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Page 1: SPECIALTY PHONE ADDRESS CITY STATE ZIP COUNTY … · 2020-07-15 · michael johnston,md cardiovascular diseases (530) 532-8509 2667 olive hwy oroville ca 95966-6118 butte peter j

CMSP Contracted Providers by County as of October 15, 2020

SPECIALTY PHONE ADDRESS CITY STATE ZIP COUNTY

ALAMEDA COUNTY

INDEPENDENT LIFE MEDICAL SUPPLIES DURABLE MEDICAL EQUIPMENT (510) 868-2185 2036 BLAKE ST BERKELEY CA 94704-2604 ALAMEDA

APPLE WEST HOME MEDICAL SUPPLY DURABLE MEDICAL EQUIPMENT (510) 868-9175 4000 HARLAN ST EMERYVILLE CA 94608-3604 ALAMEDA

UNIVERSALMED SUPPLY DURABLE MEDICAL EQUIPMENT (415) 697-0700 OAKLAND CA 94601-0000 ALAMEDA

ALL CMSP PARTICIPATING COUNTIES

PROVIDER SPECIALTY PHONE ADDRESS CITY STATE ZIP COUNTY

BYRAM HEALTHCARE DURABLE MEDICAL EQUIPMENT (877) 902-9726 5302 RANCHO RD HUNTINGTON BEACH CA 05400-0000 ALL COUNTIES

UNIVERSALMED SUPPLY DURABLE MEDICAL EQUIPMENT (972) 228-1820 1329 W WALNUT HILL LN #100 IRVING TX 75038-0000 ALL COUNTIES

AMADOR COUNTY

PROVIDER SPECIALTY PHONE ADDRESS CITY STATE ZIP COUNTY

AMADOR ANESTHESIA MEDICAL GROUP INC ANESTHESIOLOGY (209) 223-7500 200 MISSION BLVD JACKSON CA 95642-2564 AMADOR

KAREN PANTAZIS MD ANESTHESIOLOGY (209) 257-0503 817 COURT ST JACKSON CA 95642-2156 AMADOR

KRYSTIN GRANGER, DO ANESTHESIOLOGY (209) 257-1593 223 CLINTON RD # 204 JACKSON CA 95642-2564 AMADOR

CHRISTOPHER J KRPAN MD PSC ORTHOPEDIC SURGERY (209) 736-1147 100 MISSION BLVD STE B116 JACKSON CA 95642-2536 AMADOR

CHRISTOPHER J KRPAN MD PSC ORTHOPEDIC SURGERY (209) 736-1147 200 MISSION BLVD JACKSON CA 95642-2564 AMADOR

CHRISTOPHER J KRPAN MD PSC ORTHOPEDIC SURGERY (209) 736-1147 223 CLINTON RD # 204 JACKSON CA 95642-2680 AMADOR

CHRISTOPHER J KRPAN MD PSC ORTHOPEDIC SURGERY (209) 736-1147 813 COURT ST STE 2 JACKSON CA 95642-2169 AMADOR

BUTTE COUNTY

PROVIDER SPECIALTY PHONE ADDRESS CITY STATE ZIP COUNTY

ANJALI KOHLI, MD AESTHETIC MEDICINE (530) 532-8509 2667 OLIVE HWY OROVILLE CA 95966-6118 BUTTE

NORTHSTATE ANESTHESIOLOGY PARTNERS ANESTHESIOLOGY (209) 956-7725 1531 ESPLANADE CHICO CA 95926-3310 BUTTE

NORTHSTATE ANESTHESIOLOGY PARTNERS ANESTHESIOLOGY (209) 956-7725 121 RALEY BLVD CHICO CA 95926-8347 BUTTE

DEEPAK KHANNA, MD CARDIOVASCULAR DISEASES (530) 532-8509 2667 OLIVE HWY OROVILLE CA 95966-6118 BUTTE

MICHAEL JOHNSTON,MD CARDIOVASCULAR DISEASES (530) 532-8509 2667 OLIVE HWY OROVILLE CA 95966-6118 BUTTE

PETER J WOIK, MD CARDIOVASCULAR DISEASES (530) 342-0123 198 COHASSET RD CHICO CA 95926-0000 BUTTE

JAMES PETER YHIP, MD CARDIOVASCULAR DISEASES (530) 342-0123 198 COHASSET RD CHICO CA 95926-0000 BUTTE

GARY MORE, MD CARDIOVASCULAR DISEASES (530) 342-0123 198 COHASSET RD CHICO CA 95926-0000 BUTTE

JOANNE ALONZO, DO CARDIOVASCULAR DISEASES (530) 342-0123 198 COHASSET RD CHICO CA 95926-0000 BUTTE

WALTER FLETSCHER, MD CARDIOVASCULAR DISEASES (530) 342-0123 198 COHASSET RD CHICO CA 95926-0000 BUTTE

AMPLA HEALTH CHICO MEDICAL & PEDIATRICS CLINIC (530) 342-4395 680 COHASSET RD CHICO CA 95926-2213 BUTTE

Please contact Advanced Medical Management's (AMM)

Customer Service at (877) 589-6807 for help finding a provider. Page 1

Page 2: SPECIALTY PHONE ADDRESS CITY STATE ZIP COUNTY … · 2020-07-15 · michael johnston,md cardiovascular diseases (530) 532-8509 2667 olive hwy oroville ca 95966-6118 butte peter j

CMSP Contracted Providers by County as of October 15, 2020

AMPLA HEALTH CHICO DENTAL CLINIC 236 W EAST AVE #H CHICO CA (530) 342-6065BUTTE

AMPLA HEALTH GRIDLEY MEDICAL CLINIC (530) 846-6231 520 KENTUCKY ST GRIDLEY CA 95948-2116 BUTTE

AMPLA HEALTH MAGALIA MEDICAL CLINIC (530) 873-5030 14137 LAKERIDGE CIRCLE MAGALIA CA 95945-9470 BUTTE

AMPLA HEALTH OROVILLE MEDICAL CLINIC (530) 534-7500 2800 LINCOLN BLVD OROVILLE CA 95966-5961 BUTTE

NORTHERN VALLEY INDIAN HEALTH CLINIC (530) 896-9400 845 W. EAST AVE CHICO CA 95926-0000 BUTTE

NORTHERN VALLEY INDIAN HEALTH CHILDREN'S HEALTH CLINIC (530) 781-1440 277 COHASSET ROAD CHICO CA 95926-0000 BUTTE

OROVILLE FAMILY MEDICINE PRACTICE CLINIC (530) 532-8509 2721 OLIVE HWY OROVILLE CA 95966-6115 BUTTE

OROVILLE FAMILY PRACTICE ASSOCIATES CLINIC (530) 532-8509 1611 FEATHER RIVER BLVD OROVILLE CA 95965-4548 BUTTE

OROVILLE MEDICAL CLINIC CLINIC (530) 532-8509 2767 OLIVE HWY OROVILLE CA 95966-6118 BUTTE

OROVILLE PEDIATRIC ASSOCIATES CLINIC (530) 532-8509 2809 OLIVE HWY OROVILLE CA 95966-6135 BUTTE

OROVILLE PEDIATRIC PRACTICE CLINIC (530) 532-8509 2809 OLIVE HWY OROVILLE CA 95966-6131 BUTTE

OROVILLE PREMIER CARE CLINIC CLINIC (530) 532-8509 900 ORO DAM BLVD OROVILLE CA 95965-5832 BUTTE

OROVILLE PRIMARY CARE PRACTICE CLINIC (530) 532-8509 2721 OLIVE HWY OROVILLE CA 95966-6115 BUTTE

OROVILLE WOMEN'S HEALTH CLINIC (530) 532-8509 2809 OLIVE HWY OROVILLE CA 95966-6131 BUTTE

PEACH TREE VISION CHICO CLINIC (530) 749-3242 120 INDEPENDENCE CIR #A CHICO CA 95973-4925 BUTTE

MARK HEINRICK, DO EMERGENCY MEDICINE (530) 532-8509 2667 OLIVE HWY OROVILLE CA 95966-6118 BUTTE

PETER RUSSO, MD EMERGENCY MEDICINE (530) 532-8509 2667 OLIVE HWY OROVILLE CA 95966-6118 BUTTE

SIEF NASER, MD EMERGENCY MEDICINE (530) 532-8509 2667 OLIVE HWY OROVILLE CA 95966-6118 BUTTE

NORMAN CHALLBURG, MD FAMILY MEDICINE (530) 532-8509 2667 OLIVE HWY OROVILLE CA 95966-6118 BUTTE

LOVE DALAL, MD GASTROENTEROLOGY (530) 532-8509 2667 OLIVE HWY OROVILLE CA 95966-6118 BUTTE

JERRY WATERS, MD GENERAL MEDICINE (530) 532-8509 2667 OLIVE HWY OROVILLE CA 95966-6118 BUTTE

PAUL BERRY, MD GENERAL PRACTICE (530) 532-8509 2767 OLIVE HWY OROVILLE CA 95966-6118 BUTTE

ARTURO PANGILINAN, MD GENERAL SURGERY (530) 532-8509 2667 OLIVE HWY OROVILLE CA 95966-6118 BUTTE

ELIZABETH JOHNSTON, MD GENERAL SURGERY (530) 532-8509 2667 OLIVE HWY OROVILLE CA 95966-6118 BUTTE

JACQUELINE CARTER GUSTAFSON, MD GENERAL SURGERY (530) 532-8509 2667 OLIVE HWY OROVILLE CA 95966-6118 BUTTE

LYDIA L. SCHRADER, MD GENERAL SURGERY (530) 898-8088 265 COHASSET RD CHICO CA 95926-3310 BUTTE

MAMMEN CHANDY, MD GENERAL SURGERY (530) 532-8509 2667 OLIVE HWY OROVILLE CA 95966-6118 BUTTE

RANDELL SKAU, MD GENERAL SURGERY (530) 532-8509 2667 OLIVE HWY OROVILLE CA 95966-6118 BUTTE

RAVI NAGUBANDI, MD GENERAL SURGERY (530) 532-8509 2667 OLIVE HWY OROVILLE CA 95966-6118 BUTTE

STEVEN FLETCHER, MD GENERAL SURGERY (530) 532-8509 2667 OLIVE HWY OROVILLE CA 95966-6118 BUTTE

MARTIN MAJER, MD HEMATOLOGY ONCOLOGY (530) 532-8509 2667 OLIVE HWY OROVILLE CA 95966-6118 BUTTE

MING HE, MD HEMATOLOGY ONCOLOGY (530) 898-8088 265 COHASSET RD CHICO CA 95926-3310 BUTTE

NICOLE L. WHITLATCH, MD HEMATOLOGY ONCOLOGY (530) 898-8088 265 COHASSET RD CHICO CA 95926-3310 BUTTE

PRATHIMA PRODDUTURI, MD HEMATOLOGY ONCOLOGY (530) 898-8088 265 COHASSET RD CHICO CA 95926-3310 BUTTE

Please contact Advanced Medical Management's (AMM)

Customer Service at (877) 589-6807 for help finding a provider. Page 2

Page 3: SPECIALTY PHONE ADDRESS CITY STATE ZIP COUNTY … · 2020-07-15 · michael johnston,md cardiovascular diseases (530) 532-8509 2667 olive hwy oroville ca 95966-6118 butte peter j

