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Your 2017-2018 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 1-877-661-6230 (Seleccione la opcion 2)

PATRICIA TANQUARY, MPH, PhD Chief Executive Officer JAMES TYSELL, MD Medical Director ADMINISTRATION 595 Center Avenue, Suite 100 Martinez, California 94553 Main Number: 925-313-6000 Member Call Center: 877-661-6230 Provider Call Center: 877-800-7423 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 1-888-678-7277. 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 2017-2018 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 1-877-661-6230 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 www.contracostahealthplan.org 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.081417

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 2017-2018_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-12 4. Your Pharmacy Benefit... MH-12 PerformRx Pharmacies... MH-12 Kaiser Pharmacies... MH-13 5. Eligibility... MH-13 Date of Eligibility... MH-13 Adding New Babies to the Plan MH-13 6. Disenrolling from CCHP... MH-13 Mandatory Disenrollment... MH-13 Expedited Disenrollment... MH-14 7. 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-17 8. 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-18 9. Facility Directory..MH-20 Important Phone Numbers... MH-21 rev.102617

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... 13 Medi-Cal 2017-2018_TOC_annual rev.102617

Section B. Provider Directory/Directorio de Proveedores (Continued/Continuación)... 14... 16 Community Provider Network (CPN)... 18... 27... 33 Family Planning, Confidential HIV Testing, and Sexually Transmitted Diseases Planificación Familiar, Examen Confidencial de VIH y Enfermedades Transmitidas Sexualmente Antioch... 44 Concord... 44 El Cerrito... 44 Pittsburg... 44 Richmond... 44 San Ramon... 44 Walnut Creek... 44 Obstetrics and Gynecology Services Servicios de Obstetricia y Ginecología Berkeley... 45 Oakland... 45 Antioch... 45 Brentwood... 45 Concord... 46 El Sobrante... 46 rev.102617 Medi-Cal 2017-2018_TOC_annual

Section B. Provider Directory/Directorio de Proveedores (Continued/Continuación) Martinez... 46 Pittsburg... 48 Richmond... 49 San Pablo... 49 Walnut Creek... 50 Pharmacy Farmacia 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 Medi-Cal 2017-2018_TOC_annual rev.102617

Section B. Provider Directory/Directorio de Proveedores (Continued/Continuación) Pleasant Hill... 54 Richmond... 55 San Pablo... 55 San Ramon... 55 Walnut Creek... 56 Vision Care Cuidado de la Vista Alameda... 57 Fremont... 57 Oakland... 57 Pleasanton... 58 Antioch... 58 Brentwood... 58 Concord... 59 Discovery Bay... 60 Hercules... 60 Martinez... 60 Pinole... 61 Pittsburg... 61 Pleasant Hill... 62 Rodeo... 62 San Pablo... 62 Walnut Creek... 63 rev.102617 Medi-Cal 2017-2018_TOC_annual

Section B. Provider Directory/Directorio de Proveedores (Continued/Continuación) Vallejo... 63 Urgent Care Atención urgente Hospital Hospitales Berkeley... 65 Brentwood... 65 Concord... 65 Lafayette... 65 Pleasant Hill... 65 San Pablo... 65 San Ramon... 65 Walnut Creek... 65 Berkeley... 66 Oakland... 66 Antioch... 66 Concord... 66 Martinez... 66 Walnut Creek... 66 San Francisco... 66 Community Based Adult Services (CBAS) Servicios Para Adultos Basados en la Comunidad Berkeley... 67 Antioch... 67 Medi-Cal 2017-2018_TOC_annual rev.102617

Section B. Provider Directory/Directorio de Proveedores (Continued/Continuación) El Sobrante... 67 Pleasant Hill... 67 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-13 4. 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-21 5. Emergency Care by Participating and n-participating Providers...EOC-21 What Should Be Done in an Emergency?... EOC-21 rev.102617 Medi-Cal 2017-2018_TOC_annual

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-22 6. Benefit Chart...EOC-24 7. 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 2017-2018_TOC_annual rev.102617

Section C. Combined Evidence of Coverage and Disclosure Form - Continued CCHP Changes... EOC-41 8. 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-50 9. Disenrolling From The Plan...EOC-50 Mandatory Disenrollment... EOC-50 Disenrollment for Cause... EOC-50 Expedited Disenrollment... EOC-51 10. Member Rights and Responsibilities...EOC-51 11. Coordination of Benefits...EOC-53 Benefit Coordination with Other Health Coverage... EOC-53 12. Public Policy...EOC-53 13. 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-54 14. 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.102617 Medi-Cal 2017-2018_TOC_annual

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-57 15. 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 2017-2018_TOC_annual rev.102617

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 1-877-661-6230 (press 2) or search for one at www.contracostahealthplan.org. 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 1-877-661-6230 (press 2) and you can change over the phone, or you can go to our website at www.contracostahealthplan.org, to request a change. Rev. 10/24/2017 MH - 1 Medi-Cal 2017-2018_MH

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 1-877-661-6230 (press 1). If your PCP is from Kaiser Permanente, call the Kaiser Member Call Center at 1-800-464-4000. 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 1-877-661-6230 (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 1-877-661-6230 (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 http://www.irissoft.com/cccc/ 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 2017-2018_MH Rev. 10/24/17

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) 370-5495 Pittsburg at (925) 431-2345 Richmond at (510) 231-1340 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 9-1-1 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 1-877-661-6230 (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 2017-2018_MH

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 1-877-661-6230 (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 1-800-430-4263 and request an enrollment packet to enroll the baby in CCHP. You may also go on-line to www.healthcareoptions.dhcs.ca.gov. 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 1-877-661-6230 (press 2). 2. Call the Medi-Cal Ombudsman Program at 1-888-452-8609. 3. Call the California State Department of Managed Health Care (DMHC) at 1-888-HMO-2219. 4. Call Health Care Options (HCO) at 1-800-430-4263 to change plans. You may also go on-line to www.healthcareoptions.dhcs.ca.gov. 5. File a request for a Medi-Cal Fair Hearing at 1-800-952-5253. 2. 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 2017-2018_MH Rev. 10/24/17

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 1-877-661-6230 (press 2) www.contracostahealthplan.org WHO WE ARE CCHP has served Medi-Cal and other members since 1973. 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 2017-2018_MH

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) 313-6100. 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 1-800-464-4000. You can also call the Office of Family Planning at the Department of Health Care Services' toll-free number, 1-800-942-1054. 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 2017-2018_MH Rev. 10/24/17

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 www.contracostahealthplan.org 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 1-877-661-6230 (press 2) or for hearing impaired call California Relay at 1-800- 735-2929. 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 1-877-661-6230 (press 2) or for hearing impaired call California Relay at 1-800-735-2929 and we will work with you get Medi-Cal 2017-2018_MH

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) 313-6063 or for hearing impaired call California Relay 1-800-735-2929. 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) 676-7500; Tri Delta Transit (925) 754-4040; BART Express for Central and East County at (925) 676-2278 or for West County at (510) 236-2278; or Wheels (925) 455-7500. 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 1-877-661-6230 (press 2) or for hearing impaired call California Relay at 1-800- 735-2929. 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 2017-2018_MH Rev. 10/24/17

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 1-877-661-6230 (press 2) or for hearing impaired call California Relay at 1-800-735-2929. 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 1-800-430-4263 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 www.healthcareoptions.dhcs.ca.gov. 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 2017-2018_MH

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 www.contracostahealthplan.org, 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 1-800-464-4000. 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 1-877-661-6230 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 2017-2018_MH Rev. 10/24/17

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 2017-2018_MH

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 1-800- 464-4000. Remember, before you make a trip to the emergency room, except for life threatening emergencies; Call your PCP or a CCHP Advice Nurse 1-877-661-6231 (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 1-877-661-6230 (press 1). If you are a Kaiser member, call Kaiser's 24- hour emergency number 1-800-464-4000. 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 1-877- 234-4269 for a participating pharmacy in your MH - 12 Medi-Cal 2017-2018_MH Rev. 10/24/17

CONTRA COSTA HEALTH PLAN Medi-Cal Member Handbook area or go online to our searchable pharmacy listings at www.contracostahealthplan.org. 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 1-866-663-3225. 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 1-800-430-4263. HCO will mail an enrollment packet to you with instructions and information about CCHP. You may also go online to www.healthcareoptions.dhcs.ca.gov. 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 www.healthcareoptions.dhcs.ca.gov. 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 1-800-430-4263 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 www.healthcareoptions.dhcs.ca.gov. 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 2017-2018_MH

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 916-364-0287 or call HCO at 1-800-430-4263 between the hours of 8 am to 5 pm Monday thru Friday. You may also go on-line to: www.healthcareoptions.dhcs.ca.gov. 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 1-877-661-6230 (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 www.contracostahealthplan.org. 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 2017-2018_MH Rev. 10/24/17

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 94553 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 94553 or call 1-877-661-6230 (press 2) Kaiser members should call 1-800-464-4000 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 2017-2018_MH

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 1-888- HMO-2219 or the TDD line (1-877-688-9891) 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 1-888-452-8609. 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 1-877-661-6230 and use your health plan s MH - 16 Medi-Cal 2017-2018_MH Rev. 10/24/17

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 (1-877-688-9891) for the hearing and speech impaired. The department s Internet Web site http://www.hmohelp.ca.gov 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 1-800-952-5253, or write to California Department of Social Services, P.O. Box 944243, Mail Station 9-17- 37, Sacramento, California, 94244-2430. 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 2017-2018_MH

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 1-877- 661-6230 (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 www.healthcareoptions.dhcs.ca.gov. 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 2017-2018_MH Rev. 10/24/17

CONTRA COSTA HEALTH PLAN Medi-Cal Member Handbook Rev. 10/24/2017 MH - 19 Medi-Cal 2017-2018_MH

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: 1-800-495-8885 California Relay/TTY for the Hearing Impaired call: 1-800-735-2929 To leave a message for your Provider or your Provider s Care Coordinator call: 1-877-905-4545 Regional Medical Center Network Antioch Health Center 2335 Country Hills Dr., Antioch, CA 94509 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 94565 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 94513 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 94519 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 2 3024 Willow Pass Road Concord, CA 94519 (925) 681-4100 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 94553 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 94801 Hours: M-Fri, 7:45 am - 4:45 pm. Pittsburg Health Center 2311 Loveridge Road Pittsburg, CA 94565 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 13601 San Pablo Ave. San Pablo, CA 94806 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: www.contracostahealthplan.org Community Provider Network (CPN): For 24 Hour Urgently needed Services call your Provider s office or the CCHP Advice Nurse: 1-877-661-6230 (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: 1-800-464-4000 CCHP Member Call Center 1-877-661-6230 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) 313-6000 Chief Executive Officer: (925) 313-6004 Rev.10/24/17 MH - 20

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: 1-877-234-4269, or go to www.performrx.com. Mental Health Services 1-888-678-7277 Substance Abuse Services 1-800-846-1652 HEALTH CARE OPTIONS (HCO), Opciones de Salud 1-800-430-4263 TOLL-FREE LANGUAGE NUMBERS FOR HEALTH CARE OPTIONS NÚMERO DE TELÉFONOS GRATUITOS DE DIFERENTES IDIOMAS DEL HEALTHCHOICE Arabic... 1-800-576-6881 Armenian... 1-800-840-5032 Cambodian/Camboyano...... 1-800-430-5005 Cantonese/ Cantonés...... 1-800-430-6006 English and languages not listed/ Inglés y Idiomas Enumerados.. 1-800-430-4263 Farsi... 1-800-840-5034 Hmong... 1-800-430-2022 Korean... 1-800-576-6883 Laotian... 1-800-430-4091 Mandarin... 1-800-576-6885 Russian/ Ruso...... 1-800-430-7007 Rev. 10/24/17 Spanish/ ESPAŇOL...... 1-800-430-3003 Tagalog... 1-800-576-6890 Vietnamese/ Vietnamés...... 1-800-430-8008 HCO TDD LINE FOR THE HEARING IMPAIRED LA LINEA TDD PARA LA AUDICIÓN MINUSVÁLIDO 1-800-430-7077 IMPORTANTE NÚMEROS DE TELÉFONO mbre del Seguro Contra Costa Health Plan Servicios a los Miembros 1-877-661-6230 Calif. Dept. of Health Care Services Office of Family Planning 1-800-942-1054 Health Insurance Counseling and Advocacy Program (HICAP) for Seniors 1-800-510-2020 Denti-Cal Beneficiary Telephone Service Center 1-800-322-6384 Medi-Cal Ombudsman 1-888-452-8609 MH-21 Medi-Cal 2017-2018_MH

Medi-Cal Provider Directory Directorio de Proveedores para los Miembros de Medi-Cal 595 Center Avenue, Suite 100 Martinez, California 94553 1-877-661-6230 July 2017 2610301

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

Primary Care Providers Contra Costa Regional Medical Center (CCRMC) 1 Geriatric Medicine 13 14 16 Community Provider Network (CPN) 18 27 33 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

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

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: 1-800-464-4000. To access the Kaiser online directory, go to https://healthy.kaiserpermanente.org. 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 1-877-661-6230 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 1-800-464-4000. Para tener acceso al directorio de Káiser en la página de Internet vaya a http://healthy.kaiserpermanente.org. 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 1-877-661-6230 para cambiar su doctor de cabezera.

