2020 Provider Directory Directorio de proveedores de 2020 ......en este directorio (en papel o en...

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County/Condado: San Diego H5928_20_001_SD_NM H5928_20_001_SD_SP_NM Provider Directory Directorio de proveedores de 2020 2020

Transcript of 2020 Provider Directory Directorio de proveedores de 2020 ......en este directorio (en papel o en...

  • County/Condado: San Diego

    H5928_20_001_SD_NM

    H5928_20_001_SD_SP_NM

    Provider Directory Directorio de proveedores

    de 2020

    2020

  • Blue Shield of California Promise Health Plan

    HMO Plan

    Provider Directory

    This directory is current as of January 1, 2020.

    This directory provides a list of Blue Shield of California Promise Health Plan’s current network

    providers.

    This directory is for San Diego county.

    To access Blue Shield of California Promise Health Plan’s online provider directory, you can visit www.

    blueshieldca.com/promise/medicare. For any questions about the information contained in this

    directory, please call our Customer Care Operations Department, at 1-800-544-0088 (TTY:711) 8 a.m.

    to 8 p.m., seven days a week, from Oct. 1st – Mar. 31st and 8 a.m. – 8 p.m. weekdays, from Apr. 1st –

    Sept. 30th. TTY users should call 711.

    The Provider network may change at any time. You will receive notice when necessary.

    This document may be available in an alternate format such as braille, larger print or audio. Call

    Customer Care Operations at 1-800-544-0088 (TTY: 711) 8 a.m. to 8 p.m., seven days a week, from Oct.

    1st – Mar. 31st and 8 a.m. – 8 p.m. weekdays, from Apr. 1st – Sept. 30th for information on alternate

    formats or languages.

    A

  • Blue Shield of California Promise Health Plan

    HMO Plan

    Directorio de proveedores

    Este directorio est� vigente desde el 01 de enero del 2020.

    Este directorio ofrece un listado actualizado de proveedores de la red de Blue Shield of California

    Promise Health Plan.

    Este directorio es v�lido para los condado de San Diego.

    Para acceder al directorio de proveedores en l�nea de Blue Shield of California Promise Health

    Plan, visite www.blueshieldca.com/promise/medicare. Si tiene preguntas acerca de la informacin

    en este directorio (en papel o en l�nea), comun�quese con Operaciones de Atencion al Cliente

    llamando al 1-800-544-0088,de 8:00 a.m. a 8:00 p.m., siete d�as a la semana, del 1 de octubre

    al 31 de marzo y de 8:00 a.m. a 8:00 p.m. de lunes a viernes, desde el 1 de abril hasta el 30 de

    septiembre. Los usuarios de TTY deben llamar al 711.

    La red de proveedores puede cambiar en cualquier momento. Usted recibir� un aviso cuando sea

    necesario.

    Este documento puede estar disponible en un formato alternativo como braille, tama!o de letra

    grande o audio. Llame al Operaciones de Atencion al Cliente al 1-800-544-0088 (TTY 711) de 8:00

    a.m. a 8:00 p.m., siete d�as a la semana, del 1 de octubre al 31 de marzo y de 8:00 a.m. a 8:00 p.m.

    de lunes a viernes, desde el 1 de abril hasta el 30 de septiembre para obtener informacin sobre

    estos formatos e idiomas alternativos.

    B

    www.blueshieldca.com/promise/medicare

  • Discrimination is Against the Law

    Blue Shield of California Promise Health Plan complies with applicable state and federal civil rights

    laws and does not discriminate on the basis of race, color, national origin, ancestry, religion, sex,

    marital status, gender, gender identity, sexual orientation, age or disability. Blue Shield of California

    Promise Health Plan does not exclude people or treat them differently because of race, color,

    national origin, ancestry, religion, sex, marital status, gender, gender identity, sexual orientation, age

    or disability.

    Blue Shield of California Promise Health Plan provides:

    • Aids and services at no cost to people with disabilities to communicate effectively with us, such as:

    o Qualified sign language interpreters

    o Written information in other formats (large print, audio, accessible electronic formats,

    other formats)

    • Language services to people whose primary language is not English, such as:

    o Qualified interpreters

    o Information written in other languages

    If you need these services, contact the Blue shield of California Promise Health Plan Civil Rights

    Coordinator.

    If you believe that Blue Shield of California Promise Health Plan has failed to provide these services

    or discriminated in another way on the basis of race, color, national origin, ancestry, religion, sex,

    marital status, gender, gender identity, sexual orientation, age or disability, you can file a grievance

    with:

    Blue Shield of California Promise Health Plan

    Civil Rights Coordinator

    601 Potrero Grande Dr.

    Monterey Park, CA 9175

    Phone: 1-844-883-2233 (TTY: 711)

    Fax:1-323-889-2228

    Email:[email protected]

    You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, the

    Civil Rights Coordinator 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, D.C. 20201

    1-800-368-1019, 800-537-7697 (TDD)

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

    C

    http://www.hhs.gov/ocr/office/file/index.htmlhttps://ocrportal.hhs.gov/ocr/portal/lobby.jsfmailto:Email:[email protected]

  • La discriminaci�n es ilegal

    Blue Shield of California Promise Health Plan complies con las leyes estatales y federales

    de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad,

    ascendencia, religin, sexo, estado civil, g"nero, identidad de g"nero, orientacin

    sexual, edad o discapacidad. Blue Shield of California Promise Health Plan no excluye

    a las personas ni la trata de manera diferente por motivos de raza, color, nacionalidad,

    ascendencia, religin, sexo, estado civil, g"nero, identidad de g"nero, orientacin sexual,

    edad o discapacidad.

    Blue Shield of California Promise Health Plan ofrece:

    • Asistencia y servicios gratuitos a personas con discapacidades para que puedan

    comunicarse con nosotros de manera eficaz. Estos incluyen lo siguiente:

    o Int�rpretes calificados de lenguaje de se�as

    o Informacin escrita en otros formatos (letra grande, audio, formatos

    electrnicos accesibles, otros formatos)

    • Servicios de idiomas a personas cuyo idioma principal no es el ingl"s. Estos incluyen lo

    siguiente:

    o Int�rpretes calificados

    o Informacin escrita en otros idiomas

    Si necesita estos servicios, comun�quese con el Coordinador de Derechos Civiles de Blue

    Shield of California Promise Health Plan.

    Si considera que Blue Shield of California Promise Health Plan no proporcion estos

    servicios o lo discrimin de alguna otra manera por motivos de raza, color, nacionalidad,

    ascendencia, religin, sexo, estado civil, g"nero, identidad de g"nero, orientacin sexual,

    edad o discapacidad, puede presentar una queja utilizando los siguientes datos:

    Blue Shield of California Promise Health Plan

    Coordinador de Derechos Civiles

    601 Potrero Grande Dr.

    Monterey Park, CA 91755

    Phone: (844) 883-2233 (TTY: 711)

    Fax: (323) 889-2228

    Correo electrnico: [email protected]

    Puede presentar una queja en persona o por correo, fax o correo electrnico. Si necesita

    ayuda para presentar una queja, el Coordinador de Derechos Civiles est� disponible para

    ayudarlo.

    D

    http:[email protected]

  • Tambi�n puede presentar un reclamo de derechos civiles ante la Oficina de Derechos

    Civiles del Departamento de Salud y Servicios Humanos de los Estados Unidos, por v�a

    electrnica a trav�s del Portal de Reclamos de la Oficina de Derechos Civiles, disponible

    en https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, o por correo o tel"fono a la siguiente

    direccin:

    U.S. Department of Health and Human Services 200 Independence Avenue, SW

    Room 509F, HHH Building

    Washington, D.C. 20201

    1-800-368-1019, 800-537-7697 (TDD)

    Los formularios de reclamo est!n disponibles en http://www.hhs.gov/ocr/office/file/index.

    html.

