Post on 16-Aug-2020
Health Net Medicare Advantage (HMO)
Plan Provider DirectoryThis directory is current as of August 1, 2017.
This directory provides a list of Health Net Seniority Plus Green (HMO), Health Net Seniority Plus Ruby (HMO), Health Net Healthy Heart (HMO) and Health Net Seniority Plus (Employer HMO)’s network providers.
This directory is for Fresno, Kern, Placer, Sacramento, San Joaquin, Stanislaus, Tulare and Yolo counties, CA.
To access Health Net Seniority Plus Green (HMO), Health Net Seniority Plus Ruby (HMO), Health Net Healthy Heart (HMO) and Health Net Seniority Plus (Employer HMO)’s online provider directory, you can visit www.healthnet.com. For any questions about the information contained in this directory (hardcopy or online), please call our Member Service Department at 1-800-977-6738 (prospective members) or 1-800-275-4737 (for members). From October 1 through February 14, our office hours are 8:00 a.m. to 8:00 p.m., 7 days a week, excluding certain holidays. However, after February 14, our office hours are 8:00 a.m. to 8:00 p.m., Monday through Friday. On weekends and certain holidays, your call will be handled by our automated phone system. TTY users should call 711.
You can also call the Member Service Department phone number to schedule a visit with your doctor or to get help finding a new doctor. We welcome your feedback too! If you find a mistake in a listed doctor’s contact information, please call the Member Service Department at 1-800-275-4737 to report it.
Health Net has a contract with Medicare to offer HMO and HMO SNP plans. Enrollment in a Health Net Medicare Advantage plan depends on contract renewal.
This information is also available in a different format including larger print and audio. Please call Member Service at the number listed above if you need plan information in another format.
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Directorio de Proveedores de Planes Health Net Medicare Advantage (HMO)Este directorio tiene vigencia a partir del 1 de agosto de 2017.
Este directorio proporciona una lista de los proveedores de la red de Health Net Seniority Plus Green (HMO), Health Net Seniority Plus Ruby (HMO), Health Net Healthy Heart (HMO) y Health Net Seniority Plus (Employer HMO).
Corresponde a los condados de Fresno, Kern, Placer, Sacramento, San Joaquin, Stanislaus, Tulare y Yolo, CA.
Si desea acceder al directorio de proveedores en línea de Health Net Seniority Plus Green (HMO), Health Net Seniority Plus Ruby (HMO), Health Net Healthy Heart (HMO) y Health Net Seniority Plus (Employer HMO), puede visitar www.healthnet.com. Para hacer cualquier pregunta sobre la información que contiene este directorio (copia impresa o en línea), llame a nuestro Departamento de Servicios al Afiliado al 1-800-977-6738 (para posibles afiliados) o al 1-800-275-4737 (para afiliados). Desde el 1 de octubre hasta el 14 de febrero, nuestro horario de atención es de 8:00 a.m. a 8:00 p.m., los 7 días de la semana, excepto ciertos días feriados. Sin embargo, después del 14 de febrero, nuestro horario de atención es de 8:00 a.m. a 8:00 p.m., de lunes a viernes Los fines de semana y ciertos días feriados su llamada será atendida por nuestro sistema automático de teléfono. Los usuarios de TTY deben llamar al 711.
Además, puede llamar al número de teléfono del Departamento de Servicios al Afiliado para programar una consulta con su médico u obtener ayuda para encontrar un nuevo médico. ¡También esperamos recibir su opinión! Si detecta un error en la información de contacto de un médico enumerado, llame al Departamento de Servicios al Afiliado al 1-800-275-4737 para informarlo.
Health Net tiene un contrato con Medicare para ofrecer planes HMO y HMO SNP. La inscripción en un plan Health Net Medicare Advantage depende de la renovación de estos contratos.
Esta información también está disponible en un formato diferente, incluyendo letra más grande y audio. Llame al Departamento de Servicios al Afiliado al número que se indica anteriormente si necesita información sobre el plan en otro formato.
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Table of ContentsSection 1 – IntroductionSección 1 – Introducción
Introduction ....................................................................................................................................................................................................................3
What is the service area for Health Net Seniority Plus Green (HMO), Health Net Seniority Plus Ruby (HMO), Health Net Healthy Heart (HMO) and Health Net Seniority Plus (Employer HMO)? ............................................................................................................................................6
How do you find Health Net Seniority Plus Green (HMO), Health Net Seniority Plus Ruby (HMO), Health Net Healthy Heart (HMO) and Health Net Seniority Plus (Employer HMO) providers in your area? ........................................................................................7
Section 2 – List of Network ProvidersSección 2 – Lista de Proveedores de la Red
Participating Physician Groups and Specialists ......................................................................................................................................17
Skilled Nursing Facilities .................................................................................................................................................................................... 377
Participating Physician Groups by City Index ...................................................................................................................................... 383
Primary Care Physicians and Specialists Index ................................................................................................................................... 385
Hospital Index ........................................................................................................................................................................................................... 451
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Section 1 – IntroductionThis directory provides a list of Health Net Seniority Plus Green (HMO), Health Net Seniority Plus Ruby (HMO), Health Net Healthy Heart (HMO) and Health Net Seniority Plus (Employer HMO)’s network providers. To get detailed information about your health care coverage, please see your Evidence of Coverage.
You will have to choose one of our network providers who are listed in this directory to be your Primary Care Provider (PCP). The term “PCP” will be used throughout this directory. Generally, you must get your health care services from your PCP. As a member of Health Net Green, Health Net Ruby, Health Net Healthy Heart or Health Net Employer Group, you will have a PCP who coordinates all of your care. Your PCP is a health care professional who is trained to give you basic care. He or she is responsible for providing or coordinating covered services while you are a member of Health Net Green, Health Net Ruby, Health Net Healthy Heart or Health Net Employer Group.
When you enroll in Health Net Green, Health Net Ruby, Health Net Healthy Heart or Health Net Employer Group, you will select a Health Net participating provider group from our network. You’ll also choose a PCP from this Health Net participating provider group. This Health Net Green, Health Net Ruby, Health Net Healthy Heart and Health Net Employer Group participating provider directory is a list of all Health Net providers (and their PCP hospital affiliations).
As a Health Net Green, Health Net Ruby, Health Net Healthy Heart or Health Net Employer Group member, all of your routine health care is provided and arranged by your PCP. Your specialty care, X-rays, laboratory tests, therapy, medications, hospital admissions, and follow-up care will also be provided, authorized or coordinated by your PCP. If you go to a doctor, hospital or other provider without the approval of your PCP – except in an emergency or when you need urgent care, out-of-area renal dialysis, or certain gynecological care or other self-referred services – you will be responsible for paying any charges for these services. Neither Medicare nor Health Net will pay for non-emergency services or non-urgently needed care without the prior authorization of your PCP.
The “network providers” listed in this directory have agreed to provide you with your health care services. You may go to any of our network providers listed in this directory; however, some services may require a referral. Other providers are available in our network. If you have been going to one network provider, you are not required to continue to go to that same provider. In some cases, you may get covered services from out-of-network providers. Even though your PCP is trained to handle most of your common health needs, there may be times when he or she feels you need more specialized treatment. In that case, you may receive a referral (written permission) to see a specialist. Specialists are doctors who provide health care services for a specific disease or part of the body. Examples include oncologists (care for cancer patients), cardiologists (care for the heart) and orthopedists (care for bones).
Some of your Health Net plan services are covered only if your doctor or other network provider gets approval in advance (sometimes called “prior authorization”) from us.
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For Out-of-Area Coverage – Services authorized by Health Net and other services contained in your Health Net plan’s Evidence of Coverage document (also known as a member contract or subscriber agreement) will be covered. You must use your plan providers except in emergency or urgent care situations or for out-of-area renal dialysis or other services. If you obtain routine care from out-of-network providers, neither Medicare nor Health Net will be responsible for the costs. Please refer to your Health Net plan Evidence of Coverage for more information.
In an emergency, call “911” or have someone take you to the emergency room located within any of the hospitals listed in Section 2 of this Provider Directory.
Please refer to Section 2 of this Provider Directory for a complete listing of available hospitals, urgent care facilities and/or refer to the Participating Physician Groups and Specialists Listing for available facilities.
Emergency care can always be obtained in or out of the service area from the nearest available provider. When in the service area, you must use plan providers for urgent care. When out of the service area, urgent care may be obtained from the first available provider. In addition, when out of the service area, you can obtain dialysis treatment from any qualified dialysis provider.
When you receive emergency or urgently needed care from a provider who is not part of our network, you are only responsible for paying your share of the cost, not for the entire cost. You should ask the provider to bill the plan for our share of the cost.
• If you pay the entire amount yourself at the time you receive the care, you need to ask us to pay you back for our share of the cost. Send us the bill, along with documentation of any payments you have made.
• At times, you may get a bill from the provider asking for payment that you think you do not owe. Send us this bill, along with documentation of any payments you have already made to:
Health Net Medicare Advantage PO Box 9030 Farmington, MO 63640-9030
• If the provider is owed anything, we will pay the provider directly.
• If you have already paid more than your share of the cost of the service, we will determine how much you owed and pay you back for our share of the cost.
Post-stabilization services are medically necessary covered services related to an emergency medical condition that are provided after you are stabilized in order to maintain the stabilized condition. Health Net covers post-stabilization care following the administration of emergency services to stabilize or evaluate an emergency medical condition.
If your emergency care is provided by out-of-network providers, we will try to arrange for network providers to take over your care as soon as your medical condition and the circumstances allow. Please refer to your Health Net plan’s Evidence of Coverage for more detailed information.
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If you obtain routine care from out-of-network providers, neither Medicare nor Health Net will be responsible for the costs. Please refer to your Health Net plan’s Evidence of Coverage for more information.
