South (Region B)

Commercial

Geoffrey GomezHealth Net

Health Net HMO Directory

Participating physician groups, primary care physicians, hospitals, and outpatient surgical facilities

Fall 2016

HMO Southern California

Orange, Riverside, San Bernardino, and San Diego counties

Planes Comerciales

Health Net Directorio de HMO

Grupos mdicos participantes, mdicos de atencin primaria, hospitales y centros quirrgicos para pacientes ambulatorios

Otoo de 2016HMO Sur de California

Condados de Orange, Riverside, San Bernardino y San Diego

EnglishNo Cost Language Services. You can get an interpreter. You can get documents read to you and some sent to you in your language. For help, call us at the number listed on your ID card, or employer group applicants please call 1-800-522-0088 (TTY: 711). Individual & Family Plan (IFP) applicants please call 1-877-609-8711 (TTY: 711). For more help: If you are enrolled in a PPO or EPO insurance policy from Health Net Life Insurance Company, call the CA Dept. of Insurance at 1-800-927-4357. If you are enrolled in an HMO or HSP plan from Health Net of California, Inc., call the DMHC Helpline at 1-888-HMO-2219.

Arabic . . .

TTY: 711( 1-800-522-0088(.. )IFP(

PPO : .)TTY: 711( 1-877-609-8711 EPO Health Net Life Insurance Company

4357-927-800-1. HMO HSP .1-888-HMO-2219. DMHC , .Health Net of California, Inc

Armenian : : : ID , 1-800-522-0088 (TTY: 711) : (IFP) 1-877-609-8711 (TTY: 711) : . Health Net Life Insurance Company- PPO EPO , 1-800-927-4357 : Health Net of California, Inc.- HMO HSP , DMHC 1-888-HMO-2219 .

Chinese

1-800-522-0088TTY711 (IFP) 1-877-609-8711TTY711 Health Net Life Insurance Company PPO EPO 1-800-927-4357 Health Net of California, Inc. HMO HSP DMHC 1-888-HMO-2219

Hindi , , 1-800-522-0088 (TTY: 711) (IFP) 1-877-609-8711 (TTY: 711) : Health Net Life Insurance Company PPO EPO , 1-800-927-4357 Health Net of California, Inc., HMO HSP , DMHC 1-888-HMO-2219

HmongKev Pab Txhais Lus Dawb. Koj xav tau neeg txhais lus los tau. Koj xav tau neeg nyeem cov ntaub ntawv kom yog koj hom lus los tau xav tau kev pab, hu peb tau rau ntawm tus xov tooj nyob ntawm koj daim npav, los yog tias koj yog tus neeg tso npe xav tau kev pab kho mob los ntawm koj txoj hauj-lwm thov hu rau 1-800-522-0088 (TTY: 711). Yog koj yog tus tso npe xav tau kev pab kho mob rau Ib Tug Neeg & Tsev Neeg Individual & Family Plan (IFP) thov hu 1-877-609-8711 (TTY: 711). Xav tau kev pab ntxiv: Yog koj tau tsab ntawv tuav pov hwm PPO los yog EPO los ntawm Health Net Life Insurance Company, hu mus rau CA Dept. of Insurance ntawm 1-800-927-4357. Yog koj tau txoj kev pab kho mob HMO los yog HSP los ntawm Health Net of California, Inc., hu mus rau DMHC tus xov tooj pab Helpline ntawm 1-888-HMO-2219.

JapaneseID

1-800-522-0088(TTY: 711) (IFP) 1-877-609-8711 (TTY: 711) : Health Net Life Insurance CompanyPPOEPO 1-800-927-4357 Health Net of California, Inc.HMOHSPDMHC 1-888-HMO-2219

Khmer 1-800-522-0088 (TTY: 711) 1-877-609-8711 (TTY: 711) PPO EPO Health Net Life Insurance Company CA 1-800-927-4357 HMO HSP Health Net DMHC 1-888-HMO-2219

Korean . .

. ID

1-800-522-0088 (TTY: 711) . Individual & Family Plan (IFP) , 1-877-609-8711 (TTY: 711) . , Health Net Life Insurance Company PPO EPO 1-800-927-4357 . Health Net of California, Inc. HMO HSP DMHC 1-888-HMO-2219 .

NavajoSaad Bee !k1 Eeyeed T11 J77ke. Ata halne7g77 h0l=. T11 h0 hazaad kehj7 naaltsoos hach8 w0ltah. Sh7k1 adoowo[ n7n7zingo naaltsoos bee n47hod0lzin7g77 bik1agi b44sh bee hane7 bik11 1aj8 hod77lnih 47 doodaii employer group-j7 ninaaltsoos si[tsoozgo 47 1-800-522-0088 (TTY: 711). T11 h0 d00 ha1[ch7n7 bi[ hak44sti7g77 (IFP woly4h7g77) 47 koj8 hojilnih 1-877-609-8711 (TTY: 711).Sh7k1 an11doowo[ jin7zingo: PPO 47 doodaii EPO-j7 Health Net Life Insurance Company woly4h7j7 b4eso 1ch33h naanil biniiy4 hweiina bik44stigo 47 CA Dept. of Insurance bich8 hojilnih 1-800-927-4357. HMO 47 doodaii HSP-j7 Health Net of California-j7 b4eso 1ch33h naanil biniiy4 hats77s bik44stigo 47 koj8 hojilnih DMHC Helpline 1-888-HMO-2219.

Persian (Farsi) . . . TTY: 711( 1-800-522-0088( . )IFP(

TTY: 711( 1-877-609-8711( . : PPO EPO Health Net Life Insurance Company CA Dept. of Insurance 4357-927-800-1 DMHC .Health Net of California, Inc HSP HMO .

HMO-2219-888-1 .

Panjabi (Punjabi) , 1-800-522-0088 (TTY: 711) (IFP) 1-877-609-8711 (TTY: 711) : Health Net Life Insurance Company PPO EPO , 1-800-927-4357 , HMO HSP DMHC 1-888-HMO-2219

Russian . . . , . , , 1-800-522-0088 (TTY: 711). (IFP), 1-877-609-8711 (TTY: 711). : PPO EPO Health Net Life Insurance Company, CA Dept. of Insurance, 1-800-927-4357. HMO HSP Health Net of California, Inc., (DMHC), 1-888-HMO-2219.

SpanishServicios de idiomas sin costo. Puede solicitar un intrprete. Puede obtener el servicio de lectura de documentos y recibir algunos en su idioma. Para obtener ayuda, llmenos al nmero que figura en su tarjeta de identificacin. Los solicitantes del grupo del empleador deben llamar al 1-800-522-0088 (TTY: 711). Los solicitantes de planes individuales y familiares deben llamar al 1-877-609-8711 (TTY: 711). Para obtener ms ayuda, haga lo siguiente: Si est inscrito en una pliza de seguro PPO o EPO de Health Net Life Insurance Company, llame al Departamento de Seguros de California, al 1-800-927-4357. Si est inscrito en un plan HMO o HSP de Health Net of California, Inc., llame a la lnea de ayuda del Departamento de Atencin Mdica Administrada, al 1-888-HMO-2219.

TagalogWalang Bayad na Mga Serbisyo sa Wika. Makakakuha kayo ng isang interpreter. Makakakuha kayo ng mga dokumento na babasahin sa inyo sa inyong wika. Para sa tulong, tawagan kami sa nakalistang numero sa inyong ID card, o para sa grupo ng mga aplikante ng employer, mangyaring tawagan ang 1-800-522-0088 (TTY: 711). Para sa mga aplikante ng Plano para sa Indibiduwal at Pamilya Individual & Family Plan, (IFP), mangyaring tawagan ang 1-877-609-8711 (TTY: 711). Para sa higit pang tulong: Kung nakatala kayo sa insurance policy ng PPO o EPO mula sa Health Net Life Insurance Company, tawagan ang CA Dept. of Insurance sa 1-800-927-4357. Kung nakatala kayo sa HMO o HSP na plan mula sa Health Net of California, Inc., tawagan ang Helpline ng DMHC sa 1-888-HMO-2219.

Thai

1-800-522-0088 (TTY: 711) Individual & Family Plan (IFP)

1-877-609-8711 (TTY: 711) PPO EPO

Health Net Life Insurance Company 1-800-927-4357

HMO HSP Health Net of California, Inc. DMHC 1-888-HMO-2219.