    E

    http://www.hhs.gov/ocr/office/file/indexhttps://ocrportal.hhs.gov/ocr/portal/lobby.jsf

  • English:

    ATTENTION: Language assistance services, free of charge, are available

    to you. Call 1-800-544-0088. (TTY: 711).

    ��! ( Chinese):

    "#$%&'()��!*'+,-./0123456789: 1-800-544

    0088;TTY$711<.

    Ti�ng Vi�t

    (Vietnamese):

    CH ! : N�u b"n n#i Ti�ng Vi�t, c# c$c d%ch v& h' tr( ng)n ng* mi+n ph, d-nh cho b"n. G.i s/ 1-800-544-0088 (TTY: 711).

    Tagalog

    (Tagalog – Filipino):

    PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo

    ng tulong sa wika nang walang bayad. Tumawag sa 1-800-544-0088 (TTY: 711).

    �� (Korean):

    !": ��# $%&'( )* , + ,- ./0# 123 4%&56 789: . 1-800-544-0088 (TTY: 711);<3 =>? !@'A .

    ��!"!# (Armenian):

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    Italiano

    (Italian):ATTENZIONE: In caso la lingua parlata sia l'italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero 1-800-544-0088 (TTY: 711).

    ��!"# (Russian):

    $%&'(%&): )*" +, -.+./"01 23 /�!.4 56,!1 , 0. +34 7.0�82, 918*302,1�*�-" 81/1+.73 . :+.2"01 1-800-544-0088 (01*103#8 : 711).

    日本語 (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。 1-800-544-0088(TTY: 711)まで、お電話にてご連絡ください。

    ;<=>?@A (Arabic):

    برقم بالمجان. اتصل لك تتوافر اللغویة المساعدة خدمات فإن اللغة، اذكر تتحدث كنت ملحوظة: إذا711) 0088-544-800-1:YTT)

    ��!"# (Punjabi):

    $%&' (%) : * +,-#. ��!"# "/0(* 1/ , +!. 2!-3! 4%56 -1!7+! -*4! +,1!8* 09 :,;+<�0"$ 1=> 1-800-544-0088 (TTY: 711) ‘+* ?!0 ?@/>

    ��� (Cambodian/Khmer):

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    Hmoob

    (Hmong):

    LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab

    dawb rau koj. Hu rau 1-800-544-0088 (TTY: 711)

    [��!" (Hindi):

    #$%&' !( : %!� )* ��!" +,-.( �/ ., )*0( -�1 234$. 2( 5&6& 7�&%.& 7(8&1 9*-+$# �/: 1-800-544-0088 (TTY: 711) *; 0<- 0;(: ]

    [���!"# (Thai):

    $%&#': ()�*+,-./���!"#*+,0�1�%(23)4%56�%378#$9:;<"�=���!/)>%& ?"% 1-800-544-0088

    (TTY: 711).

    فارسی

    (Farsi) :

    باشد. با می فراھم شما برای رایگان بصورت زبانی تسھیالت کنید، می گفتگو فارسی زبان بھ توجھ: اگر0088-544-800-1 (TTY: 771) بگیرید تماس

    ���!�" (Laotian):

    #$%&�': ()�"*� +*�,-".)���� !�" , /�,'0!1/�,&*"2-3456%)�,��� , #%2'0*-789*�, :;*,;<�)6;=3)+*�,. #+> 1-800-544-0088 (TTY: 711).

    Deutsch

    (German):

    ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche

    Hilfsdienstleistungen zur Verf�gung. Rufnummer: 1-800-544-0088 (TTY: 711).

    ��!"#$ (Gujarati):

    %�&'": ( #)* ��!"#$ +(,#" -( , #( '. :/�,01 2"3" %-"4 %*5"6 #)"!" )"7*89,+0: ;* . <(' 1!( 1-800-544-0088 (TTY: 711).

    F

  • Table of Contents/Tabla de contenido

    SECTION 1 – INTRODUCTION ........................................................................... I

    SECCI�N 1 – INTRODUCCI�N......................................................................... N

    What is the service area for Blue Shield of California Promise Health

    Plan?.........................................................................................................................J

    ¿Cul es el rea de servicio para Blue Shield of California Promise Health

    Plan?.........................................................................................................................O

    How do you find Blue Shield of California Promise Health Plan providers in your

    area?........................................................................................................................J

    ¿C�mo puede encontrar los proveedores de Blue Shield of California Promise

    Health Plan en su rea? ........................................................................................O

    SECTION 2 – LIST OF NETWORK PROVIDERS .................................................. 1

    SECCI�N 2 – LISTA DE PROVEEDORES DE LA RED ........................................ 1

    ALPHA CARE MEDICAL GROUP INC

    Specialists/Especialistas...........................................................................................1

    COMMUNITY CARE IPA LLC

    FAMILY HEALTH CENTERS OF SAN DIEGO

    GREATER TRI CITIES IPA MEDICAL GROUP INC

    HEALTH EXCEL IPA INC

    HERITAGE-LAKESIDE MEDICAL GROUP LA

    HERITAGE-REGAL MEDICAL GROUP RV

    IHP-NORTH COUNTY HEALTH SERVICES

    IHP-SAN DIEGO AMERICAN INDIAN HEALTH CENTER

    IHP-SAN YSIDRO HEALTH CENTER

    IMPERIAL HEALTH PLAN OF CA INC-SD

    MERCY PHYSICIANS MEDICAL GROUP INC

    Primary Care Physicians/M�dico de atenci�n primaria.....................................3

    Specialists/Especialistas...........................................................................................20

    Primary Care Physicians/M�dico de atenci�n primaria.....................................86

    Primary Care Physicians/M�dico de atenci�n primaria.....................................88

    Specialists/Especialistas...........................................................................................91

    Primary Care Physicians/M�dico de atenci�n primaria.....................................107

    Specialists/Especialistas...........................................................................................126

    Specialists/Especialistas...........................................................................................194

    Primary Care Physicians/M�dico de atenci�n primaria.....................................195

    Specialists/Especialistas...........................................................................................195

    Specialists/Especialistas...........................................................................................197

    Primary Care Physicians/M�dico de atenci�n primaria.....................................198

    Primary Care Physicians/M�dico de atenci�n primaria.....................................199

    Primary Care Physicians/M�dico de atenci�n primaria.....................................200

    Specialists/Especialistas...........................................................................................205

    G

  • Primary Care Physicians/M�dico de atenci�n primaria.....................................227

    ORANGE COUNTY ADVANTAGE MEDICAL GROUP INC

    PRIMARY CARE ASSOCIATES MEDICAL GROUP

    PRIMARY CARE ASSOCIATES OF CALIFORNIA

    PRIMARY CARE ASSOCIATES OF CALIFORNIA OF SAN DIEGO

    SCRIPPS PHYSICIANS MEDICAL GROUP

    UCSD MEDICAL GROUP

    UNITED PHYSICIANS INTERNATIONAL INC - SD

    VANTAGE MEDICAL GROUP- SAN DIEGO

    VANTAGE MEDICAL GROUP- SB RV

    VANTAGE- DUAL PLUS

    Specialists/Especialistas...........................................................................................247

    Specialists/Especialistas...........................................................................................299

    Primary Care Physicians/M�dico de atenci�n primaria.....................................300

    Specialists/Especialistas...........................................................................................306

    Specialists/Especialistas...........................................................................................329

    Primary Care Physicians/M�dico de atenci�n primaria.....................................332

