EL ISABET HWANG, EL ISABET HDODOPrimary Care Associatesof California (MH61)Provider # ELWA0813925 INDIAN ST,Moreno Valley, CA92553951-249-7272951-249-7272

GENERALGENERALPRACT ICEPRACT ICE

BUST OS, ADELAIDABUST OS, ADELAIDAMDMDAllied Pacif ic IPA(MH71)Alpha Care MedicalGroup (M136)Imperial HealthHolding MedicalGroup (MH76)Imperial Health Plan(M138)La Salle MedicalAssociates (M131)Vantage MedicalGroup (P09)Provider # ABDU423900 IRONWOODAVE,Moreno Valley, CA92557951-485-2570951-485-2570* Does not ac c ept* Does not ac c eptMed i-CalMed i-Cal

HOSSAIN, KAMAL KHOSSAIN, KAMAL KMDMDAll United MedicalGroup (P94)Provider # KAHA4323080 ALESSANDRO,BLVD #202Moreno Valley, CA92553951-697-7866951-697-7866

LOZ ANO, DAVIDLOZ ANO, DAVIDMDMDAllied Pacif ic IPA(MH71)Alpha Care MedicalGroup (M136)Imperial HealthHolding MedicalGroup (MH76)Imperial Health Plan(M138)La Salle MedicalAssociates_IE (M201)Vantage MedicalGroup (P09)Provider # DALO223900 IRONWOODAVE, #FMoreno Valley, CA92557951-485-2570951-485-2570

HARRISON, J AMESHARRISON, J AMESA MDA MDAlpha Care MedicalGroup (M136)Freedom PhysiciansCorporation (M151)La Salle MedicalAssociates (M131)Provider # JAHA2624318 HEMLOCK AVE,#E1-E2Moreno Valley, CA92557951-243-5050951-243-5050

20

Page 21: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Pr imary Care Physic ians Af f i l ia ted with IPAsPr imary Care Physic ians Af f i l ia ted with IPAs

REST REPO, J UL IANREST REPO, J UL IANMDMDRios Southwest MedicalGroup (M134)Provider # JURE413925 INDIAN ST,Moreno Valley, CA92553855-505-7467855-505-7467

REYES, SOLEDAD SREYES, SOLEDAD SMDMDAlpha Care MedicalGroup (M136)Empire Healthcare IPA(M171)Hispanic Physicians IPA(MH75)Imperial HealthHolding MedicalGroup (MH76)Imperial Health Plan(M138)Provider # SORE423900 IRONWOODAVE, #FMoreno Valley, CA92557951-485-2570951-485-2570

R IOS, J AVIERR IOS, J AVIERAlpha Care MedicalGroup (M136)Primary Care Associatesof California (MH61)Rios Southwest MedicalGroup (M134)Provider # JARI613925 INDIANA ST,Moreno Valley, CA92553951-249-7272951-249-7272

R IOS, J AVIER MDRIOS, J AVIER MDPrimary Care Associatesof California (MH61)Rios Southwest MedicalGroup (M134)Provider # JARI913925 INDIAN ST,Moreno Valley, CA92553951-249-7272951-249-7272

INT ERNALINT ERNALMEDICINEMEDICINE

CABALLERO,CABALLERO,GABRIEL C MDGABRIEL C MDPrimary Care Associatesof California (MH61)Provider # GACA1113925 INDIAN ST,Moreno Valley, CA92553951-249-7272951-249-7272

CHENG, ROGER T YCHENG, ROGER T YMDMDImperial HealthHolding MedicalGroup (MH76)Primary Care Associatesof California (MH61)PrimeCare MedicalNetwork (M132)Provider # ROCH2712712 HEACOCK ST,#10Moreno Valley, CA92553951-247-1188951-247-1188

GHALY, GAMAL MDGHALY, GAMAL MDLa Salle MedicalAssociates (M131)PrimeCare MedicalNetwork (M132)Vantage MedicalGroup (P09)Provider # GAGH114114 BUSINESS,CENTER DR #GMoreno Valley, CA92553951-656-5333951-656-5333* Does not ac c ept* Does not ac c eptMed i-CalMed i-Cal

J ANDALI , AMER AJ ANDALI , AMER AMDMDMedex Health NetworkInc (M167)Primary Care Associatesof California (MH61)Provider # AMJA1323110 ATLANTIC,CIRCLE #AMoreno Valley, CA92553951-243-9885951-243-9885

L IQUET E, J OHNNYLIQUET E, J OHNNYMDMDPrimeCare MedicalNetwork (M132)Provider # JOLI714114 BUSINESS CTR,DR #DMoreno Valley, CA92553951-697-1150951-697-1150

LOERA, ROBERTLOERA, ROBERTVantage MedicalGroup (P09)Provider # ROLO512980 FREFERICK ST,#1AMoreno Valley, CA92553951-924-3244951-924-3244

MYINT , KHAINGMYINT , KHAINGVantage MedicalGroup (P09)Provider # KHMY26520 CACTUS AVE,Moreno Valley, CA92555951-486-4000951-486-4000

NGUYEN, CUONGNGUYEN, CUONGMDMDAlpha Care MedicalGroup (M136)Vantage MedicalGroup (P09)Provider # CUNG3324853 ALESSANDRO,BLVD #4Moreno Valley, CA92553909-749-1835909-749-1835

PENGSON, J OEL APENGSON, J OEL AMDMDAlpha Care MedicalGroup (M136)PrimeCare MedicalNetwork (M132)Provider # JOPE3024060 FIR AVE, #AMoreno Valley, CA92553951-243-6460951-243-6460

21

Page 22: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Pr imary Care Physic ians Af f i l ia ted with IPAsPr imary Care Physic ians Af f i l ia ted with IPAs

PENGSON, J OELPENGSON, J OELMDMDAlpha Care MedicalGroup (M136)PrimeCare MedicalNetwork (M132)Vantage MedicalGroup (P09)Provider # JOPE3123180 HEMLOCK AVE,2ND FLRMoreno Valley, CA92553951-243-6460951-243-6460

R IOS, J AVIERR IOS, J AVIERAlpha Care MedicalGroup (M136)Primary Care Associatesof California (MH61)Rios Southwest MedicalGroup (M134)Provider # JARI613925 INDIANA ST,Moreno Valley, CA92553951-249-7272951-249-7272

SCHWART Z ,SCHWART Z ,ST ANLEY MDST ANLEY MDPrimary Care Associatesof California (MH61)Vantage MedicalGroup (P09)Provider # SCST912980 FREDERICK ST,#IMoreno Valley, CA92553951-924-3244951-924-3244

SONEJ I , MAULINSONEJ I , MAULINVantage MedicalGroup (P09)Provider # MASO11441 HEACOCK ST,#CMoreno Valley, CA92557951-247-5809951-247-5809

SONEJ I , MAULINSONEJ I , MAULINAlpha Care MedicalGroup (M136)Vantage MedicalGroup (P09)Provider # MASO126520 CACTUS AVE,Moreno Valley, CA92555951-486-5203951-486-5203

T AN, ANT ONIO MDT AN, ANT ONIO MDVantage MedicalGroup (P09)Provider # ANTA812980 FREDERICK ST,#DMoreno Valley, CA92553951-485-2744951-485-2744

Mur r ie t aMur r ie t a

FAMILYFAMILYPRACT ICEPRACT ICE

AT IGA, ROLANDOAT IGA, ROLANDOMDMDVantage MedicalGroup (P09)Provider # ROAT0825405 HANCOCK AVE,#105Murrieta, CA 92562951-695-4688951-695-4688

AT IGA, ROLANDOAT IGA, ROLANDOMDMDAlpha Care MedicalGroup (M136)Provider # ROAT1225405 HANCOCK AVE,#105Murrieta, CA 92562951-695-4688951-695-4688

BRIGGS, BR IDGETBRIGGS, BR IDGETR MDR MDTemecula ValleyPhysicians MedicalGroup (M153)Provider # BRBR925470 MEDICALCENTER, DR #102Murrieta, CA 92562951-698-6090951-698-6090

CHERRY, WILL IAMCHERRY, WILL IAMH MDH MDTemecula ValleyPhysicians MedicalGroup (M153)Provider # WICH2525109 JEFFERSON,AVE #100Murrieta, CA 92562951-698-0440951-698-0440

CURLEY, MICHAELCURLEY, MICHAELP MDP MDTemecula ValleyPhysicians MedicalGroup (M153)Provider # MICU925109 JEFFERSON,AVE #100Murrieta, CA 92562951-698-0440951-698-0440

HRDINA, ROBINHRDINA, ROBINDODOTemecula ValleyPhysicians MedicalGroup (M153)Provider # ROHR1124910 LAS BRISAS RD,#105Murrieta, CA 92562951-231-1385951-231-1385

22

Page 23: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Pr imary Care Physic ians Af f i l ia ted with IPAsPr imary Care Physic ians Af f i l ia ted with IPAs

YUN, J ONAT HAN YYUN, J ONAT HAN YDODOFreedom PhysiciansCorporation (M151)Pacif ic AssociatesMedical Group Inc(M159)Primary Care Associatesof California (MH61)Primary Care Associatesof California of SanDiego (M169)Vantage MedicalGroup (P09)Provider # JOYU224910 LAS BRISAS RD,,#111Murrieta, CA 92562951-694-8549951-694-8549* Does not ac c ept* Does not ac c eptMed i-CalMed i-Cal

YUN, J ONAT HANYUN, J ONAT HANDODOPacif ic AssociatesMedical Group Inc(M159)Primary Care Associatesof California (MH61)Provider # JOYU324910 LAS BRISAS RD,#111Murrieta, CA 92562951-694-8549951-694-8549* Does not ac c ept* Does not ac c eptMed i-CalMed i-Cal

MCKERAHAN,MCKERAHAN,KELLYKELLYImperial HealthHolding MedicalGroup (MH76)Imperial Health Plan(M138)Primary Care Associatesof California (MH61)Provider # KEMC25095 JEFFERSONAVE, #202Murrieta, CA 92562951-696-9566951-696-9566

NGUYEN, BACHNGUYEN, BACHMDMDTemecula ValleyPhysicians MedicalGroup (M153)Provider # BANG41680 IVY ST #A,Murrieta, CA 92562951-677-2227951-677-2227

PHILL IPS, L ILY YPHILL IPS, L ILY YMDMDTemecula ValleyPhysicians MedicalGroup (M153)Provider # LIPH424910 LAS BRISAS RD,#105Murrieta, CA 92562951-231-1385951-231-1385

GENERALGENERALPRACT ICEPRACT ICE

GWON, SEUNG MDGWON, SEUNG MDRios Southwest MedicalGroup (M134)Provider # SEGW124640 JEFFERSONAVE, #105Murrieta, CA 92562951-600-9111951-600-9111

INT ERNALINT ERNALMEDICINEMEDICINE

BASERI , BABAK MDBASERI , BABAK MDAligned CommunityPhysicians (M145)Provider # BABA3525405 HANCOCK AVE,#203Murrieta, CA 92562951-465-7252951-465-7252

BLACK, J ASON ABLACK, J ASON AMDMDTemecula ValleyPhysicians MedicalGroup (M153)Provider # JABL924680 JEFFERSONAVE, #AMurrieta, CA 92562951-677-2252951-677-2252

CHIU , J ENNIFERCHIU , J ENNIFERFUNG-PI MDFUNG-PI MDPrimary Care Associatesof California (MH61)Provider # JECH0824910 LAS BRISAS RD,#111Murrieta, CA 92562951-694-8549951-694-8549

DRESS, DANIEL MDDRESS, DANIEL MDTemecula ValleyPhysicians MedicalGroup (M153)Provider # DADR3325109 JEFFERSONAVE, #100Murrieta, CA 92562951-698-0440951-698-0440

GONZ ALES,GONZ ALES,EDIVINA B MDEDIVINA B MDMenifee Valley MedicalGroup (M156)Temecula ValleyPhysicians MedicalGroup (M153)Provider # EDGO1039755 DATE ST, #103Murrieta, CA 92563951-304-3221951-304-3221

GONZ ALES,GONZ ALES,PAT RICK D MDPAT RICK D MDMenifee Valley MedicalGroup (M156)Temecula ValleyPhysicians MedicalGroup (M153)Provider # PAGO2139755 DATE ST, #103Murrieta, CA 92563951-304-3221951-304-3221

LEE, YOUNGLEE, YOUNGFreedom PhysiciansCorporation (M151)Provider # YOLE525405 HANCOCK AVE,#104Murrieta, CA 92562951-777-5089951-777-5089

23

Page 24: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Pr imary Care Physic ians Af f i l ia ted with IPAsPr imary Care Physic ians Af f i l ia ted with IPAs

MART INEZ , J ORGEMART INEZ , J ORGEA MDA MDTemecula ValleyPhysicians MedicalGroup (M153)Provider # JOMA3739755 MURRIETA, HOTSPRINGS RD #120Murrieta, CA 92563951-461-1331951-461-1331

ODUBELA,ODUBELA,ABAYOMI A MDABAYOMI A MDVantage MedicalGroup (P09)Provider # ABOD225470 MEDICALCENTER, DR #205Murrieta, CA 92562951-695-4562951-695-4562

OSHODI , GANIYUOSHODI , GANIYUMDMDNexus IPA (M133)Provider # GAOS5540770 CALIFORNIA,OAKS RD #208Murrieta, CA 92562951-696-0004951-696-0004

T O, BRYAN HOVANT O, BRYAN HOVANAllied Pacif ic IPA(MH71)Provider # BRTO0824910 LAS BRISAS,#120Murrieta, CA 92562909-861-9888909-861-9888* Does not ac c ept* Does not ac c eptMed i-CalMed i-Cal

WILL IAMS, LAURAWILL IAMS, LAURAImperial HealthHolding MedicalGroup (MH76)Imperial Health Plan(M138)Provider # LAWI25102 JEFFERSONAVE, #AMurrieta, CA 92562951-696-4009951-696-4009

Nor c oNor c o

FAMILYFAMILYPRACT ICEPRACT ICE

DOAN, HUNG DDOAN, HUNG DMDMDAlpha Care MedicalGroup (M136)Provider # HUDO21860 HAMNER AVE,Norco, CA 92860951-479-0070951-479-0070

HUYNH, PHUC THUYNH, PHUC TDODOAlpha Care MedicalGroup (M136)Provider # PHHU321860 HAMNER AVE,Norco, CA 92860951-479-0070951-479-0070

GENERALGENERALPRACT ICEPRACT ICE

SHAMSIDDEEN,SHAMSIDDEEN,SHAFEEQ S MDSHAFEEQ S MDAlta Med HealthServices (M118)Provider # SHSH11860 HAMNER AVE,Norco, CA 92860951-479-0070951-479-0070

INT ERNALINT ERNALMEDICINEMEDICINE

GIRGIS, BAHAA MDGIRGIS, BAHAA MDAlpha Care MedicalGroup (M136)Provider # BAGI121860 HAMNER AVE,Norco, CA 92860323-724-0019323-724-0019

Pal m Deser tPal m Deser t

FAMILYFAMILYPRACT ICEPRACT ICE

CAT LET T , ST EVENCAT LET T , ST EVENVantage MedicalGroup (P09)Provider # STCA274990 COUNTRYCLUB, DR #310Palm Desert, CA 92260760-775-4181760-775-4181

KHAN, SANA M DOKHAN, SANA M DOAlpha Care MedicalGroup (M136)Provider # SAKH436915 COOK ST, #103Palm Desert, CA 92211442-666-3025442-666-3025

SNYDER,SNYDER,CHRIST OPHER DOCHRIST OPHER DOPrimary Care Associatesof California (MH61)Provider # CHSN1174990 COUNTRYCLUB, DRPalm Desert, CA 92260760-341-8800760-341-8800

GENERALGENERALPRACT ICEPRACT ICE

MOST YN, MICHAELMOST YN, MICHAELMDMDAlpha Care MedicalGroup (M136)Vantage MedicalGroup (P09)Provider # MIMO641865 BOARDWALK,#103Palm Desert, CA 92211760-341-8800760-341-8800

SIMAN,SIMAN,HOMAYOUN MDHOMAYOUN MDPrimary Care Associatesof California (MH61)Provider # HOSI8473-211 FRED WANGDR, # 101Palm Desert, CA 92260760-837-0321760-837-0321

24

Page 25: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Pr imary Care Physic ians Af f i l ia ted with IPAsPr imary Care Physic ians Af f i l ia ted with IPAs

WINDHAM,WINDHAM,MARION MDMARION MDAlpha Care MedicalGroup (M136)Vantage MedicalGroup (P09)Provider # MAWI1241865 BOARDWALK#103,Palm Desert, CA 92211760-391-5151760-391-5151

INT ERNALINT ERNALMEDICINEMEDICINE

BUSH, RONALD MDBUSH, RONALD MDAlpha Care MedicalGroup (M136)Provider # ROBU1641990 COOK ST,#B201Palm Desert, CA 92211760-200-2992760-200-2992

J AMES, PAT R ICIA LJ AMES, PAT R ICIA LMDMDPrimary Care Associatesof California (MH61)Provider # PAJA1536921 COOL ST #102,Palm Desert, CA 92211760-836-9066760-836-9066

KAZ I , MANZ OOR AKAZ I , MANZ OOR AMDMDAlpha Care MedicalGroup (M136)Primary Care Associatesof California (MH61)Provider # MAKA372-757 FRED WARING,DR #1Palm Desert, CA 92260760-340-5800760-340-5800

Pal m Spr ing sPal m Spr ing s

FAMILYFAMILYPRACT ICEPRACT ICE

ACHA, KENNET HACHA, KENNET HMDMDAlpha Care MedicalGroup (M136)La Salle MedicalAssociates (M131)Provider # KEAC011100 N PALM CYN, DR#203Palm Springs, CA92262760-459-2664760-459-2664

CARLSON, LUANNECARLSON, LUANNEMARIE DOMARIE DOLa Salle MedicalAssociates (M131)Provider # LUCA10555 E TACHEVAH DR, #2E-107Palm Springs, CA92262760-561-7373760-561-7373

CARLSON, LUANNECARLSON, LUANNEAlpha Care MedicalGroup (M136)Provider # LUCA71100 N PALMCANYON, #203Palm Springs, CA 92263760-459-2664760-459-2664

K IM, T AE KYU MDKIM, T AE KYU MDAlpha Care MedicalGroup (M136)Provider # TAKI5555 TACHEVAH DR,#2E107Palm Springs, CA92262760-561-7373760-561-7373

K IM, GEMMA MDKIM, GEMMA MDAlpha Care MedicalGroup (M136)Provider # GEKI3555 TACHEVAH DR,#2E107Palm Springs, CA92262760-561-7373760-561-7373

LE , J OE MDLE, J OE MDHill Physician MedicalGroup SA (M217)Provider # JOLE291180 N INDIAN CYNDR, #E408Palm Springs, CA92262760-416-4655760-416-4655

NGUYEN, ST EVENNGUYEN, ST EVENALBERT MDALBERT MDAlpha Care MedicalGroup (M136)La Salle MedicalAssociates (M131)Provider # STNG14555 E TACHEVAH DR,#2E 107Palm Springs, CA92262760-561-7373760-561-7373

OANDASAN,OANDASAN,DULCE M MDDULCE M MDAlpha Care MedicalGroup (M136)Provider # DUOA555 TACHEVAH DR,#2E-107Palm Springs, CA92262760-561-7373760-561-7373

PET R IE , BR IAN MDPET RIE , BR IAN MDLa Salle MedicalAssociates_IE (M201)Provider # PETB555E TACHEVAH DR,#2E 107Palm Springs, CA92262760-561-7373760-561-7373

T HOMAS, SEANT HOMAS, SEANVantage MedicalGroup (P09)Provider # SETH2555 TACHEVAH DR,#3W101Palm Springs, CA92262760-323-9818760-323-9818

25

Page 26: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Pr imary Care Physic ians Af f i l ia ted with IPAsPr imary Care Physic ians Af f i l ia ted with IPAs

INT ERNALINT ERNALMEDICINEMEDICINE

ABDOLLAHZ ADEN,ABDOLLAHZ ADEN,HOMAYOUN MDHOMAYOUN MDVantage MedicalGroup (P09)Provider # HOAD31330 N INDIAN,CANYON DR #FPalm Springs, CA92262760-864-4163760-864-4163

AGARWAL, D IMPLEAGARWAL, D IMPLEMDMDAlpha Care MedicalGroup (M136)La Salle MedicalAssociates (M131)Primary Care Associatesof California (MH61)Provider # DIAG21180 N INDIANCANYON, DR #E-420Palm Springs, CA92262760-778-7147760-778-7147

FERRERAS,FERRERAS,R ICHARD A MDRICHARD A MDAlpha Care MedicalGroup (M136)La Salle MedicalAssociates_IE (M201)Vantage MedicalGroup (P09)Provider # RIFE1100 N PALMSPRINGS, #109Palm Springs, CA92262760-992-7171760-992-7171

FINK , SEAN MDFINK , SEAN MDAlpha Care MedicalGroup (M136)La Salle MedicalAssociates (M131)Provider # SEFI661100 N PALM,CANYON DR #109Palm Springs, CA92262760-992-7171760-992-7171

GORN, L ISA DOGORN, L ISA DOLa Salle MedicalAssociates (M131)Provider # LIGO11140 N INDIANCANYON, DR # 100Palm Springs, CA92262760-323-6881760-323-6881

NARAYAN,NARAYAN,DHARMAVIJ AYPALDHARMAVIJ AYPALR MDR MDAlpha Care MedicalGroup (M136)La Salle MedicalAssociates (M131)Provider # DHNA21401 NORTH PALM,CANYON #100Palm Springs, CA92262760-699-2740760-699-2740

PLAT T , KAT RINAPLAT T , KAT RINAMDMDAlpha Care MedicalGroup (M136)La Salle MedicalAssociates_IE (M201)Provider # KAPL41100 N PALMCANYON, DR #109Palm Springs, CA92262760-992-7171760-992-7171

SEDAGHAT , ABBASSEDAGHAT , ABBASMDMDLa Salle MedicalAssociates (M131)Provider # ABSE21100 N PALMSPRINGS, #109Palm Springs, CA92262760-992-7171760-992-7171

Per r isPer r is

FAMILYFAMILYPRACT ICEPRACT ICE

BREUER,BREUER,ROSWIT HA MDROSWIT HA MDVantage MedicalGroup (P09)Provider # ROBR146 E 4TH ST,Perris, CA 92570951-956-2152951-956-2152* Does not ac c ept* Does not ac c eptMed i-CalMed i-Cal

REDDY, SURYAREDDY, SURYAVantage MedicalGroup (P09)Provider # SURE126 AVOCADO AVE,Perris, CA 92571951-940-4500951-940-4500

RUIZ -RU IZ -VILLALPANDO,VILLALPANDO,OCT AVIOOCT AVIOAll United MedicalGroup (P94)Imperial HealthHolding MedicalGroup (MH76)Imperial Health Plan(M138)La Salle MedicalAssociates_IE (M201)Primary Care Associatesof California (MH61)Provider # OCRU735 SOUTH D ST,Perris, CA 92570951-657-3177951-657-3177

26

Page 27: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Pr imary Care Physic ians Af f i l ia ted with IPAsPr imary Care Physic ians Af f i l ia ted with IPAs

GENERALGENERALPRACT ICEPRACT ICE

PONI , EST EBAN SPONI , EST EBAN SMDMDAlpha Care MedicalGroup (M136)Provider # ESPO735 S D ST,Perris, CA 92570951-657-3177951-657-3177

POOMMIPANIT ,POOMMIPANIT ,SOMCHIT MDSOMCHIT MDVantage MedicalGroup (P09)Provider # SOPO2055 N PERRIS BLVD,#E6Perris, CA 92571951-940-4176951-940-4176

REST REPO, J UL IANREST REPO, J UL IANRios Southwest MedicalGroup (M134)Provider # JURE521091 RIDER ST, #218Perris, CA 92570855-505-7467855-505-7467

GERIAT RICGERIAT RICMEDICINEMEDICINE

MAT HIAS, HERMANMAT HIAS, HERMANMDMDImperial Health Plan(M138)Provider # HEMA15126 AVOCADO AVE,Perris, CA 92571951-929-6003951-929-6003

INT ERNALINT ERNALMEDICINEMEDICINE

MAT HIAS, HERMANMAT HIAS, HERMANMDMDImperial Health Plan(M138)Provider # HEMA15126 AVOCADO AVE,Perris, CA 92571951-929-6003951-929-6003

R IOS, J AVIERR IOS, J AVIERAlpha Care MedicalGroup (M136)Primary Care Associatesof California (MH61)Rios Southwest MedicalGroup (M134)Provider # JARI521091 RIDER ST, #218Perris, CA 92570951-436-5180951-436-5180

Ranc ho Mir ag eRanc ho Mir ag e

FAMILYFAMILYPRACT ICEPRACT ICE

BIR , ARVINDER S.BIR , ARVINDER S.MDMDAlpha Care MedicalGroup (M136)Primary Care Associatesof California (MH61)Provider # ARBI135400 BOB HOPE DR.S, #106Rancho Mirage, CA92270760-324-1700760-324-1700

BIR , ARVINDER MDBIR , ARVINDER MDAlpha Care MedicalGroup (M136)Provider # ARBI235400 BOB HOPE DR,#106Rancho Mirage, CA92270760-324-1700760-324-1700

BIR , SEEMA MDBIR , SEEMA MDAlpha Care MedicalGroup (M136)Primary Care Associatesof California (MH61)Provider # SEBI35400 BOB HOPE DR.,#106Rancho Mirage, CA92270760-324-1700760-324-1700

DREISBACH,DREISBACH,J EREMIAH MDJ EREMIAH MDLa Salle MedicalAssociates (M131)Provider # JEDR1135800 BOB HOPE DR,#225Rancho Mirage, CA92270760-459-2747760-459-2747

FINK , SAYDA MDFINK , SAYDA MDAlpha Care MedicalGroup (M136)Provider # SAFI0235800 BOB HOPE DR,STE 225Rancho Mirage, CA92270760-459-2747760-459-2747

HOANG, AI -CHAUHOANG, AI -CHAUAlpha Care MedicalGroup (M136)Provider # AIHO35800 BOB HOPE DR,#225Rancho Mirage, CA92270760-459-2747760-459-2747

MARUPURU,MARUPURU,SOUJ ANYA MDSOUJ ANYA MDAlpha Care MedicalGroup (M136)Provider # SOMA3435400 BOB HOPE, DR#212Rancho Mirage, CA92270760-615-0018760-615-0018

MAW MAW, N INA KMAW MAW, N INA KMDMDPrimary Care Associatesof California (MH61)Provider # NIMA535900 BOB HOPE DR,# 230Rancho Mirage, CA92270760-324-2800760-324-2800

27

Page 28: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Pr imary Care Physic ians Af f i l ia ted with IPAsPr imary Care Physic ians Af f i l ia ted with IPAs

T HAKUR, CHAHATT HAKUR, CHAHATMDMDImperial HealthHolding MedicalGroup (MH76)Primary Care Associatesof California (MH61)Provider # CHTH935400 BOB HOPE DR,#204Rancho Mirage, CA92270760-228-1114760-228-1114

GERIAT RICGERIAT RICMEDICINEMEDICINE

MANN, RUPINDERMANN, RUPINDERK MDK MDAlpha Care MedicalGroup (M136)Primary Care Associatesof California (MH61)Provider # RUMA572047 DINA SHORE,DRIVE C-4Rancho Mirage, CA92270760-770-7600760-770-7600

INT ERNALINT ERNALMEDICINEMEDICINE

AZ AM, SYED F MDAZ AM, SYED F MDAlpha Care MedicalGroup (M136)Primary Care Associatesof California (MH61)Provider # SYAZ35400 BOB HOPE DR,#209Rancho Mirage, CA92270760-202-0686760-202-0686

MAHMOOD,MAHMOOD,SHEHRYAR MDSHEHRYAR MDAlpha Care MedicalGroup (M136)Primary Care Associatesof California (MH61)Provider # SHMA235-900 BOB HOPE,DRIVE #205Rancho Mirage, CA92270760-992-5470760-992-5470

MANN,MANN,RAVINDERPAL SRAVINDERPAL SCommunity Care IPA(MH89)Provider # RAMA303900 BOB HOPE DR,#K307Rancho Mirage, CA92270760-674-8894760-674-8894

MANN, RUPINDERMANN, RUPINDERK MDK MDAlpha Care MedicalGroup (M136)Primary Care Associatesof California (MH61)Provider # RUMA572047 DINA SHORE,DRIVE C-4Rancho Mirage, CA92270760-770-7600760-770-7600

NARAYAN,NARAYAN,DHARMAVIJ AYPALDHARMAVIJ AYPALMDMDLa Salle MedicalAssociates (M131)Provider # DHNA17 NAPOLEON RD,Rancho Mirage, CA92270760-699-2740760-699-2740

R iver s id eR iver s id e

FAMILYFAMILYPRACT ICEPRACT ICE

BADALAMENT I ,BADALAMENT I ,CONO P MDCONO P MDPrimary Care Associatesof California (MH61)Provider # BACO94368 CENTRAL AVE,Riverside, CA 92506951-742-7324951-742-7324

BOLIVAR, DAVIDBOLIVAR, DAVIDMDMDAlpha Care MedicalGroup (M136)Merit IPA (M128)Provider # DVBL110327 HOLE AVE,Riverside, CA 92505951-351-1600951-351-1600* Does not ac c ept* Does not ac c eptMed i-CalMed i-Cal

BRANCH, J OHN DOBRANCH, J OHN DOPrimeCare MedicalNetwork (M132)Provider # JOBR34646 BROCKTON AVE,Riverside, CA 92506951-774-2952951-774-2952* Does not ac c ept* Does not ac c eptMed i-CalMed i-Cal

CABRERA, J UDIT HCABRERA, J UDIT HMDMDVantage MedicalGroup (P09)Provider # JUCA54022 CHICAGO AVE,Riverside, CA 92517855-505-7467855-505-7467

CAO, IVY HANHCAO, IVY HANHLa Salle MedicalAssociates_IE (M201)Provider # IVCA1970 UNIVERSITY AVE,Riverside, CA 92507951-213-3450951-213-3450

28

Page 29: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Pr imary Care Physic ians Af f i l ia ted with IPAsPr imary Care Physic ians Af f i l ia ted with IPAs

CHENG, YI -PIN MDCHENG, YI -PIN MDLa Salle MedicalAssociates (M131)Provider # YICH341971 UNIVERSITY, AVERiverside, CA 92507951-213-3450951-213-3450

CRISOL, GERMANCRISOL, GERMANMDMDPrimary Care Associatesof California (MH61)Vantage MedicalGroup (P09)Provider # GECR6485 DAY ST # 202,Riverside, CA 92507951-653-3500951-653-3500* Does not ac c ept* Does not ac c eptMed i-CalMed i-Cal

CR ISOL, GERMANCRISOL, GERMANPrimary Care Associatesof California (MH61)Vantage MedicalGroup (P09)Provider # GECR36485 DAY ST, #202Riverside, CA 92507951-653-3500951-653-3500* Does not ac c ept* Does not ac c eptMed i-CalMed i-Cal

DOAN, VIEN V DODOAN, VIEN V DOLa Salle MedicalAssociates (M131)PrimeCare MedicalNetwork (M132)Provider # VIDO4343 MARKET ST, #DRiverside, CA 92501951-784-7406951-784-7406

FEL IX, ALLEN MDFEL IX, ALLEN MDPrimeCare MedicalNetwork (M132)Provider # ALFE4435 BROCKTON #B,Riverside, CA 92501951-248-0485951-248-0485

GASK INS, REUEL TGASK INS, REUEL TVantage MedicalGroup (P09)Provider # REGA32671 IOWA AVE,Riverside, CA 92507951-784-0444951-784-0444* Does not ac c ept* Does not ac c eptMed i-CalMed i-Cal