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 1-41. 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, 2009. 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 1-41. 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 2009. V

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 1-877-661-6230. Timely Access to Care The California Department of Managed Health Care (DMHC) has regulations set forth in Title 28, Section 1300.67.2.2 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 1-877-661-6230. 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 1300.67.2.2 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

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 1-877-661-6230 option 4 or file a complaint with the California Department of Managed Health Care by calling the DMHC Toll-free provider complaint line at: 1-877-525-1295. 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 1-877-661-6230 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: 1-877- 525-1295. 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

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 1-877-661-6230 (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 1-877-661-6230 (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 1-877-661-6230 (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 1-877-661-6230 (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 1-800-430-4263. VIII

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 1-877-661-6230 (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 1-877-661-6230 (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 1-877-661-6230 (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 1-877-661-6230 (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 1-800-430-4263 IX

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 94509 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: 1234567890 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

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

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

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

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

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 1-877-661-6230 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

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 94509 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: 0014580 NPI: 1184966707 CA LIC: A141785 Accepting New Patients: Gee, Lance, MD Antioch Health Center 2335 Country Hills Drive Antioch, CA 94509 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: 0001174 NPI: 1497731665 CA LIC: G74894 Accepting New Patients: Kirkpatrick, Haley, NP Antioch Health Center 2335 Country Hills Drive Antioch, CA 94509 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: 0014928 NPI: 1174638548 CA LIC: NPF16598 Accepting New Patients: Lee, David, MD Antioch Health Center 2335 Country Hills Drive Antioch, CA 94509 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: 0007382 NPI: 1427330497 CA LIC: A118160 Accepting New Patients: Moore, Gregory, MD Antioch Health Center 2335 Country Hills Drive Antioch, CA 94509 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: 0014390 NPI: 1831128156 CA LIC: G62634 Rogers, Kerry, NP Antioch Health Center 2335 Country Hills Drive Antioch, CA 94509 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: 0007468 NPI: 1588734859 CA LIC: NPF5428 Accepting New Patients: Smith, Mark, MD Antioch Health Center 2335 Country Hills Drive Antioch, CA 94509 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: 0010125 NPI: 1588767602 CA LIC: A72221 Accepting New Patients: Zuniga, Zoraya, MD Antioch Health Center 2335 Country Hills Drive Antioch, CA 94509 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: 0011317 NPI: 1710946934 CA LIC: A52552 Languages: TAGALOG Accepting New Patients: Bay Point Ballesteros, Karla, NP Bay Point Family Health Center 215 Pacifica Ave Bay Point, CA 94565 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: 0013536 NPI: 1962689455 CA LIC: NPF11070 This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 1

Primary Care Providers Proveedores de Atención Primaria Medicina Familiar Perez, Greta, MD Bay Point Family Health Center 215 Pacifica Ave Bay Point, CA 94565 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: 0000715 NPI: 1306988423 CA LIC: A55601 Brentwood Berg, Catherine, NP Brentwood Health Center 171 Sand Creek Rd Ste A Brentwood, CA 94513 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: 0013788 NPI: 1316171341 CA LIC: NPF18289 Accepting New Patients: Farnitano, Christopher, MD Brentwood Health Center 171 Sand Creek Rd Ste A Brentwood, CA 94513 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: 0000744 NPI: 1770673832 CA LIC: A51083 Accepting New Patients: Francis, Deidra, NP Brentwood Health Center 171 Sand Creek Rd Ste A Brentwood, CA 94513 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: 0013648 NPI: 1770998965 CA LIC: NPF950006 Accepting New Patients: Gujjula, Prashanthi, MD Brentwood Health Center 171 Sand Creek Rd Ste A Brentwood, CA 94513 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: 0013468 NPI: 1134407547 CA LIC: A128774 Accepting New Patients: Hearst, David, MD Brentwood Health Center 171 Sand Creek Rd Ste A Brentwood, CA 94513 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: 0000756 NPI: 1770670531 CA LIC: G44965 Accepting New Patients: Holmes, Michelle, MD Brentwood Health Center 171 Sand Creek Rd Ste A Brentwood, CA 94513 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: 0005528 NPI: 1720145626 CA LIC: A83960 Accepting New Patients: Su, Gigi, MD Brentwood Health Center 171 Sand Creek Rd Ste A Brentwood, CA 94513 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: 0014658 NPI: 1780692830 CA LIC: A63427 Accepting New Patients: Wooldridge, Monica, NP Brentwood Health Center 171 Sand Creek Rd Ste A Brentwood, CA 94513 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: 0014118 NPI: 1578898383 CA LIC: NPF20161 Accepting New Patients: This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 2

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 94519 Hours: M-F 8 am - 5 pm Accessibility Indicator: L ME EB R Plan Reference Number: 0007372 NPI: 1588916381 CA LIC: A122806 Accepting New Patients: Chun, Kwan, MD Concord Health Center 3052 Willow Pass Rd Ste 103 Concord, CA 94519 Hours: M-F 8 am - 5 pm Accessibility Indicator: L ME EB R Plan Reference Number: 0004748 NPI: 1801986955 CA LIC: A90941 Accepting New Patients: Fraser-Hulthage, Anna, MD Concord Health Center 3052 Willow Pass Rd Ste 103 Concord, CA 94519 Hours: M-F 8 am - 5 pm Accessibility Indicator: L ME EB R Plan Reference Number: 0005534 NPI: 1639352131 CA LIC: A101439 Accepting New Patients: Goheen, Katharine, MD Concord Health Center 3052 Willow Pass Rd Ste 103 Concord, CA 94519 Hours: M-F 8 am - 5 pm Accessibility Indicator: L ME EB R Plan Reference Number: 0007366 NPI: 1629358734 CA LIC: A118103 Accepting New Patients: Laing, Brian, MD Concord Health Center 3052 Willow Pass Rd Ste 103 Concord, CA 94519 Hours: M-F 8 am - 5 pm Accessibility Indicator: L ME EB R Plan Reference Number: 0013600 NPI: 1053649640 CA LIC: A110903 Accepting New Patients: Lehman, Trang, MD Concord Health Center 3052 Willow Pass Rd Ste 103 Concord, CA 94519 Hours: M-F 8 am - 5 pm Accessibility Indicator: L ME EB R Plan Reference Number: 0007837 NPI: 1407997836 CA LIC: A117076 Sealey, Chere, FNP Concord Health Center 3052 Willow Pass Rd Ste 103 Concord, CA 94519 Hours: M-F 8 am - 5 pm Accessibility Indicator: L ME EB R Plan Reference Number: 0011484 NPI: 1316298011 CA LIC: NPF21847 Accepting New Patients: Tzvieli, Ori, MD Concord Health Center 3052 Willow Pass Rd Ste 103 Concord, CA 94519 Hours: M-F 8 am - 5 pm Accessibility Indicator: L ME EB R Plan Reference Number: 0003644 NPI: 1134285331 CA LIC: A76711 Languages: HEBREW Accepting New Patients: Wong, Christina, MD Concord Health Center 3052 Willow Pass Rd Ste 103 Concord, CA 94519 Hours: M-F 8 am - 5 pm Accessibility Indicator: L ME EB R Plan Reference Number: 0010294 NPI: 1003068420 CA LIC: A111288 Obstetrics and Gynecology Languages: CANTONESE Accepting New Patients: This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 3

Primary Care Providers Proveedores de Atención Primaria Medicina Familiar Wong, Michelle, MD Concord Health Center 3052 Willow Pass Rd Ste 103 Concord, CA 94519 Hours: M-F 8 am - 5 pm Accessibility Indicator: L ME EB R Plan Reference Number: 0006581 NPI: 1851618474 CA LIC: A110551 Accepting New Patients: Herron, Sheryl, NP Concord Integrated Primary Care 1420 Willow Pass Road First Floor Concord, CA 94520 Hours: (By Appointment Only) Plan Reference Number: 0001716 NPI: 1619290228 CA LIC: NPF8311 Accepting New Patients: Nguyen, MyHoang, MD Concord Integrated Primary Care 1420 Willow Pass Road First Floor Concord, CA 94520 Hours: (By Appointment Only) Plan Reference Number: 0004693 NPI: 1497794093 CA LIC: A69394 Languages: VIETNAMESE Accepting New Patients: Strych, Deborah, NP Concord Integrated Primary Care 1420 Willow Pass Road First Floor Concord, CA 94520 Hours: (By Appointment Only) Plan Reference Number: 0000805 NPI: 1881754752 CA LIC: NP7273 Accepting New Patients: Loeliger, Scott, MD La Clinica De La Raza 2000 Sierra Rd Concord, CA 94518 (925) 363-2000 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: 0004627 NPI: 1205926367 CA LIC: G71388 Languages: FIJIAN GERMAN SPANISH Accepting New Patients: Martinez Barrow, Roger, MD Martinez Health Center 2500 Alhambra Ave Martinez, CA 94553 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: 0000718 NPI: 1518049139 CA LIC: G33101 Accepting New Patients: Bhatt, Veda, MD Martinez Health Center 2500 Alhambra Ave Martinez, CA 94553 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: 0000721 NPI: 1528100658 CA LIC: A62337 Accepting New Patients: Bliss, Judith, MD Martinez Health Center 2500 Alhambra Ave Martinez, CA 94553 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: 0000723 NPI: 1184781064 CA LIC: G70467 Accepting New Patients: Cherayil, Annie, MD Martinez Health Center 2500 Alhambra Ave Martinez, CA 94553 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: 0000902 NPI: 1568528750 CA LIC: A56424 Languages: MALAYALAM This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 4