For directories listing other Health Net participating network providers, facilities and/or pharmacies, you can visit www.healthnet.com or call our Member Service Department at 1-800-977-6738 (prospective members) or 1-800-275-4737 (for members). From October 1 through February 14, our office hours are 8:00 a.m. to 8:00 p.m., 7 days a week, excluding certain holidays. However, after February 14, our office hours are 8:00 a.m. to 8:00 p.m., Monday through Friday. On weekends and certain holidays, your call will be handled by our automated phone system. TTY users should call 711.
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What Is the Service Area for Health Net Seniority Plus Green (HMO), Health Net Seniority Plus Ruby (HMO), Health Net Healthy Heart (HMO) and Health Net Seniority Plus (Employer HMO)?The counties in our service area are listed below.
Fresno County
Kern County
Placer County for the following ZIP codes only:
95602, 95603, 95604, 95631, 95648, 95650, 95658, 95661, 95663, 95677, 95678, 95681, 95701, 95703, 95713, 95714, 95715, 95717, 95722, 95736, 95746, 95747, 95765
Sacramento County
Stanislaus County
Yolo County
Please Note: the providers in the following counties and/or Participating Physician Groups are only available to Health Net Seniority Plus (Employer HMO) Medicare Advantage members:
San Joaquin County
Tulare County
PARTICPATING PHYSICIAN GROUP
• Golden Empire Managed Care (GemCare) PPG 971
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How Do You Find Health Net Seniority Plus Green (HMO), Health Net Seniority Plus Ruby (HMO), Health Net Healthy Heart (HMO) and Health Net Seniority Plus (Employer HMO) Providers in Your Area?We have arranged the information in several different ways. If you are interested in a particular PCP or specialist, turn to Section 2. If you’d like to see who is available in your community, then turn to the City Index.
If you have questions about Health Net Green, Health Net Ruby, Health Net Healthy Heart and Health Net Employer Group or require assistance in selecting a PCP, you can visit www.healthnet.com or call our Member Service Department at 1-800-977-6738 (prospective members) or 1-800-275-4737 (for members). From October 1 through February 14, our office hours are 8:00 a.m. to 8:00 p.m., 7 days a week, excluding certain holidays. However, after February 14, our office hours are 8:00 a.m. to 8:00 p.m., Monday through Friday. On weekends and certain holidays, your call will be handled by our automated phone system. TTY users should call 711.
You can also call the Member Service Department phone number to schedule a visit with your doctor or to get help finding a new doctor. We welcome your feedback too! If you find a mistake in a listed doctor’s contact information, please call the Member Service Department at 1-800-275-4737 to report it.
For additional directories listing other Health Net Dental, Vision, Mental Health, Chiropractors, Acupuncturists, available Health Clubs or a local Pharmacy in your area, call our Member Service Department at 1-800-977-6738 (prospective members) or 1-800-275-4737 (for members). TTY users should call 711.
The provider network may change at any time. You will receive notice when necessary.
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Sección 1 – IntroducciónEste directorio proporciona una lista de los proveedores de la red de Health Net Seniority Plus Green (HMO), Health Net Seniority Plus Ruby (HMO), Health Net Healthy Heart (HMO) y Health Net Seniority Plus (Employer HMO). Para obtener información detallada sobre su cobertura de cuidado de la salud, consulte su Evidencia de Cobertura.
Tendrá que elegir a uno de los proveedores de nuestra red enumerados en este directorio para que sea su Proveedor de Atención Primaria (Primary Care Provider, PCP). En todo este directorio se usará el término “Proveedor de Atención Primaria”. Por lo general, debe obtener sus servicios de cuidado de la salud de su Proveedor de Atención Primaria. Como afiliado a Health Net Green, Health Net Ruby, Health Net Healthy Heart o Health Net Employer Group, usted tendrá un Proveedor de Atención Primaria que coordina toda su atención. Su Proveedor de Atención Primaria es un profesional para el cuidado de la salud que está capacitado para brindarle atención básica. Es responsable de proporcionar o coordinar los servicios cubiertos mientras usted esté afiliado a Health Net Green, Health Net Ruby, Health Net Healthy Heart o Health Net Employer Group.
Cuando se inscriba en Health Net Green, Health Net Ruby, Health Net Healthy Heart o Health Net Employer Group, seleccionará un grupo de proveedores participantes de Health Net de nuestra red. También elegirá a un Proveedor de Atención Primaria de este grupo de proveedores participantes de Health Net. Este directorio de proveedores participantes de Health Net Green, Health Net Ruby, Health Net Healthy Heart y Health Net Employer Group es una lista de todos los proveedores de Health Net (y sus afiliaciones a Proveedores de Atención Primaria y hospitales).
Como afiliado a Health Net Green, Health Net Ruby, Health Net Healthy Heart o Health Net Employer Group, todo su cuidado de la salud de rutina es proporcionado y dispuesto por su Proveedor de Atención Primaria. La atención de especialidades, los rayos X, las pruebas de laboratorio, la terapia, los medicamentos, las admisiones hospitalarias y la atención de seguimiento que usted necesite también serán proporcionados, autorizados o coordinados por su Proveedor de Atención Primaria. Si recibe servicios de un médico, un hospital u otro proveedor sin la aprobación de su Proveedor de Atención Primaria —excepto en casos de emergencia o cuando necesita atención de urgencia, diálisis renal fuera del área, o cierta atención ginecológica u otros servicios que permiten autorremisiones—, usted será responsable del pago de todos los cargos de dichos servicios. Ni Medicare ni Health Net pagarán los servicios que no son de emergencia ni la atención no requerida de urgencia sin la autorización previa de su Proveedor de Atención Primaria.
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Los “proveedores de la red” enumerados en este directorio han aceptado brindarle sus servicios de cuidado de la salud. Usted puede ir a cualquiera de los proveedores de nuestra red enumerados en este directorio; sin embargo, es posible que algunos servicios requieran una remisión. Otros proveedores están disponibles en nuestra red. Si usted ha consultado a un proveedor de la red, no se requiere que continúe con ese mismo proveedor. En algunos casos, puede obtener servicios cubiertos de proveedores fuera de la red. Aunque su Proveedor de Atención Primaria está capacitado para atender la mayoría de sus necesidades de salud comunes, es posible que algunas veces considere que usted necesita un tratamiento más especializado. En ese caso, posiblemente le proporcione una remisión (permiso escrito) para que consulte a un especialista. Los especialistas son médicos que brindan servicios de cuidado de la salud para una enfermedad o parte del cuerpo específicas. Algunos ejemplos incluyen oncólogos (atención para pacientes con cáncer), cardiólogos (atención para el corazón) y traumatólogos (atención para los huesos).
Algunos de los servicios de su plan de Health Net están cubiertos sólo si su médico u otro proveedor de la red obtienen la aprobación por adelantado (a veces denominada “autorización previa”) de parte nuestra.
Para la Cobertura Fuera del Área – Estarán cubiertos los servicios autorizados por Health Net, así como otros servicios incluidos en el documento Evidencia de Cobertura de su plan de Health Net (también conocido como contrato de afiliación o acuerdo del suscriptor). Usted está obligado a utilizar los proveedores de su plan, excepto en situaciones de atención de emergencia o atención de urgencia, o para diálisis renal fuera del área u otros servicios. Si usted recibe atención de rutina de proveedores fuera de la red, ni Medicare ni Health Net serán responsables de los costos. Para obtener más información, consulte la Evidencia de Cobertura de su plan de Health Net.
En una emergencia, llame al “911” o solicite a alguien que le lleve a la sala de emergencias ubicada dentro de cualquiera de los hospitales enumerados en la Sección 2 de este Directorio de Proveedores.
Consulte la Sección 2 de este Directorio de Proveedores para obtener una lista completa de los hospitales y centros de atención de urgencia disponibles, y/o consulte el Listado de Grupos Médicos y Especialistas Participantes para conocer los centros disponibles.
La atención de emergencia siempre puede obtenerse dentro o fuera del área de servicio de parte del proveedor más cercano disponible. Si se encuentra dentro del área de servicio, debe utilizar proveedores del plan para recibir atención de urgencia. Si se encuentra fuera del área de servicio, la atención de urgencia puede obtenerse de parte del primer proveedor disponible. Además, si se encuentra fuera del área de servicio, puede recibir tratamiento de diálisis de parte de cualquier proveedor de diálisis calificado.
Cuando recibe atención de emergencia o atención requerida de urgencia de un proveedor que no forma parte de nuestra red, usted sólo es responsable de pagar su parte del costo, no el costo total. Debe solicitar al proveedor que facture al plan nuestra parte del costo.
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• Si paga la cantidad total usted mismo en el momento en que recibe la atención, debe solicitarnos que le reembolsemos nuestra parte del costo. Envíenos la factura, junto con la documentación de cualquier pago que haya realizado.
• A veces, puede recibir una factura del proveedor en la que se le solicita un pago que usted considera que no adeuda. Envíenos dicha factura, junto con la documentación de cualquier pago que ya haya realizado a:
Health Net Medicare Advantage PO Box 9030 Farmington, MO 63640-9030
• Si se le adeuda alguna cantidad al proveedor, le pagaremos directamente a dicho proveedor.
• Si usted ya pagó más que su parte del costo del servicio, determinaremos cuánto adeudaba y le reembolsaremos nuestra parte del costo.
Los servicios posteriores a la estabilización son servicios cubiertos, médicamente necesarios, relacionados con una afección médica de emergencia y proporcionados después de que su afección se estabiliza a fin de mantenerla estabilizada. Health Net cubre la atención posterior a la estabilización que se brinda después de proporcionar servicios de emergencia para estabilizar o evaluar una afección médica de emergencia.
Si su atención de emergencia es proporcionada por proveedores fuera de la red, intentaremos disponer su atención a través de proveedores de la red en cuanto su afección médica y las circunstancias lo permitan. Para obtener información más detallada, consulte la Evidencia de Cobertura de su plan de Health Net.
