PROVIDER DIRECTORYREGION 3
Serving the communities of Arcadia, Duarte and Monrovia
Dear Physician Provider, As Chief Executive Officer and President of Citrus Valley Physicians Group (CVPG), I would like to welcome you to our network of health care providers. CVPG was established in 1992 to service the San Gabriel and Pomona Valley areas. Over the past 25 years, our organization has developed a proven track record in managed care and provider service. Currently, we are servicing Pomona and its neighboring cities, San Gabriel Valley, Glendale, San Fernando Valley, and Long Beach areas. We are contracted providers with L.A. Care Health Plan, Blue Cross, Blue Shield, Central Health Plan, Cigna, Easy Choice, Health Net, and Humana. Our plans encompass the Senior, Medicare Advantage, Medi-Cal, In-Home Supportive Services (LA Care I.H.H.S.), and the Commercial population. Our team of experts are ready to work with your practice on a long term basis to develop new business strategies, retain your existing patient base, and to provide exceptional service to your patients and personnel. I look forward to working with your practice to deliver quality and accessible care to the communities we serve together. Thank you for considering CVPG as a valued partner. Have a wonderful and blessed day! Sincerely,C.K. Rao M.D., A.A.F.P.President
Tel: (866) 495-6990 • Fax: (866) 921-2477 • TTY: (888) 486-0866
1
2
Providers Page
Primary Care Providers 3
Specialists 4-9
Ancillary 10-11
Capitated Specialists 12
Additions/Notes 13-16
PROVIDER DIRECTORYREGION 3
Serving the communities of Arcadia, Duarte and Monrovia
For latest updates to provider information please refer to www.cvpg.org
If you have any serious questions or concernsplease contact the Corporate Office:
Phone: (949) 474-6999 ext 2 • Fax: (949) 474-6997Email: [email protected]
PRIMARY CARE PROVIDERS REGION 3FAMILY PRACTICE
Donald B. Balacuit, DO Family Practice 416 S Myrtle Ave Monrovia 91016 Phone (626) 357-3296 Fax (626) 359-5608
Noaman Hanif, MD Family Practice 1161 Huntington Dr Duarte 91010 Phone (626) 359-6727 Fax (626) 359-6722
Paul S. Sucgang, DO Family Practice 416 W Las Tunas Dr, Ste 201 San Gabriel 91776 Phone (626) 389-8448 Fax (626) 768-7585
GENERAL PRACTICE
Peter Colina Balacuit, MD General Practice 416 S Myrtle Ave Monrovia 91016 Phone (626) 357-3296 Fax (626) 359-5608
INTERNAL MEDICINE
Vijay V. Patel, MD Internal Medicine 611 S First Ave Arcadia 91006 Phone (626) 446-8818 Fax (626) 446-8810
Kirit C. Shah, MD Internal Medicine 900 S First Ave, Ste A Arcadia 91006 Phone (626) 445-5577 Fax (626) 445-2155
931 Buena Vista St, Ste 504 Duarte 91010 Phone (626) 358-2576 Fax (626) 358-2287
PRIMARY CARE PROVIDERS
3 For latest updates to provider information please refer to www.cvpg.com
SPECIALISTSREGION 3ACUPUNCTURE
Shu-Hong Tina Hou, LACAcupuncture12979 Central Ave. Chino, CA 91710-4122Phone (909) 628-1955Fax (909) 628-1085
ALLERGY & IMMUNOLOGY
Sheila M Bonilla, MD Allergy & Immunology 612 W Duarte Rd, Ste 702 Arcadia 91007 Phone (626) 445-1853 Fax (626) 354-1220
