San Joaquin County (pdf)

210
State Health Programs Medi-Cal Go team! Hopper, Health Net Helping kids learn how to stay healthy and fit. Provider Directory Directorio de Proveedores Guide to choosing your doctor San Joaquin County, Volume 12, 2018

Transcript of San Joaquin County (pdf)

Page 1: San Joaquin County (pdf)

State Health Programs

Medi-Cal

Go team!

Hopper,Health NetHelping kids learn how to stay healthy and fit.

Provider Directory Directorio de Proveedores

Guide to choosing your doctor

San Joaquin County, Volume 12, 2018

Page 2: San Joaquin County (pdf)
Page 3: San Joaquin County (pdf)

www.healthnet.com / 3 Volume 12, 2018

Table Of Contents

Introduction.....................................................................................................................................................5

Clinics...........................................................................................................................................................25

Lodi....................................................................................................................................25

Manteca.............................................................................................................................25

Stockton............................................................................................................................25

Tracy..................................................................................................................................26

Primary Care Physicians.............................................................................................................................31

French Camp....................................................................................................................31

Lockeford..........................................................................................................................31

Lodi....................................................................................................................................31

Manteca.............................................................................................................................34

Stockton............................................................................................................................36

Tracy..................................................................................................................................47

Obstetrics and Gynecology Providers........................................................................................................53

French Camp....................................................................................................................53

Lodi....................................................................................................................................53

Manteca.............................................................................................................................54

Stockton............................................................................................................................55

Tracy..................................................................................................................................61

Specialist......................................................................................................................................................65

French Camp....................................................................................................................65

Lodi....................................................................................................................................70

Manteca.............................................................................................................................83

Ripon.................................................................................................................................97

Stockton............................................................................................................................97

Tracy...............................................................................................................................139

Hospitals.....................................................................................................................................................155

Urgent Care Facilities................................................................................................................................159

Skilled Nursing Facilities............................................................................................................................163

Facilities and Other Services.....................................................................................................................167

Pharmacies................................................................................................................................................173

Vision..........................................................................................................................................................183

Acupuncture Providers..............................................................................................................................191

Health Net Mental Health Providers..........................................................................................................195

Provider Index............................................................................................................................................203

Page 4: San Joaquin County (pdf)
Page 5: San Joaquin County (pdf)

IntroductionChoosing your primary care physician (PCP) When you enroll with Health Net, you will select a primary care physician (PCP); a PCP is a doctor who will be your personal doctor. Your PCP may be a family practice, general practice, internal medicine, obstetrics and gynecology (OB/GYN), or pediatrics (for your children) physician. You may want to have one doctor who will see your whole family, or you may want to have one doctor for you and a different doctor for your children.

Your PCP will be the doctor you will see when you are sick; he or she will refer you to a specialist and coordinate your health care whenever you need it. You must always see your PCP each time you need medical treatment unless it is an emergency. You do not need to get a referral from your PCP to visit your eye doctor for a regular examination, for a family planning visit, for care during pregnancy, or to access a nurse midwife.

If you are a female member, you may choose to see an OB/GYN for routine examinations and prenatal care. You do not need a referral from your PCP, but you may ask him or her to recommend the name of an OB/GYN for you. There is also a listing of these providers in the section of your directory titled “OB/GYN Providers.” The OB/GYN you choose must be a Health Net provider and belong to the same medical group as your PCP.

For assistance in locating a nurse midwife in your area, please contact the American College of Nurse Midwives’ electronic “Practice Locator Service” at 1-888-MIDWIFE (643-9433). You will be asked to enter your ZIP code, and you will be provided with the name, address and telephone number of the nurse midwife (or midwives) closest to your area.

The Practice Locator Service is only available in English. If you do not speak English, please call Health Net’s Member Services Department at 1-800-675-6110. A representative will be happy to contact the Practice Locator Service and provide you with the information in your language.

All eligible Native Americans have the right to access medical services through Indian Health Service facilities. You do not need a referral from your PCP. The health plan will reimburse the facilities for covered services.

Some hospitals and other providers do not provide one or more of the following services that may be covered under this health plan, and which members might need: family planning; contraceptive services, including emergency contraception; sterilization, including tubal ligation at the time of labor and delivery; infertility treatments; or abortion. Call your doctor or clinic, or call Health Net’s Medi-Cal Member Services Department at 1-800-675-6110 to ensure that you can obtain the health care services that you need.

If you feel this document has given wrong, partial or deceptive information, you may file a complaint. To file a complaint, go to www.healthnet.com, or contact our Member Services Department at 1-800-675-6110. You can also contact us by mail.

Send your complaint to: PO Box 9103 Van Nuys, CA 91409-9103

Introdu

ction

www.healthnet.com / 5 Volume 12, 2018

Page 6: San Joaquin County (pdf)

PCP Specialty ChartDoctor specialty Who will he or she see?Family practice Your whole familyGeneral practice Your whole familyInternal medicine Adults only (age 18 and older)OB/GYN Women only (age 18 and older)Pediatrician Children only (age 18 and younger)

The chart above will help you learn what each specialty (type of PCP) means, so you can choose the best doctor for you and your family.

Now that you have an idea about the type of doctor you want as a PCP for yourself and your family, you need to select who that doctor will be.

• Look for the city where you live.

• Pick a doctor for you and your family.

• Write the doctor ID (identification) number or the name of the doctor(s) you choose for you and your family on the Medi-Cal Health Plan Choice Form.

• Sign your name on the Medi-Cal Health Plan Choice Form.

• Check to make sure you filled out the Medi-Cal Health Plan Choice Form completely.

• Mail your completed Medi-Cal Health Plan Choice Form in the self-addressed, stamped envelope included with your packet.

Health Net does not and cannot guarantee the initial or continued availability of any particular participating provider. The current participation status of any provider can be obtained by calling Health Net’s Member Services Department at 1-800-675-6110.

6 / www.healthnet.com Volume 12, 2018

Page 7: San Joaquin County (pdf)

Member Identification CardWhen you become a member of Health Net, you will receive a member identification card like the one pictured below. You will need to show this card each time you see your doctor, get your prescriptions (medicine), use the emergency room, or see your eye doctor. Keep this card with you at all times.

Do not throw your Medi-Cal (BIC) card awayYou will need to use your Medi-Cal card to see your Medi-Cal dentist and to get some other services that are not covered by Health Net.

24-hour Member Services DepartmentHealth Net has a Member Services Department for you to call if you ever have any questions about your health plan, want to change your doctor, or have a complaint about your doctor or the plan. The Member Services Department is open 24 hours, every day, including weekends and holidays. A friendly representative is always available for you whenever you need help.

Member Services is your link to Health Net’s Nurse Triage Department. If you try to call your doctor on the weekend or after office hours

because you are sick, and cannot reach him/her, please call our Member Services Department, and a representative will connect you with a nurse who will be able to help you and answer your questions.

Remember: If you have a life-threatening emergency, call 911 for emergency help or go immediately to the closest emergency room.

To talk to a Member Services representative, call 1-800-675-6110. This is a free call for you to make, and you can talk to someone 24 hours a day, every day. The Member Services Department phone number is also on the back of your Health Net member identification card.

Thank you for becoming a member of Health Net. We look forward to serving your health care needs.

www.healthnet.com / 7 Volume 12, 2018

Page 8: San Joaquin County (pdf)

Accessibility InformationBelow is information used in the provider directory to indicate accessibility at a provider office or building site. This information is not a promise that every doctor will always have the access that you may need for a disability. You should call the doctor’s office to talk about your access needs for your disability.

Accessibility Requirements:Basic: Facility represents all applicable accessibility requirements excluding “T”.

Limited: Facility is missing one or more of the accessibility requirements excluding “T”.

Indicator Definition Criteria

P ParkingParking spaces, including van accessible space(s), are accessible. Pathways have curb ramps between the parking lot, office, and at drop-off locations.

EB Exterior buildingCurb ramps and other ramps to the building are wide enough for a wheelchair or scooter user. Handrails are provided on both sides of the ramp. Doors open wide enough to let a wheelchair or scooter user enter, and have handles that are easy to use.

IB Interior building

Doors open wide enough to let a wheelchair or scooter user enter, and have handles that are easy to use. Interior ramps are wide enough and have handrails. Stairs, if present, have handrails. If there is an elevator, it is available for public/patient use at all times the building is open. The elevator has easy to hear sounds and Braille buttons within reach. The elevator has enough room for a wheelchair or scooter user to turn around. If there is a platform lift, it can be used without help.

R Restroom

The restroom is accessible and the doors are wide enough to accommodate a wheelchair or scooter and are easy to open. The restroom has enough room for a wheelchair or scooter to turn around and close the door. There are grab bars which allow easy transfer from wheelchair to toilet. The sink is easy to get to and the faucets, soap, and toilet paper are easy to reach and use.

PD Patient diagnostic and treatment use

Patients are able to access and use testing and treatment areas, and equipment.

PA Participant areas Members can get to and use all common areas and equipment with or without help.

E Exam roomThe entrance to the exam room is accessible, with a clear path. The doors open wide enough to accommodate a wheelchair or scooter and are easy to open. The exam room has enough room for a wheelchair or scooter to turn around.

T Exam table/scale

The exam table moves up and down and the scale is accessible with handrails to assist people with wheelchairs and scooters. The weight scale is able to accommodate a wheelchair. OR, Patients can get on or off medical equipment with or without help.

8 / www.healthnet.com Volume 12, 2018

Page 9: San Joaquin County (pdf)

Clinic InformationBelow is information used in the provider directory to indicate different types of clinics.

Indicator DefinitionCC Community ClinicCOO County-Owned and/or Operated ClinicFQHC Federally Qualified Health CenterMXCL Mixed Specialty ClinicRHC Rural Health ClinicTIHC Tribal/Indian Health ClinicDSHC Disproportionate Share Hospital Clinic

www.healthnet.com / 9 Volume 12, 2018

Page 10: San Joaquin County (pdf)

• 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 1-800-675-6110 (TTY: 711).

– Email us at [email protected].

• 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 of the Rehabilitation Act of 1973.

• You can ask for someone to help you talk with your doctor in your language. This is an interpreter.

– To ask for an interpreter at no cost to you, please call Member Services at 1-800-675-6110 (TTY: 711). Please have your member ID number when you call. You must call at least three days before your doctor visit to have an interpreter there with you on the day of your doctor visit. For sign language services, please call five days before your doctor visit.

10 / www.healthnet.com Volume 12, 2018

Page 11: San Joaquin County (pdf)

How Soon Can I See the Doctor?When you need medical care, it is important to get it promptly. The amount of time before your appointment depends on your health condition. It also depends on the type of care you need. The table below shows how soon you should be able to see a doctor. It may be OK to wait longer if it does not harm your health.

(Note: A business day is usually Monday through Friday. It does not include weekends or holidays.) Make a routine care appointment to see your doctor if you are a new patient and/or have recently obtained health insurance.

Appointment type Wait time for appointmentRoutine care appointment with your primary care physician (PCP) – your main doctor

Within 10 business days

Routine care appointment with a specialist (when your PCP refers you)

Within 15 business days

Urgent appointment for services that do not need approval in advance

Within 48 hours

Urgent appointment for services that need approval in advance (prior authorization)

Within 96 hours

First prenatal visit Within 10 business daysWell-child visit with a PCP Within 10 business daysPhysical exam/Preventive checkup Within 30 calendar daysAncillary testing (such as labs, X-rays or therapy services that you cannot get in your doctor’s office)

Within 15 business days

If you need help making an appointment, call Member Services at 1-800-675-6110.

Language services can be coordinated with scheduled appointments for health care services so that an interpreter is available at the time of the appointment. Use the number on your ID card to schedule an interpreter.

www.healthnet.com / 11 Volume 12, 2018

Page 12: San Joaquin County (pdf)

Health Net complies with applicable federal civil rights laws and does not discriminate, exclude people or treat them differently on the basis of race, color, national origin, ancestry, religion, marital status, gender, gender identity, sexual orientation, age, disability, or sex.

Health Net:

• Provides free aids and services to people with disabilities to communicate effectively with us, such as qualified sign language interpreters and written information in other formats (large print, accessible electronic formats, other formats).

• Provides free language services to people whose primary language is not English, such as qualified interpreters and information written in other languages.

If you need these services, contact Health Net’s Customer Contact Center at 1-800-675-6110 (TTY: 711).

If you believe that Health Net has failed to provide these services or discriminated in another way, you can file a grievance by calling the number above and telling them you need help filing a grievance; Health Net’s Customer Contact Center is available to help you.

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services, 200 Independence Avenue SW, Room 509F, HHH Building, Washington, DC 20201, 1-800-368-1019 (TDD: 1-800-537-7697) if there is a concern of discrimination based on race, color, national origin, age, disability, or sex.

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

Nondiscrimination Notice

12 / www.healthnet.com Volume 12, 2018

Page 13: San Joaquin County (pdf)

English: If you, or someone you’re helping, has questions about Health Net Community Solutions, you have the right to get help and information in your language at no cost. To talk to an interpreter, call 1-800-675-6110 (TTY: 711).

Arabic:cل ,Health Net Community Solutions إذا كان لديك أو شخص ما تساعده أية استفسارات عن لديك الحق في تلقي المساعدة والمعلومات بلغتك مجاناً. للتحدث إلى مترجم فوري، اتصل على الرقم

.)TTY: 711( 1-800-675-6110

Armenian: Եթե դուք կամ որևէ մեկը, ում դուք օգնում եք, հարցեր ունեք Health NetCommunity Solutions-ի մասին, դուք իրավունք ունեք ստանալ օգնություն և ձեր լեզվով անվճար տեղեկություններ: Թարգմանչի հետ խոսելու համար զանգահարեք 1-800-675-6110 հեռախոսահամարով (TTY: 711)

Cambodian (Khmer): ប�ើសិនបោកអ្នក ឬនរណាម្្ន កដ់ែលបោកអ្នកកំពុងជួយ�ម្នសំណួរអំពី Health Net Community Solutions បោកអ្នកម្នសិទ្ិទទួលបានជំនួយ និងពត័ម៌្នជាភាសារ�ស់បោកអ្នកបោ យឥតគិតថ្លៃ។ បែើម្បី�រឹកសាជាមយួអ្នក�កដប�សូមបៅទូរស័ព្ទបៅបលខ 1-800-675-6110 (TTY: 711)។

Chinese (Traditional): 如果您或您協助的人士對 Health Net Community Solutions 有疑

問,您有權免費取得以您的語言提供的協助及資訊。如欲取得口譯員協助,請致電

1-800-675-6110 (TTY: 711)。

Hindi: यदि आप, या कोई वयक्ति जिसकी आप मिि कर रहे हैं, के Health NetCommunity Solutions (स्ास्थय नटै सामिुाययक समाधान) के बारे में प्रश्न हैं, तो आपको अपनी भाषा में यन:शलुक मिि प्राप्त करने और िानकारी प्राप्त करने का अयधकार है। एक अनु्ािक से बात करने के यिए, 1-800-675-6110 (TTY: 711) पर कॉि करें।

Hmong (White): Yog koj, lossis lwm tus koj pab, muaj lus nug txog Health Net Community Solutions, koj muaj txoj cai tau kev pab thiab ntaub ntawv ua koj hom lus tsis muaj nqi them. Xav nrog ib tug neeg txhais lus, hu 1-800-675-6110 (TTY: 711).

Japanese: あなたご自身またはあなたが援助している方がHealth Net CommunitySolutionsに関する質問をお持ちの場合、あなたには無料で日本語によるサポートと情報を得る権利があります。通訳とお話になるには、1-800-675-6110(TTY:711) までお電話ください。

Korean: 귀하 또는 귀하가 도와드리고 있는 분이 Health Net CommunitySolutions에 관한 질문이 있을 경우, 귀하에게는 무료로 본인이 구사하는 언어로 도움과 정보를 받을 권리가 있습니다. 통역사와 통화하려면 1-800-675-6110 (TTY: 711) 번으로 전화해 주십시오.

Laotian: ຖ້າທ່ານ ຫຼື ຜູ້ໃດໜຶ່ງທີ່ທ່ານກ�າລັງຊ່ວຍເຫຼືອມີຄ�າຖາມກ່ຽວກັບ Health Net Community Solutions, ທ່ານມີສິດໃນການຮັບການຊ່ວຍເຫຼືອ ແລະ ຮັບຂ�້ມູນເປັນພາສາຂອງທ່ານໂດຍບ�່ຕ້ອງເສຍຄ່າໃດໆ. ລົມກັບລ່າມພາສາ, ໂທ 1-800-675-6110 (TTY: 711)

www.healthnet.com / 13 Volume 12, 2018

Page 14: San Joaquin County (pdf)

Persian (Farsi):i اگر شما يا شخصی که به وی کمک می کنيد، سؤالاتی در مورد Health Net Community Solutions داريد، شما حق داريد که کمک و اطلاعات را به زبان خودتان

)TTY:711( 1-800-675-6110 و به طور رايگان دريافت کنيد. برای گفتگو با مترجم شفاهی، با شمارهتماس بگيريد.

Panjabi (Punjabi): ਜੇ ਤੁਹਾਡੇ, ਜਾਂ ਕਿਸੇ ਅਕਜਹੇ ਕਿਅਿਤੀ, ਕਜਸਦੀ ਤੁਸੀਂ ਮਦਦ ਿਰ ਰਹੇ ਹ,ੋ ਦੇ HealthNet Community Solutions (ਹੈਲਥ ਨੈਟ ਸਾਮੂਦਾਇਿ ਸਮਾਧਾਨ) ਬਾਰੇ ਿੋਈ ਸਿਾਲ ਹਨ, ਤਾਂ ਤੁਹਾਨੰੂਮੁਫ਼ਤ ਕਿੱਚ ਆਪਣੀ ਭਾਸਾ ਕਿੱਚ ਮਦਦ ਪ੍ਾਪਤ ਿਰਨ ਅਤੇ ਜਾਣਿਾਰੀ ਪ੍ਾਪਤ ਿਰਨ ਦਾ ਹੱਿ ਹੈ। ਇੱਿ ਦੁਭਾਕਸਏ ਨਾਲ ਗੱਲ ਿਰਨ ਲਈ 1-800-675-6110 (TTY: 711) ‘ਤੇ ਫ਼ੋਨ ਿਰੋ।

Russian: Если у Вас или у кого-то, кому Вы помогаете, есть вопросы о плане Health Net Community Solutions, Вы имеет право бесплатно получить необходимые сведения в переводе на Ваш язык. Для того чтобы воспользоваться помощью устного переводчика, позвоните по телефону 1-800-675-6110 (TTY: 711).

Spanish: Si usted, o alguna persona a la que asiste, tiene preguntas sobre Health Net Community Solutions, tiene derecho a obtener ayuda e información en su idioma sin cargo. Para hablar con un intérprete, llame al 1-800-675-6110 (TTY: 711).

Tagalog: Kung ikaw o ang isang taong tinutulungan mo ay mayroong mga tanong tungkol sa Health Net Community Solutions, mayroon kang karapatang makakuha ng tulong at impormasyon na nasa wika mo nang walang babayaran. Para makipag-usap sa isang interpreter, tumawag sa 1-800-675-6110 (TTY: 711).

Thai: หากคณุ หรอืคนทีค่ณุก�าลงัใหค้วามชว่ยเหลอื มคี�าถามเกีย่วกบั Health Net

Community Solutions คณุมสีทิธทิีจ่ะขอรบัความชว่ยเหลอืและขอ้มลูเป็นภาษาของคณุได้

โดยไมม่คีา่ใชจ้า่ย หากตอ้งการคยุกบัลา่ม โทร 1-800-675-6110 (TTY: 711)

Vietnamese: Nếu quý vị, hoặc một người nào đó quý vị đang giúp đỡ, có thắc mắcvề Health Net Community Solutions, quý vị có quyền nhận được trợ giúp và thông tin bằng ngôn ngữ của quý vị miễn phí. Để trao đổi với phiên dịch viên, hãy gọi số 1-800-675-6110 )TTY: 711).

CA Medi-Cal Notice of Language Assistance FLY014982EO00 (8/17)

14 / www.healthnet.com Volume 12, 2018

Page 15: San Joaquin County (pdf)

IntroducciónCómo elegir a su médico de atención primaria (PCP) Cuando se inscriba en Health Net, usted seleccionará un médico de atención primaria (por sus siglas en inglés, PCP), que será su médico personal. Su médico de atención primaria puede ser un médico de medicina familiar, práctica general, medicina interna, obstetricia y ginecología (por sus siglas en inglés, OB/GYN) o pediatría (para sus hijos). Si lo desea, puede contar con un médico que atienda a toda su familia, o bien, puede tener un médico para usted y otro para sus hijos.

Su médico de atención primaria será el médico al que consulte cuando se enferme; éste le remitirá a un especialista y coordinará su cuidado de la salud cuando usted lo necesite. Siempre debe consultar a su médico de atención primaria cada vez que necesite tratamiento médico a menos que se trate de una emergencia. No necesita obtener una remisión de su médico de atención primaria para consultar a su oculista a fin de realizarse un examen regular, para una consulta de planificación familiar, para la atención durante el embarazo ni para acceder a una enfermera partera.

Si usted es una afiliada, puede elegir consultar a un obstetra/ginecólogo para realizarse exámenes de rutina y recibir atención prenatal. No necesita una remisión de su médico de atención primaria, pero puede solicitarle que le sugiera el nombre de un obstetra/ginecólogo. También hay una lista de estos proveedores en la sección de su directorio titulada “Proveedores de Obstetricia/Ginecología”. El obstetra/ginecólogo que elija debe ser un proveedor de Health Net y debe pertenecer al mismo grupo médico que su médico de atención primaria.

Si desea obtener ayuda para localizar a una enfermera partera en su área, comuníquese con el “Servicio de Localizador de Consultorios”, un servicio electrónico del American College of Nurse Midwives (Colegio Estadounidense de Enfermeras Parteras), al 1-888-MIDWIFE (643-9433). Se le solicitará que ingrese su

código postal y se le proporcionará el nombre, la dirección y el número de teléfono de la/s enfermera/s partera/s más cercana/s a su área.

El Servicio de Localizador de Consultorios sólo se encuentra disponible en inglés. Si usted no habla inglés, llame al Departamento de Servicios al Afiliado de Health Net al 1-800-675-6110. Uno de nuestros representantes con gusto se comunicará con el Servicio de Localizador de Consultorios y le brindará la información en su idioma.

Todos los Nativos Americanos elegibles tienen derecho a acceder a los servicios médicos a través de los centros del Servicio de Salud Indígena. Usted no necesita una remisión de parte de su médico de atención primaria. El plan de salud le reembolsará a los centros por los servicios cubiertos.

Algunos hospitales y otros proveedores no prestan uno o más de los siguientes servicios que pueden estar cubiertos conforme a este plan de salud y que los afiliados podrían necesitar: planificación familiar; servicios anticonceptivos, incluyendo anticoncepción de emergencia; esterilización, incluyendo ligadura de trompas al momento del parto; tratamientos de infertilidad; o aborto. Llame a su médico o clínica, o bien, llame al Departamento de Servicios al Afiliado de Medi-Cal de Health Net al 1-800-675-6110, para asegurarse de poder obtener los servicios de cuidado de la salud que necesita.

Si considera que este documento ha brindado información incorrecta, parcial o engañosa, puede presentar una queja. Para presentar una queja, visite www.healthnet.com o comuníquese con nuestro Departamento de Servicios al Afiliado al 1-800-675-6110. También puede comunicarse con nosotros por correo postal.

Envíe su queja a: PO Box 9103 Van Nuys, CA 91409-9103

www.healthnet.com / 15 Volume 12, 2018

Page 16: San Joaquin County (pdf)

Tabla de Especialidades de los Médicos de Atención PrimariaEspecialidad del médico ¿A quién atenderá?Medicina familiar Toda su familiaPráctica general Toda su familiaMedicina interna Adultos únicamente (18 años o más)Obstetricia/ginecología Mujeres únicamente (18 años o más)Pediatría Niños únicamente (18 años o menos)

La tabla anterior le ayudará a conocer qué significa cada especialidad (tipo de médico de atención primaria), de manera que pueda elegir al mejor médico para usted y su familia.

Ahora que tiene una idea sobre el tipo de médico que desea como médico de atención primaria para usted y su familia, debe seleccionar quién será ese médico.

• Busque la ciudad donde usted vive.• Escoja un médico para usted y su familia.• Escriba el número de identificación del médico

o el nombre del/de los médico/s que elija para usted y su familia en el Formulario de Selección del Plan de Salud Medi-Cal.

• Firme el Formulario de Selección del Plan de Salud Medi-Cal.

• Verifique que haya completado el Formulario de Selección del Plan de Salud Medi-Cal en su totalidad.

• Envíe por correo su Formulario de Selección del Plan de Salud Medi-Cal completado en el sobre sellado, con el nombre y la dirección del remitente, que se incluye en su paquete.

Health Net no garantiza ni puede garantizar la disponibilidad inicial o continua de ningún proveedor participante en particular. Para obtener el estado de participación actual de cualquier proveedor, puede llamar al Departamento de Servicios al Afiliado de Health Net al 1-800-675-6110.

16 / www.healthnet.com Volume 12, 2018

Page 17: San Joaquin County (pdf)

Tarjeta de Identificación de AfiliadoUna vez que se convierta en afiliado a Health Net, recibirá una tarjeta de identificación de afiliado como la que se muestra a continuación. Deberá mostrar esta tarjeta cada vez que consulte a su médico, obtenga sus medicamentos que requieren receta médica, use la sala de emergencias o consulte a su oculista. Lleve esta tarjeta con usted en todo momento.

No deseche su tarjeta de identificación de beneficios (BIC) de Medi-CalDeberá usar su tarjeta de Medi-Cal para consultar a su dentista de Medi-Cal y para recibir algunos otros servicios que no están cubiertos por Health Net.

Departamento de Servicios al Afiliado disponible las 24 horasHealth Net cuenta con un Departamento de Servicios al Afiliado para que usted llame si alguna vez tiene preguntas sobre su plan de salud, desea cambiar de médico, o bien, tiene una queja sobre su médico o el plan. El Departamento de Servicios al Afiliado está disponible las 24 horas, todos los días, incluyendo los fines de semana y los días feriados. Siempre hay un cordial representante a su disposición cada vez que necesita ayuda.

El Departamento de Servicios al Afiliado es su vínculo con el Departamento de Clasificación según las Prioridades de Atención de Enfermería

de Health Net. Si intenta llamar a su médico durante el fin de semana o fuera del horario de atención porque está enfermo, y no puede comunicarse, llame a nuestro Departamento de Servicios al Afiliado y un representante le comunicará con una enfermera que podrá ayudarle y responder sus preguntas.

Recuerde: Si se encuentra en una emergencia de riesgo vital, llame al 911 para obtener ayuda de emergencia o vaya de inmediato a la sala de emergencias más cercana.

Para hablar con un representante del Departamento de Servicios al Afiliado, llame al 1-800-675-6110. La llamada es gratuita y usted puede hablar con alguien las 24 horas del día, todos los días. El número de teléfono del Departamento de Servicios al Afiliado también aparece en el reverso de su tarjeta de identificación de afiliado de Health Net.

Gracias por convertirse en afiliado a Health Net. Esperamos satisfacer sus necesidades de cuidado de la salud.

www.healthnet.com / 17 Volume 12, 2018

Page 18: San Joaquin County (pdf)

Información sobre la AccesibilidadA continuación, le brindamos la información que se utiliza en el directorio de proveedores para indicar la accesibilidad en las instalaciones o el consultorio de un proveedor. Esta información no constituye una promesa de que todos los médicos siempre tendrán el acceso que usted pueda requerir para una discapacidad. Debe llamar al consultorio del médico para hablar sobre sus necesidades de acceso para su discapacidad.

Requisitos de Accesibilidad:Accesibilidad Básica: El centro cumple con todos los requisitos de accesibilidad aplicables, con la excepción de “T”.

Accesibilidad Limitada: El centro no cumple con uno o más de los requisitos de accesibilidad, con la excepción de “T”.

Indicador (siglas en inglés) Definición Criterio

P EstacionamientoLos lugares para estacionar, incluyendo el/los lugar/es de acceso para camionetas, son accesibles. Las aceras tienen rampas en los bordes entre el estacionamiento y el consultorio, y en los lugares para bajarse.

EB Parte externa del edificio

Las rampas en los bordes de las aceras u otras rampas del edificio son lo suficientemente anchas como para permitir el acceso de un paciente en silla de ruedas o escúter. Hay pasamanos en ambos lados de la rampa. Las puertas se abren lo suficiente para permitir el ingreso de un paciente en silla de ruedas o escúter, y tienen manijas que son fáciles de usar.

IB Parte interna del edificio

Las puertas se abren lo suficiente para permitir el ingreso de un paciente en silla de ruedas o escúter, y tienen manijas que son fáciles de usar. Las rampas internas son lo suficientemente anchas y tienen pasamanos. Las escaleras, si es que hay, tienen pasamanos. Si hay ascensor, éste se encuentra disponible para uso del público/de los pacientes siempre que el edificio esté abierto. El ascensor cuenta con sonidos fácilmente audibles y botones en Braille al alcance de la mano. El ascensor ofrece suficiente espacio para que un paciente en silla de ruedas o escúter pueda girar. Si hay plataforma elevadora, ésta puede usarse sin ayuda.

R Baño

El baño es accesible; las puertas son lo suficientemente anchas como para permitir el paso de una silla de ruedas o un escúter, y se abren con facilidad. El baño ofrece suficiente espacio para que un paciente en silla de ruedas o escúter pueda girar y cerrar la puerta. Hay barras de agarre que permiten un fácil traspaso de la silla de ruedas al inodoro. El lavabo está a una altura accesible, y los grifos, el jabón y el papel higiénico se pueden alcanzar y usar con facilidad.

(continúa)

18 / www.healthnet.com Volume 12, 2018

Page 19: San Joaquin County (pdf)

Indicador (siglas en inglés) Definición Criterio

PDUso de los pacientes de áreas de diagnóstico y tratamiento

Los pacientes pueden acceder y usar las áreas de pruebas y tratamiento, así como el equipo.

PA Áreas de participantes

Los afiliados pueden ingresar y usar todas las áreas comunes y todos los equipos con o sin ayuda.

E Sala de examen

La entrada a la sala de examen es accesible y el paso está despejado. Las puertas se abren lo suficiente para permitir el acceso de una silla de ruedas o un escúter, y son fáciles de abrir. La sala de examen ofrece suficiente espacio para que una silla de ruedas o un escúter puedan girar.

T Mesa de examen/balanza

La mesa de examen se desliza hacia arriba y hacia abajo, y la balanza es accesible con pasamanos que facilita el uso de pacientes en sillas de ruedas o escúteres. La balanza tiene capacidad para una silla de ruedas. O BIEN, Los pacientes pueden subir o bajar de los equipos médicos con o sin ayuda.

www.healthnet.com / 19 Volume 12, 2018

Page 20: San Joaquin County (pdf)

Información sobre ClínicasA continuación, le brindamos la información que se utiliza en el directorio de proveedores para indicar los diferentes tipos de clínicas.

Indicador (siglas en inglés) Definición

CC Clínica Comunitaria

COO Clínica Administrada por el Condado y/o de su Propiedad

FQHC Centro de Salud Federalmente Calificado

MXCL Clínica de Especialidades DiversasRHC Clínica de Salud RuralTIHC Clínica de Salud Indígena/Tribal

DSHC Clínica Hospitalaria de Cuota Desproporcionada

20 / www.healthnet.com Volume 12, 2018

Page 21: San Joaquin County (pdf)

• ¿Encontró algo que piensa que podría ser incorrecto en alguna parte de nuestro directorio de proveedores? Infórmenos para que podamos corregirlo.– Llámenos al 1-800-675-6110 (TTY: 711).– Envíenos un mensaje de correo electrónico a

[email protected].

• Tiene derecho a obtener un acceso completo e igualitario a los servicios de cuidado de la salud cubiertos por su plan de salud. Esto también es así si usted tiene una discapacidad de acuerdo con las siguientes leyes:– La Ley para los Estadounidenses con

Discapacidades de 1990.– Sección 504 de la Ley de Rehabilitación

de 1973.

• También puede pedir que una persona le ayude a hablar con su médico en su idioma. Esa persona se denomina intérprete. – Para solicitar un intérprete sin cargo para

usted, llame al Departamento de Servicios al Afiliado al 1-800-675-6110 (TTY: 711). Tenga a mano su número de identificación de afiliado cuando llame. Debe llamar al menos tres días antes de su consulta con el médico para que haya un intérprete con usted el día de su consulta. En el caso de servicios de lenguaje de señas, llame cinco días antes de su consulta con el médico.

www.healthnet.com / 21 Volume 12, 2018

Page 22: San Joaquin County (pdf)

¿Con Qué Rapidez Puedo Consultar al Médico?Cuando usted necesita atención médica, es importante que la reciba de manera oportuna. La cantidad de tiempo que debe esperar para su cita depende de su afección de salud. También depende del tipo de atención que necesite. La siguiente tabla indica con qué rapidez debería poder consultar a un médico. Puede ser aceptable esperar más tiempo si esto no daña su salud.

(Nota: Un día hábil, por lo general, es de lunes a viernes. No incluye los fines de semana ni los días feriados). Programe una cita de atención de rutina para consultar a su médico si es un paciente nuevo y/o ha obtenido un seguro de salud recientemente.

Tipo de cita Tiempo de espera para la citaCita de atención de rutina con su médico de atención primaria (PCP) – su médico principal

Dentro de los 10 días hábiles

Cita de atención de rutina con un especialista (cuando le remite su PCP)

Dentro de los 15 días hábiles

Cita de atención de urgencia para servicios que no requieren una aprobación por adelantado

Dentro de las 48 horas

Cita de atención de urgencia para servicios que requieren una aprobación por adelantado (autorización previa)

Dentro de las 96 horas

Primera consulta prenatal Dentro de los 10 días hábilesConsulta para niños saludables con un PCP Dentro de los 10 días hábilesExamen físico/Chequeo preventivo Dentro de los 30 días calendarioPruebas auxiliares (como pruebas de laboratorio, rayos X o servicios de terapia que usted no puede obtener en el consultorio de su médico)

Dentro de los 15 días hábiles

Si necesita ayuda para programar una cita, llame al Departamento de Servicios al Afiliado al 1-800-675-6110.

Se pueden coordinar servicios de idiomas junto con las citas programadas para servicios de cuidado de la salud de manera que un intérprete esté disponible en el momento de la cita. Use el número que aparece en su tarjeta de identificación para programar los servicios de un intérprete.

FTM01

9179

EH00

22 / www.healthnet.com Volume 12, 2018

Page 23: San Joaquin County (pdf)

Clinics

www.healthnet.com / 23 Volume 12, 2018

Page 24: San Joaquin County (pdf)
Page 25: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 25 Volume 12, 2018

Clin

ic

s

Clinics

Lodi

COMMUNITY MEDICAL

CENTERS, LAWRENCE

Clinic Type: FQHC

ID Number: MC49000119

721 Calaveras St

Lodi, CA 95240

(209)331-8046

NPI: 1659435279

Office Staff Language(s):

Spanish

Hours: Mon-Fri

8:15am-5:00pm

COMMUNITY MEDICAL

CENTERS, LODI

Clinic Type: FQHC

ID Number: MC00001469

2401 W. Turner Rd. Ste 450

Lodi, CA 95242

(209)370-1700

NPI: 1801918743

Office Staff Language(s):

Spanish

Hours: Mon-Thu

8:00am-8:00pm Fri

8:00am-6:00pm Sat

8:00am-4:30pm

COMMUNITY MEDICAL

CENTERS, LODI

Clinic Type: FQHC

ID Number: MC00001469

2401 W. Turner Rd. Ste 450

Lodi, CA 95242

(209)370-1700

NPI: 1306984315

Office Staff Language(s):

Spanish

Hours: Mon-Thu

8:00am-8:00pm Fri

8:00am-6:00pm Sat

8:00am-4:30pm

Manteca

COMMUNITY MEDICAL

CENTERS, MANTECA

Clinic Type: FQHC

ID Number: MC00000618

200 Cottage Ave Ste 103

Manteca, CA 95336

(209)624-5800

NPI: 1710211214

Office Staff Language(s):

Spanish

Hours: Mon-Thu

8:00am-8:00pm Fri

8:00am-6:00pm Sat

8:00am-4:30pm

COMMUNITY MEDICAL

CENTERS, MANTECA

Clinic Type: FQHC

ID Number: MC00000618

200 Cottage Ave Ste 103

Manteca, CA 95336

(209)624-5800

NPI: 1710211214

Office Staff Language(s):

Punjabi, Spanish

Hours: Mon-Thu

8:00am-8:00pm Fri

8:00am-6:00pm Sat

8:00am-4:30pm

PLANNED PARENTHOOD

MAR MONTE- MANTECA

HEALTH CENTER

Clinic Type: CC

ID Number: MC00001094

965 E. Yosemite Ave. Ste 2

Manteca, CA 95336

(209)239-2528

NPI: 1487607222

Office Staff Language(s):

Spanish

Hours: Mon-Fri

8:30am-5:00pm

Stockton

COMMUNITY MEDICAL

CENTERS - WATERLOO

Clinic Type: FQHC

ID Number: MC00000780

1031 Waterloo Rd

Stockton, CA 95205

(209)940-5600

NPI: 1285059923

COMMUNITY MEDICAL

CENTERS, CHANNEL

Clinic Type: FQHC

ID Number: MC00000508

701 E Channel St

Stockton, CA 95202

(209)944-4700

NPI: 1578552543

Office Staff Language(s):

Spanish

Hours: Mon-Fri

7:30am-8:00pm Sat

8:00am-4:30pm

COMMUNITY MEDICAL

CENTERS, CHANNEL

Clinic Type: FQHC

ID Number: MC00000508

701 E Channel St

Stockton, CA 95202

(209)944-4700

NPI: 1801918743

Office Staff Language(s):

Spanish

Hours: Mon-Fri

7:30am-8:00pm Sat

8:00am-4:30pm

Stockton

COMMUNITY MEDICAL

CENTERS, DOROTHY L.

JONES

Clinic Type: FQHC

ID Number: MC49000128

2044 Fair St

Stockton, CA 95206

(209)944-4700

NPI: 1558726786

Office Staff Language(s):

Spanish

Hours: Mon, Tue, Wed, Fri

8:30am-5:00pm

COMMUNITY MEDICAL

CENTERS, E.

MARCHLANE

Clinic Type: FQHC

ID Number: MC00001467

1801 E. March Ln. Ste D470

Stockton, CA 95210

(209)507-7000

NPI: 1356723936

Office Staff Language(s):

Spanish

Hours: Mon, Tue, Thu, Fri

8:30am-6:00pm Wed

8:30am-8:00pm Sat

8:00am-4:30pm

COMMUNITY MEDICAL

CENTERS, HAMMER LANE

Clinic Type: FQHC

ID Number: MC49000141

1721 E Hammer Ln Ste A

Stockton, CA 95210

(209)751-5200

NPI: 1538223375

Office Staff Language(s):

Spanish

Hours: Mon-Thu

8:00am-8:00pm Fri

8:00am-6:00pm Sat

8:00am-4:30pm

Page 26: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

26 / www.healthnet.com Volume 12, 2018

Clinics

Stockton

COMMUNITY MEDICAL

CENTERS, HAMMER LANE

Clinic Type: FQHC

ID Number: MC49000141

1721 E Hammer Ln Ste A

Stockton, CA 95210

(209)751-5200

NPI: 1538223375

Office Staff Language(s):

Spanish

Hours: Mon-Thu

8:00am-8:00pm Sat

8:00am-4:30pm

COMMUNITY MEDICAL

CENTERS, KING

Clinic Type: FQHC

ID Number: MC00001280

2640 E. Lafayette St.

Stockton, CA 95205

(209)933-7232

NPI: 1164586772

Hours: Mon, Thu

8:00am-5:00pm Tue

8:00am-2:00pm Wed, Fri

1:00pm-5:00pm

COMMUNITY MEDICAL

CENTERS, MARIPOSA

ROAD

Clinic Type: FQHC

ID Number: MC00000619

2015 E Mariposa Rd

Stockton, CA 95205

(209)751-1919

NPI: 1669720157

Office Staff Language(s):

Spanish

Hours: Mon-Fri

8:00am-5:00pm Sat

8:00am-4:30pm

Accessibility:

Limited(P,EB,IB,R)

Stockton

COMMUNITY MEDICAL

CENTERS, MARIPOSA

ROAD

Clinic Type: FQHC

ID Number: MC00000619

2015 E Mariposa Rd

Stockton, CA 95205

(209)751-1900

NPI: 1306984315

Office Staff Language(s):

Spanish

Hours: Mon-Fri

8:00am-5:00pm Sat

8:00am-4:30pm

Accessibility:

Limited(P,EB,IB,R)

COMMUNITY MEDICAL

CENTERS, WATERLOO

Clinic Type: FQHC

ID Number: MC00000780

1031 Waterloo Rd

Stockton, CA 95205

(209)940-5600

NPI: 1669720157

Office Staff Language(s):

Spanish

Hours: Mon-Thu

7:30am-8:00pm Fri

7:30am-6:00pm Sat

8:00am-4:30pm

Stockton

COMMUNITY MEDICAL

CENTERS,E. MARCH

LANE

Clinic Type: FQHC

ID Number: MC00001467

1801 E. March Ln. Ste D470

Stockton, CA 95210

(209)507-7050

NPI: 1285059923

Office Staff Language(s):

Spanish

Hours: Mon, Tue, Thu, Fri

8:30am-6:00pm Wed

8:30am-8:00pm Sat

8:00am-4:30pm

COMMUNITY MEDICAL

CENTERS-GLEASON

HOUSE

Clinic Type: FQHC

ID Number: MC00001211

423 S.San Joaquin St.

Stockton, CA 95203

(209)954-7700

NPI: 1649525544

Office Staff Language(s):

Spanish

Hours: Mon-Fri

8:00am-5:00pm

PLANNED PARENTHOOD

MAR MONTE - EASTLAND

PLAZA HEALTH CENTER

Clinic Type: CC

ID Number: MC00001093

678 N. Wilson Way

Stockton, CA 95205

(209)466-2081

NPI: 1174579957

Office Staff Language(s):

Spanish

Hours: Mon-Fri

8:15am-5:00pm

Stockton

PLANNED PARENTHOOD

MAR MONTE- NORTH

STOCKTON HEALTH

CENTER

Clinic Type: CC

ID Number: MC00001092

4555 Precissi Ln.

Stockton, CA 95207

(209)477-4103

NPI: 1366496838

Office Staff Language(s):

Spanish

Hours: Mon-Fri

8:30am-5:00pm

Tracy

COMMUNITY MEDICAL

CENTERS, TRACY

Clinic Type: FQHC

ID Number: MC00001250

730 N. Central Ave.

Tracy, CA 95376

(209)820-1500

NPI: 1669594545

Office Staff Language(s):

Spanish

Hours: Mon-Thu

8:00am-8:00pm Fri

8:00am-6:00pm Sat

8:00am-4:30pm

Page 27: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 27 Volume 12, 2018

Clinics

Clin

ic

s

Tracy

COMMUNITY MEDICAL

CENTERS, TRACY

Clinic Type: FQHC

ID Number: MC49000135

2151 West Grant Ln. Rd.

Tracy, CA 95377

(209)820-1500

NPI: 1669594545

Office Staff Language(s):

Spanish

Hours: Mon-Thu

8:00am-8:00pm Fri

8:00am-6:00pm Sat

8:00am-4:30pm

PLANNED PARENTHOOD

MAR MONTE - TRACY

HEALTH CENTER

Clinic Type: CC

ID Number: MC00001091

1441 N. Tracy Blvd.

Tracy, CA 95376

(209)835-8910

NPI: 1245493097

Office Staff Language(s):

Spanish

Hours: Mon-Fri

8:00am-5:00pm

Page 28: San Joaquin County (pdf)
Page 29: San Joaquin County (pdf)

Primary Care Physicians

The table below is a list of footnotes used in this section.

1Board-certified.2Accepting existing patients at this time.3Not accepting new patients at this time. 4Accepting new patients.5Available by referral only.6Available only through a hospital or facility.7Not accepting patients.

www.healthnet.com / 29 Volume 12, 2018

Page 30: San Joaquin County (pdf)
Page 31: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 31 Volume 12, 2018

Primary Care Physicians

Prim

ary

C

are

P

hy

sic

ia

ns

French Camp

HILL PHYSICIANS

MEDICAL GROUP - SAN

JOAQUIN

Pediatrics

Loomba, Ashish M.D.

4

Gender: Male

ID Number: 234909

500 W. Hospital Rd.

French Camp, CA 95231

(209)468-6820

NPI: 1790933042

License No: C143844

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)468-6820

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Accessibility:

Basic(P,EB,IB,R,E,T)

Lockeford

PRIME COMMUNITY CARE

OF CENTRAL VALLEY,

INC. - SAN JOAQUIN

Family Practice

Chan, Pak C. M.D.

4

Gender: Male

ID Number: 502587

18980 N. Hwy. 88 Ste B

Lockeford, CA 95237

(209)727-5523

NPI: 1023049707

License No: A035065

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)727-5523

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Mandarin

Hospital(s): Lodi Memorial

Hospital

Self Reported Accessibility:

Basic(P,EB,IB,R,E,T)

Lodi

COMMUNITY MEDICAL

CENTERS, LODI

Family Practice

Ali, Farzana N. M.D.

4

Gender: Female

ID Number: MC00001469

2401 W. Turner Rd. Ste 450

Lodi, CA 95242

(209)370-1700

NPI: 1619223393

License No: A136163

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)370-1700

Hours: Mon-Thu

8:00am-8:00pm Fri

8:00am-6:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi, Urdu

Extender(s): Simmons,

Elizabeth A. (NP), Mueller,

Shelby H. (NP)

Accessibility: Limited(IB,R,E)

Lodi

Kaushik, Gayathri M.D.

4

Gender: Female

ID Number: MC00001469

2401 W. Turner Rd. Ste 450

Lodi, CA 95242

(209)370-1700

NPI: 1538507009

License No: A138461

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)370-1700

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi, Spanish

Accessibility: Limited(IB,R,E)

Nguyen, Thao D.O.

4

Gender: Female

ID Number: MC00001469

2401 W. Turner Rd. Ste 450

Lodi, CA 95242

(209)370-1700

NPI: 1477816544

License No: 20A13312

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)370-1700

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Vietnamese

Accessibility: Limited(IB,R,E)

Page 32: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

32 / www.healthnet.com Volume 12, 2018

Primary Care Physicians

Lodi

Pediatrics

Mangondato, Jussein R.

M.D.

14

Gender: Male

ID Number: MC00001469

2401 W. Turner Rd. Ste 450

Lodi, CA 95242

(209)370-1700

NPI: 1306957279

License No: A082555

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)370-1700

Hours: Mon-Thu

8:00am-8:00pm Fri

8:00am-6:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish, Tagalog

Certification(s): CCS

Accessibility: Limited(IB,R,E)

Lodi

Morrison, Stanley G.

M.D.

14

Gender: Male

ID Number: MC00001469

2401 W. Turner Rd. Ste 450

Lodi, CA 95242

(209)370-1700

NPI: 1538228366

License No: G064383

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)370-1700

Hours: Mon-Thu

8:00am-8:00pm Fri

8:00am-6:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Accessibility: Limited(IB,R,E)

Lodi

HILL PHYSICIANS

MEDICAL GROUP - SAN

JOAQUIN

Internal Medicine

Ghavami, Mobin P. M.D.

2

Gender: Male

ID Number: 067203

900 S. Fairmont Ave. Ste A

Lodi, CA 95240

(209)333-2500

NPI: 1447239744

License No: A054317

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)333-2500

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Farsi, Spanish

Lodi

Pediatrics

Duvdevany, Neta M.D.

4

Gender: Female

ID Number: 221664

1920 Tienda Dr. Ste 102

Lodi, CA 95242

(209)368-8310

NPI: 1598180341

License No: C137556

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)368-8310

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Accessibility:

Basic(P,EB,IB,R,E)

Page 33: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 33 Volume 12, 2018

Primary Care Physicians

Prim

ary

C

are

P

hy

sic

ia

ns

Lodi

PRIME COMMUNITY CARE

OF CENTRAL VALLEY,

INC. - SAN JOAQUIN

Family Practice

Castro, Pablo R. M.D.

14

Gender: Male

ID Number: 205486

1901 W. Kettleman Ln. Ste

200

Lodi, CA 95242

(209)334-8540

NPI: 1538422316

License No: A130781

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)334-8540

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Lodi

Internal Medicine

Dhaliwal, Narinder S.

M.D.

12

Gender: Male

ID Number: 028541

1901 W. Kettleman Ln. Ste

200

Lodi, CA 95242

(209)334-8540

NPI: 1639175581

License No: A045148

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)334-8540

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Punjabi, Spanish

Lodi

Pediatrics

Mangondato, Jussein R.

M.D.

14

Gender: Male

ID Number: 106154

2401 W. Turner Rd. Ste 450

Lodi, CA 95242

(209)370-1700

NPI: 1306957279

License No: A082555

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)370-1700

Hours: Mon-Thu

8:00am-8:00pm Fri

8:00am-6:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish, Tagalog

Certification(s): CCS

Accessibility: Limited(IB,R,E)

Lodi

Nunez Davis, Rosemary

D.O.

4

Gender: Female

ID Number: 223102

2415 W. Vine St. Ste 100

Lodi, CA 95242

(209)333-3135

NPI: 1417396235

License No: 20A14780

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)333-3135

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Punjabi, Spanish, Tagalog,

Urdu

Physician Language(s):

Punjabi

Hospital(s): Lodi Memorial

Hospital

Accessibility:

Basic(P,EB,IB,R,E)

Page 34: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

34 / www.healthnet.com Volume 12, 2018

Primary Care Physicians

Lodi

Umar, Akbar M.D.

14

Gender: Male

ID Number: 068380

2415 W. Vine St. Ste 100

Lodi, CA 95242

(209)333-3135

NPI: 1336122662

License No: A063674

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)333-3135

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Punjabi, Spanish, Tagalog,

Urdu

Physician Language(s):

Urdu

Certification(s): CCS

Accessibility:

Basic(P,EB,IB,R,E)

Lodi

Wong, Regina F. M.D.

13

Gender: Female

ID Number: 158334

2415 W. Vine St. Ste 100

Lodi, CA 95242

(209)333-3135

NPI: 1992919823

License No: A098176

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)333-3135

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Punjabi, Spanish, Tagalog,

Urdu

Physician Language(s):

Punjabi

Certification(s): CCS

Accessibility:

Basic(P,EB,IB,R,E)

Manteca

COMMUNITY MEDICAL

CENTERS, MANTECA

Family Practice

Ali, Farzana N. M.D.

4

Gender: Female

ID Number: MC00000618

200 Cottage Ave. Ste 103

Manteca, CA 95336

(209)624-5800

NPI: 1619223393

License No: A136163

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)624-5800

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi, Urdu

Manteca

Bernardo, Marinette G.

M.D.

4

Gender: Female

ID Number: MC00000618

200 Cottage Ave. Ste 103

Manteca, CA 95336

(209)624-5800

NPI: 1154426179

License No: A096571

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)624-5800

Hours: Mon-Thu

8:00am-8:00pm Fri

8:00am-6:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Tagalog

Extender(s): Reece, Holly N.

(P.A.)

Jawaid, Bushra M.D.

14

Gender: Female

ID Number: MC00000618

200 Cottage Ave. Ste 103

Manteca, CA 95336

(209)624-5800

NPI: 1427383850

License No: A107456

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)624-5800

Hours: Mon-Fri

8:00am-6:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi, Punjabi, Urdu

Page 35: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 35 Volume 12, 2018

Primary Care Physicians

Prim

ary

C

are

P

hy

sic

ia

ns

Manteca

Kaushik, Gayathri M.D.

4

Gender: Female

ID Number: MC00000618

200 Cottage Ave. Ste 103

Manteca, CA 95336

(209)624-5800

NPI: 1538507009

License No: A138461

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)624-5800

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi, Spanish

Nguyen, Thao D.O.