Primary Care Providers Proveedores de Atención Primaria Medicina Familiar Cominos, Eve, MD Martinez Health Center 2500 Alhambra Ave Martinez, CA 94553 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: 0000734 NPI: 1083784136 CA LIC: G77296 Accepting New Patients: Dosanjh, Sandeep, MD Martinez Health Center 2500 Alhambra Ave Martinez, CA 94553 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: 0004225 NPI: 1750451688 CA LIC: A86466 Accepting New Patients: Furtado, Marcia, NP Martinez Health Center 2500 Alhambra Ave Martinez, CA 94553 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: 0003100 NPI: 1639235823 CA LIC: NPF9267 Accepting New Patients: Karpowicz, Scott, MD Martinez Health Center 2500 Alhambra Ave Martinez, CA 94553 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: 0013759 NPI: 1093005837 CA LIC: A122009 Accepting New Patients: Laimayum, Monica, MD Martinez Health Center 2500 Alhambra Ave Martinez, CA 94553 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: 0011455 NPI: 1861626798 CA LIC: A121946 Languages: HINDI Accepting New Patients: Moghaddam, Amennah, NP Martinez Health Center 2500 Alhambra Ave Martinez, CA 94553 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: 0011550 NPI: 1285046557 CA LIC: NPF950004 Pehling, James, MD Martinez Health Center 2500 Alhambra Ave Martinez, CA 94553 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: 0004750 NPI: 1497774160 CA LIC: A91941 Accepting New Patients: Pepper, David, MD Martinez Health Center 2500 Alhambra Ave Martinez, CA 94553 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: 0006406 NPI: 1881776896 CA LIC: G69211 Accepting New Patients: Pizzo, Anthony, NP Martinez Health Center 2500 Alhambra Ave Martinez, CA 94553 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: 0000788 NPI: 1528135894 CA LIC: NPF6602 Accepting New Patients: This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 5

Primary Care Providers Proveedores de Atención Primaria Medicina Familiar Richey-Lucero, Sara, MD Martinez Health Center 2500 Alhambra Ave Martinez, CA 94553 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: 0013081 NPI: 1003918848 CA LIC: G61884 Slauson, Dana, MD Martinez Health Center 2500 Alhambra Ave Martinez, CA 94553 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: 0000798 NPI: 1700930658 CA LIC: G31240 Accepting New Patients: Treyger, Leonid, MD Martinez Health Center 2500 Alhambra Ave Martinez, CA 94553 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: 0003035 NPI: 1336178102 CA LIC: A64930 Languages: RUSSIAN Accepting New Patients: Watanabe, Takenori, MD Martinez Health Center 2500 Alhambra Ave Martinez, CA 94553 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: 0006904 NPI: 1770670556 CA LIC: A107382 Languages: JAPANESE Kwok, Bonnie, MD Miller Wellness Center 25 Allen St Ste A Martinez, CA 94553 Plan Reference Number: 0011558 NPI: 1497160097 CA LIC: A139759 Accepting New Patients: Moring-Parris, Daniel, MD Miller Wellness Center 25 Allen St Ste A Martinez, CA 94553 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: 0011597 NPI: 1891067609 CA LIC: A120060 Accepting New Patients: Pirnia, Mana, DO Miller Wellness Center 25 Allen St Ste A Martinez, CA 94553 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: 0010848 NPI: 1801225610 CA LIC: 20A13816 Accepting New Patients: Weiss, Karen, NP Miller Wellness Center 25 Allen St Ste A Martinez, CA 94553 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: 0010972 NPI: 1720328487 CA LIC: NPF22746 Accepting New Patients: Pittsburg Westerman, Jennifer, NP La Clinica De La Raza 2240 Gladstone Dr Ste 4 Pittsburg, CA 94565 (925) 431-2100 Hours: M-F 8:30 am - 5:30 pm Plan Reference Number: 0001006 NPI: 1154404101 CA LIC: NPF6872 Accepting New Patients: This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 6

Primary Care Providers Proveedores de Atención Primaria Medicina Familiar Ayala, Miguel, NP Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA 94565 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: 0010633 NPI: 1538446448 CA LIC: NPF21567 Accepting New Patients: Berger, Christina, NP Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA 94565 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: 0000719 NPI: 1821157959 CA LIC: NPF8314 Accepting New Patients: Chandrachood, Swapnaja, MD Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA 94565 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: 0010463 NPI: 1992934947 CA LIC: A119561 Languages: HINDI Accepting New Patients: Chou, Cinnie, MD Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA 94565 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: 0005221 NPI: 1689741043 CA LIC: A94370 Accepting New Patients: Desoer, Craig, MD Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA 94565 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: 0000737 NPI: 1598832867 CA LIC: G66654 Languages: FRENCH SPANISH Downing, Michael, MD Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA 94565 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: 0013731 NPI: 1093137705 CA LIC: A128354 Accepting New Patients: Farnitano, Christopher, MD Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA 94565 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: 0000744 NPI: 1770673832 CA LIC: A51083 Accepting New Patients: Hamlin, Kathryn, MD Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA 94565 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: 0010862 NPI: 1457780165 CA LIC: A133158 Accepting New Patients: Madrigal, Teresa, MD Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA 94565 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: 0000776 NPI: 1710915871 CA LIC: A65683 Accepting New Patients: This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 7

Primary Care Providers Proveedores de Atención Primaria Medicina Familiar Pizzo, Anthony, NP Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA 94565 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: 0000788 NPI: 1528135894 CA LIC: NPF6602 Richmond, Marcie, MD Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA 94565 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: 0010845 NPI: 1154752814 CA LIC: A133951 Accepting New Patients: Romero-Duran, Adolfo, MD Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA 94565 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: 0005315 NPI: 1275690836 CA LIC: A84197 Accepting New Patients: Romito, Leah, MD Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA 94565 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: 0007690 NPI: 1235486135 CA LIC: A122441 Accepting New Patients: Setliff, Kristen, DO Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA 94565 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: 0010314 NPI: 1841452547 CA LIC: 20A11140 Accepting New Patients: Sinclair, Barbara, MD Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA 94565 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: 0015511 NPI: 1154430890 CA LIC: 75208 Accepting New Patients: Strych, Deborah, NP Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA 94565 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: 0000805 NPI: 1881754752 CA LIC: NP7273 Accepting New Patients: Westerman, Jennifer, NP Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA 94565 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: 0001006 NPI: 1154404101 CA LIC: 6872 Accepting New Patients: Richmond Beaton, Melina, MD rth Richmond Center for Health 1501 Fred Jackson Way Richmond, CA 94801 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: 0007364 NPI: 1548529027 CA LIC: A120828 Accepting New Patients: This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 8

Primary Care Providers Proveedores de Atención Primaria Medicina Familiar Echiverri, Angela, MD rth Richmond Center for Health 1501 Fred Jackson Way Richmond, CA 94801 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: 0013745 NPI: 1124376363 CA LIC: A129632 Accepting New Patients: Howard, Phyllis, NP rth Richmond Center for Health 1501 Fred Jackson Way Richmond, CA 94801 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: 0000761 NPI: 1093885998 CA LIC: NPF8195 Accepting New Patients: Kray, Margaret, FNP rth Richmond Center for Health 1501 Fred Jackson Way Richmond, CA 94801 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: 0007270 NPI: 1760630941 CA LIC: NPF18368 Accepting New Patients: Lee, Daniel, MD rth Richmond Center for Health 1501 Fred Jackson Way Richmond, CA 94801 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: 0006010 NPI: 1588833388 CA LIC: A101972 San Pablo Arcos, Rebecca, NP West County Health Center 13601 San Pablo Ave San Pablo, CA 94806 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: 0010528 NPI: 1356571624 CA LIC: NPF20548 Accepting New Patients: Block, Alison, MD West County Health Center 13601 San Pablo Ave San Pablo, CA 94806 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: 0011615 NPI: 1679863609 CA LIC: A122363 Accepting New Patients: Butler, Kimberly, MD West County Health Center 13601 San Pablo Ave San Pablo, CA 94806 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: 0010209 NPI: 1164851937 CA LIC: A128284 Accepting New Patients: Carey, David, MD West County Health Center 13601 San Pablo Ave San Pablo, CA 94806 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: 0007373 NPI: 1790060457 CA LIC: A118679 Accepting New Patients: Chan, Lilian, MD West County Health Center 13601 San Pablo Ave San Pablo, CA 94806 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: 0013736 NPI: 1548521289 CA LIC: A137387 Accepting New Patients: This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 9

Primary Care Providers Proveedores de Atención Primaria Medicina Familiar Farey, Krista, MD West County Health Center 13601 San Pablo Ave San Pablo, CA 94806 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: 0000743 NPI: 1376626044 CA LIC: G59698 Accepting New Patients: Gordon, Amy, MD West County Health Center 13601 San Pablo Ave San Pablo, CA 94806 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: 0000753 NPI: 1528123692 CA LIC: A67379 Accepting New Patients: Hernandez, Alberto, NP West County Health Center 13601 San Pablo Ave San Pablo, CA 94806 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: 0010979 NPI: 1285910976 CA LIC: NPF21625 Kaji, Troy, MD West County Health Center 13601 San Pablo Ave San Pablo, CA 94806 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: 0004043 NPI: 1770652422 CA LIC: G61656 Preventive Medicine Accepting New Patients: Lipson, John, MD West County Health Center 13601 San Pablo Ave San Pablo, CA 94806 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: 0006291 NPI: 1841442761 CA LIC: A105468 Accepting New Patients: McIlroy, Richard, MD West County Health Center 13601 San Pablo Ave San Pablo, CA 94806 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: 0006880 NPI: 1629357264 CA LIC: A117659 Accepting New Patients: Orengo-McFarlane, Michelle, MD West County Health Center 13601 San Pablo Ave San Pablo, CA 94806 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: 0010684 NPI: 1033348263 CA LIC: A108738 Accepting New Patients: Pehling, James, MD West County Health Center 13601 San Pablo Ave San Pablo, CA 94806 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: 0004750 NPI: 1497774160 CA LIC: A91941 Pierson-Brown, Leigh, NP West County Health Center 13601 San Pablo Ave San Pablo, CA 94806 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: 0002649 NPI: 1336216696 CA LIC: NPF2500 This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 10

Primary Care Providers Proveedores de Atención Primaria Medicina Familiar Pizzo, Anthony, NP West County Health Center 13601 San Pablo Ave San Pablo, CA 94806 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: 0000788 NPI: 1528135894 CA LIC: NPF6602 Accepting New Patients: Puell, Michael, MD West County Health Center 13601 San Pablo Ave San Pablo, CA 94806 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: 0000789 NPI: 1295892099 CA LIC: A40811 Accepting New Patients: Radhakrishna, Rohan, MD West County Health Center 13601 San Pablo Ave San Pablo, CA 94806 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: 0007681 NPI: 1881035681 CA LIC: A126307 Sagum, Renan, NP West County Health Center 13601 San Pablo Ave San Pablo, CA 94806 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: 0010960 NPI: 1093056434 CA LIC: NP22608 Languages: TAGALOG Accepting New Patients: Sandler, Andrea, MD West County Health Center 13601 San Pablo Ave San Pablo, CA 94806 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: 0004218 NPI: 1073551719 CA LIC: A85521 Accepting New Patients: Scott, Malaika, MD West County Health Center 13601 San Pablo Ave San Pablo, CA 94806 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: 0006015 NPI: 1396908125 CA LIC: A104233 Accepting New Patients: Sheldon, Will, MD West County Health Center 13601 San Pablo Ave San Pablo, CA 94806 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: 0006310 NPI: 1154568012 CA LIC: A105935 Accepting New Patients: Siegel, Alan, MD West County Health Center 13601 San Pablo Ave San Pablo, CA 94806 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: 0003032 NPI: 1063579860 CA LIC: A65135 Tai, Denice, MD West County Health Center 13601 San Pablo Ave San Pablo, CA 94806 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: 0005539 NPI: 1164603064 CA LIC: A97952 Accepting New Patients: This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 11

