Integrated Systems of Care Division · 2020-06-16 · biofusion llc. maria: espinoza (310)...

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Integrated Systems of Care Division Provider Electronic Data Interchange (PEDI) Liaison List Generated on 8/18/2017 For updates contact: [email protected] Domain Name First Name Last Name Phone Number eSAR Submitter 180 MEDICAL AMIE HERSH (877) 688-2729 N 24-SEVEN HOME HEALTH INC. MARIA ASH (909) 593-0900 N A CHILDS VIEW INC JULIE SNYDER (714) 892-3911 N A CHILDS VIEW INC KATHY SCHRAMM (949) 361-3751 N AAA NURSING SERVICES OMNIA KILANI (818) 347-7009 N ABI PROSTHETICS AND ORTHOTICS KAREN MAYA (619) 285-5040 N ABILITY CENTER TONI MICHAEL (858) 541-0552x1010 N ACADEMY MEDICAL EQUIPMENT LIDIA BONILLA (858) 866-0682x2050 N ACCENTCARE HOME HEALTH OF CA, INC. MARGARET SMITH (909) 472-3230x3230 N ACCESS IV BRITTANY SMITH (913) 748-8632 N ACCESS IV LLC VERONICA MURRAY (831) 264-9250x9299 N ACCESS MEDICAL BEN MEMMOTT (760) 929-2828 N ACCESS MEDICAL MATT CRISTIANO (760) 929-2828x319 N ACCREDO HEALTH GROUP, INC. GAIL GOOD (901) 381-7400 x18743 N ACCUCODE MEDICAL BILLING RUTH ANN GRIMES (530) 898-1201x218 N ACE ORTHOPEDICS, INC JULIO ADAME (562) 923-6400 N ACHILLES PROSTHETICS AND ORTHOTICS ANTHONY CARBAJAL (661) 323-5944 N ACT HOME HEALTH, INC. CATHERINE JOHNSTON (714) 560-0800 N ACTIVE 1 PROSTHETICS AND ORTHOTICS LOUISE GARRETT (559) 493-5020 N ACTIVE LIFE INC. SPENCER DOTY (818) 495-4610 N ADULT AND PEDIATRIC ORTHOPEDIC SPECIALISTS ALISON WARD (949) 600-8805 N ADVANCE SPECIALTY CARE, LLC JOAN CAMACHO (213) 739-1155 N ADVANCED BIONICS LLC ERIC ROSENBLOOM (661) 362-7708 N ADVANCED HOME HEALTH INC MELLISA GODOY (916) 678-5842 N

Transcript of Integrated Systems of Care Division · 2020-06-16 · biofusion llc. maria: espinoza (310)...

Page 1: Integrated Systems of Care Division · 2020-06-16 · biofusion llc. maria: espinoza (310) 320-6444x210 n: biohorizon medical,inc. joanna: cotaya (866) 914-5159x145 n: biologic infusion

Integrated Systems of Care Division Provider Electronic Data Interchange (PEDI)

Liaison List

Generated on 8/18/2017 For updates contact: [email protected]

Domain Name First Name Last Name Phone Number eSAR Submitter

180 MEDICAL AMIE HERSH (877) 688-2729 N 24-SEVEN HOME HEALTH INC. MARIA ASH (909) 593-0900 N A CHILDS VIEW INC JULIE SNYDER (714) 892-3911 N A CHILDS VIEW INC KATHY SCHRAMM (949) 361-3751 N AAA NURSING SERVICES OMNIA KILANI (818) 347-7009 N ABI PROSTHETICS AND ORTHOTICS KAREN MAYA (619) 285-5040 N ABILITY CENTER TONI MICHAEL (858) 541-0552x1010 N ACADEMY MEDICAL EQUIPMENT LIDIA BONILLA (858) 866-0682x2050 N ACCENTCARE HOME HEALTH OF CA, INC. MARGARET SMITH (909) 472-3230x3230 N ACCESS IV BRITTANY SMITH (913) 748-8632 N ACCESS IV LLC VERONICA MURRAY (831) 264-9250x9299 N ACCESS MEDICAL BEN MEMMOTT (760) 929-2828 N ACCESS MEDICAL MATT CRISTIANO (760) 929-2828x319 N

ACCREDO HEALTH GROUP, INC. GAIL GOOD (901) 381-7400x18743 N

ACCUCODE MEDICAL BILLING RUTH ANN GRIMES (530) 898-1201x218 N ACE ORTHOPEDICS, INC JULIO ADAME (562) 923-6400 N ACHILLES PROSTHETICS AND ORTHOTICS ANTHONY CARBAJAL (661) 323-5944 N ACT HOME HEALTH, INC. CATHERINE JOHNSTON (714) 560-0800 N ACTIVE 1 PROSTHETICS AND ORTHOTICS LOUISE GARRETT (559) 493-5020 N ACTIVE LIFE INC. SPENCER DOTY (818) 495-4610 N ADULT AND PEDIATRIC ORTHOPEDIC SPECIALISTS ALISON WARD (949) 600-8805 N ADVANCE SPECIALTY CARE, LLC JOAN CAMACHO (213) 739-1155 N ADVANCED BIONICS LLC ERIC ROSENBLOOM (661) 362-7708 N ADVANCED HOME HEALTH INC MELLISA GODOY (916) 678-5842 N

Page 2: Integrated Systems of Care Division · 2020-06-16 · biofusion llc. maria: espinoza (310) 320-6444x210 n: biohorizon medical,inc. joanna: cotaya (866) 914-5159x145 n: biologic infusion

Integrated Systems of Care Division Provider Electronic Data Interchange (PEDI)

Liaison List

Generated on 8/18/2017 For updates contact: [email protected]

Domain Name First Name Last Name Phone Number eSAR Submitter

ADVANCED MEDICAL SUPPLY INC MAHLE FETTERS (760) 510-8096 N ADVANCED PHARMACY SOLUTIONS JEANETTE NORWOOD (949) 348-7900x115 N ADVENTIST HEALTH JONI MCALLISTER (707) 571-2819 N ADVENTIST HEALTH COMMUNITY CARE DINA BRASEL (559) 587-4349 N AIDS FOR DAILY LIVING,INC JENNA GRITZMACHER (916) 624-0900 N AIJAZ HASHMI MD MAGGIE BELTRAN (760) 318-8100 N ALAMEDA ALLIANCE FOR HEALTH ERICA MERAZ (510) 747-6205 N

ALAMEDA HEALTH PARTNERS TARA SMITH (510) 895-4200x32064 N

ALAMEDA HEALTH SYSTEM - ALAMEDA COUNTY MEDICAL CENTER SUSY MANDELL (510) 437-4231 N

ALAMEDA HEALTH SYSTEMS SYLVIA WARFIELD (310) 563-3212x3212 N ALICE SONG MD CORPORATION ALICE SONG (562) 427-0700 N ALLAN WOLPE MD INC KELLIE LONG (909) 335-6443 N ALLCARE HEALTH SERVICES INC ITA JAMES (909) 390-5772 N ALLIED PROFESSIONAL NURSING CARE CLAIRE POWELL (909) 949-1066 N ALPINE ORTHOPAEDIC MEDICAL GROUP, INC. CAROL SMITH (209) 946-7126 N ALTAMED HEALTH SERVICES DESIREE CABRAL (323) 622-2455 N ALTAMED HEALTH SERVICES ANA MEDINA (323) 767-2611 N ALWAYS HOME NURSING SERVICES, INC GAIL SCHWIESOW (916) 989-6420 N AMBRY GENETICS CORPORATION DELWYN LACSON (949) 900-5582 N AMBUSERVE SHARON ODAY (310) 644-0500x314 N AMERICAN HEARING AND BALANCE NATHALIE VALENZUELA (310) 677-1168 N AMERICAN HEARING AID CENTER OF THE SOUTH BAY INC JOHN DANDURAND (310) 989-3092 N

Page 3: Integrated Systems of Care Division · 2020-06-16 · biofusion llc. maria: espinoza (310) 320-6444x210 n: biohorizon medical,inc. joanna: cotaya (866) 914-5159x145 n: biologic infusion

Integrated Systems of Care Division Provider Electronic Data Interchange (PEDI)

Liaison List

Generated on 8/18/2017 For updates contact: [email protected]

Domain Name First Name Last Name Phone Number eSAR Submitter

AMERICAN MEDICAL RESPONSE SYED SHIRAZI (310) 851-7662 N

AMERICAN MEDICAL RESPONSE NATALIE ALLEN (928) 855-4104x37911 N

AMERICAN MEDICAL RESPONSE NICOLE BARTEL (234) 542-1134 N AMERICAN ORTHOTICS AND PROSTHETICS MICHELE SULIS (951) 367-6702 N AMERICAN UNITED HM CARE LACEY NACIN (818) 377-6201 N AMOD S MOOSA M.D., INC KATHY EMERZIAN (714) 375-6280 N ANACAPA PROSTHETIC AND ORTHOTIC LAB JANET CHACON (805) 658-1388 N ANAHEIM REGIONAL MEDICAL CENTER TERESA PEEVYHOUSE (714) 999-5743 N ANDREAS KAISER EDITH SAMANO (323) 865-1651 N ANDREW CHOY MD CHRISTINE SONG (562) 426-3925x138 N ANESTHESIA BUSINESS CONSULTANTS ALLEN HOFFMAN (866) 570-0077x6162 N ANESTHESIA BUSINESS CONSULTANTS EVELYN POWELL (503) 372-2833 N ANESTHESIA MEDICAL GROUP OF SANTA BARBARA, INC. LISA A. MYERS (805) 682-7751 N

ANNEX HEALTHCARE PROVIDERS, INC FELOR BAHADORI (818) 509-2661 N ANTELOPE VALLEY HOSPITAL BRENDA MARTINEZ (661) 726-6192 N ANTELOPE VALLEY ORTHOTICS AND PROSTHETICS MELINDA JANOWITZ (661) 267-0772 N ANTHEM BLUE CROSS ANNE REISS (805) 713-3916 N ANTHEM BLUE CROSS TRACY EVANS (805) 713-3922 N APEX PHARMACY DBA BESTCARE PHARMACY VIPUL PATEL (805) 481-5050 N APGUARD MEDICAL INC MARDI SCARANTINO (818) 713-0202x153 N APRIA HEALTHCARE JOHN CROSS (714) 514-4129 N APRIA HEALTHCARE KERRI LEE (949) 427-4697 N

Page 4: Integrated Systems of Care Division · 2020-06-16 · biofusion llc. maria: espinoza (310) 320-6444x210 n: biohorizon medical,inc. joanna: cotaya (866) 914-5159x145 n: biologic infusion

Integrated Systems of Care Division Provider Electronic Data Interchange (PEDI)

Liaison List

Generated on 8/18/2017 For updates contact: [email protected]

Domain Name First Name Last Name Phone Number eSAR Submitter

ARROWHEAD COMMUNITY SURGICAL MEDICAL GROUP INC. DIANE SALAZAR (909) 747-0371x3306 N

ARROWHEAD ORTHOPAEDICS NOEMI HERNANDEZ (909) 557-1600 N ARROWHEAD ORTHOPAEDICS ORPILLA PAUL (909) 953-2007 N ARROWHEAD REGIONAL MEDICAL CENTER AMANDA MOFFITT (909) 580-2673 N ASANTE ROGUE REGIONAL MEDICAL CENTER JANN PARKER (541) 982-3092 N ASAP HOME HEALTH EDITH GARCIA (661) 274-0800x27 N ASHLI HEALTHCARE INC CECEILIA YZAGUIRRE (888) 831-7977 N ASHLI HEALTHCARE INC VENESA VENTURA (888) 831-7977 N ASSISTED HEALTHCARE SERVICES TERESA AULESTIA (805) 379-3031 N ATG - DESIGNING MOBILITY, INC. MYNOR MARQUEZ (562) 921-0258 N AV PULMONARY CARE, INC. RHONDA STRONG (661) 942-9995 N AVELLA OF SACRAMENTO, INC. KEITH COOK (623) 742-1700 N AVERY HOME HEALTH AGENCY INC. AMBER ONTIVEROS (858) 716-8269x106 N B P MUKHI INC DBA. PREFERRED PHARMACY BHAVIKKUMAR PATEL (760) 592-4650 N B.MAYA KATO M.D. QUEYLA GARZA (760) 565-3900 N B.MAYA KATO M.D. KATRINA STERLING (760) 565-3900 N B.MAYA KATO M.D. ALEJANDRA BRAVO (760) 565-3900 N BAIG AND ADMANI MDS APC ANNA VASQUEZ (760) 344-0581 N

BAKERSFIELD PROSTHETICS AND ORTHOTICS CENTER USHA DHOKIA (661) 281-2127 N

BALBOA NEPHROLOGY MEDICAL GROUP LINDA SMITH (858) 810-8024 N BALLARD REHABILITATION HOSPITAL JAMES AGUSTINES (909) 473-1200x210 N BARRY CEVERHA M.D. KIM WALTERS (562) 427-5388 N BARRY LOSASSO MD LISA GALIN (760) 634-4090 N

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Integrated Systems of Care Division Provider Electronic Data Interchange (PEDI)

Liaison List

Generated on 8/18/2017 For updates contact: [email protected]

Domain Name First Name Last Name Phone Number eSAR Submitter

BARTON HEALTHCARE KELLY ELLIOTT-POUNDS (530) 543-5511 N BAY AREA PEDIATRIC PULMONARY NIDA YOUNG (510) 428-3271 N BAY AREA SURGICAL SPECIALISTS INC BONNIE POTTER (925) 948-8143 N BEEMAN'S RX PHARMACY JENNIFER ARNOLD (951) 809-4011 N BEVERLY HOSPITAL ERMA MAGINN (323) 725-4282 N BIO CONCEPTS JAVONNE MENDEZ (800) 421-5647x225 N BIODATA MEDICAL LABORATORIES ADRIANA RODRIGUEZ (909) 985-3090 N BIOFUSION LLC. MARIA ESPINOZA (310) 320-6444x210 N BIOHORIZON MEDICAL,INC. JOANNA COTAYA (866) 914-5159x145 N BIOLOGIC INFUSION INC. KENNY FRENCH (714) 827-7327x101 N BIOSCRIP INFUSION SERVICES CELINA BRISENO (818) 333-2402 N BIOSCRIP INFUSION SERVICES JAMES MELANCON (800) 270-7776 N BOWMAM D GERALD C.O.B.O.C.P VALLEY ORTHOPEDIC TECHNOLOGY GERALD D BOWMAM (818) 600-2560 N

