Your Informational Materials for Medi-Cal Members

Transcription

1 Your Informational Materials for Medi-Cal Members Material informativo para miembros de Medi-Cal Solo se ha traducido al Espanol el Directorio de Proveedores. Para obtener una copia gratuita de la Evidencia de Cobertura y Guia de Servicios en Espanol, por favor llamar al (Seleccione la opcion 2)

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3 PATRICIA TANQUARY, MPH, PhD Chief Executive Officer JAMES TYSELL, MD Medical Director ADMINISTRATION 595 Center Avenue, Suite 100 Martinez, California Main Number: Member Call Center: Provider Call Center: Dear Member: Se Habla Español Our #1 goal is to keep you and your family healthy and happy with our services. We will continue to work with you and your Primary Care Provider (PCP) to address your health care needs and help you get the most out of your Contra Costa Health Plan (CCHP) benefits. You should already have received a separate letter informing you of the PCP that has been assigned to you. We would like to take this time to remind you of some of your plan benefits. Please see the attached notice explaining a new Mental Health Benefit. We encourage you to call the Advice Nurses if you have any questions about the health of you or your family, 24 hours a day, 7 days a week. The nurses can give some test results, advise you on how to best care for yourself at home and even refer you to after-hours care when necessary. To receive your expanded mental health services, contact your Primary Care Provider or you may call the 24 hour seven days a week, Mental Health Access Line CCHP has expanded our website to answer many common questions and provide an up-to-date tool for searching for providers, hospitals and pharmacies. We are required by law to send you a Medi-Cal Member Handbook and Evidence of Coverage (EOC) every year. The EOC is enclosed for you to review and keep with your important papers. Please call Member Services if you have any questions or concerns. This phone number is also printed on the back of your ID card and the back of this booklet. MEMBER CALL CENTER Advice Nurse - Press 1 Member Services - Press 2 Pharmacy Services - Press 3 Authorizations/Referrals Press 4 Appointments (County Health Centers only) Press 5 Sales & Marketing Department Press 6 Thank you for being a CCHP member. We are proud to be your health care choice. Sincerely, Patricia R. Tanquary, MPH, PhD Chief Executive Officer Contra Costa Alcohol and Other Drugs Services Contra Costa Emergency Medical Services Contra Costa Environmental Health Contra Costa Health Plan Contra Costa Hazardous Materials Programs Contra Costa Mental Health Contra Costa Public Health Contra Costa Regional Medical Center Contra Costa Health Centers WL_MEDICAL_2017 rev

4 TABLE OF CONTENTS Section A. Member Handbook 1. A Quick Look at Your Health Plan MH-1 Choosing and Changing Your Primary Care Provider... MH-1 Getting Care After Hours... MH-2 Advice Nurses... MH-2 Hospital Care... MH-3 Emergency Care... MH-4 Care Outside Contra Costa CountyMH-4 Special Services... MH-4 Eligibility... MH-4 If Things Don t Go Right... MH-4 2. Member Handbook... MH-4 Who We Are... MH-5 Cost to You... MH-5 Covered Services... MH-5 Care for Your Eligible Child... MH-5 Treatment of Minors... MH-6 Family Planning... MH-6 Maternity Care... MH-6 Services for STD and HIV... MH-6 Other Services at Cost... MH-7 Multilingual Services... MH-7 Transportation Policy... MH-8 Services t Available From CCHP MH-8 Services That Are t Covered... MH-9 Medical Exemption Criteria... MH-9 3. Your Provider... MH-9 About Primary Care Providers... MH-9 To Change Your Primary Care Provider... MH-10 How to Help Your Doctor Take Care of You... MH-10 Your First Appointment... MH-11 Language Services... MH-11 Getting Care After Hours... MH-11 If your PCP is from Contra Costa Health Centers... MH-11 If your PCP is from the Community Provider NetworkMH-11 If your PCP is from Kaiser Permanente... MH-12 Medi-Cal _TOC_annual Hospital Care... MH-12 Emergency Care... MH-12 In Case of A Natural Disaster... MH-12 Care Outside of Co Co County.. MH Your Pharmacy Benefit... MH-12 PerformRx Pharmacies... MH-12 Kaiser Pharmacies... MH Eligibility... MH-13 Date of Eligibility... MH-13 Adding New Babies to the Plan MH Disenrolling from CCHP... MH-13 Mandatory Disenrollment... MH-13 Expedited Disenrollment... MH Member Services... MH-14 Call Member Services When... MH-14 Complaints and Grievances... MH-14 Timeframes for Resolution... MH-15 Appeals... MH-15 Expedited Review of GrievancesMH-15 Right to Conference... MH-16 Independent Medical Review... MH-16 Denials Based on Medical Necessity MH-16 DHCS Ombudsman Program... MH-16 Filing a Complaint with Department of Managed Health Care... MH-16 Medi-Cal Fair Hearing Rights... MH Additional Information... MH-17 Transitional Medi-Cal... MH-17 Federally Qualified Health Centers and Indian Health Centers... MH-18 Investigational Services... MH-18 Payment for Providers... MH-18 tification of Changes... MH Facility Directory..MH-20 Important Phone Numbers... MH-21 rev

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6 Section B. Provider Directory/Directorio de Proveedores Welcome to Contra Costa Health Plan Provider Directory... IV Bienvenidos al Directorio de Proveedores del Contra Costa Health Plan... IV Finding or Changing Your Primary Care Provider... IV Cómo Encontrar o Cambiar Su Proveedor de Atención Primaria... IV How to Enroll in Contra Costa Health Plan... V Cómo Inscribirse en el Contra Costa Health Plan... V Your Health Plan Card... V Su tarjeta del Plan de Salud... V Benefit Exceptions... V Excepciones en beneficios... V Language Services... VI Servicios de interpretación... VI Timely Access to Care... VI Acceso opotuno a atención a la salud... VI Access to Services... VII Accesso a los servicios... VII What s a PCP?... VIII Qué es un PCP?... IX Primary Care Providers Diagram... X Diagrama de Proveedores de Atención Primaria... X Physical Accessibility Indicators... XI Indicadores de Accesibilidad Física... XIII Primary Care Providers Listing by City... 1 Proveedores de Atención Primaria por Ciudad... 1 Discrimination is Against the Law... XV La Discriminación es Contra la Ley... XV Primary Care Providers Contra Costa Regional Medical Center Network (CCRMCN)... 1 Geriatric Medicine Medi-Cal _TOC_annual rev

7 Section B. Provider Directory/Directorio de Proveedores (Continued/Continuación) Community Provider Network (CPN) Family Planning, Confidential HIV Testing, and Sexually Transmitted Diseases Planificación Familiar, Examen Confidencial de VIH y Enfermedades Transmitidas Sexualmente Antioch Concord El Cerrito Pittsburg Richmond San Ramon Walnut Creek Obstetrics and Gynecology Services Servicios de Obstetricia y Ginecología Berkeley Oakland Antioch Brentwood Concord El Sobrante rev Medi-Cal _TOC_annual

8 Section B. Provider Directory/Directorio de Proveedores (Continued/Continuación) Martinez Pittsburg Richmond San Pablo Walnut Creek Pharmacy Farmacia Alamo Antioch Bay Point Brentwood Clayton Concord Danville El Cerrito El Sobrante Hercules Lafayette Martinez Oakley Orinda Pinole Pittsburg Medi-Cal _TOC_annual rev

9 Section B. Provider Directory/Directorio de Proveedores (Continued/Continuación) Pleasant Hill Richmond San Pablo San Ramon Walnut Creek Vision Care Cuidado de la Vista Alameda Fremont Oakland Pleasanton Antioch Brentwood Concord Discovery Bay Hercules Martinez Pinole Pittsburg Pleasant Hill Rodeo San Pablo Walnut Creek rev Medi-Cal _TOC_annual

10 Section B. Provider Directory/Directorio de Proveedores (Continued/Continuación) Vallejo Urgent Care Atención urgente Hospital Hospitales Berkeley Brentwood Concord Lafayette Pleasant Hill San Pablo San Ramon Walnut Creek Berkeley Oakland Antioch Concord Martinez Walnut Creek San Francisco Community Based Adult Services (CBAS) Servicios Para Adultos Basados en la Comunidad Berkeley Antioch Medi-Cal _TOC_annual rev

11 Section B. Provider Directory/Directorio de Proveedores (Continued/Continuación) El Sobrante Pleasant Hill Section C. Combined Evidence of Coverage and Disclosure Form 1. Welcome...EOC-2 Facilities, Physician Visits and Outpatient Services... EOC-2 Effective Date of Coverage... EOC-3 Who is Eligible?... EOC-3 Multilingual Services... EOC-4 Your Membership Identification (ID) Card... EOC-4 2. Definitions...EOC-5 3. Who Will Be My Doctor?...EOC-12 Choice of Physicians and Providers Choosing Your Primary Care Provider (PCP)... EOC-12 Your Choice of Primary Care Provider Will Decide Your Hospital and Provider Network... EOC-13 Changing Your Primary Care Provider or Provider Network....EOC How to Get Health Care Services...EOC-13 Health Services by Participating Providers... EOC-13 Authorization for Health Care Services for Regional Medical Center Network and Community Provider Network Members... EOC-14 Authorization for Kaiser Permanente Members... EOC-14 Initial Health Assessment... EOC-14 Referral for Health Services Given by n-cchp Provider... EOC-15 Second Opinion Policy... EOC-15 Minor Consent Services... EOC-16 Standing Referrals... EOC-17 Continuity of Care for New Members... EOC-18 Continuity of Care Terminated Provider... EOC-19 Asking for Continuity of Care... EOC-19 Continuity of Care Exemptions to Continue Medi-Cal Fee-For-Service... EOC-20 California Children s Services (CCS)... EOC-20 How to Use the Medi-Cal Fee-For-Service Program... EOC-21 Program Transitions to Medi-Cal... EOC Emergency Care by Participating and n-participating Providers...EOC-21 What Should Be Done in an Emergency?... EOC-21 rev Medi-Cal _TOC_annual

12 Section C. Combined Evidence of Coverage and Disclosure Form - Continued Kaiser Permanente Emergency Number... EOC-22 Emergencies and Urgently Needed Care... EOC-22 Urgent Care Services... EOC-22 Duty to tify... EOC-22 Right to Move Member to Participating or Network Facility... EOC-22 Emergency and Urgent Care Transportation... EOC Benefit Chart...EOC Medi-Cal Program Benefits When Medically Necessary...EOC-29 Benefits While in the Hospital...EOC-29 Inpatient Hospital Services... EOC-29 Inpatient Doctor Services... EOC-29 Inpatient Maternity Care... EOC-29 Newborn Care... EOC-30 Length of Hospital Stay for Deliveries and Mastectomies... EOC-30 Emergency Medical Treatment for Alcohol and Substance Abuse Overdose EOC-30 Skilled Nursing Facility Care... EOC-30 Subacute Care... EOC-31 Benefits Available on an Outpatient Basis...EOC-31 Ambulatory Care/Surgery Center (Outpatient Hospital Services)... EOC-31 Preventive Health Care Services... EOC-31 Health Information and Education... EOC-31 Professional and Diagnostic Services... EOC-31 Sensitive Services... EOC-32 Family Planning... EOC-32 Treatment of Sexually Transmitted Diseases (STD s) and HIV... EOC-32 Home Health Care Services... EOC-32 Community Based Adult Services (CBAS)... EOC-33 Hospice Services... EOC-33 Diabetes Management... EOC-33 Enteral Nutrition Products... EOC-34 Outpatient Prescriptions... EOC-34 A te About our Preferred Drug List (PDL)... EOC-35 Prior Authorization Process for n-pdl Drugs... EOC-35 Pre-existing Prescriptions... EOC-35 Pediatric Asthma Coverage... EOC-36 Durable Medical Equipment (Home Medical Equipment)... EOC-36 Hearing Aids... EOC-37 Orthotics and Prosthetics... EOC-37 Outpatient Mental Health Services... EOC-38 Benefits from n-participating Providers... EOC-39 Transportation... EOC-39 Limitations and Things t Covered... EOC-41 Medi-Cal _TOC_annual rev

13 Section C. Combined Evidence of Coverage and Disclosure Form - Continued CCHP Changes... EOC Complaints and Grievances...EOC-45 Resolution of Complaints and Grievances... EOC-45 Expedited Review of Grievances... EOC-46 Appeals Process for Claims and Services... EOC-46 Medi-Cal Fair Hearing Right... EOC-47 Faster (Expedited) Medi-Cal Fair Hearing Process... EOC-47 Filing a Complaint with the Department of Managed Health Care (DMHC) EOC-47 Right to Conference... EOC-47 Independent Medical Review (IMR) Independent Medical Review of Experimental or Investigational Services... EOC-48 Independent Medical Review (IMR) of Denials based on Medical Necessity EOC-48 Kaiser Permanente Grievance Processes... EOC-50 California DHCS Ombudsman Program... EOC Disenrolling From The Plan...EOC-50 Mandatory Disenrollment... EOC-50 Disenrollment for Cause... EOC-50 Expedited Disenrollment... EOC Member Rights and Responsibilities...EOC Coordination of Benefits...EOC-53 Benefit Coordination with Other Health Coverage... EOC Public Policy...EOC Other Services...EOC-53 Transitional Medi-Cal... EOC-53 Federally Qualified Health Centers... EOC-54 Indian Health Centers... EOC-54 Nurse Midwife and Nurse Practitioner Services... EOC Your Right To Make Decisions About Medical Treatment...EOC-55 How Do I Know What I Want?... EOC-55 What If I Am Too Sick to Decide?... EOC-55 Who Can Fill Out This Form?... EOC-55 Who Can I Name to Make Medical Treatment Decision When I Am Unable to do so?... EOC-56 How Does This Person Know What I Would Want?... EOC-56 What If I Do t Have Anybody to Make Decisions for Me?... EOC-56 How Do I Issue an Individual Health Care Instruction?... EOC-56 Are Living Wills and Durable Powers of Attorney Created Prior to the new law still valid?... EOC-57 What If I Change My Mind?... EOC-57 rev Medi-Cal _TOC_annual

14 Section C. Combined Evidence of Coverage and Disclosure Form - Continued Do I Still Have to Fill Out This Form?... EOC-57 Will I Still Be Treated If I Do t Fill Out this Form?... EOC-57 How Can I Get More Information About Advance Directives?... EOC-57 Information for CCHP Members About Advance Directives... EOC Other Issues...EOC-58 Payment for Providers... EOC-58 Arbitration... EOC-58 tice of Information Practices... EOC-58 HIPAA tice of Privacy Practices... EOC-58 Changes to this Evidence of Coverage... EOC-66 Immunization Registry tice to Patients and Parents (TB)... EOC-67 Policy Against Discrimination... EOC-69 Medi-Cal _TOC_annual rev

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17 CONTRA COSTA HEALTH PLAN Medi-Cal Member Handbook more detailed information about things in this book. A Culture of Caring for over 40 years 1. A QUICK LOOK AT YOUR CONTRA COSTA HEALTH PLAN MEMBER HANDBOOK Welcome to Contra Costa Health Plan (CCHP). This is an introduction to CCHP and your Membership Guide. We hope it will help you use our services better. To give you more choices, you can now get your medical care from one of three provider networks. You can choose from Contra Costa Regional Medical Center (RMC) and Health Center Network, Kaiser Permanente or the Community Provider Network (CPN). These three provider networks contract with us and there is no cost to you if you have Medi-Cal. The State pays Contra Costa Health Plan to give you the health care you and your family need. Your eligible children can have medical care up to the age of 21. Some services are not covered by Contra Costa Health Plan, but they may be covered under other programs. Read this book to find out more about covered services. You may also read the Evidence of Coverage (EOC) for CHOOSING AND CHANGING YOUR PRIMARY CARE PROVIDER The State should have given you a Provider Directory in your enrollment packet. You can also call Member Services at (press 2) or search for one at It has all the providers you can pick as your PCP (Primary Care Provider). Your PCP will be your family doctor who will coordinate, authorize and refer you to a specialist; a hospital or other needed care. You may choose a Family Nurse Practitioner (FNP) to handle your health care, but you will also be assigned a Primary Care Provider who works with the Family Nurse Practitioner in taking care of your needs. It is best if all your family picks the same Primary Care Provider (PCP). Once you pick a PCP who is associated with one of the three provider networks, you will get all of your care from that network. If you pick Contra Costa Regional Medical Center and Health Centers Network, you will get all your medical care from there. If you choose Kaiser Permanente, you will go to Kaiser Doctors and hospitals. If you choose a PCP from the Community Provider Network, you will see doctors at their private offices and go to the hospital where your PCP has privileges. It is easy to change your PCP. Just call Member Services at (press 2) and you can change over the phone, or you can go to our website at to request a change. Rev. 10/24/2017 MH - 1 Medi-Cal _MH

18 CONTRA COSTA HEALTH PLAN Medi-Cal Member Handbook You should get an appointment for a physical exam within the first 120 days of becoming a member. Children under the age of 18 months need to be seen within sixty (60) days. GETTING CARE AFTER HOURS If you get sick or hurt after regular office hours, you can still get medical care. If your PCP is from Contra Costa Regional Medical Center (RMC) Network, call the Advice Nurse at (press 1). If your PCP is from Kaiser Permanente, call the Kaiser Member Call Center at If your PCP is from the Community Provider Network (CPN), call your PCP's office number or call Contra Costa Health Plan's Advice Nurse at (press 1). ADVICE NURSES The 24-hours a day, 365 days a year Advice Nurse Service is your friendly, anytime connection to CCHP someone with the medical information you need, when you need it, and just a toll-free call away at (press 1). An Advice Nurse can help you get medical care without delay, or help you treat the ailment at home. You will find the Advice Nurse phone number on your ID Card and in the Facility Directory. ADVICE NURSE SERVICES INCLUDE: Advice for At Home Care The Advice Nurse can give you valuable advice to care for your illness or injury at home. The Advice Nurse will also help you decide if you need emergency or urgent medical care. Emergency Visits Remember that in an emergency you may call 911 or go to the nearest Emergency Room (ER). If you aren t sure if you need to go to the ER, call the Advice Nurse to help you decide. They can tell you what to do before you go and what to tell the emergency staff once you get there. CCHP will cover expenses for all emergencies and/or urgently needed care for eligible members. Community Resources Advice Nurses are specially trained to refer you to other organizations in the County to give you special help if you need it. Referral Services can include emergency shelters, public transportation resources and other medical and community-based resources. You can also call Community Online Resource Database (CORD) at 211 or visit their website at Parenting Advice The focus of the Parenting Service is education for eligible parents and their covered children. You can get information on childhood and adolescent development, health and behavior including: How to know when your baby s crying means something serious; What to do if your child has a fever; Nutritional, sleep time and potty training tips for parents of young children; What immunizations are necessary to protect your child s health; What to do for common childhood illnesses; How to best deal with behavioral problems such as the terrible twos or teenage conflict. MH - 2 Medi-Cal _MH Rev. 10/24/17

19 CONTRA COSTA HEALTH PLAN Medi-Cal Member Handbook When parents are calling about their child, the Advice Nurses cannot assist them unless the child is with them. In order to obtain the child s most current symptoms and be able to refer to the appropriate level of care, we need for the child to be with the parent who is calling. Test Results When you call for routine lab results done at a County Health Center, and you have no medical symptoms, we ask that you leave a message for the Advice Nurse. Your message should include your full name (including the spelling), medical record number and telephone number, as well as the best time to call you back. An Advice Nurse will return your call within 24 hours. The Advice Nurse can give you only the results for the following tests if the tests were done at a County Health Center: Complete blood count; Lead; Cholesterol and blood sugar; Liver panel, hepatitis and most other blood tests; X-rays; Pap smear and mammogram results 4 weeks after your test. The Advice Nurses cannot interpret the results. You must see your provider to know how the results apply to you. The Advice Nurses do NOT give out test results for pregnancy or HIV. For pregnancy test results, call Healthy Start at Martinez at (925) Pittsburg at (925) Richmond at (510) For HIV test results, you must make a return appointment with your PCP. The Best Time to Call Our Advice Nurses answer calls 24 hours a day, 7 days a week, but sometimes are busier than others. In order to reduce the time you spend waiting on the phone, we recommend you follow these guidelines: If you are in a life-threatening situation, call directly. If you are sick or injured, or thinking of going to the emergency room, call the Advice Nurses right away, any time. For non-urgent calls, like general health advice, minor illnesses or test results, avoid calling from 7 to 10 a.m., or from 3 to 7 p.m. These times are very busy with urgent health problems. An Advice Nurse is just a phone call away. Nurses are available to talk to you to give helpful, accurate, and timely advice whenever you need it, even if you are out of the service area. Their phone number is also in the Facility Directory and on the back of your ID Card. If you have a Community Provider as your PCP, we encourage you to call your doctor first. When leaving a message for the Advice Nurse Unit or at your provider s office, you can expect a call back within 30 minutes. Advice Nurse (press 1) HOSPITAL CARE You will usually go to the hospital where your PCP practices. Your PCP will tell you which hospital you will go to. However, in an Rev. 10/24/2017 MH - 3 Medi-Cal _MH

20 CONTRA COSTA HEALTH PLAN Medi-Cal Member Handbook emergency or in special cases you may go to another hospital. EMERGENCY CARE A true emergency is when someone without medical training can see that medical care must be given quickly or there could be permanent health damage or death to the victim, or if pregnant, to the unborn child. For a more detailed description please see Section 2 of your Evidence of Coverage. CARE OUTSIDE OF CONTRA COSTA COUNTY Always carry your Contra Costa Health Plan ID card. If you ever need emergency medical care while traveling out of Contra Costa County, the ID card tells the doctor or hospital what to do. SPECIAL SERVICES Family planning is available if you need it. You can also get help if you are worried about STD (sexually transmitted disease) or HIV and everything will be kept confidential. For family planning or for STD or HIV services, you can go to your Primary Care Provider or even to a doctor or health center that is not part of CCHP. There is no cost to you. For information about these special services call Member Services at (press 2). ELIGIBILITY You can be a member of this CCHP program if you are on Medi-Cal and eligible for enrollment. You will not be a member if you are no longer on Medi-Cal, if you are disenrolled, or you move out of the county. Be sure to notify Medi-Cal if you become pregnant. If you have a baby you need to: 1. Get a Social Security Number for the baby. 2. Call Medi-Cal before the baby is a month old to enroll the baby on Medi-Cal. 3. If you receive a Medi-Cal application form for your baby before you leave the hospital, be sure to fill it out and send it in. 4. Call Health Care Options (HCO) at and request an enrollment packet to enroll the baby in CCHP. You may also go on-line to IF THINGS DON'T GO RIGHT If you have a problem with any of our services, we want to help you work it out. You can: 1. Call Member Services at (press 2). 2. Call the Medi-Cal Ombudsman Program at Call the California State Department of Managed Health Care (DMHC) at HMO Call Health Care Options (HCO) at to change plans. You may also go on-line to 5. File a request for a Medi-Cal Fair Hearing at MEMBER HANDBOOK Contra Costa Health Plan (CCHP) follows guidelines from the State Department of Health Care Services and the Department of Managed MH - 4 Medi-Cal _MH Rev. 10/24/17

21 CONTRA COSTA HEALTH PLAN Medi-Cal Member Handbook Health Care. We will work with these two agencies to update the Member Handbook as often as necessary to keep members aware of the changes in covered services. Rev. 10/24/2017 Member Services (press 2) WHO WE ARE CCHP has served Medi-Cal and other members since w we work with Kaiser Permanente and many private doctors in your neighborhood to give you a choice and to provide quality health care for Medi-Cal families in Contra Costa County. NO COST TO YOU If you have Medi-Cal you can join CCHP at no cost to you. The State pays Contra Costa Health Plan to take care of all your covered health services. All the services listed in this Member Handbook are given to you when you need them. They must be approved by your PCP. Here is what you will get: COVERED SERVICES Doctor Visits; Pregnancy and Maternity Care (childbirth); Hospital Care; Approved Covered Prescription Drugs from CCHP s Pharmacy Network; Emergency Room Care for Emergencies; Eye and Hearing Exams; Health Education Classes and Materials; Preventive Services for Adults and Children; Interpreter Services; 24-hour toll free Advice Nurse Service; MH - 5 Member Service Help; Family Planning; Diabetes Management. CCHP will also cover the following services when your PCP orders them and CCHP approves: Inpatient Hospital Care; Durable Medical Equipment; Physical, Speech, and Occupational Therapy; Prosthetics; Respiratory Care; Hospice Care; Hemodialysis; Home Health Nursing; n-emergency Medical Transportation and n-medical Transportation when medically necessary. Refer to Sections 6 and 7 of the EOC for a detailed list of covered benefits and a list of things that are not covered or that have limits. CARE FOR YOUR ELIGIBLE CHILD Medical services for all eligible children up to age 21 are covered through CCHP by the Child Health & Disability Prevention Program (CHDP). Your child will get all CHDP services through CCHP. Your PCP has a list of all required CHDP services and will make sure that your child receives these services during his or her regular medical appointments or will refer your child to a specialist if needed. You also have the right to services for your children who qualify for the California Children Services (CCS) program. A child may be eligible to receive CCS services if he or she has a serious illness or chronic medical Medi-Cal _MH

22 CONTRA COSTA HEALTH PLAN Medi-Cal Member Handbook condition such as a cleft lip or palate, physical disabilities like paralysis, serious eye problems, cerebral palsy, sickle cell disease, and cancer. A child covered by Medi-Cal automatically meets CCS financial eligibility. You will receive CCS services through regular Medi-Cal, but CCHP will provide primary care and other services unrelated to the CCS-eligible condition and will coordinate services with the CCS Program. For more information, call CCHP s CCS Coordinator at (925) THE TREATMENT OF MINORS A parent or legal guardian must come to the doctor with a child under 18 before the child can get medical care. It is against the law to give most medical care to a minor without the consent of the parent or legal guardian. You can sign an authorization form and have it on file at your health center or doctor's office. Then a designated baby sitter, neighbor or family member can authorize medical care if you are not at home. Sensitive Services can be given to minors without the specific consent of their parent or guardian. For the definition of Sensitive Services, see Section 2 of the EOC contained in the final part of this booklet. For more information on Minor Consent Services, see Section 4 of the EOC. FAMILY PLANNING Family planning services are given to members who need help deciding the number and spacing of children. These services include all methods of birth control approved by the Federal Food and Drug Administration. As a member, you pick a Primary Care Provider (PCP) near to you who will give you the services you need. Our PCP and OB/GYN specialists can help you with family planning. For family planning services you may also pick a doctor not connected with CCHP. You do not have to get permission from CCHP. CCHP will pay that doctor for the family planning services you receive. If you would like someone to speak with you about Family Planning, call Member Services or see Section 7 of the EOC. If you are a member of Kaiser, call the Kaiser Advice Nurse at You can also call the Office of Family Planning at the Department of Health Care Services' toll-free number, MATERNITY CARE CCHP will pay for all services connected with maternity care. The member may choose to receive maternity care from our list of Certified Obstetricians, Family Doctors or Certified Nurse Midwives. Call Member Services for help in selecting a provider for your maternity care. SERVICES FOR STD AND HIV CCHP will pay for HIV testing and for the treatment of a sexually transmitted disease (STD). For more information, call Member Services or see Section 7 of the EOC. For HIV and STD testing you may go to your Primary Care Provider, an OB/GYN specialist, Public Health Services, or any qualified provider, even if they are not part of CCHP. After your first treatment you can get follow-up services from either your PCP or Contra Costa MH - 6 Medi-Cal _MH Rev. 10/24/17

23 CONTRA COSTA HEALTH PLAN Medi-Cal Member Handbook County Public Health Services with no prior approval. A list of providers can be found in the Provider Directory online at or call Member Services. Emergency Medical Transportation (NEMT) and n-medical Transportation (NMT) please see the Transportation Policy section below and in the Evidence of Coverage (EOC) section of this booklet. OTHER SERVICES AT NO COST Advice Nurse 24 hours a day, every day of the year; 24-hour toll free emergency authorization phone number; Eye exams every two years; Approved prescription drugs from CCHP s pharmacy network; Same or next day primary care appointments; Health Plan approved laboratory and x-ray services; Skilled nursing facility/intermediate care facility for the month of admission and the following month only; Free health education programs; Physical exams including school and sports physicals; Ambulance in life-threatening emergencies (just call 911) or n-emergency Medical Transportation; Other n-medical Transportation such as taxi or public transportation tickets when medically necessary and approved by CCHP. If you use an ambulance in a non-emergency situation or use public transportation to go to the doctor without CCHP s approval, you may have to pay for it yourself. For more information about Transportation including Emergency Ambulance, n- Rev. 10/24/2017 MH - 7 You will have your own PCP direct your care, but you do not need PCP approval for such services as eye exams, family planning, obstetrics, and sexually transmitted disease (STD) services. Other services listed in this Member Handbook are provided when medically necessary and with approval of your PCP. Multilingual Services Interpreters are available for all Limited English Proficient (LEP) members at no charge, including for sign language. You can request a face-to-face or telephone interpreter. If you know that you will need an interpreter for an upcoming medical service or discussion of medical information, please ask for the interpreter when you make the appointment. Our Member Services can help you find a PCP who speaks your language. Call Member Services at (press 2) or for hearing impaired call California Relay at You do not have to use family members or friends as interpreters. CCHP providers can get our 24-hr interpreter services whenever needed. This EOC and other informational materials have been translated into Spanish. If you need these materials in other formats, call our Member Services at (press 2) or for hearing impaired call California Relay at and we will work with you get Medi-Cal _MH

24 CONTRA COSTA HEALTH PLAN Medi-Cal Member Handbook them in other formats like Braille, large size print, or audio formats. To ask for translated materials, call the Cultural and Linguistic Department at (925) or for hearing impaired call California Relay TRANSPORTATION POLICY Emergency medical transportation is covered, without prior authorization, to the nearest health care site that can meet your emergency medical needs. All non-emergency medical transportation (NEMT) is covered when: Medically needed; You can t use a bus, taxi, car or van to get to your appointment; Requested by a CCHP provider; and Approved in advance by CCHP. You can use n-medical Transportation (NMT) when you are getting to and from a medical appointment for a screening and/or needed treatment service covered under the Early and Periodic Screening, Disgnosis and Treatment (EPSDT) program or for medically necessary covered services for members in case management, active dialysis treatment, oncology related services and approved by CCHP For more information on transportation see the EOC section of this booklet. Most of our facilities and providers are located near a bus stop. For more information on bus routes, call the Central Contra Costa Transit Authority (925) ; Tri Delta Transit (925) ; BART Express for Central and East County at (925) or for West County at (510) ; or Wheels (925) SERVICES NOT AVAILABLE FROM CCHP The following services are not covered by CCHP. You can get these services through regular Fee-For-Service Medi-Cal (FFS) or other available public programs. For FFS, first you must find a provider who is contracted with the State for these services and who will accept Medi-Cal payment. Then, take your Medi-Cal Beneficiary Identification Card (BIC card) to that provider. You may also ask your PCP for assistance or call CCHP Member Services at (press 2) or for hearing impaired call California Relay at Prayer healing; Acupuncture; Eyeglasses; Inpatient mental health for members with severe mental illnesses or serious emotional disturbance of a child (Available through the Contra Costa Mental Health Plan); Dental; Alcohol, Heroin Detoxification and Dependency Treatment Drugs (Available through County Alcohol and Drug Program); AIDS/HIV drugs; Blood factors and coagulation factor medications; Selected psychotherapeutic mental health prescription medications; Chiropractic services. If you need long-term care or a major organ transplant (except kidney and corneal transplants) you will be disenrolled from CCHP MH - 8 Medi-Cal _MH Rev. 10/24/17

25 CONTRA COSTA HEALTH PLAN Medi-Cal Member Handbook and returned to Fee-for-Service (FFS) Medi-Cal where these services will be covered. CCHP covers kidney or corneal transplant services. Please note: Effective July 1, 2009, some services are no longer covered for most adults. Some exceptions may be available through FFS if you meet certain conditions. Please see your EOC for more details or call Member Services for more information at (press 2) or for hearing impaired call California Relay at SERVICES THAT ARE NOT COVERED Care for conditions that state or local law requires be treated in a public facility; Experimental drugs, medical, surgical and other procedures not approved by the FDA; Skilled nursing intermediate care facilities are not covered after the month of admission and the following month; Conditions covered by Worker s Compensation or other insurance; Cosmetic surgery and prescriptions for cosmetic purposes, unless they are proven medically necessary by CCHP; Most over-the-counter medications; Local Education Agency (LEA) services; MEDICAL EXEMPTION CRITERIA If you have been a member for less than 90 days, you may request a Medical Exemption to continue to see a Medi-Cal provider that is not affiliated with a managed care plan. Medical Exemptions may be granted if you are: currently pregnant; under evaluation or approved for and awaiting an organ transplant; receiving chronic renal dialysis treatment, HIV positive or diagnosed with AIDS; diagnosed MH - 9 Rev. 10/24/2017 with cancer and receiving chemotherapy or radiation; enrolled in a Medi-Cal waiver or pilot program; or receiving or scheduled to receive treatment for a complex medical condition or progressive disorder. Please call Health Care Options (HCO) at to get a Medical Exemption Certification Form that your provider must complete and sign. Mailing instructions are on the form, or you may give it to CCHP to submit to HCO. You may also go on-line to 3. YOUR PROVIDER Please read the following Section so you will know how to pick a Primary Care Provider (PCP) ABOUT PRIMARY CARE PROVIDERS A Primary Care Provider (PCP) is your own personal doctor. He or she will make sure you get all the medical care you need. Your PCP will be your family caregiver who will coordinate, authorize and refer you to specialty care providers; a hospital or other needed care. You may choose a Family Nurse Practitioner (FNP) to handle your health care, but you will also be assigned a physician who works with the FNP in taking care of your medical needs. Every member of the family who joins CCHP must have a PCP. It is best if you pick one PCP for the whole family. When you join CCHP, you are asked to pick a PCP. If you do not list a PCP on your enrollment form, or if the PCP you chose is no longer available, CCHP will pick one for you. If you pick a new PCP within 30 days after enrollment, your new assignment will be effective immediately. If you are not happy with that PCP you can call or write or come into Medi-Cal _MH