Si usted recibe atención de rutina de proveedores fuera de la red, ni Medicare ni Health Net serán responsables de los costos. Para obtener más información, consulte la Evidencia de Cobertura de su plan de Health Net.
Para obtener directorios que enumeran a otros proveedores, centros y/o farmacias participantes de la red de Health Net, puede visitar www.healthnet.com, o bien, puede llamar a nuestro Departamento de Servicios al Afiliado al 1-800-977-6738 (para posibles afiliados) o al 1-800-275-4737 (para afiliados). Desde el 1 de octubre hasta el 14 de febrero, nuestro horario de atención es de 8:00 a.m. a 8:00 p.m., los 7 días de la semana, excepto ciertos días feriados. Sin embargo, después del 14 de febrero, nuestro horario de atención es de 8:00 a.m. a 8:00 p.m., de lunes a viernes. Los fines de semana y ciertos días feriados su llamada será atendida por nuestro sistema automático de teléfono. Los usuarios de TTY deben llamar al 711.
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¿Cuál Es el Área de Servicio de Health Net Seniority Plus Green (HMO), Health Net Seniority Plus Ruby (HMO), Health Net Healthy Heart (HMO) y Health Net Seniority Plus (Employer HMO)?A continuación se detallan los condados que se encuentran dentro de nuestra área de servicio.
Condado de Fresno
Condado de Kern
Condado de Placer para los siguientes códigos postales únicamente:
95602, 95603, 95604, 95631, 95648, 95650, 95658, 95661, 95663, 95677, 95678, 95681, 95701, 95703, 95713, 95714, 95715, 95717, 95722, 95736, 95746, 95747, 95765
Condado de Sacramento
Condado de Stanislaus
Condado de Yolo
Tenga en Cuenta lo Siguiente: los proveedores de los siguientes condados y/o Grupos Médicos Participantes sólo se encuentran disponibles para los afiliados a Health Net Seniority Plus (Employer HMO) Medicare Advantage:
Condado de San Joaquin
Condado de Tulare
GRUPO MÉDICO PARTICIPANTE
• Golden Empire Managed Care (GemCare) PPG 971
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¿Cómo Puede Encontrar a los Proveedores de Health Net Seniority Plus Green (HMO), Health Net Seniority Plus Ruby (HMO), Health Net Healthy Heart (HMO) y Health Net Seniority Plus (Employer HMO) de Su Área?Hemos dispuesto la información de varias maneras diferentes. Si le interesa un Proveedor de Atención Primaria o especialista en particular, consulte la Sección 2. Si desea saber quién está disponible en su comunidad, consulte el Índice de Ciudades.
Si tiene preguntas sobre Health Net Green, Health Net Ruby, Health Net Healthy Heart y Health Net Employer Group o si necesita ayuda para seleccionar un Proveedor de Atención Primaria, puede visitar www.healthnet.com, o bien, puede llamar a nuestro Departamento de Servicios al Afiliado al 1-800-977-6738 (para posibles afiliados) o al 1-800-275-4737 (para afiliados). Desde el 1 de octubre hasta el 14 de febrero, nuestro horario de atención es de 8:00 a.m. a 8:00 p.m., los 7 días de la semana, excepto ciertos días feriados. Sin embargo, después del 14 de febrero, nuestro horario de atención es de 8:00 a.m. a 8:00 p.m., de lunes a viernes. Los fines de semana y ciertos días feriados su llamada será atendida por nuestro sistema automático de teléfono. Los usuarios de TTY deben llamar al 711.
Además, puede llamar al número de teléfono del Departamento de Servicios al Afiliado para programar una consulta con su médico u obtener ayuda para encontrar un nuevo médico. ¡También esperamos recibir su opinión! Si detecta un error en la información de contacto de un médico enumerado, llame al Departamento de Servicios al Afiliado al 1-800-275-4737 para informarlo.
Para obtener directorios adicionales que enumeran a otros proveedores de Health Net de Servicios Dentales, de la Vista y de Salud Mental, Quiroprácticos, Acupunturistas, Clubes de Salud disponibles o una Farmacia local en su área, llame a nuestro Departamento de Servicios al Afiliado al 1-800-977-6738 (para posibles afiliados) o al 1-800-275-4737 (para afiliados). Los usuarios de TTY deben llamar al 711.
La red de proveedores puede cambiar en cualquier momento. Recibirá un aviso cuando sea necesario.
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Section 1557 Non-Discrimination Language
Notice of Non-Discrimination 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 Net’s Customer Contact Center at: 1-800-431-9007 (Jade, Sapphire, Amber and HMO SNP), 1-800-275-4737 (All Other HMO) (TTY: 711). From October 1 to February 14, you can call us 7 days a week from 8 a.m. to 8 p.m. From February 15 to September 30, you can call us Monday through Friday from 8 a.m. to 8 p.m. A messaging system is used after hours, weekends, and on federal holidays. 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 Net’s 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.
FLY014854EO00 (8/17) Y0020_18_2830MLI_Accepted_07142017
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Section 1557 Non-Discrimination Language Multi-Language Interpreter Services
SPANISH ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos deasistencia lingüística. Llame al 1-800-431-9007 (Jade, Sapphire, Amber andHMO SNP), 1-800-275-4737 (All Other HMO) (TTY: 711).
CHINESE 注意:如果您說中文,您可以免費獲得語言援助服務。請致電1-800-431-9007 (Jade, Sapphire, Amber and HMO SNP), 1-800-275-4737 (All Other HMO) (TTY: 711)。
VIETNAMESE CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-800-431-9007 (Jade, Sapphire, Amber and HMO SNP),1-800-275-4737 (All Other HMO) (TTY: 711).
TAGALOG PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-800-431-9007 (Jade, Sapphire, Amber and HMO SNP), 1-800-275-4737 (All Other HMO) (TTY: 711).
KOREAN 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-800-431-9007 (Jade, Sapphire, Amber and HMO SNP), 1-800-275-4737 (All Other HMO) (TTY: 711) 번으로 전화해 주십시오.
ARMENIAN
ՈՒՇԱԴՐՈՒԹՅՈՒՆ՝ Եթե խոսում եք հայերեն, ապա ձեզ անվճարկարող են տրամադրվել լեզվական աջակցության ծառայություններ: Զանգահարեք: 1-800-431-9007 (Jade, Sapphire, Amber and HMO SNP),1-800-275-4737 (All Other HMO) (TTY: 711).
PERSIAN اگر بھ زبان فارسی گفتگو می کنيد، تسھيالت زبانی بصورت رايگان برای شما : توجھ 1-800-431-9007 (Jade, Sapphire, Amber and HMO SNP) با. فراھم می باشد
(All Other HMO) (TTY: 711) 4737-275-800-1 تماس بگيريد.
RUSSIAN ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступныбесплатные услуги перевода. Звоните 1-800-431-9007 (Jade, Sapphire, Amberand HMO SNP), 1-800-275-4737 (All Other HMO) (TTY: 711).
JAPANESE 注意事項:日本語を話される場合、無料の言語支援をご利用いただけ ま す 。 1-800-431-9007 (Jade, Sapphire, Amber and HMO SNP), 1-800-275-4737 (All Other HMO) (TTY: 711) まで、お電話にてご連絡ください。
ARABIC .بالرقم االتصال ُيرجى. لك متاحة المجانية اللغوية المساعدة خدمات فإن العربية، تتحدث كنت إذا: تنبيھ
1-800-431-9007 (Jade, Sapphire, Amber and HMO SNP), 1-800-275-4737 (All Other HMO) ).711 :مقر فتاه مصال مكبالو(
PUNJABI
ਿਧਆਨ ਿਦਓ: ਜੇ ਤੁਸ� ਪੰਜਾਬੀ ਬੋਲਦੇ ਹੋ, ਤਾਂ ਤੁਹਾਡੇ ਲਈ ਭਾਸ਼ਾ ਸਹਾਇਤਾ ਸੇਵਾਵਾਂਿਬਲਕੁਲ ਮੁਫ਼ਤ ਉਪਲਬਧ ਹਨ। ਿਕਰਪਾ ਕਰਕੇ 1-800-431-9007 (Jade, Sapphire, Amber and HMO SNP), 1-800-275-4737 (All Other HMO) (TTY: 711) 'ਤੇ ਕਾੱਲ ਕਰੋ।
Section 1557 Non-Discrimination Language Multi-Language Interpreter Services
Section 1557 Non-Discrimination Language
Notice of Non-Discrimination 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 Net’s Customer Contact Center at: 1-800-431-9007 (Jade, Sapphire, Amber and HMO SNP), 1-800-275-4737 (All Other HMO) (TTY: 711). From October 1 to February 14, you can call us 7 days a week from 8 a.m. to 8 p.m. From February 15 to September 30, you can call us Monday through Friday from 8 a.m. to 8 p.m. A messaging system is used after hours, weekends, and on federal holidays. 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 Net’s 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.
FLY014854EO00 (8/17) Y0020_18_2830MLI_Accepted_07142017
15
Section 1557 Non-Discrimination Language Multi-Language Interpreter Services
SPANISH ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos deasistencia lingüística. Llame al 1-800-431-9007 (Jade, Sapphire, Amber andHMO SNP), 1-800-275-4737 (All Other HMO) (TTY: 711).
CHINESE 注意:如果您說中文,您可以免費獲得語言援助服務。請致電1-800-431-9007 (Jade, Sapphire, Amber and HMO SNP), 1-800-275-4737 (All Other HMO) (TTY: 711)。
VIETNAMESE CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-800-431-9007 (Jade, Sapphire, Amber and HMO SNP),1-800-275-4737 (All Other HMO) (TTY: 711).
TAGALOG PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-800-431-9007 (Jade, Sapphire, Amber and HMO SNP), 1-800-275-4737 (All Other HMO) (TTY: 711).