CMSP Contracted Providers by County as of October 15, 2020

ROBERT E. RANDOLPH, MD HEMATOLOGY ONCOLOGY (530) 898-8088 265 COHASSET RD CHICO CA 95926-3310 BUTTE

WILLIAM E. BONIS, MD HEMATOLOGY ONCOLOGY (530) 898-8088 265 COHASSET RD CHICO CA 95926-3310 BUTTE

ENLOE MEDICAL CENTER HOSPITAL (530) 332-6300 1531 ESPLANADE CHICO CA 95926-3310 BUTTE

ORCHARD HOSPITAL HOSPITAL (530) 846-5672 240 SPRUCE ST GRIDLEY CA 95948-2216 BUTTE

OROVILLE HOSPITAL HOSPITAL (530) 533-8500 2767 OLIVE HWY OROVILLE CA 95966-6118 BUTTE

ENLOE PRIMARY PHYSICIANS MEDICAL GROUP HOSPITALIST (530) 896-7455 1531 ESPLANADE CHICO CA 95926-3310 BUTTE

AARON BOWEN, MD INTERNAL MEDICINE (530) 532-8509 2667 OLIVE HWY OROVILLE CA 95966-6118 BUTTE

MATTHEW FINE, MD INTERNAL MEDICINE (530) 532-8509 2667 OLIVE HWY OROVILLE CA 95966-6118 BUTTE

MIHAELA HASSE, MD INTERNAL MEDICINE (530) 532-8509 2667 OLIVE HWY OROVILLE CA 95966-6118 BUTTE

MIN SOO PARK INTERNAL MEDICINE (530) 532-8509 2767 OLIVE HWY OROVILLE CA 95966-6118 BUTTE

NARINDER SINGH, MD INTERNAL MEDICINE (530) 532-8509 2667 OLIVE HWY OROVILLE CA 95966-6118 BUTTE

NATHANIEL HOWARD JR, MD INTERNAL MEDICINE (530) 532-8509 2667 OLIVE HWY OROVILLE CA 95966-6118 BUTTE

THOMAS MUNDORFF, MD INTERNAL MEDICINE (530) 532-8509 2667 OLIVE HWY OROVILLE CA 95966-6118 BUTTE

DAVID POTTER, MD MEDICAL ONCOLOGY (530) 898-8088 265 COHASSET RD CHICO CA 95926-3310 BUTTE

JACLYN DOBRZYNSKI MULTI-SPECIALTY GROUP (530) 532-8509 2767 OLIVE HWY OROVILLE CA 95966-6118 BUTTE

SUBIL GO, MD NEPHROLOGY (530) 532-8509 2667 OLIVE HWY OROVILLE CA 95966-6118 BUTTE

KARL JOHANSSON, MD OBSTETRICS & GYNECOLGY (530) 532-8509 2667 OLIVE HWY OROVILLE CA 95966-6118 BUTTE

MATTHEW BAZZANI, MD OBSTETRICS & GYNECOLGY (530) 532-8509 2667 OLIVE HWY OROVILLE CA 95966-6118 BUTTE

PETER BIPPART, MD OBSTETRICS & GYNECOLGY (530) 532-8509 2667 OLIVE HWY OROVILLE CA 95966-6118 BUTTE

THU-TRANG PHUNG, MD OPHTHALMOLOGY (530) 532-8509 2667 OLIVE HWY OROVILLE CA 95966-6118 BUTTE

BRIAN CHING, MD ORTHOPEDIC SURGERY (530) 532-8509 2667 OLIVE HWY OROVILLE CA 95966-6118 BUTTE

DOUGLAS BENSON, MD ORTHOPEDIC SURGERY (530) 532-8509 2667 OLIVE HWY OROVILLE CA 95966-6118 BUTTE

LOWELL NICKEL, MD ORTHOPEDIC SURGERY (530) 532-8509 2667 OLIVE HWY OROVILLE CA 95966-6118 BUTTE

MARSHALL CHING, MD ORTHOPEDIC SURGERY (530) 532-8509 2667 OLIVE HWY OROVILLE CA 95966-6118 BUTTE

THOMAS STEWART, MD OTOLARYNGOLOGY (530) 532-8509 2667 OLIVE HWY OROVILLE CA 95966-6118 BUTTE

GREGORY SCHNERINGER, MD PATHOLOGY (530) 532-8509 2667 OLIVE HWY OROVILLE CA 95966-6118 BUTTE

PATHOLOGY SCIENCES MEDICAL GROUP PATHOLOGY (530) 891-6244 183 E 8TH AVE CHICO CA 95926-2341 BUTTE

ERIC NEAL, MD PEDIATRICS (530) 532-8509 2667 OLIVE HWY OROVILLE CA 95966-6118 BUTTE

MARIA ALICIA ALINO PEDIATRICS (530) 532-8509 2767 OLIVE HWY OROVILLE CA 95966-6118 BUTTE

DAVID LOUIS VALPONI PHYSICAL THERAPY (530) 894-0221 1430 ESPLANADE CHICO CA 95926-3366 BUTTE

CHELSEA SMITH, DPM PODIATRY (530) 532-8509 2667 OLIVE HWY OROVILLE CA 95966-6118 BUTTE

DENNIS TRENNER, DPM PODIATRY (530) 532-8509 2667 OLIVE HWY OROVILLE CA 95966-6118 BUTTE

KI XIONG, DPM PODIATRY (530) 532-8509 2667 OLIVE HWY OROVILLE CA 95966-6118 BUTTE

SIDHARTH BAGGA, MD PULMONOLOGY (530) 532-8509 2667 OLIVE HWY OROVILLE CA 95966-6118 BUTTE

Please contact Advanced Medical Management's (AMM)

Customer Service at (877) 589-6807 for help finding a provider. Page 3

Page 4: SPECIALTY PHONE ADDRESS CITY STATE ZIP COUNTY … · 2020-07-15 · michael johnston,md cardiovascular diseases (530) 532-8509 2667 olive hwy oroville ca 95966-6118 butte peter j

CMSP Contracted Providers by County as of October 15, 2020

ANNE KATHLEEN DAWSON RADIATION ONCOLOGY (530) 898-8088 265 COHASSET RD CHICO CA 95926-3310 BUTTE

EDWARD ORDORICA, MD RADIATION ONCOLOGY (530) 532-8509 2667 OLIVE HWY OROVILLE CA 95966-6118 BUTTE

ERIK D. STICKNEY, MD RADIATION ONCOLOGY (530) 898-8088 265 COHASSET RD CHICO CA 95926-3310 BUTTE

GRACE E. YUH, MD RADIATION ONCOLOGY (530) 898-8088 265 COHASSET RD CHICO CA 95926-3310 BUTTE

NORTH STATE RADIOLOGY MEDICAL GROUP INC RADIOLOGY (530) 898-0504 1531 ESPLANADE CHICO CA 95926-3310 BUTTE

NORTH STATE RADIOLOGY MEDICAL GROUP INC RADIOLOGY (530) 898-0500 1720 ESPLANADE CHICO CA 95926-3315 BUTTE

NORTH STATE RADIOLOGY MEDICAL GROUP INC RADIOLOGY (530) 898-0504 5974 PENTZ RD PARADISE CA 95969-5509 BUTTE

RADIOLOGY ASSOCIATES OF THE DESERT RADIOLOGY (530) 342-8121 1555 SPRINGFIELD DR. CHICO CA 95928-0000 BUTTE

LIONEL SIDNEY FOSTER JR UROLOGY (530) 532-8509 2667 OLIVE HWY OROVILLE CA 95966-6118 BUTTE

MILTON CONLEY, MD VASCULAR SURGERY (530) 532-8509 2667 OLIVE HWY OROVILLE CA 95966-6118 BUTTE

CALAVERAS COUNTY

PROVIDER SPECIALTY PHONE ADDRESS CITY STATE ZIP COUNTY

CHRISTOPHER J KRPAN MD PSC ORTHOPEDIC SURGERY (209) 736-1147 1300 KURT DR ANGELS CAMP CA 95222-9324 CALAVERAS

CHRISTOPHER J KRPAN MD PSC ORTHOPEDIC SURGERY (209) 736-1147 768 MOUNTAIN RANCH RD SAN ANDREAS CA 95249-9707 CALAVERAS

CHRISTOPHER J KRPAN MD PSC ORTHOPEDIC SURGERY (209) 736-1147 900 MOUNTAIN RANCH RD SAN ANDREAS CA 95249-9713 CALAVERAS

COLUSA COUNTY

PROVIDER SPECIALTY PHONE ADDRESS CITY STATE ZIP COUNTY

AMPLA HEALTH ARBUCKLE MEDICAL CLINIC (530) 476-2200 89 PUTNAM WAY ARBUCKLE CA 95912-9814 COLUSA

AMPLA HEALTH COLUSA MEDICAL CLINIC (530) 458-8635 555 FREMONT ST. COLUSA CA 95932-2534 COLUSA

DEL NORTE COUNTY

PROVIDER SPECIALTY PHONE ADDRESS CITY STATE ZIP COUNTY

DEL NORTE COMMUNITY HEALTH CENTER CLINIC (707) 465-4636 550 E WASHINGTON BLVD CRESCENT CITY CA 95531-8160 DEL NORTE

EL DORADO COUNTY

PROVIDER SPECIALTY PHONE ADDRESS CITY STATE ZIP COUNTY

MINDY COOPER-SMITH, MD ANATOMIC & CLINICAL PATHOLOGY (530) 541-3420 2170 SOUTH AVE S LAKE TAHOE CA 96150-7026 EL DORADO

BARTON CARDIOLOGY CARDIOVASCULAR DISEASES (530) 543-5497 2170 SOUTH AVE S LAKE TAHOE CA 96150-7026 EL DORADO

BARTON COMMUNITY HEALTH CENTER CLINIC (530) 543-5623 2201 SOUTH AVE S LAKE TAHOE CA 96150-7025 EL DORADO

WESTERN SIERRA MEDICAL CENTER CLINIC (530) 647-9762 3070 CAMINO HEIGHTS DR CAMINO CA 95709-9508 EL DORADO

CAMERON PARK 2 CLINIC (530) 621-7700 3100 PONTE MORINO DR STE 120 CAMERON PARK CA 95682-0000 EL DORADO

Please contact Advanced Medical Management's (AMM)

Customer Service at (877) 589-6807 for help finding a provider. Page 4

Page 5: SPECIALTY PHONE ADDRESS CITY STATE ZIP COUNTY … · 2020-07-15 · michael johnston,md cardiovascular diseases (530) 532-8509 2667 olive hwy oroville ca 95966-6118 butte peter j

CMSP Contracted Providers by County as of October 15, 2020

CAMERON PARK 1 CLINIC (530) 621-7700 3104 PONTE MORINO DR STE 110 CAMERON PARK CA 95682-0000 EL DORADO

PLACERVILLE CENTER CLINIC (530) 621-7700 4327 GOLDEN CENTER DR PLACERVILLE CA 95667-0000 EL DORADO

DIAMOND SPRING CENTER CLINIC (530) 621-7700 4641 MISSOURI FLAT ROAD STE A PLACERVILLE CA 95667-0000 EL DORADO

LARS DOUGLAS ENSIGN EMERGENCY MEDICINE (800) 225-0953 2170 SOUTH AVE S LAKE TAHOE CA 96150-7026 EL DORADO

BARTON FAMILY MEDICINE FAMILY MEDICINE (530) 543-5660 1090 THIRD ST S LAKE TAHOE CA 96150-3462 EL DORADO

MATTHEW P. WONNACOTT, MD FAMILY MEDICINE (530) 543-5623 2201 SOUTH AVE S LAKE TAHOE CA 96150-7025 EL DORADO

ANDREA K. CLARK FAMILY PRACTICE (530) 543-5623 2201 SOUTH AVE S LAKE TAHOE CA 96150-3462 EL DORADO

DANIEL NORMAN, MD GASTROENTEROLOGY (530) 543-5636 1111 EMERALD PAY ROAD S LAKE TAHOE CA 96150-6207 EL DORADO

BARTON GENERAL SURGERY GENERAL SURGERY (530) 543-5691 2158 JEAN AVE S LAKE TAHOE CA 96150-3412 EL DORADO

SANDRA J. TAYLOR GENERAL SURGERY (530) 543-5691 2158 JEAN AVE S LAKE TAHOE CA 96150-3412 EL DORADO

BARTON MEMORIAL HOSPITAL HOSPITAL (530) 541-3420 2170 SOUTH AVE S LAKE TAHOE CA 96150-7026 EL DORADO

ALLISON STEINMETZ, MD INTERNAL MEDICINE (530) 541-3420 2158 JEAN AVE S LAKE TAHOE CA 96150-3412 EL DORADO

JOHN LEWISON, MD INTERNAL MEDICINE (530) 541-3420 2158 JEAN AVE S LAKE TAHOE CA 96150-3412 EL DORADO

BARTON WOMEN'S HEALTH OBSTETRICS & GYNECOLGY (530) 543-5711 2175 SOUTH AVE S LAKE TAHOE CA 96150-7024 EL DORADO

ANGELA FLUITT, OTR OCCUPATIONAL THERAPY (HAND) (530) 541-3100 1139 THIRD ST S LAKE TAHOE CA 96150-3465 EL DORADO

WILLIAM COTTRELL JR, MD ORTHOPEDIC SURGERY (530) 541-3100 1139 THIRD ST S LAKE TAHOE CA 96150-3465 EL DORADO

MICHAEL FRY, MD ORTHOPEDIC SURGERY (530) 541-3100 1139 THIRD ST S LAKE TAHOE CA 96150-3465 EL DORADO

TERRENCE ORR, MD ORTHOPEDIC SURGERY (530) 541-3100 1139 THIRD ST S LAKE TAHOE CA 96150-3465 EL DORADO

DANIEL ROBERTSON, MD ORTHOPEDIC SURGERY (530) 541-3100 1139 THIRD ST S LAKE TAHOE CA 96150-3465 EL DORADO

ROBERT RUPP, MD ORTHOPEDIC SURGERY (530) 541-3100 1139 THIRD ST S LAKE TAHOE CA 96150-3465 EL DORADO

BARTON EAR, NOSE & THROAT OTOLARYNGOLOGY (530) 543-5815 2169 SOUTH AVE S LAKE TAHOE CA 96150-7059 EL DORADO

BARTON PALLIATIVE CARE PALLIATIVE CARE (530) 600-1960 2175 SOUTH AVE S LAKE TAHOE CA 96150-7024 EL DORADO

DIANE OLIVER, MD PATHOLOGY (530) 541-3420 2170 SOUTH AVE S LAKE TAHOE CA 96150-7026 EL DORADO

DANIELLE PRIEM, MD PEDIATRICS (530) 541-3420 2170 SOUTH AVE S LAKE TAHOE CA 96150-7026 EL DORADO

MICHAEL P. DOYLE, MD PEDIATRIC HOSPITALIST (530) 541-3420 2170 SOUTH AVE S LAKE TAHOE CA 96150-7026 EL DORADO

ALISON GANONG, MD PHYSICAL MEDICINE & REHAB (530) 541-3100 1139 THIRD ST S LAKE TAHOE CA 96150-3465 EL DORADO

TRACY R. PROTELL, MD PSYCHIATRY (530) 543- 5559 2170 SOUTH AVE S LAKE TAHOE CA 96150-7026 EL DORADO

BARTON PSYCHIATRY PSYCHIATRY (530) 543- 5559 2170 SOUTH AVE S LAKE TAHOE CA 96150-7026 EL DORADO

GREGORY TIRDEL, MD SLEEP MEDICINE/PULMONARY (530) 541-3420 2170 SOUTH AVE S LAKE TAHOE CA 96150-7026 EL DORADO

BARTON FAMILY MEDICINE TELEMEDICINE DERMATOLOGY (530) 543-5660 1090 THIRD ST S LAKE TAHOE CA 96150-3462 EL DORADO

NOAH CRAFT, MD TELEMEDICINE DERMATOLOGY (530) 541-3420 2170 SOUTH AVE S LAKE TAHOE CA 96150-7026 EL DORADO

BARTON FAMILY MEDICINE TELEMEDICINE ENDOCRINOLOGY (530) 543-5660 1090 THIRD ST S LAKE TAHOE CA 96150-3462 EL DORADO

NITASHA RIMAR, MD TELEMEDICINE ENDOCRINOLOGY (530) 541-3420 2170 SOUTH AVE S LAKE TAHOE CA 96150-7026 EL DORADO

BARTON FAMILY MEDICINE TELEMEDICINE PSYCHIATRY (530) 543-5660 1090 THIRD ST S LAKE TAHOE CA 96150-3462 EL DORADO

Please contact Advanced Medical Management's (AMM)

Customer Service at (877) 589-6807 for help finding a provider. Page 5

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CMSP Contracted Providers by County as of October 15, 2020