VietnameseCc Dch V Ngn Ng Min Ph. Qu v c th c mt phin dch vin. Qu v c th yu cu c c cho nghe ti liu bng ngn ng ca qu v. nhn tr gip, hy gi cho chng ti theo s c lit k trn th ID ca qu v, hoc ngi np n vo chng trnh theo nhm ca ch s dng lao ng vui lng gi 1-800-522-0088 (TTY: 711). Ngi np n thuc Chng Trnh C Nhn & Gia nh vit tt trong ting Anh l (IFP) vui lng gi s 1-877-609-8711 (TTY: 711). nhn thm tr gip: Nu qu v ng k hp ng bo him PPO hoc EPO t Health Net Life Insurance Company, vui lng gi S Y T CA theo s 1-800-927-4357. Nu qu v ng k vo chng trnh HMO hoc HSP t Health Net of California, Inc., vui lng gi ng Dy Tr Gip DMHC theo s 1-888-HMO-2219.

CA Commercial Applicant Notice of Language Assistance

FLY007791EL00 (06/16)

Health Net complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Health Net does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Health Net:

Provides free aids and services to people with disabilities to communicate effectively with us, such as qualified sign language interpreters and written information in other formats (large print, accessible electronic formats, other formats).

Provides free language services to people whose primary language is not English, such as qualified interpreters and information written in other languages.

If you need these services, contact Health Nets Customer Contact Center at 1-800-522-0088 (TTY: 711).

If you believe that Health Net has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance by calling the number above and telling them you need help filing a grievance; Health Nets Customer Contact Center is available to help you.

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf or by mail or phone at: U.S. Department of Health and Human Services, 200 Independence Avenue SW, Room 509F, HHH Building, Washington, DC 20201, 1-800-368-1019 (TDD: 1-800-537-7697).

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

Health Net cumple con las leyes federales aplicables sobre derechos civiles y no discrimina por cuestiones de raza, color, nacionalidad, edad, discapacidad ni sexo. Health Net no excluye a las personas ni las trata de manera diferente por motivos de raza, color, nacionalidad, edad, discapacidad o sexo.

Health Net:

Proporciona aparatos y servicios gratuitos a las personas con discapacidades para que se comuniquen eficazmente con nosotros, como intrpretes calificados de lenguaje de seas e informacin escrita en otros formatos (letra grande, formatos electrnicos accesibles, otros formatos).

Proporciona servicios de idiomas gratuitos a las personas cuyo idioma principal no es el ingls, como intrpretes calificados e informacin escrita en otros idiomas.

Si necesita estos servicios, llame al Centro de Comunicacin con el Cliente de Health Net al 1-800-522-0088 (TTY: 711).

Si considera que Health Net no proporcion estos servicios o ejerci algn otro tipo de discriminacin por cuestiones de raza, color, nacionalidad, edad, discapacidad o sexo, puede presentar una queja formal llamando al nmero que se indica ms arriba y dicindoles que necesita ayuda para presentar una queja formal; el Centro de Comunicacin con el Cliente de Health Net est disponible para ayudarle.

Tambin puede presentar una queja sobre derechos civiles ante el Departamento de Salud y Servicios Humanos de los Estados Unidos, Oficina de Derechos Civiles, de manera electrnica a travs del Portal de Quejas de la Oficina de Derechos Civiles disponible en https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, o bien, por correo postal o telfono: U.S. Department of Health and Human Services, 200 Independence Avenue SW, Room 509F, HHH Building, Washington, DC 20201, 1-800-368-1019 (TDD: 1-800-537-7697).

Hay formularios de quejas disponibles en http://www.hhs.gov/ocr/office/file/index.html.

Table of Contents

Introduction..................................................................................................................................7

Participating Physician Groups..................................................................................................33

Facilities and Other Services.................................................................................................1273

Outpatient Surgical Facilities..................................................................................................1337

Primary Care Physician Index................................................................................................1345

Primary Care Physicians by City Index..................................................................................1383

Specialist Index......................................................................................................................1423

Hospital Index........................................................................................................................1741

Glossary of Terms..................................................................................................................1749

IntroductionUse this directory to choose a primary care physician (PCP) and participating

physician group (PPG). PCPs are grouped according to city within this guide, and the

Participating Physician Group Index is located near the back to further help you find

a physician. Weve also included information about how to enroll, either by written

form or online, provided information about our services such as Rapid Access,

and answered some frequently asked questions. For more details about your plan

benefits and terms of your groups coverage, please refer to your Summary of

Benefits/Disclosure Form or Evidence of Coverage.

Note: Updates to this directory are continuously made, and we make every effort to ensure accuracy. However, we cannot guarantee this edition is updated in all cases. Please confirm a physicians participation prior to receiving service. If the doctor youre currently seeing is listed in our directory as

not accepting new patients, you can continue to see your current physician as a member of HealthNet of California, Inc. (HealthNet).

You can also access up-to-date directory listings on the Internet at www.healthnet.com > ProviderSearch.

How to EnrollTo enroll, you must select a PCP. If you are enrolling online, you will need to enter the

10-digit ID number, made up of the physician group and physician ID numbers. If you

are enrolling by written form, you must locate and write in both the 4-digit number of

the physician group and the 6-digit physician ID number.

Choose your doctor and physician groupBy availability of your current doctor

Refer to the Primary Care Physician Index. Available PCPs and the pages to reference for further enrollment information are listed in alphabetical order.

By location of doctors office

Refer to the listing of primary care physicians by city. The name of each PCP is grouped in alphabetical order by the city in which his or her office is located.

By doctors physician group affiliation

Refer to the Participating Physician Group Index. The names of HealthNet contracting physician groups are in alphabetical order. An overview of affiliated PCPs and hospitals is provided for each physician group, in addition to information regarding Rapid Access and Wellness program availability.

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www.healthnet.com / 7

By doctors hospital affiliation

Refer to the Hospital Index. Hospitals affiliated with HealthNet are in alphabetical order. Next to the name of each hospital is a list of affiliated physician groups. From this list, you can choose a physician group and turn to the Participating Physician Group Index to select your PCP.

By affiliation with a particular specialist

Although you cant select a specialist as your PCP, you can select a PCP who belongs to the same physician group as the specialist. To access a current listing of specialists, visit our website at www.healthnet.com. After youve located the name, find the physician group(s) the specialist is affiliated with, and choose a PCP who belongs to the same physician group as the specialist.

Please note that specialists are not included in this printed directory.

Complete your enrollment formAfter choosing a PCP and physician group, youre ready to complete your HealthNet enrollment form.

To enroll by phone

Before calling, you will need to identify the PPG and PCP of your choice by noting the corresponding number listed in this directory. To the right of the doctors name under the telephone number, you will see a 4-digit number; this is the PPG number. Next to that is a 6-digit ID number for your chosen PCP (both numbers listed together as Enrollment ID # at the top of the column).

Note: You may choose a different PCP and physician group for each member of your family. Write down both the 4-digit number and the 6-digit number (or numbers, if selecting different physicians for other family members) in the boxes shown below.

Call the enrollment phone number specified by your employer and give your physician ID number(s) when prompted.

Before calling, verify physician group affiliation and location and confirm that it is convenient for you. To ensure that you have reasonable access to care, we ask that you reside or work within 30 miles of your chosen doctors office.

To enroll by written form

When you complete the enrollment form, you will need to identify the PPG and PCP of your choice by writing in the corresponding number listed in this directory. To the right of the doctors name under the telephone number, you will see a 4-digit number; this is the PPG number. Next to that is a 6-digit ID number for your chosen PCP (Note: You may choose a different PCP and PPG for each member of your family). Write down both the 4-digit number and the 6-digit number (or numbers, if selecting different physicians for other family members) in the appropriate spaces on the enrollment form. When completed, turn in the form to your employer.

Before turning in your enrollment form, verify physician group affiliation and location and confirm that it is convenient for you. To ensure that you have reasonable access to care, we ask that you reside or work within 30 miles of your chosen doctors office.

8 / www.healthnet.com

Special ServicesRapid AccessUtilize self-referral or obtain direct referrals to specialists with this service. You can directly contact a specialist affiliated with your physician group for consultation or evaluation. (Your physician group must still authorize any procedures the specialist may recommend.) With direct referral, your PCP can refer you directly without prior authorization from your physician group.

As of this publication, 49 specialties are represented in the Rapid Access program. Not all physician groups offer access to the same specialties, so check the Participating Physician Group Index or call a specific physician group for a listing of specialists available.

Special note regarding Obstetrics/Gynecology: Member self-referral to an OB/GYN is available at all of HealthNets contracting physician groups.

Note: Members may self-refer for an annual exam but only to an OB/GYN in their assigned physician group.

Outpatient surgical facilityUtilizing outpatient surgical facilities is a safe and cost-effective approach to outpatient surgery performed in a hospital. The choice to use an outpatient surgical facility begins with a thorough physical examination, completion of necessary laboratory tests and a consultation with your doctor to discuss any related risks. Based on the doctors discussion with the patient, he or she will select the optimal procedure, anesthesia and choice of facility in which to perform the procedure. Since overnight stays are not permitted at this type of facility, postoperative recovery is done at home. Depending on the procedure, patients should have a responsible adult available to drive them home and assist them with recovery for approximately 24 to 48 hours.