G IDEON-GREER,G IDEON-GREER,BET INA MDBET INA MDPrimeCare MedicalNetwork (M132)Provider # BEGR094646 BROCKTON AVE,Riverside, CA 92506951-774-2942951-774-2942

GUILLERMO,GUILLERMO,SAENZ Z AVALA MDSAENZ Z AVALA MDLa Salle MedicalAssociates_IE (M201)Provider # SAGU088856 ARLINGTONAVE,Riverside, CA 92503951-710-3970951-710-3970

GUZ MAN, R ICHARDGUZ MAN, R ICHARDMDMDPrimeCare MedicalNetwork (M132)Provider # RIGU6485 DAY ST #206,Riverside, CA 92507951-697-7824951-697-7824

HO, VANESSAHO, VANESSAAlpha Care MedicalGroup (M136)Provider # VAHO43660 PARK SIERRA DR,#110Riverside, CA 92505951-637-9935951-637-9935* Does not ac c ept* Does not ac c eptMed i-CalMed i-Cal

IZ QUIERDO,IZ QUIERDO,WILSON MDWILSON MDMerit IPA (M128)Provider # WIIZ210327 HOLE AVE,Riverside, CA 92505951-351-1600951-351-1600

KANE, J OHN MDKANE, J OHN MDPrimeCare MedicalNetwork (M132)Provider # JOKA4646 BROCKTON AVE,#301Riverside, CA 92506951-774-2932951-774-2932

KNOPKE, CARL MDKNOPKE, CARL MDPrimeCare MedicalNetwork (M132)Provider # CAKN4646 BROCKTON AVE,#302Riverside, CA 92506951-774-2723951-774-2723

KUNASEELAN,KUNASEELAN,YANJ APRIYA MDYANJ APRIYA MDPrimeCare MedicalNetwork (M132)Provider # YAKU24646 BROCKTONA,AVE #203Riverside, CA 92506951-774-2870951-774-2870

KURMANALIEVA,KURMANALIEVA,T AMARA MDT AMARA MDAlpha Care MedicalGroup (M136)Vantage MedicalGroup (P09)Provider # TAKU9939 MAGNOLIA AVE,Riverside, CA 92503951-687-8802951-687-8802

KURMANALIEVA,KURMANALIEVA,T AMARA MDT AMARA MDVantage MedicalGroup (P09)Provider # TAKU994022 CHICAGO AVEE,Riverside, CA 92517855-505-7467855-505-7467

29

Page 30: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Pr imary Care Physic ians Af f i l ia ted with IPAsPr imary Care Physic ians Af f i l ia ted with IPAs

L IU , WINSON MDLIU , WINSON MDImperial HealthHolding MedicalGroup (MH76)Imperial Health Plan(M138)Medex Health NetworkInc (M167)Primary Care Associatesof California (MH61)Provider # WILI53838 SHERMAN DR,#10Riverside, CA 92503951-688-3849951-688-3849

MALL, ANILMALL , ANILVantage MedicalGroup (P09)Provider # ANMA103660 PARK SIERRA DR,#101Riverside, CA 92505951-359-7762951-359-7762

MANGOBA,MANGOBA,LUT HER BLUT HER BAligned CommunityPhysicians (M145)Provider # MALU89041 MAGNOLIA AVE,#8Riverside, CA 92506951-687-0004951-687-0004

MBA, HELENA MDMBA, HELENA MDLa Salle MedicalAssociates (M131)Provider # HEMB6485 DAY ST # 203,Riverside, CA 92507951-697-5800951-697-5800

PAT EL , AMIKSHAPAT EL, AMIKSHAMDMDAlpha Care MedicalGroup (M136)PrimeCare MedicalNetwork (M132)Vantage MedicalGroup (P09)Provider # AMPA83975 JACKSON ST,#203Riverside, CA 92503951-689-6889951-689-6889

RANGAVAJ HULA,RANGAVAJ HULA,RAMANIRAMANIRios Southwest MedicalGroup (M134)Provider # RARA24022 CHICAGO AVE,Riverside, CA 92507855-505-7467855-505-7467

R IOS, J AVIER R MDRIOS, J AVIER R MDAlpha Care MedicalGroup (M136)Primary Care Associatesof California (MH61)Rios Southwest MedicalGroup (M134)Vantage MedicalGroup (P09)Provider # JARI29939 MAGNOLIA AVE,Riverside, CA 92503951-687-8802951-687-8802

RUPP, L IEU MDRUPP, L IEU MDPrimeCare MedicalNetwork (M132)Provider # LIRU24440 BROCKTON AVE,#100Riverside, CA 92501951-369-0138951-369-0138

RUPPERT , J AMESRUPPERT , J AMESMDMDPrimeCare MedicalNetwork (M132)Provider # JARU36485 DAY ST, #206Riverside, CA 92507951-697-7823951-697-7823

SANCHEZ , EL IASSANCHEZ , EL IASMDMDBuenaventura AffiliatedPhysician (M146)Imperial Health Plan(M138)Provider # ELSA36780 INDIANA AVE,#110Riverside, CA 92506951-682-1622951-682-1622

SANNOUFI , SAMERSANNOUFI , SAMERVantage MedicalGroup (P09)Provider # SASA26900 BROCKTON AVE,#11Riverside, CA 92506951-682-6263951-682-6263

SCHNEIDER J R ,SCHNEIDER J R ,J OSEPH MDJ OSEPH MDPrimeCare MedicalNetwork (M132)Provider # JOSC6848 MAGNOLIA AVE,#130Riverside, CA 92506951-683-1174951-683-1174

SHAH, DAMPASHAH, DAMPANIKHIL MDNIKHIL MDHispanic Physicians IPA(MH75)Provider # DASH24990 ARLINGTONAVE, #DRiverside, CA 92504951-785-9011951-785-9011

SILVA, J UAN A MDSILVA, J UAN A MDBuenaventura AffiliatedPhysician (M146)Provider # JUSI26780 INDIANA AVE,#110Riverside, CA 92506951-682-1622951-682-1622

SINDHER, RAJSINDHER, RAJPrimeCare MedicalNetwork (M132)Provider # RASI219040 VAN BURENBLVD, #103Riverside, CA 92508951-789-5660951-789-5660

30

Page 31: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Pr imary Care Physic ians Af f i l ia ted with IPAsPr imary Care Physic ians Af f i l ia ted with IPAs

SINDHER, RAJ MDSINDHER, RAJ MDPrimeCare MedicalNetwork (M132)Provider # RASI34646 BROCKTON AVE,Riverside, CA 92506951-653-0655951-653-0655

SINDHER, RAJ MDSINDHER, RAJ MDPrimeCare MedicalNetwork (M132)Provider # RASI3414200 MERIDIAN,PKWY #101Riverside, CA 92508951-789-5660951-789-5660

ST RELET Z ,ST RELET Z ,DEBORAHDEBORAHALBRECHT MDALBRECHT MDLa Salle MedicalAssociates (M131)Provider # DEST451971 UNIVERSITY AVE,Riverside, CA 92507951-213-3450951-213-3450

T RAN, T IMOT HT RAN, T IMOT HT HIEN MDT HIEN MDUnited Care MedicalGroup (MH99)Provider # TTTR4100 CENTRAL AVE,#101Riverside, CA 92506951-824-7887951-824-7887

VEGA, ELOISA MDVEGA, ELOISA MDVantage MedicalGroup (P09)Provider # ELVE14022 CHICAGO AVE,Riverside, CA 92517855-505-7467855-505-7467

VEGA, ELOISA MDVEGA, ELOISA MDVantage MedicalGroup (P09)Provider # ELVE349939 MAGNOLIA AVE,Riverside, CA 92503855-505-7467855-505-7467

GENERALGENERALPRACT ICEPRACT ICE

ACOST A, J UAN MACOST A, J UAN MMDMDBuenaventura AffiliatedPhysician (M146)Provider # JUAC26780 INDIANA AVE,#100Riverside, CA 92506951-682-1622951-682-1622* Does not ac c ept* Does not ac c eptMed i-CalMed i-Cal

ANDERSON,ANDERSON,ANDREA MDANDREA MDAlpha Care MedicalGroup (M136)Hispanic Physicians IPA(MH75)Vantage MedicalGroup (P09)Provider # ANAN29041 MAGNOLIA, AVE#006Riverside, CA 92503951-268-8112951-268-8112

BOLIVAR, EUNICEBOLIVAR, EUNICEAlpha Care MedicalGroup (M136)Provider # EUBL110327 HOLE AVE,Riverside, CA 92505951-351-1600951-351-1600* Does not ac c ept* Does not ac c eptMed i-CalMed i-Cal

BOLIVAR, ALVAROBOLIVAR, ALVAROAffiliated Partners(MH97)Merit IPA (M128)Quality Care IPA(MH96)Provider # ALBO310327 HOLE AVE,Riverside, CA 92505951-351-1600951-351-1600

CAST ELO, DORINACAST ELO, DORINAEmpire Healthcare IPA(M171)Freedom PhysiciansCorporation (M151)Provider # IRMC4121 BROCKTON AVE,#104Riverside, CA 92501951-778-0032951-778-0032

HOSSAIN, KAMALHOSSAIN, KAMALMDMDAll United MedicalGroup (P94)Provider # KAHA558151 ARLINGTONAVE, # U-VRiverside, CA 92503951-688-3001951-688-3001

KHALIL , NABILKHALIL , NABILFOLLAD MDFOLLAD MDAll United MedicalGroup (P94)Provider # NAKH088151 ARLINGTONAVE,Riverside, CA 92503951-688-3001951-688-3001

MBAGWU,MBAGWU,CHIDOZ IE MDCHIDOZ IE MDLa Salle MedicalAssociates_IE (M201)Provider # CHMB110600 MAGNOLIA AVE#, IRiverside, CA 92505951-324-8100951-324-8100

31

Page 32: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Pr imary Care Physic ians Af f i l ia ted with IPAsPr imary Care Physic ians Af f i l ia ted with IPAs

OT UECHERE,OT UECHERE,VALENT INE MDVALENT INE MDLa Salle MedicalAssociates_IE (M201)Vantage MedicalGroup (P09)Provider # VAOT8990 GARFIELD ST, #6Riverside, CA 92503951-343-1616951-343-1616

REST REPO, J UL IANREST REPO, J UL IANMDMDRios Southwest MedicalGroup (M134)Provider # JURE29939 MAGNOLIA AVE.,Riverside, CA 92503951-687-8802951-687-8802

VADAPARAMPIL ,VADAPARAMPIL ,J ANET MDJ ANET MDAlpha Care MedicalGroup (M136)Provider # JAVA34022 CHICAGO AVE,Riverside, CA 92507951-354-2229951-354-2229

INT ERNALINT ERNALMEDICINEMEDICINE

ALLEN, SCOT T AALLEN, SCOT T AMDMDLa Salle MedicalAssociates_IE (M201)Provider # SCAL81971 UNIVERSITY AVE,#BRiverside, CA 92507951-384-6200951-384-6200

ALL ISON, MARKALL ISON, MARKMDMDPrimeCare MedicalNetwork (M132)Provider # MAAL34100 CENTRAL AVE,#106Riverside, CA 92506951-788-8332951-788-8332

BISHARA, MICHAELBISHARA, MICHAELMDMDImperial Health Plan(M138)PrimeCare MedicalNetwork (M132)Provider # MIBI16896 MAGNOLIA AVE,Riverside, CA 92506951-787-4885951-787-4885

BISHARA, MICHAELBISHARA, MICHAELFreedom PhysiciansCorporation (M151)Provider # MIBI56896 MAGNOLIA AVE,Riverside, CA 92506951-787-4885951-787-4885

BOKHARI , SYED WBOKHARI , SYED WMDMDVantage MedicalGroup (P09)Provider # SYBO4646 BROCKTON AVE,#301Riverside, CA 92506651-628-6900651-628-6900

CABALLERO,CABALLERO,GABRIEL C MDGABRIEL C MDAlliance Health Systems(MH25)Primary Care Associatesof California (MH61)Provider # GACA159939 MAGNOLIA AVE,Riverside, CA 92503951-687-8802951-687-8802

CHENG, ROGER T YCHENG, ROGER T YMDMDLa Salle MedicalAssociates_IE (M201)Primary Care Associatesof California (MH61)Provider # ROCH3975 JACKSON ST#106,Riverside, CA 92503951-354-2500951-354-2500

CHENG, ROGER T YCHENG, ROGER T YPrimary Care Associatesof California (MH61)Primary Care Associatesof California of SanDiego (M169)Provider # ROCH13975 JACKSON ST,#106Riverside, CA 92503951-354-2500951-354-2500

CHENG, ROGER T YCHENG, ROGER T YMDMDImperial HealthHolding MedicalGroup (MH76)PrimeCare MedicalNetwork (M132)Provider # ROCH293975 JACKSON ST,#106Riverside, CA 92503951-354-2500951-354-2500

CHENG, ROGERCHENG, ROGERT SUNG-YUN MDT SUNG-YUN MDNexus IPA (M133)PrimeCare MedicalNetwork (M132)Provider # ROCH303975 JACKSON ST,#106Riverside, CA 92503951-354-2500951-354-2500

COLONCOLONCABALLERO,CABALLERO,GABRIEL MDGABRIEL MDAlpha Care MedicalGroup (M136)Vantage MedicalGroup (P09)Provider # GACO109939 MAGNOLIA AVE,Riverside, CA 92503855-505-7467855-505-7467

32

Page 33: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Pr imary Care Physic ians Af f i l ia ted with IPAsPr imary Care Physic ians Af f i l ia ted with IPAs

DIAL , FREDDIE PDIAL , FREDDIE PMDMDNexus IPA (M133)Provider # FRDI3975 JACKSON ST,#200Riverside, CA 92503951-353-2769951-353-2769

GHALY, GAMAL MDGHALY, GAMAL MDPrimeCare MedicalNetwork (M132)Provider # GAGH23975 JACKSON ST,#206Riverside, CA 92503951-656-5333951-656-5333* Does not ac c ept* Does not ac c eptMed i-CalMed i-Cal

KARODY, RAMESHKARODY, RAMESHMDMDPrimeCare MedicalNetwork (M132)Provider # RAKA46860 BROCKTON AVE,#11Riverside, CA 92506951-686-8580951-686-8580

MANGOBA,MANGOBA,MELANCHT ONMELANCHT ONAligned CommunityPhysicians (M145)Vantage MedicalGroup (P09)Provider # MAME6377 RIVERSIDE AVE,#B101Riverside, CA 92506951-686-3437951-686-3437

MART INEZ ,MART INEZ ,MICHELE MDMICHELE MDAligned CommunityPhysicians (M145)Vantage MedicalGroup (P09)Provider # MIMA410683 MAGNOLIAAVE, #BRiverside, CA 92505951-785-0381951-785-0381

MIKHAIL , MINA MDMIKHAIL , MINA MDPrimeCare MedicalNetwork (M132)Provider # MIMI54100 CENTRAL AVE,#106Riverside, CA 92506951-750-1090951-750-1090

NGUYEN, DEREKNGUYEN, DEREKMDMDPrimeCare MedicalNetwork (M132)Provider # DENG24100 CENTRAL AVE,#102Riverside, CA 92506951-683-6830951-683-6830

NGUYEN, ROBERTNGUYEN, ROBERTFreedom PhysiciansCorporation (M151)Imperial HealthHolding MedicalGroup (MH76)Imperial Health Plan(M138)Primary Care Associatesof California (MH61)Provider # RONG29041 MAGNOLIA AVE,#302Riverside, CA 92503951-637-9999951-637-9999

PANCHAL, PRAVINPANCHAL, PRAVINM MDM MDFreedom PhysiciansCorporation (M151)Imperial HealthHolding MedicalGroup (MH76)Imperial Health Plan(M138)PrimeCare MedicalNetwork (M132)Provider # PAPA273975 JACKSON ST,#103Riverside, CA 92503951-352-7400951-352-7400

PEARCE, DANIELPEARCE, DANIELDYSART DODYSART DOLa Salle MedicalAssociates (M131)Provider # DAPE111970 UNIVERSITY AVE,Riverside, CA 92507951-487-8506951-487-8506

R IOS, J AVIER RR IOS, J AVIER RRios Southwest MedicalGroup (M134)Provider # JARI84022 CHICAGO AVE,Riverside, CA 92507855-505-7467855-505-7467

R IOS, J AVIER R MDRIOS, J AVIER R MDAlliance Health Systems(MH25)Alpha Care MedicalGroup (M136)Rios Southwest MedicalGroup (M134)Provider # JARI39939 MAGNOLIA AVE,Riverside, CA 92503951-687-8802951-687-8802

SHAKER, MANGALASHAKER, MANGALAMDMDPrimeCare MedicalNetwork (M132)Provider # MASH26833 INDIANA AVE,#101Riverside, CA 92506951-781-4645951-781-4645

SHAROBIEM,SHAROBIEM,ANDRO N MDANDRO N MDAligned CommunityPhysicians (M145)Buenaventura AffiliatedPhysician (M146)Imperial HealthHolding MedicalGroup (MH76)Provider # ANSH143634 ELIZABETH ST,Riverside, CA 92506951-788-0008951-788-0008

33

Page 34: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Pr imary Care Physic ians Af f i l ia ted with IPAsPr imary Care Physic ians Af f i l ia ted with IPAs

T HIRUVENGADAM,T HIRUVENGADAM,RAVICHANDRANRAVICHANDRANMDMDLa Salle MedicalAssociates (M131)Provider # RATH56950 BROCKTON AVE,#3Riverside, CA 92506951-737-7700951-737-7700

YANG, KEE I MDYANG, KEE I MDFreedom PhysiciansCorporation (M151)Imperial Health Plan(M138)Nexus IPA (M133)PremierCare HealthServices (MH68)Vantage MedicalGroup (P09)Provider # KEYA6334 MISSION BLVD,Riverside, CA 92509951-248-9113951-248-9113

San J ac int oSan J ac int o

FAMILYFAMILYPRACT ICEPRACT ICE

ARIF, MUHAMMADARIF, MUHAMMADMDMDLa Salle MedicalAssociates (M131)Provider # MUAR09651 N STATE ST,San Jacinto, CA 92583951-487-8506951-487-8506

GROVE, IRA KGROVE, IRA KVantage MedicalGroup (P09)Provider # IRGR1229 W 7TH ST,San Jacinto, CA 92583951-487-2550951-487-2550* Does not ac c ept* Does not ac c eptMed i-CalMed i-Cal

SINJ AR, T UL IN MDSINJ AR, T UL IN MDLa Salle MedicalAssociates (M131)Provider # TUSI34651 N STATE ST,San Jacinto, CA 92583951-487-8506951-487-8506

GENERALGENERALPRACT ICEPRACT ICE

KOKA, VIDHYAKOKA, VIDHYALAKSHMILAKSHMIAlpha Care MedicalGroup (M136)Provider # KOKA1579 S SAN JACINTO,#ASan Jacinto, CA 92583951-665-1100951-665-1100

INT ERNALINT ERNALMEDICINEMEDICINE

ASHOK,ASHOK,NAGASAMUDRA SNAGASAMUDRA SMDMDDoctors Managed IPA(M193)Vantage MedicalGroup (P09)Provider # NAAS53229 W 7TH ST,San Jacinto, CA 92583951-487-2550951-487-2550

GUPT A, NEELAMGUPT A, NEELAMHemet CommunityMedical Group (M127)Provider # NEGU1341 E MAIN ST, #100San Jacinto, CA 92583951-654-9367951-654-9367

GUPT A, NEELAMGUPT A, NEELAMMDMDPrimary Care Associatesof California (MH61)Rios Southwest MedicalGroup (M134)Provider # NEGU2341 E MAIN ST #100,San Jacinto, CA 92583951-654-9367951-654-9367

MAT HUR, ARVINDMAT HUR, ARVINDK MDK MDHemet CommunityMedical Group (M127)Provider # ARMA35341 E MAIN ST, #100San Jacinto, CA 92583951-654-9367951-654-9367

Sun Cit ySun Cit y

FAMILYFAMILYPRACT ICEPRACT ICE

AT IGA, ROLANDOAT IGA, ROLANDOMDMDAlpha Care MedicalGroup (M136)Provider # ROAT1129826 HAUN RD, #201Sun City, CA 92586951-695-4688951-695-4688

GANT A, SANYASI RGANT A, SANYASI RMDMDHemet CommunityMedical Group (M127)Provider # SAGA9826960 CHERRY HILLS,#ASun City, CA 92586951-925-6657951-925-6657

PAT RICK , LEAH DOPAT RICK , LEAH DOFamily Seniors MedicalGroup (M155)Provider # LEPA3429826 HAUN RD, #209Sun City, CA 92586951-231-1385951-231-1385

REDDY, SURYAREDDY, SURYAHemet CommunityMedical Group (M127)Menifee Valley MedicalGroup (M156)Vantage MedicalGroup (P09)Provider # SURE129826 HAUN RD, #300Sun City, CA 92586951-679-7022951-679-7022

34

Page 35: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Pr imary Care Physic ians Af f i l ia ted with IPAsPr imary Care Physic ians Af f i l ia ted with IPAs

SANDHU, BASANTSANDHU, BASANTMDMDVantage MedicalGroup (P09)Provider # BASA1126926 CHERRY HILLSB, LVD #BSun City, CA 92586951-216-6100951-216-6100

SANDHU, BASANTSANDHU, BASANTMDMDVantage MedicalGroup (P09)Provider # BASA1226926-B CHERRYHILLS, BLVDSun City, CA 92586951-216-2200951-216-2200

INT ERNALINT ERNALMEDICINEMEDICINE

ARANET A, T OMASARANET A, T OMAST MDT MDMenifee Valley MedicalGroup (M156)Provider # TOAR26960 CHERRY HILLS,BLVD #BSun City, CA 92586951-672-1909951-672-1909

BARVE, PRANAVBARVE, PRANAVMDMDHemet CommunityMedical Group (M127)Menifee Valley MedicalGroup (M156)Provider # PRBA2128400 MCCALL BLVD,#B10Sun City, CA 92585951-414-4020951-414-4020

GONZ ALES,GONZ ALES,EDIVINA B MDEDIVINA B MDMenifee Valley MedicalGroup (M156)Temecula ValleyPhysicians MedicalGroup (M153)Provider # EDGO929798 HAUN RD, #106Sun City, CA 92586951-301-3588951-301-3588

GONZ ALES,GONZ ALES,PAT RICK D MDPAT RICK D MDMenifee Valley MedicalGroup (M156)Temecula ValleyPhysicians MedicalGroup (M153)Provider # PAGO2029798 HAUN RD, #106Sun City, CA 92586951-301-3588951-301-3588

GUPT A, NEELAMGUPT A, NEELAMHemet CommunityMedical Group (M127)Provider # BU1527994 BRADLEY RD, #ESun City, CA 92586951-566-3568951-566-3568

K INGSLEY, J AMESK INGSLEY, J AMESMDMDHemet CommunityMedical Group (M127)Menifee Valley MedicalGroup (M156)Provider # JAKI4129826 HAUN RD, #300Sun City, CA 92586951-679-7022951-679-7022

MART INEZ , J ORGEMART INEZ , J ORGEA MDA MDHemet CommunityMedical Group (M127)Menifee Valley MedicalGroup (M156)Provider # JOME0829826 HAUN RD, #203Sun City, CA 92586951-301-1100951-301-1100

MAT HUR, ARVINDMAT HUR, ARVINDK MDK MDHemet CommunityMedical Group (M127)Provider # ARMA3627994 BRADLEY RD, #ESun City, CA 92586951-566-3568951-566-3568

NGUYEN, DAVIDNGUYEN, DAVIDMenifee Valley MedicalGroup (M156)Provider # FY0127830 BRADLEY RD,Sun City, CA 92586909-679-2358909-679-2358

NGUYEN, T HANGNGUYEN, T HANG(T IM)(T IM)Menifee Valley MedicalGroup (M156)Provider # FY0227830 BRADLEY RD,Sun City, CA 92586951-679-2358951-679-2358

ST ANFORD, DAVIDST ANFORD, DAVIDC MDC MDMenifee Valley MedicalGroup (M156)Provider # DAST1529798 HAUN RD, #308Sun City, CA 92586951-301-7611951-301-7611

T emec ul aT emec ul a

FAMILYFAMILYPRACT ICEPRACT ICE

AYON MART INEZ ,AYON MART INEZ ,CARLOS X MDCARLOS X MDVantage MedicalGroup (P09)Provider # CAMA9841840 ENTERPRISECIR, NORTHTemecula, CA 92590951-694-9449951-694-9449

BACON, CARRIEBACON, CARRIEVantage MedicalGroup (P09)Provider # CABA0831720 TEMECULAPKWY, #200Temecula, CA 92592858-633-4697858-633-4697* Does not ac c ept* Does not ac c eptMed i-CalMed i-Cal

35

Page 36: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Pr imary Care Physic ians Af f i l ia ted with IPAsPr imary Care Physic ians Af f i l ia ted with IPAs

BRIGGS, BR IDGETBRIGGS, BR IDGETR MDR MDTemecula ValleyPhysicians MedicalGroup (M153)Provider # BRBR1031170 TEMECULAPKWY, #100Temecula, CA 92592951-698-6090951-698-6090

CHEN, SUN-L INGCHEN, SUN-L INGMDMDVantage MedicalGroup (P09)Provider # SUCH1241840 ENTERPRISECIR, NTemecula, CA 92590951-694-9449951-694-9449

FEENEY, J OHN DOFEENEY, J OHN DOVantage MedicalGroup (P09)Provider # JOFE1427699 JEFFERSONAVE, #204Temecula, CA 92590951-695-4688951-695-4688

GISI , SYLVIA A MDGISI , SYLVIA A MDTemecula ValleyPhysicians MedicalGroup (M153)Provider # SYGI31493 RANCHOPUEBLO, RD #206Temecula, CA 92592951-303-6158951-303-6158

J ACKSON, ANIT A CJ ACKSON, ANIT A CMDMDTemecula ValleyPhysicians MedicalGroup (M153)Provider # ANJA944274 GEORGE,CUSHMAN CT #212Temecula, CA 92592951-694-4688951-694-4688

MIT Z NER, DAVID MMIT Z NER, DAVID MFreedom PhysiciansCorporation (M151)Provider # DAMI941661 ENTERPRISECIR, #115Temecula, CA 92590951-506-5768951-506-5768

PAT RICK-GAT ES,PAT RICK-GAT ES,LEAHLEAHVantage MedicalGroup (P09)Provider # LEPA41840 ENTERPRISECIR, NORTHTemecula, CA 92590951-694-9449951-694-9449

RAWSON, R ICHARDRAWSON, R ICHARDHUISH DOHUISH DOAlpha Care MedicalGroup (M136)Provider # RIRA0844054 MARGARITA RD,#1Temecula, CA 92592951-302-2526951-302-2526

SCHULT Z , J AMESSCHULT Z , J AMESMDMDVantage MedicalGroup (P09)Provider # JASC5741840 ENTERPRISE CR,NTemecula, CA 92590714-771-4191714-771-4191

SKEOCH, GORDONSKEOCH, GORDONV MDV MDTemecula ValleyPhysicians MedicalGroup (M153)Provider # GOSK927555 YNEZ RD, #340Temecula, CA 92591951-694-3535951-694-3535

WASHINGT ON,WASHINGT ON,HEAT HER MDHEAT HER MDVantage MedicalGroup (P09)Provider # HEWA6541840 ENTERPRISE,CIRCLE NTemecula, CA 92590951-225-6400951-225-6400

INT ERNALINT ERNALMEDICINEMEDICINE

AHMED, PARVEENAHMED, PARVEENMDMDImperial HealthHolding MedicalGroup (MH76)Imperial Health Plan(M138)Provider # PAAH328975 OLD TOWN,Temecula, CA 92590951-719-3111951-719-3111

BASCH, MICHAEL SBASCH, MICHAEL SMDMDTemecula ValleyPhysicians MedicalGroup (M153)Provider # MIBA1541593 WINCHESTERRD, #101Temecula, CA 92590951-719-1111951-719-1111

CARRASCO,CARRASCO,DOUGLAS MDDOUGLAS MDAlpha Care MedicalGroup (M136)Provider # DOCA44274 GEORGECUSHMAN, CT #210Temecula, CA 92592951-302-4603951-302-4603

GILMORE, CAROLGILMORE, CAROLA MDA MDHealth Excel IPA(M197)Provider # CAGI1141840 ENTERPRISE,CIRCLE NTemecula, CA 92590951-225-6400951-225-6400

36

Page 37: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Pr imary Care Physic ians Af f i l ia ted with IPAsPr imary Care Physic ians Af f i l ia ted with IPAs

SALAMA, FOUAD ASALAMA, FOUAD AMDMDAlpha Care MedicalGroup (M136)Provider # FOSA31717 TEMECULAPKWY,Temecula, CA 92592951-302-1888951-302-1888

Wil d omarWil d omar

INT ERNALINT ERNALMEDICINEMEDICINE

BARVE, PRANAV RBARVE, PRANAV RMDMDFreedom PhysiciansCorporation (M151)Primary Care Associatesof California (MH61)Provider # PRBA5436243 INLANDVALLEY, #160Wildomar, CA 92595951-929-8121951-929-8121

37

Page 38: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

ACCESS IPAACCESS IPA(MH85)(MH85)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Access IPA (MH85)Access IPA (MH85)

OPHT HALMOLOGYOPHT HALMOLOGY

NAMBIAR, MARGARET

SCHULTZ, GERALD

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

SLEEP MEDICINESLEEP MEDICINE

KHAJA, ALIUDDIN

SURGERY,SURGERY,GENERALGENERAL

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

38

Page 39: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

ACCESSACCESSPRIMARYPRIMARYCARECAREMEDICALMEDICALGROUPGROUP(M150)(M150)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Access Pr imary Care Medica l Group (M150)Access Pr imary Care Medica l Group (M150)

DERMAT OLOGYDERMAT OLOGY

BAGHERI, BITA ADIBMD

39

Page 40: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

ACCOUNTABLEACCOUNTABLEHEALTH CAREHEALTH CAREIPA (MH56 )IPA (MH56 )AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Accountable Health Care IPA (MH56)Accountable Health Care IPA (MH56)

OPHT HALMOLOGYOPHT HALMOLOGY

NAMBIAR, MARGARET

SCHULTZ, GERALD

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

SLEEP MEDICINESLEEP MEDICINE

KHAJA, ALIUDDIN

SURGERY,SURGERY,GENERALGENERAL

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

SURGERY,SURGERY,VASCULARVASCULAR

BECKER, ANTHONYMD

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

40

Page 41: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

ADVANCEDADVANCEDMEDICALMEDICALDOCTORSDOCTORSIPA (MH44)IPA (MH44)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Advanced Medica l Doctor s IPA (MH44)Advanced Medica l Doctor s IPA (MH44)

DERMAT OLOGYDERMAT OLOGY

WESTDERMATOLOGY,MEDICAL GROUP

OPHT HALMOLOGYOPHT HALMOLOGY

NAMBIAR, MARGARET

SCHULTZ, GERALD

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

SLEEP MEDICINESLEEP MEDICINE

KHAJA, ALIUDDIN

SURGERY,SURGERY,GENERALGENERAL

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

41

Page 42: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

AFFIL IATEDAFFIL IATEDPARTNERSPARTNERS(MH97)(MH97)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Af f i l ia ted Par tner s (MH97)Af f i l ia ted Par tner s (MH97)