RENE DELGADILLO, MD TELEMEDICINE PSYCHIATRY (530) 541-3420 2170 SOUTH AVE S LAKE TAHOE CA 96150-7026 EL DORADO

ROBERT ZALEWSKI-ZARAGOZA, MD TELEMEDICINE PSYCHIATRY (530) 541-3420 2170 SOUTH AVE S LAKE TAHOE CA 96150-7026 EL DORADO

BARTON UROLOGY UROLOGY (530) 543-5400 2169 SOUTH AVE S LAKE TAHOE CA 96150-7059 EL DORADO

GLENN COUNTY

PROVIDER SPECIALTY PHONE ADDRESS CITY STATE ZIP COUNTY

NORTHERN VALLEY INDIAN HEALTH CLINIC (530) 934-4641 207 N. BUTTE STREET WILLOWS CA 95988-0000 GLENN

AMPLA HEALTH HAMILTON CITY MEDICAL CLINIC (530) 826-3694 278 MAIN ST HAMILTON CITY CA 95951-0855 GLENN

AMPLA HEALTH ORLAND MEDICAL CLINIC (530) 865-5544 1211 CORTINA DR ORLAND CA 95963-1699 GLENN

HUMBOLDT COUNTY

PROVIDER SPECIALTY PHONE ADDRESS CITY STATE ZIP COUNTY

NORTHCOAST ANESTHESIA PROVIDERS ANESTHESIOLOGY (707) 535-4300 3800 JANES RD ARCATA CA 95521-4742 HUMBOLDT

LAWRENCE ANTHONY SENFFNER, MD CARDIOVASCULAR DISEASES (707) 464-1989 3800 JANES RD ARCATA CA 95521-4742 HUMBOLDT

BURRE DENTAL HEALTH CENTER CLINIC (707) 442-7078 959 MYRTLE AVE EUREKA CA 95501-0000 HUMBOLDT

EUREKA COMMUNITY HEALTH CENTER CLINIC (707) 441-1624 2200 TYDD ST EUREKA CA 95501-1284 HUMBOLDT

FERNDALE COMMUNITY HEALTH CENTER CLINIC (707) 786-4028 638 MAIN ST FERNDALE CA 95536-9999 HUMBOLDT

FORTUNA COMMUNITY HEALTH CENTER CLINIC (707) 725-6101 3306 RENNER DR FORTUNA CA 95540-3120 HUMBOLDT

HUMBOLDT FAMILY MEDICAL CARE CLINIC (707) 839-4852 1733 CENTRAL AVE MCKINLEYVILLE CA 95519-3601 HUMBOLDT

HUMBOLDT OPEN DOOR CLINIC CLINIC (707) 826-8610 770 10TH ST ARCATA CA 95521-6210 HUMBOLDT

JEROLD PHELPS COMMUNITY HOSPITAL CLINIC (707) 923-3921 733 CEDAR STREET GARBERVILLE CA 95542-0000 HUMBOLDT

MAD RIVER EXPRESS CARE CLINIC (707) 822-0293 3798 JANES RD ARCATA CA 95521-4753 HUMBOLDT

MCKINLEYVILLE COMMUNITY HEALTH CENTER CLINIC (707) 839-3068 1644 CENTRAL AVE MCKINLEYVILLE CA 95519-4342 HUMBOLDT

NORTHCOUNTRY CLINIC CLINIC (707) 822-2481 785 18TH ST ARCATA CA 95521-5683 HUMBOLDT

PERINATAL SERVICES OF NORTHCOUNTRY CLINIC CLINIC (707) 822-1385 3800 JANES RD ARCATA CA 95521-4742 HUMBOLDT

REDWOOD COMMUNITY HEALTH CENTER CLINIC (707) 443-4593 2350 BUHNE ST STE A EUREKA CA 95501-0000 HUMBOLDT

REDWOODS RURAL HEALTH CENTER CLINIC (707) 923-2783 101 WEST COAST RD REDWAY CA 95560-0000 HUMBOLDT

TELEHEALTH & VISITING SPECIALISTS CENTER CLINIC (707) 443-4066 2426 BUHNE ST EUREKA CA 95501-3207 HUMBOLDT

WILLOW CREEK COMMUNITY HEALTH CENTER CLINIC (530) 629-3111 38883 HWY WILLOW CREEK CA 95573-0726 HUMBOLDT

WILLOW CREEK-SIX RIVERS MEDICAL CENTER CLINIC (530) 629-3116 850 STATE HWY WILLOW CREEK CA 95573-9999 HUMBOLDT

ALLIANCE HEALTHCARE SERVICES DIAGNOSTIC RADIOLOGY (800) 530-0912 2330 BUHNE ST EUREKA CA 95501-0000 HUMBOLDT

BROADWAY MEDICAL AND SERVICES DURABLE MEDICAL EQUIPMENT (707) 442-3719 1034 BROADWAY EUREKA CA 95501-0000 HUMBOLDT

CHRISTOPHER LEE, MD EMERGENCY MEDICINE (707) 464-1989 3800 JANES RD ARCATA CA 95521-4742 HUMBOLDT

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CMSP Contracted Providers by County as of October 15, 2020

FRANK ZAZUETA, MD EMERGENCY MEDICINE (707) 464-1989 3800 JANES RD ARCATA CA 95521-4742 HUMBOLDT

GEORGE ZIBILICH, MD EMERGENCY MEDICINE (707) 464-1989 3800 JANES RD ARCATA CA 95521-4742 HUMBOLDT

KHOI NGUYEN, MD FAMILY MEDICINE (707) 464-1989 3800 JANES RD ARCATA CA 95521-4742 HUMBOLDT

BRUCE BARKER, MD GENERAL SURGERY (707) 464-1989 3800 JANES RD ARCATA CA 95521-4742 HUMBOLDT

MARIE NGUYEN GENERAL SURGERY (707) 822-3621 3800 JANES RD ARCATA CA 95521-4742 HUMBOLDT

HUMBOLDT COUNTY MENTAL HEALTH HOSPITAL (707) 268-2990 720 WOOD ST EUREKA CA 95501-0000 HUMBOLDT

MAD RIVER COMMUNITY HOSPITAL HOSPITAL (707) 456-3900 3800 JANES RD ARCATA CA 95521-4742 HUMBOLDT

JEROLD PHELPS COMMUNITY HOSPITAL HOSPITAL (707) 923-3921 733 CEDAR STREET GARBERVILLE CA 95542-0000 HUMBOLDT

GARY GARCIA, MD INTERNAL MEDICINE (707) 464-1989 3800 JANES RD ARCATA CA 95521-4742 HUMBOLDT

MOHAMMED SIDDIQI INTERNAL MEDICINE (707) 464-1989 3800 JANES RD ARCATA CA 95521-4742 HUMBOLDT

NHAT HOANG, MD INTERNAL MEDICINE (707) 464-1989 3800 JANES RD ARCATA CA 95521-4742 HUMBOLDT

SHELDON MESHULAM, MD INTERNAL MEDICINE (707) 464-1989 3800 JANES RD ARCATA CA 95521-4742 HUMBOLDT

WAHIDULLAH WAHIDULLAH, MD INTERNAL MEDICINE (707) 464-1989 3800 JANES RD ARCATA CA 95521-4742 HUMBOLDT

SHAHRAM ABBASSI, MD PAIN MEDICINE (707) 464-1989 3800 JANES RD ARCATA CA 95521-4742 HUMBOLDT

LOIS FREISLEBEN-COOK, MD PEDIATRICS (707) 464-1989 3800 JANES RD ARCATA CA 95521-4742 HUMBOLDT

NILUFER GOYAL, MD PEDIATRICS (707) 464-1989 3800 JANES RD ARCATA CA 95521-4742 HUMBOLDT

THEODORE HUMPHRY, MD PEDIATRICS (707) 464-1989 3800 JANES RD ARCATA CA 95521-4742 HUMBOLDT

MUNRO, BOOTH & CUTRUZZOLA A PROFESSIONAL CORPORATION RADIOLOGY (707) 261-7805 3300 RENNER DR FORTUNA CA 95540-3120 HUMBOLDT

REDWOOD RADIOLOGY INC RADIOLOGY (707) 261-7825 3800 JANES RD ARCATA CA 95521-4742 HUMBOLDT

IMPERIAL COUNTY

PROVIDER SPECIALTY PHONE ADDRESS CITY STATE ZIP COUNTY

ALEXANDER KIM, MD ALLERGY & IMMUNOLOGY (760) 592-4794 1594 SOUTH IMPERIAL AVE EL CENTRO CA 92243-0000 IMPERIAL

ANESTHESIA MEDICAL GROUP OF IMPERIAL VALLEY INC ANESTHESIOLOGY (760) 351-3288 207 W LEGION RD BRAWLEY CA 92227-7780 IMPERIAL

VINCENT CHIU ANESTHESIOLOGY (760) 339-7100 1415 ROSS AVE EL CENTRO CA 92243-000 IMPERIAL

EL CAJON MEDICAL GROUP INC ANESTHESIOLOGY (760) 351-4848 751 W LEGION RD STE 300 BRAWLEY CA 92227-7755 IMPERIAL

EL CAJON MEDICAL GROUP INC ANESTHESIOLOGY (760) 351-3288 207 W LEGION RD BRAWLEY CA 92227-7780 IMPERIAL

JOSE ROCAMORA CARDIOVASCULAR DISEASES (760) 352-5933 1590 S IMPERIAL AVE EL CENTRO CA 92243-4241 IMPERIAL

VACHASPATHI PALAKODETI CARDIOVASCULAR DISEASES (760) 355-8300 516 W. ATEN RD IMPERIAL CA 92251-0000 IMPERIAL

BRAWLEY CLINIC CLINIC (760) 344-6471 900 MAIN ST BRAWLEY CA 92227-2630 IMPERIAL

BRAWLEY DENTAL CLINIC CLINIC (760) 344-3583 1166 K ST BRAWLEY CA 92227-2737 IMPERIAL

CALEXICO CLINIC CLINIC (760) 357-2020 233 W COLE BLVD CALEXICO CA 92231-9722 IMPERIAL

CALEXICO OUTPATIENT CENTER CLINIC (760) 357-0508 495 BIRCH ST CALEXICO CA 92231-2374 IMPERIAL

CALEXICO HEALTH CENTER CLINIC (760) 768-6262 450 E BIRCH ST CALEXICO CA 92231-0000 IMPERIAL

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CMSP Contracted Providers by County as of October 15, 2020

CENTER OUTPATIENT CLINIC CLINIC (760) 482-9100 385 W MAIN ST EL CENTRO CA 92243-3040 IMPERIAL

EL CENTRO HEALTH CLINIC CLINIC (760) 352-2257 852 E E DANENBERG DRIVE EL CENTRO CA 92243-0000 IMPERIAL

EL CENTRO REGIONAL OUTPATIENT CLINIC CLINIC (760) 482-9100 1415 ROSS AVE EL CENTRO CA 92243-4306 IMPERIAL

IMPERIAL VALLEY FAMILY CARE MEDICAL GROUP, APC CLINIC (760) 351-1011 608 G ST SUITE 1A BRAWLEY CA 92227-0000 IMPERIAL

NILAND HEALTH CLINIC CLINIC (760) 359-0110 8027 HWY 111 NILAND CA 92257-9999 IMPERIAL

THE PIONEERS HEALTH CENTER CLINIC (760) 351-4400 751 W LEGION RD STE 103 BRAWLEY CA 92227-0000 IMPERIAL

WEST SHORES HEALTH CLINIC CLINIC (760) 394-4338 1289 S MARINA DR SALTON CITY CA 92275-9999 IMPERIAL

WINTERHAVEN HEALTH CLINIC CLINIC (760) 572-2700 2133 WINTERHAVEN DR WINTERHAVEN CA 92283-9999 IMPERIAL

WOMEN'S HEALTH CENTER AT PIONEERS CLINIC (760) 351-3700 751 W LEGION RD STE 201 BRAWLEY CA 92227-0000 IMPERIAL

EL CENTRO DENTAL DENTAL (760) 336-2600 111 S 4TH ST SUITE B EL CENTRO CA 92243-0000 IMPERIAL

SHAHROUZ TAHVILLIAN, MD DIAGNOSTIC RADIOLOGY (760) 351-3288 207 W LEGION RD BRAWLEY CA 92227-0000 IMPERIAL

GEORGE FAREED, M.D. FAMILY MEDICINE (760) 351-4848 751 W LEGION RD STE 30D BRAWLEY CA 92227-7755 IMPERIAL

GEORGE FAREED, M.D. FAMILY MEDICINE (760) 351-3333 207 W LEGION RD BRAWLEY CA 92227-7780 IMPERIAL

HUSSEIN EL-NEWIHI, MD GASTROENTEROLOGY (760) 353-5888 1550 NORTH IMPERIAL AVE STE 2 EL CENTRO CA 92243-0000 IMPERIAL

OSCAR A LOPEZ MD GASTROENTEROLOGY (760) 344-7976 207 W LEGION RD BRAWLEY CA 92227-7780 IMPERIAL

JAMES POLLACK, MD GENERAL SURGERY (760) 337-4100 1594 SOUTH IMPERIAL AVE IMPERIAL CA 92243-0000 IMPERIAL

THERESA C. RAMONES, MD GENERAL SURGERY (760) 351-3288 207 W LEGION RD BRAWLEY CA 92227-7780 IMPERIAL

NORMAN BARON, MD GENERAL SURGERY (760) 351-4848 751 W LEGION RD STE 350 BRAWLEY CA 92227-7755 IMPERIAL

NORMAN BARON, MD GENERAL SURGERY (760) 351-3333 207 W LEGION RD BRAWLEY CA 92227-7780 IMPERIAL

EL CENTRO REGIONAL MEDICAL CENTER HOSPITAL (760) 339-7100 1415 W ROSS AVE EL CENTRO CA 92243-4306 IMPERIAL

PIONEERS MEMORIAL HOSPITAL HOSPITAL (760) 351-3590 207 W LEGION RD BRAWLEY CA 92227-7780 IMPERIAL

MEHBOOB GHULAM, DO. INTERNAL MEDICINE (760) 351-4848 751 W LEGION RD SUITE 300 BRAWLEY CA 92227-7755 IMPERIAL

MEHBOOB GHULAM, DO. INTERNAL MEDICINE (760) 351-3333 207 W LEGION RD BRAWLEY CA 92227-7780 IMPERIAL

SOL REISIN, MD NEPHROLOGY (760) 353-4710 1550 NORTH IMPERIAL AVE STE 1 EL CENTRO CA 92243-0000 IMPERIAL

RAMIN BERENJI, MD NEPHROLOGY (619) 299-2350 2205 ROSS AVE SUITE 101 EL CENTRO CA 92243-0000 IMPERIAL

HORACIO RODILES, MD NEPHROLOGY (619) 299-2350 2205 ROSS AVE SUITE 101 EL CENTRO CA 92243-0000 IMPERIAL

ODAY SAEED, MD NEPHROLOGY (760) 353- 0404 2205 ROSS AVE SUITE 101 EL CENTRO CA 92243-0000 IMPERIAL

SHAHID HUSSAN, MD NEPHROLOGY (619) 299-2350 2205 ROSS AVE SUITE 101 EL CENTRO CA 92243-0000 IMPERIAL

MASOUD AFSHAR, MD NEPHROLOGY (619) 299-2350 2205 ROSS AVE SUITE 101 EL CENTRO CA 92243-0000 IMPERIAL

RAVI RAJ SINGH, MD NEUROLOGY (760) 351-4848 751 W LEGION RD SUITE 300 BRAWLEY CA 92227-7755 IMPERIAL

RAVI RAJ SINGH, MD NEUROLOGY (760) 351-3288 207 W LEGION RD BRAWLEY CA 92227-7780 IMPERIAL

RAVI RAJ SINGH, MD NEUROLOGY (760) 351-4100 751 W LEGION RD SUITE 105 BRAWLEY CA 92227-7754 IMPERIAL

RAVI RAJ SINGH, MD NEUROLOGY (760) 351-4944 751 W LEGION RD SUITE 302 BRAWLEY CA 92227-7755 IMPERIAL

RAVI RAJ SINGH, MD NEUROLOGY (760) 351-3444 751 W LEGION RD SUITE 305 BRAWLEY CA 92227-7755 IMPERIAL

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CMSP Contracted Providers by County as of October 15, 2020