    Specialists/Especialistas...........................................................................................341

    Primary Care Physicians/M�dico de atenci�n primaria.....................................361

    Specialists/Especialistas...........................................................................................379

    Primary Care Physicians/M�dico de atenci�n primaria.....................................439

    Specialists/Especialistas...........................................................................................439

    Primary Care Physicians/M�dico de atenci�n primaria.....................................516

    Specialists/Especialistas...........................................................................................517

    Primary Care Physicians/M�dico de atenci�n primaria.....................................529

    Specialists/Especialistas...........................................................................................544

    Specialists/Especialistas...........................................................................................589

    Primary Care Physicians/M�dico de atenci�n primaria.....................................590

    Hospitals/Hospitales .................................................................................................591

    Skilled Nursing Facilities/Hospitales de Enfermeria Especializada...................... 593

    Outpatient Mental Health Providers/Proveedores de salud conductual ........596

    SECTION 3 - INDEX......................................................................................................976

    SECCI�N 3 - �NDICE ...................................................................................................976

    The providers in this directory are organized alphabetically by Medical Group/IPA, then by

    Primary Care Physicians (PCPs) and further listed in alphabetical order by last name within

    each city. The Specialists are listed by specialty type and further by city. By looking up the city

    in which you reside, you will be able to find the physicians listed in your area.

    Los proveedores de este directorio estn ordenados alfab�ticamente por grupo m�dico/

    asociaci�n de m�dicos independientes (IPA), luego por m�dicos de atenci�n primaria (PCP)

    y luego ordenados en orden alfab�tico por apellido dentro de cada ciudad. Los

    especialistas estn ordenados por tipo de especialidad y luego, por ciudad. Si busca la

    ciudad donde reside, podr encontrar los m�dicos que figuran en su rea.

    H

  • Section 1 – Introduction

    This directory provides a list of Blue Shield of California Promise Health Plan’s network providers. To

    get detailed information about your health care coverage, please see your Evidence of Coverage

    (EOC).

    You will have to choose one of our network providers listed in this directory to be your Primary Care

    Provider(PCP). Generally, you must get your health care services from your PCP.

    Your Primary Care Physician (PCP)

    Your PCP is a physician who meets state requirements and is trained to give you basic medical care.

    You will get your routine or basic care from your PCP. Your PCP can also coordinate the rest of the

    covered services you need. In most cases, you must see your PCP to get a referral before you see any

    other health care providers or visit a specialist. You may self-refer to an obstetrical and gynecological

    (OB-GYN) specialist within your contracting medical group/IPA for a routine pap smear, pelvic exam

    and breast exam annually.

    If there are specific Specialists you want to use, find out whether your PCP sends patients to these

    Specialists. Each plan PCP has certain plan Specialists they use for referrals. This means that the PCP

    you select determines the Specialists you see. If the PCP is associated with a medical group that has

    a formal referral circle, you will be referred to a specialist within that subnetwork. If you are unhappy

    with the referral circle used by your current PCP, please follow the steps in the section, “How do you

    find Blue Shield of California Promise Health Plan providers in your area?” in order to choose a new

    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. Please read the above paragraph “Your Primary Care Physician (PCP)”

    for more information on specialist referrals or please call Customer Care Operations at 1-800-544

    0088 (TTY 711) ), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st – Mar. 31st and 8 a.m. – 8 p.m.

    weekdays, from Apr. 1st – Sept. 30th. Other Providers are available in our network.

    What should I do if I have bills from non-plan providers that I think should be paid by

    Blue Shield of California Promise Health Plan?

    We cover certain health care services that you get from non-plan providers. These include care for

    a medical emergency, urgently needed care, renal dialysis (kidney) that you get when you are

    outside the plan’s service area, care that has been approved in advance by Blue Shield of California

    Promise Health Plan and any services which were ordered covered through an appeals process.

    If a non-plan provider asks you to pay for covered services you get in these situations, please contact

    our Customer Care Operations at 1-800-544-0088 (TTY 711) seven days a week, 8 a.m. to 8 p.m., seven

    days a week, from Oct. 1st – Mar. 31st and 8 a.m. – 8 p.m. weekdays, from Apr. 1st – Sept. 30th. Or

    you may write us at Blue Shield of California Promise Health Plan Customer Care Operations, P.O. Box

    4239, Montebello, CA 90640. In cases where non-contracting providers submit a bill directly to you,

    you should not pay the bill, but should submit it to the plan for processing and determination of your

    liability, if any.

    I

  • Getting care when traveling or away from the plan’s service area

    If you need care when you are outside the service area, your health care coverage is very

    limited. The only services we cover when you are outside our service area are care for a medical

    emergency, including maintenance care and hospital care after you are stable (known as post

    stabilization care), urgently needed care, renal dialysis (kidney), in a Medicare certified dialysis

    facility and care that Blue Shield of California Promise Health Plan or plan provider has approved in

    advance.

    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.

    You must use network 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 Blue Shield of California Promise Health Plan will be responsible for the costs.

    If you question whether a service is covered when you travel, please call our Customer Care

    Operations at 1-800-544-0088 (TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st – Mar. 31st

    and 8 a.m. – 8 p.m. weekdays, from Apr. 1st – Sept. 30th.

    What is the service area for Blue Shield of California Promise Health Plan?

    The county in our service area are listed below.

    San Diego County: All zip codes

    How do you find Blue Shield of California Promise Health Plan providers in your area?

    The providers in this directory are organized alphabetically by Medical Group/IPA, then by Primary

    Care Physicians (PCPs) and further listed in alphabetical order by last name within each city. The

    Specialists are listed by specialty type and further by city. By looking up the city in which you reside,

    you will be able to find the physicians listed in your area.

    If you are a new enrollee in Blue Shield of California Promise Health Plan follow these steps to choose

    your Primary Care Physician:

    1. Use the index of Primary Care Physicians located in the back of the Directory for the doctor

    you want. The index is in alphabetical order by the doctors’ last names. Write down the page

    number(s) listed after his or her name (these page numbers indicate their associated Medical

    Group/IPA).

    2. Review the participating Medical Group/IPAs and their Participating Primary Care Physicians.

    3. Select the Primary Care Physician you want.

    4. Enter the “Provider ID” number found under the Primary Care Physician’s name on the Blue

    Shield of California Promise Health Plan enrollment form.

    5. Be sure to complete all required sections on the enrollment form before signing the form.

    6. Please keep your copy of the enrollment form.

    J

  • If you are a current member in Blue Shield of California Promise Health Plan and are changing your

    Primary Care Physician, follow these steps to choose your Primary Care Physician:

    1. Use the index of Primary Care Physicians located in the back of the Directory for the doctor

    you want. The index is in alphabetical order by the doctors’ last names. Write down the page

    number(s) listed after his or her name (these page numbers indicate their associated Medical

    Group/IPA).

    2. Review the participating Medical Group/IPAs and their Participating Primary Care Physicians.

    3. Select the Primary Care Physician you want.

    4. Call Customer Care Operations with the “Provider ID” number for your new Primary Care

    Physicians.

    5. The Blue Shield of California Promise Health Plan Care Coordinator will update your

    membership record with your new Primary Care Physicians and send you a new Member ID

    card.

    If you have questions about Blue Shield of California Promise Health Plan or require assistance in

    selecting a PCP, please call our Customer Care Operations at 1-800-540-0088, 8 a.m. to 8 p.m., seven

    days a week, from Oct. 1st – Mar. 31st and 8 a.m. – 8 p.m. weekdays, from Apr. 1st – Sept. 30th. TTY

    users should call 711. You can also visit www.blueshieldca.com/promise/medicare.