Note: Some procedures performed in the outpatient setting may require prior authorization, and a copayment is required. Please check with your physician to confirm that your PPG has an arrangement with an outpatient surgical facility. Refer to your Evidence of Coverage, or call our Customer Contact Center at 1-800-522-0088.

Parents-to-be programsHealthNet members automatically have access to our Early Prenatal Program offered through their PPGs. Moms-to-be can learn how to have a healthy pregnancy and receive additional prenatal education and parenting programs such as Childbirth Preparation, Breastfeeding and Baby Basics. HealthNet also offers self-study programs for members who are unable to attend a program at their physician group. For details, contact your medical group or HealthNets Customer Contact Center at 1-800-522-0088.

Also visit www.healthnet.com for online resources and additional information about topics related to healthy women and children.

Complementary and alternative medicineNot all HealthNet members have access to the practitioners listed in this directory. Check your Summary of Benefits, or call our Customer Contact Center to determine whether you have this benefit and whether there is a specific provider network for you to use. For more information and a full list of practitioners, call American Specialty Health toll-free at 1-800-678-9133, option 2, or log in to www.healthnet.com > ProviderSearch.


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Managed Health Network (MHN)Not all HealthNet members have access to the practitioners listed in this directory. Check your Summary of Benefits, or call our Customer

Contact Center to determine whether there is a specific provider network for you to use. For more information about MHN, or for a referral to a counselor, call MHN at the number listed on the back of your ID card or our Customer Contact Center.

Frequently Asked QuestionsWhat is a PPG?A PPG is a team of physicians from various specialties assisted by nurses, technicians and other health care professionals contracted with HealthNet to perform services for HealthNet members.

You may notice that some of our physician group listings include the words medical group, PPG, independent physicians association or IPA in the physician name. Typically, in the physician groups that include the term medical group or PPG, most of the PCPs have their offices at one principal location. In an IPA, the PCPs typically practice at different locations.

What is an affiliate office and how does it affect my selection of a PCP?Affiliate office locations often have limited physician availability and different office hours. Its also possible that your doctor offers office hours in more than one location. Affiliates will often refer patients to the primary location of a physician group for laboratory and urgent care services.

How is a referral specialist different from a PCP?Your PCP is your main medical provider. He or she is the doctor who is responsible for coordinating all of your medical care and authorizing all specialized treatment or hospitalization. As a member of HealthNet, you must obtain a referral from your PCP

to see a specialist. Referral specialists are not available for selection as your PCP.

Whats the difference between emergency care and urgent care?Emergency care is for a sudden, serious and unexpected illness, injury or condition, including severe pain that a reasonable person with an average knowledge of health and medicine would believe requires immediate medical attention. HealthNet covers care received from any licensed provider or treatment center anywhere in the world for an emergency situation.

Urgent care is provided for medical conditions that require treatment within several days but are not considered immediately life-threatening. These may include sprains and fractures, a sudden high fever or pneumonia, or a flare-up of a chronic condition such as asthma. Situations requiring urgent care are covered when received from the members PCP and physician group while in the groups service area, and from any licensed provider or treatment center while out-of-area. All non-emergency care must be provided by or through the members PCP and physician group.


What is an outpatient surgical facility?An outpatient surgical facility is a setting other than a medical or dental office, whose main function is performing surgical procedures on an outpatient basis. It must be licensed as an outpatient clinic according to state and local laws and must meet all requirements of an outpatient clinic providing surgical services. The patient is admitted to and discharged from the facility within the same working day. Overnight stays are not permitted.

Am I allowed to change to a new doctor once I enroll?You may switch to another PCP in the same physician group at any time, for any reason, by calling HealthNet at 1-800-522-0088 or going online to www.healthnet.com. If you want to select a new PCP affiliated with a different group, you can make the change on a monthly basis. If you choose a new doctor and physician group before the 15th of the month, you can begin seeing the new doctor anytime after the 1st of the next month. If you choose a new doctor after the 15th, youll need to wait as long as

six weeks (the first of the month after one full month has gone by after making the change) before you can begin seeing the new doctor.

How can I obtain information about doctors who are in the HealthNet network?

Information is available in our directories, on our website or by calling the HealthNet Customer Contact Center. You can learn whether your doctor is board certified, where he or she attended medical school and performed the residency, the office address and phone number, whether your doctor participates in a HealthNet HMO or PPO, the hospital(s) at which your doctor practices, and which languages (in addition to English) that your doctor may speak.

Where can I find specialist listings? Use the ProviderSearch function on HealthNets website at www.healthnet.com, call Health Nets Customer Contact Center at the toll-free number listed on your HealthNet ID card, or ask your HealthNet-contracted physician or physician group.

Additional HealthNet InformationAbout your HealthNet ID cardAfter you enroll in HealthNet, you will receive a HealthNet ID card. This card is what you need to receive all of your care as a HealthNet member. Because its so important, its a good idea to keep your HealthNet ID card with you at all times. If you lose your ID card, call our Customer Contact Center or order a new one online. Go to www.healthnet.com, log in and click Order my ID card.

HospitalizationYour PCP or referral specialist may find it necessary to refer you to a hospital for further care on either an inpatient or outpatient basis. You will usually be hospitalized where your physician has admitting privileges. (See your PCPs group listing in this directory for a list of hospitals where he or she has admitting privileges.)


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Note: Your PCP or authorized referral specialist must first be contacted for initial treatment and consultation before you receive any care or treatment through a hospital. Your PCP or authorized referral specialist will be responsible for determining the most appropriate site and location for your additional care. Admission to, and treatment rendered by, any hospital listed in this directory must be authorized by your selected PCP or authorized referral specialist.

You have the right to get full and equal access to health care services covered by your health plan. This is also true if you have a disability, according to the following laws:

The Americans with Disabilities Act of 1990

Section 504 or the Rehabilitation Act of 1973

Did you find something you think might be wrong in any of our provider directories? Please let us know so we can fix it.

Call us at 1-800-522-0088.

Email us at [email protected].

Some hospitals and other providers do not provide one or more of the following services that may be covered under your plan contract and that you or your family member might need: family planning; contraceptive services, including emergency contraception; sterilization, including tubal ligation at the time of labor and delivery; infertility treatments; or abortion. You should obtain more information before you enroll. Call your prospective doctor, medical group, independent practice association, or clinic, or call the health plan at 1-800-522-0088 to ensure that you can obtain the health care services that you need.


IntroduccinUtilice este directorio para elegir un mdico de atencin primaria (por sus siglas en

ingls, PCP) y un grupo mdico participante (por sus siglas en ingls, PPG). Los PCP

se agrupan en esta gua por ciudad y el ndice de Grupos Mdicos Participantes se

encuentra casi al final de este directorio para brindarle ayuda adicional para encontrar

un mdico. Tambin se incluye informacin sobre cmo inscribirse, ya sea a travs de

un formulario impreso o en lnea, se proporciona informacin sobre nuestros servicios,

como Rapid Access, y se responden algunas preguntas frecuentes. Para obtener ms

detalles sobre sus beneficios del plan y los trminos de la cobertura de grupo, consulte

su Resumen de Beneficios/Formulario de Divulgacin o Evidencia de Cobertura.

Nota: Continuamente se realizan actualizaciones a este directorio y hacemos todo lo posible para asegurar su exactitud. Sin embargo, no podemos garantizarle que esta edicin est actualizada en todos los casos. Confirme la participacin del mdico antes de recibir los servicios. Si el mdico al que usted consulta actualmente aparece en la lista de nuestro

directorio como no acepta pacientes nuevos, usted puede continuar consultando a ese mdico en su calidad de afiliado a Health Net of California, Inc. (Health Net).

Tambin puede tener acceso a listas actualizadas del directorio en Internet en www.healthnet.com/espanol > Bsqueda de Proveedores (ProviderSearch).

Cmo InscribirsePara inscribirse, debe seleccionar a un PCP. Si se inscribe en lnea, deber ingresar

el nmero de identificacin de 10 dgitos, compuesto por el nmero del grupo

mdico y el nmero de identificacin del mdico. Si se inscribe a travs de un

formulario impreso, debe ubicar y escribir el nmero de 4 dgitos del grupo mdico

y el nmero de identificacin de 6 dgitos del mdico.

Elija a su mdico y grupo mdicoPor disponibilidad de su mdico actual

Consulte el ndice de Mdicos de Atencin Primaria. Los PCP disponibles y las pginas de consulta donde encontrar mayor informacin sobre la inscripcin se encuentran en orden alfabtico.

Por ubicacin del consultorio del mdico

Consulte la lista de mdicos de atencin primaria por ciudad. El nombre de cada PCP se encuentra agrupado en orden alfabtico por la ciudad en la que se encuentra el consultorio.