SHEILA MANHAS, MD NEUROLOGY (760) 351-4848 751 W LEGION RD SUITE 300 BRAWLEY CA 92227-7755 IMPERIAL

SHEILA MANHAS, MD NEUROLOGY (760) 351-3288 207 W LEGION RD BRAWLEY CA 92227-7780 IMPERIAL

SHEILA MANHAS, MD NEUROLOGY (760) 351-4100 751 W LEGION RD SUITE 105 BRAWLEY CA 92227-7754 IMPERIAL

SHEILA MANHAS, MD NEUROLOGY (760) 351-4944 751 W LEGION RD SUITE 302 BRAWLEY CA 92227-7755 IMPERIAL

SHEILA MANHAS, MD NEUROLOGY (760) 351-3444 751 W LEGION RD SUITE 305 BRAWLEY CA 92227-7755 IMPERIAL

THOMAS TESKE, MD NEUROLOGY (760) 337-4100 1503 NORTH IMPERIAL AVE STE 105-B EL CENTRO CA 92243-0000 IMPERIAL

MANIX MEDICAL, INC NEUROSURGERY (760) 693-2600 1500 S IMPERIAL AVENUE EL CENTRO CA 92243-4241 IMPERIAL

MANIX MEDICAL, INC NEUROSURGERY (760) 351-3333 207 W LEGION RD BRAWLEY CA 92227-7780 IMPERIAL

ELIAS MOUKARZEL, MD OBSTETRICS & GYNECOLGY (760) 352-4103 2109 WEST ROSS AVE EL CENTRO CA 92243-0000 IMPERIAL

HAMID T. ZADEH, M.D. OBSTETRICS & GYNECOLGY (760) 550-6327 2455 MARSHALL AVE. IMPERIAL CA 92251-0000 IMPERIAL

AJANAMJOT K. GREWAL, MD, INC. OBSTETRICS & GYNECOLGY (760) 790-0005 2026 N. IMPERIAL AVE STE C EL CENTRO CA 92243-1607 IMPERIAL

AJANAMJOT K. GREWAL, MD, INC. OBSTETRICS & GYNECOLGY (760) 351-3333 207 W LEGION RD BRAWLEY CA 92227-7780 IMPERIAL

NEW ERA ONCOLOGY ONCOLOGY (760) 335-3030 1410 S LA BRUCHERIE RD., STE A EL CENTRO CA 92443-0000 IMPERIAL

JOSEPH BIVENS, MD PLASTIC SURGERY (760) 351-4848 751 W. LEGION RD. , SUITE 300 BRAWLEY CA 92227-7755 IMPERIAL

JOSEPH BIVENS, MD PLASTIC SURGERY (760) 351-3333 207 W LEGION RD BRAWLEY CA 92227-7780 IMPERIAL

GEORGE A. RAPP, MD RADIOLOGY (760) 351-3288 207 W LEGION RD BRAWLEY CA 92227-7780 IMPERIAL

GEORGE A. RAPP, MD RADIOLOGY (760) 351-4848 751 W. LEGION RD. , SUITE 300 BRAWLEY CA 92227-7755 IMPERIAL

RADIOLOGY ASSOCIATES OF THE DESERT RADIOLOGY (760) 312-5966 1550 PEPPER DR., STE. G EL CENTRO CA 92243-0000 IMPERIAL

BRIAN PEDERSEN, MD RHEUMATOLOGY (760) 592-4794 1594 SOUTH IMPERIAL AVE EL CENTRO CA 92243-0000 IMPERIAL

INYO COUNTY

PROVIDER SPECIALTY PHONE ADDRESS CITY STATE ZIP COUNTY

NORTHERN INYO ASSOCIATES CLINIC (760) 873-3433 152 PIONEER LN BISHOP CA 93514-2563 INYO

AIR- WAY MEDICAL SERVICES DURABLE MEDICAL EQUIPMENT (760) 872- 1117 437 E. LINE ST BISHOP CA 00009-3514 INYO

NORTHERN INYO HOSPITAL RURAL HEALTH CLINIC CLINIC (760) 873-2849 153 PIONEER LN BISHOP CA 93514-2517 INYO

SOUTHERN INYO RURAL HEALTH CLINIC CLINIC (760) 876-1146 510 E LOCUST ST LONE PINE CA 93545-0000 INYO

NORTHERN INYO HOSPITAL HOSPITAL (760) 873-5811 150 PIONEER LN BISHOP CA 93514-2556 INYO

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CMSP Contracted Providers by County as of October 15, 2020

KINGS COUNTY

PROVIDER SPECIALTY PHONE ADDRESS CITY STATE ZIP COUNTY

QUINN GEE MD ANESTHESIOLOGY (559) 583-8889 1360 BAILEY DR HANFORD CA 93230-5921 KINGS

AVENAL COMMUNITY HEALTH CENTER CLINIC (559) 386-4500 1000 SKYLINE BLVD AVENAL CA 93204-0000 KINGS

ARIA COMMUNITY HEALTH CENTER- LEMOORE CLINIC (559) 924-7005 140 C STREET LEMOORE CA 93245-0000 KINGS

ARIA COMMUNITY HEALTH CENTER- AMC CLINIC (559) 386-9000 148 E KINGS AVENAL CA 93204-0000 KINGS

ARIA COMMUNITY HEALTH CENTER KETTLEMAN CITY, FQHC CLINIC (559) 386- 4501 304 BECKY PEASE STREET KETTLEMAN CITY CA 93239-0000 KINGS

ARIA COMMUNITY HEALTH CENTER STRATFORD, FQHC CLINIC (559) 386- 4502 20326 MAIN STREET STRATFORD CA 93266-9742 KINGS

ARIA COMMUNITY HEALTH CENTER LEMOORE 209, FQHC CLINIC (559) 924-7005 209 C STREET LEMOORE CA 93245-0000 KINGS

COUNTY OF KINGS CLINIC (559) 584-1401 330 CAMPUS DR. HANFORD CA 93230-0000 KINGS

FAMILY HEALTHCARE NETWORK- HANFORD CLINIC (877) 960-3426 329 WEST 8TH ST SUITE 101 HANFORD CA 93230-0000 KINGS

UNITED HEALTH CENTERS- CORCORAN CLINIC (559) 992-5020 1209 WHITLEY AVE CORCORAN CA 93212-2327 KINGS

UNITED HEALTH CENTERS- LEMOORE CLINIC (559) 924-2015 1270 N LEMOORE AVE LEMOORE CA 93245-2350 KINGS

ARIA COMMUNITY HEALTH CENTER HANFORD 103, FQHC (DENTAL) CLINIC (559) 386-4500 329 W. 8TH STREET, SUITE 103 HANFORD CA 93230-4533 KINGS

ARIA COMMUNITY HEALTH CENTER HANFORD 107, FQHC (DENTAL) CLINIC (559)386- 4500 329 W. 8TH STREET, SUITE 107 HANFORD CA 93230-4533 KINGS

ARIA COMMUNITY HEALTH CENTER HANFORD 109, FQHC CLINIC (559)386- 4500 329 W. 8TH STREET, SUITE 109 HANFORD CA 93230-4533 KINGS

ARIA COMMUNITY HEALTH CENTER HANFORD 111, FQHC CLINIC (559)386- 4500 329 W. 8TH STREET, SUITE 111 HANFORD CA 93230-4533 KINGS

WEE DENTAL, FQHC CLINIC (559) 582-0238 1320 BAILEY STREET, SUITE 102 HANFORD CA 93230-0000 KINGS

BASEM AZIZ, MD PHYSICAL MEDICINE & REHAB (559) 272-1295 450 W D ST LEMOORE CA 93245-2612 KINGS

BASEM AZIZ, MD PHYSICAL MEDICINE & REHAB (559) 558-5879 1004 N DOUTY ST HANFORD CA 93230-3723 KINGS

EDWARD ALBERT BALBAS MD PHYSICAL MEDICINE & REHAB (559) 558-5879 1004 N DOUTY ST HANFORD CA 93230-3723 KINGS

FAJIE MA MD PHYSICAL MEDICINE & REHAB (559) 558-5879 1004 N DOUTY ST HANFORD CA 93230-3723 KINGS

FRANCIS PETER LAGATTUTA, MD PHYSICAL MEDICINE & REHAB (559) 272-1295 450 W D ST LEMOORE CA 93245-2612 KINGS

FRANCIS PETER LAGATTUTA, MD PHYSICAL MEDICINE & REHAB (805) 264-3388 1004 N DOUTY ST HANFORD CA 93230-3723 KINGS

FREDERICK COMRIE, MD PHYSICAL MEDICINE & REHAB (559) 272-1295 450 W D ST LEMOORE CA 93245-2612 KINGS

FREDERICK COMRIE, MD PHYSICAL MEDICINE & REHAB (559) 558-5879 1004 N DOUTY ST HANFORD CA 93230-3723 KINGS

IGOR GALAN MD PHYSICAL MEDICINE & REHAB (559) 558-5879 1004 N DOUTY ST HANFORD CA 93230-3723 KINGS

JUSTICE OTCHERE MD PHYSICAL MEDICINE & REHAB (559) 558-5879 1004 N DOUTY ST HANFORD CA 93230-3723 KINGS

KENDRA BROWN-WALKER MD PHYSICAL MEDICINE & REHAB (559) 558-5879 1004 N DOUTY ST HANFORD CA 93230-3723 KINGS

MAHENDRA NATH MD PHYSICAL MEDICINE & REHAB (559) 558-5879 1004 N DOUTY ST HANFORD CA 93230-3723 KINGS

MARISSA ARLENE OLEGARIO-NEBEL PHYSICAL MEDICINE & REHAB (559) 558-5879 1004 N DOUTY ST HANFORD CA 93230-3723 KINGS

MATTHEW G HADILAKSONO PHYSICAL MEDICINE & REHAB (559) 558-5879 1004 N DOUTY ST HANFORD CA 93230-3723 KINGS

WINSTON F MONTERO PHYSICAL MEDICINE & REHAB (559) 558-5879 1004 N DOUTY ST HANFORD CA 93230-3723 KINGS

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CMSP Contracted Providers by County as of October 15, 2020

LAKE COUNTY

PROVIDER SPECIALTY PHONE ADDRESS CITY STATE ZIP COUNTY

BENJAMIN MEYER, MD CARDIOVASCULAR DISEASES (707) 263-1777 5196 HILL RD E STE 202 LAKEPORT CA 95453-6362 LAKE

MASIS BABAJANIAN, MD CARDIOVASCULAR DISEASES (707) 263-1777 5196 HILL RD E STE 202 LAKEPORT CA 95453-6362 LAKE

NOEL EUSTAQUIO SANTO DOMINGO, MD CARDIOVASCULAR DISEASES (707) 263-1777 5196 HILL RD E STE 202 LAKEPORT CA 95453-6362 LAKE

LAKE COUNTY TRIBAL HEALTH CONSORTIUM CLINIC (707) 263-8382 925 BEVINS CT LAKEPORT CA 95453-9754 LAKE

LAKESIDE HEALTH CENTER CLINIC (707) 263-7725 5335 LAKESHORE BLVD LAKEPORT CA 95453-6123 LAKE

BRADLEY T. CLAIR, MD OPHTHALMOLOGY (707) 263-1777 5196 HILL RD E STE 202 LAKEPORT CA 95453-6362 LAKE

NORTHERN CALIFORNIA IMAGING ASSOCIATES MEDICAL GROUP, INC. RADIOLOGY (707) 261-7822 5176 HILL RD LAKEPORT CA 95453-6300 LAKE

VALLEY RADIOLOGICAL ASSOC MED GRP RADIOLOGY (707) 261-7821 15630 18TH AVE CLEARLAKE CA 95422-9999 LAKE

JAMES MARCO STEELE, MD SLEEP MEDICINE (707) 462-1516 55 1ST ST STE 210 LAKEPORT CA 95453-4839 LAKE

LASSEN COUNTY

PROVIDER SPECIALTY PHONE ADDRESS CITY STATE ZIP COUNTY

BIG VALLEY HEALTH CENTER CLINIC (530) 294-5241 554-850 MEDICAL CENTER DR BIEBER CA 96009-9999 LASSEN

NORTHEASTERN RURAL HEALTH CLINIC CLINIC (530) 251-5000 1850 SPRING RIDGE DR SUSANVILLE CA 96130-0000 LASSEN

NORTHEASTERN RURAL HEALTH CLINIC CLINIC (530) 256-3152 209 BIRCH ST WESTWOOD CA 96137-0000 LASSEN

OWENS HEALTHCARE #13 HOME INFUSION (530) 252-4065 2690 MAIN STREET SUSANVILLE CA 96130-0000 LASSEN

MADERA COUNTY

PROVIDER SPECIALTY PHONE ADDRESS CITY STATE ZIP COUNTY

MADERA ANESTHESIA CONSULTANTS INC ANESTHESIOLOGY (559) 675-5555 1250 E ALMOND AVE MADERA CA 93637-5606 MADERA

MADERA COMMUNITY FAMILY HEALTH SERVICES CLINIC (559) 675-5530 1210 E ALMOND AVE MADERA CA 93637-0000 MADERA

CHOWCHILLA MEDICAL CENTER CLINIC (559) 665-3768 285 HOSPITAL DRIVE CHOWCHILLA CA 93610-0000 MADERA

MADERA COMMUNITY HOSPITAL HOSPITAL (559) 675-5500 1250 E ALMOND AVE MADERA CA 93637-5606 MADERA

RAM K. CHILLAR, MD MEDICAL ONCOLOGY (559) 673-4600 360 E ALMOND AVE # 103 MADERA CA 93637-0000 MADERA

BASEM AZIZ, MD PHYSICAL MEDICINE & REHAB (559) 474-8445 1015 W YOSEMITE AVE MADERA CA 93637-0000 MADERA

EDWARD ALBERT BALBAS MD PHYSICAL MEDICINE & REHAB (559) 474-8445 1015 W YOSEMITE AVE MADERA CA 93637-0000 MADERA

FAJIE MA MD PHYSICAL MEDICINE & REHAB (559) 474-8445 1015 W YOSEMITE AVE MADERA CA 93637-0000 MADERA

FRANCIS PETER LAGATTUTA, MD PHYSICAL MEDICINE & REHAB (559) 474-8445 1015 W YOSEMITE AVE MADERA CA 93637-0000 MADERA

FREDERICK COMRIE, MD PHYSICAL MEDICINE & REHAB (559) 474-8445 1015 W YOSEMITE AVE MADERA CA 93637-0000 MADERA

IGOR GALAN MD PHYSICAL MEDICINE & REHAB (559) 474-8445 1015 W YOSEMITE AVE MADERA CA 93637-0000 MADERA

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CMSP Contracted Providers by County as of October 15, 2020