    K

    www.blueshieldca.com/promise/medicare

  • CONTACT LIST FOR YOUR SUPPLEMENTAL BENEFITS

    Your Supplemental Benefits

    Your plan may cover additional benefits that are not covered by Original Medicare. This mayinclude

    benefits such as vision, dental care, acupuncture/chiropractic services. You may have to use specific

    providers for these additional benefits.

    A supplemental provider directory with dental, vision and acupuncture/chiropractic providers are

    available to members. You may request a supplemental provider directory by contacting Customer

    Care at 1-800-544-0088 (TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st – Mar. 31st and 8

    a.m. – 8 p.m. weekdays, from Apr. 1st – Sept. 30th. other supplemental services are listed below.

    Services from these providers will not be covered if your plan does not include additionalbenefits.

    Before you make an appointment, check your Evidence of Coverage or call Blue Shield of California

    Promise Health Plan Customer Care Operations at 1-800-544-0088 (TTY: 711) 8 a.m. to 8 p.m., seven

    days a week, from Oct. 1st – Mar. 31st and 8 a.m. – 8 p.m. weekdays, from Apr. 1st – Sept. 30th to see

    if your plan includes these additional benefits.

    Please see Chapter 4 of your Evidence of Coverage for details about plan benefits, authorization

    requirements, limitations and exclusions. If you plan does not include additional benefits and you visit

    one of these providers, your services will NOT be covered

    Over-the-Counter

    Products

    These are over

    the-counter items

    not covered by

    Medicare or

    Medi-Cal and are

    not listed in Tier 4

    of our Formulary.

    CVS

    1-888-628-2770 (TTY: 711)

    Monday to Friday, 9 a.m. and 5 p.m. (Pacific Time)

    *Personal

    Emergency

    Response System

    (PERS)

    LifeStation

    1-855-672-3269(TTY:711)

    24 hours, 7 days a week

    * This benefit is available to Plans H5928-004 and

    010 (Blue Shield of California Promise Health Plan

    AdvantageOptimum

    Plan), H5928-001, 005, 009 and 054 (Blue Shield of California

    Promise Health Plan TotalDual Plan HMO-DSNP) and 037

    (Blue Shield of California Promise Health Plan Coordinated

    Choice Plan)

    L

  • Teladoc Service

    You may contact Teladoc by phone at 1-800-Teladoc 24/7

    or by secure online video at www.teladoc.com/bsc, from 7

    a.m. to 9 p.m. local Time

    Hearing Services/

    Hearing Aids

    For a listing of providers please contact our Customer Care

    at 1-800-544-0088 (TTY: 711)

    Fitness membership

    Silver Sneakers

    Tivity Health and

    SilverSneakers

    are registered

    trademarks or

    trademarks of Tivity

    Health, Inc., and/or

    its subsidiaries and/

    or affiliates in the

    USA and/or other

    countries

    Tivity

    If you are a member or want to see if you are eligible:

    888-423-4632, Monday – Friday, 8 a.m. – 8 p.m. EST.

    [email protected]

    M

  • Secci�n 1 Introducci�n

    Este directorio ofrece un listado de los proveedores de la red de Blue Shield of California Promise

    Health Plan. Para obtener informacin detallada sobre su cobertura de atencin m"dica, consulte

    su Evidencia de cobertura (EOC).

    Deber� elegir uno de nuestros proveedores de la red, que se indican en este directorio, para que

    sea su M"dico de atencin primaria (Primary Care Provider, PCP). Generalmente, debe obtener sus

    servicios de atencin m"dica de parte de su PCP.

    Su m�dico de atenci�n primaria (PCP)

    El PCP es un m"dico que cumple con determinados requisitos estatales y tiene la formacin

    necesaria para brindar atencin m"dica b�sica. Usted obtendr� su atencin b�sica o de rutina

    de su PCP. Su PCP tambi"n puede coordinar el resto de los servicios cubiertos que usted necesita.

    En la mayor�a de los casos, debe visitar a su PCP para obtener una remisin antes de visitar a

    otros proveedores de atencin m"dica o de visitar a un especialista. Se puede autorremitir a un

    especialista en obstetricia y ginecolog�a (OB-GYN) dentro de su grupo m"dico o IPA contratado

    para realizarse una prueba de Papanicolaou, un examen p"lvico y un examen de mamas de rutina

    por a!o.

    En caso de que haya especialistas espec"ficos que usted desee consultar, averig#e si su PCP

    env�a sus pacientes a estos especialistas. Cada PCP del plan trabaja con ciertos especialistas del

    plan cuando hace remisiones. Esto quiere decir que el PCP que usted seleccione determina qu" especialistas usted puede consultar. Si el PCP est� asociado con un grupo m"dico que tiene un

    c�rculo de remisin formal, se le referir� a un especialista dentro de esa subred. Si no est� satisfecho

    con el c�rculo de remisin utilizado por su PCP actual, siga los pasos de la seccin “¿Cmo puede

    encontrar proveedores de Blue Shield of California Promise Health Plan en su !rea?” para elegir un

    nuevo PCP.

    Los proveedores de la red que figuran en este directorio han acordado prestarle sus servicios de

    atencin m"dica. Usted podr� acudir a cualquiera de nuestros proveedores de la red que se

    indican en este directorio, pero algunos servicios podr�an requerir una remisin. Lea el p�rrafo de

    arriba “Su m�dico de atencin primaria (PCP)” para obtener m!s informacin sobre remisiones a

    especialistas o llame Operaciones de Atencin al Cliente al 1-800-544-0088 (TTY 711), de 8:00 a. m. a

    8:00 p. m., los siete d�as de la semana, desde el 1 de octubre hasta el 31 de marzo, y de 8:00 a. m. a

    8:00 p. m., de lunes a viernes, desde el 1 de abril hasta el 30 de septiembre. Otros proveedores est�n

    disponibles en nuestra red.

    ¿Qu� debo hacer si tengo facturas de proveedores que no pertenecen al plan que

    creo que le corresponde pagar a Blue Shield of California Promise Health Plan?

    Cubrimos determinados servicios de atencin m"dica que usted recibe de proveedores que no

    pertenecen al plan. Estos servicios incluyen la atencin de una emergencia m"dica, atencin de

    urgencia, di�lisis renal (del ri!n) que obtiene cuando est� fuera del �rea de servicio del plan,

    atencin previamente aprobada por Blue Shield of California Promise Health Plan y todos los

    servicios cuya cobertura hubiera sido ordenada por un proceso de apelaciones.

    Si un proveedor que no pertenece al plan le pide que pague los servicios cubiertos que recibe en

    estas situaciones, llame a nuestro Operaciones de Atencion al Cliente al 1-800-544-0088 (TTY 711),

    de 8:00 a.m. a 8:00 p.m., siete d�as a la semana, del 1 de octubre al 31 de marzo y de 8:00 a.m. a

    N

  • 8:00 p.m. de lunes a viernes, desde el 1 de abril hasta el 30 de septiembre O bien, puede escribirnos

    a Servicios para los miembros de Blue Shield of California Promise Health Plan, P.O. Box 4239,

    Montebello, CA 90640. En los casos en los que los proveedores que no tengan un contrato le remitan

    las facturas directamente a usted, no debe pagarlas sino enviarlas al plan para su procesamiento y

    determinacin de responsabilidad, si correspondiera.

    C�mo acceder a la atenci�n m�dica cuando se encuentra de viaje o lejos del rea

    de servicio del plan

    Si necesita atencin m"dica cuando se encuentra fuera del �rea de servicio, su cobertura de

    atencin m"dica ser� muy limitada.