26 CONTRA COSTA HEALTH PLAN Medi-Cal Member Handbook Member Services to find a PCP that fits your needs. When you pick a PCP, think about these things: Is the doctor near your home or work? Is it easy to get to your doctor's office? Does the doctor speak your preferred language? Does the doctor use a hospital you like? Does the doctor take care of children? TO CHANGE YOUR PRIMARY CARE PROVIDER You can change your PCP at any time, but we recommend that you change doctors no more than once each month. Each PCP works with one of CCHP s three provider networks. If you change PCP's, you will get all your care from the Network your new doctor belongs to. A request for a specific doctor may be rejected if that provider has reached his or her full capacity of patients, or if the doctor refuses the assignment because of failure of a prior relationship with you. In these cases, Member Services will work with you to find another provider. Your PCP will see that you get all the care you need, like shots for children, breast exams and PAP tests for women, and the care you need if you are sick or are going to have a baby. If you ever need to see a specialty care doctor other than your PCP, your PCP will refer you to one who is part of CCHP. If you are currently under the care of a specialist and you want to know if they are contracted with CCHP, call Member Services, go on-line at or look in your Provider Directory. In addition to our Family Practice Specialists, the CCHP Medi-Cal Provider Network has hundreds of specialists to take care of specific medical problems. In some of our specialty clinics, you may be seen by certain Family Doctors and Nurse Practitioners who are Board Certified in a certain specialty. If you need to go to a hospital, your PCP will send you. Your doctor must approve your hospital stay at all times, unless you have a real emergency. In that case, you or the hospital must call CCHP Authorizations within 48 hours to tell us you are there and why. This number is on the back of your CCHP ID card. If you are a Kaiser Permanente member, you will go to a Kaiser Hospital or a hospital affiliated with Kaiser. If you feel you need care that your doctor will not give you, please call Kaiser Member Services at You also have a right to request a list of contracted health care providers with specific information about these providers. To request a list, you may call Member Services. It is easy to change your PCP. You can do this by calling your member services representative at or you can go to our website to request a change. HOW TO HELP YOUR DOCTOR TAKE CARE OF YOU Know your doctor's name and try to see him or her each time. Keep your appointments or cancel them as soon as possible. Talk with your doctor. Tell the truth about your health history and how you feel now. MH - 10 Medi-Cal _MH Rev. 10/24/17

27 CONTRA COSTA HEALTH PLAN Medi-Cal Member Handbook Do what your doctor says. If you need services in your own language ask your doctor or call Member Services. YOUR FIRST APPOINTMENT All members over 18 months of age should have a complete Initial Health Assessment (IHA) within the first 120 days of becoming a member. Children under the age of 18 months should be seen by their doctor within the first 60 days. Please make an appointment for your IHA as soon as you can. This exam will help you meet your PCP and give him or her a chance to get to know you. Your PCP can then take responsibility for managing your current and future health care needs. Tell your PCP about any services you or your children have been receiving for chronic and/or complex conditions from other doctors, schools, California Children s Services, or the Early Start Program. After your IHA, you will receive an explanation of the results and will be helped to get any necessary follow-up services. Please call the appointment phone number in the Provider Directory for the PCP you chose. For more information on choosing a doctor and getting services, see Section 3 and 4 of the EOC. LANGUAGE SERVICES You can tell us your preferred language so we can help you get services. Call Member Services to confirm what language we have listed for you and your family. Use the Provider Directory to help you find doctors who speak your language. You can get free interpreter services if you have a hard time understanding English. If you need a translator when you speak to your doctor or other provider, please let them know. You are not required to use a family member or friend as an interpreter. CCHP providers have access to our 24- hour telephone language services whenever needed. Spanish speaking staff and services in other languages are available whenever you call the Health Plan. You can file a complaint or grievance if you feel that you did not get appropriate language services. You can get Spanish versions of this booklet and other information. Call Member Services to make sure we have your preferred language on file. GETTING CARE AFTER HOURS When you are sick with a high fever, severe pain, or other serious sickness and your doctor's office or health center is closed, you can still get the health care you need. Here is what to do: If your PCP is from the Contra Costa County Health Centers Call the Advice Nurse for your urgent care needs 24 hours a day, every day. If your PCP is from the Community Provider Network Call your doctor s phone number and you re their doctor s answering service will help you. You can also call CCHP s 24-hour Advice Rev. 10/24/2017 MH - 11 Medi-Cal _MH

28 CONTRA COSTA HEALTH PLAN Medi-Cal Member Handbook Nurse if you aren t sure what to do or if your doctor isn t available. If your PCP is from Kaiser Permanente The Kaiser Advice Nurse will help you decide whether you should come to a Kaiser facility immediately or wait until regular clinic hours. To reach 24-hour Kaiser Advice Nurse call Remember, before you make a trip to the emergency room, except for life threatening emergencies; Call your PCP or a CCHP Advice Nurse (press 1) HOSPITAL CARE If your doctor decides that you need to go to a hospital, you will usually go to the hospital where your doctor practices. If the hospital your doctor uses cannot give you the care you need, your doctor will arrange care for you at an appropriate hospital. See Section 7 of the EOC for more hospital care information. EMERGENCY CARE A true emergency is when someone without medical training can see that medical treatment must be given quickly. Some examples are severe pain, difficulty breathing, unusual or excessive bleeding, broken bones, shock, and head injury with confusion, fainting, severe burns, and possible ingestion of poison or medicine overdose. Medi-Cal allows the Plan to cover the cost of emergency services in the USA, Canada and Mexico only. If you have a true emergency, call 911 or go to the nearest hospital. If you aren't sure, call CCHP s 24-hour Advice Nurse at (press 1). If you are a Kaiser member, call Kaiser's 24- hour emergency number See Section 5 of the EOC for more details on Emergency Care. IN CASE OF A NATURAL DISASTER If you are temporarily without phone service during a natural disaster and you are faced with a medical emergency, go to the nearest medical facility. WHAT IF I NEED CARE AND I'M OUT OF CONTRA COSTA COUNTY? If you are temporarily out of Contra Costa County and need urgent or emergency services from a doctor or a hospital, be sure to show your CCHP ID Card. The Card tells the doctor and the hospital what to do. Please call us if you can to let us know that you have been hospitalized in an out-of-county hospital. For more information about your ID card, see Section 1 of the EOC. 4. YOUR PHARMACY BENEFIT CCHP uses a Preferred Drug List (PDL). For more information on our PDL, see Section 7 of your EOC. PERFORM RX PHARMACIES CCHP contracts with PerformRx for your pharmacy benefit. Call PerformRx at for a participating pharmacy in your MH - 12 Medi-Cal _MH Rev. 10/24/17

29 CONTRA COSTA HEALTH PLAN Medi-Cal Member Handbook area or go online to our searchable pharmacy listings at To get a prescription refill, call the phone number on the prescription container at least 7 days before your prescription runs out. This will help the pharmacy to have your prescription ready. Be sure to pick up your prescription within 5 days after you order it, or the pharmacy may return your medication to stock. All Walgreens and Rite Aid pharmacies, as well as most independent pharmacies, participate with CCHP. other chain pharmacies are covered. KAISER PHARMACIES Kaiser members should have their medications filled at a Kaiser pharmacy. 5. ELIGIBILITY DATE OF ELIGIBILITY You must be eligible for Medi-Cal to join CCHP. It may take from 15 to 45 days for the State Health Care Options (HCO) Contractor to process your CCHP enrollment after you are enrolled in Medi-Cal. You must work with the County Medi-Cal Department to determine if you qualify. For eligibility questions, call the Medi-Cal Service Center at ADDING NEW BABIES TO THE PLAN You should notify your Medi-Cal worker if you become pregnant. New babies are covered for the month they were born in and the next month. They then lose coverage unless you have enrolled them. If you have a new baby, you must get a Social Security Number for him or her before the baby can get Medi-Cal. You may get a Social Security form from the Rev. 10/24/2017 MH - 13 hospital or mailed to you. Complete the form as soon as possible and return it to get a Social Security Number for your baby. Call the Medi- Cal Service Center as soon as possible after delivery to add your baby to Medi-Cal. Then, to get the new baby enrolled in CCHP, call HCO at HCO will mail an enrollment packet to you with instructions and information about CCHP. You may also go online to AS EASY AS 1, 2, 3! 1. Fill out and mail the Social Security (SS) form to get a Social Security Number for your baby. 2. Call the Service Center to get your baby on Medi-Cal. 3. Call HCO to enroll the baby in CCHP. You may also go on-line to 6. DISENROLLING FROM CCHP We hope you like the services you get as a member of CCHP. However, if you aren't happy, you can disenroll at any time and for any reason. To disenroll, or switch your managed care plan or return to regular Medi- Cal (if eligibility permits), contact HCO at between 8 am and 5 pm Monday thru Friday. Detailed information on disenrollment is also in Section 9 of the EOC. You may also go on-line to DISENROLLMENT OF A MEMBER IS MANDATORY WHEN: The member requests disenrollment. The member's eligibility for enrollment with CCHP is terminated or eligibility for Medi-Cal is ended. Medi-Cal _MH

30 CONTRA COSTA HEALTH PLAN Medi-Cal Member Handbook The member moves outside Contra Costa County, CCHP s service area. A Mandatory Disenrollment usually takes HCO from 15 to 45 days to complete. EXPEDITED DISENROLLMENT In some special cases HCO must help you disenroll quickly. This is called an emergency or expedited disenrollment. You can submit a form in person, by mail, or by fax to HCO at or call HCO at between the hours of 8 am to 5 pm Monday thru Friday. You may also go on-line to: You may also request that the Plan submit a request to HCO. If the request is approved, you will be notified by HCO within 7 days by mail. Listed below are the circumstances under which DHCS will allow an expedited disenrollment: a. Children placed in Foster Care or Adoption b. Assistance Programs c. Member has special health care needs not covered by CCHP (such as major organ transplants, other than kidney or corneal transplants) d. Member is incarcerated e. Member has a complex medical condition and needs to return to care from a doctor not contracted with CCHP (must request within the first 90 days of membership). f. Member is already enrolled in another Medi-Cal or commercial managed care plan g. Member was incorrectly assigned to a plan 7. MEMBER SERVICES Our Member Services Representatives (MSR s) are here to help you. Call them at (press 2). They are here for you Monday through Friday from 8 a.m. to 5 p.m. On holidays and weekends you may call the Advice Nurse for urgent concerns and information. CALL MEMBER SERVICES WHEN You want to know about CCHP or have questions about CCHP Services. You want to pick or change a Primary Care Provider (PCP) for yourself or a family member. You have questions about your health benefits. Your CCHP ID Card is lost or stolen. You feel you need a medical service your doctor won't give you or arrange for you. You receive a medical bill. You need information about community resources. You want to discuss a complaint or file a grievance. USING OUR WEB SITE Our website contains valuable information for our members. You can search for contracted providers and facilities; look at our pharmacy preferred provider list; order a replacement ID card; request a PCP change; file a grievance or an appeal; find and read the latest newsletter or see copies of important publications. Go to COMPLAINTS AND GRIEVANCES If you are not happy with any of the services they did not choose. provided by CCHP you can call or write MH - 14 Medi-Cal _MH Rev. 10/24/17

31 CONTRA COSTA HEALTH PLAN Medi-Cal Member Handbook Member Services to help resolve your problem. Complaints regarding CCHP providers (doctors, nurses, Health Centers, etc.) should be sent to CCHP for resolution. You may also come to the CCHP office to talk to us in person. Contra Costa Health Plan 595 Center Avenue, Suite 100 Martinez, CA It is your right to talk to someone who speaks your language. You have the right to see the files about your problem like your medical records, plan policies, and any evidence we have. It is also your right to have a friend, family member, or lawyer help you. Section 8 of the EOC is also available for you to read about complaints and grievances. Feel free to call Member Services if you would like a copy of our Grievance Policy. TIMEFRAMES FOR RESOLVING COMPLAINTS AND GRIEVANCES Your MSR will try to fix the problem. If this doesn't work, you may file a formal grievance at any time. After receiving a grievance from you, we will let you know within 5 days that we have your complaint and we are working on it. We will let you know the outcome within 30 days. You may write to: Contra Costa Health Plan Member Services Department 595 Center Avenue, Suite 100 Martinez, California or call (press 2) Kaiser members should call or ask to see the Kaiser Member Services Representative at the Kaiser center you use. If Kaiser cannot help you with your problem or if you are unhappy with their services, you may call CCHP Member Services. APPEALS FOR DENIED CLAIMS OR SERVICES If you feel that you have been denied a needed medical service, you may submit an appeal in writing, by calling, over the website, or in person to Member Services within 60 days from the date of denial of the service. The Health Plan has 30 days to complete their review of your appeal. EXPEDITED REVIEW OF GRIEVANCES The Expedited Review process applies to requests for services and supplies that: You have not received, which you believe are medically urgent; or You are getting, which you believe we should keep providing. You can ask CCHP to use this process when you file a grievance. We will agree to use this process if waiting 30 days for a decision could seriously harm your health. For reviews that require expedited handling, we will make a decision no later than three (3) days after we receive your request. If we deny your request for an expedited review we will notify you in writing within 3 days and instead follow the regular 30-day grievance process. Whenever there is a case requiring an expedited review, you also have the right to immediately notify the Department of Managed Health Care of the grievance. Rev. 10/24/2017 MH - 15 Medi-Cal _MH

32 CONTRA COSTA HEALTH PLAN Medi-Cal Member Handbook RIGHT TO CONFERENCE If CCHP denies you an Experimental or Investigational Service and you have a terminal illness, you have 180 days to write to Member Services to request a conference. Within 30 days, CCHP will arrange a conference with you and the people you select to review the reasons for the denial and any possible alternatives. A plan representative with the authority to make a decision about of the complaint will conduct the conference. If your doctor and CCHP s Medical Director think a delay will make treatment substantially less effective, the conference will be scheduled within 5 business days of your request. In addition to requesting a conference, you can also immediately request an Independent Medical Review (IMR) with the Department of Managed Health Care. See the section below for more information on IMR. You may also call the California HMO Help Center at HMO-2219 or the TDD line ( ) for the hearing and speech impaired. Your provider certifies that standard therapies have not been effective in improving the condition; and Your provider has recommended the requested service that may be more beneficial than any available standard therapy; and CCHP has denied you coverage of the requested service; and The requested service would be a covered service if it were not considered an experimental or investigational service. Members are not required to file a formal grievance before seeking an IMR for a denial of an experimental or investigational therapy. DENIALS BASED ON MEDICAL NECESSITY You may also ask for an Independent Medical Review (IMR) of a disputed health care service from the Department of Managed Health Care if you think that the health care service has been wrongly denied, modified or delayed by CCHP or by one of our contracted providers. INDEPENDENT MEDICAL REVIEW (IMR) FOR EXPERIMENTAL OR INVESTIGATIONAL SERVICES If the plan has denied you a service, drug, device, procedure, or other therapy (referred to as "Requested Service") on the basis that it is an Experimental or Investigational Service, you have the right to request an independent medical review if: Your provider certifies that you have a life threatening or seriously debilitating condition; and DHCS OMBUDSMAN PROGRAM The California Department of Health Care Services has a Medi-Cal Managed Care Ombudsman to look into member complaints. The phone number is FILING A COMPLAINT WITH DEPARTMENT OF MANAGED HEALTH CARE (DMHC) The California Department of Managed Health Care is responsible for regulating health care service plans. If you have a grievance against your health plan, you should first telephone your health plan at and use your health plan s MH - 16 Medi-Cal _MH Rev. 10/24/17

33 CONTRA COSTA HEALTH PLAN Medi-Cal Member Handbook grievance process before contacting the department. Utilizing this grievance procedure does not prohibit any potential legal rights or remedies that may be available for you. If you need help with a grievance involving an emergency, a grievance that has not been satisfactorily resolved by your health plan, or a grievance that has remained unresolved for more than 30 days, you may call the department for assistance. You may also be eligible for an Independent Medical Review (IMR). If you are eligible for IMR, the IMR process will provide an impartial review of Medi-cal decisions made by a health plan related to the medical necessity of a proposed service or treatment, coverage decisions for treatments that are experimental or investigational in nature and payment disputes for emergency or urgent medical services. The department also has a tollfree telephone number (1-888-HMO-2219) and a TDD line ( ) for the hearing and speech impaired. The department s Internet Web site has complaint forms, IMR application forms and instructions online. To request a fair hearing with the State, call the State Department of Social Services' Public Inquiry and Response Unit at , or write to California Department of Social Services, P.O. Box , Mail Station , Sacramento, California, You have the right to be represented by a friend, family member or a lawyer. You also have the right to have help in the language you prefer to speak, and you have the right to see files related to your case. You may be eligible for continued benefits while filing for a State Fair Hearing. 8. ADDITIONAL INFORMATION TRANSITIONAL MEDI-CAL You might lose your Medi-Cal eligibility because: You start earning more money You got married Your husband or wife has come back home If any of these three things has happened to you, you might be able to get Transitional Medi-Cal (TMC). TMC is often called Medi- Cal for working people. TMC can give you no cost Medi-Cal for up to 12 months. MEDI-CAL FAIR HEARING RIGHTS Every CCHP Medi-Cal managed care member has the right to the Medi-Cal fair hearing process. The member must first exhaust the Plan s internal appeal process prior to proceeding to a State Fair Hearing or Independent Medical Review. IF CCHP upholds the denial, the Fair Hearing must be filed by the member within 120 days of CCHP s decision. Rev. 10/24/2017 MH - 17 For example, if one of these three things has happened to you, but you are the person in the household who earns the most money, you might get TMC. Also if you are a caretaker relative (as defined by Medi-Cal), you might get TMC. Parents, caretaker relatives, and children who get TMC can have free Medi-Cal coverage for a total of 24 months. If you have stopped receiving Medi-Cal, you should ask your Medi-Cal _MH

34 CONTRA COSTA HEALTH PLAN Medi-Cal Member Handbook Eligibility Worker (EW) right away if you are one of the people who can get TMC. If you do get TMC, you can stay in your health plan. If you have any questions, contact your EW. FEDERALLY QUALIFIED HEALTH CENTERS AND INDIAN HEALTH CENTERS Members can receive their medical care from a Federally Qualified Health Center (FQHC) if it is a part of the CCHP Network. Federally Qualified Health Centers that are contracted with CCHP are listed in our Provider Directory. To get services from an FQHC, select a Primary Care Provider (PCP) associated with that facility Call Member Services at (press 2) to help you choose an FQHC provider. If at any time you wish to stop going to the FQHC, call Member Services to change to another PCP. Members who are Native American Indians can receive their medical care from any Indian Health Center even if it is not part of CCHP. There are currently no Indian Health Centers located in Contra Costa County. Native American Indians can disenroll from CCHP at any time without cause. To continue to receive health care at an Indian Health Center, you must fill out a Medical Exemption form available through Health Care Options (HCO) or call CCHP Member Services. You may also go on-line to You must have the Indian Health Services facility complete and sign the form. Mailing directions are on the form. INVESTIGATIONAL SERVICES "Investigational services" are those drugs, equipment and procedures that were experimental but are now being tested in humans. The effectiveness of investigational services in helping humans is not yet known. According to State law, investigational services may or may not be covered. Check with your PCP or call Member Services if you need more information. PAYMENT FOR PROVIDERS CCHP's Medi-Cal program does not include financial penalties designed to limit health care. Some Medi-Cal physicians or providers are salaried. Others are paid a fee for each of the services they provide. You can be assured you will get the medical services you need when you join CCHP. NOTIFICATION OF CHANGES If there are any changes in the information included in this Guide, or any changes in the availability of locations for covered services, you will be notified in writing at least thirty days prior to the effective date of the change. In unforeseen circumstances, you may be notified within fourteen days of the change. The California Department of Health Care Services will approve any notification sent to you. MH - 18 Medi-Cal _MH Rev. 10/24/17

35 CONTRA COSTA HEALTH PLAN Medi-Cal Member Handbook Rev. 10/24/2017 MH - 19 Medi-Cal _MH

36 CONTRA COSTA HEALTH PLAN Medi-Cal Member Handbook CONTRA COSTA HEALTH CENTERS MEDI-CAL FACILITY DIRECTORY For appointments at Contra Costa Regional Medical Center (CCRMC) Network Health Centers call: California Relay/TTY for the Hearing Impaired call: To leave a message for your Provider or your Provider s Care Coordinator call: Regional Medical Center Network Antioch Health Center 2335 Country Hills Dr., Antioch, CA Hours: M-TH, 7:45-11:45 am, 12:45-4:45 pm, 5:15-8:30 pm; Fri., 7:45-11:45 am, 12:45-4:45 pm. Bay Point Family Health Center 215 Pacifica Avenue Bay Point, CA Hours: M, 7:45-11:45 am, 12:45-4:45 pm, 5:15-8:30 pm; T-Fri. 7:45-11:45 am, 12:45-4:45 pm. Brentwood Health Center 171 Sand Creek Road, Ste. A Brentwood, CA Hours: M, W, 7:30 11:45 am, 12:45-4:45 pm, 5:15-8:30 pm; T, TH, Fri., 7:30-11:45 am, 12:45-4:45 pm. Concord Health Center 3052 Willow Pass Road Concord, CA Hours: M-TH, 7:45-11:45 am, 12:45-4:45 pm, 5:15-8:15 pm; Fri., 7:45-11:45 am, 12:45-4:45 pm. Concord Health Center Willow Pass Road Concord, CA (925) Hours: M-Fri., 8:00 am 5:00 pm; W, 8:00 am 9:00 pm Martinez Family Practice Center (Building 1) 2500 Alhambra Avenue Martinez, CA Hours: M- Fri., 7:45 am - 8:45 pm; Sat., 7:45 am 4:45 pm. rth Richmond Center for Health 1501 Fred Jackson Way Richmond, CA Hours: M-Fri, 7:45 am - 4:45 pm. Pittsburg Health Center 2311 Loveridge Road Pittsburg, CA Hours: M, T, W, 7:45 am - 8:30 pm; TH, Fri., 7:45 am - 4:45 pm; Sat. 7:45-11:45 am, 12:45-4:45 pm (evening hours by appt). West County Health Center San Pablo Ave. San Pablo, CA Hours: M-TH, 8 am 8:45 pm; Fri., 8 am 5 pm; Sat., 8 am 5 pm (by appointment only) Community Physician Network (CPN) To find your CPN Provider office hours, address and phone number please call our Member Services number listed below or visit our website at: Community Provider Network (CPN): For 24 Hour Urgently needed Services call your Provider s office or the CCHP Advice Nurse: (press 1) Kaiser Network: To reach the 24 hour Call Center for CCHP s Medi-Cal members with Kaiser, call Appointments, Advice Nurse and Customer Service: CCHP Member Call Center Press 1: Advice Nurse (24 hour Emergency Service, 7 days a week) Press 2: Member Services Press 3: Pharmacy Services Press 4: Authorizations / Referrals (Medical/Mental Health) Press 5: Appointments (County Health Centers only) Press 6: Marketing & Sales Department Key CCHP Phone Numbers Main Office: (925) Chief Executive Officer: (925) Rev.10/24/17 MH - 20

37 CONTRA COSTA HEALTH PLAN Medi-Cal Member Handbook Pharmacy For Prescription Refills call the phone number on your bottle. Order your refills 7 days in advance. Some medicines may require prior authorization. To locate the closest CCHP contracting pharmacy through PerformRx call: , or go to Mental Health Services Substance Abuse Services HEALTH CARE OPTIONS (HCO), Opciones de Salud TOLL-FREE LANGUAGE NUMBERS FOR HEALTH CARE OPTIONS NÚMERO DE TELÉFONOS GRATUITOS DE DIFERENTES IDIOMAS DEL HEALTHCHOICE Arabic Armenian Cambodian/Camboyano Cantonese/ Cantonés English and languages not listed/ Inglés y Idiomas Enumerados Farsi Hmong Korean Laotian Mandarin Russian/ Ruso Rev. 10/24/17 Spanish/ ESPAŇOL Tagalog Vietnamese/ Vietnamés HCO TDD LINE FOR THE HEARING IMPAIRED LA LINEA TDD PARA LA AUDICIÓN MINUSVÁLIDO IMPORTANTE NÚMEROS DE TELÉFONO mbre del Seguro Contra Costa Health Plan Servicios a los Miembros Calif. Dept. of Health Care Services Office of Family Planning Health Insurance Counseling and Advocacy Program (HICAP) for Seniors Denti-Cal Beneficiary Telephone Service Center Medi-Cal Ombudsman MH-21 Medi-Cal _MH

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40 Medi-Cal Provider Directory Directorio de Proveedores para los Miembros de Medi-Cal 595 Center Avenue, Suite 100 Martinez, California July

41 Table of Contents/Tabla de Contenidos Welcome to Contra Costa Health Plan Provider Directory Bienvenidos al Directorio de Proveedores de Contra Costa Health Plan Finding Or Changing Your Primary Care Provider Cómo Encontrar O Cambiar De Proveedor De Atención Primaria How To Enroll In Contra Costa Health Plan Cómo Inscribirse en El "Contra Costa Health Plan" Your Health Plan Card Su tarjeta del Plan de Salud Benefit Exceptions Excepciones en Beneficios Language Services Servicios de interpretación Timely Access to Care Acceso oportuno a atención a la salud Access to Services Accesso a los servicios What's a PCP? Que es un PCP? Primary Care Providers Diagram Diagrama de Proveedores de Atenció Primaria Physical Accessibility Indicators Indicadores de Accesibilidad Física Discrimination is Against the Law La Discriminación es Contra la Ley IV IV IV IV V V V V V V VI VI VI VI VII VII VIII IX X X XI XIII XV XV I

42 Primary Care Providers Contra Costa Regional Medical Center (CCRMC) 1 Geriatric Medicine Community Provider Network (CPN) Family Planning, Confidential HIV Testing and Sexually Transmitted Diseases Antioch 44 Concord 44 El Cerrito 44 Pittsburg 44 Richmond 44 San Ramon 44 Walnut Creek 44 Obstetrics and Gynecology Services Berkeley 45 Oakland 45 Antioch 45 Brentwood 45 Concord 46 El Sobrante 46 Martinez 46 Pittsburg 48 Richmond 49 San Pablo 49 Walnut Creek 50 Pharmacy Alamo 52 Antioch 52 Bay Point 52 Brentwood 52 Clayton 52 Concord 53 Danville 53 El Cerrito 53 El Sobrante 53 Hercules 53 Lafayette 54 Martinez 54 Oakley 54 Orinda 54 Pinole 54 Pittsburg 54 Pleasant Hill 54 Richmond 55 San Pablo 55 San Ramon 55 Walnut Creek 56 Vision Care Alameda 57 Fremont 57 II

43 Oakland 57 Pleasanton 58 Antioch 58 Brentwood 58 Concord 59 Discovery Bay 60 Hercules 60 Martinez 60 Pinole 61 Pittsburg 61 Concord 66 Martinez 66 Walnut Creek 66 San Francisco 66 Community Based Adult Services Berkeley 67 Antioch 67 El Sobrante 67 Pleasant Hill 67 Pleasant Hill 62 Rodeo 62 San Pablo 62 Walnut Creek 63 Vallejo 63 Urgent Care Centers Berkeley 65 Brentwood 65 Concord 65 Lafayette 65 Pleasant Hill 65 San Pablo 65 San Ramon 65 Walnut Creek 65 Hospitals Berkeley 66 Oakland 66 Antioch 66 III

44 Welcome to Contra Costa Health Plan Provider Directory This directory is a list of Contra Costa Health Plan medical services and where you can find them. You will find: Doctors, Nurse Practitioners, Certified Nurse Midwives and Physician Assistants you can choose listed by location and in alphabetical order. If a doctor, nurse practitioner, nurse midwife or physician assistant speaks a language other than English, it will be in the listing. Hospitals by city Pharmacies and their addresses Vision Care Provider locations This Provider Directory helps you find the right medical provider for you. As a member of Contra Costa Health Plan, you can choose your Primary Care Provider (PCP) from the Regional Medical Center Network, Kaiser Permanente, or the Community Provider Network. To reach the Kaiser Network s 24 hour Call Center for CCHP s Medi-Cal members Appointments, Advice Nurse and Customer Service call: To access the Kaiser online directory, go to Finding Or Changing Your Primary Care Provider Finding the right provider for you and your family is very important so look over the list and choose a provider that seems right for you. It is easy to change doctors if you feel you didn t choose the right doctor the first time. Just call a Member Services Representative at to change your PCP. C O N T R A C O S T A H E A L T H P L A N IV Bienvenidos al Directorio de Proveedores de Contra Costa Health Plan Este directorio contiene una lista de los servicios médicos que brinda el Contra Costa Health Plan, indicando dónde se encuentra cada uno de ellos. En este directorio, usted encontrará: Médicos y enfermeras especializadas en atención primaria de salud de la familia, que usted podrá elegir por localidad y en orden alfabético. También le indicará si el doctor o enfermera de atención primaria de salud de la familia habla otro idioma además de inglés. Hospitales listados por ciudad Farmacias y sus direcciones Direcciones de los proveedores del cuidado de la vista Este directorio de proveedores le ayudará a encontrar el proveedor médico que se ajuste a sus necesidades. Usted, como miembro de Contra Costa Health Plan, puede elegir a su Proveedor de Atención Primaria (PCP) de Regional Medical Center Network (la cadena de los Centros de Salud), de Kaiser Permanente, o Community Physican Network (la cadena de médicos de la comunidad). Para acceso al centro de llamadas de 24 horas del día de Káiser para miembros que tienen Medí-Cal de CCHP llamar Para tener acceso al directorio de Káiser en la página de Internet vaya a Cómo Encontrar O Cambiar De Proveedor De Atención Primaria Encontrar al doctor adecuado para usted y su familia es muy importante por lo tanto mire en la siguiente lista y escoja el doctor que le parezca adecuado. Es fácil cambiar de doctor; si siente que no eligió al doctor adecuado la primera vez sólo llame a un representante de Servicios para Miembros al para cambiar su doctor de cabezera.

45 C O N T R A C O S T A H E A L T H P L A N M E D I - C A L P R O V I D E R D I R E C T O R Y How To Enroll In Contra Costa Health Plan Complete the Medi-Cal Choice Form. Sign the Medi-Cal Choice Form this is very important! If there are two adults in the family, both adults must sign the form. Return the Medi-Cal Choice Form in the pre-paid envelope. The Medi-Cal choice form will ask you to choose a primary care provider. You may make your selection from the providers listed on pages Your Health Plan Card Your Contra Costa Health Plan member card tells a provider that you are a health plan member. Always show your health plan card to your provider at each visit wherever you receive services. * Benefit Exceptions When you see providers marked with an asterisk, be aware that the services they provide are restricted and are only for the following CCHP Medi-Cal members: under the age of 21. residing in a skilled nursing facility, adult sub-acute facility, intermediate care facility or a facility for the developmentally disabled. who are developmentally disabled through the Regional Center and are not institutionalized. for pregnancy related services and services for the treatment of other conditions that might complicate the pregnancy. This benefit can be used for up to 60 days after termination of pregnancy. for conditions whose course of treatment began prior to July 1, 2009 and is scheduled to continue after July 1, All exceptions above require a Prior Authorization from the referring provider, except if the member is under age 21. Cómo Inscribirse En El Contra Costa Health Plan Llene la forma de selección de Medi-Cal ( Medi-Cal Choice Form ). Firme la forma ( Medi-Cal Choice Form ) -- ésto es muy importante! Si hay dos adultos en la familia, ambos deben firmar esta forma. Regrese la forma firmada dentro del sobre con timbre postal pagado. La forma de opciones de inscripción ( Medi-Cal Choice Form ) pedirá que usted elija a un Proveedor de Atención Primaria. Usted puede hacer su selección de los doctores listados en las páginas Su tarjeta del Plan de Salud Su tarjeta de membresía de Contra Costa Health Plan le informa a un proveedor que usted es un miembro del plan de salud. Siempre muestre su tarjeta del plan de salud a su proveedor en cada visita en que usted reciba servicios. * Excepciones en Beneficios Los siguientes beneficios de pacientes externos son exclusivamente para miembros de CCHP con Medi-Cal quienes: sean menores de 21 años. residan en un centro de enfermería especializada, un centro sub-agudo para adultos, un centro de cuidados intermedios, o un centro para discapacitados mentales. tengan discapacidades mentales y son atendidos en el Centreo Regional, no están internados. requieran servicios relacionados con el embarazo o tratamiento de otras condiciones que pudieran complicar el embarazo. Este beneficio se puede obtener hasta por 60 días después del término del embarazo. tengan una condición cuyo tratamiento empezó antes del 1º de julio de 2009 y está programado para continuar después del 1º de julio de V

46 C O N T R A C O S T A H E A L T H P L A N M E D I - C A L P R O V I D E R D I R E C T O R Y Language Services Health Plan members have the right to get medical services in a language they can understand. These rights include being able to request interpreter services free of charge. Contra Costa Health Plan (CCHP) discourages the use of family members, friends or minors to interpret or translate materials. We have interpreters available who know many languages, including sign language. So next time you see a doctor and need an interpreter, call a Member Services Representative at Timely Access to Care The California Department of Managed Health Care (DMHC) has regulations set forth in Title 28, Section for health plans to provide timely access to care for our members. Timely access standards include: Urgent care appointments not requiring prior authorization: within 48 hours Urgent care appointments requiring prior authorization: within 96 hours n-urgent appointments for primary care: within 10 business days n-urgent appointments with specialists: within 15 business days n-urgent appointments with a non-physician mental health care provider: within 10 business days n-urgent appointments for ancillary services for the diagnosis or treatment of injury, illness or other health conditions: within 15 business days Telephone triage waiting time not to exceed 30 minutes Exceptions may apply to the timely access standards if the DMHC has found exceptions to be permissible. Interpreter services are available at all CCHP points of contact where members may reasonably need such services. VI Servicios de interpretación Los afiliados del Plan de Salud tienen derecho a recibir servicios médicos en un idioma que puedan comprender. Estos derechos incluyen poder solicitar los servicios de un intérprete en forma gratuita. El Plan de Salud de Contra Costa (CCHP) desaconseja acudir a familiares, amigos o menores para interpretar o traducir los materiales. Contamos con intérpretes que conocen muchos idiomas, incluso la lengua de señas. Por eso, la próxima vez que visite al médico y necesite un intérprete, llame a un representante de Servicios para Miembros al Acceso oportuno a atención a la salud El Departamento de Atención a la Salud Administrada de California (DMHC) tiene regulaciones establecidas en el Título 28, Sección para que los planes de salud provean acceso oportuno a la atención a la salud de nuestros miembros. Los estándares de acceso oportuno incluyen: Citas de atención urgente que no requieren de autorización previa: en el plazo de 48 horas Citas de atención urgente que requieren de autorización previa: en el plazo de 96 horas Citas no urgentes para atención primaria: en el plazo de 10 días laborables Citas no urgentes con especialistas: en el plazo de 15 días laborables Citas no urgentes con un proveedor de atención a la salud mental que no sea médico: en el plazo de 10 días laborables Citas no urgentes para servicios auxiliares para el diagnóstico o tratamiento de lesiones, enfermedades u otras afecciones de la salud: en el plazo de 15 días laborables El tiempo de espera para el triaje telefónico no debe superar los 30 minutos

