Salud HMO y MásDirectory
Transcript of Salud HMO y MásDirectory
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Commercial
Geoffrey GomezHealth Net
Salud HMO y Ms Southern California
Los Angeles, Kern, Orange, Riverside, San Bernardino, and San Diego countiesCondados de Los ngeles, Kern, Orange, Riverside, San Bernardino y San Diego
Health Net Salud HMO y Ms DirectoryDirectorio de la Red Salud HMO y Ms
Participating Physician Groups and Primary Care Physicians, Hospitals and Ancillary Providers
Fall 2016
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Health Net Directorio de Salud HMO y MsDirectorio de la Red Salud HMO y Ms
Grupos Mdicos Participantes y Mdicos de Atencin Primaria, Hospitales y Proveedores Auxiliares
Otoo de 2016
Salud HMO y Ms Sur de California
Condados de Los ngeles, Kern, Orange, Riverside, San Bernardino y San Diego
Planes Comerciales
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EnglishNo Cost Language Services. You can get an interpreter. You can get documents read to you and some sent to you in your language. For help, call us at the number listed on your ID card, or employer group applicants please call 1-800-522-0088 (TTY: 711). Individual & Family Plan (IFP) applicants please call 1-877-609-8711 (TTY: 711). For more help: If you are enrolled in a PPO or EPO insurance policy from Health Net Life Insurance Company, call the CA Dept. of Insurance at 1-800-927-4357. If you are enrolled in an HMO or HSP plan from Health Net of California, Inc., call the DMHC Helpline at 1-888-HMO-2219.
Arabic . . .
TTY: 711( 1-800-522-0088(.. )IFP(
PPO : .)TTY: 711( 1-877-609-8711 EPO Health Net Life Insurance Company
4357-927-800-1. HMO HSP .1-888-HMO-2219. DMHC , .Health Net of California, Inc
Armenian : : : ID , 1-800-522-0088 (TTY: 711) : (IFP) 1-877-609-8711 (TTY: 711) : . Health Net Life Insurance Company- PPO EPO , 1-800-927-4357 : Health Net of California, Inc.- HMO HSP , DMHC 1-888-HMO-2219 .
Chinese
1-800-522-0088TTY711 (IFP) 1-877-609-8711TTY711 Health Net Life Insurance Company PPO EPO 1-800-927-4357 Health Net of California, Inc. HMO HSP DMHC 1-888-HMO-2219
Hindi , , 1-800-522-0088 (TTY: 711) (IFP) 1-877-609-8711 (TTY: 711) : Health Net Life Insurance Company PPO EPO , 1-800-927-4357 Health Net of California, Inc., HMO HSP , DMHC 1-888-HMO-2219
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HmongKev Pab Txhais Lus Dawb. Koj xav tau neeg txhais lus los tau. Koj xav tau neeg nyeem cov ntaub ntawv kom yog koj hom lus los tau xav tau kev pab, hu peb tau rau ntawm tus xov tooj nyob ntawm koj daim npav, los yog tias koj yog tus neeg tso npe xav tau kev pab kho mob los ntawm koj txoj hauj-lwm thov hu rau 1-800-522-0088 (TTY: 711). Yog koj yog tus tso npe xav tau kev pab kho mob rau Ib Tug Neeg & Tsev Neeg Individual & Family Plan (IFP) thov hu 1-877-609-8711 (TTY: 711). Xav tau kev pab ntxiv: Yog koj tau tsab ntawv tuav pov hwm PPO los yog EPO los ntawm Health Net Life Insurance Company, hu mus rau CA Dept. of Insurance ntawm 1-800-927-4357. Yog koj tau txoj kev pab kho mob HMO los yog HSP los ntawm Health Net of California, Inc., hu mus rau DMHC tus xov tooj pab Helpline ntawm 1-888-HMO-2219.
JapaneseID
1-800-522-0088(TTY: 711) (IFP) 1-877-609-8711 (TTY: 711) : Health Net Life Insurance CompanyPPOEPO 1-800-927-4357 Health Net of California, Inc.HMOHSPDMHC 1-888-HMO-2219
Khmer 1-800-522-0088 (TTY: 711) 1-877-609-8711 (TTY: 711) PPO EPO Health Net Life Insurance Company CA 1-800-927-4357 HMO HSP Health Net DMHC 1-888-HMO-2219
Korean . .
. ID
1-800-522-0088 (TTY: 711) . Individual & Family Plan (IFP) , 1-877-609-8711 (TTY: 711) . , Health Net Life Insurance Company PPO EPO 1-800-927-4357 . Health Net of California, Inc. HMO HSP DMHC 1-888-HMO-2219 .
NavajoSaad Bee !k1 Eeyeed T11 J77ke. Ata halne7g77 h0l=. T11 h0 hazaad kehj7 naaltsoos hach8 w0ltah. Sh7k1 adoowo[ n7n7zingo naaltsoos bee n47hod0lzin7g77 bik1agi b44sh bee hane7 bik11 1aj8 hod77lnih 47 doodaii employer group-j7 ninaaltsoos si[tsoozgo 47 1-800-522-0088 (TTY: 711). T11 h0 d00 ha1[ch7n7 bi[ hak44sti7g77 (IFP woly4h7g77) 47 koj8 hojilnih 1-877-609-8711 (TTY: 711).Sh7k1 an11doowo[ jin7zingo: PPO 47 doodaii EPO-j7 Health Net Life Insurance Company woly4h7j7 b4eso 1ch33h naanil biniiy4 hweiina bik44stigo 47 CA Dept. of Insurance bich8 hojilnih 1-800-927-4357. HMO 47 doodaii HSP-j7 Health Net of California-j7 b4eso 1ch33h naanil biniiy4 hats77s bik44stigo 47 koj8 hojilnih DMHC Helpline 1-888-HMO-2219.
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Persian (Farsi) . . . TTY: 711( 1-800-522-0088( . )IFP(
TTY: 711( 1-877-609-8711( . : PPO EPO Health Net Life Insurance Company CA Dept. of Insurance 4357-927-800-1 DMHC .Health Net of California, Inc HSP HMO .
HMO-2219-888-1 .
Panjabi (Punjabi) , 1-800-522-0088 (TTY: 711) (IFP) 1-877-609-8711 (TTY: 711) : Health Net Life Insurance Company PPO EPO , 1-800-927-4357 , HMO HSP DMHC 1-888-HMO-2219
Russian . . . , . , , 1-800-522-0088 (TTY: 711). (IFP), 1-877-609-8711 (TTY: 711). : PPO EPO Health Net Life Insurance Company, CA Dept. of Insurance, 1-800-927-4357. HMO HSP Health Net of California, Inc., (DMHC), 1-888-HMO-2219.
SpanishServicios de idiomas sin costo. Puede solicitar un intrprete. Puede obtener el servicio de lectura de documentos y recibir algunos en su idioma. Para obtener ayuda, llmenos al nmero que figura en su tarjeta de identificacin. Los solicitantes del grupo del empleador deben llamar al 1-800-522-0088 (TTY: 711). Los solicitantes de planes individuales y familiares deben llamar al 1-877-609-8711 (TTY: 711). Para obtener ms ayuda, haga lo siguiente: Si est inscrito en una pliza de seguro PPO o EPO de Health Net Life Insurance Company, llame al Departamento de Seguros de California, al 1-800-927-4357. Si est inscrito en un plan HMO o HSP de Health Net of California, Inc., llame a la lnea de ayuda del Departamento de Atencin Mdica Administrada, al 1-888-HMO-2219.
TagalogWalang Bayad na Mga Serbisyo sa Wika. Makakakuha kayo ng isang interpreter. Makakakuha kayo ng mga dokumento na babasahin sa inyo sa inyong wika. Para sa tulong, tawagan kami sa nakalistang numero sa inyong ID card, o para sa grupo ng mga aplikante ng employer, mangyaring tawagan ang 1-800-522-0088 (TTY: 711). Para sa mga aplikante ng Plano para sa Indibiduwal at Pamilya Individual & Family Plan, (IFP), mangyaring tawagan ang 1-877-609-8711 (TTY: 711). Para sa higit pang tulong: Kung nakatala kayo sa insurance policy ng PPO o EPO mula sa Health Net Life Insurance Company, tawagan ang CA Dept. of Insurance sa 1-800-927-4357. Kung nakatala kayo sa HMO o HSP na plan mula sa Health Net of California, Inc., tawagan ang Helpline ng DMHC sa 1-888-HMO-2219.
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Thai
1-800-522-0088 (TTY: 711) Individual & Family Plan (IFP)
1-877-609-8711 (TTY: 711) PPO EPO
Health Net Life Insurance Company 1-800-927-4357
HMO HSP Health Net of California, Inc. DMHC 1-888-HMO-2219.
VietnameseCc Dch V Ngn Ng Min Ph. Qu v c th c mt phin dch vin. Qu v c th yu cu c c cho nghe ti liu bng ngn ng ca qu v. nhn tr gip, hy gi cho chng ti theo s c lit k trn th ID ca qu v, hoc ngi np n vo chng trnh theo nhm ca ch s dng lao ng vui lng gi 1-800-522-0088 (TTY: 711). Ngi np n thuc Chng Trnh C Nhn & Gia nh vit tt trong ting Anh l (IFP) vui lng gi s 1-877-609-8711 (TTY: 711). nhn thm tr gip: Nu qu v ng k hp ng bo him PPO hoc EPO t Health Net Life Insurance Company, vui lng gi S Y T CA theo s 1-800-927-4357. Nu qu v ng k vo chng trnh HMO hoc HSP t Health Net of California, Inc., vui lng gi ng Dy Tr Gip DMHC theo s 1-888-HMO-2219.
CA Commercial Applicant Notice of Language Assistance
FLY007791EL00 (06/16)
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Health Net complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Health Net does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Health Net:
Provides free aids and services to people with disabilities to communicate effectively with us, such as qualified sign language interpreters and written information in other formats (large print, accessible electronic formats, other formats).