4

Gender: Female

ID Number: MC00000618

200 Cottage Ave. Ste 103

Manteca, CA 95336

(209)624-5800

NPI: 1477816544

License No: 20A13312

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)624-5800

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Vietnamese

Manteca

Internal Medicine

Hundal, Kanwalpreet K.

M.D.

4

Gender: Female

ID Number: MC00000618

200 Cottage Ave. Ste 103

Manteca, CA 95336

(209)624-5800

NPI: 1386828242

License No: A102246

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)624-5800

Hours: Mon-Thu

8:00am-8:00pm Fri

8:00am-6:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Punjabi

Certification(s): CCS

Pediatrics

Chitta, Naga M.D.

4

Gender: Female

ID Number: MC00000618

200 Cottage Ave. Ste 103

Manteca, CA 95336

(209)624-5800

NPI: 1548601255

License No: A140747

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)624-5800

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi, Telugu

Manteca

Jayaprakash, Smija M.D.

4

Gender: Female

ID Number: MC00000618

200 Cottage Ave. Ste 103

Manteca, CA 95336

(209)624-5800

NPI: 1710290648

License No: A125663

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)624-5800

Hours: Mon-Fri

8:00am-6:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi, Malayalam

Sneha, Fnu M.D.

4

Gender: Female

ID Number: MC00000618

200 Cottage Ave. Ste 103

Manteca, CA 95336

(209)624-5800

NPI: 1346505286

License No: A137639

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)624-5800

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi

Manteca

GOLDEN VALLEY HEALTH

CENTER- MANTECA

Pediatrics

Doshi, Bhavin M.D.

4

Gender: Male

ID Number: 236380

250 Northgate Dr. Ste 102

Manteca, CA 95336

(209)239-5299

NPI: 1134353915

License No: A149619

Cultural Competence

Training Completed: No

Hours: Mon-Fri

8:00am-5:00pm

HILL PHYSICIANS

MEDICAL GROUP - SAN

JOAQUIN

Pediatrics

Revilla, Ana R. M.D.

4

Gender: Female

ID Number: 109012

200 Cottage Ave. Ste 103

Manteca, CA 95336

(209)624-5800

NPI: 1083792501

License No: A081029

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)624-5800

Hours: Mon-Thu

8:00am-8:00pm Fri

8:00am-6:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s): San Joaquin

General Hospital

Page 36: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

36 / www.healthnet.com Volume 12, 2018

Primary Care Physicians

Manteca

PRIME COMMUNITY CARE

OF CENTRAL VALLEY,

INC. - SAN JOAQUIN

Pediatrics

Mallorca, Florinda G. M.D.

4

Gender: Female

ID Number: 052128

250 Cherry Ln. Ste 111

Manteca, CA 95337

(209)239-4515

NPI: 1184683302

License No: A050177

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)239-4515

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish, Tagalog

Physician Language(s):

Spanish, Tagalog

Hospital(s): Doctors Hospital

of Manteca

Certification(s): CHDP

Accessibility:

Basic(P,EB,IB,R,E)

Manteca

Nisperos, Carmelita C.

M.D.

4

Gender: Female

ID Number: 058748

330 Northgate Dr.

Manteca, CA 95336

(209)239-1996

NPI: 1760594089

License No: A051093

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)239-1996

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Ilocano, Spanish, Tagalog

Certification(s): CHDP

Self Reported Accessibility:

Basic(P,EB,IB,R,E,T)

Stockton

COMMUNITY MEDICAL

CENTERS - WATERLOO

Family Practice

Ali, Farzana N. M.D.

4

Gender: Female

ID Number: MC00000780

1031 Waterloo Rd.

Stockton, CA 95205

(209)940-5600

NPI: 1619223393

License No: A136163

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)940-5600

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi, Urdu

Accessibility:

Limited(P,IB,R,E)

Stockton

Kaushik, Gayathri M.D.

4

Gender: Female

ID Number: MC00000780

1031 Waterloo Rd.

Stockton, CA 95205

(209)940-5600

NPI: 1538507009

License No: A138461

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)940-5600

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi, Spanish

Accessibility:

Limited(P,IB,R,E)

Page 37: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 37 Volume 12, 2018

Primary Care Physicians

Prim

ary

C

are

P

hy

sic

ia

ns

Stockton

Morrison, Benjamin B.

M.D.

4

Gender: Male

ID Number: MC00000780

1031 Waterloo Rd.

Stockton, CA 95205

(209)940-5600

NPI: 1245316645

License No: A078162

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)940-5600

Hours: Mon-Fri

8:00am-8:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s): San Joaquin

General Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Extender(s): Akhtar, Rabia

(P.A.), Hernandez, Delia Y.

(P.A.), Graham, David C.

(NP)

Accessibility:

Limited(P,IB,R,E)

Stockton

Nguyen, Thao D.O.

4

Gender: Female

ID Number: MC00000780

1031 Waterloo Rd.

Stockton, CA 95205

(209)940-5600

NPI: 1477816544

License No: 20A13312

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)940-5600

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Vietnamese

Accessibility:

Limited(P,IB,R,E)

Stockton

Pediatrics

Huskey, Jessica E. D.O.

4

Gender: Female

ID Number: MC00000780

1031 Waterloo Rd.

Stockton, CA 95205

(209)945-5600

NPI: 1518248442

License No: 20A14197

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)945-5600

Hours: Mon-Thu

7:30am-8:00pm Fri

7:30am-6:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s): San Joaquin

General Hospital

Accessibility:

Limited(P,IB,R,E)

Stockton

COMMUNITY MEDICAL

CENTERS, CHANNEL

Family Practice

Ali, Farzana N. M.D.

4

Gender: Female

ID Number: MC00000508

701 E. Channel St.

Stockton, CA 95202

(209)944-4700

NPI: 1619223393

License No: A136163

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)944-4700

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Hindi, Malayalam, Spanish

Physician Language(s):

Hindi, Urdu

Kaushik, Gayathri M.D.

4

Gender: Female

ID Number: MC00000508

701 E. Channel St.

Stockton, CA 95202

(209)944-4742

NPI: 1538507009

License No: A138461

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)944-4742

Hours: Mon-Fri

8:00am-8:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Hindi, Malayalam, Spanish

Physician Language(s):

Hindi, Spanish

Extender(s): Ronquillo,

Florentina (NP)

Page 38: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

38 / www.healthnet.com Volume 12, 2018

Primary Care Physicians

Stockton

Morrison, Benjamin B.

M.D.

4

Gender: Male

ID Number: MC00000508

701 E. Channel St.

Stockton, CA 95202

(209)944-4700

NPI: 1245316645

License No: A078162

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)944-4700

Hours: Mon-Fri

8:00am-8:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Hindi, Malayalam, Spanish

Physician Language(s):

Hindi

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Extender(s): Akhtar, Rabia

(P.A.), Graham, David C.

(NP), Castillo, Elizabeth

(NP), Fraser, Jackson D.

(P.A.)

Stockton

Nguyen, Thao D.O.

4

Gender: Female

ID Number: MC00000508

701 E. Channel St.

Stockton, CA 95202

(209)944-4700

NPI: 1477816544

License No: 20A13312

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)944-4700

Hours: Mon-Fri

8:00am-8:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Hindi, Malayalam, Spanish

Physician Language(s):

Vietnamese

Extender(s): Gudino, Ana M.

(NP)

Stockton

Internal Medicine

Khambati, Aziz A. M.D.

4

Gender: Male

ID Number: MC00000508

701 E. Channel St.

Stockton, CA 95202

(209)944-4700

NPI: 1659447373

License No: A055303

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)944-4700

Hours: Mon-Fri

8:00am-8:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Hindi, Malayalam, Spanish

Physician Language(s):

Gujarati, Urdu

Extender(s): Castillo,

Elizabeth (NP), Gudino, Ana

M. (NP), Cherian, Asha

(FNP)

Stockton

Pediatrics

Huskey, Jessica E. D.O.

4

Gender: Female

ID Number: MC00000508

701 E. Channel St.

Stockton, CA 95202

(209)944-4700

NPI: 1518248442

License No: 20A14197

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)944-4700

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Hindi, Malayalam, Spanish

Physician Language(s):

Hindi

Jayaprakash, Smija M.D.

4

Gender: Female

ID Number: MC00000508

701 E. Channel St.

Stockton, CA 95202

(209)944-4742

NPI: 1710290648

License No: A125663

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)944-4742

Hours: Mon-Fri

8:00am-8:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Hindi, Malayalam, Spanish

Physician Language(s):

Hindi, Malayalam

Page 39: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 39 Volume 12, 2018

Primary Care Physicians

Prim

ary

C

are

P

hy

sic

ia

ns

Stockton

Revilla, Ana R. M.D.

4

Gender: Female

ID Number: MC00000508

701 E. Channel St.

Stockton, CA 95202

(209)944-4700

NPI: 1083792501

License No: A081029

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)944-4700

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Hindi, Malayalam, Spanish

Physician Language(s):

Spanish

Hospital(s): San Joaquin

General Hospital

Extender(s): Lau, Alice (NP)

Sneha, Fnu M.D.

4

Gender: Female

ID Number: MC00000508

701 E. Channel St.

Stockton, CA 95202

(209)944-4700

NPI: 1346505286

License No: A137639

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)944-4700

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Hindi, Malayalam, Spanish

Physician Language(s):

Hindi

Hospital(s): San Joaquin

General Hospital

Stockton

COMMUNITY MEDICAL

CENTERS, E.

MARCHLANE

Family Practice

Ali, Farzana N. M.D.

4

Gender: Female

ID Number: MC00001467

1801 E. March Ln. Ste D470

Stockton, CA 95210

(209)507-7000

NPI: 1619223393

License No: A136163

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)507-7000

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi, Urdu

Kaushik, Gayathri M.D.

4

Gender: Female

ID Number: MC00001467

1801 E. March Ln. Ste D470

Stockton, CA 95210

(209)507-7000

NPI: 1538507009

License No: A138461

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)507-7000

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi, Spanish

Stockton

Nguyen, Thao D.O.

4

Gender: Female

ID Number: MC00001467

1801 E. March Ln. Ste D470

Stockton, CA 95210

(209)507-7027

NPI: 1477816544

License No: 20A13312

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)507-7027

Hours: Mon-Tue

9:00am-6:00pm Wed

9:00am-8:00pm Thu-Fri

9:00am-6:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Vietnamese

Extender(s): DaRosa,

Stephanie R. (NP)

Stockton

Pediatrics

Chitta, Naga M.D.

4

Gender: Female

ID Number: MC00001467

1801 E. March Ln. Ste D470

Stockton, CA 95210

(209)507-7027

NPI: 1548601255

License No: A140747

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)507-7027

Hours: Mon-Tue

9:00am-6:00pm Wed

9:00am-8:00pm Thu-Fri

9:00am-6:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi, Telugu

Huskey, Jessica E. D.O.

4

Gender: Female

ID Number: MC00001467

1801 E. March Ln. Ste D470

Stockton, CA 95210

(209)507-7000

NPI: 1518248442

License No: 20A14197

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)507-7000

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s): San Joaquin

General Hospital

Page 40: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

40 / www.healthnet.com Volume 12, 2018

Primary Care Physicians

Stockton

Sneha, Fnu M.D.

4

Gender: Female

ID Number: MC00001467

1801 E. March Ln. Ste D470

Stockton, CA 95210

(209)507-7000

NPI: 1346505286

License No: A137639

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)507-7000

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi

COMMUNITY MEDICAL

CENTERS, HAMMER LANE

Family Practice

Kaushik, Gayathri M.D.

4

Gender: Female

ID Number: MC49000141

1721 E. Hammer Ln. Ste A

Stockton, CA 95210

(209)944-4700

NPI: 1538507009

License No: A138461

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)944-4700

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi, Spanish

Stockton

Morrison, Susan W. M.D.

14

Gender: Female

ID Number: MC49000141

1721 E. Hammer Ln. Ste A

Stockton, CA 95210

(209)751-5200

NPI: 1215013628

License No: A077045

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)751-5200

Hours: Mon-Thu

8:00am-8:00pm Fri

8:00am-6:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Mandarin, Spanish

Extender(s):

Henderson-Peterson,

Christy H. (NP), Diaz,

Debbie E. (NP), Snelling,

Shakera K. (NP), Bundy,

Linda M. (NP)

Stockton

Morrison, Susan W. M.D.

14

Gender: Female

ID Number: MC49000141

1721 E. Hammer Ln. Ste A

Stockton, CA 95210

(209)751-5200

NPI: 1215013628

License No: A077045

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)751-5200

Hours: Mon-Thu

8:00am-8:00pm Fri

8:00am-6:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Mandarin, Spanish

Hospital(s): San Joaquin

General Hospital

Extender(s):

Henderson-Peterson,

Christy H. (NP), Diaz,

Debbie E. (NP), Snelling,

Shakera K. (NP), Bundy,

Linda M. (NP)

Stockton

Nguyen, Thao D.O.

4

Gender: Female

ID Number: MC49000141

1721 E. Hammer Ln. Ste A

Stockton, CA 95210

(209)944-4700

NPI: 1477816544

License No: 20A13312

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)944-4700

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Vietnamese

Internal Medicine

Wang, Wilhelm M. M.D.

4

Gender: Male

ID Number: MC49000141

1721 E. Hammer Ln. Ste A

Stockton, CA 95210

(209)751-5200

NPI: 1093894784

License No: A044748

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)751-5200

Hours: Mon-Thu

8:00am-8:00pm Fri

8:00am-6:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Mandarin

Page 41: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 41 Volume 12, 2018

Primary Care Physicians

Prim

ary

C

are

P

hy

sic

ia

ns

Stockton

Pediatrics

Chitta, Naga M.D.

4

Gender: Female

ID Number: MC49000141

1721 E. Hammer Ln. Ste A

Stockton, CA 95210

(209)751-5200

NPI: 1548601255

License No: A140747

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)751-5200

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi, Telugu

Issa, Nedaa M.D.

14

Gender: Female

ID Number: MC49000141

1721 E. Hammer Ln. Ste A

Stockton, CA 95210

(209)944-4700

NPI: 1043453814

License No: C152208

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)944-4700

Hours: Mon-Thu

8:00am-8:00pm Fri

8:00am-6:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Arabic

Stockton

Martinez, Jennifer L.

M.D.

14

Gender: Female

ID Number: MC49000141

1721 E. Hammer Ln. Ste A

Stockton, CA 95210

(209)751-5200

NPI: 1194938860

License No: A099681

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)751-5200

Hours: Mon-Thu

8:00am-8:00pm Fri

8:00am-6:30pm Sat

8:00am-4:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Tagalog

Sneha, Fnu M.D.

4

Gender: Female

ID Number: MC49000141

1721 E. Hammer Ln. Ste A

Stockton, CA 95210

(209)944-4700

NPI: 1346505286

License No: A137639

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)944-4700

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi

Hospital(s): San Joaquin

General Hospital

Stockton

COMMUNITY MEDICAL

CENTERS, MARIPOSA

ROAD

Family Practice

Ali, Farzana N. M.D.

4

Gender: Female

ID Number: MC00000619

2015 E. Mariposa Rd.

Stockton, CA 95205

(209)751-1919

NPI: 1619223393

License No: A136163

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)751-1919

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi, Urdu

Accessibility:

Basic(P,EB,IB,R,E)

Stockton

Kaushik, Gayathri M.D.

4

Gender: Female

ID Number: MC00000619

2015 E. Mariposa Rd.

Stockton, CA 95205

(209)751-1900

NPI: 1538507009

License No: A138461

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)751-1919

Hours: Mon-Fri

8:00am-5:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi, Spanish

Accessibility:

Basic(P,EB,IB,R,E)

Nguyen, Thao D.O.

4

Gender: Female

ID Number: MC00000619

2015 E. Mariposa Rd.

Stockton, CA 95205

(209)751-1919

NPI: 1477816544

License No: 20A13312

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)751-1919

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Vietnamese

Accessibility:

Basic(P,EB,IB,R,E)

Page 42: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

42 / www.healthnet.com Volume 12, 2018

Primary Care Physicians

Stockton

Internal Medicine

Madugundi, Shalini M.D.

14

Gender: Female

ID Number: MC00000619

2015 E. Mariposa Rd.

Stockton, CA 95205

(209)751-1919

NPI: 1154635506

License No: A125552

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)751-1919

Hours: Mon-Fri

8:00am-5:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi, Kannada, Telugu

Accessibility:

Basic(P,EB,IB,R,E)

Stockton

Pediatrics

Chitta, Naga M.D.

4

Gender: Female

ID Number: MC00000619

2015 E. Mariposa Rd.

Stockton, CA 95205

(209)751-1919

NPI: 1548601255

License No: A140747

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)751-1919

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi, Telugu

Accessibility:

Basic(P,EB,IB,R,E)

Stockton

COMMUNITY MEDICAL

CENTERS, WATERLOO

Family Practice

Porter, La Donna R. M.D.

4

Gender: Female

ID Number: MC00000780

1031 Waterloo Rd.

Stockton, CA 95205

(209)940-5600

NPI: 1962500157

License No: A065145

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)940-5600

Hours: Mon-Thu

8:00am-8:00pm Fri

8:00am-6:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Accessibility:

Limited(P,IB,R,E)

Stockton

Saifullah, Mona S. M.D.

4

Gender: Female

ID Number: MC00000780

1031 Waterloo Rd.

Stockton, CA 95205

(209)940-5600

NPI: 1629247549

License No: A107888

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)940-5600

Hours: Mon-Fri

8:00am-8:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Urdu

Accessibility:

Limited(P,IB,R,E)

Page 43: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 43 Volume 12, 2018

Primary Care Physicians

Prim

ary

C

are

P

hy

sic

ia

ns

Stockton

COMMUNITY MEDICAL

CENTERS,E. MARCH

LANE

Family Practice

Almendarez, Ernest R.

M.D.

14

Gender: Male

ID Number: MC00001467

1801 E. March Ln. Ste D470

Stockton, CA 95210

(209)507-7000

NPI: 1821182338

License No: A060246

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)507-7000

Hours: Mon-Sat

9:00am-8:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Stockton

Nguyen, Thao D.O.

4

Gender: Female

ID Number: MC00001467

1801 E. March Ln. Ste D470

Stockton, CA 95210

(209)507-7027

NPI: 1477816544

License No: 20A13312

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)507-7027

Hours: Mon-Tue

9:00am-6:00pm Wed

9:00am-8:00pm Thu-Fri

9:00am-6:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Vietnamese

Extender(s): DaRosa,

Stephanie R. (NP)

General Practice

McOmber, Earl D. M.D.

4

Gender: Male

ID Number: MC00001467

1801 E. March Ln. Ste D470

Stockton, CA 95210

(209)507-7000

NPI: 1962436139

License No: G057916

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)507-7000

Hours: Mon-Sat

9:00am-8:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Stockton

COMMUNITY MEDICAL

CENTERS-GLEASON

HOUSE

Internal Medicine

Dhindsa, Mandeep S. M.D.

4

Gender: Male

ID Number: MC00001211

423 S. San Joaquin St.

Stockton, CA 95203

(209)954-7700

NPI: 1912268095

License No: A136167

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)954-7700

Hours: Mon-Fri

8:00am-8:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi, Punjabi

Stockton

HILL PHYSICIANS

MEDICAL GROUP - SAN

JOAQUIN

Family Practice

Heart, Anita D. M.D.

12

Gender: Female

ID Number: 186959

3132 W. March Ln. Ste 5

Stockton, CA 95219

(209)475-5500

NPI: 1720216179

License No: A117596

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)475-5500

Hours: Mon-Fri

9:00am-5:00pm

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Accessibility:

Basic(P,EB,IB,R,E)

Page 44: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

44 / www.healthnet.com Volume 12, 2018

Primary Care Physicians

Stockton

Internal Medicine

Adubofour, Kwabena O.M.

M.D.

4

Gender: Male

ID Number: 052386

2524 E. Main St.

Stockton, CA 95205

(209)466-6871

NPI: 1033142088

License No: A052394

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)466-6871

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s): Dameron

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Certification(s): CCS

Accessibility:

Limited(EB,IB,R)

Stockton

Le, Mai T. M.D.

14

Gender: Female

ID Number: 138617

3132 W. March Ln. Ste 5

Stockton, CA 95219

(209)475-5500

NPI: 1497878607

License No: A098060

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)475-5500

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Vietnamese

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Accessibility:

Basic(P,EB,IB,R,E)

Pediatrics

Burgos, Geny B. M.D.

4

Gender: Female

ID Number: 052105

1801 E. March Ln. Ste C340

Stockton, CA 95210

(209)939-9512

NPI: 1962473983

License No: A053610

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)939-9512

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Spanish, Tagalog

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Certification(s): CHDP

Stockton

Duvdevany, Neta M.D.

4

Gender: Female

ID Number: 221664

1805 N. California St. Ste

409

Stockton, CA 95204

(209)476-0900

NPI: 1598180341

License No: C137556

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)476-0900

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Spanish, Tagalog

Physician Language(s):

Spanish

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Accessibility:

Basic(P,EB,IB,R,E)

Stockton

Lin, Shou-I M.D.

4

Gender: Male

ID Number: 010145

75 W. March Ln. Ste G

Stockton, CA 95207

(209)951-6072

NPI: 1114963873

License No: A033667

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)951-6072

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Cambodian,Khmer, Spanish

Physician Language(s):

Cantonese, Mandarin

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Certification(s): CCS,CHDP

Accessibility:

Limited(P,EB,IB,E)

Page 45: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 45 Volume 12, 2018

Primary Care Physicians

Prim

ary

C

are

P

hy

sic

ia

ns

Stockton

Vu, Trinh L. M.D.

4

Gender: Female

ID Number: 570612

73 W. March Ln. Ste C

Stockton, CA 95207

(209)957-3901

NPI: 1396716791

License No: A060192

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)957-3901

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Cambodian,Khmer, Hmong,

Spanish, Vietnamese

Physician Language(s):

Spanish, Vietnamese

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Certification(s): CCS,CHDP

Self Reported Accessibility:

Limited(P,EB,IB,R)

Stockton

Yumul, Danilo S. M.D.

4

Gender: Male

ID Number: 039943

73 W. March Ln. Ste F

Stockton, CA 95207

(209)952-5555

NPI: 1730146275

License No: A051139

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)952-5555

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Tagalog

Hospital(s): Dameron

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Certification(s): CHDP

Self Reported Accessibility:

Limited(P,EB,R,T)

Stockton

PRIME COMMUNITY CARE

OF CENTRAL VALLEY,

INC. - SAN JOAQUIN

Family Practice

Malak, Taymour E. M.D.

4

Gender: Male

ID Number: 010659

2800 N. California St. Ste 11

Stockton, CA 95204

(209)465-5891

NPI: 1104931260

License No: A040076

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)465-5891

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Arabic, French, Spanish

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Certification(s): CHDP

Accessibility:

Limited(P,EB,E)

Stockton

Morrison, Benjamin B.

M.D.

2

Gender: Male

ID Number: 152566

423 S. San Joaquin St.

Stockton, CA 95203

(209)954-7700

NPI: 1245316645

License No: A078162

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)954-7700

Hours: Mon-Fri

8:00am-8:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s): San Joaquin

General Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Extender(s): Akhtar, Rabia

(P.A.), Graham, David C.

(NP)

Page 46: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

46 / www.healthnet.com Volume 12, 2018

Primary Care Physicians

Stockton

Nguyen, Bao Q. M.D.

4

Gender: Male

ID Number: 169232

2333 W. March Ln. Ste A-1

Stockton, CA 95207

(209)475-8144

NPI: 1821032475

License No: A092725

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)475-8144

Hours: Mon-Fri

9:00am-7:00pm Sat

10:00am-3:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Vietnamese

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Stockton

Nguyen, Thao D.O.

4

Gender: Female

ID Number: 211538

1801 E. March Ln. Ste D470

Stockton, CA 95210

(209)507-7027

NPI: 1477816544

License No: 20A13312

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)507-7027

Hours: Mon-Tue

9:00am-6:00pm Wed

9:00am-8:00pm Thu-Fri

9:00am-6:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Vietnamese

Extender(s): DaRosa,

Stephanie R. (NP)

General Practice

McOmber, Earl D. M.D.

2

Gender: Male

ID Number: 211418

1801 E. March Ln. Ste D470

Stockton, CA 95210

(209)507-7000

NPI: 1962436139

License No: G057916

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)507-7000

Hours: Mon-Sat

9:00am-8:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Stockton

Pediatrics

Pabustan, Cesar C. M.D.

4

Gender: Male

ID Number: 012810

2349 N. California St.

Stockton, CA 95204

(209)469-2229

NPI: 1992726020

License No: A036943

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)469-2229

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Punjabi

Physician Language(s):

Spanish, Tagalog

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Certification(s): CCS,CHDP

Accessibility: Limited(P,IB,E)

Stockton

Raron, Surinder S. M.D.

4

Gender: Male

ID Number: 540809

73 W. March Ln. Ste F

Stockton, CA 95207

(209)952-5555

NPI: 1710943667

License No: A049303

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)952-5555

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Hindi, Punjabi, Urdu

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Certification(s): CHDP,CCS

Self Reported Accessibility:

Limited(P,EB,R,T)

Page 47: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 47 Volume 12, 2018

Primary Care Physicians

Prim

ary

C

are

P

hy

sic

ia

ns

Stockton

Sneha, Fnu M.D.

4

Gender: Female

ID Number: 212150

1031 Waterloo Rd.

Stockton, CA 95205

(209)940-5600

NPI: 1346505286

License No: A137639

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)940-5600

Hours: Mon-Fri

8:00am-8:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi

Hospital(s): San Joaquin

General Hospital

Accessibility:

Limited(P,IB,R,E)

Stockton

Vu, Trinh L. M.D.

4

Gender: Female

ID Number: 570612

73 W. March Ln. Ste C

Stockton, CA 95207

(209)957-3901

NPI: 1396716791

License No: A060192

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)957-3901

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Cambodian,Khmer, Hmong,

Spanish, Vietnamese

Physician Language(s):

Spanish, Vietnamese

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Certification(s): CCS,CHDP

Self Reported Accessibility:

Limited(P,EB,IB,R)

Tracy

COMMUNITY MEDICAL

CENTERS, TRACY

Family Practice

Ali, Farzana N. M.D.

4

Gender: Female

ID Number: MC00001250

730 N. Central Ave.

Tracy, CA 95376

(209)820-1500

NPI: 1619223393

License No: A136163

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)820-1500

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi, Urdu

Tracy

Damien, Deepthy M.D.

14

Gender: Female

ID Number: MC00001250

730 N. Central Ave.

Tracy, CA 95376

(209)820-1500

NPI: 1811222391

License No: A109507

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)820-1500

Hours: Mon-Thu

8:00am-8:00pm Fri

8:00am-6:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi, Malayalam

Hospital(s): San Joaquin

General Hospital

Nguyen, Thao D.O.

4

Gender: Female

ID Number: MC00001250

730 N. Central Ave.

Tracy, CA 95376

(209)820-1500

NPI: 1477816544

License No: 20A13312

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)820-1500

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Vietnamese

Page 48: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

48 / www.healthnet.com Volume 12, 2018

Primary Care Physicians

Tracy

Ramireddy, Sumitra M.D.

4

Gender: Female

ID Number: MC00001250

730 N. Central Ave.

Tracy, CA 95376

(209)820-1500

NPI: 1205914728

License No: A077215

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)820-1500

Hours: Mon-Thu

8:00am-8:00pm Fri

8:00am-6:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi, Telugu

Tracy

Pediatrics

Abid, Afsheen M.D.

4

Gender: Female

ID Number: MC00001250

730 N. Central Ave.

Tracy, CA 95376

(209)820-1500

NPI: 1124352034

License No: A109285

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)820-1500

Hours: Mon-Thu

8:00am-8:00pm Fri

8:00am-6:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi, Urdu

Certification(s):

CCS,CHDP,CPSP

Chitta, Naga M.D.

4

Gender: Female

ID Number: MC00001250

730 N. Central Ave.

Tracy, CA 95376

(209)820-1500

NPI: 1548601255

License No: A140747

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)820-1500

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi, Telugu

Tracy

Deguzman, Aurora L.

M.D.

14

Gender: Female

ID Number: MC00001250

730 N. Central Ave.

Tracy, CA 95376

(209)820-1500

NPI: 1427131218

License No: A025764

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)820-1500

Hours: Mon-Thu

8:00am-8:00pm Fri

8:00am-6:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish, Tagalog

Certification(s):

CCS,CHDP,CPSP

Huskey, Jessica E. D.O.

4

Gender: Female

ID Number: MC00001250

730 N. Central Ave.

Tracy, CA 95376

(209)820-1500

NPI: 1518248442

License No: 20A14197

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)820-1500

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Tracy

Sneha, Fnu M.D.

4

Gender: Female

ID Number: MC00001250

730 N. Central Ave.

Tracy, CA 95376

(209)820-1500

NPI: 1346505286

License No: A137639

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)820-1500

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi

Hospital(s): San Joaquin

General Hospital

Page 49: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 49 Volume 12, 2018

Primary Care Physicians

Prim

ary

C

are

P

hy

sic

ia

ns

Tracy

HILL PHYSICIANS

MEDICAL GROUP - SAN

JOAQUIN

Family Practice

Ramireddy, Sumitra M.D.

4

Gender: Female

ID Number: 137019

730 N. Central Ave.

Tracy, CA 95376

(209)820-1500

NPI: 1205914728

License No: A077215

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)820-1500

Hours: Mon-Thu

8:00am-8:00pm Fri

8:00am-6:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi, Telugu

Tracy

PRIME COMMUNITY CARE

OF CENTRAL VALLEY,

INC. - SAN JOAQUIN

Family Practice

Damien, Deepthy M.D.

14

Gender: Female

ID Number: 164419

730 N. Central Ave.

Tracy, CA 95376

(209)820-1500

NPI: 1811222391

License No: A109507

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)820-1500

Hours: Mon-Thu

8:00am-8:00pm Fri

8:00am-6:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi, Malayalam

Hospital(s): San Joaquin

General Hospital

Tracy

Ramireddy, Sumitra M.D.

4

Gender: Female

ID Number: 137019

730 N. Central Ave.

Tracy, CA 95376

(209)820-1500

NPI: 1205914728

License No: A077215

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)820-1500

Hours: Mon-Thu

8:00am-8:00pm Fri

8:00am-6:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi, Telugu

Page 50: San Joaquin County (pdf)
Page 51: San Joaquin County (pdf)

Obstetrics-Gynecology Providers

The table below is a list of footnotes used in this section.

1Board-certified.2Accepting existing patients at this time.3Not accepting new patients at this time. 4Accepting new patients.5Available by referral only.6Available only through a hospital or facility.7Not accepting patients.

www.healthnet.com / 51 Volume 12, 2018

Page 52: San Joaquin County (pdf)
Page 53: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 53 Volume 12, 2018

Obstetrics and Gynecology Providers

Ob

ste

tric

s a

nd

G

yn

ec

olo

gy

P

ro

vid

ers

French Camp

PRIME COMMUNITY CARE

OF CENTRAL VALLEY,

INC. - SAN JOAQUIN

Kennedy, Vanessa A.

M.D.

14

Gender: Female

ID Number: 167314

500 W. Hospital Rd.

French Camp, CA 95231

(209)468-6820

NPI: 1528229507

License No: A116919

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)468-6820

Hours: Sun, Sat

12:00am-11:59pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Certification(s): CCS

Accessibility:

Basic(P,EB,IB,R,E,T)

French Camp

Pottala, Sreelatha M.D.

4

Gender: Female

ID Number: 191330

500 W. Hospital Rd.

French Camp, CA 95231

(209)468-6820

NPI: 1841426947

License No: A117291

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)468-6820

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi, Telugu

Accessibility:

Basic(P,EB,IB,R,E,T)

Lodi

HILL PHYSICIANS

MEDICAL GROUP - SAN

JOAQUIN

Gill, Parampal K. M.D.

14

Gender: Female

ID Number: 045910

999 S. Fairmont Ave. Ste

230

Lodi, CA 95240

(209)334-4924

NPI: 1417957887

License No: A037279

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)334-4924

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Arabic, Gujarati, Hindi,

Punjabi, Spanish, Telugu,

Urdu

Hospital(s):St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Certification(s): CPSP

Self Reported Accessibility:

Basic(P,EB,IB,R,E,T)

Lodi

Miller, Jacqualin M. D.O.

4

Gender: Female

ID Number: 191552

999 S. Fairmont Ave. Ste

230

Lodi, CA 95240

(209)334-4924

NPI: 1831345644

License No: 20A12148

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)334-4924

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s):Lodi Memorial

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Certification(s): CPSP

Self Reported Accessibility:

Basic(P,EB,IB,R,E,T)

Page 54: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

54 / www.healthnet.com Volume 12, 2018

Obstetrics and Gynecology Providers

Lodi

Russell, Alecia N. D.O.

14

Gender: Female

ID Number: 224559

999 S. Fairmont Ave. Ste

230

Lodi, CA 95240

(209)334-4924

NPI: 1851650469

License No: 20A14816

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)334-4924

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s):St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Self Reported Accessibility:

Basic(P,EB,IB,R,E,T)

Lodi

PRIME COMMUNITY CARE

OF CENTRAL VALLEY,

INC. - SAN JOAQUIN

Gill, Parampal K. M.D.

14

Gender: Female

ID Number: 045910

999 S. Fairmont Ave. Ste

230

Lodi, CA 95240

(209)334-4924

NPI: 1417957887

License No: A037279

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)334-4924

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Arabic, Gujarati, Hindi,

Punjabi, Spanish, Telugu,

Urdu

Hospital(s):Lodi Memorial

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Certification(s): CPSP

Self Reported Accessibility:

Basic(P,EB,IB,R,E,T)

Lodi

Russell, Alecia N. D.O.

14

Gender: Female

ID Number: 224559

999 S. Fairmont Ave. Ste

230

Lodi, CA 95240

(209)334-4924

NPI: 1851650469

License No: 20A14816

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)334-4924

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s):Lodi Memorial

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Self Reported Accessibility:

Basic(P,EB,IB,R,E,T)

Manteca

DIRECT NETWORK: SAN

JOAQUIN

Adams, Auther E. M.D.

4

Gender: Male

ID Number: 500083

321 Cherry Ln.

Manteca, CA 95337

(209)825-5484

NPI: 1609858257

License No: A040262

Cultural Competence

Training Completed: Yes

After Hours Phone Number:

(209)825-5484

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish, Tagalog

Physician Language(s):

Spanish

Hospital(s):Doctors Hospital

of Manteca, Sutter Tracy

Community Hospital

Certification(s): CPSP

Self Reported Accessibility:

Limited(P,R,E)

Page 55: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 55 Volume 12, 2018

Obstetrics and Gynecology Providers

Ob

ste

tric

s a

nd

G

yn

ec

olo

gy

P

ro

vid

ers

Manteca

Mah, Kelly M.D.

4

Gender: Male

ID Number: 046850

421 E. Center St.

Manteca, CA 95336

(209)823-7616

NPI: 1053420489

License No: G065156

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)823-7616

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s):Doctors Hospital

of Manteca, San Joaquin

General Hospital

Certification(s): CPSP

Manteca

HILL PHYSICIANS

MEDICAL GROUP - SAN

JOAQUIN

Mah, Kelly M.D.

4

Gender: Male

ID Number: 046850

421 E. Center St.

Manteca, CA 95336

(209)823-7616

NPI: 1053420489

License No: G065156

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)823-7616

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s):Doctors Hospital

of Manteca, San Joaquin

General Hospital

Certification(s): CPSP

Manteca

PRIME COMMUNITY CARE

OF CENTRAL VALLEY,

INC. - SAN JOAQUIN

Joseph, Gail R. M.D.

4

Gender: Female

ID Number: 223951

1234 E. North St. Ste 102

Manteca, CA 95336

(209)824-2202

NPI: 1447543160

License No: A143359

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)824-2202

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s):Doctors Hospital

of Manteca

Self Reported Accessibility:

Basic(P,EB,IB,R,E,T)

Stockton

DIRECT NETWORK: SAN

JOAQUIN

Cavallaro, Grace A. M.D.

4

Gender: Female

ID Number: 069865

1800 N. California St.

Stockton, CA 95204

(919)358-5014

NPI: 1548342165

License No: G080059

Hours: Mon-Fri

8:00am-5:00pm

Stockton

Leibovsky, Vladimir M.

D.O.

4

Gender: Male

ID Number: 198461

1800 N. California St.

Stockton, CA 95204

(919)358-5014

NPI: 1184898397

License No: 20A13003

Hours: Mon-Fri

8:00am-5:00pm

Hospital(s):St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

McLaughlin, Kimberly P.

M.D.

4

Gender: Female

ID Number: 194725

1800 N. California St.

Stockton, CA 95204

(919)358-5014

NPI: 1679780712

License No: A117909

Hours: Mon-Fri

8:00am-5:00pm

Hospital(s):Lodi Memorial

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC,

Mercy Medical Center

Merced

Page 56: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

56 / www.healthnet.com Volume 12, 2018

Obstetrics and Gynecology Providers

Stockton

Mendez, Sandra M.D.

4

Gender: Female

ID Number: 019906

1800 N. California St.

Stockton, CA 95204

(919)358-5014

NPI: 1851410930

License No: G061146

Hours: Mon-Fri

8:00am-5:00pm

Physician Language(s):

Russian, Spanish

Hospital(s):St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Certification(s): CPSP

Nakka, Bhagya M.D.

4

Gender: Female

ID Number: 133106

420 W. Acacia St. Ste 22

Stockton, CA 95203

(209)242-2690

NPI: 1699780494

License No: A096365

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)242-2690

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Hindi, Kannada, Laotian,

Spanish, Tagalog, Telugu

Hospital(s):St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Self Reported Accessibility:

Limited(P)

Stockton

Rine, Kevin E. M.D.

4

Gender: Male

ID Number: 040824

1800 N. California St.

Stockton, CA 95204

(919)358-5014

NPI: 1841256633

License No: G057924

Hours: Mon-Fri

8:00am-5:00pm

Hospital(s):St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC,

Mercy Medical Center

Merced

Certification(s): CPSP

Sharma, Anjali M.D.

4

Gender: Female

ID Number: 129356

1800 N. California St.

Stockton, CA 95204

(919)358-5014

NPI: 1841251899

License No: A092737

Hours: Mon-Fri

8:00am-5:00pm

Physician Language(s):

Hindi, Spanish

Hospital(s):Methodist

Hospital of Sacramento, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Stockton

Swift, Deborah L. M.D.

4

Gender: Female

ID Number: 164693

1800 N. California St.

Stockton, CA 95204

(919)358-5014

NPI: 1477660256

License No: G088184

Hours: Mon-Fri

8:00am-5:00pm

Physician Language(s):

Spanish

Hospital(s):St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC,

Antelope Valley Hospital,

Mercy Medical Center

Merced

Yang, Kyung S. M.D.

4

Gender: Male

ID Number: 018830

1800 N. California St.

Stockton, CA 95204

(855)812-5766

NPI: 1669480760

License No: A037472

Physician Language(s):

Korean

Hospital(s):Dameron

Hospital, Lodi Memorial

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Stockton

HILL PHYSICIANS

MEDICAL GROUP - SAN

JOAQUIN

Agatep-Berbano, Melba E.

M.D.

14

Gender: Female

ID Number: 046182

1801 E. March Ln. Ste C320

Stockton, CA 95210

(209)957-5888

NPI: 1013002716

License No: A053064

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)957-5888

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Spanish, Tagalog

Hospital(s):Dameron

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Self Reported Accessibility:

Basic(P,EB,IB,R,E,T)

Page 57: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 57 Volume 12, 2018

Obstetrics and Gynecology Providers

Ob

ste

tric

s a

nd

G

yn

ec

olo

gy

P

ro

vid

ers

Stockton

Eibling, David L. M.D.

14

Gender: Male

ID Number: 004430

1617 N. California St. Ste 2A

Stockton, CA 95204

(209)466-8546

NPI: 1841256773

License No: C040980

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)466-8546

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s):St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Certification(s): CPSP

Stockton

Gill, Parampal K. M.D.

14

Gender: Female

ID Number: 045910

1617 N. California St. Ste 2A

Stockton, CA 95204

(209)466-8546

NPI: 1417957887

License No: A037279

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)466-8546

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Arabic, Gujarati, Hindi,

Punjabi, Spanish, Telugu,

Urdu

Hospital(s):St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Certification(s): CPSP

Stockton

Hatton, Patricia A. M.D.

14

Gender: Female

ID Number: 006993

435 E. Harding Way Ste 1

Stockton, CA 95204

(209)464-4832

NPI: 1588778054

License No: C037702

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)464-4832

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s):St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Self Reported Accessibility:

Basic(P,EB,IB,R,E,T)

Stockton

Hershey, Douglas W. M.D.

4

Gender: Male

ID Number: 031833

1801 E. March Ln. Ste C330

Stockton, CA 95210

(916)736-6888

NPI: 1902987787

License No: G018962

Cultural Competence

Training Completed: No

After Hours Phone Number:

(916)736-6888

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

French, Portuguese

Hospital(s):Sutter Medical

Center, Sacramento

Self Reported Accessibility:

Basic(P,EB,IB,R,E)

Hurlbut, Eugenia L. D.O.

4

Gender: Female

ID Number: 214927

1617 N. California St. Ste 2A

Stockton, CA 95204

(209)466-8546

NPI: 1861704645

License No: 20A14030

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)466-8546

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s):St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Page 58: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

58 / www.healthnet.com Volume 12, 2018

Obstetrics and Gynecology Providers

Stockton

Mapps, Kayla D. M.D.

14

Gender: Female

ID Number: 214921

1617 N. California St. Ste 2A

Stockton, CA 95204

(209)466-8546

NPI: 1871883199

License No: A137925

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)466-8546

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s):St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Stockton

Nakka, Bhagya M.D.

4

Gender: Female

ID Number: 133106

420 W. Acacia St. Ste 22

Stockton, CA 95203

(209)242-2690

NPI: 1699780494

License No: A096365

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)242-2690

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Hindi, Kannada, Laotian,

Spanish, Tagalog, Telugu

Hospital(s):St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Self Reported Accessibility:

Limited(P)

Stockton

Okorie, Chikanele E. M.D.

4

Gender: Female

ID Number: 211257

1617 N. California St. Ste 2A

Stockton, CA 95204

(209)466-8546

NPI: 1457643330

License No: A137262

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)466-8546

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s):St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Stockton

Pennisi, Vincent P. M.D.

4

Gender: Male

ID Number: 013136

1617 N. California St. Ste 2A

Stockton, CA 95204

(209)466-8546

NPI: 1487653341

License No: G045259

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)466-8546

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s):St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Certification(s): CPSP

Sud, Harjit J. M.D.

4

Gender: Female

ID Number: 016735

2509 W. March Ln. Ste 250

Stockton, CA 95207

(209)957-1000

NPI: 1699740944

License No: A030647

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)957-1000

Hours: Mon-Fri

9:00am-5:00pm

Hospital(s):St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Certification(s): CPSP

Page 59: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 59 Volume 12, 2018

Obstetrics and Gynecology Providers

Ob

ste

tric

s a

nd

G

yn

ec

olo

gy

P

ro

vid

ers

Stockton

Vu, Gentry J. M.D.

14

Gender: Male

ID Number: 135971

534 E. Maple St.

Stockton, CA 95204

(209)933-0509

NPI: 1144338237

License No: A090011

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)933-0509

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Hmong, Spanish,

Vietnamese

Physician Language(s):

Spanish, Vietnamese

Hospital(s):Dameron

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

PLANNED PARENTHOOD

MAR MONTE - EASTLAND

PLAZA HEALTH CENTER

Johnson, Bruce G. M.D.

4

Gender: Male

ID Number: MC00001093

678 N. Wilson Way. Ste G

Stockton, CA 95205

(209)469-4160

NPI: 1629053376

License No: C032335

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)469-4160

Stockton

PLANNED PARENTHOOD

MAR MONTE- NORTH

STOCKTON HEALTH

CENTER

Berman, Ronald M.D.

14

Gender: Male

ID Number: MC00001092

4555 Precissi Ln.

Stockton, CA 95207

(209)472-6620

NPI: 1477667962

License No: A023897

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)472-6620

Hours: Mon-Fri

8:00am-6:00pm Sat

9:00am-2:00pm

Physician Language(s):

Cambodian,Khmer, Spanish

Stockton

PRIME COMMUNITY CARE

OF CENTRAL VALLEY,

INC. - SAN JOAQUIN

Eibling, David L. M.D.

14

Gender: Male

ID Number: 004430

1617 N. California St. Ste 2A

Stockton, CA 95204

(209)466-8546

NPI: 1841256773

License No: C040980

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)466-8546

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s):St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Certification(s): CPSP

Stockton

Escalona, Maria E. M.D.

4

Gender: Female

ID Number: 203634

1617 N. California St. Ste 2A

Stockton, CA 95204

(209)466-8546

NPI: 1881869741

License No: A100986

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)466-8546

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish, Tagalog

Hospital(s):Lodi Memorial

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Certification(s): CPSP

Page 60: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

60 / www.healthnet.com Volume 12, 2018

Obstetrics and Gynecology Providers

Stockton

Gill, Parampal K. M.D.

14

Gender: Female

ID Number: 045910

1617 N. California St. Ste 2A

Stockton, CA 95204

(209)466-8546

NPI: 1417957887

License No: A037279

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)466-8546

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Arabic, Gujarati, Hindi,

Punjabi, Spanish, Telugu,

Urdu

Hospital(s):St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Certification(s): CPSP

Stockton

Hurlbut, Eugenia L. D.O.

4

Gender: Female

ID Number: 214927

1617 N. California St. Ste 2A

Stockton, CA 95204

(209)466-8546

NPI: 1861704645

License No: 20A14030

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)466-8546

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s):Lodi Memorial

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Stockton

Mapps, Kayla D. M.D.

14

Gender: Female

ID Number: 214921

1617 N. California St. Ste 2A

Stockton, CA 95204

(209)466-8546

NPI: 1871883199

License No: A137925

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)466-8546

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s):St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Okorie, Chikanele E. M.D.

4

Gender: Female

ID Number: 211257

1617 N. California St. Ste 2A

Stockton, CA 95204

(209)466-8546

NPI: 1457643330

License No: A137262

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)466-8546

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s):St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Stockton

Russell, David J. D.O.

4

Gender: Male

ID Number: 224487

1617 N. California St. Ste 2A

Stockton, CA 95204

(209)466-8546

NPI: 1659635134

License No: 20A14817

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)466-8546

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s):Lodi Memorial

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Streeter, Thomas T. M.D.

14

Gender: Male

ID Number: 016666

1617 N. California St.

Stockton, CA 95204

(209)466-8546

NPI: 1811962145

License No: A023450

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)466-8546

Hours: Mon-Thu

8:00am-5:00pm Fri

9:00am-5:00pm

Hospital(s):St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Certification(s): CPSP

Page 61: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 61 Volume 12, 2018

Obstetrics and Gynecology Providers

Ob

ste

tric

s a

nd

G

yn

ec

olo

gy

P

ro

vid

ers

Tracy

DIRECT NETWORK: SAN

JOAQUIN

Tsang, Stephen M. M.D.

4

Gender: Male

ID Number: 075680

1530 Bessie Ave. Ste 103

Tracy, CA 95376

(209)833-6221

NPI: 1568494763

License No: A069792

Cultural Competence

Training Completed: No

Hours: Mon, Thu, Fri

7:30am-2:30pm Wed

8:30am-3:30pm

Washington, Sharon D.

M.D.

4

Gender: Female

ID Number: 093039

632 W 11th St Ste 211

Tracy, CA 95376

(209)836-3384

NPI: 1114999208

License No: G070516

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)836-3384

Hours: Mon-Thu

8:00am-4:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s):Sutter Tracy

Community Hospital

Self Reported Accessibility:

Limited(P,EB,R)

Tracy

HILL PHYSICIANS

MEDICAL GROUP - SAN

JOAQUIN

Lo, Larry J. M.D.

14

Gender: Male

ID Number: 010276

632 W. 11th St. Ste 119

Tracy, CA 95376

(209)229-3700

NPI: 1205850864

License No: G054156

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)229-3700

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Mandarin

Hospital(s):Sutter Tracy

Community Hospital

Tracy

Washington, Sharon D.

M.D.

4

Gender: Female

ID Number: 093039

632 W 11th St Ste 211

Tracy, CA 95376

(209)836-3384

NPI: 1114999208

License No: G070516

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)836-3384

Hours: Mon-Thu

8:00am-4:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s):Sutter Tracy

Community Hospital

Self Reported Accessibility:

Limited(P,EB,R)

Tracy

PLANNED PARENTHOOD

MAR MONTE - TRACY

HEALTH CENTER

Johnson, Bruce G. M.D.

4

Gender: Male

ID Number: MC00001091

1441 N. Tracy Blvd.

Tracy, CA 95376

(209)834-8405

NPI: 1629053376

License No: C032335

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)834-8405

Hours: Mon-Wed

8:30am-5:00pm Thu

8:30am-7:00pm Fri

8:30am-5:00pm

Extender(s): Helmand,

Huma (NP)

SUTTER SAN JOAQUIN

(REFERRAL ONLY)

Nguyen, Nam X. M.D.

4

Gender: Male

ID Number: 135132

445 W. Eaton Ave.

Tracy, CA 95376

(209)835-0100

NPI: 1033158704

License No: A098320

After Hours Phone Number:

(209)835-0100

Hours: Mon-Fri

8:00am-5:00pm

Hospital(s):Sutter Tracy

Community Hospital

Page 62: San Joaquin County (pdf)
Page 63: San Joaquin County (pdf)

Specialists

The table below is a list of footnotes used in this section.

1Board-certified.2Accepting existing patients at this time.3Not accepting new patients at this time. 4Accepting new patients.5Available by referral only.6Available only through a hospital or facility.7Not accepting patients.

www.healthnet.com / 63 Volume 12, 2018

Page 64: San Joaquin County (pdf)
Page 65: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 65 Volume 12, 2018

Specialist

Sp

ecia

lis

t

French Camp

HILL PHYSICIANS

MEDICAL GROUP - SAN

JOAQUIN

Orthopedic Surgery

Bharucha, Neil M.D.

45

Gender: Male

ID Number: 225875

500 W. Hospital Rd.

French Camp, CA 95231

(209)572-3224

NPI: 1487947966

License No: A123442

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)572-3224

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Accessibility:

Basic(P,EB,IB,R,E,T)

French Camp

Physical Medicine Rehab

Nicholson, Joshua T.

D.O.

45

Gender: Male

ID Number: 236265

500 W. Hospital Rd.

French Camp, CA 95231

(209)572-3224

NPI: 1487916599

License No: 20A15675

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)572-3224

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Accessibility:

Basic(P,EB,IB,R,E,T)

French Camp

PRIME COMMUNITY CARE

OF CENTRAL VALLEY,

INC. - SAN JOAQUIN

Cardiology/Cardiovascular

Disease

Chien, Walter W. M.D.

45

Gender: Male

ID Number: 520356

500 W. Hospital Rd.

French Camp, CA 95231

(209)468-6112

NPI: 1386615631

License No: G056242

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)468-6112

Hours: Sun, Sat

12:00am-11:59pm

Office Staff Language(s):

Spanish

Physician Language(s):

Mandarin, Tagalog

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Accessibility:

Basic(P,EB,IB,R,E,T)

French Camp

Endocrinology

Reddy, Archana P. M.D.

45

Gender: Female

ID Number: 171572

500 W. Hospital Rd.

French Camp, CA 95231

(209)468-6112

NPI: 1679641104

License No: C054793

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)468-6112

Hours: Sun, Sat

12:00am-11:59pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s): San Joaquin

Community Hospital

Accessibility:

Basic(P,EB,IB,R,E,T)

Page 66: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

66 / www.healthnet.com Volume 12, 2018

Specialist

French Camp

Gastroenterology

Mandayam, Sarathy T.

M.D.