JUSTICE OTCHERE MD PHYSICAL MEDICINE & REHAB (559) 474-8445 1015 W YOSEMITE AVE MADERA CA 93637-0000 MADERA

KENDRA BROWN-WALKER MD PHYSICAL MEDICINE & REHAB (559) 474-8445 1015 W YOSEMITE AVE MADERA CA 93637-0000 MADERA

MAHENDRA NATH MD PHYSICAL MEDICINE & REHAB (559) 474-8445 1015 W YOSEMITE AVE MADERA CA 93637-0000 MADERA

MARISSA ARLENE OLEGARIO-NEBEL PHYSICAL MEDICINE & REHAB (559) 474-8445 1015 W YOSEMITE AVE MADERA CA 93637-0000 MADERA

MATTHEW G HADILAKSONO PHYSICAL MEDICINE & REHAB (559) 474-8445 1015 W YOSEMITE AVE MADERA CA 93637-0000 MADERA

WINSTON F MONTERO PHYSICAL MEDICINE & REHAB (559) 474-8445 1015 W YOSEMITE AVE MADERA CA 93637-0000 MADERA

ALIREZA MAHMOUDIEH, MD RADIATION ONCOLOGY (559) 673-4600 360 E ALMOND AVE # 103 MADERA CA 93637-0000 MADERA

MANOUCHEHR AZAD, MD RADIATION ONCOLOGY (559) 673-4600 360 E ALMOND AVE # 103 MADERA CA 93637-0000 MADERA

MARIN COUNTY

PROVIDER SPECIALTY PHONE ADDRESS CITY STATE ZIP COUNTY

BOLINAS FAMILY PRACTICE CLINIC (415) 868-0124 88 MESA RD BOLINAS CA 94924-9713 MARIN

COASTAL HEALTH ALLIANCE DENTAL CLINIC CLINIC (415) 787-1123 65 THIRD ST STE 13 POINT REYES STATION CA 94956-0000 MARIN

MARIN CITY HEALTH AND WELLNESS CENTER CLINIC (415) 339-8813 1601 2ND ST SAN RAFAEL CA 94901-2701 MARIN

MARIN COMMUNITY CLINIC- SAN RAFAEL CLINIC (415) 526-8500 3110 KERNER BLVD SAN RAFAEL CA 94901-0000 MARIN

MARIN COMMUNITY CLINIC- SAN RAFAEL CAMPUS CLINIC (415) 755-2500 3260 KERNER BLVD, SUITE A SAN RAFAEL CA 94901-0000 MARIN

MARIN COMMUNITY CLINIC- LARKSPUR CLINIC (415) 448-1595 5 BON AIR ROAD LARKSPUR CA 94939-0000 MARIN

MARIN COMMUNITY CLINIC- NOVATO CLINIC (415) 798-3133 6100 REDWOOD BLVD NOVATO CA 94945-0000 MARIN

MARIN COMMUNITY CLINIC- DENTAL CLINIC (415) 473-5450 411 FOURTH ST, SUITE A BLD 1 SAN RAFAEL CA 94901-0000 MARIN

POINT REYES MEDICAL CLINIC CLINIC (415) 663-8666 3 SIXTH ST POINT REYES STATION CA 94956-0910 MARIN

RITTER CENTER CLINIC (415) 457-8182 16 RITTER ST SAN RAFAEL CA 94901-3323 MARIN

MARIN GENERAL HOSPITAL HOSPITAL (415) 925-7000 250 BON AIR RD. GREENBAE CA 94904-0000 MARIN

MARIPOSA COUNTY

NAME SPECIALTY PHONE ADDRESS CITY STATE ZIP COUNTY

JOHN C FREMONT HEALTHCARE DISTRICT CLINIC (209) 966-2154 5186 HOSPITAL RD MARIPOSA CA 95338-9524 MARIPOSA

JOHN C FREMONT HEALTHCARE DISTRICT CLINIC (209) 966-0850 5189 HOSPITAL RD MARIPOSA CA 95338-9524 MARIPOSA

JOHN C FREMONT HEALTHCARE DISTRICT CLINIC (209) 878-0155 6386 GREELEY HILL RD COULTERVILLE CA 95311-9572 MARIPOSA

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CMSP Contracted Providers by County as of October 15, 2020

MENDOCINO COUNTY

PROVIDER SPECIALTY PHONE ADDRESS CITY STATE ZIP COUNTY

RONALD E GUTH, MD ANESTHESIOLOGY (707) 535-4300 275 HOSPITAL DRIVE UKIAH CA 95482-0000 MENDOCINO

JAIME MOLDEN, MD CARDIAC ELECTOPHYSIOLOGY (707) 463-8070 240 HOSPITAL DRIVE STE B UKIAH CA 95482-4558 MENDOCINO

JAIME MOLDEN, MD CARDIAC ELECTOPHYSIOLOGY (707) 463-8070 244 HOSPITAL DRIVE STE B UKIAH CA 95482-4557 MENDOCINO

ALLAN GARFIELD, MD CARDIOVASCULAR DISEASES (707) 463-8070 240 HOSPITAL DRIVE STE B UKIAH CA 95482-4558 MENDOCINO

ALLAN GARFIELD, MD CARDIOVASCULAR DISEASES (707) 463-8070 244 HOSPITAL DRIVE STE B UKIAH CA 95482-4557 MENDOCINO

BENJAMIN MEYER, MD CARDIOVASCULAR DISEASES (707) 463-8070 240 HOSPITAL DRIVE STE B UKIAH CA 95482-4558 MENDOCINO

BENJAMIN MEYER, MD CARDIOVASCULAR DISEASES (707) 463-8070 244 HOSPITAL DRIVE STE B UKIAH CA 95482-4557 MENDOCINO

BENJAMIN MEYER, MD CARDIOVASCULAR DISEASES (707) 459-6855 84 MADRONE ST WILLITS CA 95490-4249 MENDOCINO

GREGORY D. HOPKINS, MD CARDIOVASCULAR DISEASES (707) 463-8070 240 HOSPITAL DRIVE STE B UKIAH CA 95482-4558 MENDOCINO

GREGORY D. HOPKINS, MD CARDIOVASCULAR DISEASES (707) 463-8070 244 HOSPITAL DRIVE STE B UKIAH CA 95482-4557 MENDOCINO

GREGORY D. HOPKINS, MD CARDIOVASCULAR DISEASES (707) 937-1055 45081 LITTLE LAKE ST MENDOCINO CA 95460-0000 MENDOCINO

GREGORY D. HOPKINS, MD CARDIOVASCULAR DISEASES (707) 573-6166 46900 OCEAN DR GUALALA CA 95445-8353 MENDOCINO

MASIS BABAJANIAN, MD CARDIOVASCULAR DISEASES (707) 463-8070 240 HOSPITAL DRIVE STE B UKIAH CA 95482-4558 MENDOCINO

MASIS BABAJANIAN, MD CARDIOVASCULAR DISEASES (707) 463-8070 244 HOSPITAL DRIVE STE B UKIAH CA 95482-4557 MENDOCINO

MASIS BABAJANIAN, MD CARDIOVASCULAR DISEASES (707) 573-6166 721 RIVER DR STE A FORT BRAGG CA 95437-5402 MENDOCINO

NOEL EUSTAQUIO SANTO DOMINGO, MD CARDIOVASCULAR DISEASES (707) 463-8070 240 HOSPITAL DRIVE STE B UKIAH CA 95482-4558 MENDOCINO

NOEL EUSTAQUIO SANTO DOMINGO, MD CARDIOVASCULAR DISEASES (707) 463-8070 244 HOSPITAL DRIVE STE B UKIAH CA 95482-4557 MENDOCINO

NOEL EUSTAQUIO SANTO DOMINGO, MD CARDIOVASCULAR DISEASES (707) 573-6166 46900 OCEAN DR GUALALA CA 95445-8353 MENDOCINO

PATRICK S. COLEMAN, MD CARDIOVASCULAR DISEASES (707) 463-8070 240 HOSPITAL DRIVE STE B UKIAH CA 95482-4558 MENDOCINO

PATRICK S. COLEMAN, MD CARDIOVASCULAR DISEASES (707) 463-8070 244 HOSPITAL DRIVE STE B UKIAH CA 95482-4557 MENDOCINO

PATRICK S. COLEMAN, MD CARDIOVASCULAR DISEASES (707) 573-6166 46900 OCEAN DR GUALALA CA 95445-8353 MENDOCINO

REZA SEPEHRDAD, MD CARDIOVASCULAR DISEASES (707) 463-8070 240 HOSPITAL DRIVE STE B UKIAH CA 95482-4558 MENDOCINO

REZA SEPEHRDAD, MD CARDIOVASCULAR DISEASES (707) 463-8070 244 HOSPITAL DRIVE STE B UKIAH CA 95482-4557 MENDOCINO

THOMA E. DUNLAP, MD CARDIOVASCULAR DISEASES (707) 463-8070 240 HOSPITAL DRIVE STE B UKIAH CA 95482-4558 MENDOCINO

THOMA E. DUNLAP, MD CARDIOVASCULAR DISEASES (707) 463-8070 244 HOSPITAL DRIVE STE B UKIAH CA 95482-4557 MENDOCINO

THOMA E. DUNLAP, MD CARDIOVASCULAR DISEASES (707) 459-6855 84 MADRONE ST WILLITS CA 95490-4249 MENDOCINO

ANDERSON VALLEY HEALTH CENTER CLINIC (707) 895-3477 13500 AIRPORT RD BOONVILLE CA 95415-0000 MENDOCINO

CONSOLIDATED TRIBAL HEALTH PROJECT CLINIC (707) 485-5115 6991 N STATE ST REDWOOD VALLEY CA 95470-9629 MENDOCINO

LITTLE LAKE HEALTH CENTER CLINIC (707) 456-9600 45 HAZEL ST WILLITS CA 95490-4222 MENDOCINO

LONG VALLEY HEALTH CENTER CLINIC (707) 984-6131 50 BRANSCOMB RD LAYTONVILLE CA 95454-0000 MENDOCINO

MENDOCINO COAST CLINIC CLINIC (707) 964-1251 205 SOUTH ST FORT BRAGG CA 95437-5540 MENDOCINO

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CMSP Contracted Providers by County as of October 15, 2020

MENDOCINO COAST CLINICS CLINIC (707) 964-1251 855 SEQUOIA CIR FORT BRAGG CA 95437-5540 MENDOCINO

MENDOCINO COMMUNITY HEALTH – DORA A1 CLINIC (707) 468-1015 1165 SOUTH DORA STREET #A1 UKIAH CA 95482-6353 MENDOCINO

MENDOCINO COMMUNITY HEALTH – DORA B1 CLINIC (707) 468-1015 1165 SOUTH DORA ST STE#B1 UKIAH CA 95482-8325 MENDOCINO

MENDOCINO COMMUNITY HEALTH CLINIC CLINIC (707) 468-1010 333 LAWS AVE UKIAH CA 95482-6540 MENDOCINO

LINDA K. JAMES, M.D. GENERAL SURGERY (707) 964-6910 721 RIVER DR FORT BRAGG CA 95437-0000 MENDOCINO

BRADLEY T. CLAIR, MD OPHTHALMOLOGY (707) 463-8070 244 HOSPITAL DRIVE STE B UKIAH CA 95482-4557 MENDOCINO

PACIFIC PHYSICAL THERAPY PHYSICAL THERAPY (707) 964-1208 121 BOATYARD DR FORT BRAGG CA 95437-5751 MENDOCINO

RUSSELL PERRY MD RADIOLOGY (707) 261-7824 700 RIVER DR FORT BRAGG CA 95437-5403 MENDOCINO

JAMES MARCO STEELE, MD SLEEP MEDICINE (707) 462-1516 153 W SPRUCE ST FORT BRAGG CA 95437-3024 MENDOCINO

JAMES MARCO STEELE, MD SLEEP MEDICINE (707) 462-1516 620 S DORA ST STE 102 WEST UKIAH CA 95482-5478 MENDOCINO

MODOC COUNTY

PROVIDER SPECIALTY PHONE ADDRESS CITY STATE ZIP COUNTY

CANBY FAMILY PRACTICE CLINIC CLINIC (530) 708-8915 670 COUNTY RD CANBY CA 96015-9722 MODOC

SURPRISE VALLEY HEALTHCARE DISTRICT CLINIC (530) 279-6111 741 N MAIN STREET CEDARVILLE CA 96104-0000 MODOC

MODOC MEDICAL CENTER HOSPITAL (530) 233-7052 228 W MCDOWELL AVE ALTURAS CA 96101-3934 MODOC

MONO COUNTY

PROVIDER SPECIALTY PHONE ADDRESS CITY STATE ZIP COUNTY

BRIDGEPORT FAMILY MEDICINE CLINIC CLINIC (760) 934-3311 221 TWIN LAKES ROAD BRIDGEPORT CA 93517-0000 MONO

RURAL HEALTH CLINIC MAMMOTH CLINIC (760) 934-3311 85 SIERRA PARK ROAD MAMMOTH LAKES CA 93546-0000 MONO

FROHAR BAHIRAEI, MD GENERAL SURGERY (760) 934-3311 85 SIERRA PARK ROAD MAMMOTH LAKES CA 93546-0000 MONO

KENNETH DECK, MD GENERAL SURGERY (760) 934-3311 85 SIERRA PARK ROAD MAMMOTH LAKES CA 93546-0000 MONO

BRYAN FANDRICH, MD GENERAL SURGERY (760) 934-3311 85 SIERRA PARK ROAD MAMMOTH LAKES CA 93546-0000 MONO

RICHARD KOEHLER, MD GENERAL SURGERY (760) 934-3311 85 SIERRA PARK ROAD MAMMOTH LAKES CA 93546-0000 MONO

MAMMOTH HOSPITAL HOSPITAL (760) 934-3311 85 SEIRRA PARK ROAD MAMMOTH LAKES CA 00009-3546 MONO

AUDREY PAULY, MD OBSTETRICS & GYNECOLGY (760) 934-3311 85 SIERRA PARK ROAD MAMMOTH LAKES CA 93546-0000 MONO

WILLIAM WHITE, MD OBSTETRICS & GYNECOLGY (760) 934-3311 85 SIERRA PARK ROAD MAMMOTH LAKES CA 93546-0000 MONO

MAMMOTH PHYSICAL AND OCCUPATIONAL THERAPY OCCUPATIONAL THERAPY (760) 934-3311 162 SOUTH MAIN STREET BISHOP CA 93514-0000 MONO