KOREAN 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-800-431-9007 (Jade, Sapphire, Amber and HMO SNP), 1-800-275-4737 (All Other HMO) (TTY: 711) 번으로 전화해 주십시오.
ARMENIAN
ՈՒՇԱԴՐՈՒԹՅՈՒՆ՝ Եթե խոսում եք հայերեն, ապա ձեզ անվճարկարող են տրամադրվել լեզվական աջակցության ծառայություններ: Զանգահարեք: 1-800-431-9007 (Jade, Sapphire, Amber and HMO SNP),1-800-275-4737 (All Other HMO) (TTY: 711).
PERSIAN اگر بھ زبان فارسی گفتگو می کنيد، تسھيالت زبانی بصورت رايگان برای شما : توجھ 1-800-431-9007 (Jade, Sapphire, Amber and HMO SNP) با. فراھم می باشد
(All Other HMO) (TTY: 711) 4737-275-800-1 تماس بگيريد.
RUSSIAN ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступныбесплатные услуги перевода. Звоните 1-800-431-9007 (Jade, Sapphire, Amberand HMO SNP), 1-800-275-4737 (All Other HMO) (TTY: 711).
JAPANESE 注意事項:日本語を話される場合、無料の言語支援をご利用いただけ ま す 。 1-800-431-9007 (Jade, Sapphire, Amber and HMO SNP), 1-800-275-4737 (All Other HMO) (TTY: 711) まで、お電話にてご連絡ください。
ARABIC .بالرقم االتصال ُيرجى. لك متاحة المجانية اللغوية المساعدة خدمات فإن العربية، تتحدث كنت إذا: تنبيھ
1-800-431-9007 (Jade, Sapphire, Amber and HMO SNP), 1-800-275-4737 (All Other HMO) ).711 :مقر فتاه مصال مكبالو(
PUNJABI
ਿਧਆਨ ਿਦਓ: ਜੇ ਤੁਸ� ਪੰਜਾਬੀ ਬੋਲਦੇ ਹੋ, ਤਾਂ ਤੁਹਾਡੇ ਲਈ ਭਾਸ਼ਾ ਸਹਾਇਤਾ ਸੇਵਾਵਾਂਿਬਲਕੁਲ ਮੁਫ਼ਤ ਉਪਲਬਧ ਹਨ। ਿਕਰਪਾ ਕਰਕੇ 1-800-431-9007 (Jade, Sapphire, Amber and HMO SNP), 1-800-275-4737 (All Other HMO) (TTY: 711) 'ਤੇ ਕਾੱਲ ਕਰੋ।
MON-KHMER, CAMBODIAN
ចំណាប់អារមមណ៍ៈ េបើសិនអនកនិយាយភាសាែខមរ េសវាជំនួយភាសាេដាយឥតគិតៃថល គឺមានសំរាប់អនក។ សូម ទូរស័ពទេទៅេលខ 1-800-431-9007 (Jade, Sapphire, Amber and HMO SNP), 1-800-275-4737 (All Other HMO) (TTY: 711)។
HMONG LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pabdawb rau koj. Hu rau 1-800-431-9007 (Jade, Sapphire, Amber and HMO SNP),1-800-275-4737 (All Other HMO) (TTY: 711).
HINDI ध्यान द�: यिद आप िहदंी बोलते ह,ै आपको भाषा सहायता सेबाएं, िन:शुल्क उपलब्ध ह�। कृपया 1-800-431-9007 (Jade, Sapphire, Amber and HMO SNP), 1-800-275-4737 (All Other HMO) (TTY: 711). पर कॉल कर�।
THAI เรียน: ถา้คุณพดูภาษาไทยคุณสามารถใชบ้ริการช่วยเหลือทางภาษาไดฟ้รี โทร 1-800-431-9007 (Jade, Sapphire, Amber and HMO SNP), 1-800-275-4737 (All Other HMO) (TTY: 711)
16 PB
Partici
Participating Physician Groups and Specialists
www.healthnet.com / 17
Partic
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* 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. You
should call the doctor's office to talk about your access needs for your disability. Health Net does
not and cannot guarantee the initial or continued availability of any Participating Provider and/or
accessibility requirement. Please refer to the telephone numbers on the front cover of this directory
for the current provider and/or accessibility status.
1
Board Certified
2
Physician is currently unavailable to new patients through this physician group.
Hospital Accreditation: TJC = The Joint Commission
Allcare IPA
PPG 5268
3320 Tully Rd. Ste. 1
Modesto, CA 95350-0800
(209) 572-6900
Urgent Care Hours:
Castle Urgent Care (209) 358-8425
MedNow Urgent Care (209) 368-0597
Mercy West Urgent Care (209) 656-7100
Hospitals Used:
Doctors Medical Center of Modesto
Hospital Accreditation: TJC
Oak Valley District Hospital
Hospital Accreditation: TJC
Stanislaus Surgical Hospital
Hospital Accreditation: None
ALLCARE IPA - MERCED (PPG 5389)
3320 Tully Road Suite 1
Modesto, CA 95350-0800
(209) 572-6900
Ceres Specialty
Primary Care Physicians PPG/Phy #
Diep, Daniel T., M.D.
Gender: Male
Family Practice
Prov Language: Cantonese,
Spanish
2760 Third St.
(209) 556-5011
5268 128508
Accessibility:*: Basic(P,EB,IB,R,E)
Office Staff Language: Spanish
Ceres Specialty
Primary Care Physicians PPG/Phy #
Evnin, Kerry B., M.D.
2
Gender: Male
Family Practice
1
3641 Mitchell Rd. # H
(209) 531-0154
5268 024790
Escalon Specialty
Primary Care Physicians PPG/Phy #
Krishnamoorthi, Soma,
M.D.
Gender: Female
Internal Medicine
Prov Language: Hindi, Spanish
850 California St.
(209) 838-2278
5268 095078
Accessibility:*: Limited(P,EB,R,E)
Peterson, Bobby D.,
M.D.
Gender: Male
Family Practice
1
2390 Jackson Ave.
(209) 838-6015
5268 045722
Manteca Specialty
Primary Care Physicians PPG/Phy #
David, Noel C., M.D.
Gender: Male
Family Practice
1
Prov Language: Tagalog
250 Cherry Ln. # 111
(209) 647-4545
5268 143290
Accessibility:*: Basic(P,EB,IB,R,E)
Office Staff Language: Spanish, Tagalog
18 / www.healthnet.com
Allcare IPA PPG 5268
Participating Physician Groups and Specialists
1
Board Certified
3
Physician is currently not available through this physician group.
Modesto Specialty
Primary Care Physicians PPG/Phy #
Abbas, Humayun, M.D.
Gender: Male
Internal Medicine
1
Prov Language: Hindi, Urdu
1541 Florida Ave. # 200
(209) 577-3388
5268 095981
Office Staff Language: Spanish
Auen, Edward L., M.D.
Gender: Male
Internal Medicine
1
1401 Spanos Ct. # 122
(209) 529-2052
5268 520851
Banuelos Jr, Jose L.,
M.D.
Gender: Male
Family Practice
1
Prov Language: Spanish
1448 Florida Ave.
(209) 523-1884
5268 500805
Basi, Amrik S., M.D.
Gender: Male
Family Practice
1
1524 McHenry Ave. # 340
(209) 846-3176
5268 209603
Blankenship, Bradley S.,
M.D.
Gender: Male
Family Practice
1
1444 Florida Ave. # 202
(209) 524-1264
5268 038568
Modesto Specialty
Primary Care Physicians PPG/Phy #
Bluvshteyn, Sasha A.,
M.D.
Gender: Female
Family Practice
1
Prov Language: Polish, Russian,
Spanish, Ukranian
1320 Celeste Dr.
(209) 527-6900
5268 187559
Boozer, James W., M.D.
Gender: Male
Internal Medicine
1
1541 Florida Ave. # 200
(209) 577-3388
5268 501635
Office Staff Language: Spanish
Brockman, Tracy L.,
M.D.
3
Gender: Male
Family Practice
1
1320 Celeste Dr.
(209) 527-6900
5268 111707
Carlson, James M., M.D.
Gender: Male
Family Practice
1
1213 Coffee Rd. # A
(209) 549-9900
5268 502400
Chan, Christina, M.D.
Gender: Female
Family Practice
1
Prov Language: Cantonese
1448 Florida Ave.
(209) 523-1884
5268 090813
www.healthnet.com / 19
Allcare IPA PPG 5268
Participating Physician Groups and Specialists
Partic
ip
atin
g P
hy
sic
ia
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cialis
ts
19
* 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. You
should call the doctor's office to talk about your access needs for your disability. Health Net does
not and cannot guarantee the initial or continued availability of any Participating Provider and/or
accessibility requirement. Please refer to the telephone numbers on the front cover of this directory
for the current provider and/or accessibility status.
1
Board Certified
3
Physician is currently not available through this physician group.
Modesto Specialty
Primary Care Physicians PPG/Phy #
Chin, Robert M., M.D.
Gender: Male
Family Practice
1
1444 Florida Ave. # 202
(209) 524-1264
5268 502787
Christopher, Kathy A.,
M.D.
Gender: Female
Family Practice
1
2020 Standiford Ave. # D3
(209) 575-4990
5268 570671
Clare, Sean B., M.D.
Gender: Male
Obstetrics/ Gynecology
1
Prov Language: Spanish
1400 Florida Ave. # 207
(209) 522-1027
5268 092083
Office Staff Language: Spanish
Collins, Jack L., M.D.
3
Gender: Male
Family Practice
1
1320 Celeste Dr.
(209) 527-6900
5268 503126
De-Paz, Jordan, M.D.
Gender: Male
Family Practice
1
Prov Language: Portuguese,
Spanish
3125 Conant Ave.
(209) 524-1668
5268 102555
Modesto Specialty
Primary Care Physicians PPG/Phy #
Deleon, Recto F., M.D.