45

Gender: Male

ID Number: 139563

500 W. Hospital Rd.

French Camp, CA 95231

(209)468-6000

NPI: 1518911023

License No: A055910

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)468-6000

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Accessibility:

Basic(P,EB,IB,R,E,T)

General Surgery

Chau, Anthony M.D.

45

Gender: Male

ID Number: 223133

500 W. Hospital Rd.

French Camp, CA 95231

(209)468-6820

NPI: 1699055988

License No: A122915

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)468-6820

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Accessibility:

Basic(P,EB,IB,R,E,T)

French Camp

Kennedy, Frank R. M.D.

145

Gender: Male

ID Number: 045944

500 W. Hospital Rd.

French Camp, CA 95231

(209)468-6820

NPI: 1407957509

License No: G057613

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)468-6820

Hours: Sun, Sat

12:00am-11:59pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Accessibility:

Basic(P,EB,IB,R,E,T)

Kettelle, John M.D.

145

Gender: Female

ID Number: 175983

500 W. Hospital Rd.

French Camp, CA 95231

(209)468-6600

NPI: 1598783607

License No: A067553

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)468-6600

Hours: Mon-Fri

9:00am-4:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Accessibility:

Basic(P,EB,IB,R,E,T)

French Camp

Geriatrics

Tuxen, Peter A. M.D.

45

Gender: Male

ID Number: 017496

500 W. Hospital Rd.

French Camp, CA 95231

(209)468-6112

NPI: 1467410555

License No: G021105

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)468-6112

Hours: Sun, Sat

12:00am-11:59pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s): San Joaquin

General Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Accessibility:

Basic(P,EB,IB,R,E,T)

French Camp

Hand Surgery

Ibrahim, Mohamed A.

M.D.

45

Gender: Male

ID Number: 148229

500 W. Hospital Rd.

French Camp, CA 95231

(209)468-6032

NPI: 1821011578

License No: A089005

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)468-6820

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Arabic, Spanish

Hospital(s): Doctors Hospital

of Manteca, San Joaquin

General Hospital, Doctors

Medical Center of Modesto

Accessibility:

Basic(P,EB,IB,R,E,T)

Page 67: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 67 Volume 12, 2018

Specialist

Sp

ecia

lis

t

French Camp

Infectious Disease

Kethineni, Neelima M.D.

45

Gender: Female

ID Number: 131854

500 W. Hospital Rd.

French Camp, CA 95231

(209)468-6820

NPI: 1629021662

License No: A090570

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)468-6820

Hours: Sun, Sat

12:00am-11:59pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Accessibility:

Basic(P,EB,IB,R,E,T)

French Camp

Internal Medicine

Shrivastava, Deepak K.

M.D.

145

Gender: Male

ID Number: 015762

500 W. Hospital Rd.

French Camp, CA 95231

(209)468-6820

NPI: 1841267317

License No: A045770

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)468-6820

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi, Spanish

Accessibility:

Basic(P,EB,IB,R,E,T)

Welborn, Jeanna L. M.D.

145

Gender: Female

ID Number: 034924

500 W. Hospital Rd.

French Camp, CA 95231

(209)468-6112

NPI: 1104808849

License No: C041810

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)468-6112

Hours: Sun, Sat

12:00am-11:59pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Accessibility:

Basic(P,EB,IB,R,E,T)

French Camp

Whitcomb III, Charles K.

M.D.

145

Gender: Male

ID Number: 036559

500 W. Hospital Rd.

French Camp, CA 95231

(209)468-6112

NPI: 1659353969

License No: G029966

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)468-6112

Hours: Sun, Sat

12:00am-11:59pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Accessibility:

Basic(P,EB,IB,R,E,T)

French Camp

Nephrology

Frank, Lawrence R. M.D.

45

Gender: Male

ID Number: 067748

500 W. Hospital Rd.

French Camp, CA 95231

(209)468-6820

NPI: 1194743237

License No: G028452

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)468-6820

Hours: Sun, Sat

12:00am-11:59pm

Office Staff Language(s):

Spanish

Physician Language(s):

Ilocano, Spanish, Tagalog

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Accessibility:

Basic(P,EB,IB,R,E,T)

Page 68: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

68 / www.healthnet.com Volume 12, 2018

Specialist

French Camp

Rachakonda, Ajay K.

M.D.

145

Gender: Male

ID Number: 209841

500 W. Hospital Rd.

French Camp, CA 95231

(209)468-6820

NPI: 1467605014

License No: C127675

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)468-6820

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi, Telugu

Accessibility:

Basic(P,EB,IB,R,E,T)

French Camp

Neurology

Apperson, Michelle L.

M.D.

145

Gender: Female

ID Number: 126737

500 W. Hospital Rd.

French Camp, CA 95231

(209)468-6820

NPI: 1568400265

License No: A082317

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)468-6820

Hours: Sun, Sat

12:00am-11:59pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s): San Joaquin

General Hospital

Accessibility:

Basic(P,EB,IB,R,E,T)

French Camp

Maselli, Ricardo A. M.D.

45

Gender: Male

ID Number: 034916

500 W. Hospital Rd.

French Camp, CA 95231

(209)468-6820

NPI: 1972570638

License No: A052560

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)468-6000

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s): UC Davis

Medical Center, San Joaquin

General Hospital

Accessibility:

Basic(P,EB,IB,R,E,T)

French Camp

Neurosurgery

Lo Jr, Thomas P. M.D.

45

Gender: Male

ID Number: 202925

500 W. Hospital Rd.

French Camp, CA 95231

(209)468-6820

NPI: 1629285309

License No: A097641

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)468-6820

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Accessibility:

Basic(P,EB,IB,R,E,T)

Senegor, Moris M.D.

45

Gender: Male

ID Number: 551606

500 W. Hospital Rd.

French Camp, CA 95231

(209)468-6820

NPI: 1487689030

License No: G069398

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)468-6820

Hours: Sun, Sat

12:00am-11:59pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Accessibility:

Basic(P,EB,IB,R,E,T)

Page 69: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 69 Volume 12, 2018

Specialist

Sp

ecia

lis

t

French Camp

Thaiyananthan,

Gowriharan M.D.

45

Gender: Male

ID Number: 143525

500 W. Hospital Rd.

French Camp, CA 95231

(209)468-6820

NPI: 1518164110

License No: A099924

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)468-6032

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Japanese, Spanish, Tamil

Accessibility:

Basic(P,EB,IB,R,E,T)

French Camp

Ophthalmology

Edington, Philip A. M.D.

45

Gender: Male

ID Number: 025183

500 W. Hospital Rd.

French Camp, CA 95231

(209)468-6820

NPI: 1508837279

License No: G058380

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)468-6820

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s): Doctors Hospital

of Manteca, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Accessibility:

Basic(P,EB,IB,R,E,T)

French Camp

Kim, Charles M.D.

45

Gender: Male

ID Number: 223153

500 W. Hospital Rd.

French Camp, CA 95231

(209)836-4800

NPI: 1104242924

License No: A142099

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)836-4800

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Mandarin, Spanish

Accessibility:

Basic(P,EB,IB,R,E,T)

Orthopedic Surgery

Marine, Jean M. M.D.

145

Gender: Female

ID Number: 207651

500 W. Hospital Rd.

French Camp, CA 95231

(209)468-6820

NPI: 1942226774

License No: G044708

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)468-6820

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Accessibility:

Basic(P,EB,IB,R,E,T)

French Camp

Tabaraee, Ehsan M.D.

45

Gender: Male

ID Number: 209505

500 W. Hospital Rd.

French Camp, CA 95231

(209)468-6000

NPI: 1528394202

License No: A114899

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)468-6000

Hours: Mon-Thu

9:00am-5:00pm Fri

9:00am-12:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Farsi, Spanish

Accessibility:

Basic(P,EB,IB,R,E,T)

Page 70: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

70 / www.healthnet.com Volume 12, 2018

Specialist

French Camp

Otolaryngology

Kelley, Kanwar S. M.D.

45

Gender: Male

ID Number: 231563

500 W. Hospital Rd.

French Camp, CA 95231

(209)468-6820

NPI: 1336438670

License No: A123114

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)468-6820

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s): San Joaquin

Community Hospital

Accessibility:

Basic(P,EB,IB,R,E,T)

French Camp

Thoracic Surgery

Young Jr, Joseph N.

M.D.

145

Gender: Male

ID Number: 018932

500 W. Hospital Rd.

French Camp, CA 95231

(209)468-6820

NPI: 1285616680

License No: C033793

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)468-6820

Hours: Sun, Sat

12:00am-11:59pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Accessibility:

Basic(P,EB,IB,R,E,T)

Lodi

COMMUNITY MEDICAL

CENTERS, LODI

Chiropractor

Watson, Denise L. D.C.

35

Gender: Female

ID Number: MC00001469

2401 W. Turner Rd. Ste 450

Lodi, CA 95242

(209)370-1700

NPI: 1356444947

License No: DC28196

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)370-1700

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Accessibility: Limited(IB,R,E)

Lodi

Pediatrics

Chitta, Naga M.D.

4

Gender: Female

ID Number: MC00001469

2401 W. Turner Rd. Ste 450

Lodi, CA 95242

(209)370-1700

NPI: 1548601255

License No: A140747

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)370-1700

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi, Telugu

Accessibility: Limited(IB,R,E)

Huskey, Jessica E. D.O.

4

Gender: Female

ID Number: MC00001469

2401 W. Turner Rd. Ste 450

Lodi, CA 95242

(209)370-1700

NPI: 1518248442

License No: 20A14197

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)370-1700

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Accessibility: Limited(IB,R,E)

Page 71: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 71 Volume 12, 2018

Specialist

Sp

ecia

lis

t

Lodi

Sneha, Fnu M.D.

4

Gender: Female

ID Number: MC00001469

2401 W. Turner Rd. Ste 450

Lodi, CA 95242

(209)370-1700

NPI: 1346505286

License No: A137639

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)370-1700

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi

Accessibility: Limited(IB,R,E)

Podiatry

Lam, Gary K. DPM

35

Gender: Male

ID Number: MC00001469

2401 W. Turner Rd. Ste 450

Lodi, CA 95242

(209)370-1700

NPI: 1588996557

License No: E004748

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)370-1700

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Cantonese, Mandarin

Accessibility: Limited(IB,R,E)

Lodi

Lam, Gary K. DPM

35

Gender: Male

ID Number: MC00001469

2401 W. Turner Rd. Ste 450

Lodi, CA 95242

(209)370-1700

NPI: 1588996557

License No: E004748

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)370-1700

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Cantonese, Mandarin

Hospital(s): Lodi Memorial

Hospital

Accessibility: Limited(IB,R,E)

Lodi

DIRECT NETWORK: SAN

JOAQUIN

Allergy/Immunology

Balduzzi, Michael C. M.D.

45

Gender: Male

ID Number: 215140

999 S. Fairmont Ave. Ste

120

Lodi, CA 95240

(209)334-4002

NPI: 1346565934

License No: A135460

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)334-4002

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Lodi

Bensch, George W. M.D.

45

Gender: Male

ID Number: 501162

999 S. Fairmont Ave. Ste

120

Lodi, CA 95240

(209)334-4002

NPI: 1508839457

License No: C034965

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)334-4002

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Page 72: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

72 / www.healthnet.com Volume 12, 2018

Specialist

Lodi

Bensch, Gregory W. M.D.

45

Gender: Male

ID Number: 077250

999 S. Fairmont Ave. Ste

120

Lodi, CA 95240

(209)334-4002

NPI: 1710950589

License No: A061795

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)334-4002

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s): Dameron

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Yecies, Jerold J. M.D.

45

Gender: Male

ID Number: 018851

999 S. Fairmont Ave. Ste

120

Lodi, CA 95240

(209)334-4002

NPI: 1780657643

License No: G024163

Cultural Competence

Training Completed: No

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Lodi

Cardiology/Cardiovascular

Disease

Bains, Suchdeep S. M.D.

45

Gender: Male

ID Number: 102419

845 S. Fairmont Ave. Ste 11

Lodi, CA 95240

(209)334-0651

NPI: 1639269087

License No: A067856

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)334-0651

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Hindi, Punjabi, Spanish,

Urdu

Physician Language(s):

Hindi, Punjabi

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Manshadi, Ramin M.D.

45

Gender: Male

ID Number: 080060

1231 W. Vine St.

Lodi, CA 95240

(209)944-5530

NPI: 1629171202

License No: A054739

Hours: Fri 2:00pm-5:00pm

Physician Language(s):

Farsi, Marathi, Spanish

Hospital(s): Dameron

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Lodi

Primack, Daren S. M.D.

45

Gender: Male

ID Number: 068427

845 S. Fairmont Ave. Ste 11

Lodi, CA 95240

(209)334-0651

NPI: 1215905260

License No: G068135

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)334-0651

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Hindi, Punjabi, Spanish,

Urdu

Physician Language(s):

Hindi, Spanish

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Lodi

Stenzler, Lee M. M.D.

45

Gender: Male

ID Number: 016488

845 S. Fairmont Ave. Ste 11

Lodi, CA 95240

(209)334-0651

NPI: 1124096177

License No: G053585

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)334-0651

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Hindi, Punjabi, Spanish,

Urdu

Physician Language(s):

Spanish

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Page 73: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 73 Volume 12, 2018

Specialist

Sp

ecia

lis

t

Lodi

Nephrology

Maddula, Mallareddy

M.D.

45

Gender: Male

ID Number: 156885

801 S. Ham Ln. Ste J

Lodi, CA 95242

(209)369-7336

NPI: 1487762647

License No: A108120

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)369-7336

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Hindi, Spanish, Telugu

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, San Joaquin

General Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Accessibility:

Basic(P,EB,IB,R,E)

Lodi

Nasika, Subrahmanyam

M.D.

45

Gender: Male

ID Number: 171488

801 S. Ham Ln. Ste J

Lodi, CA 95242

(209)369-7336

NPI: 1548449846

License No: A108186

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)369-7336

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Hindi, Telugu

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, San Joaquin

General Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Accessibility:

Basic(P,EB,IB,R,E)

Lodi

Rachakonda, Ajay K.

M.D.

145

Gender: Male

ID Number: 209841

801 S. Ham Ln. Ste J

Lodi, CA 95242

(209)369-7336

NPI: 1467605014

License No: C127675

Cultural Competence

Training Completed: No

Hours: Mon-Fri

8:00am-12:00pm

1:00pm-5:00pm

Physician Language(s):

Hindi, Telugu

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, San Joaquin

General Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Accessibility:

Basic(P,EB,IB,R,E)

Lodi

Raval, Mehul M.D.

45

Gender: Male

ID Number: 239467

801 S. Ham Ln. Ste J

Lodi, CA 95242

(209)369-7336

NPI: 1710157474

License No: A105804

Hours: Mon-Fri

8:00am-12:00pm

1:00pm-5:00pm

Physician Language(s):

Hindi, Telugu

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, San Joaquin

General Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Accessibility:

Basic(P,EB,IB,R,E)

Page 74: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

74 / www.healthnet.com Volume 12, 2018

Specialist

Lodi

Sagireddy, Purushottama

B. M.D.

45

Gender: Male

ID Number: 084285

801 S. Ham Ln. Ste J

Lodi, CA 95242

(209)369-7336

NPI: 1407844889

License No: A073135

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)396-7336

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Punjabi

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, San Joaquin

General Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Accessibility:

Basic(P,EB,IB,R,E)

Lodi

Otolaryngology

Dong, Ronald G. M.D.

4

Gender: Male

ID Number: 108411

801 S. Ham Ln. Ste O

Lodi, CA 95242

(209)952-0483

NPI: 1194764472

License No: G087118

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s): Lodi Memorial

Hospital, San Joaquin

General Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Podiatry

Stroh, Kevin I. DPM

45

Gender: Male

ID Number: 016683

1300 W. Lodi Ave. Ste W

Lodi, CA 95242

(209)334-6664

NPI: 1104829431

License No: E003467

Cultural Competence

Training Completed: No

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s): Lodi Memorial

Hospital

Lodi

HILL PHYSICIANS

MEDICAL GROUP - SAN

JOAQUIN

Allergy/Immunology

Balduzzi, Michael C. M.D.

45

Gender: Male

ID Number: 215140

999 S. Fairmont Ave. Ste

120

Lodi, CA 95240

(209)334-4002

NPI: 1346565934

License No: A135460

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)334-4002

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Lodi

Bensch, George W. M.D.

45

Gender: Male

ID Number: 501162

999 S. Fairmont Ave. Ste

120

Lodi, CA 95240

(209)334-4002

NPI: 1508839457

License No: C034965

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)334-4002

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Page 75: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 75 Volume 12, 2018

Specialist

Sp

ecia

lis

t

Lodi

Bensch, Gregory W. M.D.

45

Gender: Male

ID Number: 077250

999 S. Fairmont Ave. Ste

120

Lodi, CA 95240

(209)334-4002

NPI: 1710950589

License No: A061795

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)334-4002

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s): Dameron

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Yecies, Jerold J. M.D.

45

Gender: Male

ID Number: 018851

999 S. Fairmont Ave. Ste

120

Lodi, CA 95240

(209)334-4002

NPI: 1780657643

License No: G024163

Cultural Competence

Training Completed: No

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Lodi

Cardiology/Cardiovascular

Disease

Bains, Suchdeep S. M.D.

45

Gender: Male

ID Number: 102419

845 S. Fairmont Ave. Ste 11

Lodi, CA 95240

(209)334-0651

NPI: 1639269087

License No: A067856

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)334-0651

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Hindi, Punjabi, Spanish,

Urdu

Physician Language(s):

Hindi, Punjabi

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Lodi

Basra, Manreet M.D.

45

Gender: Female

ID Number: 217598

845 S. Fairmont Ave. Ste 11

Lodi, CA 95240

(209)334-0651

NPI: 1114157484

License No: C137215

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)334-0651

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Hindi, Punjabi, Spanish,

Urdu

Physician Language(s):

Hindi, Punjabi

Block, Steven J. M.D.

45

Gender: Male

ID Number: 501516

777 S. Ham Ln. Ste G

Lodi, CA 95242

(209)334-3278

NPI: 1780688515

License No: G023058

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)334-3278

Hours: Mon-Fri

9:00am-5:00pm

Hospital(s): Lodi Memorial

Hospital

Lodi

Primack, Daren S. M.D.

45

Gender: Male

ID Number: 068427

845 S. Fairmont Ave. Ste 11

Lodi, CA 95240

(209)334-0651

NPI: 1215905260

License No: G068135

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)334-0651

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Hindi, Punjabi, Spanish,

Urdu

Physician Language(s):

Hindi, Spanish

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Page 76: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

76 / www.healthnet.com Volume 12, 2018

Specialist

Lodi

Stenzler, Lee M. M.D.

45

Gender: Male

ID Number: 016488

845 S. Fairmont Ave. Ste 11

Lodi, CA 95240

(209)334-0651

NPI: 1124096177

License No: G053585

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)334-0651

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Hindi, Punjabi, Spanish,

Urdu

Physician Language(s):

Spanish

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Lodi

Chiropractor

Watson, Denise L. D.C.

45

Gender: Female

ID Number: 134833

2401 W. Turner Rd. Ste 450

Lodi, CA 95242

(209)370-1700

NPI: 1356444947

License No: DC28196

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)370-1700

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Accessibility: Limited(IB,R,E)

Dermatology

Khourdaji, Abdallah M.D.

45

Gender: Male

ID Number: 008831

801 S. Ham Ln. Ste A

Lodi, CA 95242

(209)333-3376

NPI: 1093799652

License No: A034143

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)333-3376

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Arabic, Spanish

Hospital(s): Lodi Memorial

Hospital

Lodi

Gastroenterology

Mardini, Muhammad M.

M.D.

45

Gender: Male

ID Number: 010791

999 S. Fairmont Ave. Ste

115

Lodi, CA 95240

(209)334-6325

NPI: 1518909126

License No: A035332

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)334-6325

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Arabic, Spanish

Physician Language(s):

Arabic, Spanish

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital

Obanor, Emmanuel D.O.

45

Gender: Male

ID Number: 223400

999 S. Fairmont Ave. Ste

125

Lodi, CA 95240

(209)334-8514

NPI: 1689615007

License No: 20A06988

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)334-8514

Hours: Mon-Fri

8:00am-5:00pm

Hospital(s): Lodi Memorial

Hospital, Methodist Hospital

of Sacramento

Lodi

General Surgery

Fahey, Gordon T. M.D.

145

Gender: Male

ID Number: 130141

999 S. Fairmont Ave. Ste

100

Lodi, CA 95240

(209)334-2010

NPI: 1457323446

License No: A078020

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)334-2010

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Spanish

Fahey, Gordon T. M.D.

145

Gender: Male

ID Number: 130141

1235 Vine St. Ste 22

Lodi, CA 95240

(209)334-8520

NPI: 1457323446

License No: A078020

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)334-8520

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Spanish

Hospital(s): Lodi Memorial

Hospital

Page 77: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 77 Volume 12, 2018

Specialist

Sp

ecia

lis

t

Lodi

Lee, John Y. M.D.

45

Gender: Male

ID Number: 198466

999 S. Fairmont Ave. Ste

100

Lodi, CA 95240

(209)334-2010

NPI: 1952742207

License No: A126392

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)334-2010

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Korean, Spanish

Simeon, Rolando G. M.D.

45

Gender: Male

ID Number: 015870

801 S. Ham Ln. Ste E

Lodi, CA 95242

(209)333-1441

NPI: 1457344293

License No: A035527

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)333-1441

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Tagalog

Hospital(s): Lodi Memorial

Hospital

Lodi

Hematology

Bangalore, Neelesh S.

M.D.

45

Gender: Male

ID Number: 079652

801 S. Ham Ln. Ste S

Lodi, CA 95242

(209)366-2616

NPI: 1154326262

License No: A070883

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)366-2616

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Hindi, Tamil

Hospital(s): Dameron

Hospital, Sutter Tracy

Community Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Dighe, Prasad R. M.D.

45

Gender: Male

ID Number: 504024

999 S. Fairmont Ave. Ste

100

Lodi, CA 95240

(209)366-2616

NPI: 1356377071

License No: A036810

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)366-2616

Hours: Mon-Fri

9:00am-5:00pm

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Lodi

Dighe, Prasad R. M.D.

45

Gender: Male

ID Number: 504024

801 S. Ham Ln. Ste S

Lodi, CA 95242

(209)366-2616

NPI: 1356377071

License No: A036810

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)366-2616

Hours: Mon-Fri

9:00am-5:00pm

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Kiraly, John F. M.D.

45

Gender: Male

ID Number: 057995

801 S. Ham Ln. Ste S

Lodi, CA 95242

(209)366-2616

NPI: 1649238163

License No: A024190

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)366-2616

Hours: Mon-Fri

9:00am-5:00pm

Lodi

Puthillath, Ajithkumar A.

M.D.

45

Gender: Male

ID Number: 158497

801 S. Ham Ln. Ste S

Lodi, CA 95242

(209)366-2616

NPI: 1225275233

License No: A107213

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)366-2616

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Spanish

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Hematology/Oncology

Fang, Chunhui M.D.

45

Gender: Male

ID Number: 231631

801 S. Ham Ln. Ste S

Lodi, CA 95242

(209)366-2616

NPI: 1831477249

License No: A148751

After Hours Phone Number:

(209)366-2616

Hours: Mon-Fri

9:00am-5:00pm

Page 78: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

78 / www.healthnet.com Volume 12, 2018

Specialist

Lodi

Internal Medicine

Cacho, Alvin C. M.D.

145

Gender: Male

ID Number: 502251

900 S. Fairmont Ave. Ste C

Lodi, CA 95240

(209)942-1161

NPI: 1205918497

License No: A032152

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)942-1161

Hours: Mon-Fri

8:30am-5:30pm

Physician Language(s):

Spanish, Tagalog

Hospital(s): Dameron

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Lodi

Nephrology

Maddula, Mallareddy

M.D.

45

Gender: Male

ID Number: 156885

801 S. Ham Ln. Ste J

Lodi, CA 95242

(209)369-7336

NPI: 1487762647

License No: A108120

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)369-7336

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Hindi, Spanish, Telugu

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, San Joaquin

General Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Accessibility:

Basic(P,EB,IB,R,E)

Lodi

Nasika, Subrahmanyam

M.D.

45

Gender: Male

ID Number: 171488

801 S. Ham Ln. Ste J

Lodi, CA 95242

(209)369-7336

NPI: 1548449846

License No: A108186

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)369-7336

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Hindi, Telugu

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, San Joaquin

General Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Accessibility:

Basic(P,EB,IB,R,E)

Lodi

Sagireddy, Purushottama

B. M.D.

45

Gender: Male

ID Number: 084285

801 S. Ham Ln. Ste J

Lodi, CA 95242

(209)369-7336

NPI: 1407844889

License No: A073135

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)396-7336

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Punjabi

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, San Joaquin

General Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Accessibility:

Basic(P,EB,IB,R,E)

Page 79: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 79 Volume 12, 2018

Specialist

Sp

ecia

lis

t

Lodi

Steinberg, Joel F. M.D.

145

Gender: Male

ID Number: 047989

840 S. Fairmont Ave. Ste 3

Lodi, CA 95240

(209)366-1202

NPI: 1326094616

License No: C042059

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)366-1202

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Spanish

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Neurology

Kazmi, Mohammad A.

M.D.

45

Gender: Male

ID Number: 042629

515 S. Fairmont Ave.

Lodi, CA 95240

(209)334-8570

NPI: 1306848460

License No: A041156

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)334-8570

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Hindi, Spanish, Urdu

Hospital(s): Lodi Memorial

Hospital

Lodi

Moshi, Sami H. M.D.

45

Gender: Male

ID Number: 221471

515 S. Fairmont Ave.

Lodi, CA 95240

(209)334-8570

NPI: 1922349547

License No: A140800

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)334-8570

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Arabic

Hospital(s): Lodi Memorial

Hospital

Neurosurgery

Yao, Weiping M.D.

45

Gender: Male

ID Number: 105310

515 S. Fairmont Ave.

Lodi, CA 95240

(209)334-8570

NPI: 1861460735

License No: A085432

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)334-8570

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Cantonese, Mandarin

Lodi

Ophthalmology

Canzano, John C. M.D.

145

Gender: Male

ID Number: 075311

421 S. Ham Ln. Ste A

Lodi, CA 95242

(209)366-0446

NPI: 1134232648

License No: A055787

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)366-0446

Hours: Mon-Fri

9:00am-5:00pm

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Chen, Andrew P. M.D.

145

Gender: Male

ID Number: 035679

521 S. Ham Ln. Ste A

Lodi, CA 95242

(209)334-5886

NPI: 1912014739

License No: G072858

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)334-5886

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Self Reported Accessibility:

Basic(P,EB,IB,R,E)

Lodi

Cockerham, Kimberly P.

M.D.

45

Gender: Female

ID Number: 107769

421 S. Ham Ln. Ste A

Lodi, CA 95242

(209)239-5303

NPI: 1366493629

License No: G086885

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)239-5303

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Spanish

Ing, Jeffrey J. M.D.

45

Gender: Male

ID Number: 075705

521 S. Ham Ln. Ste A

Lodi, CA 95242

(209)334-5886

NPI: 1871600114

License No: G078322

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)334-5886

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Self Reported Accessibility:

Basic(P,EB,IB,R,E)

Page 80: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

80 / www.healthnet.com Volume 12, 2018

Specialist

Lodi

Narvaez, Julio M.D.

145

Gender: Male

ID Number: 076751

521 S. Ham Ln. Ste A

Lodi, CA 95242

(209)334-5886

NPI: 1962427088

License No: G077326

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)334-5886

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Self Reported Accessibility:

Basic(P,EB,IB,R,E)

Lodi

Zeiter, John H. M.D.

45

Gender: Male

ID Number: 024783

421 S. Ham Ln. Ste A

Lodi, CA 95242

(209)366-0446

NPI: 1447330634

License No: A046664

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)366-0446

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Spanish

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Zeiter, Joseph E. M.D.

45

Gender: Male

ID Number: 189724

421 S. Ham Ln. Ste A

Lodi, CA 95242

(209)366-0446

NPI: 1588824494

License No: A118736

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)366-0446

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Spanish

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Lodi

Pediatric Cardiology

Fallah-Najmabadi,

Hessameddin M.D.

145

Gender: Male

ID Number: 053906

515 S. Fairmont Ave.

Lodi, CA 95240

(916)452-5391

NPI: 1609869510

License No: A053954

Cultural Competence

Training Completed: No

After Hours Phone Number:

(916)452-5391

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Farsi, Spanish

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Juris, Andrew L. M.D.

145

Gender: Male

ID Number: 033508

515 S. Fairmont Ave.

Lodi, CA 95240

(916)452-5391

NPI: 1376537639

License No: A036417

Cultural Competence

Training Completed: No

After Hours Phone Number:

(916)452-5391

Hours: Mon-Fri

9:00am-5:00pm

Hospital(s): Mercy General

Hospital, Sutter Medical

Center, Sacramento, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Lodi

Wright, Stanley B. M.D.

45

Gender: Male

ID Number: 073165

515 S. Fairmont Ave.

Lodi, CA 95240

(916)452-5391

NPI: 1578555058

License No: G072738

Cultural Competence

Training Completed: No

After Hours Phone Number:

(916)452-5391

Hours: Mon-Fri

8:00am-5:30pm

Physician Language(s):

Farsi, Spanish

Hospital(s): Mercy San Juan

Hospital, Sutter Medical

Center, Sacramento, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Page 81: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 81 Volume 12, 2018

Specialist

Sp

ecia

lis

t

Lodi

Podiatry

Lam, Gary K. DPM

45

Gender: Male

ID Number: 165318

2401 W. Turner Rd. Ste 450

Lodi, CA 95242

(209)370-1700

NPI: 1588996557

License No: E004748

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)370-1700

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Cantonese, Mandarin

Hospital(s): Lodi Memorial

Hospital

Accessibility: Limited(IB,R,E)

Pulmonary Disease

Ravi, Lingamurthy M.D.

145

Gender: Male

ID Number: 191754

975 S. Fairmont Ave.

Lodi, CA 95240

(209)334-3411

NPI: 1679542120

License No: C054849

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)334-3411

Hours: Mon-Fri

9:00am-5:00pm

Lodi

Radiation Oncology

McLoughlin, Travers J.

M.D.

145

Gender: Male

ID Number: 130135

311 S. Ham Ln.

Lodi, CA 95242

(209)365-1761

NPI: 1619910346

License No: A092339

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)365-1761

Hours: Mon-Fri

9:00am-5:00pm

Hospital(s): Lodi Memorial

Hospital, Sutter Tracy

Community Hospital

Radiology

Dietrich, Daniel S. M.D.

146

Gender: Male

ID Number: 176199

801 S. Ham Ln. Ste R

Lodi, CA 95242

(209)366-1000

NPI: 1053341669

License No: A095731

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)366-1000

Hours: Mon-Fri

9:00am-5:00pm

Lodi

PRIME COMMUNITY CARE

OF CENTRAL VALLEY,

INC. - SAN JOAQUIN

Allergy/Immunology

Yecies, Jerold J. M.D.

45

Gender: Male

ID Number: 018851

999 S. Fairmont Ave. Ste

120

Lodi, CA 95240

(209)334-4002

NPI: 1780657643

License No: G024163

Cultural Competence

Training Completed: No

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Endocrinology

Huang Jr, Frank T. M.D.

145

Gender: Male

ID Number: 133727

1235 W. Vine St. Ste 22

Lodi, CA 95240

(209)334-8570

NPI: 1013023274

License No: C052167

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)334-8570

Hours: Mon-Fri

8:00am-5:00pm

Physician Language(s):

Spanish

Hospital(s): Lodi Memorial

Hospital

Lodi

General Surgery

Lee, John Y. M.D.

45

Gender: Male

ID Number: 198466

999 S. Fairmont Ave. Ste

100

Lodi, CA 95240

(209)334-2010

NPI: 1952742207

License No: A126392

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)334-2010

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Korean, Spanish

Lu, Jonathan M.D.

45

Gender: Male

ID Number: 229024

999 S. Fairmont Ave. Ste

100

Lodi, CA 95240

(209)334-2010

NPI: 1821230988

License No: A118235

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)334-2010

Hours: Mon-Fri

9:00am-5:00pm

Hospital(s): Lodi Memorial

Hospital

Page 82: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

82 / www.healthnet.com Volume 12, 2018

Specialist

Lodi

Nephrology

Nasika, Subrahmanyam

M.D.

45

Gender: Male

ID Number: 171488

801 S. Ham Ln. Ste J

Lodi, CA 95242

(209)369-7336

NPI: 1548449846

License No: A108186

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)369-7336

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Hindi, Telugu

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Accessibility:

Basic(P,EB,IB,R,E)

Lodi

Raval, Mehul M.D.

45

Gender: Male

ID Number: 239467

801 S. Ham Ln. Ste J

Lodi, CA 95242

(209)369-7336

NPI: 1710157474

License No: A105804

Hours: Mon-Fri

8:00am-12:00pm

1:00pm-5:00pm

Physician Language(s):

Hindi, Telugu

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, San Joaquin

General Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Accessibility:

Basic(P,EB,IB,R,E)

Lodi

Sagireddy, Purushottama

B. M.D.

45

Gender: Male

ID Number: 084285

801 S. Ham Ln. Ste J

Lodi, CA 95242

(209)369-7336

NPI: 1407844889

License No: A073135

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)396-7336

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Punjabi

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Accessibility:

Basic(P,EB,IB,R,E)

Neurology

Kazmi, Mohammad A.

M.D.

45

Gender: Male

ID Number: 042629

515 S. Fairmont Ave.

Lodi, CA 95240

(209)334-8570

NPI: 1306848460

License No: A041156

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)334-8570

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Hindi, Spanish, Urdu

Hospital(s): Lodi Memorial

Hospital

Lodi

Moshi, Sami H. M.D.

45

Gender: Male

ID Number: 221471

515 S. Fairmont Ave.

Lodi, CA 95240

(209)334-8570

NPI: 1922349547

License No: A140800

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)334-8570

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Arabic

Hospital(s): Lodi Memorial

Hospital

Orthopedic Surgery

Hilton, Kevin R. M.D.

145

Gender: Male

ID Number: 130390

1235 W. Vine St. Ste 22

Lodi, CA 95240

(209)334-8520

NPI: 1275598831

License No: G079838

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)334-8520

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Spanish

Page 83: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 83 Volume 12, 2018

Specialist

Sp

ecia

lis

t

Lodi

Howell, Stephen M. M.D.

45

Gender: Male

ID Number: 007602

1235 W. Vine St. Ste 22

Lodi, CA 95240

(209)334-8520

NPI: 1972697704

License No: G059493

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)334-8520

Hours: Mon-Fri

8:00am-5:00pm

Nakata, Roland Y. M.D.

145

Gender: Male

ID Number: 012134

999 S. Fairmont Ave. Ste

100

Lodi, CA 95240

(209)334-2010

NPI: 1598871170

License No: G036211

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)334-2010

Hours: Mon-Fri

9:00am-5:00pm

Lodi

Whitney, Frank E. M.D.

45

Gender: Male

ID Number: 150346

815 S. Fairmont Ave.

Lodi, CA 95240

(209)333-1884

NPI: 1881658920

License No: G033455

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)333-1884

Hours: Mon-Fri

9:00am-5:00pm

Pediatrics

Doria, Christopher V. M.D.

4

Gender: Male

ID Number: 109218

2415 W. Vine St. Ste 100

Lodi, CA 95242

(209)333-3135

NPI: 1689686263

License No: A082205

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)333-3135

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Punjabi, Spanish, Tagalog,

Urdu

Physician Language(s):

Tagalog

Extender(s): O'Neal,

Elizabeth M. (NP), Akahori,

Laura (NP)

Certification(s): CCS

Accessibility:

Basic(P,EB,IB,R,E)

Lodi

Lewis, Mari E. M.D.

4

Gender: Female

ID Number: 222934

2415 W. Vine St. Ste 100

Lodi, CA 95242

(209)333-3135

NPI: 1841630266

License No: A143654

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)333-3135

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Punjabi, Spanish, Tagalog,

Urdu

Physician Language(s):

Spanish

Accessibility:

Basic(P,EB,IB,R,E)

Pulmonary Disease

Ravi, Lingamurthy M.D.

145

Gender: Male

ID Number: 191754

845 S. Fairmont Ave. Ste 8

Lodi, CA 95240

(209)339-7417

NPI: 1679542120

License No: C054849

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)339-7417

Hours: Mon-Fri

8:00am-5:00pm

Hospital(s): Lodi Memorial

Hospital

Manteca

COMMUNITY MEDICAL

CENTERS, MANTECA

Chiropractor

Watson, Denise L. D.C.

45

Gender: Female

ID Number: MC00000618

200 Cottage Ave. Ste 103

Manteca, CA 95336

(209)624-5800

NPI: 1356444947

License No: DC28196

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)624-5800

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Page 84: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

84 / www.healthnet.com Volume 12, 2018

Specialist

Manteca

Pediatrics

Huang, Kun J. M.D.

4

Gender: Female

ID Number: MC00000618

200 Cottage Ave. Ste 103

Manteca, CA 95336

(209)624-5800

NPI: 1821270240

License No: A098491

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)624-5800

Hours: Mon-Thu

8:00am-8:00pm Fri

8:00am-6:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Mandarin, Spanish

Certification(s): CCS

Huskey, Jessica E. D.O.

4

Gender: Female

ID Number: MC00000618

200 Cottage Ave. Ste 103

Manteca, CA 95336

(209)624-5800

NPI: 1518248442

License No: 20A14197

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)624-5800

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Manteca

Podiatry

Lam, Gary K. DPM

45

Gender: Male

ID Number: MC00000618

200 Cottage Ave. Ste 103

Manteca, CA 95336

(209)624-5800

NPI: 1588996557

License No: E004748

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)624-5800

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Cantonese, Mandarin

DIRECT NETWORK: SAN

JOAQUIN

Allergy/Immunology

Balduzzi, Michael C. M.D.

45

Gender: Male

ID Number: 215140

200 Cottage Ave. Ste 104

Manteca, CA 95336

(209)823-1092

NPI: 1346565934

License No: A135460

Cultural Competence

Training Completed: No

Hours: Mon, Wed

8:30am-5:30pm Tue, Thu,

Fri 8:30am-4:30pm

Office Staff Language(s):

Cambodian,Khmer, Hmong,

Spanish

Physician Language(s):

Cambodian,Khmer

Manteca

Bensch, George W. M.D.

45

Gender: Male

ID Number: 501162

200 Cottage Ave. Ste 104

Manteca, CA 95336

(209)823-1092

NPI: 1508839457

License No: C034965

Cultural Competence

Training Completed: No

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Cambodian,Khmer, Hmong,

Spanish

Physician Language(s):

Cambodian,Khmer

Hospital(s): Dameron

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Bensch, Gregory W. M.D.

45

Gender: Male

ID Number: 077250

200 Cottage Ave. Ste 104

Manteca, CA 95336

(209)823-1092

NPI: 1710950589

License No: A061795

Cultural Competence

Training Completed: No

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Cambodian,Khmer, Hmong,

Spanish

Physician Language(s):

Cambodian,Khmer

Hospital(s): Dameron

Hospital

Manteca

Yecies, Jerold J. M.D.

45

Gender: Male

ID Number: 018851

200 Cottage Ave. Ste 104

Manteca, CA 95336

(209)823-1092

NPI: 1780657643

License No: G024163

Cultural Competence

Training Completed: No

Office Staff Language(s):

Cambodian,Khmer, Hmong,

Spanish

Physician Language(s):

Cambodian,Khmer

Cardiology/Cardiovascular

Disease

Emani, Venkata R. M.D.

45

Gender: Male

ID Number: 100790

1148 Norman Dr. Ste 2

Manteca, CA 95336

(209)239-7852

NPI: 1184706343

License No: A080313

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)239-7852

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Hindi, Spanish, Telugu

Hospital(s): Dameron

Hospital, Doctors Hospital of

Manteca, Sutter Tracy

Community Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Page 85: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 85 Volume 12, 2018

Specialist

Sp

ecia

lis

t

Manteca

Hematology/Oncology

Dhaliwal, Amarjit S. M.D.

45

Gender: Male

ID Number: 503960

1138 Norman Dr.

Manteca, CA 95336

(209)823-1609

NPI: 1922019322

License No: A049314

Cultural Competence

Training Completed: No

Hours: Mon-Fri

8:00am-5:00pm

Physician Language(s):

Punjabi

Internal Medicine

Chahal, Anupam M.D.

45

Gender: Female

ID Number: 188769

1079 Eucalyptus St. Ste A

Manteca, CA 95337

(209)284-4561

NPI: 1972780146

License No: A121284

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)284-4561

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Hindi, Punjabi

Hospital(s): Doctors Hospital

of Manteca

Manteca

Nephrology

Bajwa, Randeep S. M.D.

45

Gender: Male

ID Number: 154383

1148 Norman Dr. Ste 4

Manteca, CA 95336

(209)825-2047

NPI: 1083611594

License No: A104576

Cultural Competence

Training Completed: No

Hours: Mon-Fri

8:00am-5:00pm

Physician Language(s):

Hindi

Hospital(s): Dameron

Hospital, Doctors Hospital of

Manteca, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Oncology

Levy, Robert L. M.D.

45

Gender: Male

ID Number: 010011

1138 Norman Dr.

Manteca, CA 95336

(209)823-1609

NPI: 1568473965

License No: C039275

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)823-1609

Hours: Mon-Fri

8:00am-5:00pm

Physician Language(s):

Spanish

Manteca

Ophthalmology

Choi, Daniel Y. M.D.

145

Gender: Male

ID Number: 210454

200 Cottage Ave. Ste 102

Manteca, CA 95336

(209)239-5303

NPI: 1801164827

License No: A122048

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Mandarin, Spanish

Physician Language(s):

Korean

Hospital(s): Doctors Hospital

of Manteca, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Cockerham, Kimberly P.

M.D.

45

Gender: Female

ID Number: 107769

200 Cottage Ave. Ste 102

Manteca, CA 95336

(209)239-5303

NPI: 1366493629

License No: G086885

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)239-5303

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Mandarin, Spanish

Physician Language(s):

Spanish

Hospital(s): Dameron

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Manteca

Kim, Stevens Y. M.D.

45

Gender: Male

ID Number: 052892

200 Cottage Ave. Ste 102

Manteca, CA 95336

(209)239-5303

NPI: 1437258183

License No: G076813

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)239-5303

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Mandarin, Spanish

Physician Language(s):

Korean

Hospital(s): Dameron

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Page 86: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

86 / www.healthnet.com Volume 12, 2018

Specialist

Manteca

Lin, Stephen A. M.D.

45

Gender: Male

ID Number: 053003

200 Cottage Ave. Ste 102

Manteca, CA 95336

(209)239-5303

NPI: 1073612735

License No: G074809

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)239-5303

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Mandarin, Spanish

Physician Language(s):

Mandarin

Hospital(s): Doctors Hospital

of Manteca, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Tittler, Ethan H. M.D.

145

Gender: Male

ID Number: 211999

200 Cottage Ave. Ste 102

Manteca, CA 95336

(209)239-5303

NPI: 1649562406

License No: A136715

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Mandarin, Spanish

Physician Language(s):

Mandarin

Hospital(s): Doctors Hospital

of Manteca, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC,

Memorial Medical Center -

Modesto

Manteca

Radiation Oncology

Yip, Darwin M.D.

45

Gender: Male

ID Number: 204091

1138 Norman Dr.

Manteca, CA 95336

(209)823-1609

NPI: 1194160838

License No: A130901

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)823-1609

Hours: Mon-Fri

8:00am-5:00pm

Physician Language(s):

Cantonese, Mandarin, Thai

Hospital(s): Doctors Hospital

of Manteca

HILL PHYSICIANS

MEDICAL GROUP - SAN

JOAQUIN

Allergy/Immunology

Balduzzi, Michael C. M.D.

45

Gender: Male

ID Number: 215140

200 Cottage Ave. Ste 201

Manteca, CA 95336

(209)823-1092

NPI: 1346565934

License No: A135460

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)823-1092

Hours: Mon-Fri

9:00am-5:00pm

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Manteca

Bensch, George W. M.D.

45

Gender: Male

ID Number: 501162

200 Cottage Ave. Ste 201

Manteca, CA 95336

(209)823-1092

NPI: 1508839457

License No: C034965

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)823-1092

Hours: Mon-Fri

9:00am-5:00pm

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Bensch, Gregory W. M.D.

45

Gender: Male

ID Number: 077250

200 Cottage Ave. Ste 201

Manteca, CA 95336

(209)823-1092

NPI: 1710950589

License No: A061795

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)951-5353

Hours: Mon-Fri

9:00am-5:00pm

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Manteca

Yecies, Jerold J. M.D.

45

Gender: Male

ID Number: 018851

200 Cottage Ave. Ste 201

Manteca, CA 95336

(209)823-1092

NPI: 1780657643

License No: G024163

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)823-1092

Hours: Mon-Fri

9:00am-5:00pm

Hospital(s): Dameron

Hospital, Doctors Hospital of

Manteca, Lodi Memorial

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Cardiology/Cardiovascular

Disease

Punjya, Rajiv H. M.D.

145

Gender: Male

ID Number: 051679

1148 Norman Dr. Ste 3

Manteca, CA 95336

(209)824-1555

NPI: 1881632263

License No: A048705

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)824-1555

Hours: Mon-Fri

9:00am-5:00pm

Hospital(s): Doctors Hospital

of Manteca, Sutter Tracy

Community Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Page 87: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 87 Volume 12, 2018

Specialist

Sp

ecia

lis

t

Manteca

Vaishampayan, Sanjeev G.

M.D.

145

Gender: Male

ID Number: 158183

1148 Norman Dr. Ste 3

Manteca, CA 95336

(209)824-1555

NPI: 1528035573

License No: G088588

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)824-1555

Hours: Mon-Fri

9:00am-5:00pm

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Chiropractor

Watson, Denise L. D.C.

45

Gender: Female

ID Number: 134833

200 Cottage Ave. Ste 103

Manteca, CA 95336

(209)624-5800

NPI: 1356444947

License No: DC28196

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)624-5800

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Manteca

Dermatology

Berk, David R. M.D.

45

Gender: Male

ID Number: 202720

165 Saint Dominics Dr. Ste

140

Manteca, CA 95337

(855)944-7546

NPI: 1205045192

License No: A103865

Cultural Competence

Training Completed: No

After Hours Phone Number:

(855)944-7546

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s): Lodi Memorial

Hospital, San Joaquin

General Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Self Reported Accessibility:

Basic(P,EB,IB,R,E,T)

Manteca

Chen, Richard O. M.D.

45

Gender: Male

ID Number: 169499

165 Saint Dominics Dr. Ste

140

Manteca, CA 95337

(855)944-7546

NPI: 1598929069

License No: A105615

Cultural Competence

Training Completed: No

After Hours Phone Number:

(855)944-7546

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Self Reported Accessibility:

Basic(P,EB,IB,R,E,T)

Hamidi, Reyhaneh M.D.

45

Gender: Female

ID Number: 191827

165 Saint Dominics Dr. Ste

140

Manteca, CA 95337

(855)944-7546

NPI: 1144470162

License No: A111135

Cultural Competence

Training Completed: No

After Hours Phone Number:

(855)944-7546

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Farsi, Italian, Spanish

Self Reported Accessibility:

Basic(P,EB,IB,R,E,T)

Manteca

Kafi, Reza M.D.

45

Gender: Male

ID Number: 149681

165 Saint Dominics Dr. Ste

140

Manteca, CA 95337

(855)944-7546

NPI: 1891737201

License No: A084048

Cultural Competence

Training Completed: No

After Hours Phone Number:

(855)944-7546

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Self Reported Accessibility:

Basic(P,EB,IB,R,E,T)

Page 88: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

88 / www.healthnet.com Volume 12, 2018

Specialist

Manteca

Langevin, Kathy Hee-Won

K. M.D.

45

Gender: Female

ID Number: 145844

165 Saint Dominics Dr. Ste

140

Manteca, CA 95337

(855)944-7546

NPI: 1427169531

License No: A085857

Cultural Competence

Training Completed: No

After Hours Phone Number:

(855)944-7546

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Self Reported Accessibility:

Basic(P,EB,IB,R,E,T)

Manteca

Lazzaro, Cynthia C. D.O.

145

Gender: Female

ID Number: 218517

165 Saint Dominics Dr. Ste

140

Manteca, CA 95337

(855)944-7546

NPI: 1033464110

License No: 20A12781

Cultural Competence

Training Completed: No

After Hours Phone Number:

(855)944-7546

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Mandarin

Self Reported Accessibility:

Basic(P,EB,IB,R,E,T)

Lin, Julie H. M.D.

45

Gender: Female

ID Number: 228215

165 Saint Dominics Dr. Ste

140

Manteca, CA 95337

(855)944-7546

NPI: 1063572907

License No: C142478

Cultural Competence

Training Completed: No

After Hours Phone Number:

(855)944-7546

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Self Reported Accessibility:

Basic(P,EB,IB,R,E,T)

Manteca

Rios, Eon J. M.D.

145

Gender: Male

ID Number: 232645

165 Saint Dominics Dr. Ste

140

Manteca, CA 95337

(855)944-7546

NPI: 1942526389

License No: A117533

Cultural Competence

Training Completed: No

After Hours Phone Number:

(855)944-7546

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Self Reported Accessibility:

Basic(P,EB,IB,R,E,T)

Manteca

Schulman, Joshua M.

M.D.

145

Gender: Male

ID Number: 202300

165 Saint Dominics Dr. Ste

140

Manteca, CA 95337

(855)944-7546

NPI: 1700013265

License No: A114583

Cultural Competence

Training Completed: No

After Hours Phone Number:

(855)944-7546

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Self Reported Accessibility:

Basic(P,EB,IB,R,E,T)

Page 89: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 89 Volume 12, 2018

Specialist

Sp

ecia

lis

t

Manteca

Venkatesan, Aruna M.D.

45

Gender: Female

ID Number: 223562

165 Saint Dominics Dr. Ste

140

Manteca, CA 95337

(855)944-7546

NPI: 1235457649

License No: A113635

Cultural Competence

Training Completed: No

After Hours Phone Number:

(855)944-7546

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Self Reported Accessibility:

Basic(P,EB,IB,R,E,T)

Wong, David J. M.D.

45

Gender: Male

ID Number: 133908

165 Saint Dominics Dr. Ste

140

Manteca, CA 95337

(855)944-7546

NPI: 1316972201

License No: A084286

Cultural Competence

Training Completed: No

After Hours Phone Number:

(855)944-7546

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Self Reported Accessibility:

Basic(P,EB,IB,R,E,T)

Manteca

Gastroenterology

Tran, Tan D. M.D.

45

Gender: Male

ID Number: 110030

292 Cottage Ave.

Manteca, CA 95336

(209)239-4229

NPI: 1508807066

License No: A069009

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)239-4229

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

French, Spanish,

Vietnamese

General Surgery

Haghdoost, Mohammad

M.D.

45

Gender: Male

ID Number: 230090

1144 Norman Dr. Ste 203B

Manteca, CA 95336

(209)239-6008

NPI: 1710291570

License No: A111081

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)239-6008

Hours: Mon-Fri

9:00am-5:00pm

Accessibility:

Limited(EB,IB,R,E,T)

Manteca

Shih, Yong L. D.O.

45

Gender: Male

ID Number: 107674

1234 E. North St. Ste 105

Manteca, CA 95336

(209)239-8086

NPI: 1477530236

License No: 20A08865

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)239-8086

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Mandarin, Thai

Hematology

Purewal, Prabhjit S.

M.D.

145

Gender: Male

ID Number: 045783

165 Saint Dominics Dr. Ste

120

Manteca, CA 95337

(209)823-0000

NPI: 1902801012

License No: A048423

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)823-0000

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Hindi

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Accessibility:

Limited(EB,IB,E)

Manteca

Nephrology

Bajwa, Randeep S. M.D.