Primary Care Providers Proveedores de Atención Primaria Medicina Familiar Tell, Stasia, NP West County Health Center 13601 San Pablo Ave San Pablo, CA 94806 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: 0007820 NPI: 1285890616 CA LIC: NPF18393 Accepting New Patients: Wadle, Dawn, MD West County Health Center 13601 San Pablo Ave San Pablo, CA 94806 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: 0000816 NPI: 1255497459 CA LIC: G69776 Accepting New Patients: Walls, James, MD West County Health Center 13601 San Pablo Ave San Pablo, CA 94806 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: 0007688 NPI: 1265787972 CA LIC: A122114 Warne, Thomas, MD West County Health Center 13601 San Pablo Ave San Pablo, CA 94806 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: 0004134 NPI: 1841356037 CA LIC: A83344 Accepting New Patients: Weinreich, Don, MD West County Health Center 13601 San Pablo Ave San Pablo, CA 94806 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: 0001003 NPI: 1053380519 CA LIC: A66461 This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 12

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 13601 San Pablo Ave San Pablo, CA 94806 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: 0006902 NPI: 1750367462 CA LIC: G57324 Accepting New Patients: This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 13

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 94509 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: 0006927 NPI: 1982608568 CA LIC: A38329 Brentwood Yang, Janet, MD Brentwood Health Center 171 Sand Creek Rd Ste A Brentwood, CA 94513 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: 0014627 NPI: 1033475397 CA LIC: A141313 Accepting New Patients: Concord Bhandari, Vijay, MD Concord Health Center 3052 Willow Pass Rd Ste 103 Concord, CA 94519 Hours: M-F 8 am - 5 pm Accessibility Indicator: L ME EB R Plan Reference Number: 0006615 NPI: 1255460622 CA LIC: A98471 Accepting New Patients: Cremin, Daniel, MD Concord Health Center 3052 Willow Pass Rd Ste 103 Concord, CA 94519 Hours: M-F 8 am - 5 pm Accessibility Indicator: L ME EB R Plan Reference Number: 0000735 NPI: 1386867422 CA LIC: A40392 Accepting New Patients: Sreenivasan, Meera, MD Concord Health Center 3052 Willow Pass Rd Ste 103 Concord, CA 94519 Hours: M-F 8 am - 5 pm Accessibility Indicator: L ME EB R Plan Reference Number: 0013862 NPI: 1639490816 CA LIC: C133964 Accepting New Patients: Martinez Sullivan, Gabriela, MD Martinez Health Center 2500 Alhambra Ave Martinez, CA 94553 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: 0004804 NPI: 1275620023 CA LIC: A77056 Accepting New Patients: Wille, Mark, MD Martinez Health Center 2500 Alhambra Ave Martinez, CA 94553 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: 0000114 NPI: 1205904133 CA LIC: G25177 Accepting New Patients: Peng, Yu-Hung, MD Miller Wellness Center 25 Allen St Ste A Martinez, CA 94553 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: 0015425 NPI: 1922298520 CA LIC: A78615 Accepting New Patients: This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 14

Primary Care Providers Proveedores de Atención Primaria Medicina Interna Pyrkova-Corotan, Irina, MD Miller Wellness Center 25 Allen St Ste A Martinez, CA 94553 Hours: M 8 am - 12 pm 1 pm - 5 pmtu 1 pm - 5 pmw 8 am - 12 pm Plan Reference Number: 0013488 NPI: 1346350394 CA LIC: C51927 Languages: RUSSIAN Accepting New Patients: Pittsburg Boly, Lawrence, MD Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA 94565 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: 0009853 NPI: 1053537852 CA LIC: G48825 Accepting New Patients: Graham, Oliver, MD Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA 94565 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: 0004318 NPI: 1972705424 CA LIC: A66957 Accepting New Patients: Wille, Mark, MD Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA 94565 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: 0000114 NPI: 1205904133 CA LIC: G25177 Accepting New Patients: San Pablo Levin, Sara, MD West County Health Center 13601 San Pablo Ave San Pablo, CA 94806 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: 0004995 NPI: 1184707853 CA LIC: A77340 Accepting New Patients: McCullough, Kalyani, MD West County Health Center 13601 San Pablo Ave San Pablo, CA 94806 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: 0010794 NPI: 1841525300 CA LIC: A111044 Accepting New Patients: This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 15

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 94509 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: 0004052 NPI: 1972630804 CA LIC: G71056 Accepting New Patients: Jamwal, Abhilasha, MD Antioch Health Center 2335 Country Hills Drive Antioch, CA 94509 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: 0015021 NPI: 1558551143 CA LIC: C56052 Brentwood Duque-Silva, Alexandra, MD Brentwood Health Center 171 Sand Creek Rd Ste A Brentwood, CA 94513 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: 0013121 NPI: 1174758585 CA LIC: A116268 Accepting New Patients: Ha, Nikki, NP Brentwood Health Center 171 Sand Creek Rd Ste A Brentwood, CA 94513 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: 0013314 NPI: 1225278138 CA LIC: NPF18682 Accepting New Patients: Joseph, Mary, MD Brentwood Health Center 171 Sand Creek Rd Ste A Brentwood, CA 94513 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: 0015133 NPI: 1285803460 CA LIC: A102706 Concord Kelly, Olga, MD Concord Health Center 3052 Willow Pass Rd Ste 103 Concord, CA 94519 Hours: M-F 8 am - 5 pm Accessibility Indicator: L ME EB R Plan Reference Number: 0006328 NPI: 1255403069 CA LIC: C50766 Accepting New Patients: White, Keith, MD Concord Health Center 3052 Willow Pass Rd Ste 103 Concord, CA 94519 Hours: M-F 8 am - 5 pm Accessibility Indicator: L ME EB R Plan Reference Number: 0000823 NPI: 1821217845 CA LIC: G57666 Accepting New Patients: Martinez Jett, Margaret, DO Miller Wellness Center 25 Allen St Ste A Martinez, CA 94553 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: 0011569 NPI: 1326314675 CA LIC: 20A12542 Accepting New Patients: This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 16

Primary Care Providers Proveedores de Atención Primaria Pediatría Pittsburg Brito, Nicole, NP Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA 94565 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: 0010593 NPI: 1316008568 CA LIC: NPF16297 Accepting New Patients: Karatepe, Meltem, MD Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA 94565 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: 0007564 NPI: 1215025549 CA LIC: A113806 Languages: TURKISH SPANISH Accepting New Patients: Lewis, Flynne, MD Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA 94565 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: 0013627 NPI: 1336562339 CA LIC: A127989 Accepting New Patients: Rice, Abraham, MD Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA 94565 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: 0006568 NPI: 1023157864 CA LIC: A72863 Accepting New Patients: San Pablo Ghori, Imtiaz, MD West County Health Center 13601 San Pablo Ave San Pablo, CA 94806 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: 0003097 NPI: 1710055215 CA LIC: A65334 Accepting New Patients: This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 17

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 94706 (510) 204-8130 Hours: M-F 8 am - 5 pm Accessibility Indicator: L ME E EB IB P T Plan Reference Number: 0011435 NPI: 1063520690 CA LIC: G81570 Accepting New Patients: Blaufarb, Alexandra, NP Sutter East Bay Medical Foundation 500 San Pablo Ave Albany, CA 94706 (510) 204-8130 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: 0010341 NPI: 1205107216 CA LIC: NPF21563 Accepting New Patients: Buffett, Wendy, MD Sutter East Bay Medical Foundation 500 San Pablo Ave Albany, CA 94706 (510) 204-8130 Hours: M-F 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: 0011436 NPI: 1154373165 CA LIC: G80799 Accepting New Patients: Bunzel, Mary, NP Sutter East Bay Medical Foundation 500 San Pablo Ave Albany, CA 94706 (510) 204-8130 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: 0011431 NPI: 1164517850 CA LIC: NPF10692 Accepting New Patients: Clyde, Rebecca, MD Sutter East Bay Medical Foundation 500 San Pablo Ave Albany, CA 94706 (510) 204-8130 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: 0006505 NPI: 1184737348 CA LIC: A71193 Accepting New Patients: Diamond, Jan, MD Sutter East Bay Medical Foundation 500 San Pablo Ave Albany, CA 94706 (510) 204-8130 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: 0000738 NPI: 1326116898 CA LIC: G57275 Accepting New Patients: Ingersoll, Otis, NP Sutter East Bay Medical Foundation 500 San Pablo Ave Albany, CA 94706 (510) 204-8130 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: 0011432 NPI: 1386838407 CA LIC: NPF14774 Accepting New Patients: Kirkham, Margaret, NP Sutter East Bay Medical Foundation 500 San Pablo Ave Albany, CA 94706 (510) 204-8130 Hours: M-F 8 am - 5 pm Accessibility Indicator: B ME E EB IB P R T Plan Reference Number: 0011433 NPI: 1184866337 CA LIC: NPF18789 Accepting New Patients: McGrael-Souders, Adrienne, MD Sutter East Bay Medical Foundation 500 San Pablo Ave Albany, CA 94706 (510) 204-8130 Hours: M-F 8 am - 5 pm Accessibility Indicator: B ME E EB IB P R T Plan Reference Number: 0011439 NPI: 1740286079 CA LIC: G48839 Accepting New Patients: This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 18

Primary Care Providers Proveedores de Atención Primaria Medicina Familiar Simon, Christine, MD Sutter East Bay Medical Foundation 500 San Pablo Ave Albany, CA 94706 (510) 204-8130 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: 0003558 NPI: 1588779185 CA LIC: G69938 Accepting New Patients: Suzuki, Fumi, MD Sutter East Bay Medical Foundation 500 San Pablo Ave Albany, CA 94706 (510) 204-8130 Hours: M-F 8 am - 5 pm Accessibility Indicator: B ME E EB IB P R T Plan Reference Number: 0013713 NPI: 1033125281 CA LIC: C51677 Accepting New Patients: Wallach, Andrew, MD Sutter East Bay Medical Foundation 500 San Pablo Ave Albany, CA 94706 (510) 204-8130 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: 0002186 NPI: 1528035979 CA LIC: G41883 Accepting New Patients: Wardlaw, Mary, NP Sutter East Bay Medical Foundation 500 San Pablo Ave Albany, CA 94706 (510) 204-8130 Hours: M-F 8 am - 5 pm Accessibility Indicator: B ME E EB IB P R T Plan Reference Number: 0011434 NPI: 1275626384 CA LIC: NPF7899 Accepting New Patients: Berkeley Marcotrigiano, Leanne, MD LifeLong Medical Care 3075 Adeline St Ste 280 Berkeley, CA 94703 (510) 981-4100 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: 0014574 NPI: 1528320942 CA LIC: A142517 Nwokoye, Ifeoma, NP LifeLong Medical Care 3075 Adeline St Ste 280 Berkeley, CA 94703 (510) 981-4100 Hours: M 8 am - 5:30 pmth 10 am - 6:30 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: 0015135 NPI: 1134662174 CA LIC: NPF950054 Ochieng, Rose, MD LifeLong Medical Care 3075 Adeline St Ste 280 Berkeley, CA 94703 (510) 981-4100 Hours: M-F 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: 0015142 NPI: 1750721551 CA LIC: A135104 Duir, Kimberly, MD LifeLong Medical Care 2031 Sixth St Berkeley, CA 94710 (510) 981-4200 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: 0000740 NPI: 1578646998 CA LIC: G57232 Accepting New Patients: White, Tracy, MD LifeLong Medical Care 2031 Sixth St Berkeley, CA 94710 (510) 981-4200 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: 0014896 NPI: 1245674340 CA LIC: A132938 This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 19