BRAIN AND SPINE SURGEONS OF ORANGE COUNTY CRYSTAL WENZE (949) 642-6787 N

BRAKIN, MARIO I MD JOVITA CORONA (562) 595-0166x109 N BRAVO PEDIATRICS BECKY VALADEZ (805) 544-4460 N BROADWAY MEDICAL SERVICE AND SUPPLY INC AUDRA LATIMER (707) 442-3719x315 N BROOKS HEALTH CARE TRACI GIGLIO (559) 233-4663 N BROWN AND TOLAND PHYSICIANS EMILY DIAMONON (415) 972-4415 N

BYRAM HEALTHCARE DBA BOWERMANS PHARMACY CELESTE MANLIGUIS (714) 933-2122 Y

CA ANES ASSOC MED GRP INC VICTOR FRANCIS (866) 570-0077x6162 N CALIFORNIA EMERGENCY PHYSICIANS MELISSA FOREMAN (209) 567-5715 N

Page 6: Integrated Systems of Care Division · 2020-06-16 · biofusion llc. maria: espinoza (310) 320-6444x210 n: biohorizon medical,inc. joanna: cotaya (866) 914-5159x145 n: biologic infusion

Integrated Systems of Care Division Provider Electronic Data Interchange (PEDI)

Liaison List

Generated on 8/18/2017 For updates contact: [email protected]

Domain Name First Name Last Name Phone Number eSAR Submitter

CALIFORNIA HEALTH AND WELLNESS MALINDA KEPHART (916) 246-3759 N CALIFORNIA HOME MEDICAL EQUIPMENT ADREANNA ALCARAZ (650) 931-8729 N CALIFORNIA HOSPITAL KAREN BRYANT (714) 550-5000 N CALIFORNIA HOSPITAL DIANA DEL TORO (213) 742-5746 N CALIFORNIA MEDICAL PHARMACY SYLVIA AGUILAR (213) 413-2343x239 N CALIFORNIA PACIFIC MEDICAL CENTER GRACE MARDIGRAS (415) 600-0758 N CALIFORNIA PACIFIC MEDICAL CENTER RAQUEL LOPEZ (415) 600-2370 N CALIFORNIA SPINE MARIA GARCIA (323) 267-0222 N CALIFORNIA SPINE JAN DUNCAN (323) 267-0222 N CALOPTIMA - ORANGE NORA ONISHI (714) 246-8630 N CALOX INC STEVE YAEGER (323) 255-5175 N CALVIVA HEALTH - FRESNO MARIE BARRETT (916) 463-1840 N CALVIVA HEALTH - FRESNO CINDY SMALL (916) 463-1858 N CALVIVA HEALTH - KINGS MARIE BARRETT (916) 463-1840 N CALVIVA HEALTH - KINGS CINDY SMALL (916) 463-1858 N CALVIVA HEALTH - MADERA MARIE BARRETT (916) 463-1840 N CALVIVA HEALTH - MADERA CINDY SMALL (916) 463-1858 N CAPITAL ALLERGY AND RESPIRATORY DISEASE CENTER KACEY SANTOS (916) 580-2409 N

CAPITAL NEPHROLOGY MEDICAL GROUP GARY HALL (916) 426-1969 N CARE 1ST HEALTH PLAN LAURA VERVERA (323) 889-6638x3305 N CARE AMBULANCE SERVICE, INC. KESHA HODGES (714) 288-3806 N CARE AT HOME, INC LINDA CADOGAN (408) 379-3990x107 N CARE UNLIMITED HEALTH SERVICES, INC CAROL WEDDERBURN (626) 332-3767 N CAREMARK LLC MARY SCHRELBER (847) 484-8465 N

Page 7: Integrated Systems of Care Division · 2020-06-16 · biofusion llc. maria: espinoza (310) 320-6444x210 n: biohorizon medical,inc. joanna: cotaya (866) 914-5159x145 n: biologic infusion

Integrated Systems of Care Division Provider Electronic Data Interchange (PEDI)

Liaison List

Generated on 8/18/2017 For updates contact: [email protected]

Domain Name First Name Last Name Phone Number eSAR Submitter

CAREMARK LLC PINAKIN UPADHYAY (847) 264-3675 N CASA COLINA HOSPITAL GENEVA ALLEN (909) 450-0155 N CASA COLINA HOSPITAL LISA SOUSAMIAN (909) 596-7733 N CASTLE FAMILY HEALTH CENTERS, INC. DEBBIE KELLEY (209) 726-0277 N CEDAR SINAI MEDICAL CENTER IRENE SAPIEN (310) 423-6555 N CENCAL HEALTH CHRISTY CREIGHTON (805) 562-1052 N CENTER FOR COMPREHENSIVE CARE AND DIAGNOSIS OF INHERITED BLOOD DISORDERS (CIBD)

JERAYLYN TUCKER (714) 221-1203 N

CENTER FOR THE EDUCATION OF THE INFANT DEAF (CEID) CINDY DICKESON (510) 848-4800x301 N

CENTER OF EXCELLENCE IN DIABETES AND ENDOCRINOLOGY MILA MELNIK (916) 426-1933 N

CENTRAL ANESTHESIA SERVICE EXCHANGE KIM WILSON (916) 481-6800x1304 N CENTRAL CA ALLIANCE FOR HEALTH LYNOL ELLIOTT (831) 430-5562 N CENTRAL CALIFORNIA FACULTY MEDICAL GROUP (CCFMG) TRICIA BROWN (559) 453-5219 N

CENTRAL COAST HEAD AND NECK SURGEONS ANGIE NIDUAZA (831) 775-0205x107 N CENTRAL COAST NEPHROLOGY ELIZABETH ZAVALA (831) 755-8157 N CENTRAL COAST ORTHOPEDIC MEDICAL GROUP MONICA LOPEZ (805) 349-9545x338 N CENTRAL COAST OTOLARYNGOLOGY MARICELA CANDELARIO (805) 614-9250 N CENTRAL COAST PEDIATRICS INC KATHLEEN STEPHENS (805) 596-4518 N CENTRAL VALLEY EYE MEDICAL GROUP DANIEL GOMEZ (209) 952-0458 N CENTRALIZED BUSINESS OFFICE DOLLY SERRANO (323) 318-8227 N CEP AMERICA MELISSA FOREMAN (209) 567-5715 N

Page 8: Integrated Systems of Care Division · 2020-06-16 · biofusion llc. maria: espinoza (310) 320-6444x210 n: biohorizon medical,inc. joanna: cotaya (866) 914-5159x145 n: biologic infusion

Integrated Systems of Care Division Provider Electronic Data Interchange (PEDI)

Liaison List

Generated on 8/18/2017 For updates contact: [email protected]

Domain Name First Name Last Name Phone Number eSAR Submitter

CESAR CHAVARRIA MD INC CESAR CHAVARRIA (818) 342-0793 N CESAR CHAVARRIA MD, INC KAREN HALE (818) 357-5753 N

CHABOT NEPHROLOGY MEDICAL GROUP INC (CNMG) JULIE ARMSTRONG (510) 351-1663 N

CHAU Y. TAI, MD MISTY L.CARAAN (661) 665-1600 N CHILD AND ADOLESCENT NEUROLOGY CONSULTANTS AGGIE SANTIAGO (916) 649-9800 N

CHILD NEUROLOGY - STANFORD CHILDREN'S HEALTH (SCH) PERLA BAUTISTA-

MUENCH (650) 723-9071 N

CHILD NEUROLOGY OF SAN LUIS OBISPO ERIN CLARKE (805) 434-0960 N CHILDREN'S HOSPITAL AND RESEARCH CENTER AMBULATORY SERVICES OAKLAND FRANCES TAUSINGA (510) 428-3212 N

CHILDREN'S HOSPITAL AND RESEARCH CENTER AMBULATORY SERVICES OAKLAND STACEY ALEXANDER (510) 428-3885x6766 N

CHILDREN'S HOSPITAL AND RESEARCH CENTER AT OAKLAND BOBBIE PORTER (510) 428-3885x5130 N

CHILDREN'S HOSPITAL AND RESEARCH CENTER AT OAKLAND ROBERTA PORTER (510) 428-3885x5130 N

CHILDREN'S HOSPITAL OF LOS ANGELES (CHLA) FRANCES TREJO (323) 361-5141 N

CHILDREN'S HOSPITAL OF LOS ANGELES (CHLA) SHEIA GOFF (323) 361-3291x13291 N

CHILDREN'S HOSPITAL OF LOS ANGELES (CHLA) KARLA PRECIADO (323) 361-3198 N

CHILDREN'S HOSPITAL OF ORANGE COUNTY (CHOC) SUE AHO (714) 509-8712 N

Page 9: Integrated Systems of Care Division · 2020-06-16 · biofusion llc. maria: espinoza (310) 320-6444x210 n: biohorizon medical,inc. joanna: cotaya (866) 914-5159x145 n: biologic infusion

Integrated Systems of Care Division Provider Electronic Data Interchange (PEDI)

Liaison List

Generated on 8/18/2017 For updates contact: [email protected]

Domain Name First Name Last Name Phone Number eSAR Submitter

CHILDREN'S SPECIALISTS MEDICAL GROUP OF SACRAMENTO LEENA YANG (916) 452-5391x17 N

CHILDRENS CARDIAC DIAGNOSTICS CLAUDIA LOPEZ (310) 635-6181 N CHILDRENS EYE INSTITUTE TANCY CASTILLO (909) 931-9675 N CHILDRENS HEALTHCARE MEDICAL ASSOCIATES NANCY MORENO (619) 297-5437 N CHME,INC. ANNIE FUNG (800) 906-0626x268 N CHOC MISSION - ST JOSEPH REGIONAL IP UP RAYDEAN COVARRUBIAS (714) 712-2383 N CHOICE HOME HEALTH SERVICES CHIKA OGUNNAIKE (818) 894-4151 N CITRUS VALLEY HEALTH PARTNERS MARIA BAEZA (626) 732-3157 N CITY OF HOPE MEDICAL FOUNDATION PATRICK RICAFORT (626) 775-3531 N CITY OF HOPE NATIONAL MEDICAL CENTER ERIKA VELASCO (626) 471-7303 N CITY OF HOPE NATIONAL MEDICAL CENTER ANDREA COLEMAN (626) 218-4929 N CLEFT PALATE CENTER AT SAINT JOHN'S HEALTH CENTER ANN MASSON (310) 829-8150 N

CLINICA DE SALUD DEL VALLE DE SALINAS MAXIMILIANO CUEVAS (831) 757-8689x101 N CLINICAS DEL CAMINO REAL, INC. MAYUMI YOSHIZAWA (805) 659-1740x7968 N CMH CENTERS FOR FAMILY HEALTH-VINEYARD BETTY CHAVEZ (805) 981-3770 N COAST NEUROSURGERY ASSOCIATES ANNMARIE HENDRICKS (562) 595-7696 N COAST UROLOGICAL MED GRP - MICHAEL NORRIS M.D. MARTHA GONZALEZ (562) 595-6891 N

COASTAL CARE INC. MARK GILL (310) 543-3211 N COASTAL KIDS HOME CARE MARIA CEJA (800) 214-5439x2 N COASTLINE ORTHOPAEDIC ASSOCIATES DONNA DE LA TORRE (714) 850-7300x48 N COCHLEAR AMERICAS DIANA MADRID (303) 264-2195 N COCHLEAR AMERICAS EDGAR MARRERO-DIAZ (303) 264-2114 N

Page 10: Integrated Systems of Care Division · 2020-06-16 · biofusion llc. maria: espinoza (310) 320-6444x210 n: biohorizon medical,inc. joanna: cotaya (866) 914-5159x145 n: biologic infusion

Integrated Systems of Care Division Provider Electronic Data Interchange (PEDI)

Liaison List

Generated on 8/18/2017 For updates contact: [email protected]

Domain Name First Name Last Name Phone Number eSAR Submitter

COMMUNITY CARE IPA SORA PARK (562) 766-2000x336 N COMMUNITY FOUNDATION MEDICAL GROUP FELICIA CHAIREZ (559) 228-4318 N COMMUNITY HEALTH CENTER LOMPOC SHANNON ROYSTER (805) 735-2856 N COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST JESSICA GUAJARDO (805) 269-1548 N

COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST MARGARET BRADSHAW (805) 346-3907 N

COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST KATHLEEN JUVET (805) 346-8500 N

COMMUNITY HEALTH ENTERPRISES DBA COMMUNITY HOME INFUSION LESLIE SIMONS (559) 724-4148 N

COMMUNITY HEALTH GROUP - SD NATALIA BARAJAS (619) 498-6421 N COMMUNITY HEALTHCARE SERVICES PATTY HERNANDEZ (877) 616-1247x302 N COMMUNITY HOSPITAL OF SAN BERNARDINO DEBORAH WILSON (909) 806-1086 N COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA LOPE CORREA (831) 658-3925 N

COMMUNITY MEDICAL CENTERS MICHELLE NAMBA (559) 230-8555 N COMMUNITY MEDICAL IMAGING ADAM CALDERON (559) 447-4025x131 N COMMUNITY MEMORIAL HEALTH SYSTEM SANDI GARCIA (805) 652-5369 N COMMUNITY MEMORIAL HEALTH SYSTEM SONIA CHAVEZ (805) 652-5469 N CONIFER HEALTH SOLUTIONS MARK SHELLENBERGER (916) 359-5160 N CONSOLIDATED BUSINESS OFFICES (CBO) LOUIS DIAZ (323) 890-7533 N CONSOLIDATED BUSINESS OFFICES (CBO) WALTER KHAW (323) 890-7759 N CONTRA COSTA HEALTH PLAN RACHELE ROBERDS (925) 957-7263x759 N

Page 11: Integrated Systems of Care Division · 2020-06-16 · biofusion llc. maria: espinoza (310) 320-6444x210 n: biohorizon medical,inc. joanna: cotaya (866) 914-5159x145 n: biologic infusion

Integrated Systems of Care Division Provider Electronic Data Interchange (PEDI)

Liaison List

Generated on 8/18/2017 For updates contact: [email protected]