45

Gender: Male

ID Number: 154383

1140 Norman Dr. Ste 104

Manteca, CA 95336

(209)825-2047

NPI: 1083611594

License No: A104576

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)825-2047

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish, Tagalog

Physician Language(s):

Hindi

Self Reported Accessibility:

Basic(P,EB,IB,R,E)

Santos, Jose M. M.D.

45

Gender: Male

ID Number: 069954

1144 Norman Dr. Ste 203

Manteca, CA 95336

(209)529-2645

NPI: 1073577573

License No: A052954

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)529-2645

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish, Tagalog

Page 90: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

90 / www.healthnet.com Volume 12, 2018

Specialist

Manteca

Santos, Jose M. M.D.

45

Gender: Male

ID Number: 069954

1140 Norman Dr. Ste 104

Manteca, CA 95336

(209)529-2645

NPI: 1073577573

License No: A052954

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)529-2645

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish, Tagalog

Physician Language(s):

Spanish, Tagalog

Hospital(s): Doctors Hospital

of Manteca, Emanuel

Medical Center, Doctors

Medical Center of Modesto,

Memorial Medical Center -

Modesto

Self Reported Accessibility:

Basic(P,EB,IB,R,E)

Manteca

Neurology

Levy, Robert L. M.D.

45

Gender: Male

ID Number: 010011

1138 Norman Dr.

Manteca, CA 95336

(209)823-1609

NPI: 1568473965

License No: C039275

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)823-1609

Hours: Mon-Fri

8:00am-5:00pm

Physician Language(s):

Spanish

Manteca

Ophthalmology

Canzano, John C. M.D.

145

Gender: Male

ID Number: 075311

1630 W. Yosemite Ave. Ste

3

Manteca, CA 95337

(209)239-3880

NPI: 1134232648

License No: A055787

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)239-3880

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Mandarin, Spanish, Tagalog,

Vietnamese

Physician Language(s):

Mandarin

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Self Reported Accessibility:

Limited(P,R,E)

Manteca

Cockerham, Kimberly P.

M.D.

45

Gender: Female

ID Number: 107769

200 Cottage Ave. Ste 102

Manteca, CA 95336

(209)239-5303

NPI: 1366493629

License No: G086885

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)239-5303

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Mandarin, Spanish

Physician Language(s):

Spanish

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Page 91: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 91 Volume 12, 2018

Specialist

Sp

ecia

lis

t

Manteca

Cockerham, Kimberly P.

M.D.

45

Gender: Female

ID Number: 107769

1630 W. Yosemite Ave. Ste

3

Manteca, CA 95337

(209)239-3880

NPI: 1366493629

License No: G086885

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)239-3880

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Mandarin, Spanish, Tagalog,

Vietnamese

Physician Language(s):

Spanish

Self Reported Accessibility:

Limited(P,R,E)

Manteca

Edington, Philip A. M.D.

45

Gender: Male

ID Number: 025183

1144 Norman Dr. Ste 102

Manteca, CA 95336

(209)823-1152

NPI: 1508837279

License No: G058380

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)823-1152

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Spanish

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Accessibility:

Limited(P,EB,IB,E)

Foster, Robert S. M.D.

145

Gender: Male

ID Number: 005229

200 Cottage Ave. Ste 102

Manteca, CA 95336

(209)239-5303

NPI: 1194824847

License No: A023291

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)239-5303

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Mandarin, Spanish

Physician Language(s):

Spanish

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Manteca

Kim, Stevens Y. M.D.

45

Gender: Male

ID Number: 052892

200 Cottage Ave. Ste 102

Manteca, CA 95336

(209)239-5303

NPI: 1437258183

License No: G076813

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)239-5303

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Mandarin, Spanish

Physician Language(s):

Korean

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Manteca

Lin, Stephen A. M.D.

45

Gender: Male

ID Number: 053003

200 Cottage Ave. Ste 102

Manteca, CA 95336

(209)239-5303

NPI: 1073612735

License No: G074809

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)239-5303

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Mandarin, Spanish

Physician Language(s):

Mandarin

Hospital(s): Doctors Hospital

of Manteca, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Page 92: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

92 / www.healthnet.com Volume 12, 2018

Specialist

Manteca

Wee, Daniel M.D.

45

Gender: Male

ID Number: 200382

1144 Norman Dr. Ste 102

Manteca, CA 95336

(209)823-1152

NPI: 1740480441

License No: C139388

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)823-1152

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Spanish

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Accessibility:

Limited(P,EB,IB,E)

Manteca

Zeiter, John H. M.D.

45

Gender: Male

ID Number: 024783

1630 W. Yosemite Ave. Ste

3

Manteca, CA 95337

(209)239-3880

NPI: 1447330634

License No: A046664

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)239-3880

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Mandarin, Spanish, Tagalog,

Vietnamese

Physician Language(s):

Spanish

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Self Reported Accessibility:

Limited(P,R,E)

Manteca

Zeiter, Joseph E. M.D.

45

Gender: Male

ID Number: 189724

1630 E. Yosemite Ave. Ste 3

Manteca, CA 95336

(209)239-3880

NPI: 1588824494

License No: A118736

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)239-3880

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Spanish

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Orthopedic Surgery

McGillicuddy, Jeffrey O.

M.D.

45

Gender: Male

ID Number: 089276

1234 E North Street Ste 103

Manteca, CA 95336

(209)647-3101

NPI: 1871698993

License No: G084589

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)647-3101

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

French, Spanish

Manteca

McGillicuddy, Jeffrey O.

M.D.

45

Gender: Male

ID Number: 089276

1144 Norman Dr. Ste 203B

Manteca, CA 95336

(209)239-6008

NPI: 1871698993

License No: G084589

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)239-6008

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

French, Spanish

Accessibility:

Limited(EB,IB,R,E,T)

Pediatrics

Blanco-Bumatay, Betalina

R. M.D.

4

Gender: Female

ID Number: 025177

1260 E. North St.

Manteca, CA 95336

(209)239-2200

NPI: 1477510097

License No: A050060

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)239-2200

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish, Tagalog

Accessibility:

Limited(EB,IB,E)

Page 93: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 93 Volume 12, 2018

Specialist

Sp

ecia

lis

t

Manteca

Dela Pena, Princess P.

M.D.

4

Gender: Female

ID Number: 234770

1144 Norman Dr. Ste 203E

Manteca, CA 95336

(209)239-6008

NPI: 1659787877

License No: A149269

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)239-6008

Hours: Mon-Fri

9:00am-5:00pm

Accessibility:

Basic(P,EB,IB,R,E)

Nisperos, Carmelita C.

M.D.

4

Gender: Female

ID Number: 058748

330 Northgate Dr.

Manteca, CA 95336

(209)239-1996

NPI: 1760594089

License No: A051093

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)239-1996

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Ilocano, Spanish, Tagalog

Certification(s): CHDP

Self Reported Accessibility:

Basic(P,EB,IB,R,E,T)

Manteca

Physical Medicine Rehab

Elahi, Foad M.D.

45

Gender: Male

ID Number: 210495

1144 Norman Dr. Ste 104

Manteca, CA 95336

(209)824-4400

NPI: 1154657716

License No: A106279

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)824-4400

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Farsi

Accessibility:

Basic(P,EB,IB,R,E)

Zheng, Min M.D.

45

Gender: Female

ID Number: 108063

292 N. Cottage Ave.

Manteca, CA 95336

(209)830-6558

NPI: 1932168911

License No: A083350

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)830-6558

Hours: Mon-Fri

9:00am-5:00pm

Manteca

Podiatry

Lam, Gary K. DPM

45

Gender: Male

ID Number: 165318

200 Cottage Ave. Ste 103

Manteca, CA 95336

(209)624-5800

NPI: 1588996557

License No: E004748

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)624-5800

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Cantonese, Mandarin

Pulmonary Disease

Ahmed, Siraj K. M.D.

145

Gender: Male

ID Number: 234415

1262 E. North St.

Manteca, CA 95336

(209)665-7054

NPI: 1265513121

License No: C138466

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)550-4710

Hours: Mon-Fri

9:00am-5:00pm

Hospital(s): Doctors Hospital

of Manteca, Sutter Tracy

Community Hospital,

Memorial Medical Center -

Modesto

Self Reported Accessibility:

Basic(P,EB,IB,R,E,T)

Manteca

Radiation Oncology

Yip, Darwin M.D.

45

Gender: Male

ID Number: 204091

1138 Norman Dr.

Manteca, CA 95336

(209)823-1609

NPI: 1194160838

License No: A130901

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)823-1609

Hours: Mon-Fri

8:00am-5:00pm

Physician Language(s):

Cantonese, Mandarin, Thai

Hospital(s): Doctors Hospital

of Manteca

Radiology

Yuh, Theresa M. M.D.

146

Gender: Female

ID Number: 241756

1205 E. North St.

Manteca, CA 95336

(209)239-8371

NPI: 1265523930

License No: C154382

After Hours Phone Number:

(209)239-8371

Hours: Mon-Fri

9:00am-5:00pm

Page 94: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

94 / www.healthnet.com Volume 12, 2018

Specialist

Manteca

Rheumatology

Chahal, Anupam M.D.

45

Gender: Female

ID Number: 188769

1079 Eucalyptus St. Ste A

Manteca, CA 95337

(209)284-4561

NPI: 1972780146

License No: A121284

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)284-4561

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Hindi, Punjabi

Urology

Razi, Salman S. M.D.

145

Gender: Male

ID Number: 104054

1144 Norman Dr. Ste 204

Manteca, CA 95336

(209)824-1313

NPI: 1851368054

License No: A055879

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)824-1313

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s): Doctors Hospital

of Manteca, Sutter Tracy

Community Hospital

Manteca

PRIME COMMUNITY CARE

OF CENTRAL VALLEY,

INC. - SAN JOAQUIN

Allergy/Immunology

Yecies, Jerold J. M.D.

45

Gender: Male

ID Number: 018851

200 Cottage Ave. Ste 101

Manteca, CA 95336

(209)823-1092

NPI: 1780657643

License No: G024163

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)823-1092

Hours: Mon-Tue

8:00am-5:00pm Wed

8:00am-6:00pm Thu-Fri

8:00am-5:00pm

Manteca

Dermatology

David, Consuelo V. M.D.

45

Gender: Male

ID Number: 215659

165 Saint Dominics Dr. Ste

140

Manteca, CA 95337

(855)944-7546

NPI: 1689963340

License No: A122615

Cultural Competence

Training Completed: No

After Hours Phone Number:

(855)944-7546

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Self Reported Accessibility:

Basic(P,EB,IB,R,E,T)

Gordon, Justin S. M.D.

45

Gender: Male

ID Number: 205023

165 Saint Dominics Dr. Ste

140

Manteca, CA 95337

(855)944-7546

NPI: 1225353568

License No: A118547

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Self Reported Accessibility:

Basic(P,EB,IB,R,E,T)

Manteca

Lazzaro, Cynthia C. D.O.

145

Gender: Female

ID Number: 218517

165 Saint Dominics Dr. Ste

140

Manteca, CA 95337

(855)944-7546

NPI: 1033464110

License No: 20A12781

Cultural Competence

Training Completed: No

After Hours Phone Number:

(855)944-7546

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Mandarin

Self Reported Accessibility:

Basic(P,EB,IB,R,E,T)

Patel, Vishal A. M.D.

45

Gender: Male

ID Number: 224220

165 Saint Dominics Dr. Ste

140

Manteca, CA 95337

(855)944-7546

NPI: 1447410246

License No: A140980

Cultural Competence

Training Completed: No

After Hours Phone Number:

(855)944-7546

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Self Reported Accessibility:

Basic(P,EB,IB,R,E,T)

Page 95: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 95 Volume 12, 2018

Specialist

Sp

ecia

lis

t

Manteca

Rios, Eon J. M.D.

145

Gender: Male

ID Number: 232645

165 Saint Dominics Dr. Ste

140

Manteca, CA 95337

(855)944-7546

NPI: 1942526389

License No: A117533

Cultural Competence

Training Completed: No

After Hours Phone Number:

(855)944-7546

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Self Reported Accessibility:

Basic(P,EB,IB,R,E,T)

Venkatesan, Aruna M.D.

45

Gender: Female

ID Number: 223562

165 Saint Dominics Dr. Ste

140

Manteca, CA 95337

(855)944-7546

NPI: 1235457649

License No: A113635

Cultural Competence

Training Completed: No

After Hours Phone Number:

(855)944-7546

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Self Reported Accessibility:

Basic(P,EB,IB,R,E,T)

Manteca

Wong, Reynold C. M.D.

45

Gender: Male

ID Number: 207406

165 Saint Dominics Dr. Ste

140

Manteca, CA 95337

(855)944-7546

NPI: 1962581694

License No: G051891

Cultural Competence

Training Completed: No

After Hours Phone Number:

(855)944-7546

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Self Reported Accessibility:

Basic(P,EB,IB,R,E,T)

Ophthalmology

Dehaybi, Sarah L. M.D.

45

Gender: Female

ID Number: 230992

1144 Norman Dr. Ste 102

Manteca, CA 95336

(209)823-1152

NPI: 1821331034

License No: A147706

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)823-1152

Hours: Mon-Fri

8:00am-5:00pm

Accessibility:

Limited(P,EB,IB,E)

Manteca

Edington, Philip A. M.D.

45

Gender: Male

ID Number: 025183

1144 Norman Dr. Ste 102

Manteca, CA 95336

(209)823-1152

NPI: 1508837279

License No: G058380

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)823-1152

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Spanish

Hospital(s): Dameron

Hospital, Doctors Hospital of

Manteca, San Joaquin

General Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC, Doctors Medical

Center of Modesto

Accessibility:

Limited(P,EB,IB,E)

Manteca

Kim, Charles M.D.

45

Gender: Male

ID Number: 223153

1144 Norman Dr. Ste 102

Manteca, CA 95336

(209)823-1152

NPI: 1104242924

License No: A142099

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)823-1152

Hours: Mon-Fri

8:00am-5:00pm

Physician Language(s):

Mandarin, Spanish

Hospital(s): Doctors Hospital

of Manteca, San Joaquin

General Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC, Doctors Medical

Center of Modesto

Accessibility:

Limited(P,EB,IB,E)

Page 96: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

96 / www.healthnet.com Volume 12, 2018

Specialist

Manteca

Wee, Daniel M.D.

45

Gender: Male

ID Number: 200382

1144 Norman Dr. Ste 102

Manteca, CA 95336

(209)823-1152

NPI: 1740480441

License No: C139388

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)823-1152

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Spanish

Hospital(s): Doctors Hospital

of Manteca, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Accessibility:

Limited(P,EB,IB,E)

Manteca

Orthopedic Surgery

McGillicuddy, Jeffrey O.

M.D.

45

Gender: Male

ID Number: 089276

1234 E North Street Ste 103

Manteca, CA 95336

(209)647-3101

NPI: 1871698993

License No: G084589

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)647-3101

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

French, Spanish

Hospital(s): Doctors Hospital

of Manteca

McGillicuddy, Jeffrey O.

M.D.

45

Gender: Male

ID Number: 089276

1144 Norman Dr. Ste 203B

Manteca, CA 95336

(209)239-6008

NPI: 1871698993

License No: G084589

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)239-6008

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

French, Spanish

Accessibility:

Limited(EB,IB,R,E,T)

Manteca

Physical Therapy

Khosa, Panthjit P.T.

45

Gender: Male

ID Number: 241893

1519 W. Yosemite Ave.

Manteca, CA 95337

(209)823-3322

NPI: 1235639519

License No: PT94551

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)823-3322

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Kriskovich, Nicole C. P.T.

45

Gender: Female

ID Number: 234763

1519 W. Yosemite Ave.

Manteca, CA 95337

(209)823-3322

NPI: 1295250397

License No: PT93372

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)823-3322

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Manteca

Preston-Smith, Michelle

P.T.

45

Gender: Female

ID Number: 237447

1519 W. Yosemite Ave.

Manteca, CA 95337

(209)823-3322

NPI: 1821013897

License No: PT15272

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)823-3322

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Stavrianoudakis,

Alexander P.T.

45

Gender: Male

ID Number: 238365

1519 W. Yosemite Ave.

Manteca, CA 95337

(209)823-3322

NPI: 1245743970

License No: PT94078

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)823-3322

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Page 97: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 97 Volume 12, 2018

Specialist

Sp

ecia

lis

t

Manteca

Van Kalveren, Rebecca

P.T.

45

Gender: Female

ID Number: 238363

1519 W. Yosemite Ave.

Manteca, CA 95337

(209)823-3322

NPI: 1881107639

License No: PT94036

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)823-3322

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Thoracic Surgery

Amirhamzeh, Mehrdad M.

M.D.

145

Gender: Male

ID Number: 096756

1610 W. Yosemite Ave. Ste

3

Manteca, CA 95337

(209)665-4412

NPI: 1174523096

License No: G086572

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)665-4412

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Farsi, Spanish

Physician Language(s):

Farsi

Ripon

PRIME COMMUNITY CARE

OF CENTRAL VALLEY,

INC. - SAN JOAQUIN

Physical Therapy

Fernandes, Timothy J.

P.T.

45

Gender: Male

ID Number: 203128

1222 W. Colony Rd. Ste 130

Ripon, CA 95366

(209)624-1288

NPI: 1487848966

License No: PT33456

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)624-1288

Hours: Mon-Fri

8:00am-5:00pm

Kriskovich, Nicole C. P.T.

45

Gender: Female

ID Number: 234763

1222 W. Colony Rd. Ste 130

Ripon, CA 95366

(209)624-1288

NPI: 1295250397

License No: PT93372

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)624-1288

Hours: Mon-Fri

8:00am-5:00pm

Ripon

Preston-Smith, Michelle

P.T.

45

Gender: Female

ID Number: 237447

1222 W. Colony Rd. Ste 130

Ripon, CA 95366

(209)624-1288

NPI: 1821013897

License No: PT15272

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)624-1288

Hours: Mon-Fri

8:00am-5:00pm

Van Kalveren, Rebecca

P.T.

45

Gender: Female

ID Number: 238363

1222 W. Colony Rd. Ste 130

Ripon, CA 95366

(209)624-1288

NPI: 1881107639

License No: PT94036

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)624-1288

Hours: Mon-Fri

8:00am-5:00pm

Stockton

COMMUNITY MEDICAL

CENTERS - WATERLOO

Chiropractor

Watson, Denise L. D.C.

45

Gender: Female

ID Number: MC00000780

1031 Waterloo Rd.

Stockton, CA 95205

(209)940-5600

NPI: 1356444947

License No: DC28196

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)940-5600

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Accessibility:

Limited(P,IB,R,E)

Page 98: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

98 / www.healthnet.com Volume 12, 2018

Specialist

Stockton

Pediatrics

Chitta, Naga M.D.

4

Gender: Female

ID Number: MC00000780

1031 Waterloo Rd.

Stockton, CA 95205

(209)940-5600

NPI: 1548601255

License No: A140747

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)940-5600

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi, Telugu

Accessibility:

Limited(P,IB,R,E)

Stockton

Sneha, Fnu M.D.

4

Gender: Female

ID Number: MC00000780

1031 Waterloo Rd.

Stockton, CA 95205

(209)940-5600

NPI: 1346505286

License No: A137639

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)940-5600

Hours: Mon-Fri

8:00am-8:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi

Hospital(s): San Joaquin

General Hospital

Accessibility:

Limited(P,IB,R,E)

Stockton

Podiatry

Lam, Gary K. DPM

45

Gender: Male

ID Number: MC00000780

1031 Waterloo Rd.

Stockton, CA 95205

(209)940-5600

NPI: 1588996557

License No: E004748

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)940-5600

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Cantonese, Mandarin

Accessibility:

Limited(P,IB,R,E)

Stockton

COMMUNITY MEDICAL

CENTERS, CHANNEL

Chiropractor

Watson, Denise L. D.C.

45

Gender: Female

ID Number: MC00000508

701 E. Channel St.

Stockton, CA 95202

(209)944-4742

NPI: 1356444947

License No: DC28196

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)944-4742

Hours: Mon-Fri

8:00am-8:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Hindi, Malayalam, Spanish

Physician Language(s):

Hindi

Internal Medicine

Madugundi, Shalini M.D.

4

Gender: Female

ID Number: MC00000508

701 E. Channel St.

Stockton, CA 95202

(209)944-4700

NPI: 1154635506

License No: A125552

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)944-4700

Hours: Mon-Sat

8:00am-4:30pm

Office Staff Language(s):

Hindi, Malayalam, Spanish

Physician Language(s):

Hindi, Kannada, Telugu

Page 99: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 99 Volume 12, 2018

Specialist

Sp

ecia

lis

t

Stockton

Pediatrics

Castillo, Marina O. M.D.

4

Gender: Female

ID Number: MC00000508

701 E. Channel St.

Stockton, CA 95202

(209)944-4700

NPI: 1548406143

License No: A097137

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)944-4700

Hours: Mon-Fri

8:00am-8:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Hindi, Malayalam, Spanish

Physician Language(s):

Spanish

Extender(s): Nguyen, Khanh

Q. (NP), Graham, David C.

(NP), Sidibe, Issa (FNP)

Chitta, Naga M.D.

4

Gender: Female

ID Number: MC00000508

701 E. Channel St.

Stockton, CA 95202

(209)944-4700

NPI: 1548601255

License No: A140747

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)944-4700

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Hindi, Malayalam, Spanish

Physician Language(s):

Hindi, Telugu

Stockton

Lopes-De-Menezes,

Davina E. M.D.

45

Gender: Female

ID Number: MC00000508

701 E. Channel St.

Stockton, CA 95202

(209)944-4700

NPI: 1013200278

License No: A130581

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)944-4700

Hours: Mon-Fri

8:00am-8:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Hindi, Malayalam, Spanish

Physician Language(s):

Hindi, Portuguese

Singh, Shailinder J. M.D.

4

Gender: Male

ID Number: MC00000508

701 E. Channel St.

Stockton, CA 95202

(209)944-4742

NPI: 1134406135

License No: A123368

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)944-4742

Hours: Mon-Fri

7:30am-8:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Hindi, Malayalam, Spanish

Physician Language(s):

Hindi, Punjabi

Stockton

Podiatry

Lam, Gary K. DPM

45

Gender: Male

ID Number: MC00000508

701 E. Channel St.

Stockton, CA 95202

(209)944-4700

NPI: 1588996557

License No: E004748

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)944-4700

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Hindi, Malayalam, Spanish

Physician Language(s):

Cantonese, Mandarin

COMMUNITY MEDICAL

CENTERS, E.

MARCHLANE

Chiropractor

Watson, Denise L. D.C.

45

Gender: Female

ID Number: MC00001467

1801 E. March Ln. Ste D470

Stockton, CA 95210

(209)507-7000

NPI: 1356444947

License No: DC28196

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)507-7000

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Stockton

Podiatry

Lam, Gary K. DPM

45

Gender: Male

ID Number: MC00001467

1801 E. March Ln. Ste D470

Stockton, CA 95210

(209)507-7000

NPI: 1588996557

License No: E004748

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)507-7000

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Cantonese, Mandarin

COMMUNITY MEDICAL

CENTERS, HAMMER LANE

Chiropractor

Watson, Denise L. D.C.

35

Gender: Female

ID Number: MC49000141

1721 E. Hammer Ln. Ste A

Stockton, CA 95210

(209)944-4700

NPI: 1356444947

License No: DC28196

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)944-4700

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Page 100: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

100 / www.healthnet.com Volume 12, 2018

Specialist

Stockton

Pediatrics

Huskey, Jessica E. D.O.

4

Gender: Female

ID Number: MC49000141

1721 E. Hammer Ln. Ste A

Stockton, CA 95210

(209)944-4700

NPI: 1518248442

License No: 20A14197

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)944-4700

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s): San Joaquin

General Hospital

Podiatry

Lam, Gary K. DPM

35

Gender: Male

ID Number: MC49000141

1721 E. Hammer Ln. Ste A

Stockton, CA 95210

(209)944-4700

NPI: 1588996557

License No: E004748

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)944-4700

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Cantonese, Mandarin

Stockton

COMMUNITY MEDICAL

CENTERS, MARIPOSA

ROAD

Chiropractor

Watson, Denise L. D.C.

45

Gender: Female

ID Number: MC00000619

2015 E. Mariposa Rd.

Stockton, CA 95205

(209)751-1919

NPI: 1356444947

License No: DC28196

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)751-1919

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Accessibility:

Basic(P,EB,IB,R,E)

Stockton

Pediatrics

Huskey, Jessica E. D.O.

4

Gender: Female

ID Number: MC00000619

2015 E. Mariposa Rd.

Stockton, CA 95205

(209)751-1919

NPI: 1518248442

License No: 20A14197

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)751-1919

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Accessibility:

Basic(P,EB,IB,R,E)

Stockton

Sneha, Fnu M.D.

4

Gender: Female

ID Number: MC00000619

2015 E. Mariposa Rd.

Stockton, CA 95205

(209)751-1919

NPI: 1346505286

License No: A137639

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)751-1919

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi

Hospital(s): San Joaquin

General Hospital

Accessibility:

Basic(P,EB,IB,R,E)

Page 101: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 101 Volume 12, 2018

Specialist

Sp

ecia

lis

t

Stockton

Podiatry

Lam, Gary K. DPM

45

Gender: Male

ID Number: MC00000619

2015 E. Mariposa Rd.

Stockton, CA 95205

(209)751-1919

NPI: 1588996557

License No: E004748

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)751-1919

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Cantonese, Mandarin

Accessibility:

Basic(P,EB,IB,R,E)

Stockton

COMMUNITY MEDICAL

CENTERS, WATERLOO

Pediatrics

Huskey, Jessica E. D.O.

4

Gender: Female

ID Number: MC00000780

1031 Waterloo Rd.

Stockton, CA 95205

(209)945-5600

NPI: 1518248442

License No: 20A14197

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)945-5600

Hours: Mon-Thu

7:30am-8:00pm Fri

7:30am-6:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Accessibility:

Limited(P,IB,R,E)

Stockton

Sneha, Fnu M.D.

4

Gender: Female

ID Number: MC00000780

1031 Waterloo Rd.

Stockton, CA 95205

(209)940-5600

NPI: 1346505286

License No: A137639

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)940-5600

Hours: Mon-Fri

8:00am-8:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi

Hospital(s): San Joaquin

General Hospital

Accessibility:

Limited(P,IB,R,E)

Stockton

COMMUNITY MEDICAL

CENTERS,E. MARCH

LANE

Pediatrics

Chitta, Naga M.D.

4

Gender: Female

ID Number: MC00001467

1801 E. March Ln. Ste D470

Stockton, CA 95210

(209)507-7027

NPI: 1548601255

License No: A140747

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)507-7027

Hours: Mon-Tue

9:00am-6:00pm Wed

9:00am-8:00pm Thu-Fri

9:00am-6:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi, Telugu

Page 102: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

102 / www.healthnet.com Volume 12, 2018

Specialist

Stockton

DIRECT NETWORK: SAN

JOAQUIN

Allergy/Immunology

Balduzzi, Michael C. M.D.

45

Gender: Male

ID Number: 215140

4628 Georgetown Pl.

Stockton, CA 95207

(209)951-5353

NPI: 1346565934

License No: A135460

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)951-5353

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Cambodian,Khmer, Hmong,

Spanish

Physician Language(s):

Cambodian,Khmer

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Stockton

Bensch, George W. M.D.

45

Gender: Male

ID Number: 501162

4628 Georgetown Pl.

Stockton, CA 95207

(209)951-5353

NPI: 1508839457

License No: C034965

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)951-5353

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Cambodian,Khmer, Hmong,

Spanish

Physician Language(s):

Cambodian,Khmer

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Stockton

Bensch, Gregory W. M.D.

45

Gender: Male

ID Number: 077250

4628 Georgetown Pl.

Stockton, CA 95207

(209)951-5353

NPI: 1710950589

License No: A061795

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)951-5353

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Cambodian,Khmer, Hmong,

Spanish

Physician Language(s):

Cambodian,Khmer

Hospital(s): Dameron

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Yecies, Jerold J. M.D.

45

Gender: Male

ID Number: 018851

4628 Georgetown Pl.

Stockton, CA 95207

(209)951-5353

NPI: 1780657643

License No: G024163

Cultural Competence

Training Completed: No

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Cambodian,Khmer, Hmong,

Spanish

Physician Language(s):

Cambodian,Khmer

Stockton

Anesthesiology

Borges, Michael F. M.D.

46

Gender: Male

ID Number: 040846

1801 E. March Ln. Ste 360

Stockton, CA 95210

(209)956-7725

NPI: 1467452235

License No: G072319

Hours: Mon-Fri

8:00am-5:00pm

Hospital(s): Mercy Hospital

Bakersfield

Cardiology/Cardiovascular

Disease

Bains, Suchdeep S. M.D.

45

Gender: Male

ID Number: 102419

1801 E. March Ln. Ste D400

Stockton, CA 95210

(209)464-3615

NPI: 1639269087

License No: A067856

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)464-3615

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Hindi, Punjabi, Spanish,

Urdu

Physician Language(s):

Hindi, Punjabi

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Accessibility:

Basic(P,EB,IB,R,E)

Page 103: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 103 Volume 12, 2018

Specialist

Sp

ecia

lis

t

Stockton

Basra, Manreet M.D.

45

Gender: Female

ID Number: 217598

1801 E. March Ln. Ste D400

Stockton, CA 95210

(209)464-3615

NPI: 1114157484

License No: C137215

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)464-3615

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Hindi, Punjabi, Spanish,

Urdu

Physician Language(s):

Hindi, Punjabi

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Accessibility:

Basic(P,EB,IB,R,E)

Stockton

Buhari, Cyrus F. D.O.

45

Gender: Male

ID Number: 161918

2800 N. California St. Ste 1

Stockton, CA 95204

(209)942-1161

Email:[email protected]

NPI: 1679581268

License No: 20A09123

Cultural Competence

Training Completed: No

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Punjabi, Spanish, Tagalog

Physician Language(s):

Farsi, Spanish

Hospital(s): Dameron

Hospital, Sutter Tracy

Community Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Stockton

Buhari, Cyrus F. D.O.

45

Gender: Male

ID Number: 161918

2333 N. California St.

Stockton, CA 95204

(209)464-7681

Email:[email protected]

NPI: 1679581268

License No: 20A09123

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)464-7681

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Punjabi, Spanish, Tagalog

Physician Language(s):

Farsi, Spanish

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, Sutter Tracy

Community Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Accessibility:

Basic(P,EB,IB,R,E)

Stockton

Buhari, Fram M.D.

45

Gender: Male

ID Number: 502108

2800 N. California St. Ste 1

Stockton, CA 95204

(209)942-1161

Email:[email protected]

NPI: 1811906894

License No: A029927

Cultural Competence

Training Completed: No

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Punjabi, Spanish, Tagalog

Physician Language(s):

Punjabi

Hospital(s): Dameron

Hospital, Sutter Tracy

Community Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Page 104: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

104 / www.healthnet.com Volume 12, 2018

Specialist

Stockton

Buhari, Fram M.D.

45

Gender: Male

ID Number: 502108

2333 N. California St.

Stockton, CA 95204

(209)464-7681

Email:[email protected]

NPI: 1811906894

License No: A029927

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)464-7681

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Punjabi, Spanish, Tagalog

Physician Language(s):

Punjabi

Hospital(s): Dameron

Hospital, Sutter Tracy

Community Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Accessibility:

Basic(P,EB,IB,R,E)

Stockton

Cacho, Alvin C. M.D.

45

Gender: Male

ID Number: 502251

2333 N. California St.

Stockton, CA 95204

(209)464-7681

NPI: 1205918497

License No: A032152

Cultural Competence

Training Completed: No

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Punjabi, Spanish, Tagalog

Physician Language(s):

Spanish, Tagalog

Hospital(s): Dameron

Hospital, Sutter Tracy

Community Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Accessibility:

Basic(P,EB,IB,R,E)

Stockton

Cacho, Alvin C. M.D.

45

Gender: Male

ID Number: 502251

2800 N. California St. Ste 1

Stockton, CA 95204

(209)942-1161

NPI: 1205918497

License No: A032152

Cultural Competence

Training Completed: No

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Punjabi, Spanish, Tagalog

Physician Language(s):

Spanish, Tagalog

Hospital(s): Dameron

Hospital, Sutter Tracy

Community Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Stockton

Chien, Walter W. M.D.

45

Gender: Male

ID Number: 520356

2800 N. California St. Ste 8

Stockton, CA 95204

(209)938-0232

NPI: 1386615631

License No: G056242

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)938-0232

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Mandarin, Tagalog

Hospital(s): Dameron

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC,

Doctors Medical Center of

Modesto

Self Reported Accessibility:

Basic(P,EB,IB,R,E,T)

Page 105: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 105 Volume 12, 2018

Specialist

Sp

ecia

lis

t

Stockton

Emani, Venkata R. M.D.

45

Gender: Male

ID Number: 100790

2308 N. California St.

Stockton, CA 95204

(209)547-1079

NPI: 1184706343

License No: A080313

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)547-1079

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Punjabi

Physician Language(s):

Hindi, Spanish, Telugu

Hospital(s): Dameron

Hospital, Doctors Hospital of

Manteca, Sutter Tracy

Community Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Stockton

Grewal, Gurinder S. M.D.

45

Gender: Male

ID Number: 025568

2333 N. California St.

Stockton, CA 95204

(209)464-7681

Email:[email protected]

NPI: 1942389580

License No: A037609

Cultural Competence

Training Completed: No

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Punjabi, Spanish, Tagalog

Physician Language(s):

Punjabi, Spanish

Hospital(s): Dameron

Hospital, Sutter Tracy

Community Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Accessibility:

Basic(P,EB,IB,R,E)

Stockton

Grewal, Gurinder S. M.D.

45

Gender: Male

ID Number: 025568

2800 N. California St. Ste 1

Stockton, CA 95204

(209)942-1161

Email:[email protected]

NPI: 1942389580

License No: A037609

Cultural Competence

Training Completed: No

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Punjabi, Spanish, Tagalog

Physician Language(s):

Punjabi, Spanish

Hospital(s): Dameron

Hospital, Sutter Tracy

Community Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Karabala, M T. M.D.

45

Gender: Male

ID Number: 008530

940 N. Center St. Ste A

Stockton, CA 95202

(209)466-4222

NPI: 1609826288

License No: A035322

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)466-4222

Hours: Mon-Fri

9:00am-5:00pm

Hospital(s): Dameron

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Stockton

Manshadi, Ramin M.D.

45

Gender: Male

ID Number: 080060

2633 Pacific Ave.

Stockton, CA 95204

(209)944-5530

NPI: 1629171202

License No: A054739

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Farsi, Marathi, Spanish

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Page 106: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

106 / www.healthnet.com Volume 12, 2018

Specialist

Stockton

Primack, Daren S. M.D.

45

Gender: Male

ID Number: 068427

1801 E. March Ln. Ste D400

Stockton, CA 95210

(209)464-3615

NPI: 1215905260

License No: G068135

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)464-3615

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Hindi, Punjabi, Spanish,

Urdu

Physician Language(s):

Hindi, Spanish

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Accessibility:

Basic(P,EB,IB,R,E)

Stockton

Stenzler, Lee M. M.D.

45

Gender: Male

ID Number: 016488

1801 E. March Ln. Ste D400

Stockton, CA 95210

(209)464-3615

NPI: 1124096177

License No: G053585

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)464-3615

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Hindi, Punjabi, Spanish,

Urdu

Physician Language(s):

Spanish

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Accessibility:

Basic(P,EB,IB,R,E)

Stockton

General Surgery

Bechtel, Timothy M.D.

45

Gender: Male

ID Number: 132355

2800 N. California St. Ste 6

Stockton, CA 95204

(209)851-2144

NPI: 1902860950

License No: A094734

Cultural Competence

Training Completed: No

Hours: Mon-Thu

8:00am-4:00pm Fri

8:00am-12:00pm

Hospital(s): San Joaquin

General Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Stockton

Internal Medicine

De, Indra M.D.

4

Gender: Female

ID Number: 144434

2333 W. March Ln. Ste A-1

Stockton, CA 95207

(209)462-9100

NPI: 1154372951

License No: C052396

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)462-9100

Hours: Mon-Tue

8:00am-5:00pm Wed

8:00am-1:00pm Thu

8:00am-5:00pm Fri

8:00am-3:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s): Foothill

Presbyterian Hospital -

Morris L. Johnston

Memorial, Inter-Community,

Citrus Valley

Page 107: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 107 Volume 12, 2018

Specialist

Sp

ecia

lis

t

Stockton

Nephrology

Bajwa, Randeep S. M.D.

45

Gender: Male

ID Number: 154383

2350 N. California St.

Stockton, CA 95204

(209)943-0851

NPI: 1083611594

License No: A104576

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)943-0851

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Hindi, Punjabi, Spanish,

Urdu

Physician Language(s):

Hindi

Hospital(s): Dameron

Hospital, Doctors Hospital of

Manteca, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Stockton

Maddula, Mallareddy

M.D.

45

Gender: Male

ID Number: 156885

1801 E. March Ln. Ste B265

Stockton, CA 95210

(209)546-1868

NPI: 1487762647

License No: A108120

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)546-1868

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi, Spanish, Telugu

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, San Joaquin

General Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Self Reported Accessibility:

Basic(P,EB,IB,R,E)

Stockton

Nasika, Subrahmanyam

M.D.

45

Gender: Male

ID Number: 171488

1801 E. March Ln. Ste B265

Stockton, CA 95210

(209)546-1868

NPI: 1548449846

License No: A108186

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)546-1868

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi, Telugu

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, San Joaquin

General Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Self Reported Accessibility:

Basic(P,EB,IB,R,E)

Stockton

Quang, Lan N. M.D.

45

Gender: Female

ID Number: 190287

1525 N. El Dorado St. Ste 1

Stockton, CA 95204

(209)465-5107

NPI: 1437354347

License No: A111373

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)465-5107

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Mandarin, Vietnamese

Hospital(s): Dameron

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Self Reported Accessibility:

Basic(P,EB,IB,R,E,T)

Page 108: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

108 / www.healthnet.com Volume 12, 2018

Specialist

Stockton

Rachakonda, Ajay K.

M.D.

145

Gender: Male

ID Number: 209841

1801 E. March Ln. Ste B265

Stockton, CA 95210

(209)546-1868

NPI: 1467605014

License No: C127675

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)546-1868

Hours: Mon-Fri

8:00am-12:00pm

1:00pm-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi, Telugu

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, San Joaquin

General Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Self Reported Accessibility:

Basic(P,EB,IB,R,E)

Stockton

Raval, Mehul M.D.

45

Gender: Male

ID Number: 239467

1801 E. March Ln. Ste B265

Stockton, CA 95210

(209)546-1868

NPI: 1710157474

License No: A105804

Hours: Mon-Fri

8:00am-12:00pm

1:00pm-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi, Telugu

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, San Joaquin

General Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Self Reported Accessibility:

Basic(P,EB,IB,R,E)

Stockton

Sagireddy, Purushottama

B. M.D.

45

Gender: Male

ID Number: 084285

1801 E. March Ln. Ste B265

Stockton, CA 95210

(209)546-1868

NPI: 1407844889

License No: A073135

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)546-1868

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Punjabi

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, San Joaquin

General Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Self Reported Accessibility:

Basic(P,EB,IB,R,E)

Stockton

Singh, Jagjit M.D.

45

Gender: Male

ID Number: 035374

2350 N. California St.

Stockton, CA 95204

(209)943-0851

NPI: 1801884929

License No: A045075

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)943-0851

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Hindi, Punjabi, Spanish,

Urdu

Physician Language(s):

Hindi, Punjabi

Hospital(s): Dameron

Hospital, Sutter Tracy

Community Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Page 109: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 109 Volume 12, 2018

Specialist

Sp

ecia

lis

t

Stockton

Soung, Jerry J. M.D.

45

Gender: Male

ID Number: 109217

1525 N. El Dorado St. Ste 1

Stockton, CA 95204

(209)465-5107

NPI: 1154318764

License No: A073550

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)465-5107

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Cantonese, Mandarin,

Spanish

Hospital(s): Dameron

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Self Reported Accessibility:

Basic(P,EB,IB,R,E,T)

Stockton

Soung, Lian-Sen M.D.

45

Gender: Male

ID Number: 016269

1525 N. El Dorado St. Ste 1

Stockton, CA 95204

(209)465-5107

NPI: 1174510747

License No: A033597

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)465-5107

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Cantonese, Mandarin

Hospital(s): Dameron

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Self Reported Accessibility:

Basic(P,EB,IB,R,E,T)

Oncology

Bangalore, Neelesh S.

M.D.

45

Gender: Male

ID Number: 079652

2626 N. California St. Ste B

Stockton, CA 95204

(209)466-2626

NPI: 1154326262

License No: A070883

Cultural Competence

Training Completed: No

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Hindi, Tamil

Stockton

Dighe, Prasad R. M.D.

45

Gender: Male

ID Number: 504024

2626 N. California St. Ste B

Stockton, CA 95204

(209)466-2626

NPI: 1356377071

License No: A036810

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)466-2626

Hours: Mon-Fri

9:00am-5:00pm

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Kiraly, John F. M.D.

45

Gender: Male

ID Number: 057995

2626 N. California St. Ste B

Stockton, CA 95204

(209)466-2626

NPI: 1649238163

License No: A024190

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)466-2626

Hours: Mon-Fri

9:00am-5:00pm

Hospital(s): Lodi Memorial

Hospital

Stockton

Mehdi, Aminder S. M.D.

45

Gender: Male

ID Number: 011274

2626 N. California St. Ste B

Stockton, CA 95204

(209)466-2626

NPI: 1780612507

License No: A043019

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)466-2626

Hours: Mon-Fri

9:00am-5:00pm

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Puthillath, Ajithkumar A.

M.D.

45

Gender: Male

ID Number: 158497

2626 N. California St. Ste B

Stockton, CA 95204

(209)466-2626

NPI: 1225275233

License No: A107213

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)466-2626

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Spanish

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Page 110: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

110 / www.healthnet.com Volume 12, 2018

Specialist

Stockton

Ophthalmology

Choi, Daniel Y. M.D.

145

Gender: Male

ID Number: 210454

36 W. Yokuts Ave. Ste 1

Stockton, CA 95207

(209)952-3700

NPI: 1801164827

License No: A122048

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Korean

Physician Language(s):

Korean

Hospital(s): Doctors Hospital

of Manteca, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Cockerham, Kimberly P.

M.D.

45

Gender: Female

ID Number: 107769

36 W. Yokuts Ave. Ste 1

Stockton, CA 95207

(209)952-3700

NPI: 1366493629

License No: G086885

Cultural Competence

Training Completed: No

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Korean

Physician Language(s):

Spanish

Hospital(s): Dameron

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Stockton

Kim, Stevens Y. M.D.

45

Gender: Male

ID Number: 052892

36 W. Yokuts Ave. Ste 1

Stockton, CA 95207

(209)952-3700

NPI: 1437258183

License No: G076813

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)952-3700

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Korean

Physician Language(s):

Korean

Hospital(s): Dameron

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Stockton

Lin, Stephen A. M.D.

45

Gender: Male

ID Number: 053003

36 W. Yokuts Ave. Ste 1

Stockton, CA 95207

(209)952-3700

NPI: 1073612735

License No: G074809

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)952-3700

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Korean

Physician Language(s):

Korean

Hospital(s): Doctors Hospital

of Manteca, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Tittler, Ethan H. M.D.

145

Gender: Male

ID Number: 211999

36 W. Yokuts Ave. Ste 1

Stockton, CA 95207

(209)952-3700

NPI: 1649562406

License No: A136715

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Korean

Physician Language(s):

Korean

Hospital(s): Doctors Hospital

of Manteca, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC,

Memorial Medical Center -

Modesto

Stockton

Otolaryngology

Dong, Ronald G. M.D.

4

Gender: Male

ID Number: 108411

10200 Trinity Pkwy. Ste 201

Stockton, CA 95219

(209)952-0483

NPI: 1194764472

License No: G087118

Hours: Mon-Fri

8:00am-5:00pm

Physician Language(s):

Spanish

Hospital(s): Lodi Memorial

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Self Reported Accessibility:

Basic(P,EB,IB,R,E)

Pediatric Endocrinology

Nadgir, Ulhas M. M.D.

45

Gender: Male

ID Number: 091681

89 W. March Ln.

Stockton, CA 95207

(916)426-1902

NPI: 1629079215

License No: C051263

Cultural Competence

Training Completed: No

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Tamil

Hospital(s): Sutter Medical

Center, Sacramento

Page 111: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 111 Volume 12, 2018

Specialist

Sp

ecia

lis

t

Stockton

Podiatry

Aur, Radin Y. DPM

45

Gender: Female

ID Number: 232058

1810 Grand Canal Blvd. Ste

2

Stockton, CA 95207

(209)952-1612

NPI: 1235562687

License No: E005265

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Kashmiri, Spanish

Physician Language(s):

Kashmiri

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Garfolo, Craig S. DPM

45

Gender: Male

ID Number: 005600

1350 W. Robinhood Dr. Ste

14

Stockton, CA 95207

(209)473-1011

NPI: 1629028923

License No: E003309

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)473-1011

Hours: Mon-Fri

9:00am-5:00pm

Hospital(s): Dameron

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Stockton

Johnson, Lynn R. DPM

45

Gender: Male

ID Number: 008198

1205 N. Hunter St.

Stockton, CA 95202

(209)464-7367

NPI: 1619949187

License No: E001406

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)464-7367

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Spanish

Hospital(s): Dameron

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Thoracic Surgery

Overton, John B. M.D.

45

Gender: Male

ID Number: 012786

420 W. Acacia St. Ste 17

Stockton, CA 95203

(209)851-3883

NPI: 1144261173

License No: C038023

Hours: Mon-Fri

9:00am-4:30pm

Hospital(s): Dameron

Hospital

Stockton

HILL PHYSICIANS

MEDICAL GROUP - SAN

JOAQUIN

Allergy/Immunology

Balduzzi, Michael C. M.D.

45

Gender: Male

ID Number: 215140

4628 Georgetown Pl.

Stockton, CA 95207

(209)951-5353

NPI: 1346565934

License No: A135460

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)951-5353

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Cambodian,Khmer, Hmong,

Spanish

Physician Language(s):

Cambodian,Khmer

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Stockton

Bensch, George W. M.D.

45

Gender: Male

ID Number: 501162

4628 Georgetown Pl.

Stockton, CA 95207

(209)951-5353

NPI: 1508839457

License No: C034965

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)951-5353

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Cambodian,Khmer, Hmong,

Spanish

Physician Language(s):

Cambodian,Khmer

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Page 112: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

112 / www.healthnet.com Volume 12, 2018

Specialist

Stockton

Bensch, Gregory W. M.D.

45

Gender: Male

ID Number: 077250

4628 Georgetown Pl.

Stockton, CA 95207

(209)951-5353

NPI: 1710950589

License No: A061795

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)951-5353

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Cambodian,Khmer, Hmong,

Spanish

Physician Language(s):

Cambodian,Khmer

Hospital(s): Dameron

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Yecies, Jerold J. M.D.

45

Gender: Male

ID Number: 018851

4628 Georgetown Pl.

Stockton, CA 95207

(209)951-5353

NPI: 1780657643

License No: G024163

Cultural Competence

Training Completed: No

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Cambodian,Khmer, Hmong,

Spanish

Physician Language(s):

Cambodian,Khmer

Stockton

Cardiology/Cardiovascular

Disease

Bains, Suchdeep S. M.D.

45

Gender: Male

ID Number: 102419

1801 E. March Ln. Ste D400

Stockton, CA 95210

(209)464-3615

NPI: 1639269087

License No: A067856

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)464-3615

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Hindi, Punjabi, Spanish,

Urdu

Physician Language(s):

Hindi, Punjabi

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Accessibility:

Basic(P,EB,IB,R,E)

Stockton

Basra, Manreet M.D.

45

Gender: Female

ID Number: 217598

1801 E. March Ln. Ste D400

Stockton, CA 95210

(209)464-3615

NPI: 1114157484

License No: C137215

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)464-3615

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Hindi, Punjabi, Spanish,

Urdu

Physician Language(s):

Hindi, Punjabi

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Accessibility:

Basic(P,EB,IB,R,E)

Stockton

Buhari, Cyrus F. D.O.

45

Gender: Male

ID Number: 161918

2800 N. California St. Ste 14

Stockton, CA 95204

(209)464-7681

NPI: 1679581268

License No: 20A09123

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)464-7681

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Arabic, Hindi, Spanish,

Telugu, Urdu

Physician Language(s):

Farsi, Spanish

Page 113: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 113 Volume 12, 2018

Specialist

Sp

ecia

lis

t

Stockton

Buhari, Cyrus F. D.O.

45

Gender: Male

ID Number: 161918

2333 N. California St.

Stockton, CA 95204

(209)464-7681

NPI: 1679581268

License No: 20A09123

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)464-7681

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Punjabi, Spanish, Tagalog

Physician Language(s):

Farsi, Spanish

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, Sutter Tracy

Community Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Accessibility:

Basic(P,EB,IB,R,E)

Stockton

Charos, George S. M.D.

45

Gender: Male

ID Number: 058324

415 E. Harding Way Ste D

Stockton, CA 95204

(209)944-5750

NPI: 1417904145

License No: G041173

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)944-5750

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Stockton

Chien, Walter W. M.D.

45

Gender: Male

ID Number: 520356

2800 N. California St. Ste 8

Stockton, CA 95204

(209)938-0232

NPI: 1386615631

License No: G056242

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)938-0232

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Mandarin, Tagalog

Hospital(s): Dameron

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC,

Doctors Medical Center of

Modesto

Self Reported Accessibility:

Basic(P,EB,IB,R,E,T)

Stockton

Chothia, Abbas A. M.D.

145

Gender: Male

ID Number: 502857

415 E. Harding Way Ste D

Stockton, CA 95204

(209)944-5750

NPI: 1467490441

License No: A029788

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)944-5750

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s): Dameron

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Page 114: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

114 / www.healthnet.com Volume 12, 2018

Specialist

Stockton

Lim, David C. M.D.

145

Gender: Male

ID Number: 048001

415 E. Harding Way Ste D

Stockton, CA 95204

(209)944-5750

NPI: 1023050937

License No: G063561

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)944-5750

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s): Dameron

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Stockton

Primack, Daren S. M.D.

45

Gender: Male

ID Number: 068427

1801 E. March Ln. Ste D400

Stockton, CA 95210

(209)464-3615

NPI: 1215905260

License No: G068135

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)464-3615

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Hindi, Punjabi, Spanish,

Urdu

Physician Language(s):

Hindi, Spanish

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Accessibility:

Basic(P,EB,IB,R,E)

Stockton

Raina, Surrender M.D.

45

Gender: Male

ID Number: 013731

415 E. Harding Way Ste D

Stockton, CA 95204

(209)944-5750

NPI: 1184662165

License No: A031110

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)944-5750

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s): Dameron

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Stockton

Stenzler, Lee M. M.D.

45

Gender: Male

ID Number: 016488

1801 E. March Ln. Ste D400

Stockton, CA 95210

(209)464-3615

NPI: 1124096177

License No: G053585

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)464-3615

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Hindi, Punjabi, Spanish,

Urdu

Physician Language(s):

Spanish

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Accessibility:

Basic(P,EB,IB,R,E)

Page 115: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 115 Volume 12, 2018

Specialist

Sp

ecia

lis

t

Stockton

Toppur Ramanakumar,

Ajay K. M.D.

145

Gender: Male

ID Number: 196207

415 E. Harding Way Ste D

Stockton, CA 95204

(209)944-5750

NPI: 1659539153

License No: A124907

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)944-5750

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi, Tamil

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Stockton

Waters II, Richard E.

M.D.

145

Gender: Male

ID Number: 126719

415 E. Harding Way Ste D

Stockton, CA 95204

(209)944-5750

NPI: 1154369130

License No: A090380

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)944-5750

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Stockton

Chiropractor

Watson, Denise L. D.C.

45

Gender: Female

ID Number: 134833

1031 Waterloo Rd.

Stockton, CA 95205

(209)940-5600

NPI: 1356444947

License No: DC28196

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)940-5600

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Accessibility:

Limited(P,IB,R,E)

Watson, Denise L. D.C.