Primary Care Providers Proveedores de Atención Primaria Medicina Familiar Fremont Ahmadi, Ebrahim, MD Ebrahim Ahmadi MD 38143 Martha Ave Fremont, CA 94536 (510) 791-2002 Hours: M-F 9 am - 5 pm Accessibility Indicator: L E EB IB Plan Reference Number: 0007625 NPI: 1417008426 CA LIC: A50313 Languages: PERSIAN TAGALOG Accepting New Patients: Oakland Vu, Cuong, MD Cuong Vu MD 412 8th St Ste B Oakland, CA 94607 (510) 452-4690 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: 0001087 NPI: 1821195116 CA LIC: A36563 Languages: VIETNAMESE CHINESE Crumpler, Faith, MD LifeLong Medical Care 616 16th St Oakland, CA 94612 (510) 981-4100 Hours: M-F 8 am - 5 pmsat 8 am - 12 pm Accessibility Indicator: L E EB IB Plan Reference Number: 0010058 NPI: 1154584829 CA LIC: A115514 Aboelata, ha, MD Roots Community Health Center 2700 International Blvd Ste 11 Oakland, CA 94601 (510) 533-1248 Hours: M-F 9 am - 5 pm Accessibility Indicator: L P Plan Reference Number: 0013572 NPI: 1447246293 CA LIC: A71602 Aboelata, ha, MD Roots Community Health Center 9925 International Blvd #5 Oakland, CA 94603 (510) 777-1177 Hours: M-F 9 am - 5 pm Accessibility Indicator: L EB IB P R Plan Reference Number: 0013572 NPI: 1447246293 CA LIC: A71602 Lopez, Paulina, NP Roots Community Health Center 9925 International Blvd #5 Oakland, CA 94603 (510) 777-1177 Hours: M-F 9 am - 5 pm Accessibility Indicator: L EB IB P R Plan Reference Number: 0013779 NPI: 1255737144 CA LIC: NP9500133 Piedmont Valverde-Salas, Vicky, MD Piedmont Primary Care 1345 Grand Ave Ste 103 Piedmont, CA 94610 (510) 428-4900 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: 0007269 NPI: 1669551883 CA LIC: G54090 Accepting New Patients: Pleasanton Gandhi, Reshma, MD Axis Community Health 5925 Las Positas Blvd. Ste 100 Pleasanton, CA 94588 (925) 462-1755 Hours: M-F 8 am - 5 pm Plan Reference Number: 0015557 NPI: 1265748602 CA LIC: A122708 Accepting New Patients: Kallem, Priyanka, MD Axis Community Health 5925 Las Positas Blvd. Ste 100 Pleasanton, CA 94588 (925) 462-1755 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: 0015558 NPI: 1417114067 CA LIC: A106553 Accepting New Patients: This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 20

Primary Care Providers Proveedores de Atención Primaria Medicina Familiar Lay, Cho Cho, MD Axis Community Health 5925 Las Positas Blvd. Ste 100 Pleasanton, CA 94588 (925) 462-1755 Hours: M 8:15 am - 5 pmw 8:15 am - 5 pmf 8:15 am - 5 pm Plan Reference Number: 0015554 NPI: 1982681524 CA LIC: A88327 Accepting New Patients: Zafer, Sadaf, MD Axis Community Health 5925 Las Positas Blvd. Ste 100 Pleasanton, CA 94588 (925) 462-1755 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: 0014465 NPI: 1821295882 CA LIC: A124985 Sun, Chao, MD Express Medicine Urgent Care 5700 Stoneridge Mall Road Ste 100 Pleasanton, CA 94588 (925) 425-9525 Hours: M-F 9 am - 6 pmsat 10 am - 4 pm Accessibility Indicator: L E EB IB P Plan Reference Number: 0010869 NPI: 1013118884 CA LIC: A101860 Preventive Medicine Languages: CHINESE CONTRA COSTA Antioch Barnes, Sophie, NP BASS - Full Care Medical Group 3903 Lone Tree Way Ste 104 Antioch, CA 94509 (925) 755-1255 Hours: M 9:30 am - 5:30 pmw 9:30 am - 5:30 pmf 9:30 am - 5:30 pm Plan Reference Number: 0014631 NPI: 1558729145 CA LIC: NPF950036 Languages: CAMBODIAN Duke, Florentina, NP BASS - Full Care Medical Group 3903 Lone Tree Way Ste 104 Antioch, CA 94509 (925) 755-1255 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: 0014621 NPI: 1356772941 CA LIC: NPF23167 Khonsari, Hamidreza, MD BASS - Full Care Medical Group 3903 Lone Tree Way Ste 104 Antioch, CA 94509 (925) 755-1255 Hours: M-F 7 am - 6:30 pm Accessibility Indicator: L E EB IB P Plan Reference Number: 0004193 NPI: 1306874714 CA LIC: A48607 Languages: PERSIAN SPANISH Navolanic, Peter, MD Brighter Beginnings Family Health Clinic 2213 Buchanan Rd #103 Antioch, CA 94509 (925) 303-4780 Hours: M-F 8:30 am - 5 pm Accessibility Indicator: L E EB IB P Plan Reference Number: 0014530 NPI: 1427121896 CA LIC: G25971 Accepting New Patients: Elyasi, Siamak, MD Springhill Medical Group 3720 Sunset Ln Ste B Antioch, CA 94509 (925) 779-9601 Hours: M-F 8 am - 5 pm Accessibility Indicator: L Plan Reference Number: 0007195 NPI: 1467407809 CA LIC: A50205 Languages: PERSIAN SPANISH Concord Mbadike-Obiora, Maureen, MD BASS - Maureen Mbadike-Obiora MD 2415 High School Ave Ste 300 Concord, CA 94520 (925) 685-8894 Hours: M-F 9 am - 5 pm Accessibility Indicator: L EB IB P Plan Reference Number: 0006962 NPI: 1508948886 CA LIC: A77170 Accepting New Patients: This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 21

Primary Care Providers Proveedores de Atención Primaria Medicina Familiar Vertudez, Janice, NP Concord Pediatric Care 3108 Willow Pass Rd Concord, CA 94519 (925) 849-6633 Hours: M-F 9 am - 5 pm Plan Reference Number: 0010969 NPI: 1912340118 CA LIC: NPF22458 Languages: TAGALOG SPANISH Accepting New Patients: Akera, Chika, MD La Clinica De La Raza 2000 Sierra Rd Concord, CA 94518 (925) 363-2000 Hours: M-F 8:30 am - 5:30 pm Accessibility Indicator: L E EB IB R Plan Reference Number: 0005425 NPI: 1831319789 CA LIC: A62930 Languages: JAPANESE SPANISH Accepting New Patients: Kaur, Harpreet, NP La Clinica De La Raza 2000 Sierra Rd Concord, CA 94518 (925) 363-2000 Hours: M-F 8:30 am - 5:30 pm Accessibility Indicator: L E EB IB R Plan Reference Number: 0014529 NPI: 1013378595 CA LIC: NPF950034 Languages: HINDI PANJABI Khan, Farhat, MD La Clinica De La Raza 2000 Sierra Rd Concord, CA 94518 (925) 363-2000 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: 0013763 NPI: 1508166273 CA LIC: A114102 Languages: PANJABI PASHTO URDU Accepting New Patients: Loeliger, Scott, MD La Clinica De La Raza 2000 Sierra Rd Concord, CA 94518 (925) 363-2000 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: 0004627 NPI: 1205926367 CA LIC: G71388 Languages: FIJIAN GERMAN SPANISH Accepting New Patients: Machkovsky, Elvira, NP La Clinica De La Raza 2000 Sierra Rd Concord, CA 94518 (925) 363-2000 Hours: M-F 8:30 am - 5:30 pm Accessibility Indicator: L E EB IB R Plan Reference Number: 0014863 NPI: 1497202915 CA LIC: NPF950038 Languages: RUSSIAN Morales, Katie, NP La Clinica De La Raza 2000 Sierra Rd Concord, CA 94518 (925) 363-2000 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: 0014219 NPI: 1518337948 CA LIC: 95003164 ENGLISH Accepting New Patients: Ospina, Esperanza, PA La Clinica De La Raza 2000 Sierra Rd Concord, CA 94518 (925) 363-2000 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: 0006171 NPI: 1396968582 CA LIC: PA18516 Accepting New Patients: Raumer, Sheila, MD La Clinica De La Raza 2000 Sierra Rd Concord, CA 94518 (925) 363-2000 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: 0001360 NPI: 1477530988 CA LIC: A40888 Languages: GERMAN SPANISH This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 22

Primary Care Providers Proveedores de Atención Primaria Medicina Familiar Wong, Griselda, PA La Clinica De La Raza 2000 Sierra Rd Concord, CA 94518 (925) 363-2000 Hours: M-F 8:30 am - 5:30 pmsat 8:30 am - 5 pm Accessibility Indicator: L E EB IB R Plan Reference Number: 0011494 NPI: 1629154224 CA LIC: PA18453 Accepting New Patients: Valverde-Salas, Vicky, MD Piedmont Primary Care 2299 Bacon St Ste 6 Concord, CA 94520 (925) 691-1900 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: 0007269 NPI: 1669551883 CA LIC: G54090 Accepting New Patients: Oakley Curbelo, Gustavo, MD La Clinica De La Raza 2021 Main St. Oakley, CA 94561 (925) 776-8200 Hours: M-F 8:30 am - 5:30 pmsat 8 am - 4:30 pm Accessibility Indicator: L E EB IB P Plan Reference Number: 0006271 NPI: 1629298153 CA LIC: A98595 Accepting New Patients: Hoffman, Joan, MD La Clinica De La Raza 2021 Main St. Oakley, CA 94561 (925) 776-8200 Hours: M-F 8:30 am - 5:30 pm Accessibility Indicator: L E EB IB P Plan Reference Number: 0010025 NPI: 1417007782 CA LIC: G77232 Accepting New Patients: Voelker, Kathryn, PA La Clinica De La Raza 2021 Main St. Oakley, CA 94561 (925) 776-8200 Hours: M-F 8:30 am - 5:30 pm Accessibility Indicator: L E EB IB P Plan Reference Number: 0013547 NPI: 1881838142 CA LIC: PA20323 Accepting New Patients: Yastro, Kalynn, NP La Clinica De La Raza 2021 Main St. Oakley, CA 94561 (925) 776-8200 Hours: M-F 8:30 am - 5:30 pm Accessibility Indicator: L E EB IB P Plan Reference Number: 0014901 NPI: 1043766678 CA LIC: NPF950049 Accepting New Patients: Pinole Stephens, Claudell, MD Healthy Living Clinic 1063 San Pablo Ave # B Pinole, CA 94564 (510) 964-9275 Hours: M-F 5 pm - 9 pm Accessibility Indicator: L E EB IB R Plan Reference Number: 0003354 NPI: 1437240850 CA LIC: G34895 Accepting New Patients: Frausto, Luz, PA LifeLong Medical Care 1690 San Pablo Ave Ste F Pinole, CA 94564 (510) 981-3255 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: 0013780 NPI: 1427454800 CA LIC: PA51848 Accepting New Patients: Pittsburg O'Meany, Juan, PA La Clinica De La Raza 2240 Gladstone Dr Ste 4 Pittsburg, CA 94565 (925) 431-2100 Hours: M-F 8:30 am - 5:30 pm Plan Reference Number: 0004656 NPI: 1922108273 CA LIC: PA14168 Accepting New Patients: This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 23