    Los #nicos servicios que cubrimos cuando se encuentra fuera del �rea de servicio son las

    emergencias m"dicas, incluidas la atencin de mantenimiento y la atencin hospitalaria una

    vez que est" estable (conocidas como atencin posestabilizacin), la atencin de urgencia, los

    servicios de di!lisis renal (del ri�n) en un centro de di!lisis certificado por Medicare y la atencin

    aprobada por anticipado por Blue Shield of California Promise Health Plan o un proveedor del plan.

    Siempre podr� obtenerse atencin de emergencia dentro o fuera de la red de servicios del

    proveedor m�s cercano disponible. Cuando se encuentre dentro del �rea de servicio, debe

    consultar a los proveedores del plan para recibir atencin de urgencia. Cuando se encuentre

    fuera del �rea de servicio, puede recibir atencin de urgencia del proveedor que se encuentre

    disponible primero.

    Debe utilizar los proveedores de la red, salvo en situaciones de emergencia o de urgencia, o para

    servicios de di�lisis renal fuera del �rea u otros servicios. Si recibe atencin de rutina de proveedores

    fuera de la red, ni Medicare ni Blue Shield of California Promise Health Plan ser�n responsables de los

    costos.

    Si desea preguntar si un servicio est� cubierto cuando viaja, llame a Operaciones de Atencin al

    Cliente al 1-800-544-0088 (TTY: 711) de 8:00 a. m. a 8:00 p. m., los siete d�as de la semana, desde el 1

    de octubre hasta el 31 de marzo, y de 8:00 a. m. a 8:00 p. m., de lunes a viernes, desde el 1 de abril

    hasta el 30 de septiembre.

    .¿Cul es el rea de servicio para Blue Shield of California Promise Health Plan?

    El Condado los cdigos postales de nuestra �rea de servicios est� enumerados a continuacin.

    Condado de San Diego: todos los cdigos postales

    ¿C�mo puede encontrar los proveedores de Blue Shield of California Promise Health

    Plan en su rea?

    Los proveedores de este directorio est�n ordenados alfab"ticamente por grupo m"dico/asociacin

    de m"dicos independientes (IPA), luego por m"dicos de atencin primaria (PCP) y luego

    ordenados en orden alfab"tico por apellido dentro de cada ciudad. Los especialistas se muestran

    por tipo de especialidad y tambi"n por ciudad. Si busca la ciudad donde reside, podr� encontrar

    los m�dicos que figuran en su !rea.

    O

  • Si usted es un nuevo inscrito en Blue Shield of California Promise Health Plan, siga estos pasos para

    elegir a su m�dicode atenci�n primaria:

    1. Utilice el �ndice de M"dicos de atencin primaria ubicado en el reverso del directorio para

    encontrar el m"dico que desea. El �ndice se encuentra en orden alfab"tico por apellido de

    los m"dicos. Anote los n#meros de p�ginas indicados despu"s del nombre del m"dico (estos

    n#meros de p�gina indican el grupo m"dico/IPA asociados).

    2. Revise el grupo m"dico/IPA participantes y sus m"dicos de atencin primaria participantes.

    3. Seleccione el m"dico de atencin primaria que desee.

    4. Introduzca el n$mero de “identificacin del proveedor” que se encuentra debajo del nombre

    del m"dico de atencin primaria en el formulario de inscripcin de Blue Shield of California

    Promise Health Plan

    5. Aseg#rese de completar todas las secciones obligatorias en el formulario de inscripcin antes

    de firmarlo.

    6. Conserve su copia del formulario de inscripcin.

    Si usted es un miembro actual de Blue Shield of California Promise Health Plan y quiere cambiar su

    m"dico de atencin primaria, siga estos pasos para elegir a su m�dico de atenci�n primaria:

    1. Utilice el "ndice de “M�dicos de atencin primaria” ubicado en el reverso del directorio para

    encontrar el m"dico que desea. El �ndice se encuentra en orden alfab"tico por apellido de

    los m"dicos. Anote los n#meros de p�ginas indicados despu"s del nombre del m"dico (estos

    n#meros de p�gina indican el grupo m"dico/IPA asociados).

    2. Revise el grupo m"dico/IPA participantes y sus m"dicos de atencin primaria participantes.

    3. Seleccione el m"dico de atencin primaria que desee.

    4. Llame a Servicios para los miembros con el n$mero de “identificacin del proveedor” de su

    nuevo m"dico de atencin primaria.

    5. El coordinador de la atencin de Blue Shield of California Promise Health Plan actualizar� su

    registro de membres�a con su nuevo m"dico de atencin primaria y le enviar� una nueva

    tarjeta de identificacin de miembro.

    Si tiene preguntas sobre Blue Shield of California Promise Health Plan o si necesita ayuda para

    seleccionar un PCP, llame al Operaciones de Atencion al Cliente al 1-800-540-0088, de 8:00 a.m. a

    8:00 p.m., siete d�as a la semana, del 1 de octubre al 31 de marzo y de 8:00 a.m. a 8:00 p.m. de lunes

    a viernes, desde el 1 de abril hasta el 30 de septiembre . Los usuarios de TTY deben llamar al 711.

    Tambi"n puede visitar nuestra p�gina web en www.blueshieldca.com/promise/medicare.

    P

    www.blueshieldca.com/promise/medicare

  • LISTA DE CONTACTOS PARA SUS BENEFICIOS COMPLEMENTARIOS

    Sus beneficios complementarios

    Su plan puede cubrir beneficios adicionales que quiz!s no est�n cubiertos por Original Medicare.

    Estos pueden ser beneficios como servicios de la vista, atencin odontolgica, acupuntura/

    quiropr!ctica. Es probable que tenga que utilizar proveedores espec"ficos para estos beneficios

    adicionales.

    Los miembros tienen a disposicin un directorio de proveedores complementarios con proveedores

    de servicios de la vista, atencin odontolgica y acupuntura/quiropr�ctica. Puede solicitar un

    directorio de proveedores complementarios llamando a Atencin al Cliente al 1-800-544-0088 (TTY:

    711) de 8:00 a. m. a 8:00 p. m., los siete d�as de la semana, desde el 1 de octubre hasta el 31 de

    marzo, y de 8:00 a. m. a 8:00 p. m., de lunes a viernes, desde el 1 de abril hasta el 30 de septiembre.

    A continuacin, se detallan otros servicios adicionales.

    Los servicios de estos proveedores no estar!n cubiertos si su plan no incluye beneficios adicionales.

    Antes de programar una cita, verifique su Evidencia de cobertura o llame a Operaciones de

    Atencin al Cliente de Blue Shield of California Promise Health Plan al 1 800 544-0088 (TTY: 711) de

    8:00 a. m. a 8:00 p. m., los siete d�as de la semana, desde el 1 de octubre hasta el 31 de marzo, y de

    8:00 a. m. a 8:00 p. m., de lunes a viernes, desde el 1 de abril hasta el 30 de septiembre para ver si su

    plan incluye estos beneficios adicionales.

    Consulte el Cap�tulo 4 de su Evidencia de cobertura para obtener los detalles acerca de los

    beneficios, requisitos de autorizacin ,las limitaciones y las exclusiones del plan. Si su plan no incluye

    beneficios adicionales y usted consulta a uno de estos proveedores, sus servicios NO estar!n

    cubiertos.

    Productos de

    venta libre

    Estos son productos

    de venta libre que

    no est�n cubiertos

    por Medicare ni

    Medi-Cal y no

    est�n incluidos

    en el Nivel 4 de

    nuestro Formulario.

