Medi-Cal Suspended and Ineligible Provider List (susp...

susp JMedi-Cal Suspended and Ineligible Provider List 1

Chiropractor ProviderNumber

Abu-El-Haj, Fawzi DC14866 Suspended7441 White Haven Lane indefinitely effectiveRiverside, California 6/1/01.

Ahrablou, Mehrad DC24266 Suspended aka: Ahrablou, Matt indefinitely effective11803 Washington Boulevard 03/10/03.Los Angeles, California

Aiken, Richard F. DC0180440 Suspended512 Main Street, #1 indefinitely effectiveEl Segundo, California 5/6/97.

Aivazian, Peter DC0178860 Suspended8811 Reseda Boulevard DC0178861 indefinitely effectiveNorthridge, California 8/20/01.

Akin, Kathy L. Suspended6475 E. Pacific Coast indefinitely effective Highway 1/5/97.Long Beach, California

Alesescu, Kenneth J. DC0173500 Suspended805 Douglas Boulevard, #100 indefinitely effectiveRoseville, California 2/14/94.

Allen, Lawrence P. Suspended28636 Front Street indefinitely effectiveTemecula, California 05/20/98.

Altvatter, Robert F. Suspended324 Oak Street, Suite H indefinitely effectiveBakersfield, California 5/20/98.

Alvarado, Jaime A. DC-11481 Suspended aka: Alvarado, Jaime indefinitely effective Alejandro 01/06/04.2925 Cottingham StreetOceanside, California

Alvarado, Mario Suspended6650 Stockton Boulevard indefinitely effectiveSacramento, California 2/14/96.

Amini, Daryoush M. 22570 Suspended324 W. 4th Street, Suite E indefinitely effectiveSanta Ana, California 5/17/2007.

Anderson, David P. DC20105 Suspended2535 Camino Del Rio, indefinitely effectiveSuite 245 9/20/01.San Diego, California

Anderson, Douglas W. Suspended1020 Cabrillo Park Drive, E indefinitely effectiveSanta Ana, California 11/9/94.

Anderson, Jeffrey R. 23623 Suspended21294 Ocean View Drive indefinitely effectiveHayward, California 3/19/04.

Andrews, Chris E. DC0245000 Suspended4110 Datsun Court, Suite A indefinitely effectiveShingle Springs, California 4/20/99.


Anguiano, Gabriel U36850 Suspended5221 West Canal Drive indefinitely effectiveKennewhich, Washington 12/20/98.

Ankrom, Bruce Edward DC-11845 Suspended7200 Parkway Drive, #117 indefinitely effectiveLa Mesa, California 7/15/02.

Aquila, James F. DC-10702 Suspendedc/o Deena Oshins indefinitely effective26800 Avenida Maravilla 6/28/02.Cathedral City, California

Araghi, Mahbod Suspended aka: Araghi, Jon M. indefinitely effective31385 Brae Burn Avenue 10/20/03.Haywood, California

Ardalan, Mehrnaz Suspended aka: Vatandoust, Mehrnaz indefinitely effective23939 Van Owen Street 01/18/01.West Hills, California

Argon, Janette L. Suspended411 Corte Blanco indefinitely effectiveUpland, California 2/19/98.

Armstrong, Daniel J. Suspended421 N. Rodeo Drive, indefinitely effectiveApartment 365 2/18/99.Beverly Hills, California

Arnesen, Douglas W. Suspended9455 El Camino Real indefinitely effectiveAtascadero, California 2/18/99.

Arnold, Dorienne Suspended2017 Robert Way indefinitely effectiveSacramento, California 4/23/97.

Arteaga, Walter J. Suspended112 Myrtlewood, #A indefinitely effectivePaso Robles, California 12/20/99.

Asplin, Michael S. DC18732 Suspended23018 Ventura Boulevard, indefinitely effectiveSuite 1A 6/20/01.Woodland Hills, California

Assem, Ahmad H. 23199 Suspended2103 Lincoln Avenue, indefinitely effectiveSuite D 7/19/01.San Jose, California

Ausmus, Daniel G. DC0196950 Suspended43673 San Canyon indefinitely effectiveBig Bear Lake, California 2/18/99.

Azar, James Mitri DC- SuspendedP.O. Box 1047 20176 indefinitely effectiveLeesburg, Virginia 11/20/04.

1 – Medi-Cal Suspended and Ineligible Provider ListJune 2007

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Azgorov, Todor Suspended6363 Wilshire Boulevard, #218 indefinitely effectiveLos Angeles, California 5/6/97.

Azzopardi, Thomas DC0174120 Suspended909 E. Alissal Street indefinitely effectiveSalinas, California 4/23/97.

Bahnsen, John 22277 Suspended Joseph, D.C. indefinitely effectiveP.O. Box 207 10/26/2006.Santa Barbara, California

Bai, Chung H. Suspended1450 Virginia Avenue indefinitely effectiveGlendale, California 1/5/97.

Bain, Lee R. SuspendedP.O. Box 4161 indefinitely effectiveCovina, California 1/5/97.

Baird, Wayne DC27307 Suspended363 Pinefield indefinitely effectiveSan Jose, California 01/24/01.

Balarezo, Benjamin DC17267 Suspended5107 Buffalo Avenue, #5 indefinitely effectiveSherman Oaks, California 4/19/01.

Ball, Gregory Alan 19374 SuspendedP.O. Box 7835 indefinitely effectiveThousand Oaks, California 2/7/04.

Ball, Louis Albert DC0114000 Suspended1205 Emerald Bay Road indefinitely effectiveSouth Lake Tahoe, California01/18/01.

Ball, Margaret R. DC-18114 Suspended5414 Oberlin Drive, #250 indefinitely effectiveSan Diego, California 4/10/02.

Banayan, Farajollah DC20115 Suspended Mordechai indefinitely effective821 North Formosa Avenue, 3/20/01.Suite 103Los Angeles, California

Barahemi, Mansoureh Suspended1180 S. Miramar Avenue indefinitely effectiveAnaheim Hills, California 9/20/99.

Baratta, George A., Jr. Suspended228 La Pera Circle indefinitely effectiveDanville, California 10/19/00.

Bardsley, Marijane DC0196990 Suspendedc/o 7529 Susnset Avenue, indefinitely effectiveSuite G 6/5/97.Fair Oaks, California

Barnes, DeElward Frank 26949 Suspended1716 West 108th Street indefinitely effectiveLos Angeles, California 9/20/04.

Barno Chiropractic Suspended8854 Greenback Lane indefinitely effectiveOrangevale, California 06/20/00.

Barno, Michael Suspended8854 Greenback Lane, #2 indefinitely effectiveOrangevale, California 9/20/99.


Barrett, Royce Alan DC0118480 Suspended820 West Street indefinitely effectiveRedding, California 09/20/00.

Bartlett, Gary Earl Suspended7345 Yellow Jasmine indefinitely effectiveHighland, California 10/7/97.

Bayles, Jay 21233 Suspended2900 Townsgate Road, indefinitely effectiveSuite #119 6/20/05.Westlake Village, California

Beach, Christopher Hugh DC13451 Suspended362 Redwood Drive indefinitely effectiveFelton, California 6/20/01.

Bearden, Thomas R. 000212340 Suspended1142 East Princeton indefinitely effective Avenue, #113 9/20/00.Fresno, California

Becchetti, Sondra D., D.C. DC0183250 Suspended2545 Carlmont Drive indefinitely effectiveBelmont, California 2/14/96.

Beck, Stony R. 24084 Suspended7425 N. Backer Avenue indefinitely effectiveFresno, California 3/20/02.

Bell, Derrick (Rick) Lee Suspended aka: G.D. Bell indefinitely effective500 Coffee Road, Suite C 6/18/98.Modesto, California

Benedict, Susan Suspended612 Colorado Avenue, #110 indefinitely effectiveSanta Monica, California 5/4/95.

Benkula, Jan K. SuspendedP.O. Box 56275 indefinitely effectiveHayward, California 1/5/97.

Benoit-Spence, Suzanne E. Suspended10767 Valle Vista Road indefinitely effectiveLakeside, California 8/20/01.

Berg, Troy Lynn Suspended17161 Goldenwest Street, Suite H indefinitely effectiveHuntington Beach, California 8/12/96.

Beshqoy, Yousef Suspended21551 Brookhurst Street indefinitely effectiveHuntington Beach, California 4/20/99.

Betoushana, Dematour, DC22551 SuspendedD.C. indefinitely effective3187 Meridian Drive 2/20/2001.San Jose, California

Beverleigh, Howard K. DC-17015 Suspended510 Saddlebrook Drive, indefinitely effective#227 05/09/03.San Jose, California

Beyerle, Clinton DC-12129 Suspended307 S. Maclay Street indefinitely effectiveSan Fernando, California 6/20/02.

1 – Medi-Cal Suspended and Ineligible Provider ListNovember 2006

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Biernacki, Richard Stanley DC-24286 SuspendedP.O. Box 277 indefinitely effectiveFairfax, California 3/12/03.

Birdsell-Lee, Esther V. 20620 Suspended1837 Caddington Drive, indefinitely effectiveApartment 47 6/20/01.Rancho Palos Verdes, California

Blewitt, Daniel Suspended14626 Whittier Boulevard indefinitely effectiveWhittier, California 11/7/96.

Bochniak, Marie L. Suspended675 Whispering Oaks indefinitely effectiveThousand Oaks, California 11/9/94.

Bono, John E. Suspended1058 Lee Avenue indefinitely effectiveSan Jose, California 9/10/96.

Booher-Fulton, Janette L. 21903 Suspendedc/o 615 West Orange Avenue indefinitely effectiveSouth San Francisco, California 01/18/01.

Boron, Steven J. Suspended17590 Orchard Avenue indefinitely effectiveGuerneville, California 1/5/97.

Bostock IV, Robert J. DC12134 Suspended911 2nd Street indefinitely effectiveGilroy, California 4/29/02.

Boyko, John Joseph 17627 Suspended aka: Joseph, John indefinitely effective Boyle, John J. 12/20/04.801 East Chapman Avenue,Suite #112Fullerton, California

Brahm, 14324 Suspended aka: Bruce, James Allen indefinitely effective2069 Abbott Street, #4 8/24/2006.Ocean Beach, California

Branvold, Ronald D. Suspended807 Main Street indefinitely effectiveSusanville, California 12/9/96.

Bricker, Daniel S. 23752 Suspended4130 La Jolla Village Drive indefinitely effectiveLa Jolla, California 9/20/01.

Britt, Clyde E. DC0103560 SuspendedHighway 140 & 8th Street indefinitely effectiveMariposa, California 2/13/90.

Broussard, Linda C. 25201 Suspended5597 Harcross Drive indefinitely effectiveLos Angeles, California 9/20/01.

Brown, Derek L. Suspended1163 N. Calle Rolph Street indefinitely effectivePalm Springs, California 7/20/98.

Brown, Jeffrey T. DC23755 Suspended28965 Live Oak Circle indefinitely effectiveTrabuco Canyon, California 9/20/01.


Burch, Gregory Suspended18705 John F. Kennedy Drive indefinitely effectiveRiverside, California 6/1/95.

Burkley, Anton DC0204600 Suspended600 Grand Avenue, #308 indefinitely effectiveOakland, California 4/4/94.

Burt, Thomas R. DC0162910 Suspended35286 Farnham Drive indefinitely effectiveNewark, California 1/5/97.

Bystrom, Michael Eric DC-23474 Suspended307 Santa Barbara Avenue indefinitely effectiveModesto, California 4/15/2006.

Caballero, Jorge R. Suspended1333 Fraser Avenue indefinitely effectiveLos Angeles, California 12/4/94.

Cabello, Alejandro 27211 Suspended633 San Benito Avenue indefinitely effectiveLos Gatos, California 5/10/2006.

Cafagna Sr., Mark W. 16673 Suspended24648 Gardenstone Lane indefinitely effectiveWest Hills, California 2/20/02.

Cahan, Aaron, D.C. DC0110520 Suspended660 South Vermont indefinitely effective Avenue, #4 9/21/84.Los Angeles, California

Calix, Raul O. DC0183500 Suspended10751 Wilshire Boulevard, indefinitely effectiveApartment 603 6/20/01.Los Angeles, California

Calof, Jan Ellen 22612 Suspended aka: Dunbar, Jan C. indefinitely effective17362 Trosa Street 9/20/04.Granada Hills, California

Campbell, Dennis L. Suspended237 Central Avenue indefinitely effectiveShafter, California 6/27/96.

Campbell, Robert Donald DC-16296 Suspended30001 Town Center Drive, indefinitely effectiveSuite #2 1/22/2004.Laguna Niguel, California

Cantong, David E. Suspended8413 Seth Street indefinitely effectiveSan Gabriel, California 05/18/00.

Cappa, Claude L. Suspended3264 Pelandale indefinitely effective Avenue, #30 5/16/95.Modesto, California

Carlson, Eric Douglas DC18351 Suspended230 South Canon Avenue indefinitely effectiveSierra Madre, California 2/18/99.