Primary Care Providers Proveedores de Atención Primaria Medicina Familiar Som, Charles, DO La Clinica De La Raza 2240 Gladstone Dr Ste 4 Pittsburg, CA 94565 (925) 431-2100 Hours: M-F 8:30 am - 5:30 pmsat 8 am - 4 pm Plan Reference Number: 0011345 NPI: 1245381706 CA LIC: 20A9766 Accepting New Patients: Stanley, Guadalupe, PA La Clinica De La Raza 2240 Gladstone Dr Ste 4 Pittsburg, CA 94565 (925) 431-2100 Hours: M-F 8:30 am - 5:30 pm Plan Reference Number: 0007279 NPI: 1093942476 CA LIC: PA20277 Accepting New Patients: Westerman, Jennifer, NP La Clinica De La Raza 2240 Gladstone Dr Ste 4 Pittsburg, CA 94565 (925) 431-2100 Hours: M-F 8:30 am - 5:30 pm Plan Reference Number: 0001006 NPI: 1154404101 CA LIC: NPF6872 Accepting New Patients: Westerman, Jennifer, NP Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA 94565 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: 0001006 NPI: 1154404101 CA LIC: 6872 Accepting New Patients: Elyasi, Siamak, MD Springhill Medical Group 2220 Gladstone Dr. Ste. 3 Pittsburg, CA 94565 (925) 432-3318 Hours: M-F 8 am - 5 pm Accessibility Indicator: L E P Plan Reference Number: 0007195 NPI: 1467407809 CA LIC: A50205 Languages: PERSIAN SPANISH Richmond Beeckman, Jennifer, NP Brighter Beginnings Family Health Clinic 2727 Macdonald Ave Richmond, CA 94804 (510) 213-6681 Hours: Th 8:30 am - 5 pm Accessibility Indicator: L E EB IB R Plan Reference Number: 0007817 NPI: 1174729271 CA LIC: NPF13545 Navolanic, Peter, MD Brighter Beginnings Family Health Clinic 2727 Macdonald Ave Richmond, CA 94804 (510) 213-6681 Hours: M-F 8:30 am - 5 pm Accessibility Indicator: L E EB IB R Plan Reference Number: 0014530 NPI: 1427121896 CA LIC: G25971 Perlas, Jane, NP Brighter Beginnings Family Health Clinic 2727 Macdonald Ave Richmond, CA 94804 (510) 213-6681 Hours: F 8:30 am - 5 pm Accessibility Indicator: L E EB IB R Plan Reference Number: 0005163 NPI: 1750370904 CA LIC: NPF9080 Languages: TAGALOG SPANISH Tanner, Catherine, NP Brighter Beginnings Family Health Clinic 2727 Macdonald Ave Richmond, CA 94804 (510) 213-6681 Hours: W 8:30 am - 5 pm Accessibility Indicator: L E EB IB R Plan Reference Number: 0014466 NPI: 1083743769 CA LIC: NPF17122 Accepting New Patients: This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 24

Primary Care Providers Proveedores de Atención Primaria Medicina Familiar Eaglin, Olga, PA LifeLong Medical Care 1030 Nevin Ave Richmond, CA 94801 (510) 215-5001 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: 0004285 NPI: 1457480410 CA LIC: PA13833 Accepting New Patients: Wilson, Teshina, DO LifeLong Medical Care 1030 Nevin Ave Richmond, CA 94801 (510) 215-5001 Hours: M-F 8:30 am - 5 pm Accessibility Indicator: L E EB IB T Plan Reference Number: 0013633 NPI: 1417147422 CA LIC: 20A13746 Board Certified: American Osteopathic Board of Family Physicians Rene, Paterson, PA LifeLong Medical Care 2600 MacDonald Ave. Suite B Richmond, CA 94804 (510) 981-4100 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: 0014559 NPI: 1124467659 CA LIC: PA23037 San Pablo Yu, John, MD John C. Yu MD 2089 Vale Rd Ste 20 San Pablo, CA 94806 (510) 234-1194 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: 0002266 NPI: 1437184413 CA LIC: A33259 Languages: MANDARIN Accepting New Patients: Banks, rman, MD LifeLong Medical Care 2023 Vale Rd Ste 207 San Pablo, CA 94806 (510) 215-9092 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: 0001483 NPI: 1396884888 CA LIC: A53325 Accepting New Patients: Barocio, Azucena, PA LifeLong Medical Care 2023 Vale Rd Ste 207 San Pablo, CA 94806 (510) 215-9092 Hours: M-F 8:30 am - 8 pmsat 8:30 am - 2:30 pm Accessibility Indicator: L IB Plan Reference Number: 0005045 NPI: 1255421186 CA LIC: PA18679 Ceci, Kimberly, MD LifeLong Medical Care 2023 Vale Rd Ste 207 San Pablo, CA 94806 (510) 215-9092 Hours: M-F 8:30 am - 8 pmsat 8:30 am - 2:30 pm Accessibility Indicator: L IB Plan Reference Number: 0010023 NPI: 1114186657 CA LIC: A117931 Kaminski, Kristof, PA LifeLong Medical Care 2023 Vale Rd Ste 207 San Pablo, CA 94806 (510) 215-9092 Hours: M-F 8:30 am - 8 pmsat 8:30 am - 2:30 pm Accessibility Indicator: L IB Plan Reference Number: 0006709 NPI: 1740370584 CA LIC: PA17898 Languages: GERMAN POLISH SPANISH rdensjo, Anna, MD LifeLong Medical Care 2023 Vale Rd Ste 207 San Pablo, CA 94806 (510) 215-9092 Hours: M-F 8:30 am - 5 pm Accessibility Indicator: L IB Plan Reference Number: 0004946 NPI: 1770767543 CA LIC: A47969 This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 25

Primary Care Providers Proveedores de Atención Primaria Medicina Familiar Ogawa, Mimi, MD LifeLong Medical Care 2023 Vale Rd Ste 207 San Pablo, CA 94806 (510) 215-9092 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: 0014428 NPI: 1497189658 CA LIC: A127023 Languages: JAPANESE SPANISH Tanaka, Lucia, NP LifeLong Medical Care 2023 Vale Rd Ste 207 San Pablo, CA 94806 (510) 215-9092 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: 0015197 NPI: 1922414085 CA LIC: NPF950023 Trombla, Laurie, PA LifeLong Medical Care 2023 Vale Rd Ste 207 San Pablo, CA 94806 (510) 215-9092 Hours: M-F 8:30 am - 6 pmsat 8:30 am - 2:30 pm Accessibility Indicator: L IB Plan Reference Number: 0003624 NPI: 1245253871 CA LIC: PA13720 HMONG San Ramon Maheshwari, Rajesh, MD San Ramon Urgent Care & Clinic 9140 Alcosta Blvd Ste D San Ramon, CA 94583 (925) 361-5959 Hours: M-F 8:30 am - 7:30 pm Accessibility Indicator: L E IB P Plan Reference Number: 0014897 NPI: 1740431246 CA LIC: A109707 Languages: HINDI PANJABI URDU Walnut Creek Lopresti, Anthony, DO Anthony Lopresti DO 325 N Wiget Lane Suite 130 Walnut Creek, CA 94596 (925) 935-5425 Hours: M-F 9 am - 6 pmsat 10 am - 3 pm Accessibility Indicator: L E EB IB Plan Reference Number: 0006436 NPI: 1417054321 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 94598 (925) 943-5757 Hours: M-F 9 am - 5 pm Accessibility Indicator: L E EB IB P R Plan Reference Number: 0003738 NPI: 1386782621 CA LIC: A52555 Languages: RUSSIAN SPANISH Accepting New Patients: Kullar, Ravjeet, MD John Muir Physician Network 1450 Treat Blvd #320 Walnut Creek, CA 94597 (925) 296-9880 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: 0005536 NPI: 1669675294 CA LIC: A96939 Accepting New Patients: Nath, Kishore, MD John Muir Physician Network 1450 Treat Blvd #320 Walnut Creek, CA 94597 (925) 296-9880 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: 0007281 NPI: 1457454456 CA LIC: A71351 Accepting New Patients: Triana, Catalina, MD John Muir Physician Network 1450 Treat Blvd #320 Walnut Creek, CA 94597 (925) 296-9880 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: 0013805 NPI: 1992863138 CA LIC: C137112 Accepting New Patients: This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 26

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 94702 (510) 601-6060 Hours: M-F 8 am - 5 pm Accessibility Indicator: L E P R T Plan Reference Number: 0009966 NPI: 1366586406 CA LIC: G63046 Mansalis, Benjamin, MD LifeLong Medical Care 3260 Sacramento St Berkeley, CA 94702 (510) 601-6060 Hours: M-F 9 am - 5 pm Accessibility Indicator: L E P R T Plan Reference Number: 0015201 NPI: 1760777627 CA LIC: A116924 O'Neil, Bruce, MD LifeLong Medical Care 3260 Sacramento St Berkeley, CA 94702 (510) 601-6060 Hours: M-F 8 am - 5 pm Accessibility Indicator: L E P R T Plan Reference Number: 0009967 NPI: 1255399580 CA LIC: A23100 Krasner, Evan, MD LifeLong Medical Care 3075 Adeline St Ste 280 Berkeley, CA 94703 (510) 981-4100 Hours: M-F 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: 0014519 NPI: 1073771036 CA LIC: C53468 Nguyen, Kim, MD LifeLong Medical Care 3075 Adeline St Ste 280 Berkeley, CA 94703 (510) 981-4100 Hours: M-F 9 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: 0014284 NPI: 1588920268 CA LIC: A128291 Reynosa, Kimberly, MD LifeLong Medical Care 2031 Sixth St Berkeley, CA 94710 (510) 981-4200 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: 0014866 NPI: 1588742365 CA LIC: A66039 Oakland Nelson, Ingrid, NP East Bay AIDS Center 3100 Summit St 2nd Flr Oakland, CA 94609 (510) 869-8400 Hours: M-F 9 am - 5 pm Accessibility Indicator: L E EB R Plan Reference Number: 0007834 NPI: 1568524247 CA LIC: 10668 Accepting New Patients: Ferguson, Susan, MD LifeLong Medical Care 616 16th St Oakland, CA 94612 (510) 981-4100 Hours: M-F 8:30 am - 5 pm Accessibility Indicator: L E EB IB Plan Reference Number: 0010050 NPI: 1093756678 CA LIC: A68471 Languages: FRENCH SPANISH Accepting New Patients: Pleasanton Barua, Upama, MD Axis Community Health 5925 Las Positas Blvd. Ste 100 Pleasanton, CA 94588 (925) 462-1755 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: 0015553 NPI: 1952613036 CA LIC: A139578 This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 27

Primary Care Providers Proveedores de Atención Primaria Medicina Interna Garg, Anuja, MD Axis Community Health 5925 Las Positas Blvd. Ste 100 Pleasanton, CA 94588 (925) 462-1755 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: 0015556 NPI: 1841466471 CA LIC: A108416 Chen, Xiaochuan, MD Xiaochuan Chen MD 5776 Stoneridge Mall Rd Ste 230 Pleasanton, CA 94588 (510) 403-1699 Hours: W 9:30 am - 5 pm Accessibility Indicator: L E EB IB P Plan Reference Number: 0014862 NPI: 1750549614 CA LIC: A105640 Languages: CHINESE Accepting New Patients: CONTRA COSTA Antioch Quismorio, William, MD BAART Community Healthcare 3707 Sunset Ln Antioch, CA 94509 (925) 522-0124 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: 0005490 NPI: 1326052572 CA LIC: A41861 Languages: ILOCANO TAGALOG BULGARIAN Accepting New Patients: Yang, Xiao, MD Enlight Consulting Co 3737 Lone Tree Way Ste E Antioch, CA 94509 (925) 301-8487 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: 0013647 NPI: 1548220304 CA LIC: A94954 Languages: CHINESE Accepting New Patients: Enrique, Louis, MD Louis Enrique MD 3432 Hillcrest Ave # 150 Antioch, CA 94531 (925) 754-6611 Hours: M-F 8:30 am - 5 pmsat 8:30 am - 12:30 pm Accessibility Indicator: L E EB IB P Plan Reference Number: 0013286 NPI: 1356363642 CA LIC: G50869 Gharagozlou, Parham, MD Parham Gharagozlou MD 3711 Sunset Ln Ste D Antioch, CA 94509 (925) 378-9535 Plan Reference Number: 0007507 NPI: 1225059306 CA LIC: A92636 Languages: PERSIAN SPANISH Accepting New Patients: Gupta, Ravinder, MD Ravinder Gupta MD 3741 Sunset Ln Ste B Antioch, CA 94509 (925) 778-2310 Hours: M-F 9 am - 5 pm Accessibility Indicator: L E Plan Reference Number: 0007010 NPI: 1174618425 CA LIC: A31136 Accepting New Patients: Zhang, Wengang, MD Springhill Medical Group 3720 Sunset Ln Ste B Antioch, CA 94509 (925) 779-9601 Hours: M-F 9 am - 5 pm Accessibility Indicator: L Plan Reference Number: 0007194 NPI: 1063451243 CA LIC: A65147 Languages: CHINESE SPANISH Brentwood Bell, Milenna, PA BASS - Diablo Valley Specialists in 100 Cortona Way Ste 160 Brentwood, CA 94513 (925) 687-6111 Hours: M 9 am - 5 pmw 9 am - 5 pmth 9 am - 5 pm Accessibility Indicator: L EB IB P Plan Reference Number: 0007699 NPI: 1659551877 CA LIC: PA19366 This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 28