CARDIOLOGYCARDIOLOGY

DESAI, DHAVAL MD

KHANDHAR, SUMIT MDO

PLASENCIA, GILBERT

TUQAN, SA'D MD

CARDIOVASCULARCARDIOVASCULARDISEASEDISEASE

ALTURJUMAN,AHMAD MD

MOSCOSO, ROBERTOMD

PLASENCIA, GILBERT

TUQAN, SA'D MD

DERMAT OLOGYDERMAT OLOGY

LEVIN, JACQUELINEMD

SAIED, NAGI K MD

FAMILYFAMILYPRACT ICEPRACT ICE

SAIED, NAGI K MD

INT ERNALINT ERNALMEDICINEMEDICINE

MOSCOSO, ROBERTOMD

MEDICALMEDICALONCOLOGYONCOLOGY

BAQAI, REHANA MD

CHOI, BRIAN MD

MONTANA, WILBURNELSON DO

REYES, EVANGELINE AMD

OPHT HALMOLOGYOPHT HALMOLOGY

FISH, STEVEN MD

NAWAZISH, SABA MD

OT OLARYNGOLOGYOT OLARYNGOLOGY(ENT )(ENT )

GREEK, CARL

KALKANIS, JAMES GMD

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

PODIAT RYPODIAT RY

TSUTSUMI, ROGER YDPM

PULMONARYPULMONARYDISEASEDISEASE

MAHESHWARI,ANOOP MD

RADIOLOGYRADIOLOGYONCOLOGYONCOLOGY

GREENBERG, PETERMD

SLEEPSLEEPMEDICINEMEDICINE

ADVANCED SLEEP,MEDICINE SERVICES

KHAJA, ALIUDDIN

SURGERY,SURGERY,GENERALGENERAL

ATCHISON, MARVINMD

CORDERO, RAYMUNDS MD

ESSIEN, FRANCIS MD

JOHNSEN, HEGE MD

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

WANG, XIU-JIE MD

YU, SON HA MD

42

Page 43: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

ALAMITOSALAMITOSIPA (M139 )IPA (M139 )AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Alamitos IPA (M139)Alamitos IPA (M139)

NEUROLOGYNEUROLOGY

UDDIN, MOHAMMAD

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

UROLOGYUROLOGY

TAKESITA, KEN MD

TSI, SY MD

WALKER, CARL

YUN, EDWARD J MD

43

Page 44: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

AL IGNEDAL IGNEDCOMMUNITYCOMMUNITYPHYSICIANSPHYSICIANS(M145)(M145)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Aligned Communit y Physic ians (M145)Al igned Communit y Physic ians (M145)

ANEST HESIOLOGYANEST HESIOLOGY

KHATIBI, NIKAN DO

MOELLER-BERTRAM,TOBIAS MD

CARDIOLOGYCARDIOLOGY

ATTIA, NADER N. DO

MESSENGER,BRADLEY S MD

CARDIOVASCULARCARDIOVASCULARDISEASEDISEASE

ABOURJAILI, GEORGEMD

AMIN, JATIN N MD

BISWAS, MIMI MD

COX, JEREMY MILLSDO

KELESIDIS, IOSIF MD

MESSENGER,BRADLEY S MD

OSHODI, GANIYU MD

SANGODKAR,SANDEEP DO

DERMAT OLOGYDERMAT OLOGY

GERSTENFELD, ERIC SMD

HOU, ZHE MD

KARUKONDA, SREERAMA KRISHNA MD

SAIED, NAGI K MD

ENDOCRINOLOGYENDOCRINOLOGY

FARJOUDI, FARHADMD

FAMILY PRACT ICEFAMILY PRACT ICE

SAIED, NAGI K MD

GAST ROENT EROLOGYGAST ROENT EROLOGY

HUANG, GALENCHUNG L MD

JAMAL, MOHAMMADMAZEN MD

MISHRA, VINOD MD

GENERAL PRACT ICEGENERAL PRACT ICE

LEE, AARON DO

HEMAT OLOGYHEMAT OLOGY

JONES, CATHERINE AMD

INFECT IOUSINFECT IOUSDISEASEDISEASE

LIQUETE, JOHNNYMD

INT ERNALINT ERNALMEDICINEMEDICINE

AHMAD, NASEER MD

ATTIA, NADER N. DO

BHOOT, HEETEN DO

BISWAS, MIMI MD

BOONCHALEMVICHIAN,CHAIYAPORN MD

CHAND, ARATI MD

CHANG, DAVID MD

FREIMANN, JACK MD

FRENCH, AIMEE MD

GONZALEZ, HAYDEEMD

HUANG, DANIEL MD

ISMAIL, HEBA MD

KIM, JOON DO

LIQUETE, JOHNNYMD

PATEL, CHANDRA DO

ROBERTSON, JOHNMD

SUN, CHUNG-HUANGMD

ZAMFIRESCU-ALEXANDER, PETERLEON MD

LIC CLINLIC CLINSOCIAL WKRSOCIAL WKR

SHORTS, PETER CLCSW

MEDICALMEDICALONCOLOGYONCOLOGY

JANOSKI, MAURO MD

JONES, CATHERINE AMD

MAZUMDER,AMITABHA MD

NEPHROLOGYNEPHROLOGY

ABDI POUR, AMIR MD

ALVARADO,ANTHONY SERGEI MD

BHOOT, HEETEN DO

CHANG, DAVID MD

CHEUNG, ANDREWMD

GALOUSTIAN,ARTHUR MD

ISTWANI, MOSEN MD

KHALIL, TAHER M MD

LAC, PETER MD

NGUYEN, CHARLESMD

NIU, PAUL MD

PATEL, YOGESH MD

ROBERTSON, JOHNMD

SUN, CHUNG-HUANGMD

TANASESCU, ADINA AMD

YU, JERRY MD

NEUROLOGYNEUROLOGY

RAI, KARANDEV S MD

44

Page 45: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Aligned Communit y Physic ians (M145)Al igned Communit y Physic ians (M145)

OBST ET RICS &OBST ET RICS &GYNECOLOGYGYNECOLOGY

ALDAPE, DIANA MD

ASIRYAN, VARDUI MD

CARR, KAYLENE MD

EL MOKADEM,HESHAM MD

KIM, OK MD

OJEDA, ALONSORAFAEL MD

SALAZAR, SERAFIN MD

SONG, SUSRAP MD

OCCUPAT IONALOCCUPAT IONALMEDICINEMEDICINE

CHRISTENSEN,AMARILDA MD

ONCOLOGYONCOLOGY

AHMAD, NASEER MD

KIM, SEONG MD

SHIPLA, SHAH MD

MIEL, PAMELA MD

OPHT HALMOLOGYOPHT HALMOLOGY

PATEL, JAY R MD

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

PAINPAINMANAGEMENTMANAGEMENT

KHATIBI, NIKAN DO

LEIER, TIM U MD

MOELLER-BERTRAM,TOBIAS MD

PSYCHIAT RISTPSYCHIAT RIST

WAREHAM, JULIE GMD

PULMONARYPULMONARYDISEASEDISEASE

BHAGAVATH, ANITAMD

EL-BERSHAWI, AHMEDS MD

RUTHLAND, CEDRIC JF MD

FRENCH, AIMEE MD

GODPOLE, ROHIT MD

HARIANAWALA, SALIMMD

ISMAIL, HEBA MD

KIM, JOON DO

MAHESHWARI,ANOOP MD

PATEL, CHANDRA DO

ZAMFIRESCU-ALEXANDER, PETERLEON MD

RADIOLOGYRADIOLOGYONCOLOGYONCOLOGY

BELL, DAVID MD

SLEEPSLEEPMEDICINEMEDICINE

ADVANCED SLEEP,MEDICINE SRVCS, INC

ADVANCED SLEEP,MEDICINE SERVICES

SURGERY,SURGERY,GENERALGENERAL

CROSS, MICHAEL LMD

CROSS, MICHAEL LMD

DADA, FESTUS MD

LEE, AARON DO

NAFIU, BOLAJI MD

NURICK, HARVEY AMD

POLLACK, JAMES MD

TRAN, MICHAEL N MD

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

ANDERSON, SCOTTMD

BROWN, STEVEN MD

GRAMES, BARRY S MD

GHAZAL, RONNY MD

GOLDEN TRIANGLE,SURGICENTER

HOPKINS, GAIL E MD

KLEIS, KEVIN MD

KURI, JOHNANTHONY MD

PANTAZOPOULOS,CHRISTINA MD

YOST, BRIAN T MD

SURGERY,SURGERY,T HORACICT HORACIC

HASHISHO, MAZENMD

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

NAFIU, BOLAJI MD

NURICK, HARVEY AMD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

UROLOGYUROLOGY

HAYNES, BRANDONMICHAEL MD

REDDY, MADHUMITHADO

TAKESITA, KEN MD

TSI, SY MD

45

Page 46: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

ALL UNITEDALL UNITEDMEDICALMEDICALGROUP (P94)GROUP (P94)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

All Un ited Medica l Group (P94)Al l Un ited Medica l Group (P94)

FAMILYFAMILYPRACT ICEPRACT ICE

PERRIS VALLEY PHYS,ASSOC, A MED CORP

OPHT HALMOLOGYOPHT HALMOLOGY

PHILLIPS, BARRATT

SORENSON, ROBERTMD

PODIAT RYPODIAT RY

GASKINS, ROLANDDPM

SURGERY,SURGERY,GENERALGENERAL

MISSION SURGICAL,CLINIC INC

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

FENISON, ANTHONYMD

GOLDEN TRIANGLE,SURGICENTER

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

UROLOGYUROLOGY

THAKER, NIMISH

46

Page 47: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

ALL IANCEALL IANCEHEALTHHEALTHSYSTEMSSYSTEMS(MH25)(MH25)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

All iance Health Systems (MH25)Al l iance Health Systems (MH25)

ALLERGY &ALLERGY &IMMUNOLOGYIMMUNOLOGY

IQBAL, SHAMS M

ANEST HESIOLOGYANEST HESIOLOGY

DORAISWAMY, ARULMD

CARDIOLOGYCARDIOLOGY

GANDHI,DIPESHKUMAR K

GUNDRY, STEVEN

TIWARI, RATAN L MD

CARDIOVASCULARCARDIOVASCULARDISEASEDISEASE

DUONG, TRUONG D

GANDHI,DIPESHKUMAR K

TIWARI, RATAN L MD

DERMAT OLOGYDERMAT OLOGY

MESSINA, MICHAEL J

MITCHELL, JESSE MD

WESTDERMATOLOGY,MEDICAL GROUP

WESTDERMATOLOGY,MEDICAL GROUP

WESTDERMATOLOGY,MEDICAL GROUP

WESTDERMATOLOGY,MEDICAL GROUP

ENDOCRINOLOGYENDOCRINOLOGY

TEMECULA VALLEY,ENDOCRINOLOGY

GAST ROENT EROLOGYGAST ROENT EROLOGY

ABDOLLAHZADEH,HOMAN MD

CHAKRABARTY,MILANKUMAR

CHOPRA, RAKESH

COLLEN, MARTIN MD

INFECT IOUSINFECT IOUSDISEASEDISEASE

MALLELA, SUDHAKARV

INT ERNALINT ERNALMEDICINEMEDICINE

BAER, HOWARD

GUPTA, RAKESH C

TABEL, GHASAN M.

LIC CLIN SOCIALLIC CLIN SOCIALWKRWKR

HARRIS, CYNTHIA

NEPHROLOGYNEPHROLOGY

NAM, EDUARDO MD

NEUROLOGYNEUROLOGY

ELHAJJAR, ANTOINE J

UDDIN, MOHAMMAD

OBST ET RICS &OBST ET RICS &GYNECOLOGYGYNECOLOGY

LEE, JAY K MD

OPHT HALMOLOGYOPHT HALMOLOGY

GREWAL, SANJEEVMD

NAMBIAR, MARGARET

PABALAN, FRANCISCOJ

SAINI, ARVIND

SCHULTZ, GERALD

WAINESS, REID M MD

OPHT HALMOLOGYOPHT HALMOLOGY- RET INA- RET INA

CARLSON, JOHN MD

PESAVENTO, RICHARDMD

PAINPAINMANAGEMENTMANAGEMENT

ANDERSON, CHARLES

BEN-ROOHI, MOSHE S

DORAISWAMY, ARULMD

PODIAT RYPODIAT RY

DRAKE, ROBERT P

QARMON PC, CAFOOT & ANKLE CLN

SPRINGWOODPODIATRY,

TSUTSUMI, ROGER YDPM

TSUTSUMI, ROGER YDPM

PSYCHIAT RISTPSYCHIAT RIST

KHAJA, ALIUDDIN

ORANGEPSYCHIATRIC, MEDGROUP

PULMONARYPULMONARYDISEASEDISEASE

GUPTA, RAKESH C

QAZI, AHSAN U

RADIOLOGYRADIOLOGYONCOLOGYONCOLOGY

MASEK, THEODORE DMD

47

Page 48: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

All iance Health Systems (MH25)Al l iance Health Systems (MH25)

RHEUMAT OLOGYRHEUMAT OLOGY

MEHTA,CHANDRAKANT V

RAMASWAMY,DHARMARAJAN MD

TRIVEDI, JANKI

SLEEPSLEEPMEDICINEMEDICINE

ADVANCED SLEEP,MEDICINE SRVCS, INC

ADVANCED SLEEP,MEDICINE SERVICES

KHAJA, ALIUDDIN

SURGERY,SURGERY,GENERALGENERAL

ATTAR, NASEEM A

YU, SON HA MD

SURGERY,SURGERY,NEUROLOGICALNEUROLOGICAL

CRAMER, DENNIS DO

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

HAIDER, THOMAS MD

CRAMER, DENNIS DO

KHAMSI, BABAK MD

ROGER, DOUGLAS J

ROUHE, RICHARD

SERIF, LAWRENCE W

TOOMA, GHASSAN

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

UROLOGYUROLOGY

LEE, SAMUEL

TAKESITA, KEN MD

THAKER, NIMISH

TSI, SY MD

UROLOGICINSTITUTE, (RANCHOMIRAGE)

WALKER, CARL

YUN, EDWARD J MD

48

Page 49: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

ALL IEDALL IEDHEALTHHEALTHCARE (M121)CARE (M121)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

All ied Health Care (M121)Al l ied Health Care (M121)

SLEEPSLEEPMEDICINEMEDICINE

KHAJA, ALIUDDIN

SURGERY,SURGERY,GENERALGENERAL

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

49

Page 50: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

ALL IEDALL IEDPACIFIC IPAPACIFIC IPA(MH71)(MH71)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

All ied Pacif ic IPA (MH71)Al l ied Pacif ic IPA (MH71)

CARDIOLOGYCARDIOLOGY

HAKKAK, FATIMA DO

CARDIOVASCULARCARDIOVASCULARDISEASEDISEASE

HAKKAK, FATIMA DO

DERMAT OLOGYDERMAT OLOGY

BEVERLY, ROLANDSPURGEON MD

HODGE, JULIEAMSTUTZ MD

FAMILYFAMILYPRACT ICEPRACT ICE

PERRIS VALLEY PHYS,ASSOC, A MED CORP

NEUROLOGYNEUROLOGY

UDDIN, MOHAMMADMD

OBST ET RICS &OBST ET RICS &GYNECOLOGYGYNECOLOGY

UDDIN, MOHAMMADMD

OPHT HALMOLOGYOPHT HALMOLOGY

NAMBIAR, MARGARET

SCHULTZ, GERALD

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

PHYS/OCCPHYS/OCCT HERAPYT HERAPY

WHITE, CHARLES L.OT

SLEEPSLEEPMEDICINEMEDICINE

KHAJA, ALIUDDIN

SURGERY,SURGERY,GENERALGENERAL

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

50

Page 51: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

ALPHA CAREALPHA CAREMEDICALMEDICALGROUPGROUP(M136 )(M136 )AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Alpha Care Medica l Group (M136)Alpha Care Medica l Group (M136)

ALLERGY &ALLERGY &IMMUNOLOGYIMMUNOLOGY

BROWN, HOSEA E MD

WALDMAN, DAVID MD

ANEST HESIOLOGYANEST HESIOLOGY

GUIANG, RAINIER MD

KHATIBI, NIKAN DO

LEIER, TIM MD

LEIER, TIM U MD

MOELLER-BERTRAM,TOBIAS MD

MOELLER-BERTRAM,TOBIAS MD

RATNAYAKE,DILANGANI MD

CARDIOLOGYCARDIOLOGY

AMIN, JATIN MD

ATTIA, NADER N. DO

MESSENGER,BRADLEY S MD

PAREKH, NIRAJ V. MD

POPA-RADU, MATEIMD

ZADEII, GHOLAM RMD

CARDIOVASCULARCARDIOVASCULARDISEASEDISEASE

AMIN, JATIN N MD

BISWAS, MIMI MD

COX, JEREMY MILLSDO

MESSENGER,BRADLEY S MD

OSHODI, GANIYU MD

PAREKH, NIRAJ V. MD

PATANKAR,KAUSTUBH MD

QASQAS, SHADI A MD

RIVA, GREGORY R MD

SANGODKAR,SANDEEP DO

ZADEII, GHOLAM RMD

DERMAT OLOGYDERMAT OLOGY

BROUHA, BROOK LMD

FOWLER, VINCENTMD

HARFORD, ROBERTMD

JACOBS, RANDOLPHMD

ROSHDIEH, BABAK MD

SAIED, NAGI MD

SCHWARTZ, LEON EMD

SHIELL, RONALD DMD

SIMZAR, SOHEIL MD

WOODHALL, KATRINAMD

ENDOCRINOLOGY,ENDOCRINOLOGY,PEDIAT RICPEDIAT RIC

CARCAMO, MARIOMD

FAMILY PRACT ICEFAMILY PRACT ICE

SAIED, NAGI K MD

GAST ROENT EROLOGYGAST ROENT EROLOGY

AGARWAL, VIJAY P MD

ANYADIKE, CYRIL MD

CHAKRABARTY,MILANKUMAR MD

CHAKRABARTY,INDRANEEL MD

FAN, ROBERT S MD

LAM, EUGENE C MD

SIMMONS, TIMOTHYMD

SINGHVI, AJEET R

WEST, CARLGREGORY MD

OJURI, ADEDAMBOMD

HEMAT OLOGYHEMAT OLOGY

BAQAI, REHANA MD

JHANGIANI, HARESHMD

RAOWAS, ANAS MD

REYES, EVANGELINEMD

INT ERNALINT ERNALMEDICINEMEDICINE

ALTRIKI, MOHAMADMD

ANYADIKE, CYRIL OMD

ATTIA, NADER N. DO

BISWAS, MIMI MD

CHARLES-COWAN,TRICIA G DO

GUPTA, RAKESH C

IGWE JR, DANIEL MD

PATANKAR,KAUSTUBH MD

RIVA, GREGORY R MD

LIC CLINLIC CLINSOCIAL WKRSOCIAL WKR

CHAVEZ-BROWN,MARIA

MEDICALMEDICALONCOLOGYONCOLOGY

BAQAI, REHANA MD

CHOI, BRIAN MD

REYES, EVANGELINE AMD

51

Page 52: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Alpha Care Medica l Group (M136)Alpha Care Medica l Group (M136)

TSAI, JAMES MD

NEPHROLOGYNEPHROLOGY

ALTRIKI, MOHAMADMD

BADAR, RIZWAN MD

CHARLES-COWAN,TRICIA G DO

KHALIL, TAHER M MD

LAC, PETER MD

YAN, ERIC H MD

YOUSSEF, AMR DO

NEUROLOGYNEUROLOGY

KHAYALI,MOHAMMAD R

LEKIC, TIM MD

LIU, PEI MD

NAVAB, PEDRAM DO

UDDIN, MOHAMMAD

YUSUFALY, IMDAD

OBST ET RICS &OBST ET RICS &GYNECOLOGYGYNECOLOGY

ADKINS, KATE

EPPEY, RICHARD MD

LEE, JAY K MD

REY, RODOLFO MD

RIZVI, SYED M MD

ROBERTS, DENNIS DO

SEVILLA, JACQUELINES MD

UDDIN, MOHAMMADMD

URSO, MARY JO VITADO

VADAPARAMPIL,JANET MD

YOO, JEUNG C MD

ONCOLOGYONCOLOGY

BAQAI, REHANA MD

JHANGIANI, HARESHMD

REYES, EVANGELINEMD

OPHT HALMOLOGYOPHT HALMOLOGY

BLACHARSKI, PAUL AMD

CHAN, CLEMENT KAR-MAN MD

DAVIS, KEITH A MD

GOLLOGLY, HEIDRUNELISABETH MD

GRANT-ACQUAH,KWEKU W. MD

GREWAL, SANJEEVMD

JOSEPH, JEFFREY MD

LIN, THEODORE MD

LOGAN, DWYANE KMD

SAMUEL, MICHAEL MD

SIEGEL, LANCE MD

SOLANO, JOELMOLINA MD

SPIEGEL, JENNIFER AMD

STEVENS, JEFFREY LMD

OT OLARYNGOLOGYOT OLARYNGOLOGY(ENT )(ENT )

CARVALHO, GERALD JMD

FORRESTER, MICHAELG MD

GABARAIN, GABRIELMD

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

PAINPAINMANAGEMENTMANAGEMENT

CASSIM, HAZMER DO

CHEN, HAMILTONTSE-YING. MD

GUIANG, RAINIER MD

KELLING, JONATHANMD

KHATIBI, NIKAN DO

LEIER, TIM MD

LEIER, TIM U MD

MOELLER-BERTRAM,TOBIAS MD

MOELLER-BERTRAM,TOBIAS MD

PANG, GARY MD

RATNAYAKE,DILANGANI MD

SMITH, PHILLIP MD

WONG, KEVIN DO

PEDIAT RICSPEDIAT RICS

BROWN, HOSEA E MD

PUROHIT, SWATI MD

PHYS/OCCPHYS/OCCT HERAPYT HERAPY

FOLTZ, KATHERINEOT

JENSEN, BROOKEDESIREE OT

ROWE, DARRELL OT

PODIAT RYPODIAT RY

BUSCH, JEREMY ADPM

CROUGH, JACKSON TDPM

GASKINS, ROLANDDPM

KING, GREGORY MD

PHAM, LUYEN V DPM

SCOTT, SUSAN D MD

SEIBER, MICHAEL DPM

TRANSFIGURACIONSHIN, CHRISTIANNE JDPM

PSYCHIAT RISTPSYCHIAT RIST

CASTANOS, ROBERTOMD

PATEL,PRAKASHCHANDRA CMD

52

Page 53: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Alpha Care Medica l Group (M136)Alpha Care Medica l Group (M136)

PULMONARYPULMONARYDISEASEDISEASE

GUPTA, RAKESH C

MAHESHWARI,ANOOP MD

MORGAN, LAURA RMD

RADIOLOGYRADIOLOGYONCOLOGYONCOLOGY

LING, TED MD

REHAB PHYSREHAB PHYSMEDICINEMEDICINE

KOSHY, SHINTO MD

RHEUMAT OLOGYRHEUMAT OLOGY

AHMAD, NAILABUSHRA MD

COLBURN, KEITH MD

HSU, SHERI MD

TRIVEDI, JANKI MD

SPEECHSPEECHPAT HOLOGYPAT HOLOGY

NORMAND, DEBRAMFT

SURGERY,SURGERY,COLON/RECT ALCOLON/RECT AL

GORSKI, TITO F. MD

SURGERY,SURGERY,GENERALGENERAL

AHMAD, BAKHTIAR

ATCHISON, MARVINMD

ATTAR, NASEEM A

CORDERO, RAYMUNDS MD

DADA, STEPHEN MD

DADA, FESTUS MD

GORSKI, TITO F. MD

IBRAHIM, SAMUEL MD

IGWE JR, DANIEL MD

JOHNSEN, HEGE MD

JOHNSON, DAVID SMD

YU, SON HA MD

SURGERY,SURGERY,NEUROLOGICALNEUROLOGICAL

CRAMER, DENNIS DO

KALOOSTIAN, SEANMD

OH, GERALD S ,D

TAYAG, EMILIO MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

BELL, JAMES MD

BOGHOSIAN,GHASSAN DO

DESANTIS, JOHN DO

DEZELAN, MARIANNEPA

DILTZ, MATTHEW MD

FAYSSOUX, REGINALDMD

FRISCIA, DAVID MD

GOLDEN TRIANGLE,SURGICENTER

HAIDER, THOMAS MD

CRAMER, DENNIS DO

HUISH, RICHARD T DO

JOHNSON, JULIE MD

KHAMSI, BABAK MD

O'CONNELL,STEPHEN MD

SAVIN, DAVID MD

SCHNASER, ERIK MD

ST PIERRE, PATRICKMD

TAHERNIA, AMIR MD

SURGERY,SURGERY,PLAST ICPLAST IC

KU, JOSEPH MD

MUDGE, BRADLEY MD

SURGERY,SURGERY,T HORACICT HORACIC

KHOURY, ZAYNOUNEL MD

PRESSER, ERIC R MD

SURGERY,SURGERY,VASCULARVASCULAR

BECKER, ANTHONYMD

DERDERIAN, TREVORJOHN MD

GORSKI, YARA C MD

GREWAL, PRABHJOT KMD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

UROLOGYUROLOGY

KIM, FRANK H MD

REDDY, MADHUMITHADO

TAKESITA, KEN MD

TSI, SY MD

WALKER, CARL

YUN, EDWARD J MD

53

Page 54: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

ALPHACUREALPHACURE(M123)(M123)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

AlphaCure (M123)AlphaCure (M123)

SLEEPSLEEPMEDICINEMEDICINE

KHAJA, ALIUDDIN

SURGERY,SURGERY,GENERALGENERAL

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

54

Page 55: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

ALTA MEDALTA MEDHEALTHHEALTHSERVICESSERVICES(M118)(M118)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Alta Med Health Serv ices (M118)Alta Med Health Serv ices (M118)

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

SLEEPSLEEPMEDICINEMEDICINE

KHAJA, ALIUDDIN

SURGERY,SURGERY,GENERALGENERAL

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

SURGERY,SURGERY,PEDIAT RICPEDIAT RIC

ACOSTA, JUANMANUEL MD

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

55

Page 56: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

ASIANASIANAMERICANAMERICANMEDICALMEDICALGROUPGROUP(M161)(M161)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Asian Amer ican Medica l Group (M161)Asian Amer ican Medica l Group (M161)

DERMAT OLOGYDERMAT OLOGY

BAGHERI, BITA ADIBMD

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

56

Page 57: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

ASSOCIATEDASSOCIATEDDIGNITYDIGNITYMEDICALMEDICALGROUPGROUP(M102)(M102)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Associated Dign it y Medica l Group (M102)Associated Dign it y Medica l Group (M102)

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

SLEEPSLEEPMEDICINEMEDICINE

KHAJA, ALIUDDIN

SURGERY,SURGERY,GENERALGENERAL

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

57

Page 58: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

ASSOCIATEDASSOCIATEDHISPANICHISPANICPHYSICIANSPHYSICIANS(MH87)(MH87)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Associated Hispan ic Physic ians (MH87)Associated Hispan ic Physic ians (MH87)

OPHT HALMOLOGYOPHT HALMOLOGY

NAMBIAR, MARGARET

SCHULTZ, GERALD

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

SLEEP MEDICINESLEEP MEDICINE

KHAJA, ALIUDDIN

SURGERY,SURGERY,GENERALGENERAL

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

58

Page 59: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

BELLA VISTABELLA VISTAMEDICALMEDICALGROUP IPAGROUP IPA(MH60)(MH60)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Bella Vista Medica l Group IPA (MH60)Bel la Vista Medica l Group IPA (MH60)

GAST ROENT EROLOGYGAST ROENT EROLOGY

CHOPRA, RAKESH

OPHT HALMOLOGYOPHT HALMOLOGY

NAMBIAR, MARGARET

SCHULTZ, GERALD

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

SLEEP MEDICINESLEEP MEDICINE

KHAJA, ALIUDDIN

SURGERY, GENERALSURGERY, GENERAL

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

59

Page 60: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

BEVERLYBEVERLYAL IANZA IPAAL IANZA IPA(M129 )(M129 )AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Bever ly Al ianza IPA (M129)Bever ly Al ianza IPA (M129)

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

SLEEPSLEEPMEDICINEMEDICINE

KHAJA, ALIUDDIN

SURGERY,SURGERY,GENERALGENERAL

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

60

Page 61: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

BROOKSHIREBROOKSHIREIPA (M141)IPA (M141)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Brooksh ire IPA (M141)Brooksh ire IPA (M141)

NEUROLOGYNEUROLOGY

UDDIN, MOHAMMAD

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

UROLOGYUROLOGY

TAKESITA, KEN MD

TSI, SY MD

WALKER, CARL

YUN, EDWARD J MD

61

Page 62: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

BUENAVENTURABUENAVENTURAAFFIL IATEDAFFIL IATEDPHYSICIANPHYSICIAN(M146 )(M146 )AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Buenaventura Af f i l ia ted Physic ian (M146)Buenaventura Af f i l ia ted Physic ian (M146)

DERMAT OLOGYDERMAT OLOGY

BROSKA, PAMELA MD

BROUHA, BROOK LMD

KARUKONDA, SREERAMA KRISHNA MD

LEVIN, JACQUELINEMD

MUNYON, THOMASGEORGE MD

SAKO, ERIC MD

SANDHU, AMANDEEPMD

SIMZAR, SOHEIL MD

ENDOCRINOLOGYENDOCRINOLOGY

AL SAYED, MOHAMADMD

FAMILY PRACT ICEFAMILY PRACT ICE

MARINO, LIANA L PA-C

MINARD, ANNAMAEPA-C

INT ERNALINT ERNALMEDICINEMEDICINE

AL SAYED, MOHAMADMD

ISMAIL, HEBA MD

JAVED, ASAD MD

OPHT HALMOLOGYOPHT HALMOLOGY

CHANG, TOM MD

CHOP, ALEXANDERMD

CULOTTA, ANTHONYMD

MURPHY, FORRESTPATRICK MD

NAWAZISH, SABA MD

PABALAN, FRANCISCOJ

SAMUEL, MICHAEL MD

SONG, MI-KYOUNGMD

OT OLARYNGOLOGYOT OLARYNGOLOGY(ENT )(ENT )

GABARAIN, GABRIELMD

PODIAT RYPODIAT RY

TSUTSUMI, ROGER YDPM

PULMONARYPULMONARYDISEASEDISEASE

GODPOLE, ROHIT MD

ISMAIL, HEBA MD

JAVED, ASAD MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

CHEUNG, SUNNY CHIFUNG MD

62

Page 63: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

CAL IFORNIACAL IFORNIAPACIFICPACIFICPHYSICIANSPHYSICIANSMEDICALMEDICALGROUPGROUP(M104)(M104)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Cali f orn ia Pacif ic Physic ians Medica l Group (M104)Cal i f orn ia Pacif ic Physic ians Medica l Group (M104)

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

SLEEPSLEEPMEDICINEMEDICINE

KHAJA, ALIUDDIN

SURGERY,SURGERY,GENERALGENERAL

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

63

Page 64: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

CENTINELACENTINELAVALLEY IPAVALLEY IPA(MH63)(MH63)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Cent inela Va l ley IPA (MH63)Cent inela Va l ley IPA (MH63)

OPHT HALMOLOGYOPHT HALMOLOGY

NAMBIAR, MARGARET

NAWAZISH, SABA MD

SCHULTZ, GERALD

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

SLEEP MEDICINESLEEP MEDICINE

KHAJA, ALIUDDIN

SURGERY,SURGERY,GENERALGENERAL

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

64

Page 65: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

CHOICE ONECHOICE ONEIPA (M124)IPA (M124)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Choice One IPA (M124)Choice One IPA (M124)

DERMAT OLOGYDERMAT OLOGY

MUNYON, THOMASGEORGE MD

OPHT HALMOLOGYOPHT HALMOLOGY

BEKENDAM, PAMELAMD

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

SLEEP MEDICINESLEEP MEDICINE

KHAJA, ALIUDDIN

SURGERY,SURGERY,GENERALGENERAL

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

65

Page 66: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

COMMUNITYCOMMUNITYCARE IPACARE IPA(MH89 )(MH89 )AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Communit y Care IPA (MH89)Communit y Care IPA (MH89)