Domain Name First Name Last Name Phone Number eSAR Submitter

CORAM HEALTHCARE CORPORATION OF NORTHERN CALIFORNIA SEAN BLOSSER (720) 895-3256 N

CORAM SPECIALTY INFUSION JANA MASLACH (323) 987-1500 N CORE MEDICAL PRODUCTS INC WILLIAM FITZSIMMONS (909) 478-9728 N

COUNTY OF MONTEREY - CLINIC SERVICES DIVISION AMERICA RIVERA (831) 796-1318 N

COVENANT HOME HEALTH (FOUR P'S HEALTH SERVICES) MARISOL RODRIGUEZ (626) 513-0432 N

CPAS DESERT REGIONAL MEDICAL CENTER CHRISTY CATLIN (877) 773-0246 N CRITICAL AIR MEDICINE INC GLORIA SCARROW (858) 300-0227 N CRMC LEON S PETER BURN CENTER LORENA SANCHEZ-BITLER (559) 459-2676 N CUSTOMER CARE HOME HEALTH SERVICES KIESHA CHARLTON (916) 714-1155 N CYPRESS HEALTH CARE PARTNERS BARBARA SMITH (831) 242-8645 N DAMERON HOSPITAL ASSOC CAROLYN SANDERS (209) 461-3136 N DAMERON HOSPITAL ASSOC MARGARITA CARBAJAL (209) 944-5550 N DANIEL T. ACOSTA MARIA ANNUNZIATA (619) 235-8950 N DAVID DORFMAN MD DAVID DORFMAN (949) 701-4454 N DAVITA DIALYSIS JUSTIN DUNN (949) 930-6792 N DE WAYNE DELA GUERRA LVN DE WAYNE DELA GUERRA (619) 793-9848 N DEBORAH KRAKOW.MD.-UCLA SAMANTHA ALON (310) 794-0396 N DEL PUERTO HEALTH CARE CENTER TRISTIE IRONS (209) 342-2300x149 N DELANO REGIONAL MEDICAL CENTER BAHRAM GHAFFARI (661) 721-5600 N DELTA DRUGS ALEXANDRA CAMPO (180) 070-0640 N DELTA DRUGS (GLENDALE) RAZMIK HOVSEPIAN (818) 309-2649 N DENISE SATTERFIELD MD KAREN BAZLEN (916) 737-3445 N

Page 12: Integrated Systems of Care Division · 2020-06-16 · biofusion llc. maria: espinoza (310) 320-6444x210 n: biohorizon medical,inc. joanna: cotaya (866) 914-5159x145 n: biologic infusion

Integrated Systems of Care Division Provider Electronic Data Interchange (PEDI)

Liaison List

Generated on 8/18/2017 For updates contact: [email protected]

Domain Name First Name Last Name Phone Number eSAR Submitter

DESERT AMBULANCE SERVICES ELBERT MUNCY JR. (760) 256-6854 N DESERT ORTHOPEDIC CENTER ANNA MCDOWELL (760) 766-1232 N DESERT VALLEY HOSPITAL CHANTAL DILLMAN (760) 241-8000x8417 N DEVRON H. CHAR, M.D. DEVRON H. CHAR (415) 522-0700 N DHP OF TWIN CITIES MEDICAL GROUP PAIGE DELLAGANNA (805) 434-4352 N DIABETES CARE PHARMACY KELLEY SONG (626) 814-0111 N DIAL HEALTHCARE INC DBA DIAL PHARMACY LIZ HO (310) 515-8425 N DIALYSIS CLINIC INC DEBBIE SPEAR (916) 453-3530 N DIGNITY HEALTH KIMBERLY SANDEN (916) 379-2776 N

DIGNITY HEALTH FATIMA RENNIE (916) 403-2651x32651 N

DIGNITY HEALTH ANGELA DAVIS (916) 389-8017 N DIGNITY HEALTH AYLA MILLS (916) 379-2761 N DIGNITY HEALTH ANGELA DAVIS (916) 389-8017 N DIGNITY HEALTH SANDRA GUTIERREZ MEZA (916) 379-2780 N

DIGNITY HEALTH - ST. JOSEPH'S MEDICAL CENTER CHRISTY DEBUDEY (209) 956-4406 N

DIGNITY HEALTH - NORTHRIDGE HOSPITAL MC LONDY BOJORQUEZ (818) 885-8500x2700 N DIGNITY HEALTH BAKERSFIELD CHRISTY TROUTMAN (661) 327-4647 N DIGNITY HEALTH HOME HEALTH HOSPICE FORMERLY CATHOLIC HEALTHCARE WEST MAGGIE MARATAS (805) 614-2027 N

DIPLOMAT SPECIALTY INFUSION GROUP LISA MCEVOY (717) 442-0870 N DOCTORS MEDICAL CENTER MODESTO STEPHANIE MCCUTCHEON (209) 576-3812 N DOMINICAN HOSPITAL CORAL KELLY (831) 457-7092 N DONN DOFF INC. BRANDY BROWN (530) 241-4040 N

Page 13: Integrated Systems of Care Division · 2020-06-16 · biofusion llc. maria: espinoza (310) 320-6444x210 n: biohorizon medical,inc. joanna: cotaya (866) 914-5159x145 n: biologic infusion

Integrated Systems of Care Division Provider Electronic Data Interchange (PEDI)

Liaison List

Generated on 8/18/2017 For updates contact: [email protected]

Domain Name First Name Last Name Phone Number eSAR Submitter

DOWNEY REGIONAL MED CENTER LORI BONNE (562) 904-5000x34453 N

DOWNEY REGIONAL MED CENTER ELVIRA ACEITUNO (562) 698-0811x14650 N

DOWNEY REGIONAL MED CENTER KATHY MOLINA (562) 904-5076 N DR'S SWEET, RENFER, MILANESA AND CHAN CINDY CAMACHO (831) 422-5562 N DR. EDWARD LAURANCE KIM BIBB (626) 836-6900 N DRG PHARMACY LLC DBA HUENEME FAMILY PHARMACY ALONDRA ARIAS (805) 981-1171 N

EA HEALTH ELIZABETH TRUJILLO (858) 759-4765x154 N EARS HEARING HEALTHCARE CARMEN RIOS (760) 775-1113 N EAST BAY RETINA CONSULTANTS INC PAM VU (510) 444-1600 N EISENHOWER MEDICAL CENTER TANYA MORALES (760) 773-4321 N EISENHOWER MEDICAL CENTER BELINDA ROSE (760) 340-3911x3562 N EL CENTRO REGIONAL MEDICAL CENTER VIRGINIA TORRES (760) 339-7146 N EL REY RX FELICITA OLSON (800) 571-5144x5001 N ELECTROMED, INC. JACLYN PIEPER (952) 758-9299x3392 N ELITE EYECARE MEDICAL GROUP, INC. ROSIE ROSAS (805) 914-7717x149 N EMANUEL MEDICAL CENTER, INC. DEBBIE ALBERTI (209) 664-5126 N EMANUEL MEDICAL CENTER, INC. KIMBERLEE ELLIOTT (209) 664-5172 N EMMI PHYSICIAN SERVICES, INC. MARLENE HOFFMANN (209) 473-6555x112 N ENLOE MEDICAL CENTER DIANE FOSTER (530) 332-6337 N EUREKA PEDIATRICS ELEHSA HERNANDEZ (707) 445-8416 N EXCEPTIONAL HOME CARE BIJAN ESHAGHIAN (562) 799-1234 N EXPRESS RX PHARMACY BORIS GRINSHTEYN (213) 353-0552 N

Page 14: Integrated Systems of Care Division · 2020-06-16 · biofusion llc. maria: espinoza (310) 320-6444x210 n: biohorizon medical,inc. joanna: cotaya (866) 914-5159x145 n: biologic infusion

Integrated Systems of Care Division Provider Electronic Data Interchange (PEDI)

Liaison List

Generated on 8/18/2017 For updates contact: [email protected]

Domain Name First Name Last Name Phone Number eSAR Submitter

EXPRESS RX PHARMACY LUCINE GHARIBYAN (323) 274-1020 N EXTENDED HEALTH CARE INC. JOEL SAVELLANO (562) 423-2175 N EYE MEDICAL CENTER OF FRESNO GABRIELA RAMIREZ (559) 446-2783 N EYESTHETICA GINA FARIAS (213) 324-1000 N FACTOR SUPPORT NETWORK PHARMACY WINNIE CALONZO (877) 376-4968x121 N FALCK NORTHERN CA CORP MARIA SOTO (714) 288-3960 N FALCK NORTHERN CA CORP MIA PIAZZA (707) 790-8953 N FEATHER RIVER HOSPITAL LISA KNOPF (530) 876-2129 N FILLMORE FAMILY MEDICAL GROUP PATRICIA CONTRERAS (805) 524-2000 N FIRST RESPONDER EMS, INC. VERONICA FLORES (530) 879-5506 N FOMBE NDIFORCHU, MD, INC. KENDY BENIGNO (310) 516-0742 N FOMBE NDIFORCHU, MD, INC. GABRIELA MENDEZ (310) 516-0742 N FOOTHILL MEDICAL BILLING JENNIFER NEITZEL (855) 235-1060 N FOUNDATION LABORATORY LALA VARTANIAN (909) 623-9301x160 N FOUNTAIN VALLEY ORTHOTICS AND PROSTHETICS VERONICA MEDINA (714) 937-1998 N FOUNTAIN VALLEY ORTHOTICS AND PROSTHETICS KELSIE DO (714) 210-1298 N FOUNTAIN VALLEY ORTHOTICS AND PROSTHETICS ELIZABETH SANCHEZ (714) 210-1298 N FOUNTAIN VALLEY ORTHOTICS AND PROSTHETICS NHI TRUONG (714) 210-1298 N FOUNTAIN VALLEY REGIONAL HOSPITAL MARCELLA SISNEROS (714) 966-8110 N FRIEDEL B. CUNNINGHAM AND ASSOCIATES FRIEDEL B CUNNINGHAM (818) 341-5407 N FUNDAMENTAL MEDICAL SUPPLY, INC. GRIGORY ATKOZYAN (805) 230-2220 N FUNDAMENTAL MEDICAL SUPPLY, INC. MARIAM ATKOZYAN (805) 230-2220x102 N GADE LLC DBA CARE PHARMACY RAKESH GADE (951) 268-9644 N GARFIELD MEDICAL CENTER MIESHA MULDREW (626) 307-2042 N GENETICS CENTER TIMOTHY CHINEN (714) 288-3500 N

Page 15: Integrated Systems of Care Division · 2020-06-16 · biofusion llc. maria: espinoza (310) 320-6444x210 n: biohorizon medical,inc. joanna: cotaya (866) 914-5159x145 n: biologic infusion

Integrated Systems of Care Division Provider Electronic Data Interchange (PEDI)

Liaison List

Generated on 8/18/2017 For updates contact: [email protected]

Domain Name First Name Last Name Phone Number eSAR Submitter

GENTLE HANDS, INC. JINGLE PEREZ (562) 879-1349 N GENUS HOME CARE, INC. MARIA MENDOZA (909) 981-6528 N GEORGE L MEE MEMORIAL HEIDI WEATHERWAX (831) 386-7477 N GERALD GOLLIN M.D. LISA GALIN (760) 634-4090 N GFK HOME HEALTH CARE GEORGY EZEH (714) 828-0474 N GILLETTE HEARING AID CENTER ANGELITA CASTANEDA (559) 582-5266 N GLENDALE ADVENTIST MEDICAL CENTER DEANNA HIDALGO (818) 545-3453 N GLENDALE MEMORIAL HOSPITAL AND HEALTH CENTER (DIGNITY HEALTH) WARREN BUNUAN (818) 502-4736x4736 N

GLESENER PHARMACY , INC MARYBELLE SIERRA (626) 966-3691 N GOLD COAST HEALTH PLAN DEE JOHNSTON (805) 981-6684 N GOLD COAST HEALTH PLAN KATHLEEN PHILLIPS (805) 437-5687x5687 N GOLD COAST HEALTH PLAN COLETTE TORRES (805) 437-5616 N GOLDEN STATE EYE MEDICAL GROUP ANNA URANDAY (661) 327-4499 N GOLDEN VALLEY MEDICAL DARRIN MOORE (909) 884-0445 N GOOD SAMARITAN HOSPITAL - LOS ANGELES TERESA MUNOZ (213) 977-2025 N GOOD SAMARITAN HOSPITAL - LOS ANGELES MICHAEL SOSKIN (213) 977-2061 N GOOD SAMARITAN HOSPITAL - SAN JOSE GARY HOLMES (408) 559-2276 N GREATER EL MONTE COMMUNITY HOSPITAL MARIA SERRANO (626) 350-7962 N GROSSMAN MEDICAL GROUP KELLI RIX (818) 981-2050 N GROVE HARBOR MED CTR PHARMACY JOHN SILBERSTEIN (714) 636-0593 N GUIDED ALLIANCE PHARMACY INC DEBRA SANDERS (949) 240-1926 N GUILLERMO A YOUNG MD MARIA YOUNG (323) 953-9926 N GUSTAVO A. GONZALEZ, MD - PHD ANA MARIA HERRERA (831) 724-8000 N HALL AMBULANCE SERVICE CRISTYL ELLER (661) 334-5419 N

Page 16: Integrated Systems of Care Division · 2020-06-16 · biofusion llc. maria: espinoza (310) 320-6444x210 n: biohorizon medical,inc. joanna: cotaya (866) 914-5159x145 n: biologic infusion

Integrated Systems of Care Division Provider Electronic Data Interchange (PEDI)

Liaison List

Generated on 8/18/2017 For updates contact: [email protected]