    CVS

    1-888-628-2770 (TTY: 711)

    De lunes a viernes, de 9:00 a. m. a 5:00 p. m. (hora del

    Pac"fico)

    Q

  • * Sistema de

    respuesta

    personal ante

    emergencias

    (PERS)

    LifeStation

    1-855-672-3269 (TTY: 711)

    Las 24 horas del d�a, los 7 d�as de la semana

    * Este beneficio est! disponible para los planes H5928

    004 y 010 (Blue Shield of California Promise Health Plan

    AdvantageOptimum Plan), H5928-001, 005, 009 y 054 (Blue

    Shield of California Promise Health Plan TotalDual Plan HMO

    DSNP) y 037 (Blue Shield of California Promise Health Plan

    Coordinated Choice Plan).

    Servicios de Teladoc

    Puede ponerse en contacto con Teladoc por tel"fono al

    1-800-Teladoc las 24 horas del d�a, los 7 d�as de la semana,

    o a trav"s de un video seguro en l�nea en www.teladoc.

    com/bsc, de 7:00 a. m. a 9:00 p. m., hora local.

    Servicios auditivos/

    aud!fonos

    Para obtener una lista de proveedores, comun�quese con

    Atencin al Cliente al 1-800-544-0088 (TTY: 711).

    Membres!a en un

    gimnasio

    SilverSneakers

    Tivity Health y

    SilverSneakers son

    marcas registradas o

    marcas comerciales

    de Tivity Health, Inc.,

    o sus subsidiarias

    o afiliadas en los

    Estados Unidos o en

    otros pa�ses.

    Tivity

    Si usted es miembro o desea saber si es elegible:

    Llame al 888-423-4632, de lunes a viernes, de 8:00 a. m. a

    8:00 p. m. (EST).

    [email protected]

    R

  • SAN DIEGO COUNTY MEDICAL GROUPS ALPHA CARE MEDICAL GROUP INC

    SPECIALISTS

    Accepting New Patients: Yes urged to call the provider's

    Hours: M-SA 9AM-5PM office to discuss their specific

    Other Language: Arabic, accessibility needs when there

    Members may not self-refer to

    any of the specialists listed

    below. To receive covered

    services from a specialist you

    must receive a referral from

    your primary care physician.

    Cardiology

    FALLBROOK

    Amin, Jatin MD

    591 E Elder St Ste C

    Fallbrook, CA 92028-5001

    (951) 352-3937

    Provider ID: 100037296065

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Other Language: Gujarati,

    Hindi, Spanish

    Accessibility: B; Members are

    urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    Attia, Nader DO

    591 E Elder St Ste C

    Fallbrook, CA 92028-5001

    (951) 352-3937

    Provider ID: 100195127079

    Spanish

    Accessibility: B; Members are

    urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    Biswas, Mimi MD

    591 E Elder St Ste C

    Fallbrook, CA 92028-5001

    (951) 352-3937

    Provider ID: 100109261156

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Other Language: Spanish

    Accessibility: B; Members are

    urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    Cox, Jeremy DO

    591 E Elder St Ste C

    Fallbrook, CA 92028-5001

    (951) 352-3937

    Provider ID: 100249528132

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Accessibility: B; Members are

    is limited access or where all

    or most accessibility indicators

    are not present.

    Messenger, Bradley MD

    591 E Elder St Ste C

    Fallbrook, CA 92028-5001

    (951) 352-3937

    Provider ID: 100322566067

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Accessibility: B; Members are

    urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    Patankar, Kaustubh MD

    591 E Elder St Ste C

    Fallbrook, CA 92028-5001

    (951) 352-3937

    Provider ID: 100015087163

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Other Language: Hindi

    Accessibility: B; Members are

    urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    Se

    ctio

    n 2

    - List of N

    etw

    ork

    Pro

    vid

    ers /

    Se

    cc

    i�n

    2 –

    Lista d

    e p

    rov

    ee

    do

    res d

    e la

    red

    For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,

    (TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.

    weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.

    All Providers in this provider directory accept both Medicare and Medicaid.

    (**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:

    Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist

    Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield

    of California Promise Health Plan has not verified this information. The presence of the following

    codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,

    IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical

    Equipment

    1

  • SAN DIEGO COUNTY MEDICAL GROUPS ALPHA CARE MEDICAL GROUP INC

    are not present.

    Sangodkar, Sandeep DO

    591 E Elder St Ste C

    Fallbrook, CA 92028-5001

    (951) 352-3937

    Provider ID: 100324092058

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Other Language: Marathi

    Accessibility: B; Members are

    urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    Interventional Cardiology

    Parekh, Niraj MD

    591 E Elder St Ste C

    Fallbrook, CA 92028-5001

    (951) 352-3937

    Provider ID: 100217666063

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Accessibility: B; Members are

    urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    Surgery Neurological

    Uddin, Mohammad MD

    577 E Elder St Ste E

    Fallbrook, CA 92028-3079

    (760) 728-8349

    Provider ID: 100035495042

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Other Language: Hindi,

    Punjabi, Spanish, Urdu

    Accessibility: B; Members are

    urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,

    (TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.

    weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.

    All Providers in this provider directory accept both Medicare and Medicaid.

    (**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:

    Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist

    Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield

    of California Promise Health Plan has not verified this information. The presence of the following

    codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,

    IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical

    Equipment

    2

  • SAN DIEGO COUNTY MEDICAL GROUPS COMMUNITY CARE IPA LLC

    AFFILIATED HOSPITALS

    (For a complete listing of

    hospital affiliations, refer to

    page 591)

    PRIMARY CARE PHYSICIANS

    Family Practice

    CHULA VISTA

    Alb, Ovidiu MD

    480 4th Ave Ste 202

    Chula Vista, CA 91910-4412

    (619) 427-3361

    Provider ID: 100034030012

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Other Language: Romanian,

    Spanish, Tagalog

    Accessibility: B; Members are

    urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    Alb, Simona MD

    480 4th Ave Ste 202

    Chula Vista, CA 91910-4412

    (619) 427-3361

    Provider ID: 100033656012

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Other Language: Romanian,

    Spanish

    Accessibility: B; Members are

    urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    Aljawadi, Georgia DO

    480 4th Ave Ste 202

    Chula Vista, CA 91910-4412

    (619) 427-3361

    Provider ID: 100133625014

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Other Language: Spanish,

    Tagalog

    Accessibility: B; Members are

    urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    Elsayed, Mohammed MD

    330 Oxford St Ste 106

    Chula Vista, CA 91911-3118

    (619) 409-1802

    Provider ID: 100020910022

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Other Language: Arabic,

    Spanish

    Accessibility: B, W; Members

    are urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    Matthews, Merritt MD

    752 Medical Center Ct Ste 210

    Chula Vista, CA 91911-6660

    (619) 656-0206

    Provider ID: 100021162009

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Accessibility: B; Members are

    urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    Novencido, Joseph DO

    752 Medical Center Ct Ste 210

    Chula Vista, CA 91911-6660

    (619) 656-0206

    Provider ID: 100244053011

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Accessibility: B; Members are

    urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,

    (TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.

    weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.

    All Providers in this provider directory accept both Medicare and Medicaid.