ANEST HESIOLOGYANEST HESIOLOGY

KHATIBI, NIKAN DO

DERMAT OLOGYDERMAT OLOGY

MILLIGAN, MICHAEL

SIRICHOTIRATANA,MELISSA MD

INT ERNALINT ERNALMEDICINEMEDICINE

ALDERMAN, DAVID MMD

LIC CLIN SOCIALLIC CLIN SOCIALWKRWKR

AGUILAR, OSCARLCSW

SWENSON, ING ELCSW

NEUROLOGYNEUROLOGY

ALTRIKI, MOHAMADMD

ELHAJJAR, ANTOINE J

OBST ET RICS &OBST ET RICS &GYNECOLOGYGYNECOLOGY

ABHYANKAR,SHREEDHAR MD

DANFORTH, PALLAVI

ROBERTS, DENNIS DO

ONCOLOGYONCOLOGY

MCCLAY, EDWARDMD

OPHT HALMOLOGYOPHT HALMOLOGY

BHAVAN, SATHY V MD

CULOTTA, ANTHONYMD

DAVIS, KEITH A MD

KATSMAN, DIANA MD

NAMBIAR, MARGARET

SCHULTZ, GERALD

SOLANO, JOELMOLINA MD

SONG, MI-KYOUNGMD

STEVENS, JEFFREY LMD

STRAND, ANDREW TDO

WAINESS, REID M MD

OPHT HALMOLOGYOPHT HALMOLOGY- RET INA- RET INA

CHAWLA, ANUJ MD

HO, JOSEPH MD

THEODORE, SHARONMD

OT OLARYNGOLOGYOT OLARYNGOLOGY(ENT )(ENT )

NASH, ERIC

RIEDLER, KIERSTEN LMD

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

PAINPAINMANAGEMENTMANAGEMENT

KHATIBI, NIKAN DO

PODIAT RYPODIAT RY

ATMAR, AKMAL DPM

COLLIS, SHELDON

EBAUGH, JOHN

PSYCHIAT RISTPSYCHIAT RIST

CASTANOS, ROBERTOMD

RADIOLOGYRADIOLOGYONCOLOGYONCOLOGY

BHANDARI, TANUJA

EISENHOWERRADIATION,ONCOLOGY

GREENBERG, PETER.MD

HOCKO, JANET MD

MASEK, THEODORE DMD

MASON, JAMES MD

RONSON, BRIAN MD

WASHINGTON, TARAMD

SLEEPSLEEPMEDICINEMEDICINE

KHAJA, ALIUDDIN

SURGERY,SURGERY,GENERALGENERAL

YANG, SUZANNE

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

AHMAD, SOHAIL

SURGERY,SURGERY,PLAST ICPLAST IC

DRIESSEN, NATALIE

LEE, LILY F MD

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

GREWAL, PRABHJOTMD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

66

Page 67: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Communit y Care IPA (MH89)Communit y Care IPA (MH89)

YU, SON HA MD

67

Page 68: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

COMMUNITYCOMMUNITYFAMILYFAMILYMEDICALMEDICALGROUPGROUP(MH62)(MH62)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Communit y Family Medica l Group (MH62)Communit y Family Medica l Group (MH62)

OBST ET RICS &OBST ET RICS &GYNECOLOGYGYNECOLOGY

DANFORTH, PALLAVI

IZSAK, BENJAMIN MD

OPHT HALMOLOGYOPHT HALMOLOGY

NAMBIAR, MARGARET

SCHULTZ, GERALD

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

PODIAT RYPODIAT RY

COLLIS, SHELDON

RADIOLOGYRADIOLOGYONCOLOGYONCOLOGY

HOCKO, JANET MD

SLEEP MEDICINESLEEP MEDICINE

KHAJA, ALIUDDIN

SURGERY,SURGERY,GENERALGENERAL

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

SURGERY,SURGERY,PLAST ICPLAST IC

DRIESSEN, NATALIE

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

68

Page 69: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

DOCTORSDOCTORSCHOICECHOICEMEDICALMEDICALGROUPGROUP(MH55)(MH55)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Doctor s Choice Medica l Group (MH55)Doctor s Choice Medica l Group (MH55)

OPHT HALMOLOGYOPHT HALMOLOGY

NAMBIAR, MARGARET

SCHULTZ, GERALD

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

SLEEP MEDICINESLEEP MEDICINE

KHAJA, ALIUDDIN

SURGERY,SURGERY,GENERALGENERAL

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

69

Page 70: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

EASYEASYACCESSACCESSCARE IPACARE IPA(M181)(M181)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Easy Access Care IPA (M181)Easy Access Care IPA (M181)

INT ERNALINT ERNALMEDICINEMEDICINE

KOLLI, HEMCHANDMD

OPHT HALMOLOGYOPHT HALMOLOGY

CHANG, TOM MD

70

Page 71: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

EMPIREEMPIREHEALTHCAREHEALTHCAREIPA (M171)IPA (M171)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Empire Healthcare IPA (M171)Empire Healthcare IPA (M171)

DERMAT OLOGYDERMAT OLOGY

WOODHALL, KATRINAELAINE MD

OPHT HALMOLOGYOPHT HALMOLOGY

PALANCA-CAPISTRANO,ANGELITA MD

SLEEP MEDICINESLEEP MEDICINE

BREATHEDIAGNOSTICS,

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

71

Page 72: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

ESPERANZAESPERANZAIPA (MH86 )IPA (MH86 )AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Esperanza IPA (MH86)Esperanza IPA (MH86)

LIC CLIN SOCIALLIC CLIN SOCIALWKRWKR

HARRIS, CYNTHIA

OPHT HALMOLOGYOPHT HALMOLOGY

NAMBIAR, MARGARET

SCHULTZ, GERALD

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

SLEEP MEDICINESLEEP MEDICINE

KHAJA, ALIUDDIN

SURGERY,SURGERY,GENERALGENERAL

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

72

Page 73: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

EVERGREENEVERGREENIPA (MH40)IPA (MH40)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Evergreen IPA (MH40)Evergreen IPA (MH40)

DERMAT OLOGYDERMAT OLOGY

WESTDERMATOLOGY,MEDICAL GROUP

OPHT HALMOLOGYOPHT HALMOLOGY

NAMBIAR, MARGARET

SCHULTZ, GERALD

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

SLEEP MEDICINESLEEP MEDICINE

KHAJA, ALIUDDIN

SURGERY,SURGERY,GENERALGENERAL

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

73

Page 74: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

EXEPTIONALEXEPTIONALCARECAREMEDICALMEDICALGROUPGROUP(M166 )(M166 )AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Exept ional Care Medica l Group (M166)Exept ional Care Medica l Group (M166)

SURGERY,SURGERY,GENERALGENERAL

LEUNG, RAYMOND WMD

74

Page 75: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

FAMILYFAMILYCARECARESPECIAL ISTSPECIAL IST(M119 )(M119 )AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Family Care Specia l ist (M119)Family Care Specia l ist (M119)

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

SLEEPSLEEPMEDICINEMEDICINE

KHAJA, ALIUDDIN

SURGERY,SURGERY,GENERALGENERAL

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

75

Page 76: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

FAMILYFAMILYCHOICECHOICEMEDICALMEDICALGROUPGROUP(M143)(M143)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Family Choice Medica l Group (M143)Family Choice Medica l Group (M143)

NEUROLOGYNEUROLOGY

UDDIN, MOHAMMAD

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

SURGERY,SURGERY,GENERALGENERAL

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

SURGERY,SURGERY,ORT HOPEDICORT HOPEDICPERDIAT RICPERDIAT RIC

LALONDE, FRANCOIS

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

UROLOGYUROLOGY

TAKESITA, KEN MD

TSI, SY MD

WALKER, CARL

YUN, EDWARD J MD

76

Page 77: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

FAMILYFAMILYSENIORSSENIORSMEDICALMEDICALGROUP (M155)GROUP (M155)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Family Sen ior s Medica l Group (M155)Family Sen ior s Medica l Group (M155)

ALLERGY &ALLERGY &IMMUNOLOGYIMMUNOLOGY

BROWN, HOSEA E MD

CARDIOLOGYCARDIOLOGY

MUKHERJEE, ASHIS

NAZZAL, SAMI MD

CARDIOVASCULARCARDIOVASCULARDISEASEDISEASE

ALESH, ISSA MD

SETHI, PRABHDEEPMD

DERMAT OLOGYDERMAT OLOGY

MITCHELL, JESSE MD

OBEREMOK, STEVENMD

SEYFZADEH,MANOUCHEHR MD

ENDOCRINOLOGYENDOCRINOLOGY

DOUGLASS, ALAN MD

GAST ROENT EROLOGYGAST ROENT EROLOGY

CHAKRABARTY,MILANKUMAR

INFECT IOUSINFECT IOUSDISEASEDISEASE

HARFOUCH, CHAWKIMD

INT ERNALINT ERNALMEDICINEMEDICINE

ALTRIKI, MOHAMADMD

BHOOT, HEETEN DO

CHANG, DAVID MD

CHARLES-COWAN,TRICIA G DO

GUPTA, RAKESH C

ROBERTSON, JOHNMD

SUN, CHUNG-HUANGMD

MEDICALMEDICALONCOLOGYONCOLOGY

TSAI, JAMES MD

NEPHROLOGYNEPHROLOGY

ALTRIKI, MOHAMADMD

ALVARADO,ANTHONY SERGEI MD

BADAR, RIZWAN MD

BHOOT, HEETEN DO

CHANG, ROBERT MD

CHANG, DAVID MD

CHARLES-COWAN,TRICIA G DO

CHARLES-COWAN,TRICIA DO

CHEUNG, ANDREWMD

CHEUNG, ANDREWMD

DHIMAN, DARSHANMD

ERLANGER, HOWARDNATHAN DO

GALOUSTIAN,ARTHUR MD

HUYNH, PAUL DO

HWANG, DANIEL KMD

ISHAK, SALAM MD

KHALIL, TAHIR MMD

LAC, PETER MD

MEHTANI, PARAG MD

NANDI, SHANKHA DO

NATH, ASHOK MD

NIU, PAUL MD

PATEL, YOGESH MD

ROBERTSON, JOHNMD

SANCHEZ, JOSEPHMAX MD

SANCHEZ, JOSEPHMD

SUN, CHUNG-HUANGMD

TANASESCU, ADINAMD

TOMAS, JAMES MD

YAN, ERIC MD

YAN, ERIC H MD

YU, JERRY MD

ZAKY-DAWOUD,DALIA MD

NEUROLOGYNEUROLOGY

DOMINGUEZ, JULIE RMD

OBST ET RICS &OBST ET RICS &GYNECOLOGYGYNECOLOGY

ADKINS, KATE MD

HOM, KATHERINE MD

LAZAR, SHELEE MD

NAMBIAR, MANI MD

NIHIRA, MIKIO MD

URSO, MARY JO DO

OPHT HALMOLOGYOPHT HALMOLOGY

BLACHARSKI, PAUL AMD

JOHNSON, ROGER

JOSEPH, JEFFREY MD

KHANDAN, SARA MD

LIN, THEODORE MD

NAMBIAR, MARGARETM MD

PESAVENTO, RICHARDMD

PHILLIPS, BARRATT MD

SORENSON, ROBERTMD

77

Page 78: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Family Sen ior s Medica l Group (M155)Family Sen ior s Medica l Group (M155)

TEW, JOHN

OPHT HALMOLOGYOPHT HALMOLOGY- RET INA- RET INA

CARLSON, JOHN MD

PESAVENTO, RICHARDMD

OT OLARYNGOLOGYOT OLARYNGOLOGY(ENT )(ENT )

CARVALHO, GERALD JMD

WAREHAM, GERALDMD

PEDIAT RICSPEDIAT RICS

BROWN, HOSEA E MD

PODIAT RYPODIAT RY

BRAHM, STEPHEN MD

PAOLERCIO, NANCYMD

PSYCHIAT RISTPSYCHIAT RIST

ADEYEMO,OLUWAFEMI MD

PULMONARYPULMONARYDISEASEDISEASE

DHANANI, YURZUL OD

GUPTA, RAKESH C

SLEEP MEDICINESLEEP MEDICINE

BREATHEDIAGNOSTICS,

SURGERY,SURGERY,GENERALGENERAL

ARCERITO, MASSIMOMD

BRAHM, STEPHEN MD

CHANGCHIEN, ERICMD

SHAUN, DALY MD

IGWE, DANIEL MD

LIN, TOM YIH CHAOMD

LOH, CECILA MD

CHIN, MICHAEL MD

POLLACK, JAMES MD

SUH, DAVID MD

WANG, XIU JIE MD

SURGERY,SURGERY,NEUROLOGICALNEUROLOGICAL

ABSHIRE, BRET MD

FRIEDLICH, DANIELMD

OH, GERALD MD

SPICER, MARK MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

CHAUDHURI, KALI P

GOLDEN TRIANGLE,SURGICENTER

MAC ARTHUR,ROBERT MD

PANSE, MILIND MD

SURGERY,SURGERY,PLAST ICPLAST IC

VU, STEVEN MD

SURGERY,SURGERY,VASCULARVASCULAR

NG, TINA MD

WANG, XIU JIE MD

78

Page 79: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

FOUNTAINFOUNTAINVALLEY IPAVALLEY IPA(M142)(M142)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Founta in Va l ley IPA (M142)Founta in Va l ley IPA (M142)

NEUROLOGYNEUROLOGY

UDDIN, MOHAMMAD

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

UROLOGYUROLOGY

TAKESITA, KEN MD

TSI, SY MD

WALKER, CARL

YUN, EDWARD J MD

79

Page 80: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

FREEDOMFREEDOMPHYSICIANSPHYSICIANSCORPORATIONCORPORATION(M151)(M151)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Freedom Physic ians Corporat ion (M151)Freedom Physic ians Corporat ion (M151)

ANEST HESIOLOGYANEST HESIOLOGY

BAKER, GARYLAMONT

CARDIOLOGYCARDIOLOGY

ATTIA, NADER N. DO

PAREKH, NIRAJ V. MD

CARDIOVASCULARCARDIOVASCULARDISEASEDISEASE

BISWAS, MIMI MD

COX, JEREMY MILLSDO

KELESIDIS, IOSIF MD

KHANDHAR, SUMITMAHENDRA DO

PAREKH, NIRAJ V. MD

ENDOCRINOLOGYENDOCRINOLOGY

DIAL, FREDDIE P

GAST ROENT EROLOGYGAST ROENT EROLOGY

CHUNG, BENJAMIN

JAMAL, MOHAMMADM

INT ERNALINT ERNALMEDICINEMEDICINE

ATTIA, NADER N. DO

BISWAS, MIMI MD

KHANDHAR, SUMITMAHENDRA DO

SCHLUSSELBERG,MARTIN E

ZAMFIRESCU-ALEXANDER, PETERLEON MD

MEDICALMEDICALONCOLOGYONCOLOGY

TSAI, JAMES

MULT IPLE SPECMULT IPLE SPECGRPGRP

MEDICAL GROUP INC,HAIDER SPINE

OBST ET RICS &OBST ET RICS &GYNECOLOGYGYNECOLOGY

NANAYAKKARA,NALIN G MD

OPHT HALMOLOGYOPHT HALMOLOGY

PALANCA-CAPRISTRANO,ANGELITA

INLAND EYE,SPECIALISTS

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

PAINPAINMANAGEMENTMANAGEMENT

BAKER, GARYLAMONT

PODIAT RYPODIAT RY

QARMON PC, CAFOOT & ANKLE CLN

PULMONARYPULMONARYDISEASEDISEASE

RUTLAND, CEDRIC J FMD

GHAZARIAN, ZERONMD

HARIANAWALA, SALIMMD

ISMAIL, HEBA MD

MENDOZA, LILIANA ADO

SCHLUSSELBERG,MARTIN E

ZAMFIRESCU-ALEXANDER, PETERLEON MD

RHEUMAT OLOGYRHEUMAT OLOGY

TRIVEDI, JANKI

SURGERY,SURGERY,GENERALGENERAL

LEONG, BENJAMINYET-FAN MD

YU, SON HA MD

SURGERY,SURGERY,NEUROLOGICALNEUROLOGICAL

CRAMER, DENNIS DO

KALOOSTIAN, SEANMD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

HAIDER, THOMAS MD

CRAMER, DENNIS DO

KHAMSI, BABAK MD

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

UROLOGYUROLOGY

TAKESITA, KEN MD

TSI, SY MD

80

Page 81: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Freedom Physic ians Corporat ion (M151)Freedom Physic ians Corporat ion (M151)

WALKER, CARL J

YUN, EDWARD J MD

81

Page 82: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

GLOBAL CAREGLOBAL CAREIPA (MH66 )IPA (MH66 )AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Global Care IPA (MH66)Global Care IPA (MH66)

GAST ROENT EROLOGYGAST ROENT EROLOGY

ANYADIKE, CYRIL MD

FAN, ROBERT MD

ROSENTHAL, MARIANMD

SIMMONS, TIMOTHYMD

INT ERNALINT ERNALMEDICINEMEDICINE

ALHAYA, TAMEEM MD

OPHT HALMOLOGYOPHT HALMOLOGY

NAMBIAR, MARGARET

SCHULTZ, GERALD

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

SLEEP MEDICINESLEEP MEDICINE

KHAJA, ALIUDDIN

SURGERY, GENERALSURGERY, GENERAL

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

82

Page 83: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

HEALTH CAREHEALTH CARELA (MH65)LA (MH65)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Health Care LA (MH65)Health Care LA (MH65)

GAST ROENT EROLOGYGAST ROENT EROLOGY

ANYADIKE, CYRIL MD

FAN, ROBERT MD

ROSENTHAL, MARIANMD

SIMMONS, TIMOTHYMD

OJURI, ADEDAMBOMD

OBST ET RICS &OBST ET RICS &GYNECOLOGYGYNECOLOGY

ASIRYAN, VARDUI MD

OPHT HALMOLOGYOPHT HALMOLOGY

NAWAZISH, SABA MD

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

SURGERY, GENERALSURGERY, GENERAL

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

83

Page 84: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

HEALTHHEALTHEXCEL IPAEXCEL IPA(M197)(M197)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Health Excel IPA (M197)Health Excel IPA (M197)

ALLERGY &ALLERGY &IMMUNOLOGYIMMUNOLOGY

GUPTA, SAMEER

INT ERNALINT ERNALMEDICINEMEDICINE

SULLIVAN, JESSICADO

NEUROLOGYNEUROLOGY

CHOUDRY, BILAL AMD

DELANEY, MICHAEL WMD

HALL, JACOB N MD

SAHAGIAN, GREGORYA MD

OPHT HALMOLOGYOPHT HALMOLOGY

SAMUEL, MICHAEL MD

PODIAT RYPODIAT RY

NEGRON, RICARDODPM

SLEEP MEDICINESLEEP MEDICINE

BREATHEDIAGNOSTICS,

84

Page 85: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

HEALTHYHEALTHYNEW L IFENEW L IFEMEDICALMEDICALCORP (M125)CORP (M125)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Healthy New Lif e Medica l Corp (M125)Healthy New Lif e Medica l Corp (M125)

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

SLEEPSLEEPMEDICINEMEDICINE

KHAJA, ALIUDDIN

SURGERY,SURGERY,GENERALGENERAL

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

85

Page 86: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

HEMETHEMETCOMMUNITYCOMMUNITYMEDICALMEDICALGROUPGROUP(M127)(M127)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Hemet Communit y Medica l Group (M127)Hemet Communit y Medica l Group (M127)

ADDICT IONADDICT IONMEDICINEMEDICINE

HARSANY, JOHN MD

ALLERGY &ALLERGY &IMMUNOLOGYIMMUNOLOGY

IQBAL, SHAMS M MD

ANEST HESIOLOGYANEST HESIOLOGY

DORAISWAMY, ARULMD

CARDIOLOGYCARDIOLOGY

GANDHI,DIPESHKUMAR K

GRANT-ANDERSON,BETTY MD

MUKHERJEE, ASHIS

NAZZAL, SAMI MD

RASTOGI, ANISHA MD

RYAN, PAUL MD

TIWARI, RATAN MD

CARDIOVASCULARCARDIOVASCULARDISEASEDISEASE

AGARWAL, ASHOK MD

ALESH, ISSA MD

GANDHI,DIPESHKUMAR K

GRANT-ANDERSON,BETTY MD

MUNOZ, LUIS D MD

RASTOGI, ANIL MD

RIVA, GREGORY R MD

SETHI, PRABHDEEPMD

TIWARI, RATAN L MD

DERMAT OLOGYDERMAT OLOGY

MITCHELL, JESSE MD

SEYFZADEH,MANOUCHEHR MD

ENDOCRINOLOGYENDOCRINOLOGY

DOUGLASS, ALAN MD

HAIDER, UZMA MD

JOO, KATHY MD

JOU, BILL MD

GAST ROENT EROLOGYGAST ROENT EROLOGY

NAKKA, SREENIVASA R

NAKKA, SREENIVASAMD

RAGHUWANSHI,NAISHADH MD

HEMAT OLOGYHEMAT OLOGY

MA, AUSTIN MD

TSANG, WALTER MD

INFECT IOUSINFECT IOUSDISEASEDISEASE

HARFOUCH, CHAWKIMD

LE, THUAN P

INT ERNALINT ERNALMEDICINEMEDICINE

HAIDER, UZMA MD

RIVA, GREGORY R MD

NEPHROLOGYNEPHROLOGY

NAM, EDUARDO MD

NEUROLOGYNEUROLOGY

BOUTROS, RAJA MD

KHAYALI,MOHAMMAD R

OBST ET RICS &OBST ET RICS &GYNECOLOGYGYNECOLOGY

ADKINS, KATE MD

BRAR, HARBINDER MD

HOM, KATHERINE MD

LAZAR, SHELEE MD

NIHIRA, MIKIO MD

URSO, MARY JO DO

ONCOLOGYONCOLOGY

MOST, CAROLE MD

TSANG, WALTER MD

OPHT HALMOLOGYOPHT HALMOLOGY

AHMED, EDNAN MD

BLACHARSKI, PAUL AMD

BLASE, WILLIAM P

BURNS, RICHARD MD

JACOBS, JEFFREY MD

JACOBSON, ARTHURMD

LEE, JOHN MD

LIN, THEODORE MD

NAMBIAR, MARGARETMD

SAINI, ARVIND MD

WARNER, MICHAELMD

OPHT HALMOLOGY,OPHT HALMOLOGY,PEDIAT RICPEDIAT RIC

NAMBIAR, MARGARETMD

OT OLARYNGOLOGYOT OLARYNGOLOGY(ENT )(ENT )

WAREHAM, GERALDMD

PAINPAINMANAGEMENTMANAGEMENT

DORAISWAMY, ARULMD

JEDAMSKI,WALDTRAUT MD

86

Page 87: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Hemet Communit y Medica l Group (M127)Hemet Communit y Medica l Group (M127)

PODIAT RYPODIAT RY

PAOLERCIO, NANCYMD

PSYCHIAT RISTPSYCHIAT RIST

PATEL,PRAKASHCHANDRA CMD

PULMONARYPULMONARYDISEASEDISEASE

LU, CHONG-PING MD

SALEK, MUNIF MD

RADIAT IONRADIAT IONT HERAPYT HERAPY

VIRAVATHANA,THAVINSAKDI MD

RADIOLOGYRADIOLOGYONCOLOGYONCOLOGY

GORDON, SUSANNAMD

HOCKO, JANET MD

MASON, JAMES MD

RONSON, BRIAN MD

WASHINGTON, TARAMD

SLEEPSLEEPMEDICINEMEDICINE

BREATHEDIAGNOSTICS,

MEMON, TALHA MD

SURGERY,SURGERY,GENERALGENERAL

SHAUN, DALY MD

HUSTED, JOHN MD

IGWE, DANIEL MD

LIN, TOM YIH CHAOMD

CHIN, MICHAEL MD

NG, TINA TING YANMD

POLLACK, JAMES MD

SHARMA, SURENDRAMD

SUH, DAVID MD

WANG, XIU JIE MD

SURGERY,SURGERY,NEUROLOGICALNEUROLOGICAL

ABSHIRE, BRET MD

FRIEDLICH, DANIELMD

OH, GERALD MD

SPICER, MARK MD

SPICER, MARK

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

CHAUDHURI, KALI P

GOLDEN TRIANGLE,SURGICENTER

MAC ARTHUR,ROBERT MD

PANSE, MILIND MD

VERIOTI,CHRISTOPHER MD

SURGERY,SURGERY,PLAST ICPLAST IC

MUDGE, BRADLEYPIER MD

VU, STEVEN MD

SURGERY,SURGERY,VASCULARVASCULAR

CHAU MD, ANTHONYMD

NG, TINA MD

WANG, XIU JIE MD

UROLOGYUROLOGY

HENDRICKS, JAMESMD

PUROHIT, GIRDHARI S

87

Page 88: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

HILL PHYSICIANHILL PHYSICIANMEDICALMEDICALGROUP SQGROUP SQ(M216 )(M216 )AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Hil l Physic ian Medica l Group SQ (M216)Hil l Physic ian Medica l Group SQ (M216)

GAST ROENT EROLOGYGAST ROENT EROLOGY

ROMANA, BHUPINDERS MD

88

Page 89: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

HISPANICHISPANICPHYSICIANSPHYSICIANSIPA (MH75)IPA (MH75)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Hispanic Physic ians IPA (MH75)Hispan ic Physic ians IPA (MH75)

DERMAT OLOGYDERMAT OLOGY

MOHALE, SHARON MPA

OPHT HALMOLOGYOPHT HALMOLOGY

NAMBIAR, MARGARET

SCHULTZ, GERALD

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

SURGERY,SURGERY,GENERALGENERAL

ANDERSON, ANDREADINEANE MD

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

WOUND CAREWOUND CARE

ANDERSON, ANDREADINEANE MD

89

Page 90: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

IMPERIALIMPERIALCOUNTYCOUNTYPHYSICIANSPHYSICIANSMEDICALMEDICALGROUPGROUP(M148)(M148)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Imper ia l County Physic ians Medica l Group (M148)Imper ia l County Physic ians Medica l Group (M148)

OPHT HALMOLOGYOPHT HALMOLOGY

MOSS, JASON MD

90

Page 91: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

IMPERIALIMPERIALHEALTHHEALTHHOLDINGHOLDINGMEDICALMEDICALGROUP (MH76 )GROUP (MH76 )AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Imper ia l Health Holding Medica l Group (MH76)Imper ia l Health Holding Medica l Group (MH76)

CARDIOVASCULARCARDIOVASCULARDISEASEDISEASE

CAMPO, IVON N

GAST ROENT EROLOGYGAST ROENT EROLOGY

COACHELLA VALLEY,DIGESTIVE HLTH, INC.

INT ERNALINT ERNALMEDICINEMEDICINE

CAMPO, IVON N

NEPHROLOGYNEPHROLOGY

BATARSE, RODOLFO R

CHANDRASHEKAR,NARENDA MD

OT OLARYNGOLOGYOT OLARYNGOLOGY(ENT )(ENT )

SALVADOR, RYAN MD

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

PODIAT RYPODIAT RY

WOOD, RYAN WALTER

PSYCHIAT RISTPSYCHIAT RIST

AFGHAN, RAHIMA

KURRE, RAJABABU

CHUNDU, SAI

SLEEPSLEEPMEDICINEMEDICINE

KHAJA, ALIUDDIN

SURGERY,SURGERY,GENERALGENERAL

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

91

Page 92: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

IMPERIALIMPERIALHEALTH PLANHEALTH PLAN(M138)(M138)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Imper ia l Health Plan (M138)Imper ia l Health Plan (M138)

ENDOCRINOLOGYENDOCRINOLOGY

ALNABELSI,MOHAMAD MD

GAST ROENT EROLOGYGAST ROENT EROLOGY

HUANG, GALENCHUNG L MD

NEUROLOGYNEUROLOGY

UDDIN, MOHAMMAD

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

SLEEP MEDICINESLEEP MEDICINE

ADVANCED SLEEP,MEDICINE SERVICES

KHAJA, ALIUDDIN

SURGERY, GENERALSURGERY, GENERAL

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

SAN BERNARDINOMED, ORTHOPEDICINC

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

UROLOGYUROLOGY

TAKESITA, KEN MD

TSI, SY MD

WALKER, CARL

YUN, EDWARD J MD

92

Page 93: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

KOREANKOREANAMERICANAMERICANMEDICALMEDICALGROUPGROUP(M112)(M112)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Korean Amer ican Medica l Group (M112)Korean Amer ican Medica l Group (M112)

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

SLEEPSLEEPMEDICINEMEDICINE

KHAJA, ALIUDDIN

SURGERY,SURGERY,GENERALGENERAL

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

93

Page 94: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

LA SALLELA SALLEMEDICALMEDICALASSOCIATESASSOCIATES(M131)(M131)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

La Sa l le Medica l Associates (M131)La Sa l le Medica l Associates (M131)

ALLERGY &ALLERGY &IMMUNOLOGYIMMUNOLOGY

IQBAL, SHAMS MD

ANEST HESIOLOGYANEST HESIOLOGY

ANDERSON, CHARLESEDWARD JR. MD

KY, LENG THAI MD

MASLIN, BENJAMINMD

MOELLER-BERTRAM,TOBIAS MD

MOELLER-BERTRAM,TOBIAS MD

PRABHU, NAMRAHATAMD

CARDIOLOGYCARDIOLOGY

AMIN, JATIN N

ATTIA, NADER MD

BAGHERI, MICHAELMD

BISWAS, MIMI MD

DIMEN, JOSE MD

DUONG, TRUONG DMD

HU, PATRICK PEI-CHIHMD

HUANG, GRACEWOAN-CHING DO

KHAN, HASHIM A MD

KUMAR, SAMUEL,PREM MD

MESSENGER,BRADLEY S MD

MOLONEY, PATRICKM MD

MUNOZ, LUIS MD

NGUYEN, TUAN MD

PAREKH, NIRAJ MD

QUAN, JOSEPH MD

RASTOGI, ANISHA MD

RIVA, GREGORY MD

SARSAM, SINAN HARITMD

SCHWARTZ, JOSEPH AMD

SEAMAN,CHRISTOPHER B MD

SHAH, SHIVANG MD

TIWARI, RATAN L MD

ZAMAN, MANILA

CARDIOLOGY,CARDIOLOGY,PEDIAT RICPEDIAT RIC

MARILAO, HILARIOMD

CARDIOVASCULARCARDIOVASCULARDISEASEDISEASE

BAGHERI, MICHAELMD

COX, JEREMY MILLSDO

DUONG, TRUONG D

HUANG, GRACEWOAN-CHING DO

KAZMOUZ, GHASSANMD

KHAN, HASHIM A MD

KIM, EDWARDTHOMAS MD

KUMAR, SAMUEL,PREM MD

MESSENGER,BRADLEY S MD

PATANKAR,KAUSTUBH MD

PULUMATI, KRISHNAMD

RASTOGI, ANIL K MD

SCHATZ, ROBERTELLIOT. MD

SEAMAN,CHRISTOPHER B MD

TIWARI, RATAN L MD

ZAMAN, MANILA

DERMAT OLOGYDERMAT OLOGY

BAGHERI, BITA ADIBMD

DELANEY, AMYMICHELE MD

FOWLER, VINCENTROY

GUAGENTI, JOHNJOSEPH MD

MITCHELL, JESSE MD

MUNYON, THOMASGEORGE MD

SAIED, NAGI KAMILMD

SANDHU, AMANDEEPMD

SCHWARTZ, LEONEDWARD MD

WOODHALL, KATRINAELAINE MD

FAMILY PRACT ICEFAMILY PRACT ICE

DOMAGALSKI, JASONEREK. MD

KIM, TAE KYU MD

GAST ROENT EROLOGYGAST ROENT EROLOGY

ASGERI, MEHRDADMD

BAEK, MICHAELDUSAN MD

HUANG, GALEN

LAM, EUGENE C MD

MISHRA, VINOD MD

PATEL, YOGENDRA

WEST, CARLGREGORY MD

GENERAL PRACT ICEGENERAL PRACT ICE

HARRISON, JAMES AMD

94

Page 95: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

La Sa l le Medica l Associates (M131)La Sa l le Medica l Associates (M131)