Provides free language services to people whose primary language is not English, such as qualified interpreters and information written in other languages.
If you need these services, contact Health Nets Customer Contact Center at 1-800-522-0088 (TTY: 711).
If you believe that Health Net has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance by calling the number above and telling them you need help filing a grievance; Health Nets Customer Contact Center is available to help you.
You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf or by mail or phone at: U.S. Department of Health and Human Services, 200 Independence Avenue SW, Room 509F, HHH Building, Washington, DC 20201, 1-800-368-1019 (TDD: 1-800-537-7697).
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.
Health Net cumple con las leyes federales aplicables sobre derechos civiles y no discrimina por cuestiones de raza, color, nacionalidad, edad, discapacidad ni sexo. Health Net no excluye a las personas ni las trata de manera diferente por motivos de raza, color, nacionalidad, edad, discapacidad o sexo.
Health Net:
Proporciona aparatos y servicios gratuitos a las personas con discapacidades para que se comuniquen eficazmente con nosotros, como intrpretes calificados de lenguaje de seas e informacin escrita en otros formatos (letra grande, formatos electrnicos accesibles, otros formatos).
Proporciona servicios de idiomas gratuitos a las personas cuyo idioma principal no es el ingls, como intrpretes calificados e informacin escrita en otros idiomas.
Si necesita estos servicios, llame al Centro de Comunicacin con el Cliente de Health Net al 1-800-522-0088 (TTY: 711).
Si considera que Health Net no proporcion estos servicios o ejerci algn otro tipo de discriminacin por cuestiones de raza, color, nacionalidad, edad, discapacidad o sexo, puede presentar una queja formal llamando al nmero que se indica ms arriba y dicindoles que necesita ayuda para presentar una queja formal; el Centro de Comunicacin con el Cliente de Health Net est disponible para ayudarle.
Tambin puede presentar una queja sobre derechos civiles ante el Departamento de Salud y Servicios Humanos de los Estados Unidos, Oficina de Derechos Civiles, de manera electrnica a travs del Portal de Quejas de la Oficina de Derechos Civiles disponible en https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, o bien, por correo postal o telfono: U.S. Department of Health and Human Services, 200 Independence Avenue SW, Room 509F, HHH Building, Washington, DC 20201, 1-800-368-1019 (TDD: 1-800-537-7697).
Hay formularios de quejas disponibles en http://www.hhs.gov/ocr/office/file/index.html.
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Table of Contents
Introduction..................................................................................................................................7
Participating Physician Groups..................................................................................................47
SIMNSA Network Hospitals.....................................................................................................697
SIMNSA Network Physician List by City..................................................................................699
Primary Care Physician Index..................................................................................................711
Primary Care Physicians by City Index....................................................................................737
Specialist Index........................................................................................................................765
Hospital Index..........................................................................................................................907
Facilities and Other Services...................................................................................................909
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Choosing Your Doctor and Physician GroupTo make it easy for you to enroll, we have arranged the information in this directory
in several different ways.
Based on the availability of your current doctorTo see if your doctor is available for selection as a Salud con HealthNet primary care physician (PCP), turn to the Primary Care Physician Index. This index lists, in alphabetical order, available PCPs and the pages to reference for further enrollment information. For members selecting SIMNSA in Mexico or for California members who wish to receive care from SIMNSA, please refer to the SIMNSA Network of participating providers.
Based on where the doctors office is locatedTo choose a doctor based on convenience to your home or work location, turn to the listing of Primary Care Physicians by City. In this listing, the name of each PCP is grouped in alphabetical order by the city in which his or her offices are located.
Based on the doctors physician group affiliationTo select a doctor based on affiliation with a particular physician group, turn to the Participating Physician Group Index. In this listing, the names of Salud con HealthNet contracted physician groups are arranged in alphabetical order. An overview of affiliated PCPs and hospitals is provided for each physician group, in addition to information regarding Wellness Program availability.
Based on the doctors hospital affiliationIf you want to choose a doctor based on whether he or she has admitting privileges with a particular hospital, then youll want to turn to the Hospital Index. Here, hospitals affiliated with Salud con HealthNet in California are arranged in alphabetical order.
Next to the name of each hospital is a list of all affiliated physician groups. From this list, you can choose a physician group and turn to the Participating Physician Group Index to select your PCP.
Based on affiliation with a particular specialistAlthough you cant select a specialist physician as your PCP, you can select a PCP who belongs to the same physician group (and simplify your ability to be referred to that particular specialist). Simply look up the name of your desired specialist physician in the Specialist Index. Once youve located the name, turn to the page in the Participating Physician Group Index. There, youll find a listing of Salud con HealthNet PCPs who belong to the same physician group as the referral specialist.
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Note: Were constantly adding to and updating our list of doctors you can choose from, and we make every effort to assure this directorys accuracy. However, we cannot guarantee this edition is correct in all cases. Please confirm with your doctor whether he or she is
a part of Salud con HealthNet before receiving care. (If the doctor youre currently seeing is listed in our directory as not accepting new patients, dont worry you can continue to see your current doctor as a member of Salud con HealthNet HMO y Ms.)
How to Complete Your Enrollment FormAfter youve chosen a HealthNet PCP and/or physician group or the SIMNSA provider group, youre ready to complete your Salud con HealthNet enrollment form. Just follow the steps below:
For California members1. Use one of the methods mentioned under
Choosing Your Doctor and Physician Group to choose a PCP and/or physician group. You can choose a different PCP and/or physician group for each member of your family.
2. Verify physician group affiliation and location. Confirm that the physician group/clinic location
is convenient for you by ensuring that you live or work within 30 miles of your chosen doctors office.
3. On your enrollment form, write the PCP number, the name of the participating physician group, and the physician group number that youve chosen.
For members in Mexico1. You must select the SIMNSA physician group and
may not obtain any services in California, except in the case of emergency care or urgently needed care.
2. Write the SIMNSA physician group number only. There is no need to select a SIMNSA PCP.
How Salud con HealthNet HMO y Ms WorksSalud con HealthNet HMO y Ms is specifically designed for people living in the HealthNet Salud service area with dependents who live in California or Mexico, and who may wish to receive care in Mexico themselves. Providers in the HealthNet
Salud Network (Salud Network) have been selected to provide services to members of this plan who live in California. A network of physicians contracting with Sistemas Mdicos Nacionales S.A. de C.V. (SIMNSA) has been selected to provide services in Mexico.
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HospitalizationYour PCP or referral specialist may find it necessary to refer you to a hospital for further care, on either an inpatient or an outpatient basis. You will usually be hospitalized where your physician has admitting privileges. (See your PCPs affiliated physician group listing in this directory for a listing of hospitals where your PCP has admitting privileges.)
It is important to remember that your PCP or authorized referral specialist must first be contacted for initial treatment and consultation before you receive any care or treatment through a hospital.1 Your PCP or authorized referral specialist will be responsible for determining the most appropriate site and location for your additional care.
Admission to and treatment rendered by any hospital listed in this directory must be authorized by your selected PCP or authorized referral specialist.
For members enrolled with the SIMNSA Network or for California members who receive care from SIMNSA, when directed by your SIMNSA physician, you will be hospitalized at a SIMNSA affiliated hospital in Mexico.
Managed Health Network (MHN)Not all Health Net members have access to the practitioners listed in this directory. Check your Summary of Benefits, or call our Customer Contact Center to determine whether there is a specific provider network for you to use. For more information about MHN, or for a referral to a counselor, call MHN at the number listed on the back of your ID card, or call our Customer Contact Center.
How to receive careIf you or your family members live in California
You may receive care in California from your Salud Network provider, or you may self-refer at any time to a SIMNSA provider in Mexico.
At the time of enrollment, members who live in California must select a Salud Network physician group close enough to their residence or place of work to allow reasonable access to medical care. You and your family members may select different participating physician groups.
Your Salud Network or SIMNSA provider will authorize and coordinate all your care, providing you with medical services or supplies.
If your family members live in Mexico
Family members who live in the approved service area in Mexico must select SIMNSA as their provider group and can access any SIMNSA provider for covered medical services. SIMNSA will authorize and coordinate all care, providing medical services or supplies. Family members living in Mexico may not obtain any services in California, except in the case of emergency care or urgently needed care.
About your Salud con HealthNet HMO y Ms ID cardAfter you enroll in HealthNet, you will receive a Salud con HealthNet HMO ID card. This card is what you need to receive all of your care as a Salud con HealthNet member. Because its so important, its a good idea to keep your Salud con HealthNet HMO ID card with you at all times. If you lose your ID card, call our Customer Contact Center or order a new one online. Go to www.healthnet.com, log in and click Order my ID card.
1Except in cases of an emergency see page 11.
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Questions?For more information about the physicians and providers in this directory, call the Customer Contact Center number listed on your ID card, or call:
1-800-522-0088 (English)/1-800-331-1777 (Spanish)
SIMNSA
1-800-424-4652
Assistance for the hearing and speech impaired
TTY users should call 711.
Frequently Asked QuestionsBecause you may come across some terms that are unfamiliar to you, weve included
some commonly asked questions relating to these terms.
What is a participating physician group?A participating physician group (PPG) is a group of physicians from various specialties assisted by nurses, technicians and other health care professionals contracted with Salud con HealthNet to perform services for Salud con HealthNet members. You may notice that some of our physician group listings include the words medical group, Independent Physicians Association or IPA in the physician group name. Typically, in the physician groups that include the term medical group in their name, most of the primary care physicians have their offices at one principal location. In an IPA, the PCPs typically practice at different locations. Some people prefer the under one-roof convenience of a medical group; others prefer IPAs, since having offices in different locations may be more convenient for them.
The Salud con HealthNet HMO y Ms Plan also allows members who live in California to receive covered services in either California (from their HealthNet Salud Network physician group) or in Mexico (from a SIMNSA provider). Members living in Mexico may only receive covered services from SIMNSA providers in Mexico.