Stephen C. Wong, MD Allergy & Immunology 1850 S Azusa Ave, Ste206 Hacienda Heights 91745 Phone (626) 810-5450 Fax (626) 810-0391
CARDIOLOGY
Joseph Ahdoot, MD Pediatric Cardiology 50 Bellefontaine St, Ste 405 Pasadena 91105 Phone (626) 796-9259 Fax (626) 449-8560
Dennis P. Burke, MD Pediatric Cardiology 50 W Bellefontaine St, Ste 405 Pasadena 91105 Phone (626) 796-9259 Fax (626) 449-8560
Robert D. Loitz, MD Pediatric Cardiology 50 Bellefontaine St, Ste 405 Pasadena 91105 Phone (626) 796-9259 Fax (626) 449-8560
DERMATOLOGY
Daniel P. Taheri, MDDermatology10884 Santa Monica Blvd, 3rd FloorLos Angeles 90025Phone (310) 446-4400Fax (310) 446-4408
ENDOCRINOLOGY
Rambod Amani-Yazdi, MD Endocrinology 1330 W Covina Blvd, Ste 206 San Dimas 91773 Phone (909) 267-9138 Fax (909) 267-9566
Arsalan Geula, MD Endocrinology 224 W College St Covina 91723 Phone (626) 332-9783 Fax (626) 966-8383
FAMILY PLANNING
Family Planning Associates Family Planning 1280 San Gabriel Blvd Rosemead 91770 Phone (626) 272-8800Fax (626) 572-3933
GASTROENTEROLOGY
Edward P. Laurance, MD Pediatric Gastroenterology 460 W Sierra Madre Blvd Sierra Madre 91105 Phone (626) 578-1020 Fax (626) 578-0067
SPEC
IALIST
S
4For latest updates to provider information please refer to www.cvpg.org
Samuel (Samir) Mourani, MD Gastroenterology 488 E Santa Clara St, Ste 103 Arcadia 91006 Phone (626) 359-3330 Fax (626) 359-3339
Rangarao Panguluri, MD Gastroenterology 4111 Maine St Baldwin Park 91706 Phone (562) 693-9870 Fax (626) 960-3517
14350 E. Whittier Blvd., Ste 205 Whittier 90605 Phone (562) 693-9870
Elias A. Tarakji, MD Gastroenterology 488 E Santa Clara St, Ste 103 Arcadia 91006 Phone (626) 359-3330 Fax (626) 359-3339
INFECTIOUS DISEASE
Sohanjeet S. Bassi, MD Infectious Disease 1135 S Sunset Ave, Ste 208 West Covina 91723 Phone (626) 851-8880 Fax (626) 851-8001
Nasima Begum, MD Infectious Disease 1135 S Sunset Ave, Ste 208 West Covina 91723 Phone (626) 851-8880 Fax (626) 851-8001
Karen Guiang, MD Infectious Disease 1135 S Sunset Ave, Ste 208 West Covina 91723 Phone (626) 851-8880 Fax (626) 851-8001
Hua Jiang, MD Infectious Disease 1135 S Sunset Ave, Ste 208 West Covina 91723 Phone (626) 851-8880 Fax (626) 851-8001
MATERNAL FETAL MEDICINE
Kathleen E. Bradley, MD Maternal Fetal Medicine 1135 S Sunset Ave, Ste 402 West Covina 91790 Phone (626) 337-4425 Fax (626) 337-4305
NEPHROLOGY
Ranjit A. Cordeiro, MD Nephrology 110 N Fourth Ave Covina 91723 Phone (626) 966-3499 Fax (626) 966-3433
Sukhpal K. Gill, MD Nephrology 550 W Duarte Rd, Ste 4 Arcadia CA 91007 Phone (626) 445-7500 Fax (626) 445-7555
Kenneth K. Wogensen, MD Neurology 1015 N First Ave, Ste A Arcadia 91006 Phone (626) 566-2859 Fax (626) 566-2850
OBSTETRICS/GYNECOLOGY
Daniel Barajas, MD OB/GYN 222 N Sunset Ave, Ste E West Covina 91790 Phone (626) 337-2777 Fax (626) 337-2331
SPECIALISTS
5For latest updates to provider information
please refer to www.cvpg.org
Stephen Y. Lee, MD OB/GYN 101 E Beverly Blvd, Ste 300 Montebello 90640 Phone (323) 727-0367 Fax (323) 727-1955
ONCOLOGY / HEMATOLOGY