HEMAT OLOGYHEMAT OLOGY

CAMACHO, ELBER MD

SAAB, GHALEB AADELMD

INFECT IOUSINFECT IOUSDISEASEDISEASE

HAWTHORNE, KINJIMD

LIQUETE, JOHN

PERSICHINO, JONGARY DO

INT ERNALINT ERNALMEDICINEMEDICINE

ALTRIKI, MOHAMADMD

BHOOT, HEETEN DO

CHARLES-COWAN,TRICIA G DO

HO, COTY PHUONGHOAI. MD

KAZMOUZ, GHASSANMD

PATANKAR,KAUSTUBH MD

PATEL, YOGENDRA

PATEL, CHANDRA DO

RASTOGI, ANIL K MD

SCHATZ, ROBERTELLIOT. MD

MEDICALMEDICALONCOLOGYONCOLOGY

HO, COTY PHUONGHOAI. MD

NEPHROLOGYNEPHROLOGY

ABDI POUR, AMIR MD

AGARWAL, JAY MD

ALTRIKI, MOHAMADMD

ALVARADO,ANTHONY SERGEI MD

BADAR, RIZWAN MD

BHASIN, NITIN MD

BHOOT, HEETEN DO

CHANDRASHEKAR,JAMBUR MD

CHANDRASHEKAR,NARENDA MD

CHANG, DAVID MD

CHANG, ROBERT MD

CHARLES-COWAN,TRICIA G DO

CHEUNG, ANDREWMD

DHIMAN, DARSHANMD

ERLANGER, HOWARDNATHAN DO

GALLEGO, CLAUDIOMD

GALOUSTIAN,ARTHUR MD

HUYNH, PAUL MD

ISHAK, SALAM MD

ISTWANI, MOSEN MD

KHALIL, TAHER M MD

KHAN, MOHAMMEDQUTUB M MD

KHOSRAVIANI,ARDESHIR MD

LAC, PETER T MD

LEE, JOSEPH J MD

MEHTANI, PARAG MD

MUMTAZ, KHURRAMMD

NANDI, SHANKHA MD

NATH, ASHOK KUMARMD

NATH, ASHOK MD

NIU, PAUL MD

PATEL, YOGESH MD

ROBERTSON, JOHNMD

SANCHEZ, JOSEPHMAX MD

STONE, BRYAN MD

SUN, CHAO-HUANGMD

TANASESCU, ADINA AMD

TOMAS, JAMES MD

WANG, WENG-LIH MD

YAN, ERIC MD

YOUSSEF, AMR DO

NEUROLOGYNEUROLOGY

ARANGUA, LUISTORRES MD

CHOPRA, RAJANCHANDER MD

CLARK, THOMASJOSEPH DO

LEKIC, TIM MD

MOROVATI, ABDI DO

NACIONALES, DAVIDDO

NAVAB, PEDRAM MD

RAI, BALDEV MD

RAI, KARANDEV MD

SALAHUDDIN,TEHMINA MD

SOTO, CYNTHIA MD

UDDIN, MOHAMMADMD

OBST ET RICS &OBST ET RICS &GYNECOLOGYGYNECOLOGY

ALDAPE, DIANA MD

ASIRYAN, VARDUI MD

BANSAL, VIJAYA MD

CARSTENS, HERMANMD

CHAE, CLARA JI MD

EL-MOKADEM,HESHAM MD

EMERUWA,IHEANACHO

GARIBALDI, CARLOMD

GUPTA, ARUNA MD

KHATIB, MUSTAFA MD

KIM, OK MD

LANGSTON, SABAHMD

95

Page 96: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

La Sa l le Medica l Associates (M131)La Sa l le Medica l Associates (M131)

LEE, JAY K MD

MOOLA, SUDHA MD

NAKHLA, CINDY MD

OJEDA, ALONSO R

RAULD, HUGO MD

RIZVI, SYED MD

SALAZAR, SERAFIN MD

SANTOSO, PAULUSMD

SCHWENK, EVAN MD

STEIGER, RALPHMICHAEL. MD

TRIVEDI, TORALBHARAT MD

UDDIN, MOHAMMADMD

VALENZUELA,GUILLERMO MD

WONG, SHIRLEY MD

YEO, ELVIN KEE-EANMD

YOO, JEUNG MD

OPHT HALMOLOGYOPHT HALMOLOGY

BAKHTIARY, PEJMANMD

BHAVAN, SATHY V MD

PALANCA-CAPISTRANO,ANGELITA M MD

CHANG, TOM MD

CHEN, BRIAN HONGMD

CHOI, DAVID M MD

GOLLOGLY, HEIDRUNELISABETH MD

GORDON, NICOLEMD

GRANT-ACQUAH,KWEKU W. MD

GREWAL, SANJEEVMD

JOHL, JASKARN DO

KATSMAN, DIANA MD

KAWJI, SHAHEM MD

MAZER, ANNE Z MD

MORRISON-REYES,JOSHUA MD

NAWAZISH, SABA MD

SAMUEL, MICHAEL MD

SEDEEK, RAGUI MD

SIEGEL, LANCE MD

SIMMONS, TIMOTHYMD

SMITH, WILLIAMBERWYN MD

SODHI, AVNEET MD

SOLANO, JOELMOLINA MD

STEVENS, JEFFREY LMD

WAINESS, REID M MD

OPHT HALMOLOGYOPHT HALMOLOGY- RET INA- RET INA

CHANG, TOM S MD

OT OLARYNGOLOGYOT OLARYNGOLOGY(ENT )(ENT )

BOYNTON, BRIANPAUL MD

DATTARAY, PIALIPOLICARPIO MD

FEINBERG, GARY MD

GABARAIN, GABRIELMD

TORABI, MAJID MD

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

BALTAZAR, AARONMD

PAINPAINMANAGEMENTMANAGEMENT

CHEN, HAMILTONTSE-YING. MD

GUIANG, RAINIERMARK E. MD

KY, LENG THAI MD

MASLIN, BENJAMINMD

MOELLER-BERTRAM,TOBIAS MD

MOELLER-BERTRAM,TOBIAS MD

RATNAYAKE,DILANGANI MD

PHYS/OCCPHYS/OCCT HERAPYT HERAPY

PATEL, SNEHA OT

ZIELINSKI, LAURELASHLEY OT

PODIAT RYPODIAT RY

BOYKINS, STEPHEN ADPM

BUSCH, JEREMY ADPM

CROUGH, JACKSON TDPM

GASKINS, ROLANDDPM

GASKINS, ROLANDDPM

GIFFORD, ROBERT CDPM

GOLSHAN-KHALILI,SAHAND DPM

LAROSE, JAMES R MD

NAEGLE, DEREK DPM

PARKER, ROBERT MD

PARKER, ROBERT MD

PHAM, LUYEN V DPM

PSYCHIAT RISTPSYCHIAT RIST

CHAUDHRI,YASHWANT SINGH.MD

PULMONARYPULMONARYDISEASEDISEASE

BENCHEQROUN,HASSAN MD

BENCHEQROUN,HASSAN KARIMI MD

DHANANI, YURZULMD

96

Page 97: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

La Sa l le Medica l Associates (M131)La Sa l le Medica l Associates (M131)

EL-BERSHAWI, AHMEDS MD

FRANKLIN-RUTLAND,JAMES MD

GHAZARIAN, ZERONMD

HSIEH, JERRY N MD

LAU, KAM-YUNG MD

MOJAVERIAN, ALI MD

PATEL, CHANDRA DO

QAZI, AHSAN U

TADLAOUI, KARIM MD

PULMONARYPULMONARYMEDICINE,PERIAT RICMEDICINE,PERIAT RIC

JOSHI, BISWAS MD

OTSUKA, KIMBERLYMD

RADIAT IONRADIAT IONT HERAPYT HERAPY

RHA, JANICE MD

RADIOLOGYRADIOLOGYONCOLOGYONCOLOGY

GREENBERG, PETERMD

MASEK, THEODORE DMD

MERLO, CLIFFORD JMD

RHEUMAT OLOGYRHEUMAT OLOGY

ANDERSEN, BRADLEYTODD MD

CHAVEZ-CHIANG,NATALIA ROCIO MD

FARSI, NAZEE MD

HASSAN, ZAYNB MD

HSU, SHERI MD

LAZAR, LINDA DO

MEHTA,CHANDRAKANT V

RAMASWAMY,DHARMARAJAN MD

ZAMIRI, BABAK MD

SLEEPSLEEPMEDICINEMEDICINE

ADVANCED SLEEP,MEDICINE SRVCS, INC

SPEECHSPEECHPAT HOLOGYPAT HOLOGY

CHAMPAGNE, ASHLYNBROOK SLP

CHANDLER-REYES,JYLL ANN SLP

CLAYTON, KRISTINESLP

FINNEY, MONICASAPPHIRE SLP

SANCHEZ, LUCY J SLP

TERRIQUEZ CHUO,MARIA SLP

SURGERY,SURGERY,CARDIOVASCULARCARDIOVASCULAR

QUAN, JOSEPH MD

SURGERY,SURGERY,COLON/RECT ALCOLON/RECT AL

GORSKI, TITO MD

SURGERY,SURGERY,GENERALGENERAL

ANDACHEH, IDENDAVID MD

ATTAR, NASEEM A

AWAD, RAMY A.

CORDERO, RAYMUNDS MD

ESSIEN, FRANCIS MD

FRAGEN, ANDREWJAMES MD

GORSKI, TITO MD

IBRAHIM, SAMUEL MD

JAMIESON, PETER MMD

JOHNSEN, HEGE MD

LEE, KENNETHTHOMAS. MD

OWENS, CRAIG C MD

PEREZ, MARTINGUADALUPE MD

SPEKTOR, MAXIM DO

YU, SON HA MD

SURGERY,SURGERY,NEUROLOGICALNEUROLOGICAL

ARMIN, SEAN MD

BIAMA, RICHARD AMD

CLARK, LAWRENCEERWIN MD

CORTEZ, VLADMIR MD

CRAMER, DENNIS DO

MCCAFFERTY,RANDALL ROBERT MD

MENONI, ROSALINDAMD

NOEL, JERRY DO

SWEISS, RAED B MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

AKMAKJIAN, JACK MD

BIAMA, RICHARD AMD

BLANTON, LE ESTESMD

BUDTON, PAUL D MD

DARC, BRENTWILLIAM MD

DRINHAUS, ROLF MD

ELSISSY, PETER MD

FAERBER, WADE MD

GRAMES, BARRY

GOLDEN TRIANGLE,SURGICENTER

GONZALEZ, JOHN MD

HADLEY, ZACHARY MD

CRAMER, DENNIS DO

HALBRIDGE, NEIL MD

HOPKINS, GAIL E MD

HUISH, RICHARD T DO

KHAMSI, BABAK MD

97

Page 98: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

La Sa l le Medica l Associates (M131)La Sa l le Medica l Associates (M131)

KIM, DONALD MD

LE, SANG MD

PORTWOOD, JOHNMD

POWERS, BRET MD

SKUBIC, JOHN MD

ROACH, MICHAELBRIAN MD

SCHLECHTER, JOHN AMD

SHOJI, HIROMU MD

STEINMANN, JOHNMD

SUZUKI, STEPHEN MD

UPPAL, GURVINDERMD

WALKER GALLEGO,EDWARD MD

AHMAD, SOHAIL MD

WONG, ANDREW MD

YOST, BRIAN MD

ZAPF, MATTHEW MD

SURGERY,SURGERY,PEDIAT RICPEDIAT RIC

ACOSTA, JUANMANUEL MD

SURGERY,SURGERY,PLAST ICPLAST IC

KU, JOSEPH MD

MUDGE, BRADLEY MD

NGUYEN, TRUNG MD

CHILDERS, BEN J

SALCEDO, SAMUELMD

YU, GRACE L MD

SURGERY,SURGERY,T HORACICT HORACIC

ETEBAR, SHAHIN MD

LEE, KENNETHTHOMAS. MD

SURGERY,SURGERY,VASCULARVASCULAR

ANDACHEH, IDENDAVID MD

CHEUNG, MATHEWMD

DERDERIAN, TREVORJOHN MD

GORSKI, YARA C MD

LEE, JOHN J MD

NAFIU, BOLAJI MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

UROLOGYUROLOGY

AUBERT, HOWARD AMD

HAYNES, BRANDONMICHAEL MD

KATZ, ERINELIZABETH MD

KIM, FRANK H MD

LEE, SAMUEL

LEIFER, GARY MD

LOUIE, BRANDON GMD

OELRICH, BEIBEI M.D.

REDDY, MADHUMITHADO

RICHARDS, WINSTONHERMAN MD

SHANDERA, KEVINCHARLES MD

WALSH, LANCE MD

YANG, BENJAMINKATTLE MD

98

Page 99: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

LAKEWOODLAKEWOODIPA (M137)IPA (M137)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Lakewood IPA (M137)Lakewood IPA (M137)

NEUROLOGYNEUROLOGY

UDDIN, MOHAMMAD

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

SURGERY,SURGERY,GENERALGENERAL

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

UROLOGYUROLOGY

TAKESITA, KEN MD

TSI, SY MD

WALKER, CARL

YUN, EDWARD J MD

99

Page 100: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

MEDEXMEDEXHEALTHHEALTHNETWORK,NETWORK,INC (M167)INC (M167)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Medex Health Network, Inc (M167)Medex Health Network, Inc (M167)

DERMAT OLOGYDERMAT OLOGY

HARFORD, ROBERT

100

Page 101: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

MEDICHOICEMEDICHOICEIPA (MH53)IPA (MH53)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

MediChoice IPA (MH53)MediChoice IPA (MH53)

DERMAT OLOGYDERMAT OLOGY

WESTDERMATOLOGY,MEDICAL GROUP

OPHT HALMOLOGYOPHT HALMOLOGY

NAMBIAR, MARGARET

SCHULTZ, GERALD

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

SLEEP MEDICINESLEEP MEDICINE

KHAJA, ALIUDDIN

SURGERY,SURGERY,GENERALGENERAL

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

TOOMA, GHASSANMD

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

101

Page 102: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

MENIFEEMENIFEEVALLEYVALLEYMEDICALMEDICALGROUPGROUP(M156 )(M156 )AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Menif ee Val ley Medica l Group (M156)Menif ee Val ley Medica l Group (M156)

ADDICT IONADDICT IONMEDICINEMEDICINE

HARSANY, JOHN MD

ANEST HESIOLOGYANEST HESIOLOGY

KRAKOVSKY,ALEXANDER MD

ZEPEDA, ARTHUR MD

CARDIOLOGYCARDIOLOGY

CHATTERJEE,SUDARSHAN MD

GANDHI,DIPESHKUMAR K

GRANT-ANDERSON,BETTY MD

MUKHERJEE, ASHIS

NAZZAL, SAMI MD

TIWARI, RATAN MD

CARDIOVASCULARCARDIOVASCULARDISEASEDISEASE

ALESH, ISSA MD

CHATTERJEE,SUDARSHAN MD

GANDHI,DIPESHKUMAR K

GANDHI, DIPESH MD

GRANT-ANDERSON,BETTY MD

SETHI, PRABHDEEPMD

TIWARI, RATAN L MD

DERMAT OLOGYDERMAT OLOGY

MITCHELL, JESSE MD

SEYFZADEH,MANOUCHEHR MD

ENDOCRINOLOGYENDOCRINOLOGY

DOUGLASS, ALAN MD

HAIDER, UZMA MD

JOO, KATHY MD

GAST ROENT EROLOGYGAST ROENT EROLOGY

NAKKA, SREENIVASA R

NAKKA, SREENIVASAMD

RAGHUWANSHI,NAISHADH MD

HEMAT OLOGYHEMAT OLOGY

MA, AUSTIN MD

TSANG, WALTER MD

INFECT IOUSINFECT IOUSDISEASEDISEASE

HARFOUCH, CHAWKIMD

LE, THUAN P

INT ERNALINT ERNALMEDICINEMEDICINE

ALTRIKI, MOHAMADMD

BHOOT, HEETEN DO

CHANG, DAVID MD

CHARLES-COWAN,TRICIA G DO

GUPTA, RAKESH C

HAIDER, UZMA MD

ROBERTSON, JOHNMD

SUN, CHUNG-HUANGMD

NEPHROLOGYNEPHROLOGY

ALTRIKI, MOHAMADMD

ALVARADO,ANTHONY SERGEI MD

BADAR, RIZWAN MD

BHOOT, HEETEN DO

CHANG, ROBERT MD

CHANG, DAVID MD

CHARLES-COWAN,TRICIA G DO

CHARLES-COWAN,TRICIA DO

CHEUNG, ANDREWMD

CHEUNG, ANDREWMD

DHIMAN, DARSHANMD

ERLANGER, HOWARDNATHAN DO

GALOUSTIAN,ARTHUR MD

HUYNH, PAUL DO

ISHAK, SALAM MD

KHALIL, TAHIR MMD

LAC, PETER MD

MEHTANI, PARAG MD

NANDI, SHANKHA DO

NATH, ASHOK MD

NIU, PAUL MD

PATEL, YOGESH MD

ROBERTSON, JOHNMD

SANCHEZ, JOSEPHMAX MD

SANCHEZ, JOSEPHMD

SUN, CHUNG-HUANGMD

TANASESCU, ADINAMD

TOMAS, JAMES MD

WANG, WENG-LIH MD

YAN, ERIC MD

YAN, ERIC H MD

YU, JERRY MD

NEUROLOGYNEUROLOGY

BOUTROS, RAJA MD

102

Page 103: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Menif ee Val ley Medica l Group (M156)Menif ee Val ley Medica l Group (M156)

DOMINGUEZ, JULIE RMD

UDDIN, MOHAMMADMD

OBST ET RICS &OBST ET RICS &GYNECOLOGYGYNECOLOGY

ADKINS, KATE MD

CALINISAN, JOAN MD

HOM, KATHERINE MD

KIM, FRANCES MD

LAZAR, SHELEE MD

NIHIRA, MIKIO MD

SAFIE, NERISSA MD

URSO, MARY JO DO

ONCOLOGYONCOLOGY

MOST, CAROLE MD

TSANG, WALTER MD

OPHT HALMOLOGYOPHT HALMOLOGY

AHMED, EDNAN MD

BLACHARSKI, PAUL AMD

BLASE, WILLIAM P

BURNS, RICHARD MD

JACOBSON, ARTHURMD

LEE, JOHN MD

LIN, THEODORE MD

NAMBIAR, MARGARETMD

SAINI, ARVIND MD

WARNER, MICHAELMD

OPHT HALMOLOGY,OPHT HALMOLOGY,PEDIAT RICPEDIAT RIC

NAMBIAR, MARGARETMD

OT OLARYNGOLOGYOT OLARYNGOLOGY(ENT )(ENT )

GREEK, CARL

GREEK, CARL MD

KALKANIS, JAMES GMD

PHYS/OCCPHYS/OCCT HERAPYT HERAPY

BAST, SIDNEY OT

DIMEGLIO, PAULJAMES OT

FOLTZ, KATHERINE

FOLTZ, KATHERINEOT

ROWE, DARRELL OT

VAJARAKITIPONGSE,JESSICA OT

PSYCHIAT RISTPSYCHIAT RIST

ADEYEMO,OLUWAFEMI MD

PULMONARYPULMONARYDISEASEDISEASE

DHANANI, YURZUL OD

GUPTA, RAKESH C

SALEK, MUNIF MD

RADIAT IONRADIAT IONT HERAPYT HERAPY

VIRAVATHANA,THAVINSAKDI MD

RADIOLOGYRADIOLOGYONCOLOGYONCOLOGY

GORDON, SUSANNAMD

HOCKO, JANET MD

MASON, JAMES MD

RONSON, BRIAN MD

WASHINGTON, TARAMD

SLEEPSLEEPMEDICINEMEDICINE

BREATHEDIAGNOSTICS,

MEMON, TALHA MD

SPEECHSPEECHPAT HOLOGYPAT HOLOGY

JONES, KRISTA SLP

NORMAND, DEBRASLP

SURGERY,SURGERY,GENERALGENERAL

IGWE, DANIEL MD

SHARMA, SURENDRAMD

SUH, DAVID MD

SURGERY,SURGERY,NEUROLOGICALNEUROLOGICAL

ABSHIRE, BRET MD

FRIEDLICH, DANIELMD

OH, GERALD MD

SPICER, MARK MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

CHAUDHURI, KALI P

GOLDEN TRIANGLE,SURGICENTER

MAC ARTHUR,ROBERT MD

PANSE, MILIND MD

VERIOTI,CHRISTOPHER MD

SURGERY,SURGERY,PLAST ICPLAST IC

VU, STEVEN MD

103

Page 104: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

MERIT IPAMERIT IPA(M128)(M128)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Mer it IPA (M128)Mer it IPA (M128)

CARDIOVASCULARCARDIOVASCULARDISEASEDISEASE

ALTURJUMAN,AHMAD MD

MOSCOSO, ROBERTOMD

INFECT IOUSINFECT IOUSDISEASEDISEASE

MALLELA, SUDHAKARV

INT ERNALINT ERNALMEDICINEMEDICINE

MOSCOSO, ROBERTOMD

OBST ET RICS &OBST ET RICS &GYNECOLOGYGYNECOLOGY

MOOLA, SUDHA MD

OPHT HALMOLOGYOPHT HALMOLOGY

ALLAVIE, JOHN J

CHIN, ERIC K MD

DHOOT, SONIA MD

PABALAN, FRANCISCOJ

OPHT HALMOLOGYOPHT HALMOLOGY- RET INA- RET INA

CARLSON, JOHN MD

PESAVENTO, RICHARDMD

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

SLEEP MEDICINESLEEP MEDICINE

KHAJA, ALIUDDIN

SURGERY,SURGERY,GENERALGENERAL

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

LE, SANG MD

SAN BERNARDINOMED, ORTHOPEDICINC

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

UROLOGYUROLOGY

THAKER, NIMISH

104

Page 105: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

MY CHOICEMY CHOICEMEDICALMEDICALGROUPGROUP(MH58)(MH58)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

My Choice Medica l Group (MH58)My Choice Medica l Group (MH58)

OPHT HALMOLOGYOPHT HALMOLOGY

NAMBIAR, MARGARET

SCHULTZ, GERALD

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

SLEEP MEDICINESLEEP MEDICINE

KHAJA, ALIUDDIN

SURGERY,SURGERY,GENERALGENERAL

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

105

Page 106: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

NEXUS IPANEXUS IPA(M133)(M133)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Nexus IPA (M133)Nexus IPA (M133)

CARDIOLOGYCARDIOLOGY

ATTIA, NADER N. DO

PAREKH, NIRAJ V MD

CARDIOVASCULARCARDIOVASCULARDISEASEDISEASE

ALTURJUMAN,AHMAD MD

AMIN, JATIN N MD

BISWAS, MIMI MD

COX, JEREMY MILLSDO

KELESIDIS, IOSIF MD

MOSCOSO, ROBERTOMD

OSHODI, GANIYU MD

SANGODKAR,SANDEEP DO

DERMAT OLOGYDERMAT OLOGY

HARFORD, ROBERTMD

GAST ROENT EROLOGYGAST ROENT EROLOGY

CHOPRA, RAKESH MD

HUANG, GALENCHUNG L MD

GENERALGENERALPRACT ICEPRACT ICE

MCMURRAY, GALELEROY MD

GERIAT RICGERIAT RICMEDICINEMEDICINE

DOUGHTEN, JOELDANIEL MD

INT ERNALINT ERNALMEDICINEMEDICINE

ATTIA, NADER N. DO

BISWAS, MIMI MD

CHOPRA, RAKESH MD

ISMAIL, HEBA MD

MOSCOSO, ROBERTOMD

NEUROLOGYNEUROLOGY

RAI, KARANDEV S MD

UDDIN, MOHAMMAD

OCCUPAT IONALOCCUPAT IONALMEDICINEMEDICINE

DEL CAMPO, GABRIELMARTIN MD

HUETTE, JOHN A MD

OPHT HALMOLOGYOPHT HALMOLOGY

FISH, STEVEN MD

GLENDRANGE, RAY RMD

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

PODIAT RYPODIAT RY

TSUTSUMI, ROGER YDPM

TSUTSUMI, ROGER YDPM

VOGT, DONALD DPM

PSYCHIAT RISTPSYCHIAT RIST

ARGUN, ABRAHAM APHD

MARGOLIN, LEVONPHD

PULMONARYPULMONARYDISEASEDISEASE

EL-BERSHAWI, AHMEDS MD

HARIANAWALA, SALIMMD

ISMAIL, HEBA MD

REHAB PHYSREHAB PHYSMEDICINEMEDICINE

LEE, JONATHAN K MD

RHEUMAT OLOGYRHEUMAT OLOGY

ATTIA, AMIN FOUADMD

SURGERY,SURGERY,GENERALGENERAL

CROSS, MICHAEL LMD

DADA, STEPHEN MD

DADA, FESTUS MD

NURICK, HARVEY AMD

YU, SON HA MD

SURGERY,SURGERY,NEUROLOGICALNEUROLOGICAL

BERMAN, BLAKE DO

CRAMER, DENNIS DO

SAEED, NICK T MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

BIAMA, RICHARD AMD

GOLDEN TRIANGLE,SURGICENTER

GONZALEZ, JOHN MD

HAIDER, THOMAS MD

CRAMER, DENNIS DO

HALBRIDGE, NEIL MD

KHAMSI, BABAK MD

KIM, DONALD D MD

KIM, LESLIE H MD

MARGER, MICHAELMD

SUZUKI, STEPHEN MD

106

Page 107: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Nexus IPA (M133)Nexus IPA (M133)

UPPAL, GURVINDERMD

SURGERY,SURGERY,PLAST ICPLAST IC

KU, JOSEPH MD

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

NAFIU, BOLAJI A MD

NURICK, HARVEY AMD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

UROLOGYUROLOGY

KATZ, ERINELIZABETH MD

LOUIE, BRANDON GMD

OELRICH, BEIBEI M.D.

TAKESITA, KEN MD

THAKER, NIMISH

TSI, SY MD

WALKER, CARL

YUN, EDWARD J MD

107

Page 108: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

NOBLENOBLECOMMUNITYCOMMUNITYMEDICALMEDICALGROUPGROUP(M113)(M113)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Noble Communit y Medica l Group (M113)Noble Communit y Medica l Group (M113)

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

SLEEPSLEEPMEDICINEMEDICINE

KHAJA, ALIUDDIN

SURGERY,SURGERY,GENERALGENERAL

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

108

Page 109: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

ORANGEORANGECOUNTYCOUNTYADVANTAGEADVANTAGEMEDICALMEDICALGROUPGROUP(M105)(M105)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Orange County Advantage Medica l Group (M105)Orange County Advantage Medica l Group (M105)

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

SLEEPSLEEPMEDICINEMEDICINE

KHAJA, ALIUDDIN

SURGERY,SURGERY,GENERALGENERAL

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

109

Page 110: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

PACIFICPACIFICHEALTHHEALTHCARE IPACARE IPA(MH82)(MH82)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Pacif ic Health Care IPA (MH82)Pacif ic Health Care IPA (MH82)

OPHT HALMOLOGYOPHT HALMOLOGY

NAMBIAR, MARGARET

SCHULTZ, GERALD

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

SLEEP MEDICINESLEEP MEDICINE

KHAJA, ALIUDDIN

SURGERY,SURGERY,GENERALGENERAL

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

110

Page 111: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

PHYSICIANPHYSICIANPARTNERSPARTNERSIPA (MH57)IPA (MH57)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Physic ian Par tner s IPA (MH57)Physic ian Par tner s IPA (MH57)

OPHT HALMOLOGYOPHT HALMOLOGY

NAMBIAR, MARGARET

SCHULTZ, GERALD

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

SLEEP MEDICINESLEEP MEDICINE

KHAJA, ALIUDDIN

SURGERY,SURGERY,GENERALGENERAL

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

111

Page 112: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

PIONEERPIONEERPROVIDERPROVIDERNETWORKNETWORK(MH70)(MH70)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Pioneer Provider Network (MH70)Pioneer Provider Network (MH70)

OPHT HALMOLOGYOPHT HALMOLOGY

NAMBIAR, MARGARET

SCHULTZ, GERALD

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

SLEEP MEDICINESLEEP MEDICINE

KHAJA, ALIUDDIN

SURGERY,SURGERY,GENERALGENERAL

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

112

Page 113: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

PREFERREDPREFERREDIPA OFIPA OFCAL IFORNIACAL IFORNIA(MH81)(MH81)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Pref er red IPA of Cal i f orn ia (MH81)Pref er red IPA of Cal i f orn ia (MH81)

OPHT HALMOLOGYOPHT HALMOLOGY

NAMBIAR, MARGARET

SCHULTZ, GERALD

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

SLEEP MEDICINESLEEP MEDICINE

KHAJA, ALIUDDIN

SURGERY,SURGERY,GENERALGENERAL

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

113

Page 114: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

PREMIERPREMIERPATIENTPATIENTCARE IPACARE IPA(M174)(M174)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Premier Pat ient Care IPA (M174)Premier Pat ient Care IPA (M174)

OPHT HALMOLOGYOPHT HALMOLOGY

GREWAL, SANJEEVMD

STEVENS, JEFFREY LMD

PULMONARYPULMONARYDISEASEDISEASE

RAMNATH, VENKTESHMD

SURGERY,SURGERY,NEUROLOGICALNEUROLOGICAL

LIMONADI, FARHAD MMD

NGUYEN, ANDREWMD

SHEN, ALFRED MD

SURGERY,SURGERY,PLAST ICPLAST IC

TANTAWI, DIYA MD

SURGERY,SURGERY,T HORACICT HORACIC

HOWE, STEVEN MD

114

Page 115: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

PREMIERPREMIERPHYSICIANPHYSICIANNETWORKNETWORK(M135)(M135)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Premier Physic ian Network (M135)Premier Physic ian Network (M135)

GAST ROENT EROLOGYGAST ROENT EROLOGY

ANYADIKE, CYRIL MD

FAN, ROBERT MD

ROSENTHAL, MARIANMD

SIMMONS, TIMOTHYMD

OJURI, ADEDAMBOMD

NEUROLOGYNEUROLOGY

UDDIN, MOHAMMAD

OPHT HALMOLOGYOPHT HALMOLOGY

FISH, STEVEN MD

NAWAZISH, SABA MD

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

SURGERY, GENERALSURGERY, GENERAL

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

UROLOGYUROLOGY

TAKESITA, KEN MD

TSI, SY MD

WALKER, CARL

YUN, EDWARD J MD

115

Page 116: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

PREMIERCAREPREMIERCAREHEALTHHEALTHSERVICESSERVICES(MH68)(MH68)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

PremierCare Health Serv ices (MH68)PremierCare Health Serv ices (MH68)

OPHT HALMOLOGYOPHT HALMOLOGY

NAMBIAR, MARGARET

SCHULTZ, GERALD

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

SLEEP MEDICINESLEEP MEDICINE

KHAJA, ALIUDDIN

SURGERY,SURGERY,GENERALGENERAL

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

116

Page 117: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

PRIMARY CAREPRIMARY CAREASSOCIATESASSOCIATESOF CAL IFORNIAOF CAL IFORNIA(MH61)(MH61)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Pr imary Care Associates of Cal i f orn ia (MH61)Pr imary Care Associates of Cal i f orn ia (MH61)

CARDIOLOGYCARDIOLOGY

ATTIA, NADER N. DO

PAREKH, NIRAJ V. MD

CARDIOVASCULARCARDIOVASCULARDISEASEDISEASE

BISWAS, MIMI MD

COX, JEREMY MILLSDO

HOLT, MARK M. MD

KELESIDIS, IOSIF MD

PAREKH, NIRAJ V. MD

PATANKAR,KAUSTUBH MD

DERMAT OLOGYDERMAT OLOGY

JACOBS, RANDY MD

GAST ROENT EROLOGYGAST ROENT EROLOGY

ABDOLLAHZADEH,HOMAN MD

INT ERNALINT ERNALMEDICINEMEDICINE

ATTIA, NADER N. DO

BISWAS, MIMI MD

PATANKAR,KAUSTUBH MD

YAN, ERIC H. MD

MEDICALMEDICALONCOLOGYONCOLOGY

YOUNG, DAVID E. MD

MULT IPLE SPECMULT IPLE SPECGRPGRP

GROPEN, ELISSA

SCHULZ, PETER

NEPHROLOGYNEPHROLOGY

DHIMAN, DARSHAN

NGUYEN, CHARLESMD

YAN, ERIC H. MD

OBST ET RICS &OBST ET RICS &GYNECOLOGYGYNECOLOGY

LEE, JAY K MD

OPHT HALMOLOGYOPHT HALMOLOGY

LIN, STEVEN MD

NAMBIAR, MARGARET

SCHULTZ, GERALD

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

PODIAT RYPODIAT RY

WELLS, JOSEPH S.DPM

WOOD, RYAN WALTER

PSYCHIAT RISTPSYCHIAT RIST

AFGHAN, RAHIMA

KURRE, RAJABABU

CHUNDU, SAI

SLEEPSLEEPMEDICINEMEDICINE

KHAJA, ALIUDDIN

SURGERY,SURGERY,GENERALGENERAL

IBRAHIM, SAMUEL MD

RECKARD, JUSTIN MD

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

ERWTEMAN, ANDREWS. MD

GOLDEN TRIANGLE,SURGICENTER

HAIDER, THOMAS MD

MACARTHUR, ROBERTJ. MD

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

UROLOGYUROLOGY

THAKER, NIMISH

WALSH, LANCE MD

117

Page 118: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

PRIMECAREPRIMECAREMEDICALMEDICALNETWORKNETWORK(M132)(M132)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Pr imeCare Medica l Network (M132)Pr imeCare Medica l Network (M132)

INT ERNALINT ERNALMEDICINEMEDICINE

TABEL, GHASAN M.