Carlson, Joanne G. Suspended1777 Shoreline Drive, indefinitely effective#104 9/20/04.Alameda, California

1 – Medi-Cal Suspended and Ineligible Provider ListMay 2007

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Carlos, Lester Bernard 19660 Suspended4994 Seaview Avenue indefinitely effectiveCastro Valley, California 6/18/04.

Carr, Wayne S., Sr. Suspended2002 Spring Street indefinitely effectiveHealdsburg, California 1/5/97.

Castaline, Perren V. 19404 Suspended27361 Sierra Highway, indefinitely effectiveSpace #65 7/20/2005.Canyon Country, California

Cephus, Maurice N., II Suspended82 Bear Claw Way indefinitely effectiveSan Jose, California 10/29/02.

Chandler, Betty K. DC16304 Suspended3649 West Beechwood, #105 indefinitely effectiveFresno, California 6/9/01.

Chang, Dong Hyun DC13973 Suspended7318 Topanga Canyon indefinitely effective Boulevard 6/14/2006.Canoga Park, California

Chau, Kit Yuen 17056 Suspended1901 Isabella Avenue indefinitely effectiveMonterey Park, California 5/14/2007.

Chen, Ricky 21268 Suspended17808 S. Pioneer indefinitely effective Boulevard, Suite #112 4/17/2007.Artesia, California and17726 Pioneer Boulevard,Suite AArtesia, California and455 North Garfield Avenue,Floor #2Monterey Park, California

Cheney, Julian L. Suspended7607 White Oak Avenue indefinitely effectiveReseda, California 4/6/97.

Cheney, Julian Lee DC-15765 Suspended42810 Frazier Mt. Park Road indefinitely effectiveLebec, California 7/6/2006.

Chidlowsky, Sergei DC0161060 Suspended1463 Roman Drive indefinitely effectiveRohnert Park, California 09/20/00.

Chipponeri, Scott 20937 SuspendedP.O. Box 39 indefinitely effectiveWaterford, California 11/19/04.

Choe, Kevin Suspended20106 Brenda Court indefinitely effectiveLakewood, California 6/5/97.

Choe, Kevin 22225 Suspended1580 Wilshire Boulevard, indefinitely effectiveSuite #200C 10/13/2006.Los Angeles, California

Choiniere, David Michael DC14335 Suspended5657 Clark Road, #4 indefinitely effectiveParadise, California 09/20/00.


Chowdhry, Salim Akhtar DC26363 Suspended3156 Wilshire Boulevard, #9 indefinitely effectiveLos Angeles, California 08/22/03.

Christensen, Casey D. Suspended16315 E. Whittier Boulevard indefinitely effectiveWhittier, California 5/6/97.

Cipolone, Richard Alfred 13978 Suspended dba: Cipolone & Brennan DCS indefinitely effective4802 Matney Avenue 4/19/01.Long Beach, California

Clark, Richard D. DC0170620 Suspended5055 North Harbor Drive indefinitely effectiveSan Diego, California 3/20/00.

Clifford, Steven Eugene DC-14339 SuspendedP.O. Box 1543 indefinitely effectiveCarnelian Bay, California 10/10/03.

Cobbs, Joseph E. DC-15816 Suspended4861 Convoy Street indefinitely effectiveSan Diego, California 4/12/02.

Cochrane, Gary A. Suspended10903 Scripps Ranch Boulevard indefinitely effectiveSan Diego, California 5/20/98.

Cohen, Dorothy A. Suspended1060 Minnesota Avenue, #6 indefinitely effectiveSan Jose, California 11/20/97.

Coleman, Richard Inmate SuspendedRegister #32117-112 indefinitely effective aka: Bola, Anthony 4/19/2007. Crawford, RichardUSP LompocU.S. Penitentiary3901 Klein BoulevardLompoc, California

Coleman, Sean Dylan DC24320 Suspended809-B Cuesta Drive, #150 indefinitely effectiveMountain View, California 01/25/01.

Connor, Kenneth J. 21926 Suspended631 Irvine Avenue indefinitely effectiveNewport Beach, California 8/20/01.

Contreras, Lawrence Suspended400 North Meyers Street indefinitely effectiveOceanside, California 12/20/99.

Coombs, Timothy R. Suspended1727 West Romneya Drive indefinitely effectiveAnaheim, California 2/20/00.

Cope, Dennis Brooks DC-24017 Suspended5230 N. Clark Avenue, #26 indefinitely effectiveLakewood, California 5/28/02.

Cory, Robert G. Suspended1 Gold Ridge Drive indefinitely effectiveTrabuco Canyon, California 09/20/00.

Cota, Christopher T. 95945 Suspended10565 Brunswick Road #5 indefinitely effectiveGrass Valley, California 6/20/01.

1 – Medi-Cal Suspended and Ineligible Provider ListAugust 2007

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Cox, Stewart J. Suspended283 Belva Lane indefinitely effectivePleasant Hill, California 8/12/96.

Cragen, Kenneth R. DC18272 Suspended3670 Westwood Boulevard, #E indefinitely effectiveLos Angeles, California 10/18/01.

Crawford, Jack Wesley 27217 Suspended120 East Shore Drive indefinitely effectiveKemah, Texas 2/15/2007.

Cuccia, Ronald Daniel, DC20557 SuspendedD.C. indefinitely effectiveP.O. Box 3538 2/20/2001.San Dimas, California

Curtin, Michael M. Suspended472 Oak Manor indefinitely effectiveFairfax, California 1/5/97.

Cymerint, John H. DC- Suspended263632 Rockfield, 18371 indefinitely effectiveSuite 202 2/6/04.Lake Forest, California

Dahlin, James Allen DC17661 Suspended2351 Sunset Boulevard, #120 indefinitely effectiveRocklin, California 6/28/02.

Dailey, Douglas O. DC15830 Suspended638 Norene Way indefinitely effectiveGrass Valley, California 12/20/00.

Daniels, Peter J. DC-17263 Suspended19925 Stevens Creek Boulevard indefinitely effectiveCupertino, California 6/29/01.

Dankman, Mark Suspended1829 Del Rio Drive indefinitely effectiveLafayette, California 4/23/97.

Danner, Fredda DC0093920 Suspended1028 Crenshaw Boulevard indefinitely effectiveTorrance, California 4/29/82.

Dardashti, Robert E. DC20870 Suspended16661 Ventura Boulevard indefinitely effectiveEncino, California 5/10/02.

Daris, James DC11421 Suspended210 Eagle Pointe Drive indefinitely effectiveBranson, Missouri 5/3/04. and11600 Wilshire Boulevard,Suite #412Los Angeles, California

Davalos, Steven M. DC0212900 Suspendedc/o 3 Pilot Road indefinitely effectiveCarmel Valley, California 06/20/00.

Davidson, Truman A. DC0223150 Suspended360 Line Avenue, Suite 305 indefinitely effectiveLong Beach, California 8/21/96.

Davis, Charles G. Suspended417B W. Foothill, #401 indefinitely effectiveGlendora, California 3/6/97.


Davis, Daniel Kent 21664 Suspended1307 West 6th Street, indefinitely effectiveSuite #B-114 8/1/2006.Corona, California

Defiore, William E., Jr. Suspended11343 Snowdrop Avenue indefinitely effectiveSanta Ana, California 12/4/94.

Del Pozzo, Phillip Vincent DC18380 Suspended94 Stanton indefinitely effectiveSan Francisco, California 7/4/01.

Delsie, Carl Suspended 601 E. Montecito Street indefinitely effectiveSanta Barbara, California 11/9/94.

DeMatteo, Thomas N. 20950 Suspended7140 Marblethorpe Drive indefinitely effectiveRoseville, California 7/6/2006. and1273 West Central AvenueBrea, California

Desantis, Nicholas Suspended 4636 Lee Avenue indefinitely effectiveLa Mesa, California 6/1/95.

Dewees, Randel Suspended165 Belwood Gateway indefinitely effectiveLos Gatos, California 5/4/95.

Dhaliwal, Emaline Suspended11395 Daybreak Trail indefinitely effectiveMoreno Valley, California 8/12/96.

Didomenico, Fred John DC19430 Suspended6304 Lakeview Drive indefinitely effectiveKirkland, Washington 6/16/03.

Dieter, Lawrence DC0200760 Suspended2115 10th Street indefinitely effectiveLos Osos, California 10/10/95.

Dinkane, Ehalid DC0126550 SuspendedP.O. Box 470039 indefinitely effectiveLos Angeles, California 4/19/01.

DiQuattro, Scott DC0171000 Suspended69885 Bluegrass Way indefinitely effectiveCathedral City, California 8/10/94.

Dishman, Robert W. DC5318 Suspended42-600 Bob Hope Drive, indefinitely effectiveSuite 407 2/14/02.Rancho Mirage, California

Docktor, Kennith Spencer 27045 Suspended2873 Arcade Way, #210 indefinitely effectiveRedding, California 5/26/2006. and2765 Bechelli LaneRedding, California

Dominicis, Beth A. 23475 Suspended aka: Dominisis, Beth A. indefinitely effective28266 North Bay Road 01/18/01.Los Angeles, California


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Number

Donner, Jeffrey S. CH0006561 Suspended2435 Eagle Run Way indefinitely effectiveWeston, Florida 9/20/01.

Dorian, Saro S. DC20383 Suspended aka: Mousapour, indefinitely effective Sarshekany S. 9/20/01.1646 Larco WayGlendale, California

Dounies, Therese M. Suspended36 Malaga Cove Plaza, indefinitely effective#202 8/20/98.Palos Verdes Estates, California

Dr. Kahn’s Chiropractic Clinic Suspended dba: Dr. Aly Kahn, Inc. indefinitely effective1683 Alum Rock Avenue, 06/20/00.Suite DSan Jose, California

Dubowski, Walter DC13505 Suspended300 Glenwood Circle, #119 indefinitely effectiveMonterey, California 10/18/01.

Dunevitz, Benjamin S. 00025430 Suspended4440 Pebble Beach Road indefinitely effectiveRocklin, California 08/20/00.

Duff, Richard A. Suspended120 Deer Park Avenue indefinitely effectiveSan Rafael, California 4/13/97.

Earth-Child, Erin I. Suspended466 41st Street, #3 indefinitely effectiveOakland, California 1/5/97.

Eaton, Brian DC9524 SuspendedP.O. Box 1751 indefinitely effectiveGrass Valley, California 5/20/02.

Eckel, David DC0183900 Suspended1146 Commerce Circle indefinitely effectiveLancaster, California 8/18/94.

Eggleston, Adelbert J. DC-15562 Suspended8 W. Swain Street, Suite A indefinitely effectiveStockton, California 7/3/02.

Eli, Desiree Suspended4895 Capitola Road indefinitely effectiveCapitola, California 8/12/96.

Ellenberger, Lori M. Suspended15005 Washington Street indefinitely effectiveRiverside, California 05/18/00.

Ellis, Carl Edison, Jr. Suspended1796 S. Juniper Street indefinitely effectiveEscondido, California 6/5/97.

Elsea, Steven DC0180850 Suspended6724 Plymouth Road, #10 indefinitely effectiveStockton, California 4/9/95.

Emmerson, Lloyd Alan DC19766 Suspended1360 North Fresno Street indefinitely effectiveFresno, California 06/16/03.


Emmerson, Ronald E. Suspended25 W. 19th Street indefinitely effectiveMerced, California 5/6/96.

Ensign, Lorie A. Suspended aka: Lorie A. Phillips indefinitely effective1107 Buena Vista, Suite 3 8/20/98.San Clemente, California

Entezami, Ahmad DC- Suspended20803 Tulsa Street 25234 indefinitely effectiveChatsworth, California 4/29/03.

Esparza, Edgar Eduardo 26716 Suspended15124 Paramount indefinitely effective Boulevard 12/30/2005.Paramount, California

Estey, Raymond G. DC25323 Suspended3975 Durock Road, indefinitely effectiveSuite 101 3/27/02.Shingle Springs, California

Fallman, James M. III DC0216790 Suspendedc/0 450 H Street indefinitely effectiveCrescent City, California 4/20/00.

Fang, Linda C. 25435 Suspended2733 Lavender Drive indefinitely effectiveWalnut Creek, California 5/11/2007.

Farzam, Lida DC-22661 Suspended48201 Henry Ave, #G29 indefinitely effectivePhiladelphia, Pennsylvania 5/31/01.

Fasoli, William John 23000 Suspended7214 S. Marina Pacifica indefinitely effective Drive 1/17/2007.Long Beach, California

Fawcett, Joe Willis, III Suspended4974 N. Fresno Street indefinitely effectiveFresno, California 7/18/95.

Fayazfar, Mitra Suspended5744 Oak Bend Lane, #111 indefinitely effectiveAgoura Hills, California 8/20/01.

Fenton, Mark A. 21682 Suspended13616 Victory Boulevard indefinitely effectiveVan Nuys, California 3/20/06.