47 C O N T R A C O S T A H E A L T H P L A N M E D I - C A L P R O V I D E R D I R E C T O R Y If you have a timely access concern, you can contact CCHP's Utilization Management at option 4 or file a complaint with the California Department of Managed Health Care by calling the DMHC Toll-free provider complaint line at: Access to Services Health Plan members have the right to receive full and equal access to covered services including enrollees with disabilities as required under federal law. Se pueden aplicar excepciones a los estándares de acceso oportuno si el DMHC ha encontrado que las excepciones son permisibles. Hay disponibilidad de servicios de intérprete en todos los puntos de contacto de CCHP donde los miembros puedan razonablemente necesitar tales servicios. Si usted tiene una preocupación de acceso oportuno, puede comunicarse con la Administración de Utilización de CCHP al opción 4, o bien puede presentar una queja ante el Departamento de Atención a la Salud Administrada de California llamando a la línea gratuita para quejas de proveedores de DMHC al: Accesso a los servicios Los afiliados del Plan de Salud tienen derecho a recibir servicio completo y el mismo acceso de servicios incluyendo a los inscritos con incapacidades como los que requiere la ley federal. VII

48 C O N T R A C O S T A H E A L T H P L A N M E D I - C A L P R O V I D E R D I R E C T O R Y What s a PCP? You may be new to a health plan. How is that different from regular Medi-Cal? You ll hear words like Managed Care, PCP, Provider Group. Here are a few things you should know MANAGED CARE means you will have your own personal doctor to oversee, coordinate and provide all your necessary medical care services. This will help you and your family receive the right care at the right time, in the right setting. YOUR PCP is your Primary Care Provider, which is another name for the doctor that you will see most of the time when you need medical care. You may also receive your care from a nurse practitioner or physician assistant. If you need to see a specialist, your PCP will arrange all authorized referrals and help pull it all together for you. IF YOU NEED HOSPITALIZATION you will probably go to the hospital where your PCP has admitting privileges. Your PCP will decide when you need to go to a hospital and which hospital is best able to care for you. CHANGING PCPS is easy. All you need to do is call Member Services at (press 2) and they will help you choose another PCP. YOUR PROVIDER GROUP is the group that your doctor belongs to. At Contra Costa Health Plan you have the choice of three doctor groups: 1) Regional Medical Center Network where you have the choice of doctors at ten Health Centers; 2) Kaiser Permanente locations in Contra Costa County; and 3) Community Provider Network made up of private doctors throughout the community. CHANGING YOUR PROVIDER GROUP is a simple matter. You can call Member Services at (press 2) to change your Provider Group. matter what group you are in, you must see the PCP and the specialists from the group you choose. For example, you cannot go to Kaiser if you choose Regional Medical Center Network. If you choose Kaiser you will receive all your care from Kaiser unless you call Member Services and change groups. If you choose Regional Medical Center Network, you will get all your care at one of the eight Health Centers unless you call and change groups. WHEN YOU PICK A PCP, you must get your care from that doctor and the other providers within your PCP s Network. KAISER PERMANENTE. To select the Kaiser Permanente Medical Group as your PCP, you must already have an established relationship with Kaiser. In addition, Kaiser occasionally must close their panel to new assignments from CCHP, except in certain situations. If you have been a recent Kaiser member and you want Kaiser again, call Member Services at (press 2) to see if you qualify. IF YOU OR YOUR FAMILY JOIN Contra Costa Health Plan, and you were a Kaiser member within the past twelve months, you may continue to use Kaiser. However, you must call Contra Costa Health Plan Member Services at (press 2) as soon as you become a member to discuss reassignment to the Kaiser Network since automated assignment using the Medi-Cal Choice form is no longer an option. IF YOU HAVE ANY QUESTIONS or need help in filling out your Choice Enrollment Form please call Health Care Options at VIII

49 C O N T R A C O S T A H E A L T H P L A N M E D I - C A L P R O V I D E R D I R E C T O R Y Que es un PCP? Es posible que el tener un plan de salud sea algo nuevo para usted. En qué se diferencia ésto del Medi-Cal regular? ATENCIÓN MÉDICA ADMINISTRADA significa que su propio médico personal estará a cargo de supervisar, coordinar y proveer todos los servicios médicos que usted necesite. De este modo usted y su familia podrán recibir la atención apropiada, en el momento adecuado y en el lugar adecuado. SU PCP ES SU PROVEEDOR DE ATENCIÓN PRIMARIA, lo cual es otro nombre que se le da al doctor que usted verá la mayoria de las veces cuando necesite atención médica. También puede recibir atención médica de la enfermera especializada en atención primaria. Si usted necesita ver a un especialista, su Proveedor de Atención Primaria hará los arreglos necesarios para la autorización de todos los detalles de su visita. SI NECESITA SER INTERNADO EN UN HOSPITAL, es probable que usted vaya al hospital donde su PCP tiene authorización para atender a sus pacientes internados. Su PCP decidirá cuando deberá ser admitido a un hospital, y cuál hospital es el más indicado para atenderlo. CAMBIAR DE PCP es muy fácil. Lo único que usted tiene que hacer es llamar al departamento de Servicios para Miembros al (oprima 2). Alli le ayudarán a elegir otro Proveedor de Atención Primaria. SU GRUPO DE PROVEEDORES es el grupo al cual pertenece su médico. En el Contra Costa Health Plan, usted podrá elegir de entre tres grupos de médicos: 1) Regional Medical Center Network, donde usted tiene la opción de acudir a los médicos de ocho Centros de Salud; 2) Kaiser Permanente, en todos sus centros del Condado de Contra Costa; 3) Community Provider Network, compuesto por médicos privados dentro de la comunidad. CAMBIAR DE GRUPO DE PROVEEDORES es algo sencillo de hacer. Puede llamar a Servicios para Miembros al (oprima 2) para cambiar su grupo de proveedores. importa en que grupo esté, deberá acudir al PCP y los especialistas del grupo que elija. Por ejemplo, no puede ir a Kaiser si elige Regional Medical Center Network. Si elige Kaiser, recibirá todo su cuidado médico por parte de Kaiser, a menos que llame a Servicios para Miembros y cambie de grupo. Si elige Regional Medical Center Network, usted recibirá todo su cuidado médico en uno de los ocho Centros de Salud, a menos que llame para cambiar de grupo. CUANDO USTED ELIGE SU PCP, usted necesita recibir su atención medica por parte de ese medico y los otros proveedores de la misma red que el PCP. KAISER PERMANENTE. Para seleccionar a Kaiser Permanente Medical Group como su PCP, debe tener ya una relación establecida con Kaiser. Además, Kaiser ocasionalmente debe cerrar su panel para nuevas asignaciones de CCHP, excepto en ciertas situaciones. Si usted ha sido miembro de Kaiser recientemente y desea estar nuevamente en Kaiser, llame a Servicio a Miembros al (oprima 2) para averiguar si califica. SI USTED O SU FAMILIA SE AFILIAN CON CONTRA COSTA HEALTH PLAN, y era(n) miembro(s)/a(s) de Kaiser Permanente dentro los últimos doce meses, se puede continuar usando Kaiser. Sin embargo, usted debe llamar a Servicios de Miembros del Plan de Salud de Contra Costa al (oprima 2) tan pronto se convierta en miembro, para hablar de la reasignación a la red de Kaiser, ya que la asignación automática por medio del formulario Medi- Cal Choice ya no es una opción. SI USTED TIENE PREGUNTAS O NECESITA AYUDA en llenar su Forma de Opciones de Inscripción (Choice Enrollment Form), por favor de llamar a Health Care Options al IX

50 Below is a Diagram That Describes How Providers are listed in the Directory: A continuación hay un diagrama que describe como están enumerados los proveedores en el directorio: Medical Field Especialidad Médica County Condado de City Cuidad Contra Costa Regional Medical Center (CCRMC) CONTRA COSTA Antioch Doctor Group Grupo de Proveedores Provider Name mbre del Proveedor Medical Field Especialidad Médica Provider Address Dirección del Proveedor Plan Reference Number El Número del Plan de Referencia National Provider Identifier (NPI) Número de Registro Nacional del Proveedor (NPI) Califonia Medical License Number Número de licencia medica de California Cultural Competency Training Capacitación en competencias culturales Doe, John, MD, Antioch Health Center Delta Professional Plaza 3505 Lone Tree Way, Ste 4 Antioch, CA Hours: M, W, F 7:45 AM 4:45 PM T, Th 12:45 PM 8:45 PM Accessibility Indicator: P EB IB R E T B L ME PA PD Plan Reference Number: F292 NPI: CA LIC: A12345 Board Certified: (if applicable) / Cultural Competency Training: Yes/ Practice Name mbre del Practico Phone Number Número de Teléfono para citas Hours Horas Physical Accessibility Indicators Indicadores de Accesibilidad Física Languages Spoken in Office Idiomas que se hablan en la oficina Accepting New Patients Aceptando Nuevos Pacientes X

51 Physical Accessibility Indicators: Accessibility Indicator P=PARKING EB = EXTERIOR BUILDING IB = INTERIOR BUILDING R = RESTROOM E = EXAM ROOM T = EXAM TABLE/SCALE B = BASIC ACCESS L = LIMITED ACCESS ME = MEDICAL EQUIPMENT ACCESS Explanation Parking spaces, including van accessible spaces(s), are accessible. Pathways have curb ramps between the parking lot, office, and at drop off locations. Curb 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. There is an accessible entrance to the building. Doors open wide enough to let a wheelchair or scooter user enter, and have handles that are easy to use. 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. 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. The 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. 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. Demonstrates facility site access for the members with disabilities to parking, building, elevator, doctor s office, exam room and restroom. Demonstrates facility site access for the members with a disability is missing or is incomplete in one or more features for parking, building, elevator, doctor s office, exam room, and restroom. PCP site has height adjustable exam table and patient accessible weight scales per guidelines (for wheelchair/scooter plus patient). XI

52 Physical Accessibility Indicators (Continued): Accessibility Indicator PA = PARTICIPANT AREAS PD = PATIENT DIAGNOSTIC AND TREATMENT USE Explanation Patient/client areas are accessible including wheelchair or scooter users to use activity, therapy and quiet rooms. Diagnostic apparatus and treatment rooms are accessible for the wheelchair/scooter user; apparatus is height adjustable; weight scale is accessible; patient transfer is provided by trained staff. XII

53 Indicadores de Accesibilidad Física: Indicador de Accesibilidad P=ESTACIONAMIENTO EB = EDIFICIO EXTERIOR IB = EDIFICIO INTERIOR R = BAÑO E = CUARTO DE EVALUACIÓN T = MESA/BALANZA DE EVALUACIÓN B = ACCESO BASICO Explicación Los espacios para estacionarse, incluyendo el/los espacio(s) accesible(s) para furgonetas (van), son accesibles. Los senderos tienen rampas en las aceras entre los estacionamientos, oficinas, y en los sitios de desembarque. Las rampas en la acera y otras rampas hacia el edificio son lo suficientemente anchas para una persona que use una silla de ruedas o un triciclo (scooter). Se provee pasamanos a ambos lados de la rampa. Hay una entrada accesible al edificio. Las puertas se abren de forma suficientemente amplia para permitir que las personas que usen sillas de ruedas o triciclos entren, y tienen agarraderas que son fáciles de usar. Las puertas se abren de forma suficientemente amplia para permitir que personas que usen sillas de ruedas o triciclos entren, y tienen agarraderas que son fáciles de usar. Las rampas interiores son lo suficientemente anchas y tienen pasamanos. Las escaleras, si están presentes, tiene pasamanos. Si hay un ascensor, está disponible para el uso del público/pacientes en todo momento que el edificio esté abierto. El ascensor tiene sonidos fáciles de escuchar y botones con Braille al alcance. El ascensor tiene suficiente espacio para que una persona que use una silla de ruedas o un triciclo pueda darse la vuelta. Si hay una plataforma de elevación, ésta puede ser usada sin ayuda. Los baños son accesibles y las puertas son lo suficientemente anchas para acomodar una silla de ruedas o un triciclo y son fáciles de abrir. El baño tiene suficiente espacio para que una persona en una silla de ruedas o triciclo pueda darse la vuelta y cierre la puerta. Hay barras para agarrarse las cuales permiten una transferencia fácil desde la silla de ruedas al inodoro. El lavamanos es de fácil acceso y las llaves de agua, el jabón y las toallas de papel son fáciles de alcanzar y de usar. La entrada al cuarto de evaluación es accesible, con un sendero sin obstáculos. Las puertas se abren de forma suficientemente amplia para acomodar una silla de ruedas o un triciclo y son fáciles de abrir. El cuarto de evaluación tiene espacio suficiente para que una persona en una silla de ruedas o triciclo pueda darse la vuelta. La mesa de evaluación se mueve de arriba hacia abajo y la balanza es accesible con pasamanos para ayudar a las personas con sillas de ruedas y triciclos. La balanza para tomar el peso puede acomodar una silla de ruedas. Demuestra que la instalación tiene acceso para los miembros con discapacidades al estacionamiento, edificio, elevador, consultorio médico, sala de exámenes y/o baño. XIII

54 Indicadores de Accesibilidad Física (Continua): Indicador de Accesibilidad L = ACCESO LIMITADO ME = ACCESO A EQUIPO MEDICO (ME, por sus siglas en inglés) PA = ÁREAS PARA PARTICIPANTES PD = USO PARA DIAGNÓSTICO Y TRATAMIENTO DE PACIENTES Explicación Demuestra que el acceso a la instalación para los miembros con una discapacidad está incompleta en una o más de las siguientes características: Estacionamiento, edificio, elevador, consultorio médico, sala de exámenes y/o baño. El consultorio médico tiene mesas de examen de altura ajustable y básculas accesibles para los pacientes según las siguientes pautas (para silla de ruedas/silla eléctrica con pacientes). Las áreas para pacientes/clientes son accesibles para usuarios de sillas de ruedas/scooters, para que utilicen las salas de actividades, de terapia y de tranquilidad. Las salas de equipos de diagnóstico y tratamiento son accesibles para usuarios de sillas de ruedas/scooters; se puede ajustar la altura de los equipos; la balanza médica es accesible; el traslado de pacientes es realizado por personal capacitado. XIV

55 Discrimination is Against the Law Contra Costa Health Plan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Contra Costa Health Plan does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. Contra Costa Health Plan: Provides free aids and services to people with disabilities to communicate effectively with us, such as: Written information in other formats (large print, audio, accessible electronic formats, other formats) Provides free language services medical interpreters Information written in other languages English Contra Costa Health Plan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, Español (Spanish) Contra Costa Health Plan cumple con de raza, color, nacionalidad, edad, (Chinese) Contra Costa Health Plan Contra Costa Health Plan (Vietnamese) Tagalog (Tagalog Filipino) Sumusunod ang Contra Costa Health Plan (Punjabi) Contra Costa Health Plan (Hindi) Contra Costa Health Plan (Korean) Contra Costa Health Plan Arabic (Arabic) Português (Portuguese) A Contra Costa Health Plan cumpre a legislação federal aplicável sobre direitos civis, e não discrimina com base em raça, (Russian) Français (French) basée sur la race, la couleur, l origine, l âge (Farsi - Persian) خدمات بھداشت کانترا کاستا با قابل اجرای حق قانون مدنی فدرال بر اساس نژاد رنگ پوست ملیت سن ناتوانی ویا جنسی تبعیضی قایل نمی شود. If you need these services, contact Member Services at فارسی If you believe that Contra Costa Health Plan has failed to provide these services or discriminated in another way on the basis of available to help you. XV

56 Primary Care Providers Proveedores de Atención Primaria Medicina Familiar Contra Costa Regional Medical Center (CCRMC) CONTRA COSTA Antioch Firestein, Talia, MD Antioch Health Center 2335 Country Hills Drive Antioch, CA Hours: M-Th 7:45 am - 11:45 am, 12:45 pm - 8:30 pmf 7:45 am - 11:45 am, 12:45 pm - 4:45 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: A Accepting New Patients: Gee, Lance, MD Antioch Health Center 2335 Country Hills Drive Antioch, CA Hours: M-Th 7:45 am - 11:45 am, 12:45 pm - 8:30 pmf 7:45 am - 11:45 am, 12:45 pm - 4:45 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: G74894 Accepting New Patients: Kirkpatrick, Haley, NP Antioch Health Center 2335 Country Hills Drive Antioch, CA Hours: M-Th 7:45 am - 11:45 am, 12:45 pm - 8:30 pmf 7:45 am - 11:45 am, 12:45 pm - 4:45 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: NPF16598 Accepting New Patients: Lee, David, MD Antioch Health Center 2335 Country Hills Drive Antioch, CA Hours: M-Th 7:45 am - 11:45 am, 12:45 pm - 8:30 pmf 7:45 am - 11:45 am, 12:45 pm - 4:45 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: A Accepting New Patients: Moore, Gregory, MD Antioch Health Center 2335 Country Hills Drive Antioch, CA Hours: M-Th 7:45 am - 11:45 am, 12:45 pm - 8:30 pmf 7:45 am - 11:45 am, 12:45 pm - 4:45 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: G62634 Rogers, Kerry, NP Antioch Health Center 2335 Country Hills Drive Antioch, CA Hours: M-Th 7:45 am - 11:45 am, 12:45 pm - 8:30 pmf 7:45 am - 11:45 am, 12:45 pm - 4:45 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: NPF5428 Accepting New Patients: Smith, Mark, MD Antioch Health Center 2335 Country Hills Drive Antioch, CA Hours: M-Th 7:45 am - 11:45 am, 12:45 pm - 8:30 pmf 7:45 am - 11:45 am, 12:45 pm - 4:45 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: A72221 Accepting New Patients: Zuniga, Zoraya, MD Antioch Health Center 2335 Country Hills Drive Antioch, CA Hours: M-Th 7:45 am - 11:45 am, 12:45 pm - 8:30 pmf 7:45 am - 11:45 am, 12:45 pm - 4:45 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: A52552 Languages: TAGALOG Accepting New Patients: Bay Point Ballesteros, Karla, NP Bay Point Family Health Center 215 Pacifica Ave Bay Point, CA Hours: M 7:45 am - 11:45 am, 12:45 pm - 8:30 pmt-f 7:45 am - 11:45 am, 12:45 pm - 4:45 pm Accessibility Indicator: L E EB IB P Plan Reference Number: NPI: CA LIC: NPF11070 This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 1

57 Primary Care Providers Proveedores de Atención Primaria Medicina Familiar Perez, Greta, MD Bay Point Family Health Center 215 Pacifica Ave Bay Point, CA Hours: M 7:45 am - 11:45 am, 12:45 pm - 8:30 pmt-f 7:45 am - 11:45 am, 12:45 pm - 4:45 pm Accessibility Indicator: E EB IB P Plan Reference Number: NPI: CA LIC: A55601 Brentwood Berg, Catherine, NP Brentwood Health Center 171 Sand Creek Rd Ste A Brentwood, CA Hours: M-F 7:30 am - 11:45 am, 12:45 pm - 4:45 pmm, W 5:15 pm - 8:30 pm Accessibility Indicator: B ME E EB IB P R T Plan Reference Number: NPI: CA LIC: NPF18289 Accepting New Patients: Farnitano, Christopher, MD Brentwood Health Center 171 Sand Creek Rd Ste A Brentwood, CA Hours: M-F 7:30 am - 11:45 am, 12:45 pm - 4:45 pmm, W 5:15 pm - 8:30 pm Accessibility Indicator: B ME E EB IB P R T Plan Reference Number: NPI: CA LIC: A51083 Accepting New Patients: Francis, Deidra, NP Brentwood Health Center 171 Sand Creek Rd Ste A Brentwood, CA Hours: M-F 7:30 am - 11:45 am, 12:45 pm - 4:45 pmm, W 5:15 pm - 8:30 pm Accessibility Indicator: B ME E EB IB P R T Plan Reference Number: NPI: CA LIC: NPF Accepting New Patients: Gujjula, Prashanthi, MD Brentwood Health Center 171 Sand Creek Rd Ste A Brentwood, CA Hours: M-F 7:30 am - 11:45 am, 12:45 pm - 4:45 pmm, W 5:15 pm - 8:30 pm Accessibility Indicator: B ME E EB IB P R T Plan Reference Number: NPI: CA LIC: A Accepting New Patients: Hearst, David, MD Brentwood Health Center 171 Sand Creek Rd Ste A Brentwood, CA Hours: M-F 7:30 am - 11:45 am, 12:45 pm - 4:45 pmm, W 5:15 pm - 8:30 pm Accessibility Indicator: B ME E EB IB P R T Plan Reference Number: NPI: CA LIC: G44965 Accepting New Patients: Holmes, Michelle, MD Brentwood Health Center 171 Sand Creek Rd Ste A Brentwood, CA Hours: M-F 7:30 am - 11:45 am, 12:45 pm - 4:45 pmm, W 5:15 pm - 8:30 pm Accessibility Indicator: B ME E EB IB P R T Plan Reference Number: NPI: CA LIC: A83960 Accepting New Patients: Su, Gigi, MD Brentwood Health Center 171 Sand Creek Rd Ste A Brentwood, CA Hours: M-F 7:30 am - 11:45 am, 12:45 pm - 4:45 pmm, W 5:15 pm - 8:30 pm Accessibility Indicator: B ME E EB IB P R T Plan Reference Number: NPI: CA LIC: A63427 Accepting New Patients: Wooldridge, Monica, NP Brentwood Health Center 171 Sand Creek Rd Ste A Brentwood, CA Hours: M-F 7:30 am - 11:45 am, 12:45 pm - 4:45 pmm, W 5:15 pm - 8:30 pm Accessibility Indicator: B ME E EB IB P R T Plan Reference Number: NPI: CA LIC: NPF20161 Accepting New Patients: This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 2

58 Primary Care Providers Proveedores de Atención Primaria Medicina Familiar Concord Bondi-Boyd, Brea, MD Concord Health Center 3052 Willow Pass Rd Ste 103 Concord, CA Hours: M-F 8 am - 5 pm Accessibility Indicator: L ME EB R Plan Reference Number: NPI: CA LIC: A Accepting New Patients: Chun, Kwan, MD Concord Health Center 3052 Willow Pass Rd Ste 103 Concord, CA Hours: M-F 8 am - 5 pm Accessibility Indicator: L ME EB R Plan Reference Number: NPI: CA LIC: A90941 Accepting New Patients: Fraser-Hulthage, Anna, MD Concord Health Center 3052 Willow Pass Rd Ste 103 Concord, CA Hours: M-F 8 am - 5 pm Accessibility Indicator: L ME EB R Plan Reference Number: NPI: CA LIC: A Accepting New Patients: Goheen, Katharine, MD Concord Health Center 3052 Willow Pass Rd Ste 103 Concord, CA Hours: M-F 8 am - 5 pm Accessibility Indicator: L ME EB R Plan Reference Number: NPI: CA LIC: A Accepting New Patients: Laing, Brian, MD Concord Health Center 3052 Willow Pass Rd Ste 103 Concord, CA Hours: M-F 8 am - 5 pm Accessibility Indicator: L ME EB R Plan Reference Number: NPI: CA LIC: A Accepting New Patients: Lehman, Trang, MD Concord Health Center 3052 Willow Pass Rd Ste 103 Concord, CA Hours: M-F 8 am - 5 pm Accessibility Indicator: L ME EB R Plan Reference Number: NPI: CA LIC: A Sealey, Chere, FNP Concord Health Center 3052 Willow Pass Rd Ste 103 Concord, CA Hours: M-F 8 am - 5 pm Accessibility Indicator: L ME EB R Plan Reference Number: NPI: CA LIC: NPF21847 Accepting New Patients: Tzvieli, Ori, MD Concord Health Center 3052 Willow Pass Rd Ste 103 Concord, CA Hours: M-F 8 am - 5 pm Accessibility Indicator: L ME EB R Plan Reference Number: NPI: CA LIC: A76711 Languages: HEBREW Accepting New Patients: Wong, Christina, MD Concord Health Center 3052 Willow Pass Rd Ste 103 Concord, CA Hours: M-F 8 am - 5 pm Accessibility Indicator: L ME EB R Plan Reference Number: NPI: CA LIC: A Obstetrics and Gynecology Languages: CANTONESE Accepting New Patients: This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 3

59 Primary Care Providers Proveedores de Atención Primaria Medicina Familiar Wong, Michelle, MD Concord Health Center 3052 Willow Pass Rd Ste 103 Concord, CA Hours: M-F 8 am - 5 pm Accessibility Indicator: L ME EB R Plan Reference Number: NPI: CA LIC: A Accepting New Patients: Herron, Sheryl, NP Concord Integrated Primary Care 1420 Willow Pass Road First Floor Concord, CA Hours: (By Appointment Only) Plan Reference Number: NPI: CA LIC: NPF8311 Accepting New Patients: Nguyen, MyHoang, MD Concord Integrated Primary Care 1420 Willow Pass Road First Floor Concord, CA Hours: (By Appointment Only) Plan Reference Number: NPI: CA LIC: A69394 Languages: VIETNAMESE Accepting New Patients: Strych, Deborah, NP Concord Integrated Primary Care 1420 Willow Pass Road First Floor Concord, CA Hours: (By Appointment Only) Plan Reference Number: NPI: CA LIC: NP7273 Accepting New Patients: Loeliger, Scott, MD La Clinica De La Raza 2000 Sierra Rd Concord, CA (925) Hours: M 8:15 am - 8:30 pmtu 8:15 am - 8:30 pmw 8:15 am - 6:30 pmth 8:15 am - 5:30 pmf 8:15 am - 5:30 pmsat 8:15 am - 5 pm Accessibility Indicator: L E EB IB R Plan Reference Number: NPI: CA LIC: G71388 Languages: FIJIAN GERMAN SPANISH Accepting New Patients: Martinez Barrow, Roger, MD Martinez Health Center 2500 Alhambra Ave Martinez, CA Hours: M-F 7:45 am - 12 pm, 1 pm - 9 pmsat 9 am - 12 pm, 1 pm - 5 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: G33101 Accepting New Patients: Bhatt, Veda, MD Martinez Health Center 2500 Alhambra Ave Martinez, CA Hours: M-F 7:45 am - 12 pm, 1 pm - 9 pmsat 9 am - 12 pm, 1 pm - 5 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: A62337 Accepting New Patients: Bliss, Judith, MD Martinez Health Center 2500 Alhambra Ave Martinez, CA Hours: M-F 7:45 am - 12 pm, 1 pm - 9 pmsat 9 am - 12 pm, 1 pm - 5 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: G70467 Accepting New Patients: Cherayil, Annie, MD Martinez Health Center 2500 Alhambra Ave Martinez, CA Hours: M-F 7:45 am - 12 pm, 1 pm - 9 pmsat 9 am - 12 pm, 1 pm - 5 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: A56424 Languages: MALAYALAM This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 4

60 Primary Care Providers Proveedores de Atención Primaria Medicina Familiar Cominos, Eve, MD Martinez Health Center 2500 Alhambra Ave Martinez, CA Hours: M-F 7:45 am - 12 pm, 1 pm - 9 pmsat 9 am - 12 pm, 1 pm - 5 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: G77296 Accepting New Patients: Dosanjh, Sandeep, MD Martinez Health Center 2500 Alhambra Ave Martinez, CA Hours: M-F 7:45 am - 12 pm, 1 pm - 9 pmsat 9 am - 12 pm, 1 pm - 5 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: A86466 Accepting New Patients: Furtado, Marcia, NP Martinez Health Center 2500 Alhambra Ave Martinez, CA Hours: M-F 7:45 am - 12 pm, 1 pm - 9 pmsat 9 am - 12 pm, 1 pm - 5 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: NPF9267 Accepting New Patients: Karpowicz, Scott, MD Martinez Health Center 2500 Alhambra Ave Martinez, CA Hours: M-F 7:45 am - 12 pm, 1 pm - 9 pmsat 9 am - 12 pm, 1 pm - 5 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: A Accepting New Patients: Laimayum, Monica, MD Martinez Health Center 2500 Alhambra Ave Martinez, CA Hours: M-F 7:45 am - 12 pm, 1 pm - 9 pmsat 9 am - 12 pm, 1 pm - 5 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: A Languages: HINDI Accepting New Patients: Moghaddam, Amennah, NP Martinez Health Center 2500 Alhambra Ave Martinez, CA Hours: M-F 7:45 am - 12 pm, 1 pm - 9 pmsat 9 am - 12 pm, 1 pm - 5 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: NPF Pehling, James, MD Martinez Health Center 2500 Alhambra Ave Martinez, CA Hours: M-F 7:45 am - 12 pm, 1 pm - 9 pmsat 9 am - 12 pm, 1 pm - 5 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: A91941 Accepting New Patients: Pepper, David, MD Martinez Health Center 2500 Alhambra Ave Martinez, CA Hours: M-F 7:45 am - 12 pm, 1 pm - 9 pmsat 9 am - 12 pm, 1 pm - 5 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: G69211 Accepting New Patients: Pizzo, Anthony, NP Martinez Health Center 2500 Alhambra Ave Martinez, CA Hours: M-F 7:45 am - 12 pm, 1 pm - 9 pmsat 9 am - 12 pm, 1 pm - 5 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: NPF6602 Accepting New Patients: This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 5

61 Primary Care Providers Proveedores de Atención Primaria Medicina Familiar Richey-Lucero, Sara, MD Martinez Health Center 2500 Alhambra Ave Martinez, CA Hours: M-F 7:45 am - 12 pm, 1 pm - 9 pmsat 9 am - 12 pm, 1 pm - 5 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: G61884 Slauson, Dana, MD Martinez Health Center 2500 Alhambra Ave Martinez, CA Hours: M-F 7:45 am - 12 pm, 1 pm - 9 pmsat 9 am - 12 pm, 1 pm - 5 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: G31240 Accepting New Patients: Treyger, Leonid, MD Martinez Health Center 2500 Alhambra Ave Martinez, CA Hours: M-F 7:45 am - 12 pm, 1 pm - 9 pmsat 9 am - 12 pm, 1 pm - 5 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: A64930 Languages: RUSSIAN Accepting New Patients: Watanabe, Takenori, MD Martinez Health Center 2500 Alhambra Ave Martinez, CA Hours: M-F 7:45 am - 12 pm, 1 pm - 9 pmsat 9 am - 12 pm, 1 pm - 5 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: A Languages: JAPANESE Kwok, Bonnie, MD Miller Wellness Center 25 Allen St Ste A Martinez, CA Plan Reference Number: NPI: CA LIC: A Accepting New Patients: Moring-Parris, Daniel, MD Miller Wellness Center 25 Allen St Ste A Martinez, CA Hours: Tu 8 am - 12 pmw 8 am - 12 pm 1 pm - 5 pmth 1 pm - 5 pmf 1 pm - 5 pm Plan Reference Number: NPI: CA LIC: A Accepting New Patients: Pirnia, Mana, DO Miller Wellness Center 25 Allen St Ste A Martinez, CA Hours: W 8 am - 12 pm 1 pm - 5 pmth 8 am - 12 pm 1 pm - 5 pmf 8 am - 12 pm 1 pm - 5 pm Plan Reference Number: NPI: CA LIC: 20A13816 Accepting New Patients: Weiss, Karen, NP Miller Wellness Center 25 Allen St Ste A Martinez, CA Hours: M 8 am - 12 pm 1 pm - 5 pmtu 1 pm - 5 pmw 1 pm - 5 pmth 1 pm - 5 pm Plan Reference Number: NPI: CA LIC: NPF22746 Accepting New Patients: Pittsburg Westerman, Jennifer, NP La Clinica De La Raza 2240 Gladstone Dr Ste 4 Pittsburg, CA (925) Hours: M-F 8:30 am - 5:30 pm Plan Reference Number: NPI: CA LIC: NPF6872 Accepting New Patients: This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 6

62 Primary Care Providers Proveedores de Atención Primaria Medicina Familiar Ayala, Miguel, NP Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA Hours: M,W 7:45 am - 8:30 pmt, Th, F 7:45 am - 4:45 pmsat 7:45 am - 11:45 am, 12:45 pm - 4:45 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: NPF21567 Accepting New Patients: Berger, Christina, NP Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA Hours: M,W 7:45 am - 8:30 pmt, Th, F 7:45 am - 4:45 pmsat 7:45 am - 11:45 am, 12:45 pm - 4:45 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: NPF8314 Accepting New Patients: Chandrachood, Swapnaja, MD Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA Hours: M,W 7:45 am - 8:30 pmt, Th, F 7:45 am - 4:45 pmsat 7:45 am - 11:45 am, 12:45 pm - 4:45 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: A Languages: HINDI Accepting New Patients: Chou, Cinnie, MD Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA Hours: M,W 7:45 am - 8:30 pmt, Th, F 7:45 am - 4:45 pmsat 7:45 am - 11:45 am, 12:45 pm - 4:45 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: A94370 Accepting New Patients: Desoer, Craig, MD Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA Hours: M,W 7:45 am - 8:30 pmt, Th, F 7:45 am - 4:45 pmsat 7:45 am - 11:45 am, 12:45 pm - 4:45 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: G66654 Languages: FRENCH SPANISH Downing, Michael, MD Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA Hours: M,W 7:45 am - 8:30 pmt, Th, F 7:45 am - 4:45 pmsat 7:45 am - 11:45 am, 12:45 pm - 4:45 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: A Accepting New Patients: Farnitano, Christopher, MD Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA Hours: M,W 7:45 am - 8:30 pmt, Th, F 7:45 am - 4:45 pmsat 7:45 am - 11:45 am, 12:45 pm - 4:45 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: A51083 Accepting New Patients: Hamlin, Kathryn, MD Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA Hours: M,W 7:45 am - 8:30 pmt, Th, F 7:45 am - 4:45 pmsat 7:45 am - 11:45 am, 12:45 pm - 4:45 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: A Accepting New Patients: Madrigal, Teresa, MD Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA Hours: M,W 7:45 am - 8:30 pmt, Th, F 7:45 am - 4:45 pmsat 7:45 am - 11:45 am, 12:45 pm - 4:45 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: A65683 Accepting New Patients: This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 7