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Por afiliacin del grupo mdico del mdico

Consulte el ndice de Grupos Mdicos Participantes. Los nombres de los grupos mdicos contratados de Health Net se encuentran en orden alfabtico. Se proporciona un resumen de los hospitales y PCP afiliados por cada grupo mdico, adems de informacin relacionada con la disponibilidad del programa de Bienestar y Rapid Access.

Por afiliacin del hospital del mdico

Consulte el ndice de Hospitales. Los hospitales afiliados a Health Net se encuentran en orden alfabtico. Junto al nombre de cada hospital se encuentra una lista de los grupos mdicos afiliados. De esta lista usted puede elegir un grupo mdico y consultar el ndice de Grupos Mdicos Participantes para seleccionar a su PCP.

Por afiliacin a un especialista en particular

Aunque usted no puede seleccionar a un especialista como su PCP, s puede seleccionar a un PCP que pertenezca al mismo grupo mdico que el especialista. Para tener acceso a una lista actual de especialistas, visite nuestro sitio Web en www.healthnet.com/espanol. Despus de que haya ubicado el nombre, encuentre el grupo mdico al que est afiliado el especialista y elija un PCP que pertenezca al mismo grupo mdico que el especialista.

Tenga en cuenta que los especialistas no se incluyen en este directorio impreso.

Llene su formulario de inscripcinDespus de elegir un PCP y un grupo mdico, usted est listo para llenar su formulario de inscripcin en Health Net.

Para inscribirse por telfono

Antes de llamar, deber identificar al PPG y al PCP de su eleccin, anotando el nmero correspondiente que se indica en este directorio. A la derecha del nombre del mdico, bajo el nmero de telfono, ver un nmero de 4 dgitos; ste es el nmero del PPG.

Junto a l se encuentra un nmero de identificacin de 6 dgitos para el PCP que eligi (se indica como Enrollment ID # (N. de Identificacin de la Inscripcin), en la parte superior de la columna).

Nota: Puede elegir un PCP y grupo mdico distinto para cada uno de sus familiares. Escriba el nmero de 4 dgitos y el de 6 dgitos (o los nmeros, en caso de que seleccione distintos mdicos para otros familiares) en las casillas que aparecen abajo. Llame al nmero de telfono de inscripcin que le especific su empleador y entregue el o los nmeros de identificacin del mdico cuando se lo soliciten.

Antes de llamar, verifique la afiliacin y ubicacin del grupo mdico y confirme que son convenientes para usted. Para asegurarse de que tiene acceso razonable a la atencin, debe vivir o trabajar dentro de 30 millas del consultorio del mdico que eligi.

Para inscribirse a travs del formulario impreso

Cuando llene el formulario de inscripcin deber identificar al PPG y al PCP de su eleccin, anotando el nmero correspondiente que se indica en este directorio. A la derecha del nombre del mdico, bajo el nmero de telfono, ver un nmero de 4 dgitos; ste es el nmero del PPG. Junto a l se encuentra un nmero de identificacin de 6 dgitos para el PCP que eligi (Nota: Puede elegir un PCP y grupo mdico distinto para cada uno de sus familiares). Escriba el nmero de 4 dgitos y el de 6 dgitos (o los nmeros, en caso de que seleccione distintos mdicos para otros familiares) en los espacios correspondientes que aparecen en el formulario de inscripcin. Cuando est lleno, entrgueselo a su empleador.

Antes de entregar su formulario de inscripcin, verifique la afiliacin y ubicacin del grupo mdico y confirme que son convenientes para usted. Para asegurarse de que tiene acceso razonable a la atencin, debe vivir o trabajar dentro de 30 millas del consultorio del mdico que eligi.


Servicios EspecialesRapid AccessUtilice la autorremisin u obtenga remisiones directas a especialistas con este servicio. Usted puede comunicarse directamente con un especialista afiliado a su grupo mdico para una consulta o evaluacin. (Su grupo mdico an debe autorizar cualquier procedimiento que el especialista pudiese recomendarle). Con una remisin directa, su PCP puede remitirle directamente sin autorizacin previa de su grupo mdico.

Hasta esta publicacin, 49 especialidades se encontraban representadas en el programa Rapid Access. No todos los grupos mdicos ofrecen acceso a las mismas especialidades, por lo tanto verifique el ndice del Grupo Mdico Participante o llame a un grupo mdico especfico para obtener una lista de especialistas disponibles.

Nota especial en relacin con los servicios de obstetricia/ginecologa: La autorremisin de las afiliadas a un obstetra/gineclogo se encuentra disponible en todos los grupos mdicos contratados de Health Net.

Nota: Las afiliadas pueden autorremitirse para un examen anual, pero slo a un obstetra/gineclogo de su grupo mdico asignado.

Centro quirrgico ambulatorioLa utilizacin de centros quirrgicos ambulatorios es un abordaje econmico y seguro de la ciruga para pacientes ambulatorios que se realiza en un hospital. La opcin de utilizar un centro quirrgico ambulatorio comienza con un examen fsico exhaustivo, la realizacin de pruebas de laboratorio necesarias y una consulta con su mdico para analizar todos los riesgos relacionados. Segn el anlisis que el mdico haga con el paciente, se seleccionarn el procedimiento ptimo, la anestesia y el centro en el que se realizar el procedimiento. Debido a que en este tipo de centro no se permite pasar la noche, la recuperacin postoperatoria se realiza en el hogar. Dependiendo del procedimiento, los pacientes deben disponer de un adulto responsable que los lleve a casa y los ayude en la recuperacin durante aproximadamente de 24 a 48 horas.

Nota: Es posible que algunos procedimientos que se realizan en un entorno para pacientes ambulatorios requieran autorizacin previa, adems de un copago. Confirme con su mdico que su PPG tenga un arreglo con un centro quirrgico ambulatorio. Consulte su Evidencia de Cobertura o llame a nuestro Centro de Comunicacin con el Cliente al 1-800-522-0088.


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Programas para futuros padresLos afiliados a Health Net tienen acceso automticamente a nuestro Programa Prenatal Temprano ofrecido a travs de sus PPG. Las futuras madres podrn aprender a tener un embarazo saludable y recibir educacin prenatal adicional y programas de crianza de los hijos como Preparacin para el Nacimiento, Puntos Bsicos sobre el Beb y el Amamantamiento. Health Net tambin ofrece programas de autoestudio a los afiliados que no pueden asistir a un programa en su grupo mdico. Para obtener ms detalles, comunquese con su grupo mdico o llame al Centro de Comunicacin con el Cliente de Health Net al 1-800-522-0088.

Tambin visite www.healthnet.com/espanol para obtener recursos en lnea e informacin adicional sobre temas relacionados con mujeres

y nios saludables.

Medicina complementaria y alternativaNo todos los afiliados a Health Net tienen acceso a los mdicos que se indican en este directorio. Revise su Resumen de Beneficios o llame a nuestro Centro de Comunicacin con el Cliente para determinar si tiene este beneficio y si existe una red de proveedores especficos para que use. Para obtener ms informacin y una lista completa de los mdicos, llame gratis a American Specialty Health al 1-800-678-9133, opcin 2, o inicie sesin en www.healthnet.com > Bsqueda de Proveedores.

Managed Health Network (MHN) No todos los afiliados a Health Net tienen acceso a los mdicos que se indican en este directorio. Revise su Resumen de Beneficios o llame a nuestro Centro de Comunicacin con el Cliente para determinar si existe una red de proveedores especficos para que use. Para obtener ms informacin sobre MHN o para obtener una remisin a un consejero, llame a MHN al nmero que se encuentra al reverso de su tarjeta de identificacin o a nuestro Centro de Comunicacin con el Cliente.

Preguntas FrecuentesQu es un PPG?Un PPG es un equipo de mdicos de varias especialidades apoyado por enfermeras, tcnicos y otros profesionales para el cuidado de la salud contratados por Health Net para brindar servicios a los afiliados a Health Net.

Usted puede observar que algunas de nuestras listas de grupos mdicos incluyen las palabras grupo mdico, PPG, asociacin de mdicos independientes o IPA en el nombre del mdico. Normalmente, en los grupos mdicos que incluyen el trmino grupo mdico o PPG en su nombre, la mayora de los PCP tienen sus consultorios en una ubicacin principal. En una IPA, los PCP

generalmente ejercen en distintas ubicaciones.

Qu es un consultorio afiliado y de qu manera afecta mi seleccin de un PCP?Generalmente las ubicaciones de los consultorios afiliados tienen una disponibilidad de mdicos limitada y distintos horarios de atencin. Tambin es posible que su mdico ofrezca horarios de atencin en ms de una ubicacin. Los afiliados generalmente remitirn a los pacientes a la ubicacin primaria del grupo mdico para los servicios de laboratorio y de atencin de urgencia.