Gender: Male
Family Practice
1
Prov Language: Spanish,
Tagalog
1130 Coffee Rd. # 9B
(209) 527-7677
5268 503850
Office Staff Language: Spanish
Diaz III, Gervacio D.,
M.D.
Gender: Male
Internal Medicine
1
Prov Language: Tagalog
2013 Coffee Rd.
(209) 529-8506
5268 075993
Diego, Silvia M., M.D.
Gender: Female
Family Practice
1
Prov Language: Spanish
1317 Oakdale Rd. # 100
(209) 522-3362
5268 570669
Accessibility:*: Limited(P,EB,IB,E)
Duggal, Arun, M.D.
Gender: Male
Family Practice
1
Prov Language: Punjabi
1401 Spanos Ct. # 205
(209) 525-3199
5268 504267
20 / www.healthnet.com
Allcare IPA PPG 5268
Participating Physician Groups and Specialists
* 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. You
should call the doctor's office to talk about your access needs for your disability. Health Net does
not and cannot guarantee the initial or continued availability of any Participating Provider and/or
accessibility requirement. Please refer to the telephone numbers on the front cover of this directory
for the current provider and/or accessibility status.
1
Board Certified
Modesto Specialty
Primary Care Physicians PPG/Phy #
El-Isa, Zaina, M.D.
Gender: Female
Internal Medicine
1
1114 Sixth St.
(866) 682-4842
5268 206013
Accessibility:*: Limited(P,IB,R,E)
El-Isa, Zaina, M.D.
Gender: Female
Internal Medicine
1
Prov Language: Spanish
2101 Tenaya Dr.
(209) 576-6766
5268 206013
Accessibility:*: Limited(IB,E)
Office Staff Language: Spanish
Ereso, Virgilio C., M.D.
Gender: Male
Internal Medicine
1
Prov Language: Tagalog
500 Coffee Rd. # A
(209) 579-7461
5268 004619
Self Reported Accessibility:*:
Basic(P,EB,IB,R,E)
Office Staff Language: Spanish
Feist Jr., Fredric W.,
M.D.
Gender: Male
Obstetrics/ Gynecology
1
Prov Language: Spanish
1400 Florida Ave. # 107
(209) 522-1027
5268 150586
Modesto Specialty
Primary Care Physicians PPG/Phy #
Fuller, David G., M.D.
Gender: Male
Family Practice
1
2209 Coffee Rd. # I
(209) 526-6400
5268 024791
Gangupantula, Gopika,
M.D.
Gender: Female
Family Practice
Prov Language: Hindi, Marathi,
Spanish, Telugu
1429 College Ave. # H
(209) 497-4677
5268 147976
Gil, Lisa M., M.D.
Gender: Female
Family Practice
1
Prov Language: Spanish
1317 Oakdale Rd. # 440
(209) 522-3362
5268 100139
Office Staff Language: Spanish
Gogna, Harjit, M.D.
Gender: Female
Internal Medicine
Prov Language: Hindi, Punjabi,
Urdu
1130 Coffee Rd. # 3B
(209) 544-3400
5268 005947
Goodreau, Scott R., M.D.
Gender: Male
Family Practice
1
Prov Language: Spanish
1320 Celeste Dr.
(209) 527-6900
5268 034557
www.healthnet.com / 21
Allcare IPA PPG 5268
Participating Physician Groups and Specialists
Partic
ip
atin
g P
hy
sic
ia
n G
ro
up
s an
d S
pe
cialis
ts
21
* 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. You
should call the doctor's office to talk about your access needs for your disability. Health Net does
not and cannot guarantee the initial or continued availability of any Participating Provider and/or
accessibility requirement. Please refer to the telephone numbers on the front cover of this directory
for the current provider and/or accessibility status.
1
Board Certified
Modesto Specialty
Primary Care Physicians PPG/Phy #
Hansen, Darrell R., M.D.
Gender: Male
Family Practice
1
1213 Coffee Rd. # A
(209) 549-9900
5268 006793
Hansen, Darrell R., M.D.
Gender: Male
General Practice
1213 Coffee Rd. # A
(209) 549-9900
5268 006793
Harris Jr, Mattice F.,
M.D.
Gender: Male
Family Practice
1
1448 Florida Ave.
(209) 523-1884
5268 006912
Hernandez, Miguel A.,
M.D.
Gender: Male
Family Practice
1
Prov Language: Spanish
1448 Florida Ave.
(209) 523-1884
5268 095580
Hundal, Talminder S.,
M.D.
Gender: Male
Family Practice
Prov Language: Punjabi
1401 Spanos Ct. # 106
(209) 525-3171
5268 007716
Modesto Specialty
Primary Care Physicians PPG/Phy #
Hunt, Bernard J., D.O.
Gender: Male
Family Practice
1
1444 Florida Ave. # 202
(209) 524-1264
5268 060631
Jones, Reldon R., M.D.
Gender: Male
Internal Medicine
2501 Mchenry Ave. # F
(209) 522-9054
5268 039705
Accessibility:*: Limited(EB,IB,R,E)
Office Staff Language: Cambodian,Khmer,
Farsi, Pashtu
Karam, Doris E., M.D.
Gender: Female
Internal Medicine
1
Prov Language: Arabic, French
1541 Florida Ave. # 200
(209) 577-3388
5268 209395
Office Staff Language: Spanish
Kennedy-Funtila,
Barbara A., M.D.
Gender: Female
Internal Medicine
1
Prov Language: Tagalog
1541 Florida Ave. # 200
(209) 577-3388
5268 058733
Office Staff Language: Spanish
22 / www.healthnet.com
Allcare IPA PPG 5268
Participating Physician Groups and Specialists
* 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. You
should call the doctor's office to talk about your access needs for your disability. Health Net does
not and cannot guarantee the initial or continued availability of any Participating Provider and/or
accessibility requirement. Please refer to the telephone numbers on the front cover of this directory
for the current provider and/or accessibility status.
1
Board Certified
Modesto Specialty
Primary Care Physicians PPG/Phy #
Krishnamoorthi,
Krishnamoorthi, M.D.
Gender: Male
Internal Medicine
1
Prov Language: Hindi, Spanish
2222 E. Orangeburg Ave. # A2
(209) 622-0877
5268 081968
Accessibility:*: Limited(P,EB,R,E)
Krishnamoorthi, Soma,
M.D.
Gender: Female
Internal Medicine
Prov Language: Hindi, Spanish
2222 E. Orangeburg Ave. # A
(209) 622-0877
5268 095078
Kwon-Hong, Grace Y.,
M.D.
Gender: Female
Family Practice
1
Prov Language: Korean
1213 Coffee Rd. # A
(209) 549-9900
5268 074675
Lam, Giang N., M.D.
Gender: Male
Family Practice
1
Prov Language: Vietnamese
3125 Conant Ave.
(209) 524-1668
5268 157131
Modesto Specialty
Primary Care Physicians PPG/Phy #
Le, Binh K., M.D.
Gender: Male
Family Practice
1
Prov Language: Vietnamese
2020 Coffee Rd. # A3
(209) 523-4999
5268 071685
Accessibility:*: Limited(EB,IB,E)
Lee, Jason T., M.D.
Gender: Male
Family Practice
1
Prov Language: Mandarin,
Spanish
1510 Florida Ave. # H
(866) 682-4842
5268 163876
Office Staff Language: Spanish
Mari, Alex, M.D.
Gender: Male
Family Practice
1
1448 Florida Ave.
(209) 523-1884
5268 051585
McGrew, Paul G., M.D.
Gender: Male
Family Practice
1
1444 Florida Ave. # 202
(209) 524-1264
5268 011185
McGrew Jr, Robert M.,
M.D.
Gender: Male
Family Practice
1
1444 Florida Ave. # 202
(209) 524-1264
5268 011186
www.healthnet.com / 23
Allcare IPA PPG 5268
Participating Physician Groups and Specialists
Partic
ip
atin
g P
hy
sic
ia
n G
ro
up
s an
d S
pe
cialis
ts
23
* 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. You
should call the doctor's office to talk about your access needs for your disability. Health Net does
not and cannot guarantee the initial or continued availability of any Participating Provider and/or
accessibility requirement. Please refer to the telephone numbers on the front cover of this directory
for the current provider and/or accessibility status.
1
Board Certified
Modesto Specialty
Primary Care Physicians PPG/Phy #
McLawrence, Nicole A.,
M.D.
Gender: Female
Family Practice
Prov Language: Spanish
1320 Celeste Dr.
(209) 527-6900
5268 223067
Modi, Priti T., M.D.
Gender: Female
Internal Medicine
1
Prov Language: Gujarati, Hindi,
Marathi
1608 Tully Rd.
(209) 409-8589
5268 044920
Modi, Tushar R., M.D.
Gender: Male
Internal Medicine
1
Prov Language: Gujarati, Hindi,
Marathi
413 E. Orangeburg Ave. # A
(209) 529-9600
5268 011683
Montalvo Jr, Raul, M.D.
Gender: Male
Family Practice
1
Prov Language: Spanish
1444 Florida Ave. # 202
(209) 524-1264
5268 074843
Modesto Specialty
Primary Care Physicians PPG/Phy #
Myers, Danielle, M.D.
Gender: Female
Family Practice
1
1121 Hammond St.
(209) 576-4437
5268 099732
Accessibility:*: Basic(P,EB,IB,R,E)
Office Staff Language: Hmong (White), Laotian,
Mien, Sign Language, Spanish, Tagalog
Nimbargi, Jayshri M.,
M.D.
Gender: Female
Internal Medicine
1
Prov Language: Hindi, Kannada,
Marathi, Spanish
1540 Florida Ave.
(866) 682-4842
5268 156486
Accessibility:*: Limited(P,EB,R,E)
Palitz, Harvey F., M.D.
Gender: Male
Obstetrics/ Gynecology
1
Prov Language: Spanish
1524 Mchenry Ave. # 405
(209) 575-5885
5268 012859
Pfeffer, John C., M.D.