Monty B. Polonsky, MD Oncology Hematology SCOA622 W Duarte Rd, Ste 202 Arcadia 91007 Phone (626) 446-4461 Fax (626) 445-0647
Sharon J. Yee, MD Oncology Hematology SCOA622 W Duarte Rd, Ste 3202 Arcadia 91007 Phone (626) 446-4461 Fax (626) 445-0647
OPHTHALMOLOGY
John P. Beauclair, MD Ophthalmology CA Eye Care622 W Duarte Rd, Ste 103 Arcadia 91007 Phone (626) 445-4873 Fax (626) 445-4878
Calvin T. Eng, MD Ophthalmology CA Eye Care850 S Atlantic Blvd, Ste 301 Monterey Park 91754 Phone (626) 289-8260 Fax (626) 289-4242
Marta Liliana Mora, MD Ophthalmology CA Eye Care625 S Fair Oaks Ave, Ste 235 Pasadena 91105 Phone (626) 796-7006 Fax (626) 796-9990
Olivia C. Ong, MD Ophthalmology CA Eye CareGlaucoma Specialist 855 W Foothill Blvd Monrovia 91016 Phone (626) 305-9100 Fax (626) 305-9160
Raymond A. Shelton, MD Ophthalmology Glaucoma Specialist CA Eye Care855 W Foothill Blvd Monrovia 91016 Phone (626) 305-9100 Fax (626) 305-9150
Qui Vu, MD Ophthalmology CA Eye Care855 W Foothill Blvd Monrovia 91016 Phone (626) 305-9100 Fax (626) 305-9150
OPTOMETRY
David F. Camara, ODOptometryCA Eye Care855 W Foothill BlvdMonrovia 91016Phone (626) 305-9100Fax (626) 305-9150
Minh C. Le, ODOptometryCA Eye Care855 W Foothill BlvdMonrovia 91016Phone (626) 305-9100Fax (626) 305-9160
SPEC
IALIST
S
6For latest updates to provider information please refer to www.cvpg.org
Jennie GI Tran, ODOptometryCA Eye Care855 W Foothill BlvdMonrovia 91016Phone (626) 358-1080Fax (626) 358-0548
Rex B. Villegas, ODOptometryCA Eye Care855 W Foothill BlvdMonrovia 91016Phone (626) 358-1080Fax (626) 358-0548
OTOLARYNGOLOGY/ENT
Leon Bachoura, MD Otolaryngology/ENT 1334 W Covina Blvd, Ste 201 San Dimas 91773 Phone (909) 592-2078 Fax (909) 592-0279
Tim R. Kuson, MD Otolaryngology/ENT 1334 W Covina Blvd, Ste 201San Dimas 91773 Phone (909) 592-2078 Fax (909) 592-0279
PAIN MANAGEMENT
Benjamin Shwachman, MD Pain Management 315 N Third Ave, Ste 200 Covina 91723 Phone (626) 967-3176 (626) 967-8743
PERINATOLOGY
Mark A. Curran, MD Perinatology 1135 S Sunset Ave, Ste 402 West Covina 91790 Phone (626) 337-4425 Fax (626) 337-4305
Gina V. Hanna, MD Perinatology 1135 S Sunset Ave , Ste 402West Covina 91790 (626) 337-4425 (626) 337-4305
Anna S. Leung, MD Perinatology 1135 S Sunset Ave, Ste 402 West Covina 91790 Phone (626) 337-4425 Fax (626) 337-4305
Jeffrey P. Phelan, MD Perinatology 1135 S Sunset Ave, Ste 402 West Covina 91790 Phone (626) 337-4425 Fax (626) 337-4305
Maria Hellen Rodriguez, MD Perinatology 1135 S Sunset Ave, Ste 402 West Covina 91790 Phone (626) 337-4425 Fax (626) 337-4305
Brenda Ross, MD Perinatology 1135 S Sunset Ave, Ste 402 West Covina 91790 Phone (626) 337-4425 Fax (626) 337-4305
PHYSICAL MEDICINE & REHABILITATION
John W. Lindberg, MD Physical Medicine & Rehabilitation 210 W San Bernardino Rd Covina 91723 Phone (626) 915-6261 Fax (626) 938-7579
1115 S Sunset Ave West Covina 91790 Phone (626) 472-9019 Fax (626) 814-2595
SPECIALISTS
7For latest updates to provider information
please refer to www.cvpg.org
PODIATRY
Hratch Demirjian, DPM Podiatry 1257 W San Bernardo Rd Covina 91722 Phone (626) 331-7391 Fax (626) 339-0613