45

Gender: Female

ID Number: 134833

701 E. Channel St.

Stockton, CA 95202

(209)944-4742

NPI: 1356444947

License No: DC28196

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)944-4742

Hours: Mon-Fri

8:00am-8:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Hindi, Malayalam, Spanish

Physician Language(s):

Hindi

Stockton

Watson, Denise L. D.C.

45

Gender: Female

ID Number: 134833

423 S. San Joaquin St.

Stockton, CA 95203

(209)954-7700

NPI: 1356444947

License No: DC28196

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)954-7700

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Watson, Denise L. D.C.

45

Gender: Female

ID Number: 134833

1721 E. Hammer Ln. Ste A

Stockton, CA 95210

(209)944-4700

NPI: 1356444947

License No: DC28196

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)944-4700

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Page 116: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

116 / www.healthnet.com Volume 12, 2018

Specialist

Stockton

Watson, Denise L. D.C.

45

Gender: Female

ID Number: 134833

2003 E. Mariposa Rd.

Stockton, CA 95205

(209)751-1900

NPI: 1356444947

License No: DC28196

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)751-1900

Hours: Mon-Fri

8:00am-5:30pm

Watson, Denise L. D.C.

45

Gender: Female

ID Number: 134833

2015 E. Mariposa Rd.

Stockton, CA 95205

(209)751-1919

NPI: 1356444947

License No: DC28196

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)751-1919

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Accessibility:

Basic(P,EB,IB,R,E)

Stockton

Watson, Denise L. D.C.

45

Gender: Female

ID Number: 134833

1801 E. March Ln. Ste D470

Stockton, CA 95210

(209)507-7000

NPI: 1356444947

License No: DC28196

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)507-7000

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Dermatology

Cotliar, Ronald W. M.D.

45

Gender: Male

ID Number: 503301

4632 Georgetown Pl. Ste A

Stockton, CA 95207

(209)320-1958

NPI: 1932192572

License No: G025069

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)320-1958

Hours: Mon-Fri

8:00am-5:00pm

Stockton

Emergency Medicine

Ali, Michael A. M.D.

45

Gender: Male

ID Number: 135301

10200 Trinity Pkwy. Ste 202

Stockton, CA 95219

(209)955-1229

NPI: 1457317547

License No: A095471

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)955-1229

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Arabic

Endocrinology

Faidi, Anan A. M.D.

125

Gender: Male

ID Number: 530547

930 N. Center St.

Stockton, CA 95202

(209)948-3000

NPI: 1609840479

License No: A048562

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)948-3000

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Arabic

Hospital(s): Dameron

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Stockton

Gastroenterology

Laghaee, Shahin M.D.

145

Gender: Male

ID Number: 104271

10200 Trinity Pkwy. Ste 206

Stockton, CA 95219

(209)323-3480

NPI: 1487611026

License No: A082720

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)323-3480

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Farsi, Spanish

Self Reported Accessibility:

Limited(P,EB,R,E,T)

General Surgery

Bechtel, Timothy M.D.

45

Gender: Male

ID Number: 132355

1805 N. California St. Ste

201

Stockton, CA 95204

(209)939-3833

NPI: 1902860950

License No: A094734

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)939-3833

Hours: Mon-Fri

9:00am-5:00pm

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Accessibility:

Basic(P,EB,IB,R,E)

Page 117: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 117 Volume 12, 2018

Specialist

Sp

ecia

lis

t

Stockton

Sims, DeAndrea L. M.D.

145

Gender: Female

ID Number: 191210

1901 N. California St.

Stockton, CA 95204

(209)946-6800

NPI: 1619113925

License No: A106325

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)946-6800

Hours: Mon-Fri

9:00am-5:00pm

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Zarkowsky, Devin S.

M.D.

45

Gender: Male

ID Number: 228736

530 W. Acacia St. Ste 1

Stockton, CA 95203

(209)944-5410

NPI: 1689925844

License No: A142293

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)944-5410

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

German

Stockton

Hematology

Bangalore, Neelesh S.

M.D.

45

Gender: Male

ID Number: 079652

1801 E. March Ln. Ste B260

Stockton, CA 95210

(209)474-1458

NPI: 1154326262

License No: A070883

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)474-1458

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Hindi, Tamil

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Bangalore, Neelesh S.

M.D.

45

Gender: Male

ID Number: 079652

2626 N. California St. Ste B

Stockton, CA 95204

(209)466-2626

NPI: 1154326262

License No: A070883

Cultural Competence

Training Completed: No

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Hindi, Tamil

Stockton

Dighe, Prasad R. M.D.

45

Gender: Male

ID Number: 504024

2626 N. California St. Ste B

Stockton, CA 95204

(209)466-2626

NPI: 1356377071

License No: A036810

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)466-2626

Hours: Mon-Fri

9:00am-5:00pm

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Kiraly, John F. M.D.

45

Gender: Male

ID Number: 057995

2626 N. California St. Ste B

Stockton, CA 95204

(209)466-2626

NPI: 1649238163

License No: A024190

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)466-2626

Hours: Mon-Fri

9:00am-5:00pm

Hospital(s): Lodi Memorial

Hospital

Stockton

Puthillath, Ajithkumar A.

M.D.

45

Gender: Male

ID Number: 158497

2626 N. California St. Ste B

Stockton, CA 95204

(209)466-2626

NPI: 1225275233

License No: A107213

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)466-2626

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Spanish

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Hematology/Oncology

Fang, Chunhui M.D.

45

Gender: Male

ID Number: 231631

2626 N. California St. Ste B

Stockton, CA 95204

(209)466-2626

NPI: 1831477249

License No: A148751

After Hours Phone Number:

(209)466-2626

Hours: Mon-Fri

9:00am-5:00pm

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Page 118: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

118 / www.healthnet.com Volume 12, 2018

Specialist

Stockton

Infectious Disease

De, Indra M.D.

45

Gender: Female

ID Number: 144434

2333 W. March Ln. Ste A-1

Stockton, CA 95207

(209)462-9100

NPI: 1154372951

License No: C052396

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)462-9100

Hours: Mon-Tue

8:00am-5:00pm Wed

8:00am-1:00pm Thu

8:00am-5:00pm Fri

8:00am-3:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s): Foothill

Presbyterian Hospital -

Morris L. Johnston Memorial

Stockton

Internal Medicine

Buhari, Fram M.D.

145

Gender: Male

ID Number: 502108

2333 N. California St.

Stockton, CA 95204

(209)464-7681

NPI: 1811906894

License No: A029927

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)464-7681

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Punjabi, Spanish, Tagalog

Physician Language(s):

Punjabi

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Accessibility:

Basic(P,EB,IB,R,E)

Karabala, M T. M.D.

45

Gender: Male

ID Number: 008530

940 N. Center St. Ste A

Stockton, CA 95202

(209)466-4222

NPI: 1609826288

License No: A035322

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)466-4222

Hours: Mon-Fri

9:00am-5:00pm

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Stockton

Nephrology

Bajwa, Randeep S. M.D.

45

Gender: Male

ID Number: 154383

2350 N. California St.

Stockton, CA 95204

(209)943-0851

NPI: 1083611594

License No: A104576

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)943-0851

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Hindi, Punjabi, Spanish,

Urdu

Physician Language(s):

Hindi

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Stockton

Maddula, Mallareddy

M.D.

45

Gender: Male

ID Number: 156885

1801 E. March Ln. Ste B265

Stockton, CA 95210

(209)546-1868

NPI: 1487762647

License No: A108120

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)546-1868

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi, Spanish, Telugu

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, San Joaquin

General Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Self Reported Accessibility:

Basic(P,EB,IB,R,E)

Page 119: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 119 Volume 12, 2018

Specialist

Sp

ecia

lis

t

Stockton

Nasika, Subrahmanyam

M.D.

45

Gender: Male

ID Number: 171488

1801 E. March Ln. Ste B265

Stockton, CA 95210

(209)546-1868

NPI: 1548449846

License No: A108186

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)546-1868

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi, Telugu

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Self Reported Accessibility:

Basic(P,EB,IB,R,E)

Stockton

Quang, Lan N. M.D.

45

Gender: Female

ID Number: 190287

1525 N. El Dorado St. Ste 1

Stockton, CA 95204

(209)465-5107

NPI: 1437354347

License No: A111373

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)465-5107

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Mandarin, Vietnamese

Hospital(s): Dameron

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Self Reported Accessibility:

Basic(P,EB,IB,R,E,T)

Stockton

Sagireddy, Purushottama

B. M.D.

45

Gender: Male

ID Number: 084285

1801 E. March Ln. Ste B265

Stockton, CA 95210

(209)546-1868

NPI: 1407844889

License No: A073135

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)546-1868

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Punjabi

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, San Joaquin

General Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Self Reported Accessibility:

Basic(P,EB,IB,R,E)

Stockton

Singh, Jagjit M.D.

45

Gender: Male

ID Number: 035374

2350 N. California St.

Stockton, CA 95204

(209)943-0851

NPI: 1801884929

License No: A045075

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)943-0851

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Hindi, Punjabi, Spanish,

Urdu

Physician Language(s):

Hindi, Punjabi

Hospital(s): Dameron

Hospital, Sutter Tracy

Community Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Page 120: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

120 / www.healthnet.com Volume 12, 2018

Specialist

Stockton

Soung, Jerry J. M.D.

45

Gender: Male

ID Number: 109217

1525 N. El Dorado St. Ste 1

Stockton, CA 95204

(209)465-5107

NPI: 1154318764

License No: A073550

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)465-5107

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Cantonese, Mandarin,

Spanish

Hospital(s): Dameron

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Self Reported Accessibility:

Basic(P,EB,IB,R,E,T)

Stockton

Soung, Lian-Sen M.D.

45

Gender: Male

ID Number: 016269

1525 N. El Dorado St. Ste 1

Stockton, CA 95204

(209)465-5107

NPI: 1174510747

License No: A033597

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)465-5107

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Cantonese, Mandarin

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Self Reported Accessibility:

Basic(P,EB,IB,R,E,T)

Neurology

Fuller, Tonya F. M.D.

45

Gender: Female

ID Number: 227998

782 E. Harding Way

Stockton, CA 95204

(209)475-5500

NPI: 1043304611

License No: G140674

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)475-5500

Hours: Mon-Fri

9:00am-5:00pm

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Accessibility:

Basic(P,EB,IB,R,E)

Stockton

Ophthalmology

Canzano, John C. M.D.

145

Gender: Male

ID Number: 075311

1801 E. March Ln. Ste C350

Stockton, CA 95210

(209)951-1178

NPI: 1134232648

License No: A055787

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)951-1178

Hours: Mon-Fri

9:00am-5:00pm

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Self Reported Accessibility:

Basic(P,EB,IB,R,E)

Stockton

Canzano, John C. M.D.

145

Gender: Male

ID Number: 075311

255 E. Weber Ave.

Stockton, CA 95202

(209)466-5566

NPI: 1134232648

License No: A055787

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)466-5566

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Cantonese, Ilocano,

Mandarin, Spanish, Tagalog,

Vietnamese

Physician Language(s):

Cantonese

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Page 121: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 121 Volume 12, 2018

Specialist

Sp

ecia

lis

t

Stockton

Chang, Margaret A. M.D.

45

Gender: Female

ID Number: 144516

3555 Deer Park Dr. Ste 180

Stockton, CA 95219

(209)938-0496

NPI: 1477504405

License No: A103453

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)938-0496

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Mandarin, Spanish

Hospital(s): Mercy General

Hospital, Mercy San Juan

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC,

Doctors Medical Center of

Modesto

Self Reported Accessibility:

Basic(P,EB,IB,R,E,T)

Stockton

Chen, Andrew P. M.D.

145

Gender: Male

ID Number: 035679

1617 Saint Marks Plaza Ste

D

Stockton, CA 95207

(209)478-1797

NPI: 1912014739

License No: G072858

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)478-1797

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Self Reported Accessibility:

Basic(P,EB,IB,R,E)

Stockton

Cockerham, Kimberly P.

M.D.

45

Gender: Female

ID Number: 107769

1801 E. March Ln. Ste C350

Stockton, CA 95210

(209)951-1178

NPI: 1366493629

License No: G086885

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)951-1178

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Spanish

Self Reported Accessibility:

Basic(P,EB,IB,R,E)

Stockton

Cupp, David G. M.D.

145

Gender: Male

ID Number: 185877

3555 Deer Park Dr. Ste 180

Stockton, CA 95219

(209)938-0496

NPI: 1497901565

License No: A120754

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)938-0496

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s): Mercy General

Hospital, Sutter Medical

Center, Sacramento, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC, Doctors Medical

Center of Modesto

Self Reported Accessibility:

Basic(P,EB,IB,R,E,T)

Page 122: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

122 / www.healthnet.com Volume 12, 2018

Specialist

Stockton

Edington, Philip A. M.D.

45

Gender: Male

ID Number: 025183

1805 N. California St. Ste

101

Stockton, CA 95204

(209)948-5515

NPI: 1508837279

License No: G058380

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)948-5515

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Amharic, Spanish

Physician Language(s):

Spanish

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Stockton

Edington, Philip A. M.D.

45

Gender: Male

ID Number: 025183

1899 W. March Ln.

Stockton, CA 95207

(209)623-4700

NPI: 1508837279

License No: G058380

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)623-4700

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Amharic, Spanish

Physician Language(s):

Spanish

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Eliasieh, Kasra M.D.

45

Gender: Male

ID Number: 208339

255 E. Weber Ave.

Stockton, CA 95202

(209)466-5566

NPI: 1194954677

License No: A132513

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)466-5566

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Cantonese, Ilocano,

Mandarin, Spanish, Tagalog,

Vietnamese

Physician Language(s):

Farsi, Spanish

Stockton

Equi, Robert A. M.D.

145

Gender: Male

ID Number: 097270

3555 Deer Park Dr. Ste 180

Stockton, CA 95219

(209)938-0496

NPI: 1497864664

License No: A078901

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)938-0496

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Self Reported Accessibility:

Basic(P,EB,IB,R,E,T)

Stockton

Foster, Robert S. M.D.

145

Gender: Male

ID Number: 005229

36 W. Yokuts Ave. Ste 1

Stockton, CA 95207

(209)952-3700

NPI: 1194824847

License No: A023291

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)952-3700

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Korean

Physician Language(s):

Spanish

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Page 123: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 123 Volume 12, 2018

Specialist

Sp

ecia

lis

t

Stockton

Ing, Jeffrey J. M.D.

45

Gender: Male

ID Number: 075705

1617 Saint Marks Plaza Ste

D

Stockton, CA 95207

(209)478-1797

NPI: 1871600114

License No: G078322

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)478-1797

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Self Reported Accessibility:

Basic(P,EB,IB,R,E)

Stockton

Kim, Stevens Y. M.D.

45

Gender: Male

ID Number: 052892

36 W. Yokuts Ave. Ste 1

Stockton, CA 95207

(209)952-3700

NPI: 1437258183

License No: G076813

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)952-3700

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Korean

Physician Language(s):

Korean

Hospital(s): Dameron

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Stockton

Lin, Stephen A. M.D.

45

Gender: Male

ID Number: 053003

36 W. Yokuts Ave. Ste 1

Stockton, CA 95207

(209)952-3700

NPI: 1073612735

License No: G074809

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)952-3700

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Korean

Physician Language(s):

Korean

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Medina Mendez, Carlos A.

M.D.

145

Gender: Male

ID Number: 217042

1805 N. California St. Ste

406

Stockton, CA 95204

(209)461-5291

NPI: 1811218316

License No: A138518

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)461-5291

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Spanish

Hospital(s): Mercy General

Hospital, Sutter Medical

Center, Sacramento

Stockton

Mequio, Michael J. M.D.

145

Gender: Male

ID Number: 233081

1801 E. March Ln. Ste C350

Stockton, CA 95210

(209)466-5566

NPI: 1730328410

License No: C148970

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)466-5566

Hours: Mon-Fri

8:00am-5:00pm

Self Reported Accessibility:

Basic(P,EB,IB,R,E)

Mequio, Michael J. M.D.

145

Gender: Male

ID Number: 233081

255 E. Weber Ave.

Stockton, CA 95202

(209)466-5566

NPI: 1730328410

License No: C148970

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)466-5566

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Cantonese, Ilocano,

Mandarin, Spanish, Tagalog,

Vietnamese

Physician Language(s):

Cantonese

Page 124: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

124 / www.healthnet.com Volume 12, 2018

Specialist

Stockton

Miselis, Kenneth V. M.D.

45

Gender: Male

ID Number: 011632

445 W. Poplar St.

Stockton, CA 95203

(209)465-5933

NPI: 1730154592

License No: G050281

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)465-5933

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Spanish

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Stockton

Narvaez, Julio M.D.

145

Gender: Male

ID Number: 076751

1617 Saint Marks Plaza Ste

D

Stockton, CA 95207

(209)478-1797

NPI: 1962427088

License No: G077326

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)478-1797

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Self Reported Accessibility:

Basic(P,EB,IB,R,E)

Stockton

Patel, Arun C. M.D.

145

Gender: Male

ID Number: 521165

3555 Deer Park Dr. Ste 180

Stockton, CA 95219

(209)938-0496

NPI: 1164531430

License No: A042740

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)938-1496

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi

Self Reported Accessibility:

Basic(P,EB,IB,R,E,T)

Patel, Sarju S. M.D.

45

Gender: Male

ID Number: 227665

3555 Deer Park Dr. Ste 180

Stockton, CA 95219

(209)938-0496

NPI: 1730384876

License No: C146195

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)938-0496

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Cantonese, Spanish

Self Reported Accessibility:

Basic(P,EB,IB,R,E,T)

Stockton

Pearlman, Joel A. M.D.

45

Gender: Male

ID Number: 095172

3555 Deer Park Dr. Ste 180

Stockton, CA 95219

(209)938-0496

NPI: 1154430460

License No: A078783

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)938-0496

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s): Mercy General

Hospital, Mercy San Juan

Hospital, Doctors Medical

Center of Modesto,

Memorial Medical Center -

Modesto

Self Reported Accessibility:

Basic(P,EB,IB,R,E,T)

Page 125: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 125 Volume 12, 2018

Specialist

Sp

ecia

lis

t

Stockton

Reed, John B. M.D.

45

Gender: Male

ID Number: 109216

3555 Deer Park Dr. Ste 180

Stockton, CA 95219

(209)938-0496

NPI: 1528177706

License No: G082260

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)938-0496

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s): Mercy General

Hospital, Sutter Roseville

Medical Center, Sutter

Medical Center,

Sacramento, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Self Reported Accessibility:

Basic(P,EB,IB,R,E,T)

Stockton

Telander, David G. M.D.

145

Gender: Male

ID Number: 101989

3555 Deer Park Dr. Ste 180

Stockton, CA 95219

(209)938-0496

NPI: 1528043023

License No: A082894

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)938-0496

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s): Mercy General

Hospital, Mercy San Juan

Hospital, Sutter Medical

Center, Sacramento, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Self Reported Accessibility:

Basic(P,EB,IB,R,E,T)

Stockton

Tsai, Tony M.D.

145

Gender: Male

ID Number: 134908

3555 Deer Park Dr. Ste 180

Stockton, CA 95219

(209)938-0496

NPI: 1548294101

License No: A096629

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)938-0496

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s): Sutter Medical

Center, Sacramento, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC, Doctors Medical

Center of Modesto

Self Reported Accessibility:

Basic(P,EB,IB,R,E,T)

Stockton

Tsuchiya, Pamela Y.

M.D.

145

Gender: Female

ID Number: 058355

1617 Saint Marks Plaza Ste

D

Stockton, CA 95207

(209)478-1797

NPI: 1962519652

License No: G074382

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)478-1797

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s): Sutter Tracy

Community Hospital

Self Reported Accessibility:

Basic(P,EB,IB,R,E)

Page 126: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

126 / www.healthnet.com Volume 12, 2018

Specialist

Stockton

Wee, Daniel M.D.

45

Gender: Male

ID Number: 200382

1899 W. March Ln.

Stockton, CA 95207

(209)623-4700

NPI: 1740480441

License No: C139388

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)623-4700

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Amharic, Spanish

Physician Language(s):

Spanish

Hospital(s): Doctors Hospital

of Manteca, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Stockton

Wee, Daniel M.D.

45

Gender: Male

ID Number: 200382

1805 N. California St. Ste

101

Stockton, CA 95204

(209)948-5515

NPI: 1740480441

License No: C139388

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)948-5515

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Amharic, Spanish

Physician Language(s):

Spanish

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Stockton

Wendel, Robert T. M.D.

145

Gender: Male

ID Number: 520323

3555 Deer Park Dr. Ste 180

Stockton, CA 95219

(209)938-0496

NPI: 1235234634

License No: G043291

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)938-0496

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish, Tagalog

Hospital(s): Mercy General

Hospital, Mercy San Juan

Hospital, Sutter Roseville

Medical Center, Sutter

Medical Center, Sacramento

Self Reported Accessibility:

Basic(P,EB,IB,R,E,T)

Stockton

Wong, Richard M. M.D.

45

Gender: Male

ID Number: 090150

255 E. Weber Ave.

Stockton, CA 95202

(209)466-5566

NPI: 1427138619

License No: A062188

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)466-5566

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Cantonese, Ilocano,

Mandarin, Spanish, Tagalog,

Vietnamese

Physician Language(s):

Cantonese

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Wong, Richard M. M.D.

45

Gender: Male

ID Number: 090150

1801 E. March Ln. Ste C350

Stockton, CA 95210

(209)951-1178

NPI: 1427138619

License No: A062188

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)951-1178

Hours: Mon-Fri

9:00am-5:00pm

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Self Reported Accessibility:

Basic(P,EB,IB,R,E)

Page 127: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 127 Volume 12, 2018

Specialist

Sp

ecia

lis

t

Stockton

Zeiter, John H. M.D.

45

Gender: Male

ID Number: 024783

1801 E. March Ln. Ste C350

Stockton, CA 95210

(209)951-1178

NPI: 1447330634

License No: A046664

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)951-1178

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Spanish

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Self Reported Accessibility:

Basic(P,EB,IB,R,E)

Stockton

Zeiter, John H. M.D.

45

Gender: Male

ID Number: 024783

255 E. Weber Ave.

Stockton, CA 95202

(209)466-5566

NPI: 1447330634

License No: A046664

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)466-5566

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Cantonese, Ilocano,

Mandarin, Spanish, Tagalog,

Vietnamese

Physician Language(s):

Spanish

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Stockton

Zeiter, Joseph E. M.D.

45

Gender: Male

ID Number: 189724

1801 E. March Ln. Ste C350

Stockton, CA 95210

(209)951-1178

NPI: 1588824494

License No: A118736

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)461-2168

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Spanish

Self Reported Accessibility:

Basic(P,EB,IB,R,E)

Zeiter, Joseph E. M.D.

45

Gender: Male

ID Number: 189724

255 E. Weber Ave.

Stockton, CA 95202

(209)466-5566

NPI: 1588824494

License No: A118736

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)466-5566

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Cantonese, Ilocano,

Mandarin, Spanish, Tagalog,

Vietnamese

Physician Language(s):

Spanish

Hospital(s): Dameron

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Stockton

Pain Management

Zeiter, Joseph T. M.D.

45

Gender: Male

ID Number: 019037

255 E. Weber Ave.

Stockton, CA 95202

(209)466-5566

NPI: 1588753909

License No: G037078

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)466-5566

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Cantonese, Ilocano,

Mandarin, Spanish, Tagalog,

Vietnamese

Physician Language(s):

Italian, Portuguese, Spanish

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Page 128: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

128 / www.healthnet.com Volume 12, 2018

Specialist

Stockton

Zeiter, Joseph T. M.D.

45

Gender: Male

ID Number: 019037

1801 E. March Ln. Ste C350

Stockton, CA 95210

(209)951-1178

NPI: 1588753909

License No: G037078

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)337-1178

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Italian, Portuguese, Spanish

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Self Reported Accessibility:

Basic(P,EB,IB,R,E)

Stockton

Pediatric Cardiology

Fallah-Najmabadi,

Hessameddin M.D.

145

Gender: Male

ID Number: 053906

1800 N. California St.

Stockton, CA 95204

(916)452-5391

NPI: 1609869510

License No: A053954

Cultural Competence

Training Completed: No

After Hours Phone Number:

(916)452-5391

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Farsi, Spanish

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC,

Memorial Medical Center -

Modesto

Hao, Minghua A. M.D.

45

Gender: Female

ID Number: 230778

1805 N. California St. Ste

309

Stockton, CA 95204

(916)452-5391

NPI: 1295041713

License No: A117122

Cultural Competence

Training Completed: No

After Hours Phone Number:

(916)452-5391

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Cantonese, Farsi, French,

Mandarin, Spanish

Stockton

Hill, James A. M.D.

45

Gender: Male

ID Number: 212180

1801 E. March Ln. Ste C330

Stockton, CA 95210

(916)750-2328

NPI: 1093920928

License No: A136758

Cultural Competence

Training Completed: No

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Spanish

Self Reported Accessibility:

Basic(P,EB,IB,R,E)

Juris, Andrew L. M.D.

145

Gender: Male

ID Number: 033508

1800 N. California St.

Stockton, CA 95204

(916)452-5391

NPI: 1376537639

License No: A036417

Cultural Competence

Training Completed: No

After Hours Phone Number:

(916)452-5391

Hours: Mon-Fri

9:00am-5:00pm

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Stockton

Kovalenko, Oleg G. M.D.

45

Gender: Male

ID Number: 222663

1801 E. March Ln. Ste C330

Stockton, CA 95210

(916)452-5391

NPI: 1205082393

License No: C141557

Cultural Competence

Training Completed: No

After Hours Phone Number:

(916)452-5391

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Russian, Spanish, Ukranian

Self Reported Accessibility:

Basic(P,EB,IB,R,E)

Manohar, Naveen S. M.D.

45

Gender: Male

ID Number: 109554

1801 E. March Ln. Ste C330

Stockton, CA 95210

(916)452-5391

NPI: 1790777308

License No: A088977

Cultural Competence

Training Completed: No

After Hours Phone Number:

(916)452-5391

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Farsi, Hindi, Malayalam,

Punjabi, Spanish, Tamil

Self Reported Accessibility:

Basic(P,EB,IB,R,E)

Page 129: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 129 Volume 12, 2018

Specialist

Sp

ecia

lis

t

Stockton

Tiptur Mahadevaiah,

Guruprasad M.D.

45

Gender: Male

ID Number: 223175

1801 E. March Ln. Ste C330

Stockton, CA 95210

(916)750-2328

NPI: 1265769806

License No: A152729

Cultural Competence

Training Completed: No

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Hindi, Kannada

Self Reported Accessibility:

Basic(P,EB,IB,R,E)

Wright, Stanley B. M.D.

45

Gender: Male

ID Number: 073165

1800 N. California St.

Stockton, CA 95204

(916)452-5391

NPI: 1578555058

License No: G072738

Cultural Competence

Training Completed: No

After Hours Phone Number:

(916)452-5391

Hours: Mon-Fri

8:00am-5:30pm

Physician Language(s):

Farsi, Spanish

Hospital(s): Mercy San Juan

Hospital, Sutter Medical

Center, Sacramento, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Stockton

Pediatric Endocrinology

Skaria, Niyati M.D.

45

Gender: Female

ID Number: 202833

89 W. March Ln. Ste 1

Stockton, CA 95207

(916)733-0888

NPI: 1720235146

License No: A131160

Cultural Competence

Training Completed: No

After Hours Phone Number:

(916)733-0888

Hours: Wed-Thu

9:00am-3:00pm

Physician Language(s):

Gujarati

Pediatrics

Ahmed, Aejaz M.D.

4

Gender: Male

ID Number: 068269

2800 N. California St. Ste 14

Stockton, CA 95204

(209)464-2605

NPI: 1033199765

License No: A064522

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)464-2605

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Arabic, Hindi, Spanish,

Telugu, Urdu

Physician Language(s):

Hindi, Spanish, Urdu

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Certification(s): CHDP

Stockton

Lopes-De-Menezes,

Davina E. M.D.

45

Gender: Female

ID Number: 219990

701 E. Channel St.

Stockton, CA 95202

(209)944-4700

NPI: 1013200278

License No: A130581

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)944-4700

Hours: Mon-Fri

8:00am-8:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Hindi, Malayalam, Spanish

Physician Language(s):

Hindi, Portuguese

Parikh, Rajul B. M.D.

4

Gender: Female

ID Number: 012927

73 W. March Ln. Ste A

Stockton, CA 95207

(209)937-9010

NPI: 1306067012

License No: A037746

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)937-9010

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Hindi, Spanish

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Certification(s): CCS,CHDP

Stockton

Raron, Surinder S. M.D.

4

Gender: Male

ID Number: 540809

73 W. March Ln. Ste F

Stockton, CA 95207

(209)952-5555

NPI: 1710943667

License No: A049303

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)952-5555

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Hindi, Punjabi, Urdu

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Certification(s): CHDP,CCS

Self Reported Accessibility:

Limited(P,EB,R,T)

Page 130: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

130 / www.healthnet.com Volume 12, 2018

Specialist

Stockton

Singh, Randhir H. M.D.

4

Gender: Female

ID Number: 015939

1805 N. California St. Ste

409

Stockton, CA 95204

(209)476-0900

NPI: 1275591000

License No: A030530

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)476-0900

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish, Tagalog

Physician Language(s):

Punjabi, Spanish, Urdu

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Certification(s): CHDP,CCS

Accessibility:

Basic(P,EB,IB,R,E)

Stockton

Singh, Shailinder J. M.D.

4

Gender: Male

ID Number: 193987

2015 E. Mariposa Rd.

Stockton, CA 95205

(209)751-1919

NPI: 1134406135

License No: A123368

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)751-1919

Hours: Mon-Fri

8:00am-5:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi, Punjabi

Accessibility:

Basic(P,EB,IB,R,E)

Singh, Shailinder J. M.D.

4

Gender: Male

ID Number: 193987

701 E. Channel St.

Stockton, CA 95202

(209)944-4742

NPI: 1134406135

License No: A123368

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)944-4742

Hours: Mon-Fri

7:30am-8:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Hindi, Malayalam, Spanish

Physician Language(s):

Hindi, Punjabi

Stockton

Singh, Shailinder J. M.D.

4

Gender: Male

ID Number: 193987

1031 Waterloo Rd.

Stockton, CA 95205

(209)940-5600

NPI: 1134406135

License No: A123368

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)940-5600

Hours: Mon-Thu

8:00am-8:00pm Fri

8:00am-6:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi, Punjabi

Accessibility:

Limited(P,IB,R,E)

Stockton

Plastic Surgery

Silkiss, Rona Z. M.D.

45

Gender: Female

ID Number: 015828

255 E. Weber Ave.

Stockton, CA 95202

(209)466-5566

NPI: 1790758209

License No: G045822

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)466-5566

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Cantonese, Ilocano,

Mandarin, Spanish, Tagalog,

Vietnamese

Physician Language(s):

French, Spanish

Podiatry

DeGuzman, Jonathan M.

DPM

145

Gender: Male

ID Number: 231623

4722 Quail Lakes Dr. Ste A

Stockton, CA 95207

(209)476-0675

NPI: 1962820597

License No: E005335

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)476-0675

Hours: Mon-Fri

9:00am-5:00pm

Page 131: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 131 Volume 12, 2018

Specialist

Sp

ecia

lis

t

Stockton

DeGuzman, Jonathan M.

DPM

145

Gender: Male

ID Number: 231623

3031 W. March Ln. Ste 310

Stockton, CA 95219

(209)472-0800

NPI: 1962820597

License No: E005335

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)472-0800

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Self Reported Accessibility:

Basic(P,EB,IB,R,E)

Garfolo, Craig S. DPM

45

Gender: Male

ID Number: 005600

1350 W. Robinhood Dr. Ste

14

Stockton, CA 95207

(209)473-1011

NPI: 1629028923

License No: E003309

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)473-1011

Hours: Mon-Fri

9:00am-5:00pm

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Stockton

Johnson, Lynn R. DPM

45

Gender: Male

ID Number: 008198

1205 N. Hunter St.

Stockton, CA 95202

(209)464-7367

NPI: 1619949187

License No: E001406

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)464-7367

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Spanish

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Lam, Gary K. DPM

45

Gender: Male

ID Number: 165318

1031 Waterloo Rd.

Stockton, CA 95205

(209)940-5600

NPI: 1588996557

License No: E004748

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)940-5600

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Cantonese, Mandarin

Accessibility:

Limited(P,IB,R,E)

Stockton

Lam, Gary K. DPM

45

Gender: Male

ID Number: 165318

1801 E. March Ln. Ste D470

Stockton, CA 95210

(209)507-7000

NPI: 1588996557

License No: E004748

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)507-7000

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Cantonese, Mandarin

Lam, Gary K. DPM

45

Gender: Male

ID Number: 165318

701 E. Channel St.

Stockton, CA 95202

(209)944-4700

NPI: 1588996557

License No: E004748

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)944-4700

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Hindi, Malayalam, Spanish

Physician Language(s):

Cantonese, Mandarin

Stockton

Lam, Gary K. DPM

45

Gender: Male

ID Number: 165318

1721 E. Hammer Ln. Ste A

Stockton, CA 95210

(209)944-4700

NPI: 1588996557

License No: E004748

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)944-4700

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Cantonese, Mandarin

Lam, Gary K. DPM

45

Gender: Male

ID Number: 165318

2003 E. Mariposa Rd.

Stockton, CA 95205

(209)751-1900

NPI: 1588996557

License No: E004748

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)751-1900

Hours: Mon-Fri

8:00am-5:30pm

Physician Language(s):

Cantonese, Mandarin

Page 132: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

132 / www.healthnet.com Volume 12, 2018

Specialist

Stockton

Lam, Gary K. DPM

45

Gender: Male

ID Number: 165318

2015 E. Mariposa Rd.

Stockton, CA 95205

(209)751-1919

NPI: 1588996557

License No: E004748

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)751-1919

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Cantonese, Mandarin

Accessibility:

Basic(P,EB,IB,R,E)

Lam, Gary K. DPM

45

Gender: Male

ID Number: 165318

423 S. San Joaquin St.

Stockton, CA 95203

(209)954-7700

NPI: 1588996557

License No: E004748

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)954-7700

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Cantonese, Mandarin

Stockton

Shimozaki, Kenneth K.

DPM

45

Gender: Male

ID Number: 058838

1617 N. California St. Ste 2F

Stockton, CA 95204

(209)476-0675

NPI: 1053429027

License No: E003847

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)476-0675

Hours: Mon-Fri

9:00am-5:00pm

Pulmonary Disease

Chong, Josebelo D. M.D.

45

Gender: Male

ID Number: 217093

1801 E. March Ln. Ste C300

Stockton, CA 95210

(209)464-6422

NPI: 1891815791

License No: C135303

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)464-6422

Hours: Mon-Fri

9:00am-5:00pm

Stockton

Radiation Oncology

Vongtama, Dan M.D.

45

Gender: Male

ID Number: 159255

4722 Quail Lakes Dr. Ste B

Stockton, CA 95207

(209)472-1848

NPI: 1245434083

License No: A109003

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)472-1848

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s): Thai

Hospital(s): Dameron

Hospital, Doctors Hospital of

Manteca, Sutter Tracy

Community Hospital

Vongtama, Vitune M.D.

45

Gender: Male

ID Number: 100549

4722 Quail Lakes Dr. Ste B

Stockton, CA 95207

(209)472-1848

NPI: 1598793507

License No: A029753

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)472-1848

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s): Thai

Hospital(s): Dameron

Hospital, Doctors Hospital of

Manteca, Sutter Tracy

Community Hospital

Stockton

Radiology

Dietrich, Daniel S. M.D.

146

Gender: Male

ID Number: 176199

546 E. Pine St.

Stockton, CA 95204

(209)467-1000

NPI: 1053341669

License No: A095731

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)467-1000

Hours: Mon-Fri

9:00am-5:00pm

Stillman, Charles A.

D.O.

146

Gender: Male

ID Number: 162502

546 E. Pine St.

Stockton, CA 95204

(209)467-1000

NPI: 1508836453

License No: 20A11027

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)467-1000

Hours: Mon-Fri

9:00am-5:00pm

Page 133: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 133 Volume 12, 2018

Specialist

Sp

ecia

lis

t

Stockton

Wagner, Lloyd D. M.D.

146

Gender: Male

ID Number: 053134

2320 N. California St. Ste B

Stockton, CA 95204

(209)466-2000

NPI: 1124161872

License No: G070226

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)466-2000

Hours: Mon-Fri

9:00am-5:00pm

Thoracic Surgery

Felahy, Isam M.D.

145

Gender: Male

ID Number: 004861

2800 N. California St. Ste 15

Stockton, CA 95204

(209)466-3457

NPI: 1316059306

License No: A025226

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)466-3457

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Arabic, German

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Stockton

Morrissey, James D.

M.D.

145

Gender: Male

ID Number: 011879

1617 N. California St. Ste 1D

Stockton, CA 95204

(209)948-1234

NPI: 1033223060

License No: G023097

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)948-1234

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Hmong (Blue/Green),

Spanish

Hospital(s): Dameron

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Stockton

Tendulkar, Amod P.

M.D.

145

Gender: Male

ID Number: 163697

1617 N. California St. Ste 1D

Stockton, CA 95204

(209)948-1234

NPI: 1457511628

License No: A081369

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)948-1234

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Hindi, Marathi

Hospital(s): Dameron

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Stockton

PRIME COMMUNITY CARE

OF CENTRAL VALLEY,

INC. - SAN JOAQUIN

Allergy/Immunology

Bensch, George W. M.D.

45

Gender: Male

ID Number: 501162

4628 Georgetown Pl.

Stockton, CA 95207

(209)951-5353

NPI: 1508839457

License No: C034965

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)951-5353

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Cambodian,Khmer, Hmong,

Spanish

Physician Language(s):

Cambodian,Khmer

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Page 134: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

134 / www.healthnet.com Volume 12, 2018

Specialist

Stockton

Bensch, Gregory W. M.D.

45

Gender: Male

ID Number: 077250

4628 Georgetown Pl.

Stockton, CA 95207

(209)951-5353

NPI: 1710950589

License No: A061795

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)951-5353

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Cambodian,Khmer, Hmong,

Spanish

Physician Language(s):

Cambodian,Khmer

Hospital(s): Dameron

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Yecies, Jerold J. M.D.

45

Gender: Male

ID Number: 018851

4628 Georgetown Pl.

Stockton, CA 95207

(209)951-5353

NPI: 1780657643

License No: G024163

Cultural Competence

Training Completed: No

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Cambodian,Khmer, Hmong,

Spanish

Physician Language(s):

Cambodian,Khmer

Stockton

Dermatology

Edwards, Arden F. M.D.

145

Gender: Female

ID Number: 209751

4632 Georgetown Pl. Ste A

Stockton, CA 95207

(209)320-1958

NPI: 1295994051

License No: A134938

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)320-1958

Hours: Mon-Fri

8:30am-5:30pm

Reyes, Melissa A. M.D.

45

Gender: Female

ID Number: 164938

1801 E. March Ln. Ste 470

Stockton, CA 95210

(209)507-7027

NPI: 1558561498

License No: A100703

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Schulman, Joshua M.

M.D.

145

Gender: Male

ID Number: 202300

4632 Georgetown Pl. Ste A

Stockton, CA 95207

(209)320-1958

NPI: 1700013265

License No: A114583

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)320-1958

Hours: Mon-Fri

8:00am-5:00pm

Stockton

Endocrinology

Reddy, Archana P. M.D.

45

Gender: Female

ID Number: 171572

2209 N. California St. Ste B

Stockton, CA 95204

(209)943-0305

NPI: 1679641104

License No: C054793

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)943-0305

Hours: Mon-Fri

8:00am-4:30pm

Family Nurse Practitioner

Cherian, Asha FNP

45

Gender: Female

ID Number: 242921

701 E. Channel St.

Stockton, CA 95202

(209)944-4700

NPI: 1720470578

License No: NP10166

Office Staff Language(s):

Hindi, Malayalam, Spanish

Physician Language(s):

Hindi

Stockton

General Surgery

Coates, Patrick J. M.D.

45

Gender: Male

ID Number: 503006

644 E. Harding Way Ste B

Stockton, CA 95204

(209)244-9191

NPI: 1063479301

License No: A035424

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)244-9191

Hours: Mon-Fri

8:00am-5:00pm

Physician Language(s):

Spanish

Extender(s): Jordan, Naitte

(NP), Marple, Monica R.

(P.A.), Openda, Davis M.

(NP), Udo, Bernarde M. (NP)

Page 135: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 135 Volume 12, 2018

Specialist

Sp

ecia

lis

t

Stockton

Internal Medicine

Khambati, Aziz A. M.D.

4

Gender: Male

ID Number: 066511

701 E. Channel St.

Stockton, CA 95202

(209)944-4700

NPI: 1659447373

License No: A055303

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)944-4700

Hours: Mon-Fri

8:00am-8:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Hindi, Malayalam, Spanish

Physician Language(s):

Gujarati, Urdu

Extender(s): Castillo,

Elizabeth (NP), Gudino, Ana

M. (NP), Cherian, Asha

(FNP)

Stockton

Nephrology

Desai, Hiral V. M.D.

145

Gender: Female

ID Number: 218862

1801 E. March Ln. Ste B265

Stockton, CA 95210

(209)546-1868

NPI: 1841580321

License No: A125697

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)546-1868

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Gujarati, Hindi, Telugu

Self Reported Accessibility:

Basic(P,EB,IB,R,E)

Stockton

Nasika, Subrahmanyam

M.D.

45

Gender: Male

ID Number: 171488

1801 E. March Ln. Ste B265

Stockton, CA 95210

(209)546-1868

NPI: 1548449846

License No: A108186

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)546-1868

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi, Telugu

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Self Reported Accessibility:

Basic(P,EB,IB,R,E)

Stockton

Rachakonda, Ajay K.

M.D.

145

Gender: Male

ID Number: 209841

1801 E. March Ln. Ste B265

Stockton, CA 95210

(209)546-1868

NPI: 1467605014

License No: C127675

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)546-1868

Hours: Mon-Fri

8:00am-12:00pm

1:00pm-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi, Telugu

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, San Joaquin

General Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Self Reported Accessibility:

Basic(P,EB,IB,R,E)

Page 136: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

136 / www.healthnet.com Volume 12, 2018

Specialist

Stockton

Raval, Mehul M.D.

45

Gender: Male

ID Number: 239467

1801 E. March Ln. Ste B265

Stockton, CA 95210

(209)546-1868

NPI: 1710157474

License No: A105804

Hours: Mon-Fri

8:00am-12:00pm

1:00pm-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi, Telugu

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Self Reported Accessibility:

Basic(P,EB,IB,R,E)

Stockton

Sagireddy, Purushottama

B. M.D.

45

Gender: Male

ID Number: 084285

1801 E. March Ln. Ste B265

Stockton, CA 95210

(209)546-1868

NPI: 1407844889

License No: A073135

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)546-1868

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Punjabi

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Self Reported Accessibility:

Basic(P,EB,IB,R,E)

Neurosurgery

Senegor, Moris M.D.

45

Gender: Male

ID Number: 551606

2209 N. California St. Ste A

Stockton, CA 95204

(209)943-0305

NPI: 1487689030

License No: G069398

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)943-0305

Hours: Mon-Fri

8:00am-4:30pm

Stockton

Ophthalmology

Dehaybi, Sarah L. M.D.

45

Gender: Female

ID Number: 230992

1805 N. California St. Ste

101

Stockton, CA 95204

(209)948-5515

NPI: 1821331034

License No: A147706

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)948-5515

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Amharic, Spanish

Physician Language(s):

Amharic

Dehaybi, Sarah L. M.D.

45

Gender: Female

ID Number: 230992

1899 W. March Ln.

Stockton, CA 95207

(209)623-4700

NPI: 1821331034

License No: A147706

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)623-4700

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Amharic, Spanish

Physician Language(s):

Amharic

Stockton

Edington, Philip A. M.D.

45

Gender: Male

ID Number: 025183

1899 W. March Ln.

Stockton, CA 95207

(209)623-4700

NPI: 1508837279

License No: G058380

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)623-4700

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Amharic, Spanish

Physician Language(s):

Spanish

Hospital(s): Dameron

Hospital, Doctors Hospital of

Manteca, San Joaquin

General Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC, Doctors Medical

Center of Modesto

Page 137: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 137 Volume 12, 2018

Specialist

Sp

ecia

lis

t

Stockton

Edington, Philip A. M.D.

45

Gender: Male

ID Number: 025183

1805 N. California St. Ste

101

Stockton, CA 95204

(209)948-5515

NPI: 1508837279

License No: G058380

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)948-5515

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Amharic, Spanish

Physician Language(s):

Spanish

Hospital(s): Dameron

Hospital, Doctors Hospital of

Manteca, San Joaquin

General Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Stockton

Kim, Charles M.D.

45

Gender: Male

ID Number: 223153

1899 W. March Ln.

Stockton, CA 95207

(209)623-4700

NPI: 1104242924

License No: A142099

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)623-4700

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Amharic, Spanish

Physician Language(s):

Mandarin, Spanish

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Stockton

Kim, Charles M.D.

45

Gender: Male

ID Number: 223153

1805 N. California St. Ste

101

Stockton, CA 95204

(209)948-5515

NPI: 1104242924

License No: A142099

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)948-5515

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Amharic, Spanish

Physician Language(s):

Mandarin, Spanish

Hospital(s): Doctors Hospital

of Manteca, San Joaquin

General Hospital

Kothari, Nisreen M. M.D.

45

Gender: Female

ID Number: 228533

1805 N. California St. Ste

101

Stockton, CA 95204

(209)948-5515

NPI: 1730445644

License No: A144488

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)948-5515

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Amharic, Spanish

Physician Language(s):

Gujarati, Spanish

Stockton

Kothari, Nisreen M. M.D.

45

Gender: Female

ID Number: 228533

1899 W. March Ln.

Stockton, CA 95207

(209)623-4700

NPI: 1730445644

License No: A144488

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)623-4700

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Amharic, Spanish

Physician Language(s):

Gujarati, Spanish

Hospital(s): Doctors Hospital

of Manteca

Page 138: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

138 / www.healthnet.com Volume 12, 2018

Specialist

Stockton

Wee, Daniel M.D.

45

Gender: Male

ID Number: 200382

1805 N. California St. Ste

101

Stockton, CA 95204

(209)948-5515

NPI: 1740480441

License No: C139388

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)948-5515

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Amharic, Spanish

Physician Language(s):

Spanish

Hospital(s): Doctors Hospital

of Manteca, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Stockton

Wee, Daniel M.D.

45

Gender: Male

ID Number: 200382

1899 W. March Ln.

Stockton, CA 95207

(209)623-4700

NPI: 1740480441

License No: C139388

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)623-4700

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Amharic, Spanish

Physician Language(s):

Spanish

Hospital(s): Doctors Hospital

of Manteca, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Stockton

Pediatrics

Burgos, Geny B. M.D.

4

Gender: Female

ID Number: 052105

1801 E. March Ln. Ste C340

Stockton, CA 95210

(209)939-9512

NPI: 1962473983

License No: A053610

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)939-9512

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Spanish, Tagalog

Hospital(s): Dameron

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Certification(s): CHDP

Stockton

Lin, Shou-I M.D.

4

Gender: Male

ID Number: 010145

75 W. March Ln. Ste G

Stockton, CA 95207

(209)951-6072

NPI: 1114963873

License No: A033667

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)951-6072

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Cambodian,Khmer, Spanish

Physician Language(s):

Cantonese, Mandarin

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Certification(s): CCS,CHDP

Accessibility:

Limited(P,EB,IB,E)

Page 139: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 139 Volume 12, 2018

Specialist

Sp

ecia

lis

t

Stockton

Yumul, Danilo S. M.D.

4

Gender: Male

ID Number: 039943

73 W. March Ln. Ste F

Stockton, CA 95207

(209)952-5555

NPI: 1730146275

License No: A051139

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)952-5555

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Tagalog

Hospital(s): Dameron

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Certification(s): CHDP

Self Reported Accessibility:

Limited(P,EB,R,T)

Stockton

Physical Medicine Rehab

Barzaga, Graciela A.

M.D.

145

Gender: Female

ID Number: 500923

2626 N. California St. Ste C

Stockton, CA 95204

(209)465-7463

NPI: 1225037054

License No: A030287

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)465-7463

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Tagalog

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

SUTTER SAN JOAQUIN

(REFERRAL ONLY)

Anesthesiology

Thadwal, Baljeet M.D.

146

Gender: Male

ID Number: 247163

2505 W. Hammer Ln.

Stockton, CA 95209

(209)957-7050

NPI: 1326204249

License No: A102645

Hours: Mon-Fri

8:00am-5:00pm

Physician Language(s):

Punjabi

Accessibility:

Basic(P,EB,IB,R,E)

Tracy

COMMUNITY MEDICAL

CENTERS, TRACY

Chiropractor

Watson, Denise L. D.C.

45

Gender: Female

ID Number: MC00001250

730 N. Central Ave.

Tracy, CA 95376

(209)820-1500

NPI: 1356444947

License No: DC28196

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)820-1500

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Tracy

Pediatrics

De La Cruz, Lourdes M.D.

4

Gender: Female

ID Number: MC00001250

730 N. Central Ave.

Tracy, CA 95376

(209)820-1500

NPI: 1699795237

License No: A042190

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)820-1500

Hours: Mon-Thu

8:00am-8:00pm Fri

8:00am-6:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish, Tagalog

Extender(s): Beronilla, Rick

G. (P.A.)

Certification(s): CCS

Page 140: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

140 / www.healthnet.com Volume 12, 2018

Specialist

Tracy

Podiatry

Lam, Gary K. DPM

45

Gender: Male

ID Number: MC00001250

730 N. Central Ave.

Tracy, CA 95376

(209)820-1500

NPI: 1588996557

License No: E004748

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)820-1500

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Cantonese, Mandarin

DIRECT NETWORK: SAN

JOAQUIN

Allergy/Immunology

Balduzzi, Michael C. M.D.

45

Gender: Male

ID Number: 215140

550 W. Eaton Ave. Ste 548

Tracy, CA 95376

(209)836-2495

NPI: 1346565934

License No: A135460

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)836-2495

Hours: Mon-Fri

9:00am-5:00pm

Tracy

Bensch, George W. M.D.

45

Gender: Male

ID Number: 501162

550 W. Eaton Ave. Ste 548

Tracy, CA 95376

(209)836-2495

NPI: 1508839457

License No: C034965

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)836-2495

Hours: Mon-Fri

9:00am-5:00pm

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Bensch, Gregory W. M.D.

45

Gender: Male

ID Number: 077250

550 W. Eaton Ave. Ste 548

Tracy, CA 95376

(209)836-2495

NPI: 1710950589

License No: A061795

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)836-2495

Hours: Mon-Fri

9:00am-5:00pm

Hospital(s): Dameron

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Tracy

Yecies, Jerold J. M.D.

45

Gender: Male

ID Number: 018851

550 W. Eaton Ave. Ste 548

Tracy, CA 95376

(209)836-2495

NPI: 1780657643

License No: G024163

Cultural Competence

Training Completed: No

Hours: Mon-Fri

9:00am-5:00pm

Cardiology/Cardiovascular

Disease

Buhari, Cyrus F. D.O.

45

Gender: Male

ID Number: 161918

530 W. Eaton Ave. Ste A

Tracy, CA 95376

(209)836-0364

Email:[email protected]

NPI: 1679581268

License No: 20A09123

Cultural Competence

Training Completed: No

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Hindi, Punjabi, Spanish,

Tagalog, Urdu

Physician Language(s):

Farsi, Spanish

Hospital(s): Dameron

Hospital, Sutter Tracy

Community Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Tracy

Buhari, Fram M.D.

45

Gender: Male

ID Number: 502108

530 W. Eaton Ave. Ste A

Tracy, CA 95376

(209)836-0364

Email:[email protected]

NPI: 1811906894

License No: A029927

Cultural Competence

Training Completed: No

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Hindi, Punjabi, Spanish,

Tagalog, Urdu

Physician Language(s):

Hindi

Hospital(s): Dameron

Hospital, Sutter Tracy

Community Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Page 141: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 141 Volume 12, 2018

Specialist

Sp

ecia

lis

t

Tracy

Cacho, Alvin C. M.D.