63 Primary Care Providers Proveedores de Atención Primaria Medicina Familiar Pizzo, Anthony, NP Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA Hours: M,W 7:45 am - 8:30 pmt, Th, F 7:45 am - 4:45 pmsat 7:45 am - 11:45 am, 12:45 pm - 4:45 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: NPF6602 Richmond, Marcie, MD Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA Hours: M,W 7:45 am - 8:30 pmt, Th, F 7:45 am - 4:45 pmsat 7:45 am - 11:45 am, 12:45 pm - 4:45 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: A Accepting New Patients: Romero-Duran, Adolfo, MD Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA Hours: M,W 7:45 am - 8:30 pmt, Th, F 7:45 am - 4:45 pmsat 7:45 am - 11:45 am, 12:45 pm - 4:45 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: A84197 Accepting New Patients: Romito, Leah, MD Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA Hours: M,W 7:45 am - 8:30 pmt, Th, F 7:45 am - 4:45 pmsat 7:45 am - 11:45 am, 12:45 pm - 4:45 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: A Accepting New Patients: Setliff, Kristen, DO Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA Hours: M,W 7:45 am - 8:30 pmt, Th, F 7:45 am - 4:45 pmsat 7:45 am - 11:45 am, 12:45 pm - 4:45 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: 20A11140 Accepting New Patients: Sinclair, Barbara, MD Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA Hours: M,W 7:45 am - 8:30 pmt, Th, F 7:45 am - 4:45 pmsat 7:45 am - 11:45 am, 12:45 pm - 4:45 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: Accepting New Patients: Strych, Deborah, NP Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA Hours: M,W 7:45 am - 8:30 pmt, Th, F 7:45 am - 4:45 pmsat 7:45 am - 11:45 am, 12:45 pm - 4:45 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: NP7273 Accepting New Patients: Westerman, Jennifer, NP Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA Hours: M,W 7:45 am - 8:30 pmt, Th, F 7:45 am - 4:45 pmsat 7:45 am - 11:45 am, 12:45 pm - 4:45 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: 6872 Accepting New Patients: Richmond Beaton, Melina, MD rth Richmond Center for Health 1501 Fred Jackson Way Richmond, CA Hours: M-F 7:45 am - 11:45 am, 12:45 pm - 4:45 pm Accessibility Indicator: B E EB IB P R Plan Reference Number: NPI: CA LIC: A Accepting New Patients: This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 8

64 Primary Care Providers Proveedores de Atención Primaria Medicina Familiar Echiverri, Angela, MD rth Richmond Center for Health 1501 Fred Jackson Way Richmond, CA Hours: M-F 7:45 am - 11:45 am, 12:45 pm - 4:45 pm Accessibility Indicator: B E EB IB P R Plan Reference Number: NPI: CA LIC: A Accepting New Patients: Howard, Phyllis, NP rth Richmond Center for Health 1501 Fred Jackson Way Richmond, CA Hours: M-F 7:45 am - 11:45 am, 12:45 pm - 4:45 pm Accessibility Indicator: B E EB IB P R Plan Reference Number: NPI: CA LIC: NPF8195 Accepting New Patients: Kray, Margaret, FNP rth Richmond Center for Health 1501 Fred Jackson Way Richmond, CA Hours: M-F 7:45 am - 11:45 am, 12:45 pm - 4:45 pm Accessibility Indicator: B E EB IB P R Plan Reference Number: NPI: CA LIC: NPF18368 Accepting New Patients: Lee, Daniel, MD rth Richmond Center for Health 1501 Fred Jackson Way Richmond, CA Hours: M-F 7:45 am - 11:45 am, 12:45 pm - 4:45 pm Accessibility Indicator: B E EB IB P R Plan Reference Number: NPI: CA LIC: A San Pablo Arcos, Rebecca, NP West County Health Center San Pablo Ave San Pablo, CA Hours: M, T, W, Th 8 am - 8:45 pmf, Sat 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: NPF20548 Accepting New Patients: Block, Alison, MD West County Health Center San Pablo Ave San Pablo, CA Hours: M, T, W, Th 8 am - 8:45 pmf, Sat 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: A Accepting New Patients: Butler, Kimberly, MD West County Health Center San Pablo Ave San Pablo, CA Hours: M, T, W, Th 8 am - 8:45 pmf, Sat 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: A Accepting New Patients: Carey, David, MD West County Health Center San Pablo Ave San Pablo, CA Hours: M, T, W, Th 8 am - 8:45 pmf, Sat 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: A Accepting New Patients: Chan, Lilian, MD West County Health Center San Pablo Ave San Pablo, CA Hours: M, T, W, Th 8 am - 8:45 pmf, Sat 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: A Accepting New Patients: This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 9

65 Primary Care Providers Proveedores de Atención Primaria Medicina Familiar Farey, Krista, MD West County Health Center San Pablo Ave San Pablo, CA Hours: M, T, W, Th 8 am - 8:45 pmf, Sat 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: G59698 Accepting New Patients: Gordon, Amy, MD West County Health Center San Pablo Ave San Pablo, CA Hours: M, T, W, Th 8 am - 8:45 pmf, Sat 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: A67379 Accepting New Patients: Hernandez, Alberto, NP West County Health Center San Pablo Ave San Pablo, CA Hours: M, T, W, Th 8 am - 8:45 pmf, Sat 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: NPF21625 Kaji, Troy, MD West County Health Center San Pablo Ave San Pablo, CA Hours: M, T, W, Th 8 am - 8:45 pmf, Sat 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: G61656 Preventive Medicine Accepting New Patients: Lipson, John, MD West County Health Center San Pablo Ave San Pablo, CA Hours: M, T, W, Th 8 am - 8:45 pmf, Sat 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: A Accepting New Patients: McIlroy, Richard, MD West County Health Center San Pablo Ave San Pablo, CA Hours: M, T, W, Th 8 am - 8:45 pmf, Sat 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: A Accepting New Patients: Orengo-McFarlane, Michelle, MD West County Health Center San Pablo Ave San Pablo, CA Hours: M, T, W, Th 8 am - 8:45 pmf, Sat 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: A Accepting New Patients: Pehling, James, MD West County Health Center San Pablo Ave San Pablo, CA Hours: M, T, W, Th 8 am - 8:45 pmf, Sat 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: A91941 Pierson-Brown, Leigh, NP West County Health Center San Pablo Ave San Pablo, CA Hours: M, T, W, Th 8 am - 8:45 pmf, Sat 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: NPF2500 This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 10

66 Primary Care Providers Proveedores de Atención Primaria Medicina Familiar Pizzo, Anthony, NP West County Health Center San Pablo Ave San Pablo, CA Hours: M, T, W, Th 8 am - 8:45 pmf, Sat 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: NPF6602 Accepting New Patients: Puell, Michael, MD West County Health Center San Pablo Ave San Pablo, CA Hours: M, T, W, Th 8 am - 8:45 pmf, Sat 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: A40811 Accepting New Patients: Radhakrishna, Rohan, MD West County Health Center San Pablo Ave San Pablo, CA Hours: M, T, W, Th 8 am - 8:45 pmf, Sat 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: A Sagum, Renan, NP West County Health Center San Pablo Ave San Pablo, CA Hours: M, T, W, Th 8 am - 8:45 pmf, Sat 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: NP22608 Languages: TAGALOG Accepting New Patients: Sandler, Andrea, MD West County Health Center San Pablo Ave San Pablo, CA Hours: M, T, W, Th 8 am - 8:45 pmf, Sat 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: A85521 Accepting New Patients: Scott, Malaika, MD West County Health Center San Pablo Ave San Pablo, CA Hours: M, T, W, Th 8 am - 8:45 pmf, Sat 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: A Accepting New Patients: Sheldon, Will, MD West County Health Center San Pablo Ave San Pablo, CA Hours: M, T, W, Th 8 am - 8:45 pmf, Sat 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: A Accepting New Patients: Siegel, Alan, MD West County Health Center San Pablo Ave San Pablo, CA Hours: M, T, W, Th 8 am - 8:45 pmf, Sat 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: A65135 Tai, Denice, MD West County Health Center San Pablo Ave San Pablo, CA Hours: M, T, W, Th 8 am - 8:45 pmf, Sat 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: A97952 Accepting New Patients: This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 11

67 Primary Care Providers Proveedores de Atención Primaria Medicina Familiar Tell, Stasia, NP West County Health Center San Pablo Ave San Pablo, CA Hours: M, T, W, Th 8 am - 8:45 pmf, Sat 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: NPF18393 Accepting New Patients: Wadle, Dawn, MD West County Health Center San Pablo Ave San Pablo, CA Hours: M, T, W, Th 8 am - 8:45 pmf, Sat 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: G69776 Accepting New Patients: Walls, James, MD West County Health Center San Pablo Ave San Pablo, CA Hours: M, T, W, Th 8 am - 8:45 pmf, Sat 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: A Warne, Thomas, MD West County Health Center San Pablo Ave San Pablo, CA Hours: M, T, W, Th 8 am - 8:45 pmf, Sat 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: A83344 Accepting New Patients: Weinreich, Don, MD West County Health Center San Pablo Ave San Pablo, CA Hours: M, T, W, Th 8 am - 8:45 pmf, Sat 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: A66461 This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 12

68 Primary Care Providers Geriatric Medicine Proveedores de Atención Primaria Medicina Geriatrica Contra Costa Regional Medical Center (CCRMC) CONTRA COSTA San Pablo Stromberg, Lynette, MD Geriatric Medicine West County Health Center San Pablo Ave San Pablo, CA Hours: M, T, W, Th 8 am - 8:45 pmf, Sat 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: G57324 Accepting New Patients: This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 13

69 Primary Care Providers Proveedores de Atención Primaria Medicina Interna Contra Costa Regional Medical Center (CCRMC) CONTRA COSTA Antioch Gheewala, Umesh, MD Antioch Health Center 2335 Country Hills Drive Antioch, CA Hours: M-Th 7:45 am - 11:45 am, 12:45 pm - 8:30 pmf 7:45 am - 11:45 am, 12:45 pm - 4:45 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: A38329 Brentwood Yang, Janet, MD Brentwood Health Center 171 Sand Creek Rd Ste A Brentwood, CA Hours: M-F 7:30 am - 11:45 am, 12:45 pm - 4:45 pmm, W 5:15 pm - 8:30 pm Accessibility Indicator: B ME E EB IB P R T Plan Reference Number: NPI: CA LIC: A Accepting New Patients: Concord Bhandari, Vijay, MD Concord Health Center 3052 Willow Pass Rd Ste 103 Concord, CA Hours: M-F 8 am - 5 pm Accessibility Indicator: L ME EB R Plan Reference Number: NPI: CA LIC: A98471 Accepting New Patients: Cremin, Daniel, MD Concord Health Center 3052 Willow Pass Rd Ste 103 Concord, CA Hours: M-F 8 am - 5 pm Accessibility Indicator: L ME EB R Plan Reference Number: NPI: CA LIC: A40392 Accepting New Patients: Sreenivasan, Meera, MD Concord Health Center 3052 Willow Pass Rd Ste 103 Concord, CA Hours: M-F 8 am - 5 pm Accessibility Indicator: L ME EB R Plan Reference Number: NPI: CA LIC: C Accepting New Patients: Martinez Sullivan, Gabriela, MD Martinez Health Center 2500 Alhambra Ave Martinez, CA Hours: M-F 7:45 am - 12 pm, 1 pm - 9 pmsat 9 am - 12 pm, 1 pm - 5 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: A77056 Accepting New Patients: Wille, Mark, MD Martinez Health Center 2500 Alhambra Ave Martinez, CA Hours: M-F 7:45 am - 12 pm, 1 pm - 9 pmsat 9 am - 12 pm, 1 pm - 5 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: G25177 Accepting New Patients: Peng, Yu-Hung, MD Miller Wellness Center 25 Allen St Ste A Martinez, CA Hours: M 8 am - 12 pmtu 8 am - 5 pmw 1 pm - 5 pmth 8 am - 12 pmf 8 am - 12 pm Plan Reference Number: NPI: CA LIC: A78615 Accepting New Patients: This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 14

70 Primary Care Providers Proveedores de Atención Primaria Medicina Interna Pyrkova-Corotan, Irina, MD Miller Wellness Center 25 Allen St Ste A Martinez, CA Hours: M 8 am - 12 pm 1 pm - 5 pmtu 1 pm - 5 pmw 8 am - 12 pm Plan Reference Number: NPI: CA LIC: C51927 Languages: RUSSIAN Accepting New Patients: Pittsburg Boly, Lawrence, MD Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA Hours: M,W 7:45 am - 8:30 pmt, Th, F 7:45 am - 4:45 pmsat 7:45 am - 11:45 am, 12:45 pm - 4:45 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: G48825 Accepting New Patients: Graham, Oliver, MD Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA Hours: M,W 7:45 am - 8:30 pmt, Th, F 7:45 am - 4:45 pmsat 7:45 am - 11:45 am, 12:45 pm - 4:45 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: A66957 Accepting New Patients: Wille, Mark, MD Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA Hours: M,W 7:45 am - 8:30 pmt, Th, F 7:45 am - 4:45 pmsat 7:45 am - 11:45 am, 12:45 pm - 4:45 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: G25177 Accepting New Patients: San Pablo Levin, Sara, MD West County Health Center San Pablo Ave San Pablo, CA Hours: M, T, W, Th 8 am - 8:45 pmf, Sat 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: A77340 Accepting New Patients: McCullough, Kalyani, MD West County Health Center San Pablo Ave San Pablo, CA Hours: M, T, W, Th 8 am - 8:45 pmf, Sat 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: A Accepting New Patients: This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 15

71 Primary Care Providers Proveedores de Atención Primaria Pediatría Contra Costa Regional Medical Center (CCRMC) CONTRA COSTA Antioch Agnost, Victoria, MD Antioch Health Center 2335 Country Hills Drive Antioch, CA Hours: M-Th 7:45 am - 11:45 am, 12:45 pm - 8:30 pmf 7:45 am - 11:45 am, 12:45 pm - 4:45 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: G71056 Accepting New Patients: Jamwal, Abhilasha, MD Antioch Health Center 2335 Country Hills Drive Antioch, CA Hours: M-Th 7:45 am - 11:45 am, 12:45 pm - 8:30 pmf 7:45 am - 11:45 am, 12:45 pm - 4:45 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: C56052 Brentwood Duque-Silva, Alexandra, MD Brentwood Health Center 171 Sand Creek Rd Ste A Brentwood, CA Hours: M-F 7:30 am - 11:45 am, 12:45 pm - 4:45 pmm, W 5:15 pm - 8:30 pm Accessibility Indicator: B ME E EB IB P R T Plan Reference Number: NPI: CA LIC: A Accepting New Patients: Ha, Nikki, NP Brentwood Health Center 171 Sand Creek Rd Ste A Brentwood, CA Hours: M-F 7:30 am - 11:45 am, 12:45 pm - 4:45 pmm, W 5:15 pm - 8:30 pm Accessibility Indicator: B ME E EB IB P R T Plan Reference Number: NPI: CA LIC: NPF18682 Accepting New Patients: Joseph, Mary, MD Brentwood Health Center 171 Sand Creek Rd Ste A Brentwood, CA Hours: M-F 7:30 am - 11:45 am, 12:45 pm - 4:45 pmm, W 5:15 pm - 8:30 pm Accessibility Indicator: B ME E EB IB P R T Plan Reference Number: NPI: CA LIC: A Concord Kelly, Olga, MD Concord Health Center 3052 Willow Pass Rd Ste 103 Concord, CA Hours: M-F 8 am - 5 pm Accessibility Indicator: L ME EB R Plan Reference Number: NPI: CA LIC: C50766 Accepting New Patients: White, Keith, MD Concord Health Center 3052 Willow Pass Rd Ste 103 Concord, CA Hours: M-F 8 am - 5 pm Accessibility Indicator: L ME EB R Plan Reference Number: NPI: CA LIC: G57666 Accepting New Patients: Martinez Jett, Margaret, DO Miller Wellness Center 25 Allen St Ste A Martinez, CA Hours: M 8 am - 12 pm 1 pm - 5 pmtu 8 am - 12 pm 1 pm - 5 pmth 8 am - 12 pm 1 pm - 5 pm Plan Reference Number: NPI: CA LIC: 20A12542 Accepting New Patients: This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 16

72 Primary Care Providers Proveedores de Atención Primaria Pediatría Pittsburg Brito, Nicole, NP Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA Hours: M,W 7:45 am - 8:30 pmt, Th, F 7:45 am - 4:45 pmsat 7:45 am - 11:45 am, 12:45 pm - 4:45 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: NPF16297 Accepting New Patients: Karatepe, Meltem, MD Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA Hours: M,W 7:45 am - 8:30 pmt, Th, F 7:45 am - 4:45 pmsat 7:45 am - 11:45 am, 12:45 pm - 4:45 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: A Languages: TURKISH SPANISH Accepting New Patients: Lewis, Flynne, MD Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA Hours: M,W 7:45 am - 8:30 pmt, Th, F 7:45 am - 4:45 pmsat 7:45 am - 11:45 am, 12:45 pm - 4:45 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: A Accepting New Patients: Rice, Abraham, MD Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA Hours: M,W 7:45 am - 8:30 pmt, Th, F 7:45 am - 4:45 pmsat 7:45 am - 11:45 am, 12:45 pm - 4:45 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: A72863 Accepting New Patients: San Pablo Ghori, Imtiaz, MD West County Health Center San Pablo Ave San Pablo, CA Hours: M, T, W, Th 8 am - 8:45 pmf, Sat 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: A65334 Accepting New Patients: This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 17

73 Primary Care Providers Proveedores de Atención Primaria Medicina Familiar Community Provider Network (CPN) ALAMEDA Albany Birnbaum, Nina, MD Sutter East Bay Medical Foundation 500 San Pablo Ave Albany, CA (510) Hours: M-F 8 am - 5 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: G81570 Accepting New Patients: Blaufarb, Alexandra, NP Sutter East Bay Medical Foundation 500 San Pablo Ave Albany, CA (510) Hours: M-F 8:30 am - 5 pmsat 8:30 am - 2 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: NPF21563 Accepting New Patients: Buffett, Wendy, MD Sutter East Bay Medical Foundation 500 San Pablo Ave Albany, CA (510) Hours: M-F 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: G80799 Accepting New Patients: Bunzel, Mary, NP Sutter East Bay Medical Foundation 500 San Pablo Ave Albany, CA (510) Hours: M 8 am - 5 pmtu 8 am - 5 pmw 8 am - 5 pmth 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: NPF10692 Accepting New Patients: Clyde, Rebecca, MD Sutter East Bay Medical Foundation 500 San Pablo Ave Albany, CA (510) Hours: M-F 8:30 am - 5 pmsat 8:30 am - 2 pm Accessibility Indicator: B ME E EB IB P R T Plan Reference Number: NPI: CA LIC: A71193 Accepting New Patients: Diamond, Jan, MD Sutter East Bay Medical Foundation 500 San Pablo Ave Albany, CA (510) Hours: M-F 8 am - 5 pmsat 8:30 am - 2:30 pm Accessibility Indicator: B ME E EB IB P R T Plan Reference Number: NPI: CA LIC: G57275 Accepting New Patients: Ingersoll, Otis, NP Sutter East Bay Medical Foundation 500 San Pablo Ave Albany, CA (510) Hours: M-F 8 am - 5 pmsat 8:30 am - 2:30 pm Accessibility Indicator: B ME E EB IB P R T Plan Reference Number: NPI: CA LIC: NPF14774 Accepting New Patients: Kirkham, Margaret, NP Sutter East Bay Medical Foundation 500 San Pablo Ave Albany, CA (510) Hours: M-F 8 am - 5 pm Accessibility Indicator: B ME E EB IB P R T Plan Reference Number: NPI: CA LIC: NPF18789 Accepting New Patients: McGrael-Souders, Adrienne, MD Sutter East Bay Medical Foundation 500 San Pablo Ave Albany, CA (510) Hours: M-F 8 am - 5 pm Accessibility Indicator: B ME E EB IB P R T Plan Reference Number: NPI: CA LIC: G48839 Accepting New Patients: This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 18

74 Primary Care Providers Proveedores de Atención Primaria Medicina Familiar Simon, Christine, MD Sutter East Bay Medical Foundation 500 San Pablo Ave Albany, CA (510) Hours: M-F 8:30 am - 5 pmsat 8:30 am - 2:30 pm Accessibility Indicator: B ME E EB IB P R T Plan Reference Number: NPI: CA LIC: G69938 Accepting New Patients: Suzuki, Fumi, MD Sutter East Bay Medical Foundation 500 San Pablo Ave Albany, CA (510) Hours: M-F 8 am - 5 pm Accessibility Indicator: B ME E EB IB P R T Plan Reference Number: NPI: CA LIC: C51677 Accepting New Patients: Wallach, Andrew, MD Sutter East Bay Medical Foundation 500 San Pablo Ave Albany, CA (510) Hours: M-F 8:30 am - 5 pmsat 8:30 am - 2 pm Accessibility Indicator: B ME E EB IB P R T Plan Reference Number: NPI: CA LIC: G41883 Accepting New Patients: Wardlaw, Mary, NP Sutter East Bay Medical Foundation 500 San Pablo Ave Albany, CA (510) Hours: M-F 8 am - 5 pm Accessibility Indicator: B ME E EB IB P R T Plan Reference Number: NPI: CA LIC: NPF7899 Accepting New Patients: Berkeley Marcotrigiano, Leanne, MD LifeLong Medical Care 3075 Adeline St Ste 280 Berkeley, CA (510) Hours: M 8 am - 8:30 pmtu 8 am - 5 pmw 8 am - 8:30 pmth 8 am - 5 pmf 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: A Nwokoye, Ifeoma, NP LifeLong Medical Care 3075 Adeline St Ste 280 Berkeley, CA (510) Hours: M 8 am - 5:30 pmth 10 am - 6:30 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: NPF Ochieng, Rose, MD LifeLong Medical Care 3075 Adeline St Ste 280 Berkeley, CA (510) Hours: M-F 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: A Duir, Kimberly, MD LifeLong Medical Care 2031 Sixth St Berkeley, CA (510) Hours: M 8 am - 12 pmtu 3 pm - 5 pmw 3 pm - 5 pmth 8 am - 5 pm Accessibility Indicator: L E EB IB P T Plan Reference Number: NPI: CA LIC: G57232 Accepting New Patients: White, Tracy, MD LifeLong Medical Care 2031 Sixth St Berkeley, CA (510) Hours: M 8 am - 5 pmtu 8 am - 5 pmw 8 am - 5 pmf 8 am - 5 pm Accessibility Indicator: L E EB IB P T Plan Reference Number: NPI: CA LIC: A This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 19

75 Primary Care Providers Proveedores de Atención Primaria Medicina Familiar Fremont Ahmadi, Ebrahim, MD Ebrahim Ahmadi MD Martha Ave Fremont, CA (510) Hours: M-F 9 am - 5 pm Accessibility Indicator: L E EB IB Plan Reference Number: NPI: CA LIC: A50313 Languages: PERSIAN TAGALOG Accepting New Patients: Oakland Vu, Cuong, MD Cuong Vu MD 412 8th St Ste B Oakland, CA (510) Hours: M 9:30 am - 5:30 pmtu 9:30 am - 5:30 pmth 9:30 am - 5:30 pmf 9:30 am - 5:30 pmsat 10 am - 2:30 pm Accessibility Indicator: L ME E Plan Reference Number: NPI: CA LIC: A36563 Languages: VIETNAMESE CHINESE Crumpler, Faith, MD LifeLong Medical Care th St Oakland, CA (510) Hours: M-F 8 am - 5 pmsat 8 am - 12 pm Accessibility Indicator: L E EB IB Plan Reference Number: NPI: CA LIC: A Aboelata, ha, MD Roots Community Health Center 2700 International Blvd Ste 11 Oakland, CA (510) Hours: M-F 9 am - 5 pm Accessibility Indicator: L P Plan Reference Number: NPI: CA LIC: A71602 Aboelata, ha, MD Roots Community Health Center 9925 International Blvd #5 Oakland, CA (510) Hours: M-F 9 am - 5 pm Accessibility Indicator: L EB IB P R Plan Reference Number: NPI: CA LIC: A71602 Lopez, Paulina, NP Roots Community Health Center 9925 International Blvd #5 Oakland, CA (510) Hours: M-F 9 am - 5 pm Accessibility Indicator: L EB IB P R Plan Reference Number: NPI: CA LIC: NP Piedmont Valverde-Salas, Vicky, MD Piedmont Primary Care 1345 Grand Ave Ste 103 Piedmont, CA (510) Hours: M 9 am - 5:30 pmtu 9 am - 6:30 pmw 9 am - 5:30 pmth 9 am - 5:30 pmf 9 am - 5:30 pmsat 9 am - 4 pm Accessibility Indicator: B E EB IB P R Plan Reference Number: NPI: CA LIC: G54090 Accepting New Patients: Pleasanton Gandhi, Reshma, MD Axis Community Health 5925 Las Positas Blvd. Ste 100 Pleasanton, CA (925) Hours: M-F 8 am - 5 pm Plan Reference Number: NPI: CA LIC: A Accepting New Patients: Kallem, Priyanka, MD Axis Community Health 5925 Las Positas Blvd. Ste 100 Pleasanton, CA (925) Hours: M 8:30 am - 4:30 pmw 8:30 am - 4:30 pmth 8:30 am - 4:30 pmsat 9 am - 1 pm Plan Reference Number: NPI: CA LIC: A Accepting New Patients: This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 20

76 Primary Care Providers Proveedores de Atención Primaria Medicina Familiar Lay, Cho Cho, MD Axis Community Health 5925 Las Positas Blvd. Ste 100 Pleasanton, CA (925) Hours: M 8:15 am - 5 pmw 8:15 am - 5 pmf 8:15 am - 5 pm Plan Reference Number: NPI: CA LIC: A88327 Accepting New Patients: Zafer, Sadaf, MD Axis Community Health 5925 Las Positas Blvd. Ste 100 Pleasanton, CA (925) Hours: M 8 am - 3 pmtu 8 am - 3 pmw 8 am - 3 pmth 8 am - 12 pmf 8 am - 3 pm Plan Reference Number: NPI: CA LIC: A Sun, Chao, MD Express Medicine Urgent Care 5700 Stoneridge Mall Road Ste 100 Pleasanton, CA (925) Hours: M-F 9 am - 6 pmsat 10 am - 4 pm Accessibility Indicator: L E EB IB P Plan Reference Number: NPI: CA LIC: A Preventive Medicine Languages: CHINESE CONTRA COSTA Antioch Barnes, Sophie, NP BASS - Full Care Medical Group 3903 Lone Tree Way Ste 104 Antioch, CA (925) Hours: M 9:30 am - 5:30 pmw 9:30 am - 5:30 pmf 9:30 am - 5:30 pm Plan Reference Number: NPI: CA LIC: NPF Languages: CAMBODIAN Duke, Florentina, NP BASS - Full Care Medical Group 3903 Lone Tree Way Ste 104 Antioch, CA (925) Hours: M 7:30 am - 5:30 pmtu 7:30 am - 5:30 pmw 7:30 am - 5:30 pmth 7:30 am - 11:30 am Plan Reference Number: NPI: CA LIC: NPF23167 Khonsari, Hamidreza, MD BASS - Full Care Medical Group 3903 Lone Tree Way Ste 104 Antioch, CA (925) Hours: M-F 7 am - 6:30 pm Accessibility Indicator: L E EB IB P Plan Reference Number: NPI: CA LIC: A48607 Languages: PERSIAN SPANISH Navolanic, Peter, MD Brighter Beginnings Family Health Clinic 2213 Buchanan Rd #103 Antioch, CA (925) Hours: M-F 8:30 am - 5 pm Accessibility Indicator: L E EB IB P Plan Reference Number: NPI: CA LIC: G25971 Accepting New Patients: Elyasi, Siamak, MD Springhill Medical Group 3720 Sunset Ln Ste B Antioch, CA (925) Hours: M-F 8 am - 5 pm Accessibility Indicator: L Plan Reference Number: NPI: CA LIC: A50205 Languages: PERSIAN SPANISH Concord Mbadike-Obiora, Maureen, MD BASS - Maureen Mbadike-Obiora MD 2415 High School Ave Ste 300 Concord, CA (925) Hours: M-F 9 am - 5 pm Accessibility Indicator: L EB IB P Plan Reference Number: NPI: CA LIC: A77170 Accepting New Patients: This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 21

77 Primary Care Providers Proveedores de Atención Primaria Medicina Familiar Vertudez, Janice, NP Concord Pediatric Care 3108 Willow Pass Rd Concord, CA (925) Hours: M-F 9 am - 5 pm Plan Reference Number: NPI: CA LIC: NPF22458 Languages: TAGALOG SPANISH Accepting New Patients: Akera, Chika, MD La Clinica De La Raza 2000 Sierra Rd Concord, CA (925) Hours: M-F 8:30 am - 5:30 pm Accessibility Indicator: L E EB IB R Plan Reference Number: NPI: CA LIC: A62930 Languages: JAPANESE SPANISH Accepting New Patients: Kaur, Harpreet, NP La Clinica De La Raza 2000 Sierra Rd Concord, CA (925) Hours: M-F 8:30 am - 5:30 pm Accessibility Indicator: L E EB IB R Plan Reference Number: NPI: CA LIC: NPF Languages: HINDI PANJABI Khan, Farhat, MD La Clinica De La Raza 2000 Sierra Rd Concord, CA (925) Hours: M 8:15 am - 8:30 pmtu 8:15 am - 8:30 pmw 8:15 am - 6:30 pmth 8:15 am - 5:30 pmf 8:15 am - 5:30 pm Accessibility Indicator: L E EB IB R Plan Reference Number: NPI: CA LIC: A Languages: PANJABI PASHTO URDU Accepting New Patients: Loeliger, Scott, MD La Clinica De La Raza 2000 Sierra Rd Concord, CA (925) Hours: M 8:15 am - 8:30 pmtu 8:15 am - 8:30 pmw 8:15 am - 6:30 pmth 8:15 am - 5:30 pmf 8:15 am - 5:30 pmsat 8:15 am - 5 pm Accessibility Indicator: L E EB IB R Plan Reference Number: NPI: CA LIC: G71388 Languages: FIJIAN GERMAN SPANISH Accepting New Patients: Machkovsky, Elvira, NP La Clinica De La Raza 2000 Sierra Rd Concord, CA (925) Hours: M-F 8:30 am - 5:30 pm Accessibility Indicator: L E EB IB R Plan Reference Number: NPI: CA LIC: NPF Languages: RUSSIAN Morales, Katie, NP La Clinica De La Raza 2000 Sierra Rd Concord, CA (925) Hours: M 12 pm - 8:30 pmtu 8:30 am - 5:30 pmw 8:30 am - 5:30 pmth 8:30 am - 5:30 pmf 8:30 am - 5:30 pm Accessibility Indicator: L E EB IB R Plan Reference Number: NPI: CA LIC: ENGLISH Accepting New Patients: Ospina, Esperanza, PA La Clinica De La Raza 2000 Sierra Rd Concord, CA (925) Hours: M 8:30 am - 8 pmtu 8:30 am - 8 pmw 8:30 am - 5:30 pmth 8:30 am - 5:30 pmf 8:30 am - 5:30 pmsat 8:30 am - 5 pm Accessibility Indicator: L E EB IB R Plan Reference Number: NPI: CA LIC: PA18516 Accepting New Patients: Raumer, Sheila, MD La Clinica De La Raza 2000 Sierra Rd Concord, CA (925) Hours: M 8:15 am - 8:30 pmtu 8:15 am - 8:30 pmw 8:15 am - 8:30 pmth 8:15 am - 5:30 pmf 8:15 am - 5:30 pmsat 8:15 am - 5 pm Accessibility Indicator: L E EB IB R Plan Reference Number: NPI: CA LIC: A40888 Languages: GERMAN SPANISH This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 22

78 Primary Care Providers Proveedores de Atención Primaria Medicina Familiar Wong, Griselda, PA La Clinica De La Raza 2000 Sierra Rd Concord, CA (925) Hours: M-F 8:30 am - 5:30 pmsat 8:30 am - 5 pm Accessibility Indicator: L E EB IB R Plan Reference Number: NPI: CA LIC: PA18453 Accepting New Patients: Valverde-Salas, Vicky, MD Piedmont Primary Care 2299 Bacon St Ste 6 Concord, CA (925) Hours: Tu 9 am - 5:30 pmw 9 am - 5:30 pmf 9 am - 5:30 pm Accessibility Indicator: L E EB P R Plan Reference Number: NPI: CA LIC: G54090 Accepting New Patients: Oakley Curbelo, Gustavo, MD La Clinica De La Raza 2021 Main St. Oakley, CA (925) Hours: M-F 8:30 am - 5:30 pmsat 8 am - 4:30 pm Accessibility Indicator: L E EB IB P Plan Reference Number: NPI: CA LIC: A98595 Accepting New Patients: Hoffman, Joan, MD La Clinica De La Raza 2021 Main St. Oakley, CA (925) Hours: M-F 8:30 am - 5:30 pm Accessibility Indicator: L E EB IB P Plan Reference Number: NPI: CA LIC: G77232 Accepting New Patients: Voelker, Kathryn, PA La Clinica De La Raza 2021 Main St. Oakley, CA (925) Hours: M-F 8:30 am - 5:30 pm Accessibility Indicator: L E EB IB P Plan Reference Number: NPI: CA LIC: PA20323 Accepting New Patients: Yastro, Kalynn, NP La Clinica De La Raza 2021 Main St. Oakley, CA (925) Hours: M-F 8:30 am - 5:30 pm Accessibility Indicator: L E EB IB P Plan Reference Number: NPI: CA LIC: NPF Accepting New Patients: Pinole Stephens, Claudell, MD Healthy Living Clinic 1063 San Pablo Ave # B Pinole, CA (510) Hours: M-F 5 pm - 9 pm Accessibility Indicator: L E EB IB R Plan Reference Number: NPI: CA LIC: G34895 Accepting New Patients: Frausto, Luz, PA LifeLong Medical Care 1690 San Pablo Ave Ste F Pinole, CA (510) Hours: M 8:30 am - 5 pmtu 8:30 am - 5 pmw 8:30 am - 5 pmth 1:30 pm - 5 pm Accessibility Indicator: L E EB P Plan Reference Number: NPI: CA LIC: PA51848 Accepting New Patients: Pittsburg O'Meany, Juan, PA La Clinica De La Raza 2240 Gladstone Dr Ste 4 Pittsburg, CA (925) Hours: M-F 8:30 am - 5:30 pm Plan Reference Number: NPI: CA LIC: PA14168 Accepting New Patients: This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 23