Gender: Male
Obstetrics/ Gynecology
1
1400 Florida Ave. # 207
(209) 522-1027
5268 013269
Office Staff Language: Spanish
24 / www.healthnet.com
Allcare IPA PPG 5268
Participating Physician Groups and Specialists
* 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. You
should call the doctor's office to talk about your access needs for your disability. Health Net does
not and cannot guarantee the initial or continued availability of any Participating Provider and/or
accessibility requirement. Please refer to the telephone numbers on the front cover of this directory
for the current provider and/or accessibility status.
1
Board Certified
Modesto Specialty
Primary Care Physicians PPG/Phy #
Pham, Tri M., M.D.
Gender: Male
Internal Medicine
Prov Language: Vietnamese
1130 Coffee Rd. # 2A
(209) 527-1870
5268 013278
Piernot, Ellen E., M.D.
Gender: Female
Family Practice
1
Prov Language: Spanish
1510 Florida Ave.
(209) 574-1365
5268 201244
Accessibility:*: Basic(P,EB,IB,R,E)
Office Staff Language: Spanish
Porter, Russell T., M.D.
Gender: Male
Family Practice
1
1448 Florida Ave.
(209) 523-1884
5268 090814
Rai, Meetinder K., M.D.
Gender: Female
Internal Medicine
Prov Language: Hindi, Punjabi
1930 E. Hatch Rd. # A
(209) 531-0552
5268 039556
Accessibility:*: Limited(P,EB,IB,R)
Office Staff Language: Hindi, Punjabi, Spanish
Modesto Specialty
Primary Care Physicians PPG/Phy #
Rai, Nirmal S., M.D.
Gender: Male
Internal Medicine
Prov Language: Hindi, Punjabi
1930 E. Hatch Rd. # A
(209) 531-0552
5268 021516
Accessibility:*: Limited(P,EB,IB,R)
Office Staff Language: Hindi, Punjabi, Spanish
Rao, Shweta S., M.D.
Gender: Female
Family Practice
1
Prov Language: Hindi, Kannada,
Spanish, Tamil
1114 Sixth St.
(866) 682-4842
5268 164839
Accessibility:*: Limited(P,IB,R,E)
Shankar, Prithvi N., M.D.
Gender: Male
Internal Medicine
1
Prov Language: Hindi,
Malayalam, Tamil
400 E. Orangeburg Ave. # 3
(209) 578-1600
5268 119777
Shergill, Manmeet S.,
M.D.
Gender: Male
Family Practice
1
Prov Language: Hindi, Punjabi,
Russian, Urdu
1448 Florida Ave.
(209) 523-1884
5268 141765
www.healthnet.com / 25
Allcare IPA PPG 5268
Participating Physician Groups and Specialists
Partic
ip
atin
g P
hy
sic
ia
n G
ro
up
s an
d S
pe
cialis
ts
25
* 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. You
should call the doctor's office to talk about your access needs for your disability. Health Net does
not and cannot guarantee the initial or continued availability of any Participating Provider and/or
accessibility requirement. Please refer to the telephone numbers on the front cover of this directory
for the current provider and/or accessibility status.
1
Board Certified
3
Physician is currently not available through this physician group.
Modesto Specialty
Primary Care Physicians PPG/Phy #
Shiovitz, James L., M.D.
3
Gender: Male
Family Practice
1320 Celeste Dr.
(209) 527-6900
5268 015712
Sood, Shashi T., M.D.
Gender: Female
Family Practice
Prov Language: Hindi
1401 Spanos Ct. # 110
(209) 525-3185
5268 016247
Soriano, Elaine J., M.D.
Gender: Female
Internal Medicine
1
Prov Language: Tagalog
1510 Florida Ave. # C
(866) 682-4842
5268 099394
Accessibility:*: Basic(P,EB,IB,R,E)
Stanton, James L., M.D.
Gender: Male
Family Practice
1
200 W. Roseburg Ave. # B1
(209) 491-2500
5268 016402
Stanton, James L., M.D.
Gender: Male
General Practice
200 W. Roseburg Ave. # B1
(209) 491-2500
5268 016402
Modesto Specialty
Primary Care Physicians PPG/Phy #
Tanner, Garth B., M.D.
Gender: Male
Internal Medicine
1
Prov Language: Spanish
1429 College Ave. # K
(209) 521-7800
5268 095974
Terzo, Todd L., M.D.
Gender: Male
Family Practice
1
1444 Florida Ave. # 202
(209) 524-1264
5268 090821
Tow-Der, Esther J., M.D.
Gender: Female
Obstetrics/ Gynecology
1
Prov Language: Cantonese,
Spanish
1552 Coffee Rd. Fl.1
(209) 521-4372
5268 017344
Office Staff Language: Spanish
Tremayne, Paula S.,
D.O.
Gender: Female
Internal Medicine
1
Prov Language: Spanish
1600 Sunrise Ave. # 16
(209) 549-1600
5268 150999
26 / www.healthnet.com
Allcare IPA PPG 5268
Participating Physician Groups and Specialists
1
Board Certified
Modesto Specialty
Primary Care Physicians PPG/Phy #
Veerappa, Nandeesh,
M.D.
Gender: Male
Family Practice
1
Prov Language: Hindi, Kannada,
Telugu
1320 Celeste Dr.
(209) 527-6900
5268 107922
Walker, Charlie L., M.D.
Gender: Male
Family Practice
Prov Language: Polish, Spanish
1320 Celeste Dr.
(209) 527-6900
5268 212599
Warwick Jr., John L.,
M.D.
Gender: Male
Family Practice
1
205 W. Granger Ave.
(209) 579-9930
5268 024793
Office Staff Language: Cantonese
Yip, James Y., M.D.
Gender: Male
Obstetrics/ Gynecology
1
Prov Language: Cantonese,
Spanish
1552 Coffee Rd. Fl.1
(209) 521-4372
5268 018891
Office Staff Language: Spanish
Newman Specialty
Primary Care Physicians PPG/Phy #
Canga, Manuel L., M.D.
Gender: Male
Internal Medicine
1
Prov Language: Portuguese,
Spanish
1248 Main St. # D
(209) 862-2991
5268 502329
Nebhwani, Neetu, M.D.
Gender: Female
Internal Medicine
637 Merced St.
(209) 862-0270
5268 228324
Office Staff Language: Spanish
Oakdale Specialty
Primary Care Physicians PPG/Phy #
Arellano, Andres A.,
M.D.
Gender: Male
Internal Medicine
Prov Language: Spanish
1425 W. H St. # 380
(209) 847-1596
5268 048600
Basi, Upinder K., M.D.
Gender: Female
Internal Medicine
1
Prov Language: Hindi, Punjabi,
Spanish
1425 W. H St. # 380
(209) 847-0314
5268 071499
www.healthnet.com / 27
Allcare IPA PPG 5268
Participating Physician Groups and Specialists
Partic
ip
atin
g P
hy
sic
ia
n G
ro
up
s an
d S
pe
cialis
ts
27
* 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. You
should call the doctor's office to talk about your access needs for your disability. Health Net does
not and cannot guarantee the initial or continued availability of any Participating Provider and/or
accessibility requirement. Please refer to the telephone numbers on the front cover of this directory
for the current provider and/or accessibility status.
1
Board Certified
2
Physician is currently unavailable to new patients through this physician group.
Oakdale Specialty
Primary Care Physicians PPG/Phy #
Blackhart, Bruce A.,
M.D.
2
Gender: Male
Family Practice
1
1425 W. H St. # 200
(209) 848-1005
5268 501451
Cook, Mark D., M.D.
Gender: Male
Family Practice
1425 W. H St. # 200
(209) 848-1005
5268 083124
Horwitz, Lee J., M.D.
Gender: Male
Family Practice
1
1425 W. H St. # 200
(209) 848-1005
5268 094436
Madayag-Capuno,
Elaine M., M.D.
Gender: Female
Internal Medicine
1
Prov Language: Tagalog
715 W. F St.
(209) 847-2920
5268 079485
Mahida, Chaitanya N.,
M.D.
Gender: Male
Internal Medicine
1
1425 W. H St. # 380
(209) 847-0314
5268 010616
Oakdale Specialty
Primary Care Physicians PPG/Phy #
Olson, David A., M.D.
Gender: Male
Internal Medicine
232 W. F St.
(209) 848-2273
5268 034662
Webb-Kummer,
Gretchen G., M.D.
Gender: Female
Family Practice
1
Prov Language: Spanish
1425 W.h St.
(209) 848-1005
5268 139236
Patterson Specialty
Primary Care Physicians PPG/Phy #
Abdul Wahid, Ali A., M.D.
Gender: Male
Family Practice
1
Prov Language: Arabic, Spanish
1108 Ward Ave. Bldg. A # 1
(209) 892-1300
5268 152558
Office Staff Language: Arabic, Spanish
Nebhwani, Neetu, M.D.
Gender: Female
Internal Medicine
200 C St.
(209) 892-8441
5268 228324
Accessibility:*: Limited(IB,E)
Office Staff Language: French, Hindi, Hmong
(White), Laotian, Mien, Sign Language,
Spanish, Tagalog
28 / www.healthnet.com
Allcare IPA PPG 5268
Participating Physician Groups and Specialists
* 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. You
should call the doctor's office to talk about your access needs for your disability. Health Net does
not and cannot guarantee the initial or continued availability of any Participating Provider and/or
accessibility requirement. Please refer to the telephone numbers on the front cover of this directory
for the current provider and/or accessibility status.
1
Board Certified
Patterson Specialty
Primary Care Physicians PPG/Phy #
Rodriguez, Jose M.,
M.D.
Gender: Male
Family Practice
1
Prov Language: Spanish
1700 Keystone Pacific Pkwy. # B
(209) 892-9100
5268 064290
Schorr, Michael S., M.D.