RICHARD BROWN, MD ORTHOPEDIC SURGERY (760) 934-3311 162 SOUTH MAIN STREET BISHOP CA 93514-0000 MONO

TIMOTHY CRALL, MD ORTHOPEDIC SURGERY (760) 934-3311 162 SOUTH MAIN STREET BISHOP CA 93514-0000 MONO

DAVID DALSTROM, MD ORTHOPEDIC SURGERY (760) 934-3311 162 SOUTH MAIN STREET BISHOP CA 93514-0000 MONO

BRIAN GILMER, MD ORTHOPEDIC SURGERY (760) 934-3311 162 SOUTH MAIN STREET BISHOP CA 93514-0000 MONO

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CMSP Contracted Providers by County as of October 15, 2020

DAVID HACKLEY, MD ORTHOPEDIC SURGERY (760) 934-3311 162 SOUTH MAIN STREET BISHOP CA 93514-0000 MONO

MICHAEL KARCH, MD ORTHOPEDIC SURGERY (760) 934-3311 162 SOUTH MAIN STREET BISHOP CA 93514-0000 MONO

RICHARD THUNDER, MD ORTHOPEDIC SURGERY (760) 934-3311 162 SOUTH MAIN STREET BISHOP CA 93514-0000 MONO

RICHARD BROWN, MD ORTHOPEDIC SURGERY (760) 934-3311 85 SIERRA PARK ROAD MAMMOTH LAKES CA 93546-0000 MONO

TIMOTHY CRALL, MD ORTHOPEDIC SURGERY (760) 934-3311 85 SIERRA PARK ROAD MAMMOTH LAKES CA 93546-0000 MONO

DAVID DALSTROM, MD ORTHOPEDIC SURGERY (760) 934-3311 85 SIERRA PARK ROAD MAMMOTH LAKES CA 93546-0000 MONO

BRIAN GILMER, MD ORTHOPEDIC SURGERY (760) 934-3311 85 SIERRA PARK ROAD MAMMOTH LAKES CA 93546-0000 MONO

MICHAEL KARCH, MD ORTHOPEDIC SURGERY (760) 934-3311 85 SIERRA PARK ROAD MAMMOTH LAKES CA 93546-0000 MONO

DAVID HACKLEY, MD ORTHOPEDIC SURGERY (760) 934-3311 85 SIERRA PARK ROAD MAMMOTH LAKES CA 93546-0000 MONO

RICHARD THUNDER, MD ORTHOPEDIC SURGERY (760) 934-3311 85 SIERRA PARK ROAD MAMMOTH LAKES CA 93546-0000 MONO

EDRIC WILLES, MD PATHOLOGY (760) 934-3311 85 SIERRA PARK ROAD MAMMOTH LAKES CA 93546-0000 MONO

MAMMOTH PHYSICAL AND OCCUPATIONAL THERAPY PHYSICAL THERAPY (760) 934-3311 162 SOUTH MAIN STREET BISHOP CA 93514-0000 MONO

MARIANNE CUTTIC, DPM PODIATRY (760) 934-3311 85 SIERRA PARK ROAD MAMMOTH LAKES CA 93546-0000 MONO

MELVIN CHERN, MD RADIOLOGY (760) 934-3311 85 SIERRA PARK ROAD MAMMOTH LAKES CA 93546-0000 MONO

DONALD HARRELL, MD RADIOLOGY (760) 934-3311 85 SIERRA PARK ROAD MAMMOTH LAKES CA 93546-0000 MONO

YURI PARISKY, MD RADIOLOGY (760) 934-3311 85 SIERRA PARK ROAD MAMMOTH LAKES CA 93546-0000 MONO

TOMI BORTOLAZZO, MD UROLOGY (760) 934-3311 85 SIERRA PARK ROAD MAMMOTH LAKES CA 93546-0000 MONO

NAPA COUNTY

PROVIDER SPECIALTY PHONE ADDRESS CITY STATE ZIP COUNTY

LYONS HUBER ANESTHESIA A MEDICAL CORPORATION ANESTHESIOLOGY (209) 956-7725 10 WOODLAND RD SAINT HELENA CA 94574-9554 NAPA

COMMUNITY HEALTH CLINIC OLE - CALISTOGA CLINIC (707) 709-2308 911 WASHINGTON ST CALISTOGA CA 94515-1433 NAPA

COMMUNITY HEALTH CLINIC OLE - COUNTY CAMPUS CLINIC (707) 265-8785 2751 NAPA VALLEY CORPORATE DR NAPA CA 94558-6216 NAPA

COMMUNITY HEALTH CLINIC OLE- PEAR TREE LANE CLINIC (707) 254-1770 1141 PEAR TREE LN NAPA CA 94558-6443 NAPA

COMMUNITY HEALTH CLINIC OLE - SAINT HELENA CLINIC (707) 963-0931 1222 PINE ST SAINT HELENA CA 94574-2004 NAPA

COMMUNITY HEALTH CLINIC OLE - SOUTH NAPA CAMPUS CLINIC (707) 257-7821 300 HARTLE COURT NAPA CA 94559-4078 NAPA

COMMUNITY HEALTH CLINIC OLE- SOUTH NAPA SHELTER CLINIC (707) 299-1739 100 HARTLE CT NAPA CA 94559-4020 NAPA

AAA VINTAGE GASES, INC. DBA PINER'S MEDICAL SUPPLY DURABLE MEDICAL EQUIPMENT (707) 224-7921 907 TRANCAS ST. NAPA CA 94558-0000 NAPA

ROBERT EGAN, MD NEUROLOGY (707) 252-2020 895 TRANCAS ST NAPA CA 94558-3040 NAPA

DAVID SUNGMIN KIM, MD OPHTHALMOLOGY (707) 252-2020 895 TRANCAS ST NAPA CA 94558-3040 NAPA

RICHJARD A. BELLER, MD OPHTHALMOLOGY (707) 252-2020 895 TRANCAS ST NAPA CA 94558-3040 NAPA

PAUL KUN ROW, MD OPHTHALMOLOGY (707) 252-2020 895 TRANCAS ST NAPA CA 94558-3040 NAPA

RICHARD ANTHONY BELLER, MD OPHTHALMOLOGY (707) 252-2020 895 TRANCAS ST NAPA CA 94558-3040 NAPA

RONA ZEL SILKISS, MD PLASTIC SURGERY (707) 252-2020 895 TRANCAS ST NAPA CA 94558-3040 NAPA

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CMSP Contracted Providers by County as of October 15, 2020

VALLEY RADIOLOGICAL ASSOC MED GRP RADIOLOGY (707) 261-7821 10 WOODLAND RD ST HELENA CA 94574-9554 NAPA

NEVADA COUNTY

PROVIDER SPECIALTY PHONE ADDRESS CITY STATE ZIP COUNTY

WESTERN SIERRA MEDICAL CLINIC CLINIC (530) 274-9762 844 OLD TUNNEL RD GRASS VALLEY CA 95945-8524 NEVADA

NORTHERN CALIFORNIA PET IMAGING CENTER DIAGNOSTIC RADIOLOGY (916) 737-3211 155 GLASSON WAY GRASS VALLEY CA 95945-0000 NEVADA

TODD BULLOCK DBA SIERRA PROSTHETICS-ORTHOTICS DURABLE MEDICAL EQUIPMENT (530) 477- 1004 138 JOERSCHKE DR. GRASS VALLEY CA 95945-0000 NEVADA

TODD BULLOCK DBA SIERRA PROSTHETICS-ORTHOTICS DURABLE MEDICAL EQUIPMENT (530) 885-9922 3227 PROFESSIONAL DR., SUITE B AUBURN CA 95602 NEVADA

PLUMAS COUNTY

PROVIDER SPECIALTY PHONE ADDRESS CITY STATE ZIP COUNTY

GRAEAGLE MEDICAL CLINIC CLINIC (530) 836-1122 7597 STATE HWY GRAEAGLE CA 96103-9999 PLUMAS

PORTOLA MEDICAL/DENTAL CLINIC CLINIC (530) 832-6500 480 1ST AVE PORTOLA CA 96122-9405 PLUMAS

SENECA HEALTHCARE DISTRICT CLINIC (530) 258-2151 199 REYNOLDS RD CHESTER CA 96020-0000 PLUMAS

PLUMAS DISTRICT HOSPITAL HOSPITAL (530) 288-7400 1065 BUCKS LAKE RD QUINCY CA 95971-0000 PLUMAS

SAN BENITO COUNTY

PROVIDER SPECIALTY PHONE ADDRESS CITY STATE ZIP COUNTY

HAZEL HAWKINS MEMORIAL HOSPITAL HOSPITAL (831) 636-2626 911 SUNSET DR HOLLISTER CA 95023-5606 SAN BENITO

MABIE SAN JUAN HEALTHCARE CLINIC (831) 636- 3277 991 FOURTH STREET HOLLISTER CA 95023-3424 SAN BENITO

MABIE 1ST STREET HEALTHCARE CLINIC (831) 638-1652 321 1ST STREET HOLLISTER CA 95023-3712 SAN BENITO

SAN BENITO COMMUNITY HEALTH CLINIC CLINIC (831) 36-2664 930 SUNSET DR HOLLISTER CA 95023-5780 SAN BENITO

HAZEL HAWKINS HEALTH CLINIC CLINIC (831) 623-4615 301 THE ALAMEDA SUITE B-3 SAN JUAN BAUTISTA CA 95045-9746 SAN BENITO

SAN BENITO HEALTH FOUNDATION CLINIC (831) 637-6871 351 FELICE DR HOLLISTER CA 95023-0000 SAN BENITO

SHASTA COUNTY

PROVIDER SPECIALTY PHONE ADDRESS CITY STATE ZIP COUNTY

FAR NORTHERN ANESTHESIA CONSULTANTS ANESTHESIOLOGY (209) 956-7725 1100 BUTTE ST REDDING CA 96001-0852 SHASTA

ANDERSON FAMILY HEALTH & DENTAL CENTER CLINIC (530) 378-0486 2965 EAST ST ANDERSON CA 96007-3481 SHASTA

BURNEY HEALTH CENTER CLINIC (530) 335-5457 37491 ENTERPRISE DR BURNEY CA 96013-4379 SHASTA

FALL RIVER VALLEY HEALTH CENTER CLINIC (530) 336-6535 43563 HWY 299 FALL RIVER MILLS CA 96028-9999 SHASTA

HILL COUNTRY COMMUNITY CLINIC CLINIC (530) 337-5750 29632 HWY 299 ROUND MOUNTAIN CA 96084-0228 SHASTA

HILL COUNTRY COMMUNITY CLINIC CLINIC (530) 241-4100 317 LAKE BLVD REDDING` CA 96003-2804 SHASTA

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CMSP Contracted Providers by County as of October 15, 2020

HILL COUNTRY COMMUNITY CLINIC CLINIC (530) 241-4100 351 NORTHPOINT DR REDDING CA 96003-2502 SHASTA

SHASTA COMMUNITY HEALTH CENTER CLINIC (530) 246-5796 1035 PLACER ST REDDING CA 96001-0000 SHASTA

SHASTA COMMUNITY MATERNITY CENTER CLINIC (530) 225-7480 1900 RAILROAD AVE REDDING CA 96001-1125 SHASTA

SHASTA COMMUNITY HEALTH AND DENTAL CENTER -REDDING DENTAL CENTER CLINIC (530) 242-1957 1400 MARKET ST SUITE 8103 REDDING CA 96001-0000 SHASTA

SHASTA LAKE FAMILY HEALTH & DENTAL CENTER CLINIC (530) 276-9168 4215 FRONT ST CITY OF SHASTA LAKE CA 96019-0000 SHASTA

SHINGLETOWN MEDICAL CENTER CLINIC (530) 474-3390 31292 ALPINE MEADOWS RD SHINGLETOWN CA 96088-0000 SHASTA

SHASTA COUNTY MENTAL HEALTH PSYCHIATRY (530) 225-5200 2640 BRESLAUER WAY REDDING CA 96001-0000 SHASTA

PATIENTS HOSPITAL OF REDDING HOSPITAL (530) 225-8700 2900 EUREKA WY REDDING CA 96001-0220 SHASTA

SHASTA REGIONAL MEDICAL CENTER HOSPITAL (530) 244-5400 1100 BUTTE ST REDDING CA 96001-0000 SHASTA

OWENS HEALTHCARE #9 HOME INFUSION (530) 225-8898 2025 COURT ST., STE D REDDING CA 96001-0000 SHASTA

OWENS HEALTHCARE # 11 HOME INFUSION (530) 241-7573 2950 RAILROAD AVE REDDING CA 96001-0000 SHASTA

NUCLEAR MEDICINE ASSOCIATES NUCLEAR MEDICINE (530) 247-8147 1950 COURT ST REDDING CA 96001-0000 SHASTA

MICHAEL MIKULECKY, MD ORTHOPEDIC SURGERY (530) 242-1266 2662 EDITH AVE REDDING CA 96099-0000 SHASTA

SHASTA PATHOLOGY ASSOCIATES PATHOLOGY (530) 255-1000 2036 RAILROAD AVE REDDING CA 96001-0000 SHASTA

ADVANCED IMAGING OF REDDING, INC. RADIOLOGY (530) 226-1800 2380 BECHELLI LANE REDDING CA 96002-0000 SHASTA

REGIONAL RADIOLOGICAL ASSOCIATES INC RADIOLOGY (530) 241-0473 1100 BUTTE ST REDDING CA 96001-0852 SHASTA

REGIONAL RADIOLOGICAL ASSOCIATES INC RADIOLOGY (530) 241-0473 2175 ROSALINE AVE REDDING CA 96001-2509 SHASTA

ANTHONY M THIJSSEN MD UROLOGY (530) 229-7503 2510 AIRPARK DR REDDING CA 96001-2461 SHASTA

SIERRA COUNTY

PROVIDER SPECIALTY PHONE ADDRESS CITY STATE ZIP COUNTY

EASTERN PLUMAS HOSPITAL-LOYALTON MEDICAL CLINIC (530) 832-6500 725 THIRD ST LOYALTON CA 96118-9999 SIERRA

WESTERN SIERRA MEDICAL CLINIC CLINIC (530) 289-3298 209 NEVADA ST DOWNIEVILLE CA 95936-0286 SIERRA

SISKIYOU COUNTY

PROVIDER SPECIALTY PHONE ADDRESS CITY STATE ZIP COUNTY

ANAV TRIBAL HEALTH CLINIC CLINIC (530) 468-4470 13601 QUARTZ VALLEY RD FORT JONES CA 96032-9714 SISKIYOU

BUTTE VALLEY HEALTH CENTER CLINIC (530) 397-8411 610 W THIRD ST DORRIS CA 96023-9999 SISKIYOU

FAIRCHILD MEDICAL CLINIC CLINIC (530) 842-3507 475 BRUCE ST YREKA CA 96097-0000 SISKIYOU

TULELAKE HEALTH CENTER CLINIC (530) 667-2285 498 MAIN ST TULELAKE CA 96134-9999 SISKIYOU

FAIRCHILD MEDICAL CLINIC HOSPITAL (530) 842-4121 444 BRUCE ST YREKA CA 96097-0000 SISKIYOU

STEVEN LESLIE NELSON, MD GENERAL SURGERY (530) 842-7297 814 N MAIN ST YREKA CA 96097-0000 SISKIYOU

MICHAEL MALONEY, MD RADIOLOGY (530) 842-7297 444 BRUCE ST YREKA CA 96097-3450 SISKIYOU

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CMSP Contracted Providers by County as of October 15, 2020