    (**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:

    Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist

    Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield

    of California Promise Health Plan has not verified this information. The presence of the following

    codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,

    IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical

    Equipment

    3

  • SAN DIEGO COUNTY MEDICAL GROUPS COMMUNITY CARE IPA LLC

    are not present. 1323 3rd Ave (619) 656-0206

    Oseguera, Maria MD

    2452 Fenton St Ste 301

    Chula Vista, CA 91914-4552

    (619) 946-4073

    Provider ID: 100095207016

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Other Language: Spanish

    Accessibility: B; Members are

    urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    Polak, Clara MD

    480 Fourth Ave Ste 202

    Chula Vista, CA 91910-4412

    (619) 427-3361

    Provider ID: 100021293013

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Other Language: Romanian,

    Spanish, Tagalog

    Accessibility: B; Members are

    urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    Rawi, Bashir MD

    Chula Vista, CA 91911-4302

    (619) 409-6900

    Provider ID: 100209176025

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Other Language: Arabic,

    Farsi, Spanish, Urdu

    Accessibility: B; Members are

    urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    Rizkallah, Jean MD

    450 4th Ave Ste 408

    Chula Vista, CA 91910-4430

    (619) 691-1990

    Provider ID: 100106136020

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Other Language: French,

    Spanish

    Accessibility: B; Members are

    urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    Sanzone, Ronald DO

    752 Medical Center Ct Ste 210

    Chula Vista, CA 91911-6660

    Provider ID: 100013773014

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Other Language: Spanish

    Accessibility: B; Members are

    urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    Schumaker, Edward DO

    2452 Fenton St Ste 301

    Chula Vista, CA 91914-4552

    (619) 946-4073

    Provider ID: 100052890016

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Other Language: Spanish

    Accessibility: B; Members are

    urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    Stillwell, Carla MD

    480 4th Ave Ste 202

    Chula Vista, CA 91910-4412

    (619) 427-3361

    Provider ID: 100147691013

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,

    (TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.

    weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.

    All Providers in this provider directory accept both Medicare and Medicaid.

    (**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:

    Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist

    Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield

    of California Promise Health Plan has not verified this information. The presence of the following

    codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,

    IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical

    Equipment

    4

  • SAN DIEGO COUNTY MEDICAL GROUPS COMMUNITY CARE IPA LLC

    Other Language: Portuguese,

    Spanish

    Accessibility: B; Members are

    urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    Udowenko, Marina DO

    450 4th Ave Ste 408

    Chula Vista, CA 91910-4430

    (619) 691-1990

    Provider ID: 100240969016

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Other Language: Spanish,

    Ukrainian

    Accessibility: B; Members are

    urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    Valladolid, Efrain MD

    584 E St

    Chula Vista, CA 91910-2348

    (619) 420-1378

    Provider ID: 100097060011

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Accessibility: B; Members are

    urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    EL CAJON

    Ancona-young, Corinne DO

    5442 Sycuan Rd

    El Cajon, CA 92019-1816

    (619) 445-0707

    Provider ID: 100019557010

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Accessibility: B; Members are

    urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    Korkis, Ebtissam MD

    1530 Jamacha Rd Ste E-f

    El Cajon, CA 92019-3700

    (619) 441-9200

    Provider ID: 100110278008

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Other Language: Amharic,

    Arabic

    Accessibility: B; Members are

    urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    ESCONDIDO

    Delgado, George MD

    362 W Mission Ave Ste 105

    Escondido, CA 92025-1738

    (760) 741-1224

    Provider ID: 100080565022

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Other Language: Korean,

    Spanish

    Accessibility: B; Members are

    urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    Farrish, Susan MD

    488 E Valley Pkwy Ste 211

    Escondido, CA 92025-3370

    (760) 489-1458

    Provider ID: 100337777004

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Accessibility: B; Members are

    urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,

    (TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.

    weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.

    All Providers in this provider directory accept both Medicare and Medicaid.

    (**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:

    Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist

    Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield

    of California Promise Health Plan has not verified this information. The presence of the following

    codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,

    IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical

    Equipment

    5

  • SAN DIEGO COUNTY MEDICAL GROUPS COMMUNITY CARE IPA LLC

    are not present.

    Marin Popowski, Silvia MD

    728 E Valley Pkwy

    Escondido, CA 92025-3052

    (760) 737-6900

    Provider ID: 100268682015

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Other Language: Spanish

    Accessibility: B; Members are

    urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    Saroki, Karen MD

    362 W Mission Ave Ste 105

    Escondido, CA 92025-1738

    (760) 741-1224

    Provider ID: 100101481014

    Accepting New Patients: No

    Hours: M-SA 9AM-5PM

    Other Language: Farsi,

    Spanish

    Accessibility: B; Members are

    urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    LA MESA

    Gurtch, Tim MD

    8875 La Mesa Blvd Ste C

    La Mesa, CA 91942-5434

    (619) 668-8100

    Provider ID: 100039362024

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Other Language: Russian,

    Spanish

    Accessibility: B; Members are

    urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    NATIONAL CITY

    Baez, Beatrice MD

    2743 Highland Ave

    National City, CA 91950-7410

    (844) 200-2426

    Provider ID: 100334327003

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Other Language: Spanish

    Accessibility: B; Members are

    urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    Gil, Francisco MD

    655 Euclid Ave Ste 405

    National City, CA 91950-2979

    (619) 479-0822

    Provider ID: 100094548011

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Other Language: Spanish

    Accessibility: B, W; Members

    are urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    Matthews, Merritt MD

    610 Euclid Ave Ste 302

    National City, CA 91950-2953

    (619) 527-7700

    Provider ID: 100021162008

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Accessibility: B; Members are

    urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    Mckennett, Marianne MD

    2835 Highland Ave Ste B

    National City, CA 91950-7406

    (844) 200-2426

    Provider ID: 100088668008

    For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,

    (TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.

    weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.

    All Providers in this provider directory accept both Medicare and Medicaid.

    (**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:

    Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist

    Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield

    of California Promise Health Plan has not verified this information. The presence of the following

    codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,

    IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical

    Equipment

    6

  • SAN DIEGO COUNTY MEDICAL GROUPS COMMUNITY CARE IPA LLC

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Other Language: Spanish

    Accessibility: B; Members are

    urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    Mondragon, Gustavo MD

    610 Euclid Ave Ste 302

    National City, CA 91950-2953

    (619) 527-7700

    Provider ID: 100177550011

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Other Language: Spanish

    Accessibility: B; Members are

    urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    Novencido, Joseph DO

    610 Euclid Ave Ste 302

    National City, CA 91950-2953

    (619) 527-7700

    Provider ID: 100244053010

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Accessibility: B; Members are

    urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    Sanzone, Ronald DO

    610 Euclid Ave Ste 302

    National City, CA 91950-2953

    (619) 527-7700

    Provider ID: 100013773013

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Other Language: Spanish

    Accessibility: B; Members are

    urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    Serpas, Shaila MD

    2835 Highland Ave

    National City, CA 91950-7404

    (844) 800-2426

    Provider ID: 100017357012

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Other Language: Spanish

    Accessibility: B; Members are

    urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    Sevilla, Marianito MD

    2340 E 8th St Ste D

    National City, CA 91950-2875

    (619) 470-7007

    Provider ID: 100084280008

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Other Language: Tagalog

    Accessibility: B, W; Members

    are urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    Trimor-tamoria, Maria Flora

    MD

    2240 E Plaza Blvd Ste A

    National City, CA 91950-5165

    (619) 267-5884

    Provider ID: 100111253012

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Other Language: Spanish,

    Tagalog

    Accessibility: B, W; Members

    are urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,

    (TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.

    weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.

    All Providers in this provider directory accept both Medicare and Medicaid.