Fergusson, Olantungie C. DC15497 Suspended14822 Morrison Street indefinitely effectiveSherman Oaks, California 12/20/01.

Fickel, Theodore E. DC0154840 Suspended93 Depot Road indefinitely effectiveSanta Barbara, California 12/9/96.

Fifield, Fred W. Suspended2333 Edmonds Avenue indefinitely effectiveModesto, California 11/9/94.

Fighter, Sara Esther 23803 Suspended1904 Franklin Street, #250 indefinitely effectiveOakland, California 12/7/2006.

Figoten, Bruce Barry DC0133070 Suspended20315 Ventura Boulevard, indefinitely effectiveSuite A 01/03/01.Woodland Hills, California


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Fiore, James Philip 19454 Suspended c/o 1850 East 17th Street, indefinitely effectiveSuite 102 5/20/01.Santa Ana, California

Fischer, Steven A. DC19662 Suspended155 Turnberry Way indefinitely effectiveVallejo, California 10/18/01.

Fishkin, William H. DC0197750 Suspended2460 Mission, Suite 203 indefinitely effectiveSan Francisco, California 9/10/96.

Fitches, Spencer 21685 Suspended17000 Clark Avenue indefinitely effectiveBellflower, California 10/20/2005.

Fitzpatrick, Patrick Suspended7161 Kingsley Avenue indefinitely effectiveHesperia, California 12/19/95.

Florez, Stephen Suspended253 Merville Drive indefinitely effectiveBassett, California 6/10/96.

Ford, Jerold R. DC0197810 Suspended1208 Floyd Avenue, indefinitely effectiveSuite D11 05/20/98.Modesto, California

Ford, Thomas M. Suspended23365 Camden Court indefinitely effectiveYorba Linda, California 11/20/00.

Foster, Nathaniel W. Suspended aka: Nathaniel W. Foster, Jr. indefinitely effective230 Montrose Drive 5/20/01.Folsom, California

Fox, Carl Anthony DC19119 Suspended33101 Marina Vista Drive indefinitely effectiveDana Point, California 4/20/2005.

Fox, Michael A. Suspended3870 La Colina Road indefinitely effectiveEl Sobrante, California 10/20/2005.

Fox, Richard T. Suspended14724 18th Street, N.E. indefinitely effectiveArlington, Washington 12/9/96.

Fridrick, Tim P. Suspended5541 North Laurel Canyon, #1 indefinitely effectiveNorth Hollywood, California 1/5/97.

Frye, Dan A. Suspended3566 Ridge Road indefinitely effectiveOceanside, California 11/7/96.

Gallaher, David DC16385 Suspended aka: Gallagher, David indefinitely effective Barnes 11/4/2005.22734 Calvert StreetWoodland Hills, California

Gallagher, Tamara Suspended12716 Central Avenue indefinitely effectiveChino, California 6/1/95.


Gamble, Jeffrey G., Sr. DC0171450 Suspended 9360 Activity Road, Suite B indefinitely effectiveSan Diego, California 1/4/98.

Gamboa, Franco DC19793 Suspended1960 North Indian Hill indefinitely effective Boulevard 12/30/2005.Pomona, California

Garsha, Marlena R., D.C. 24884 Suspended2211 Martin Street, indefinitely effectiveSuite #113 10/26/2006.Irvine, California

Garza, John Suspended187 E. Wilbur Road, Suite 1 indefinitely effectiveThousand Oaks, California 6/5/97.

Garza, Rudolph P. DC0173610 Suspended185 Gordon Avenue indefinitely effectiveSan Jose, California 8/12/96.

Gaydos, Richard F., Jr. DC19125 Suspended10064 Citrus Avenue, #C indefinitely effectiveFontana, California 9/20/01.

Gearhart, Cindy Suspended6102 Bigelow Avenue indefinitely effectiveLakewood, California 5/6/97.

German, Carl Suspended1600-403 Saratoga Avenue, indefinitely effective Apt. 201 8/20/98.San Francisco, California

Getachew, Dawit DC-26390 Suspended1850 North Vineyard indefinitely effective Avenue, #D 08/22/03.Ontario, California

Ghalbi, Abdollnaser 19798 Suspended aka: Ghalbi, Timothy 2940 indefinitely effective Ghalbi, Nasser 4/18/02.451 W. Lincoln Avenue,#251Anaheim, California 92805

Gharrirassi, Amir 23006 Suspended aka: Rassi Amir Gharri indefinitely effective Amir Gharri Rassi 5/20/01.25082 BellotaMission Viejo, California

Gichtin, Matis 24378 Suspended9190 W. Olympic indefinitely effective Boulevard, #246 5/14/2007.Beverly Hills, California

Gieschen, John M. 22680 Suspended500 Cornstock Lane indefinitely effectiveSanta Cruz, California 01/18/01.

Givargis, Vladimir 22910 Suspended411 Cameron Place, #19 indefinitely effectiveGlendale, California 5/2/02.

Givargis, Vladimir DC0229100 Suspended3200 La Cresenta, Suite A indefinitely effectiveGlendale, California 6/20/01.

Glassman, Clifford DC0191290 Suspended550 Glen Holly Drive indefinitely effectivePasadena, California 1/6/99.

1 – Medi-Cal Suspended and Ineligible Provider ListJuly 2007


Number

Glomah, Tabla B. DC20195 Suspended aka: Glomah, Tab indefinitely effective Glomah, Tabla B. 10/18/01.2723 Brookfield PlaceWest Covina, California

Glum, Gary Suspended333 S. Doheny Drive indefinitely effectivePlacentia, California 6/1/95.

Gorbahn, Mark Kenneth 21193 Suspendedc/o 9455 El Camino Real indefinitely effectiveAtascadero, California 4/18/02.

Greenland, Richard Kent 15938 Suspended2211 Corinth Avenue, indefinitely effectiveSuite #301 8/7/2006.West Los Angeles, California

Gregory, Todd A. Suspended 5075 S. Bradley Road, #115 indefinitely effectiveSanta Maria, California 12/4/94.

Gregson, Randall 19135 SuspendedP.O. Box 8124 indefinitely effectiveRancho Santa Fe, 4/19/2007.California

Grubstein, Alan P. Suspended9921 Placer Street indefinitely effectiveRancho Cucamonga, California 2/14/96.

Gullish, Amy B. Suspended15250 Rentrua Boulevard indefinitely effectiveSherman Oaks, California 04/20/00.

Guyer, Larry G. DC23827 Suspended5325 Quayle Lane indefinitely effectiveSebastopol, California 9/20/01.

Haberman, Amy Aileen 22935 Suspended331 Union Street indefinitely effectiveSanta Cruz, California 3/20/02.

Haberman, Arthur Joseph DC-14619 Suspended60 East Foothill, Suite B indefinitely effectiveUpland, California 11/07/03.

Haeckel, Joseph B. Suspended752 1st Street indefinitely effectiveGilroy, California 4/20/99.

Hagen, David L. DC0110650 Suspended3948 Quail Ridge Road indefinitely effectiveLafayette, California 10/19/00.

Hahn, Peter Suspended310 W. Orange Avenue indefinitely effectivePlacentia, California 6/1/95.

Haines, Donna DC0198140 Suspended2193 Cochran Road indefinitely effectiveMcKinleyville, California 6/6/94.

Halle, Thomas C. Suspended2840 Partridge Avenue, #4 indefinitely effectiveLos Angeles, California 4/6/97.

Halstead, Kurt C. 23011 Suspended11 Cragmont Court indefinitely effectivePacifica, California 7/20/04.


Hamilton, Aaron J. DC0156530 Suspended128 Flor Del Sol, #26 indefinitely effectiveRancho Santa Margarita, 12/9/96. California

Han, Duk Kyu 26397 Suspended20836 Missionary indefinitely effective Ridge Road 2/28/2007.Walnut, California

Hanes, Kathryn Jane Suspended aka: Kathy Jane Hanes indefinitely effective c/o 6904 Miramar Road, 6/20/00. #214San Diego, California

Harerchan, Nader DC-21350 Suspended6171 Mission Gorge Road indefinitely effectiveSan Diego, California 8/21/02.

Harper, John L. Suspended1816 Oceanside Boulevard, indefinitely effectiveSuite B 12/20/99.Oceanside, California

Harper, Nicholas DC0172910 Suspended1082 E. Artesia Boulevard indefinitely effectiveLong Beach, California 8/25/93.

Harvey, Alexis H. 17907 Suspended31 Highland Avenue indefinitely effectiveFelton, California 9/20/01.

Hatcher, Byron Kirkland DC17229 Suspended9550 San Marcos Road indefinitely effectiveAtascadero, California 11/18/02.

Hatfield, Brian L. Suspended2309 Santa Monica indefinitely effective Boulevard 2/14/96.Santa Monica, California

Hatner, Diane Suspended1856 Woodside Road indefinitely effectiveRedwood, California 11/7/96.

Havet, Keith E. DC0107240 SuspendedP.O. Box 1252 indefinitely effective Covina, California 3/20/01.

Heineken, Lorie J. Moeller DC0018890 Suspended26551 Naccome Drive indefinitely effectiveMission Viejo, California 12/20/98.

Helleis, Joseph Franklin DC28297 Suspended21740 Richard Street indefinitely effectivePerris, California 3/20/06.

Hempsey, William C. Suspended14620 Ventura Boulevard indefinitely effectiveSherman Oaks, California 2/14/96.

Henry, Judith L. Suspended9740 Campo Road, #113 indefinitely effectiveSpring Valley, California 9/20/98.

Hermosillo, Francisco J. Suspended18350 Hatteras Street indefinitely effectiveTarzana, California 1/5/97.

Hernandez, Orester M. Suspended2138 West Santa Ynez indefinitely effectiveLos Angeles, California 11/9/94.


susp J9


Herring, Charles M. 18818 Suspended4180 Ridge Road indefinitely effectiveHayward, California 10/19/2006.

Hickman, Steven G. DC15950 Suspended17660 Tannery Lane indefinitely effectivePine Grove, California 6/20/01.

Hileman, Kent A. DC0180410 Suspended1411 Gabilan Drive, indefinitely effectiveApartment A 11/16/95.Hollister, California

Hileman, Kent A. DC0180410 Suspended aka: Hileman Chiropractic indefinitely effective1411 Gabilan Drive, 3/14/96.Apartment AHollister, California

Hirsch, Michael P. DC-16187 Suspended401 29th Street, Suite 205 indefinitely effectiveOakland, California 5/3/02.

Hiserodt, David W. 22004 Suspended7339 Woodman Avenue, #8 indefinitely effectiveAliso Viejo, California 10/18/01.

Ho, Dan M. 24142 Suspended4075 Evergreen Village indefinitely effective Square, #160-250 11/2/2006.San Jose, California

Hobson, Thomas A., D.C. DC0119310 Suspended1622 S. Grand Avenue indefinitely effectiveGlendora, California 12/6/90.

Hodies, Geoffrey Adam DC020224 Suspended3694 San Pablo Dam Road indefinitely effectiveEl Sobrante, California 5/7/03.

Hoffman, Thomas B. 21717 Suspended530 W. Vista Way indefinitely effectiveVista, California 9/20/01.

Holding, Eugene V., D.C. DC0070800 Suspended1761 North D Street indefinitely effectiveSan Bernardino, California 7/1/79.

Holeman, David Mark DC22370 Suspended40620 Geyser Street indefinitely effectiveMurrieta, California 12/14/00.

Holl, Patricia 25705 Suspended6801 Coldwater Creek Canyon indefinitely effective Avenue, Suite #1C 9/26/2005.North Hollywood, California

Hollis, Corey Arthur 28089 Suspended2755 Bristol Avenue, #130 indefinitely effectiveCosta Mesa, California 4/24/2007.

Holt, Kenneth G. DC0198390 Suspended31534 Railroad Canyon Road indefinitely effectiveCanyon Lake, California 2/12/95.

Hoot, Steven P. Suspended755 14th Avenue, Apt. 814 indefinitely effectiveSanta Cruz, California 9/20/98.


Hopstock, Richard M. DC0177110 Suspended334 N. Azusa Avenue indefinitely effectiveLa Puente, California 2/23/95.

Hough, Reginio T., Jr. DC0230220 Suspended1301 East Avenue, indefinitely effectiveApartment 25 07/20/00.Lancaster, California

Houshyarimanesh, Hamid 24417 Suspended Reza indefinitely effective aka: Manesh, Hamid 12/18/03.2379 Daphne PlaceFullerton, California

Howard, Marty B. SuspendedCalifornia Chiropractic Care indefinitely effectivePleasanton, California 4/6/97.

Howell, Ralph G. DC17251 Suspended692 Decatur Avenue 1540 indefinitely effectiveClovis, California 9/20/01.

Huang, Kenneth K. 26962 Suspended5851 Mission Street indefinitely effectiveSan Francisco, California 5/14/2007.

Huerta, Debra X. Suspended2080 Mountain Boulevard indefinitely effectiveOakland, California 1/4/95.