SOLANO COUNTY

PROVIDER SPECIALTY PHONE ADDRESS CITY STATE ZIP COUNTY

SOLANO ANESTHESIA CONSULTANTS INC ANESTHESIOLOGY (707) 432-2700 2700 LOW CT FAIRLFIELD CA 94534-2574 SOLANO

SOLANO ANESTHESIA CONSULTANTS INC ANESTHESIOLOGY (707) 554-4444 300 HOSPITAL DR VALLEJO CA 94589-2574 SOLANO

COMMUNITY HEALTH CLINIC OLE - EAST FAIRFIELD CLINIC (707) 419-8990 1101 B GALE WILSON BLVD STE 101C FAIRFIELD CA 94533-3771 SOLANO

COMMUNITY HEALTH CLINIC OLE - FAIRFIELD CLINIC (707) 419-8989 470 CHADBOURNE RD SUITE A FAIRFIELD CA 94534-9600 SOLANO

COMMUNITY MEDICAL CENTERS, INC- VACAVILLE CLINIC (707) 359-1800 600 NUT TREE ROAD STE 310 VACAVILLE CA 95687-0000 SOLANO

COMMUNITY MEDICAL CENTERS, INC- DIXON CLINIC (707) 635-1600 131 W A STREET DIXON CA 95620-0000 SOLANO

FAIRFIELD DENTAL HEALTH SERVICES CLINIC (707) 784-2120 2101 COURAGE DR FARIFIELD CA 94533-6804 SOLANO

FAIRFIELD FAMILY HEALTH SERVICES CLINIC (707) 784-2010 2201 COURAGE DR FAIRFIELD CA 94533-6733 SOLANO

FAIRFIELD MISSION SOLANO CLINIC (707) 784-2010 740 TRAVIS BLVD FAIRFIELD CA 94533-5038 SOLANO

FAIRFIELD PEDIATRIC HEALTH SERVICES CLINIC (707) 784-2040 740 TRAVIS BLVD FAIRFIELD CA 94533-5038 SOLANO

FAIRFIELD PRIMARY CARE VAN CLINIC (707) 784-2120 2101 COURAGE DR FARIFIELD CA 94533-6804 SOLANO

VACAVILLE DENTAL HEALTH SERVICES CLINIC (707) 469-4670 1119 E MONTE VISTA AVE VACAVILLE CA 95688-3009 SOLANO

VACAVILLE FAMILY HEALTH SERVICES CLINIC (707) 469-4640 1119 E MONTE VISTA AVE VACAVILLE CA 95688-3009 SOLANO

VALLEJO DENTAL HEALTH SERVICES CLINIC (707) 553-5509 365 TUOLUMNE ST VALLEJO CA 94590-5700 SOLANO

VALLEJO FAMILY HEALTH SERVICES CLINIC (707) 553-5509 365 TUOLUMNE ST VALLEJO CA 94590-5700 SOLANO

VALLEJO SUCCESS CENTER CLINIC (707) 553-5509 1055 AZUAR AVE VALLEJO CA 94592-1041 SOLANO

LA CLINICA NORTH VALLEJO CLINIC (707) 641-1900 220 HOSPITAL DR VALLEJO CA 94589-2517 SOLANO

LA CLINICA VALLEJO CLINIC (707) 556-8100 243 GEORGIA ST VALLEJO CA 94590-5905 SOLANO

LA CLINICA VALLEJO DENTAL CLINIC (707) 558-2000 2920A SONOMA BLVD VALLEJO CA 94590-3879 SOLANO

LA CLINICA VALLEJO GREAT BEGINNINGS CLINIC (707) 645-7316 210 HOSPITAL DR VALLEJO CA 94589-2517 SOLANO

RESTORE ORTHOTICS AND PROSTHETICS AND TOTAL CARE DURABLE MEDICAL EQUIPMENT (916) 986-9722 1350 BURTON DRIVE STE 210 VACAVILLE CA 95687-0000 SOLANO

SUPER CARE INC DBA SUPERCARE HEALTH DURABLE MEDICAL EQUIPMENT (888) 260-2550 505 WATT DR STE 3 FAIRFIELD CA 94534-0000 SOLANO

NORTHERN CALIFORNIA PET IMAGING CENTER DIAGNOSTIC RADIOLOGY (916) 737-3211 300 HOSPITAL WAY VALLEJO CA 94589-0000 SOLANO

CHAINARONG LIMVARAPUSS, MD HEMATOLOGY-ONCOLOGY (707) 551-3300 100 HOSPITAL DR STE 110 VALLEJO CA 94589-0000 SOLANO

WALAILUK CHAIYARAT, MD HEMATOLOGY-ONCOLOGY (707) 551-3300 100 HOSPITAL DR STE 110 VALLEJO CA 94589-0000 SOLANO

ANN WEXLER, MD HEMATOLOGY-ONCOLOGY (707) 551-3300 100 HOSPITAL DR STE 110 VALLEJO CA 94589-0000 SOLANO

CHAINARONG LIMVARAPUSS, MD HEMATOLOGY-ONCOLOGY (707) 551-3300 1360 BURTON DR STE 170 VACAVILLE CA 95687-0000 SOLANO

WALAILUK CHAIYARAT, MD HEMATOLOGY-ONCOLOGY (707) 551-3300 1360 BURTON DR STE 170 VACAVILLE CA 95687-0000 SOLANO

ANN WEXLER, MD HEMATOLOGY-ONCOLOGY (707) 551-3300 1360 BURTON DR STE 170 VACAVILLE CA 95687-0000 SOLANO

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CMSP Contracted Providers by County as of October 15, 2020

SONOMA COUNTY

PROVIDER SPECIALTY PHONE ADDRESS CITY STATE ZIP COUNTY

JAIME MOLDEN, MD CARDIAC ELECTOPHYSIOLOGY (707) 573-6166 3536 MENDOCINO AVE STE 200 SANTA ROSA CA 95403-3634 SONOMA

ALLAN GARFIELD, MD CARDIOVASCULAR DISEASES (707) 573-6166 3536 MENDOCINO AVE STE 200 SANTA ROSA CA 95403-3634 SONOMA

ALLAN GARFIELD, MD CARDIOVASCULAR DISEASES (707) 573-6166 717 CENTER ST HEALDSBURG CA 95448-3604 SONOMA

GREGORY D. HOPKINS, MD CARDIOVASCULAR DISEASES (707) 573-6166 3536 MENDOCINO AVE STE 200 SANTA ROSA CA 95403-3634 SONOMA

GREGORY D. HOPKINS, MD CARDIOVASCULAR DISEASES (707) 573-6166 717 CENTER ST HEALDSBURG CA 95448-3604 SONOMA

HARENDRA K. PUNATAR, MD CARDIOVASCULAR DISEASES (707) 573-6166 3536 MENDOCINO AVE STE 200 SANTA ROSA CA 95403-3634 SONOMA

HARENDRA K. PUNATAR, MD CARDIOVASCULAR DISEASES (707) 778-8421 719 SOUTHPOINT BLVD STE B PETALUMA CA 94954-1495 SONOMA

RAYMOND E. ERNY, MD CARDIOVASCULAR DISEASES (707) 778-8421 719 SOUTHPOINT BLVD STE B PETALUMA CA 95954-1495 SONOMA

KENNETH LEHRMAN, MD CARDIOVASCULAR DISEASES (707) 778-8421 719 SOUTHPOINT BLVD STE B PETALUMA CA 95954-1495 SONOMA

MASIS BABAJANIAN, MD CARDIOVASCULAR DISEASES (707) 573-6166 3536 MENDOCINO AVE STE 200 SANTA ROSA CA 95403-3634 SONOMA

MASIS BABAJANIAN, MD CARDIOVASCULAR DISEASES (707) 573-6166 717 CENTER ST HEALDSBURG CA 95448-3604 SONOMA

NOEL EUSTAQUIO SANTO DOMINGO, MD CARDIOVASCULAR DISEASES (707) 573-6166 3536 MENDOCINO AVE STE 200 SANTA ROSA CA 95403-3634 SONOMA

PATRICK S. COLEMAN, MD CARDIOVASCULAR DISEASES (707) 573-6166 3536 MENDOCINO AVE STE 200 SANTA ROSA CA 95403-3634 SONOMA

PATRICK S. COLEMAN, MD CARDIOVASCULAR DISEASES (707) 573-6166 717 CENTER ST HEALDSBURG CA 95448-3604 SONOMA

PATRICK G. DEVLIN, MD CARDIOVASCULAR DISEASES (707) 545-7300 1111 SONOMA AVE STE 302 SANTA ROSA CA 95405-0000 SONOMA

REZA SEPEHRDAD, MD CARDIOVASCULAR DISEASES (707) 573-6166 3536 MENDOCINO AVE SANTA ROSA CA 95403-3634 SONOMA

THOMAS E. DUNLAP, MD CARDIOVASCULAR DISEASES (707) 573-6166 3536 MENDOCINO AVE STE 200 SANTA ROSA CA 95403-3634 SONOMA

THOMAS E. DUNLAP, MD CARDIOVASCULAR DISEASES (707) 573-6166 558 THIRD ST W SONOMA CA 95476-6502 SONOMA

THOMAS E. DUNLAP, MD CARDIOVASCULAR DISEASES (707) 573-6166 717 CENTER ST HEALDSBURG CA 95448-3604 SONOMA

VISHAL GOYAL, MD CARDIOVASCULAR DISEASES (707) 573-6150 30 MARK WEST SPRINGS RD SANTA ROSA CA 95403-1436 SONOMA

ALEXANDER VALLEY HEALTHCARE CLINIC (707) 894-4229 6 TARMAN DR CLOVERDALE CA 95425-3932 SONOMA

ALLIANCE MEDICAL CENTER - HEALDSBURG CLINIC (707) 687-2498 1381 UNIVERSITY ST HEALDSBURG CA 95448-3314 SONOMA

ALLIANCE MEDICAL CENTER - WINDSOR CLINIC (707) 687-2498 8465 OLD REDWOOD HWY WINDSOR CA 95492-8090 SONOMA

BROOKWOOD HEALTH CENTER CLINIC (707) 583-8700 983 SONOMA AVE SANTA ROSA CA 95404-4818 SONOMA

PETALUMA HEALTH CENTER CLINIC (707) 559-7500 1179 N MCDOWELL BLVD PETALUMA CA 94954-6559 SONOMA

ROHNERT PARK HEALTH CENTER CLINIC (707) 554-7600 5900 STATE FARM DR ROHNERT PK CA 94928-2149 SONOMA

SONOMA VALLEY COMMUNITY HEALTH CENTER CLINIC (707) 939-6070 19270 SONOMA HWY SONOMA CA 95476-5414 SONOMA

SOUTHWEST COMMUNITY HEALTH CENTER CLINIC (707) 547-2220 751 LOMBARDI CT SANTA ROSA CA 95407-5454 SONOMA

VISTA FAMILY HEALTH CENTER CLINIC (707) 303-3600 3569 ROUND BARN CIR SANTA ROSA CA 95403-5781 SONOMA

OCCIDENTAL AREA HEALTH CENTER CLINIC (707) 874-2444 3802 MAIN ST OCCIDENTAL CA 95465-0000 SONOMA

RUSSIAN RIVER HEALTH CENTER CLINIC (707) 869-2933 16312 3RD ST GUERNEVILLE CA 95446-0000 SONOMA

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CMSP Contracted Providers by County as of October 15, 2020

RUSSIAN RIVER HEALTH CENTER CLINIC (707) 869-2849 16319 3RD ST GUERNEVILLE CA 95446-0000 SONOMA

GRAVENSTEIN COMMUNITY HEALTH CENTER CLINIC (707) 823-3166 652 PETALUMA AVE STE H SEBASTOPOL CA 95472-0000 SONOMA

SEBASTOPOL COMMUNITY HEALTH CENTER CLINIC (707) 824-9999 6800 PALM AVE STE C SEBASTOPOL CA 95472-0000 SONOMA

ELSIE ALLEN CAMPUS CLINIC (707) 583-8777 599 BELLEVUE AVE STE G17 SANTA ROSA CA 95407-0000 SONOMA

DUTTON CAMPUS CLINIC (707) 303-3600 1300 N DUTTON AVE SANTA ROSA CA 95401-0000 SONOMA

PEDIATRIC CAMPUS CLINIC (707) 578-2005 711 STONY POINT ROAD, SUITE 17 SANTA ROSA CA 95407-0000 SONOMA

THE BRIDGE CAMPUS CLINIC (707) 565-4910 2235 CHALLENGER WAY SUITE 109 SANTA ROSA CA 95407-5421 SONOMA

DENTAL CAMPUS CLINIC (707) 303-3395 1110 N DUTTON AVE SANTA ROSA CA 95401-0000 SONOMA

SUPER CARE INC DBA SUPERCARE HEALTH DURABLE MEDICAL EQUIPMENT (888) 260-2550 399 BUSINESS PARK CT STE 403 WINDSOR CA 95492-0000 SONOMA