79 Primary Care Providers Proveedores de Atención Primaria Medicina Familiar Som, Charles, DO La Clinica De La Raza 2240 Gladstone Dr Ste 4 Pittsburg, CA (925) Hours: M-F 8:30 am - 5:30 pmsat 8 am - 4 pm Plan Reference Number: NPI: CA LIC: 20A9766 Accepting New Patients: Stanley, Guadalupe, PA La Clinica De La Raza 2240 Gladstone Dr Ste 4 Pittsburg, CA (925) Hours: M-F 8:30 am - 5:30 pm Plan Reference Number: NPI: CA LIC: PA20277 Accepting New Patients: Westerman, Jennifer, NP La Clinica De La Raza 2240 Gladstone Dr Ste 4 Pittsburg, CA (925) Hours: M-F 8:30 am - 5:30 pm Plan Reference Number: NPI: CA LIC: NPF6872 Accepting New Patients: Westerman, Jennifer, NP Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA Hours: M 8 am - 12 pm 5 pm - 9 pmtu 8 am - 12 pm 1 pm - 5 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: 6872 Accepting New Patients: Elyasi, Siamak, MD Springhill Medical Group 2220 Gladstone Dr. Ste. 3 Pittsburg, CA (925) Hours: M-F 8 am - 5 pm Accessibility Indicator: L E P Plan Reference Number: NPI: CA LIC: A50205 Languages: PERSIAN SPANISH Richmond Beeckman, Jennifer, NP Brighter Beginnings Family Health Clinic 2727 Macdonald Ave Richmond, CA (510) Hours: Th 8:30 am - 5 pm Accessibility Indicator: L E EB IB R Plan Reference Number: NPI: CA LIC: NPF13545 Navolanic, Peter, MD Brighter Beginnings Family Health Clinic 2727 Macdonald Ave Richmond, CA (510) Hours: M-F 8:30 am - 5 pm Accessibility Indicator: L E EB IB R Plan Reference Number: NPI: CA LIC: G25971 Perlas, Jane, NP Brighter Beginnings Family Health Clinic 2727 Macdonald Ave Richmond, CA (510) Hours: F 8:30 am - 5 pm Accessibility Indicator: L E EB IB R Plan Reference Number: NPI: CA LIC: NPF9080 Languages: TAGALOG SPANISH Tanner, Catherine, NP Brighter Beginnings Family Health Clinic 2727 Macdonald Ave Richmond, CA (510) Hours: W 8:30 am - 5 pm Accessibility Indicator: L E EB IB R Plan Reference Number: NPI: CA LIC: NPF17122 Accepting New Patients: This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 24

80 Primary Care Providers Proveedores de Atención Primaria Medicina Familiar Eaglin, Olga, PA LifeLong Medical Care 1030 Nevin Ave Richmond, CA (510) Hours: M 7 am - 5 pmtu 7 am - 5 pmw 7 am - 5 pmth 7 am - 5 pmf 8:30 am - 5 pm Accessibility Indicator: L E EB IB T Plan Reference Number: NPI: CA LIC: PA13833 Accepting New Patients: Wilson, Teshina, DO LifeLong Medical Care 1030 Nevin Ave Richmond, CA (510) Hours: M-F 8:30 am - 5 pm Accessibility Indicator: L E EB IB T Plan Reference Number: NPI: CA LIC: 20A13746 Board Certified: American Osteopathic Board of Family Physicians Rene, Paterson, PA LifeLong Medical Care 2600 MacDonald Ave. Suite B Richmond, CA (510) Hours: M 8:30 am - 3:45 pmw 8:30 am - 3:45 pmth 8:30 am - 3:45 pm Accessibility Indicator: L EB IB Plan Reference Number: NPI: CA LIC: PA23037 San Pablo Yu, John, MD John C. Yu MD 2089 Vale Rd Ste 20 San Pablo, CA (510) Hours: M 9 am - 5 pmtu 9 am - 5 pmw 9 am - 5 pmth 9 am - 12 pmf 9 am - 5 pm Accessibility Indicator: L E EB IB P Plan Reference Number: NPI: CA LIC: A33259 Languages: MANDARIN Accepting New Patients: Banks, rman, MD LifeLong Medical Care 2023 Vale Rd Ste 207 San Pablo, CA (510) Hours: M 8:30 am - 8 pmtu 8:30 am - 8 pmw 8:30 am - 8 pmth 8:30 am - 8 pmf 8:30 am - 5 pmsat 8:30 am - 2:30 pm Accessibility Indicator: L IB Plan Reference Number: NPI: CA LIC: A53325 Accepting New Patients: Barocio, Azucena, PA LifeLong Medical Care 2023 Vale Rd Ste 207 San Pablo, CA (510) Hours: M-F 8:30 am - 8 pmsat 8:30 am - 2:30 pm Accessibility Indicator: L IB Plan Reference Number: NPI: CA LIC: PA18679 Ceci, Kimberly, MD LifeLong Medical Care 2023 Vale Rd Ste 207 San Pablo, CA (510) Hours: M-F 8:30 am - 8 pmsat 8:30 am - 2:30 pm Accessibility Indicator: L IB Plan Reference Number: NPI: CA LIC: A Kaminski, Kristof, PA LifeLong Medical Care 2023 Vale Rd Ste 207 San Pablo, CA (510) Hours: M-F 8:30 am - 8 pmsat 8:30 am - 2:30 pm Accessibility Indicator: L IB Plan Reference Number: NPI: CA LIC: PA17898 Languages: GERMAN POLISH SPANISH rdensjo, Anna, MD LifeLong Medical Care 2023 Vale Rd Ste 207 San Pablo, CA (510) Hours: M-F 8:30 am - 5 pm Accessibility Indicator: L IB Plan Reference Number: NPI: CA LIC: A47969 This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 25

81 Primary Care Providers Proveedores de Atención Primaria Medicina Familiar Ogawa, Mimi, MD LifeLong Medical Care 2023 Vale Rd Ste 207 San Pablo, CA (510) Hours: M 8:30 am - 8 pmtu 8:30 am - 8 pmw 8:30 am - 8 pmth 8:30 am - 8 pmf 8:30 am - 5 pmsat 9 am - 2 pm Accessibility Indicator: L IB Plan Reference Number: NPI: CA LIC: A Languages: JAPANESE SPANISH Tanaka, Lucia, NP LifeLong Medical Care 2023 Vale Rd Ste 207 San Pablo, CA (510) Hours: M 8 am - 5 pmw 8 am - 5 pmth 8 am - 5 pmf 8 am - 5 pm Accessibility Indicator: L IB Plan Reference Number: NPI: CA LIC: NPF Trombla, Laurie, PA LifeLong Medical Care 2023 Vale Rd Ste 207 San Pablo, CA (510) Hours: M-F 8:30 am - 6 pmsat 8:30 am - 2:30 pm Accessibility Indicator: L IB Plan Reference Number: NPI: CA LIC: PA13720 HMONG San Ramon Maheshwari, Rajesh, MD San Ramon Urgent Care & Clinic 9140 Alcosta Blvd Ste D San Ramon, CA (925) Hours: M-F 8:30 am - 7:30 pm Accessibility Indicator: L E IB P Plan Reference Number: NPI: CA LIC: A Languages: HINDI PANJABI URDU Walnut Creek Lopresti, Anthony, DO Anthony Lopresti DO 325 N Wiget Lane Suite 130 Walnut Creek, CA (925) Hours: M-F 9 am - 6 pmsat 10 am - 3 pm Accessibility Indicator: L E EB IB Plan Reference Number: NPI: CA LIC: 20A6194 Board Certified: American Osteopathic Board of Family Physicians Dudler, Jack, MD Jack Dudler MD 120 La Casa Via Ste 103 Walnut Creek, CA (925) Hours: M-F 9 am - 5 pm Accessibility Indicator: L E EB IB P R Plan Reference Number: NPI: CA LIC: A52555 Languages: RUSSIAN SPANISH Accepting New Patients: Kullar, Ravjeet, MD John Muir Physician Network 1450 Treat Blvd #320 Walnut Creek, CA (925) Hours: M 8 am - 12 pmtu 8 am - 12 pmw 1 pm - 5 pmf 8 am - 12 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: A96939 Accepting New Patients: Nath, Kishore, MD John Muir Physician Network 1450 Treat Blvd #320 Walnut Creek, CA (925) Hours: M 1 pm - 5 pmtu 1 pm - 5 pmw 9 am - 12 pm 1 pm - 5 pmth 8 am - 12 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: A71351 Accepting New Patients: Triana, Catalina, MD John Muir Physician Network 1450 Treat Blvd #320 Walnut Creek, CA (925) Hours: M 1 pm - 5 pmtu 1 pm - 5 pmw 8 am - 12 pmth 8 am - 12 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: C Accepting New Patients: This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 26

82 Primary Care Providers Proveedores de Atención Primaria Medicina Interna Community Provider Network (CPN) ALAMEDA Berkeley Furer, Jessica, MD LifeLong Medical Care 3260 Sacramento St Berkeley, CA (510) Hours: M-F 8 am - 5 pm Accessibility Indicator: L E P R T Plan Reference Number: NPI: CA LIC: G63046 Mansalis, Benjamin, MD LifeLong Medical Care 3260 Sacramento St Berkeley, CA (510) Hours: M-F 9 am - 5 pm Accessibility Indicator: L E P R T Plan Reference Number: NPI: CA LIC: A O'Neil, Bruce, MD LifeLong Medical Care 3260 Sacramento St Berkeley, CA (510) Hours: M-F 8 am - 5 pm Accessibility Indicator: L E P R T Plan Reference Number: NPI: CA LIC: A23100 Krasner, Evan, MD LifeLong Medical Care 3075 Adeline St Ste 280 Berkeley, CA (510) Hours: M-F 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: C53468 Nguyen, Kim, MD LifeLong Medical Care 3075 Adeline St Ste 280 Berkeley, CA (510) Hours: M-F 9 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: A Reynosa, Kimberly, MD LifeLong Medical Care 2031 Sixth St Berkeley, CA (510) Hours: M 8 am - 8:30 pmtu 8 am - 5 pmw 8 am - 8:30 pmth 8 am - 5 pmf 8 am - 5 pmsat 8:30 am - 4:30 pm Accessibility Indicator: L E EB IB P T Plan Reference Number: NPI: CA LIC: A66039 Oakland Nelson, Ingrid, NP East Bay AIDS Center 3100 Summit St 2nd Flr Oakland, CA (510) Hours: M-F 9 am - 5 pm Accessibility Indicator: L E EB R Plan Reference Number: NPI: CA LIC: Accepting New Patients: Ferguson, Susan, MD LifeLong Medical Care th St Oakland, CA (510) Hours: M-F 8:30 am - 5 pm Accessibility Indicator: L E EB IB Plan Reference Number: NPI: CA LIC: A68471 Languages: FRENCH SPANISH Accepting New Patients: Pleasanton Barua, Upama, MD Axis Community Health 5925 Las Positas Blvd. Ste 100 Pleasanton, CA (925) Hours: M 8:30 am - 5 pmtu 8:30 am - 5 pmw 8:30 am - 5 pmf 8:30 am - 5 pm Plan Reference Number: NPI: CA LIC: A This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 27

83 Primary Care Providers Proveedores de Atención Primaria Medicina Interna Garg, Anuja, MD Axis Community Health 5925 Las Positas Blvd. Ste 100 Pleasanton, CA (925) Hours: M 8:15 am - 5 pmtu 8:15 am - 5 pmw 8:15 am - 5 pmth 8:15 am - 5 pmf 8 am - 12 pm Plan Reference Number: NPI: CA LIC: A Chen, Xiaochuan, MD Xiaochuan Chen MD 5776 Stoneridge Mall Rd Ste 230 Pleasanton, CA (510) Hours: W 9:30 am - 5 pm Accessibility Indicator: L E EB IB P Plan Reference Number: NPI: CA LIC: A Languages: CHINESE Accepting New Patients: CONTRA COSTA Antioch Quismorio, William, MD BAART Community Healthcare 3707 Sunset Ln Antioch, CA (925) Hours: M 6 am - 2 pmtu 6 am - 1 pmw 6 am - 2 pmth 6 am - 2 pmf 6 am - 2 pm Accessibility Indicator: L EB IB Plan Reference Number: NPI: CA LIC: A41861 Languages: ILOCANO TAGALOG BULGARIAN Accepting New Patients: Yang, Xiao, MD Enlight Consulting Co 3737 Lone Tree Way Ste E Antioch, CA (925) Hours: M 1 pm - 5 pmtu 1 pm - 5 pmw 10 am - 12 pm 1 pm - 5 pmth 1 pm - 5 pmf 10 am - 12 pm 1 pm - 5 pm Accessibility Indicator: L P Plan Reference Number: NPI: CA LIC: A94954 Languages: CHINESE Accepting New Patients: Enrique, Louis, MD Louis Enrique MD 3432 Hillcrest Ave # 150 Antioch, CA (925) Hours: M-F 8:30 am - 5 pmsat 8:30 am - 12:30 pm Accessibility Indicator: L E EB IB P Plan Reference Number: NPI: CA LIC: G50869 Gharagozlou, Parham, MD Parham Gharagozlou MD 3711 Sunset Ln Ste D Antioch, CA (925) Plan Reference Number: NPI: CA LIC: A92636 Languages: PERSIAN SPANISH Accepting New Patients: Gupta, Ravinder, MD Ravinder Gupta MD 3741 Sunset Ln Ste B Antioch, CA (925) Hours: M-F 9 am - 5 pm Accessibility Indicator: L E Plan Reference Number: NPI: CA LIC: A31136 Accepting New Patients: Zhang, Wengang, MD Springhill Medical Group 3720 Sunset Ln Ste B Antioch, CA (925) Hours: M-F 9 am - 5 pm Accessibility Indicator: L Plan Reference Number: NPI: CA LIC: A65147 Languages: CHINESE SPANISH Brentwood Bell, Milenna, PA BASS - Diablo Valley Specialists in 100 Cortona Way Ste 160 Brentwood, CA (925) Hours: M 9 am - 5 pmw 9 am - 5 pmth 9 am - 5 pm Accessibility Indicator: L EB IB P Plan Reference Number: NPI: CA LIC: PA19366 This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 28

84 Primary Care Providers Proveedores de Atención Primaria Medicina Interna Kassels, Michael, DO BASS - Diablo Valley Specialists in 100 Cortona Way Ste 160 Brentwood, CA (925) Hours: M 9 am - 5 pmtu 9 am - 6 pmw 9 am - 5 pmth 9 am - 5 pmf 9 am - 2 pm Accessibility Indicator: L EB IB P Plan Reference Number: NPI: CA LIC: 20A5953 Del Rio, Gerald, MD Springhill Medical Group 2400 Balfour Rd Ste 306 Brentwood, CA (925) Hours: M-F 8:30 am - 5 pm Accessibility Indicator: B E EB IB P R Plan Reference Number: NPI: CA LIC: G32797 Concord Bell, Milenna, PA BASS - Diablo Valley Specialists in 2339 Almond Avenue Concord, CA (925) Hours: M 9 am - 5 pmtu 9 am - 6 pmw 9 am - 5 pmth 9 am - 5 pmf 9 am - 5 pm Accessibility Indicator: L E EB IB R Plan Reference Number: NPI: CA LIC: PA19366 Kassels, Michael, DO BASS - Diablo Valley Specialists in 2339 Almond Avenue Concord, CA (925) Hours: M 9 am - 5 pmw 9 am - 5 pmth 9 am - 5 pm Accessibility Indicator: L E EB IB R Plan Reference Number: NPI: CA LIC: 20A5953 Accepting New Patients: Arias-Vera, Jose, MD Jose Arias-Vera MD 2211 East St Concord, CA (925) Hours: M-F 8:30 am - 5:30 pm Accessibility Indicator: L E Plan Reference Number: NPI: CA LIC: C55350 Accepting New Patients: Murphy, John, MD La Clinica De La Raza 2000 Sierra Rd Concord, CA (925) Hours: M 8:30 am - 8:30 pmtu 8:30 am - 8:30 pmw 8:30 am - 6:30 pmth 8:30 am - 5:30 pmf 8:30 am - 5:30 pmsat 8:30 am - 5 pm Accessibility Indicator: L E EB IB R Plan Reference Number: NPI: CA LIC: A99461 Gharagozlou, Parham, MD Parham Gharagozlou MD 3101 Clayton Rd Concord, CA (925) Hours: M 9:30 am - 5 pmw 9:30 am - 5 pmth 9:30 am - 5 pmf 9:30 am - 4 pm Accessibility Indicator: L EB Plan Reference Number: NPI: CA LIC: A92636 Languages: PERSIAN SPANISH Accepting New Patients: Sundar, Sam, MD Sam Sundar MD 2415 High School Ave Ste 700 Concord, CA (925) Hours: M-F 8 am - 5 pm Accessibility Indicator: L Plan Reference Number: NPI: CA LIC: A26493 Accepting New Patients: Lafayette Hoffmann, Victorina, MD BASS - Avenue Family Practice 911 Moraga Rd #101 Lafayette, CA (925) Hours: M-F 1:30 pm - 4:30 pm Accessibility Indicator: L Plan Reference Number: NPI: CA LIC: A44547 Accepting New Patients: This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 29

85 Primary Care Providers Proveedores de Atención Primaria Medicina Interna Pinole Cobbs, Yvonne, NP Healthy Living Clinic 1063 San Pablo Ave # B Pinole, CA (510) Hours: M-F 5 pm - 9 pm Accessibility Indicator: L E EB IB R Plan Reference Number: NPI: CA LIC: NPF11980 Morgan-Thompson, Joyce, NP Healthy Living Clinic 1063 San Pablo Ave # B Pinole, CA (510) Hours: M-F 5 pm - 9 pm Accessibility Indicator: L E EB IB R Plan Reference Number: NPI: CA LIC: NPF8932 Accepting New Patients: Pittsburg Sequeira, Juan, MD Juan Sequeira MD 2260 Gladstone Dr Ste 7 Pittsburg, CA (925) Hours: M 9 am - 4:30 pmtu 9 am - 4:30 pmw 9 am - 1 pmth 9 am - 4:30 pmf 9 am - 4:30 pm Accessibility Indicator: L E P Plan Reference Number: NPI: CA LIC: G40166 Accepting New Patients: Del Rio, Gerald, MD Springhill Medical Group 2220 Gladstone Dr. Ste. 3 Pittsburg, CA (925) Hours: M-F 8:30 am - 5 pm Accessibility Indicator: L E P Plan Reference Number: NPI: CA LIC: G32797 Gallo, John, DO Springhill Medical Group 2220 Gladstone Dr. Ste. 3 Pittsburg, CA (925) Hours: M-F 8:30 am - 5:30 pm Accessibility Indicator: L E P Plan Reference Number: NPI: CA LIC: 20A7460 Kolomey, Irina, DO Springhill Medical Group 2220 Gladstone Dr. Ste. 3 Pittsburg, CA (925) Hours: M-F 9 am - 5 pm Accessibility Indicator: L E P Plan Reference Number: NPI: CA LIC: 20A10625 Languages: RUSSIAN SPANISH Zhang, Wengang, MD Springhill Medical Group 2220 Gladstone Dr. Ste. 3 Pittsburg, CA (925) Hours: M-F 9 am - 5 pm Accessibility Indicator: L E P Plan Reference Number: NPI: CA LIC: A65147 Languages: CHINESE SPANISH Richmond Moore, Kyle, MD BAART Community Healthcare 1313 Cutting Blvd Richmond, CA (510) Hours: M-F 8 am - 1:30 pm Accessibility Indicator: L EB IB Plan Reference Number: NPI: CA LIC: A43351 Accepting New Patients: Alper, Lynne, MD Brighter Beginnings Family Health Clinic 2727 Macdonald Ave Richmond, CA (510) Hours: F 8 am - 5 pm Accessibility Indicator: L E EB IB R Plan Reference Number: NPI: CA LIC: G70013 This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 30

86 Primary Care Providers Proveedores de Atención Primaria Medicina Interna Jackson, George, MD LifeLong Medical Care 1030 Nevin Ave Richmond, CA (510) Hours: M-F 7 am - 5 pm Accessibility Indicator: L E EB IB T Plan Reference Number: NPI: CA LIC: G39327 Carter, Brazell, MD LifeLong Medical Care 2600 MacDonald Ave. Suite B Richmond, CA (510) Hours: M 9 am - 5 pmtu 9 am - 5 pmw 9 am - 5 pmth 9 am - 5 pm Accessibility Indicator: L EB IB Plan Reference Number: NPI: CA LIC: A30396 Accepting New Patients: Jones, Sharon, MD Sharon J Jones MD 2970 Hilltop Mall Rd #300 Richmond, CA (510) Hours: M 8 am - 5 pmtu 8 am - 5 pmth 8 am - 5 pmf 8 am - 5 pm Accessibility Indicator: L E EB IB P Plan Reference Number: NPI: CA LIC: G70338 Accepting New Patients: San Pablo Bottomley, Sarah, NP LifeLong Medical Care 2023 Vale Rd Ste 207 San Pablo, CA (510) Hours: M-F 8:30 am - 5:30 pm Accessibility Indicator: L IB Plan Reference Number: NPI: CA LIC: NPF Accepting New Patients: Chen, William, MD William W. Chen MD Medical Clinic 2089 Vale Rd Ste 34 San Pablo, CA (510) Hours: M-F 11 am - 5 pm Accessibility Indicator: L E P Plan Reference Number: NPI: CA LIC: A70200 Allergy & Immunology Languages: MANDARIN TAGALOG Accepting New Patients: San Ramon Marwaha, Jatinder, MD BASS - Tri-Valley Medical Center 1081 Market Place #200 San Ramon, CA (925) Hours: M 9 am - 5 pmw 9 am - 5 pmth 9 am - 11 amf 9 am - 5 pm Accessibility Indicator: L E EB IB Plan Reference Number: NPI: CA LIC: A56143 Languages: HINDI PANJABI SPANISH Kanwal, Tehmina, MD San Ramon Urgent Care & Clinic 9140 Alcosta Blvd Ste D San Ramon, CA (925) Hours: M-F 8:30 am - 7:30 pmsat 9 am - 3 pmh 8:30 am - 7:30 pm Accessibility Indicator: L E IB P Plan Reference Number: NPI: CA LIC: A90031 Languages: PANJABI PASHTO URDU Walnut Creek Marwaha, Jatinder, MD BASS - Walnut Creek Urgent Medical Care (PCP SERVICES ONLY) 108 La Casa Via #100 Walnut Creek, CA (925) Hours: Tu 1 pm - 4 pm Accessibility Indicator: L E EB IB Plan Reference Number: NPI: CA LIC: A56143 Languages: HINDI PANJABI SPANISH Accepting New Patients: Meza, Angelica, PA BASS - Walnut Creek Urgent Medical Care (PCP SERVICES ONLY) 108 La Casa Via #100 Walnut Creek, CA (925) Hours: M 1:30 pm - 7 pmtu 4:30 pm - 7 pmw 8 am - 1:30 pmth 9 am - 7 pmf 1:30 pm - 7 pmsat 9 am - 2 pm Accessibility Indicator: L E EB IB Plan Reference Number: NPI: CA LIC: PA17033 Accepting New Patients: This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 31

87 Primary Care Providers Proveedores de Atención Primaria Medicina Interna Veale, Megan, PA BASS-Walnut Creek Urgent Medical Care (PCP SERVICES ONLY) 108 La Casa Via #100 Walnut Creek, CA (925) Hours: M 8 am - 1:30 pmtu 8 am - 4:30 pmw 1:30 pm - 7 pmth 8 am - 4 pmf 8 am - 1:30 pmsat 9 am - 2 pm Accessibility Indicator: L E EB IB Plan Reference Number: NPI: CA LIC: PA52687 Accepting New Patients: Beyzer, Lyudmila, MD Lyudmila Beyzer MD 108 La Casa Via 103 Walnut Creek, CA (925) Hours: M 9 am - 2 pmtu 10 am - 5 pmth 9 am - 5 pmf 9 am - 2 pm Accessibility Indicator: L EB IB P R Plan Reference Number: NPI: CA LIC: A62468 Languages: RUSSIAN Accepting New Patients: This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 32

88 Primary Care Providers Proveedores de Atención Primaria Pediatría Community Provider Network (CPN) ALAMEDA Berkeley Omotoso, Omoniyi, MD LifeLong Medical Care 3075 Adeline St Ste 280 Berkeley, CA (510) Hours: W 1 pm - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: A94033 Languages: YORUBA Accepting New Patients: Oakland Gee, Doris, PA Comprehensive Allergy Services 2940 Summit St 1st Fl Oakland, CA (510) Hours: M-F 9 am - 5 pm Accessibility Indicator: L E IB P Plan Reference Number: NPI: CA LIC: PA10548 Languages: CHINESE Accepting New Patients: Leir, Denise, NP Comprehensive Allergy Services 2940 Summit St 1st Fl Oakland, CA (510) Hours: M-F 9 am - 5 pm Accessibility Indicator: L E IB P Plan Reference Number: NPI: CA LIC: NPF8317 Accepting New Patients: Leir, Michael, MD Comprehensive Allergy Services 2940 Summit St 1st Fl Oakland, CA (510) Hours: M-F 9 am - 5 pm Accessibility Indicator: L E IB P Plan Reference Number: NPI: CA LIC: C33136 Veal, Ulanda, MD Comprehensive Allergy Services 2940 Summit St 1st Fl Oakland, CA (510) Hours: M-F 9 am - 5 pm Accessibility Indicator: L E IB P Plan Reference Number: NPI: CA LIC: G71310 Bean, Gary, MD Gary Bean MD (dba Pediatric Care Group) 4180 Park Blvd Oakland, CA (510) Hours: M-F 6 am - 5 pm Accessibility Indicator: L E IB Plan Reference Number: NPI: CA LIC: G53663 Pham, An, MD International 600 International Blvd Ste 102 Oakland, CA (510) Hours: M 9 am - 5 pmtu 9 am - 5 pmw 9 am - 5 pmth 9 am - 12 pmf 9 am - 5 pmsat 9 am - 2 pm Accessibility Indicator: L EB IB R Plan Reference Number: NPI: CA LIC: A67904 Languages: VIETNAMESE Accepting New Patients: Carey, Donna, MD Roots Community Health Center 2700 International Blvd Ste 11 Oakland, CA (510) Hours: M-F 9 am - 5 pm Accessibility Indicator: L P Plan Reference Number: NPI: CA LIC: A72032 Romero, Amanda, NP Roots Community Health Center 2700 International Blvd Ste 11 Oakland, CA (510) Hours: M-F 8:30 am - 5 pm Accessibility Indicator: L P Plan Reference Number: NPI: CA LIC: NP This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 33

89 Primary Care Providers Proveedores de Atención Primaria Pediatría Carey, Donna, MD Roots Community Health Center 9925 International Blvd #5 Oakland, CA (510) Hours: M-F 9 am - 5 pm Accessibility Indicator: L EB IB P R Plan Reference Number: NPI: CA LIC: A72032 Romero, Amanda, NP Roots Community Health Center 9925 International Blvd #5 Oakland, CA (510) Hours: M-F 8:30 am - 5 pm Accessibility Indicator: L EB IB P R Plan Reference Number: NPI: CA LIC: NP Pleasanton Mehra, Soniya, MD Axis Community Health 4361 Railroad Ave Pleasanton, CA (925) Hours: M-F 8:15 am - 5 pmsat 12 pm - 9 pm Accessibility Indicator: L E EB IB P Plan Reference Number: NPI: CA LIC: A Moody, Dawnell, DO Axis Community Health 5925 Las Positas Blvd. Ste 100 Pleasanton, CA (925) Hours: M 8:15 am - 5 pmf 8:15 am - 5 pmsat 9 am - 5 pm Plan Reference Number: NPI: CA LIC: 20A10468 Jumig, Elmer, MD Elmer Jumig MD 2324 Santa Rita Rd Ste 12 Pleasanton, CA (925) Hours: M-F 8 am - 5 pm Accessibility Indicator: E EB IB P R Plan Reference Number: NPI: CA LIC: A77244 TAGALOG Accepting New Patients: CONTRA COSTA Alamo Brown, Katharine, MD John Muir Physician Network 1505 St. Alphonsus Way Alamo, CA (925) Hours: M-F 9 am - 5 pm Accessibility Indicator: L EB IB P Plan Reference Number: NPI: CA LIC: A73433 Languages: POLISH SPANISH Accepting New Patients: Cortez, Paul, MD John Muir Physician Network 1505 St. Alphonsus Way Alamo, CA (925) Hours: M-F 8:30 am - 5:30 pmsat 9 am - 12 pm Accessibility Indicator: L EB IB P Plan Reference Number: NPI: CA LIC: A65966 Accepting New Patients: Hahn, Gregory, MD John Muir Physician Network 1505 St. Alphonsus Way Alamo, CA (925) Hours: M-F 9 am - 12:30 pm 2 pm - 5:30 pmsat 9 am - 12 pm Accessibility Indicator: L EB IB P Plan Reference Number: NPI: CA LIC: G30281 Kadas, Robert, MD John Muir Physician Network 1505 St. Alphonsus Way Alamo, CA (925) Hours: M-F 8:30 am - 5:30 pmsat 9 am - 12 pm Accessibility Indicator: L P Plan Reference Number: NPI: CA LIC: G14309 Accepting New Patients: This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 34

90 Primary Care Providers Proveedores de Atención Primaria Pediatría Palmer, Genevieve, MD John Muir Physician Network 1505 St. Alphonsus Way Alamo, CA (925) Hours: M-F 8:30 am - 5:30 pmsat 9 am - 12 pm Accessibility Indicator: L EB IB P Plan Reference Number: NPI: CA LIC: A Whyte, Lynne, MD John Muir Physician Network 1505 St. Alphonsus Way Alamo, CA (925) Hours: M-F 8:30 am - 5:30 pmsat 9 am - 12 pm Accessibility Indicator: L EB IB P Plan Reference Number: NPI: CA LIC: G63864 Accepting New Patients: Antioch Riley, Kristin, DO Brighter Beginnings Family Health Clinic 2213 Buchanan Rd #103 Antioch, CA (925) Hours: W 8 am - 5 pmth 8 am - 5 pmf 8 am - 5 pm Accessibility Indicator: L E EB IB P Plan Reference Number: NPI: CA LIC: Mostaghasi, Taraneh, MD Concord Pediatric Care 3711 Sunset Ln Ste D Antioch, CA (925) Plan Reference Number: NPI: CA LIC: A Languages: PERSIAN SPANISH Accepting New Patients: Mahdavi, Abbas, MD Delta (Abbas Mahdavi Inc.) 3700 Sunset Ln Ste 3 Antioch, CA (925) Hours: M 8:30 am - 5 pmtu 8:30 am - 5 pmw 8:30 am - 5 pmth 9 am - 2 pmf 8:30 am - 12 pm Accessibility Indicator: L P Plan Reference Number: NPI: CA LIC: A31325 Languages: PERSIAN SPANISH Accepting New Patients: Blair, Sloane, NP Diablo Valley Medical Group 4049 Lone Tree Way Ste G Antioch, CA (925) Hours: M-F 8:30 am - 5:30 pmsat 8:30 am - 12 pm Accessibility Indicator: L E EB IB Plan Reference Number: NPI: CA LIC: NPF Accepting New Patients: Taft, Wesley, MD Diablo Valley Medical Group 4049 Lone Tree Way Ste G Antioch, CA (925) Hours: M-F 8:30 am - 5:30 pmsat 8:30 am - 12 pm Accessibility Indicator: L E EB IB Plan Reference Number: NPI: CA LIC: A Languages: RUSSIAN SPANISH Accepting New Patients: Tracy, Ryan, MD Diablo Valley Medical Group 4049 Lone Tree Way Ste G Antioch, CA (925) Hours: M-F 8:30 am - 5:30 pmsat 8:30 am - 12 pm Accessibility Indicator: L E EB IB Plan Reference Number: NPI: CA LIC: A83635 Accepting New Patients: Warren, Kaitlin, NP Diablo Valley Medical Group 4049 Lone Tree Way Ste G Antioch, CA (925) Hours: M-F 8:30 am - 5:30 pmsat 8:30 am - 5:30 pm Accessibility Indicator: L E EB IB Plan Reference Number: NPI: CA LIC: NPF Accepting New Patients: This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 35

91 Primary Care Providers Proveedores de Atención Primaria Pediatría Yang, Lucia, MD Diablo Valley Medical Group 4049 Lone Tree Way Ste G Antioch, CA (925) Hours: M-F 8:30 am - 5:30 pmsat 8:30 am - 12 pm Accessibility Indicator: L E EB IB Plan Reference Number: NPI: CA LIC: A73199 Languages: MANDARIN SPANISH Accepting New Patients: Brentwood Huang, Harry, MD Bayside Medical Group Inc 100 Cortona Way Ste 230 Brentwood, CA (925) Hours: M-F 8:30 am - 5:30 pm Accessibility Indicator: L E EB P Plan Reference Number: NPI: CA LIC: A85073 CANTONESE Accepting New Patients: Blair, Sloane, NP Diablo Valley Medical Group 1200 Central Blvd Ste A Brentwood, CA (925) Hours: M-F 8:30 am - 5:30 pmsat 8:30 am - 12 pm Accessibility Indicator: L E EB IB P Plan Reference Number: NPI: CA LIC: NPF Accepting New Patients: Taft, Wesley, MD Diablo Valley Medical Group 1200 Central Blvd Ste A Brentwood, CA (925) Hours: M-F 8:30 am - 5:30 pm Accessibility Indicator: L E EB IB P Plan Reference Number: NPI: CA LIC: A Languages: RUSSIAN SPANISH Accepting New Patients: Tracy, Ryan, MD Diablo Valley Medical Group 1200 Central Blvd Ste A Brentwood, CA (925) Hours: M-F 8:30 am - 5:30 pmsat 8:30 am - 12 pm Accessibility Indicator: L E EB IB P Plan Reference Number: NPI: CA LIC: A83635 Accepting New Patients: Warren, Kaitlin, NP Diablo Valley Medical Group 1200 Central Blvd Ste A Brentwood, CA (925) Hours: M-F 8:30 am - 5:30 pm Accessibility Indicator: L E EB IB P Plan Reference Number: NPI: CA LIC: NPF Accepting New Patients: Yang, Lucia, MD Diablo Valley Medical Group 1200 Central Blvd Ste A Brentwood, CA (925) Hours: M-F 8:30 am - 5:30 pmsat 8:30 am - 12 pm Accessibility Indicator: L E EB IB P Plan Reference Number: NPI: CA LIC: A73199 Languages: MANDARIN SPANISH Accepting New Patients: Vallamdas, Usha, MD Felicity A Professional Medical Corporation 2400 Balfour Rd Ste 302 Brentwood, CA (925) Hours: M 10:30 am - 6:30 pmtu 9:30 am - 5:30 pmw 9:30 am - 5:30 pmth 9:30 am - 5:30 pmf 10:30 am - 6:30 pm Accessibility Indicator: B E EB IB P R Plan Reference Number: NPI: CA LIC: A Accepting New Patients: Goldman, Tracy, MD John Muir Physician Network 2400 Balfour Rd Ste 229 Brentwood, CA (925) Hours: M-F 8:30 am - 5:30 pm Accessibility Indicator: L E EB IB P R Plan Reference Number: NPI: CA LIC: A82208 Accepting New Patients: This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 36