45

Gender: Male

ID Number: 502251

530 W. Eaton Ave. Ste A

Tracy, CA 95376

(209)836-0364

NPI: 1205918497

License No: A032152

Cultural Competence

Training Completed: No

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Hindi, Punjabi, Spanish,

Tagalog, Urdu

Physician Language(s):

Spanish, Tagalog

Hospital(s): Dameron

Hospital, Sutter Tracy

Community Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Tracy

Grewal, Gurinder S. M.D.

45

Gender: Male

ID Number: 025568

530 W. Eaton Ave. Ste A

Tracy, CA 95376

(209)836-0364

Email:[email protected]

NPI: 1942389580

License No: A037609

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)836-0364

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Hindi, Punjabi, Spanish,

Tagalog, Urdu

Physician Language(s):

Punjabi, Spanish

Hospital(s): Dameron

Hospital, Sutter Tracy

Community Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Infectious Disease

Sarma, Praveena N. M.D.

4

Gender: Female

ID Number: 075015

652 W. 11th St. Ste 129

Tracy, CA 95376

(209)833-0998

NPI: 1194793182

License No: A061533

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Hindi

Hospital(s): Doctors Hospital

of Manteca, Sutter Tracy

Community Hospital

Tracy

Internal Medicine

Chahal, Anupam M.D.

45

Gender: Female

ID Number: 188769

530 W. Eaton Ave. Ste C

Tracy, CA 95376

(209)284-4561

NPI: 1972780146

License No: A121284

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)284-4561

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Hindi, Punjabi

Hospital(s): Doctors Hospital

of Manteca

Tracy

Nephrology

Maddula, Mallareddy

M.D.

45

Gender: Male

ID Number: 156885

2160 W Grant Line Rd. Ste

200

Tracy, CA 95377

(209)831-9923

NPI: 1487762647

License No: A108120

Cultural Competence

Training Completed: No

Hours: Mon-Fri

8:00am-12:00pm

1:00pm-5:00pm

Physician Language(s):

Hindi, Spanish, Telugu

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, San Joaquin

General Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Self Reported Accessibility:

Basic(P,EB,IB,R,E)

Page 142: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

142 / www.healthnet.com Volume 12, 2018

Specialist

Tracy

Rachakonda, Ajay K.

M.D.

145

Gender: Male

ID Number: 209841

2160 W Grant Line Rd. Ste

200

Tracy, CA 95377

(209)831-9923

NPI: 1467605014

License No: C127675

Cultural Competence

Training Completed: No

Hours: Mon-Fri

8:00am-12:00pm

1:00pm-5:00pm

Physician Language(s):

Hindi, Telugu

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, San Joaquin

General Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Self Reported Accessibility:

Basic(P,EB,IB,R,E)

Tracy

Raval, Mehul M.D.

45

Gender: Male

ID Number: 239467

2160 W. Grant Line Rd. Ste

200

Tracy, CA 95377

(209)831-9923

NPI: 1710157474

License No: A105804

Hours: Mon-Fri

8:00am-12:00pm

1:00pm-5:00pm

Physician Language(s):

Hindi, Telugu

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, San Joaquin

General Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Tracy

Sagireddy, Purushottama

B. M.D.

45

Gender: Male

ID Number: 084285

2160 W Grant Line Rd. Ste

200

Tracy, CA 95377

(209)831-9923

NPI: 1407844889

License No: A073135

Cultural Competence

Training Completed: No

Hours: Mon-Fri

8:00am-12:00pm

1:00pm-5:00pm

Physician Language(s):

Punjabi

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, San Joaquin

General Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Self Reported Accessibility:

Basic(P,EB,IB,R,E)

Tracy

Neurology

Woan, Jin-Mei M.D.

45

Gender: Female

ID Number: 035802

530 W. Eaton Ave. Ste M

Tracy, CA 95376

(209)833-0268

NPI: 1093756835

License No: G069222

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)833-0268

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Mandarin

Ophthalmology

Usunov, Jordan M. M.D.

45

Gender: Male

ID Number: 058356

1540 N. Tracy Blvd. Ste A

Tracy, CA 95376

(209)836-2223

NPI: 1609939099

License No: C038780

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)836-2223

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Russian, Spanish

Hospital(s): Sutter Tracy

Community Hospital

Page 143: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 143 Volume 12, 2018

Specialist

Sp

ecia

lis

t

Tracy

Otolaryngology

Gray, Robert F. M.D.

45

Gender: Male

ID Number: 571142

530 W. Eaton Ave. Ste E

Tracy, CA 95376

(209)249-6655

NPI: 1841203825

License No: G083766

Cultural Competence

Training Completed: No

Hours: Tue-Sat

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Hospital(s): Sutter Tracy

Community Hospital

Self Reported Accessibility:

Limited(P,R,E)

Tracy

Physical Medicine Rehab

Bai, Feng M.D.

45

Gender: Male

ID Number: 109836

2160 W. Grant Line Rd. Ste

110

Tracy, CA 95377

(209)830-6558

Email:[email protected]

m

NPI: 1336108372

License No: A083645

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)830-6558

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Mandarin

Hospital(s): Doctors Hospital

of Manteca, Sutter Tracy

Community Hospital

Tracy

Zheng, Min M.D.

45

Gender: Female

ID Number: 108063

2160 W. Grant Line Rd. Ste

110

Tracy, CA 95377

(209)830-6558

Email:[email protected]

m

NPI: 1932168911

License No: A083350

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)830-6558

Hours: Mon-Fri

9:00am-5:00pm

Hospital(s): Doctors Hospital

of Manteca, Sutter Tracy

Community Hospital

HILL PHYSICIANS

MEDICAL GROUP - SAN

JOAQUIN

Allergy/Immunology

Balduzzi, Michael C. M.D.

45

Gender: Male

ID Number: 215140

550 W. Eaton Ave. Ste 548

Tracy, CA 95376

(209)836-2495

NPI: 1346565934

License No: A135460

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)836-2495

Hours: Mon-Fri

9:00am-5:00pm

Tracy

Bensch, George W. M.D.

45

Gender: Male

ID Number: 501162

550 W. Eaton Ave. Ste 548

Tracy, CA 95376

(209)836-2495

NPI: 1508839457

License No: C034965

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)836-2495

Hours: Mon-Fri

9:00am-5:00pm

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Bensch, Gregory W. M.D.

45

Gender: Male

ID Number: 077250

550 W. Eaton Ave. Ste 548

Tracy, CA 95376

(209)836-2495

NPI: 1710950589

License No: A061795

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)836-2495

Hours: Mon-Fri

9:00am-5:00pm

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Page 144: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

144 / www.healthnet.com Volume 12, 2018

Specialist

Tracy

Bensch, Gregory W. M.D.

45

Gender: Male

ID Number: 077250

632 W. 11th St. Ste 219

Tracy, CA 95376

(209)951-5353

NPI: 1710950589

License No: A061795

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)951-5353

Hours: Tue-Fri

1:00pm-5:00pm

Office Staff Language(s):

Cambodian,Khmer, Hmong,

Spanish

Physician Language(s):

Cambodian,Khmer

Yecies, Jerold J. M.D.

45

Gender: Male

ID Number: 018851

550 W. Eaton Ave. Ste 548

Tracy, CA 95376

(209)836-2495

NPI: 1780657643

License No: G024163

Cultural Competence

Training Completed: No

Hours: Mon-Fri

9:00am-5:00pm

Tracy

Cardiology/Cardiovascular

Disease

Punjya, Rajiv H. M.D.

145

Gender: Male

ID Number: 051679

1530 Bessie Ave. Ste 101

Tracy, CA 95376

(209)832-0343

NPI: 1881632263

License No: A048705

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)832-0343

Hours: Mon-Fri

9:00am-5:00pm

Hospital(s): Doctors Hospital

of Manteca, Sutter Tracy

Community Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Chiropractor

Watson, Denise L. D.C.

45

Gender: Female

ID Number: 134833

730 N. Central Ave.

Tracy, CA 95376

(209)820-1500

NPI: 1356444947

License No: DC28196

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)820-1500

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish

Tracy

General Surgery

Shih, Yong L. D.O.

45

Gender: Male

ID Number: 107674

652 W. 11th St. Ste 105

Tracy, CA 95376

(209)239-8086

NPI: 1477530236

License No: 20A08865

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)239-8086

Hours: Thu 8:00am-5:00pm

Physician Language(s):

Mandarin, Thai

Hematology

Bangalore, Neelesh S.

M.D.

45

Gender: Male

ID Number: 079652

4600 S. Tracy Blvd. Ste 108

Tracy, CA 95377

(209)839-9115

NPI: 1154326262

License No: A070883

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)833-7353

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Hindi, Tamil

Hospital(s): Dameron

Hospital, Sutter Tracy

Community Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Tracy

Internal Medicine

Grewal, Gurinder S.

M.D.

145

Gender: Male

ID Number: 025568

530 W. Eaton Ave. Ste A

Tracy, CA 95376

(209)836-0364

NPI: 1942389580

License No: A037609

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)836-0364

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Hindi, Punjabi, Spanish,

Tagalog, Urdu

Physician Language(s):

Punjabi, Spanish

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Page 145: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 145 Volume 12, 2018

Specialist

Sp

ecia

lis

t

Tracy

Madugundi, Shalini M.D.

4

Gender: Female

ID Number: 200803

730 N. Central Ave.

Tracy, CA 95376

(209)762-6808

NPI: 1154635506

License No: A125552

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)820-1500

Hours: Mon-Thu

8:00am-8:00pm Fri

8:00am-6:00pm Sat

8:00am-4:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Hindi, Kannada, Telugu

Tracy

Nephrology

Bajwa, Randeep S. M.D.

45

Gender: Male

ID Number: 154383

530 W. Eaton Ave. Ste A

Tracy, CA 95376

(209)943-0851

NPI: 1083611594

License No: A104576

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)943-0851

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Hindi, Punjabi, Spanish,

Tagalog, Urdu

Physician Language(s):

Hindi

Hospital(s): Dameron

Hospital, Doctors Hospital of

Manteca, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Neurology

Woan, Jin-Mei M.D.

45

Gender: Female

ID Number: 035802

530 W. Eaton Ave. Ste M

Tracy, CA 95376

(209)833-0268

NPI: 1093756835

License No: G069222

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)833-0268

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Mandarin

Tracy

Ophthalmology

Canzano, John C. M.D.

145

Gender: Male

ID Number: 075311

36 W. Tenth St.

Tracy, CA 95376

(209)834-0700

NPI: 1134232648

License No: A055787

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)834-0700

Hours: Mon-Fri

9:00am-5:00pm

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Tracy

Narvaez, Julio M.D.

145

Gender: Male

ID Number: 076751

2160 W. Grant Line Rd. Ste

100

Tracy, CA 95377

(209)835-2227

NPI: 1962427088

License No: G077326

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)835-2227

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Spanish

Hospital(s): Doctors Hospital

of Manteca, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Self Reported Accessibility:

Basic(P,EB,IB,R,E,T)

Oneil, Thomas C. M.D.

45

Gender: Male

ID Number: 058344

303 W. Eaton Ave.

Tracy, CA 95376

(209)836-1155

NPI: 1831162999

License No: A034142

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)836-1155

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

German

Hospital(s): Sutter Tracy

Community Hospital

Page 146: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

146 / www.healthnet.com Volume 12, 2018

Specialist

Tracy

Tsuchiya, Pamela Y.

M.D.

145

Gender: Female

ID Number: 058355

2160 W. Grant Line Rd. Ste

100

Tracy, CA 95377

(209)835-2227

NPI: 1962519652

License No: G074382

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)835-2227

Hours: Mon-Fri

9:00am-5:00pm

Self Reported Accessibility:

Basic(P,EB,IB,R,E,T)

Usunov, Jordan M. M.D.

45

Gender: Male

ID Number: 058356

1540 N. Tracy Blvd. Ste A

Tracy, CA 95376

(209)836-2223

NPI: 1609939099

License No: C038780

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)836-2223

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Russian, Spanish

Tracy

Wee, Daniel M.D.

45

Gender: Male

ID Number: 200382

612 W. 11th St. Ste 103

Tracy, CA 95376

(209)836-4800

NPI: 1740480441

License No: C139388

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)836-4800

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Spanish

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Zeiter, John H. M.D.

45

Gender: Male

ID Number: 024783

36 W. Tenth St.

Tracy, CA 95376

(209)834-0700

NPI: 1447330634

License No: A046664

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)834-0700

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Spanish

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Tracy

Zeiter, Joseph E. M.D.

45

Gender: Male

ID Number: 189724

36 W. Tenth St.

Tracy, CA 95376

(209)835-0900

NPI: 1588824494

License No: A118736

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)835-0900

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Spanish

Hospital(s): Dameron

Hospital, Lodi Memorial

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Otolaryngology

Blum, Mitchell E. M.D.

45

Gender: Male

ID Number: 501542

2160 W. Grant Line Rd. Ste

250

Tracy, CA 95377

(209)834-0626

NPI: 1770586448

License No: G025010

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)834-0626

Hours: Mon-Fri

9:00am-5:00pm

Tracy

Pediatrics

Thaikkendiyil, Parvathy

M.D.

45

Gender: Female

ID Number: 219015

4598 S. Tracy Blvd. Ste 110

Tracy, CA 95377

(209)839-1432

NPI: 1770774622

License No: C056108

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)839-1432

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Hindi, Malayalam, Spanish,

Tamil

Urbano, Wivina T. M.D.

4

Gender: Female

ID Number: 077545

4600 S. Tracy Blvd. Ste 110

Tracy, CA 95377

(209)833-1628

NPI: 1649274663

License No: A068692

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)833-1628

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Spanish

Physician Language(s):

Spanish, Tagalog

Hospital(s): Sutter Tracy

Community Hospital

Page 147: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 147 Volume 12, 2018

Specialist

Sp

ecia

lis

t

Tracy

Physical Medicine Rehab

Zheng, Min M.D.

45

Gender: Female

ID Number: 108063

2160 W. Grant Line Rd. Ste

110

Tracy, CA 95377

(209)830-6558

NPI: 1932168911

License No: A083350

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)830-6558

Hours: Mon-Fri

9:00am-5:00pm

Hospital(s): Doctors Hospital

of Manteca, Sutter Tracy

Community Hospital

Podiatry

Lam, Gary K. DPM

45

Gender: Male

ID Number: 165318

730 N. Central Ave.

Tracy, CA 95376

(209)820-1500

NPI: 1588996557

License No: E004748

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)820-1500

Hours: Mon-Fri

8:00am-5:30pm

Office Staff Language(s):

Spanish

Physician Language(s):

Cantonese, Mandarin

Tracy

Radiology

Andrade, Kristine E.

M.D.

146

Gender: Female

ID Number: 231562

1420 N. Tracy Blvd.

Tracy, CA 95376

(209)835-1500

NPI: 1083857817

License No: A106633

After Hours Phone Number:

(209)835-1500

Hours: Mon-Fri

9:00am-5:00pm

Doan, Lien N. M.D.

46

Gender: Female

ID Number: 231496

1420 N Tracy Blvd.

Tracy, CA 95376

(209)835-1500

NPI: 1740518547

License No: A110184

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)835-1500

Hours: Mon-Fri

9:00am-5:00pm

Tracy

Federer, Gregory E.

M.D.

146

Gender: Male

ID Number: 193418

1420 N Tracy Blvd.

Tracy, CA 95376

(209)835-1500

NPI: 1487817706

License No: A125076

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)835-1500

Hours: Mon-Fri

9:00am-5:00pm

Frederiksen, Ryan A.

M.D.

146

Gender: Male

ID Number: 202640

1420 N. Tracy Blvd.

Tracy, CA 95376

(209)835-1500

NPI: 1922260033

License No: A108502

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)835-1500

Hours: Mon-Fri

9:00am-5:00pm

Tracy

Furubayashi, Jill K. M.D.

146

Gender: Female

ID Number: 202660

1420 N. Tracy Blvd.

Tracy, CA 95376

(209)835-1500

NPI: 1457587073

License No: A113720

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)835-1500

Hours: Mon-Fri

9:00am-5:00pm

Garcia-Rojas, Xavier

M.D.

146

Gender: Male

ID Number: 240095

1420 N. Tracy Blvd.

Tracy, CA 95376

(209)835-1500

NPI: 1083895379

License No: C153827

After Hours Phone Number:

(209)835-1500

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Spanish

Page 148: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

148 / www.healthnet.com Volume 12, 2018

Specialist

Tracy

Hotchkiss, John H. M.D.

46

Gender: Male

ID Number: 242297

1420 N. Tracy Blvd.

Tracy, CA 95376

(209)835-1500

NPI: 1720259476

License No: A134271

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)835-1500

Hours: Mon-Fri

9:00am-5:00pm

Hospital(s): Doctors Hospital

of Manteca, Sutter Tracy

Community Hospital

Kato, Kambrie Y. M.D.

46

Gender: Female

ID Number: 233775

1420 N Tracy Blvd.

Tracy, CA 95376

(209)835-1500

NPI: 1235424284

License No: A124371

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)835-1500

Hours: Mon-Fri

9:00am-5:00pm

Tracy

Kazem, Fatima M.D.

146

Gender: Female

ID Number: 108039

1420 N Tracy Blvd.

Tracy, CA 95376

(209)832-6022

NPI: 1083673644

License No: A084658

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)832-6022

Hours: Mon-Fri

9:00am-5:00pm

Khalili, Michael M.D.

46

Gender: Male

ID Number: 239937

1420 N Tracy Blvd.

Tracy, CA 95376

(209)835-1500

NPI: 1144593005

License No: A145007

After Hours Phone Number:

(209)835-1500

Hours: Mon-Fri

9:00am-5:00pm

Ly, Justin Q. M.D.

46

Gender: Male

ID Number: 172194

1420 N. Tracy Blvd.

Tracy, CA 95376

(209)835-1500

NPI: 1770560542

License No: A090777

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)835-1500

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Vietnamese

Tracy

Rozenfeld, Michael N.

D.O.

146

Gender: Male

ID Number: 241752

1420 N Tracy Blvd.

Tracy, CA 95376

(209)832-6022

NPI: 1891937454

License No: C016256

After Hours Phone Number:

(209)835-1500

Hours: Mon-Fri

9:00am-5:00pm

Saito, Jerel K. M.D.

146

Gender: Male

ID Number: 233842

1420 N Tracy Blvd.

Tracy, CA 95376

(209)835-1500

NPI: 1245210863

License No: A060082

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)835-1500

Hours: Mon-Fri

9:00am-5:00pm

Hospital(s): Sutter Tracy

Community Hospital

Tracy

Sakamoto, Brian S. M.D.

46

Gender: Male

ID Number: 171070

1420 N Tracy Blvd.

Tracy, CA 95376

(209)835-1500

NPI: 1962608158

License No: A113883

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)835-1500

Hours: Mon-Fri

9:00am-5:00pm

Tran, Nha P. M.D.

46

Gender: Male

ID Number: 187569

1420 N Tracy Blvd.

Tracy, CA 95376

(209)835-1500

NPI: 1255539326

License No: A106513

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)835-1500

Hours: Mon-Fri

9:00am-5:00pm

Page 149: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 149 Volume 12, 2018

Specialist

Sp

ecia

lis

t

Tracy

Vridhachalam, Sanjeevi

M.D.

46

Gender: Male

ID Number: 148621

1420 N Tracy Blvd.

Tracy, CA 95376

(209)832-6022

NPI: 1598754459

License No: A075463

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)832-6022

Hours: Mon-Fri

9:00am-5:00pm

Yamamoto, Shota M.D.

46

Gender: Male

ID Number: 237894

1420 N Tracy Blvd.

Tracy, CA 95376

(209)835-1500

NPI: 1609165356

License No: A128311

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)835-1500

Hours: Mon-Fri

9:00am-5:00pm

Yuh, Theresa M. M.D.

146

Gender: Female

ID Number: 241756

1420 N. Tracy Blvd.

Tracy, CA 95376

(209)832-6022

NPI: 1265523930

License No: C154382

After Hours Phone Number:

(209)832-6022

Hours: Mon-Fri

9:00am-5:00pm

Tracy

Rheumatology

Chahal, Anupam M.D.

45

Gender: Female

ID Number: 188769

530 W. Eaton Ave. Ste C

Tracy, CA 95376

(209)284-4561

NPI: 1972780146

License No: A121284

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)284-4561

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Hindi, Punjabi

Hospital(s): Doctors Hospital

of Manteca

Urology

Razi, Salman S. M.D.

145

Gender: Male

ID Number: 104054

2160 W. Grantline Rd. Ste

140

Tracy, CA 95377

(209)833-3449

NPI: 1851368054

License No: A055879

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)833-3449

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Spanish

Hospital(s): Doctors Hospital

of Manteca, Sutter Tracy

Community Hospital

Tracy

PRIME COMMUNITY CARE

OF CENTRAL VALLEY,

INC. - SAN JOAQUIN

Allergy/Immunology

Yecies, Jerold J. M.D.

45

Gender: Male

ID Number: 018851

632 W. 11th St. Ste 219

Tracy, CA 95376

(209)951-5353

NPI: 1780657643

License No: G024163

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)951-5353

Hours: Mon-Fri

9:00am-5:00pm

Office Staff Language(s):

Cambodian,Khmer, Hmong,

Spanish

Physician Language(s):

Cambodian,Khmer

Hospital(s): Dameron

Hospital, Doctors Hospital of

Manteca, Lodi Memorial

Hospital, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Tracy

Ophthalmology

Dehaybi, Sarah L. M.D.

45

Gender: Female

ID Number: 230992

612 W. 11th St. Ste 103

Tracy, CA 95376

(209)836-4800

NPI: 1821331034

License No: A147706

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)836-4800

Hours: Mon-Fri

8:00am-5:00pm

Edington, Philip A. M.D.

45

Gender: Male

ID Number: 025183

612 W. 11th St. Ste 103

Tracy, CA 95376

(209)836-4800

NPI: 1508837279

License No: G058380

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)836-4800

Hours: Mon-Fri

8:00am-5:00pm

Physician Language(s):

Spanish

Hospital(s): St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Page 150: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

150 / www.healthnet.com Volume 12, 2018

Specialist

Tracy

Kim, Charles M.D.

45

Gender: Male

ID Number: 223153

612 W. 11th St. Ste 103

Tracy, CA 95376

(209)836-4800

NPI: 1104242924

License No: A142099

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)836-4800

Hours: Mon-Fri

8:00am-5:00pm

Physician Language(s):

Mandarin, Spanish

Hospital(s): Doctors Hospital

of Manteca, San Joaquin

General Hospital, St.

Joseph's Medical Center c/o

Port City Operatin Company,

LLC

Kothari, Nisreen M. M.D.

45

Gender: Female

ID Number: 228533

612 W. 11th St. Ste 103

Tracy, CA 95376

(209)836-4800

NPI: 1730445644

License No: A144488

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)836-4800

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Gujarati, Spanish

Hospital(s): Doctors Hospital

of Manteca

Tracy

Wee, Daniel M.D.

45

Gender: Male

ID Number: 200382

612 W. 11th St. Ste 103

Tracy, CA 95376

(209)836-4800

NPI: 1740480441

License No: C139388

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)836-4800

Hours: Mon-Fri

9:00am-5:00pm

Physician Language(s):

Spanish

Hospital(s): Doctors Hospital

of Manteca, St. Joseph's

Medical Center c/o Port City

Operatin Company, LLC

Orthopedic Surgery

De Mayo, Frank M. M.D.

145

Gender: Male

ID Number: 503775

1450 Bessie Ave. Ste 1

Tracy, CA 95376

(209)835-4888

NPI: 1861474520

License No: G060003

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)835-4888

Hours: Mon-Fri

8:00am-5:00pm

Tracy

Physical Therapy

Kriskovich, Nicole C. P.T.

45

Gender: Female

ID Number: 234763

855 S. Tracy Blvd.

Tracy, CA 95376

(209)627-1383

NPI: 1295250397

License No: PT93372

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)627-1383

Hours: Mon-Fri

8:00am-5:00pm

Preston-Smith, Michelle

P.T.

45

Gender: Female

ID Number: 237447

855 S. Tracy Blvd.

Tracy, CA 95376

(209)627-1383

NPI: 1821013897

License No: PT15272

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)627-1383

Hours: Mon-Fri

8:00am-5:00pm

Tracy

Van Kalveren, Rebecca

P.T.

45

Gender: Female

ID Number: 238363

855 S. Tracy Blvd.

Tracy, CA 95376

(209)627-1383

NPI: 1881107639

License No: PT94036

Cultural Competence

Training Completed: No

After Hours Phone Number:

(209)627-1383

SUTTER SAN JOAQUIN

(REFERRAL ONLY)

Anesthesiology

Fossaceca, Christopher R.

M.D.

46

Gender: Male

ID Number: 196268

445 W. Eaton Ave.

Tracy, CA 95376

(209)524-1211

NPI: 1295817880

License No: A113247

After Hours Phone Number:

(209)524-1211

Halderman, James R.

M.D.

46

Gender: Male

ID Number: 095822

445 W. Eaton Ave.

Tracy, CA 95376

(209)524-1211

NPI: 1679514012

License No: A068157

After Hours Phone Number:

(209)524-1211

Page 151: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 151 Volume 12, 2018

Specialist

Sp

ecia

lis

t

Tracy

Internal Medicine

Haq, Alina M.D.

45

Gender: Female

ID Number: 168605

445 W. Eaton Ave.

Tracy, CA 95376

(209)833-2367

NPI: 1669665436

License No: A116328

After Hours Phone Number:

(209)833-2367

Physician Language(s):

Urdu

Heer, Manavjyot S. M.D.

45

Gender: Male

ID Number: 200084

445 W. Eaton Ave.

Tracy, CA 95376

(209)833-2367

NPI: 1497702179

License No: A096928

After Hours Phone Number:

(209)833-2367

Physician Language(s):

Hindi, Punjabi

Hospital(s): Sutter Tracy

Community Hospital

Orthopedic Surgery

Walthour, Christopher S.

M.D.

45

Gender: Male

ID Number: 139478

445 W. Eaton Ave.

Tracy, CA 95376

(209)830-4062

NPI: 1811976640

License No: C052856

After Hours Phone Number:

(209)830-4062

Hours: Mon-Fri

8:00am-5:00pm

Page 152: San Joaquin County (pdf)
Page 153: San Joaquin County (pdf)

Hospitals

www.healthnet.com / 153 Volume 12, 2018

Page 154: San Joaquin County (pdf)
Page 155: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 155 Volume 12, 2018

Hospitals

Ho

sp

ita

ls

French Camp

Emergency

Department

San Joaquin General

Hospital

500 W. Hospital Rd.

French Camp, CA 95231

(209)468-6000

NPI: 1992870430

Self Reported Accessibility:

Limited(P,EB,IB,R,T)

Lodi

Emergency

Department

Lodi Memorial Hospital

800 S. Lower Sacramento

Rd.

Lodi, CA 95242

(209)333-3131

NPI: 1316938301

Self Reported Accessibility:

Limited(P,EB,IB,R,T)

Manteca

Emergency

Department

Doctors Hospital of

Manteca

1205 East North Street

Manteca, CA 95336

(209)823-3111

NPI: 1992736599

Stockton

Emergency

Department

Dameron Hospital

525 West Acacia Street

Stockton, CA 95203

(209)944-5550

NPI: 1538163886

St. Joseph's Medical

Center c/o Port City

Operatin Company, LLC

1800 N California St

Stockton, CA 95204

(209)943-2000

NPI: 1528190931

Tracy

Emergency

Department

Sutter Tracy Community

Hospital

1420 North Tracy Blvd.

Tracy, CA 95376

(209)835-1500

NPI: 1821442864

Page 156: San Joaquin County (pdf)
Page 157: San Joaquin County (pdf)

Urgent Care Facilities

www.healthnet.com / 157 Volume 12, 2018

Page 158: San Joaquin County (pdf)
Page 159: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 159 Volume 12, 2018

* Member should contact PCP or PPG before going to Urgent Care Center

Urgent Care Facilities

Urg

en

t C

are

F

ac

ilitie

s

Stockton

Trinity Urgent Care*

10200 Trinity Pkwy. Ste.202

Stockton, CA 95219

(209)955-1229

NPI: 1093960403

Group(s):

Direct Contracted

Accessibility:

Limited(P,EB,R,PD)

California Urgent Care*

8001 Lorraine Ave.

Stockton, CA 95210

(209)472-7400

After Hours Phone Number:

(209)472-7400

Hours: Sun-Sat

9:00am-9:00pm

Office Staff Language(s):

Spanish

Group(s):

PRIME COMMUNITY

CARE OF CENTRAL

VALLEY, INC. - SAN

JOAQUIN

Pacific Urgent Care*

1782 W. Hammer Ln.

Stockton, CA 95207

(209) 475-9500

After Hours Phone Number:

(209) 475-9500

Hours: Mon-Fri

9:00am-7:00pm Sat-Sun

9:00am-2:00pm

Office Staff Language(s):

Spanish

Group(s):

HILL PHYSICIANS

MEDICAL GROUP -

SAN JOAQUIN,HILL

PHYSICIANS MED

Stockton

GROUP-NORTH

CALIFORNIA

STREET,HILL

PHYSICIANS MEDICAL

GROUP- FRENCH

CAMP

Tracy

Tracy Urgent Care Medical

Clinic*

2160 W. Grantline Rd. Ste.

230

Tracy, CA 95376

(209) 832-8700

After Hours Phone Number:

(209) 832-8700

Hours: Mon-Fri

9:00am-9:00pm Sat-Sun

9:00am-2:00pm

Office Staff Language(s):

Punjabi, Spanish

Group(s):

HILL PHYSICIANS

MEDICAL GROUP-

FRENCH CAMP,HILL

PHYSICIANS MED

GROUP-NORTH

CALIFORNIA

STREET,HILL

PHYSICIANS MEDICAL

GROUP - SAN

JOAQUIN

Page 160: San Joaquin County (pdf)
Page 161: San Joaquin County (pdf)

Skilled Nursing Facilities

www.healthnet.com / 161 Volume 12, 2018

Page 162: San Joaquin County (pdf)
Page 163: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 163 Volume 12, 2018

Skilled Nursing Facilities

Sk

ille

d N

urs

in

g F

ac

ilities

Lodi

Arbor Rehabilitation &

Nursing Center

900 N. Church St.

Lodi, CA 95240

(209)333-1222

NPI: 1396986436

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Spanish, Tagalog

Fairmont Rehabilitation

Hospital

950 South Fairmont Avenue

Lodi, CA 95240

(209)368-0693

NPI: 1942256391

Hours: Mon-Fri

8:00am-6:00pm Sat, Sun

9:00am-5:00pm

Lodi Nursing &

Rehabilitation

1334 S Ham Ln

Lodi, CA 95242

(209)334-3825

NPI: 1861868721

Hours: 24 hrs/day, 7

days/week

Vienna Nursing &

Rehabilitation Center

800 South Ham Lane

Lodi, CA 95242

(209)368-7141

NPI: 1215901921

Hours: Mon-Fri

8:00am-4:30pm

Self Reported Accessibility:

Basic(P,EB,IB,R,T,PD,PA)

Manteca

St. Jude Care Center

469 E. North St.

Manteca, CA 95336

(209)823-1788

Website:

WWW.STJUDECARECENT

ER.COM

NPI: 1629097761

Hours: Mon-Fri

8:00am-5:00pm

Ripon

Bethany Home Society

San Joaquin Cty, Inc.

930 W. Main St.

Ripon, CA 95366

(209)599-4221

NPI: 1487648135

Hours: Mon-Fri

8:00am-4:30pm

Stockton

Creekside Center

9107 North Davis Road

Stockton, CA 95209

(209)478-6488

NPI: 1487601704

Hours: 24 hrs/day, 7

days/week

Office Staff Language(s):

Spanish, Tagalog,

Vietnamese

Golden LivingCenter -

Chateau

1221 Rosemarie Lane

Stockton, CA 95207

(209)477-2664

NPI: 1679529176

Hours: 24 hrs/day, 7

days/week

Stockton

Golden LivingCenter -

Hy-Pana

4545 Shelley Court

Stockton, CA 95207

(209)477-0271

NPI: 1689626830

Hours: Mon-Fri

8:00am-5:00pm

Golden Livingcenter -

Portside

2740 N. California St.

Stockton, CA 95204

(209)466-3522

NPI: 1255387833

Hours: Mon-Fri

8:00am-5:00pm

Kindred Transitional Care

and Rehabilitation - Valley

Gardens

1517 E Knickerbocker Dr

Stockton, CA 95210

(209)957-4539

NPI: 1891700464

Hours: 24 hrs/day, 7

days/week

Self Reported Accessibility:

Limited(P,R)

Lasalette Health And

Rehabilitation Center

537 East Fulton Street

Stockton, CA 95204

(209)466-2066

NPI: 1679528988

Hours: Mon-Fri

8:00am-5:30pm

Stockton

Lincoln Square Post Acute

Care

1032 North Lincoln Street

Stockton, CA 95203

(209)466-5341

NPI: 1780816777

Hours: Mon-Fri

9:30am-5:30pm

Self Reported Accessibility:

Basic(P,EB,IB,R,T,PD,PA)

Meadowood Health &

Rehabilitation Center

3110 Wagner Heights Road

Stockton, CA 95209

(209)956-3444

NPI: 1730269184

Hours: Mon-Fri

8:00am-5:00pm

Riverwood Healthcare

Center

5320 Carrington Circle

Stockton, CA 95210

(209)473-3004

NPI: 1639519986

Hours: Mon-Fri

9:00am-5:00pm

Wagner Heights Nursing

And Rehabilitation Center

9289 Branstetter Pl

Stockton, CA 95209

(209)477-5252

NPI: 1801938816

Hours: Mon-Fri

10:00am-4:30pm

Windsor Elmhaven Care

Center, LLC

6940 Pacific Avenue

Stockton, CA 95207

(209)477-4817

NPI: 1396881033

Hours: Mon-Fri

8:00am-5:00pm

Page 164: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

164 / www.healthnet.com Volume 12, 2018

Skilled Nursing Facilities

Stockton

Windsor Hampton Care

Center,LLC

442 East Hampton Street

Stockton, CA 95204

(209)466-0456

NPI: 1629114178

Hours: Mon-Fri

8:00am-5:00pm

Tracy

New Hope Post Acute Care

2586 Buthmann Avenue

Tracy, CA 95376

(209)832-2273

NPI: 1316995152

Hours: Mon-Fri

8:00am-5:00pm

Office Staff Language(s):

Punjabi, Spanish, Tagalog

Tracy Nursing &

Rehabilitation Center

545 W Beverly Pl

Tracy, CA 95376

(209)835-6034

NPI: 1972865301

Hours: Mon-Fri

8:00am-5:00pm

Self Reported Accessibility:

Basic(P,EB,IB,R,T,PA)

Page 165: San Joaquin County (pdf)

Facilities and Other Services

www.healthnet.com / 165 Volume 12, 2018

Page 166: San Joaquin County (pdf)
Page 167: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 167 Volume 12, 2018

Facilities and Other Services

Fa

cilities

a

nd

O

th

er S

erv

ice

s

Lodi

RADIOLOGY/MRI

Ben Schaffer Cancer

Institute

311 South Ham Lane

Lodi, CA 95242

(209)365-1761

NPI: 1215970033

Valley MRI and Radiology,

Inc

801 S Ham Ln Suite Q-R

Lodi, CA 95242

(209)366-1000

NPI: 1568756096

Office Staff Language(s):

Spanish

Self Reported Accessibility:

Limited(P,EB,IB,R,T)

DIALYSIS FACILITY

Lodi Dialysis Center

1610 W Kettleman Lane

Suite D

Lodi, CA 95242

(209)334-9888

NPI: 1528027349

Accessibility:

Limited(P,EB,IB,PD)

Tokay Dialysis Center

312 S. Fairmont Ave., #A

Lodi, CA 95240

(209)369-5418

NPI: 1295798338

Office Staff Language(s):

Korean, Russian, Spanish

Accessibility:

Limited(P,EB,IB,PD)

Lodi

Tokay Home Dialysis

Center

777 South Ham Lane, Suite

L

Lodi, CA 95242

(209)333-8909

NPI: 1912054941

Office Staff Language(s):

Spanish

LABORATORY

QUEST DIAGNOSTICS -

LODI

845 S. FAIRMONT AVE.

STE. 6

Lodi, CA 95240

(209)367-4468

NPI: 1619913449

QUEST DIAGNOSTICS -

LODI

801 S. HAM LN. STE. I

Lodi, CA 95242

(209)333-9796

NPI: 1619913449

OUTPATIENT

SURGICAL FACILITIES

Endoscopy Center of Lodi,

LLC

840 S Fairmont Ave Ste 1

Lodi, CA 95240

(209)371-8700

NPI: 1881839959

RADIATION

ONCOLOGY

Ben Schaffer Cancer

Institute

311 South Ham Lane

Lodi, CA 95242

(209)365-1761

NPI: 1215970033

Manteca

DIALYSIS FACILITY

Manteca Dialysis

1620 W YOSEMITE AVE

Manteca, CA 95337

(209)825-3905

NPI: 1881668788

Office Staff Language(s):

Punjabi, Tagalog

Yosemite Street Dialysis

Center

1650 West Yosemite

Avenue

Manteca, CA 95337

(209)824-5552

NPI: 1073798674

Office Staff Language(s):

Spanish, Tagalog

LABORATORY

QUEST DIAGNOSTICS -

MANTECA

293 E. COMMERCE AVE.

Manteca, CA 95336

(209)823-2560

NPI: 1619913449

QUEST DIAGNOSTICS -

MANTECA

1140 NORMAN DR. STE. 2

Manteca, CA 95336

(209)825-4158

NPI: 1619913449

SLEEP STUDY

SleepMed of California, Inc

SleepMed of Manteca

1660 W. Yosemite Ave. Ste

2A

Manteca, CA 95337

(209)239-3402

NPI: 1063420800

Self Reported Accessibility:

Basic(P,EB,IB,R,PD)

Manteca

AUDIOLOGY/HEARING

AID

Wesson Hearing Aid

Center - Manteca

1079 Eucalyptus St. Ste.B

Manteca, CA 95337

(209)823-2107

NPI: 1750313359

Ripon

AUDIOLOGY/HEARING

AID

Wesson Hearing Aid

Center - Ripon

1444 W Main St Ste A

Ripon, CA 95366

(209)823-2107

NPI: 1750313359

Stockton

HOME HEALTH

Focus Health

1503 East March Lane Suite

A

Stockton, CA 95210

(209)472-7005

NPI: 1437258464

Holistic Approach, Inc.

4505 Precissi Lane, Suite B

Stockton, CA 95207

(209)956-7050

NPI: 1609946003

Self Reported Accessibility:

Limited(P,EB,IB,R)

Page 168: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

168 / www.healthnet.com Volume 12, 2018

Facilities and Other Services

Stockton

OUTPATIENT

SURGICAL FACILITIES

Ambulatory Surgery

Center of Stockton

2388 North California Street

Stockton, CA 95204

(209)944-9100

Website:

www.ascstockton.com

NPI: 1982942298

San Joaquin Laser &

Surgery Center

1805 North California

Street,, Suite 101

Stockton, CA 95204

(209)948-3241

NPI: 1730112178

Office Staff Language(s):

Spanish

Self Reported Accessibility:

Basic(P,EB,IB,R,T,PD,PA)

St. Joseph's Surgery

Center

1800 N California St, Ste 1

Stockton, CA 95204

(209)467-6316

NPI: 1619974219

Self Reported Accessibility:

Basic(P,EB,IB,R,T,PD,PA)

Zeiter Eye Surgical Center,

Inc.

1801 East March Lane.,

Suite C360

Stockton, CA 95210

(209)337-2020

NPI: 1497951164

Office Staff Language(s):

Spanish, Tagalog

Self Reported Accessibility:

Limited(P,IB,R)

Stockton

HOSPICE

AseraCare Hospice -

Concord

3203 W March Ln Ste 140

Stockton, CA 95219

(209)474-8349

Email:crystle.stone@aserac

are.com

Website: www.asercare.com

NPI: 1336229970

Self Reported Accessibility:

Basic(P,EB,IB,R,PA)

Optimal Hospice Care -

Stockton

3461 Brookside Rd. Ste. A2

Stockton, CA 95219

(209)670-8000

NPI: 1821166745

Prohealth Home Care -

Stockton

3255 W March Ln #105A &

105B

Stockton, CA 95219

(877)677-8770

NPI: 1538507587

DIALYSIS FACILITY

Delta Sierra Dialysis

Center

555 W Benjamin Holt Drive

Suite 200

Stockton, CA 95207

(209)473-2294

NPI: 1922069319

Office Staff Language(s):

Spanish, Tagalog

Port City Dialysis

1810 Fresno Ave

Stockton, CA 95206

(209)946-0738

NPI: 1437569514

Stockton

RAI-N. California -

Stockton

2350 North California Street

Stockton, CA 95204

(209)943-0854

NPI: 1669546990

Self Reported Accessibility:

Basic(P,EB,IB,R,T,PD,PA)

RAI-West March-Stockton

3115 West March Lane

Stockton, CA 95219

(209)955-7527

NPI: 1063586394

Self Reported Accessibility:

Basic(P,EB,IB,R,T,PD,PA)

Satellite Healthcare

Stockton

1801 E March Lane Suite

A100

Stockton, CA 95210

(209)473-6890

NPI: 1134142565

Office Staff Language(s):

Cambodian,Khmer, Hindi,

Hmong (White), Other,

Punjabi, Spanish, Tagalog

Self Reported Accessibility:

Basic(P,EB,IB,R,T,PD,PA)

Satellite Healthcare

University Park

590 East Harding Way

Stockton, CA 95204

(209)774-5800

NPI: 1104190826

Office Staff Language(s):

Punjabi, Spanish, Tagalog

Self Reported Accessibility:

Basic(P,EB,IB,R,T,PD,PA)

Stockton

Stockton Home Training

Dialysis

5608 N Pershing Ave

Stockton, CA 95207

(209)954-9563

NPI: 1437124476

Office Staff Language(s):

Spanish, Tagalog

Stockton Kidney Center

1523 E March Ln Ste 200

Stockton, CA 95210

(209)472-3300

NPI: 1790929826

Office Staff Language(s):

Mandarin, Spanish

Self Reported Accessibility:

Basic(P,EB,IB,R,T,PD,PA)

Wellbound of Stockton

3555 Deer Park Dr. Ste. 140

Stockton, CA 95219

(209)955-5630

NPI: 1144260811

Office Staff Language(s):

Spanish, Tagalog

Self Reported Accessibility:

Basic(P,EB,IB,R,T,PD,PA)

Physical

Therapy/Occupational

Therapy

Trinity Urgent Care

10200 Trinity Pkwy. Ste.202

Stockton, CA 95219

(209)955-1229

NPI: 1093960403

Accessibility:

Limited(P,EB,R,PD)

Page 169: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 169 Volume 12, 2018

Facilities and Other Services

Fa

cilities

a

nd

O

th

er S

erv

ice

s

Stockton

COMMUNITY BASED

ADULT SERVICE

Active Life Adult Day

Health Care Center

7209 Tamo O Shanter Dr

Stockton, CA 95210

(209)260-1777

NPI: 1508226440

ORTHOTICS/PROSTHE

TICS

Hanger - Linkia

644 E. Harding Way Ste. A

Stockton, CA 95204

(209)944-5517

NPI: 1205900180

San Joaquin Orthotics &

Prothetics

2211 N. California St.

Stockton, CA 95204

(209)932-0170

NPI: 1649290107

Self Reported Accessibility:

Limited(P,R,T)

PET/RADIOLOGY

Stockton Diagnostic

Imaging

1801 E. March Ln. Ste A130

Stockton, CA 95210

(209)475-9871

Email:ernie.velazquez@radn

et.com

NPI: 1356538201

Office Staff Language(s):

Arabic, Spanish

Accessibility:

Basic(P,EB,IB,R,PD)

Stockton

RADIOLOGY/MRI

Stockton Diagnostic

Imaging

2320 N California St

Stockton, CA 95204

(209)466-2000

NPI: 1356538201

Office Staff Language(s):

Spanish

Stockton Diagnostic

Imaging

1801 E. March Ln. Ste A130

Stockton, CA 95210

(209)475-9871

Email:ernie.velazquez@radn

et.com

NPI: 1356538201

Office Staff Language(s):

Arabic, Spanish

Accessibility:

Basic(P,EB,IB,R,PD)

Valley MRI and Radiology -

Stockton

546 East Pine Street

Stockton, CA 95204

(209)467-1000

NPI: 1568756096

DURABLE MEDICAL

EQUIPMENT

Active Life Medical

Products, Inc

4217 Coronado Ave. Unit D

Stockton, CA 95204

(209)943-2118

Website:

www.activelifemed.com

NPI: 1023271822

Stockton

Apria Healthcare -

Stockton

7475 Murray Drive Suite 17

Stockton, CA 95210

(209)475-6860

NPI: 1013027366

Office Staff Language(s):

Spanish

Self Reported Accessibility:

Basic(P,EB,IB,R,PA)

Numotion - Stockton

3137 Tomahawk Drive, Suite

C

Stockton, CA 95205

(209)467-1173

NPI: 1710051032

Self Reported Accessibility:

Limited(P,EB,IB,R,T)

LABORATORY

LABCORP - STOCKTON

1617 N. CALIFORNIA ST

Stockton, CA 95204

(209)938-0293

NPI: 1659352276

Self Reported Accessibility:

Basic(P,EB,IB,R,T,PD,PA)

QUEST DIAGNOSTICS -

STOCKTON

1801 E. MARCH LN. STE.

B200

Stockton, CA 95210

(209)956-2815

NPI: 1619913449

QUEST DIAGNOSTICS -

STOCKTON

3132 W. MARCH LN. STE. 1

Stockton, CA 95219

(209)956-2624

NPI: 1619913449

Stockton

QUEST DIAGNOSTICS -

STOCKTON

510 E. MAGNOLIA ST. STE.

130

Stockton, CA 95202

(209)941-2468

NPI: 1619913449

QUEST DIAGNOSTICS -

STOCKTON

1708 W. HAMMER LN.

Stockton, CA 95209

(209)955-1288

NPI: 1619913449

QUEST DIAGNOSTICS -

STOCKTON

2800 N. CALIFORNIA ST.

STE. 12

Stockton, CA 95204

(209)942-1927

NPI: 1619913449

QUEST DIAGNOSTICS -

STOCKTON

2291 W. MARCH LN. STE.

F145

Stockton, CA 95207

(209)951-5831

NPI: 1619913449

QUEST DIAGNOSTICS -

STOCKTON

75 W. MARCH LN. STE. L

Stockton, CA 95207

(209)956-2684

NPI: 1619913449

St Joseph's Medical

Center Clinical Lab

1800 N. California St.

Stockton, CA 95204

(209)938-0293

NPI: 1528190931

Page 170: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

170 / www.healthnet.com Volume 12, 2018

Facilities and Other Services

Stockton

AUDIOLOGY/HEARING

AID

American Hearing Aids

LLC

880 W. Benjamin Holt Dr.

Stockton, CA 95207

(209)952-9950

NPI: 1831460583

Office Staff Language(s):

Spanish

Self Reported Accessibility:

Basic(P,EB,IB,R,PD,PA)

Better Hearing Center

1231 W. Robinhood Dr.,

Suite A-2

Stockton, CA 95207

(209)957-1744

NPI: 1104985613

S.E.N.T. Hearing Aid

Center Stockton

10200 Trinity Pkwy. Ste. 201

Stockton, CA 95219

(209)952-0483

NPI: 1215359534

Self Reported Accessibility:

Basic(P,EB,IB,R,PD,PA)

RADIATION

ONCOLOGY

St. Teresa Comprehensive

Cancer Center

4722 Quail Lakes Drive

Stockton, CA 95207

(209)472-1848

NPI: 1386784114

Tracy

ORTHOTICS/PROSTHE

TICS

Capstone P & O

1355 Bessie Avenue

Tracy, CA 95376

(209)834-8600

NPI: 1851466882

OUTPATIENT

SURGICAL FACILITIES

Tracy Surgery Center, LLC

2160 W. Grant Line Rd. Ste.

120

Tracy, CA 95377

(209)836-5680

NPI: 1013104389

DURABLE MEDICAL

EQUIPMENT

Medline Industries

5701 Promontory Pkwy Ste

100

Tracy, CA 95377

(866)356-4997

Website: www.medline.com

NPI: 1801225354

Office Staff Language(s):

Polish, Russian, Spanish,

Tagalog

Self Reported Accessibility:

Limited(P,EB,IB,R)

LABORATORY

QUEST DIAGNOSTICS -

TRACY

632 W. 11TH ST. STE. 115

Tracy, CA 95376

(209)836-3843

NPI: 1619913449

Tracy

QUEST DIAGNOSTICS -

TRACY

530 W. EATON AVE. STE. D

Tracy, CA 95376

(209)830-1763

NPI: 1619913449

QUEST DIAGNOSTICS -

TRACY

569 W. LOWELL AVE.

Tracy, CA 95376

(209)830-1342

NPI: 1619913449

DIALYSIS FACILITY

Satellite Healthcare Tracy

2156 West Grant Line Road

Suite 150

Tracy, CA 95377

(209)832-4899

NPI: 1457510919

Office Staff Language(s):

Punjabi, Spanish, Tagalog

Self Reported Accessibility:

Basic(P,EB,IB,R,T,PD,PA)

Tracy Dialysis

425 West Beverly Place,

Suite A

Tracy, CA 95376

(209)839-0398

NPI: 1548236268

Office Staff Language(s):

Spanish

HOME HEALTH

Golden State Home Health

Care & Hospice

324 E 11th St Ste H2&H3

Tracy, CA 95376

(209)832-2224

Email:[email protected]

om

NPI: 1518250976

Tracy

AUDIOLOGY/HEARING

AID

Wesson Hearing Aid

Center - Tracy

530 W. Eaton Ave. Ste.A

Tracy, CA 95376

(209)836-0466

NPI: 1194841429

Woodbridge

DURABLE MEDICAL

EQUIPMENT

E-Medical Supplies, Inc

18835 North Lower

Sacramento Road, Suite

Woodbridge, CA 95258

(888)814-6639

NPI: 1710037494

Page 171: San Joaquin County (pdf)

Health Net Pharmacies

www.healthnet.com / 171 Volume 12, 2018

Page 172: San Joaquin County (pdf)
Page 173: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 173 Volume 12, 2018

Pharmacies

Ph

arm

ac

ie

s

Escalon

RITE AID PHARMACY

1710 California St

Escalon, CA 95320

(209) 838-3524

NPI: 1134238553

License No: PHY45895

Website: RITEAID.COM

Hours: M - F 09:00 - 09:00;

S 09:00 - 06:00; SU 10:00 -

06:00

Accessibility: Yes

Vaccine Network: Yes

VINEYARD PHARMACY &

GIFTS

1900 Mchenry Ave Suite 202

Escalon, CA 95320

(209) 838-0511

NPI: 1366571275

License No: PHY50817

Hours: M - F 09:00 - 06:00;

S 09:00 - 02:00

Accessibility: Yes

Vaccine Network: Yes

Lathrop

CVS PHARMACY

16858 Golden Valley Pkwy

Lathrop, CA 95330

(209) 242-5042

NPI: 1992966253

License No: PHY54188

Website:

TARGET.COM/PHARMACY

Hours: M - F 09:00 - 07:00;

S 09:00 - 05:00; SU 11:00 -

05:00

Accessibility: Yes

Vaccine Network: Yes

Lathrop

LATHROP PHARMACY

201a E Louise Ave

Lathrop, CA 95330

(209) 923-4564

NPI: 1861919938

License No: 55941

Hours: M - F 09:00 - 05:00

Office Staff Language(s):

HINDI;SPANISH;