Hines, Darren Norman Suspended1595 Woodbury Drive indefinitely effectiveHarbor City, California 2/12/03.

Hines, John E. DC16186 Suspended3010 N. Brea Boulevard indefinitely effectiveFullerton, California 2/20/01.

Hughes, Joseph R., Jr. Suspended3439 Adam Avenue indefinitely effectiveSan Diego, California 4/23/97.

Hui, Anthony Keilock DC94109 SuspendedPine Street Chiropractic Center indefinitely effective1473 Pine Street 3/3/03.San Francisco, California

Hunger Jr., Edwin Lee Suspended4305 Gesner Street indefinitely effectiveSan Diego, California 3/20/01.

Hungerford, Richard Suspended1095 San Leandro Boulevard indefinitely effectiveSan Leandro, California 4/13/97.

Hunt, Celia A. Suspendedc/o Antony & Phyllis Hunt indefinitely effective1649 Andalusia Way 10/20/03.San Jose, California

Hunt, Richard D. 18115 Suspended985 Cornell Road indefinitely effectivePasadena, California 1/20/02.

Hurtado, Arthur F. 16424 Suspended5051 Canyon Crest Drive, indefinitely effective#101 3/12/03.Riverside, California


susp J10


Icke, Brian Steven 22374 Suspended1066 4th Street, Suite #B I indefinitely effectiveSanta Rosa, California 9/7/05.

Inskeep, Norman D. DC0182360 Suspended3031 Wall Street indefinitely effectiveSan Jose, California 4/6/97.

Irani, Geve Keeko DC019021 Suspended12728 Washington Boulevard indefinitely effectiveLos Angeles, California 6/24/02.

Jackson, Francesca A. Suspendedc/o 554 Oakland Avenue indefinitely effectiveOakland, California 10/7/97.

Jacob, David J., D.C. DC-23851 Suspended16960 East Bastanchury indefinitely effective Road, Suite #C 9/7/2006.Yorba Linda, California

Janczar, Bozena DC0172050 Suspended1848 Lomita Boulevard indefinitely effectiveLomita, California 02/20/01.

Jardon, Leonard A. DC0119430 Suspended2219 West Olive Avenue RCP10052 indefinitely effectiveBurbank, California 05/18/00.

Jasper, Charles Suspended520 C Street indefinitely effectiveSan Rafael, California 5/4/95.

Javaherian, Omid 23177 Suspended12525 Magnolia Boulevard indefinitely effectiveNorth Hollywood, 4/9/2007.California

Jeffcoat, Lori M. Suspended1500 Encinal Avenue indefinitely effectiveAlameda, California 10/20/03.

Jensen, Morgan S. 17452 Suspended aka: Jensen, Darlene indefinitely effective Elizabeth 12/20/2006.57 Post Street, #612San Francisco, California

Jette, Steven Suspended29 5th Avenue indefinitely effectivePetaluma, California 4/6/97.

Johnson, Anthony Terrell DC-15963 Suspended9400 Brighton Way, #409 indefinitely effectiveBeverly Hills, California 05/03/04. and435 North Bedford DriveBeverly Hills, California

Johnson, Eric D. Suspended14650 King Canyon Road indefinitely effectiveVictorville, California 7/18/95.

Johnson, Gary M. Suspended3728 McNab Avenue indefinitely effectiveLong Beach, California 6/18/98.


Johnson, Gertrude, D.C. DC22255 Suspended3756 Santa Rosalia Drive, indefinitely effectiveSuite #524 8/22/05.Los Angeles, California

Johnson, Randall G. DC0206390 Suspended1614 Virginia Road indefinitely effectiveLos Angeles, California 1/5/97.

Johnson, Randall Glen DC-20639 Suspended7260 Hillside Avenue, #304 indefinitely effectiveLos Angeles, California 8/12/02.

Joiner, Ward L., D.C. 11947 SuspendedP.O. Box 2045 indefinitely effectiveLoomis, California 6/5/2007.

Joudy, Ghassan M. 25454 Suspended4545 Royale Park Court indefinitely effectiveSan Jose, California 10/26/2006.

Judd, Michael R. Suspended13699 Peardale Road indefinitely effectiveGrass Valley, California 12/20/98.

Kahan, Robert M. Suspended27676 Via Granados indefinitely effectiveMission Viejo, California 2/16/95.

Kahn, Albert Suspended1863 Alum Rock Avenue, indefinitely effectiveSuite D 04/20/00.San Jose, California

Katz, Steven M. Suspended5741 Vesper Avenue, #139 indefinitely effectiveVan Nuys, California 5/20/01.

Kaufman, Todd Suspended2 Creekside Way indefinitely effectiveMill Valley, California 5/20/99.

Keledjian, Koko Krikor 25577 Suspended541 West Colorado indefinitely effective Boulevard, Suite #205 8/24/2006.Glendale, California and13651 Van Owen StreetVan Nuys, California

Kelly, Kevin M. DC0177250 Suspendedc/o 2286 Sunrise indefinitely effective Boulevard, #3 06/20/00.Rancho Cordova, California

Kelly, Mark S. DC0177260 Suspended11480 Santa Anita Avenue indefinitely effectiveChino, California 6/1/95.

Kessler, Michael Suspended143 Lillean Way indefinitely effectiveVallejo, California 12/19/95.

Kim, Chin H. DC26079 Suspended1303 S. Gramercy indefinitely effective Avenue, #202 2/4/02.Los Angeles, California

Kim, Chongsu DC-19180 Suspended2221 Dublin Lane #1 indefinitely effectiveDiamond Bar, California 5/20/01.


susp J11


Kim, Junghak DC26421 Suspended333 South Kingsley indefinitely effective Drive, #233 11/18/02.Los Angeles, California

Knott Jr, Kevin T. 24453 Suspended3668 Harbor View Way indefinitely effectiveOceanside, California 12/20/01.

Kosak, Jerome E. DC0155200 Suspended1252 Travis Boulevard indefinitely effectiveFairfield, California 11/9/94.

Kotsch, Simone Pamela DC18124 Suspended218 7th Street indefinitely effectiveHuntington Beach, California 03/10/03.

Kowalski, Brian DC-15545 Suspended1545 Nutmeg Place indefinitely effectiveCosta Mesa, California 08/25/04.

Kowalski, Brian A. Suspended601 Dover Drive, #11 indefinitely effectiveNewport Beach, California 5/16/95.

Lacey, Sharon J. DC0200890 Suspended19000 Sweetwater Springs indefinitely effectiveGuerneville, California 8/12/96.

La, Phu Quoc Suspended8815 East Fallbrook Way indefinitely effectiveAnaheim Hills, California 10/31/05.

Lacey, Gregory 12204 Suspended8258 Louise Avenue indefinitely effectiveNorthridge, California 5/11/2006. and9900 Balboa Boulevard, BNorthridge, California

LaConte, Daniel William DC17546 SuspendedP.O. Box 1672 indefinitely effectiveLafayette, California 04/19/04.

Lagomasino, Frank S. 27930 Suspended5637 N. Pershing Avenue, indefinitely effective#F-1 5/16/2007Stockton, California and4422 N. Pershing Avenue, #D9Stockton, California

Lahaie, Sheri Suspended697 Menlo Avenue indefinitely effectiveMenlo Park, California 3/20/98.

Lai, Hoan Ngoc DC23472 Suspended16575 A Brookhurst Street indefinitely effectiveFountain Valley, California 08/22/03.

Lam, The C. Suspended aka: Lam, The Chi indefinitely effective Lam, Chester 11/18/04. Chi, Lam T.48 Goldenrain DriveSan Jose, California

Lam, Tony Motung DC-13340 Suspended2440 South Hacienda indefinitely effective Boulevard, Suite 105 10/10/03.Hacienda Heights, California


Lamb, Robert D. Suspended420 Morris Street indefinitely effectiveSebastopol, California 8/12/96.

Landemare, Henry M. Suspended2305 Carlos Street indefinitely effectiveMoss Beach, California 12/4/94.

Landis, Kerby E. DC-9674 Suspended1137 Stone Hearth Lane indefinitely effectiveLincoln, California 3/24/2005.

Lang, Thomas Arthur DC- Suspended2119 March Lane, 17511 indefinitely effectiveSuite B 3/24/04.Stockton, California

Lanzarotta, Suzette Suspended10907 East Main Street indefinitely effectiveGrass Valley, California 5/4/95.

Latzer, Saul Allen DC0198870 Suspended2062 Tapo Street indefinitely effectiveSimi Valley, California 02/10/01.

Laugen, Louise M. DC11214 Suspended aka: Carlson, Louise M. indefinitely effective Carlson, Louise Mary 11/8/2004.6228 Idylwood LaneEdina, Minnesota

Laughter, James S. Suspended3578 30th Street indefinitely effectiveSan Diego, California 8/12/96.

Lawrence, Robert D. Suspended aka: Donald R. Lawrence indefinitely effective308 Fell Street 10/19/00.San Francisco, California

Lee, Stephen Junho 25745 Suspended706 E. Main Street indefinitely effectiveMesa, Arizona 6/19/2006.

Lee, Sujin DC-22754 Suspended1555 West Olympic indefinitely effective Boulevard, #103 10/16/03.Los Angeles, California

Leeds, Robert W., Jr. Suspended426 Barnegat Lane indefinitely effectiveRedwood City, California 4/13/97.

Leonard, Robert DC-20290 Suspended142 S. Cloverdale Boulevard indefinitely effectiveCloverdale, California 6/20/02.

Lescht, Ira C. DC21038 SuspendedP.O. Box 1510 indefinitely effectivePismo Beach, California 10/18/01.

Lewis, Edward L. DC0202920 Suspended617 High Street indefinitely effectiveAuburn, California 8/12/96.

Lien, Jonathan Tri Vi DC24478 Suspended aka: Lien, Tri Vi indefinitely effective5199 Running Bear Drive 10/19/2006.San Jose, California



Number

Liners, Eric S. 15630 Suspended834 Provincetown Drive indefinitely effectiveSalinas, California 9/1/2006. and100 East Romie Lane,Suite #4Salinas, California

Lippay, Ronald W. Suspended521 North Fair Oaks indefinitely effective Avenue 10/20/03.Sunnyvale, California

Liu, Lorinda Nai DC-25593 Suspended12531 Harbor Boulevard, indefinitely effectiveSuite C 5/20/02.Garden Grove, California

Loader, Michael Leslie Suspended451 Sycamore Avenue indefinitely effectiveClaremont, California 4/19/2007.

Lodwig, Michael J. Suspended45 Quail Court, Suite 110 indefinitely effectiveWalnut Creek, California 2/12/95.

Long, David 22056 Suspended8895 Westminster Avenue indefinitely effectiveGarden Grove, California 5/25/2005.

Lopez, Roberto Suspended aka: Ramirez, Roberto indefinitely effectiveP.O. Box 1912 12/20/04.Seaside, California

Lovelace, James C. DC- Suspended216 F Street, 10155 indefinitely effectiveSuite 141 4/15/04.Davis, California

Lowe, Dane Elisabeth DC0166020 Suspendedc/o 119 Clay Street indefinitely effectiveIone, California 11/20/00.

Lowry, Paulette M. DC0198980 Suspended96 Schooner Court indefinitely effectiveRichmond, California 4/2/97.

Lowy-Berry, Christie Suspended634 W. Mauna Loa Avenue indefinitely effectiveGlendora, California 6/1/95.

Loy, Lamont S. Suspended321 N. Highway 101, Suite A indefinitely effectiveSolano Beach, California 4/20/98.

Lucia, Jamie DC-18596 Suspended aka: Lucia, Jaime indefinitely effective86 Third Street 06/30/04.Los Altos, California

Luly, John C. 10420 Suspended13743 Victory Boulevard, indefinitely effectiveSuite C 12/7/2006.Van Nuys, California and4459 Morrell StreetSan Diego, California


Lugo, Fernando David DC20295 Suspended43775 North 15th Street West indefinitely effectiveLancaster, California 07/28/03. or519 E. BroadwayGlendale, California

Lunceford, Glenn W. DC0179970 Suspended4723 Bluff Street indefinitely effectiveNorco, California 2/12/95.

Luong, Anhue Thi DC24484 Suspended1260 Walnut Avenue, indefinitely effectiveApartment 19 6/20/01.Tustin, California

Luta, Patricia L. Suspended4344 Occidental Road indefinitely effectiveSanta Rosa, California 12/20/99.

Lyons, Dorothy A. DC0202960 Suspended18687 Main Street indefinitely effectiveGroveland, California 3/20/98.

Maher, Deborah Zeitsoff DC0169570 Suspended aka: Deborah Bergstrom indefinitely effective2900 Bristol Street, G-101 6/1/95.Costa Mesa, California

Mallary, Peter 19903 Suspended1571 West 8th Avenue indefinitely effectiveChico, California 8/24/2006. and2006 Freedom BoulevardFreedom, California

Mallary, Peter M. DC0199030 Suspended1790 Estatesway Street indefinitely effectiveChico, California 6/27/96.