92 Primary Care Providers Proveedores de Atención Primaria Pediatría Patel, Nita, MD John Muir Physician Network 2400 Balfour Rd Ste 229 Brentwood, CA (925) Hours: M-F 8:30 am - 5:30 pm Accessibility Indicator: L E EB IB P R Plan Reference Number: NPI: CA LIC: C52978 Languages: GUJARATI SPANISH Accepting New Patients: Paz, Lorna, MD John Muir Physician Network 2400 Balfour Rd Ste 229 Brentwood, CA (925) Hours: M-F 8:30 am - 5:30 pm Accessibility Indicator: L E EB IB P R Plan Reference Number: NPI: CA LIC: A54823 Accepting New Patients: Rood, Lisa, MD John Muir Physician Network 2400 Balfour Rd Ste 229 Brentwood, CA (925) Hours: M-F 8:30 am - 5 pm Accessibility Indicator: L E EB IB P R Plan Reference Number: NPI: CA LIC: A81020 Accepting New Patients: Concord Mostaghasi, Taraneh, MD Concord Pediatric Care 3108 Willow Pass Rd Concord, CA (925) Hours: M-F 9 am - 5 pmsat 9 am - 12:30 pm Accessibility Indicator: L EB IB P Plan Reference Number: NPI: CA LIC: A Languages: PERSIAN SPANISH Accepting New Patients: Blair, Sloane, NP Diablo Valley Medical Group 2299 Bacon St Ste 7 Concord, CA (925) Hours: M-F 8:30 am - 5:30 pmsat 8:30 am - 12 pm Accessibility Indicator: L E EB IB P Plan Reference Number: NPI: CA LIC: NPF Accepting New Patients: Taft, Wesley, MD Diablo Valley Medical Group 2299 Bacon St Ste 7 Concord, CA (925) Hours: M 8:30 am - 5:30 pmtu 8:30 am - 5:30 pmw 8:30 am - 5:30 pmth 8:30 am - 5:30 pmf 8:30 am - 8:30 pmsat 8:30 am - 12 pm Accessibility Indicator: L E EB IB P Plan Reference Number: NPI: CA LIC: A Languages: RUSSIAN SPANISH Accepting New Patients: Tracy, Ryan, MD Diablo Valley Medical Group 2299 Bacon St Ste 7 Concord, CA (925) Hours: M-F 8:30 am - 5:30 pmsat 8:30 am - 12 pm Accessibility Indicator: L E EB IB P Plan Reference Number: NPI: CA LIC: A83635 Accepting New Patients: Warren, Kaitlin, NP Diablo Valley Medical Group 2299 Bacon St Ste 7 Concord, CA (925) Hours: M-F 8:30 am - 5:30 pmsat 8:30 am - 5:30 pm Accessibility Indicator: L E EB IB P Plan Reference Number: NPI: CA LIC: NPF Accepting New Patients: Yang, Lucia, MD Diablo Valley Medical Group 2299 Bacon St Ste 7 Concord, CA (925) Hours: M-F 8:30 am - 5:30 pmsat 8:30 am - 12 pm Accessibility Indicator: L E EB IB P Plan Reference Number: NPI: CA LIC: A73199 Languages: MANDARIN SPANISH Accepting New Patients: This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 37

93 Primary Care Providers Proveedores de Atención Primaria Pediatría Elliott, Robert, MD La Clinica De La Raza 2000 Sierra Rd Concord, CA (925) Hours: M-F 8 am - 5 pmsat 8 am - 5 pm Accessibility Indicator: L E EB IB R Plan Reference Number: NPI: CA LIC: A Accepting New Patients: Risgalla, Habib, MD La Clinica De La Raza 2000 Sierra Rd Concord, CA (925) Hours: M-F 8 am - 5:30 pm Accessibility Indicator: L E EB IB R Plan Reference Number: NPI: CA LIC: A49934 Accepting New Patients: Hercules Enz, Jose, MD Herculean Babies 500 Alfred bel Dr Ste 255A Hercules, CA (510) Hours: M-F 9 am - 5 pm Accessibility Indicator: L E EB IB P Plan Reference Number: NPI: CA LIC: G51091 Accepting New Patients: Oakley Botelho, Barbara, MD La Clinica De La Raza 2021 Main St. Oakley, CA (925) Hours: Th 8:30 am - 5:30 pm Accessibility Indicator: L E EB IB P Plan Reference Number: NPI: CA LIC: A51147 Orinda Dovichi, Jennifer, MD John Muir Physician Network 3 Altarinda Rd Ste 300 Orinda, CA (925) Hours: M-F 8 am - 5 pm Accessibility Indicator: L E EB P Plan Reference Number: NPI: CA LIC: A66114 Accepting New Patients: Evans, James, MD John Muir Physician Network 3 Altarinda Rd Ste 300 Orinda, CA (925) Hours: M-F 8 am - 5 pm Accessibility Indicator: L E EB P Plan Reference Number: NPI: CA LIC: A79671 Accepting New Patients: Meezan, Robin, MD John Muir Physician Network 3 Altarinda Rd Ste 300 Orinda, CA (925) Hours: M-F 8 am - 5 pm Accessibility Indicator: L E EB P Plan Reference Number: NPI: CA LIC: A88662 Accepting New Patients: Wu, Pelen, MD John Muir Physician Network 3 Altarinda Rd Ste 300 Orinda, CA (925) Hours: M-F 8 am - 5 pm Accessibility Indicator: L E EB P Plan Reference Number: NPI: CA LIC: A75735 Accepting New Patients: Pittsburg Graves, Gretchen, MD Gretchen Graves MD 2260 Gladstone Dr Ste 2 Pittsburg, CA (925) Hours: M 9 am - 5 pmtu 9 am - 5 pmw 9 am - 12 pmth 9 am - 5 pmf 9 am - 4 pm Accessibility Indicator: L E P Plan Reference Number: NPI: CA LIC: G46185 Accepting New Patients: This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 38

94 Primary Care Providers Proveedores de Atención Primaria Pediatría Botelho, Barbara, MD La Clinica De La Raza 2240 Gladstone Dr Ste 4 Pittsburg, CA (925) Hours: M 8:30 am - 5:30 pmtu 8:30 am - 5:30 pmw 8:30 am - 5:30 pmf 8:30 am - 5:30 pm Plan Reference Number: NPI: CA LIC: A51147 Accepting New Patients: Pleasant Hill Im, Carol, MD John Muir Physician Network 380 Civic Dr Ste 100 Pleasant Hill, CA (925) Hours: M-F 9 am - 5 pm Accessibility Indicator: L E EB IB Plan Reference Number: NPI: CA LIC: A80693 Accepting New Patients: Morgan, John, MD John Muir Physician Network 380 Civic Dr Ste 100 Pleasant Hill, CA (925) Hours: M-F 9 am - 5 pm Accessibility Indicator: E EB IB Plan Reference Number: NPI: CA LIC: A38226 Accepting New Patients: Rush, Philip, MD John Muir Physician Network 91 Gregory Ln Ste 15 Pleasant Hill, CA (925) Hours: M-F 8:30 am - 5 pm Accessibility Indicator: L E EB IB R Plan Reference Number: NPI: CA LIC: G28043 Wagner, David, MD John Muir Physician Network 91 Gregory Ln Ste 15 Pleasant Hill, CA (925) Hours: M-F 8:30 am - 5 pm Accessibility Indicator: L E EB IB R Plan Reference Number: NPI: CA LIC: G55652 Nuti, Elizabeth, MD Night Owl -Early Bird 425 Gregory Lane- Ste Pleasant Hill, CA (925) Hours: M 9 am - 1 pmtu 9 am - 1 pmw 9 am - 1 pmth 9 am - 1 pm Accessibility Indicator: L E EB IB P Plan Reference Number: NPI: CA LIC: A68426 Accepting New Patients: Richmond Riley, Kristin, DO Brighter Beginnings Family Health Clinic 2727 Macdonald Ave Richmond, CA (510) Hours: M 8 am - 5 pmtu 8 am - 5 pm Accessibility Indicator: L E EB IB R Plan Reference Number: NPI: CA LIC: Chatterton-Kirchmeier, Sam, MD LifeLong Medical Care 150 Harbour Way Richmond, CA (510) Hours: M 9 am - 5 pmtu 9 am - 5 pmw 9 am - 5 pmth 9 am - 5 pm Accessibility Indicator: L EB IB P R Plan Reference Number: NPI: CA LIC: A Merchant, Kanwal, MD LifeLong Medical Care 150 Harbour Way Richmond, CA (510) Hours: M-F 9 am - 4 pm Accessibility Indicator: L EB IB P R Plan Reference Number: NPI: CA LIC: A This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 39

95 Primary Care Providers Proveedores de Atención Primaria Pediatría Omotoso, Omoniyi, MD LifeLong Medical Care 150 Harbour Way Richmond, CA (510) Hours: M 12 pm - 4 pmtu 9 am - 4 pmth 9 am - 12 pm Accessibility Indicator: L EB IB P R Plan Reference Number: NPI: CA LIC: A94033 Languages: YORUBA Accepting New Patients: San Pablo Merchant, Kanwal, MD LifeLong Medical Care 2023 Vale Rd Ste 207 San Pablo, CA (510) Hours: M 5 pm - 8 pm Accessibility Indicator: L IB Plan Reference Number: NPI: CA LIC: A O'Hearn, Kathleen, NP LifeLong Medical Care 2023 Vale Rd Ste 207 San Pablo, CA (510) Hours: M-F 8:30 am - 5 pmsat 8:30 am - 2:30 pm Accessibility Indicator: L IB Plan Reference Number: NPI: CA LIC: NPF23060 Swope, Brian, MD LifeLong Medical Care 2023 Vale Rd Ste 207 San Pablo, CA (510) Hours: M-F 8:30 am - 5 pmsat 8:30 am - 2:30 pm Accessibility Indicator: L IB Plan Reference Number: NPI: CA LIC: G70553 Desai, Manoj, MD Manoj Desai MD 2023 Vale Road Ste 1 San Pablo, CA (510) Hours: M 9 am - 5 pmtu 9 am - 5 pmth 9 am - 5 pmf 9 am - 5 pm Accessibility Indicator: L Plan Reference Number: NPI: CA LIC: A33897 Languages: GUJARATI HINDI SPANISH San Ramon Brock-Utne, Alice, MD John Muir Physician Network 2305 Camino Ramon Ste 120 San Ramon, CA (925) Hours: M 9 am - 1 pmtu 9 am - 1 pmw 9 am - 5:30 pm Accessibility Indicator: E EB IB P R Plan Reference Number: NPI: CA LIC: A89825 Accepting New Patients: Lee, Erin, MD John Muir Physician Network 2305 Camino Ramon Ste 120 San Ramon, CA (925) Hours: M-F 8:30 am - 5 pm Accessibility Indicator: E EB IB P R Plan Reference Number: NPI: CA LIC: A65587 Accepting New Patients: Saltzstein, Margaret, MD John Muir Physician Network 2305 Camino Ramon Ste 120 San Ramon, CA (925) Hours: M-F 9 am - 5 pm Accessibility Indicator: E EB IB P R Plan Reference Number: NPI: CA LIC: G72669 Accepting New Patients: Hann, Cynthia, MD John Muir Physician Network 200 Porter Dr #300 San Ramon, CA (925) Hours: M 8 am - 5:30 pmtu 8 am - 5:30 pmw 8 am - 5:30 pmth 8 am - 5:30 pmf 8 am - 5 pmsat 9 am - 12 pm Accessibility Indicator: L IB R Plan Reference Number: NPI: CA LIC: G72970 Accepting New Patients: This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 40

96 Primary Care Providers Proveedores de Atención Primaria Pediatría Hogan, Colleen, MD John Muir Physician Network 200 Porter Dr #300 San Ramon, CA (925) Hours: M 8 am - 5:30 pmtu 8 am - 5:30 pmw 8 am - 5:30 pmth 8 am - 5:30 pmf 8 am - 5 pmsat 9 am - 12 pm Accessibility Indicator: L IB R Plan Reference Number: NPI: CA LIC: G48464 Accepting New Patients: Obrinsky, Allen, MD John Muir Physician Network 200 Porter Dr #300 San Ramon, CA (925) Hours: M 8 am - 5:30 pmtu 8 am - 5:30 pmw 8 am - 5:30 pmth 8 am - 5:30 pmf 8 am - 5 pmsat 9 am - 12 pm Accessibility Indicator: L IB R Plan Reference Number: NPI: CA LIC: G61060 Accepting New Patients: Ruiz, Michael, MD John Muir Physician Network 200 Porter Dr #300 San Ramon, CA (925) Hours: M 8 am - 5:30 pmtu 8 am - 5:30 pmw 8 am - 5:30 pmth 8 am - 5:30 pmf 8 am - 5 pmsat 9 am - 12 pm Accessibility Indicator: L IB Plan Reference Number: NPI: CA LIC: A64848 Accepting New Patients: Trujillo, Tracy, MD John Muir Physician Network 200 Porter Dr #300 San Ramon, CA (925) Hours: M 8 am - 5:30 pmtu 8 am - 5:30 pmw 8 am - 5:30 pmth 8 am - 5:30 pmf 8 am - 5 pmsat 9 am - 12 pm Accessibility Indicator: L IB R Plan Reference Number: NPI: CA LIC: G72064 Accepting New Patients: Sachdeva, Suresh, MD Suresh K Sachdeva MD 1081 Market Pl Ste 800 San Ramon, CA (925) Hours: M-F 9 am - 5 pm Accessibility Indicator: B E EB IB P R Plan Reference Number: NPI: CA LIC: A42843 Languages: HINDI PANJABI SINDHI SPANISH Accepting New Patients: Walnut Creek Huang, Harry, MD Bayside Medical Group Inc 1776 Ygnacio Valley Rd Ste 100 Walnut Creek, CA (925) Hours: M-F 9 am - 5:30 pm Accessibility Indicator: L E EB IB P R Plan Reference Number: NPI: CA LIC: A85073 CANTONESE Accepting New Patients: Chang, Soter-Ming, MD S Ming Chang MD 1816 San Miguel Dr Walnut Creek, CA (925) Hours: M-F 9 am - 5 pm Accessibility Indicator: L E IB Plan Reference Number: NPI: CA LIC: G47420 Accepting New Patients: This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 41

97 Medical Specialties In addition to our Primary Care Providers, Contra Costa HEALTH PLAN has hundreds of specialists to take care of specific medical problems. Your regular doctor has a list of the specialists in your Plan. He or she will refer you to a specialist if you need one. Here are some examples of specialty services: Allergy Neurosurgery Applied Behavior Analysis Obstetrics Audiology * Occupational and Physical Therapy Cardiology Ocularist Prosthesis Cardiovascular Disease Oncology Child Development Ophthalmology Dermatology Optometry * Diagnostic Imaging Orthopedics Endocrinology Otolaryngology (ENT) ENT (Otolaryngology) Pediatric Allergy Family Planning Pediatric Oncology Gastroenterology Pediatric Ophthalmology General Surgery Perinatology Gynecology Plastic Surgery (reconstructive) Hematology Podiatry * Immunology Pulmonary Medicine Infectious Diseases Rheumatology Speech Pathology Maternal Fetal Medicine Speech Therapy * Neonatology Teen Medicine (Adolescent Medicine) Nephrology Thoracic Surgery Neurology Urology Vascular te: For Mental Health Counseling Services please call * Services provided in these specialties are restricted. Please refer to the section Benefit Exceptions on page V to see if you qualify for these specialty services. 42

98 Especialidades Médicas Además de nuestros proveedors de atención primaria, el Contra Costa HEALTH PLAN ofrece cientos de especialistas que se ocupan de problemas médicos específicos. Su médico general Proveedor de Atención Primaria tiene una lista de los especialistas en su plan. Si usted necesita atención médica especializada, su doctor le referirá a un especialista. Los siguentes son ejemplos de servicios de especialidad: Alergia Neurocirugía Alergia Pediátrica Neurología Análisis del comportamiento aplicado Obstetricia Audiología (oído) * Oncología (cáncer) Cardiología (corazón) Oncología Pediátrica Cardiovascular Oftalmología (ojos) Cirugía Oftalmología Pediátrica Cirugía Plástica (de reconstrucción) Optometría * Cirugía Torácica Ortopedia (huesos y articulaciones) Dermatología Otorrinolaringología (oído, nariz y garganta) Desarrollo de Niños Patología del Habla Endocrinología Perinatólogo Enfermedades Infecciosas Planificación de la Familia Especialista del Feto y Materno Podiatría (pie y tobillo) * Gastroenterología (estómago) Programa de Buena Salud para adolescentes Genética Prótesis Ocular Ginecología Pulmonar (pulmones) Hematología Reumatología (articulaciones) Imágenes para Diagnóstico Terapia del Habla * Inmunología Terapia Física Medicina Interna Terapia Ocupacional Nefrología Urología Neonatología (recién nacidos) Vascular ta: Para Servicios de Consejería de Salud Mental llame al * Los servicios provistos en estas especialidades están restringidos. Por favor refiérase a la sección de Excepciones de Beneficios en la página V para ver si usted califica para estos servicios de especialidad. 43

99 Family Planning, Confidential HIV Testing, and Sexually Transmitted Diseases Planificación Familiar, Examen Confidencial de VIH, y Enfermedades Transmitidas Sexualmente CONTRA COSTA Antioch Planned Parenthood Family Planning 1104 Buchanan Rd Ste C10 Antioch, CA (925) Hours: M 8:30 am - 7:30 pmtu 8:30 am - 7:30 pmw 8:30 am - 5 pmth 8:30 am - 5 pmf 8:30 am - 5 pm Accessibility Indicator: L E R Plan Reference Number: MG2530OFFAntioch NPI: Concord Planned Parenthood Family Planning 2185 Pacheco St Concord, CA (925) Hours: M 8:30 am - 5 pmtu 8:30 am - 8 pmw 8:30 am - 5 pmth 8:30 am - 8 pmf 8:30 am - 5 pmsat 8 am - 12 pm Accessibility Indicator: L E EB IB R Plan Reference Number: MG2530OFFConcord NPI: El Cerrito Planned Parenthood Family Planning 320 El Cerrito Plaza El Cerrito, CA (510) Hours: M 8:30 am - 5 pmtu 8:30 am - 5 pmw 11:30 am - 8 pmth 8:30 am - 5 pmf 8:30 am - 5 pmsat 8:30 am - 2 pm Plan Reference Number: MG2530OFFElCerrito NPI: Pittsburg Planned Parenthood Family Planning 3715 Railroad Ave Ste B Pittsburg, CA (925) Hours: Tu 12:30 pm - 5 pmw 8:30 am - 5 pmth 8:30 am - 5 pm Plan Reference Number: MG2530OFFPittsburg NPI: Richmond Planned Parenthood Family Planning 2970 Hilltop Mall Rd Ste 307 Richmond, CA (510) Hours: M 8:30 am - 8 pmtu 8:30 am - 8 pmw 8 am - 5 pmth 8:30 am - 8 pmf 8:30 am - 5 pmsat 9:30 am - 2 pm Accessibility Indicator: L E EB IB P Plan Reference Number: MG2530OFFRichmond1 NPI: Planned Parenthood Family Planning 340 Marina Way Richmond, CA (510) Hours: M-F 8:30 am - 5 pm Accessibility Indicator: L E EB IB Plan Reference Number: MG2530OFFRichmond2 NPI: San Ramon Planned Parenthood Family Planning 200 Porter Dr Ste 200 San Ramon, CA (925) Hours: M 8:30 am - 8 pmtu 8:30 am - 5 pmw 8:30 am - 8 pmth 8:30 am - 5 pmf 8:30 am - 8 pmsat 8:30 am - 1 pm Plan Reference Number: MG2530OFFSanRamon1 NPI: Walnut Creek Planned Parenthood Family Planning 1357 Oakland Blvd Walnut Creek, CA (925) Hours: M 8:30 am - 8 pmtu 8:30 am - 5 pmw 8:30 am - 8 pmth 8:30 am - 5 pmf 7:30 am - 5 pmsat 8:30 am - 2 pm Plan Reference Number: MG2530OFFWalnutCreek NPI: This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 44

100 Obstetrics and Gynecology (also see Family Planning) Servicios de Obstetricia y Ginecologia (tambien vea Planificacion Familiar) ALAMEDA Berkeley Phillips, Tracy, MD Obstetrics and Gynecology LifeLong Medical Care 3075 Adeline St Ste 280 Berkeley, CA (510) Hours: M-F 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: A84062 Obstetrics and Gynecology Accepting New Patients: Oakland Tuan, David, MD Obstetrics and Gynecology David K Tuan MD 373 9th St Ste 301 Oakland, CA (510) Hours: M-F 9 am - 5 pm Accessibility Indicator: L E EB P R Plan Reference Number: NPI: CA LIC: G85944 Obstetrics and Gynecology Languages: CANTONESE MANDARIN Accepting New Patients: CONTRA COSTA Antioch Lamberty, rman, MD Obstetrics and Gynecology Brighter Beginnings Family Health Clinic 2213 Buchanan Rd #103 Antioch, CA (925) Hours: M-F 9 am - 5 pm Accessibility Indicator: L E EB IB P Plan Reference Number: NPI: CA LIC: C Obstetrics and Gynecology Zimmerman, Daniel, MD Obstetrics and Gynecology Daniel L Zimmerman MD 3737 Lone Tree Way Antioch, CA (925) Hours: M 9 am - 4:30 pmtu 9 am - 4:30 pmw 9 am - 4:30 pmth 9 am - 4:30 pm Accessibility Indicator: L Plan Reference Number: NPI: CA LIC: G44114 Obstetrics and Gynecology Stewart, Debra, DO Obstetrics and Gynecology Debra L. Stewart DO 3700 Sunset Ln Ste 7 Antioch, CA (925) Hours: M 9 am - 5 pmtu 9 am - 1 pmw 9 am - 5 pmth 9 am - 1 pm Accessibility Indicator: L P Plan Reference Number: NPI: CA LIC: 20A7174 Accepting New Patients: Kim, Young, MD Obstetrics and Gynecology Youngs OB & GYN 3724 Lone Tree Way Ste A Antioch, CA (925) Hours: M-F 9 am - 5 pm Accessibility Indicator: L EB IB Plan Reference Number: NPI: CA LIC: C51136 Obstetrics and Gynecology Languages: KOREAN ENGLISH Brentwood Barsten-Pascualy, Julie, PA Obstetrics and Gynecology Yaron Friedman MD. Inc Balfour Rd Ste 230 Brentwood, CA (925) Hours: F 9 am - 5 pm Accessibility Indicator: B E EB IB P Plan Reference Number: NPI: CA LIC: PA12879 Friedman, Yaron, MD Obstetrics and Gynecology Yaron Friedman MD. Inc Balfour Rd Ste 230 Brentwood, CA (925) Hours: F 9 am - 5 pm Accessibility Indicator: B E EB IB P Plan Reference Number: NPI: CA LIC: A74362 Obstetrics and Gynecology Languages: HEBREW SPANISH ENGLISH This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 45

101 Obstetrics and Gynecology (also see Family Planning) Servicios de Obstetricia y Ginecologia (tambien vea Planificacion Familiar) Concord Feierabend, Susan, MD Obstetrics and Gynecology Concord Health Center 3052 Willow Pass Rd Ste 103 Concord, CA Hours: M-F 8 am - 5 pm Accessibility Indicator: L ME EB R Plan Reference Number: NPI: CA LIC: A60059 Accepting New Patients: Johnson, Sara, MD Obstetrics and Gynecology La Clinica De La Raza 2000 Sierra Rd Concord, CA (925) Hours: M 8:30 am - 8:30 pmtu 8:30 am - 8:30 pmth 8:30 am - 5:30 pmf 8:30 am - 5:30 pmsat 8:30 am - 5 pm Accessibility Indicator: L E EB IB R Plan Reference Number: NPI: CA LIC: A Obstetrics and Gynecology Khan, Parveen, MD Obstetrics and Gynecology La Clinica De La Raza 2000 Sierra Rd Concord, CA (925) Hours: M 8:30 am - 8:30 pmtu 8:30 am - 8:30 pmw 8:30 am - 6:30 pmth 8:30 am - 5:30 pmf 8:30 am - 5:30 pmsat 8:30 am - 5 pm Accessibility Indicator: L E EB IB R Plan Reference Number: NPI: CA LIC: A Obstetrics and Gynecology Languages: HINDI PANJABI SPANISH URDU ENGLISH El Sobrante Davenport, Mary, MD Obstetrics and Gynecology Mary Davenport MD 4440 San Pablo Dam Rd. Ste B El Sobrante, CA (510) Hours: M 9 am - 5 pmtu 9 am - 5 pmw 9 am - 12 pmth 9 am - 5 pmf 9 am - 12 pm Accessibility Indicator: L Plan Reference Number: NPI: CA LIC: G33883 Obstetrics and Gynecology Accepting New Patients: Martinez Berletti, Charles, MD Obstetrics and Gynecology Martinez Health Center 2500 Alhambra Ave Martinez, CA Hours: M-F 7:45 am - 12 pm, 1 pm - 9 pmsat 9 am - 12 pm, 1 pm - 5 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: A32986 Languages: FRENCH Cavallaro, Grace, MD Obstetrics and Gynecology Martinez Health Center 2500 Alhambra Ave Martinez, CA Hours: M-F 7:45 am - 12 pm, 1 pm - 9 pmsat 9 am - 12 pm, 1 pm - 5 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: G80059 Obstetrics and Gynecology Dao, Huy, MD Obstetrics and Gynecology Martinez Health Center 2500 Alhambra Ave Martinez, CA Hours: M-F 7:45 am - 12 pm, 1 pm - 9 pmsat 9 am - 12 pm, 1 pm - 5 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: A60118 Obstetrics and Gynecology Languages: VIETNAMESE This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 46

102 Obstetrics and Gynecology (also see Family Planning) Servicios de Obstetricia y Ginecologia (tambien vea Planificacion Familiar) Feierabend, Susan, MD Obstetrics and Gynecology Martinez Health Center 2500 Alhambra Ave Martinez, CA Hours: M-F 7:45 am - 12 pm, 1 pm - 9 pmsat 9 am - 12 pm, 1 pm - 5 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: A60059 Hajyan, Karine, DO Obstetrics and Gynecology Martinez Health Center 2500 Alhambra Ave Martinez, CA Hours: M-F 7:45 am - 12 pm, 1 pm - 9 pmsat 9 am - 12 pm, 1 pm - 5 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: 20A12220 Obstetrics and Gynecology Accepting New Patients: Hay, Sunthara, DO Obstetrics and Gynecology Martinez Health Center 2500 Alhambra Ave Martinez, CA Hours: M-F 7:45 am - 12 pm, 1 pm - 9 pmsat 9 am - 12 pm, 1 pm - 5 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: 20A7829 Board Certified: American Osteopathic Board of Obstetrics & Gynecology Hood, Sharon, MD Obstetrics and Gynecology Martinez Health Center 2500 Alhambra Ave Martinez, CA Hours: M-F 7:45 am - 12 pm, 1 pm - 9 pmsat 9 am - 12 pm, 1 pm - 5 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: Obstetrics and Gynecology Accepting New Patients: Keller, Lisa, MD Obstetrics and Gynecology Martinez Health Center 2500 Alhambra Ave Martinez, CA Hours: M-F 7:45 am - 12 pm, 1 pm - 9 pmsat 9 am - 12 pm, 1 pm - 5 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: G38545 Obstetrics and Gynecology Macedo, Joseph, MD Obstetrics and Gynecology Martinez Health Center 2500 Alhambra Ave Martinez, CA Hours: M-F 7:45 am - 12 pm, 1 pm - 9 pmsat 9 am - 12 pm, 1 pm - 5 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: G84724 Mansouri, Jelriza, MD Obstetrics and Gynecology Martinez Health Center 2500 Alhambra Ave Martinez, CA Hours: M-F 7:45 am - 12 pm, 1 pm - 9 pmsat 9 am - 12 pm, 1 pm - 5 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: A97750 Obstetrics and Gynecology Languages: TAGALOG Mbanugo, Ogo, MD Obstetrics and Gynecology Martinez Health Center 2500 Alhambra Ave Martinez, CA Hours: M-F 7:45 am - 12 pm, 1 pm - 9 pmsat 9 am - 12 pm, 1 pm - 5 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: A44694 Murguia, Sandra, FNP Obstetrics and Gynecology Martinez Health Center 2500 Alhambra Ave Martinez, CA Hours: M-F 7:45 am - 12 pm, 1 pm - 9 pmsat 9 am - 12 pm, 1 pm - 5 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: NPF19688 Accepting New Patients: This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 47

103 Obstetrics and Gynecology (also see Family Planning) Servicios de Obstetricia y Ginecologia (tambien vea Planificacion Familiar) Radu-Radulescu, Ruxandra, MD Obstetrics and Gynecology Martinez Health Center 2500 Alhambra Ave Martinez, CA Hours: M-F 7:45 am - 12 pm, 1 pm - 9 pmsat 9 am - 12 pm, 1 pm - 5 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: A Vanjani, Rachna, MD Obstetrics and Gynecology Martinez Health Center 2500 Alhambra Ave Martinez, CA Hours: M-F 7:45 am - 12 pm, 1 pm - 9 pmsat 9 am - 12 pm, 1 pm - 5 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: A Pittsburg Cavallaro, Grace, MD Obstetrics and Gynecology Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA Hours: M,W 7:45 am - 8:30 pmt, Th, F 7:45 am - 4:45 pmsat 7:45 am - 11:45 am, 12:45 pm - 4:45 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: G80059 Obstetrics and Gynecology Dao, Huy, MD Obstetrics and Gynecology Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA Hours: M,W 7:45 am - 8:30 pmt, Th, F 7:45 am - 4:45 pmsat 7:45 am - 11:45 am, 12:45 pm - 4:45 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: A60118 Obstetrics and Gynecology Languages: VIETNAMESE Feierabend, Susan, MD Obstetrics and Gynecology Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA Hours: M,W 7:45 am - 8:30 pmt, Th, F 7:45 am - 4:45 pmsat 7:45 am - 11:45 am, 12:45 pm - 4:45 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: A60059 Hay, Sunthara, DO Obstetrics and Gynecology Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA Hours: M,W 7:45 am - 8:30 pmt, Th, F 7:45 am - 4:45 pmsat 7:45 am - 11:45 am, 12:45 pm - 4:45 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: 20A7829 Board Certified: American Osteopathic Board of Obstetrics & Gynecology Loeliger, Scott, MD Obstetrics and Gynecology Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA Hours: M,W 7:45 am - 8:30 pmt, Th, F 7:45 am - 4:45 pmsat 7:45 am - 11:45 am, 12:45 pm - 4:45 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: G71388 Languages: FIJIAN GERMAN SPANISH Macedo, Joseph, MD Obstetrics and Gynecology Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA Hours: M,W 7:45 am - 8:30 pmt, Th, F 7:45 am - 4:45 pmsat 7:45 am - 11:45 am, 12:45 pm - 4:45 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: G84724 Madlock, Michele, CNM Midwife Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA Hours: M,W 7:45 am - 8:30 pmt, Th, F 7:45 am - 4:45 pmsat 7:45 am - 11:45 am, 12:45 pm - 4:45 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: NMF1763 This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 48

104 Obstetrics and Gynecology (also see Family Planning) Servicios de Obstetricia y Ginecologia (tambien vea Planificacion Familiar) Mbanugo, Ogo, MD Obstetrics and Gynecology Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA Hours: M,W 7:45 am - 8:30 pmt, Th, F 7:45 am - 4:45 pmsat 7:45 am - 11:45 am, 12:45 pm - 4:45 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: A44694 Murguia, Sandra, FNP Obstetrics and Gynecology Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA Hours: M,W 7:45 am - 8:30 pmt, Th, F 7:45 am - 4:45 pmsat 7:45 am - 11:45 am, 12:45 pm - 4:45 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: NPF19688 Accepting New Patients: Richmond Lamberty, rman, MD Obstetrics and Gynecology Brighter Beginnings Family Health Clinic 2727 Macdonald Ave Richmond, CA (510) Hours: M-F 8:30 am - 5 pm Accessibility Indicator: L E EB IB R Plan Reference Number: NPI: CA LIC: C Obstetrics and Gynecology Summer, Jane, NP Obstetrics and Gynecology LifeLong Medical Care 1030 Nevin Ave Richmond, CA (510) Hours: M-F 8:30 am - 5 pm Accessibility Indicator: L E EB IB T Plan Reference Number: NPI: CA LIC: San Pablo Lehman, Tara, MD Obstetrics and Gynecology 2023 Vale Rd Ste 207 San Pablo, CA (510) Hours: M 8:30 am - 8:30 pmtu 8:30 am - 8:30 pmw 8:30 am - 8:30 pmth 8:30 am - 8:30 pmf 8:30 am - 5 pmsat 8:30 am - 2:30 pm Accessibility Indicator: L IB Plan Reference Number: NPI: CA LIC: Berletti, Charles, MD Obstetrics and Gynecology West County Health Center San Pablo Ave San Pablo, CA Hours: M, T, W, Th 8 am - 8:45 pmf, Sat 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: A32986 Languages: FRENCH Hajyan, Karine, DO Obstetrics and Gynecology West County Health Center San Pablo Ave San Pablo, CA Hours: M, T, W, Th 8 am - 8:45 pmf, Sat 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: 20A12220 Obstetrics and Gynecology Keller, Lisa, MD Obstetrics and Gynecology West County Health Center San Pablo Ave San Pablo, CA Hours: M, T, W, Th 8 am - 8:45 pmf, Sat 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: G38545 Obstetrics and Gynecology Lehman, Tara, MD Obstetrics and Gynecology West County Health Center San Pablo Ave San Pablo, CA Hours: M, T, W, Th 8 am - 8:45 pmf, Sat 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: A91139 Accepting New Patients: This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 49