En qu se diferencia un especialista de remisin de un PCP?Su PCP es su proveedor mdico principal. Es responsable de la coordinacin de toda su atencin mdica y de la autorizacin de todos los tratamientos especializados o las hospitalizaciones. Como afiliado a Health Net, debe obtener una remisin de su PCP para consultar a un especialista. Los especialistas de remisin no pueden seleccionarse como su PCP.

Cul es la diferencia entre la atencin de emergencia y la atencin de urgencia?La atencin de emergencia es por una enfermedad, lesin o afeccin repentina, grave e inesperada, que incluye dolor fuerte, que una persona razonable, con un conocimiento promedio de salud y medicina creera que requiere de atencin mdica inmediata. Health Net cubre la atencin recibida de un proveedor o centro de tratamiento autorizado en cualquier lugar del mundo, en caso de una situacin de emergencia.

La atencin de urgencia se brinda por afecciones mdicas que requieren tratamiento dentro de varios das, pero no se consideran de riesgo vital inmediato. stas pueden incluir torceduras y fracturas, fiebre alta repentina o pulmona, o un ataque de una afeccin crnica, como el asma. Las situaciones que requieren atencin de urgencia estn cubiertas cuando los servicios son prestados por el PCP y grupo mdico en el rea de servicio del grupo y por cualquier proveedor o centro de tratamiento autorizado si se encuentra fuera del rea. El PCP y grupo mdico del afiliado son quienes deben brindar toda la atencin que no sea de emergencia.

Qu es un centro quirrgico ambulatorio?Un centro quirrgico ambulatorio es una instalacin distinta a un consultorio mdico o dental, cuya principal funcin es llevar a cabo procedimientos quirrgicos de manera ambulatoria. Debe contar con una licencia como clnica ambulatoria en conformidad con las leyes locales y estatales y debe cumplir todos los requisitos de una clnica

ambulatoria que proporciona servicios quirrgicos. Se ingresa y da el alta al paciente del centro dentro del mismo da laborable. No se permite pasar la noche en el lugar.

Puedo cambiar de mdico una vez que me inscribo? Usted puede cambiarse a otro PCP en el mismo grupo mdico en cualquier momento y por cualquier motivo llamando a Health Net al 1-800-522-0088 o en lnea en www.healthnet.com/espanol. Si desea seleccionar un nuevo PCP afiliado a otro grupo, puede hacer el cambio de forma mensual. Si elige un nuevo mdico y grupo mdico antes del da 15 del mes, puede comenzar a consultar al nuevo mdico en cualquier momento despus del da 1 del mes siguiente. Si elige un nuevo mdico despus del da 15, deber esperar seis semanas (el primer da del mes siguiente a un mes completo despus de haber hecho el cambio) antes de poder comenzar a consultar al nuevo mdico.

Cmo puedo obtener informacin sobre mdicos que estn en la red de HealthNet?La informacin se encuentra disponible en nuestros directorios, o en nuestro sitio Web, o se puede obtener llamando al Centro de Comunicacin con el Cliente. Puede conocer si su mdico est certificado por la junta, dnde asisti a la escuela de medicina, dnde realiz su residencia, el domicilio y el nmero de telfono del consultorio, si su mdico participa en un contrato HMO o PPO de Health Net, el o los hospitales donde ejerce y qu idiomas (adems del ingls) habla.

Dnde puedo encontrar listas de especialistas?Use la funcin Bsqueda de Proveedores en el sitio Web de HealthNet en www.healthnet.com/espanol o llame al Centro de Comunicacin con el Cliente de Health Net al nmero gratuito que se encuentra en su tarjeta de identificacin de HealthNet, o bien, consulte a su mdico o grupo mdico contratado de HealthNet.


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Informacin Adicional de HealthNetAcerca de su tarjeta de identificacin (ID) de Health NetLuego de inscribirse en Health Net, recibir una tarjeta de ID de Health Net. Esta tarjeta es lo que necesita para recibir toda su atencin como afiliado a Health Net. Debido a que es muy importante, es bueno llevar siempre su tarjeta de ID de Health Net con usted. Si pierde su tarjeta de ID, llame a nuestro Centro de Comunicacin con el Cliente o pida otra en lnea. Dirjase a www.healthnet.com/espanol, inicie sesin y haga clic en Pedir mi tarjeta de ID.

HospitalizacinSu PCP o especialista de remisin pueden considerar necesario remitirle a un hospital para que reciba ms atencin, ya sea como paciente hospitalizado o

como paciente ambulatorio. Generalmente usted ser hospitalizado donde su mdico tenga privilegios de admisin. (Consulte la lista del grupo mdico de su PCP en este directorio para obtener una lista de los hospitales en donde su mdico tiene privilegios de admisin).

Nota: Debe comunicarse en primer lugar con su PCP o especialista de remisin autorizado para consulta y tratamiento inicial, antes de recibir cualquier tipo de tratamiento o atencin a travs de un hospital. Su PCP o especialista de remisin autorizado sern responsables de determinar el lugar y la ubicacin ms adecuados para su atencin adicional. El PCP o especialista de remisin autorizado que haya seleccionado deben autorizar la admisin a cualquier hospital que est en este directorio y el tratamiento que reciba all.

Algunos hospitales y otros proveedores no prestan uno o ms de los siguientes servicios que pueden estar cubiertos conforme a su contrato del plan y que usted o uno de sus familiares podran necesitar: planificacin familiar; servicios anticonceptivos, incluyendo anticoncepcin de emergencia; esterilizacin, incluyendo ligadura de trompas al momento del parto; tratamientos de infertilidad; o aborto. Antes de inscribirse, debe obtener informacin adicional. Llame a su futuro mdico, grupo mdico, asociacin de prctica independiente o clnica, o bien, llame al plan de salud al 1-800-522-0088 para asegurarse de poder obtener los servicios de cuidado de la salud que necesita.

Tiene derecho a obtener un acceso completo e igualitario a los servicios de cuidado de la salud cubiertos por su plan de salud. Esto tambin es as si usted tiene una discapacidad de acuerdo con las siguientes leyes:

La Ley para los Estadounidenses con Discapacidades de 1990

Seccin 504 de la Ley de Rehabilitacin de 1973

Encontr algo que piensa que podra ser incorrecto en alguna parte de nuestro directorio de proveedores? Infrmenos para que podamos corregirlo.

Llmenos al 1-800-522-0088.

Envenos un mensaje de correo electrnico a [email protected].



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Participating Physician Group The following is a listing of HealthNet contracted participating physician groups

(PPGs), arranged in alphabetical order.

An overview of services, affiliated primary care physicians (PCPs) and hospitals is provided for each physician group. Information shown for each group also includes any available Rapid Access services. Further information about Rapid Access can be found at the front of this directory. For a listing of specialists available by physician group, please contact the group directly. A unique number is shown for each physician group. When you complete the enrollment

form to become a HealthNet member, you will need to identify the group of your choice by writing in this number. After youve selected a physician group, youll also need to choose a PCP. Please refer to the primary care physicians by city listing for more information about affiliated PCPs. And for the most up-to-date directory information, visit the HealthNet website at www.healthnet.com.

Grupos Mdicos ParticipantesLa siguiente es una lista de los grupos mdicos participantes (por sus siglas en

ingls, PPG) contratados de Health Net, ordenada alfabticamente.

Se brinda una perspectiva general de los servicios, de los mdicos de atencin primaria (por sus siglas en ingls, PCP) y de los hospitales afiliados, para cada grupo mdico. La informacin que se muestra para cada grupo tambin incluye cualquier servicio de Rapid Access disponible. Puede encontrar ms informacin sobre Rapid Access al comienzo de este directorio. Si desea una lista de especialistas disponibles por grupo mdico, comunquese directamente con el grupo. Para cada grupo mdico se muestra un nmero nico. Cuando usted complete

el formulario de inscripcin para convertirse en afiliado a Health Net, deber identificar al grupo de su eleccin, escribiendo ese nmero. Despus de haber elegido un grupo mdico, usted deber elegir tambin un PCP. Si desea ms informacin sobre los PCP afiliados, consulte la lista de PCP por ciudad. Y para obtener la informacin del directorio ms actualizada, visite el sitio Web de Health Net en www.healthnet.com/espanol.


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Participating Physician Groups

1

Board Certified

Hospital Accreditation: DNV = Healthcare Inc DNV, TJC = The Joint Commission

Accountable Health Care IPA (2644)

Location/NPI/Staff Language(s) Telephone/

Email

Group No./

License No

2525 Cherry Ave., Suite 225

Signal Hill, CA 90755-2057

1114070224

(562) 435-3333

Data not

available

2644

Affiliated Hospitals

Beverly Hospital

Hospital Accreditation: DNV

Los Angeles Community Hospital


Southern California Hospital at Culver City


For up-to-the-minute office hours and available physicians, please call the Health Net Coordinator at (562) 435-3333

123

La Habra

Physician/Specialty Phone/Enrollment ID # Address/Group Name Language

Uribe, Daniel, M.D.

