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
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
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
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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.
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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.
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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.
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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
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• 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.
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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.
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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
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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)
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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)
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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
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
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
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
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
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
• ¿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
• 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
¿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
Clinics
www.healthnet.com / 23 Volume 12, 2018
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
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
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
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
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)
If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link
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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)
If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link
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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)
If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link
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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
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
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)
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)
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
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
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
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)
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)
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)
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)
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)
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)
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
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
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
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
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)
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)
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
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)
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
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
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
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
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
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
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)
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)
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)
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)
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)
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)
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
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
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)
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
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
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
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
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)
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)
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
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
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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
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
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
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
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
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
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)
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)
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
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
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
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)
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
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)
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)
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
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)
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
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
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)
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
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)
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
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)
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
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
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)
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
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
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
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
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
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
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)
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
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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
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)
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
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)
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
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
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)
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
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
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)
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)
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)
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
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)
If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link
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You can also contact us by mail. Send your complaint to: Health Net Appeals & Grievances, P.O. Box 10348, Van Nuys, CA 91410-0348,
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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)
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
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
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
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
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)
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)
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
If you feel this document has given wrong, partial, or deceptive information, you may file a complaint. To file a complaint, use this link
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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
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)
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
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
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)
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
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
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
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
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
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
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
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
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
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
Hospitals
www.healthnet.com / 153 Volume 12, 2018
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
Urgent Care Facilities
www.healthnet.com / 157 Volume 12, 2018
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,
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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
Skilled Nursing Facilities
www.healthnet.com / 161 Volume 12, 2018
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,
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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
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)
Facilities and Other Services
www.healthnet.com / 165 Volume 12, 2018
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)
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)
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
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
Health Net Pharmacies
www.healthnet.com / 171 Volume 12, 2018
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
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
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
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
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
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
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
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
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
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
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
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
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
Acupuncture
www.healthnet.com / 189 Volume 12, 2018
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
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
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
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
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
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
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
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
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
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
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
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
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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
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
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
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
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
www.healthnet.com / 205 Volume 12, 2018
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Pro
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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
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
www.healthnet.com / 207 Volume 12, 2018
Provider Index
Pro
vid
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de
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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
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
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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)
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