Domain Name First Name Last Name Phone Number eSAR Submitter

HANGER CLINIC - SAN DIEGO GABY MARTIN (619) 291-8122 N

HANGER P O WEST INC COURTNEY DIANE LARGE (559) 221-1933 N

HANGER PROSTHETICS AND ORTHOTICS WEST, INC. ADRIENE WEIR (805) 546-8666 N

HARBOR - UCLA MEDICAL CENTER AIDA BRIMBUELA (310) 222-2047 N

AIDA BRIMBUELA (310) 222-2047 N

HARPERS PHARMACY INC D - B - A AMERI PHARMA ANDREW HARPER (818) 829-5562 N HAVEN HEALTHCARE MICHELLE DICKENSON (562) 426-7500 N HEALTH NET - CALVIVA SUPER DOMAIN CINDY SMALL (916) 463-1858 N HEALTH NET - CALVIVA SUPER DOMAIN MARIE BARRETT (916) 463-1840 N HEALTH NET - KERN MARIE BARRETT (916) 463-1840 N HEALTH NET - KERN CINDY SMALL (916) 463-1858 N HEALTH NET - LOS ANGELES MARIE BARRETT (916) 463-1840 N HEALTH NET - LOS ANGELES CINDY SMALL (916) 463-1858 N HEALTH NET - SACRAMENTO MARIE BARRETT (916) 463-1840 N HEALTH NET - SACRAMENTO CINDY SMALL (916) 463-1858 N HEALTH NET - SAN DIEGO MARIE BARRETT (916) 463-1840 N HEALTH NET - SAN DIEGO CINDY SMALL (916) 463-1858 N HEALTH NET - SAN JOAQUIN CINDY SMALL (916) 463-1858 N HEALTH NET - SAN JOAQUIN MARIE BARRETT (916) 463-1840 N HEALTH NET - STANISLAUS MARIE BARRETT (916) 463-1840 N HEALTH NET - STANISLAUS CINDY SMALL (916) 463-1858 N HEALTH NET - TULARE MARIE BARRETT (916) 463-1840 N

Page 17: Integrated Systems of Care Division · 2020-06-16 · biofusion llc. maria: espinoza (310) 320-6444x210 n: biohorizon medical,inc. joanna: cotaya (866) 914-5159x145 n: biologic infusion

Integrated Systems of Care Division Provider Electronic Data Interchange (PEDI)

Liaison List

Generated on 8/18/2017 For updates contact: [email protected]

Domain Name First Name Last Name Phone Number eSAR Submitter

HEALTH NET - TULARE CINDY SMALL (916) 463-1858 N HEALTH PLAN OF SAN JOAQUIN NATALIA HARRISON (209) 461-2279 N HEALTH PLAN OF SAN JOAQUIN PAULA TEAS (209) 461-2201 N

PAULA TEAS (209) 461-2201 N

HEALTH PLAN OF SAN JOAQUIN SUPER DOMAIN PAULA TEAS (209) 461-2201 N HEALTH PLAN OF SAN JOAQUIN SUPER DOMAIN NATALIA HARRISON (209) 461-2279 N HEALTH PLAN OF SAN MATEO DIANE SEGUINE (650) 616-2078 N HEALTH PLAN OF SAN MATEO MARGARET BEED (650) 616-2141 N HEALTHCARE PARTNERS - PROVIDER JOISABEL GOLDBERG (562) 481-3560 N HEAR CENTER ELLEN SIMONS (626) 796-2016 N HEARBRIGHT, AN AUDIOLOGY CORPORATION YVETTE MAYORAL (408) 937-8900 N HEARING AID SERVICES OF HOLLYWOOD JEFF GRAMA (323) 463-7109 N

JEFF GRAMA (323) 463-7109 N

HEARING CONSULTANTS OF CALIFORNIA BRANDY SANCHEZ (805) 696-6811 N HEARING RESOURCE CENTER MARY FRINTNER (818) 952-1130 N

MARYBELLE FRINTNER (818) 952-1130 N

HEARING SCIENCE OF RANCHO CUCAMONGA LOUISA YBARRA (909) 920-9906 N HELINET AVIATION SERVICES ABBIE GINSBERG (818) 779-5413 N

ABBIE GINSBERG (818) 779-5413 N

HEMOPHILIAC SUPPORT SYSTEMS INC EVAN BORSTEIN (323) 252-9950 N HENRY MAYO NEWHALL HOSPITAL TONEETA ANDERSON (661) 200-1115 N

Page 18: Integrated Systems of Care Division · 2020-06-16 · biofusion llc. maria: espinoza (310) 320-6444x210 n: biohorizon medical,inc. joanna: cotaya (866) 914-5159x145 n: biologic infusion

Integrated Systems of Care Division Provider Electronic Data Interchange (PEDI)

Liaison List

Generated on 8/18/2017 For updates contact: [email protected]

Domain Name First Name Last Name Phone Number eSAR Submitter

HENRY MAYO NEWHALL HOSPITAL PERRY-BRIGGS CHARLOTTE (661) 253-8000 N HERNDON HEALTHCARE INC LINDA T.HURST (559) 297-9002 N HILARIO A.MARILAO MD HILARIO MARILAO (951) 358-0787 N HILL-ROM ADVANCED RESPIRATORY NICOLE JENKINS (800) 638-2546x8795 N HILL-ROM ADVANCED RESPIRATORY JULIE MOUCHET (651) 787-9908 N HOFFMAN HOMECARE MIESHA RUFUS (602) 663-9670x103 N HOFFMAN HOMECARE CHASE HOFFMAN (661) 377-0180x12 N

HOLLYWOOD PRESBYTERIAN MEDICAL CENTER MARIA ISABEL ISABEL AVILA (323) 913-4888 N

HORIZON THERAPY SERVICES PINTO KATHLEEN (909) 373-1641 N HOUSE CHILDREN'S HEARING CENTER OF UCLA LISA OWENS (213) 353-7005x8005 N HOUSE EAR CLINIC, INC. LALEH KAYVAN (213) 483-9930x8045 N HULL EYE CENTER - DR REGINALD SAMPSON KACI TAYLOR (661) 945-4502 N HUMAN DESIGNS P AND O LAB ANA MARIA LOZANO (562) 988-2414 N HUTRX PHARMACY (DBA-SAFE SAVE PHARMACY) HIENG TANG (530) 674-3550 N INDEPENDENCE MEDICAL GROUP - ALIGNED HEALTHCARE BONNIE JANJANIN (559) 802-1105x110 N

INDEPENDENT SURGICAL ASSOCIATES DEANNA LOVE (424) 213-4290 N INHOUS ORTHOPEDICS, INC PETER KORCHIN (714) 839-9026x306 N INJECTABLE THERAPY SERVICES DBA BIOLOGICTX KELLEY NAGAISHI (800) 404-1963 N INLAND EMPIRE LOURDES NERY (909) 890-4822 N INLAND EMPIRE ROSARIO CRUZ (909) 890-5115 N INPATIENT SPECIALISTS MEDICAL GROUP,INC JENNIFER SCHUBEL (714) 988-2342 N INTEGRAL ORTHOTICS AND PROSTHETICS MARIE CHAMBERLAIN (916) 595-1301 N INTEGRATED CARE SYSTEMS JULIE ANDERSON (559) 734-2896 N

Page 19: Integrated Systems of Care Division · 2020-06-16 · biofusion llc. maria: espinoza (310) 320-6444x210 n: biohorizon medical,inc. joanna: cotaya (866) 914-5159x145 n: biologic infusion

Integrated Systems of Care Division Provider Electronic Data Interchange (PEDI)

Liaison List

Generated on 8/18/2017 For updates contact: [email protected]

Domain Name First Name Last Name Phone Number eSAR Submitter

INTERMEDIX12 SAN JUANITA SOSA (405) 682-3303x2361 N INTERMEDIX12 HEATHER BROWN (800) 962-3303 N ISOCARE MEDICAL EXTENDERS SERVICES INC. JOHN OKOROCHA (310) 644-5151 N IV LEAGUE INC. UNDERWOOD VIRGINIA (310) 645-1500x107 N J AND J ARTIFICIAL LIMB AND BRACE MARTHA ALEJANDRE (808) 613-0958 N J.T. HOWE AND ASSOCIATES LANDON HOWE (925) 363-8170 N JAMES B. MARTEL MISTY DAVIS (916) 635-6161 N JAMES S. SHAFER JESSICA MATA (626) 332-6238 N JANET SALOMONSON, MD YVETTE HARPER (310) 453-8709 N JOHN D HOLLINGSEAD CPO LAURA DURRETT (805) 466-1296 N JOHN D KING, M.D. INC., RITA JOHNSON (818) 708-3333 N JOHN MUIR HEALTH ANNABELL MARQUEZ (925) 941-2250 N

JOHN MUIR HEALTH CAITLIN GUZMAN (925) 939-3000x38450 N

JOHN STOLPE DEBBIE BASHAM (818) 758-1666 N JOHN TRACY CLINIC CLARIBELLE SANCHEZ (213) 748-5481x265 N JOHNSON'S ORTHOPEDIC JEFFREY A. WICKHAM (951) 785-4411 N JOHNSON'S ORTHOPEDIC OF SAN DIEGO SHERRY JOHNSON (858) 278-0518 N JUDY MAHAFFEY JUDY MAHAFFEY (559) 392-3524 N JULES STEIN EYE INSTITUTE-UCLA SERINA GONZALES (310) 825-5440 N JULES STEIN EYE INSTITUTE-UCLA JILL THOMAS (310) 794-7619 N KABAFUSION, LLC UYEN DO (800) 435-3020x325 N KAISER FOUNDATION - SACRAMENTO TEDERICK MYLES (626) 381-6103 N KAISER FOUNDATION HEALTH PLAN TEDERICK MYLES (626) 381-6103 N

Page 20: Integrated Systems of Care Division · 2020-06-16 · biofusion llc. maria: espinoza (310) 320-6444x210 n: biohorizon medical,inc. joanna: cotaya (866) 914-5159x145 n: biologic infusion

Integrated Systems of Care Division Provider Electronic Data Interchange (PEDI)

Liaison List

Generated on 8/18/2017 For updates contact: [email protected]

Domain Name First Name Last Name Phone Number eSAR Submitter

KAISER PERMANENTE SOUTHERN CALIFORNIA AND NORTHERN CALIFORNIA STEPHANIE SMITH (510) 987-2764 Y

KAISER PERMANENTE SOUTHERN CALIFORNIA AND NORTHERN CALIFORNIA LISA LESURE-JONES (626) 381-5810 Y

KAISER PERMANENTE SOUTHERN CALIFORNIA AND NORTHERN CALIFORNIA TEDERICK MYLES (626) 381-6103 Y

KAISER PERMANENTE SOUTHERN CALIFORNIA AND NORTHERN CALIFORNIA KIRSTIN HALSTEAD (626) 381-6103 Y

KAISER PERMANENTE SOUTHERN CALIFORNIA AND NORTHERN CALIFORNIA CORA LATCHISON (510) 987-2723 Y

KAISER PERMANENTE SUPERDOMAIN TEDERICK MYLES (626) 381-6103 N KAISER PERMANENTE SUPERDOMAIN KIRSTIN HALSTEAD (626) 381-6103 N KAISER PERMANENTE SUPERDOMAIN CORA LATCHINSON (510) 987-2723 N KAISER PERMANENTE SUPERDOMAIN STEPHANIE SMITH (510) 987-2764 N KANDID HEALTH CARE INC EMMANUEL OBI (909) 574-6000 N KAREN M SCOTT, MA FRED FULLER (805) 541-1790 N KAWEAH DELTA HEALTH CARE DISTRICT CELINA RODRIGUEZ (559) 624-4067 N KAWEAH DELTA HEALTH CARE DISTRICT STEFNI GIRNUS (559) 624-4220 N KEAGLE MEDICAL, INC STEPHANIE GALEANO (818) 439-4998 N KEAGLE MEDICAL, INC CARRIE COMORRE (928) 768-4661 N KECK MEDICAL CENTER OF USC SANDRA GAMBOA (323) 442-8768 N KEFFELER PHARMACEUTICAL, INC. TIM KEFFELER (707) 468-8991 N KENNETH W. WRIGHT, MD SHARON TURLEY (310) 652-6420 N KERN RADIOLOGY MEDICAL GROUP PORSHA DAVIS (661) 322-9958x3128 N KERN RADIOLOGY MEDICAL GROUP CHRISTOPHER ABRUSCATO (661) 322-9958 N

Page 21: Integrated Systems of Care Division · 2020-06-16 · biofusion llc. maria: espinoza (310) 320-6444x210 n: biohorizon medical,inc. joanna: cotaya (866) 914-5159x145 n: biologic infusion

Integrated Systems of Care Division Provider Electronic Data Interchange (PEDI)

Liaison List

Generated on 8/18/2017 For updates contact: [email protected]

Domain Name First Name Last Name Phone Number eSAR Submitter

KERN HEALTH SYSTEMS DANYEL SULENSKI (661) 664-5076 N KERN HEALTH SYSTEMS DAVID SULENSKI (661) 664-5000x5076 N KERN HEALTH SYSTEMS MIKE MCKAY (661) 664-5086 N KERN HEALTH SYSTEMS MCP DAVID SULENSKI (661) 664-5000 N KERN MEDICAL CENTER PATRICIA HUIZAR (661) 326-2391 N KERN MEDICAL CENTER AMY MCMAHON (661) 862-4190 N KEVIN J. PELTON MD INC MARTHA ACUNA (323) 264-7600x239 N KHALED A. TAWANSY MD NAYERI MIKAILIAN (323) 257-3937 N KIDS AND TEENS MEDICAL GROUP KIN TANG (818) 361-5437x112 N KMA EMERGENCY SERVICES DBA WESTMED AMBULANCE SERVICE ANGELA HOLCOMB (252) 566-3333x105 N

KNA HOME HEALTH, INC GEORGE SHAHNAZARYAN (818) 574-7855 N KOLBERG OCULAR PRODUCTS, INC RUSSELL PIERCE (858) 695-2021 N KURWA, BADRUDIN R MD INC AMALIA SARAO (626) 355-6644 N KWPH ENTERPRISES, INC DONNA HANKINS (559) 443-5991 N L.A. CARE HEALTH PLAN NANCI FULBRIGHT (213) 694-1250x4345 N LAC AND USC MEDICAL CENTER RACHEL SANTILLAN (323) 409-3235 N LAC AND USC MEDICAL CENTER SANDY CORREA (323) 226-5218 N LAKESIDE COMMUNITY HEALTHCARE ROSA CIENFUEGOS (818) 707-9605x1484 N LASH GROUP INC LAURA SCRIVENER (301) 337-4000x7817 N LERMAN AND SON DENISE LEITER (310) 659-2290 N LESTER MACHADO MD VERONICA ELIAS (619) 295-6774 N LIBERTANA HOME HEALTH MICHELLE SALAZAR (818) 902-5000x232 N LIBERTY AMBULANCE LLC KIMBERLY PEZZI (858) 653-4520x321 N LIFECARE SOLUTIONS NEIL SLAGLE (858) 444-2800 N