    (**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:

    Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist

    Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield

    of California Promise Health Plan has not verified this information. The presence of the following

    codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,

    IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical

    Equipment

    7

  • SAN DIEGO COUNTY MEDICAL GROUPS COMMUNITY CARE IPA LLC

    15611 Pomerado Rd Ste 400 211 13th StPOWAY

    Cornelius, Carol MD

    15611 Pomerado Rd Ste 400

    Poway, CA 92064-2437

    (858) 675-3210

    Provider ID: 100086351010

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Other Language: German,

    Spanish

    Accessibility: B; Members are

    urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    Meram, Susan MD

    15611 Pomerado Rd Ste 400

    Poway, CA 92064-2437

    (858) 675-3100

    Provider ID: 100040157010

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Other Language: Spanish

    Accessibility: B; Members are

    urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    Mir, Yusra MD

    Poway, CA 92064-2437

    (858) 675-3100

    Provider ID: 100107820011

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Other Language: Hindi,

    Spanish, Urdu

    Accessibility: B; Members are

    urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    Nguyen, Ngoc MD

    15611 Pomerado Rd Fl 3

    Poway, CA 92064-2437

    (858) 675-3210

    Provider ID: 100228458006

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Other Language: Spanish,

    Vietnamese

    Accessibility: B; Members are

    urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    RAMONA

    Blando, Ellen MD

    Ramona, CA 92065-2711

    (760) 789-5160

    Provider ID: 100057480011

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Other Language: Tagalog

    Accessibility: B; Members are

    urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    Dassoff, David MD

    211 13th St

    Ramona, CA 92065-2711

    (760) 789-5160

    Provider ID: 100290885004

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Other Language: Spanish

    Accessibility: B; Members are

    urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    Miller, Jerry MD

    211 13th St

    Ramona, CA 92065-2711

    (760) 789-5160

    Provider ID: 100224185005

    For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,

    (TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.

    weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.

    All Providers in this provider directory accept both Medicare and Medicaid.

    (**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:

    Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist

    Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield

    of California Promise Health Plan has not verified this information. The presence of the following

    codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,

    IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical

    Equipment

    8

  • SAN DIEGO COUNTY MEDICAL GROUPS COMMUNITY CARE IPA LLC

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Other Language: Spanish

    Accessibility: B; Members are

    urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    SAN DIEGO

    Arbabi, Nasrin MD

    16918 Dove Canyon Rd Ste

    100

    San Diego, CA 92127-3455

    (858) 924-1900

    Provider ID: 100139756009

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Other Language: Farsi,

    Spanish

    Accessibility: B; Members are

    urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    Damasco Gutierrez, Daisy MD

    9995 Carmel Mountain Rd Ste

    B10

    San Diego, CA 92129-2889

    (844) 200-2426

    Provider ID: 100080892007

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Accessibility: B; Members are

    urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    Damasco Gutierrez, Daisy MD

    9995 Carmel Mountain Rd Ste

    B11

    San Diego, CA 92129-2889

    (844) 200-2426

    Provider ID: 100080892008

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Accessibility: B; Members are

    urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    Dao, Viet MD

    2363 Ulric St Ste B

    San Diego, CA 92111-6447

    (858) 268-1747

    Provider ID: 100105020058

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Other Language: Chinese,

    Vietnamese

    Accessibility: B; Members are

    urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    Dao, Viet MD

    4616 El Cajon Blvd Ste 9

    San Diego, CA 92115-4426

    (619) 583-0553

    Provider ID: 100105020059

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Other Language: Chinese,

    Vietnamese

    Accessibility: B; Members are

    urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    Delgado, George MD

    5030 Camino De La Siesta Ste

    106

    San Diego, CA 92108-3117

    (619) 692-4401

    Provider ID: 100080565021

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Other Language: Korean,

    Spanish

    Accessibility: B, W; Members

    For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,

    (TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.

    weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.

    All Providers in this provider directory accept both Medicare and Medicaid.

    (**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:

    Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist

    Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield

    of California Promise Health Plan has not verified this information. The presence of the following

    codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,

    IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical

    Equipment

    9

  • SAN DIEGO COUNTY MEDICAL GROUPS COMMUNITY CARE IPA LLC

    are urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    Gil, Gabriel MD

    909 Cardiff St

    San Diego, CA 92114-5019

    (619) 465-3121

    Provider ID: 100094547018

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Other Language: Spanish

    Accessibility: B; Members are

    urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    Le, Tram MD

    5507 El Cajon Blvd # L

    San Diego, CA 92115-3624

    (619) 286-2789

    Provider ID: 100047041013

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Other Language: Spanish,

    Vietnamese

    Accessibility: B, W; Members

    are urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    Nuqui, Josie MD

    9855 Erma Rd Ste 105

    San Diego, CA 92131-1007

    (844) 200-2426

    Provider ID: 100334732004

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Other Language: Tagalog

    Accessibility: B; Members are

    urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    Recalde, Francisco MD

    3811 El Cajon Blvd

    San Diego, CA 92105-1020

    (619) 284-5622

    Provider ID: 100015266011

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Other Language: Spanish,

    Tagalog

    Accessibility: B, W; Members

    are urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    Saroki, Karen MD

    5030 Camino De La Siesta Ste

    106

    San Diego, CA 92108-3117

    (619) 692-4401

    Provider ID: 100101481013

    Accepting New Patients: No

    Hours: M-SA 9AM-5PM

    Other Language: Farsi,

    Spanish

    Accessibility: B, W; Members

    are urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    Shihata, Alfred MD

    3802 National Ave

    San Diego, CA 92113-3223

    (619) 264-2591

    Provider ID: 100039459016

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Other Language: Arabic,

    Spanish

    Accessibility: B, W; Members

    are urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    For more information, please call Blue Shield of California Promise Health Plan at 1-800-544-0088,

    (TTY: 711), 8 a.m. to 8 p.m., seven days a week, from Oct. 1st - Mar. 31st and 8 a.m. - 8 p.m.

    weekdays, from Apr. 1st - Sept. 30th. This list is subject to change.

    All Providers in this provider directory accept both Medicare and Medicaid.

    (**) Provides TeleServices Only (*)CNP: Certified Nurse Practitioners, NP: Nurse Practitioners, PA:

    Physician’s Assistant, CNM: Certified Nurse Midwives, CNS: Certified Nursing Specialist

    Accessibility code explanations: “SR” This information is self reported by the provider. Blue Shield

    of California Promise Health Plan has not verified this information. The presence of the following

    codes indicates the provider location is accessible with this area. P: parking, EB: Exterior Building,

    IB: Interior Building E: Exam Room R: Restroom T: Exam Table/Scale W: Wheelchair ME Medical

    Equipment

    10

  • SAN DIEGO COUNTY MEDICAL GROUPS COMMUNITY CARE IPA LLC

    Villa, Maria MD

    655 Saturn Blvd Ste J

    San Diego, CA 92154-4734

    (619) 646-7975

    Provider ID: 100111602010

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Other Language: Tagalog

    Accessibility: B, W; Members

    are urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    SAN YSIDRO

    Shihata, Alfred MD

    4630 Border Village Rd Ste H

    San Ysidro, CA 92173-3154

    (619) 264-2591

    Provider ID: 100039459026

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Other Language: Arabic,

    Spanish

    Accessibility: B; Members are

    urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    Johnson, Roy MD

    28743 Valley Center Rd Ste B

    Valley Center, CA 92082-6530

    (760) 749-0824

    Provider ID: 100057236006

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Other Language: Spanish

    Accessibility: B; Members are

    urged to call the provider's

    office to discuss their specific

    accessibility needs when there

    is limited access or where all

    or most accessibility indicators

    are not present.

    Sharma, Minu MD

    28743 Valley Center Rd Ste B

    Valley Center, CA 92082-6530

    (760) 749-0824

    Provider ID: 100132903018

    Accepting New Patients: Yes

    Hours: M-SA 9AM-5PM

    Other Language: Hindi,

    Punjabi, Spanis