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

RHEUMAT OLOGYRHEUMAT OLOGY

ARTHRITIS MEDICAL,CLINIC

SURGERY,SURGERY,GENERALGENERAL

MISSION SURGICAL,CLINIC INC

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

118

Page 119: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

QUALITYQUAL ITYCARE IPACARE IPA(MH96 )(MH96 )AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Qualit y Care IPA (MH96)Qual it y Care IPA (MH96)

OPHT HALMOLOGYOPHT HALMOLOGY

FISH, STEVEN MD

NAWAZISH, SABA MD

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

RADIOLOGYRADIOLOGYONCOLOGYONCOLOGY

GREENBERG, PETERMD

LING, TED MD

SLEEP MEDICINESLEEP MEDICINE

KHAJA, ALIUDDIN

SURGERY,SURGERY,GENERALGENERAL

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

119

Page 120: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

REGENTREGENTMEDICALMEDICALGROUPGROUP(M111)(M111)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Regent Medica l Group (M111)Regent Medica l Group (M111)

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

SLEEPSLEEPMEDICINEMEDICINE

KHAJA, ALIUDDIN

SURGERY,SURGERY,GENERALGENERAL

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

120

Page 121: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

RIOSRIOSSOUTHWESTSOUTHWESTMEDICALMEDICALGROUPGROUP(M134)(M134)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Rios Southwest Medica l Group (M134)Rios Southwest Medica l Group (M134)

ALLERGY &ALLERGY &IMMUNOLOGYIMMUNOLOGY

IQBAL, SHAMS M MD

ANEST HESIOLOGYANEST HESIOLOGY

LYNCH, MARC DO

SYNOVATIONMEDICAL, GROUP

CARDIOLOGYCARDIOLOGY

ADVANCED HEART &,VASCULAR PHYS INC

ATTIA, NADER N. DO

JANDALI, AMER A

MESSENGER,BRADLEY S MD

PACIFIC HEART MEDGR,

SARSAM, SINAN HARITMD

SCHATZ, ROBERTELLIOT

SEAMAN,CHRISTOPHER B MD

WADHWA, PARVINDARS

CARDIOVASCULARCARDIOVASCULARDISEASEDISEASE

AGARWAL, ASHOK K

ALTURJUMAN,AHMAD MD

AMIN, JATIN N MD

BISWAS, MIMI MD

CAMPO, IVON N

COLLINS, BRIAN MD

COX, JEREMY MILLSDO

MESSENGER,BRADLEY S MD

PATANKAR,KAUSTUBH MD

SANGODKAR,SANDEEP DO

SEAMAN,CHRISTOPHER B MD

VARGAS, MICHAEL

DERMAT OLOGYDERMAT OLOGY

BEVERLY, ROLANDSPURGEON MD

MITCHELL, JESSE

MOHALE, SHARON MPA

SAIED, NAGI MD

SAKO, ERIC MD

SANDHU, AMANDEEPMD

WESTDERMATOLOGY,MEDICAL GROUP

ENDOCRINOLOGYENDOCRINOLOGY

BONNER, ROBERT

DIAL, FREDDIE P

FAMILY PRACT ICEFAMILY PRACT ICE

SAIED, NAGI K MD

GAST ROENT EROLOGYGAST ROENT EROLOGY

CHAKRABARTY,MILANKUMAR

CHUNG, BENJAMIN

EASTMAN, THOMAS W

OCEANA GASTRO,(MJ MEDICAL GRP)

PATEL, YOGENDRA

GENERAL DENT ISTGENERAL DENT IST

FRATT DENTAL,CORPORATION

GENERAL PRACT ICEGENERAL PRACT ICE

ANDERSON, ANDREAMD

GYNECOLOGYGYNECOLOGY

TRAN, BICH-VAN T MD

HEMAT OLOGYHEMAT OLOGY

RAOWAS, ANAS MD

INT ERNALINT ERNALMEDICINEMEDICINE

ATTIA, NADER N. DO

BHOOT, HEETEN DO

BISWAS, MIMI MD

CAMPO, IVON N

COLLINS, BRIAN MD

DIAL, FREDDIE P MD

PATANKAR,KAUSTUBH MD

PATEL, YOGENDRA

PATEL, CHANDRA DO

PENGSON, JOEL AMD

SCHLUSSELBERG,MARTIN E

TABEL, GHASAN M.

VARGAS, MICHAEL

WADHWA, PARVINDARS

ZAMFIRESCU-ALEXANDER, PETERLEON MD

MEDICALMEDICALONCOLOGYONCOLOGY

BAQAI, REHANA MD

CHOI, BRIAN MD

TSAI, JAMES

NEPHROLOGYNEPHROLOGY

BHOOT, HEETEN DO

TANASESCU, ADINA A

NEUROLOGYNEUROLOGY

121

Page 122: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Rios Southwest Medica l Group (M134)Rios Southwest Medica l Group (M134)

AL-KHOURY, LAMA MD

DOMINGUEZ, JULIE RMD

KHAYALI,MOHAMMAD R

LULE, ENOCH B MD

MORRISON-BANKS,ELIZABETH H MD

RAI, BALDEV MD

SONG, DAVID D MD

SYNOVATIONMEDICAL, GROUP

VALLEY NEUROLOGY,MEDICAL GROUP

YUSUFALY, IMDAD N

OBST ET RICS &OBST ET RICS &GYNECOLOGYGYNECOLOGY

GARIBALDI, CARLO

LEE, JAY K MD

LAKE ELSINORE,CLINICA MEDFAMILIAR

TUSTISON, KIMBERLYMD

ONCOLOGYONCOLOGY

TAT, SHELLY

OPHT HALMOLOGYOPHT HALMOLOGY

BLACHARSKI, PAUL AMD

CALIFORNIACATARACT, CTR DBACA EYE PROF

PALANCA-CAPRISTRANO,ANGELITA

INLAND EYE,SPECIALISTS

JOHNSON, ROGER

JOSEPH, JEFFREY MD

FISH, STEVEN MD

MACIAS, EDUARDO P

NAMBIAR, MARGARET

PABALAN, FRANCISCOJ

PHILLIPS, BARRATT

RIVERSIDE EYE,SPECIALIST MED GRP

SAINI, ARVIND

SORENSON, ROBERTMD

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

PAINPAINMANAGEMENTMANAGEMENT

BEN-ROOHI, MOSHE S

CHEN, HAMILTONTSE-YING. MD

INLAND PAIN,SPECIALISTS

LYNCH, MARC DO

SAWIRIS, NADER MD

PHYS/OCCPHYS/OCCT HERAPYT HERAPY

ROWE, DARRELL G OT

PODIAT RYPODIAT RY

DANON, GUY DPM

GASKINS, ROLANDDPM

SCOTT, SUSAN D MD

TSUTSUMI, ROGER YDPM

TSUTSUMI, ROGER YDPM

VOGT, DONALD DPM

PSYCHIAT RISTPSYCHIAT RIST

KUNAM, SYAM P

NALLAMOTHU,BHUVANESWARI

NEW DAY INSTITUTE,

ORANGEPSYCHIATRIC, MEDGROUP

MIND & BODYTREATMNT, &RESEARCH INSTITUTE

PULMONARYPULMONARYDISEASEDISEASE

ALAZZEH, AHMAD MD

BHAGAVATH, ANITAMD

HSIEH, JERRY N MD

MAHESHWARI,ANOOP MD

MAHESHWARI,ANOOP MD

MENDOZA, LILIANA ADO

PATEL, CHANDRA DO

QAZI, AHSAN U

SCHLUSSELBERG,MARTIN E

VEGA, RICARDO

ZAMFIRESCU-ALEXANDER, PETERLEON MD

RADIOLOGYRADIOLOGYONCOLOGYONCOLOGY

BHANDARI, TANUJA

REHAB PHYSREHAB PHYSMEDICINEMEDICINE

FREEMAN, DARRENDO

RHEUMAT OLOGYRHEUMAT OLOGY

ARTHRITIS MEDICAL,CLINIC

CHAVEZ-CHIANG,NATALIA ROCIO MD

DEHGHAN, HOOMANMD

LAZAR, LINDA DO

MEHTA,CHANDRAKANT V

TRIVEDI, JANKI

ZAMIRI, BABAK

SLEEPSLEEPMEDICINEMEDICINE

122

Page 123: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Rios Southwest Medica l Group (M134)Rios Southwest Medica l Group (M134)

ADVANCED SLEEP,MEDICINE SERVICES

KHAJA, ALIUDDIN

PROGRESSIVENEUROLO-, GY &SLEEP MEDICINE

SURGERY,SURGERY,GENERALGENERAL

ANDERSON, ANDREADINEANE MD

ATTAR, NASEEM A

HAHM, SUSAN MD

LEONG, BENJAMINYET-FAN MD

MISSION SURGICAL,CLINIC INC

TRAN, MICHAEL N MD

YU, SON HA MD

SURGERY,SURGERY,NEUROLOGICALNEUROLOGICAL

GHOSTINE, SAMER SMD

CRAMER, DENNIS DO

KALOOSTIAN, PAULMD

SURGERY, ORALSURGERY, ORAL

DENTAL HEALTH OF,RIVERSIDE

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

FENISON, ANTHONYMD

GOLDEN TRIANGLE,SURGICENTER

CRAMER, DENNIS DO

KHAMSI, BABAK MD

LOCKE, JOHN MD

PANTAZOPOULOS,CHRISTINA DO

SHOJI, HIROMU MD

SRINIVAS, RAVI MD

YOST, BRIAN T DO

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

UROLOGYUROLOGY

BRODAK, PHILIP P MD

CONNER, RICHARDMD

CRISELL, MONISHAMD

SHEPARD, ERIC

TAKESITA, KEN MD

THAKER, NIMISH

TSI, SY MD

WOUND CAREWOUND CARE

ANDERSON, ANDREAMD

123

Page 124: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

SELECT IPASELECT IPA(M122)(M122)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Select IPA (M122)Select IPA (M122)

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

SLEEPSLEEPMEDICINEMEDICINE

KHAJA, ALIUDDIN

SURGERY,SURGERY,GENERALGENERAL

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

124

Page 125: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

SEOULSEOULMEDICALMEDICALGROUPGROUP(M107)(M107)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Seoul Medica l Group (M107)Seoul Medica l Group (M107)

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

SLEEPSLEEPMEDICINEMEDICINE

KHAJA, ALIUDDIN

SURGERY,SURGERY,GENERALGENERAL

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

125

Page 126: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

SOUTHSOUTHALTANTICALTANTICIPA (M117)IPA (M117)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

South Altant ic IPA (M117)South Altant ic IPA (M117)

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

SLEEPSLEEPMEDICINEMEDICINE

KHAJA, ALIUDDIN

SURGERY,SURGERY,GENERALGENERAL

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

126

Page 127: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

SOUTHLANDSOUTHLANDADVANTAGEADVANTAGEMEDICALMEDICALGROUPGROUP(M103)(M103)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

South land Advantage Medica l Group (M103)South land Advantage Medica l Group (M103)

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

SLEEPSLEEPMEDICINEMEDICINE

KHAJA, ALIUDDIN

SURGERY,SURGERY,GENERALGENERAL

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

127

Page 128: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

ST MARY IPAST MARY IPA(M140)(M140)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

St Mary IPA (M140)St Mary IPA (M140)

NEUROLOGYNEUROLOGY

UDDIN, MOHAMMAD

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

UROLOGYUROLOGY

TAKESITA, KEN MD

TSI, SY MD

WALKER, CARL

YUN, EDWARD J MD

128

Page 129: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

ST VINCENTST VINCENTIPA MEDICALIPA MEDICALCORP (M126 )CORP (M126 )AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

St Vincent IPA Medica l Corp (M126)St Vincent IPA Medica l Corp (M126)

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

SLEEPSLEEPMEDICINEMEDICINE

KHAJA, ALIUDDIN

SURGERY,SURGERY,GENERALGENERAL

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

129

Page 130: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

STEWARTSTEWARTMEDICALMEDICALGROUPGROUP(MH41)(MH41)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Stewar t Medica l Group (MH41)Stewar t Medica l Group (MH41)

DERMAT OLOGYDERMAT OLOGY

WESTDERMATOLOGY,MEDICAL GROUP

OPHT HALMOLOGYOPHT HALMOLOGY

NAMBIAR, MARGARET

SCHULTZ, GERALD

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

SLEEP MEDICINESLEEP MEDICINE

KHAJA, ALIUDDIN

SURGERY,SURGERY,GENERALGENERAL

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

130

Page 131: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

TEMECULATEMECULAVALLEYVALLEYPHYSICIANSPHYSICIANSMEDICALMEDICALGROUPGROUP(M153)(M153)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

T emecula Va l ley Physic ians Medica l Group (M153)T emecula Va l ley Physic ians Medica l Group (M153)

ADDICT IONADDICT IONMEDICINEMEDICINE

HARSANY, JOHN MD

ANEST HESIOLOGYANEST HESIOLOGY

KRAKOVSKY,ALEXANDER MD

ZEPEDA, ARTHUR MD

CARDIOLOGYCARDIOLOGY

ALFAY, WISAM MD

MUKHERJEE, ASHIS

NAZZAL, SAMI MD

ROSANIO, SALVATOREMD

RYAN, PAUL MD

TIU, BRIAN MD

CARDIOVASCULARCARDIOVASCULARDISEASEDISEASE

ALESH, ISSA MD

SETHI, PRABHDEEPMD

DERMAT OLOGYDERMAT OLOGY

MITCHELL, JESSE MD

SEYFZADEH,MANOUCHEHR MD

ENDOCRINOLOGYENDOCRINOLOGY

DOUGLASS, ALAN MD

JOO, KATHY MD

GAST ROENT EROLOGYGAST ROENT EROLOGY

NAKKA, SREENIVASA R

NAKKA, SREENIVASAMD

RAGHUWANSHI,NAISHADH MD

HEMAT OLOGYHEMAT OLOGY

MA, AUSTIN MD

TSANG, WALTER MD

INFECT IOUSINFECT IOUSDISEASEDISEASE

LE, THUAN P

INT ERNALINT ERNALMEDICINEMEDICINE

ALTRIKI, MOHAMADMD

BHOOT, HEETEN DO

CHANG, DAVID MD

CHARLES-COWAN,TRICIA G DO

GUPTA, RAKESH C

ROBERTSON, JOHNMD

SUN, CHUNG-HUANGMD

LIC CLINLIC CLINSOCIAL WKRSOCIAL WKR

ELLIS, STEPHANIELCSW

HERRON, ALETHA

NEPHROLOGYNEPHROLOGY

ALTRIKI, MOHAMADMD

ALVARADO,ANTHONY SERGEI MD

BADAR, RIZWAN MD

BHOOT, HEETEN DO

CHANG, ROBERT MD

CHANG, DAVID MD

CHARLES-COWAN,TRICIA G DO

CHARLES-COWAN,TRICIA DO

CHEUNG, ANDREWMD

CHEUNG, ANDREWMD

DHIMAN, DARSHANMD

ERLANGER, HOWARDNATHAN DO

GALOUSTIAN,ARTHUR MD

HUYNH, PAUL DO

ISHAK, SALAM MD

KHALIL, TAHIR MMD

LAC, PETER MD

MEHTANI, PARAG MD

NANDI, SHANKHA DO

NATH, ASHOK MD

NIU, PAUL MD

PATEL, YOGESH MD

ROBERTSON, JOHNMD

SANCHEZ, JOSEPHMAX MD

SANCHEZ, JOSEPHMD

SIEN, STEFAN DO

SUN, CHUNG-HUANGMD

TANASESCU, ADINAMD

TOMAS, JAMES MD

WANG, WENG-LIH MD

YAN, ERIC MD

YAN, ERIC H MD

YU, JERRY MD

NEUROLOGYNEUROLOGY

BOUTROS, RAJA MD

DOMINGUEZ, JULIE RMD

UDDIN, MOHAMMADMD

131

Page 132: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

T emecula Va l ley Physic ians Medica l Group (M153)T emecula Va l ley Physic ians Medica l Group (M153)

OBST ET RICS &OBST ET RICS &GYNECOLOGYGYNECOLOGY

CALINISAN, JOAN MD

KIM, FRANCES MD

SAFIE, NERISSA MD

URSO, MARY JO VITADO

ONCOLOGYONCOLOGY

MOST, CAROLE MD

TSANG, WALTER MD

OPHT HALMOLOGYOPHT HALMOLOGY

AHMED, EDNAN MD

BLACHARSKI, PAUL AMD

BLASE, WILLIAM P

BURNS, RICHARD MD

JACOBSON, ARTHURMD

LEE, JOHN MD

LIN, THEODORE MD

NAMBIAR, MARGARETMD

SAINI, ARVIND MD

WARNER, MICHAELMD

OPHT HALMOLOGY,OPHT HALMOLOGY,PEDIAT RICPEDIAT RIC

NAMBIAR, MARGARETMD

OT OLARYNGOLOGYOT OLARYNGOLOGY(ENT )(ENT )

GREEK, CARL

GREEK, CARL MD

KALKANIS, JAMES GMD

PHYS/OCCPHYS/OCCT HERAPYT HERAPY

BAST, SIDNEY OT

DIMEGLIO, PAULJAMES OT

FOLTZ, KATHERINE

FOLTZ, KATHERINEOT

ROWE, DARRELL OT

VAJARAKITIPONGSE,JESSICA OT

PODIAT RYPODIAT RY

NGUYEN, THO THIDPM

SCOTT, SUSAN D MD

TRANSFIGURACIONSHIN, CHRISTIANNE JDPM

WELLS, JOSEPH S.DPM

PSYCHIAT RISTPSYCHIAT RIST

ADEYEMO,OLUWAFEMI MD

AFGHAN, RAHIMA MD

CHUNDU, SAI MD

PULMONARYPULMONARYDISEASEDISEASE

GUPTA, RAKESH C

HENNINGER JR,DELMER W MD

SALEK, MUNIF MD

RADIAT IONRADIAT IONT HERAPYT HERAPY

VIRAVATHANA,THAVINSAKDI MD

RADIOLOGYRADIOLOGYONCOLOGYONCOLOGY

BELL, DAVID MD

GORDON, SUSANNAMD

HOCKO, JANET MD

MASON, JAMES MD

RONSON, BRIAN MD

WASHINGTON, TARAMD

SLEEPSLEEPMEDICINEMEDICINE

BREATHEDIAGNOSTICS,

MEMON, TALHA MD

SPEECHSPEECHPAT HOLOGYPAT HOLOGY

JONES, KRISTA SLP

NORMAND, DEBRASLP

SURGERY,SURGERY,COLON/RECT ALCOLON/RECT AL

GORSKI, TITO MD

SURGERY,SURGERY,GENERALGENERAL

ATCHISON, MARVINMD

BARRERA, KAYLENEMD

CORDERO, RAYMUNDS MD

ESSIEN, FRANCIS MD

GORSKI, TITO MD

GORSKI, YARA C MD

JOHNSEN, HEGE MD

OWENS, CRAIG C MD

SHARMA, SURENDRAMD

SUH, DAVID MD

SURGERY,SURGERY,NEUROLOGICALNEUROLOGICAL

ABSHIRE, BRET MD

FRIEDLICH, DANIELMD

SPICER, MARK MD

SURGERY, ORALSURGERY, ORAL

STRINGER, DALE EDDS

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

132

Page 133: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

T emecula Va l ley Physic ians Medica l Group (M153)T emecula Va l ley Physic ians Medica l Group (M153)

BAUM, BRADLEY L MD

BAUM, BRADLEY MD

GOLDEN TRIANGLE,SURGICENTER

HEYRANI, NASSER MD

LOCKE, JOHN MD

ROUHE, RICHARD MD

TOOMA, GHASSANMD

SURGERY,SURGERY,PLAST ICPLAST IC

MUDGE, BRADLEYPIER MD

VU, STEVEN MD

SURGERY,SURGERY,VASCULARVASCULAR

GORSKI, YARA C MD

UROLOGYUROLOGY

BRODAK, PHILIP P MD

CONNER, RICHARDMD

CRISELL, MONISHAMD

LARSON, BENJAMINMD

VEMULAPALLI,SREENIVAS MD

133

Page 134: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

UNITEDUNITEDCARECAREMEDICALMEDICALGROUPGROUP(MH99 )(MH99 )AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

United Care Medica l Group (MH99)United Care Medica l Group (MH99)

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

SLEEPSLEEPMEDICINEMEDICINE

KHAJA, ALIUDDIN

SURGERY,SURGERY,GENERALGENERAL

YU, SON HA MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

GOLDEN TRIANGLE,SURGICENTER

SURGERY,SURGERY,VASCULARVASCULAR

DERDERIAN, TREVORJOHN MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

134

Page 135: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

VANTAGEVANTAGEMEDICALMEDICALGROUP (P09 )GROUP (P09 )AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Vantage Medica l Group (P09)Vantage Medica l Group (P09)

ANEST HESIOLOGYANEST HESIOLOGY

DORAISWAMY, ARULMD

GRECO, DONALDJAMES MD

GUIANG, RAINIER MD

KHATIBI, NIKAN DO

KY, LENG THAI MD

LEIER, TIM MD

LEIER, TIM U MD

LYNCH, MARC DO

MASLIN, BENJAMINMD

MOELLER-BERTRAM,TOBIAS MD

MOELLER-BERTRAM,TOBIAS MD

SHARMA, ANUPAM MD

CARDIOLOGYCARDIOLOGY

BUI, BRIAN A

GANDHI,DIPESHKUMAR K

GRANT-ANDERSON,BETTY MD

KHAN, HASHIM A MD

RASTOGI, ANISHA MD

VERMA, SANJAY MD

CARDIOVASCULARCARDIOVASCULARDISEASEDISEASE

AGARWAL, ASHOK MD

ARTOUL, SAMIR GIRISMD

BUI, BRIAN A

CHATTERJEE,SUDARSHAN MD

GANDHI,DIPESHKUMAR K

GRANT-ANDERSON,BETTY MD

KHAN, HASHIM A MD

LAI, HOANG MINH

OSHODI, GANIYU MD

PULUMATI, KRISHNAMD

QASQAS, SHADI A MD

SCOFIELD, DEAN JMD

DERMAT OLOGYDERMAT OLOGY

BROSKA, PAMELA MD

FOWLER, VINCENTMD

JACOBS, RANDOLPHJEFFRIE MD

MITCHELL, JESSE MD

MOHALE, SHARON MPA

SAIED, NAGI KAMILMD

SCHWARTZ, LEON EMD

WOODHALL, KATRINAELAINE MD

ENDOCRINOLOGYENDOCRINOLOGY

TEMECULA VALLEY,ENDOCRINOLOGY

NORTH COUNTY,ENDOCRINE MEDGROUP

FAMILY PRACT ICEFAMILY PRACT ICE

BIR, SEEMA MD

GAST ROENT EROLOGYGAST ROENT EROLOGY

CHAKRABARTY,INDRANEEL MD

GERIAT RICGERIAT RICMEDICINEMEDICINE

PANDIT, IVY CHANDMD

HEMAT OLOGYHEMAT OLOGY

PAKBAZ, ZAHRA MD

SCHINKE, STANLEY D

INFECT IOUSINFECT IOUSDISEASEDISEASE

MED-PED ID,

MALLELA, SUDHAKARV

INT ERNALINT ERNALMEDICINEMEDICINE

AGARWAL, ASHOK MD

BOKHARI, SYED W MD

IGWE JR, DANIEL MD

ZAMFIRESCU-ALEXANDER, PETERLEON MD

LIC CLINLIC CLINSOCIAL WKRSOCIAL WKR

MC CABE, GAIL LCSW

KABOYASHI, SAORI GLCSW

MEDICALMEDICALONCOLOGYONCOLOGY

TSAI, JAMES MD

MULT IPLE SPECMULT IPLE SPECGRPGRP

RAINCROSS MEDICAL,GROUP

NEUROLOGYNEUROLOGY

ATTENHOFER, KEVINMD

KHAYALI,MOHAMMAD R

SALIM, MUHAMMAD FMD

UDDIN, MOHAMMAD

135

Page 136: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Vantage Medica l Group (P09)Vantage Medica l Group (P09)

OBST ET RICS &OBST ET RICS &GYNECOLOGYGYNECOLOGY

ASLIAN, AZITA MD

CALINISAN, JOAN MD

MOOLA, SUDHA MD

REY, RODOLFO MD

URSO, MARY JO VITADO

VADAPARAMPIL,JANET MD

OCCUPAT IONALOCCUPAT IONALMEDICINEMEDICINE

MELENDEZ, DIANA E

OPHT HALMOLOGYOPHT HALMOLOGY

BHAVAN, SATHY MD

BLACHARSKI, PAUL AMD

CALIFORNIACATARACT, CTR DBACA EYE PROF

BONDS, PAULMICHAEL MD

PALANCA-CAPRISTRANO,ANGELITA

CHIN, ERIC K MD

DHOOT, SONIA MD

GOLLOGLY, HEIDRUNELISABETH MD

INLAND EYE,SPECIALISTS

JOSEPH, JEFFREY MD

KHANDAN, SARA MD

LIN, THEODORE K MD

NAMBIAR, MARGARET

PABALAN, FRANCISCOJ

PHILLIPS, BARATT MD

SONG, MI-KYOUNGMD

STEVENS, JEFFREY LMD

TEW, JOHN

OT OLARYNGOLOGYOT OLARYNGOLOGY(ENT )(ENT )

TIAN, QING J. MD

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

PAINPAINMANAGEMENTMANAGEMENT

CHEN, HAMILTONTSE-YING. MD

DORAISWAMY, ARULMD

GRECO, DONALDJAMES MD

GUIANG, RAINIER MD

KHATIBI, NIKAN DO

KIM, HYUNG MD

KY, LENG THAI MD

LEE, INSUN MD

LEIER, TIM MD

LEIER, TIM U MD

LYNCH, MARC DO

MASLIN, BENJAMINMD

MOELLER-BERTRAM,TOBIAS MD

MOELLER-BERTRAM,TOBIAS MD

PANG, GARY MD

PATEL, ABHISHEK

RATNAYAKE,DILANGANI MD

SYNOVATIONMEDICAL, GROUP

PHYS/OCCPHYS/OCCT HERAPYT HERAPY

CHASE, WAYNE OT

WHITE, CHARLES L.OT

PODIAT RYPODIAT RY

BUSCH, JEREMY ADPM

GASKINS, ROLANDDPM

QARMON PC, CAFOOT & ANKLE CLN

NGUYEN, THO THIDPM

PAOLERCIO, NANCY L

SPRINGWOODPODIATRY,

TSUTSUMI, ROGER YDPM

TSUTSUMI, ROGER YDPM

PSYCHIAT RISTPSYCHIAT RIST

KHAJA, ALIUDDIN

SALIM, MUHAMMAD FMD

VALE, NICOLE M

PULMONARYPULMONARYDISEASEDISEASE

EL-BERSHAWI, AHMEDS MD

RUTLAND, CEDRIC J FMD

GHAZARIAN, ZERONMD

HARIANAWALA, SALIMMD

HENNINGER JR,DELMER W MD

HSIEH, JERRY N MD

ISMAIL, HEBA MD

LEE, YOUNG MD

MENDOZA, LILIANA ADO

ZAMFIRESCU-ALEXANDER, PETERLEON MD

RADIOLOGYRADIOLOGYONCOLOGYONCOLOGY

MASEK, THEODORE DMD

136

Page 137: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Vantage Medica l Group (P09)Vantage Medica l Group (P09)

REHAB PHYSREHAB PHYSMEDICINEMEDICINE

AILINANI, HARY MD

KIM, HYUNG MD

SYNOVATIONMEDICAL, GROUP

RHEUMAT OLOGYRHEUMAT OLOGY

AHMAD, NAILABUSHRA MD

CHAVEZ-CHIANG,NATALIA ROCIO MD

HSU, SHERI MD

TRIVEDI, JANKI

SLEEPSLEEPMEDICINEMEDICINE

BREATHEDIAGNOSTICS,

KHAJA, ALIUDDIN

SPEECHSPEECHPAT HOLOGYPAT HOLOGY

CLAYTON, KRISTINESLP

NISHIKAWA, LYNNE KSLP

TERRIQUEZ CHUO,MARIA SLP

SURGERY,SURGERY,COLON/RECT ALCOLON/RECT AL

GORSKI, TITO MD

SURGERY,SURGERY,GENERALGENERAL

CORDERO, RAYMUNDS MD

CROSS, MICHAEL LMD

DADA, STEPHEN MD

DADA, FESTUS MD

ESSIEN, FRANCIS MD

GORSKI, TITO MD

GORSKI, YARA C MD

HUSSAIN, FARABI MD

HUSTED, JOHN MD

IGWE JR, DANIEL MD

JOHNSEN, HEGE MD

OWENS, CRAIG C MD

YU, SON HA MD

SURGERY,SURGERY,NEUROLOGICALNEUROLOGICAL

CRAMER, DENNIS DO

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

BRIGGS, DUSTIN MD

CRATER, RONALD BMD

FENISON, ANTHONYMD

GOLDEN TRIANGLE,SURGICENTER

HAIDER, THOMAS MD

CRAMER, DENNIS DO

HUISH, RICHARD T DO

JERCINOVICH, IGORMD

KHAMSI, BABAK MD

PANSE, MILIND MD

TOOMA, GHASSAN

SURGERY,SURGERY,PLAST ICPLAST IC

MUDGE, BRADLEY MD

SURGERY,SURGERY,T HORACICT HORACIC

PRESSER, ERIC R MD

SURGERY,SURGERY,VASCULARVASCULAR

CHAN, ALLEN

DERDERIAN, TREVORJOHN MD

GORSKI, YARA C MD

GREWAL, PRABHJOTMD

LEE, JOHN J MD

LEE, JOHN J MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

UROLOGYUROLOGY

LEE, SAMUEL

SHANDERA, KEVINCHARLES MD

TAKESITA, KEN MD

TSI, SY MD

UROLOGICINSTITUTE, (RANCHOMIRAGE)