How is a referral specialist different from a primary care physician?Your primary care physician (PCP) is your main medical doctor. He or she is the doctor who is responsible for coordinating all of your medical care and authorizing all specialized treatment or hospitalization. As a member of Salud con HealthNet HMO y Ms, you must obtain a referral from your PCP to see a specialist. Referral specialists are not available for selection as your PCP. SIMNSA members, or California members who wish to receive care from SIMNSA, do not have to have a referral from their PCP to see a SIMNSA Network specialist.
What is an affiliate office and how does it affect my selection of a PCP?Affiliate office locations often have limited physician availability and different office hours. Its also possible that your doctor offers office hours in more than one location. In addition, affiliates will often refer patients to the primary location of the physician group for laboratory and urgent care services.
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Whats the difference between emergency care and urgent care?As you go through this directory, you may notice that we indicate hours for urgent care at each physician group location. So whats the difference between an emergency and an urgent care situation? Emergency care includes care for severe pain, active labor and psychiatric screening and treatment for which a reasonable person with an average knowledge of health and medicine would believe requires immediate medical attention. Urgent care, on the other hand, is any other care that a reasonable person with an average knowledge of health and medicine believes that, if treatment is delayed until a return to the HealthNet Salud service area, such delay may result in serious deterioration of his or her health, or, if pregnant, the health of the baby.
Your Salud con HealthNet HMO y Ms plan covers care received from any licensed provider or treatment center anywhere in the world for any emergency situation. For California members, situations requiring urgent care are covered when received from the members PCP and physician group while in the groups service area, and from any licensed provider or treatment center while out-of-area. All non-emergency and nonurgent care must be provided by or through the members PCP or physician group.
Members in Mexico, or California members who wish to receive care from SIMNSA, must receive care from SIMNSA participating providers.
How can I get a list of sub-acute care facilities?Sub-acute facilities provide sub-acute care for the special nursing needs of patients who do not need acute care and are too ill to be cared for by most skilled nursing facilities (SNFs). These include transitional settings following acute hospitalization (such as those discharged from the hospital but not fully recovered).
To request a sub-acute care facility list, call the Salud con HealthNet Customer Contact Center at the number listed on your ID card.
How can the HealthNet coordinator help me?In California, when youre choosing a PCP, its a good idea to call the HealthNet coordinator at the physician group to make sure the PCP you want is still accepting new patients. The HealthNet coordinator, a specially trained staff member at each groups administrative office, has the most up-to-date information, including each physicians office hours. The HealthNet coordinator will also have the names of new physicians who may have recently been added, since were constantly adding new physicians to our network. (If the doctor youre currently seeing is listed in our directory as not accepting new patients, dont worry You can continue to see your current physician as a member of Salud con HealthNet HMO y Ms.) For information regarding SIMNSA participating providers, call SIMNSA Member Services at 1-800-424-4652.
Should I choose a doctor close to home or close to work?That decision is entirely up to you. But your choice will probably depend on when you think youll access care most often. If you prefer to make weekday appointments, choosing a doctor whos close to your work location can make sense. However, for those times when you wake up feeling ill, youll probably appreciate having a doctor whose office is closer to home. Our general advice to ensure that you have the greatest access to the care you need is that you choose a doctor whose office is located within 30 miles of either your work or your home.
You should also research where you can access after-hours urgent care through your participating physician group to ensure the highest level of care.
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When can I change to a new doctor?You can switch to another PCP within the same physician group at any time, for any reason. If you want to choose a new PCP affiliated with a different physician group in the HealthNet Salud Network, you can make a change on a monthly basis. If you choose a new PCP and physician group in the California service area before the 15th of the month, you can begin seeing your new PCP anytime after the 1st of the next month. If you choose a new PCP after the 15th, youll need to wait as long as six weeks before you can begin seeing your new PCP. For example, if you call the Customer Contact Center on August 12, you can begin seeing your PCP anytime after September 1. If you call on August 18, youll be able to see your new PCP on October 1. Members seeing a SIMNSA provider can change at any time. There is no need to call.
Can I go back and forth between the U.S. and Mexico to get services?The Salud con HealthNet HMO y Ms Plan also allows members who live in California to receive covered services in either California (from their HealthNet Salud Network physician group) or in Mexico (from a SIMNSA provider). Members living in Mexico may only receive covered services from SIMNSA providers in Mexico.
How can I obtain information about doctors in the HealthNet Salud Network?When doctors agree to provide care to Salud con HealthNet HMO members, they give us some key information to help you make informed decisions about your care. We make much of this information available in our directories, on our website (for California doctors) or by calling the Customer Contact Center. For doctors in the SIMNSA Network, please refer to the SIMNSA directory or call SIMNSA at 1-800-424-4652.
You can learn whether your doctor is board-certified, where your doctor attended medical school, where your doctor performed his or her residency, your doctors address and phone number, whether your doctor participates in a HealthNet HMO or PPO contract, the hospital(s) at which your doctor practices, and which languages (in addition to English) your doctor may speak. If you have questions regarding the SIMNSA Network of physicians, please call SIMNSA directly at 1-800-424-4652.
Note: Updates are added continuously to ensure that the information in this directory is current. While we cannot guarantee that this edition is correct in all cases, we have made every effort to assure its accuracy. Please confirm a physicians participation prior to receiving services.
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Additional Health Net Information
You have the right to get full and equal access to health care services covered by your health plan. This is also true if you have a disability, according to the following laws:
The Americans with Disabilities Act of 1990 Section 504 or the Rehabilitation Act of 1973
Did you find something you think might be wrong in any of our provider directories? Please let us know so we can fix it.
Call us at 1-800-522-0088. Email us at
Some hospitals and other providers do not provide one or more of the following services that may be covered under your plan contract and that you or your family member might need: family planning; contraceptive services, including emergency contraception; sterilization, including tubal ligation at the time of labor and delivery; infertility treatments; or abortion. You should obtain more information before you enroll. Call your prospective doctor, medical group, independent practice association, or clinic, or call the health plan at 1-800-522-0088 to ensure that you can obtain the health care services that you need.
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Definitions of General Medical SpecialtiesNot all specialties are offered in all regions.
Allergy and immunology: Diagnosis and treatment of allergic conditions and diseases of the immune system.
Anesthesiology: The delivery of anesthesia to achieve a painless state for the patient undergoing surgery or other painful procedures.
Cardiology/Cardiovascular disease: Diagnosis and treatment of the diseases of the heart, lungs and blood vessels. A subspecialty of Internal medicine.
Cardiovascular surgery: A specialized branch of surgery related to organs within the chest cavity, including the heart, major blood vessels, lungs, and esophagus.
Dermatology: Diagnosis and treatment of skin diseases and disorders.
Diagnostic laboratory immunology: Diagnosis and treatment of skin diseases involving the immune system through the use of specialized laboratory procedures. A subspecialty of Internal medicine or Allergy and immunology or Pediatrics.
Emergency medicine: Specialization in the treatment of critically ill or injured patients in a pre-hospitalized setting either in the field or in an emergency room.
Endocrinology: An internal medicine specialty with additional training of the ductless glands (thyroid, parathyroid, pituitary, adrenals, pancreas, ovaries, and testes). A subspecialty of Internal medicine.
Family practice: Diagnosis and treatment of general medical conditions for individuals of all ages.
Gastroenterology: The treatment of diseases and functions of the esophagus, stomach and intestines. A subspecialty of Internal medicine and Pediatrics.
General practice: Diagnosis and treatment of general medical conditions.
Gynecology: Specialization in the treatment of disorders and diseases of the female reproductive organs (see also Obstetrics and gynecology).
HealthNet coordinator (for U.S. members only): A specially trained staff member at each physician group, this person can help you when you have questions about office procedures or the care you are receiving.
Hematology: The diagnosis and treatment of diseases of the blood formation, related organs and the lymph glands. A subspecialty of Internal medicine and Pediatrics.
Internal medicine: Diagnosis and treatment of diseases and disorders of adults. Internal medicine subspecialties include:
Cardiac electrophysiology
Critical care medicine
Cardiovascular disease
Diagnostic lab immunology
Endocrinology diabetes and metabolism
Gastroenterology
Hematology
Medical oncology
Nephrology
Pulmonary disease
Rheumatology
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Neurological surgery: Diagnosis and surgery of the nervous system and brain.
Neurology: Specialization in the medical diagnosis and treatment of disorders of the nervous system.
Obstetrics and gynecology: Specialization in the treatment of disorders and diseases of the female reproductive system, and the management of care during pregnancy and childbirth.
Ophthalmology: Medical and surgical treatment of diseases and disorders of the eye, including the evaluation of vision and prescription of lenses for visual problems.
Otolaryngology: The medical and surgical treatment of disorders of the head and neck (ear/nose/throat).
Pediatrics: Specialization in the prevention, diagnosis and treatment of diseases of children from birth to adolescence. Pediatric subspecialties include:
Allergy and immunology
Cardiology
Critical care
Diagnostic lab immunology
Emergency medicine
Endocrinology
Gastroenterology
Hematology-Oncology
Nephrology
Neonatal medicine
Pulmonology
Rheumatology
Physical medicine and rehabilitation: The diagnosis and therapeutic use of mechanical devices and physical therapy in the treatment and rehabilitation following injuries and diseases.
Psychiatry: The diagnosis and treatment of nervous, mental and emotional illnesses, including alcohol and other substance abuse detoxification and rehabilitation, anorexia nervosa and other eating disorders, and chronic pain conditions.
Pulmonary disease: A subspecialty of Internal medicine that relates to the diagnosis and treatment of disorders of the respiratory system.
Radiation oncology: The branch of radiology that uses radiant energy and isotopes in the study and treatment of diseases, especially malignant cancer.
Radiology: The branch of medicine that uses X-rays, radium and other forms of radiation to diagnose and treat diseases.