Page 22: Integrated Systems of Care Division · 2020-06-16 · biofusion llc. maria: espinoza (310) 320-6444x210 n: biohorizon medical,inc. joanna: cotaya (866) 914-5159x145 n: biologic infusion

Integrated Systems of Care Division Provider Electronic Data Interchange (PEDI)

Liaison List

Generated on 8/18/2017 For updates contact: [email protected]

Domain Name First Name Last Name Phone Number eSAR Submitter

LINCARE INC. RUTH HUTTON (800) 359-0240x150 N LOBO SOLUTIONS MEDICAL BILLING KATHY LEE (858) 513-1833x105 N

LOMA LINDA UNIVERSITY HEALTH SERVICES VIRGINIA DAVIS (909) 651-4311x54311 N

LOMA LINDA UNIVERSITY HEALTH SERVICES RYAN KINSEY (909) 651-4285 N LOMPOC VALLEY MEDICAL CENTER DEBBIE ROCK (805) 737-3300x4326 N LONG BEACH ADVANCED ORTHOPAEDIC MEDICAL CENTER JANICE M. BUSH (562) 961-5655 N

LONG BEACH MEMORIAL MEDICAL CENTER AND MILLER CHILDREN'S HOSPITAL TERILYN SILA (562) 933-1351 N

LONG BEACH MEMORIAL MEDICAL CENTER AND MILLER CHILDREN'S HOSPITAL REGINA MASANGCAY (562) 933-1335 N

LONG BEACH NEUROLOGICAL MEDICAL GROUP, INC. DEBBIE BANKS (562) 225-0178 N

LOS ANGELES INTERNATIONAL HEARING AID CENTER SHELLY PIERSON (707) 703-4401 N

LPCH MEDICAL GROUP ANA BULATAO (650) 498-7346 N LPCH MEDICAL GROUP JANINA TURNER (510) 587-6748 N LPCH MEDICAL GROUP MARK WIDDOWS (650) 724-7077 N LUCILE PACKARD CHILDREN'S HOSPITAL CAROLINE KOGA (650) 498-7157 N LUCILE PACKARD CHILDREN'S HOSPITAL MICHELLE FLORES (650) 725-0105 N LUCILE PACKARD CHILDREN'S HOSPITAL LYN CUEVAS (650) 724-2531 N LUCILE PACKARD CHILDREN'S HOSPITAL DEBBIE FRIEDMAN (650) 498-4209 N LUCILE PACKARD CHILDREN'S HOSPITAL MARK WIDDOWS (650) 724-7077 N M.R.GOLDBERG,INC SANDRA SOUZA (209) 491-4960 N

Page 23: Integrated Systems of Care Division · 2020-06-16 · biofusion llc. maria: espinoza (310) 320-6444x210 n: biohorizon medical,inc. joanna: cotaya (866) 914-5159x145 n: biologic infusion

Integrated Systems of Care Division Provider Electronic Data Interchange (PEDI)

Liaison List

Generated on 8/18/2017 For updates contact: [email protected]

Domain Name First Name Last Name Phone Number eSAR Submitter

MAD RIVER COMMUNITY HOSPITAL BARBARA GIER (707) 822-7220x3351 N MANAGED CARE SYSTEMS, LLC - HEALTH NET STEPHAN BASS (661) 716-7100x6337 N MANAGED CARE SYSTEMS, LLC - HEALTH NET KAYLENE STAHL (661) 716-7100 N MARIAN REGIONAL MEDICAL CENTER - SANTA MARIA, CA CHRISTOPHER GAGAS (972) 810-6846 N

MARIN GENERAL HOSPITAL RONDA KRESS (415) 925-7010x1843 N MARIN GENERAL HOSPITAL DAVID BINGHAM (415) 925-7775 N MARTIN LUTHER KING JR. MACC LEDA SANLUIS (323) 890-7563 N MAXIM HEALTHCARE SERVICES JEFF POITRAS (323) 937-1122 N MD BILLING AND CONSULTING TONI BONISKE (559) 732-5290 N MED PRO BILLING KARA NORDBERG (949) 492-3514 N MED-EL CORPORATION MICKEY MATISE (919) 572-2222 N MED-TRANS CORPORATION JEAN WILLBANKS (417) 257-1205 N MEDICAL BUSINESS OFFICE, INC. GILBERT RIVERA (951) 719-3330 N MEDICAL CENTER PHARMACY CLAUDIA QUINTERO (619) 422-0525 N MEDICAL DENTAL ADVISORY CO. CHRIS BRUKHARDT (818) 882-2441 N MEDICAL DENTAL ADVISORY CO. CHRISTINE BURKHARDT (818) 882-2441x19 N MEDICAL PLAZA PHARMACY MALLORY IGNACIO (650) 326-2300x105 N MEDPOINT MANAGEMENT INC. GLENN LEWIS (818) 702-0100x302 N MEDPOINT MANAGEMENT INC. GLENDA DELGADO (818) 702-0100 N

MEMORIALCARE MEDICAL FOUNDATION JUDY WHEATON SHUBIN (714) 665-1606 N

MERCY AIR SERVICE , INC. ERIN LEIFHEIT (924) 082-3536 N MERCY AIR SERVICE , INC. ALINA VASQUEZ (909) 915-2353 N MERCY MEDICAL CENTER REDDING LISA HARRIS (530) 225-6353 N

Page 24: Integrated Systems of Care Division · 2020-06-16 · biofusion llc. maria: espinoza (310) 320-6444x210 n: biohorizon medical,inc. joanna: cotaya (866) 914-5159x145 n: biologic infusion

Integrated Systems of Care Division Provider Electronic Data Interchange (PEDI)

Liaison List

Generated on 8/18/2017 For updates contact: [email protected]

Domain Name First Name Last Name Phone Number eSAR Submitter

MERCY MEDICAL CENTER REDDING VANG DANIEL (530) 225-6353 N MERCY MEDICAL CENTER MERCED DARIA BANKS (209) 564-5334 N METHODIST HOSPITAL OF SOUTHERN CALIFORNIA DENISE GUINN (626) 574-3426 N MI-MED SUPPLY TARYN SHILLING (215) 600-0567 N MINI PHARMACY ANA ALMANZA (213) 239-1218 N MINIMED DISTRIBUTION SERGIO URIBE (818) 576-5366 N MINIMED DISTRIBUTION ANGELA WARD (804) 550-2017 N MISSION AMBULANCE, INC. PAM MILES (951) 808-8760 N MOBILE NURSING EXTENDED CARE AGENCY RYAN DONATO (213) 480-6211 N MOBILE NURSING EXTENDED CARE AGENCY SANDRA POLLONAIS (213) 480-6211 N MOBILITY SOLUTIONS INC. FLORES OFELIA (858) 278-0591x102 Y MODERN HEALTH INC MIRELLA MCCOY (714) 657-1412x1152 N

MOLINA HEALTHCARE MICHELE MARCOTTE (562) 435-3666x127080 N

MOLLY'S TEST ACCOUNT MOLLY PHOMSOPHA (916) 617-5413 N MONTEREY PENINSULA ORTHOTIC AND PROSTHETIC SERVICES (MPOPS) DAVID ESTRADA (831) 655-3580 N

MONTEREY PENISULA ORTHOTIC AND PROTHETIC SERVICES LL DAVID ESTRADA (831) 655-3580 N

MORI MEDICAL EQUIPMENT GORDON MORI (760) 659-4200 N MY BEST HOMECARE MAI DINH (408) 934-9617x208 N MY BEST HOMECARE WHITNEY LE (408) 934-9617x200 N NADINE YASSA, MD INC NADINE YASSA (916) 789-8811 N NATIONAL SEATING AND MOBILITY, INC CARLENE GILSTRAP (423) 756-2268x202 N NATIONAL SEATING AND MOBILITY, INC JEFF MATUKEWICZ (423) 756-2268 N

Page 25: Integrated Systems of Care Division · 2020-06-16 · biofusion llc. maria: espinoza (310) 320-6444x210 n: biohorizon medical,inc. joanna: cotaya (866) 914-5159x145 n: biologic infusion

Integrated Systems of Care Division Provider Electronic Data Interchange (PEDI)

Liaison List

Generated on 8/18/2017 For updates contact: [email protected]

Domain Name First Name Last Name Phone Number eSAR Submitter

NATIVIDAD MEDICAL CENTER TRACY SHORT (831) 783-2347 N NATURAL VISION NARA ORKUSYAN (559) 432-1000 N NEOCARE NEONATOLOGY MEDICAL CENTER FREDRICK SHUM (562) 698-0811 N NEONATOLOGY MEDICAL GROUP, INC. KERISA CASTILLO (909) 790-5071 N NETWORK MEDICAL MANAGEMENT NEIL ABESAMIS (626) 943-6260 N NEW START HOME MEDICAL EQUIPMENT LORI RAPPOLDT (818) 772-4788 N NEW WEST MEDICAL, INC. LISA BURCH (530) 221-5864 N NEWPORT HARBOR ANESTHESIA CONSULTANTS LAYLA KHALAF (714) 619-5393 N NEWPORT HARBOR CARDIOLOGY STEPHANIE ENCINAS (949) 646-1495 N NINA YOSHPE AND AYAL WILLNER, MDS GUILLERMO AGUAYO (562) 427-0550 N NIPARKO, NANCY A. MD NANCY NIPARKO (310) 550-8221 N NIVANO PHYSICIANS JAMI LOPEZ (916) 573-2045 N NO CA RETINA VITREOUS ASSOCIATES NANCY JACKSON (650) 962-4339 N NOHO HOME HEALTH CARE INC CHARMAINE GONZALES (424) 268-4340 N NORTH COAST MEDICAL SUPPLY TIM CADY (760) 579-7200 N NORTH COUNTY NEONATOLOGY SPECIALISTS LAUREN HAINSWORTH (760) 940-3386 N NORTH EAST MEDICAL SERVICES (NEMS) SUZANNE LEE (415) 352-5045 N NORTHBAY HEALTHCARE GROUP LIZ SIMS (707) 646-3434 N NORTHERN CALIFORNIA ANESTHESIA PHYSICIANS LAYLA KHALAF (714) 619-5393 N NORTHERN CALIFORNIA CHILDRENS HEM-ONC MATTHEW CURRAN (916) 733-1757 N NORTHERN INYO HOSPITAL KAREN PETTET (760) 873-2124 N NOVA SKILLED HOME HEALTH INC CAROL VEGA (323) 658-6232 N NOVUS HEALTH SYSTEMS CATHY BARELA (626) 732-9310 N NUFACTOR, INC. KAREN SCHAECK (800) 323-6832x1337 N O AND P IN MOTION, INC PHILLIP AMBROSET (818) 881-1785 N

Page 26: Integrated Systems of Care Division · 2020-06-16 · biofusion llc. maria: espinoza (310) 320-6444x210 n: biohorizon medical,inc. joanna: cotaya (866) 914-5159x145 n: biologic infusion

Integrated Systems of Care Division Provider Electronic Data Interchange (PEDI)

Liaison List

Generated on 8/18/2017 For updates contact: [email protected]

Domain Name First Name Last Name Phone Number eSAR Submitter

OCULAR PROSTHETICS, INC SARAH HADDAD (323) 462-6004 N ODYSSEY PROSTHETICS AND ORTHOTICS BONNIE OPENSHAW (909) 890-0577 N OJAI MULTI SPECIALTY CENTER SONIA CHAVEZ (805) 652-5469 N OLIVE VIEW-UCLA MEDICAL CENTER DIANA LORING (818) 364-3650 N OLIVE VIEW-UCLA MEDICAL CENTER DELROSARIO MILA (818) 364-3327 N OLIVE VIEW-UCLA MEDICAL CENTER LEE DUNHAM (818) 364-3414 N OPEN DOOR COMMUNITY HEALTH CENTERS CARMA SCOTT (707) 826-8642x5531 N

ORANGE COAST ANESTHESIA SPECIALTY GROUP INC. LAYLA KHALAF (714) 619-5393 N

ORANGE COUNTY GLOBAL MEDICAL CENTER ANA VENTURA (714) 953-3686 N ORANGE COUNTY PEDIATRIC CARDIOLOGY NICOLE GRIEGO (949) 218-0845 N ORANGE COUNTY RETINA MEDICAL GROUP BRENDA REYNOLDS (714) 972-8432 N ORANGE COUNTY RETINA MEDICAL GROUP AMANDA TREMBLAY (714) 972-8432 N OROVILLE HOSPITAL TAMI HAYS (530) 533-8500x8771 N ORTHO ENGINEERING MARIA ZAZUETA (909) 591-2800 N ORTHOPAEDIC HOSPITAL MEDICAL CENTER LIBBY WILSON (213) 742-1308x1201 N ORTHOPEDIC TRAUMA SURGEONS OF NORTHERN CALIFORNIA HEATHER STOFFLE (916) 536-9456x107 N

OSO HOME CARE REGINA GANT (949) 660-7126 N OWENS HEALTHCARE - MEDICAL EQUIPMENT INC LESLIE PARNELL (530) 245-5976 N OWENS HEALTHCARE-SPECIALTY PHARMACY KELLY MITCHELL (530) 245-1311 N OXFORD HEALTHCARE ALEX SALDANA (562) 432-6400 N OXY RESPIRATORY AND HOME MED LUCINE NERSESIAN (818) 786-8880 N OXY RESPIRATORY AND HOME MED YANIV YASMEH (818) 786-8880 N OXY RESPIRATORY AND HOME MED YARON YASMEH (818) 786-8880 N

Page 27: Integrated Systems of Care Division · 2020-06-16 · biofusion llc. maria: espinoza (310) 320-6444x210 n: biohorizon medical,inc. joanna: cotaya (866) 914-5159x145 n: biologic infusion

Integrated Systems of Care Division Provider Electronic Data Interchange (PEDI)

Liaison List

Generated on 8/18/2017 For updates contact: [email protected]