Gender: Male
Family Practice
101 N. Third St.
(209) 892-1400
5268 039636
Accessibility:*: Limited(P,EB,IB,E)
Ripon Specialty
Primary Care Physicians PPG/Phy #
Daley, James J., M.D.
Gender: Male
Family Practice
1
150 Vera Ave.
(209) 599-4211
5268 127355
Dutter, Daryl R., M.D.
Gender: Male
Family Practice
150 Vera Ave.
(209) 599-4211
5268 004320
Ripon Specialty
Primary Care Physicians PPG/Phy #
Hufford, Kent A., M.D.
Gender: Male
Family Practice
Prov Language:
Cambodian,Khmer, Farsi,
German, Spanish
150 Vera Ave.
(209) 599-4211
5268 007673
Riverbank Specialty
Primary Care Physicians PPG/Phy #
Halappa, Arundati, M.D.
Gender: Female
Family Practice
1
Prov Language: Spanish
4150 Patterson Rd.
(209) 863-3990
5268 144041
Accessibility:*: Basic(P,EB,IB,R,E)
Office Staff Language: Spanish
Lynch II, Robert L., M.D.
Gender: Male
Internal Medicine
1
2603 Patterson Rd. # 2
(209) 869-7400
5268 075917
Stockton Specialty
Primary Care Physicians PPG/Phy #
Kamali, Azizulah, M.D.
Gender: Male
Internal Medicine
Prov Language: Farsi
1947 N. California St. # A
(209) 478-5533
5268 008432
www.healthnet.com / 29
Allcare IPA PPG 5268
Participating Physician Groups and Specialists
Partic
ip
atin
g P
hy
sic
ia
n G
ro
up
s an
d S
pe
cialis
ts
29
* 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. You
should call the doctor's office to talk about your access needs for your disability. Health Net does
not and cannot guarantee the initial or continued availability of any Participating Provider and/or
accessibility requirement. Please refer to the telephone numbers on the front cover of this directory
for the current provider and/or accessibility status.
1
Board Certified
2
Physician is currently unavailable to new patients through this physician group.
Stockton Specialty
Primary Care Physicians PPG/Phy #
Kaushik, Gayathri, M.D.
Gender: Female
Family Practice
Prov Language: Hindi
2015 E. Mariposa Rd.
(209) 751-1900
5268 221967
Accessibility:*: Basic(P,EB,IB,R,E)
Office Staff Language: Hindi, Malayalam,
Spanish
Turlock Specialty
Primary Care Physicians PPG/Phy #
Arakelian, Ronald A.,
M.D.
Gender: Male
Internal Medicine
1
920 Delbon Ave.
(209) 634-7283
5268 039558
Office Staff Language: Spanish
Davenport, Mark W.,
M.D.
2
Gender: Male
Internal Medicine
1
920 Delbon Ave.
(209) 634-7283
5268 503628
Office Staff Language: Spanish
Hamidi, Sara B., M.D.
Gender: Female
Family Practice
1
Prov Language: Farsi, Turkish
1080 Delbon Ave.
(209) 813-8913
5268 146512
Turlock Specialty
Primary Care Physicians PPG/Phy #
Holm, Edward B., M.D.
Gender: Male
Internal Medicine
1
920 Delbon Ave.
(209) 634-7283
5268 039650
Office Staff Language: Spanish
Howe, Donald V., M.D.
Gender: Male
Family Practice
1
Prov Language: Spanish
1851 Colorado Ave.
(209) 667-1630
5268 007596
Hundal, Nirbhai S., M.D.
Gender: Male
Internal Medicine
1
Prov Language: Hindi, Punjabi
1516 Colorado Ave.
(209) 668-5454
5268 074704
Jothikumar, Puliadi R.,
M.D.
Gender: Male
Internal Medicine
1
Prov Language: Hindi
1110 Delbon Ave.
(209) 632-7558
5268 009367
Kaveh, Kian, D.O.
Gender: Male
Internal Medicine
Prov Language: Farsi, Turkish
3650 Geer Rd. # A
(209) 575-4575
5268 072723
30 / www.healthnet.com
Allcare IPA PPG 5268
Participating Physician Groups and Specialists
* 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. You
should call the doctor's office to talk about your access needs for your disability. Health Net does
not and cannot guarantee the initial or continued availability of any Participating Provider and/or
accessibility requirement. Please refer to the telephone numbers on the front cover of this directory
for the current provider and/or accessibility status.
1
Board Certified
3
Physician is currently not available through this physician group.
Turlock Specialty
Primary Care Physicians PPG/Phy #
Knapp, James C., M.D.
Gender: Male
Family Practice
1
Prov Language: Spanish
911 E. Tuolumne Rd.
(209) 668-4101
5268 052881
Office Staff Language: Spanish
MacLaren Jr, James C.,
M.D.
Gender: Male
Family Practice
Prov Language: Spanish
911 E. Tuolumne Rd.
(209) 668-4101
5268 010537
Office Staff Language: Spanish
Pratt, Alisha N., D.O.
Gender: Female
Family Practice
1
Prov Language: Portuguese,
Spanish
911 E. Tuolumne Rd.
(209) 668-4101
5268 163116
Office Staff Language: Spanish
Schellinck, Edward M.,
M.D.
Gender: Male
Family Practice
Prov Language: Portuguese
1851 Colorado Ave.
(209) 667-2694
5268 015109
Turlock Specialty
Primary Care Physicians PPG/Phy #
Soria, Rafael R., M.D.
Gender: Male
Family Practice
1
Prov Language: Spanish
911 E. Tuolumne Rd.
(209) 668-4101
5268 570290
Office Staff Language: Spanish
Uytingco, Rufino M.,
M.D.
3
Gender: Male
Family Practice
1
Prov Language: Tagalog
1145 Geer Rd. # A
(209) 668-4031
5268 095739
Winkler, R. Mark, M.D.
Gender: Male
Family Practice
1
Prov Language: Spanish
1000 Delbon Ave. # 3
(209) 669-3400
5268 018522
Zomalan, Noel M., M.D.
Gender: Male
Family Practice
Prov Language: Assyrian
Neo-Aramaic, Farsi, Spanish
2161 Colorado Ave. # A
(209) 634-9461
5268 142528
Self Reported Accessibility:*:
Basic(P,EB,IB,R,E,T)
Office Staff Language: Assyrian Neo-Aramaic,
Farsi, Spanish
www.healthnet.com / 31
Allcare IPA PPG 5268
Participating Physician Groups and Specialists
Partic
ip
atin
g P
hy
sic
ia
n G
ro
up
s an
d S
pe
cialis
ts
31
* 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. You
should call the doctor's office to talk about your access needs for your disability. Health Net does
not and cannot guarantee the initial or continued availability of any Participating Provider and/or
accessibility requirement. Please refer to the telephone numbers on the front cover of this directory
for the current provider and/or accessibility status.
1
Board Certified
Waterford Specialty
Primary Care Physicians PPG/Phy #
Endress, Don M., M.D.
Gender: Male
General Practice
Prov Language: Spanish
12700 Welch St.
(209) 874-2345
5268 064286
Office Staff Language: Spanish
Krishnamoorthi,
Krishnamoorthi, M.D.
Gender: Male
Internal Medicine
1
Prov Language: Hindi, Spanish
324 F St.
(209) 874-2321
5268 081968
Accessibility:*: Limited(P,EB,R,E)
Office Staff Language: Hindi, Punjabi, Spanish
Lopez, Aileen J., M.D.
Gender: Female
Family Practice
1
Prov Language: Tagalog
12619 Bentley St.
(209) 442-6200
5268 171586
Accessibility:*: Limited(P,EB,R,E)
Westley Specialty
Primary Care Physicians PPG/Phy #
Aitken, Colleen A., M.D.
Gender: Female
Family Practice
1
Prov Language: Spanish
301 Howard Rd.
(209) 894-3141
5268 087533
Accessibility:*: Limited(EB,IB,E)
Office Staff Language: Spanish
Allergy/Immunology
Balduzzi, Michael C., M.D.
1
Bensch, George W., M.D.
1
Bensch, Gregory W., M.D.
1
Ossowski, Maciej G., M.D.
Reddy, Mohan P., M.D.
1
Yecies, Jerold J., M.D.
1
Anesthesiology
Nino, Marica G., M.D.
1
Richards, Jerome R., M.D.
1
Cardiology/Cardiovascular Disease
Acharya, Joydev, M.D.
1
Dubey, Rajesh K., M.D.
1
Emani, Venkata R., M.D.
1
Fuh, Chenn-Yow, M.D.
1
Hussain, Hassan M., M.D.
1
Khan, Mutahir U., M.D.
1
Lakireddy, Hanimireddy, M.D.
1
Lakireddy, Vikram, M.D.
1
32 / www.healthnet.com
Allcare IPA PPG 5268
Participating Physician Groups and Specialists
1
Board Certified
Cardiology/Cardiovascular Disease
Liu, Minghui, M.D.
1
Manshadi, Ramin, M.D.
1
Nallasivan, Mani, M.D.
1
Punjya, Rajiv H., M.D.
1
Vaishampayan, Sanjeev G., M.D.
1
Waspe, Lawrence E., M.D.
1
Cardiovascular Surgery
Ellertson, David G., M.D.
1
Talieh, Yahya J., M.D.
1
Chiropractor
Armstrong, Craig S., D.C.
Brennan, John T., D.C.
Butner, Lynne M., D.C.
Garvey, Kenneth, D.C.
Mabe, Ronald K., D.C.
McMillan, James V., D.C.
Mostowski, Ronald J., D.C.
Owens Jr, Bryant R., D.C.
Roberts, Douglas W., D.C.
Smith, Gregory A., D.C.
Tran, Kevin A., D.C.
Watson, Denise, D.C.
Welch, Mark D., D.C.
Welch, Marla L., D.C.
Wolf, Mary C., D.C.