Rheumatology: The diagnosis and treatment of diseases of the joints, ligaments, muscles, bones, and tendons; a subspecialty of Internal medicine and Pediatrics.
Surgery: The diagnosis and operative treatment of diseases, injuries and disorders.
Urology: The diagnosis and medical or surgical treatment of diseases and disorders of the genitourinary tract.
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Cmo Elegir a Su Mdico y Grupo MdicoPara facilitarle la inscripcin, hemos presentado la informacin en este directorio,
de distintas formas.
Basndonos en la disponibilidad de su mdico actualPara saber si su mdico se encuentra disponible para ser elegido como Mdico de Atencin Primaria (por sus siglas en ingls, PCP) de Salud con Health Net, consulte el ndice de Mdicos de Atencin Primaria. En dicho ndice encontrar detallados, en orden alfabtico, los PCP disponibles y las pginas de referencia que deber consultar si desea ms informacin. Para los afiliados que elijan SIMNSA en Mxico o para los afiliados de California que deseen recibir atencin de SIMNSA , consulte la Red SIMNSA de proveedores participantes.
Basndonos en la ubicacin del consultorio del mdicoPara elegir un mdico basndose en la comodidad con respecto a la ubicacin de su hogar o de su trabajo, consulte la lista de PCP, por ciudad. En dicha lista, el nombre de cada PCP se encuentra agrupado en orden alfabtico por la ciudad en la que se encuentra ubicado el consultorio del mdico.
Basndonos en la afiliacin del grupo mdico del mdicoPara elegir un mdico basndose en la afiliacin con un grupo mdico en particular, consulte el ndice de Grupos Mdicos Participantes. En esta lista, los nombres de los grupos mdicos contratados por Salud con Health Net estn presentados en orden alfabtico. Para cada grupo mdico se brinda una perspectiva
general del PCP y de los hospitales afiliados, adems de la informacin concerniente a la disponibilidad del Programa de Bienestar.
Basndonos en la afiliacin del hospital del mdicoSi usted desea elegir un mdico basndose en el hecho de que tiene privilegios de admisin en un hospital en particular, entonces deber consultar el ndice de Hospitales. Aqu, los hospitales afiliados a Salud con Health Net en California estn presentados en orden alfabtico.
Junto al nombre de cada hospital se encuentra una lista de todos los grupos mdicos afiliados. De esta lista usted puede elegir un grupo mdico y consultar el ndice de Grupos Mdicos Participantes para seleccionar a su PCP.
Basndonos en la afiliacin con un especialista en particularA pesar de que usted no puede elegir a un mdico especialista como su PCP, s puede elegir a un PCP elegir a un PCP que pertenezca al mismo grupo mdico (y simplificar su capacidad de ser remitido a ese especialista en particular). Simplemente busque el nombre del mdico especialista que desea en el ndice de Especialistas. Una vez que haya localizado el nombre, consulte la pgina en el ndice de Grupos Mdicos Participantes. All encontrar una lista de los PCP de Salud con Health Net que pertenecen al mismo grupo mdico que el especialista de remisin.
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Nota: Estamos agregando a y actualizando constantemente la lista de mdicos de la cual usted puede elegir y hacemos todos los esfuerzos posibles para asegurar la exactitud de dicho directorio. Sin embargo, no podemos garantizarle que esta edicin sea correcta en todos los casos. Confirme si su
mdico forma parte de Salud con Health Net antes de recibir la atencin. (Si el mdico al que usted consulta actualmente aparece en nuestro directorio como no acepta pacientes nuevos, no se preocupe, usted puede continuar consultando a ese mdico como afiliado a Salud con Health Net HMO y Ms.)
Cmo Llenar Su Formulario de InscripcinDespus de que haya elegido un PCP y/o un grupo mdico de Health Net o el grupo de proveedores de SIMNSA, estar listo para completar su formulario de inscripcin en Salud con Health Net. Slo siga los pasos que se explican a continuacin:
Para los afiliados de California1. Utilice uno de los mtodos mencionados en
Cmo elegir a su mdico y grupo mdico, para elegir a su PCP y/o a su grupo mdico. Puede elegir un PCP y/o grupo mdico distinto para cada uno de sus familiares.
2. Verifique la afiliacin y la ubicacin del grupo mdico. Confirme que la ubicacin del grupo mdico o de la clnica sea conveniente para usted, asegurndose de que vive o trabaja dentro de 30 millas del consultorio del mdico que eligi.
3. En su formulario de inscripcin, escriba el nmero de su PCP, el nombre del grupo mdico participante y el nmero del grupo mdico que eligi.
Para los afiliados de Mxico1. Usted debe seleccionar el grupo mdico de
SIMNSA y no puede recibir ningn servicio en California, excepto en el caso de atencin de emergencia o de atencin requerida de urgencia.
2. Escriba slo el nmero del grupo mdico de SIMNSA. No es necesario elegir un PCP de SIMNSA.
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Cmo Funciona Salud con HealthNet HMO y MsSalud con Health Net HMO y Ms est especficamente diseado para personas que viven dentro del rea de servicio de Salud con Health Net, con dependientes que viven en California o en Mxico y que desean recibir atencin en Mxico. Los proveedores de la Red de Salud con Health Net (Red Salud) han sido seleccionados para brindar servicios a los afiliados a este plan que viven en California. Para brindarles servicios en Mxico se ha seleccionado una red de mdicos contratados con Sistemas Mdicos Nacionales S.A. de C.V. (SIMNSA).
Cmo recibir atencinSi usted o sus familiares viven en California
Usted puede recibir atencin en California de su proveedor de la Red Salud o puede autorremitirse en cualquier momento a un proveedor de SIMNSA en Mxico.
En el momento de la inscripcin, los afiliados que viven en California deben seleccionar un grupo mdico de la Red Salud que se encuentre lo suficientemente cerca de su residencia o lugar de trabajo como para que le permita un acceso razonable a la atencin mdica. Usted y sus familiares pueden seleccionar diferentes grupos mdicos participantes.
Su proveedor de la Red Salud o de SIMNSA autorizar y coordinar toda su atencin, brindndole servicios o suministros mdicos.
Si sus familiares viven en Mxico
Sus familiares que vivan en el rea de servicio de Mxico deben seleccionar a SIMNSA como su grupo de proveedores y pueden tener acceso a cualquier
proveedor de SIMNSA para obtener servicios mdicos cubiertos. SIMNSA autorizar y coordinar toda la atencin, brindndole servicios o suministros mdicos. Sus familiares que vivan en Mxico no pueden recibir ningn servicio en California, excepto en el caso de atencin de emergencia o de atencin requerida de urgencia.
Informacin sobre su tarjeta de identificacin de Salud con Health Net HMO y MsLuego de inscribirse en Health Net, recibir una tarjeta de identificacin de Health Net. Esta tarjeta es lo que necesita para recibir toda la atencin como afiliado a Salud con Health Net. Debido a que es muy importante, es bueno llevar siempre su tarjeta de identificacin de Salud con Health Net HMO con usted. Si pierde su tarjeta de identificacin, llame al Centro de Comunicacin con el Cliente para obtener una nueva tarjeta u ordene otra en lnea. Vaya a www.healthnet.com/espanol, inicie sesin y haga clic en Solicitar mi tarjeta de identificacin (Order my ID card).
HospitalizacinSu PCP o el especialista de remisin pueden considerar necesario remitirle a un hospital para que reciba ms atencin, ya sea como paciente hospitalizado o como paciente ambulatorio. Generalmente usted ser hospitalizado donde su mdico tenga privilegios de admisin. (Consulte el listado del grupo mdico afiliado de su PCP, que se encuentra en este directorio, para obtener una lista de los hospitales donde su PCP tiene privilegios de admisin.)
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Es importante que recuerde que debe comunicarse primero con su PCP o el especialista de remisin autorizado para recibir la consulta y el tratamiento inicial antes de que reciba cualquier atencin o tratamiento a travs del hospital.1 Su PCP oel especialista de remisin autorizado sernresponsables de la determinacin del lugar y laubicacin ms apropiados para su atencin adicional.
La admisin para el tratamiento brindado por cualquier hospital que aparezca en este directorio debe ser autorizada por el PCP que usted eligi o por el especialista de remisin autorizado.
Para los afiliados inscritos en la Red SIMNSA o para los afiliados de California que reciban atencin de SIMNSA, cuando lo indique su mdico de SIMNSA, usted ser hospitalizado en un hospital afiliado a SIMNSA en Mxico.
Managed Health Network (MHN)
No todos los afiliados a Health Net tienen acceso a los mdicos que se indican en este directorio. Consulte
su Resumen de Beneficios o llame a nuestro Centro de Comunicacin con el Cliente para determinar si hay una red de proveedores especficos que usted deba usar. Para obtener ms informacin sobre MHN, o para solicitar una remisin a un orientador, llamea MHN al nmero que se indica en el reverso desu tarjeta de identificacin, o bien, llame a nuestroCentro de Comunicacin con el Cliente.
Tiene preguntas?Si desea obtener ms informacin sobre los mdicos y proveedores que figuran en este directorio, llame al nmero del Centro de Comunicacin con el Cliente que se indica en su tarjeta de identificacin o llame al:
1-800-522-0088 (en ingls)/1-800-331-1777 (en espaol)
SIMNSA
1-800-424-4652
Asistencia para las personas con dificultades de audicin o del habla.
Los usuarios de TTY deben llamar al 711.
Preguntas FrecuentesComo usted puede encontrarse con algunos trminos que no conoce, hemos
incluido algunas preguntas frecuentes relacionadas con dichos trminos.
grupos mdicos incluyen las palabras grupo mdico, PPG, asociacin de medicos independientes o IPA en el nombre del grupo mdico. Normalmente, en los grupos mdicos que incluyen el trmino grupo mdico en su nombre, la mayora de los mdicos de atencin primaria tienen sus consultorios en una ubicacin principal. En una IPA, los PCP generalmente ejercen en distintas ubicaciones.