105 Obstetrics and Gynecology (also see Family Planning) Servicios de Obstetricia y Ginecologia (tambien vea Planificacion Familiar) Lockhart, Ann, MD Obstetrics and Gynecology West County Health Center San Pablo Ave San Pablo, CA Hours: M, T, W, Th 8 am - 8:45 pmf, Sat 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: A80812 Accepting New Patients: Macedo, Joseph, MD Obstetrics and Gynecology West County Health Center San Pablo Ave San Pablo, CA Hours: M, T, W, Th 8 am - 8:45 pmf, Sat 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: G84724 Mbanugo, Ogo, MD Obstetrics and Gynecology West County Health Center San Pablo Ave San Pablo, CA Hours: M, T, W, Th 8 am - 8:45 pmf, Sat 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: A44694 Radu-Radulescu, Ruxandra, MD Obstetrics and Gynecology West County Health Center San Pablo Ave San Pablo, CA Hours: M, T, W, Th 8 am - 8:45 pmf, Sat 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: A Vanjani, Rachna, MD Obstetrics and Gynecology West County Health Center San Pablo Ave San Pablo, CA Hours: M, T, W, Th 8 am - 8:45 pmf, Sat 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: A Accepting New Patients: Walnut Creek Crockett, John, MD Obstetrics and Gynecology John Muir Physician Network 1450 Treat Blvd #320 Walnut Creek, CA (925) Hours: M 8 am - 12:30 pmtu 8 am - 12:30 pmw 12 pm - 4:30 pmth 12 pm - 4:30 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: G23062 Lockwood, Lauren, CNM Midwife Women's Health Partners of California Inc. 112 La Casa Via Ste 300 Walnut Creek, CA (925) Hours: M-F 9 am - 5 pm Accessibility Indicator: L E EB IB P Plan Reference Number: NPI: CA LIC: NWF2014 Accepting New Patients: Rose, Joseph, MD Obstetrics and Gynecology Women's Health Partners of California Inc. 112 La Casa Via Ste 300 Walnut Creek, CA (925) Hours: M-F 9 am - 5 pm Accessibility Indicator: L E EB IB P Plan Reference Number: NPI: CA LIC: A Accepting New Patients: Senior, Janine, MD Obstetrics and Gynecology Women's Health Partners of California Inc. 112 La Casa Via Ste 300 Walnut Creek, CA (925) Hours: M-F 9 am - 5 pm Accessibility Indicator: L E EB IB P Plan Reference Number: NPI: CA LIC: G74576 Obstetrics and Gynecology ENGLISH Accepting New Patients: This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 50

106 Obstetrics and Gynecology (also see Family Planning) Servicios de Obstetricia y Ginecologia (tambien vea Planificacion Familiar) Vemulapalli, Madhavi, MD Obstetrics and Gynecology Women's Health Partners of California Inc. 112 La Casa Via Ste 300 Walnut Creek, CA (925) Hours: M 9 am - 4 pmtu 9 am - 4 pmth 9 am - 4 pmf 9 am - 4 pm Accessibility Indicator: L E EB IB P Plan Reference Number: NPI: CA LIC: A Obstetrics and Gynecology Accepting New Patients: Klein, Louis, MD Obstetrics and Gynecology Women's Health Partners of California Inc Ygnacio Valley Rd Ste 208 Walnut Creek, CA (925) Hours: M-F 9 am - 4:30 pm Accessibility Indicator: L E EB IB P Plan Reference Number: NPI: CA LIC: G21120 Obstetrics and Gynecology Williams, Mary, NP Obstetrics and Gynecology Women's Health Partners of California Inc Ygnacio Valley Rd Ste 208 Walnut Creek, CA (925) Hours: M-F 9 am - 5 pm Accessibility Indicator: L E EB IB P Plan Reference Number: NPI: CA LIC: 6857 Barsten-Pascualy, Julie, PA Obstetrics and Gynecology Yaron Friedman MD. Inc. 130 La Casa Via Bldg 3 Ste 112 Walnut Creek, CA (925) Hours: M-F 9 am - 5 pm Accessibility Indicator: L EB IB P Plan Reference Number: NPI: CA LIC: PA12879 Friedman, Yaron, MD Obstetrics and Gynecology Yaron Friedman MD. Inc. 130 La Casa Via Bldg 3 Ste 112 Walnut Creek, CA (925) Hours: M-F 9 am - 5 pm Accessibility Indicator: L EB IB P Plan Reference Number: NPI: CA LIC: A74362 Obstetrics and Gynecology Languages: HEBREW SPANISH ENGLISH This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 51

107 Contra Costa Health Plan Pharmacy by City Lista de Farmacias por Ciudad CONTRA COSTA Alamo Rite Aid Pharmacy Alamo Plaza Alamo, CA (925) Hours: M 9 am - 9 pmtu 9 am - 9 pmw 9 am - 9 pmth 9 am - 9 pmf 9 am - 9 pmsat 9 am - 6 pmsun 10 am - 6 pm Plan Reference Number: 409 NPI: Antioch Rite Aid Pharmacy East 18th Street Antioch Financial Center Antioch, CA (925) Hours: M 9 am - 9 pmtu 9 am - 9 pmw 9 am - 9 pmth 9 am - 9 pmf 9 am - 9 pmsat 9 am - 6 pmsun 10 am - 6 pm Plan Reference Number: 410 NPI: Rite Aid Pharmacy Deer Valley Road The Crossings Antioch, CA (925) Hours: M 9 am - 9 pmtu 9 am - 9 pmw 9 am - 9 pmth 9 am - 9 pmf 9 am - 9 pmsat 9 am - 6 pmsun 10 am - 6 pm Plan Reference Number: 411 NPI: Rite Aid Pharmacy Lone Tree Way Antioch, CA (925) Hours: M 9 am - 9 pmtu 9 am - 9 pmw 9 am - 9 pmth 9 am - 9 pmf 9 am - 9 pmsat 9 am - 6 pmsun 10 am - 6 pm Plan Reference Number: 433 NPI: Walgreens Deer Valley Rd Antioch, CA (925) Hours: M 8 am - 9 pmtu 8 am - 9 pmw 8 am - 9 pmth 8 am - 9 pmf 8 am - 9 pmsat 9 am - 6 pmsun 10 am - 6 pm Plan Reference Number: 141 NPI: Bay Point Walgreens Willow Pass Rd Bay Point, CA (925) Hours: M 8 am - 9 pmtu 8 am - 9 pmw 8 am - 9 pmth 8 am - 9 pmf 8 am - 9 pmsat 9 am - 6 pmsun 10 am - 6 pm Plan Reference Number: 678 NPI: Brentwood City Center Pharmacy Brentwood 50 Eagle Rock Way Ste C Brentwood, CA (925) Hours: M 9 am - 6 pmtu 9 am - 6 pmw 9 am - 6 pmth 9 am - 6 pmf 9 am - 6 pm Plan Reference Number: 661 NPI: Walgreens Balfour Rd Brentwood, CA (925) Hours: M 8 am - 9 pmtu 8 am - 9 pmw 8 am - 9 pmth 8 am - 9 pmf 8 am - 9 pmsat 9 am - 6 pmsun 10 am - 6 pm Plan Reference Number: 142 NPI: Walgreens Balfour Rd Brentwood, CA (925) Hours: M 8 am - 9 pmtu 8 am - 9 pmw 8 am - 9 pmth 8 am - 9 pmf 8 am - 9 pmsat 9 am - 6 pmsun 10 am - 6 pm Plan Reference Number: 449 NPI: Walgreens Lone Tree Way Brentwood, CA (925) Hours: M 8 am - 9 pmtu 8 am - 9 pmw 8 am - 9 pmth 8 am - 9 pmf 8 am - 9 pmsat 9 am - 6 pmsun 10 am - 6 pm Plan Reference Number: 143 NPI: Clayton Walgreens Clayton Rd Clayton, CA (925) Hours: M 8 am - 9 pmtu 8 am - 9 pmw 8 am - 9 pmth 8 am - 9 pmf 8 am - 9 pmsat 9 am - 6 pmsun 10 am - 6 pm Plan Reference Number: 469 NPI: This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 52

108 Contra Costa Health Plan Pharmacy by City Lista de Farmacias por Ciudad Concord Bacon East Pharmacy Inc East Street Ste 5 Concord, CA (925) Hours: M 8:45 am - 5:45 pmtu 8:45 am - 5:45 pmw 8:45 am - 5:45 pmth 8:45 am - 5:45 pmf 8:45 am - 5:45 pmsun 9 am - 12:30 pm Plan Reference Number: 1071 NPI: Oak Grove Pharmacy 785 Oak Grove Rd Concord, CA (925) Hours: M 9:30 am - 6:30 pmtu 9:30 am - 6:30 pmw 9:30 am - 6:30 pmth 9:30 am - 6:30 pmf 9:30 am - 6:30 pmsat 10 am - 1 pm Plan Reference Number: 668 NPI: Rite Aid Pharmacy Monument Boulevard Lucky Center Concord, CA (925) Hours: M 9 am - 9 pmtu 9 am - 9 pmw 9 am - 9 pmth 9 am - 9 pmf 9 am - 9 pmsat 10 am - 7 pmsun 10 am - 6 pm Plan Reference Number: 412 NPI: Solano Pharmacy Solano Way Concord, CA (925) Hours: M 8 am - 9 pmtu 8 am - 9 pmw 8 am - 9 pmth 8 am - 9 pmf 8 am - 9 pmsat 9 am - 9 pmsun 10 am - 5 pm Plan Reference Number: 923 NPI: Sycamore Medical Pharmacy 2485 High School Avenue Ste 114 Concord, CA (925) Hours: M 9 am - 6 pmtu 9 am - 6 pmw 9 am - 6 pmth 9 am - 6 pmf 9 am - 6 pm Plan Reference Number: 672 NPI: Walgreens Monument Blvd Concord, CA (925) Hours: M 8 am - 9 pmtu 8 am - 9 pmw 8 am - 9 pmth 8 am - 9 pmf 8 am - 9 pmsat 9 am - 6 pmsun 10 am - 6 pm Plan Reference Number: 680 NPI: Walgreens Concord Ave Concord, CA (925) Hours: M 8 am - 9 pmtu 8 am - 9 pmw 8 am - 9 pmth 8 am - 9 pmf 8 am - 9 pmsat 9 am - 6 pmsun 10 am - 6 pm Plan Reference Number: 144 NPI: Danville Danville San Ramon Pharmacy 905 San Ramon Valley Blvd Ste 106 Danville, CA (925) Hours: M 9 am - 6 pmtu 9 am - 6 pmw 9 am - 6 pmth 9 am - 6 pmf 9 am - 6 pmsat 10 am - 2 pm Plan Reference Number: 664 NPI: Walgreens San Ramon Valley Blvd Danville, CA (925) Hours: M 8 am - 9 pmtu 8 am - 9 pmw 8 am - 9 pmth 8 am - 9 pmf 8 am - 9 pmsat 9 am - 6 pmsun 10 am - 6 pm Plan Reference Number: 470 NPI: El Cerrito Walgreens San Pablo Ave El Cerrito, CA (510) Hours: M 8 am - 9 pmtu 8 am - 9 pmw 8 am - 9 pmth 8 am - 9 pmf 8 am - 9 pmsat 9 am - 6 pmsun 10 am - 6 pm Plan Reference Number: 145 NPI: El Sobrante Walgreens San Pablo Dam Road El Sobrante, CA (510) Hours: M 8 am - 9 pmtu 8 am - 9 pmw 8 am - 9 pmth 8 am - 9 pmf 8 am - 9 pmsat 9 am - 6 pmsun 10 am - 6 pm Plan Reference Number: 464 NPI: Hercules Rite Aid Pharmacy Sycamore Avenue Hercules, CA (510) Hours: M 9 am - 9 pmtu 9 am - 9 pmw 9 am - 9 pmth 9 am - 9 pmf 9 am - 9 pmsat 9 am - 6 pmsun 10 am - 6 pm Plan Reference Number: 418 NPI: This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 53

109 Contra Costa Health Plan Pharmacy by City Lista de Farmacias por Ciudad Lafayette Walgreens 3614 Mt. Diablo Blvd. Lafayette, CA (925) Hours: M 8 am - 9 amtu 8 am - 9 amw 8 am - 9 amth 8 am - 9 amf 8 am - 9 amsat 9 am - 6 pmsun 11 am - 6 pm Plan Reference Number: 922 NPI: Martinez Rite Aid Pharmacy Arnold Drive Martinez, CA (925) Hours: M 9 am - 9 pmtu 9 am - 9 pmw 9 am - 9 pmth 9 am - 9 pmf 9 am - 9 pmsat 9 am - 6 pmsun 10 am - 6 pm Plan Reference Number: 420 NPI: Walgreens Alhambra Ave Martinez, CA (925) Hours: M 8 am - 9 pmtu 8 am - 9 pmw 8 am - 9 pmth 8 am - 9 pmf 8 am - 9 pmsat 9 am - 6 pmsun 10 am - 6 pm Plan Reference Number: 146 NPI: Oakley Rite Aid Pharmacy Main Street Oakley Town Center Oakley, CA (925) Hours: M 9 am - 9 pmtu 9 am - 9 pmw 9 am - 9 pmth 9 am - 9 pmf 9 am - 9 pmsat 9 am - 6 pmsun 10 am - 6 pm Plan Reference Number: 421 NPI: Orinda Medicine Shoppe Pharmacy Village Square Orinda, CA (925) Hours: M 10 am - 6 pmtu 10 am - 6 pmw 10 am - 6 pmth 10 am - 6 pmf 10 am - 6 pmsat 10 am - 2 pm Plan Reference Number: 667 NPI: Rite Aid Pharmacy Orinda Way Village Square SC Orinda, CA (925) Hours: M 9 am - 9 pmtu 9 am - 9 pmw 9 am - 9 pmth 9 am - 9 pmf 9 am - 9 pmsat 9 am - 6 pmsun 10 am - 6 pm Plan Reference Number: 422 NPI: Pinole Walgreens Pinole Valley Road Pinole, CA (510) Hours: M 8 am - 9 pmtu 8 am - 9 pmw 8 am - 9 pmth 8 am - 9 pmf 8 am - 9 pmsat 9 am - 6 pmsun 10 am - 6 pm Plan Reference Number: 455 NPI: Whitecross Professional Pharmacy 2160 Appian Way Ste 102 Pinole, CA (510) Hours: M 9:30 am - 6 pmtu 9:30 am - 6 pmw 9:30 am - 6 pmth 9:30 am - 6 pmf 9:30 am - 6 pm Plan Reference Number: 675 NPI: Pittsburg City Center Pharmacy Inc 1270 E Leland Rd Ste 102 Pittsburg, CA (925) Hours: M 9 am - 7 pmtu 9 am - 7 pmw 9 am - 7 pmth 9 am - 7 pmf 9 am - 7 pmsat 9 am - 1 pm Plan Reference Number: 662 NPI: Rite Aid Pharmacy Bailey Road Pittsburg, CA (925) Hours: M 9 am - 9 pmtu 9 am - 9 pmw 9 am - 9 pmth 9 am - 9 pmf 9 am - 9 pmsat 9 am - 6 pmsun 10 am - 6 pm Plan Reference Number: 423 NPI: Walgreens Railroad Ave Pittsburg, CA (925) Hours: M 8 am - 9 pmtu 8 am - 9 pmw 8 am - 9 pmth 8 am - 9 pmf 8 am - 9 pmsat 9 am - 6 pmsun 10 am - 6 pm Plan Reference Number: 147 NPI: Pleasant Hill Rite Aid Pharmacy Contra Costa Boulevard Pleasant Hill, CA (925) Hours: M 9 am - 9 pmtu 9 am - 9 pmw 9 am - 9 pmth 9 am - 9 pmf 9 am - 9 pmsat 9 am - 6 pmsun 10 am - 6 pm Plan Reference Number: 413 NPI: This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 54

110 Contra Costa Health Plan Pharmacy by City Lista de Farmacias por Ciudad The Medicine Shoppe Pharmacy 2100 Monument Blvd Pleasant Hill, CA (925) Hours: M 9 am - 6 pmtu 9 am - 6 pmw 9 am - 6 pmth 9 am - 6 pmf 9 am - 6 pm Plan Reference Number: 666 NPI: Walgreens Gregory Lane Pleasant Hill, CA (925) Hours: M 8 am - 9 pmtu 8 am - 9 pmw 8 am - 9 pmth 8 am - 9 pmf 8 am - 9 pmsat 9 am - 6 pmsun 10 am - 6 pm Plan Reference Number: 148 NPI: Richmond Central Pharmacy 2300 MacDonald Ave Richmond, CA (510) Hours: M 9 am - 6 pmtu 9 am - 6 pmw 9 am - 6 pmth 9 am - 6 pmf 9 am - 6 pm Plan Reference Number: 402 NPI: Walgreens MacDonald Ave Richmond, CA (510) Hours: M 8 am - 9 pmtu 8 am - 9 pmw 8 am - 9 pmth 8 am - 9 pmf 8 am - 9 pmsat 9 am - 6 pmsun 10 am - 6 pm Plan Reference Number: 149 NPI: San Pablo Brookvale Medical Center Pharmacy 2101 Vale Rd Ste 100 San Pablo, CA (510) Hours: M 9 am - 6 pmtu 9 am - 6 pmw 9 am - 6 pmth 9 am - 6 pmf 9 am - 6 pmsat 9:30 am - 12:30 pm Plan Reference Number: 660 NPI: Vale Road Pharmacy 2023 Vale Road San Pablo, CA (510) Hours: M 9 am - 6 pmtu 9 am - 6 pmw 9 am - 6 pmth 9 am - 6 pmf 9 am - 6 pm Plan Reference Number: 674 NPI: Walgreens San Pablo Ave San Pablo, CA (510) Hours: M 8 am - 9 pmtu 8 am - 9 pmw 8 am - 9 pmth 8 am - 9 pmf 8 am - 9 pmsat 9 am - 6 pmsun 10 am - 6 pm Plan Reference Number: 679 NPI: Walgreens San Pablo Ave San Pablo, CA (510) Hours: M 8 am - 9 pmtu 8 am - 9 pmw 8 am - 9 pmth 8 am - 9 pmf 8 am - 9 pmsat 9 am - 6 pmsun 10 am - 6 pm Plan Reference Number: 151 NPI: Walgreens San Pablo Ave San Pablo, CA (510) Hours: M 8 am - 9 pmtu 8 am - 9 pmw 8 am - 9 pmth 8 am - 9 pmf 8 am - 9 pmsat 9 am - 6 pmsun 10 am - 6 pm Plan Reference Number: 441 NPI: San Ramon Diablo Pharmacy & Wellness 2301 Camino Ramon Ste 190 San Ramon, CA (925) Hours: M 9 am - 7 pmtu 9 am - 7 pmw 9 am - 7 pmth 9 am - 7 pmf 9 am - 7 pmsat 9 am - 3 pm Plan Reference Number: 834 NPI: Rite Aid Pharmacy Crow Canyon Place Crow Canyon Commons San Ramon, CA (925) Hours: M 9 am - 9 pmtu 9 am - 9 pmw 9 am - 9 pmth 9 am - 9 pmf 9 am - 9 pmsat 9 am - 7 pmsun 10 am - 6 pm Plan Reference Number: 425 NPI: San Ramon Custom Care Pharmacy 124 Market Place San Ramon, CA (925) Hours: M 9 am - 7 pmtu 9 am - 7 pmw 9 am - 7 pmth 9 am - 7 pmf 9 am - 7 pmsat 9 am - 4 pm Plan Reference Number: 671 NPI: This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 55

111 Contra Costa Health Plan Pharmacy by City Lista de Farmacias por Ciudad Walgreens San Ramon Valley San Ramon, CA (925) Hours: M 8 am - 9 pmtu 8 am - 9 pmw 8 am - 9 pmth 8 am - 9 pmf 8 am - 9 pmsat 9 am - 6 pmsun 10 am - 6 pm Plan Reference Number: 446 NPI: Walnut Creek Advance Medical Pharmacy 112 La Casa Via Ste 100 Walnut Creek, CA (925) Hours: M 9 am - 6 pmtu 9 am - 6 pmw 9 am - 6 pmth 9 am - 6 pmf 9 am - 6 pm Plan Reference Number: 659 NPI: Ridgecrest Pharmacy 1844 San Miguel Dr Ste 105 Walnut Creek, CA (925) Hours: M 9 am - 6 pmtu 9 am - 6 pmw 9 am - 6 pmth 9 am - 6 pmf 9 am - 6 pm Plan Reference Number: 670 NPI: Rite Aid Pharmacy Tice Valley Boulevard Walnut Creek, CA (925) Hours: M 9 am - 9 pmtu 9 am - 9 pmw 9 am - 9 pmth 9 am - 9 pmf 9 am - 9 pmsat 9 am - 6 pmsun 10 am - 6 pm Plan Reference Number: 429 NPI: Rite Aid Pharmacy Palos Verdes Mall Walnut Creek, CA (925) Hours: M 9 am - 9 pmtu 9 am - 9 pmw 9 am - 9 pmth 9 am - 9 pmf 9 am - 9 pmsat 9 am - 6 pmsun 10 am - 6 pm Plan Reference Number: 430 NPI: Walgreens Ygnacio Valley Rd Walnut Creek, CA (925) Hours: M 8 am - 9 pmtu 8 am - 9 pmw 8 am - 9 pmth 8 am - 9 pmf 8 am - 9 pmsat 9 am - 6 pmsun 10 am - 6 pm Plan Reference Number: 457 NPI: Walgreens N. Main St Walnut Creek, CA (925) Hours: M 8 am - 9 pmtu 8 am - 9 pmw 8 am - 9 pmth 8 am - 9 pmf 8 am - 9 pmsat 9 am - 6 pmsun 10 am - 6 pm Plan Reference Number: 152 NPI: This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 56

112 Contra Costa Health Plan Vision Care Cuidado de la Vista ALAMEDA Alameda Chin, Daniel, OD Optometry Daniel Chin OD /2 Park St Alameda, CA (510) Hours: M 8:30 am - 5 pmtu 8:30 am - 5 pmw 8:30 am - 5 pmth 10 am - 7 pmf 8:30 am - 5 pmsat 8:30 am - 2 pm Plan Reference Number: NPI: CA LIC: OPT9785 Fremont Lo, Eileen, OD Optometry East Bay Vision Center Fremont Blvd Ste E Fremont, CA (510) Hours: M-F 10 am - 6:30 pmsat 10 am - 6:30 pmsun 10 am - 6:30 pm Plan Reference Number: NPI: CA LIC: OPT8533 Languages: CHINESE Oakland Hoh, David, OD Optometry A Chinatown Optometrist 373 9th St Ste 201 Oakland, CA (510) Hours: Tu 10 am - 5:30 pmw 10 am - 5:30 pmth 10 am - 5:30 pmf 10 am - 5:30 pmsat 10 am - 5:30 pm Plan Reference Number: NPI: CA LIC: OPT7821 Siu, Arthur, OD Optometry Arthur Siu OD 290 Grand Ave Oakland, CA (510) Hours: M-F 9 am - 5 pmsat 9 am - 12 pm Plan Reference Number: NPI: CA LIC: OPT5780 Languages: CHINESE SPANISH Lam, Man-Wa, OD Optometry East Bay Vision Center 388 9th St Ste 157 Oakland, CA (510) Hours: M-F 9:30 am - 6 pmsat 9:30 am - 6 pmsun 9:30 am - 6 pm Plan Reference Number: NPI: CA LIC: OPT9783 Languages: CHINESE(SIMPLIFIED) CHINESE Lo, Eileen, OD Optometry East Bay Vision Center 388 9th St Ste 157 Oakland, CA (510) Hours: M-F 9:30 am - 6 pmsat 9:30 am - 6 pmsun 9:30 am - 6 pm Plan Reference Number: NPI: CA LIC: OPT8533 Languages: CHINESE Lo, Eileen, OD Optometry East Bay Vision Center 1230 Harrison St Oakland, CA (510) Hours: M 10 am - 5 pmtu 10 am - 5 pmth 10 am - 5 pmf 10 am - 5 pmsat 10 am - 5 pm Plan Reference Number: NPI: CA LIC: OPT8533 Languages: CHINESE Pao, Elsa, OD Optometry Elsa T Pao OD 405 9th St 1st Floor Oakland, CA (510) Hours: M-F 9:30 am - 6 pmsat 9:30 am - 6 pmsun 9:30 am - 6 pm Plan Reference Number: NPI: CA LIC: OPT10522 Languages: CHINESE Le, Tuong-Vi, OD Optometry International Optometry Inc. 600 International Blvd Ste 101 Oakland, CA (510) Hours: M 9:30 am - 5 pmtu 9:30 am - 5 pmw 9:30 am - 5 pmth 9:30 am - 1 pmf 9:30 am - 5 pmsat 10 am - 4 pm Accessibility Indicator: L EB IB R Plan Reference Number: NPI: CA LIC: OPT12323 Languages: VIETNAMESE ENGLISH This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 57

113 Contra Costa Health Plan Vision Care Cuidado de la Vista Pleasanton Hom, Charles, OD Optometry Charles Hom OD 5679 Gibraltar Dr Pleasanton, CA (925) Hours: Tu 10 am - 3 pmw 10 am - 3 pmth 10 am - 3 pmf 10 am - 3 pmsat 10 am - 3 pm Plan Reference Number: NPI: CA LIC: OPT8496 CONTRA COSTA Antioch Vallejo, Greg, RDO Dispensing Optician Antioch Opticians 3714 Lone Tree Way Antioch, CA (925) Hours: M-F 9 am - 5:30 pmsat 9 am - 1 pm Accessibility Indicator: L EB IB P Plan Reference Number: NPI: CA LIC: D2084 Huff, David, OD Optometry California Eye Clinic 3747 Sunset Ln Antioch, CA (925) Hours: M-F 8 am - 5 pmsat 8 am - 3 pm Accessibility Indicator: L EB IB R Plan Reference Number: NPI: CA LIC: OPT12812 Lee, Meng, OD Optometry California Eye Clinic 3747 Sunset Ln Antioch, CA (925) Hours: W 8 am - 5 pmf 8 am - 5 pm Accessibility Indicator: L EB IB R Plan Reference Number: NPI: CA LIC: OPT13714 Ong, Frances, OD Optometry California Eye Clinic 3747 Sunset Ln Antioch, CA (925) Hours: M 8 am - 5 pmtu 8 am - 5 pmw 8 am - 6 pmth 8 am - 5 pmf 8 am - 5 pmsat 8 am - 3 pm Accessibility Indicator: L EB IB R Plan Reference Number: NPI: CA LIC: OPT12787 Linder, Eileen, OD Optometry Eye to Eye Optometry Group 4051 Lone Tree Way Ste E Antioch, CA (925) Hours: Tu 9 am - 5:30 pmw 9 am - 5:30 pmth 11 am - 7:30 pmf 9 am - 5:30 pmsat 8:30 am - 1 pm Accessibility Indicator: L EB IB P PD Plan Reference Number: NPI: CA LIC: OPT9414 Ranola, Amanda, OD Optometry Family Optometric Vision Care 5163 Lone Tree Way Antioch, CA (925) Hours: M 9:30 am - 5 pmtu 9:30 am - 5 pmw 9:30 am - 5 pmth 12 pm - 6:30 pmf 9:30 am - 5 pm Accessibility Indicator: B EB IB P R PD Plan Reference Number: NPI: CA LIC: OPT14615 Jones, Mark, OD Optometry Mark Jones OD 2600 Somersville Town Cntr Antioch, CA (925) Hours: M 10 am - 4 pmth 3 pm - 7 pmf 10 am - 6 pmsat 10 am - 5 pm Accessibility Indicator: L EB IB P PD Plan Reference Number: NPI: CA LIC: OPT9438 Brentwood Huff, David, OD Optometry California Eye Clinic 1181 Central Blvd Ste F Brentwood, CA (925) Hours: M 8 am - 5 pmtu 8 am - 5 pmw 8 am - 6 pmth 8 am - 5 pmf 8 am - 5 pmsat 8 am - 3 pm Accessibility Indicator: B EB IB P R PD Plan Reference Number: NPI: CA LIC: OPT12812 This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 58

114 Contra Costa Health Plan Vision Care Cuidado de la Vista Ong, Frances, OD Optometry California Eye Clinic 1181 Central Blvd Ste F Brentwood, CA (925) Hours: M 8 am - 5 pmtu 8 am - 5 pmw 8 am - 6 pmth 8 am - 5 pmf 8 am - 5 pmsat 8 am - 3 pm Accessibility Indicator: B EB IB P R PD Plan Reference Number: NPI: CA LIC: OPT12787 Farinas, Ingrid, OD Optometry Eyecare Galleria 2300 Sand Creek Rd. Ste. G-2 Brentwood, CA (925) Hours: M 9 am - 5:30 pmtu 9 am - 5:30 pmw 10 am - 6:30 pmth 9 am - 5:30 pmf 9 am - 5:30 pmsat 9 am - 4 pm Accessibility Indicator: L EB IB P Plan Reference Number: NPI: CA LIC: OPT12123 Accepting New Patients: Velasquez, Rowena, OD Optometry Eyecare Galleria 2300 Sand Creek Rd. Ste. G-2 Brentwood, CA (925) Hours: M 9 am - 5:30 pmtu 9 am - 5:30 pmw 10 am - 6:30 pmth 9 am - 5:30 pmf 9 am - 5:30 pmsat 9 am - 4 pm Accessibility Indicator: L EB IB P Plan Reference Number: NPI: CA LIC: OPT10434 Accepting New Patients: Concord Blaylock, Cynthia, OD Optometry Cynthia Blaylock OD 1955 Monument Blvd Ste 4A Concord, CA (925) Hours: M 10 am - 5 pmw 10 am - 5 pmf 10 am - 5 pm Accessibility Indicator: L EB IB Plan Reference Number: NPI: CA LIC: Languages: CHINESE Wang-Chen, Connie, OD Optometry East Bay Optometry 2425 East St Ste 4 Concord, CA (925) Hours: M 9 am - 5:30 pmtu 9 am - 5:30 pmw 9 am - 5:30 pmth 9 am - 2 pmf 9 am - 5:30 pm Accessibility Indicator: L EB IB P PD Plan Reference Number: NPI: CA LIC: OPT6578 Languages: MANDARIN Pham, Karen, OD Optometry Karen Pham OD 1812 Galindo St Concord, CA (925) Hours: M 10 am - 6 pmtu 10 am - 6 pmth 10 am - 5 pmf 10 am - 6 pm Accessibility Indicator: L EB IB P Plan Reference Number: NPI: CA LIC: OPT12639 Languages: VIETNAMESE ENGLISH Diez Gonzalez, Yarigtnetzilem, OD Optometry La Clinica De La Raza 2000 Sierra Rd Concord, CA (925) Hours: M 9:30 am - 6:30 pmtu 8:30 am - 5 pmw 8:30 am - 5 pmth 8:30 am - 5:30 pmf 8:30 am - 5:30 pmsun 9:30 am - 6:30 pm Accessibility Indicator: L E EB IB R Plan Reference Number: NPI: CA LIC: OPT14449 ENGLISH Kim, Yongson, OD Optometry La Clinica De La Raza 2000 Sierra Rd Concord, CA (925) Hours: M 9:30 am - 6:30 pmtu 8:30 am - 5 pmw 8:30 am - 5 pmth 8:30 am - 5:30 pmf 8:30 am - 5:30 pm Accessibility Indicator: L E EB IB R Plan Reference Number: NPI: CA LIC: OPT11293 Languages: KOREAN Tai, Chien, OD Optometry La Clinica De La Raza 2000 Sierra Rd Concord, CA (925) Hours: M-F 8:30 am - 5:30 pm Accessibility Indicator: L E EB IB R Plan Reference Number: NPI: CA LIC: OPT12363 Languages: MANDARIN SPANISH This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 59

115 Contra Costa Health Plan Vision Care Cuidado de la Vista Trifiletti, Christina, OD Optometry La Clinica De La Raza 2000 Sierra Rd Concord, CA (925) Hours: M 10 am - 7 pmtu 8:30 am - 5:30 pmw 8:30 am - 5:30 pmth 8:30 am - 5:30 pmf 8:30 am - 5:30 pmsat 8:30 am - 5 pm Accessibility Indicator: L E EB IB R Plan Reference Number: NPI: CA LIC: OPT13592 Chahal, Resham, MD Optometry Mission Hills Eye Center 2338 Almond Ave Concord, CA (925) Hours: M-F 9 am - 5 pm Accessibility Indicator: L IB P Plan Reference Number: NPI: CA LIC: G71732 Ophthalmology Sanchez-Salazar, Javier, OD Optometry Sears Optical 1001 Sunvalley Blvd Sears Building Concord, CA (925) Hours: M 12 pm - 7 pmtu 12 pm - 7 pmth 12 pm - 7 pmf 12 pm - 7 pmsat 12 pm - 5 pm Accessibility Indicator: L EB P Plan Reference Number: NPI: CA LIC: OPT6546 Makedonsky, Michael, OD Optometry Vision Care Optometry 2975 Treat Blvd Unit A4 Concord, CA (925) Hours: W 9 am - 5 pmth 9 am - 5 pm Accessibility Indicator: L EB IB P R Plan Reference Number: NPI: CA LIC: OPT12463 Languages: RUSSIAN Discovery Bay Stellhorn, Frederick, OD Optometry Discovery Eye Care Optometry 1520 Discovery Bay Blvd Ste 600 Discovery Bay, CA (925) Hours: M-F 9 am - 6 pm Accessibility Indicator: L EB IB PD Plan Reference Number: NPI: CA LIC: OPT5215 Accepting New Patients: Hercules Diez Gonzalez, Yarigtnetzilem, OD Optometry Optometry by the Bay 500 Alfred bel Dr Ste 117 Hercules, CA (510) Hours: M 9 am - 6 pmtu 9 am - 6 pmw 8:30 am - 5:30 pmth 9 am - 6 pmf 9 am - 6 pm Accessibility Indicator: L EB IB P PD Plan Reference Number: NPI: CA LIC: OPT14449 ENGLISH Respicio, S, OD Optometry Optometry by the Bay 500 Alfred bel Dr Ste 117 Hercules, CA (510) Hours: M 9 am - 6 pmtu 9 am - 6 pmw 9:30 am - 5:30 pmth 9 am - 6 pmf 9 am - 6 pm Accessibility Indicator: L EB IB P PD Plan Reference Number: NPI: CA LIC: OPT9510 Martinez Ko, Anita, OD Optometry Martinez Health Center 2500 Alhambra Ave Martinez, CA Hours: M-F 7:45 am - 12 pm, 1 pm - 9 pmsat 9 am - 12 pm, 1 pm - 5 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: OPT9943T Wong, Sharman, OD Optometry Martinez Health Center 2500 Alhambra Ave Martinez, CA Hours: M-F 7:45 am - 12 pm, 1 pm - 9 pmsat 9 am - 12 pm, 1 pm - 5 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: OPT6143 This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 60