Gender: Male

NPI: 1922049279

License No: A42095

Family Practice

1

(562) 691-0811

2644 032281

121 N. Euclid St.

Accountable Health Care IPA

Email: Data not available

Prov: Spanish

Office 1 Staff:

Spanish

Affiliated Doctors of Orange County (533)

RAPID ACCESS

Location/NPI/Staff Language(s) Telephone/

Email

Group No./

License No

600 City Parkway West

Orange, CA 92868-2968

1487768891

(714) 539-3100

Data not

available

533

Urgent Care:

Anaheim Family Care (714) 535-1415

Med One -(714) 848 7757

Sunrise Multispecialist Med Cen(714)771 1420

Gateway Urgent Care Ctr (714) 778 3838

Affiliated Hospitals

AHMC Anaheim Regional Medical Center LP

Hospital Accreditation: TJC

Anaheim Global Medical Center


Fountain Valley Regional Hospital and

Medical Center


Los Alamitos Medical Center


Orange Coast Memorial Medical Center


Orange County Global Medical Center


RAPID ACCESS

Member self-referral to four or more specialties including:Dermatology, Otolaryngology (Ent),

Podiatry

Member self-referral to a Podiatrist

123



*Accessibility: P=Parking, EB=Exterior Building, IB =Interior Building, R=Restroom, E=Exam Room, PD=Patient Diagnostic and

Treatment Use, PA=Patient Areas and T = Exam Table/Scale. Health Net cannot promise that every doctor will always have the

access that you may need for a disability. You should call the doctors office to talk about your access needs for your disability.

1

Board Certified

Aliso Viejo


Marolia, Manish B., M.D.

Gender: Male

NPI: 1962581363

License No: A67462

Internal Medicine

1

(949) 427-6074

0533 089767

2 Journey # 201

Affiliated Doctors of Orange County


Prov: Spanish

Anaheim


Aguilar, Elsa M., M.D.

Gender: Female

NPI: 1922133354

License No: G54577

Pediatrics

1

(714) 282-2229

0533 500157

500 S. Anaheim Hills Rd. # 110



Prov: Spanish

Ajit, Amirtha, M.D.

Gender: Female

NPI: 1881688422

License No: A56179

Internal Medicine

1

(714) 776-3180

0533 570638

1751 W. Romneya Dr. # F



Prov: Spanish,

Tamil

Ajmal, Lubna, M.D.

Gender: Female

NPI: 1760661516

License No: A97610

Pediatrics

1

(714) 991-5141

0533 148298

1720 W. Ball Rd. # 1



Prov: Hindi,

Spanish, Urdu

Office 1 Staff:

Spanish

Alapati, Ravindra, M.D.

Gender: Male

NPI: 1912989773

License No: A45634

Internal Medicine

1

(714) 758-0403

0533 500194

1771 W. Romneya Dr. # C



Prov: Spanish,

Telugu

Office 1 Staff: Farsi,

Kannada, Spanish,

Tamil

Ali, Mir M., M.D.

Gender: Male

NPI: 1154335248

License No: A36250

Family Practice

(714) 828-2554

0533 500232

3400 W. Ball Rd. # 205



Prov: Hindi,

Spanish, Urdu

Office 1 Staff:

Vietnamese

Arevalo, Rodolfo A., M.D.

Gender: Male

NPI: 1487692372

License No: A63506

Family Practice

(714) 535-1491

0533 094033

947 S. Anaheim Blvd. # 270


Accessibility:*: Limited(EB,IB)


Prov: Armenian,

Farsi, Spanish

Office 1 Staff:

Spanish, Tagalog

Badr, Ahmed I., M.D.

Gender: Male

NPI: 1508818253

License No: A46393

Internal Medicine

1

(714) 995-2901

0533 056851

3055 W. Orange Ave. # 103



Prov: Arabic,

Spanish

Office 1 Staff: Arabic

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1

Board Certified

Anaheim


Be, Hing M., D.O.

Gender: Male

NPI: 1780623512

License No: 20A7045

Family Practice

1

(714) 991-5680

0533 074869

1834 W. Lincoln Ave. # P



Prov:

Cambodian,Khmer,

Cantonese,

Mandarin, Spanish

Berry, Jason C., D.O.

Gender: Male

NPI: 1598742710

License No: 20A7047

Family Practice

1

(714) 974-0611

0533 077044

751 S. Weir Canyon Rd. # 167



Beshai, Youssef N., M.D.

Gender: Male

NPI: 1265465926

License No: A72742

Family Practice

1

(714) 774-7500

0533 103621

801 N. Harbor Blvd.



Prov: Arabic,

Spanish

Bhalla, Jagminder S., M.D.

Gender: Male

NPI: 1003879743

License No: A25813

Internal Medicine

1

(714) 956-3160

0533 501329

1801 W. Romneya Dr. # 405



Prov: Hindi

Bhola, Rakesh K., M.D.

Gender: Male

NPI: 1518937754

License No: A39683

Internal Medicine

1

(714) 776-2700

0533 501348

1781 W. Romneya Dr. # C



Prov: Burmese,

Hindi, Spanish

Bindra, Roger J., M.D.

Gender: Male

NPI: 1417082751

License No: A55101

Pediatrics

1

(714) 282-2229

0533 090469




Blanco-Eccleston, Martin M., M.D.

Gender: Male

NPI: 1164520326

License No: A42392

Family Practice

(714) 974-2360

0533 501479




Prov: Spanish



1

Board Certified

Anaheim


Capeloto, Brian W., M.D.

Gender: Male

NPI: 1669525937

License No: G68972

General Practice

(714) 634-4884

0533 032070




Prov: Bahasa

Malaya, Bulgarian,

Croatian, Dutch,

Finnish, French,

Greek, Hungarian,

Italian, Japanese,

Mandarin,

Norwegian,

Portuguese,

Russian, Spanish,

Swahili, Swedish,

Turkish

Cardenas, Samara P., M.D.

Gender: Female

NPI: 1447361324

License No: A30768

Pediatrics

1

(714) 535-6419

0533 502376

1120 W. La Palma Ave. # 15



Prov: Spanish

Cheng, Henry, M.D.

Gender: Male

NPI: 1811276181

License No: A126608

Family Practice

1

(714) 974-0611

0533 209024




Chiu, Vincent, M.D.

Gender: Male

NPI: 1942309703

License No: A39166

General Practice

(714) 527-6363

0533 502817




Prov: Cantonese,

Mandarin, Spanish

Chu, Edmond K., M.D.

Gender: Male

NPI: 1013975838

License No: G34289

Family Practice

1

(714) 952-0203

0533 502891




Prov: Cantonese,

Mandarin

Dinh, Chinh T., M.D.

Gender: Male

NPI: 1639244049

License No: A65428

Family Practice

1

(714) 761-9137

0533 071768

3414 W. Ball Rd. # F



Prov: Hmong

(White), Laotian,

Spanish,

Vietnamese

Office 1 Staff:

Spanish,

Vietnamese

Downs, Dennis R., M.D.

Gender: Male

NPI: 1821190356

License No: A36905

Family Practice

(714) 533-7021

0533 504182

200 N. Harbor Blvd. # 100



Prov: Spanish

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1

Board Certified

Anaheim


Fayner, Sheldon R., M.D.

Gender: Male

NPI: 1770758310

License No: G34800

General Practice

(714) 827-8890

0533 033211

3356 W. Ball Rd. # 206



Prov: Spanish

Garcia, Mamerto G., M.D.

Gender: Male

NPI: 1356446413

License No: A48917

Pediatrics

1

(714) 520-0313

0533 031624




Prov: Hindi,

Spanish, Tagalog

Office 1 Staff: Hindi,

Spanish

Geula, Navid, D.O. (714) 520-5858 1006 W. La Palma Ave.

Gender: Male

NPI: 1487820577

License No: 20A10333

Family Practice 0533 154666 Affiliated Doctors of Orange County


(714) 517-2100 710 N. Euclid St. # 101

0533 154666 Affiliated Doctors of Orange County


Prov: Farsi, Spanish

Goel, Manisha, M.D.

Gender: Female

NPI: 1164608063

License No: A100939

Internal Medicine

1

(714) 772-8282

0533 148913




Prov: Hindi,

Portuguese,

Spanish

Office 1 Staff:

Spanish

Gonda Jr, Francisco C., M.D.

Gender: Male

NPI: 1447342308

License No: A30260

Internal Medicine

1

(714) 956-5470

0533 019487




Prov: Spanish,

Tagalog

Office 1 Staff:

Spanish, Tagalog

Helfat, Arthur J., M.D.