Qu es un grupo mdico participante?Un grupo mdico participante (por sus siglas en ingls, PPG) es un grupo de mdicos de distintas especialidades, asistidos por enfermeras, tcnicos y otros profesionales para el cuidado de la salud, contratados por Salud con Health Net para prestar servicios a los afiliados a Salud con Health Net. Usted puede observar que algunas de nuestras listas de
1Excepto en casos de emergencia, consulte la pgina 20.
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Algunas personas prefieren la conveniencia de un grupo mdico bajo un mismo techo, otros prefieren las IPA, ya que tener distintos consultorios en distintos lugares puede ser ms conveniente para ellos.
El Plan Salud con Health NetHMO y Ms tambin les permite a los afiliados que viven en California recibir servicios cubiertos en California (brindados por su grupo mdico de la Red Salud de HealthNet) o en Mxico (brindados por un proveedor de SIMNSA). Los afiliados que viven en Mxico slo pueden recibir servicios cubiertos de los proveedores de SIMNSA que se encuentran en Mxico.
En qu se diferencia un especialista de remisin de un mdico de atencin primaria?Su mdico de atencin primaria (PCP) es su mdico principal. Es responsable de la coordinacin de toda su atencin mdica y de la autorizacin de todos los tratamientos especializados y de las hospitalizaciones. Como afiliado a Salud con Health Net HMO y Ms, para consultar a un especialista usted debe obtener una remisin de su PCP. Los especialistas de remisin no se encuentran disponibles para ser elegidos como su PCP. Los afiliados a SIMNSA o los afiliados de California que deseen recibir atencin de SIMNSA no tienen que contar con una remisin de su PCP para consultar a un especialista de la Red SIMNSA.
Qu es un consultorio afiliado y de qu manera afecta mi seleccin de un PCP?Generalmente las ubicaciones de los consultorios afiliados tienen una disponibilidad de mdicos limitada y distintos horarios de atencin. Tambin es posible que su mdico ofrezca horarios de atencin en ms de una ubicacin. Adems, los afiliados generalmente remitirn a los pacientes a la ubicacin primaria del grupo mdico para los servicios de laboratorio y de atencin de urgencia.
Cul es la diferencia entre la atencin de emergencia y la atencin de urgencia?A medida que avance en este directorio, puede notar que indicamos los horarios para la atencin de urgencia en cada ubicacin de un grupo mdico. Entonces, cul es la diferencia entre una situacin de atencin de emergencia y de atencin de urgencia? La atencin de emergencia incluye cuidado para un dolor severo, parto activo, evaluacin o tratamiento psiquitrico para el cual una persona razonable con conocimiento promedio de salud o medicina concluya que se necesita atencin mdica inmediata. La atencin de urgencia, por otra parte, es cualquier otro es cualquier otro tipo de atencin que una persona razonable, con un conocimiento promedio de salud y medicina, crea que si el tratamiento se retrasa hasta regresar al rea de servicio de Health Net el retraso causar un deterioro grave de su salud, o si est embarazada, de la salud del beb.
Su plan de Salud con Health Net HMO y Ms cubre la atencin recibida de cualquier proveedor o centro de tratamiento con licencia, en cualquier lugar del mundo para cualquier situacin de emergencia. Para los afiliados de California, las situaciones que requieran atencin de urgencia estarn cubiertas cuando dicha atencin sea recibida de un PCP y de un grupo mdico mientras el afiliado se encuentre dentro del rea de servicio del grupo y de cualquier proveedor o centro de tratamiento con licencia, mientras se encuentre fuera del rea de servicio. Toda la atencin que no sea de emergencia ni de urgencia debe ser proporcionada por o a travs del PCP o del grupo mdico del afiliado.
Los afiliados en Mxico o los afiliados en California que deseen recibir atencin de SIMNSA deben recibir atencin de los proveedores participantes de SIMNSA.
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Cmo puedo obtener una lista de los Centros de Atencin Subaguda?Los centros de atencin subaguda brindan dicha atencin para las necesidades especiales de enfermera de los pacientes que no necesitan atencin aguda y que estn demasiado enfermos para ser atendidos por la mayora de los centros de enfermera especializada (por sus siglas en ingls, SNF). Esto incluye los entornos de transicin posteriores a la hospitalizacin aguda (como por ejemplo, los pacientes que son dados de alta en el hospital pero que no estn completamente recuperados).
Para solicitar una lista de los centros de atencin subaguda, llame al Centro de Comunicacin con el Cliente de Salud con Health Net al nmero que aparece en su tarjeta de identificacin.
Cmo puede ayudarme el coordinador de HealthNet?En California, cuando usted elija un PCP, es buena idea que llame al coordinador de HealthNet en el grupo mdico para asegurarse de que el PCP que usted desea an est aceptando pacientes nuevos. El coordinador de HealthNet, que es un miembro del personal especialmente capacitado en cada oficina administrativa del grupo, tiene la informacin ms actualizada, incluyendo los horarios de atencin de cada mdico. El coordinador de HealthNet tambin tendr los nombres de los nuevos mdicos que se hayan agregado recientemente, dado que estamos agregando constantemente nuevos mdicos a nuestra red. (Si el mdico al que usted consulta actualmente aparece en nuestro directorio como no acepta pacientes nuevos, no se preocupe, usted puede continuar consultando a ese mdico como afiliado a Salud con Health Net HMO y Ms.) Si desea informacin concerniente a los proveedores participantes de SIMNSA, llame al Departamento de Servicios al Afiliado de SIMNSA al 1-800-424-4652.
Debo elegir un mdico que est cerca de mi hogar o de mi trabajo?Esa decisin es exclusivamente suya. Pero su eleccin probablemente depender de cundo usted cree que necesitar la atencin con ms frecuencia. Si usted prefiere hacer citas los das de semana, puede tener sentido que elija a un mdico que se encuentre cerca de su trabajo. Sin embargo, para esos momentos en los que usted se levanta sintindose enfermo, probablemente aprecie tener un mdico cuyo consultorio se encuentre cerca de su casa. Nuestro consejo general, para asegurar que usted tenga el mejor acceso a la atencin que necesita, es que elija a un mdico cuyo consultorio se encuentre ubicado dentro de 30 millas de su trabajo o de su casa.
Tambin debe averiguar dnde puede tener acceso a atencin de urgencia despus del horario de atencin a travs de su grupo mdico participante, para asegurar el ms alto nivel de atencin.
Cundo puedo cambiarme a un nuevo mdico? Usted puede cambiarse a otro PCP dentro del mismo grupo mdico, en cualquier momento y por cualquier motivo. Si desea elegir un nuevo PCP afiliado a un grupo mdico distinto dentro de la Red Salud de Health Net, puede hacer un cambio por mes. Si elige un nuevo mdico y un nuevo grupo mdico dentro del rea de servicio de California antes del da 15 del mes, puede comenzar a consultar al nuevo mdico en cualquier momento despus del da 1 del mes siguiente. Si elige un nuevo mdico despus del da 15, deber esperar seis semanas antes de poder comenzar a consultar al nuevo mdico. Por ejemplo, si usted llama al Centro de Comunicacin con el Cliente el 12 de agosto, puede comenzar a consultar a su PCP en cualquier momento despus del 1 de septiembre. Si usted llama el 18 de agosto, podr consultar al nuevo PCP a partir del 1 de octubre. Los afiliados que consulten a un proveedor de SIMNSA pueden cambiar en cualquier momento. No es necesario llamar.
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Puedo ir y venir entre los Estados Unidos y Mxico para obtener servicios?El Plan Salud con Health NetHMO y Ms tambin les permite a los afiliados que viven en California recibir servicios cubiertos en California (brindados por su grupo mdico de la Red Salud de HealthNet) o en Mxico (brindados por un proveedor de SIMNSA). Los afiliados que viven en Mxico slo pueden recibir servicios cubiertos de los proveedores de SIMNSA que se encuentran en Mxico.
Cmo puedo obtener informacin sobre los mdicos que pertenecen a la Red Salud de Health Net?
Cuando los mdicos acuerdan brindar atencin a los afiliados a Salud con Health Net HMO, nos brindan la informacin clave para ayudarle a tomar decisiones informadas sobre su atencin. Nosotros ponemos gran cantidad de esa informacin a su disposicin a travs de nuestros directorios, nuestro sitio Web (para los mdicos de California) o llamando al Centro de Comunicacin con el Cliente. Para los mdicos de la Red SIMNSA, consulte el directorio de SIMNSA o llame a SIMNSA al 1-800-424-4652.
Puede averiguar si su mdico est certificado por la junta, dnde asisti a la escuela de medicina, dnde realiz su residencia, la direccin y el nmero de telfono de su mdico, si su mdico participa en un contrato HMO o PPO de HealthNet, el/los hospital/es donde ejerce y qu idiomas (adems del ingls) habla. Si tiene alguna pregunta relacionada con los mdicos de la Red SIMNSA, comunquese directamente con SIMNSA al 1-800-424-4652.
Nota: Las actualizaciones se agregan continuamente para asegurar que la informacin que se brinda en este directorio est actualizada. A pesar de que no podemos garantizarle que esta edicin sea correcta en todos los casos, hemos hecho todos los esfuerzos posibles para asegurar su exactitud. Confirme la participacin del mdico antes de recibir los servicios.
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Informacin Adicional de Health Net
Algunos hospitales y otros proveedores no prestan uno o ms de los siguientes servicios que pueden estar cubiertos conforme a su contrato del plan y que usted o uno de sus familiares podran necesitar: planificacin familiar; servicios anticonceptivos, incluyendo anticoncepcin de emergencia; esterilizacin, incluyendo ligadura de trompas al momento del parto; tratamientos de infertilidad; o aborto. Antes de inscribirse, debe obtener informacin adicional. Llame a su futuro mdico, grupo mdico, asociacin de prctica independiente o clnica, o bien, llame al plan de salud al 1-800-522-0088 para asegurarse de poder obtener los servicios de cuidado de la salud que necesita.