Manfre, Vincent DC0212010 Suspended 12812 Elkwood Street indefinitely effectiveN. Hollywood, California 11/7/96.

Mannino-Siegel, Holly L. Suspended4910 Birch Street indefinitely effectiveNewport Beach, California 1/5/97.

Manriquez, Antonio Jr. 23308 Suspended85690 Calle Limon indefinitely effectiveCoachella, California 2/20/05.

Manson, Rex Howard 13599 Suspended457 Monterey Drive indefinitely effectiveAptos, California 12/15/2006. and4125 Blackford Avenue,Suite #105San Jose, California

Manvel, Barry J. DC0159970 Suspended1434 3rd Street indefinitely effectiveCalistoga, California 4/20/98.

Maravilla, Carlo Ravara 25896 Suspended3469 Tennessee Street, indefinitely effectiveSuite #101 12/29/2006.Vallejo, California and4616 El Camino Avenue, Suite BSacramento, California


susp J13


Marinaro, Ronald Suspended12215 Ventura Boulevard, indefinitely effective#114 2/12/95.Studio City, California

Marin, Melody Ann 23311 Suspended7301 Sepulveda indefinitely effective Boulevard, Suite #3 1/19/05.Van Nuys, California

Mark, Jeffrey Suspended2820 Kelsey Street indefinitely effectiveBerkeley, California 5/6/97.

Martin, Diana Suspended110 Oak Rim Court, #56 indefinitely effectiveLos Gatos, California 11/7/96.

Martin, Diana J. DC18718 Suspended110 Oak Rim Court, indefinitely effectiveApartment 56 08/26/03.Los Gatos, California

Martin, Joseph E. 21748 Suspended597 North Acacia indefinitely effective Avenue 6/16/04.Reedley, California

Martin, Joseph E. DC0217480 Suspended17295 S. Monterey Road indefinitely effectiveMorgan Hill, California 1/19/00.

Martin, Kathleen L. Suspended10620 River Road indefinitely effectiveForestville, California 10/20/03.

Martinez, Theodore J. DC0195310 Suspendedc/o 3985 North Fresno indefinitely effective Street, Suite 106 06/20/00.Fresno, California

Marts, Richard A. Suspended660 San Fernando Road, #18 indefinitely effectiveLos Angeles, California 10/20/99.

Mason, Jeffrey Hayes DC-17568 SuspendedP.O. Box 24121 indefinitely effectiveVentura, California 04/15/04.

Massien, Jeffrey DC21424 Suspended44-200 Monterey Avenue, indefinitely effectiveSuite A 6/9/01.Palm Desert, California

Mattson, James A. Suspended2319 Derby Street indefinitely effectiveBerkeley, California 8/20/01.

Maurer, Craig DC0206980 Suspended969 Valencia Street indefinitely effectiveSan Francisco, California 7/14/01.

May, Ben G. 15713 Suspended1413 Moyer Lane, #2 indefinitely effectiveMorristown, Tennessee 10/20/2006.

Mayfield-Andrews, Sheryl A. Suspended c/o 1615 E. Plaza indefinitely effective Boulevard 8/12/96.San Diego, California


Maynard, Jennifer DC0214260 Suspended24124 Afamado Lane indefinitely effectiveDiamond Bar, California 3/6/97.

Mays-Good, Kathryn M. Suspended19234 Vanowen Street indefinitely effectiveReseda, California 11/9/94.

Mazhar, Mostafa (Mark) DC0227660 Suspended1353 Carmelina Avenue, indefinitely effective#209 5/20/01.Los Angeles, California

McGee, Billie J. Suspended1872 Springgate Lane, #C indefinitely effectiveSimi Valley, California 12/4/94.

McGhee, Michael T. 22767 Suspended1519 Willowgate Avenue indefinitely effectiveSan Jose, California 6/20/2006.

McGinnis, Kimberly Ann DC18142 SuspendedP.O. Box 6051 indefinitely effectiveAuburn, California 10/19/00.

McKinney, Otha G. Suspended11468 Kiowa Road indefinitely effectiveApple Valley, California 3/27/02.

McJilton, Stephen J. DC0227690 Suspended11641 Wembley Road indefinitely effectiveRossmoor, California 2/19/98.

McLaughlin, Robert M. Suspended4571 Bou Bear Lake indefinitely effectiveSummerset, California 12/9/96.

McWilliams, Patrick R. 18534 Suspended2101 Violet Street indefinitely effectiveSacramento, California 04/20/04.

Melville, Carl Suspended5804 Forest Shade Drive indefinitely effectiveCrestline, California 5/4/95.

Meyer, Jason L. DC-23554 Suspended17401 Ventura Boulevard, indefinitely effectiveSuite A29 1/15/03.Encino, California

Michaels, Barry DC0106260 Suspended952 East 82nd Street, #158 indefinitely effectiveBrooklyn, New York 5/24/01.

Michaels, Jon DC25505 SuspendedP.O. Box 3879 indefinitely effectivePalm Desert, California 5/23/01.

Milano, William Lockard DC011777 Suspended1105 Buchanan Road indefinitely effectiveAntioch, California 3/20/02

Milkey, John Joseph DC11988 Suspended1720 Ximeno Avenue, indefinitely effectiveSuite 8 10/18/02.Long Beach, California

Miller, Brad Suspended2960 Harbor Boulevard indefinitely effectiveCosta Mesa, California 6/27/96.


susp J14


Miller, David E. DC0214420 Suspended306 Wellington Avenue DC0214421 indefinitely effectiveClyde, California 11/16/95.

Miller, Linda L. U13780 Suspended aka: Linda L. Mulkiewica indefinitely effective316 N. Poplar Street 12/20/98.Anaheim, California

Millikan, Ronal D. DC0112270 Suspended2365 Alden Avenue indefinitely effectiveRedding, California 12/31/02.

Millward, Dennis E. 00022775 Suspended3913 22nd Street, indefinitely effectiveApartment A 10/19/00.San Francisco, California

Mitchell, Gregory Wayne DC-22549 Suspended5880 Benner Street, # 304 indefinitely effectiveLos Angeles, California 8/16/02.

Mitchell, Jimmy M. 89102 Suspended1491 Detroit Avenue, indefinitely effectiveSuite #250 1/20/06.Concord, California

Mitchell, Ronald G. DC10464 Suspended814 South Wooster Street, indefinitely effectiveSuite 208 6/1/01.Los Angeles, California

Moarefi, Mahmoud R. Suspendedc/o 150 S. Barrington Avenue indefinitely effectiveLos Angeles, California 12/20/99.

Mohammadkhani, 22929 SuspendedAlireza Darivosh indefinitely effective aka: Mohammadkhani, 6/20/05. Ariuosh A. Mohammadkhani, Dariuch Ali Mohammadkhani, Darivesh A. Mohammadkhani, Alireza Daruosh Mohammadkhani, Daruosh Mohammadkhani, Darius Ali Mohammadkh, Dariush A. Mohammadkhani, Alireza Dariuosh10328 Laramie AvenueVallejo, California

Molina, Robert Suspended543 California Avenue indefinitely effectiveWest Covina, California 2/12/95.

Monoson, Richard DC17809 Suspended17525 Ventura Boulevard, indefinitely effective#105 12/27/00.Encino, California

Montana, Matt Reza DC21066 Suspended10311 South DeAnza indefinitely effective Boulevard, #6 4/19/01.Cupertino, California


Montoya, Robert DC-18547 Suspended436 West Arlight Street indefinitely effectiveMonterey Park, California 2/20/01.

Moore, Dennis J. Suspended1525 Mesa Verde E indefinitely effectiveCosta Mesa, California 4/2/97.

Moore, Waylon Carl DC0136170 Suspended18202 Foothill Boulevard indefinitely effectiveFontana, California 4/19/01.

Moore, Wesley B. DC0167560 Suspended102 South 12th Street indefinitely effectiveSan Jose, California 4/13/97.

Mora, Matthew James 22089 Suspended aka: Mora, Matt J. indefinitely effective7341 Tulipwood Circle 9/20/04.Pleasanton, California and16927 Vanowen Street,Suite 3Van Nuys, California

Morita, Phuong T. Minh Suspended18021 Skypark Circle indefinitely effectiveIrvine, California 12/20/98.

Moroney, William P. Suspended161 W. 25th Avenue indefinitely effectiveSan Mateo, California 11/20/97.

Moscatel, Raymond A., D.C. DC0104680 Suspended8710 South Western indefinitely effectiveLos Angeles, California 10/25/74.

Mullinax, Jeffrey S. Suspended8868 Lakewood Drive, #137 indefinitely effectiveWindsor, California 3/20/05.

Muenker, Mark E. Suspended15008 Haynes Street indefinitely effectiveVan Nuys, California 5/20/98.

Mullins, Marilyn E. Suspended229 Turf Drive indefinitely effectivePlacentia, California 12/12/96.

Murphy, Deborah C. Suspended607 Emily, #C indefinitely effectiveOjai, California 12/4/94.

Murphy, Marc A. DC0167660 Suspended17 Calle Gazapo indefinitely effectiveRancho Santa Margarita, 11/7/96. California

Musicant, Barbara D. DC-24528 Suspended4920 Soquel Drive #B indefinitely effectiveSoquel, California 6/20/02.

Nabatmama, Jeffrey DC24181 Suspended1059 South Shenandoah indefinitely effective Street, Apartment # 105 12/18/04.Los Angeles, California


susp J15


Nadreau, Marc H.P. 24058 Suspended7408 South Western indefinitely effective Avenue 1/24/2004.Los Angeles, California

Natividad, Ventura DC-26646 Suspended2005 Highland Avenue, indefinitely effectiveSuite #2 4/13/2006.National City, California

Nathanson, Robert Jeffery DC26907 Suspended1115 Geary Boulevard indefinitely effectiveSan Francisco, California 01/26/05.

Navai, Mehdi DC0214480 Suspended104 North 1st Street, #7 indefinitely effectiveAlhambra, California 4/23/97.

Ndem, Murphy M. DC-25604 Suspended aka: Emole, Emole Ndem indefinitely effective Ndem, Emole 9/24/02. Ndem, Murphy Nwokeka, Emole3623 MacArthur Boulevard, Suite BOakland, California

Neault, Charles Carey DC0119960 Suspended2345 Erringer Road, Suite 210 indefinitely effectiveSimi Valley, California 7/7/02.

Nelson, Robert DC0195500 Suspended301 Engell Court indefinitely effectiveSuisun City, California 5/6/96.

Nenadov, Barney DC11346 Suspended aka: Nevaoloz, Barney indefinitely effective Nenadovic, Branislav 07/23/04.29275 Poppy Meadow StreetCanyon Country, California

Newell, Charles F. Suspended9830 Prospect Avenue indefinitely effectiveSantee, California 12/20/99.

Next Level Personal DC0228150 Suspended Fitness Systems indefinitely effective585 Mandana Boulevard, Suite #1 07/19/01.Oakland, California

Nguyen, David DC-22241 Suspended Cuong Manh indefinitely effective2324 Montpelier Drive, Suite 7 06/16/03.San Jose, California

Nguyen, Dung DC0230780 Suspended5895 E. Trapper Trail indefinitely effectiveAnaheim, California 04/13/97.

Nguyen, Lenard Linh 26787 Suspended aka: Nguyen, Linh N. indefinitely effective1710 Berryessa Road, 8/24/2006.Suite #101San Jose, California

Nguyen, Phu Ba 27350 Suspended5467 Lean Avenue indefinitely effectiveSan Jose, California 6/20/05.


Nguyen, Sandy L. DC21761 Suspended5916 Garbough Drive indefinitely effectiveSan Jose, California 11/18/02.

Nicholls, Hilary J. Suspended78 Passo Hondo indefinitely effectiveCarmel Valley, California 01/05/97.

Nichols, Stuart Alan DC-23051 Suspended4061 East Castro Valley indefinitely effective Boulevard, Suite 234 3/27/02.Castro Valley, California

Nieman, Edwar H. DC0192320 Suspendedc/o 9100 Wilshire Boulevard indefinitely effectiveEast Tower, Suite 245 11/20/00.Beverly Hills, California

Nikkhah, Mohammad DC-25769 Suspended2183 Fairview Road, indefinitely effectiveSuite 103 4/15/04.Costa Mesa, California

Nikravesh, David N. DC0203340 Suspended17410 Cohassett Street DC0203341 indefinitely effectiveVan Nuys, California 6/4/01.

Noble, Deborah M. 13361 Suspended aka: Noble, Deborah indefinitely effective Magret 7/31/2006. Noble-Gephart, Deborah MagretP.O. Box 974Fort Jones, California and620 East San Antonio DriveLong Beach, California

Norie, John B. Suspended1427 San Lucas Road indefinitely effectivePalm Springs, California 8/12/96.