WALKER, CARL

YUN, EDWARD J MD

137

Page 138: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

PRIMARYPRIMARYCARECAREPHYSICIANSPHYSICIANSAFFIL IATEDAFFIL IATEDDIRECTLYDIRECTLYWITH BRANDWITH BRANDNEW DAYNEW DAY

Pr imary Care Physic ians Af f i l ia ted Direct ly with Brand New DayPr imary Care Physic ians Af f i l ia ted Direct ly with Brand New Day

BanningBanning

INT ERNALINT ERNALMEDICINEMEDICINE

L IMON, J OSE MLIMON, J OSE MInland PsychiatricMedical Group MorenoValley (MH09)Inland PsychiatricMedical GroupMurrietta (MH16)Inland PsychiatricMedical GroupRedlands (MH02)Jose LimonMD (MH39)Provider # 2E34264 N HIGHLAND,SPRINGS AVE 3DBanning, CA 92220951-845-6993951-845-6993

QAZ I , NAWAZ ISH SQAZ I , NAWAZ ISH SBrand New DayRiverside Affiliates(P20)Jose LimonMD (MH39)Provider # NAQA1264 N HIGHLAND,SPRINGS AVE #2ABanning, CA 92220951-845-8856951-845-8856

SCHWART Z ,SCHWART Z ,ST ANLEYST ANLEYNew Millenium IPA(M110)Provider # 2D35264 N HIGHLAND,SPRINGS AVE #1ABanning, CA 92220951-682-1099951-682-1099

Bl yt heBl yt he

FED QUALFED QUALHEALT H CT RHEALT H CT R

CLIN ICAS DECLIN ICAS DESALUD, DELSALUD, DELPUEBLOPUEBLOOutreach Care MedicalGroup (MH69)Provider # BLHC321 W HOBSONWAY#C,Blythe, CA 92225760-922-4981760-922-4981

Coac hel l aCoac hel l a

FAMILYFAMILYPRACT ICEPRACT ICE

GIBBS, RANDOLPHGIBBS, RANDOLPHDDOutreach Care MedicalGroup (MH69)Provider # GIRN50249 CESAR CHAVEZ,#KCoachella, CA 92236760-393-0555760-393-0555

PANDEY, MANIKAPANDEY, MANIKAOutreach Care MedicalGroup (MH69)Provider # MAPA4949111 HWY 111,Coachella, CA 92236760-393-0555760-393-0555

Cor onaCor ona

FAMILYFAMILYPRACT ICEPRACT ICE

DYSINGER, WAYNEDYSINGER, WAYNEMDMDLifestyle MedicalSolution (P67)Provider # WADY1800 MAGNOLIA AVE,#105Corona, CA 92879951-742-7324951-742-7324

OHRI , SAMEEROHRI , SAMEERSameer OhriMD (P90)Provider # OHRI1280 CORONAPOINTE, CT #118Corona, CA 92879951-817-5000951-817-5000

SHAH, RUPAL BSHAH, RUPAL BInland PsychiatricMedical Group Corona(MH08)Inland PsychiatricMedical GroupMurrietta (MH16)Inland PsychiatricMedical GroupRiverside (MH36)Jun ChiongMD (MH90)Provider # RUSH5770 MAGNOLIA AVE,#1KCorona, CA 92879951-738-0303951-738-0303

HemetHemet

FAMILYFAMILYPRACT ICEPRACT ICE

GANT A, SANYASIGANT A, SANYASIBrand New DayRiverside Affiliates(P20)Inland PsychiatricMedical Group Hemet(MH07)Provider # BU27225 N LARSEN ST,Hemet, CA 92543951-925-6657951-925-6657

138

Page 139: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Pr imary Care Physic ians Af f i l ia ted Direct ly with Brand New DayPr imary Care Physic ians Af f i l ia ted Direct ly with Brand New Day

LEWIS, MICHELLELEWIS, MICHELLEMDMDAbid HussainMD (P100)Andro SharobiemMD (P86)Inland PsychiatricMedical Group Hemet(MH07)Inland PsychiatricMedical GroupMurrietta (MH16)Joel Pengson MD (P30)Sameer OhriMD (P90)SJ Medical Clinic(MH35)Timothy J KilleenMD (P97)Young Hun LeeMD (P82)Provider # MILE401011 E DEVONSHIRE,AVE #203Hemet, CA 92543951-330-3550951-330-3550

O'BR IEN,O'BR IEN,KAT HARINE DOKAT HARINE DOBrand New DayRiverside Affiliates(P20)Provider # KAOB141600 E FLORIDA AVE,#103Hemet, CA 92544951-929-8121951-929-8121

INT ERNALINT ERNALMEDICINEMEDICINE

BARVE, PRANAVBARVE, PRANAVMDMDBrand New DayRiverside Affiliates(P20)Provider # PRBA31600 E FLORIDA AVE,#103Hemet, CA 92544951-929-8121951-929-8121

HARSANY J R ,HARSANY J R ,J OHNJ OHNInland PsychiatricMedical Group Corona(MH08)Inland PsychiatricMedical Group Hemet(MH07)Inland PsychiatricMedical Group MorenoValley (MH09)Inland PsychiatricMedical GroupMurrietta (MH16)Inland PsychiatricMedical GroupRedlands (MH02)Provider # JOHA28850 E LATHAM, STE201Hemet, CA 92543951-925-6657951-925-6657

HARSANY J R ,HARSANY J R ,J OHNJ OHNInland PsychiatricMedical Group Corona(MH08)Inland PsychiatricMedical Group Hemet(MH07)Inland PsychiatricMedical Group MorenoValley (MH09)Inland PsychiatricMedical GroupRedlands (MH02)Provider # JOHA30255 N GILBERT ST, #BHemet, CA 92543909-925-6657909-925-6657

HUSSAIN , ABID MDHUSSAIN, ABID MDAbid HussainMD (P100)Inland PsychiatricMedical Group Hemet(MH07)Inland PsychiatricMedical Group MorenoValley (MH09)Inland PsychiatricMedical Group PalmSprings (MH32)Inland PsychiatricMedical GroupPomona / Claremont(MH10)Inland PsychiatricMedical Group RanchoCucamonga (MH33)Inland PsychiatricMedical GroupRedlands (MH02)Inland PsychiatricMedical GroupRiverside (MH36)Inland PsychiatricMedical GroupVictorville (MH46)Jun ChiongMD (MH90)Provider # ABHU255 N GILBERT, BLDGB4Hemet, CA 92543951-652-0060951-652-0060

139

Page 140: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Pr imary Care Physic ians Af f i l ia ted Direct ly with Brand New DayPr imary Care Physic ians Af f i l ia ted Direct ly with Brand New Day

KOLL I , HEMCHANDKOLLI , HEMCHANDMDMDInland PsychiatricMedical Group Hemet(MH07)Provider # HEKO991278 E LATHAM AVE,Hemet, CA 92543951-929-8121951-929-8121

KOLL I , HEMCHANDKOLLI , HEMCHANDBrand New DayRiverside Affiliates(P20)Inland PsychiatricMedical Group Corona(MH08)Inland PsychiatricMedical Group Hemet(MH07)Inland PsychiatricMedical GroupMurrietta (MH16)Inland PsychiatricMedical GroupRiverside (MH36)Provider # HEKO21278 E LATHAM AVE,#CHemet, CA 92543951-925-6625951-925-6625

KOLL I , HEMCHANDKOLLI , HEMCHANDBrand New DayRiverside Affiliates(P20)Provider # KOHE31600 E FLORIDA AVE,#103Hemet, CA 92544951-764-0200951-764-0200

QUERESHI ,QUERESHI ,KAMRAN AKAMRAN AInland PsychiatricMedical Group Corona(MH08)Inland PsychiatricMedical Group Hemet(MH07)Inland PsychiatricMedical Group MorenoValley (MH09)Inland PsychiatricMedical GroupMurrietta (MH16)Inland PsychiatricMedical Group PalmSprings (MH32)Inland PsychiatricMedical GroupRedlands (MH02)Provider # KAQU22589 W FLORIDA AVE,Hemet, CA 92543951-765-1023951-765-1023

Ind ioInd io

FAMILYFAMILYPRACT ICEPRACT ICE

LEWIS, MICHELLELEWIS, MICHELLEMDMDInland PsychiatricMedical Group PalmSprings (MH32)Provider # MILE3681812 DOCTORCARREON, BLVD #DIndio, CA 92201760-347-7676760-347-7676

La Quint aLa Quint a

FAMILYFAMILYPRACT ICEPRACT ICE

LEWIS, MICHELLELEWIS, MICHELLEMDMDInland PsychiatricMedical Group PalmSprings (MH32)Provider # MILE3879200 CORPORATECTR, DR #101La Quinta, CA 92253760-656-6100760-656-6100

Lake E l s ino r eLake E l s ino r e

FAMILYFAMILYPRACT ICEPRACT ICE

RIOS, J AVIER R MDRIOS, J AVIER R MDBrand New DayRiverside Affiliates(P20)Provider # JARI1141 N MAIN ST,Lake Elsinore, CA92530951-245-7007951-245-7007

INT ERNALINT ERNALMEDICINEMEDICINE

PENGSON, J OELPENGSON, J OELInland PsychiatricMedical Group Corona(MH08)Inland PsychiatricMedical Group Hemet(MH07)Inland PsychiatricMedical Group MorenoValley (MH09)Inland PsychiatricMedical GroupRedlands (MH02)Inland PsychiatricMedical GroupRiverside (MH36)Provider # JOPG31571 CANYONESTATES, DR # 225Lake Elsinore, CA92532951-243-6460951-243-6460

Mec c aMec c a

FED QUALFED QUALHEALT H CT RHEALT H CT R

CLIN ICAS DECLIN ICAS DESALUD, DELSALUD, DELPUEBLOPUEBLOOutreach Care MedicalGroup (MH69)Provider # MEHC191275 66TH AVE #500,Mecca, CA 92254760-396-0521760-396-0521

140

Page 141: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Pr imary Care Physic ians Af f i l ia ted Direct ly with Brand New DayPr imary Care Physic ians Af f i l ia ted Direct ly with Brand New Day

Mor eno Val l eyMor eno Val l ey

INT ERNALINT ERNALMEDICINEMEDICINE

DESAI , ARCHISDESAI , ARCHISInland PsychiatricMedical Group Hemet(MH07)Inland PsychiatricMedical Group MorenoValley (MH09)Inland PsychiatricMedical Group PalmSprings (MH32)Inland PsychiatricMedical GroupPomona / Claremont(MH10)Inland PsychiatricMedical Group RanchoCucamonga (MH33)Inland PsychiatricMedical GroupRedlands (MH02)Inland PsychiatricMedical GroupVictorville (MH46)Provider # ARDE923110 ATLANTIC #F,Moreno Valley, CA92553909-735-2446909-735-2446

L IMON, J OSE MLIMON, J OSE MInland PsychiatricMedical Group Corona(MH08)Inland PsychiatricMedical Group Hemet(MH07)Inland PsychiatricMedical Group MorenoValley (MH09)Inland PsychiatricMedical GroupMurrietta (MH16)Inland PsychiatricMedical Group PalmSprings (MH32)Inland PsychiatricMedical Group RanchoCucamonga (MH33)Inland PsychiatricMedical GroupRedlands (MH02)Jose LimonMD (MH39)Provider # 2E3522635 ALESSANDRO,BLVD #AMoreno Valley, CA92553951-242-2226951-242-2226

PENGSON, J OEL APENGSON, J OEL AMDMDInland PsychiatricMedical Group Corona(MH08)Inland PsychiatricMedical Group Hemet(MH07)Inland PsychiatricMedical Group MorenoValley (MH09)Inland PsychiatricMedical Group RanchoCucamonga (MH33)Inland PsychiatricMedical GroupRedlands (MH02)Joel Pengson MD (P30)Provider # JOPE3024060 FIR AVE, #AMoreno Valley, CA92553951-243-6460951-243-6460

SCHWART Z ,SCHWART Z ,ST ANLEY MDST ANLEY MDJun ChiongMD (MH90)New Millenium IPA(M110)Provider # SCST912980 FREDERICK ST,#IMoreno Valley, CA92553951-924-3244951-924-3244

Mur r ie t aMur r ie t a

FAMILYFAMILYPRACT ICEPRACT ICE

YUN, J ONAT HAN YYUN, J ONAT HAN YDODOInland PsychiatricMedical GroupMurrietta (MH16)Livingwater's MedicalClinic (P28)Provider # JOYU224910 LAS BRISAS RD,,#111Murrieta, CA 92562951-694-8549951-694-8549* Does not ac c ept* Does not ac c eptMed i-CalMed i-Cal

MCKERAHAN,MCKERAHAN,KELLYKELLYInland PsychiatricMedical Group Corona(MH08)Inland PsychiatricMedical GroupMurrietta (MH16)Inland PsychiatricMedical GroupRiverside (MH36)Jun ChiongMD (MH90)Provider # KEMC25095 JEFFERSONAVE, #202Murrieta, CA 92562951-696-9566951-696-9566

INT ERNALINT ERNALMEDICINEMEDICINE

141

Page 142: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Pr imary Care Physic ians Af f i l ia ted Direct ly with Brand New DayPr imary Care Physic ians Af f i l ia ted Direct ly with Brand New Day

DESAI , ARCHIS MDDESAI , ARCHIS MDInland PsychiatricMedical Group Corona(MH08)Inland PsychiatricMedical Group Hemet(MH07)Inland PsychiatricMedical Group MorenoValley (MH09)Inland PsychiatricMedical GroupMurrietta (MH16)Inland PsychiatricMedical Group PalmSprings (MH32)Inland PsychiatricMedical GroupPomona / Claremont(MH10)Inland PsychiatricMedical Group RanchoCucamonga (MH33)Inland PsychiatricMedical GroupRedlands (MH02)Inland PsychiatricMedical GroupRiverside (MH36)Inland PsychiatricMedical GroupVictorville (MH46)Provider # ARDE225108 JEFFERSONAVE, #BMurrieta, CA 92562909-735-2446909-735-2446

LEE, YOUNGLEE, YOUNGYoung Hun LeeMD (P82)Provider # YOLE525405 HANCOCK AVE,#104Murrieta, CA 92562951-777-5089951-777-5089

WILL IAMS, LAURAWILL IAMS, LAURAJun ChiongMD (MH90)Provider # LAWI25102 JEFFERSONAVE, #AMurrieta, CA 92562951-696-4009951-696-4009

Pal m Spr ing sPal m Spr ing s

FAMILYFAMILYPRACT ICEPRACT ICE

CARLSON, LUANNECARLSON, LUANNEMARIE DOMARIE DOAllied Health SolutionMedical Group (MH15)American HealthServices (MH05)Brand New DayBrookhurst (MH01)Brand New Day LongBeach Affiliates (MH03)Brand New Day LosAngeles Affiliates(MH18)Inland PsychiatricMedical Group Corona(MH08)Inland PsychiatricMedical Group Hemet(MH07)Inland PsychiatricMedical Group MorenoValley (MH09)Inland PsychiatricMedical GroupMurrietta (MH16)Inland PsychiatricMedical GroupRedlands (MH02)Joey SantosMD (MH17)Kern Psychiatric andWellness Center(MH04)Memorial CounselingAssociates (MH06)Provider # LUCA10555 E TACHEVAH DR, #2E-107Palm Springs, CA92262760-561-7373760-561-7373

LEWIS, MICHELLELEWIS, MICHELLEMDMDInland PsychiatricMedical Group PalmSprings (MH32)Provider # MILE371080 N INDIANCANYON, DR #203Palm Springs, CA92262760-320-8005760-320-8005

MORGAN, YVONNEMORGAN, YVONNEInland PsychiatricMedical Group Corona(MH08)Inland PsychiatricMedical Group Hemet(MH07)Inland PsychiatricMedical Group MorenoValley (MH09)Inland PsychiatricMedical Group PalmSprings (MH32)Inland PsychiatricMedical Group RanchoCucamonga (MH33)Inland PsychiatricMedical GroupRedlands (MH02)Provider # YVMO11080 N INDIANCANYON, DR #200Palm Springs, CA92262760-318-0067760-318-0067

142

Page 143: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Pr imary Care Physic ians Af f i l ia ted Direct ly with Brand New DayPr imary Care Physic ians Af f i l ia ted Direct ly with Brand New Day

INT ERNALINT ERNALMEDICINEMEDICINE

NARAYAN,NARAYAN,DHARMAVIJ AYPALDHARMAVIJ AYPALR MDR MDBrand New Day KernAffiliates (P99)Brand New DayRiverside Affiliates(P20)Inland PsychiatricMedical Group PalmSprings (MH32)Provider # DHNA21401 NORTH PALM,CANYON #100Palm Springs, CA92262760-699-2740760-699-2740

Ranc ho Mir ag eRanc ho Mir ag e

FAMILYFAMILYPRACT ICEPRACT ICE

LEWIS, MICHELLELEWIS, MICHELLEMDMDInland PsychiatricMedical Group PalmSprings (MH32)Provider # MILE3536101 BOB HOPE DR,#B-2Rancho Mirage, CA92270760-321-1315760-321-1315

INT ERNALINT ERNALMEDICINEMEDICINE

AZ AM, SYED F MDAZ AM, SYED F MDIndus MedicalAssociated (P110)Provider # SYAZ35400 BOB HOPE DR,#209Rancho Mirage, CA92270760-202-0686760-202-0686

MANN,MANN,RAVINDERPAL SRAVINDERPAL SOutreach Care MedicalGroup (MH69)Provider # RAMA303900 BOB HOPE DR,#K307Rancho Mirage, CA92270760-674-8894760-674-8894

R iver s id eR iver s id e

FAMILYFAMILYPRACT ICEPRACT ICE

DYSINGER, WAYNEDYSINGER, WAYNEMDMDLifestyle MedicalSolution (P67)Provider # WADY4368 CENTRAL AVE,Riverside, CA 92506951-742-7324951-742-7324

L IU , WINSON MDLIU , WINSON MDBrand New DayRiverside Affiliates(P20)Provider # WILI53838 SHERMAN DR,#10Riverside, CA 92503951-688-3849951-688-3849

OHRI , SAMEER MDOHRI , SAMEER MDLifestyle MedicalSolution (P67)Provider # SAOH324368 CENTARL AVE,Riverside, CA 92506951-742-7324951-742-7324

PANDIT , D IPIKA RPANDIT , D IPIKA RLifestyle MedicalSolution (P67)Provider # DIPA44368 CENTRAL AVE,Riverside, CA 92506951-742-7324951-742-7324

R IOS, J AVIER R MDRIOS, J AVIER R MDBrand New DayRiverside Affiliates(P20)Provider # JARI29939 MAGNOLIA AVE,Riverside, CA 92503951-687-8802951-687-8802

SHAH, DAMPASHAH, DAMPANIKHIL MDNIKHIL MDMetropolitan FamilyMedical Clinic (P142)Provider # DASH24990 ARLINGTONAVE, #DRiverside, CA 92504951-785-9011951-785-9011

INT ERNALINT ERNALMEDICINEMEDICINE

BISHARA, MICHAELBISHARA, MICHAELMDMDBrand New DayRiverside Affiliates(P20)Brand New Day SouthOrange CountyAffiliates (MH23)Inland PsychiatricMedical Group Corona(MH08)Inland PsychiatricMedical Group MorenoValley (MH09)Inland PsychiatricMedical GroupRiverside (MH36)Jun ChiongMD (MH90)Kern Psychiatric andWellness Center(MH04)Memorial CounselingAssociates (MH06)Provider # MIBI16896 MAGNOLIA AVE,Riverside, CA 92506951-787-4885951-787-4885

143

Page 144: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

GASK INS, REUEL TGASK INS, REUEL TBrand New DayBarstow Affiliates(MH11)Brand New Day DelanoAffiliates (MH29)Inland PsychiatricMedical Group Corona(MH08)Inland PsychiatricMedical Group Hemet(MH07)Inland PsychiatricMedical Group MorenoValley (MH09)Inland PsychiatricMedical GroupMurrietta (MH16)Inland PsychiatricMedical Group PalmSprings (MH32)Inland PsychiatricMedical GroupPomona / Claremont(MH10)Inland PsychiatricMedical Group RanchoCucamonga (MH33)Inland PsychiatricMedical Group RanchoCucamonga (MH26)Inland PsychiatricMedical GroupRedlands (MH02)Inland PsychiatricMedical GroupRiverside (MH36)Inland PsychiatricMedical GroupVictorville (MH27)Provider # REGA32671 IOWA AVE,Riverside, CA 92507951-784-0444951-784-0444* Does not ac c ept* Does not ac c eptMed i-CalMed i-Cal

144

Page 145: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Pr imary Care Physic ians Af f i l ia ted Direct ly with Brand New DayPr imary Care Physic ians Af f i l ia ted Direct ly with Brand New Day

MANGOBA,MANGOBA,MELANCHT ONMELANCHT ONSan Miguel IPA (MH54)Provider # MAME6377 RIVERSIDE AVE,#B101Riverside, CA 92506951-686-3437951-686-3437

R IOS, J AVIER RR IOS, J AVIER RBrand New DayRiverside Affiliates(P20)San Martin De PorresMedical Clinic of SouthGate (P22)Provider # JARI84022 CHICAGO AVE,Riverside, CA 92507855-505-7467855-505-7467

SAPIEN, DAVID MDSAPIEN, DAVID MDInland PsychiatricMedical Group Corona(MH08)Inland PsychiatricMedical Group Hemet(MH07)Inland PsychiatricMedical Group MorenoValley (MH09)Inland PsychiatricMedical GroupMurrietta (MH16)Inland PsychiatricMedical Group PalmSprings (MH32)Inland PsychiatricMedical GroupPomona / Claremont(MH10)Inland PsychiatricMedical Group RanchoCucamonga (MH33)Inland PsychiatricMedical GroupRedlands (MH02)Inland PsychiatricMedical GroupRiverside (MH36)Inland PsychiatricMedical GroupVictorville (MH46)Provider # DASA414085 BROCKTON AVE,Riverside, CA 92501951-520-1777951-520-1777

SCHWART Z ,SCHWART Z ,ST ANLEYST ANLEYNew Millenium IPA(M110)Provider # 2D367724 CALIFORNIAAVE,Riverside, CA 92504951-977-8580951-977-8580

SHAROBIEM,SHAROBIEM,ANDRO N MDANDRO N MDAndro SharobiemMD (P86)Provider # ANSH143634 ELIZABETH ST,Riverside, CA 92506951-788-0008951-788-0008

YANG, KEE I MDYANG, KEE I MDMission Medical Clinic(P104)Provider # KEYA6334 MISSION BLVD,Riverside, CA 92509951-248-9113951-248-9113

San J ac int oSan J ac int o

FAMILYFAMILYPRACT ICEPRACT ICE

LEWIS, MICHELLELEWIS, MICHELLEMDMDAbid HussainMD (P100)Andro SharobiemMD (P86)Inland PsychiatricMedical Group Hemet(MH07)Inland PsychiatricMedical GroupMurrietta (MH16)Joel Pengson MD (P30)Sameer OhriMD (P90)SJ Medical Clinic(MH35)Timothy J KilleenMD (P97)Young Hun LeeMD (P82)Provider # MILE391695 S SAN JACINTO,AVE #ASan Jacinto, CA 92583951-330-3100951-330-3100

GENERALGENERALPRACT ICEPRACT ICE

145

Page 146: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Pr imary Care Physic ians Af f i l ia ted Direct ly with Brand New DayPr imary Care Physic ians Af f i l ia ted Direct ly with Brand New Day

KOKA, VIDHYAKOKA, VIDHYALAKSHMILAKSHMIInland PsychiatricMedical Group Corona(MH08)Inland PsychiatricMedical Group Hemet(MH07)Inland PsychiatricMedical Group MorenoValley (MH09)Inland PsychiatricMedical GroupPomona / Claremont(MH10)Inland PsychiatricMedical Group RanchoCucamonga (MH33)Inland PsychiatricMedical GroupRedlands (MH02)SJ Medical Clinic(MH35)Provider # KOKA1579 S SAN JACINTO,#ASan Jacinto, CA 92583951-665-1100951-665-1100

INT ERNALINT ERNALMEDICINEMEDICINE

CHUY, EL IZ ABET HCHUY, EL IZ ABET HLEELEEInland PsychiatricMedical Group Hemet(MH07)Provider # ELCH13341 E MAIN ST, #100San Jacinto, CA 92583951-564-9367951-564-9367

GUPT A, RAKESH CGUPT A, RAKESH CBrand New DayPalmdale Affiliates(MH31)Provider # RAGU2341 E MAIN ST, #100San Jacinto, CA 92583951-654-9367951-654-9367

GUPT A, NEELAMGUPT A, NEELAMBrand New Day SanGabriel Valley Affiliates(MH22)Inland PsychiatricMedical Group Corona(MH08)Inland PsychiatricMedical Group Hemet(MH07)Inland PsychiatricMedical Group MorenoValley (MH09)Inland PsychiatricMedical Group PalmSprings (MH32)Inland PsychiatricMedical Group RanchoCucamonga (MH33)Inland PsychiatricMedical GroupRedlands (MH02)Memorial CounselingAssociates (MH06)Provider # NEGU1341 E MAIN ST, #100San Jacinto, CA 92583951-654-9367951-654-9367

Sun Cit ySun Cit y

INT ERNALINT ERNALMEDICINEMEDICINE

GUPT A, NEELAMGUPT A, NEELAMInland PsychiatricMedical Group Hemet(MH07)Inland PsychiatricMedical Group MorenoValley (MH09)Inland PsychiatricMedical GroupMurrietta (MH16)Inland PsychiatricMedical Group RanchoCucamonga (MH26)Provider # BU1527994 BRADLEY RD, #ESun City, CA 92586951-566-3568951-566-3568

T emec ul aT emec ul a

FAMILYFAMILYPRACT ICEPRACT ICE

LEWIS, MICHELLELEWIS, MICHELLEMDMDAbid HussainMD (P100)Andro SharobiemMD (P86)Inland PsychiatricMedical Group Hemet(MH07)Inland PsychiatricMedical GroupMurrietta (MH16)Joel Pengson MD (P30)Sameer OhriMD (P90)SJ Medical Clinic(MH35)Timothy J KilleenMD (P97)Young Hun LeeMD (P82)Provider # MILE4227699 JEFFERSONAVE, #201Temecula, CA 92590760-573-2220760-573-2220

INT ERNALINT ERNALMEDICINEMEDICINE

AHMED, PARVEENAHMED, PARVEENMDMDInland PsychiatricMedical GroupMurrietta (MH16)Provider # PAAH328975 OLD TOWN,Temecula, CA 92590951-719-3111951-719-3111

146

Page 147: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Pr imary Care Physic ians Af f i l ia ted Direct ly with Brand New DayPr imary Care Physic ians Af f i l ia ted Direct ly with Brand New Day

K ILLEEN, T IMOT HYK ILLEEN, T IMOT HYJJLifestyle MedicalSolution (P67)Timothy J KilleenMD (P97)Provider # TIJK29645 RANCHO,CALIFORNIA RD #226Temecula, CA 92591951-694-4304951-694-4304

T her malT her mal

FAMILYFAMILYPRACT ICEPRACT ICE

GASCON, DIANA ZGASCON, DIANA ZL MDL MDGolden Age IPA(MH83)Kahen and Kahen MDInc (P112)Provider # DIGA455497 VAN BUREN ST,Thermal, CA 92274760-399-4526760-399-4526

147

Page 148: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

SPECIAL ISTSSPECIAL ISTSAFFIL IATEDAFFIL IATEDDIRECTLYDIRECTLYWITH BRANDWITH BRANDNEW DAYNEW DAY

Specia l ist s Af f i l ia ted Direct ly with Brand New DaySpecia l ist s Af f i l ia ted Direct ly with Brand New Day

ADDICT IONADDICT IONMEDICINEMEDICINE

BISHARA, MICHAELMD

ALLERGY &ALLERGY &IMMUNOLOGYIMMUNOLOGY

ASTHMA ANDALLERGY, MEDICALGROUP

WALDMAN, DAVID MD

ANEST HESIOLOGYANEST HESIOLOGY

BAKER, GARYLAMONT

DORAISWAMY, ARULMD

GRECO, DONALDJAMES MD

GUIANG, RAINIER MD

KANU, ABDUL MD

KY, LENG THAI MD

LEIER, TIM MD

LEIER, TIM U MD

LYNCH, MARC DO

MASLIN, BENJAMINMD

MOELLER-BERTRAM,TOBIAS MD

MOELLER-BERTRAM,TOBIASCORPORATION

POOLE, GARRETT RMD

PRABHU, NAMRAHATAMD

RATNAYAKE,DILANGANI MD

SYNOVATIONMEDICAL, GROUP

CARDIOLOGYCARDIOLOGY

ADVANCED HEART &,VASCULAR PHYS INC

ATTIA, NADER N. DO

BECKERMAN, BROMMD

BUI, BRIAN A

GANDHI,DIPESHKUMAR K

GRANT-ANDERSON,BETTY MD

GUNDRY, STEVEN

JANDALI, AMER A

MESSENGER,BRADLEY S MD

MOLONEY, PATRICKM

MUKHERJEE, ASHIS

PACIFIC HEART MEDGR,

PAREKH, NIRAJ V. MD

CARDIOLOGY SPEC,MEDICAL GROUP

PLASENCIA, GILBERT

RASTOGI, ANISHA MD

SCHATZ, ROBERTELLIOT

TIWARI, RATAN L MD

TUQAN, SA'D MD

WADHWA, PARVINDARS

WHITWAM, WAYNE

CARDIOVASCULARCARDIOVASCULARDISEASEDISEASE

AGARWAL, ASHOK K

ALTURJUMAN,AHMAD MD

AMIN, JATIN N MD

BECKERMAN, BROMMD

BISWAS, MIMI MD

BUI, BRIAN A

CAMPO, IVON N

COX, JEREMY MILLSDO

DUONG, TRUONG D

GANDHI,DIPESHKUMAR K

GRANT-ANDERSON,BETTY MD

KELESIDIS, IOSIF MD

KHANDHAR, SUMITMAHENDRA DO

LAI, HOANG MINH

MESSENGER,BRADLEY S MD

MOSCOSO, ROBERTOMD

PAREKH, NIRAJ V. MD

CARDIOLOGY SPEC,MEDICAL GROUP

PLASENCIA, GILBERT

PULUMATI, KRISHNAMD

QASQAS, SHADI A MD

RASTOGI, ANIL K MD

TIWARI, RATAN L MD

TUQAN, SA'D MD

VASUDEVAN,SIVANANDAM

DERMAT OLOGYDERMAT OLOGY

AWADALLA, FARAHMD

BAGHERI, BITA ADIBMD

BEVERLY, ROLANDSPURGEON MD

BROSKA, PAMELA MD

HARFORD, ROBERT

JACOBS, RANDY MD

MESSINA, MICHAEL J

MITCHELL, JESSE

MOHALE, SHARON MPA

MUNYON, THOMASGEORGE MD

SAIED, NAGI KAMILMD

SAKO, ERIC MD

148

Page 149: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Specia l ist s Af f i l ia ted Direct ly with Brand New DaySpecia l ist s Af f i l ia ted Direct ly with Brand New Day

SANDHU, AMANDEEPMD

SHIELL, RONALD DMD

SIMZAR, SOHEIL MD

TRAN, CHUNG NGOC(CHARLES)

WESTDERMATOLOGY,MEDICAL GROUP

WESTDERMATOLOGY,MEDICAL GROUP

WESTDERMATOLOGY,MEDICAL GROUP

WESTDERMATOLOGY,MEDICAL GROUP

WOODHALL, KATRINAELAINE MD

ENDOCRINOLOGYENDOCRINOLOGY

ALNABELSI,MOHAMAD MD

BONNER, ROBERT

DIAL, FREDDIE P

TEMECULA VALLEY,ENDOCRINOLOGY

NORTH COUNTY,ENDOCRINE MEDGROUP

FAMILYFAMILYPRACT ICEPRACT ICE

DOAN, HUNG D MD

MBA, HELENA MD

NOVAK, STEVE MD

SAIED, NAGI K MD

FOOT SURGERYFOOT SURGERY

GREENE, TIMOTHYDPM

MCGRATH, BENJAMINROE DPM

GAST ROENT EROLOGYGAST ROENT EROLOGY

ABDOLLAHZADEH,HOMAN

CHAKRABARTY,MILANKUMAR

CHAKRABARTY,INDRANEEL MD

CHOPRA, RAKESH

CHUNG, BENJAMIN

COLLEN, MARTIN MD

HUANG, GALEN

JAMAL, MOHAMMADM

NAKKA, SREENIVASA R

RAHMING, WILCOTTE

GENERAL PRACT ICEGENERAL PRACT ICE

ANDERSON, ANDREAMD

BOLIVAR, ALVARO

HARRISON, JAMES AMD

GERIAT RICGERIAT RICMEDICINEMEDICINE

SOOD, SANJAY

GYNECOLOGYGYNECOLOGY

TRAN, BICH-VAN T MD

HEMAT OLOGYHEMAT OLOGY

RAOWAS, ANAS MD

SCHINKE, STANLEY D

INFECT IOUSINFECT IOUSDISEASEDISEASE

KERKAR, SHUBHA J

MED-PED ID,

MALLELA, SUDHAKARV

INT ERNALINT ERNALMEDICINEMEDICINE

AGARWAL, ASHOK MD

ATTIA, NADER N. DO

BAER, HOWARD

BISHARA, MICHAELMD

BISWAS, MIMI MD

CAMPO, IVON N

DIAL, FREDDIE P MD

FRENCH, AIMEE MD

GUPTA, RAKESH C

IGWE JR, DANIEL MD

KARODY, RAMESH MD

KHANDHAR, SUMITMAHENDRA DO

LIMON, JOSE M

MOSCOSO, ROBERTOMD

PATEL, CHANDRA DO

RAHMING, WILCOTTE

RASTOGI, ANIL K MD

SCHLUSSELBERG,MARTIN E

SHAROBIEM, ANDRON MD

TABEL, GHASAN M.