Tiene derecho a obtener un acceso completo e igualitario a los servicios de cuidado de la salud cubiertos por su plan de salud. Esto tambin es as si usted tiene una discapacidad de acuerdo con las siguientes leyes:
La Ley para los Estadounidenses con Discapacidades de 1990
Seccin 504 de la Ley de Rehabilitacin de 1973
Encontr algo que piensa que podra ser incorrecto en alguna parte de nuestro directorio de proveedores? Infrmenos para que podamos corregirlo.
Llmenos al 1-800-522-0088. Envenos un mensaje de correo electrnico
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Definiciones de Especialidades Mdicas GeneralesNo se ofrecen todas las especialidades en todas las regiones.
Alergia e inmunologa: Diagnstico y tratamiento de afecciones alrgicas y enfermedades del sistema inmunitario.
Anestesiologa: La administracin de anestesia para lograr un estado sin dolor para el paciente que pasa por una ciruga u otros procedimientos dolorosos.
Cardiologa/Enfermedad cardiovascular: Diagnstico y tratamiento de enfermedades del corazn, los pulmones y los vasos sanguneos. Es una subespecialidad de la Medicina interna.
Ciruga: Diagnstico y tratamiento quirrgico de enfermedades, lesiones y trastornos.
Ciruga cardiovascular: Una rama especializada de la ciruga relacionada con los rganos situados en la cavidad torcica, incluyendo el corazn, los vasos sanguneos principales, los pulmones y el esfago.
Ciruga neurolgica: Diagnstico y ciruga del sistema nervioso y del cerebro.
Coordinador de HealthNet (para afiliados de los EE. UU. nicamente): Un integrante del personal especialmente capacitado en cada grupo mdico. Puede ayudarle cuando tiene preguntas sobre los procedimientos del consultorio o la atencin que est recibiendo.
Dermatologa: Diagnstico y tratamiento de enfermedades y problemas de la piel.
Endocrinologa: Una especialidad de la medicina interna con capacitacin adicional de las glndulas endocrinas (tiroides, paratiroides, pituitaria, suprarrenales, pncreas, ovarios y testculos). Una
subespecialidad de la Medicina interna.
Enfermedades pulmonares: Una subespecialidad de la Medicina interna que se relaciona con el diagnstico y el tratamiento de problemas del aparato respiratorio.
Gastroenterologa: Tratamiento de enfermedades y funciones del esfago, el estmago y los intestinos. Es una subespecialidad de la Medicina interna y de la Pediatra.
Ginecologa: Especializacin en el tratamiento de los trastornos y las enfermedades de los rganos genitales de la mujer (consulte tambin Obstetricia y ginecologa).
Hematologa: El diagnstico y tratamiento de las enfermedades de la formacin de la sangre, los rganos relacionados y los ganglios linfticos. Una subespecialidad de la Medicina interna y la Pediatra.
Inmunologa de laboratorio de diagnstico: Diagnstico y tratamiento de las enfermedades de la piel que incluyen el sistema inmunitario a travs del uso de procedimientos de laboratorio especializados. Una subespecialidad de la Medicina interna, de Alergia e inmunologa o de la Pediatra.
Medicina de emergencias: Especializacin en el tratamiento de pacientes crticamente enfermos o lesionados antes de ser hospitalizados, ya sea en el lugar de los hechos o en una sala de emergencias.
Medicina fsica y rehabilitacin: El diagnstico y el uso teraputico de dispositivos mecnicos y fisioterapia en el tratamiento y rehabilitacin posterior a lesiones y enfermedades.
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Medicina interna: Diagnstico y tratamiento de enfermedades y problemas de adultos. Las subespecialidades de la Medicina interna incluyen:
Electrofisiologa cardaca
Endocrinologa, diabetes y metabolismo
Enfermedades cardiovasculares
Enfermedades pulmonares
Gastroenterologa
Hematologa
Laboratorio de inmunologa diagnstica
Medicina para cuidados crticos
Nefrologa
Oncologa mdica
Reumatologa
Neurologa: Especializacin en el diagnstico y tratamiento mdico de problemas del sistema nervioso.
Obstetricia y ginecologa: Especializacin en el tratamiento de los trastornos y las enfermedades del aparato reproductor de la mujer y en la administracin de la atencin durante el embarazo y el parto.
Oftalmologa: Tratamiento mdico y quirrgico de enfermedades y problemas del ojo, incluyendo la evaluacin de la vista y la indicacin de lentes para problemas visuales.
Otorrinolaringologa: Tratamiento mdico y quirrgico de problemas de la cabeza y el cuello (odo/nariz/garganta).
Pediatra: Especializacin en la prevencin, el diagnstico y el tratamiento de enfermedades de los nios, desde el nacimiento hasta la adolescencia. Las subespecialidades de la pediatra incluyen:
Alergia e inmunologa
Cardiologa
Cuidados intensivos
Laboratorio de inmunologa diagnstica
Medicina de emergencias
Endocrinologa
Gastroenterologa
Hematologa oncologa
Nefrologa
Medicina neonatal
Neumologa
Reumatologa
Prctica general: Diagnstico y tratamiento de afecciones mdicas generales.
Prctica familiar: Diagnstico y tratamiento de afecciones mdicas generales para personas de todas las edades.
Psiquiatra: El diagnstico y tratamiento de enfermedades nerviosas, mentales y emocionales, incluyendo la desintoxicacin y rehabilitacin para casos de alcoholismo y abuso de otro tipo de sustancias, la anorexia nerviosa y otros trastornos alimenticios, y las afecciones que causan dolor crnico.
Radiologa: La rama de la medicina que utiliza rayos X, radio y otras formas de radiacin para diagnosticar y tratar enfermedades.
Reumatologa: Diagnstico y tratamiento de enfermedades de las articulaciones, los ligamentos, los msculos y los huesos y tendones; subespecialidad de la Medicina interna y la Pediatra.
Urologa: El diagnstico y tratamiento mdico o quirrgico de las enfermedades y los trastornos del aparato genitourinario.
Oncologa de radiacin: La rama de la radiologa que utiliza la energa radiante e istopos en el estudio y tratamiento de enfermedades, especialmente de tipos malignos de cncer.
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Participating Physician GroupThe following is a listing of Salud con HealthNet HMO participating physician
groups in the Salud Network grouped in alphabetical order by the city in which their
offices are located.
The listing shows the physician group(s) with which each physician is affiliated, as well as each physicians unique physician number and each groups unique group number. When you complete the enrollment form to become a HealthNet member, you will need to identify the Salud con HealthNet HMO primary
care physician (PCP) and physician group of your choice by writing in each of these numbers. If you choose the SIMNSA Network, you do not have to select a PCP. You are able to go to any of their primary care doctors. The SIMNSA Network of physicians is listed in the back of this directory.
ndice de Grupos Mdicos ParticipantesA continuacin figura una lista de grupos mdicos participantes de Salud con
HealthNet HMO agrupados por orden alfabtico segn la ciudad en que sus
consultorios estn ubicados.
La lista muestra el(los) grupo(s) mdico(s) a los que est afiliado cada doctor, como tambin el nmero particular de cada doctor y el nmero nico de cada grupo mdico. Cuando complete su formulario de inscripcin para pasar a ser afiliado de Salud con HealthNet HMO, usted necesitar proporcionar
este nmero para identificar al mdico de atencin primaria y el grupo mdico que haya elegido. Si escoge la red SIMNSA, usted no tiene que elegir un solo mdico de atencin primaria, puede elegir cualquiera de sus doctores de atencin primaria.
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-
Salud Network Salud con HealthNet HMO
Health Net Salud con
HealthNet HMO (PCP) SIMNSA Network
SIMNSA Network
Salud Network Salud con HealthNet HMO ,
.
()
. Health Net
Salud con
HealthNet HMO (PCP) . SIMNSA Network PCP .
. SIMNSA Network .
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Participating Physician Groups
*Accessibility: P=Parking, EB=Exterior Building, IB =Interior Building, R=Restroom, E=Exam Room, PD=Patient Diagnostic and
Treatment Use, PA=Patient Areas and T = Exam Table/Scale. Health Net cannot promise that every doctor will always have the
access that you may need for a disability. You should call the doctors office to talk about your access needs for your disability.
1
Board Certified
Hospital Accreditation: DNV = Healthcare Inc DNV
Accountable Health Care IPA (2644)
Location/NPI/Staff Language(s) Telephone/
Email
Group No./
License No
2525 Cherry Ave., Suite 225
Signal Hill, CA 90755-2057
1114070224
(562) 435-3333
Data not
available
2644
Affiliated Hospitals
Beverly Hospital
Hospital Accreditation: DNV
For up-to-the-minute office hours and available physicians, please call the Health Net Coordinator at (562) 435-3333
123
Alhambra
Physician/Specialty Phone/Enrollment ID # Address/Group Name Language
Ha, Thomas T., M.D.
Gender: Male
NPI: 1568447860
License No: A43426
Internal Medicine
(626) 280-2803
2644 006596
320 S. Garfield Ave. # 110
Accountable Health Care IPA
Accessibility:*: Limited(EB,R,E)
Email: Data not available
Prov: Spanish,
Vietnamese
Office 1 Staff:
Vietnamese
Kong, Arthur, M.D.
Gender: Male
NPI: 1790835338
License No: G19088
Pediatrics
(626) 282-7585
2644 044641
1048 S. Garfield Ave. # 100
Accountable Health Care IPA
Accessibility:*: Limited(IB)
Email: Data not available
Prov: Cantonese,
Mandarin, Spanish
Arleta
Physician/Specialty Phone/Enrollment ID # Address/Group Name Language
Gonzales, Anita E., M.D. (818) 892-7795 9128 Woodman Ave.