Primary Care Providers Proveedores de Atención Primaria Medicina Interna Kassels, Michael, DO BASS - Diablo Valley Specialists in 100 Cortona Way Ste 160 Brentwood, CA 94513 (925) 687-6111 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: 0002925 NPI: 1245348655 CA LIC: 20A5953 Del Rio, Gerald, MD Springhill Medical Group 2400 Balfour Rd Ste 306 Brentwood, CA 94513 (925) 634-0425 Hours: M-F 8:30 am - 5 pm Accessibility Indicator: B E EB IB P R Plan Reference Number: 0006998 NPI: 1568417889 CA LIC: G32797 Concord Bell, Milenna, PA BASS - Diablo Valley Specialists in 2339 Almond Avenue Concord, CA 94520 (925) 687-6111 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: 0007699 NPI: 1659551877 CA LIC: PA19366 Kassels, Michael, DO BASS - Diablo Valley Specialists in 2339 Almond Avenue Concord, CA 94520 (925) 687-6111 Hours: M 9 am - 5 pmw 9 am - 5 pmth 9 am - 5 pm Accessibility Indicator: L E EB IB R Plan Reference Number: 0002925 NPI: 1245348655 CA LIC: 20A5953 Accepting New Patients: Arias-Vera, Jose, MD Jose Arias-Vera MD 2211 East St Concord, CA 94520 (925) 603-1363 Hours: M-F 8:30 am - 5:30 pm Accessibility Indicator: L E Plan Reference Number: 0010958 NPI: 1497826283 CA LIC: C55350 Accepting New Patients: Murphy, John, MD La Clinica De La Raza 2000 Sierra Rd Concord, CA 94518 (925) 363-2000 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: 0014813 NPI: 1437119591 CA LIC: A99461 Gharagozlou, Parham, MD Parham Gharagozlou MD 3101 Clayton Rd Concord, CA 94519 (925) 849-6634 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: 0007507 NPI: 1225059306 CA LIC: A92636 Languages: PERSIAN SPANISH Accepting New Patients: Sundar, Sam, MD Sam Sundar MD 2415 High School Ave Ste 700 Concord, CA 94520 (925) 680-6846 Hours: M-F 8 am - 5 pm Accessibility Indicator: L Plan Reference Number: 0001045 NPI: 1801904545 CA LIC: A26493 Accepting New Patients: Lafayette Hoffmann, Victorina, MD BASS - Avenue Family Practice 911 Moraga Rd #101 Lafayette, CA 94549 (925) 962-9120 Hours: M-F 1:30 pm - 4:30 pm Accessibility Indicator: L Plan Reference Number: 0014318 NPI: 1336251693 CA LIC: A44547 Accepting New Patients: This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 29

Primary Care Providers Proveedores de Atención Primaria Medicina Interna Pinole Cobbs, Yvonne, NP Healthy Living Clinic 1063 San Pablo Ave # B Pinole, CA 94564 (510) 964-9275 Hours: M-F 5 pm - 9 pm Accessibility Indicator: L E EB IB R Plan Reference Number: 0011324 NPI: 1578527842 CA LIC: NPF11980 Morgan-Thompson, Joyce, NP Healthy Living Clinic 1063 San Pablo Ave # B Pinole, CA 94564 (510) 964-9275 Hours: M-F 5 pm - 9 pm Accessibility Indicator: L E EB IB R Plan Reference Number: 0011323 NPI: 1669690202 CA LIC: NPF8932 Accepting New Patients: Pittsburg Sequeira, Juan, MD Juan Sequeira MD 2260 Gladstone Dr Ste 7 Pittsburg, CA 94565 (925) 427-4277 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: 0001084 NPI: 1558389635 CA LIC: G40166 Accepting New Patients: Del Rio, Gerald, MD Springhill Medical Group 2220 Gladstone Dr. Ste. 3 Pittsburg, CA 94565 (925) 432-3318 Hours: M-F 8:30 am - 5 pm Accessibility Indicator: L E P Plan Reference Number: 0006998 NPI: 1568417889 CA LIC: G32797 Gallo, John, DO Springhill Medical Group 2220 Gladstone Dr. Ste. 3 Pittsburg, CA 94565 (925) 432-3318 Hours: M-F 8:30 am - 5:30 pm Accessibility Indicator: L E P Plan Reference Number: 0012044 NPI: 1558446229 CA LIC: 20A7460 Kolomey, Irina, DO Springhill Medical Group 2220 Gladstone Dr. Ste. 3 Pittsburg, CA 94565 (925) 432-3318 Hours: M-F 9 am - 5 pm Accessibility Indicator: L E P Plan Reference Number: 0007422 NPI: 1104062173 CA LIC: 20A10625 Languages: RUSSIAN SPANISH Zhang, Wengang, MD Springhill Medical Group 2220 Gladstone Dr. Ste. 3 Pittsburg, CA 94565 (925) 432-3318 Hours: M-F 9 am - 5 pm Accessibility Indicator: L E P Plan Reference Number: 0007194 NPI: 1063451243 CA LIC: A65147 Languages: CHINESE SPANISH Richmond Moore, Kyle, MD BAART Community Healthcare 1313 Cutting Blvd Richmond, CA 94804 (510) 232-0874 Hours: M-F 8 am - 1:30 pm Accessibility Indicator: L EB IB Plan Reference Number: 0001895 NPI: 1568580322 CA LIC: A43351 Accepting New Patients: Alper, Lynne, MD Brighter Beginnings Family Health Clinic 2727 Macdonald Ave Richmond, CA 94804 (510) 213-6681 Hours: F 8 am - 5 pm Accessibility Indicator: L E EB IB R Plan Reference Number: 0015213 NPI: 1619962107 CA LIC: G70013 This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 30

Primary Care Providers Proveedores de Atención Primaria Medicina Interna Jackson, George, MD LifeLong Medical Care 1030 Nevin Ave Richmond, CA 94801 (510) 215-5001 Hours: M-F 7 am - 5 pm Accessibility Indicator: L E EB IB T Plan Reference Number: 0015394 NPI: 1770517666 CA LIC: G39327 Carter, Brazell, MD LifeLong Medical Care 2600 MacDonald Ave. Suite B Richmond, CA 94804 (510) 981-4100 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: 0006993 NPI: 1578736328 CA LIC: A30396 Accepting New Patients: Jones, Sharon, MD Sharon J Jones MD 2970 Hilltop Mall Rd #300 Richmond, CA 94806 (510) 233-1990 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: 0002670 NPI: 1821199845 CA LIC: G70338 Accepting New Patients: San Pablo Bottomley, Sarah, NP LifeLong Medical Care 2023 Vale Rd Ste 207 San Pablo, CA 94806 (510) 215-9092 Hours: M-F 8:30 am - 5:30 pm Accessibility Indicator: L IB Plan Reference Number: 0014858 NPI: 1003369471 CA LIC: NPF950047 Accepting New Patients: Chen, William, MD William W. Chen MD Medical Clinic 2089 Vale Rd Ste 34 San Pablo, CA 94806 (510) 235-9247 Hours: M-F 11 am - 5 pm Accessibility Indicator: L E P Plan Reference Number: 0004636 NPI: 1851498372 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 94583 (925) 866-8800 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: 0001359 NPI: 1417910407 CA LIC: A56143 Languages: HINDI PANJABI SPANISH Kanwal, Tehmina, MD San Ramon Urgent Care & Clinic 9140 Alcosta Blvd Ste D San Ramon, CA 94583 (925) 361-5959 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: 0015470 NPI: 1144332487 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 94598 (925) 930-9120 Hours: Tu 1 pm - 4 pm Accessibility Indicator: L E EB IB Plan Reference Number: 0001359 NPI: 1417910407 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 94598 (925) 930-9120 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: 0014432 NPI: 1386687945 CA LIC: PA17033 Accepting New Patients: This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 31

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 94598 (925) 930-9120 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: 0014433 NPI: 1922477330 CA LIC: PA52687 Accepting New Patients: Beyzer, Lyudmila, MD Lyudmila Beyzer MD 108 La Casa Via 103 Walnut Creek, CA 94598 (925) 935-5290 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: 0004675 NPI: 1487717112 CA LIC: A62468 Languages: RUSSIAN Accepting New Patients: This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 32

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 94703 (510) 981-4100 Hours: W 1 pm - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: 0010184 NPI: 1871875344 CA LIC: A94033 Languages: YORUBA Accepting New Patients: Oakland Gee, Doris, PA Comprehensive Allergy Services 2940 Summit St 1st Fl Oakland, CA 94609 (510) 834-4897 Hours: M-F 9 am - 5 pm Accessibility Indicator: L E IB P Plan Reference Number: 0003143 NPI: 1801839535 CA LIC: PA10548 Languages: CHINESE Accepting New Patients: Leir, Denise, NP Comprehensive Allergy Services 2940 Summit St 1st Fl Oakland, CA 94609 (510) 834-4897 Hours: M-F 9 am - 5 pm Accessibility Indicator: L E IB P Plan Reference Number: 0001811 NPI: 1497702138 CA LIC: NPF8317 Accepting New Patients: Leir, Michael, MD Comprehensive Allergy Services 2940 Summit St 1st Fl Oakland, CA 94609 (510) 834-4897 Hours: M-F 9 am - 5 pm Accessibility Indicator: L E IB P Plan Reference Number: 0001805 NPI: 1023065760 CA LIC: C33136 Veal, Ulanda, MD Comprehensive Allergy Services 2940 Summit St 1st Fl Oakland, CA 94609 (510) 834-4897 Hours: M-F 9 am - 5 pm Accessibility Indicator: L E IB P Plan Reference Number: 0005503 NPI: 1558374793 CA LIC: G71310 Bean, Gary, MD Gary Bean MD (dba Pediatric Care Group) 4180 Park Blvd Oakland, CA 94602 (510) 530-5437 Hours: M-F 6 am - 5 pm Accessibility Indicator: L E IB Plan Reference Number: 0001049 NPI: 1093829327 CA LIC: G53663 Pham, An, MD International 600 International Blvd Ste 102 Oakland, CA 94606 (510) 208-3540 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: 0003685 NPI: 1205996048 CA LIC: A67904 Languages: VIETNAMESE Accepting New Patients: Carey, Donna, MD Roots Community Health Center 2700 International Blvd Ste 11 Oakland, CA 94601 (510) 533-1248 Hours: M-F 9 am - 5 pm Accessibility Indicator: L P Plan Reference Number: 0005901 NPI: 1619055191 CA LIC: A72032 Romero, Amanda, NP Roots Community Health Center 2700 International Blvd Ste 11 Oakland, CA 94601 (510) 533-1248 Hours: M-F 8:30 am - 5 pm Accessibility Indicator: L P Plan Reference Number: 0013778 NPI: 1659748242 CA LIC: NP9500275 This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 33