Domain Name First Name Last Name Phone Number eSAR Submitter

PACIFIC CARDIOVASCULAR ASSOCIATES MEDICAL GROUP GLORIA SANJOSE (714) 445-0228 N

PACIFIC MEDICAL, INC. CAROLYN JENNINGS (800) 726-9180 N

PACIFIC MEDICAL, INC. SCOTT TOON (800) 726-7707x7707 N N

PACIFIC PEDIATRIC CARDIOLOGY MEDICAL GROUP, INC. OLIVA LEON (626) 337-8900 N

PACIFIC PEDIATRIC CARDIOLOGY MEDICAL GROUP, INC. MONICA RIVERA (626) 337-8900

N N

PALOMAR HEALTH CYNTHIA BURNS (442) 281-2188 N N

PALOMAR POMERADO MEDICAL CENTER NORMITA SHEPARD (760) 739-3068 N PALOMAR POMERADO MEDICAL CENTER MAX KHAOLAEIAD (442) 281-3443 N

PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER JOSE PANIAGUA (951) 688-2211x3116 N N

PARNASSUS HEIGHTS PHARMACY ROBERT DUDUM (415) 564-9191 N N

PARTNERSHIP HEALTH PLAN OF CALIFORNIA DINA HAYNES (707) 419-7913 N PARTNERSHIP HEALTH PLAN OF CALIFORNIA ELIZABETH QUINONES (707) 863-4288 N PARTNERSHIP HEALTH PLAN OF CALIFORNIA DEBORAH BEANE (707) 419-7906 N

PARTNERSHIP HEALTH PLAN OF CALIFORNIA DONNA BARTON (530) 999-6812 N N

PARTNERSHIP HEALTH PLAN OF CALIFORNIA CHRISTOPHER DANIELSON (707) 863-4272 N PARTNERSHIP HEALTH PLAN OF CALIFORNIA JAREED MCCAMEY (626) 796-5325 N

Page 28: Integrated Systems of Care Division · 2020-06-16 · biofusion llc. maria: espinoza (310) 320-6444x210 n: biohorizon medical,inc. joanna: cotaya (866) 914-5159x145 n: biologic infusion

Integrated Systems of Care Division Provider Electronic Data Interchange (PEDI)

Liaison List

Generated on 8/18/2017 For updates contact: [email protected]

Domain Name First Name Last Name Phone Number eSAR Submitter

PASADENA EYE MEDICAL GROUP - GERALD T. BOWNS MD MICHELLE WAGNER (626) 796-5325 N

PASADENA HOSPITAL ASSN. LTD MYRNA PORTUGEZ (626) 397-3814 N N

PATHOLOGY ASSOCIATES ERICA GEARNER (800) 236-3312 N

PEDIATRIC AND ADOLESCENT MEDICAL ASSOCIATES PATTY MARTIN-CLASPELL (831) 757-8124 N

PEDIATRIC CARDIOLOGY MEDICAL ASSOCIATES CRISTINA MERCADO (818) 784-6269 N PEDIATRIC CARDIOLOGY SPECIALISTS REBECCA STALLINGS (909) 886-5200 N PEDIATRIC ENDOCRINOLOGY OF SAN DIEGO CINDI GRAHAM (949) 713-3998 N PEDIATRIC GASTROENTEROLOGY ASSOCIATES FERNANDO RUIZ (408) 358-1184 N

PEDIATRIC GASTROENTEROLOGY ASSOCIATES OF SCV VICTORIA DAY (408) 448-9218 N

PEDIATRIC GASTROENTEROLOGY MEDICAL CENTER, INC. DALLAIZADH SAIED (818) 986-0006 N

PEDIATRIC GASTROENTEROLOGY MEDICAL CENTER, INC. STEPHANIE BEGINI (818) 986-0006 N

PEDIATRIC HEART CENTER INC. STEPHANIE DAVIS (661) 664-0808 N

PEDIATRIC MEDICAL CENTER LINNAE KELIIHOLOKAI (562) 426-5551 N N

PEDIATRIC MEDICAL GROUP OF SANTA MARIA,INC. CAMILLE GAMBLE (805) 922-3548 N N

PEDIATRIC MEDICAL GROUP OF WATSONVILLE PATRICK CLYNE (831) 728-2969 N N

Page 29: Integrated Systems of Care Division · 2020-06-16 · biofusion llc. maria: espinoza (310) 320-6444x210 n: biohorizon medical,inc. joanna: cotaya (866) 914-5159x145 n: biologic infusion

Integrated Systems of Care Division Provider Electronic Data Interchange (PEDI)

Liaison List

Generated on 8/18/2017 For updates contact: [email protected]

Domain Name First Name Last Name Phone Number eSAR Submitter

PEDIATRIC MEDICAL GROUP OF WATSONVILLE DARRYL GREEN (831) 728-2969 N N

PEDIATRIC ORTHOPAEDIC AND SCOLIOSIS CENTER BRANDY ALONZO (805) 687-2424 N N

PEDIATRIC SPECIALTY CLINIC MARCIA MARTIN (805) 546-7676 N N

PEDIATRIC SUBSPECIALTY FACULTY, INC. ORANGE ELIZABETH FARACE (714) 516-4295 N PEDIATRIC SURGICAL ASSOCIATES RITA FRANCIS (714) 361-4494 N PEDIATRICS AND NEONATOLOGY MEDICAL GROUP OF ORANGE COUNTY CONSUELO HUERTAS (714) 947-8657 N

PEDIATRIX CARDIOLOGY OF ORANGE COUNTY EILEEN DE LA CRUZ (714) 620-3000x7239 N PEDIATRIX CARDIOLOGY OF ORANGE COUNTY JEANETTE GRISOM (714) 881-4557 N

PEDIATRIX CARDIOLOGY OF ORANGE COUNTY RHODA VASQUEZ (800) 463-6628x7183 N N

PEDIATRIX MEDICAL GROUP VIRGINIA HERNANDEZ (800) 463-6628x7229 N

PEDIATRIX MEDICAL GROUP RHODA VASQUEZ (800) 463-6628x7183 N N

PERINATAL MEDICAL GROUP ERIN ROSSOTTI (559) 322-5039 N

ERIN ROSSOTTI (559) 322-5039 N

PHARM PLUS ACQUISITION BISA WAY (469) 365-7946 N PHARMACY SERVICES INC JENNIFER ARNOLD (951) 809-4011 N PHARMEDQUEST PHARMACY SERVICES CATHY LIN (714) 364-4008 N PHI AIR MEDICAL CINDY GLOVER (602) 778-3027 N PHYSICIANS BILLING SERVICE TAMI GARCIA (661) 864-7913 N

Page 30: Integrated Systems of Care Division · 2020-06-16 · biofusion llc. maria: espinoza (310) 320-6444x210 n: biohorizon medical,inc. joanna: cotaya (866) 914-5159x145 n: biologic infusion

Integrated Systems of Care Division Provider Electronic Data Interchange (PEDI)

Liaison List

Generated on 8/18/2017 For updates contact: [email protected]

Domain Name First Name Last Name Phone Number eSAR Submitter

PHYSICIANS' CHOICE, LLC JONATHAN STURM (818) 340-9988 N PIERCE ENTERPRISES INC. JAN PIERCE (909) 931-2321 N

PIH HEALTH PHYSICIANS PRISCILLA PEREZ (562) 789-5401x81083 N

PIONEERS MEMORIAL HEALTHCARE DISTRICT MONICA FIGUEROA (760) 351-3288 N POMONA VALLEY HOSPITAL MEDICAL CENTER TRICIA COHN (909) 469-9318 N POMONA VALLEY HOSPITAL MEDICAL CENTER BETH PEDROCHE (909) 865-9500x9444 N PRECISION ORTHOPEDICS JENNIFER POLLOCK (831) 757-3041x1005 N PREFERRED EXCELLENT CARE ROSEMARIE RUMMEL (714) 590-3620x15 N PREFERRED IPA ALINA GREEN (818) 734-4725 N PREMIER HEALTHCARE SERVICES LLC. MONIQUE CARTER (626) 204-7930 N PREMIER HOSPITALISTS OF BAKERSFIELD KAREN FOSTER (661) 327-0739 N PREMIER INFUSION CARE RUBY ENRIQUEZ (866) 733-5071 N PREMIER MEDICAL ASSOCIATES, INC. KAREN FOSTER (661) 327-0739 N PREMIER MEDICAL SUPPLY ANDREA TEIXEIRA (209) 537-2882x16 N PREMIER PHARMACY SERVICES STEPHEN SAMUEL (714) 961-7930 N PRENTICE, MITRI, HIJAZIN NEUROLOGICAL ASSOCIATES OLIVIA ORTEGA (562) 861-1988 N

PRESBYTERIAN INTER COMMUNITY HOSPITAL JACQUELINE SANCHEZ (562) 698-0811x4220 N

PRESBYTERIAN INTER COMMUNITY HOSPITAL ELVIRA ACEITUNO (562) 698-0811x14650 N

PRIME HEALTHCARE SERVICES MONIQUE PADILLA (909) 646-8964 N PRIMEHEALTHCARE-CENTINELA HOSPITAL MEDICAL CENTER SHARET DAPSON (310) 680-8577 N

PRO TRANSPORT 1 LLC HEATHER PARESA (707) 665-4295x118 N

Page 31: Integrated Systems of Care Division · 2020-06-16 · biofusion llc. maria: espinoza (310) 320-6444x210 n: biohorizon medical,inc. joanna: cotaya (866) 914-5159x145 n: biologic infusion

Integrated Systems of Care Division Provider Electronic Data Interchange (PEDI)

Liaison List

Generated on 8/18/2017 For updates contact: [email protected]

Domain Name First Name Last Name Phone Number eSAR Submitter

PRO TRANSPORT 1 LLC GRAHAM GLOVER (720) 257-6035 N PROSTHETIC AND ORTHOTIC GROUP, INC SONIA MARLOW (562) 595-6445 N PROVIDENCE HEALTH AND SERVICES GERALDINE JEFFIRES-BUTLER (310) 303-7543 N PROVIDENCE HEALTH AND SERVICES JO WILLIAMS (503) 215-0572 N PROVIDENCE HEALTH AND SERVICES KLEIN DANIEL (509) 944-9812 N PROVIDENCE HOLY CROSS LAURIE MERIDETH (818) 496-4651 N PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE (PLCMMC-T) DEBBIE HUDSON (310) 303-6335 N

PROVIDENCE SPEECH AND HEARING CENTER SYLVIA ALVARADO (714) 923-1520 N PROVIDENCE ST JOSEPH MEDICAL CENTER JILL JONES (818) 847-3600 N PROVIDENCE ST JOSEPH MEDICAL CENTER JERRI ALLEN (818) 847-3796 N PROVIDENCE TARZANA MEDICAL CENTER MONICA JUAREZ (818) 708-5374 N PROVIDENCE TRINITYCARE HOSPICE SHAYNA STILES (310) 543-3400 N PULMOCARE RESPIRATORY SERVICES CHRISTINA BALLESTEROS (909) 777-5000x265 N QUALITY HOME HEALTH AGENCY VIVIAN BAZLEY (909) 390-3293 N QUALITY HOME INFUSION GLADYS HERRERA (818) 848-8112 N QUALITY HOME INFUSION LORETTA MOLINA (909) 687-7206 N QUEEN OF THE VALLEY MEDICAL CENTER CHRIS BROWN (707) 252-4411 N QUEST DIAGNOSTICS ESTELLA TALEI (818) 737-5200x5233 N R. C. MCLEAN AND ASSOCIATES PATRICIA PARKER (714) 347-1000x1020 N RAAFAT ISKANDER RAAFAT ISKANDER (323) 939-0008 N RAC AND ASSOC. DBA SPECIALCARE TERRY RACCIATO (858) 751-0209x1003 N

RAD PHYSICIANS MEDICAL CORPORATION JENNIFER PFEIFLE (586) 412-4000x25548 N

RADY CHILDREN'S HOSPITAL-SAN DIEGO (RCHSD) DONNA LEE (858) 576-1700x4361 Y

Page 32: Integrated Systems of Care Division · 2020-06-16 · biofusion llc. maria: espinoza (310) 320-6444x210 n: biohorizon medical,inc. joanna: cotaya (866) 914-5159x145 n: biologic infusion

Integrated Systems of Care Division Provider Electronic Data Interchange (PEDI)

Liaison List

Generated on 8/18/2017 For updates contact: [email protected]

Domain Name First Name Last Name Phone Number eSAR Submitter

RADY CHILDREN'S HOSPITAL-SAN DIEGO (RCHSD) VALERIE YAU (858) 309-6300x96154 Y

RADY CHILDREN'S HOSPITAL-SAN DIEGO (RCHSD) VANESSA GUTIERREZ (858) 309-6300x96171 Y

RADY CHILDREN'S HOSPITAL-SAN DIEGO (RCHSD) MARCELINA HARMON (858) 576-1700x8413 Y RADY CHILDREN'S HOSPITAL-SAN DIEGO (RCHSD) GWEN NISHIYAMA (858) 224-0120 Y RANCHO LOS AMIGOS NATIONAL REHABILITATION CENTER CATHY CORNELIOUS (562) 401-7960 N

REDDING HEARING INSTITUTE GAIL LINDSEY (530) 226-3320 N REDLANDS COMMUNITY HOSPITAL LETICIA BOISSIERE (909) 335-5500 N REDWOOD PEDIATRIC MEDICAL GROUP CIARA SMITH (707) 725-9355 N REGAL MEDICAL GROUP GIRARD JACQUET (818) 654-3452 N REGAL MEDICAL GROUP RICHARD VAILLANCOURT (818) 637-2003 N REGAL MEDICAL GROUP DAVID HERNANDEZ (818) 637-2000x3476 N REGAL MEDICAL GROUP ERNESTO BECERRA (818) 637-2000x3665 N REGIONAL MEDICAL CENTER OF SAN JOSE AMY STALDER (408) 347-4019 N REIMBURSEMENT, INTEGRITY, SERVICE, ADVOCACY, RESOURCE, CONSULTING (RISARC) PAMELA STEPHENSON (818) 953-3020 N

RENAISSANCE IMAGING MEDICAL ASSOC. INC LISA HULIT (805) 577-2165x2165 N RENOWN REGIONAL MEDICAL CENTER BEA RECASENS (775) 982-3086 N RESPICARE ANGELINA CRUZ (559) 432-4455 N RETINA EYE SPECIALISTS RAGHU MURTZ (626) 202-2446 N RETINA MACULA INSTITUTE YESENIA TORRES (310) 944-9393 N RETINA SPECIALISTS OF THE CENTRAL COAST LISA DAVIS (805) 547-2090 N RETINA-VITREOUS ASSOCIATES MEDICAL GROUP BECKY MONTES (213) 202-5890 N