Payman Hoshyarsar, DPM Podiatry 6433 Whittier Blvd Los Angeles 90022 Phone (323) 742-6673 Fax (323) 724-9926
10816 Valley Blvd El Monte 91731 Phone (626) 453-3555 Fax (626) 453-3556
PULMONOLOGY
Kamalakar Rambhatla, MD Pulmonology Critical Care Specialist 3580 Santa Anita Ave El Monte 91731 Phone (626) 442-3700 Fax (626) 442-3710
RHEUMATOLOGY
Jaffar A. Tremazi, MD Rheumatology 1904 N Orange Grove AvePomona 91767Phone (909) 469-1823
SURGERY
Asok Doraiswamy, MD Surgery, Bariatric 612 W Duarte Rd, Ste 801 Arcadia 91007 Phone (626) 600-2094 Fax (626) 226-5827
James T Wu, MD Surgery, Cardio-Thoracic 260 S Los Robles Ave, Ste 118 Pasadena 91101 Phone (626) 666-5820 Fax (626) 666-5821
David Z. J. Chu, MD Surgery, General624 W. Duarte Rd., Ste 101 Arcadia 91007 Phone (626) 660-5862 Fax (626) 237-0166
Asok Doraiswamy, MD Surgery, General 612 W Duarte Rd, Ste 801 Arcadia 91007 Phone (626) 600-2094 Fax (626) 226-5827
Antonio K. Ong, MD Surgery, General 3505 Hart Ave, Ste 202 Rosemead 91770 Phone (626) 573-1160 Fax (626) 573-1162
David E. Zinke, MD Surgery, Neurological 1135 S Sunset Ave, Ste 315 West Covina 91790 Phone (626) 814-4721 Fax (626) 337-8381
David Z. J. Chu, MD Surgery, Oncology624 W. Duarte Rd., Ste 101 Arcadia 91007 Phone (626) 660-5862 Fax (626) 237-0166
Thomas Bryan, MD Surgery, Orthopaedic 1050 Lakes Dr, Ste 100 West Covina 91790 Phone (626) 918-6655 Fax (626) 918-6633
SPEC
IALIST
S
8For latest updates to provider information please refer to www.cvpg.org
Vic A. Osborne, MD Surgery, Orthopaedic 1050 Lakes Dr, Ste 100 West Covina 91790 Phone (626) 918-6655 Fax (626) 918-6633
Ranga C. Reddy, MD Surgery, Orthopaedic 172 W Badillo St Covina 91723 Phone (626) 996-1818 Fax (626) 332-8688
Soheil Samimi, MD Surgery, Orthopaedic 741 S Orange Ave, Ste 200 West Covina 91790 Phone (626) 338-7391 Fax (626) 814-8308
Babak Samimi, MD Surgery, Orthopaedic 741 S Orange Ave, Ste 200 West Covina 91790 Phone (626) 338-7391 Fax (626) 814-8308
James S. Shafer, MD Surgery, Orthopaedic 203 W Badillo St Covina 91723 Phone (626) 332-6238 Fax (626) 332-1044
Kee P. Wong, MD Surgery, Orthopaedic 1050 Lakes Dr, Ste 100 West Covina 91790 Phone (626) 918-6655 Fax (626) 918-6633
Neil Sherman, MD Pediatric Surgery 1135 S Sunset Ave, Ste 408 West Covina 91790 Phone (626) 338-5563 Fax (626) 814-0654
Devdas Wali MD Surgery, Plastic Reconstructive250 W First St, Ste 116Claremont 91711Phone (909) 624-4440Fax (909) 624-4448
James T. Wu, MD Surgery, Thoracic 260 S Los Robles Ave, Ste 118 Pasadena 91101 Phone (626) 666-5820 Fax (626) 666-5821
UROLOGY
Sung M. Choe, MD Urology 421 E Merced Ave West Covina 91790 Phone (626) 918-1881 Fax (626) 918-3618
John Y. Lee, MD Urology 421 E Merced Ave West Covina 91790 Phone (626) 918-1881 Fax (626) 918-3618
SPECIALISTS
9For latest updates to provider information
please refer to www.cvpg.org
ANCILLARY REGION 3
AUDIOLOGY
Connect Hearing, Inc Audiology 411 E. Huntington Dr, Ste 121 Arcadia 91006 Phone (626) 574-3138 Fax (626) 574-3195
SerendipityAudiology612 W Duarte Rd, Ste 601Arcadia 91007Phone (626) 445-2844Fax (626) 445-1169