CASTILIAN

Accessibility: Yes

Vaccine Network: Yes

SAVE MART PHARMACY

15240 S Harlan Rd

Lathrop, CA 95330

(209) 858-5787

NPI: 1306826342

License No: PHY55301

Hours: M - F 09:00 - 07:00;

S 09:00 - 05:00

Accessibility: No

Vaccine Network: Yes

Linden

LINDEN PHARMACY

19047 Main St

Linden, CA 95236

(209) 887-3397

NPI: 1013078195

License No: PHY32300

Hours: M - F 09:00 - 06:00;

S 09:00 - 02:00

Office Staff Language(s):

ITALIAN;SPANISH;

CASTILIAN

Accessibility: Yes

Vaccine Network: Yes

Lockeford

LOCKEFORD DRUG

14090 E Highway 88

Lockeford, CA 95237

(209) 727-5527

NPI: 1003913849

License No: PHY39960

Hours: M - F 10:00 - 06:00

Office Staff Language(s):

SPANISH; CASTILIAN

Accessibility: Yes

YOUNGS PAYLESS

PHARMACY

18980 N Highway 88

Lockeford, CA 95237

(209) 727-3762

NPI: 1437287190

License No: PHY41944

Hours: M - F 09:00 - 06:00;

S 09:00 - 02:00

Office Staff Language(s):

SPANISH; CASTILIAN

Accessibility: Yes

Vaccine Network: Yes

Lodi

COSTCO PHARMACY

2680 Reynolds Ranch

Parkway

Lodi, CA 95240

(209) 366-7301

NPI: 1922399419

License No: 50639

Hours: M - F 10:00 - 07:00;

S 09:30 - 06:00

Accessibility: No

Vaccine Network: Yes

Lodi

CVS PHARMACY

2375 W Kettleman Ln

Lodi, CA 95242

(209) 339-0232

NPI: 1992728299

License No: PHY54008

Website:

TARGET.COM/PHARMACY

Hours: M - F 09:00 - 07:00;

S 09:00 - 05:00; SU 11:00 -

05:00

Accessibility: Yes

Vaccine Network: Yes

CVS PHARMACY

1000 W Kettleman Ln

Lodi, CA 95240

(209) 368-5112

NPI: 1972546745

License No: PHY49652

Hours: M - F 08:00 - 09:00;

S 09:00 - 06:00; SU 10:00 -

06:00

Accessibility: Yes

Vaccine Network: Yes

CVS PHARMACY

100 W Lodi Ave

Lodi, CA 95240

(209) 369-3648

NPI: 1487698825

License No: PHY49631

Hours: M - F 08:00 - 08:00;

S 09:00 - 06:00; SU 10:00 -

06:00

Accessibility: No

Vaccine Network: Yes

Page 174: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

174 / www.healthnet.com Volume 12, 2018

Pharmacies

Lodi

FAIRMONT PHARMACY

1121 W Vine St Ste 13

Lodi, CA 95240

(209) 625-8633

NPI: 1689063331

License No: PHY52074

Hours: M - F 09:00 - 05:00

Office Staff Language(s):

VIETNAMESE

Accessibility: Yes

Vaccine Network: Yes

LODI MEMORIAL HOSP

PHARMACY WEST

2415 W Vine St

Lodi, CA 95240

(209) 333-3009

NPI: 1003846858

License No: PHY53672

Hours: M - F 08:00 - 06:00

Office Staff Language(s):

SPANISH; CASTILIAN

Accessibility: Yes

OMNICARE OF

NORTHERN CALIFORNIA

850 S Guild Ave

Lodi, CA 95240

(209) 333-4900

NPI: 1356429369

License No: PHY54230

Website: OMNICARE.COM

Hours: M - F 09:00 - 05:00

Accessibility: Yes

Lodi

RALEY'S DRUG CENTER

33 N Lower Sacramento Rd

Lodi, CA 95242

(209) 369-7403

NPI: 1730299496

License No: PHY53540

Website: raleys.com

Hours: M - F 09:00 - 05:00

Office Staff Language(s):

CHINESE;FRENCH;SPANIS

H; CASTILIAN

Accessibility: Yes

Vaccine Network: Yes

RITE AID PHARMACY

520 W Lodi Ave

Lodi, CA 95240

(209) 368-5363

NPI: 1235248691

License No: PHY42657

Website: RITEAID.COM

Hours: M - F 08:00 - 10:00;

S 09:00 - 06:00; SU 10:00 -

06:00

Accessibility: Yes

Vaccine Network: Yes

SAFEWAY PHARMACY

2449 W Kettleman Ln

Lodi, CA 95242

(209) 367-7882

NPI: 1629007638

License No: PHY44558

Hours: M - F 09:00 - 06:00;

S 10:00 - 05:00; SU 10:00 -

05:00

Accessibility: No

Vaccine Network: Yes

Lodi

SAVE MART PHARMACY

610 W Kettleman Ln

Lodi, CA 95240

(209) 334-6867

NPI: 1295714400

License No: PHY35535

Hours: M - F 09:00 - 07:00;

S 09:00 - 05:00

Accessibility: No

Vaccine Network: Yes

WALMART PHARMACY

1600 Westgate Dr

Lodi, CA 95242

(209) 368-6658

NPI: 1568489813

License No: PHY38114

Website: WALMART.COM

Hours: M - F 09:00 - 09:00;

S 09:00 - 07:00; SU 10:00 -

06:00

Accessibility: Yes

Vaccine Network: Yes

Manteca

BOB'S UNITED DRUGS

629 E Yosemite Ave

Manteca, CA 95336

(209) 823-2174

NPI: 1770619173

License No: 45115

Hours: M - F 09:00 - 06:00

Office Staff Language(s):

SPANISH; CASTILIAN

Accessibility: No

Vaccine Network: Yes

Manteca

COSTCO PHARMACY

2440 Daniels St

Manteca, CA 95337

(209) 825-8209

NPI: 1295997757

License No: 49102

Hours: M - F 10:00 - 07:00;

S 09:30 - 06:00

Accessibility: Yes

Vaccine Network: Yes

CVS PHARMACY

1175 W Lathrop Rd

Manteca, CA 95336

(209) 825-4685

NPI: 1215167242

License No: PHY50059

Hours: M - F 09:00 - 09:00;

S 10:00 - 06:00; SU 10:00 -

06:00

Accessibility: Yes

Vaccine Network: Yes

CVS PHARMACY

1190 N Main St

Manteca, CA 95336

(209) 239-2018

NPI: 1164465928

License No: PHY49637

Hours: M - F 09:00 - 08:00;

S 10:00 - 06:00; SU 10:00 -

05:00

Accessibility: Yes

Vaccine Network: Yes

Page 175: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 175 Volume 12, 2018

Pharmacies

Ph

arm

ac

ie

s

Manteca

CVS PHARMACY

280 Spreckels Ave

Manteca, CA 95336

(209) 824-9288

NPI: 1710909411

License No: PHY54071

Website:

TARGET.COM/PHARMACY

Hours: M - F 09:00 - 09:00;

S 09:00 - 06:00; SU 09:00 -

06:00

Accessibility: Yes

Vaccine Network: Yes

RALEY'S DRUG CENTER

1282 W Lathrop Rd

Manteca, CA 95336

(209) 825-0494

NPI: 1972613636

License No: PHY53505

Website: raleys.com

Hours: M - F 09:00 - 05:00

Accessibility: Yes

Vaccine Network: Yes

RITE AID PHARMACY

1245 W Yosemite Ave

Manteca, CA 95337

(209) 823-1949

NPI: 1548379076

License No: PHY42412

Website: RITEAID.COM

Hours: M - F 08:00 - 10:00;

S 09:00 - 06:00; SU 10:00 -

06:00

Accessibility: Yes

Vaccine Network: Yes

Manteca

SAFEWAY PHARMACY

1187 S Main Street

Manteca, CA 95337

(209) 239-1809

NPI: 1720235211

License No: PHY52246

Hours: M - F 09:00 - 06:00;

S 10:00 - 05:00; SU 10:00 -

05:00

Accessibility: No

Vaccine Network: Yes

STRIPLINS PHARMACY

1144 Norman Dr Ste 103

Manteca, CA 95336

(209) 923-4418

NPI: 1649424243

License No: PHY49005

Hours: M - F 09:00 - 06:00

Accessibility: Yes

Vaccine Network: Yes

WALMART PHARMACY

1205 S Main St

Manteca, CA 95337

(209) 824-2121

NPI: 1013934363

License No: PHY38043

Website: WALMART.COM

Hours: M - F 09:00 - 09:00;

S 09:00 - 07:00; SU 10:00 -

06:00

Accessibility: Yes

Vaccine Network: Yes

Ripon

CVS PHARMACY

1201 W Main St Ste 14

Ripon, CA 95366

(209) 599-4686

NPI: 1770526949

License No: PHY49447

Hours: M - F 09:00 - 08:00;

S 10:00 - 05:00; SU 10:00 -

05:00

Accessibility: Yes

Vaccine Network: Yes

SAVE MART PHARMACY

1453 Goodwin Dr

Ripon, CA 95366

(209) 599-3363

NPI: 1043345028

License No: PHY55342

Hours: M - F 09:00 - 07:00;

S 09:00 - 05:00

Accessibility: No

Vaccine Network: Yes

Stockton

ANGKOR PHARMACY

4555 N Pershing Ave Ste 7

Stockton, CA 95207

(209) 473-4706

NPI: 1306939749

License No: PHY53262

Hours: M - F 09:00 - 06:00

Accessibility: Yes

Vaccine Network: Yes

ANGKOR PHARMACY

4555 N Pershing Ave Ste 7

Stockton, CA 95207

(209) 473-4706

NPI: 1699285973

License No: 53262

Hours: M - F 09:00 - 05:00

Office Staff Language(s):

SPANISH; CASTILIAN

Accessibility: Yes

Vaccine Network: Yes

Stockton

BJRX PHARMACY INC.

1801 E March Ln Ste B280

Stockton, CA 95210

(209) 474-2888

NPI: 1063566446

License No: PHY49785

Hours: M - F 09:00 - 06:00

Office Staff Language(s):

HINDI;SPANISH;

CASTILIAN

Accessibility: Yes

Vaccine Network: Yes

BJRX PHARMACY LTC

1801 E March Ln Ste B270

Stockton, CA 95210

(209) 395-0555

NPI: 1073983144

License No: PHY53617

Website:

BJRXPHARMACYLTC.COM

Hours: M - F 09:00 - 05:00

Office Staff Language(s):

HINDI;SPANISH;

CASTILIAN

Accessibility: Yes

Vaccine Network: Yes

BRUCE PHARMACY

73 W March Lane Ste D

Stockton, CA 95207

(209) 957-2295

NPI: 1285173104

License No: PHY55523

Hours: M - F 09:00 - 05:00

Accessibility: Yes

Vaccine Network: Yes

Page 176: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

176 / www.healthnet.com Volume 12, 2018

Pharmacies

Stockton

CALMONT PHARMACY

2800 N California St Ste 9

Stockton, CA 95204

(209) 943-7676

NPI: 1972518629

License No: PHY46669

Website: calmontrx.com

Hours: M - F 09:00 - 06:00

Accessibility: Yes

Vaccine Network: Yes

CHARTER WAY

PHARMACY

201 W Charter Way

Stockton, CA 95206

(209) 466-2223

NPI: 1013078187

License No: 20560

Hours: M - F 09:00 - 05:00;

S 09:00 - 02:00

Office Staff Language(s):

ITALIAN;SPANISH;

CASTILIAN

Accessibility: Yes

Vaccine Network: Yes

COMMUNITY MEDICAL

CENTERS PHARMACY

701 E Channel St

Stockton, CA 95202

(209) 944-4730

NPI: 1649493198

License No: PHY46591

Website:

COMMUNITYMEDICALCEN

TERS.ORG

Hours: M - F 09:00 - 05:00

Office Staff Language(s):

CHINESE;SPANISH;

CASTILIAN

Accessibility: Yes

Stockton

COSTCO PHARMACY

1616 E Hammer Ln

Stockton, CA 95210

(209) 478-7448

NPI: 1396855904

License No: PHY40360

Hours: M - F 10:00 - 07:00;

S 09:30 - 06:00

Accessibility: Yes

Vaccine Network: Yes

CVS PHARMACY

6632 Pacific Ave

Stockton, CA 95207

(209) 951-6544

NPI: 1609819432

License No: PHY49673

Hours: M - F 08:00 - 09:00;

S 10:00 - 06:00; SU 10:00 -

06:00

Accessibility: Yes

Vaccine Network: Yes

CVS PHARMACY

2605 W March Ln

Stockton, CA 95207

(209) 952-3494

NPI: 1538102868

License No: PHY49448

Hours: Open 24 Hours/7

Days a Week

Accessibility: Yes

Vaccine Network: Yes

Stockton

CVS PHARMACY

10424 Trinity Pkwy

Stockton, CA 95219

(209) 235-0252

NPI: 1902828510

License No: PHY54030

Website:

TARGET.COM/PHARMACY

Hours: M - F 09:00 - 09:00;

S 09:00 - 06:00; SU 09:00 -

06:00

Accessibility: Yes

Vaccine Network: Yes

CVS PHARMACY

5070 West Ln

Stockton, CA 95210

(209) 472-9684

NPI: 1063455855

License No: PHY49367

Hours: M - F 09:00 - 09:00;

S 10:00 - 06:00; SU 10:00 -

06:00

Accessibility: No

Vaccine Network: Yes

CVS PHARMACY

4707 Pacific Ave

Stockton, CA 95207

(209) 954-9178

NPI: 1215959093

License No: PHY54207

Website:

TARGET.COM/PHARMACY

Hours: M - F 09:00 - 09:00;

S 09:00 - 06:00; SU 09:00 -

06:00

Accessibility: Yes

Vaccine Network: Yes

Stockton

DAMERON'S LINACIA

PHARMACY

420 W Acacia St

Stockton, CA 95203

(209) 466-2954

NPI: 1073663431

License No: PHY 39485

Hours: M - F 08:00 - 06:00

Office Staff Language(s):

SPANISH; CASTILIAN

Accessibility: Yes

Vaccine Network: Yes

EL DORADO DRUG

STORE

2005 E Mariposa Rd

Stockton, CA 95205

(209) 464-7722

NPI: 1417052937

License No: 18760

Website: eldoradodrugs.com

Hours: M - F 09:00 - 06:00;

S 09:00 - 01:00

Office Staff Language(s):

SPANISH;

CASTILIAN;VIETNAMESE

Accessibility: Yes

FORTY NINE DRUG

COMPANY

937 N Yosemite St

Stockton, CA 95203

(209) 465-2671

NPI: 1891737193

License No: PHY43499

Website: fortyninedrug.com

Hours: M - F 09:00 - 06:00;

S 09:00 - 01:00

Office Staff Language(s):

SPANISH; CASTILIAN

Accessibility: No

Vaccine Network: Yes

Page 177: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 177 Volume 12, 2018

Pharmacies

Ph

arm

ac

ie

s

Stockton

GOLDEN STATE

PHARMACY

1617 N California St Ste 1f

Stockton, CA 95204

(209) 420-1720

NPI: 1437641115

License No: 56048

Hours: M - F 09:00 - 05:00

Office Staff Language(s):

ARABIC;CHINESE;GERMA

N;HINDI

Accessibility: Yes

Vaccine Network: Yes

HAMMER LANE

PHARMACY

2339 West Hammer Lane

Suite J

Stockton, CA 95219

(209) 477-7100

NPI: 1669972121

License No: 56015

Hours: M - F 09:00 - 05:00

Office Staff Language(s):

HINDI;SPANISH;

CASTILIAN

Accessibility: Yes

Vaccine Network: Yes

HILLTOP PHARMACY

4545 Georgetown Pl Ste

B10

Stockton, CA 95207

(209) 851-2162

NPI: 1992109458

License No: PHY 53438

Hours: M - F 09:00 - 05:00

Office Staff Language(s):

VIETNAMESE

Accessibility: No

Vaccine Network: Yes

Stockton

MARCH LANE MEDICAL

PHARMACY

89 W March Ln Ste 2

Stockton, CA 95207

(209) 870-2760

NPI: 1386784825

License No: PHY46401

Hours: M - F 09:00 - 05:00

Accessibility: Yes

Vaccine Network: Yes

PHARMACY CARE

CONCEPTS

7720 Lorraine Ave Ste 102

Stockton, CA 95210

(209) 957-8787

NPI: 1821170366

License No: PHY54574

Hours: M - F 09:00 - 06:00

Accessibility: No

RALEYS PHARMACY

4255 E Morada Ln

Stockton, CA 95212

(209) 956-9444

NPI: 1891853826

License No: PHY53500

Website: raleys.com

Hours: M - F 09:00 - 05:00

Accessibility: No

Vaccine Network: Yes

RITE AID PHARMACY

1050 N Wilson Way

Stockton, CA 95205

(209) 948-0950

NPI: 1700995230

License No: PHY42812

Website: RITEAID.COM

Hours: M - F 08:00 - 10:00;

S 09:00 - 06:00; SU 10:00 -

06:00

Accessibility: Yes

Vaccine Network: Yes

Stockton

RITE AID PHARMACY

4774 West Ln

Stockton, CA 95210

(209) 473-9170

NPI: 1184851578

License No: PHY49970

Website: riteaid.com

Hours: M - F 09:00 - 09:00;

S 09:00 - 06:00; SU 10:00 -

06:00

Accessibility: Yes

Vaccine Network: Yes

RITE AID PHARMACY

6455 Pacific Ave

Stockton, CA 95207

(209) 478-5062

NPI: 1518076967

License No: PHY42811

Website: RITEAID.COM

Hours: M - F 08:00 - 10:00;

S 09:00 - 06:00; SU 10:00 -

06:00

Accessibility: Yes

Vaccine Network: Yes

RX EXPRESS PHARMACY

711 E Market St

Stockton, CA 95202

(209) 465-1001

NPI: 1396726634

License No: PHY43891

Hours: M - F 09:00 - 05:00

Office Staff Language(s):

SPANISH;

CASTILIAN;VIETNAMESE

Accessibility: No

Stockton

SAFEWAY PHARMACY

6445 Pacific Ave

Stockton, CA 95207

(209) 472-8605

NPI: 1356370399

License No: PHY52230

Hours: M - F 09:00 - 06:00;

S 10:00 - 05:00; SU 10:00 -

05:00

Accessibility: No

Vaccine Network: Yes

SAFEWAY PHARMACY

2808 Country Club Blvd

Stockton, CA 95204

(209) 461-5560

NPI: 1629014261

License No: PHY45721

Hours: M - F 09:00 - 06:00;

S 10:00 - 05:00; SU 10:00 -

05:00

Accessibility: No

Vaccine Network: Yes

SAN JOAQUIN CO

MENTAL HLTH

1212 N California St

Stockton, CA 95202

(209) 468-8711

NPI: 1760549166

License No: HPE19588

Website: sjcbhs.org

Hours: M - F 09:00 - 05:00

Office Staff Language(s):

HINDI;SPANISH;

CASTILIAN

Accessibility: Yes

Page 178: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

178 / www.healthnet.com Volume 12, 2018

Pharmacies

Stockton

SAVE MART PHARMACY

7506 Pacific Ave

Stockton, CA 95207

(209) 951-1051

NPI: 1174502389

License No: PHY43185

Hours: M - F 09:00 - 09:00;

S 09:00 - 05:00; SU 10:00 -

03:00

Accessibility: No

Vaccine Network: Yes

SAVE MART PHARMACY

4725 Quail Lakes Dr

Stockton, CA 95207

(209) 952-3599

NPI: 1134108418

License No: PHY43783

Hours: M - F 09:00 - 09:00;

S 09:00 - 05:00; SU 10:00 -

05:00

Accessibility: No

Vaccine Network: Yes

STOCKTON

HEMATOLOGY

ONCOLOGY

2626 N California St Ste B

Stockton, CA 95204

(209) 466-2626

NPI: 1922175074

License No: A107213

Hours: M - F 09:00 - 05:00

Office Staff Language(s):

SPANISH; CASTILIAN

Accessibility: Yes

Vaccine Network: Yes

Stockton

WALMART PHARMACY

1189 E March Ln

Stockton, CA 95210

(209) 235-1264

NPI: 1023373495

License No: PHY 51056

Website: walmart.com

Hours: M - F 09:00 - 09:00;

S 10:00 - 06:00; SU 10:00 -

06:00

Accessibility: Yes

Vaccine Network: Yes

WALMART PHARMACY

10355 Trinity Pkwy

Stockton, CA 95219

(209) 235-1505

NPI: 1770842940

License No: 51009

Website: walmart.com

Hours: M - F 09:00 - 08:00;

S 09:00 - 07:00; SU 10:00 -

06:00

Accessibility: Yes

Vaccine Network: Yes

WALMART PHARMACY

3223 E Hammer Ln

Stockton, CA 95212

(209) 473-8951

NPI: 1598782906

License No: PHY36921

Website: WALMART.COM

Hours: M - F 09:00 - 09:00;

S 09:00 - 07:00; SU 10:00 -

06:00

Accessibility: Yes

Vaccine Network: Yes

Stockton

WATERFRONT

PHARMACY

123 S Commerce St Ste A

Stockton, CA 95202

(209) 463-7777

NPI: 1730124058

License No: 36858

Website:

waterfrontpharmacyca.com

Hours: M - F 09:00 - 06:00

Office Staff Language(s):

CHINESE;SPANISH;

CASTILIAN

Accessibility: No

Vaccine Network: Yes

WEST-LANE

4873 West Ln Ste B

Stockton, CA 95210

(209) 478-2528

NPI: 1154342111

License No: 39652

Hours: M - F 08:00 - 05:00

Accessibility: No

Tracy

ABALA PHARMACY

550b W Eaton Ave

Tracy, CA 95376

(209) 832-7080

NPI: 1679638001

License No: PHY46343

Hours: M - F 09:00 - 06:00

Office Staff Language(s):

SPANISH; CASTILIAN

Accessibility: Yes

Vaccine Network: Yes

Tracy

COSTCO PHARMACY

3250 W Grant Line Rd

Tracy, CA 95304

(209) 830-5342

NPI: 1851401467

License No: PHY46068

Hours: M - F 10:00 - 07:00;

S 09:30 - 06:00

Accessibility: Yes

Vaccine Network: Yes

CVS PHARMACY

1885 W 11th St

Tracy, CA 95376

(209) 836-1460

NPI: 1609898899

License No: PHY49541

Hours: M - F 09:00 - 09:00;

S 10:00 - 06:00; SU 10:00 -

06:00

Accessibility: Yes

Vaccine Network: Yes

CVS PHARMACY

3320 N Tracy Blvd

Tracy, CA 95376

(209) 836-2316

NPI: 1740222553

License No: PHY49675

Hours: M - F 09:00 - 08:00;

S 10:00 - 06:00; SU 10:00 -

06:00

Accessibility: Yes

Vaccine Network: Yes

Page 179: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 179 Volume 12, 2018

Pharmacies

Ph

arm

ac

ie

s

Tracy

CVS PHARMACY

2800 Naglee Rd

Tracy, CA 95304

(209) 833-0072

NPI: 1740202373

License No: PHY54217

Website:

TARGET.COM/PHARMACY

Hours: M - F 09:00 - 07:00;

S 09:00 - 05:00; SU 11:00 -

05:00

Accessibility: Yes

Vaccine Network: Yes

GRANT LINE PHARMACY

INC

2160 W Grant Line Rd Ste

205

Tracy, CA 95377

(209) 832-2999

NPI: 1386816205

License No: PHY52074

Hours: M - F 09:00 - 05:00

Office Staff Language(s):

SPANISH;

CASTILIAN;VIETNAMESE

Accessibility: Yes

Vaccine Network: Yes

HAROLD K REICH'S

PHARMACY

39 W 10th St

Tracy, CA 95376

(209) 835-1832

NPI: 1164516647

License No: 45237

Website:

reichspharmacy.com

Hours: M - F 09:00 - 06:00;

S 09:00 - 03:00

Office Staff Language(s):

SPANISH; CASTILIAN

Accessibility: Yes

Vaccine Network: Yes

Tracy

RALEYS PHARMACY

2550 S Tracy Blvd

Tracy, CA 95376

(209) 830-6800

NPI: 1487887303

License No: PHY53510

Website: raleys.com

Hours: M - F 09:00 - 05:00

Accessibility: Yes

Vaccine Network: Yes

RITE AID PHARMACY

1970 W Grant Line Rd

Tracy, CA 95376

(209) 830-7388

NPI: 1144339532

License No: PHY44772

Website: RITEAID.COM

Hours: M - F 09:00 - 09:00;

S 09:00 - 06:00; SU 10:00 -

06:00

Accessibility: Yes

Vaccine Network: Yes

RITE AID PHARMACY

599 E Valpico Rd

Tracy, CA 95377

(209) 830-0976

NPI: 1023208345

License No: PHY48713

Website: riteaid.com

Hours: M - F 09:00 - 09:00;

S 09:00 - 06:00; SU 10:00 -

06:00

Accessibility: Yes

Vaccine Network: Yes

Tracy

SAFEWAY PHARMACY

1801 W 11th St

Tracy, CA 95376

(209) 830-2955

NPI: 1538198544

License No: PHY46006

Hours: M - F 09:00 - 06:00;

S 10:00 - 05:00; SU 10:00 -

05:00

Accessibility: No

Vaccine Network: Yes

SAVE MART PHARMACY

875 S Tracy Blvd

Tracy, CA 95376

(209) 830-1977

NPI: 1114062098

License No: PHY55352

Hours: M - F 09:00 - 07:00;

S 09:00 - 05:00; SU 10:00 -

05:00

Accessibility: No

Vaccine Network: Yes

WALMART PHARMACY

3010 W Grant Line Rd

Tracy, CA 95304

(209) 836-1991

NPI: 1942227269

License No: PHY39490

Website: WALMART.COM

Hours: M - F 09:00 - 09:00;

S 09:00 - 07:00; SU 10:00 -

06:00

Accessibility: Yes

Vaccine Network: Yes

Page 180: San Joaquin County (pdf)
Page 181: San Joaquin County (pdf)

Vision

The table below is a list of footnotes used in this section.

1Board-certified.2Accepting existing patients at this time.3Not accepting new patients at this time. 4Accepting new patients.5Available by referral only.6Available only through a hospital or facility.7Not accepting patients.

www.healthnet.com / 181 Volume 12, 2018

Page 182: San Joaquin County (pdf)
Page 183: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 183 Volume 12, 2018

Vis

io

n

Vision

Escalon

Elliott, L Edward, Od

1555 Viking St

Escalon, CA 95320

(209) 838-7263

NPI: 1023000502

License No: 4716

Hours: M 9AM-5PM; T

8:30AM-5:30PM; W

9AM-5PM; TH 9AM-5PM; F

8:30AM-5:30PM

Office Staff Language(s):

SPANISH; CASTILIAN

Krieger, Laurena, Od

1555 Viking St

Escalon, CA 95320

(209) 838-7263

NPI: 1659438802

License No: 10354

Hours: M 8AM-5:30PM; T

8:30AM-5:30PM; W

9AM-5PM; TH 9AM-5PM; F

8:30AM-5:30PM

Lodi

Belmonte, Susana, Od

1210 W Tokay St

Lodi, CA 95240

(209) 334-2626

NPI: 1821136102

License No: 11561

Hours: M 8AM-5PM; T

8:30AM-7:30PM; W

8AM-5PM; TH 8AM-5PM; F

7:30AM-5PM

Office Staff Language(s):

SPANISH; CASTILIAN

Lodi

Larsson, Kathryn, Od

541 S Ham Ln Ste A

Lodi, CA 95242

(209) 333-2020

NPI: 1750375440

License No: 9225

Hours: M 8AM-5PM; T

9AM-5PM; W 9AM-5PM; TH

9AM-5PM; F 9AM-5PM

Office Staff Language(s):

SPANISH; CASTILIAN

Simpfenderfer, Larry, Od

1210 W Tokay St

Lodi, CA 95240

(209) 334-2626

NPI: 1902947179

License No: 7804

Hours: M 8AM-5PM; T

8:30AM-7:30PM; W

8AM-5PM; TH 8AM-5PM; F

7:30AM-5PM

Office Staff Language(s):

GERMAN

Manteca

Fujii, John, Od

140 N Fremont St Ste A

Manteca, CA 95336

(209) 823-3151

NPI: 1104883149

License No: 9652

Hours: M 8AM-6PM; T

8AM-7PM; W 8AM-6PM; TH

8AM-6PM; F 8AM-6PM

Office Staff Language(s):

SPANISH;

CASTILIAN;JAPANESE

Manteca

Girn, Vikram, Od

200 Cottage Ave Ste 102

Manteca, CA 95336

(209) 239-5303

NPI: 1083021752

License No: 14946

Hours: M - F 8AM-5PM

Office Staff Language(s):

SPANISH;

CASTILIAN;PERSIAN;PERS

IAN

Kim, Stevens, Md

1

200 Cottage Ave Ste 102

Manteca, CA 95336

(209) 239-5303

NPI: 1437258183

License No: G76813

Hours: M - F 8AM-5PM

Office Staff Language(s):

SPANISH;

CASTILIAN;VIETNAMESE;P

ERSIAN

Lin, Stephen, Md

1

200 Cottage Ave Ste 102

Manteca, CA 95336

(209) 239-0090

NPI: 1073612735

License No: G74809

Hours: M - F 8AM-5PM

Office Staff Language(s):

SPANISH;

CASTILIAN;VIETNAMESE;P

ERSIAN

Manteca

Magallanez, Abe, Od

200 Cottage Ave Ste 102

Manteca, CA 95336

(209) 239-5303

NPI: 1144255449

License No: 9646

Hours: M - F 8AM-5PM

Office Staff Language(s):

SPANISH;

CASTILIAN;VIETNAMESE;P

ERSIAN

Maharaj, Angela, Od

1144 Norman Dr Ste 102

Manteca, CA 95336

(209) 823-1152

Email:[email protected]

m

NPI: 1780099903

License No: 14955

Hours: M 8AM-5PM; T

8AM-5PM; W 8AM-5PM; TH

8AM-5PM; F 7:30AM-4PM

Office Staff Language(s):

SPANISH;

CASTILIAN;HINDI

Miller, Gregory, Od

138 N Grant Ave

Manteca, CA 95336

(209) 823-7146

NPI: 1043282262

License No: 5909

Hours: M 8AM-5PM; T

9AM-6:30PM; W 8AM-5PM;

TH 8AM-5PM; F 8AM-3PM

Page 184: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

184 / www.healthnet.com Volume 12, 2018

Vision

Manteca

Steinberg, Deborah, Od

1144 Norman Dr Ste 102

Manteca, CA 95336

(209) 823-1152

NPI: 1225173917

License No: 9099

Hours: M 8AM-5PM; T

8AM-5PM; W 8AM-5PM; TH

8AM-5PM; F

7:30AM-4:30PM

Office Staff Language(s):

SPANISH;

CASTILIAN;CHINESE

Wee, Daniel, Md

1

1144 Norman Dr Ste 102

Manteca, CA 95336

(209) 823-1152

Email:[email protected]

NPI: 1740480441

License No: C139388

Hours: M - F 8AM-5PM; S

7:30AM-4:30PM

Office Staff Language(s):

SPANISH;

CASTILIAN;SPANISH;

CASTILIAN

Wong, Keith, Od

140 N Fremont St Ste A

Manteca, CA 95336

(209) 823-3151

NPI: 1336201615

License No: 8152

Hours: M 8AM-6PM; T

8AM-7PM; W 8AM-6PM; TH

8AM-6PM; F 8AM-6PM

Ripon

Hoek, Allen, Od

1048 W Main St

Ripon, CA 95366

(209) 599-2216

NPI: 1649284316

License No: 8741

Hours: M 8:30AM-5PM; T

8:30AM-5PM; W

8:30AM-5:30PM; TH

8:30AM-5PM; F

8:30AM-5PM

Stockton

Benkle, David, Od

319 E Weber Ave

Stockton, CA 95202

(209) 465-5047

NPI: 1669452801

License No: 7417

Hours: M 8AM-5PM; T

9AM-5PM; W 9AM-5PM; TH

9AM-5PM; F 9AM-5PM

Office Staff Language(s):

SPANISH; CASTILIAN

Benkle, David, Od

715 Lincoln Ctr

Stockton, CA 95207

(209) 951-2020

NPI: 1669452801

License No: 7417

Hours: M 8AM-5PM; T

9AM-5PM; W 9AM-5PM; TH

9AM-6PM; F 9AM-5PM

Office Staff Language(s):

SPANISH; CASTILIAN

Chang, Margaret, Md

3555 Deer Park Dr Ste 180

Stockton, CA 95219

(209) 938-0496

NPI: 1477504405

License No: A103453

Hours: M - F 8AM-5PM

Stockton

Chikwendu,

Chukwuemeka, Od

7743 West Ln Ste A2

Stockton, CA 95210

(209) 636-4914

NPI: 1659553709

License No: 13449

Hours: M 8AM-5PM; T

8:30AM-5PM; W

8:30AM-5PM; TH

8:30AM-5PM; F

8:30AM-5PM; S

8:30AM-4PM

Office Staff Language(s):

SPANISH; CASTILIAN

Equi, Robert, Md

1

3555 Deer Park Dr Ste 180

Stockton, CA 95219

(209) 938-0496

NPI: 1497864664

License No: A78901

Hours: M - F 8AM-5PM

Office Staff Language(s):

SPANISH; CASTILIAN

Foster, Robert, Md

1

36 W Yokuts Ave Ste 1

Stockton, CA 95207

(209) 952-3700

NPI: 1194824847

License No: A23291

Hours: M - F 8AM-5PM

Office Staff Language(s):

SPANISH;

CASTILIAN;VIETNAMESE;P

ERSIAN

Stockton

Girn, Vikram, Od

36 W Yokuts Ave Ste 1

Stockton, CA 95207

(209) 952-3700

NPI: 1083021752

License No: 14946

Hours: M - F 8AM-5PM

Office Staff Language(s):

SPANISH;

CASTILIAN;PERSIAN;PERS

IAN

Ho, Victor, Od

1069 W March Ln

Stockton, CA 95207

(209) 951-4506

NPI: 1598891228

License No: 10589

Hours: M - F

8:30AM-5:30PM; S

8:30AM-2:30PM

Kim, Stevens, Md

1

36 W Yokuts Ave Ste 1

Stockton, CA 95207

(209) 952-3700

NPI: 1437258183

License No: G76813

Hours: M - F 8AM-5PM

Office Staff Language(s):

SPANISH;

CASTILIAN;VIETNAMESE;P

ERSIAN

Page 185: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 185 Volume 12, 2018

Vision

Vis

io

n

Stockton

Komure, Mark, Od

2087 Grand Canal Blvd Ste

15

Stockton, CA 95207

(209) 477-0296

NPI: 1689707713

License No: 6480

Hours: T 8:30AM-5:30PM; W

8:30AM-5:30PM; TH

8:30AM-5:30PM; F

8:30AM-5:30PM; S

8AM-2PM

Office Staff Language(s):

JAPANESE;SPANISH;

CASTILIAN

Lin, Stephen, Md

1

36 W Yokuts Ave Ste 1

Stockton, CA 95207

(209) 952-3700

NPI: 1073612735

License No: G74809

Hours: M 8AM-5PM; T

8AM-5PM; W 8AM-5PM; TH

8AM-5:30PM; F 8AM-5PM

Office Staff Language(s):

SPANISH;

CASTILIAN;VIETNAMESE;P

ERSIAN

Magallanez, Abe, Od

36 W Yokuts Ave Ste 1

Stockton, CA 95207

(209) 952-3700

NPI: 1144255449

License No: 9646

Hours: M - F 8AM-5PM

Office Staff Language(s):

SPANISH;

CASTILIAN;VIETNAMESE;P

ERSIAN

Stockton

Maharaj, Angela, Od

1899 W March Ln Ste B

Stockton, CA 95207

(209) 623-4700

Email:[email protected]

m

NPI: 1780099903

License No: 14955

Hours: M 8AM-5PM; T

8AM-5PM; W 8AM-5PM; TH

8AM-5PM; F 7:30AM-4PM

Office Staff Language(s):

SPANISH;

CASTILIAN;HINDI

Maharaj, Angela, Od

1805 N California St Ste 101

Stockton, CA 95204

(209) 623-4700

Email:[email protected]

m

NPI: 1780099903

License No: 14955

Hours: M 8AM-5PM; T

8AM-5PM; W 8AM-5PM; TH

8AM-5PM; F 7:30AM-4PM

Office Staff Language(s):

SPANISH;

CASTILIAN;HINDI

Medina Mendez, Carlos,

Md

1

3555 Deer Park Dr Ste 180

Stockton, CA 95219

(209) 938-0496

NPI: 1811218316

License No: A138518

Hours: M - F 8AM-5PM; S

1AM-2PM

Office Staff Language(s):

SPANISH; CASTILIAN

Stockton

Nguyen, Chi H, Od

3461 Brookside Rd Ste A1

Stockton, CA 95219

(209) 451-4305

NPI: 1740372382

License No: 11292

Hours: M - F 9AM-6PM

Office Staff Language(s):

VIETNAMESE

Nguyen, Chinh, Od

3461 Brookside Rd Ste A1

Stockton, CA 95219

(209) 451-4305

NPI: 1306921986

License No: 11714

Hours: M - F 9AM-6PM

Office Staff Language(s):

VIETNAMESE;SPANISH;

CASTILIAN;VIETNAMESE

Nguyen, Chinh, Od

87 W March Ln Ste 2

Stockton, CA 95207

(209) 952-4647

NPI: 1306921986

License No: 11714

Hours: M - F

8:30AM-5:30PM

Office Staff Language(s):

VIETNAMESE;SPANISH;

CASTILIAN;VIETNAMESE

Patel, Arun, Md

1

3555 Deer Park Dr Ste 180

Stockton, CA 95219

(209) 938-0496

NPI: 1164531430

License No: A42740

Hours: M - F 8AM-5PM

Stockton

Pearlman, Joel, Md

1

3555 Deer Park Dr Ste 180

Stockton, CA 95219

(209) 938-0496

NPI: 1154430460

License No: A78783

Hours: M 8AM-5PM; T

8:30AM-5PM; W 8AM-5PM;

TH 8AM-5PM; F 8AM-5PM

Pontius, Michael, Od

715 Lincoln Ctr

Stockton, CA 95207

(209) 477-0726

NPI: 1609916246

License No: 7033

Hours: M 9AM-5PM; T

9AM-5PM; W 9AM-5PM; TH

9AM-6PM; F 9AM-5PM

Office Staff Language(s):

SPANISH; CASTILIAN

Reed, John, Md

1

3555 Deer Park Dr Ste 180

Stockton, CA 95219

(209) 938-0496

NPI: 1528177706

License No: G82260

Hours: M - F 8AM-5PM

Steinberg, Deborah, Od

1899 W March Ln Ste B

Stockton, CA 95207

(209) 623-4700

NPI: 1225173917

License No: 9099

Hours: M 8AM-5PM; T

8AM-5PM; W 8AM-5PM; TH

8AM-5PM; F 7:30AM-4PM

Office Staff Language(s):

SPANISH;

CASTILIAN;CHINESE

Page 186: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

186 / www.healthnet.com Volume 12, 2018

Vision

Stockton

Steinberg, Deborah, Od

1805 N California St Ste 101

Stockton, CA 95204

(209) 948-5515

NPI: 1225173917

License No: 9099

Hours: M 8AM-5PM; T

8AM-5PM; W 8AM-5PM; TH

8AM-5PM; F 7:30AM-4PM

Office Staff Language(s):

SPANISH;

CASTILIAN;CHINESE

Telander, David, Md

1

3555 Deer Park Dr Ste 180

Stockton, CA 95219

(209) 938-0496

NPI: 1528043023

License No: A82894

Hours: M - F 8AM-5PM; S

12PM-4PM

Thongsamouth, Orathay,

Od

3461 Brookside Rd Ste A1

Stockton, CA 95219

(209) 451-4305

NPI: 1639273071

License No: 12656

Hours: M - F 9AM-6PM

Office Staff Language(s):

THAI;SPANISH;

CASTILIAN;LAO

Tsai, Tony, Md

1

3555 Deer Park Dr Ste 180

Stockton, CA 95219

(209) 938-0496

NPI: 1548294101

License No: A96629

Hours: M - F 8AM-5PM

Stockton

Wee, Daniel, Md

1

1805 N California St Ste 101

Stockton, CA 95204

(209) 948-5515

Email:[email protected]

NPI: 1740480441

License No: C139388

Hours: M 8AM-5PM; T

8AM-5PM; W 8AM-5PM; TH

8AM-5PM; F 7:30AM-4PM

Office Staff Language(s):

SPANISH;

CASTILIAN;SPANISH;

CASTILIAN

Wee, Daniel, Md

1

1899 W March Ln Ste B

Stockton, CA 95207

(209) 623-4700

Email:[email protected]

NPI: 1740480441

License No: C139388

Hours: M 8AM-5PM; T

8AM-5PM; W 8AM-5PM; TH

8AM-5PM; F 7:30AM-4PM

Office Staff Language(s):

SPANISH;

CASTILIAN;SPANISH;

CASTILIAN

Wendel, Robert, Md

1

3555 Deer Park Dr Ste 180

Stockton, CA 95219

(209) 938-0496

NPI: 1235234634

License No: G43291

Hours: M - F 8AM-5PM

Stockton

Wilson, G, Od

1150 W Robinhood Dr Ste

2a

Stockton, CA 95207

(209) 951-0498

Email:barnard_wilson@com

cast.net

Website:

http://www.drgbwilson.com/

NPI: 1811993629

License No: 5347T

Hours: M 9AM-5:30PM; T

9AM-5:30PM; W

7:30AM-4PM; TH

9AM-5:30PM; F

9AM-5:30PM

Office Staff Language(s):

SPANISH; CASTILIAN

Tracy

Chang, Margaret, Md

1548 N Tracy Blvd

Tracy, CA 95376

(209) 833-6900

NPI: 1477504405

License No: A103453

Hours: M - F 8AM-5PM

Cupp, David, Md

1

1548 N Tracy Blvd

Tracy, CA 95376

(209) 833-6900

NPI: 1497901565

License No: A120754

Hours: M - F 8AM-5PM

Equi, Robert, Md

1

1548 N Tracy Blvd

Tracy, CA 95376

(209) 833-6900

NPI: 1497864664

License No: A78901

Hours: M - F 8AM-5PM

Office Staff Language(s):

SPANISH; CASTILIAN

Tracy

Maharaj, Angela, Od

612 W 11th St Ste 103

Tracy, CA 95376

(209) 836-4800

Email:[email protected]

m

NPI: 1780099903

License No: 14955

Hours: M 8AM-5PM; T

8AM-5PM; W 8AM-5PM; TH

8AM-5PM; F 7:30AM-4PM

Office Staff Language(s):

SPANISH;

CASTILIAN;HINDI

Oneil, Thomas, Md

1

303 W Eaton Ave

Tracy, CA 95376

(209) 836-1155

NPI: 1831162999

License No: A34142

Hours: M 8:30AM-5PM; T

8:30AM-5PM; W 12PM-8PM;

TH 8:30AM-5PM; F

8AM-3PM

Office Staff Language(s):

GERMAN

Patel, Arun, Md

1

1548 N Tracy Blvd

Tracy, CA 95376

(209) 833-6900

NPI: 1164531430

License No: A42740

Hours: M - F 8AM-5PM

Pearlman, Joel, Md

1

1548 N Tracy Blvd

Tracy, CA 95376

(209) 833-6900

NPI: 1154430460

License No: A78783

Hours: M - F 8AM-5PM

Page 187: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 187 Volume 12, 2018

Vision

Vis

io

n

Tracy

Reed, John, Md

1

1548 N Tracy Blvd

Tracy, CA 95376

(209) 833-6900

NPI: 1528177706

License No: G82260

Hours: M - F 8AM-5PM

Steinberg, Deborah, Od

612 W 11th St Ste 103

Tracy, CA 95376

(209) 836-4800

NPI: 1225173917

License No: 9099

Hours: M 8AM-5PM; T

8AM-5PM; W 8AM-5PM; TH

8AM-5PM; F 7:30AM-4PM

Office Staff Language(s):

SPANISH;

CASTILIAN;CHINESE

Telander, David, Md

1

1548 N Tracy Blvd

Tracy, CA 95376

(209) 833-6900

NPI: 1528043023

License No: A82894

Hours: M - F 8AM-5PM

Tsai, Tony, Md

1

1548 N Tracy Blvd

Tracy, CA 95376

(209) 833-6900

NPI: 1548294101

License No: A96629

Hours: M - F 8AM-5PM

Tracy

Wee, Daniel, Md

1

612 W 11th St Ste 103

Tracy, CA 95376

(209) 836-4800

Email:[email protected]

NPI: 1740480441

License No: C139388

Hours: M 8AM-5PM; T

8AM-5PM; W 8AM-5PM; TH

8AM-5PM; F 7:30AM-4PM

Office Staff Language(s):

SPANISH;

CASTILIAN;SPANISH;

CASTILIAN

Wendel, Robert, Md

1

1548 N Tracy Blvd

Tracy, CA 95376

(209) 833-6900

NPI: 1235234634

License No: G43291

Hours: M - F 8AM-5PM

Page 188: San Joaquin County (pdf)
Page 189: San Joaquin County (pdf)

Acupuncture

www.healthnet.com / 189 Volume 12, 2018

Page 190: San Joaquin County (pdf)
Page 191: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 191 Volume 12, 2018

Ac

up

un

ctu

re

P

ro

vid

ers

Acupuncture Providers

Lodi

Tan, Joe Wei-Zhu, Lac

1816 W Kettleman Ln

Lodi, CA 95242

(209) 334-1576

Email:[email protected]

om

NPI: 1689737983

License No: AC1573

Hours: M 2:00 pm-7:00 pm;

W 8:00 am-1:00 pm; F 2:00

pm-7:00 pm

Prov Language: CHI

Additional Office Staff

Language(s): CHINESE

Accessibility: EB;IB;P;R

Stockton

Young, Yonie, Lac

3024 Pacific Ave

Stockton, CA 95204

(209) 955-0805

Email:yonieyoung@hotmail.

com

NPI: 1639390305

License No: AC11287

Hours: M 9:00 am-6:00 pm;

T 9:00 am-6:00 pm; W 9:00

am-6:00 pm; TH 9:00

am-6:00 pm

Accessibility: EB

Page 192: San Joaquin County (pdf)
Page 193: San Joaquin County (pdf)

INT0

2178

5EH00

The table below is a list of footnotes used in this section.

1Board-certified.2Accepting existing patients at this time.3Not accepting new patients at this time. 4Accepting new patients.5Available by referral only.6Available only through a hospital or facility.7Not accepting patients.

Health Net Mental Health Providers

Provider directory code Description directory code

LCS Licensed Clinical Social WorkerMD PsychiatryDO PsychiatryMFT Licensed Marriage and Family TherapistAPR/ARN Advanced Registered NurseRN Registered NurseBCB Qualified Autism Service ProviderBCD Qualified Autism Service ProviderBCA Qualified Autism Service ProfessionalLCP Professional Clinical Counselor (LPCC)PSY Psychologist – PHD-Level

www.healthnet.com / 193 Volume 12, 2018

Page 194: San Joaquin County (pdf)
Page 195: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 195 Volume 12, 2018

Health Net Mental Health Providers

He

alth

N

et M

en

ta

l H

ea

lth

P

ro

vid

ers

Lodi

Asgarian, Marcia M, Psy

4

755 S Fairmont Avenue, Ste

A3

Lodi, CA 95240

(209) 625-9409

Email:CMEDICALGROUPS

@GMAIL.COM

NPI: 1063636645

License No: 18390

Bachman-karnes, Lise H,

Mft

4

Alternate Name: Bachman,

Lise

330 S Fairmont Ave, Ste 7

Lodi, CA 95240

(209) 969-2537

Email:[email protected]

m

NPI: 1437300423

License No: 51386

Berean, Malcolm A, Mft

4

1338 S School St, Ste A

Lodi, CA 95240

(209) 327-0588

Email:MMOLINI@SHAREH

OUMES.ORG

NPI: 1760782460

License No: 38325

Jacka, Karen A, Lcs

4

404 W Pine Street, Ste 1

Lodi, CA 95240

(209) 483-6474

Email:KARENJACKA3914@

COMCAST.NET

NPI: 1790908788

License No: 16470

Lodi

Molini, Mary J, Mft

4

Alternate Name: Molini

Berean, Mary J

1338 S School St, Ste A

Lodi, CA 95240

(209) 327-0588

Email:MMOLINI@SHAREH

OUMES.ORG

NPI: 1689974370

License No: 38326

Roberts, Tanya M, Lcs

4

Alternate Name: Schaffer,

Tanya

404 W Pine St, Ste 1

Lodi, CA 95240

(209) 401-2134

Email:tanya2134@sbcgloba

l.net

NPI: 1912042375

License No: 20414

Robinson, David D, Do

3

Alternate Name: Robinson,

Dave

1244 Heidelberg Way,

Lodi, CA 95242

(209) 339-4577

Email:[email protected]

NPI: 1649380080

License No: 20A6202

Souza, Tammy A, Mft

4

404 W Pine St, Ste 1

Lodi, CA 95240

(209) 712-9077

Email:TAMSOUZA@SBCGL

OBAL.NET

NPI: 1336267996

License No: 40641

Lodi

Tanenbaum, Jack, Lcs

4

1209 W Tokay St, Ste 11

Lodi, CA 95240

(916) 662-5947

Email:JACKTANENBAUM@

COMCAST.NET

NPI: 1154419505

License No: 1098

Yee, Julie L, Mft

4

Alternate Name: Lai, Julie

1930 Tienda Dr, Ste 102

Lodi, CA 95242

(209) 986-3597

Email:JULIELYEE@GMAIL.

COM

NPI: 1104937689

License No: 42313

Manteca

Andrade, Scott G, Mft

4

600 North Main Street,

Manteca, CA 95336

(209) 825-5889

Email:SCOTTMFT@GMAIL.