Page 33: Integrated Systems of Care Division · 2020-06-16 · biofusion llc. maria: espinoza (310) 320-6444x210 n: biohorizon medical,inc. joanna: cotaya (866) 914-5159x145 n: biologic infusion

Integrated Systems of Care Division Provider Electronic Data Interchange (PEDI)

Liaison List

Generated on 8/18/2017 For updates contact: [email protected]

Domain Name First Name Last Name Phone Number eSAR Submitter

RETINAL CONSULTANTS MEDICAL GROUP, INC. ANDREA LOPEZ (916) 454-1036 N RGP PROSTHETIC RESEARCH CENTER KARLA CARROLL (619) 582-3871 N RIDGE EYE CARE, INC., D.B.A. NORTH VALLEY EYE MICHELLE DANI SCHULER (530) 891-1900x231 N RIDGE EYE CARE, INC., D.B.A. NORTH VALLEY EYE TAMMY AIELLO (530) 877-2250x331 N RIGGS AMBULANCE SERVICE ROBIN BANKS (209) 725-7000x210 N RITA MCWILLIAMS, AUD RITA MCWILLIAMS (530) 221-7380 N RIVER CITY MEDICAL GROUP MARIA SANDOVAL (916) 971-8650x3039 N RIVER CITY MEDICAL GROUP SANDRA DEUS (916) 228-4300x2424 N RIVER CITY PHARMACY, INC. SHANNON CHICALACE (224) 206-9860 N RIVERSIDE COMMUNITY HOSPITAL SARAH CLARK (951) 788-3312 N RIVERSIDE COUNTY REGIONAL MEDICAL CENTER DIANA BORUM (951) 486-4677 N

RIVERVIEW HEARING SPEECH AND LANGUAGE CTR SHERWIN BASIL (562) 439-9539 N

ROBERT S. BARRY M.D. INC. MARILYN WALKER (805) 922-3573 N ROGER D. FRIEDMAN, M.D. ROGER FRIEDMAN (818) 783-9700 N ROGER Y TAKLA MD, INC. NANCY SORIA (562) 491-9001 N ROSHANN REESE ROSHANN REESE (626) 676-4168 N SAC HEALTH SYSTEM (SOCIAL ACTION COMMUNITY HEALTH SYSTEM) ANITA ADORADOR (909) 382-

7100x37156 N

SAC HEALTH SYSTEM (SOCIAL ACTION COMMUNITY HEALTH SYSTEM) VANESSA HEGARDT (909) 382-

7100x30708 N

SACRAMENTO EAR NOSE AND THROAT KIM DIZON (916) 736-3408x1048 N SACRAMENTO EAR NOSE AND THROAT ANITA CONTRERAZ (916) 736-3408x1082 N SACRAMENTO EAR NOSE AND THROAT JAMI WALLEY (916) 736-6616 N SACRAMENTO HEART AND VASCULAR KANDYCE MURPHY (916) 830-2025 N

Page 34: Integrated Systems of Care Division · 2020-06-16 · biofusion llc. maria: espinoza (310) 320-6444x210 n: biohorizon medical,inc. joanna: cotaya (866) 914-5159x145 n: biologic infusion

Integrated Systems of Care Division Provider Electronic Data Interchange (PEDI)

Liaison List

Generated on 8/18/2017 For updates contact: [email protected]

Domain Name First Name Last Name Phone Number eSAR Submitter

SALCARE HOME HEALTH SERVICES SALLY OKEKE (323) 777-9339 N SALINAS PEDIATRIC MEDICAL GROUP, INC. ANA SANCHEZ (831) 422-9066 N SALINAS VALLEY MEMORIAL HOSPITAL CHARLOTTE WAYMAN (831) 759-1932 N SALINAS VALLEY RADIOLOGY, INC. TAMMY MONTANO (719) 637-7775 N SALINAS VALLEY UROLOGY ASSOCIATES STEPHANIE REYNOLDS (831) 737-1016 N SAN ANTONIO COMMUNITY HOSPITAL LEATRICE BORDEN (909) 466-8554 N SAN DIEGO FAMILY CARE ADELL BATEMAN (619) 280-2058 N SAN DIEGO HOMECARE SUPPLIES KATHRYN SHAW (619) 667-3700x203 N SAN DIEGO MEDICAL SERVICES SHERRY RANDOW (408) 606-3716 N SAN DIEGO NEONATOLOGY LOUISA GOPEZ (858) 598-5378 N SAN FRANCISCO GENERAL HOSPITAL INPATIENT DEPT. TINA SLATER (415) 206-5772 N

SAN FRANCISCO HEALTH PLAN HEATHER THOMSON (415) 615-4276 N SAN FRANCISCO HEALTH PLAN JAMES (JIM) SOOS (415) 615-5158 N SAN GABRIEL VALLEY MEDICAL CENTER LORNA LARAYA (626) 289-5454 N SAN GORGONIO MEMORIAL HOSPITAL MAYDA COX (951) 769-2170 N SAN JOAQUIN GENERAL HOSPITAL ADELE CAMPOS (209) 468-7449 N SAN LUIS AMBULANCE JODY SOULE (805) 543-2626x211 N SAN LUIS OBISPO EYE ASSOCIATES SUSAN LANDAU (805) 540-3755 N SANI EYE CENTER, INC. DIANNA REED (805) 434-2533x107 N SANSUM CLINIC LUPE FLORES (805) 681-1709 N SANTA BARBARA COTTAGE HOSPITAL GILDA BRANUELAS (805) 879-8922 N

SANTA BARBARA RADIOLOGY MEDICAL GROUP INC. CARISSA REYES (714) 571-5000x4121 N

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Integrated Systems of Care Division Provider Electronic Data Interchange (PEDI)

Liaison List

Generated on 8/18/2017 For updates contact: [email protected]

Domain Name First Name Last Name Phone Number eSAR Submitter

SANTA BARBARA RADIOLOGY MEDICAL GROUP INC. ELIZABETH MARTINEZ (714) 571-5000x4121 N

SANTA BARBARA SPECIALTY PHARMACY MARCEL SASSOLA (805) 770-2061 N SANTA CLARA FAMILY HEALTH PLAN (SCFHP) JENNY VU (408) 874-1891 N SANTA CLARA FAMILY HEALTH PLAN (SCFHP) SANDRA CARLSON (408) 874-1948 N SANTA CLARA VALLEY MEDICAL CENTER, PATIENT BUSINESS SERVICES AMPY BARRON (408) 885-7366 N

SANTA ROSA MEMORIAL HOSPITAL ELIZABETH MONTGOMERY (707) 547-5440 N SASAN YADEGAR MD SASAN YADEGAR (310) 673-7724 N SAVE MART SUPERMARKETS ROBERT VAUGHAN (209) 574-6220 N SCHAEFER AMBULANCE SVC ANNA M. ENCINAS (800) 582-2258 N SCHMIDT,ISAAC MD MARTHA ZURITA (310) 277-7774 N SCOPE ORTHOTICS AND PROSTHETICS INC TRACY PETERS (760) 941-1323 N SCRIPPS MERCY HOSPITAL MELISSA LEPULE (858) 927-5207 N SEEDAY HEARING AID JOANNE MA (213) 368-6300 N SENIOR MOBILITY AIDS ALLEN NEWSOME (760) 845-7032 N SERRA COMMUNITY MEDICAL CLINIC CATHY ZARAGOZA (818) 504-4659 N SERRA COMMUNITY MEDICAL CLINIC INC CATHY ZARAGOZA (818) 504-4569 N SERV-U PHARMACY ROGER TSENG (213) 385-5225 N SG HOMECARE ANGELA MARTINEZ (949) 474-2050 N SG HOMECARE NANCY NITTLER (949) 474-2050 N SHARP HEALTHCARE ENRIQUE MILLAN (858) 499-4240 N SHASTA COMMUNITY HEALTH CENTER DEBBIE FISHER (530) 246-5710 N SHAWKI SAAD MD INC. MONA ALNACHEF (818) 988-8591 N SHELDON J. NANKIN, M.D. INC., MAGGIE GARAY (714) 997-2020 N

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Integrated Systems of Care Division Provider Electronic Data Interchange (PEDI)

Liaison List

Generated on 8/18/2017 For updates contact: [email protected]

Domain Name First Name Last Name Phone Number eSAR Submitter

SHERMAN OAKS MEDICAL SUPPLIES JACK KELL (818) 896-9996 N SHERMAN,NEIL J. CLAUDIA RAMIREZ (626) 338-5563 N SHIELD CALIFORNIA HEALTH CARE CENTERS, INC. LAURA MCILVAINE (661) 294-4291 N SHIELD CALIFORNIA HEALTH CARE CENTERS, INC. DAREN DICKERSON (213) 639-3479 N SHRINERS HOSPITALS FOR CHILDREN NOE RAMOS (213) 639-3437 N SHRINERS HOSPITALS FOR CHILDREN BRENDA FLEEKS (213) 639-3479 N SHRINERS HOSPITALS FOR CHILDREN (NORTHERN CALIFORNIA) BRIAN MIJARES (916) 453-2142 N

SHRINERS HOSPITALS FOR CHILDREN (NORTHERN CALIFORNIA) JOHN BEVEL (916) 453-2014 N

SHYH- FANG CHENG MD CONNIE SIMMONS (209) 475-0309 N SIERRA HEALTH SERVICES, LLC TRICIA FORSHEY (209) 956-7732 N SIERRA VIEW DISTRICT HOSPITAL LYNETTE GATZKA (559) 791-3945 N SIERRA VISTA REGIONAL MEDICAL CENTER LISA MELISSA VINSON (805) 546-7822 N SIERRA VISTA REGIONAL MEDICAL CENTER CHERYL MCWILLIAM (805) 546-7768 N SOLARA MEDICAL SUPPLIES TOD ROBINSON (619) 600-3275 N SOLEDAD MEDICAL CLINIC CLAUDIA GUTIERREZ (831) 678-8411 N SOLEO HEALTH (PREVIOUSLY BIOMED PHARMACEUTICALS) GENEVA BALIGOD (310) 665-1121 N

SONORA REGIONAL MEDICAL CENTER NANETTE WARZEE (209) 536-3910 N SONUS HEARING CARE ELSA VALLES (626) 445-2844 N SOTERIA HOME HEALTH AGENCY,INC LOUIS NWOKE (310) 672-6200 N SOUTH BAY HOME HEALTH CARE LORENA HERNANDEZ (310) 672-6200 N SOUTH COUNTIES PEDIATRICS CRITICAL CARE KATHY GALLAGHER (310) 618-9555 N

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Integrated Systems of Care Division Provider Electronic Data Interchange (PEDI)

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Generated on 8/18/2017 For updates contact: [email protected]

Domain Name First Name Last Name Phone Number eSAR Submitter

SOUTHERN CALIFORNIA DESERT RETINA CONSULTANTS TONYA GIESER (562) 595-5803 N

SOUTHERN CALIFORNIA FOOT AND ANKLE SPECIALISTS KAREN MCCONNELL (760) 340-2394 N

SPEACH PATHOLOGY ASSOCIATES BARBARA MOORE (949) 364-9255 N SPECIAL NEED ANA RIOS (858) 578-9923 N SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA MADHU SINGH (209) 473-6555x206 N SPEECH LANGUAGE PATHOLOGY SERVICES CHRISTINE SWITZER (714) 544-1860 N SPOKANE BILLING CENTER 2- FORMERLY RIVER CITY PHARMACY JENNIFER BERTZ (509) 326-8001x502 N

ST JOSEPH HEALTH YENI VILLANUEVA (949) 381-4219 N ST JOSEPH HEALTH -ST MARY (REHAB SERVICES) DONNA CURTIS (760) 946-8183 N ST JOSEPH HOSPITAL JULIE HALL (707) 445-8121x6450 N ST JOSEPH HOSPITAL DAWN JORGENSEN (707) 445-8121x6450 N ST JUDE HOSPITAL OF YORBA LINDA NGUYEN NANCY (714) 712-3565 N ST. AGNES MEDICAL CENTER KIMBERLY PERRY (208) 367-5138 N ST. AGNES MEDICAL CENTER DEANNA SMITH (208) 367-7645 N ST. BERNARDINE MEDICAL CENTER BRIGETTE ELLIOTT (909) 881-4366 N ST. BERNARDINE MEDICAL CENTER BRIGETTE ELLIOTT (909) 881-4366 N ST. FRANCIS MEDICAL CENTER ADA MAGANA (310) 900-7447 N ST. FRANCIS MEDICAL CENTER VERONICA CARNAHAN (310) 900-7422 N ST. JOHN'S REGIONAL MEDICAL CENTER JANICE MARDER (805) 988-2767 N ST. JOSEPH HERITAGE HEALTHCARE VANESSA CHAVERST (714) 449-4939 N STANFORD CHILDREN'S HEALTH-DIABLO VALLEY CHILD NEUROLOGY (DVCN) RUTH GUTIERREZ (925) 691-9688 N

Page 38: Integrated Systems of Care Division · 2020-06-16 · biofusion llc. maria: espinoza (310) 320-6444x210 n: biohorizon medical,inc. joanna: cotaya (866) 914-5159x145 n: biologic infusion

Integrated Systems of Care Division Provider Electronic Data Interchange (PEDI)

Liaison List

Generated on 8/18/2017 For updates contact: [email protected]

Domain Name First Name Last Name Phone Number eSAR Submitter

STANFORD CHILDREN'S HEALTH-WALNUT CREEK KRIS PYATT (925) 818-0361 N STANFORD HEALTHCARE BRYON WILLIAMS (650) 276-7003 N STANFORD HOSPITAL ANNMARIE SHAVER (650) 847-8219 N STANFORD HOSPITAL TESSA BAUTISTA (650) 498-5660 N SUNRISE HOSPITAL AND MEDICAL CENTER BREE FARROW (678) 421-7721 N SUPER CARE HAYK MELKUMYAN (800) 206-4880x7287 N SUPERIOR MOBILITY, INC., DOUGLAS ZAER (310) 755-6480 N SUTTER HEALTH SHARED SERVICES ALDEN MENESES (916) 297-9006 N SUTTER HEALTH SHARED SERVICES ALDEN MENESES (916) 297-9006 N