HEALDSBURG DISTRICT HOSPITAL HOSPITAL (707) 431-6500 1375 UNIVERSITY AVE HEALDSBURG CA 95448-0000 SONOMA

SONOMA WEST MEDICAL CENTER HOSPITAL (707) 823-8511 501 PETALUMA AVE SEBASTOPOL CA 95472-0000 SONOMA

SONOMA VALLEY HOSPITAL HOSPITAL (707) 935-5000 347 ANDRIEUX STREET SONOMA CA 95476-0000 SONOMA

SABRINA KIDD, MD GENERAL SURGERY (707) 931-4205 462 WEST NAPA ST SONOMA CA 95476-6519 SONOMA

ABDUL KEZIN HARRIS, MD GENERAL SURGERY (707) 579-2100 1165 MONTGOMERY DR SANTA ROSA CA 95405-4801 SONOMA

BRIAN FREDERICK SCHMIDT, MD GENERAL SURGERY (707) 579-2100 1704 4TH ST STE 200 SANTA ROSA CA 95404-3661 SONOMA

CHRIS ANTHONY KOSAKOWSKI, MD GENERAL SURGERY (707) 579-5520 1165 MONTGOMERY DR SANTA ROSA CA 95405-4801 SONOMA

MOHAMMAD H MIR-SEPASI MD GENERAL SURGERY (707) 887-0872 30 MARK W SPRINGS RD SANTA ROSA CA 95403-1436 SONOMA

HEALDSBURG DISTRICT HOSPITAL MULTI-SPECIALTY GROUP (707) 413-6500 1375 UNIVERSITY AVE HEALDSBURG CA 95448-0000 SONOMA

BENJAMIN FRITZ, MD NEPHROLOGY (707) 526-2027 2301 CIRCADIAN WAY STE A SANTA ROSA CA 95407-0000 SONOMA

CARL WILSON, MD NEPHROLOGY (707) 527-9510 435 DOYLE PARK DR SANTA ROSA CA 95405-4515 SONOMA

ERIC CHEUNG, MD NEPHROLOGY (707) 526-2027 2301 CIRCADIAN WAY STE A SANTA ROSA CA 95407-0000 SONOMA

SALVADOR FEDERICO CALAF, MD NEPHROLOGY (707) 526-2027 2301 CIRCADIAN WAY STE A SANTA ROSA CA 95407-0000 SONOMA

GOPA GREEN, MD NEPHROLOGY (707) 526-2027 2301 CIRCADIAN WAY STE A SANTA ROSA CA 95407-0000 SONOMA

GOPA GREEN, MD NEPHROLOGY (707) 887-0872 30 MARK W SPRINGS RD SANTA ROSA CA 95403-1436 SONOMA

JAMES ROBERTSON, MD NEPHROLOGY (707) 526-2027 2301 CIRCADIAN WAY STE A SANTA ROSA CA 95407-0000 SONOMA

SALVADOR FEDERICO CALAF, MD NEPHROLOGY (707) 887-0872 30 MARK W SPRINGS RD SANTA ROSA CA 95403-1436 SONOMA

AMITA KACHRU, MD OBSTETRICS & GYNECOLGY (707) 579-1105 500 DOYLE PARK DR STE 103 SANTA ROSA CA 95405-4559 SONOMA

LELA MARYAM EMAD, MD OBSTETRICS & GYNECOLGY (707) 579-1102 500 DOYLE PARK DR STE 103 SANTA ROSA CA 95405-4559 SONOMA

SHAZAH KHAWAJA, MD OBSTETRICS & GYNECOLGY (707) 579-1105 500 DOYLE PARK DR STE 103 SANTA ROSA CA 95405-4559 SONOMA

SUSAN C. LOGAN, MD OBSTETRICS & GYNECOLGY (707) 579-1105 500 DOYLE PARK DR STE 103 SANTA ROSA CA 95405-4559 SONOMA

DANIEL GEORGE RICH, MD OPHTHALMOLOGY (707) 546-9800 1017 2ND ST SANTA ROSA CA 95404-6608 SONOMA

DANIEL GEORGE RICH, MD OPHTHALMOLOGY (707) 763-6400 1383 N MCDOWELL BLVD STE 100 PETALUMA CA 94954-1190 SONOMA

ESTHER PENN, MD OPHTHALMOLOGY (707) 546-9800 1017 2ND ST SANTA ROSA CA 95404-6608 SONOMA

ESTHER PENN, MD OPHTHALMOLOGY (707) 763-6400 1383 N MCDOWELL BLVD STE 100 PETALUMA CA 94954-1190 SONOMA

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CMSP Contracted Providers by County as of October 15, 2020

GARY BARTH, MD OPHTHALMOLOGY (707) 546-9800 1017 2ND ST SANTA ROSA CA 95404-6608 SONOMA

GARY BARTH, MD OPHTHALMOLOGY (707) 763-6400 1383 N MCDOWELL BLVD STE 100 PETALUMA CA 94954-1190 SONOMA

KALANE JADE WONG, MD OPHTHALMOLOGY (707) 546-9800 1017 2ND ST SANTA ROSA CA 95404-6608 SONOMA

KALANE JADE WONG, MD OPHTHALMOLOGY (707) 763-6400 1383 N MCDOWELL BLVD STE 100 PETALUMA CA 94954-1190 SONOMA

ROBERT LOUIS ANDERSON, MD OPHTHALMOLOGY (707) 546-9800 1017 2ND ST SANTA ROSA CA 95404-6608 SONOMA

ROBERT LOUIS ANDERSON, MD OPHTHALMOLOGY (707) 763-6400 1383 N MCDOWELL BLVD STE 100 PETALUMA CA 94954-1190 SONOMA

JOHN DAVID TOMASIN, MD ORTHOPEDIC SURGERY (707) 433-0126 1310 PRENTICE DR STE G HEALDSBURG CA 95448-5005 SONOMA

DAVID JACKSON QUENELLE, MD OTOLARYNGOLOGY (707) 523-7025 1701 4TH ST STE 120 SANTA ROSA CA 95404-3661 SONOMA

MARK R. HOMICZ, MD OTOLARYNGOLOGY (707) 523-7025 1701 4TH ST STE 120 SANTA ROSA CA 95404-3661 SONOMA

STEFAN ZECHOWY, MD OTOLARYNGOLOGY (707) 523-7025 1701 4TH ST STE 120 SANTA ROSA CA 95404-3661 SONOMA

STEPHANIE SU HUANG, MD OTOLARYNGOLOGY (707) 523-7025 1701 4TH ST STE 120 SANTA ROSA CA 95404-3661 SONOMA

PARI AZARI, MD PAIN MEDICINE (707) 931-4205 462 WEST NAPA ST SONOMA CA 95476-6519 SONOMA

KRISTEN YEE, MD PLASTIC SURGERY (707) 525-8080 1111 SONOMA AVE STE 112 SONOMA CA 95405-0000 SONOMA

JAMES MARCO STEELE, MD SLEEP MEDICINE (707) 525-3786 3867 MONTGOMERY DR SANTA ROSA CA 95405-5244 SONOMA

JOSEPH DAVID COHN MD THORACIC AND CARDIAC SURGERY (707) 887-0872 30 MARK W SPRINGS RD SANTA ROSA CA 95403-1436 SONOMA

KEITH FORREST KORVER, MD THORACIC AND CARDIAC SURGERY (707) 573-6166 3536 MENDOCINO AVE SANTA ROSA CA 95403-3634 SONOMA

SUTTER COUNTY

PROVIDER SPECIALTY PHONE ADDRESS CITY STATE ZIP COUNTY

AMPLA HEALTH RICHLAND MEDICAL CLINIC (530) 674-6325 334 SAMUEL DR YUBA CITY CA 95991-6325 SUTTER

AMPLA HEALTH YUBA CITY MEDICAL CLINIC (530) 673-9420 1000 SUTTER ST YUBA CITY CA 95991-3459 SUTTER

AMPLA HEALTH YUBA CITY MEDICAL PEDIATRICS CLINIC (530) 671-8820 931 MARKET ST YUBA CITY CA 95991-4210 SUTTER

LIVE OAK CLINIC (530) 749-3242 9980 LIVE OAK BLVD LIVE OAK CA 95953-2334 SUTTER

PEACH TREE HEALTHCARE CLINIC (530) 749-3242 1275 THARP RD YUBA CITY CA 95993-0000 SUTTER

OWENS HEALTHCARE #7 HOME INFUSION (530) 924-2768 874 PLUMAS ST #200 YUBA CITY CA 95991-0000 SUTTER

NELSON FRINK, MD RADIOLOGY (530)645-5338 945 SHASTA ST SUITE 100 YUBA CITY CA 95991-0000 SUTTER

DANIEL DORSEY, MD RADIOLOGY (530)645-5339 946 SHASTA ST SUITE 100 YUBA CITY CA 95991-0000 SUTTER

SUSAN LOTT, MD RADIOLOGY (530)645-5340 947 SHASTA ST SUITE 100 YUBA CITY CA 95991-0000 SUTTER

ROBERT WANKMULLER, MD RADIOLOGY (530)645-5341 948 SHASTA ST SUITE 100 YUBA CITY CA 95991-0000 SUTTER

ALKA THAKRAN, MD RADIOLOGY (530)645-5342 949 SHASTA ST SUITE 100 YUBA CITY CA 95991-0000 SUTTER

RAHUL GUPTA, MD RADIOLOGY (530)645-5343 950 SHASTA ST SUITE 100 YUBA CITY CA 95991-0000 SUTTER

HOWARD YOUNGWORTH, MD RADIOLOGY (530)645-5344 951 SHASTA ST SUITE 100 YUBA CITY CA 95991-0000 SUTTER

BENJAMIN NASMAN, MD RADIOLOGY (530)645-5345 952 SHASTA ST SUITE 100 YUBA CITY CA 95991-0000 SUTTER

JEAN WANG, MD RADIOLOGY (530)645-5346 953 SHASTA ST SUITE 100 YUBA CITY CA 95991-0000 SUTTER

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CMSP Contracted Providers by County as of October 15, 2020

TEHAMA COUNTY

PROVIDER SPECIALTY PHONE ADDRESS CITY STATE ZIP COUNTY

COUNTY OF TEHAMA CLINIC (530) 527-0350 1850 WALNUT STREET, BLDG E REDBLUFF CA 96080-0000 TEHAMA

JAMES OOI MD APC CLINIC (530) 824-3283 320 SOLANO ST CORNING CA 96021-3454 TEHAMA

AMPLA HEALTH LOS MOLINOS MEDICAL CLINIC (530) 384-4010 7981 HIGHWAY 99 E LOS MOLINOS CA 96055-9782 TEHAMA

TRINITY COUNTY

PROVIDER SPECIALTY PHONE ADDRESS CITY STATE ZIP COUNTY

HAYFORK COMMUNITY HEALTH CLINIC CLINIC (530) 628-5517 6961 HWY 3 HAYFORK CA 96041-9999 TRINITY

TRINITY COMMUNITY HEALTH CLINIC CLINIC (530) 623-4186 60 EASTER AVE WEAVERVILLE CA 96093-9999 TRINITY

TRINITY COMMUNITY HEALTH CLINIC CLINIC (530) 623-4186 31 EASTER AVE WEAVERVILLE CA 96093-0000 TRINITY

MOUNTAIN COMMUNITIES HEALTHCARE HOSPITAL (530) 623-5541 60 EASTER AVE WEAVERVILLE CA 96093-1229 TRINITY

TUOLUMNE COUNTY

PROVIDER SPECIALTY PHONE ADDRESS CITY STATE ZIP COUNTY

MATHIESEN MEMORIAL HEALTH CLINIC CLINIC (209) 984-4824 18144 SECO ST JAMESTOWN CA 95324-0000 TUOLUMNE

CHRISTOPHER J KRPAN MD PSC ORTHOPEDIC SURGERY (209) 736-1147 1000 GREENLEY RD SONORA CA 95370-5200 TUOLUMNE

CHRISTOPHER J KRPAN MD PSC ORTHOPEDIC SURGERY (209) 736-1147 5100 O'BYRNES FERRY RD JAMESTOWN CA 95327-9102 TUOLUMNE

CHRISTOPHER J KRPAN MD PSC ORTHOPEDIC SURGERY (209) 736-1147 905 MORNING STAR DR SONORA CA 95370-9249 TUOLUMNE

YOLO COUNTY

PROVIDER SPECIALTY PHONE ADDRESS CITY STATE ZIP COUNTY

COMMUNITY MEDICAL CENTERS INC- ESPARTO CLINIC (530) 787- 3454 17050 S GRAFTON ESPARTO CA 95627-0000 YOLO

DAVIS COMMUNITY CLINIC CLINIC (530) 758-2060 2051 JOHN JONES RD DAVIS CA 95616-9701 YOLO

HANSEN FAMILY HEALTH CENTER CLINIC (530) 405-2800 215 W BEAMER ST WOODLAND CA 95695-2510 YOLO

NORTHERN VALLEY INDIAN HEALTH CLINIC (530) 661-4400 175 W. COURT STREET WOODLAND CA 00009-5695 YOLO

SALUD CLINIC CLINIC (916) 403-2900 500B JEFFERSON BLVD WEST SACRAMENTO CA 95605-2394 YOLO

WINTERS HEALTHCARE CLINIC CLINIC (530) 795-4377 172 E GRANT AVENUE WINTERS CA 95694-1780 YOLO

NORTHERN CALIFORNIA PET IMAGING CENTER DIAGNOSTIC RADIOLOGY (916) 737-3211 1325 COTTONWOOD ST WOODLAND CA 95695-0000 YOLO

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CMSP Contracted Providers by County as of October 15, 2020

YUBA COUNTY

PROVIDER SPECIALTY PHONE ADDRESS CITY STATE ZIP COUNTY

MUHAMMAD ALGHANNAM ANESTHESIOLOGY (530) 749-4310 726 4TH ST MARYSVILLE CA 95901-5656 YUBA

SUTTER-BUTTE ANESTHESIA ASSOCIATES ANESTHESIOLOGY (530) 749-4310 726 4TH ST MARYSVILLE CA 95901-5656 YUBA

AMPLA HEALTH LINDHURST MEDICAL CLINC (530) 743-4611 4941 OLIVEHURST AVE OLIVEHURST CA 95961-4225 YUBA

HARMONY HEALTH MEDICAL CLINIC AND FAMILY CLINIC (530) 743-6888 1908 N BEALE RD MARYSVILLE CA 95901-6937 YUBA

MARYSVILLE IMMEDIATE CARE CLINIC 95901-5646 724 5TH ST MARYSVILLE CA 95901-5646 YUBA

PEACH TREE CLINIC CLINIC (530) 749-3242 5730 PACKARD AVE #500 MARYSVILLE CA 95901-7119 YUBA

RIDEOUT MEMORIAL HOSPITAL HOSPITAL (530) 751-4260 726 4TH ST MARYSVILLE CA 95901-0000 YUBA

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