Gender: Male

NPI: 1013976984

License No: G28774

Internal Medicine

1

(714) 995-1098

0533 035918

3400 W. Ball Rd. # 100



Horwitz, Kenneth B., M.D.

Gender: Male

NPI: 1225138829

License No: G59007

Internal Medicine

1

(714) 772-8282

0533 036160




Prov: Portuguese,

Spanish, Tagalog

Office 1 Staff:

Spanish

Hur, Chung O., M.D.

Gender: Female

NPI: 1215044300

License No: C42674

Internal Medicine

1

(714) 991-8650

0533 007753

710 N. Euclid St. # 301



Prov: Korean



1

Board Certified

Anaheim


Jamarai, Gurleen S., M.D.

Gender: Male

NPI: 1245478650

License No: A106286

Internal Medicine

1

(714) 533-1703

0533 164231




Prov: Hindi, Punjabi,

Spanish

Karki, Nishu, M.D.

Gender: Female

NPI: 1801027289

License No: A122424

Internal Medicine

1

(714) 772-8282

0533 193174




Prov: Hindi, Nepali

Office 1 Staff:

Spanish

Kayaleh, Raouf A., M.D.

Gender: Male

NPI: 1942311246

License No: C41449

Internal Medicine

1

(714) 279-0711

0533 008657




Prov: Arabic,

French, Spanish

Khamly, Jason Y., M.D.

Gender: Male

NPI: 1659345940

License No: A43000

Pediatrics

1

(714) 533-7357

0533 029292

1314 S. Euclid St. # 104



Prov: French,

Laotian, Thai

Khemka, Mahaveer P., M.D.

Gender: Male

NPI: 1568449965

License No: A25263

Internal Medicine

1

(714) 956-7231

0533 008827




Prov: Hindi


Spanish

Khin, Khine K., M.D.

Gender: Female

NPI: 1447279948

License No: A67196

Family Practice

1

(714) 974-2820

0533 078145




Prov: Burmese,

Spanish

Kim, Chin S., M.D.

Gender: Male

NPI: 1477564607

License No: A46079

Internal Medicine

1

(714) 520-0809

0533 008864

1736 W. Medical Center Dr. # B



Prov: Japanese,

Korean, Spanish

Krishna, Krishan S., M.D.

Gender: Male

NPI: 1922111731

License No: A25344

Internal Medicine

1

(714) 826-0910

0533 053259

3356 W. Ball Rd. # 210



Prov: Hindi,

Spanish, Urdu

Partic

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1

Board Certified

Anaheim


Krishnaswamy, Aruna, M.D.

Gender: Female

NPI: 1548479140

License No: A50217

Internal Medicine

1

(714) 635-8577

0533 053689

606 S. Euclid St.


Accessibility:*: Limited(P,IB)


Prov: Hindi,

Kannada, Spanish

Kunakorn, Thira, M.D.

Gender: Male

NPI: 1174697254

License No: A29554

Internal Medicine

1

(714) 776-6930

0533 049904




Prov: Laotian, Thai

Le, Nguyet B., M.D.

Gender: Female

NPI: 1154346542

License No: G81603

Family Practice

1

(714) 535-5589

0533 051007

1771 W. Romneya Dr. # E1



Prov: Spanish,

Vietnamese

Lee, Ching G., M.D.

Gender: Male

NPI: 1821105321

License No: G61762

Internal Medicine

(714) 527-9111

0533 021495

408 S. Beach Blvd. # 203



Prov: Korean

Lee, Hwa M., M.D.

Gender: Male

NPI: 1225136435

License No: A33216

Internal Medicine

(714) 821-7420

0533 520185




Prov: Korean

Office 1 Staff:

Korean

Lee, Jeong-Ok, M.D.

Gender: Female

NPI: 1134180946

License No: A39186

Pediatrics

1

(714) 635-0600

0533 009768

1801 W. Romneya Dr. # 606


Accessibility:*: Limited(EB,IB,R,E)


Prov: Korean,

Spanish

Office 1 Staff:

Korean, Spanish

Manalo, Melissa R., M.D.

Gender: Female

NPI: 1598774044

License No: A64278

Pediatrics

1

(714) 826-2380

0533 098102

3400 W. Ball Rd. # 210



Prov: Spanish,

Tagalog

Marks, Catherine, M.D.

Gender: Female

NPI: 1801214788

License No: C129438

Family Practice

1

(714) 236-9663

0533 208357

3400 W. Ball Rd. # 202



Prov: Arabic






1

Board Certified

Anaheim


Masaoka, Grant R., M.D.

Gender: Male

NPI: 1780677120

License No: G19094

Pediatrics

1

(714) 774-0414

0533 025286

1781 W. Romneya Dr. # E



Prov: Spanish

Office 1 Staff:

Spanish

Meka, Ajay G., M.D.

Gender: Male

NPI: 1063527976

License No: A39761

Internal Medicine

(714) 979-5734

0533 011302

606 S. Euclid St.


Accessibility:*: Limited(P,IB)


Prov: Farsi, Gujarati,

Hindi, Spanish,

Tagalog, Telugu

Moussa Faltas, Assanassios, M.D.

Gender: Male

NPI: 1366833899

License No: C133664

Family Practice

1

(714) 236-9663

0533 208361

3400 W. Ball Rd. # 202



Prov: Arabic, French

Nath, Rekha, M.D.

Gender: Female

NPI: 1114034204

License No: A44698

Pediatrics

1

(714) 991-8700

0533 012169

710 N. Euclid St. # 106



Prov: Hindi,

Spanish, Urdu

Nguyen, Chuan M., M.D.

Gender: Male

NPI: 1144328303

License No: A63490

Internal Medicine

1

(714) 991-8650

0533 074995

710 N. Euclid St. # 301



Prov: Spanish,

Vietnamese

Nuval, Arthur Q., M.D.

Gender: Male

NPI: 1811979016

License No: A49335

Family Practice

(714) 527-2888

0533 034217

910 S. Knott Ave.



Prov: Spanish,

Tagalog

Patel, Deepak N., M.D.

Gender: Male

NPI: 1164460382

License No: A92067

Family Practice

1

(714) 517-0467

0533 130990

215 N. State College Blvd. # A


Accessibility:*: Limited(P,EB,IB,E)


Prov: Gujarati,

Hindi, Mandarin,

Spanish

Reyes, Elizabeth L., M.D.

Gender: Female

NPI: 1760593610

License No: A50588

Pediatrics

1

(714) 826-8800

0533 052171

408 S. Beach Blvd. # 111



Prov: Spanish,

Tagalog

Partic

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1

Board Certified

Anaheim


Reyes, Rosemary D., D.O.

Gender: Female

NPI: 1619105327

License No: 20A13461

Family Practice

(714) 490-2750

0533 204612

2237 W. Ball Rd.



Prov: Spanish

Office 1 Staff:

Spanish

Saenz, Lucy M., M.D.

Gender: Female

NPI: 1548367436

License No: A56461

General Practice

(714) 224-3388

0533 069226

1203 N. Euclid St.



Prov: Spanish

Office 1 Staff:

Spanish

Sanaei, Nazanin, M.D.

Gender: Female

NPI: 1477737161

License No: A107153

Pediatrics

(714) 991-8700

0533 157246

710 N. Euclid St. # 106



Prov: Cantonese,

Farsi, Japanese,

Korean, Spanish,

Turkish

Santos, Joey A., M.D.

Gender: Male

NPI: 1386656114

License No: A38626

Internal Medicine

(714) 635-7127

0533 039297




Prov: Spanish,

Tagalog

Shah, Sultan, M.D.

Gender: Male

NPI: 1932216025

License No: A34135

Internal Medicine

1

(714) 533-4511

0533 043560

710 N. Euclid St. # 107



Prov: Hindi, Urdu

Office 1 Staff:

Spanish

Shek, David Y., M.D.

Gender: Male

NPI: 1346289915

License No: A30945

General Practice

(714) 772-9800

0533 049551

1401 S. Anaheim Blvd.



Prov: Cantonese,

Mandarin

Shende, Archana C., M.D.

Gender: Female

NPI: 1043255938

License No: A50235

Internal Medicine

(714) 999-1050

0533 551174




Prov: Hindi

Smith, Steele C., M.D.

Gender: Male

NPI: 1912000365

License No: C24221

Family Practice

1

(714) 527-7707

0533 031874




Prov: French,

Italian, Spanish






1

Board Certified

Anaheim


Tajik, Ali R., M.D.

Gender: Male

NPI: 1629020268

License No: A79426

Family Practice

1

(714) 826-7440

0533 109576

3400 W. Ball Rd. # 207



Prov: Farsi

Office 1 Staff: Farsi,

Spanish

Tang, Hoong-Foong, M.D.

Gender: Male

NPI: 1831182195

License No: A32508

General Practice

(714) 220-3101

0533 031877




Prov: Cantonese,

Mandarin

Tarlow, Gardner D., M.D.