SUTTER INFUSION PHARMACY SERVICES CRYSTAL WHITE-CASTLEMAN (916) 379-3273 N

SUTTER INFUSION PHARMACY SERVICES KASEY VOSTRY (916) 379-3210 N

SUTTER MEDICAL FOUNDATION ROBBIE SAVELLE (916) 854-6600x26909 N

SUTTER MEDICAL FOUNDATION NOEMI ENRIQUEZ (916) 854-6953 N SUTTER VNA AND HOSPICE JORDAN BALLAM (855) 629-1328 N SUTYLA BILLING SERVICE JAN SUTYLA (818) 554-9925 N SYNERMED INC. MARILYN DIAZ (213) 406-2761 N TAED'S ORTHOTICS AND PROSTHETICS TAED STUDER (805) 710-1947 N TAHOE FOREST HOSPITAL DISTRICT CRYSTAL BETTS (530) 582-6656 N TEMECULA VALLEY HOSPITAL TRACY PRINCE-BALL (951) 553-2484 N TENET HEALTHSYSTEM DESERT INC. DBA DESERT REGIONAL MEDICAL CENTER ERIC BROWN (760) 323-6345 N

TERESA HOLLANDER, MD - SHARE OUIR SELVES COMMUNITY CLINIC LIDIA GUTIERREZ (949) 270-2153x2301 N

Page 39: Integrated Systems of Care Division · 2020-06-16 · biofusion llc. maria: espinoza (310) 320-6444x210 n: biohorizon medical,inc. joanna: cotaya (866) 914-5159x145 n: biologic infusion

Integrated Systems of Care Division Provider Electronic Data Interchange (PEDI)

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Generated on 8/18/2017 For updates contact: [email protected]

Domain Name First Name Last Name Phone Number eSAR Submitter

THE ADOLECENT AND CHILDRENS ORTHO SURGEONS CRAIG GROMAN (818) 789-9449 N

THE CARING CONNECTION, INC. DEVIN LETZER (818) 368-5007 N THE NEUROLOGY GROUP,INC VALENCIA JACOBS (909) 982-2719 N THE PLASTIC SURGERY CENTER WORTHINGTON TERESA (916) 569-5224 N THOMAS ADAM BOWEN, MD ALISON HELTON (530) 246-4733 N TIMBERLAKE SILVIA GUTIERREZ (916) 423-2198 N TORRANCE MEMORIAL MED CTR - BO ANGELA M. CASTRO (310) 784-4867 N TOTALLY KIDS REHABILITATION HOSPITAL CYNTHIA CAPETILLO (909) 796-6915x104 N TOTALLY KIDS SPECIALTY HEALTHCARE IVY MARIE MONTILLA (818) 252-5863x227 N TOTALLY KIDS SPECIALTY HEALTHCARE NICHOLSON BRITTANY (818) 252-5863x218 N TRI CITY MEDICAL CENTER JAMES TORRES (760) 940-3158 N TRI CITY MEDICAL CENTER SUSAN SCHROEDER (760) 940-7077 N TRI-CITY HOME HEALTH SUSAN SCHROEDER (760) 940-7077 N TRI-COUNTY MOBILITY, LLC CARRIE NELSON (805) 967-0070x101 N TRINITYCARE INFUSION SERVICES LAINEY KIM (818) 700-5565 N UC DAVIS MEDICAL CENTER THOMAS JONES (916) 734-7459 N UC DAVIS MEDICAL CENTER JENNIFER PAOLI (916) 734-7831 N UC DAVIS PAVILION PHARMACY WAILAN GONG (916) 703-6100 N UCI - UNIVERSITY OF CALIFORNIA, IRVINE MEDICAL CENTER PATRICIA FELIX (714) 456-6470 N

UCI - UNIVERSITY OF CALIFORNIA, IRVINE MEDICAL CENTER KRISTA QUALLS (714) 456-6470 N

UCI - UNIVERSITY OF CALIFORNIA, IRVINE MEDICAL CENTER COLLEEN ESCALANTE (714) 456-8999 N

Page 40: Integrated Systems of Care Division · 2020-06-16 · biofusion llc. maria: espinoza (310) 320-6444x210 n: biohorizon medical,inc. joanna: cotaya (866) 914-5159x145 n: biologic infusion

Integrated Systems of Care Division Provider Electronic Data Interchange (PEDI)

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Generated on 8/18/2017 For updates contact: [email protected]

Domain Name First Name Last Name Phone Number eSAR Submitter

UCI - UNIVERSITY OF CALIFORNIA, IRVINE MEDICAL CENTER JULIANA HALLOWELL (714) 456-7376 N

UCI - UNIVERSITY OF CALIFORNIA, IRVINE MEDICAL CENTER NORMA GALINDO (714) 456-7376 N

UCI - UNIVERSITY OF CALIFORNIA, IRVINE MEDICAL CENTER DAMIEN DIAZ (714) 456-8999 N

UCI PHYSICIANS BILLING GROUP JAMIE STALLWOOD (714) 456-3951 N UCLA DEPT ANESTHESIOLOGY FRANCIS VICTOR (866) 570-0077x6162 N UCLA HEALTH SYSTEM FLORA TOKATLYAN (310) 794-2547 N UCLA HEALTH SYSTEM MARJORIE URQUIDI (310) 267-4035 N UCLA HEALTH SYSTEM BELLINDA LEDESMA (310) 301-8715 N UCLA HEALTH SYSTEM MAKEVA CONERLY (310) 301-8746 N UCLA HEALTH SYSTEM ALBERT ABAD (310) 301-8600 N UCLA HEALTH SYSTEM LAVONTE HICKMAN (310) 301-8777 N UCSD HOME INFUSION PHARMACY ANNE CARLSON (916) 543-2531 N UCSD MEDICAL GROUP LILLIAN MCCLEARY (858) 657-8833 N UCSD MEDICAL GROUP ONEVATHANA SALINA KAKADA (838) 657-8753 N UCSD SHILEY EYE INSTITUTE JOYCE MEYER (858) 534-6290 N UCSF - SFGH MEDICAL GROUP ARLEEN REYES (415) 502-8161 N UCSF - SFGH MEDICAL GROUP AMY ZHAO (415) 502-0661 N UCSF CHILDREN'S HOSPITAL ANA REYES (415) 353-1511 N UCSF GENERAL MEDICINE EDITHA MACASIEB (415) 353-2118 N UCSF MEDICAL CENTER RACHAEL COTRONEO (415) 535-6211 N UNICARE DIAGNOSTICS INC CURTIS HOTCHKISS (805) 375-0033 N

Page 41: Integrated Systems of Care Division · 2020-06-16 · biofusion llc. maria: espinoza (310) 320-6444x210 n: biohorizon medical,inc. joanna: cotaya (866) 914-5159x145 n: biologic infusion

Integrated Systems of Care Division Provider Electronic Data Interchange (PEDI)

Liaison List

Generated on 8/18/2017 For updates contact: [email protected]

Domain Name First Name Last Name Phone Number eSAR Submitter

UNIVERSAL HEALTH SERVICES SAMANTHA REDMOND MURRIETA (951) 553-2487 N

UNIVERSAL HOMECARE INC ROY ELSENBERG (323) 653-9222 N URREA MEDICAL ASSOCIATES LILY CASILLAS (626) 289-7699 N USC CARE MEDICAL GROUP THOMAS TEASLEY (626) 457-4101 N USC CENTER FOR CHILDHOOD COMMUNICATION MARGARET WINTER (213) 422-0152 N USC UNIVERSITY HOSPITAL AVIGAIL NEWSOME (323) 442-5907 N VALLEY CHILDREN'S HEALTHCARE BROOKE LAUNER (559) 353-7126 Y VALLEY CHILDREN'S HEALTHCARE DUNG TRAN (559) 353-7027 Y VALLEY CHILDREN'S HEALTHCARE MARY LOU PEASE (559) 353-7137 Y VALLEY HEARING CENTER NICK AMADOR (831) 422-4427 N

VALLEY INSTITUTE OF PROSTHETICS AND ORTHOTICS JOANNA CHAVEZ-ROMERO (661) 322-1005x209 N

VALLEY MEDICAL PHARMACY DBA MANOR DRUGS BEA MEZA (559) 431-4142 N VALLEY PRESBYTERIAN HOSPITAL KATRINA PEDRAJA (818) 902-5279 N VANTAGE HOME HEALTH CARE SERVICES, INC. KEHINDE OJUTE (310) 538-9046 N VANTAGE MEDICAL GROUP, INC. MARIA ALMENDRALA (951) 280-7865 N VASCULAR AND INTERVENTIONAL SPECIALISTS OF ORANGE COUNTY, INC. YOLANDA MORALES (714) 560-4450 N

VENTURA COUNTY MEDICAL CENTER MISTY NAVARRO (805) 652-6255 N VENTURA COUNTY MEDICAL CENTER GENEVEVE ZAPEDA (805) 652-6074 N VERIO HEALTHCARE CHRISTY CANINI (949) 445-1100x736 N

VERIO HEALTHCARE [email protected]

LEGASPI (949) 445-1100x705 N

VERITY BUSINESS SERVICES CHRISTINA FONSECA (650) 551-6770 N

Page 42: Integrated Systems of Care Division · 2020-06-16 · biofusion llc. maria: espinoza (310) 320-6444x210 n: biohorizon medical,inc. joanna: cotaya (866) 914-5159x145 n: biologic infusion

Integrated Systems of Care Division Provider Electronic Data Interchange (PEDI)

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Generated on 8/18/2017 For updates contact: [email protected]

Domain Name First Name Last Name Phone Number eSAR Submitter

VERONIQUE JOTTERAND, M.D., A MED CORP VERONIQUE JOTTERAND (562) 988-2020 N VISALIA PATHOLOGY MEDICAL GROUP KAY LOVENBURG (559) 625-0601 N VISION CARE CENTER MARIA OCHOA (559) 486-2000x8576 N VNA HOSPICE AND PALLIATIVE CARE OF SOUTHERN CALIFORNIA SERGIO RECIO (909) 624-3574x7252 N

VNAIC MICHAEL SCHENCK (951) 413-1200 N VNAIC GRACIE SALDIVAR (951) 842-7930 N VON'S PHARMACY VONS PHARMACY 2012 (858) 455-6340 N VONS PHARMACY TONY VU (619) 229-0012 N WADE R. CARTWRIGHT M.D. CAROLYN SADLER (510) 834-6644 N WALGREENS KARRY DENTON (909) 217-5298 N WALGREENS 03294 AND 16382 JOSEPH TRAN (661) 324-2545 N WALGREENS 03294 AND 16382 MARITESS PHUA (661) 871-3855 N WALGREENS CO, REGION 11 AMY BROPHY (951) 409-1268 N WALGREENS HOME CARE STELLA ADORABLE (800) 800-4852x3007 N WALGREENS INFUSION SERVICES KARRY DENTON (909) 217-5294 N WALGREENS PHARMACY 12141 DISCOREX PALO ALTO (650) 326-3876 N WALGREENS PHARMACY 15293 DAVID KLEYNBERG (818) 990-3784 N WALGREENS PHARMACY 2112 BRIAN SOLE (925) 672-1356 N WALGREENS STORE - 16373 STEVEN SIMON (415) 365-0512 N WALGREENS STORE -7015 SHAWNT BATMANIAN (818) 341-4339 N WALLACE MEDICAL BILLING GINA WALLACE (209) 571-8330 N WALTER M FIERSON, MD CARMEN CONTRERAS (626) 304-7081 N WATSONVILLE COMMUNITY HOSPITAL ERMA CORTEZ (831) 761-5665 N WATSONVILLE COMMUNITY HOSPITAL REBECCA WILSON (831) 763-6073 N

Page 43: Integrated Systems of Care Division · 2020-06-16 · biofusion llc. maria: espinoza (310) 320-6444x210 n: biohorizon medical,inc. joanna: cotaya (866) 914-5159x145 n: biologic infusion

Integrated Systems of Care Division Provider Electronic Data Interchange (PEDI)

Liaison List

Generated on 8/18/2017 For updates contact: [email protected]

Domain Name First Name Last Name Phone Number eSAR Submitter

WEST ARCADIA PRESCRIPTION PHARMACY RUSSELL LUBRANI (626) 447-2138 N WEST COAST PEDIATRIC NEUROSURGICAL ASSOCIATES, INC KIMBERLY MENDOZA (714) 835-2741 N

WEST GROUP PHARMACEUTICALS - PROCARE PHARMACY VIET HUYNH (714) 899-1111 N

WESTERN DRUG MEDICAL SUPPLY - H AND H DRUG TANIA ROMERO (818) 956-6691x139 N

WESTERN HEALTH RESOURCES AMBER ONTIVEROS (619) 293-6820 N WESTERN MEDICAL CENTER - SANTA ANA ANA VENTURA (714) 953-3686 N WESTERN REHAB HEIDI HAWKINS (707) 544-2412 N WESTERN STATES HOME HEALTH CARE AGENCY EPHREM TILAHUN (310) 672-4581 N WESTMED DBA MCCORMICK AMBULANCE DELANEY ZOLLER (800) 456-1649 N WHITE MEMORIAL MEDICAL CENTER BECKY LEVARIO (323) 268-5000x3545 N WHITE MEMORIAL MEDICAL PLAZA PHARMACY ANA ALMANZA (213) 239-1218 N WHITE MEMORIAL PEDIATRIC MEDICAL GROUP MARIA HERNANDEZ (323) 307-8541 N WHITE MEMORIAL PEDIATRIC MEDICAL GROUP INGRID ANZUETO (323) 987-1233 N WHITTIER MEDICAL HOMECARE SUPPLY WYONA HELLIESEN (562) 945-5556 N WILLIAM S MORGAN, MD SPRING ACKERMAN (805) 473-3262 N WILLIAM S. UMANSKY, MD MARGIE TAVAREZ (858) 550-9697 N WILLIAM W. SUTHERING, MD - EPILEPSY AND BRAIN MAPPING PROGRAM MARIA LEGG (626) 792-7300 N

WINDY A OLAYA MD WINDY OLAYA (714) 564-9225 N WITTNER,RICHARD S., MD JOAN WITTNER (562) 595-1879 N