Gender: Female
NPI: 1518161629
License No: A100277
General Practice 2644 142477 Accountable Health Care IPA
Email: Data not available
Pediatrics 2644 142477 Accountable Health Care IPA
Email: Data not available
Prov: Spanish
Office 1 Staff:
Spanish
Office 2 Staff:
Spanish
Baldwin Park
Physician/Specialty Phone/Enrollment ID # Address/Group Name Language
Chang, Jyh C., M.D.
Gender: Male
NPI: 1346259595
License No: A46003
Internal Medicine
1
(626) 962-5141
2644 502613
4318 Maine Ave. # A
Accountable Health Care IPA
Accessibility:*: Limited(P,EB,R,E)
Email: Data not available
Prov: Mandarin,
Portuguese,
Spanish
Office 1 Staff:
Mandarin
-
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Accountable Health Care IPA (2644)
*Accessibility: P=Parking, EB=Exterior Building, IB =Interior Building, R=Restroom, E=Exam Room, PD=Patient Diagnostic and
Treatment Use, PA=Patient Areas and T = Exam Table/Scale. Health Net cannot promise that every doctor will always have the
access that you may need for a disability. You should call the doctors office to talk about your access needs for your disability.
1
Board Certified
Baldwin Park
Physician/Specialty Phone/Enrollment ID # Address/Group Name Language
McMillan, Samuel L., M.D. (626) 480-0160 14311 Ramona Blvd.
Gender: Male
NPI: 1962560870
License No: C39834
General Practice 2644 063804 Accountable Health Care IPA
Email: Data not available
Obstetrics/Gynecology 2644 063804 Accountable Health Care IPA
Email: Data not available
Prov: French
Office 1 Staff:
Spanish
Office 2 Staff:
Spanish
Peralta, Cynthia M., M.D.
Gender: Female
NPI: 1578596698
License No: A49144
Pediatrics
1
(626) 337-0424
2644 061407
14514 Ramona Blvd. # 3
Accountable Health Care IPA
Accessibility:*: Limited(EB,IB,R,E)
Email: Data not available
Prov: Spanish,
Tagalog
Bell
Physician/Specialty Phone/Enrollment ID # Address/Group Name Language
Hashemi, Zia, M.D. (323) 562-1100 4750 Gage Ave.
Gender: Male
NPI: 1780872366
License No: A51569
Internal Medicine 2644 057252 Accountable Health Care IPA
Accessibility:
*
: Limited(IB,E)
Email: Data not available
Obstetrics/Gynecology
1
2644 057252 Accountable Health Care IPA
Accessibility:
*
: Limited(IB,E)
Email: Data not available
Prov: Farsi, Spanish
Office 1 Staff:
Spanish
Office 2 Staff:
Spanish
Romo, Mary S., M.D.
Gender: Female
NPI: 1861576480
License No: G64064
General Practice
(323) 562-6930
2644 032405
5101 Florence Ave. # 5
Accountable Health Care IPA
Email: Data not available
Prov: French,
Italian, Spanish
Zarrabi, Manoochehr, M.D.
Gender: Male
NPI: 1780850172
License No: A45355
Family Practice
(323) 773-3000
2644 065995
4827 Gage Ave.
Accountable Health Care IPA
Accessibility:*: Limited(IB,R,E)
Email: Data not available
Prov: Farsi
Bell Gardens
Physician/Specialty Phone/Enrollment ID # Address/Group Name Language
Alexander, Brooke, D.O.
Gender: Female
NPI: 1003846510
License No: 20A7006
Family Practice
1
(562) 928-9600
2644 109739
6501 Garfield Ave.
Accountable Health Care IPA
Accessibility:*: Limited(EB,IB,E,T)
Email: Data not available
Prov: Spanish
Office 1 Staff:
Spanish
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Accountable Health Care IPA (2644)
*Accessibility: P=Parking, EB=Exterior Building, IB =Interior Building, R=Restroom, E=Exam Room, PD=Patient Diagnostic and
Treatment Use, PA=Patient Areas and T = Exam Table/Scale. Health Net cannot promise that every doctor will always have the
access that you may need for a disability. You should call the doctors office to talk about your access needs for your disability.
1
Board Certified
3
Physician is currently not available through this physician group.
Bell Gardens
Physician/Specialty Phone/Enrollment ID # Address/Group Name Language
Jimenez, Francisco A., M.D.
Gender: Male
NPI: 1972696573
License No: A40305
General Practice
(323) 773-8295
2644 034213
6517 Eastern Ave.
Accountable Health Care IPA
Accessibility:*: Limited(IB,E)
Email: Data not available
Prov: Spanish
Office 1 Staff:
Spanish
Koe, Lillian, M.D.
Gender: Female
NPI: 1730345299
License No: A104910
Pediatrics
(562) 928-9600
2644 196973
6501 Garfield Ave.
Accountable Health Care IPA
Accessibility:*: Limited(EB,IB,E,T)
Email: Data not available
Office 1 Staff:
Spanish
McMillan, Samuel L., M.D. (562) 928-9700 6300 Florence Ave.
Gender: Male
NPI: 1962560870
License No: C39834
General Practice 2644 063804 Accountable Health Care IPA
Email: Data not available
Obstetrics/Gynecology 2644 063804 Accountable Health Care IPA
Email: Data not available
Prov: French
Office 1 Staff: Farsi,
Spanish
Office 2 Staff: Farsi,
Spanish
Perez, Angel G., M.D.
Gender: Male
NPI: 1477654440
License No: G79348
Family Practice
(323) 773-8295
2644 107584
6517 Eastern Ave.
Accountable Health Care IPA
3
Accessibility:*: Limited(IB,E)
Email: Data not available
Prov: Spanish
Office 1 Staff:
Spanish
Petkar, Madhuri P., M.D.
Gender: Female
NPI: 1962428144
License No: A53923
General Practice
(562) 928-9600
2644 071287
6501 Garfield Ave.
Accountable Health Care IPA
Accessibility:*: Limited(EB,IB,E,T)
Email: Data not available
Prov: Hindi, Marathi,
Spanish
Office 1 Staff:
Spanish
Ugalde, Sergio L., M.D.
Gender: Male
NPI: 1699981522
License No: A41270
General Practice
(562) 928-9600
2644 073433
6501 Garfield Ave.
Accountable Health Care IPA
Accessibility:*: Limited(EB,IB,E,T)
Email: Data not available
Prov: French,
Italian, Portuguese,
Spanish
Office 1 Staff:
Spanish
Vazquez, Carolina V., M.D.
Gender: Female
NPI: 1841243151
License No: G81758
Family Practice
1
(323) 771-0145
2644 065704
6501 Eastern Ave. # A
Accountable Health Care IPA
Accessibility:*: Limited(P,IB,R,E)
Email: Data not available
Prov: Spanish
Office 1 Staff:
Spanish
-
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Accountable Health Care IPA (2644)
*Accessibility: P=Parking, EB=Exterior Building, IB =Interior Building, R=Restroom, E=Exam Room, PD=Patient Diagnostic and
Treatment Use, PA=Patient Areas and T = Exam Table/Scale. Health Net cannot promise that every doctor will always have the
access that you may need for a disability. You should call the doctors office to talk about your access needs for your disability.
1
Board Certified
2
Physician is currently unavailable to new patients through this physician group.
Bellflower
Physician/Specialty Phone/Enrollment ID # Address/Group Name Language
Binoya, Edgardo G., M.D.
Gender: Male
NPI: 1508849795
License No: A30593
General Practice
(562) 866-1500
2644 056867
10230 Artesia Blvd. # 118
Accountable Health Care IPA
2
Accessibility:*: Limited(P,EB,IB)
Email: Data not available
Prov: Tagalog
Danganan, Imelda Y., M.D.
Gender: Female
NPI: 1255401139
License No: A56288
Pediatrics
1
(562) 866-8046
2644 081744
16904 Bellflower Blvd.
Accountable Health Care IPA
Email: Data not available
Prov: Spanish,
Tagalog
Office 1 Staff:
Spanish, Tagalog
Kyan, Fee S., M.D.
Gender: Male
NPI: 1952469264
License No: G64593
Internal Medicine
(562) 804-0100
2644 009450
10230 Artesia Blvd. # 300
Accountable Health Care IPA
Accessibility:*: Limited(EB,R,E)
Email: Data not available
Prov: Spanish, Thai
Office 1 Staff:
Spanish
Mercado, Saturnina D., M.D.
Gender: Female
NPI: 1255372942
License No: C39446
Family Practice
(562) 863-3474
2644 057050
10230 Artesia Blvd. # 207
Accountable Health Care IPA
Accessibility:*: Limited(EB,E)
Email: Data not available
Prov: Spanish,
Tagalog
Office 1 Staff:
Spanish, Tagalog
Nassir, Albert A., M.D.
Gender: Male
NPI: 1821161860
License No: G82337
Obstetrics/Gynecology
(562) 991-1900
2644 067842
16900 Lakewood Blvd. # 308
Accountable Health Care IPA
Accessibility:*: Limited(EB,R,E)
Email: Data not available
Prov: Farsi, Hebrew,
Spanish
Office 1 Staff:
Mandarin, Spanish,
Thai
Panganiban, Virgilio C., M.D.
Gender: Male
NPI: 1114900610
License No: A34146
General Practice
(562) 925-7033
2644 057261
16704 Clark Ave.
Accountable Health Care IPA
Email: Data not available
Prov: Spanish,
Tagalog
Wong, Hanson P., M.D.
Gender: Male
NPI: 1750483079
License No: G63718
Internal Medicine
(562) 804-7223
2644 031207
10230 Artesia Blvd. # 201
Accountable Health Care IPA
Accessibility:*: Limited(P,EB,E)
Email: Data not available
Prov: Cantonese,
Mandarin, Spanish
Office 1 Staff:
Spanish
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Accountable Health Care IPA (2644)
*Accessibility: P=Parking, EB=Exterior Building, IB =Interior Building, R=Restroom, E=Exam Room, PD=Patient Diagnostic and
Treatment Use, PA=Patient Areas and T = Exam Table/Scale. Health Net cannot promise that every doctor will always have the
access that you may need for a disability. You should call the doctors office to talk about your access needs for your disability.