116 Contra Costa Health Plan Vision Care Cuidado de la Vista Huber, Cheyenne, OD Optometry Martinez Optometry 835 Main St Martinez, CA (925) Hours: M-F 9 am - 5 pm Accessibility Indicator: L EB Plan Reference Number: NPI: CA LIC: OPT14203 Tran, Nina, OD Optometry Martinez Optometry 835 Main St Martinez, CA (925) Hours: M-F 9 am - 5 pm Accessibility Indicator: L EB Plan Reference Number: NPI: CA LIC: OPT13068 Nguyen, Tung, OD Optometry Tung Nguyen OD 1021 Arnold Dr Martinez, CA (925) Hours: Tu 10 am - 7 pmw 10 am - 7 pmth 10 am - 7 pmf 10 am - 7 pmsat 10 am - 4 pm Accessibility Indicator: L EB IB P Plan Reference Number: NPI: CA LIC: OPT13766 Languages: VIETNAMESE Pinole Tam, David, OD Optometry David Tam OD 1660 San Pablo Ave #200 Pinole, CA (510) Hours: M-F 9 am - 5 pm Accessibility Indicator: L EB P PD Plan Reference Number: NPI: CA LIC: 7588 Hsieh, Park, OD Optometry Eye Love Optometry 2704 Pinole Valley Rd Pinole, CA (510) Hours: M 9 am - 3 pmtu 9 am - 5:30 pmw 9 am - 5:30 pmth 9 am - 5:30 pmf 9 am - 5:30 pmsat 9 am - 2 pm Accessibility Indicator: L EB IB P PD Plan Reference Number: NPI: CA LIC: OPT12680T Mozaffarieh, Nazak, OD Optometry Eyes and Smiles Optometry 1773 San Pablo Ave. Ste A1 Pinole, CA (510) Hours: M 9 am - 5 pmtu 9:30 am - 5 pmw 9:30 am - 5 pmth 9:30 am - 5 pmf 9:30 am - 5 pmsat 9 am - 2 pm Accessibility Indicator: L EB IB P PD Plan Reference Number: NPI: CA LIC: OPT12430 Languages: PERSIAN SPANISH ENGLISH Pittsburg Huff, David, OD Optometry California Eye Clinic 2260 Gladstone Dr Ste 3 Pittsburg, CA (925) Hours: M 8 am - 5 pmtu 8 am - 5 pmw 8 am - 6 pmth 8 am - 5 pmf 8 am - 5 pmsat 8 am - 3 pm Accessibility Indicator: L EB IB P PD Plan Reference Number: NPI: CA LIC: OPT12812 Ong, Frances, OD Optometry California Eye Clinic 2260 Gladstone Dr Ste 3 Pittsburg, CA (925) Hours: M-F 8 am - 4:30 pm Accessibility Indicator: L EB IB P PD Plan Reference Number: NPI: CA LIC: OPT12787 Chahal, Resham, MD Optometry Mission Hills Eye Center 2260 Gladstone Dr Ste 4 Pittsburg, CA (925) Hours: M-F 8 am - 5 pm Accessibility Indicator: L EB IB P Plan Reference Number: NPI: CA LIC: G71732 Ophthalmology This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 61

117 Contra Costa Health Plan Vision Care Cuidado de la Vista Sutton, Michael, OD Optometry Phillip R Mill OD & Michael D Sutton OD 3715 Railroad Ave Ste C Pittsburg, CA (925) Hours: M 8:30 am - 5 pmtu 8:30 am - 5 pmw 10 am - 7 pmth 8:30 am - 5 pmf 8:30 am - 5 pm Accessibility Indicator: L IB PD Plan Reference Number: NPI: CA LIC: OPT13917 Ko, Anita, OD Optometry Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA Hours: M,W 7:45 am - 8:30 pmt, Th, F 7:45 am - 4:45 pmsat 7:45 am - 11:45 am, 12:45 pm - 4:45 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: NPI: CA LIC: OPT9943T Pleasant Hill Turcios, Robert, OD Optometry Advanced Eye Care Optometry 395 Civic Dr Ste G Pleasant Hill, CA (925) Hours: M-F 8 am - 5:30 pmsat 8:30 am - 2 pm Accessibility Indicator: L EB IB R PD Plan Reference Number: NPI: CA LIC: OPT7077 Cheng, Eileen, OD Optometry Looking Glass Optometry 401 Gregory Ln Ste 110 Pleasant Hill, CA (925) Hours: M 9 am - 6 pmtu 10 am - 7 pmw 10 am - 7 pmth 10 am - 7 pmf 9 am - 6 pmsat 9 am - 2 pm Accessibility Indicator: L EB IB P Plan Reference Number: NPI: CA LIC: OPT10846 Languages: MANDARIN Dong, Kevin, OD Optometry Looking Glass Optometry 401 Gregory Ln Ste 110 Pleasant Hill, CA (925) Hours: M 9 am - 5 pmtu 10 am - 7 pmw 10 am - 7 pmth 10 am - 7 pmf 9 am - 6 pmsat 9 am - 2 pm Accessibility Indicator: L EB IB P Plan Reference Number: NPI: CA LIC: OPT12175 Rodeo Kopiko, Karen, OD Optometry Bradley Upshaw OD Inc. 671 Parker Ave. Rodeo, CA (510) Hours: M 11 am - 7 pmw 9 am - 5:30 pmth 9 am - 5:30 pmf 9 am - 5:30 pmsat 9 am - 1 pm Accessibility Indicator: L IB P T PD Plan Reference Number: NPI: CA LIC: OPT11256 TAGALOG ENGLISH Upshaw, Bradley, OD Optometry Bradley Upshaw OD Inc. 671 Parker Ave. Rodeo, CA (510) Hours: M 11 am - 7 pmw 9 am - 5:30 pmth 9 am - 5:30 pmf 9 am - 5:30 pmsat 9 am - 1 pm Accessibility Indicator: L IB P T PD Plan Reference Number: NPI: CA LIC: San Pablo Anaya, Juan, OD Optometry San Pablo Optometric Center San Pablo Ave San Pablo, CA (510) Hours: M 8:30 am - 5 pmtu 8:30 am - 5 pmw 8:30 am - 5 pmth 8:30 am - 5 pm Accessibility Indicator: L P PD Plan Reference Number: NPI: CA LIC: OPT12274 Accepting New Patients: Ko, Anita, OD Optometry West County Health Center San Pablo Ave San Pablo, CA Hours: M, T, W, Th 8 am - 8:45 pmf, Sat 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: OPT9943T This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 62

118 Contra Costa Health Plan Vision Care Cuidado de la Vista Wong, Sharman, OD Optometry West County Health Center San Pablo Ave San Pablo, CA Hours: M, T, W, Th 8 am - 8:45 pmf, Sat 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: NPI: CA LIC: OPT6143 Walnut Creek Sutton, Brenda, OD Optometry Brenda Sutton OD 1599 Botelho Dr Walnut Creek, CA (925) Hours: Tu 10 am - 6 pmth 10 am - 6 pmf 10 am - 6 pmsat 10 am - 6 pm Accessibility Indicator: L EB IB P PD Plan Reference Number: NPI: CA LIC: OPT11821 Lee, Meng, OD Optometry California Eye Clinic 301 Lennon Ln Ste 201 Walnut Creek, CA (925) Hours: M-F 8 am - 4:30 pm Accessibility Indicator: L EB P PD Plan Reference Number: NPI: CA LIC: OPT13714 Accepting New Patients: Aceves, Angela, OD Optometry Walnut Creek Optometry 1844 San Miguel Dr Ste 312 Walnut Creek, CA (925) Hours: Tu 9 am - 6 pmw 10 am - 7 pmth 8 am - 5 pmf 8 am - 5 pmsat 9 am - 2 pm Accessibility Indicator: L EB IB P PD Plan Reference Number: NPI: CA LIC: OPT13177 Boe, Kathryn, OD Optometry Walnut Creek Optometry 1844 San Miguel Dr Ste 312 Walnut Creek, CA (925) Hours: Th 8 am - 5 pmf 8 am - 5 pmsat 9 am - 2 pm Accessibility Indicator: L EB IB P PD Plan Reference Number: NPI: CA LIC: OPT11608 Nguyen, Bach Kim, OD Optometry Walnut Creek Optometry 1844 San Miguel Dr Ste 312 Walnut Creek, CA (925) Hours: Tu 9 am - 6 pmw 10 am - 7 pmth 8 am - 5 pmf 8 am - 5 pmsat 9 am - 2 pm Accessibility Indicator: L EB IB P PD Plan Reference Number: NPI: CA LIC: OPT10544 Languages: VIETNAMESE CHINESE Wong, Dianne, OD Optometry Walnut Creek Optometry 1844 San Miguel Dr Ste 312 Walnut Creek, CA (925) Hours: Tu 9 am - 6 pmw 10 am - 7 pmth 8 am - 5 pmf 8 am - 5 pmsat 9 am - 2 pm Accessibility Indicator: L EB IB P PD Plan Reference Number: NPI: CA LIC: OPT11780 SOLANO Vallejo Ogata, Wayne, OD Optometry Bayside Family Optometry 121 Plaza Dr Ste 505 Vallejo, CA (707) Hours: M 10 am - 7 pmtu 10 am - 7 pmw 10 am - 7 pmth 10 am - 7 pmf 9 am - 4 pm Plan Reference Number: NPI: CA LIC: OPT9705 Aceves, Angela, OD Optometry Vallejo Optometry Group 2103 Redwood St Ste 100 Vallejo, CA (707) Hours: Tu 9 am - 6 pmw 9 am - 6 pmth 9 am - 6 pmf 9 am - 6 pmsat 9 am - 2 pm Plan Reference Number: NPI: CA LIC: OPT13177 This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 63

119 Contra Costa Health Plan Vision Care Cuidado de la Vista Jones, Mark, OD Optometry Vallejo Optometry Group 2103 Redwood St Ste 100 Vallejo, CA (707) Hours: Tu 9 am - 5 pmw 9 am - 5 pmth 9 am - 5 pmf 9 am - 5 pm Plan Reference Number: NPI: CA LIC: OPT9438 Nguyen, Bach Kim, OD Optometry Vallejo Optometry Group 2103 Redwood St Ste 100 Vallejo, CA (707) Hours: Tu 9 am - 6 pmw 9 am - 6 pmth 9 am - 6 pmf 9 am - 6 pmsat 9 am - 2 pm Plan Reference Number: NPI: CA LIC: OPT10544 Languages: VIETNAMESE CHINESE Wong, Dianne, OD Optometry Vallejo Optometry Group 2103 Redwood St Ste 100 Vallejo, CA (707) Hours: Tu 9 am - 6 pmw 9 am - 6 pmth 9 am - 6 pmf 9 am - 6 pmsat 9 am - 11 am Plan Reference Number: NPI: CA LIC: OPT11780 This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 64

120 Contra Costa Health Plan Urgent Care Atencion Urgente ALAMEDA Berkeley Lifelong Urgent Care 2001 Dwight Way Berkeley, CA (510) Hours: M 10 am - 6 pmtu 10 am - 6 pmw 10 am - 6 pmth 10 am - 6 pmf 10 am - 6 pmsat 10 am - 6 pm Accessibility Indicator: B E EB IB P R Plan Reference Number: 938 NPI: CONTRA COSTA Brentwood John Muir Urgent Care- Brentwood 2400 Balfour Rd Ste 120 Brentwood, CA (925) Hours: M 9 am - 9 pmtu 9 am - 9 pmw 9 am - 9 pmth 9 am - 9 pmf 9 am - 9 pmsat 9 am - 6 pmsun 9 am - 6 pmh 9 am - 3 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: 315 NPI: Concord John Muir Urgent Care- Concord 2700 Grant St Ste 110 Concord, CA (925) Hours: M 9 am - 9 pmtu 9 am - 9 pmw 9 am - 9 pmth 9 am - 9 pmf 9 am - 9 pmsat 9 am - 6 pmsun 9 am - 6 pmh 9 am - 3 pm Accessibility Indicator: L E EB P Plan Reference Number: 316 NPI: STAT MED Urgent Care 901 Sunvalley Blvd Ste 100 Concord, CA (925) Hours: M 8 am - 8 pmtu 8 am - 8 pmw 8 am - 8 pmth 8 am - 8 pmf 8 am - 8 pmsat 9 am - 5 pmsun 9 am - 5 pmh 9 am - 5 pm Accessibility Indicator: L E IB P R Plan Reference Number: 945 NPI: Lafayette STAT MED Urgent Care 970 Dewing Ave Ste 100-B Lafayette, CA (925) Hours: M 8 am - 8 pmtu 8 am - 8 pmw 8 am - 8 pmth 8 am - 8 pmf 8 am - 8 pmsat 9 am - 5 pmsun 9 am - 5 pmh 9 am - 5 pm Accessibility Indicator: B E EB IB P R Plan Reference Number: 946 NPI: Pleasant Hill Night Owl 425 Gregory Lane Ste 203 Pleasant Hill, CA (925) Hours: M 10 am - 12 pm 4 pm - 9 pmtu 10 am - 12 pm 4 pm - 9 pmw 10 am - 12 pm 4 pm - 9 pmth 10 am - 12 pm 4 pm - 9 pmf 4 pm - 9 pmsat 12 pm - 4 pmsun 2 pm - 9 pm Accessibility Indicator: L E EB IB P Plan Reference Number: 317 NPI: San Pablo Lifelong Urgent Care 2023 Vale Rd Ste 107 San Pablo, CA (510) Hours: M 10 am - 8 pmtu 10 am - 8 pmw 10 am - 8 pmth 10 am - 8 pmf 10 am - 8 pmsat 9 am - 5 pmsun 9 am - 5 pm Accessibility Indicator: L E EB Plan Reference Number: 914 NPI: San Ramon John Muir Urgent Care - San Ramon 2305 Camino Ramon Ste 130 San Ramon, CA (925) Hours: M 9 am - 9 pmtu 9 am - 9 pmw 9 am - 9 pmth 9 am - 9 pmf 9 am - 9 pmsat 9 am - 6 pmsun 9 am - 6 pmh 9 am - 3 pm Accessibility Indicator: B ME E EB IB P R T Plan Reference Number: 986 NPI: Walnut Creek John Muir Urgent Care- Walnut Creek 1450 Treat Blvd- Ste 160 Walnut Creek, CA (925) Hours: M 8 am - 9 pmtu 8 am - 9 pmw 8 am - 9 pmth 8 am - 9 pmf 8 am - 9 pmsat 8 am - 6 pmh 9 am - 3 pm Accessibility Indicator: B E EB IB P R Plan Reference Number: 319 NPI: This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 65

121 Hospital Listing by City Lista de Hospitales por Ciudad ALAMEDA Berkeley Alta Bates Summit Medical Center Alta Bates Campus 2450 Ashby Avenue Berkeley, CA (510) Plan Reference Number: HSABMC NPI: Oakland Alta Bates Summit Medical Center Summit Campus 350 Hawthorne Ave Oakland, CA (510) Plan Reference Number: HSMCO NPI: UCSF Benioff Children's Hospital Oakland nd St Oakland, CA (510) Plan Reference Number: HCHO NPI: CONTRA COSTA Antioch Sutter Delta Medical Center 3901 Lone Tree Way Antioch, CA (925) Plan Reference Number: HSDMC NPI: Concord John Muir Behavioral Health Center 2740 Grant St Concord, CA (925) Plan Reference Number: HJMBHC NPI: John Muir Medical Center Concord Campus 2540 East St Concord, CA (925) Plan Reference Number: HMDMS NPI: Martinez Contra Costa Regional Medical Center 2500 Alhambra Ave Martinez, CA Plan Reference Number: HCCRMC NPI: Walnut Creek John Muir Medical Center Walnut Creek Campus 1601 Ygnacio Valley Rd Walnut Creek, CA (925) Plan Reference Number: HJMMC NPI: SAN FRANCISCO San Francisco UC San Francisco Medical Center 505 Parnassus Ave San Francisco, CA (415) Plan Reference Number: HUCMCSF NPI: This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 66

122 Community Based Adult Services (CBAS) Servicios Para Adultos Basados en la Comunida ALAMEDA Berkeley Alzheimer's Services of the East Bay 2320 Channing Way Berkeley, CA (510) Hours: M 9 am - 4 pmtu 9 am - 4 pmw 9 am - 4 pmth 9 am - 4 pmf 9 am - 4 pmsat 10 am - 2 pm Accessibility Indicator: L EB IB P PA Plan Reference Number: 553 NPI: CA LIC: CONTRA COSTA Antioch Choice in Aging - Bedford Center for Adult Day Health Center 1811 C Street Antioch, CA (925) Hours: M 9:30 am - 3:30 pmtu 9:30 am - 3:30 pmw 9:30 am - 3:30 pmth 9:30 am - 3:30 pmf 9:30 am - 3:30 pm Accessibility Indicator: L IB P PA Plan Reference Number: 1039 NPI: CA LIC: El Sobrante Guardian Adult Health Center of California 3905 San Pablo Dam Road El Sobrante, CA (510) Hours: M 9 am - 3 pmtu 9 am - 3 pmw 9 am - 3 pmth 9 am - 3 pmf 9 am - 3 pm Accessibility Indicator: L EB IB P PA Plan Reference Number: 537 NPI: CA LIC: Pleasant Hill Choice in Aging - Mt Diablo Center for Adult day Health Care 490 Gold Club Rd Pleasant Hill, CA (925) Hours: M 9:30 am - 3 pmtu 9:30 am - 3 pmw 9:30 am - 3 pmth 9:30 am - 3 pmf 9:30 am - 3 pm Accessibility Indicator: L EB IB P PA Plan Reference Number: 1038 NPI: CA LIC: This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 67

123 INDEX A Aboelata, ha, MD 20 Aceves, Angela, OD 63 Advance Medical Pharmacy 56 Agnost, Victoria, MD 16 Ahmadi, Ebrahim, MD 20 Akera, Chika, MD 22 Alper, Lynne, MD 30 Alta Bates Summit Medical Center Alta Bates Campus 66 Alta Bates Summit Medical Center Summit Campus 66 Alzheimer's Services of the East Bay 67 Anaya, Juan, OD 62 Arcos, Rebecca, NP 9 Arias-Vera, Jose, MD 29 Ayala, Miguel, NP 7 B Bacon East Pharmacy Inc. 53 Ballesteros, Karla, NP 1 Banks, rman, MD 25 Barnes, Sophie, NP 21 Barocio, Azucena, PA 25 Barrow, Roger, MD 4 Barsten-Pascualy, Julie, PA 45,51 Barua, Upama, MD 27 Bean, Gary, MD 33 Beaton, Melina, MD 8 Beeckman, Jennifer, NP 24 Bell, Milenna, PA 28,29 Berg, Catherine, NP 2 Berger, Christina, NP 7 Berletti, Charles, MD 46,49 Beyzer, Lyudmila, MD 32 Bhandari, Vijay, MD 14 Bhatt, Veda, MD 4 Birnbaum, Nina, MD 18 Blair, Sloane, NP 35,36,37 Blaufarb, Alexandra, NP 18 Blaylock, Cynthia, OD 59 Bliss, Judith, MD 4 Block, Alison, MD 9 Boe, Kathryn, OD 63 Boly, Lawrence, MD 15 Bondi-Boyd, Brea, MD 3 Botelho, Barbara, MD 38,39 Bottomley, Sarah, NP 31 Brito, Nicole, NP 17 Brock-Utne, Alice, MD 40 Brookvale Medical Center Pharmacy 55 Brown, Katharine, MD 34 Buffett, Wendy, MD 18 Bunzel, Mary, NP 18 Butler, Kimberly, MD 9 C Carey, David, MD 9 Carey, Donna, MD 33,34 Carter, Brazell, MD 31 Cavallaro, Grace, MD 46,48 Ceci, Kimberly, MD 25 Central Pharmacy 55 Chahal, Resham, MD 60,61 Chan, Lilian, MD 9 Chandrachood, Swapnaja, MD 7 Chang, Soter-Ming, MD 41 Chatterton-Kirchmeier, Sam, MD 39 Chen, William, MD 31 Chen, Xiaochuan, MD 28 Cheng, Eileen, OD 62 Cherayil, Annie, MD 4 Chin, Daniel, OD 57 Choice in Aging - Bedford Center for Adult Day Health Center q 67 Choice in Aging - Mt Diablo Center for Adult day Health Care q 67 Chou, Cinnie, MD 7 Chun, Kwan, MD 3 City Center Pharmacy Brentwood 52 City Center Pharmacy Inc 54 Clyde, Rebecca, MD 18 Cobbs, Yvonne, NP 30 Cominos, Eve, MD 5 Contra Costa Regional Medical Center 66 Cortez, Paul, MD 34 Cremin, Daniel, MD 14 Crockett, John, MD 50 Crumpler, Faith, MD 20 Curbelo, Gustavo, MD 23 D Danville San Ramon Pharmacy 53 Dao, Huy, MD 46,48 Davenport, Mary, MD 46 Del Rio, Gerald, MD 29,30 Desai, Manoj, MD 40 Desoer, Craig, MD 7 Diablo Pharmacy & Wellness 55 Diamond, Jan, MD 18 Diez Gonzalez, Yarigtnetzilem, OD 59,60 Dong, Kevin, OD 62 Dosanjh, Sandeep, MD 5 Dovichi, Jennifer, MD 38 Downing, Michael, MD 7 Dudler, Jack, MD 26 Duir, Kimberly, MD 19 Duke, Florentina, NP 21 Duque-Silva, Alexandra, MD 16 E Eaglin, Olga, PA 25 Echiverri, Angela, MD 9 Elliott, Robert, MD 38 Elyasi, Siamak, MD 21,24 Enrique, Louis, MD 28 This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 68

124 INDEX E cont. Enz, Jose, MD 38 Evans, James, MD 38 F Farey, Krista, MD 10 Farinas, Ingrid, OD 59 Farnitano, Christopher, MD 2,7 Feierabend, Susan, MD 46,47,48 Ferguson, Susan, MD 27 Firestein, Talia, MD 1 Francis, Deidra, NP 2 Fraser-Hulthage, Anna, MD 3 Frausto, Luz, PA 23 Friedman, Yaron, MD 45,51 Furer, Jessica, MD 27 Furtado, Marcia, NP 5 G Gallo, John, DO 30 Gandhi, Reshma, MD 20 Garg, Anuja, MD 28 Gee, Doris, PA 33 Gee, Lance, MD 1 Gharagozlou, Parham, MD 28,29 Gheewala, Umesh, MD 14 Ghori, Imtiaz, MD 17 Goheen, Katharine, MD 3 Goldman, Tracy, MD 36 Gordon, Amy, MD 10 Graham, Oliver, MD 15 Graves, Gretchen, MD 38 Guardian Adult Health Center of California 67 Gujjula, Prashanthi, MD 2 Gupta, Ravinder, MD 28 H Ha, Nikki, NP 16 Hahn, Gregory, MD 34 Hajyan, Karine, DO 47,49 Hamlin, Kathryn, MD 7 Hann, Cynthia, MD 40 Hay, Sunthara, DO 47,48 Hearst, David, MD 2 Hernandez, Alberto, NP 10 Herron, Sheryl, NP 4 Hoffman, Joan, MD 23 Hoffmann, Victorina, MD 29 Hogan, Colleen, MD 41 Hoh, David, OD 57 Holmes, Michelle, MD 2 Hom, Charles, OD 58 Hood, Sharon, MD 47 Howard, Phyllis, NP 9 Hsieh, Park, OD 61 Huang, Harry, MD 36,41 Huber, Cheyenne, OD 61 Huff, David, OD 58,61 I Im, Carol, MD 39 Ingersoll, Otis, NP 18 J Jackson, George, MD 31 Jamwal, Abhilasha, MD 16 Jett, Margaret, DO 16 John Muir Behavioral Health Center 66 John Muir Medical Center Concord Campus 66 John Muir Medical Center Walnut Creek Campus 66 John Muir Urgent Care - San Ramon 65 John Muir Urgent Care- Brentwood 65 John Muir Urgent Care- Concord 65 John Muir Urgent Care- Walnut Creek 65 Johnson, Sara, MD 46 Jones, Mark, OD 58,64 Jones, Sharon, MD 31 Joseph, Mary, MD 16 Jumig, Elmer, MD 34 K Kadas, Robert, MD 34 Kaji, Troy, MD 10 Kallem, Priyanka, MD 20 Kaminski, Kristof, PA 25 Kanwal, Tehmina, MD 31 Karatepe, Meltem, MD 17 Karpowicz, Scott, MD 5 Kassels, Michael, DO 29 Kaur, Harpreet, NP 22 Keller, Lisa, MD 47,49 Kelly, Olga, MD 16 Khan, Farhat, MD 22 Khan, Parveen, MD 46 Khonsari, Hamidreza, MD 21 Kim, Yongson, OD 59 Kim, Young, MD 45 Kirkham, Margaret, NP 18 Kirkpatrick, Haley, NP 1 Klein, Louis, MD 51 Ko, Anita, OD 60,62 Kolomey, Irina, DO 30 Kopiko, Karen, OD 62 Krasner, Evan, MD 27 Kray, Margaret, FNP 9 Kullar, Ravjeet, MD 26 Kwok, Bonnie, MD 6 L Laimayum, Monica, MD 5 Laing, Brian, MD 3 Lam, Man-Wa, OD 57 Lamberty, rman, MD 45,49 Lay, Cho Cho, MD 21 This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 69

125 INDEX L cont. Le, Tuong-Vi, OD 57 Lee, Daniel, MD 9 Lee, David, MD 1 Lee, Erin, MD 40 Lee, Meng, OD 58,63 Lehman, Tara, MD 49 Lehman, Trang, MD 3 Leir, Denise, NP 33 Leir, Michael, MD 33 Levin, Sara, MD 15 Lewis, Flynne, MD 17 Lifelong Urgent Care 65 Linder, Eileen, OD 58 Lipson, John, MD 10 Lo, Eileen, OD 57 Lockhart, Ann, MD 50 Lockwood, Lauren, CNM 50 Loeliger, Scott, MD 4,22,48 Lopez, Paulina, NP 20 Lopresti, Anthony, DO 26 M Macedo, Joseph, MD 47,48,50 Machkovsky, Elvira, NP 22 Madlock, Michele, CNM 48 Madrigal, Teresa, MD 7 Mahdavi, Abbas, MD 35 Maheshwari, Rajesh, MD 26 Makedonsky, Michael, OD 60 Mansalis, Benjamin, MD 27 Mansouri, Jelriza, MD 47 Marcotrigiano, Leanne, MD 19 Marwaha, Jatinder, MD 31 Mbadike-Obiora, Maureen, MD 21 Mbanugo, Ogo, MD 47,49,50 McCullough, Kalyani, MD 15 McGrael-Souders, Adrienne, MD 18 McIlroy, Richard, MD 10 Medicine Shoppe Pharmacy Meezan, Robin, MD 38 Mehra, Soniya, MD 34 Merchant, Kanwal, MD 39,40 Meza, Angelica, PA 31 Moghaddam, Amennah, NP 5 Moody, Dawnell, DO 34 Moore, Gregory, MD 1 Moore, Kyle, MD 30 Morales, Katie, NP 22 Morgan, John, MD 39 Morgan-Thompson, Joyce, NP 30 Moring-Parris, Daniel, MD 6 Mostaghasi, Taraneh, MD 35,37 Mozaffarieh, Nazak, OD 61 Murguia, Sandra, FNP 47,49 Murphy, John, MD 29 N Nath, Kishore, MD 26 Navolanic, Peter, MD 21,24 Nelson, Ingrid, NP 27 Nguyen, Bach Kim, OD 63,64 Nguyen, Kim, MD 27 Nguyen, MyHoang, MD 4 Nguyen, Tung, OD 61 Night Owl 65 rdensjo, Anna, MD 25 Nuti, Elizabeth, MD 39 Nwokoye, Ifeoma, NP 19 O O'Hearn, Kathleen, NP 40 O'Meany, Juan, PA 23 O'Neil, Bruce, MD 27 Oak Grove Pharmacy 53 Obrinsky, Allen, MD 41 Ochieng, Rose, MD 19 Ogata, Wayne, OD 63 Ogawa, Mimi, MD 26 Omotoso, Omoniyi, MD 33,40 Ong, Frances, OD 58,59,61 Orengo-McFarlane, Michelle, MD 10 Ospina, Esperanza, PA 22 P Palmer, Genevieve, MD 35 Pao, Elsa, OD 57 Patel, Nita, MD 37 Paz, Lorna, MD 37 Pehling, James, MD 5,10 Peng, Yu-Hung, MD 14 Pepper, David, MD 5 Perez, Greta, MD 2 Perlas, Jane, NP 24 Pham, An, MD 33 Pham, Karen, OD 59 Phillips, Tracy, MD 45 Pierson-Brown, Leigh, NP 10 Pirnia, Mana, DO 6 Pizzo, Anthony, NP 5,8,11 Planned Parenthood 44 Puell, Michael, MD 11 Pyrkova-Corotan, Irina, MD 15 Q Quismorio, William, MD 28 R Radhakrishna, Rohan, MD 11 Radu-Radulescu, Ruxandra, MD 48,50 Ranola, Amanda, OD 58 Raumer, Sheila, MD 22 Rene, Paterson, PA 25 Respicio, S, OD 60 This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 70

126 INDEX R cont. Reynosa, Kimberly, MD 27 Rice, Abraham, MD 17 Richey-Lucero, Sara, MD 6 Richmond, Marcie, MD 8 Ridgecrest Pharmacy 56 Riley, Kristin, DO 35,39 Risgalla, Habib, MD 38 Rite Aid Pharmacy Rite Aid Pharmacy Rite Aid Pharmacy Rite Aid Pharmacy Rite Aid Pharmacy Rite Aid Pharmacy Rite Aid Pharmacy Rite Aid Pharmacy Rite Aid Pharmacy Rite Aid Pharmacy Rite Aid Pharmacy Rite Aid Pharmacy Rite Aid Pharmacy Rite Aid Pharmacy Rogers, Kerry, NP 1 Romero, Amanda, NP 33,34 Romero-Duran, Adolfo, MD 8 Romito, Leah, MD 8 Rood, Lisa, MD 37 Rose, Joseph, MD 50 Ruiz, Michael, MD 41 Rush, Philip, MD 39 S Sachdeva, Suresh, MD 41 Sagum, Renan, NP 11 Saltzstein, Margaret, MD 40 San Ramon Custom Care Pharmacy 55 Sanchez-Salazar, Javier, OD 60 Sandler, Andrea, MD 11 Scott, Malaika, MD 11 Sealey, Chere, FNP 3 Senior, Janine, MD 50 Sequeira, Juan, MD 30 Setliff, Kristen, DO 8 Sheldon, Will, MD 11 Siegel, Alan, MD 11 Simon, Christine, MD 19 Sinclair, Barbara, MD 8 Siu, Arthur, OD 57 Slauson, Dana, MD 6 Smith, Mark, MD 1 Solano Pharmacy 1 53 Som, Charles, DO 24 Sreenivasan, Meera, MD 14 Stanley, Guadalupe, PA 24 STAT MED Urgent Care 65 Stellhorn, Frederick, OD 60 Stephens, Claudell, MD 23 Stewart, Debra, DO 45 Stromberg, Lynette, MD 13 Strych, Deborah, NP 4,8 Su, Gigi, MD 2 Sullivan, Gabriela, MD 14 Summer, Jane, NP 49 Sun, Chao, MD 21 Sundar, Sam, MD 29 Sutter Delta Medical Center 66 Sutton, Brenda, OD 63 Sutton, Michael, OD 62 Suzuki, Fumi, MD 19 Swope, Brian, MD 40 Sycamore Medical Pharmacy 53 T Taft, Wesley, MD 35,36,37 Tai, Chien, OD 59 Tai, Denice, MD 11 Tam, David, OD 61 Tanaka, Lucia, NP 26 Tanner, Catherine, NP 24 Tell, Stasia, NP 12 The Medicine Shoppe Pharmacy 55 Tracy, Ryan, MD 35,36,37 Tran, Nina, OD 61 Treyger, Leonid, MD 6 Triana, Catalina, MD 26 Trifiletti, Christina, OD 60 Trombla, Laurie, PA 26 Trujillo, Tracy, MD 41 Tuan, David, MD 45 Turcios, Robert, OD 62 Tzvieli, Ori, MD 3 U UC San Francisco Medical Center 66 UCSF Benioff Children's Hospital Oakland 66 Upshaw, Bradley, OD 62 V Vale Road Pharmacy 55 Vallamdas, Usha, MD 36 Vallejo, Greg, RDO 58 Valverde-Salas, Vicky, MD 20,23 Vanjani, Rachna, MD 48,50 Veal, Ulanda, MD 33 Veale, Megan, PA 32 Velasquez, Rowena, OD 59 Vemulapalli, Madhavi, MD 51 Vertudez, Janice, NP 22 Voelker, Kathryn, PA 23 Vu, Cuong, MD 20 W Wadle, Dawn, MD 12 Wagner, David, MD 39 This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 71

127 INDEX W cont. Walgreens 54 Walgreens Walgreens Walgreens Walgreens Walgreens Walgreens Walgreens Walgreens Walgreens Walgreens Walgreens Walgreens Walgreens Walgreens Walgreens Walgreens Walgreens Walgreens Walgreens Walgreens Walgreens Walgreens Wallach, Andrew, MD 19 Walls, James, MD 12 Wang-Chen, Connie, OD 59 Wardlaw, Mary, NP 19 Warne, Thomas, MD 12 Warren, Kaitlin, NP 35,36,37 Watanabe, Takenori, MD 6 Weinreich, Don, MD 12 Weiss, Karen, NP 6 Westerman, Jennifer, NP 6,8,24 White, Keith, MD 16 White, Tracy, MD 19 Whitecross Professional Pharmacy 54 Whyte, Lynne, MD 35 Wille, Mark, MD 14,15 Williams, Mary, NP 51 Wilson, Teshina, DO 25 Wong, Christina, MD 3 Wong, Dianne, OD 63,64 Wong, Griselda, PA 23 Wong, Michelle, MD 4 Wong, Sharman, OD 60,63 Wooldridge, Monica, NP 2 Wu, Pelen, MD 38 Y Yang, Janet, MD 14 Yang, Lucia, MD 36,37 Yang, Xiao, MD 28 Yastro, Kalynn, NP 23 Yu, John, MD 25 Z Zafer, Sadaf, MD 21 Zhang, Wengang, MD 28,30 Zimmerman, Daniel, MD 45 Zuniga, Zoraya, MD 1 This list of providers is for your information, and current as of CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del CCHP no garantiza que los Proveedores continúen en la lista o aceptando nuevos miembros. Por favor comuníquese con el Departamento de Servicios a Miembros al (oprima 2). 72

128 Contra Costa Health Plan s Provider Directory For Medi-Cal Members Directorio de Proveedores para los Miembros de Medi-Cal If you experience any difficulty reaching a listed provider, or are dissatisfied with the services you receive, please contact your Member Services Representative at (press 2). Updates To report incorrect provider information, members can contact member services by calling option 2 or by cchp@hsd.cccounty.us and Providers or the general public can contact Provider Relations at providerrelations@hsd.cccounty.us or by calling option 6. Si usted experimenta alguna dificultad para ponerse en contacto con un médico enumerado, o no está satisfecha con los servicios que usted recibe, por favor póngase en contacto con un Representante de Servicio a Miembros al (oprima 2). Actualizaciones Para reportar errores en la información el proveedores, los miembros pueden comunicarse con Servicios para Miembros llamando al (opción 2) o por correo electrónico a cchp@hsd.cccounty.us, y los proveedores o el público en general se pueden comunicar con Servicios para Proveedores a providerrelations@hsd.cccounty.us o llamando al (opción 6). 73