COM

NPI: 1760590392

License No: 38968

Brison-moll, Nancy L, Psy

4

Alternate Name: Arroyo,

Nancy L

965 E Yosemite Ave, Ste 12

Manteca, CA 95336

(209) 483-4498

Email:NANCYMOLLPHD@A

TT.NET

NPI: 1053410878

License No: 15243

Manteca

Mills, Linda A, Mft

4

Alternate Name: Dattolie,

Linda / Bennett, Linda

965 E Yosemite Ave, Ste 1b

Manteca, CA 95336

(209) 470-3295

Email:[email protected]

NPI: 1891989067

License No: 44832

Nathaniel, Sony R, Mft

3

Alternate Name: Ruth S

Nathaniel

955 W Center St, Ste 6

Manteca, CA 95337

(209) 824-0704

Email:[email protected]

NPI: 1801940804

License No: 37419

Nathaniel, Sony R, Mft

7

Alternate Name: Ruth S

Nathaniel

955 W Center St, Ste 6

Manteca, CA 95337

(209) 824-0704

Email:[email protected]

NPI: 1801940804

License No: 37419

O'connor, Kevin R, Mft

3

965 E Yosemite Ave, Ste 21

Manteca, CA 95336

(209) 404-0196

Email:KROCONNORMFT@

VERIZON.NET

NPI: 1235291469

License No: 41168

Parker, Nicole M, Mft

4

965 E Yosemite Avenue, Ste

12

Manteca, CA 95336

(209) 518-8140

NPI: 1194864488

License No: 41148

Page 196: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

196 / www.healthnet.com Volume 12, 2018

Health Net Mental Health Providers

Manteca

Wollesen-foster, Susan J,

Mft

4

Alternate Name: Foster,

Susan J

965 E Yosemite, Ste 12

Manteca, CA 95336

(209) 499-4932

Email:SFOSTER-MFT@SB

CGLOBAL.NET

NPI: 1720039530

License No: 18138

Ripon

Berghorst, Nathan H, Mft

4

1108 W Main St,

Ripon, CA 95366

(209) 573-1883

Email:[email protected]

OM

NPI: 1306088695

License No: LMFT50812

Stockton

Andrade, Scott G, Mft

4

2291 W March Ln, Ste

D-200

Stockton, CA 95207

(209) 969-5547

Email:SCOTTLMFT@GMAI

L.COM

NPI: 1760590392

License No: 38968

Asanasavest, Sriphan,

Bcb

4

7109 Danny Dr,

Stockton, CA 95210

(209) 957-7777

NPI: 1023525672

License No: 11728290

Stockton

Balanag, Erin, Bca

4

3620 West Hammer Lane,

Stockton, CA 95219

(209) 521-4791

Email:[email protected]

NPI: 1023519352

License No: 188512

Barnes, Sharmaine D, Mft

4

Alternate Name: Parker,

Sharmaine

2431 W March Ln, Ste 200

Stockton, CA 95207

(209) 475-8428

Email:admin@sharmainedb

arneslmft.com

NPI: 1477754661

License No: MFT80569

Bell, Kelly Lee, Mft

3

Alternate Name: Peck, Kelly

L

5250 Claremont Ave, Ste

229

Stockton, CA 95207

(209) 451-3860

Email:CREATIVESOLUTION

[email protected]

OM

NPI: 1518937747

License No: 35054

Berean, Malcolm A, Mft

4

211 E. March Lane, Ste I

Stockton, CA 95207

(209) 327-0588

Email:MBEREAN@SHAREH

OMES.ORG

NPI: 1760782460

License No: 38325

Stockton

Bergen, Jaimie M, Bcb

4

7109 Danny Dr,

Stockton, CA 95210

(209) 957-7777

NPI: 1588955686

License No: 11212364

Canepa, Anita G, Mft

4

5250 Clairemont Avenue,

Ste 108

Stockton, CA 95207

(209) 472-3745

Email:a_canepa40@sbcglob

al.net

NPI: 1164559365

License No: 38856

Chavira, Amanda, Bcb

4

2291 March Ln,

Stockton, CA 95207

(916) 729-3098

Email:ERIN.KNIESEL@LEA

RNINGARTS.COM

NPI: 1588165633

License No: 11829185

Cobb, Angela J, Mft

4

343 East Main St, Ste 907

Stockton, CA 95202

(209) 518-0287

Email:[email protected]

M

NPI: 1275603235

License No: 42421

Davidson, David W, Mft

4

2431 W March Ln, Ste 210

Stockton, CA 95207

(209) 898-9859

Email:COUNSELORDAVID

[email protected]

NPI: 1184083115

License No: LMFT91243

Stockton

Forsythe, Victoria J, Bcb

4

2291 March Ln,

Stockton, CA 95207

(916) 729-3098

Email:ERIN.KNIESEL@LEA

RNINGARTS.COM

NPI: 1912307893

License No: 11415137

Fuentes, Yvette, Bcb

4

Alternate Name:

Fuentes-mendoza, Yvette

2291 March Ln,

Stockton, CA 95207

(916) 729-3098

Email:ERIN.KNIESEL@LEA

RNINGARTS.COM

NPI: 1568963486

License No: 11829555

Haavisto, Dawn R, Mft

4

2291 W March Ln, Ste D200

Stockton, CA 95207

(209) 547-2468

Email:[email protected]

NPI: 1184812596

License No: 33799

Howard, Scott E, Psy

7

1341 W Robinhood Dr, Ste

B2

Stockton, CA 95207

(209) 938-8209

Email:[email protected]

NPI: 1952421521

License No: PSY23896

Jacka, Karen A, Lcs

4

2707 Transworld Dr,

Stockton, CA 95206

(209) 401-4729

Email:[email protected]

NPI: 1790908788

License No: 16470

Page 197: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 197 Volume 12, 2018

Health Net Mental Health Providers

He

alth

N

et M

en

ta

l H

ea

lth

P

ro

vid

ers

Stockton

Jansma, Jessa, Bcb

4

Alternate Name: Flynn,

2291 March Ln,

Stockton, CA 95207

(916) 729-3098

Email:ERIN.KNIESEL@LEA

RNINGARTS.COM

NPI: 1093170680

License No: 11518909

Mansfield, Leah, Bcb

4

3620 West Hammer Lane,

Stockton, CA 95219

(209) 521-4791

Email:[email protected]

NPI: 1215322441

License No: 11515410

Mcbroom, Barbara K, Mft

4

2431 W March Ln, Ste 210

Stockton, CA 95207

(209) 478-8720

Email:TBMCBROOM@COM

CAST.NET

NPI: 1710961503

License No: 27959

Meek, Emily, Bcb

4

2291 March Ln,

Stockton, CA 95207

(916) 729-3098

Email:ERIN.KNIESEL@LEA

RNINGARTS.COM

NPI: 1043727514

License No: 11727989

Mello, Pamela, Mft

4

2431 W March Lane, Ste

210

Stockton, CA 95207

(209) 406-4196

Email:[email protected]

NPI: 1548354988

License No: 35219

Stockton

Miller, Timothy R, Psy

7

5250 Claremont Avenue, Ste

112

Stockton, CA 95207

(209) 478-8568

Email:MILLER@DOCTORTI

MOTHYMILLER.COM

NPI: 1528160041

License No: PSY8283

Molini, Mary J, Mft

4

Alternate Name: Molini

Berean, Mary J

211 E. March Lane, Ste I

Stockton, CA 95207

(209) 327-0588

Email:MBEREAN@SHAREH

OMES.ORG

NPI: 1689974370

License No: 38326

Murray, Angelina, Bcb

4

3620 West Hammer Lane,

Stockton, CA 95219

(209) 521-4791

Email:[email protected]

NPI: 1629527197

License No: 11623198

Nice, Lori, Bcb

4

3620 West Hammer Lane,

Stockton, CA 95219

(209) 521-4791

Email:[email protected]

NPI: 1700289816

License No: 11410311

Stockton

O'donnell, Cathy L, Mft

3

Alternate Name: Haskins,

Cathy L

1743 Grand Canal Blvd, Ste

16

Stockton, CA 95207

(209) 242-4745

Email:CATKINS@SOFTCO

M.NET

NPI: 1124051917

License No: 34715

Patel, Nilam P, Bcb

4

Alternate Name: Makwana,

Nilam

1811 Grand Canal Blvd, Ste

2

Stockton, CA 95207

(877) 418-2978

NPI: 1518393867

License No: BCBA11313381

Phipps, Arlene M, Lcs

4

Alternate Name: Mrozinski,

Arlene M

5250 Claremont Avenue, Ste

101

Stockton, CA 95207

(209) 472-3627

Email:[email protected]

NPI: 1598796336

License No: 8789

Pometta, Carolyn J, Lcs

4

2626 N California St., Ste E

Stockton, CA 95204

(209) 467-4444

NPI: 1043316326

License No: 16956

Stockton

Rieta, Felicia, Lcs

4

5250 Claremont Ave, Ste

215

Stockton, CA 95207

(209) 403-8112

Email:[email protected]

M

NPI: 1497979470

License No: 26634

Riggs, Susan D, Bcb

4

Alternate Name:

Riggs-wright

7109 Danny Dr,

Stockton, CA 95210

(209) 957-7777

NPI: 1487945762

License No: 1073909

Robinson, David D, Do

4

Alternate Name: Robinson,

Dave

1818 Grand Canal Blvd, Ste

2

Stockton, CA 95207

(209) 475-0309

Email:VMBSMEDICALBILLI

[email protected]

NPI: 1649380080

License No: 20A6202

Rowley, Kimberly A, Bcb

4

2291 March Ln,

Stockton, CA 95207

(916) 729-3098

Email:ERIN.KNIESEL@LEA

RNINGARTS.COM

NPI: 1952784167

License No: 11519191

Page 198: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

198 / www.healthnet.com Volume 12, 2018

Health Net Mental Health Providers

Stockton

Saffier, Sharman, Mft

4

2522 Grand Canal Blvd, Ste

1

Stockton, CA 95207

(209) 298-2614

Email:SHARMANSAFFIERM

[email protected]

NPI: 1184745283

License No: 44642

Sanguinetti, Jill M, Mft

4

2307 W Alpine Way, Ste D

Stockton, CA 95204

(209) 473-7993

Email:TAICHI4LIFE1@GMAI

L.COM

NPI: 1285681437

License No: 19137

Sanguinetti, Jill M, Mft

4

6653 Embarcadero Drive,

Ste D

Stockton, CA 95219

(209) 473-7993

Email:JMSANGUINETTI@C

OMCAST.NET

NPI: 1285681437

License No: 19137

Souza, Tammy A, Mft

4

2707 Transworld Dr,

Stockton, CA 95206

(209) 401-4729

Email:[email protected]

NPI: 1336267996

License No: 40641

Sponder, Siobhan L, Bcb

4

7109 Danny Dr,

Stockton, CA 95210

(209) 957-7777

NPI: 1518211739

License No: 11830337

Stockton

Spoonhour, Genola, Mft

4

2155 W March Ln, Ste 1d

Stockton, CA 95207

(209) 473-4211

Email:GENOLASPOONHOU

[email protected]

NPI: 1063584662

License No: 16646

Spyksma, Valerie, Bcb

4

3620 West Hammer Lane,

Stockton, CA 95219

(209) 521-4791

Email:[email protected]

NPI: 1831562529

License No: 11519808

Stallworth, Rebecca, Lcs

4

2307 W Alpine Avenue,

Stockton, CA 95204

(209) 898-5122

Email:[email protected]

om

NPI: 1841313483

License No: 21669

Stauffer, Hannah, Bcb

4

Alternate Name: Richardson,

Hannah

3620 West Hammer Lane,

Stockton, CA 95219

(209) 521-4791

Email:[email protected]

NPI: 1124499355

License No: 11621582

Valk, Jenna N, Bcb

4

Alternate Name: Jenna

Linehaes

7109 Danny Dr,

Stockton, CA 95210

(209) 957-7777

NPI: 1750672994

License No: 11211913

Stockton

Vance, Carole M, Mft

4

Alternate Name: Roth,

Carole M

1545 St Marks Plz, Ste 5

Stockton, CA 95207

(209) 598-1630

Email:LA_CAMIE@YAHOO.

COM

NPI: 1306024666

License No: 43158

Vang, Jesse, Bcb

4

2291 March Ln,

Stockton, CA 95207

(916) 729-3098

Email:ERIN.KNIESEL@LEA

RNINGARTS.COM

NPI: 1639688971

License No: 11727735

Vanschenck, Christopher

A, Md

3

3132 W March Ln., Ste 2

Stockton, CA 95219

(209) 946-6868

NPI: 1538394978

License No: A121046

Varma, Karen N, Mft

4

Alternate Name: Feldberg,

Karen

5250 Claremont Avenue, Ste

235

Stockton, CA 95207

(209) 472-3677

Email:ATFULLGALLOP@G

MAIL.COM

NPI: 1255412219

License No: 24692

Stockton

Waters, Chanti F, Bcb

4

Alternate Name: Fritzsching

Chanti

3620 West Hammer Lane,

Stockton, CA 95219

(209) 521-4791

Email:[email protected]

NPI: 1275877698

License No: 1020808

Wolde, Tsion H, Bcb

4

2291 March Ln,

Stockton, CA 95207

(916) 729-3098

Email:ERIN.KNIESEL@LEA

RNINGARTS.COM

NPI: 1275849416

License No: 1107175

Wolff, Alexandra, Bcb

4

3620 West Hammer Lane,

Stockton, CA 95219

(209) 521-4791

Email:[email protected]

NPI: 1790291037

License No: 11728295

Wolfley, Stephanie, Bcb

4

Alternate Name: Harbeck,

Stephanie

7109 Danny Dr,

Stockton, CA 95210

(209) 957-7777

NPI: 1083065346

License No: 11622341

Yates, Roger D, Mft

4

2155 W March Lane, Ste 1-d

Stockton, CA 95207

(209) 473-4211

Email:RogerYates98@hotm

ail.com

NPI: 1952317133

License No: 18686

Page 199: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 199 Volume 12, 2018

Health Net Mental Health Providers

He

alth

N

et M

en

ta

l H

ea

lth

P

ro

vid

ers

Stockton

Yoon, Jin H, Bcb

4

1811 Grand Canal Blvd, Ste

2

Stockton, CA 95207

(877) 418-2978

NPI: 1326428434

License No: 11518173

Zapien, Victor M, Lcs

4

1151 W Robinhood Dr., Ste

C6

Stockton, CA 95207

(209) 915-3836

Email:VICTORMANUEL10@

ATT.NET

NPI: 1851493639

License No: 15969

Tracy

Bond, Eryn, Bcb

4

510 Whispering Wind Dr,

Ste 110

Tracy, CA 95377

(209) 832-7756

Email:[email protected]

g

NPI: 1992226526

License No: 11726418

Cox, Lauren, Bcb

4

510 Whispering Wind Dr,

Ste 110

Tracy, CA 95377

(209) 832-7756

Email:[email protected]

g

NPI: 1316337553

License No: 11417669

Tracy

Dao, Cindy, Bca

4

510 Whispering Wind Dr,

Ste 110

Tracy, CA 95377

(209) 832-7756

Email:[email protected]

g

NPI: 1295242493

License No: 1178338

Estrada, Jose, Bca

4

510 Whispering Wind Dr,

Ste 110

Tracy, CA 95377

(209) 832-7756

Email:[email protected]

g

NPI: 1396256400

License No: 1789147

Fazzio, Daniela, Bcd

4

510 Whispering Wind Dr,

Ste 110

Tracy, CA 95377

(209) 832-7756

Email:[email protected]

g

NPI: 1346580131

License No: 1052222

Guerrero, Patricia L, Mft

4

1660 Linne Rd, Ste J-11

Tracy, CA 95377

(209) 640-1892

Email:patricial.sanchez@ya

hoo.com

NPI: 1184744724

License No: 46476

Tracy

Gwerder, Nicholas, Bca

4

510 Whispering Wind Dr,

Ste 110

Tracy, CA 95377

(209) 832-7756

Email:[email protected]

g

NPI: 1710408513

License No: 167014

Gwerder, Rosalie, Bcb

4

510 Whispering Wind Dr,

Ste 110

Tracy, CA 95377

(209) 832-7756

Email:[email protected]

g

NPI: 1043731847

License No: 11729030

Hall, Julie L, Bca

4

510 Whispering Wind Dr,

Ste 110

Tracy, CA 95377

(209) 832-7756

Email:[email protected]

g

NPI: 1477066678

License No: 177998

Howard, Jane S, Bcb

4

510 Whispering Wind Dr,

Ste 110

Tracy, CA 95377

(209) 832-7756

Email:[email protected]

g

NPI: 1427349646

License No: 1000023

Tracy

Hutchins, Danielle, Bcb

4

510 Whispering Wind Dr,

Ste 110

Tracy, CA 95377

(209) 832-7756

Email:[email protected]

g

NPI: 1811420490

License No: 11725780

Kassenbrock, Daniel, Bca

4

510 Whispering Wind Dr,

Ste 110

Tracy, CA 95377

(209) 832-7756

Email:[email protected]

g

NPI: 1164939377

License No: 178235

Kofoed, Jamie, Bcb

4

510 Whispering Wind Dr,

Ste 110

Tracy, CA 95377

(209) 832-7756

Email:[email protected]

g

NPI: 1982137568

License No: 11725752

Koman, Dana-joelle, Bcb

4

510 Whispering Wind Dr,

Ste 110

Tracy, CA 95377

(209) 832-7756

Email:[email protected]

g

NPI: 1609371731

License No: 11829778

Page 200: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

200 / www.healthnet.com Volume 12, 2018

Health Net Mental Health Providers

Tracy

Lewandowski, Chelsea,

Bcb

4

510 Whispering Wind Dr,

Ste 110

Tracy, CA 95377

(209) 832-7756

Email:[email protected]

g

NPI: 1801310784

License No: 11728043

Manchester, Maci, Bca

4

510 Whispering Wind Dr,

Ste 110

Tracy, CA 95377

(209) 832-7756

Email:[email protected]

g

NPI: 1609383892

License No: 178230

Mcqueen-gerhart, Kelsie,

Bca

4

510 Whispering Wind Dr,

Ste 110

Tracy, CA 95377

(209) 832-7756

Email:[email protected]

g

NPI: 1861905069

License No: 167537

Moreno, Jason, Bcb

4

510 Whispering Wind Dr,

Ste 110

Tracy, CA 95377

(209) 832-7756

Email:[email protected]

g

NPI: 1508217753

License No: 11622228

Tracy

Neely, Jennifer, Bcb

4

510 Whispering Wind Dr,

Ste 110

Tracy, CA 95377

(209) 832-7756

Email:[email protected]

g

NPI: 1336524123

License No: 11519007

Nowlin, Brittany L, Bcb

4

Alternate Name: Sheets,

Brittany L

510 Whispering Wind Dr,

Ste 110

Tracy, CA 95377

(209) 832-7756

Email:[email protected]

g

NPI: 1891089330

License No: 1062827

Ostry, Alexandra, Bcb

4

510 Whispering Wind Dr,

Ste 110

Tracy, CA 95377

(209) 832-7756

Email:[email protected]

g

NPI: 1164943965

License No: 11726885

Perry, Kelli, Bcd

4

510 Whispering Wind Dr,

Ste 110

Tracy, CA 95377

(209) 832-7756

Email:[email protected]

g

NPI: 1295105708

License No: 1095820

Tracy

Peterson, Jamie K, Lcs

4

1660 W Linne Rd, Ste J

Tracy, CA 95377

(209) 923-7083

Email:TELEJAMIE@SBCGL

OBAL.NET

NPI: 1831256577

License No: 22880

Polk, Margarita M, Bcb

4

510 Whispering Wind Dr,

Ste 110

Tracy, CA 95377

(209) 832-7756

Email:[email protected]

g

NPI: 1538384946

License No: 1062902

Rieland, Weston A, Bcb

4

510 Whispering Wind Dr,

Ste 110

Tracy, CA 95377

(209) 832-7756

Email:[email protected]

g

NPI: 1194012419

License No: 1107233

Ross-owens, Cynthia,

Bcb

4

Alternate Name: Owens,

Cynthia

510 Whispering Wind Dr,

Ste 110

Tracy, CA 95377

(209) 832-7756

Email:[email protected]

g

NPI: 1780978239

License No: 1041985

Tracy

Saylors, Staci, Bcb

4

510 Whispering Wind Dr,

Ste 110

Tracy, CA 95377

(209) 832-7756

Email:[email protected]

g

NPI: 1730600537

License No: 11728028

Schneider, Elizabeth, Bcb

4

510 Whispering Wind Dr,

Ste 110

Tracy, CA 95377

(209) 832-7756

Email:[email protected]

g

NPI: 1508387077

License No: 11726613

Suarez, Kirsten, Bcb

4

510 Whispering Wind Dr,

Ste 110

Tracy, CA 95377

(209) 832-7756

Email:[email protected]

g

NPI: 1508117045

License No: 11410192

Summers, Deanna, Bcb

4

510 Whispering Wind Dr,

Ste 110

Tracy, CA 95377

(209) 832-7756

Email:[email protected]

g

NPI: 1215388467

License No: 11622186

Page 201: San Joaquin County (pdf)

If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link

https://www.healthnet.com/portal/member/viewCustomSupportForm.ndo, or contact our Customer Service Department at 800-675-6110.

You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,

Fax: 1-877-831-6019, Online: healthnet.com

www.healthnet.com / 201 Volume 12, 2018

Health Net Mental Health Providers

He

alth

N

et M

en

ta

l H

ea

lth

P

ro

vid

ers

Tracy

Vander Veen, Chelsea,

Bcb

4

510 Whispering Wind Dr,

Ste 110

Tracy, CA 95377

(209) 832-7756

Email:[email protected]

g

NPI: 1841619145

License No: 11624164

Vasquez, Robyn, Bcb

4

510 Whispering Wind Dr,

Ste 110

Tracy, CA 95377

(209) 832-7756

Email:[email protected]

g

NPI: 1407129489

License No: 1096514

Weber, Megan, Bca

4

Alternate Name: Brown,

Megan

510 Whispering Wind Dr,

Ste 110

Tracy, CA 95377

(209) 832-7756

Email:[email protected]

g

NPI: 1699296384

License No: 177700

Young, Jill M, Bcd

4

510 Whispering Wind Dr,

Ste 110

Tracy, CA 95377

(209) 832-7756

Email:[email protected]

g

NPI: 1457645905

License No: 1041655

Woodbridge

Arney, Mariann L, Mft

4

18826 N Lower Sacramento

Rd, Ste C

Woodbridge, CA 95258

(209) 368-2532

Email:riversidetherapygroup

@gmail.com

NPI: 1093144198

License No: 54037

Page 202: San Joaquin County (pdf)
Page 203: San Joaquin County (pdf)

www.healthnet.com / 203 Volume 12, 2018

Provider Index

Pro

vid

er In

de

x

A

ABALA PHARMACY .......178

Abid, Afsheen M.D. ...........48

Active Life Adult Day Health

Care Center .....................169

Active Life Medical Products,

Inc ....................................169

Adams, Auther E. M.D. .....54

Adubofour, Kwabena O.M.

M.D.....................................44

Agatep-Berbano, Melba E.

M.D.....................................56

Ahmed, Aejaz M.D. .........129

Ahmed, Siraj K. M.D..........93

Ali, Farzana N. M.D.....31, 34,

36, 37, 39, 41, 47

Ali, Michael A. M.D..........116

Almendarez, Ernest R. M.D.

43

Ambulatory Surgery Center

of Stockton.......................168

American Hearing Aids LLC

170

Amirhamzeh, Mehrdad M.

M.D.....................................97

Andrade, Kristine E. M.D.

147

Andrade, Scott G, Mft......195,

196

ANGKOR PHARMACY...175

Apperson, Michelle L. M.D.

68

Apria Healthcare - Stockton

169

Arbor Rehabilitation &

Nursing Center ................163

Arney, Mariann L, Mft......201

Asanasavest, Sriphan, Bcb

196

AseraCare Hospice -

Concord ...........................168

Asgarian, Marcia M, Psy.195

Aur, Radin Y. DPM..........111

B

Bachman-karnes, Lise H,

Mft ....................................195

Bai, Feng M.D..................143

Bains, Suchdeep S. M.D...72,

75, 102, 112

Bajwa, Randeep S. M.D....85,

89, 107, 118, 145

Balanag, Erin, Bca ..........196

Balduzzi, Michael C. M.D..71,

74, 84, 86, 102, 111, 140,

143

Bangalore, Neelesh S. M.D.

77, 109, 117, 144

Barnes, Sharmaine D, Mft

196

Barzaga, Graciela A. M.D.

139

Basra, Manreet M.D..75, 103,

112

Bechtel, Timothy M.D......106,

116

Bell, Kelly Lee, Mft...........196

Belmonte, Susana, Od....183

Ben Schaffer Cancer

Institute ............................167

Benkle, David, Od ...........184

Bensch, George W. M.D...71,

74, 84, 86, 102, 111, 133,

140, 143

Bensch, Gregory W. M.D..72,

75, 84, 86, 102, 112, 134,

140, 143, 144

Berean, Malcolm A, Mft...195,

196

Bergen, Jaimie M, Bcb....196

Berghorst, Nathan H, Mft196

Berk, David R. M.D. ..........87

Berman, Ronald M.D.........59

Bernardo, Marinette G. M.D.

34

Bethany Home Society San

Joaquin Cty, Inc. .............163

Better Hearing Center .....170

Bharucha, Neil M.D. ..........65

BJRX PHARMACY INC. .175

BJRX PHARMACY LTC..175

Blanco-Bumatay, Betalina R.

M.D.....................................92

Block, Steven J. M.D.........75

Blum, Mitchell E. M.D......146

BOB'S UNITED DRUGS.174

Bond, Eryn, Bcb ..............199

Borges, Michael F. M.D. .102

Brison-moll, Nancy L, Psy

195

BRUCE PHARMACY ......175

Buhari, Cyrus F. D.O.......103,

112, 113, 140

Buhari, Fram M.D....103, 104,

118, 140

Burgos, Geny B. M.D. .......44,

138

C

Cacho, Alvin C. M.D..78, 104,

141

California Urgent Care ....159

CALMONT PHARMACY.176

Canepa, Anita G, Mft.......196

Canzano, John C. M.D......79,

90, 120, 145

Capstone P & O ..............170

Castillo, Marina O. M.D.....99

Castro, Pablo R. M.D. .......33

Cavallaro, Grace A. M.D...55

Chahal, Anupam M.D..85, 94,

141, 149

Chan, Pak C. M.D. ............31

Chang, Margaret A. M.D.121

Chang, Margaret, Md ......184,

186

Charos, George S. M.D. .113

CHARTER WAY

PHARMACY ....................176

Chau, Anthony M.D...........66

Chavira, Amanda, Bcb....196

Chen, Andrew P. M.D. ......79,

121

Chen, Richard O. M.D.......87

Cherian, Asha FNP .........134

Chien, Walter W. M.D. ......65,

104, 113

Chikwendu, Chukwuemeka,

Od ....................................184

Chitta, Naga M.D. .35, 39, 41,

42, 48, 70, 98, 99, 101

Choi, Daniel Y. M.D. .85, 110

Chong, Josebelo D. M.D.132

Chothia, Abbas A. M.D. ..113

Coates, Patrick J. M.D. ...134

Cobb, Angela J, Mft.........196

Cockerham, Kimberly P.

M.D. 79, 85, 90, 91, 110, 121

COMMUNITY MEDICAL

CENTERS - WATERLOO.25

COMMUNITY MEDICAL

CENTERS PHARMACY .176

COMMUNITY MEDICAL

CENTERS, CHANNEL......25

COMMUNITY MEDICAL

CENTERS, DOROTHY L.

JONES...............................25

COMMUNITY MEDICAL

CENTERS, E. MARCHLANE

25

COMMUNITY MEDICAL

CENTERS, HAMMER LANE

25, 26

COMMUNITY MEDICAL

CENTERS, KING ..............26

COMMUNITY MEDICAL

CENTERS, LAWRENCE ..25

COMMUNITY MEDICAL

CENTERS, LODI...............25

COMMUNITY MEDICAL

CENTERS, MANTECA .....25

COMMUNITY MEDICAL

CENTERS, MARIPOSA

ROAD.................................26

COMMUNITY MEDICAL

CENTERS, TRACY.....26, 27

COMMUNITY MEDICAL

CENTERS, WATERLOO ..26

COMMUNITY MEDICAL

CENTERS,E. MARCH LANE

26

COMMUNITY MEDICAL

CENTERS-GLEASON

HOUSE ..............................26

COSTCO PHARMACY ...173,

174, 176, 178

Cotliar, Ronald W. M.D. ..116

Cox, Lauren, Bcb ............199

Creekside Center ............163

Cupp, David G. M.D........121

Page 204: San Joaquin County (pdf)

204 / www.healthnet.com Volume 12, 2018

Provider Index

Cupp, David, Md .............186

CVS PHARMACY ...173, 174,

175, 176, 178, 179

D

Dameron Hospital ...........155

DAMERON'S LINACIA

PHARMACY ....................176

Damien, Deepthy M.D.......47,

49

Dao, Cindy, Bca ..............199

David, Consuelo V. M.D....94

Davidson, David W, Mft ..196

De La Cruz, Lourdes M.D.

139

De Mayo, Frank M. M.D..150

De, Indra M.D..........106, 118

Deguzman, Aurora L. M.D.

48

DeGuzman, Jonathan M.

DPM.........................130, 131

Dehaybi, Sarah L. M.D......95,

136, 149

Dela Pena, Princess P. M.D.

93

Delta Sierra Dialysis Center

168

Desai, Hiral V. M.D..........135

Dhaliwal, Amarjit S. M.D. ..85

Dhaliwal, Narinder S. M.D.

33

Dhindsa, Mandeep S. M.D.

43

Dietrich, Daniel S. M.D......81,

132

Dighe, Prasad R. M.D. ......77,

109, 117

Doan, Lien N. M.D...........147

Doctors Hospital of Manteca

155

Dong, Ronald G. M.D........74,

110

Doria, Christopher V. M.D.83

Doshi, Bhavin M.D. ...........35

Duvdevany, Neta M.D.32, 44

E

E-Medical Supplies, Inc ..170

Edington, Philip A. M.D. ....69,

91, 95, 122, 136, 137, 149

Edwards, Arden F. M.D...134

Eibling, David L. M.D. .57, 59

EL DORADO DRUG STORE

176

Elahi, Foad M.D.................93

Eliasieh, Kasra M.D.........122

Elliott, L Edward, Od .......183

Emani, Venkata R. M.D.....84,

105

Endoscopy Center of Lodi,

LLC ..................................167

Equi, Robert A. M.D. .......122

Equi, Robert, Md .....184, 186

Escalona, Maria E. M.D. ...59

Estrada, Jose, Bca..........199

F

Fahey, Gordon T. M.D. .....76

Faidi, Anan A. M.D. .........116

FAIRMONT PHARMACY174

Fairmont Rehabilitation

Hospital............................163

Fallah-Najmabadi,

Hessameddin M.D. ...80, 128

Fang, Chunhui M.D...77, 117

Fazzio, Daniela, Bcd .......199

Federer, Gregory E. M.D.

147

Felahy, Isam M.D. ...........133

Fernandes, Timothy J. P.T.

97

Focus Health ...................167

Forsythe, Victoria J, Bcb.196

FORTY NINE DRUG

COMPANY ......................176

Fossaceca, Christopher R.

M.D. .................................150

Foster, Robert S. M.D. ......91,

122

Foster, Robert, Md ..........184

Frank, Lawrence R. M.D...67

Frederiksen, Ryan A. M.D.

147

Fuentes, Yvette, Bcb.......196

Fujii, John, Od .................183

Fuller, Tonya F. M.D. ......120

Furubayashi, Jill K. M.D..147

G

Garcia-Rojas, Xavier M.D.

147

Garfolo, Craig S. DPM ....111,

131

Ghavami, Mobin P. M.D....32

Gill, Parampal K. M.D..53, 54,

57, 60

Girn, Vikram, Od .....183, 184

Golden LivingCenter -

Chateau ...........................163

Golden LivingCenter -

Hy-Pana...........................163

Golden Livingcenter -

Portside............................163

Golden State Home Health

Care & Hospice ...............170

GOLDEN STATE

PHARMACY ....................177

Gordon, Justin S. M.D.......94

GRANT LINE PHARMACY

INC...................................179

Gray, Robert F. M.D........143

Grewal, Gurinder S. M.D.

105, 141, 144

Guerrero, Patricia L, Mft..199

Gwerder, Nicholas, Bca ..199

Gwerder, Rosalie, Bcb....199

H

Haavisto, Dawn R, Mft ....196

Haghdoost, Mohammad

M.D.....................................89

Halderman, James R. M.D.

150

Hall, Julie L, Bca..............199

Hamidi, Reyhaneh M.D.....87

HAMMER LANE

PHARMACY ....................177

Hanger - Linkia ................169

Hao, Minghua A. M.D......128

Haq, Alina M.D. ...............151

HAROLD K REICH'S

PHARMACY ....................179

Hatton, Patricia A. M.D......57

Heart, Anita D. M.D. ..........43

Heer, Manavjyot S. M.D..151

Hershey, Douglas W. M.D.

57

Hill, James A. M.D...........128

HILLTOP PHARMACY....177

Hilton, Kevin R. M.D..........82

Ho, Victor, Od..................184

Hoek, Allen, Od ...............184

Holistic Approach, Inc. ....167

Hotchkiss, John H. M.D. .148

Howard, Jane S, Bcb ......199

Howard, Scott E, Psy ......196

Howell, Stephen M. M.D. ..83

Huang Jr, Frank T. M.D. ...81

Huang, Kun J. M.D............84

Hundal, Kanwalpreet K. M.D.

35

Hurlbut, Eugenia L. D.O....57,

60

Huskey, Jessica E. D.O. ...37,

38, 39, 48, 70, 84, 100, 101

Hutchins, Danielle, Bcb...199

I

Ibrahim, Mohamed A. M.D.

66

Ing, Jeffrey J. M.D.....79, 123

Issa, Nedaa M.D................41

J

Jacka, Karen A, Lcs195, 196

Jansma, Jessa, Bcb........197

Jawaid, Bushra M.D. .........34

Jayaprakash, Smija M.D...35,

38

Johnson, Bruce G. M.D.....59,

61

Johnson, Lynn R. DPM...111,

131

Joseph, Gail R. M.D. .........55

Juris, Andrew L. M.D.........80,

128

K

Kafi, Reza M.D. .................87

Karabala, M T. M.D.105, 118

Kassenbrock, Daniel, Bca

199

Kato, Kambrie Y. M.D. ....148

Kaushik, Gayathri M.D. .....31,

35, 36, 37, 39, 40, 41

Page 205: San Joaquin County (pdf)

www.healthnet.com / 205 Volume 12, 2018

Provider Index

Pro

vid

er In

de

x

Kazem, Fatima M.D. .......148

Kazmi, Mohammad A. M.D.

79, 82

Kelley, Kanwar S. M.D. .....70

Kennedy, Frank R. M.D. ...66

Kennedy, Vanessa A. M.D.

53

Kethineni, Neelima M.D. ...67

Kettelle, John M.D.............66

Khalili, Michael M.D.........148

Khambati, Aziz A. M.D. .....38,

135

Khosa, Panthjit P.T............96

Khourdaji, Abdallah M.D. ..76

Kim, Charles M.D. .......69, 95,

137, 150

Kim, Stevens Y. M.D...85, 91,

110, 123

Kim, Stevens, Md....183, 184

Kindred Transitional Care

and Rehabilitation - Valley

Gardens...........................163

Kiraly, John F. M.D. ..77, 109,

117

Kofoed, Jamie, Bcb.........199

Koman, Dana-joelle, Bcb199

Komure, Mark, Od...........185

Kothari, Nisreen M. M.D..137,

150

Kovalenko, Oleg G. M.D.128

Krieger, Laurena, Od ......183

Kriskovich, Nicole C. P.T. .96,

97, 150

L

LABCORP - STOCKTON

169

Laghaee, Shahin M.D. ....116

Lam, Gary K. DPM......71, 81,

84, 93, 98, 99, 100, 101,

131, 132, 140, 147

Langevin, Kathy Hee-Won

K. M.D................................88

Larsson, Kathryn, Od ......183

Lasalette Health And

Rehabilitation Center ......163

LATHROP PHARMACY..173

Lazzaro, Cynthia C. D.O...88,

94

Le, Mai T. M.D...................44

Lee, John Y. M.D. .......77, 81

Leibovsky, Vladimir M. D.O.

55

Levy, Robert L. M.D. ...85, 90

Lewandowski, Chelsea, Bcb

200

Lewis, Mari E. M.D. ...........83

Lim, David C. M.D. ..........114

Lin, Julie H. M.D. ...............88

Lin, Shou-I M.D. ........44, 138

Lin, Stephen A. M.D....86, 91,

110, 123

Lin, Stephen, Md.....183, 185

Lincoln Square Post Acute

Care .................................163

LINDEN PHARMACY .....173

Lo Jr, Thomas P. M.D. ......68

Lo, Larry J. M.D.................61

LOCKEFORD DRUG ......173

Lodi Dialysis Center ........167

LODI MEMORIAL HOSP

PHARMACY WEST ........174

Lodi Memorial Hospital ...155

Lodi Nursing &

Rehabilitation...................163

Loomba, Ashish M.D.........31

Lopes-De-Menezes, Davina

E. M.D........................99, 129

Lu, Jonathan M.D..............81

Ly, Justin Q. M.D.............148

M

Maddula, Mallareddy M.D.

73, 78, 107, 118, 141

Madugundi, Shalini M.D....42,

98, 145

Magallanez, Abe, Od ......183,

185

Mah, Kelly M.D. .................55

Maharaj, Angela, Od .......183,

185, 186

Malak, Taymour E. M.D. ...45

Mallorca, Florinda G. M.D.36

Manchester, Maci, Bca ...200

Mandayam, Sarathy T. M.D.

66

Mangondato, Jussein R.

M.D. .............................32, 33

Manohar, Naveen S. M.D.

128

Mansfield, Leah, Bcb ......197

Manshadi, Ramin M.D. .....72,

105

Manteca Dialysis .............167

Mapps, Kayla D. M.D..58, 60

MARCH LANE MEDICAL

PHARMACY ....................177

Mardini, Muhammad M. M.D.

76

Marine, Jean M. M.D.........69

Martinez, Jennifer L. M.D..41

Maselli, Ricardo A. M.D. ...68

Mcbroom, Barbara K, Mft197

McGillicuddy, Jeffrey O.

M.D. .............................92, 96

McLaughlin, Kimberly P.

M.D.....................................55

McLoughlin, Travers J. M.D.

81

McOmber, Earl D. M.D......43,

46

Mcqueen-gerhart, Kelsie,

Bca...................................200

Meadowood Health &

Rehabilitation Center ......163

Medina Mendez, Carlos A.

M.D. .................................123

Medina Mendez, Carlos, Md

185

Medline Industries ...........170

Meek, Emily, Bcb.............197

Mehdi, Aminder S. M.D...109

Mello, Pamela, Mft...........197

Mendez, Sandra M.D. .......56

Mequio, Michael J. M.D. .123

Miller, Gregory, Od..........183

Miller, Jacqualin M. D.O....53

Miller, Timothy R, Psy .....197

Mills, Linda A, Mft............195

Miselis, Kenneth V. M.D..124

Molini, Mary J, Mft...195, 197

Moreno, Jason, Bcb ........200

Morrison, Benjamin B. M.D.

37, 38, 45

Morrison, Stanley G. M.D..32

Morrison, Susan W. M.D...40

Morrissey, James D. M.D.

133

Moshi, Sami H. M.D. ...79, 82

Murray, Angelina, Bcb.....197

N

Nadgir, Ulhas M. M.D......110

Nakata, Roland Y. M.D. ....83

Nakka, Bhagya M.D. ...56, 58

Narvaez, Julio M.D. ..80, 124,

145

Nasika, Subrahmanyam

M.D........73, 78, 82, 107, 119,

135

Nathaniel, Sony R, Mft ....195

Neely, Jennifer, Bcb........200

New Hope Post Acute Care

164

Nguyen, Bao Q. M.D.........46

Nguyen, Chi H, Od..........185

Nguyen, Chinh, Od .........185

Nguyen, Nam X. M.D. .......61

Nguyen, Thao D.O. .....31, 35,

37, 38, 39, 40, 41, 43, 46, 47

Nice, Lori, Bcb .................197

Nicholson, Joshua T. D.O.65

Nisperos, Carmelita C. M.D.

36, 93

Nowlin, Brittany L, Bcb....200

Numotion - Stockton .......169

Nunez Davis, Rosemary

D.O.....................................33

O

O'connor, Kevin R, Mft....195

O'donnell, Cathy L, Mft....197

Obanor, Emmanuel D.O. ..76

Okorie, Chikanele E. M.D.

58, 60

OMNICARE OF

NORTHERN CALIFORNIA

174

Oneil, Thomas C. M.D. ...145

Oneil, Thomas, Md..........186

Page 206: San Joaquin County (pdf)

206 / www.healthnet.com Volume 12, 2018

Provider Index

Optimal Hospice Care -

Stockton...........................168

Ostry, Alexandra, Bcb .....200

Overton, John B. M.D. ....111

P

Pabustan, Cesar C. M.D...46

Pacific Urgent Care.........159

Parikh, Rajul B. M.D........129

Parker, Nicole M, Mft.......195

Patel, Arun C. M.D. .........124

Patel, Arun, Md .......185, 186

Patel, Nilam P, Bcb .........197

Patel, Sarju S. M.D..........124

Patel, Vishal A. M.D. .........94

Pearlman, Joel A. M.D. ...124

Pearlman, Joel, Md.185, 186

Pennisi, Vincent P. M.D. ...58

Perry, Kelli, Bcd...............200

Peterson, Jamie K, Lcs...200

PHARMACY CARE

CONCEPTS.....................177

Phipps, Arlene M, Lcs .....197

PLANNED PARENTHOOD

MAR MONTE - EASTLAND

PLAZA HEALTH CENTER26

PLANNED PARENTHOOD

MAR MONTE - TRACY

HEALTH CENTER ............27

PLANNED PARENTHOOD

MAR MONTE- MANTECA

HEALTH CENTER ............25

PLANNED PARENTHOOD

MAR MONTE- NORTH

STOCKTON HEALTH

CENTER............................26

Polk, Margarita M, Bcb....200

Pometta, Carolyn J, Lcs..197

Pontius, Michael, Od.......185

Port City Dialysis .............168

Porter, La Donna R. M.D. .42

Pottala, Sreelatha M.D......53

Preston-Smith, Michelle P.T.

96, 97, 150

Primack, Daren S. M.D. ....72,

75, 106, 114

Prohealth Home Care -

Stockton...........................168

Punjya, Rajiv H. M.D.86, 144

Purewal, Prabhjit S. M.D...89

Puthillath, Ajithkumar A.

M.D. ...................77, 109, 117

Q

Quang, Lan N. M.D.107, 119

QUEST DIAGNOSTICS -

LODI.................................167

QUEST DIAGNOSTICS -

MANTECA.......................167

QUEST DIAGNOSTICS -

STOCKTON.....................169

QUEST DIAGNOSTICS -

TRACY.............................170

R

Rachakonda, Ajay K. M.D.

68, 73, 108, 135, 142

RAI-N. California - Stockton

168

RAI-West March-Stockton

168

Raina, Surrender M.D. ....114

RALEY'S DRUG CENTER

174, 175

RALEYS PHARMACY.....177,

179

Ramireddy, Sumitra M.D...48,

49

Raron, Surinder S. M.D.....46,

129

Raval, Mehul M.D........73, 82,

108, 136, 142

Ravi, Lingamurthy M.D. ....81,

83

Razi, Salman S. M.D.94, 149

Reddy, Archana P. M.D. ...65,

134

Reed, John B. M.D..........125

Reed, John, Md.......185, 187

Revilla, Ana R. M.D.....35, 39

Reyes, Melissa A. M.D....134

Rieland, Weston A, Bcb..200

Rieta, Felicia, Lcs............197

Riggs, Susan D, Bcb.......197

Rine, Kevin E. M.D............56

Rios, Eon J. M.D. ........88, 95

RITE AID PHARMACY....173,

174, 175, 177, 179

Riverwood Healthcare

Center ..............................163

Roberts, Tanya M, Lcs....195

Robinson, David D, Do ...195,

197

Ross-owens, Cynthia, Bcb

200

Rowley, Kimberly A, Bcb 197

Rozenfeld, Michael N. D.O.

148

Russell, Alecia N. D.O. .....54

Russell, David J. D.O........60

RX EXPRESS PHARMACY

177

S

S.E.N.T. Hearing Aid Center

Stockton...........................170

SAFEWAY PHARMACY.174,

175, 177, 179

Saffier, Sharman, Mft ......198

Sagireddy, Purushottama B.

M.D........74, 78, 82, 108, 119,

136, 142

Saifullah, Mona S. M.D. ....42

Saito, Jerel K. M.D. .........148

Sakamoto, Brian S. M.D. 148

SAN JOAQUIN CO MENTAL

HLTH ...............................177

San Joaquin General

Hospital............................155

San Joaquin Laser &

Surgery Center ................168

San Joaquin Orthotics &

Prothetics.........................169

Sanguinetti, Jill M, Mft.....198

Santos, Jose M. M.D...89, 90

Sarma, Praveena N. M.D.

141

Satellite Healthcare Stockton

168

Satellite Healthcare Tracy

170

Satellite Healthcare

University Park ................168

SAVE MART PHARMACY

173, 174, 175, 178, 179

Saylors, Staci, Bcb..........200

Schneider, Elizabeth, Bcb

200

Schulman, Joshua M. M.D.

88, 134

Senegor, Moris M.D..68, 136

Sharma, Anjali M.D. ..........56

Shih, Yong L. D.O. ....89, 144

Shimozaki, Kenneth K. DPM

132

Shrivastava, Deepak K. M.D.

67

Silkiss, Rona Z. M.D........130

Simeon, Rolando G. M.D..77

Simpfenderfer, Larry, Od 183

Sims, DeAndrea L. M.D. .117

Singh, Jagjit M.D.....108, 119

Singh, Randhir H. M.D. ...130

Singh, Shailinder J. M.D. ..99,

130

Skaria, Niyati M.D. ..........129

SleepMed of California, Inc

SleepMed of Manteca .....167

Sneha, Fnu M.D....35, 39, 40,

41, 47, 48, 71, 98, 100, 101

Soung, Jerry J. M.D. .......109,

120

Soung, Lian-Sen M.D......109,

120

Souza, Tammy A, Mft......195,

198

Sponder, Siobhan L, Bcb198

Spoonhour, Genola, Mft..198

Spyksma, Valerie, Bcb....198

St Joseph's Medical Center

Clinical Lab ......................169

St. Joseph's Medical Center

c/o Port City Operatin

Company, LLC ................155

St. Joseph's Surgery Center

168

St. Jude Care Center ......163

St. Teresa Comprehensive

Cancer Center .................170

Stallworth, Rebecca, Lcs 198

Page 207: San Joaquin County (pdf)

www.healthnet.com / 207 Volume 12, 2018

Provider Index

Pro

vid

er In

de

x

Stauffer, Hannah, Bcb.....198

Stavrianoudakis, Alexander

P.T......................................96

Steinberg, Deborah, Od..184,

185, 186, 187

Steinberg, Joel F. M.D. .....79

Stenzler, Lee M. M.D. .72, 76,

106, 114

Stillman, Charles A. D.O.132

Stockton Diagnostic Imaging

169

STOCKTON HEMATOLOGY

ONCOLOGY....................178

Stockton Home Training

Dialysis ............................168

Stockton Kidney Center ..168

Streeter, Thomas T. M.D. .60

STRIPLINS PHARMACY175

Stroh, Kevin I. DPM...........74

Suarez, Kirsten, Bcb .......200

Sud, Harjit J. M.D. .............58

Summers, Deanna, Bcb..200

Sutter Tracy Community

Hospital............................155

Swift, Deborah L. M.D.......56

T

Tabaraee, Ehsan M.D.......69

Tan, Joe Wei-Zhu, Lac ...191

Tanenbaum, Jack, Lcs....195

Telander, David G. M.D. .125

Telander, David, Md........186,

187

Tendulkar, Amod P. M.D.133

Thadwal, Baljeet M.D......139

Thaikkendiyil, Parvathy M.D.

146

Thaiyananthan, Gowriharan

M.D.....................................69

Thongsamouth, Orathay, Od

186

Tiptur Mahadevaiah,

Guruprasad M.D..............129

Tittler, Ethan H. M.D..86, 110

Tokay Dialysis Center .....167

Tokay Home Dialysis Center

167

Toppur Ramanakumar, Ajay

K. M.D..............................115

Tracy Dialysis ..................170

Tracy Nursing &

Rehabilitation Center ......164

Tracy Surgery Center, LLC

170

Tracy Urgent Care Medical

Clinic ................................159

Tran, Nha P. M.D. ...........148

Tran, Tan D. M.D...............89

Trinity Urgent Care .159, 168

Tsai, Tony M.D. ...............125

Tsai, Tony, Md ........186, 187

Tsang, Stephen M. M.D. ...61

Tsuchiya, Pamela Y. M.D.

125, 146

Tuxen, Peter A. M.D..........66

U

Umar, Akbar M.D...............34

Urbano, Wivina T. M.D....146

Usunov, Jordan M. M.D. .142,

146

V

Vaishampayan, Sanjeev G.

M.D.....................................87

Valk, Jenna N, Bcb..........198

Valley MRI and Radiology -

Stockton...........................169

Valley MRI and Radiology,

Inc ....................................167

Van Kalveren, Rebecca P.T.

97, 150

Vance, Carole M, Mft ......198

Vander Veen, Chelsea, Bcb

201

Vang, Jesse, Bcb ............198

Vanschenck, Christopher A,

Md ....................................198

Varma, Karen N, Mft .......198

Vasquez, Robyn, Bcb .....201

Venkatesan, Aruna M.D....89,

95

Vienna Nursing &

Rehabilitation Center ......163

VINEYARD PHARMACY &

GIFTS ..............................173

Vongtama, Dan M.D........132

Vongtama, Vitune M.D....132

Vridhachalam, Sanjeevi

M.D. .................................149

Vu, Gentry J. M.D..............59

Vu, Trinh L. M.D. .........45, 47

W

Wagner Heights Nursing

And Rehabilitation Center

163

Wagner, Lloyd D. M.D.....133

WALMART PHARMACY.174,

175, 178, 179

Walthour, Christopher S.

M.D. .................................151

Wang, Wilhelm M. M.D. ....40

Washington, Sharon D. M.D.

61

WATERFRONT

PHARMACY ....................178

Waters II, Richard E. M.D.

115

Waters, Chanti F, Bcb.....198

Watson, Denise L. D.C. ....70,

76, 83, 87, 97, 98, 99, 100,

115, 116, 139, 144

Weber, Megan, Bca ........201

Wee, Daniel M.D. ........92, 96,

126, 138, 146, 150

Wee, Daniel, Md .....184, 186,

187

Welborn, Jeanna L. M.D. ..67

Wellbound of Stockton....168

Wendel, Robert T. M.D. ..126

Wendel, Robert, Md186, 187

Wesson Hearing Aid Center

- Manteca.........................167

Wesson Hearing Aid Center

- Ripon .............................167

Wesson Hearing Aid Center

- Tracy..............................170

WEST-LANE....................178

Whitcomb III, Charles K.

M.D.....................................67

Whitney, Frank E. M.D......83

Wilson, G, Od ..................186

Windsor Elmhaven Care

Center, LLC .....................163

Windsor Hampton Care

Center,LLC ......................164

Woan, Jin-Mei M.D. 142, 145

Wolde, Tsion H, Bcb .......198

Wolff, Alexandra, Bcb .....198

Wolfley, Stephanie, Bcb..198

Wollesen-foster, Susan J,

Mft ....................................196

Wong, David J. M.D. .........89

Wong, Keith, Od..............184

Wong, Regina F. M.D........34

Wong, Reynold C. M.D. ....95

Wong, Richard M. M.D....126

Wright, Stanley B. M.D......80,

129

Y

Yamamoto, Shota M.D....149

Yang, Kyung S. M.D..........56

Yao, Weiping M.D. ............79

Yates, Roger D, Mft.........198

Yecies, Jerold J. M.D..72, 75,

81, 84, 86, 94, 102, 112,

134, 140, 144, 149

Yee, Julie L, Mft...............195

Yip, Darwin M.D. .........86, 93

Yoon, Jin H, Bcb..............199

Yosemite Street Dialysis

Center ..............................167

Young Jr, Joseph N. M.D..70

Young, Jill M, Bcd............201

Young, Yonie, Lac...........191

YOUNGS PAYLESS

PHARMACY ....................173

Yuh, Theresa M. M.D........93,

149

Yumul, Danilo S. M.D........45,

139

Z

Zapien, Victor M, Lcs ......199

Zarkowsky, Devin S. M.D.

117

Zeiter Eye Surgical Center,

Inc. ...................................168

Zeiter, John H. M.D.....80, 92,

127, 146

Page 208: San Joaquin County (pdf)

208 / www.healthnet.com Volume 12, 2018

Provider Index

Zeiter, Joseph E. M.D. ......80,

92, 127, 146

Zeiter, Joseph T. M.D. ....127,

128

Zheng, Min M.D.........93, 143,

147

Page 209: San Joaquin County (pdf)
Page 210: San Joaquin County (pdf)

For more information please contactHealth Net 101 N. Brand Blvd., Ste. 1500 Glendale, CA 91203

Member Services1-800-675-6110 24 hours a day, 7 days a week

For information about becoming a Health Net member, please contact Enrollment Services1-800-327-0502 Monday through Friday, 7:30 a.m. to 7:00 p.m.

Assistance for the hearing and speech impairedTTY users call 711.

www.healthnet.com/shp

Health Net of California, Inc. and Health Net Community Solutions, Inc. are subsidiaries of Health Net, Inc. Health Net is a registered service mark of Health Net, Inc. All rights reserved.

DIR026905EO00 (printed 12/18)