WADHWA, PARVINDARS

ZAMFIRESCU-ALEXANDER, PETERLEON MD

LIC CLINLIC CLINSOCIAL WKRSOCIAL WKR

HARRIS, CYNTHIA

MEDICALMEDICALONCOLOGYONCOLOGY

BAQAI, REHANA MD

CHOI, BRIAN MD

TSAI, JAMES

MULT IPLE SPECMULT IPLE SPECGRPGRP

APEX HEALTHCARE,MED CTRORTHPEADICS

MOELLER-BERTRAM,TOBIASCORPORATION

NEPHROLOGYNEPHROLOGY

BADAR, RIZWAN MD

149

Page 150: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Specia l ist s Af f i l ia ted Direct ly with Brand New DaySpecia l ist s Af f i l ia ted Direct ly with Brand New Day

BATARSE, RODOLFO R

HWANG, DANIEL K

NAM, EDUARDO MD

NATH, ASHOK KUMARMD

NEPHROLOGY ASSOC,MEDICAL GROUP

STONE, BRYAN L

TANASESCU, ADINA A

NEUROLOGYNEUROLOGY

AL-KHOURY, LAMA MD

ELHAJJAR, ANTOINE J

ENG, THOMAS T

KHAYALI,MOHAMMAD R

LULE, ENOCH B MD

MORRISON-BANKS,ELIZABETH H MD

RAI, BALDEV MD

RAI, KARANDEV S MD

SONG, DAVID D MD

SYNOVATIONMEDICAL, GROUP

UDDIN, MOHAMMAD

VALLEY NEUROLOGY,MEDICAL GROUP

OBST ET RICS &OBST ET RICS &GYNECOLOGYGYNECOLOGY

ABHYANKAR,SHREEDHAR MD

ASLIAN, AZITA MD

BODON, LISA MD

DIMMETTE, PATTIE J

DIXIT, SUDHAKAR

EMERUWA,IHEANACHO MD

GUPTA, ARUNA MD

HEMET OB GYN,

LEE, JAY K MD

MARCUS, WALTER M

NAMBIAR, MANI MD

NANAYAKKARA,NALIN G MD

PEREZ-MUNOZ,ANTONIO

SEVILLA, JACQUELINE

TUSTISON, KIMBERLYMD

URSO, MARY DO

OCCUPAT IONALOCCUPAT IONALMEDICINEMEDICINE

MELENDEZ, DIANA E

ONCOLOGYONCOLOGY

TAT, SHELLY

OPHT HALMOLOGYOPHT HALMOLOGY

ALLAVIE, JOHN J

BLACHARSKI, PAUL AMD

CALIFORNIACATARACT, CTR DBACA EYE PROF

BONDS, PAULMICHAEL MD

PALANCA-CAPRISTRANO,ANGELITA

CHIN, ERIC K MD

GOLDBAN, WALLACEF

GREWAL, SANJEEVMD

INLAND EYE,SPECIALISTS

JOHNSON, ROGER

JOSEPH, JEFFREY MD

KHANDAN, SARA MD

LIN, THEODORE MD

MACIAS, EDUARDO P

NAMBIAR, MARGARET

PABALAN, FRANCISCOJ

PHILLIPS, BARRATT

RIVERSIDE EYE,SPECIALIST MED GRP

SAINI, ARVIND

SCHULTZ, GERALD

SONG, MI-KYOUNGMD

SORENSON, ROBERTMD

STEVENS, JEFFREY LMD

TEW, JOHN

WAINESS, REID M MD

OPHT HALMOLOGYOPHT HALMOLOGY- RET INA- RET INA

CARLSON, JOHN MD

PESAVENTO, RICHARDMD

OPHT HALMOLOGY,OPHT HALMOLOGY,PEDIAT RICPEDIAT RIC

NAMBIAR, MARGARETMD

OT OLARYNGOLOGYOT OLARYNGOLOGY(ENT )(ENT )

FORRESTER, MICHAELG MD

GREEK, CARL

KALKANIS, JAMES GMD

KATO, BLYTHE M

OT OLOGYOT OLOGY

ALL STAR PHYSICAL,THERAPY

PAINPAINMANAGEMENTMANAGEMENT

ANDERSON, CHARLES

BAKER, GARYLAMONT

BEN-ROOHI, MOSHE S

CHEN, HAMILTONTSE-YING. MD

DORAISWAMY, ARULMD

GRECO, DONALDJAMES MD

GUIANG, RAINIER MD

INLAND PAIN,SPECIALISTS

150

Page 151: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Specia l ist s Af f i l ia ted Direct ly with Brand New DaySpecia l ist s Af f i l ia ted Direct ly with Brand New Day

KANU, ABDUL MD

KIM, HYUNG MD

KY, LENG THAI MD

LEIER, TIM MD

LEIER, TIM U MD

LYNCH, MARC DO

MASLIN, BENJAMINMD

MOELLER-BERTRAM,TOBIAS MD

MOELLER-BERTRAM,TOBIAS MD

PATEL, ABHISHEK

RATNAYAKE,DILANGANI MD

SAWIRIS, NADER MD

SYNOVATIONMEDICAL, GROUP

PHYS/OCCPHYS/OCCT HERAPYT HERAPY

BAST, SIDNEY OT

PODIAT RYPODIAT RY

DRAKE, ROBERT P

GASKINS, ROLANDDPM

GASKINS, ROLANDDPM

QARMON PC, CAFOOT & ANKLE CLN

PAOLERCIO, NANCY L

ROTHSTEIN, ANDREWR

SPRINGWOODPODIATRY,

TSUTSUMI, ROGER YDPM

TSUTSUMI, ROGER YDPM

VOGT, DONALD DPM

PSYCHIAT RISTPSYCHIAT RIST

AFGHAN, RAHIMA

CHATSUTHIPHAN,VISIT

KURRE, RAJABABU

CHUNDU, SAI

DRESBACH, ELAINE C

KHAJA, ALIUDDIN

KIENZLE, HELEN PhD

KUNAM, SYAM P

NALLAMOTHU,BHUVANESWARI

ORANGEPSYCHIATRIC, MEDGROUP

PALADUGU, GEETHAK

MIND & BODYTREATMNT, &RESEARCH INSTITUTE

VALE, NICOLE M

PULMONARYPULMONARYDISEASEDISEASE

ALAZZEH, AHMAD MD

BHAGAVATH, ANITAMD

RUTLAND, CEDRIC J FMD

FRENCH, AIMEE MD

GHAZARIAN, ZERONMD

GUPTA, RAKESH C

HARIANAWALA, SALIMMD

HENNINGER JR,DELMER W MD

HSIEH, JERRY N MD

ISMAIL, HEBA MD

MENDOZA, LILIANA ADO

PATEL, CHANDRA DO

QAZI, AHSAN U

SCHLUSSELBERG,MARTIN E

VEGA, RICARDO

ZAMFIRESCU-ALEXANDER, PETERLEON MD

RADIOLOGYRADIOLOGYONCOLOGYONCOLOGY

GREENBERG, PETERMD

MASEK, THEODORE DMD

REHAB PHYSREHAB PHYSMEDICINEMEDICINE

AILINANI, HARY MD

FREEMAN, DARRENDO

GARRETT, VIRGINIA E

KIM, HYUNG MD

SYNOVATIONMEDICAL, GROUP

RHEUMAT OLOGYRHEUMAT OLOGY

ARTHRITIS MEDICAL,CLINIC

CHAVEZ-CHIANG,NATALIA ROCIO MD

MEHTA,CHANDRAKANT V

RAMASWAMY,DHARMARAJAN MD

TRIVEDI, JANKI

ZAMIRI, BABAK

SLEEPSLEEPMEDICINEMEDICINE

ADVANCED SLEEP,MEDICINE SRVCS, INC

ADVANCED SLEEP,MEDICINE SERVICES

BREATHEDIAGNOSTICS,

KHAJA, ALIUDDIN

PROGRESSIVENEUROLO-, GY &SLEEP MEDICINE

SPEECHSPEECHPAT HOLOGYPAT HOLOGY

CLAYTON, KRISTINESLP

TERRIQUEZ CHUO,MARIA SLP

151

Page 152: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

Specia l ist s Af f i l ia ted Direct ly with Brand New DaySpecia l ist s Af f i l ia ted Direct ly with Brand New Day

SURGERY,SURGERY,COLON/RECT ALCOLON/RECT AL

GORSKI, TITO MD

SURGERY,SURGERY,GENERALGENERAL

AHMAD, BAKHTIAR

ANDERSON, ANDREADINEANE MD

ATTAR, NASEEM A

BOLIVAR, ALVARO

CORDERO, RAYMUNDS MD

ESSIEN, FRANCIS AMD

GORSKI, TITO MD

GORSKI, YARA C MD

IGWE JR, DANIEL MD

JAMIESON, PETER MMD

JOHNSEN, HEGE MD

LARA, GUSTAVO MD

LEONG, BENJAMINYET-FAN MD

CHIN, MICHAEL S

NAFIU, BOLAJI MD

NURICK, HARVEY A

OWENS, CRAIG C

OWENS, CRAIG C MD

SPEKTOR, MAXIM DO

SUH, DAVID Y

WILSON, TARA L

YU, SON HA MD

SURGERY,SURGERY,NEUROLOGICALNEUROLOGICAL

CLARK, LAWRENCEMD

GHOSTINE, SAMER SMD

CRAMER, DENNIS DO

KALOOSTIAN, PAULMD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

ABITBOL, JEAN-JACQUES

BAUM, BRADLEY L MD

FENISON, ANTHONYMD

GOLDEN TRIANGLE,SURGICENTER

HAIDER, THOMAS MD

CRAMER, DENNIS DO

KHAMSI, BABAK MD

LOCKE, JOHN MD

ROGER, DOUGLAS J

PANSE, MILIND MD

PANTAZOPOULOS,CHRISTINA DO

ROGHANI, REZA MD

ROUHE, RICHARD

ARROWHEAD,ORTHOPAEDICS

SERIF, LAWRENCE W

SHOJI, HIROMU MD

SRINIVAS, RAVI MD

TOOMA, GHASSANMD

YOST, BRIAN T DO

SURGERY,SURGERY,PLAST ICPLAST IC

AITKEN, DELMAR R

RIVERSIDE PLASTIC,SURGERY ASSOC INC

SURGERY,SURGERY,T HORACICT HORACIC

PRESSER, ERIC R MD

SURGERY,SURGERY,VASCULARVASCULAR

CHAN, ALLEN

DERDERIAN, TREVORJOHN MD

GORSKI, YARA C MD

GREWAL, PRABHJOTMD

LEE, JOHN J MD

NAFIU, BOLAJI MD

SIVIA, PUSHPINDERSINGH MD

YU, SON HA MD

T ELEMEDICINET ELEMEDICINE

SHAROBIEM, ANDRON MD

UROLOGYUROLOGY

KATZ, ERINELIZABETH MD

LEE, SAMUEL

OELRICH, BEIBEI M.D.

SHEPARD, ERIC

TAKESITA, KEN MD

THAKER, NIMISH

TSI, SY MD

UROLOGICINSTITUTE, (RANCHOMIRAGE)

WALKER, CARL

YUN, EDWARD J MD

WOUND CAREWOUND CARE

ANDERSON, ANDREAMD

152

Page 153: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

HOSPITALSHOSPITALSBanningBanning

San Gor g onioSan Gor g onioMemor ia l Hospit a lMemor ia l Hospit a lProvider # SGPM600 N. HighlandSprings Ave.,Banning, CA 92220(909) 845-1121(909) 845-1121

Cor onaCor ona

Cor ona Reg ionalCor ona Reg ionalMed ic al Cent erMed ic al Cent erProvider # CRMC800 South Main St.,Corona, CA 92882(909) 737-4343(909) 737-4343

Cor ona Reg ionalCor ona Reg ionalRehabil i t at ionRehabil i t at ionProvider #730 Magnolia Avenue,Corona, CA 92879(909)736-7232(909)736-7232

HemetHemet

Hemet Val l eyHemet Val l eyMed ic al Cent erMed ic al Cent erProvider # HVMC1117 E Devonshire Ave,Hemet, CA 92543(951)652-2811(951)652-2811

Ind ioInd io

J ohn F Kenned yJ ohn F Kenned yMemor ia l Hospit a lMemor ia l Hospit a lProvider # JFKH47-111 Monroe Street,Indio, CA 92201(760) 347-6191(760) 347-6191

Ranc ho Mir ag eRanc ho Mir ag e

E isenhowerE isenhowerMed ic al Cent erMed ic al Cent erProvider # EIME39000 Bob Hope Dr,Rancho Mirage, CA92270(760) 340-3911(760) 340-3911

R iver s id eR iver s id e

Pac if ic G r ovePac if ic G r oveHospit a lHospit a lProvider # KNCE150 W Route 66,Riverside, CA 92506(951) 275-8400(951) 275-8400

Par kviewPar kviewCommunit yCommunit yHospit a l Med ic alHospit a l Med ic alCent erCent erProvider # PACO73865 Jackson St.,Riverside, CA 92503(909) 688-2211(909) 688-2211

R iver s id eR iver s id eCommunit yCommunit yHospit a lHospit a lProvider # RCH4445 Magnolia Ave,Riverside, CA 92501(951) 788-3100(951) 788-3100

Sun Cit ySun Cit y

Menif ee Val l eyMenif ee Val l eyMed ic al Cent erMed ic al Cent erProvider # MEVA28400 Mccall Blvd.,Sun City, CA 92585(909) 679-8888(909) 679-8888

153

Page 154: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

SKILLEDSKILLEDNURSINGNURSINGCor onaCor ona

CORONA POSTCORONA POSTACUT E,ACUT E,Provider # CPAC2600 S MAIN ST,Corona, CA 92882951-736-4700951-736-4700

VIST A COVE CARE,VIST A COVE CARE,CENT ER ATCENT ER ATCORONACORONAProvider # VICC62600 SOUTH MAIN,STREETCorona, CA 92882951-736-4700951-736-4700

HemetHemet

CONGREGAT ECONGREGAT EL IVING, HOMELIVING, HOMERIVERSIDERIVERSIDEProvider # CLHR951 CORNFLOWERDR,Hemet, CA 92546818-913-2626818-913-2626

DEVONSHIRE CAREDEVONSHIRE CARECT R,CT R,Provider # DECA221350 E DEVONSHIRE,AVEHemet, CA 92544951-925-2571951-925-2571

MANOR CARE,MANOR CARE,(HEMET )(HEMET )Provider # MACA231717 W STETSON AVE,Hemet, CA 92545951-925-9171951-925-9171

SAN J ACINT O,SAN J ACINT O,HEALT HCAREHEALT HCAREProvider # SAJA20275 N SAN JACINTOST,Hemet, CA 92543951-658-9441951-658-9441

Ind ioInd io

DESERT SPR INGS,DESERT SPR INGS,HLT HCRE &HLT HCRE &WLLNSS CT RWLLNSS CT RProvider # DSHW82262 VALENCIA ST,Indio, CA 92201760-347-6000760-347-6000

Mar c h Air Fo r c eMar c h Air Fo r c eBaseBase

R IVERSIDERIVERSIDEVILLAGE,VILLAGE,HEALT HCAREHEALT HCARECENT ERCENT ERProvider # RIVH17040 ARNOLD DRIVE,March Air Force Base,CA 92518951-238-6803951-238-6803

Mur r ie t aMur r ie t a

MURRIET AMURRIET AHEALT H, ANDHEALT H, ANDREHAB CENT ERREHAB CENT ERProvider # COVI3924100 MONROE AVE,Murrieta, CA 92562951-600-4640951-600-4640

T HE SPR INGS,T HE SPR INGS,HEALT HCAREHEALT HCARECENT ERCENT ERProvider # SPHE1025924 JACKSON AVE,Murrieta, CA 92563951-417-8200951-417-8200

Pal m Deser tPal m Deser t

MANOR CARE OF,MANOR CARE OF,PALM DESERT CAPALM DESERT CALLCLLCProvider # MACP974350 COUNTRYCLUB, DRPalm Desert, CA 92260760-341-0261760-341-0261

MONT EREY PALMS,MONT EREY PALMS,HEALT H CAREHEALT H CARECENT ERCENT ERProvider # MOPA44610 MONTEREYAVE,Palm Desert, CA 92260760-776-7700760-776-7700

Pal m Spr ing sPal m Spr ing s

CALIFORNIACALIFORNIANURSING &,NURSING &,REHABIL IT AT IONREHABIL IT AT IONProvider # CANU22299 N INDIAN AVE,Palm Springs, CA92262760-325-2937760-325-2937

PREMIER REHAB &,PREMIER REHAB &,NURSINGNURSINGProvider # PASP32990 E. RAMON RD,Palm Springs, CA92262760-323-2638760-323-2638

Ranc ho Mir ag eRanc ho Mir ag e

BROOKDALEBROOKDALERANCHO, MIRAGERANCHO, MIRAGEProvider # BRRM72201 COUNTRYCLUB, DRRancho Mirage, CA92270760-340-5999760-340-5999

RANCHO MIRAGE,RANCHO MIRAGE,HEALT H ANDHEALT H ANDREHAB CT RREHAB CT RProvider # RAMI739950 VISTA DEL SOL,Rancho Mirage, CA92270760-340-0053760-340-0053

VIBRAVIBRAREHABIL IT AT ION,REHABIL IT AT ION,HOSP OF RANCHOHOSP OF RANCHOMIRAGMIRAGProvider # VIRE1070077 RAMON RD,Rancho Mirage, CA92270760-895-6600760-895-6600

R iver s id eR iver s id e

COMMUNIT YCOMMUNIT YCARE, ON PALMCARE, ON PALMProvider # CCOP4768 PALM AVE,Riverside, CA 92501951-686-9001951-686-9001

COUNT RY VILLA,COUNT RY VILLA,R IVERSIDERIVERSIDEHEALT HCAREHEALT HCAREProvider # COVI424580 PALM AVE,Riverside, CA 92501951-684-7701951-684-7701

T HE GROVE CARE,T HE GROVE CARE,& WELLNESS& WELLNESSProvider # PTCL3401 LEMON ST,Riverside, CA 92501951-686-8202951-686-8202

154

Page 155: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

T HE GROVE CARE,T HE GROVE CARE,AND WELLNESSAND WELLNESSProvider # THGR33401 LEMON STREET,Riverside, CA 92501951-686-8202951-686-8202

EXT ENDED CARE,EXT ENDED CARE,HOSPIT AL-HOSPIT AL-R IVERSIDERIVERSIDEProvider # EXCA18171 MAGNOLIA,Riverside, CA 92504951-687-3842951-687-3842

MISSION, CAREMISSION, CARECENT ERCENT ERProvider # MICC18487 MANOLIA AVE,Riverside, CA 92504951-688-2222951-688-2222

L IFEHOUSE OF,L IFEHOUSE OF,R IVERSIDERIVERSIDEHEALT HCAREHEALT HCAREProvider # FIHC8781 LAKEVIEW AVE,Riverside, CA 92509951-685-1531951-685-1531

PROVIDENCEPROVIDENCEHLT HCARE, OF MTHLT HCARE, OF MTRUBIDOUX CONVRUBIDOUX CONVProvider # PMRC6401 33RD ST,Riverside, CA 92509951-681-2200951-681-2200

VIST A PACIF ICA,VIST A PACIF ICA,CENT ERCENT ERProvider # VIPA103674 PACIFIC AVE,Riverside, CA 92509951-682-4833951-682-4833

VIST PACIF ICA,VIST PACIF ICA,CONVALESCENTCONVALESCENTHOSPIT AHOSPIT AProvider # VPCO3674 PACIFIC AVENUE,Riverside, CA 92509951-682-4833951-682-4833

ORANGE T REE,ORANGE T REE,NURSING CENT ERNURSING CENT ERProvider # ORCH4000 HARRISON ST,Riverside, CA 92503951-785-6060951-785-6060* Does not ac c ept* Does not ac c eptMed i-CalMed i-Cal

R IVERSIDERIVERSIDEHEIGHT S,HEIGHT S,HEALT HCAREHEALT HCARECENT ERCENT ERProvider # RIHE8951 GRANITE HILL,Riverside, CA 92503951-685-7474951-685-7474

VILLA CONV HOSPVILLA CONV HOSPDBA, VILLADBA, VILLAHEALT H CAREHEALT H CAREProvider # VCHI8965 MAGNOLIA AVE,Riverside, CA 92503951-689-5788951-689-5788

PALM T ERRACE,PALM T ERRACE,CARE CENT ERCARE CENT ERProvider # PTCT11162 PALM TERRACE,LANERiverside, CA 92505951-687-7330951-687-7330

Sun Cit ySun Cit y

L IFE CARE CENT ERL IFE CARE CENT EROF, MENIFEEOF, MENIFEEProvider # LCCM27600 ENCANTOBLVD,Sun City, CA 92586909-679-6985909-679-6985

155

Page 156: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

URGENTURGENTCARECARECor onaCor ona

MINUT ECLIN ICMINUT ECLIN ICCVS, EAST VALECVS, EAST VALEProvider # MIN4014220 SCHLEISMANRD,Corona, CA 92880866-389-2727866-389-2727

HemetHemet

ACCESS F IRSTACCESS F IRSTURGENT , CAREURGENT , CAREProvider # APHE241525 W FLORIDA AVE,#DHemet, CA 92543951-929-6777951-929-6777

ALL IANCE URGENTALL IANCE URGENTCARE,CARE,Provider # ALUR93853 STETSON AVE,#100Hemet, CA 92545951-929-6900951-929-6900

Ind ioInd io

NOVAK URGENTNOVAK URGENTCARE, CARE, MDMDProvider # NOUR80-545 HIGHWAY 111,Indio, CA 92201760-347-9221760-347-9221

NOVAK, ST EVE MDNOVAK, ST EVE MDProvider # STNO80-545 HIGHWAY 111,Indio, CA 92201760-347-9221760-347-9221

Lake E l s ino r eLake E l s ino r e

CANYON LAKECANYON LAKEURGENT , & FAMILYURGENT , & FAMILYCARECAREProvider # CLUFC31581 CANYONESTATES, DRLake Elsinore, CA92532951-244-3500951-244-3500

T OT AL URGENTT OT AL URGENTCARE, FAMILYCARE, FAMILYMEDICALMEDICALProvider # TUCFM425 DIAMOND DR#104,Lake Elsinore, CA92530951-674-4114951-674-4114

Menif eeMenif ee

INLAND URGENTINLAND URGENTCARE,CARE,Provider # INUR927168 NEWPORT RD,#1Menifee, CA 92584951-246-3033951-246-3033

Mor eno Val l eyMor eno Val l ey

MORENO VALLEY,MORENO VALLEY,URGENT CAREURGENT CAREProvider # MOVA424318 HEMLOCK AVE,#E1Moreno Valley, CA92557951-243-5050951-243-5050

US HEALT HWORKS,US HEALT HWORKS,Provider # USHE1916420 PERRIS BLVD,#QMoreno Valley, CA92551951-571-2450951-571-2450

Mur r ie t aMur r ie t a

A PLUS WALK IN ,A PLUS WALK IN ,URGENT CAREURGENT CAREProvider # AWUC141880 KALMIA ST#100,Murrieta, CA 92562951-461-6963951-461-6963

US HEALT HWORKS,US HEALT HWORKS,Provider # USHE2125285 MADISON AVE,#101Murrieta, CA 92562951-600-9070951-600-9070

A PLUS WALK IN ,A PLUS WALK IN ,URGENT CAREURGENT CAREProvider # AWUC229955 TECHNOLOGY,DR., #111Murrieta, CA 92563951-461-6963951-461-6963

Per r isPer r is

PERR ISPERRISCOMMUNIT Y,COMMUNIT Y,URGENT CAREURGENT CAREProvider # PCUC524 W 4TH ST #B,Perris, CA 92570951-355-0030951-355-0030

J ONES I I I , WALT ERJ ONES I I I , WALT ERMDMDProvider # WAJO5524 W 4TH ST #B,Perris, CA 92570951-355-0030951-355-0030

R iver s id eR iver s id e

MINUT ECLIN ICMINUT ECLIN ICCVS, R IVERSIDECVS, R IVERSIDEProvider # MIN20491 E ALESSANDRO,BLVDRiverside, CA 92508866-389-2727866-389-2727

RAINCROSSRAINCROSSMEDICAL, GROUPMEDICAL, GROUPProvider # RAMG14646 BROCKTON AVE,Riverside, CA 92506951-774-2723951-774-2723

US HEALT HWORKS,US HEALT HWORKS,Provider # USHE206485 DAY ST #302,Riverside, CA 92507951-653-5291951-653-5291

US HEALT HWORKS,US HEALT HWORKS,Provider # USHE251760 CHICAGO AVE,#J3Riverside, CA 92507951-781-2200951-781-2200

San J ac int oSan J ac int o

SAN J ACINT OSAN J ACINT OMEDICAL, CL IN ICMEDICAL, CL IN ICProvider # SJMC41695 S SAN JACINTO,AVENUE #ASan Jacinto, CA 92583951-665-1100951-665-1100

156

Page 157: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

T emec ul aT emec ul a

INLAND URGENTINLAND URGENTCARE,CARE,Provider # INUR629738 RANCHO,CALIFORNIA RD #BTemecula, CA 92591951-303-6440951-303-6440

MINUT ECLIN ICMINUT ECLIN ICCVS, RANCHOCVS, RANCHOCALIFORNIACALIFORNIAProvider # MIN4129610 RANCHO,CALIFORNIA RDTemecula, CA 92591866-389-2727866-389-2727

INLAND URGENTINLAND URGENTCARE,CARE,Provider # INUR431565 RANCHOPUEBLO, #102Temecula, CA 92592951-303-6440951-303-6440

MINUT ECLIN ICMINUT ECLIN ICCVS, T EMECULACVS, T EMECULAProvider # MIN2133205 US HIGHWAY, 79Temecula, CA 92592866-389-2727866-389-2727

Wil d omarWil d omar

INLAND URGENTINLAND URGENTCARE,CARE,Provider # INUR536320 INLANDVALLEY, DR #307Wildomar, CA 92595951-600-0110951-600-0110

157

Page 158: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

WELLNESSWELLNESSCENTERSCENTERSHemetHemet

INLAND PSYCHINLAND PSYCHACT CT R, HEMETACT CT R, HEMETProvider # ACT81001 LATHAM AVE, #AHemet, CA 92543951-652-5823951-652-5823

Mor eno Val l eyMor eno Val l ey

INLAND PSYCHINLAND PSYCHACT , CT R-ACT , CT R-MORENO VALLEYMORENO VALLEYProvider # ACT023110 ATLANTIC,CIRCLE #E & FMoreno Valley, CA92553800-239-2922800-239-2922

Mur r ie t aMur r ie t a

ORANGEORANGEPSYCHIAT RIC,PSYCHIAT R IC,ACT IVIT Y CENT ERACT IVIT Y CENT ERProvider # OPMG925114 JEFFERSONAVE, #AMurrieta, CA 92562951-600-1812951-600-1812

ORANGEORANGEPSYCHIAT RIC, ACTPSYCHIAT R IC, ACTMURRIET AMURRIET AProvider # ACT1625114 JEFFERSONAVE, #AMurrieta, CA 92562951-600-1812951-600-1812

R iver s id eR iver s id e

INLAND PSYCHINLAND PSYCHACT , R IVERSIDEACT , R IVERSIDEProvider # ACT94049 BROCKTON AVE,Riverside, CA 92501951-300-8124951-300-8124

INLANDINLANDPSYCHIAT RIC,PSYCHIAT R IC,ACT IVIT Y CENT ERACT IVIT Y CENT ERProvider # OPMG84085 BROCKTON AVE,Riverside, CA 92501

158

Page 159: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

NOTICE OF NON-DISCRIMINATIONNOTICE OF NON-DISCRIMINATION

Brand New Day complies with applicable Federal civil rights laws and does notdiscriminate on the basis of race, color, national origin, age, disability, or sex. Brand NewDay does not exclude people or treat them differently because of race, color, nationalorigin, age, disability, or sex.

Brand New Day:

Provides free aids and services to people with disabilities to communicate effectivelywith us, such as:

Qualified sign language interpretersWritten information in other formats (large print, audio, accessible electronicformats, other formats)

Provides free language services to people whose primary language is not English,such as:

Qualified interpretersInformation written in other languages

If you need these services, contact the Brand New Day, Customer Service Department at:1-866-255-4795 (TTY 711). Hours are: October 1 – March 31: 7 days a week, 8 am – 8 pm,April 1 – September 30: Monday – Friday, 8 am – 8 pm.

If you believe that Brand New Day has failed to provide these services or discriminated inanother way on the basis of race, color, national origin, age, disability, or sex, you can filea grievance by calling our Customer Service Department or mailing a letter to:

Brand New Day

Attn: Appeals & GrievancesDepartment

5455 Garden Grove Blvd,

Suite 500

Westminster, California 92683

Fax: 657-400-1217

Email: [email protected]

You can file a grievance in person or by mail, fax, or email. If you need help filing agrievance, our Customer Service Department is available to help you.

159

Page 160: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

You can also file a civil rights complaint with the U.S. Department of Health and HumanServices, Office for Civil Rights, electronically through the Office for Civil RightsComplaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail orphone at:

U.S. Department of Health and

Human Services 200

Independence Avenue, SW,

Room 509F, HHH,

Building Washington,

D.C. 20201

1-800-368-1019, 1-800-537-7697 (TDD)

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html

160

Page 161: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

161

Page 162: BND Provider Group mangement - PDF Report · 2020. 8. 17. · Primary Care Provider (PCP). Generally, you must get your health care services from your PCP. Your PCP is a physician

162