Health Net Medicare Advantage (HMO) · Health Net Medicare Advantage (HMO) Plan Provider Directory...

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Health Net Medicare Advantage (HMO) Plan Provider Directory is directory is current as of August 1, 2017. is 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. is 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, aſter 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. Y0020_18_3915DIR_NM

Transcript of Health Net Medicare Advantage (HMO) · Health Net Medicare Advantage (HMO) Plan Provider Directory...

  • 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

  • 14

    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

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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

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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

    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

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    Allcare IPA PPG 5268

    Participating Physician Groups and Specialists

    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

    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

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    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

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    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

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    s an

    d S

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    cialis

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    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

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    Allcare IPA PPG 5268

    Participating Physician Groups and Specialists

    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

    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

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    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

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    atin

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    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