Norris, Scott DC0174990 Suspended8224 Auburn Boulevard indefinitely effectiveCitrus Heights, California 5/12/94.

Norville, Michael Suspended3261 Idaho Lane indefinitely effectiveCosta Mesa, California 4/23/97.

Norville, Michael Thomas 21863 Suspended1755 Orange Avenue, B indefinitely effectiveCosta Mesa, California 7/23/2007.

Nguyen, Loc Bao DC20721 Suspended5125 Hampton Court indefinitely effectiveWestminister, California 7/30/97.

Nunoo, Godfrey O. 18568 Suspended1103 12th Street indefinitely effectiveOakland, California 1/20/02.

Oberstein, Lawrence SuspendedInfinity Chiropractic Center indefinitely effective1229 North Dutton Avenue 5/26/97.Santa Rosa, California


susp J16


Ocean Hills Chiropractic Suspended8405 Playa Del Rey 404 indefinitely effectivePlaya Del Rey, California 06/20/00.

Ocon, Luis E. Suspended806 Inglewood Street indefinitely effectiveSalinas, California 10/20/03.

Odell, Michael C. Suspended12630 Monte Vista Road indefinitely effectivePoway, California 12/20/98.

Ohanesian, Keith Richard DC-19238 Suspended13600 Ventura Boulevard indefinitely effectiveSherman Oaks, California 7/1/02.

Olajide, Gbolahan A. Suspended3701 Stocker Street, Suite 309 indefinitely effectiveLos Angeles, California 10/20/99.

Olberg, Gregory S. Suspended778 B Street indefinitely effectiveHayward, California 7/20/98.

Orenstein, David U42091 Suspended9044 Alcott Street indefinitely effectiveLos Angeles, California 12/20/98.

Ortiz, Ernest E. Suspended24345 La Glorita Circle indefinitely effectiveValencia, California 9/20/99.

Oum, Chul O. AC4686 Suspended10342 Lindley Avenue, indefinitely effectiveApartment 337 10/18/01.Northridge, California

Paik, Kenneth Whan II 22557 Suspended3944 Grandview Drive indefinitely effectiveBrea, California 9/26/2005.

Paiso, Adam C. DC0217700 Suspended278 Clarke Avenue indefinitely effectiveLivermore, California 8/20/01.

Pallas, James DC0177770 Suspended517 S. Euclid Street indefinitely effectiveLa Habra, California 7/5/94.

Palmer, Becky A. Suspended606 Elbrook Drive indefinitely effectiveFallbrook, California 1/5/97.

Palmer, Richard M. Suspended1239 Ramona Drive indefinitely effectiveNewbury Park, California 8/20/98.

Panebianco, Anthony G. Suspended3400 Bechelli Lane, Suite A indefinitely effectiveRedding, California 8/20/01.

Pankey, John R. Suspended1301 Webster Street, indefinitely effective#C-11 07/20/04.Alameda, California


Pardo, Fernando Suspended2800 E. Riverside Drive, indefinitely effective Apartment 296 6/5/97.Ontario, California

Pardo, Fernando Antonio DC-21771 Suspended9788 Pauline Drive indefinitely effectiveCypress, California 8/9/02.

Parkinson, Robert B. DC0228050 Suspended877 S. Vine Avenue indefinitely effectiveRialto, California 8/20/01.

Parks, Rin A. Suspended1063 Morse Avenue, #11-204 indefinitely effectiveSunnyvale, California 10/18/01.

Pashko, Robert A. DC0141880-1 Suspended1949 South Manchester, indefinitely effectiveSpace 87 01/03/01.Anaheim, California

Patton, Michael DC24195 Suspended Christopher SAT-2851 indefinitely effective1216 South Glendora 11/19/04. AvenueWest Covina, California

Pavlov, Andrey A. 25607 Suspended14471 Clarissa Lane indefinitely effectiveTustin, California 12/28/2005.

Pellerin, Stephen P. DC0177840 Suspended42744 Windy Gap Drive indefinitely effectiveAhwahee, California 9/24/96.

Perez, Jesus V. Suspended1871 Mattews Place indefinitely effectivePomona, California 4/6/97.

Peterson, Jon B. DC17789 Suspended2115 25th Street S indefinitely effectiveSaint Cloud, Minnesota 10/18/01.

Pfeiffer, Arlene H. Suspended20281 Eastwood Circle indefinitely effectiveHuntington Beach, California 6/10/96.

Pham, Megan Loan DC27145 Suspended5962 Westminster indefinitely effective Boulevard 09/23/02.Westminster, California

Pham, Nghi D. Suspended11051 Tilton Circle indefinitely effectiveFountain Valley, California 11/7/96.

Philipson, David DC0185880 Suspended16532 Kellog Circle, indefinitely effectiveApartment 1 10/20/99.Huntington Beach, CA

Pigott, Abu Gamal DC0228150 Suspended40 Moss Avenue, indefinitely effectiveApartment 202 5/20/01.Oakland, California

1 – Medi-Cal Suspended and Ineligible Provider ListNovember 2006

susp J17


Pinkerman, James DC0195720 Suspended29645 Rancho California indefinitely effectiveTemecula, California 4/10/96.

Polidori, Rollie J. DC12508 Suspended1725 Lampton Lane indefinitely effectiveNorco, California 5/28/03.

Poole, Gregory T. Suspendedc/o Barbara J. Poole indefinitely effective5045 East Madison Avenue 5/20/01.Fresno, California

Portillo Chiropractic Suspended1790 Winchester indefinitely effective Boulevard, #4 06/20/00.Campbell, California

Portillo, J. Carlos Suspended aka: Carlos J. Portillo indefinitely effective5832 Chesbro Avenue 2/20/00.San Jose, California

Postajian, Jon Michael DC- Suspended638 East Colorado Street 23569 indefinitely effectiveGlendale, California 3/2/04.

Powell, Curtis Suspended231 East Camino Real indefinitely effectiveMonrovia, California 04/20/00.

Powell, Leo E. DC10608 Suspended625 E. Arrow Highway indefinitely effectiveGlendora, California 2/1/02.

Powaser, Michael John DC-18595 Suspended3155 Gold Ridge Trail indefinitely effectivePollock Pines, California 2/13/02.

Prins, Leslie Julian 15636 Suspended2527 Noble Avenue indefinitely effectiveAlameda, California 6/20/2006.

Pritchard, Doyle P. Suspended520 Wensley Avenue indefinitely effectiveEl Centro, California 9/20/01.

Quick, Bradley Keith DC15356 Suspended5610 Stardust Road indefinitely effectiveLa Canada, California 8/29/01.

Rached, Elias Y. 18154 Suspended aka: Rached, Elias indefinitely effective Youssef 6/7/2006.23846 Sunnymead Boulevard,Suite #4Moreno Valley, California

Radetic, Peter M. Suspended890 Gold Club Road indefinitely effectivePleasant Hill, California 1/4/95.

Radetic, Peter M. U18461 Suspended220 Hoffman Lane indefinitely effectiveByron, California 09/11/03.

Rafii, Ahmad R. DC0217880 Suspended85 Saratoga Avenue, indefinitely effective Suite 103 10/20/99.Santa Clara, California


Rafle, Philip Jay DC21479 Suspended1422 East Bell Avenue indefinitely effectiveAnaheim, California 2/7/2004.

Rahn, Roger S. Suspended5424 Woodlake Avenue indefinitely effectiveWoodland Hills, California 4/13/97.

Raines, Francis 12513 Suspended6176 West Charleston indefinitely effective Boulevard 5/10/2006.Las Vegas, Nevada

Rasmussen, Rhett David 23959 SuspendedP.O. Box 70674 indefinitely effectiveBakersfield, California 09/20/00.

Ratliff, Cynthia A. Suspended305 Valencia School Road indefinitely effectiveAptos, California 11/20/05.

Rayas-Felix, Magdalena Suspendedc/o Sebastian & Leonor Rayas indefinitely effective700 S. Leonard Avenue 4/6/97.Los Angeles, California

Razavian, Fahimeh Suspended aka: Fahimeh Ghaffari indefinitely effective21622 Marguerite Parkway, 9/20/99. Apt. 269Mission Viejo, California

Redd, Timothy J. Suspended1252 San Dimas Canyon Road indefinitely effectiveSan Dimas, California 12/4/94.

Reed, Robert William DC0189290 SuspendedCalifornia State Prison indefinitely effective Solana – J86205 09/20/00.P.O. Box 4000Vacaville, California

Reed, Walter W. DC0189290 Suspended 1481 N. Waterman Avenue indefinitely effectiveSan Bernardino, California 2/14/94.

Reeves, Daniel DC10808 Suspended730 West California Street indefinitely effectiveGlendale, California 01/04/01.

Renolds, Michael J. DC0113610 SuspendedDCD # - K45191 CTF-C indefinitely effectiveP.O. Box 689 09/20/00.Soledad, California

Rey, Jorge E. Suspended12665 Monte Vista Avenue indefinitely effectiveChino, California 01/18/01.

Reyes Chiropractic Center Suspended609 West Acequia Avenue, indefinitely effectiveSuite B 06/20/00.Visalia, California

1 – Medi-Cal Suspended and Ineligible Provider ListMarch 2007

susp J18


Reyes, Daniel A. DC0182510 Suspended609 W. Acequia Avenue, indefinitely effectiveSuite B 12/20/98.Visalia, California

Reynolds, Bob R. DC0186060 Suspended3812 Fambrough indefinitely effectiveBakersfield, California 9/10/96.

Rich, Kenneth 23096 Suspended1340 West Lambert indefinitely effective Road, #84 2/7/04.La Habra, California

Richards, Terence J. 00022136 Suspended1655 Anza Street indefinitely effectiveSan Francisco, California 12/20/00.

Richardson, Justin W. Suspended7100 Owensmouth indefinitely effectiveCanoga Park, California 1/5/97.

Richardson, John A. Suspended872 Lakeport Boulevard indefinitely effectiveLakeport, California 10/20/03.

Ridley, Charles Lynwood 20486 Suspended1431 Town & Country indefinitely effective Drive, #C 11/20/00.Santa Rosa, California

Rinkleib, Karen M. Suspended17464 Penn Valley Drive indefinitely effectivePenn Valley, California 1/20/99.

Rios, Emanuel J. Suspended227 S. Madison, Apt. 101 indefinitely effectivePasadena, California 4/23/97.

Ripley, Michael Paul DC-18934 Suspended416 A Moraga Way indefinitely effectiveOrinda, California 06/30/04.

Rivene, Zaida DC-14527 Suspended407 North San Mateo Drive indefinitely effectiveSan Mateo, California 3/20/02.

Robinson, Casey Dean 26803 Suspended2125 Pamo Road indefinitely effectiveRamona, California 4/22/2006.

Robinson, Francis T., Jr. Suspended1253 Seacliff Court, Unit 1 indefinitely effectiveVentura, California 2/18/99.

Rockmael, Allan DC019850 Suspended1348 Bradway, Apt. A indefinitely effectiveSan Francisco, California 4/2/97.

Rodrigues, Paul J. 21107 Suspended18102 Pioneer Boulevard, indefinitely effective#104 10/18/01.Artesia, California

Rodrigues, Paul Jorge DC21107 Suspended17915 Thornlake Avenue indefinitely effectiveArtesia, California 09/18/02.


Rodriguez, Consuelo SuspendedP.O. Box 4916 indefinitely effectiveEl Monte, California 4/6/97.

Rogers, Guy A. Suspended15200 Sunnybank Avenue indefinitely effectiveBakersfield, California 2/12/95.

Rogers, Robert 22831 Suspended7246 Lotus Way indefinitely effectiveAptos, California 1/20/02.

Rogers, Thomas C. Suspended2625 W. Orion Avenue, #1 indefinitely effectiveSanta Ana, California 12/20/98.

Rose, Lorraine B. Suspended6212 Tunney Avenue indefinitely effectiveReseda, California 4/20/99.

Rosenfeld, Jeffrey B. Suspended3435 Ocean Park Drive, indefinitely effectiveSuite 206 3/14/96.Los Angeles, California

Rosenthal, Larry M. 16837 Suspended823 South Orange Grove indefinitely effectiveLos Angeles, California 4/19/01.

Rothman, Laura L. 20769 Suspended aka: Lee, Reya indefinitely effectiveP.O. Box 1558 10/18/01.Arroyo Grande, California

Royal, Don C. DC0165070 Suspended2100 Westcliff Drive, Suite 8 indefinitely effectiveNewport Beach, California 12/12/96.

Ruiz, Henry S. Suspended815 West Palmdale Boulevard indefinitely effectivePalmdale, California 1/5/97.

Ruiz, Henry Soliz DC18712 Suspended dba: Marine Health Center indefinitely effective Rex Therapy 08/22/03.15020 Hawthorne Boulevard,Suite GLawndale, California

Russell, Michael D. Suspendedc/o 6442 Platt indefinitely effectiveWest Hills, California 10/7/97.

Sabel, Larry A. DC-13864 SuspendedP.O. Box 439 indefinitely effectiveLumberton, New Jersey 12/18/03.