Dermatology
Abaza, Sam, M.D.
Ammar, Neal M., M.D.
1
Col, Albert P., M.D.
Fernandez, Geover, M.D.
1
Gebauer, Lauren E., M.D.
1
Hantash, Basil M., M.D.
1
Morganroth, Greg S., M.D.
1
Taheri, Daniel P., M.D.
Theis, Morgan, M.D.
Dermatopathology
Lazova, Rossitza, M.D.
1
Smith Jr, Lloyd D., M.D.
1
Endocrinology
Bassi, Ricky, M.D.
1
Bhatt, Deval M., M.D.
1
Faidi, Anan A., M.D.
1
Fernandez-Renedo, Maria Del Mar, M.D.
1
Gastroenterology
Beniwal, Ripudaman S., M.D.
Brar, Pardeep S., M.D.
Canale, Juan C., M.D.
1
Dam, Tanya H., D.O.
Devireddy, Karthikeya, M.D.
Elsakr, Magdy S., M.D.
1
Faraji, Eshagh I., M.D.
1
Ibrahim, Waleed A., M.D.
1
www.healthnet.com / 33
Allcare IPA PPG 5268
Participating Physician Groups and Specialists
Partic
ip
atin
g P
hy
sic
ia
n G
ro
up
s an
d S
pe
cialis
ts
33
1
Board Certified
Gastroenterology
Kris, Madhu K., M.D.
1
Laghaee, Shahin, M.D.
1
Leibowitz, Keith A., M.D.
1
Mark, Jeffrey C., M.D.
1
Munnangi, Sivakumar R., M.D.
1
Ringer, Michael J., M.D.
1
Singh, Gurpreet, M.D.
1
Tran, Tan D., M.D.
General Surgery
Bailie, Daryl E., M.D.
1
Bogineni, Rohini D., M.D.
1
Chock, Edward, M.D.
1
Cimino, Lewis R., M.D.
1
Coates, Matthew J., M.D.
1
Coates, Patrick J., M.D.
1
Dao, Huy N., D.O.
Eve, Kathleen L., M.D.
Greenbarg, James R., M.D.
1
Hegazy, Jihan, M.D.
1
Hsu, Ekai, M.D.
1
Ladenheim, Eric D., M.D.
Miyata, Kenichi T., M.D.
Quaid, Gina A., M.D.
1
Racela, Raymundo C., M.D.
1
Robinson, Richard H., M.D.
1
Rossini Jr, Michael, M.D.
Seavy, Niamh M., M.D.
1
General Surgery
Shih, Yong L., D.O.
Tam, Tony Y., M.D.
1
Wang, Zhong, M.D.
1
Weiner, Jerry W., M.D.
1
Wong, Peter L., M.D.
1
Geriatrics
Modi, Tushar R., M.D.
Gynecology
Bebla, Sargon, M.D.
1
Henry, David S., M.D.
1
Hand Surgery
Trzeciak, Marc A., D.O.
1
Hematology
Clement, Jincy, M.D.
Malik, Imtiaz A., M.D.
1
Mojab, Abdol A., M.D.
Hematology/Oncology
Banisadre, Mussa, M.D.
Dhaliwal, Amarjit S., M.D.
Eldaly, Mohamed E., M.D.
Infectious Disease
Dela Pena, Nicholas R., M.D.
1
El-Isa, Zaina, M.D.
Febles, Taynet T., M.D.
1
Gill, Navneet K., M.D.
34 / www.healthnet.com
Allcare IPA PPG 5268
Participating Physician Groups and Specialists
1
Board Certified
Infectious Disease
Leoniak, Jennifer L., D.O.
Olson, David A., M.D.
Maternal & Fetal Medicine
O'Reilly-Green, Christopher P., M.D.
1
Neonatal-Perinatal Medicine
Slocumb, Charles O., M.D.
Yao, Timothy C., M.D.
1
Nephrology
Aujla, Nirmal S., M.D.
1
Baisac, Josephine R., M.D.
1
Ge, Yuqiang, M.D.
1
Ikemiyashiro, Daniel F., M.D.
1
Joo, Chang S., M.D.
1
Mand, Raminder P., M.D.
1
Narayan, Melin, M.D.
Nasika, Subrahmanyam, M.D.
1
Roy, Atulkumar T., M.D.
1
Santos, Jose Mari R., M.D.
1
Neurology
Aguilar Jr, Lorenzo O., M.D.
Bryan, Thomas B., M.D.
1
Levin, Jeffrey R., M.D.
1
Ma, Lin, M.D.
1
Pazouki, Narges, M.D.
Schaffert, Alan G., M.D.
1
Neurosurgery
Bairamian, Dikran, M.D.
1
Bybee, David B., M.D.
1
Helbig, Gregory M., M.D.
1
Remington, Benjamin J., M.D.
1
Obstetrics/Gynecology
Adams, Fred, M.D.
Alkhouri, George S., M.D.
1
Basel, Naim M., D.O.
1
Bouchard, Linda J., M.D.
1
Brock, Rebecca J., M.D.
1
Dehkordi, Roya K., M.D.
1
Georgiou, Stephen J., M.D.
1
Grover, Christopher M., M.D.
1
Hussain, Sabrina J., M.D.
1
Lewis, Roger W., M.D.
1
Loredo, Samuel, M.D.
1
Luces, La Toya A., M.D.
McCauley, Daniel, M.D.
Nambisan, Maya, M.D.
1
Pazouki, Fatemeh, M.D.
1
Prophete, Liautaud M., D.O.
Ratl Mrad, Yasser S., M.D.
Reddy, Annapurna M., M.D.
1
Sanchez, Felix J., M.D.
1
Scales, Pierre A., M.D.
1
Scott, George C., M.D.
1
Shikaripur Nadig, Pallavi, M.D.
1
www.healthnet.com / 35
Allcare IPA PPG 5268
Participating Physician Groups and Specialists
Partic
ip
atin
g P
hy
sic
ia
n G
ro
up
s an
d S
pe
cialis
ts
35
1
Board Certified
Obstetrics/Gynecology
Song, Catherine S., M.D.
1
Tong, Candice T., M.D.
1
Tsai, Paul C., M.D.
Vierra, Brian J., M.D.
1
Ways, Susan C., M.D.
1
Oncology
Bangalore, Neelesh S., M.D.
Levy, Robert L., M.D.
1
Malik, Imtiaz A., M.D.
1
Ophthalmology
Ashrafzadeh, Amin, M.D.
1
Chandran, Rangram, M.D.
1
Chang, Shi-Hwa W., M.D.
1
Cockerham, Kimberly P., M.D.
1
Contreras, Marshall R., M.D.
1
Daily, Charles H., O.D.
DeMartini, David R., M.D.
1
Edington, Philip A., M.D.
1
Foster, Robert S., M.D.
1
Gammon, James A., M.D.
1
Graham, Gary C., M.D.
1
Guida, Anthony J., M.D.
Kim, Stevens Y., M.D.
1
Lee, Daniel, M.D.
1
Lenser, Brian A., M.D.
1
Lin, Stephen A., M.D.
1
Lutosky, Sharon L., M.D.
1
Ophthalmology
Mcgee Jr, John K., M.D.
Miranda, Ralph J., O.D.
Sakamoto, Michael J., M.D.
1
Schick, Harold L., M.D.
1
Sharma, Nazhat, M.D.
1
Tesluk, Gregory C., M.D.
1
Weed, Thomas M., M.D.
1
Optometrist
Abram, Cassandra R., O.D.
Chiesa, Melanie M., O.D.
Girn, Vikram S., O.D.
Harder, Mark H., O.D.
Hinkley, Bruce A., O.D.
Horner, Kerry A., O.D.
Irish, Trevor K., O.D.
James, Brendan R., O.D.
Lee, Lina, D.O.
Magallanez, Abraham, O.D.
Mann, Jasmeet K., O.D.
Martin, Stanley F., O.D.
Mihok, Tom F., O.D.
Plett, Jacob, O.D.
Plett, Lindsay M., O.D.
Steinberg, Deborah E., O.D.
Zardo, Delma F., O.D.
Orthopedic Surgery
Braaton, Paul J., M.D.
1
36 / www.healthnet.com
Allcare IPA PPG 5268
Participating Physician Groups and Specialists
1
Board Certified
Orthopedic Surgery
Cash, Robert M., M.D.
1
Colquhoun, Scott A., M.D.
1
Davis, Alexander A., M.D.
Garcia-Diaz, Gabriel, M.D.
1
Guerrero, Patrick E., D.O.
1
Holmes, William J., M.D.
1
Kinzie, Wesley E., M.D.
1
Konkin, Leslie A., M.D.
1
Lin, Michael Y., M.D.
Pettegrew, Jonathan M., D.O.
Purnell, Michael B., M.D.
Sablan, Mario K., D.O.
Tabaraee, Ehsan, M.D.
Tacke, Samuel B., M.D.
1
Temnyk, Michael G., M.D.
1
Trzeciak, Marc A., D.O.
1
Via, Mark W., M.D.
1
Williamson, Lenita R., M.D.
1
Otolaryngology (ENT)
Ammar, Sherif M., M.D.
1
Anderson, William D., M.D.
1
Bennett, Kristin M., M.D.
1
Carter, Donald P., M.D.
1
Mak, Kenneth W., M.D.
1
Polterock, Jerrold, M.D.
1
Romeo, Joseph P., M.D.
1
Staahl, Theodore E., M.D.
1
Pain Management
Barnett, James E., M.D.
Chan, Jackie T., M.D.
1
Heron, Kyle B., M.D.
Jones, Jeff N., M.D.
Rhoades, Patrick N., M.D.
1
Pediatric Cardiology
Cocalis, Mark W., M.D.
1
Pediatric Endocrinology
Nguyen, Huong Q., M.D.
Pediatric Surgery
Hoyt, James S., M.D.
1
Pediatrics