416 W Las Tunas Dr, Ste 101 San Gabriel 91776Phone (626) 281-9889(626) 281-0399
CARDIAC MONITORING
Lifewatch, Inc.Cardiac Monitoring10255 West Higgins RoadRosemont 60018Phone (847) 720-2100Fax (847) 720-2111
CHIROPRACTIC
Charles C. Feng, DCChiropractic5220 Clark Ave, Ste 445Lakewood 90712Phone (562) 867-6183Fax (562) 866-4740
DME
Byram Healthcare DME P.O. BOX 277596 Atlanta 30384 Phone (770) 422-5516 Fax (770) 590-8563
Crown City Orthopedic DME 980 S Arroyo Pkwy, Ste 100 Pasadena 91105 Phone (626) 431-2890 Fax (626) 431-2892
GENETICS
Esoterix Genetic Laboratories Genetics 655 E Huntington Dr Monrovia 91016 Phone (800) 848-4436 Fax (626) 471-7510
HEMODIALYSIS
Mountain View Dialysis Center, Inc.Hemodialysis900 Mountain AveMonrovia 91016Phone (909) 542-2898Fax (909) 592-6000
Temple City Dialysis Facility, Inc.Hemodialysis9945 Lower Azusa RdTemple City 91780Phone (909) 542-2898Fax (909) 592-6000
HOSPITAL
Inter-Community Citrus Valley Medical Center Hospital 210 W San Bernardino Rd Covina 91723 Phone (626) 331-7331
ANCI
LLAR
Y
10For latest updates to provider information please refer to www.cvpg.org
SIGN LANGUAGE INTERPRETATION
Lifesigns, IncSign Language Interpretation2222 Laverne AveLos Angeles 90041Phone (888) 930-7776Fax (323) 550-4215
SLEEP STUDIES
Advanced Sleep Medicine Services, Inc. Sleep Studies1135 S. Sunset Ave., Ste 307West Covina, CA 91790Phone (877) 775-3377Fax (877) 855-6227
11500 W. Olympic Blvd., Ste 415Los Angeles, CA 90064-1524Phone (877) 775-3377 Fax (877) 855-6227
URGENT CARE
U.S. Healthworks Med. Grp.,Urgent Care6520 N. Irwindale Ave, Ste 100Irwindale 91702Phone (626)-812-0366Fax (626) 812-0943
ANCILLARY
11For latest updates to provider information
please refer to www.cvpg.org
CAPITATED SPECIALISTSREGION 3
CHEMOTHERAPY
SCOA - Southern California Oncology AssociatesFor a list of providers, please reference Oncology /Hematology providers.
HEMATOLOGY/ONCOLOGY
SCOA - Southern California Oncology AssociatesFor a list of providers, please reference Oncology /Hematology providers.
LABORATORY SERVICES
Laboratory Corporation Of America Laboratory Services 301 W. Huntington DriveArcadia 91007Phone (626) 462-1913Fax (626) 462-1915
330 W. Las Tunas Dr., Ste 2San Gabriel 91776Phone (626) 457-8903Fax (626) 943-9425
OPHTHALMOLOGY
California Eye Care CEC PROTOCOL: PCP’S are to submit initial authorization request for Ophthalmology services directly to Coast Healthcare Management. If the general Ophthalmologist needs to refer a member to a Sub-Specialist (Retina, Glaucoma,
Cornea, Plastics or tertiary services) his or her office staff will submit the request to CEC (California Eye Care). If the sub-specialists need to submit a request for a follow up visit or Surgery, they too are instructed to submit the request to CEC to authorize services.
For a list of providers, please refer to Ophthalmology providers.
PHYSICAL THERAPY
United Therapy Network Physical Therapy 855 N Lark Ellen Ave, Ste J West Covina 91791-1099 Phone (626) 331-8355 Fax (626) 331-8165
RADIATION ONCOLOGY
Covina Cancer Medical Center, Inc.