Sackett, Maurice F. Suspended aka: Maurice F. Koukeh indefinitely effective409 Nottingham Drive 11/9/94.Redlands, California

Sahrab, Neda Suspended2855 Pine Creek Drive indefinitely effectiveCosta Mesa, California 8/12/96.

Sakalis, Gregory H. 20379 Suspended2505 Canada Boulevard, indefinitely effectiveSuite #2 10/11/2006.Glendale, California


susp J19


Salomons, Rudy DC0072750 Suspended3156 Wilshire Boulevard indefinitely effectiveLos Angeles, California 10/26/84.

Sanchez, Jorge G. Suspended8726 Imperial Highway indefinitely effectiveDowney, California 4/5/00.

Sargent, John Suspended4117 Redondo Beach indefinitely effective Boulevard 1/5/97.Lawndale, California

Schartman, Allyson C. Suspended12707 High Bluff Drive indefinitely effectiveSan Diego, California 12/20/99.

Schauer, Michele Ruth 22457 Suspended3981 18th Street indefinitely effectiveSan Francisco, California 4/17/2007.

Schiller, Christine M. 00021121 Suspended aka: Christine S. Palitz indefinitely effectivec/o 10551 La Rosa Circle 06/20/00.Fountain Valley, California

Schleicher, Kyle DC0214990 Suspended710 Wilshire Boulevard, indefinitely effectiveSuite 314 4/23/97.Santa Monica, California

Schluter, Lyle C.A. Suspended108 Mendocino Place indefinitely effectiveUkiah, California 6/27/96.

Schoenhoeft, Joseph B-620 SuspendedCDC # P87112 indefinitely effectiveP.O. Box 3030 5/20/02.Susanville, California

Schow, Kenneth M. Suspended21521 Brookhurst Street indefinitely effectiveHuntington Beach, California 12/9/96.

Schroeder, Paul F. DC0181820 Suspended720 East Bullard, Suite 104 indefinitely effectiveFresno, California 12/30/01.

Scorca, Francis 14230 Suspended39775 Paseo Padre Way indefinitely effectiveFremont, California 5/11/2006.

Scott, Clinton D. 7169 Suspended2840 E Maraquita Street, indefinitely effectiveApartment #8 1/19/05.Long Beach, California


Scott, John Elijah DC0175800 Suspended2405 Woodvale Drive DC0175801 indefinitely effectiveModesto, California 8/20/98.

Seals, Carlos V. DC-16052 Suspended2821 South Vermont indefinitely effectiveLos Angeles, California 6/1/01.

Segota, Debra A. 00021501 Suspended aka: Debra A. Hensel indefinitely effectivec/o 1254 Irvine Boulevard, 08/20/00.Suite 100Tustin, California

Serratos, Ernesto DC0199810 Suspended aka: Ernesto S. Orendain indefinitely effective1321 Valley View Way 6/10/96.Crestline, California

Sessoms, Mark Desmond DC-19982 SuspendedP.O. Box 6315 indefinitely effectiveVallejo, California 6/21/02.

Shaffer, Jeffrey DC23463 Suspended1300 SW Campus Drive indefinitely effectiveFederal Way, Washington 6/9/01.

Shaffer, Steven E. Suspended12373 Lewis Street, Suite 103 indefinitely effectiveGarden Grove, California 9/20/98.

Shaft, Bruce K. DC22463 Suspended865 Leyland Drive indefinitely effectiveDiamond Bar, California 03/10/03.

Shahrestani, Shahriar DC0196010 Suspended150 Circulo Robel indefinitely effectiveAnaheim, California 1/27/99.

Shami, Fethi Y. DC-23368 Suspended101 North La Brea Avenue, indefinitely effectiveSuite 300 6/1/01.Inglewood, California

Shanefelter, Charles, III Suspended18982 Bonnet Way indefinitely effectiveSaratoga, California 5/4/95.


susp J20


Shanley, Nisha Denise 18950 Suspended5420 Carlsbad Boulevard indefinitely effectiveCarlsbad, California 2/10/2005.

Shapiro, Michael Suspended 23120 W. Lyon Avenue, #5103 indefinitely effectiveNewhall, California 6/27/96.

Sheehy, Daniel J. 20400 Suspended17454 Deerhill Road indefinitely effectiveMiddletown, California 11/18/04. and1441 6th StreetCoachella, California and67555 East Palm Canyon Drive,Suite #F114Cathedral City, California

Shirzad, Medhi Suspended8833 Monterey Road, indefinitely effectiveSuite J 9/20/98.Gilroy, California

Shouka, Mohammed DC0207900 Suspended1025 Mt. Vernon Avenue, indefinitely effective Suite A 3/14/96.Colton, California

Siegler, Michael Lawrence DE17243 Suspended11692 Belleville Way indefinitely effectiveSunnyvale, California 11/18/02.

Sim, Christopher 25931 Suspended Hyungkeun indefinitely effective20900 Homestead Road, 1/19/2006.Suite #E8Cupertino, California

Sim, Tom Hyangkeun 26928 Suspended3131 Homestead Road, indefinitely effectiveSuite #7E 12/9/04.Santa Clara, California

Simmons, Lester Alwyn 16521 Suspended2301 Dartmouth Place indefinitely effectiveEl Dorado Hills, California 09/20/00.

Simon, Cathy L. DC22857 Suspended aka: Simon, Catherine L. indefinitely effective14 Kara Court 9/20/01.Aliso Viejo, California

Simon, Greg L. Suspended25959 Summer Hill Court indefinitely effectiveMurieta, California 12/9/96.

Simon, Michelle R. Suspended1333 S. Thousand Oaks indefinitely effective Boulevard 9/10/96.Thousand Oaks, California


Sivas, Edward Daniel DC0122800 Suspended14074 Monte Verde Road indefinitely effectiveApple Valley, California 3/20/01.

Skower, Haynes DC12281 Suspended905 G Street indefinitely effectiveMarysville, California 6/20/01.

Slavin, Mark B. Suspended11912 Silver Crest Street indefinitely effectiveMoorpark, California 08/20/00.

Slusher, James Richard DC12058 Suspended1182 S.E. Bristol Street indefinitely effectiveSanta Ana Heights, California 6/18/01.

Slusher-Maroudas, 20796 SuspendedPatricia L. indefinitely effective8010 Wayland Lane, 4/20/2006.Suite #1BGilroy, California

Smiley, James Dwight DC0181890 Suspended2005 Devereux Drive indefinitely effectiveBurlingame, California 09/20/00.

Smith Buddingh, DC15593 SuspendedSusanne E. indefinitely effective4455 Torrance Boulevard, 11/20/01.#610Torrance, California

Smith, Jessica DC0162120 Suspended10000 E. Imperial Highway indefinitely effectiveDowney, California 1/5/97.

Smith, Robert L. DC0178260 Suspended129 Felix Drive indefinitely effectiveOjai, California 1/14/98.

Smith, Rusty A. SuspendedStar Route Box 255 indefinitely effectiveSanta Barbara, California 11/19/98.

Smith, Stacey D. Suspended29500 Heathercliff Road indefinitely effectiveMalibu, California 07/20/00.

Smith, Thomas Patrick DC-13874 Suspended2050 West Chapman Avenue, indefinitely effectiveSuite 110 05/15/04.Orange, California

Snavely, Daniel H. T18618 Suspended32221 Camino Capistrano, indefinitely effective#B106 09/10/03.San Juan Capistrano, California

Snow, Eddie S. 19992 Suspended2587 Charleston Street indefinitely effectiveOakland, California 11/20/2005.


susp J21


Solum, Jim D. Suspended1167 N. Orange Grove Avenue indefinitely effectiveLos Angeles, California 2/19/98.

Son, Won-Joon 29879 Suspended5530 Cascade Way, E indefinitely effectiveBuena Park, California 3/8/2007.

Soto, Mario J. Suspended3883 North Palm Avenue indefinitely effectiveFresno, California 01/18/01.

Stalker, James W. 15399 Suspended210 Reflections Drive, #21 indefinitely effectiveFresno, California 12/6/01.

Stalker, James W. Suspended7450 San Ramon Road indefinitely effectiveDublin, California 5/16/95.

Stanbridge, Gary 23377 Suspended13815 Mystic Street indefinitely effectiveWhittier, California 1/19/05.

Starace, William J. 23996 Suspended4422 N. Pershing Avenue, indefinitely effective#D-9 4/18/02.Stockton, California

Starrett, Scott Douglas DC18654 Suspended167 Flying Cloud Isle indefinitely effectiveFoster City, California 8/8/2005.

Stasko, Edward G. Suspended21861 Kiowa Lane indefinitely effectiveHuntington, California 4/6/97.

Stauffer, Kelly J. Suspended2235 California Street, indefinitely effectiveApartment 229 07/20/00.Mountain View, California

Steinfeld, Audrey G. DC0218120 Suspended9018 Balboa Boulevard, indefinitely effectiveSuite 142 9/23/02.Northridge, California

Stern, Kenneth H. DC-22864 Suspended2206 Balboa Avenue indefinitely effectivePacific Beach, California 1/15/03.

Stewart, Jeannine L. DC0165420 Suspended2814 Newport Boulevard indefinitely effectiveNewport Beach, California 12/9/96.

Stickle, John Daniel Suspended aka: Dan Stickle indefinitely effectivec/o 240 Beach Pines Drive 5/20/01.Aptos, California

Stiga, John Patrick DC-15044 Suspended1816 Tully Road, Suite 225 indefinitely effectiveSan Jose, California 7/5/02.

Stone Chiropractic Suspended193 Penton Center Way indefinitely effectiveSan Leandro, California 3/14/96.


Stone, Steven Suspended14305 Bancrofft Avenue, #5 indefinitely effectiveSan Leandro, California 12/19/95.

Strohbach, Robert I. DC18969 Suspended9673 A Sierra Avenue indefinitely effectiveFontana, California 2/7/04.

Stromlund, Vicki Suspended6628 Graham Circle indefinitely effectiveCitrus Heights, California 8/4/97.

Studer, Jonathan DC0186610 Suspended3076 Union Avenue indefinitely effectiveSan Jose, California 8/18/94.

Sullivan, John Neil 20809 Suspended15030 Imperial Highway, indefinitely effectiveSuite A 5/9/2007.La Mirada, California

Sullivan, Joseph C. Suspended525 S. Shelton Avenue, indefinitely effective#210 5/6/96.Burbank, California

Sutton, Brian L. Suspended27142 Galvez Lane indefinitely effectiveMission Viejo, California 12/9/96.

Szabo, Stephanie Suspended2336 Newhall Street indefinitely effectiveSan Jose, California 12/20/98.

Tardaguila, Gregory S. DC-19629 Suspended23604 Crenshaw Boulevard indefinitely effectiveTorrance, California 06/23/04.

Taymoori, Zahra N. 21820 Suspended aka: Taymoori, Nasrin indefinitely effective Zahra 9/20/04.16661 Ventura Boulevard#826Encino, California

Tchakalian, Leon J. 23386 Suspended3960 Glenridge Drive indefinitely effectiveSherman Oaks, California 10/18/01.

Tefft, Gregory H. DC17842 Suspended23961 Calle De La Magdena,indefinitely effective#429 2/27/02.Laguna Hills, California

Terides, Michael A. Suspended4610 Garnet Street indefinitely effectiveCapitola, California 10/20/03.

Thompson, Steven P. 21143 Suspended43 Paradise Road indefinitely effectiveCastroville, California 11/30/00.

Thornton, James Suspended251 Willow Valley Road, #1 indefinitely effectiveNevada City, California 5/4/95.

Todd, Carolyn A. Suspended aka: Carolyn A. Crocevera indefinitely effective707 - 17 Mile Drive 2/12/95.Pacific Grove, California


susp J22


Tolman, Eric Scott 27180 Suspended1497 West Yosemite indefinitely effectiveManteca, California 3/24/05.

Tran, Binh Van DC-25939 Suspended13411 Coast Street indefinitely effectiveGarden Grove, California 6/1/01.

Tran, Ngoc Hoai 24236 Suspended18700 Sherman Way, #114 indefinitely effectiveReseda, California 4/30/2007.

Tropeano, Raymond DC0165640 Suspended3772 Katella Avenue, #205 indefinitely effectiveLos Alamitos, California 04/20/00.

Turk, Harold Elliot DC25632 Suspended17525 Ventura Boulevard indefinitely effectiveEncino, California 03/10/03.

Tutashinda, Kweli 20825 Suspended3358 Adeline Street indefinitely effectiveBerkeley, California 7/19/2007.

Tuttle, Eugene C., D.C. DC0089830 SuspendedEureka, California indefinitely effective

1/21/81.

Tyan, Er-Gan 26821/2196 Suspended dba: Tyan Chiropractic, indefinitely effective Inc. 4/9/2007.328 North Garfield Avenue,Suite DMonterey Park, California

Tyler, John R. Suspended1304 W. Foothill Boulevard indefinitely effectiveRialto, California 7/20/98.