1
Board Certified
Beverly Hills
Physician/Specialty Phone/Enrollment ID # Address/Group Name Language
Barcohana, David, M.D.
Gender: Male
NPI: 1750398509
License No: A38962
General Practice
(310) 276-6933
2644 048745
8929 Wilshire Blvd. # 225
Accountable Health Care IPA
Accessibility:*: Limited(P,IB)
Email: Data not available
Prov: Farsi, French,
Hebrew
Hekmat, Farah L., M.D.
Gender: Female
NPI: 1073655841
License No: A38022
Pediatrics
1
(310) 276-0541
2644 522243
9301 Wilshire Blvd. # 402
Accountable Health Care IPA
Accessibility:*: Limited(EB,R,E)
Email: Data not available
Prov: Farsi, Spanish
Ramin, David S., M.D.
Gender: Male
NPI: 1992893424
License No: A64295
Internal Medicine
1
(310) 276-7575
2644 089759
9025 Wilshire Blvd. # 210
Accountable Health Care IPA
Accessibility:*: Limited(E)
Email: Data not available
Prov: Farsi, Spanish
Burbank
Physician/Specialty Phone/Enrollment ID # Address/Group Name Language
Agababian, Gor, M.D.
Gender: Male
NPI: 1063442143
License No: A93668
General Practice
(818) 843-9900
2644 154347
1311 N. San Fernando Blvd.
Accountable Health Care IPA
Accessibility:*: Basic(P,EB,IB,R,E)
Email: Data not available
Prov: Armenian,
Russian
Office 1 Staff:
Armenian, Russian,
Spanish
Huverserian, Linda J., M.D.
Gender: Female
NPI: 1255658068
License No: A120212
Family Practice
(818) 843-9900
2644 194373
1311 N. San Fernando Blvd.
Accountable Health Care IPA
Accessibility:*: Basic(P,EB,IB,R,E)
Email: Data not available
Prov: Armenian
Office 1 Staff:
Armenian, Russian,
Spanish
Poghosyan, Liana, M.D.
Gender: Female
NPI: 1952560732
License No: A101825
Family Practice
1
(818) 748-1740
2644 148116
401 S. Glenoaks Blvd. # 101
Accountable Health Care IPA
Accessibility:*: Basic(P,EB,IB,R,E)
Email: Data not available
Prov: Armenian,
Russian, Spanish
Office 1 Staff:
Armenian, Russian,
Spanish
Solarte, David, M.D.
Gender: Male
NPI: 1538222401
License No: A48255
Pediatrics
1
(818) 843-9900
2644 068596
1311 N. San Fernando Blvd.
Accountable Health Care IPA
Accessibility:*: Basic(P,EB,IB,R,E)
Email: Data not available
Prov: Spanish
Office 1 Staff:
Armenian, Russian,
Spanish
-
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Accountable Health Care IPA (2644)
*Accessibility: P=Parking, EB=Exterior Building, IB =Interior Building, R=Restroom, E=Exam Room, PD=Patient Diagnostic and
Treatment Use, PA=Patient Areas and T = Exam Table/Scale. Health Net cannot promise that every doctor will always have the
access that you may need for a disability. You should call the doctors office to talk about your access needs for your disability.
1
Board Certified
2
Physician is currently unavailable to new patients through this physician group.
Carson
Physician/Specialty Phone/Enrollment ID # Address/Group Name Language
Aguilera, Manuel C., M.D.
Gender: Male
NPI: 1114015500
License No: A38823
Internal Medicine
1
(310) 834-4233
2644 039369
235 W. Carson St.
Accountable Health Care IPA
Accessibility:*: Limited(EB,IB,E)
Email: Data not available
Prov: Spanish,
Tagalog
Office 1 Staff:
Spanish, Tagalog
Aguinaldo, Estrella A., M.D.
Gender: Female
NPI: 1548339278
License No: A56493
Internal Medicine
(310) 233-2555
2644 075085
23517 Main St. # 104
Accountable Health Care IPA
Accessibility:*: Limited(E)
Email: Data not available
Prov: Ilocano,
Spanish, Tagalog
Office 1 Staff:
Samoan, Spanish,
Tagalog
Batongmalaque, Jenny L., M.D.
Gender: Female
NPI: 1952350613
License No: A23481
Family Practice
(310) 830-4561
2644 038591
23251 Main St.
Accountable Health Care IPA
Email: Data not available
Prov: Spanish,
Tagalog
Office 1 Staff:
Spanish, Tagalog
Osibamiro-Sedun, Adebambo, M.D.
Gender: Male
NPI: 1114918026
License No: A64972
General Practice
(310) 847-1321
2644 088199
2637 E. Carson St.
Accountable Health Care IPA
Accessibility:*: Limited(P,IB)
Email: Data not available
Prov: German,
Russian, Spanish
Roxas-Butlig, Evangeline G., M.D.
Gender: Female
NPI: 1003877531
License No: A78060
Pediatrics
1
(310) 715-7755
2644 102498
1000 E. Dominguez St. # 110
Accountable Health Care IPA
2
Email: Data not available
Prov: Spanish,
Tagalog
Tabila, Rodolfo T., M.D.
Gender: Male
NPI: 1962538181
License No: A38544
General Practice
(310) 328-9900
2644 039689
21624 Figueroa St.
Accountable Health Care IPA
Email: Data not available
Prov: Spanish,
Tagalog
Office 1 Staff:
Spanish, Tagalog
Tamhane, Shrikant K., D.O.
Gender: Male
NPI: 1497868251
License No: 20A7213
Family Practice
(310) 834-5388
2644 105591
23517 Main St. # 103
Accountable Health Care IPA
Email: Data not available
Prov: Hindi, Korean,
Marathi, Spanish,
Tagalog
Office 1 Staff: Hindi
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Accountable Health Care IPA (2644)
*Accessibility: P=Parking, EB=Exterior Building, IB =Interior Building, R=Restroom, E=Exam Room, PD=Patient Diagnostic and
Treatment Use, PA=Patient Areas and T = Exam Table/Scale. Health Net cannot promise that every doctor will always have the
access that you may need for a disability. You should call the doctors office to talk about your access needs for your disability.
Cerritos
Physician/Specialty Phone/Enrollment ID # Address/Group Name Language
Carigma, Cecilia S., M.D.
Gender: Female
NPI: 1174719058
License No: A108171
Pediatrics
(562) 403-0400
2644 155709
18821 Pioneer Blvd. # D
Accountable Health Care IPA
Accessibility:*: Basic(P,EB,IB,R,E)
Email: Data not available
Prov: Spanish,
Tagalog
Office 1 Staff:
Spanish, Tagalog
Compton
Physician/Specialty Phone/Enrollment ID # Address/Group Name Language
Austin, Edward M., M.D. (310) 763-4250 1331 E. Compton Blvd.
Gender: Male
NPI: 1245383488
License No: G66313
General Practice 2644 057044 Accountable Health Care IPA
Accessibility:
*
: Limited(EB,IB,E)
Email: Data not available
Pediatrics 2644 057044 Accountable Health Care IPA
Accessibility:
*
: Limited(EB,IB,E)
Email: Data not available
Prov: Spanish
Office 1 Staff:
Spanish
Office 2 Staff:
Spanish
Hibler, Anita M., M.D. (310) 637-3989 508 N. Long Beach Blvd.
Gender: Female
NPI: 1306062476
License No: C36494
Family Practice 2644 077036 Accountable Health Care IPA
Accessibility:
*
: Limited(IB,E)
Email: Data not available
General Practice 2644 077036 Accountable Health Care IPA
Accessibility:
*
: Limited(IB,E)
Email: Data not available
Prov: Spanish
Office 1 Staff:
Spanish
Office 2 Staff:
Spanish
Hossain, Syed M., M.D.
Gender: Male
NPI: 1083787907
License No: A77221
General Practice
(310) 635-7123
2644 130749
201 N. Central Ave.
Accountable Health Care IPA
Email: Data not available
Prov: Arabic,
Bengali, Farsi,
French, Greek,
Hindi, Spanish, Urdu
Office 1 Staff: Farsi,
French, Spanish
Marsh, Alva A., M.D.
Gender: Male
NPI: 1619036621
License No: C22547
Internal Medicine
(310) 638-1100
2644 045372
1112 N. Santa Fe Ave.
Accountable Health Care IPA
Accessibility:*: Limited(P,EB,IB)
Email: Data not available
Prov: Spanish
Smith, Denise N., M.D.
Gender: Female
NPI: 1851507610
License No: A83462
Family Practice
(310) 637-7131
2644 154152
2110 N. Santa Fe Ave.
Accountable Health Care IPA
Accessibility:*: Limited(P,EB,E)
Email: Data not available
Prov: Spanish
-
54 / www.healthnet.com
Accountable Health Care IPA (2644)
*Accessibility: P=Parking, EB=Exterior Building, IB =Interior Building, R=Restroom, E=Exam Room, PD=Patient Diagnostic and
Treatment Use, PA=Patient Areas and T = Exam Table/Scale. Health Net cannot promise that every doctor will always have the
access that you may need for a disability. You should call the doctors office to talk about your access needs for your disability.
1
Board Certified
Covina
Physician/Specialty Phone/Enrollment ID # Address/Group Name Language
Bang, Michael C., M.D.
Gender: Male
NPI: 1366571309
License No: A82873
General Practice
(626) 331-2209
2644 131565
1433 N. Hollenbeck Ave. # 200
Accountable Health Care IPA
Accessibility:*: Limited(P,EB,IB,E)
Email: Data not available
Prov: Korean,
Spanish, Tagalog