MENTAL HEALTH
Cornerstone Behavioral Health, Inc. (Senior Patients ONLY) Phone (714) 282-9713
CAPIT
ATED
12For latest updates to provider information please refer to www.cvpg.org
13
ADDITIONS:Name:_________________________Specialty: _______________________Address/Suite: _________________________________________________City/Zip: ________________________Phone: ________________________Fax: ___________________________
Name:_________________________Specialty: _______________________Address/Suite: _________________________________________________City/Zip: ________________________Phone: ________________________Fax: ___________________________
Name:_________________________Specialty: _______________________Address/Suite: _________________________________________________City/Zip: ________________________Phone: ________________________Fax: ___________________________
Name:_________________________Specialty: _______________________Address/Suite: _________________________________________________City/Zip: ________________________Phone: ________________________Fax: ___________________________
Name:_________________________Specialty: _______________________Address/Suite: _________________________________________________City/Zip: ________________________Phone: ________________________Fax: ___________________________
Name:_________________________Specialty: _______________________Address/Suite: _________________________________________________City/Zip: ________________________Phone: ________________________Fax: ___________________________
Name:_________________________Specialty: _______________________Address/Suite: _________________________________________________City/Zip: ________________________Phone: ________________________Fax: ___________________________
Name:_________________________Specialty: _______________________Address/Suite: _________________________________________________City/Zip: ________________________Phone: ________________________Fax: ___________________________
14
ADDITIONS:Name:_________________________Specialty: _______________________Address/Suite: _________________________________________________City/Zip: ________________________Phone: ________________________Fax: ___________________________
Name:_________________________Specialty: _______________________Address/Suite: _________________________________________________City/Zip: ________________________Phone: ________________________Fax: ___________________________
Name:_________________________Specialty: _______________________Address/Suite: _________________________________________________City/Zip: ________________________Phone: ________________________Fax: ___________________________
Name:_________________________Specialty: _______________________Address/Suite: _________________________________________________City/Zip: ________________________Phone: ________________________Fax: ___________________________
Name:_________________________Specialty: _______________________Address/Suite: _________________________________________________City/Zip: ________________________Phone: ________________________Fax: ___________________________
Name:_________________________Specialty: _______________________Address/Suite: _________________________________________________City/Zip: ________________________Phone: ________________________Fax: ___________________________
Name:_________________________Specialty: _______________________Address/Suite: _________________________________________________City/Zip: ________________________Phone: ________________________Fax: ___________________________
Name:_________________________Specialty: _______________________Address/Suite: _________________________________________________City/Zip: ________________________Phone: ________________________Fax: ___________________________
15
ADDITIONS:Name:_________________________Specialty: _______________________Address/Suite: _________________________________________________City/Zip: ________________________Phone: ________________________Fax: ___________________________
Name:_________________________Specialty: _______________________Address/Suite: _________________________________________________City/Zip: ________________________Phone: ________________________Fax: ___________________________
Name:_________________________Specialty: _______________________Address/Suite: _________________________________________________City/Zip: ________________________Phone: ________________________Fax: ___________________________
Name:_________________________Specialty: _______________________Address/Suite: _________________________________________________City/Zip: ________________________Phone: ________________________Fax: ___________________________
Name:_________________________Specialty: _______________________Address/Suite: _________________________________________________City/Zip: ________________________Phone: ________________________Fax: ___________________________
Name:_________________________Specialty: _______________________Address/Suite: _________________________________________________City/Zip: ________________________Phone: ________________________Fax: ___________________________
Name:_________________________Specialty: _______________________Address/Suite: _________________________________________________City/Zip: ________________________Phone: ________________________Fax: ___________________________
Name:_________________________Specialty: _______________________Address/Suite: _________________________________________________City/Zip: ________________________Phone: ________________________Fax: ___________________________
16
NOTES:
PROVIDER DIRECTORYREGION 3
Tel: (866) 495-6990 • Fax: (866) 921-2477 • TTY: (888) 486-0866 rev 10/2016
For latest updates to provider information please refer to www.cvpg.org
Top Related