Uchibori, Bert Harumi DC17517 SuspendedP.O. Box 552 indefinitely effectivePenngrove, California 12/31/02.

Ummach-Calomino, 20017 SuspendedJude L. indefinitely effectiveP.O. Box 5252 11/20/01.San Clemente, California

Urdea, Judith 16942 SuspendedP.O. Box 2641 indefinitely effectiveCosta Mesa, California 12/20/2006.

Vacco, Ralph Robert DC0215420 Suspended425 West 5th Avenue, indefinitely effective Suite 104 12/20/98.Escondido, California

Vafaee, Mohammadali 24646 Suspended Amir indefinitely effective214 26th Street 1/19/05.Santa Monica, California and11819 Wilshire Boulevard,Suite #209Los Angeles, California

Vaishvila, Gail A. 00020019 Suspended2521 34th Street indefinitely effectiveSanta Monica, California 06/20/00.


Van Gorder, Kurt F. Suspended40250 Starling indefinitely effectiveTemecula, California 9/1/94.(old date)

Van Gorder, Kurt Fridhjof 22222 Suspended40250 Starling indefinitely effectiveTemecula, California 1/24/05. (new date)

Van Olphen, Anneka Suspended7716 Eureaka Avenue indefinitely effectiveEl Cerrito, California 10/10/95.

VanRensselaer, Jeffrey U22074 Suspended Alan indefinitely effective23361 El Toro Road, 2/19/98.Suite 103Lake Forest, California

Vardanian, Michael Suspended537 Via Cobo indefinitely effectiveFullerton, California 12/9/96.

Vessels, Steven L. Suspended11584 Nelson Street indefinitely effectiveLoma Linda, California 12/9/96.

Vessey, Ned S. Suspended923 North Santa Anita Avenue indefinitely effectiveArcadia, California 07/20/00.

Vissers, Michael J. DC20436 Suspended199 Main Street indefinitely effectiveBrawley, California 9/24/98.

Volpato, Ronald N. DC0212060 Suspended11576 Meridian Road indefinitely effectiveChico, California 5/12/99.

Vought, Raymond J. DC-11528 Suspended2045 Royal Avenue #102 indefinitely effectiveSimi Valley, California 6/17/02.

Vu, Giang H. DC0231360 Suspended aka: Giang Hoang Vu indefinitely effective310 S. Lyn Haven 8/19/99.Anaheim, California

Wagoner, Ira J. Suspended820 Seaspray Lane #211 indefinitely effectiveFoster City, California 2/20/00.

Wagoner, Ira Joseph DC-20830 Suspended363 Torino Drive, Suite 4 indefinitely effectiveSan Carlos, California 6/28/02.

Walls-Fenwick, Jan D. Suspended2656 West 5th Street indefinitely effectiveSan Bernardino, California 12/9/96.

Walsh, John Francis 25819 SuspendedP.O. Box 213 indefinitely effectiveTahoe City, California 12/15/2006.

Walsh, Richard J. Suspended300 E. Santa Clara Street indefinitely effectiveVentura, California 4/9/96.

1 – Medi-Cal Suspended and Ineligible Provider ListSeptember 2007

susp J23


Warner, Richard A. DC15734 Suspended2901 Ocean Park indefinitely effective Boulevard, Suite 207 12/20/00.Santa Monica, California

Wassif, Anthony A. DC0259960 Suspended dba: North Hills Therapy indefinitely effective Reseda Chiropractic and 10/07/02. Health Therapy Massage La Brea Health Therapy Sunset Therapy Sunset Therapy Oriental Massage8750 Sepulveda Boulevard, Suite C6North Hills, California

Waterman, E. Mark SuspendedD.C. Chiropractic Corporation indefinitely effective689 West Foothill Boulevard, Suite C 06/20/00.Claremont, California

Wedemeyer, Ronald A. Suspended201 New Stine Road, #120 indefinitely effectiveBakersfield, California 5/16/95.

Weisman, Annette F. Suspended3609 N. Old Stage Road indefinitely effectiveMount Shasta, California 8/19/99.

Weiss, Gwenn M. Suspended10630 Carver Drive indefinitely effectiveCupertino, California 2/12/95.

West, Emmett 11532 Suspended5479 Abbeyfield Street, #6 indefinitely effectiveLong Beach, California 07/03/04.

Westing, Denise Suspended2816 Central Avenue indefinitely effectiveAlameda, California 6/1/95.

Wexler, Harold Mark DC0125760 Suspended20004 Septo Street indefinitely effectiveChatsworth, California 01/03/01.

White, Judith U. DC0169420 Suspended aka: Judith A. Urdea indefinitely effective1835 Newport Boulevard 11/16/95.Costa Mesa, California

Whitney, Charles Leslie, II DC20035 Suspended6602 Kings Crown Road 10/20/99Orange, California for 20 years.

Whittlesey, James B. DC0182650 Suspended2055C Novato Boulevard indefinitely effectiveNovato, California 12/4/94.

Wieberdink, Kip Edward DC-21560 Suspended2418 S. Azusa, Suite A indefinitely effectiveWest Covina, California 3/29/02.


Wies, David L. Suspended1245 Center Court Drive indefinitely effectiveWestlake Village, California 5/6/96.

Williams, Duane A. Suspended2735 Jefferson Street indefinitely effectiveLivermore, California 1/5/97.

Williams, Russell C. Suspended143 Inyo Court indefinitely effectiveVacaville, California 10/20/99.

Wilson, Joanne Elaine 24666 Suspended2551 San Ramon Valley indefinitely effective Boulevard, #108 12/15/2006.San Ramon, California

Wong, Danny DC21567 Suspended965 North Marview Avenue indefinitely effectiveLos Angeles, California 5/24/01.

Wong, John Barry DC-22212 Suspended18107 Sherman Way, indefinitely effective#200 12/18/03.Reseda, California

Woo, Ming Jey 25828 Suspended11645 Wilshire Boulevard, indefinitely effectiveSuite #120 4/9/2007.Los Angeles, California

Wood, Jeffrey Allen 23408 Suspended aka: Wood, Jeff indefinitely effective Crowder, Jeffrey Allen 11/2/2006. Wood, Jeff Allen Wood, Jeffrey A. Woods, Jeff4905 Pelican Hill DriveBakersfield, California

Worth, Kelly Suspended2105 N. Main Street indefinitely effectiveAnaheim, California 5/6/97.

Wright, Larry A. Suspended975 East Avenue, Apt. 204 indefinitely effectiveChico, California 3/18/99.

Wright, Letitia S. DC0228980 Suspended10621 Civic Center Drive, indefinitely effectiveSuite H 9/20/98.Rancho Cucamonga, California

Wu, Vincent Jui-Hsuan 21837 Suspended210 North Garfield Avenue, indefinitely effectiveSuite #201 4/27/2006.Monterey Park, California

Yoder, Kyle J. 20046 Suspended1433 Mitchell Way indefinitely effectiveRedwood, California 2/20/02.

Young, David P. 26525 Suspended37092 Main Street indefinitely effectiveBurney, California 10/13/2006.

Zaccaglini, Anthony B. Suspended22400 Barton Road, indefinitely effectiveApt. #20 1/20/99.Grand Terrace, California


susp J24

Chiropractic Center ProviderNumber

Arroyo Chiropractic Suspended717 Grand Avenue, #B indefinitely effectiveArroyo Grande, California 12/20/01.

Bartlett Chiropractic Suspended538 Orange Street indefinitely effectiveRedlands, California 5/20/99.

Calomino Family Chiropractic Suspended418 N. El Camino Real, #B indefinitely effectiveSan Clemente, California 3/20/02.

Coastal Industrial Health Care Suspended3701 Stocker Street, Suite 309 indefinitely effectiveLos Angeles, California 12/20/99.

Cole Chiropractic Suspended22140 Ventura Boulevard indefinitely effectiveWoodland Hills, California 04/20/00.

Cure House Chiropractic Center Suspended Ahmad, Assem H. (Owner) indefinitely effective2103 Lincoln Avenue, Suite D 9/20/01.San Jose, California

Davisson Chiropractic Suspended1807 Jefferson Street, #A indefinitely effectiveNapa, California 5/20/99.

Deirdre J. Little Chiropractic Suspended674 Via De La Valle Street indefinitely effectiveSolana Beach, California 7/20/99.

Downtown Chiropractic Suspended707 State Street indefinitely effectiveEl Centro, California 1/20/02.

GAH Chiropractic Center Suspended451 West Lincoln Avenue, #251 indefinitely effectiveAnaheim, California 7/18/02.

Guyer Chiropractic Suspended809 College Avenue indefinitely effectiveSanta Rosa, California 11/20/01.

Heineken Chiropractic Suspended214 Avenue Delmar, Suite A indefinitely effectiveSan Clemente, California 5/20/99.

Inland Valley Chiropractic Suspended10064 Citrus Avenue, #C indefinitely effectiveFontana, California 11/20/01.

Jerold R. Ford Chiropractic Suspended1208 Floyd, Suite D11 indefinitely effectiveModesto, California 5/20/99.

Joseph E. Cobbs 1927 Suspended Chiropractic Corp. indefinitely effective4861 Convoy Street 08/20/03.San Diego, California

Joseph Haeckel Chiropractic Suspended752 1st Street indefinitely effectiveGilroy, California 7/20/99.

Chiropractic Center ProviderNumber

Lamb Chiropractic Suspended420 Morris Street indefinitely effectiveSebastopol, California 5/20/99.

Livermore Chiropractic and Suspended Wellness Center indefinitely effective370 S. Livermore Avenue, 10/18/01.Suite BLivermore, California

Optimum Health Suspended Chiropractic indefinitely effective30111 Niguel Road, #D 11/20/01.Laguna, California

Pacific Family Clinic, Inc. Suspended1101 N. Pacific Avenue, #103 indefinitely effectiveGlendale, California 11/20/01.

Progressive Health Chiropractic Suspended530 West Vista Way indefinitely effectiveVista, California 11/20/01.

Richard Clark Chiropractic Suspended5055 North Harbor Drive indefinitely effectiveSan Diego, California 04/20/00.

Shaw Avenue Chiropractic Suspended3025 West Shaw Avenue, Suite 103 indefinitely effectiveFresno, California 9/20/99.

Sheri Lahaie Chiropractic Suspended697 Meno Avenue indefinitely effectiveMenlo Park, California 5/20/99.

Stockton Chiropractic Suspended Center indefinitely effective4422 North Pershing 1/20/03. Avenue, #D-9Stockton, California

Straight Chiropractic Suspended1850 East 17th Street, Suite 102 indefinitely effectiveSanta Ana, California 8/20/01.

Summit Chiropractic Suspended3400 Bechelli Lane, #A indefinitely effectiveRedding, California 10/18/01.

Todd Kaufmann Chiropractic Suspended520 Tamalpias Drive indefinitely effectiveSan Francisco, California 7/20/99.

William T. Bunting Chiropractic Suspended256 N. Highway 101 indefinitely effectiveEncinitas, California 5/20/99.


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Chiropractic Clinic ProviderNumber

Bologna, Paul J. 22290 Suspended1234 Howard Avenue indefinitely effectiveBurlingame, California 7/5/2005.

Chiro Acu Center Suspended11972 Gary Street indefinitely effectiveGarden Grove, California 08/20/03.

Community Chiropractic Suspended455 Los Gatos Boulevard, indefinitely effective#107 8/20/2006.Los Gatos, California

Costa Mesa Chiropractic Suspended Clinic indefinitely effective316 North Cedar, #7 10/20/04.Glendale, California

Island Chiropractic Suspended2316 Central Avenue indefinitely effectiveAlameda, California 8/20/2006.

Keoshian, Craig 17303 Suspendedc/o Town Center indefinitely effective Chiropractic 3/20/06.24510 Town Center Drive,Suite #230Valencia, California

Low Back Pain Clinic Suspended2345 Erringer Road, indefinitely effectiveSuite 210 4/20/04.Simi Valley, California

Marin Chiropractic, Inc. Suspended attn: Marin, Melody indefinitely effective7301 Sepulveda 3/20/05. Boulevard, Suite #3Van Nuys, California

Pain Relief Medical Center Suspended attn: Marin, Melody indefinitely effective7301 Sepulveda 3/20/05. Boulevard, Suite #3Van Nuys, California

Chiropractic Assistant ProviderNumber

Stanbridge Chiropractic Suspended7007 Washington Avenue, indefinitely effective#200 7/20/2005.Whittier, California

Sunshine Chiropractic Clinic Suspended266 North Jackson Avenue, indefinitely effectiveSuite 6 06/19/03.San Jose, California

Shvartsburd, Paul Suspended c/o Volunteers of America indefinitely effective650 11th Avenue 07/20/03.San Diego, California

1 – Medi-Cal Suspended and Ineligible Provider ListOctober 2007

Medi-Cal Suspended and Ineligible Provider List (susp...

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