Gender: Male

NPI: 1871540369

License No: A71363

Family Practice

1

(714) 772-2210

0533 086245

215 N. State College Blvd. # B



Prov: Spanish

Office 1 Staff:

Spanish

Tran, Scott H., M.D.

Gender: Male

NPI: 1922183342

License No: A79531

Family Practice

1

(714) 534-4001

0533 101148

9876 Katella Ave.



Prov: French,

Spanish,

Vietnamese

Office 1 Staff:

Spanish,

Vietnamese

Truong, Vu T., M.D.

Gender: Male

NPI: 1588611867

License No: A80779

Internal Medicine

1

(714) 491-9022

0533 131273

1775 W. Lincoln Ave.


Accessibility:*: Limited(P,IB,R)


Prov: Spanish,

Vietnamese

Wolsztejn, Jacobo, M.D.

Gender: Male

NPI: 1699708487

License No: A32006

Pediatrics

1

(714) 991-5141

0533 018621

1720 W. Ball Rd.



Prov: Farsi, French,

Portuguese,

Spanish

Yatar-Ituriaga, Angeline, M.D.

Gender: Female

NPI: 1548275365

License No: A30865

Pediatrics

1

(714) 952-4147

0533 022094

515 S. Beach Blvd. # I



Prov: Spanish,

Tagalog

Office 1 Staff:

Spanish, Tagalog

Yung, Harvey, M.D.

Gender: Male

NPI: 1700917333

License No: G69714

Family Practice

1

(714) 808-9208

0533 051297

1781 W. Romneya Dr. # F



Prov: Cantonese,

Mandarin, Spanish

Office 1 Staff:

Spanish

Partic

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1

Board Certified

Brea


Bhavsar, Ashish A., M.D.

Gender: Male

NPI: 1881871754

License No: A117360

Family Practice

1

(714) 529-8923

0533 193165

410 W. Central Ave. # 105



Chang, Ker-Chow, M.D.

Gender: Male

NPI: 1346333648

License No: A48893

Family Practice

1

(714) 255-1148

0533 051292

400 W. Central Ave. # 104



Prov: Mandarin

Buena Park


Canchola, Gerardo, M.D.

Gender: Male

NPI: 1639185879

License No: G55328

General Practice

(714) 521-8609

0533 047185

8551 La Palma Ave. # A



Prov: Spanish

Chen, Vey M., D.O.

Gender: Male

NPI: 1922140201

License No: 20A7272

Family Practice

1

(714) 527-4833

0533 086505

8615 Knott Ave. # 3



Prov:

Cambodian,Khmer,

Spanish, Tagalog

Cheng, Julie C., M.D.

Gender: Female

NPI: 1225110968

License No: A79108

Pediatrics

(714) 527-8777

0533 108007

6900 Lincoln Ave.



Office 1 Staff:

Cantonese, French,

Mandarin, Spanish,

Tagalog

Chun, Joseph D., M.D.

Gender: Male

NPI: 1710015425

License No: G61950

General Practice

(714) 739-4325

0533 033553

6261 Stanton Ave.



Prov: Korean,

Spanish

Kong, Jane B., M.D.

Gender: Female

NPI: 1912910357

License No: A97227

Family Practice

1

(714) 736-4325

0533 210009

6261 Stanton Ave.



Prov: Korean,

Spanish

Lee, Soledad O., M.D.

Gender: Female

NPI: 1063609097

License No: A35051

Internal Medicine

(714) 828-8400

0533 021496

6888 Lincoln Ave. # M



Prov: Spanish,

Tagalog

Office 1 Staff:

Spanish



1

Board Certified

Buena Park


Mui, Andrew H., M.D.

Gender: Male

NPI: 1992135826

License No: G56737

Internal Medicine

1

(714) 527-8777

0533 033589

6900 Lincoln Ave.



Prov: Cantonese,

Mandarin

Office 1 Staff:

Cantonese, French,

Mandarin, Spanish,

Tagalog

Samson, Mercedes B., M.D.

Gender: Female

NPI: 1578605226

License No: A35505

General Practice

(714) 527-4833

0533 050162

8615 Knott Ave. # 3



Prov: Spanish,

Tagalog

Tan, Kwan T., M.D.

Gender: Male

NPI: 1013099746

License No: G74232

Internal Medicine

(714) 527-8777

0533 049565

6900 Lincoln Ave.



Prov: Cantonese

Office 1 Staff:

Cantonese, French,

Mandarin, Spanish,

Tagalog

Wong, Winston C., M.D.

Gender: Male

NPI: 1932284817

License No: A45020

Internal Medicine

(714) 527-8777

0533 018681

6900 Lincoln Ave.



Prov: Cantonese,

Mandarin, Spanish,

Tagalog

Office 1 Staff:

Cantonese, French,

Mandarin, Spanish,

Tagalog

Zahed, Shahrokh, M.D.

Gender: Male

NPI: 1043364433

License No: A55420

Internal Medicine

1

(714) 522-3333

0533 097709

6550 Knott Ave.



Prov: Farsi

Office 1 Staff:

Spanish

Costa Mesa


Cilliani, Jose R., D.O.

Gender: Male

NPI: 1265545586

License No: 20A8852

Family Practice

1

(949) 574-2121

0533 138291

767 W. 19th St. # 101



Prov: French,

German, Spanish

Khan, Abdul A., M.D.

Gender: Male

NPI: 1932120797

License No: A44120

Internal Medicine

1

(949) 574-3615

0533 008811

275 Victoria St. # 1E



Prov: Hindi,

Spanish, Urdu


Urdu

Khan, Munazza, M.D.

Gender: Female

NPI: 1609897479

License No: A52926

Internal Medicine

1

(949) 574-3615

0533 056490

275 Victoria St. # 1E



Prov: Hindi, Urdu


Urdu

Partic

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1

Board Certified

Dana Point


Oliveira, Thomas E., D.O.

Gender: Male

NPI: 1124291828

License No: 20A7032

General Practice

(949) 218-2334

0533 144176

24672 San Juan Ave. # 104



Prov: Italian,

Spanish

Foothill Ranch


Monfared, Marjan F., M.D.

Gender: Female

NPI: 1932380219

License No: A96525

Pediatrics

(949) 380-1234

0533 164558

26750 Towne Centre Dr. # 102



Prov: Farsi,

Spanish,

Vietnamese

Fountain Valley


Abad-Santos, Gregorio D., M.D.

Gender: Male

NPI: 1255451894

License No: A42068

Pediatrics

1

(714) 966-0860

0533 039530

11100 Warner Ave. # 352



Prov: Spanish,

Tagalog

Allam, Afdal I., M.D.

Gender: Male

NPI: 1053486605

License No: A41057

Family Practice

1

(714) 477-8400

0533 500244

8970 Warner Ave.



Prov: Arabic, Polish,

Spanish

Office 1 Staff:

Arabic, Polish,

Romanian, Spanish,

Tagalog

Bhakta, Ketan G., M.D.

Gender: Male

NPI: 1669492724

License No: G81186

Internal Medicine

(714) 847-6727

0533 060873

8700 Warner Ave. # 140



Prov: Gujarati

Bondade, Prakash G., M.D.

Gender: Male

NPI: 1457310583

License No: A37862

Internal Medicine

1

(714) 241-8552

0533 501612

17150 Euclid St. # 218



Prov: Spanish

Chen, Wu-yen, M.D.

Gender: Male

NPI: 1013971928

License No: A38212

Internal Medicine

(714) 979-5650

0533 502727

11100 Warner Ave. # 118



Prov: Spanish,

Vietnamese

Office 1 Staff:

Spanish,

Vietnamese



1

Board Certified

Fountain Valley


Cheng, Hung-Chuan, M.D.

Gender: Male

NPI: 1053389023

License No: A82948

Family Practice

1

(714) 444-0724

0533 107685

11100 Warner Ave. # 118



Prov: Mandarin,

Spanish

Office 1 Staff:

Spanish,

Vietnamese

Gregurich, Joseph N., M.D.

Gender: Male

NPI: 1154416279

License No: G20621

Family Practice

1

(714) 556-8320

0533 089988

11180 Warner Ave. # 363



Prov: Mandarin,

Spanish

Ha, Robert T., M.D.

Gender: Male

NPI: 1750302188

License No: A55299

Internal Medicine

1

(714) 847-6727

0533 060947

8700 Warner Ave. # 140



Prov: Korean,

Spanish

Hopper, Gayle A., M.D.

Gender: Female

NPI: 1659393767

License No: G83528

Family Practice

1

(714) 477-8400

0533 057071

8970 Warner Ave.



Prov: Arabic,

Spanish

Office 1 Staff:

Arabic, Polish,

Romanian, Spanish,

Tagalog

Huang, Jeff C., M.D.

G

South (Region B)

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