Primary Care Providers Proveedores de Atención Primaria Pediatría Carey, Donna, MD Roots Community Health Center 9925 International Blvd #5 Oakland, CA 94603 (510) 777-1177 Hours: M-F 9 am - 5 pm Accessibility Indicator: L EB IB P R Plan Reference Number: 0005901 NPI: 1619055191 CA LIC: A72032 Romero, Amanda, NP Roots Community Health Center 9925 International Blvd #5 Oakland, CA 94603 (510) 777-1177 Hours: M-F 8:30 am - 5 pm Accessibility Indicator: L EB IB P R Plan Reference Number: 0013778 NPI: 1659748242 CA LIC: NP9500275 Pleasanton Mehra, Soniya, MD Axis Community Health 4361 Railroad Ave Pleasanton, CA 94566 (925) 462-1755 Hours: M-F 8:15 am - 5 pmsat 12 pm - 9 pm Accessibility Indicator: L E EB IB P Plan Reference Number: 0015555 NPI: 1295026318 CA LIC: A126242 Moody, Dawnell, DO Axis Community Health 5925 Las Positas Blvd. Ste 100 Pleasanton, CA 94588 (925) 462-1755 Hours: M 8:15 am - 5 pmf 8:15 am - 5 pmsat 9 am - 5 pm Plan Reference Number: 0015552 NPI: 1144431750 CA LIC: 20A10468 Jumig, Elmer, MD Elmer Jumig MD 2324 Santa Rita Rd Ste 12 Pleasanton, CA 94566 (925) 462-7700 Hours: M-F 8 am - 5 pm Accessibility Indicator: E EB IB P R Plan Reference Number: 0006758 NPI: 1417926437 CA LIC: A77244 TAGALOG Accepting New Patients: CONTRA COSTA Alamo Brown, Katharine, MD John Muir Physician Network 1505 St. Alphonsus Way Alamo, CA 94507 (925) 838-7337 Hours: M-F 9 am - 5 pm Accessibility Indicator: L EB IB P Plan Reference Number: 0005789 NPI: 1962456707 CA LIC: A73433 Languages: POLISH SPANISH Accepting New Patients: Cortez, Paul, MD John Muir Physician Network 1505 St. Alphonsus Way Alamo, CA 94507 (925) 838-7337 Hours: M-F 8:30 am - 5:30 pmsat 9 am - 12 pm Accessibility Indicator: L EB IB P Plan Reference Number: 0006017 NPI: 1629018171 CA LIC: A65966 Accepting New Patients: Hahn, Gregory, MD John Muir Physician Network 1505 St. Alphonsus Way Alamo, CA 94507 (925) 838-7337 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: 0005594 NPI: 1891739819 CA LIC: G30281 Kadas, Robert, MD John Muir Physician Network 1505 St. Alphonsus Way Alamo, CA 94507 (925) 838-7337 Hours: M-F 8:30 am - 5:30 pmsat 9 am - 12 pm Accessibility Indicator: L P Plan Reference Number: 0004819 NPI: 1831135003 CA LIC: G14309 Accepting New Patients: This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 34

Primary Care Providers Proveedores de Atención Primaria Pediatría Palmer, Genevieve, MD John Muir Physician Network 1505 St. Alphonsus Way Alamo, CA 94507 (925) 838-7337 Hours: M-F 8:30 am - 5:30 pmsat 9 am - 12 pm Accessibility Indicator: L EB IB P Plan Reference Number: 0013739 NPI: 1629224175 CA LIC: A111241 Whyte, Lynne, MD John Muir Physician Network 1505 St. Alphonsus Way Alamo, CA 94507 (925) 838-7337 Hours: M-F 8:30 am - 5:30 pmsat 9 am - 12 pm Accessibility Indicator: L EB IB P Plan Reference Number: 0004820 NPI: 1679507131 CA LIC: G63864 Accepting New Patients: Antioch Riley, Kristin, DO Brighter Beginnings Family Health Clinic 2213 Buchanan Rd #103 Antioch, CA 94509 (925) 303-4780 Hours: W 8 am - 5 pmth 8 am - 5 pmf 8 am - 5 pm Accessibility Indicator: L E EB IB P Plan Reference Number: 0015159 NPI: 1851652689 CA LIC: 13272 Mostaghasi, Taraneh, MD Concord Pediatric Care 3711 Sunset Ln Ste D Antioch, CA 94509 (925) 378-9535 Plan Reference Number: 0007399 NPI: 1457671414 CA LIC: A105503 Languages: PERSIAN SPANISH Accepting New Patients: Mahdavi, Abbas, MD Delta (Abbas Mahdavi Inc.) 3700 Sunset Ln Ste 3 Antioch, CA 94509 (925) 754-7200 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: 0001053 NPI: 1194134049 CA LIC: A31325 Languages: PERSIAN SPANISH Accepting New Patients: Blair, Sloane, NP Diablo Valley Medical Group 4049 Lone Tree Way Ste G Antioch, CA 94531 (925) 754-7070 Hours: M-F 8:30 am - 5:30 pmsat 8:30 am - 12 pm Accessibility Indicator: L E EB IB Plan Reference Number: 0015218 NPI: 1568917540 CA LIC: NPF950049 Accepting New Patients: Taft, Wesley, MD Diablo Valley Medical Group 4049 Lone Tree Way Ste G Antioch, CA 94531 (925) 754-7070 Hours: M-F 8:30 am - 5:30 pmsat 8:30 am - 12 pm Accessibility Indicator: L E EB IB Plan Reference Number: 0011123 NPI: 1699966804 CA LIC: A104308 Languages: RUSSIAN SPANISH Accepting New Patients: Tracy, Ryan, MD Diablo Valley Medical Group 4049 Lone Tree Way Ste G Antioch, CA 94531 (925) 754-7070 Hours: M-F 8:30 am - 5:30 pmsat 8:30 am - 12 pm Accessibility Indicator: L E EB IB Plan Reference Number: 0007138 NPI: 1346283835 CA LIC: A83635 Accepting New Patients: Warren, Kaitlin, NP Diablo Valley Medical Group 4049 Lone Tree Way Ste G Antioch, CA 94531 (925) 754-7070 Hours: M-F 8:30 am - 5:30 pmsat 8:30 am - 5:30 pm Accessibility Indicator: L E EB IB Plan Reference Number: 0014107 NPI: 1932540705 CA LIC: NPF950007 Accepting New Patients: This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 35

Primary Care Providers Proveedores de Atención Primaria Pediatría Yang, Lucia, MD Diablo Valley Medical Group 4049 Lone Tree Way Ste G Antioch, CA 94531 (925) 754-7070 Hours: M-F 8:30 am - 5:30 pmsat 8:30 am - 12 pm Accessibility Indicator: L E EB IB Plan Reference Number: 0003802 NPI: 1407890205 CA LIC: A73199 Languages: MANDARIN SPANISH Accepting New Patients: Brentwood Huang, Harry, MD Bayside Medical Group Inc 100 Cortona Way Ste 230 Brentwood, CA 94513 (925) 755-8500 Hours: M-F 8:30 am - 5:30 pm Accessibility Indicator: L E EB P Plan Reference Number: 0007492 NPI: 1073577979 CA LIC: A85073 CANTONESE Accepting New Patients: Blair, Sloane, NP Diablo Valley Medical Group 1200 Central Blvd Ste A Brentwood, CA 94513 (925) 516-6888 Hours: M-F 8:30 am - 5:30 pmsat 8:30 am - 12 pm Accessibility Indicator: L E EB IB P Plan Reference Number: 0015218 NPI: 1568917540 CA LIC: NPF950049 Accepting New Patients: Taft, Wesley, MD Diablo Valley Medical Group 1200 Central Blvd Ste A Brentwood, CA 94513 (925) 516-6888 Hours: M-F 8:30 am - 5:30 pm Accessibility Indicator: L E EB IB P Plan Reference Number: 0011123 NPI: 1699966804 CA LIC: A104308 Languages: RUSSIAN SPANISH Accepting New Patients: Tracy, Ryan, MD Diablo Valley Medical Group 1200 Central Blvd Ste A Brentwood, CA 94513 (925) 516-6888 Hours: M-F 8:30 am - 5:30 pmsat 8:30 am - 12 pm Accessibility Indicator: L E EB IB P Plan Reference Number: 0007138 NPI: 1346283835 CA LIC: A83635 Accepting New Patients: Warren, Kaitlin, NP Diablo Valley Medical Group 1200 Central Blvd Ste A Brentwood, CA 94513 (925) 516-6888 Hours: M-F 8:30 am - 5:30 pm Accessibility Indicator: L E EB IB P Plan Reference Number: 0014107 NPI: 1932540705 CA LIC: NPF950007 Accepting New Patients: Yang, Lucia, MD Diablo Valley Medical Group 1200 Central Blvd Ste A Brentwood, CA 94513 (925) 516-6888 Hours: M-F 8:30 am - 5:30 pmsat 8:30 am - 12 pm Accessibility Indicator: L E EB IB P Plan Reference Number: 0003802 NPI: 1407890205 CA LIC: A73199 Languages: MANDARIN SPANISH Accepting New Patients: Vallamdas, Usha, MD Felicity A Professional Medical Corporation 2400 Balfour Rd Ste 302 Brentwood, CA 94513 (925) 684-7443 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: 0011273 NPI: 1447437991 CA LIC: A102549 Accepting New Patients: Goldman, Tracy, MD John Muir Physician Network 2400 Balfour Rd Ste 229 Brentwood, CA 94513 (925) 308-8113 Hours: M-F 8:30 am - 5:30 pm Accessibility Indicator: L E EB IB P R Plan Reference Number: 0005993 NPI: 1568403913 CA LIC: A82208 Accepting New Patients: This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 36

Primary Care Providers Proveedores de Atención Primaria Pediatría Patel, Nita, MD John Muir Physician Network 2400 Balfour Rd Ste 229 Brentwood, CA 94513 (925) 308-8113 Hours: M-F 8:30 am - 5:30 pm Accessibility Indicator: L E EB IB P R Plan Reference Number: 0007628 NPI: 1396759817 CA LIC: C52978 Languages: GUJARATI SPANISH Accepting New Patients: Paz, Lorna, MD John Muir Physician Network 2400 Balfour Rd Ste 229 Brentwood, CA 94513 (925) 308-8113 Hours: M-F 8:30 am - 5:30 pm Accessibility Indicator: L E EB IB P R Plan Reference Number: 0006009 NPI: 1992739049 CA LIC: A54823 Accepting New Patients: Rood, Lisa, MD John Muir Physician Network 2400 Balfour Rd Ste 229 Brentwood, CA 94513 (925) 308-8113 Hours: M-F 8:30 am - 5 pm Accessibility Indicator: L E EB IB P R Plan Reference Number: 0006913 NPI: 1891719035 CA LIC: A81020 Accepting New Patients: Concord Mostaghasi, Taraneh, MD Concord Pediatric Care 3108 Willow Pass Rd Concord, CA 94519 (925) 849-6633 Hours: M-F 9 am - 5 pmsat 9 am - 12:30 pm Accessibility Indicator: L EB IB P Plan Reference Number: 0007399 NPI: 1457671414 CA LIC: A105503 Languages: PERSIAN SPANISH Accepting New Patients: Blair, Sloane, NP Diablo Valley Medical Group 2299 Bacon St Ste 7 Concord, CA 94520 (925) 676-6500 Hours: M-F 8:30 am - 5:30 pmsat 8:30 am - 12 pm Accessibility Indicator: L E EB IB P Plan Reference Number: 0015218 NPI: 1568917540 CA LIC: NPF950049 Accepting New Patients: Taft, Wesley, MD Diablo Valley Medical Group 2299 Bacon St Ste 7 Concord, CA 94520 (925) 676-6500 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: 0011123 NPI: 1699966804 CA LIC: A104308 Languages: RUSSIAN SPANISH Accepting New Patients: Tracy, Ryan, MD Diablo Valley Medical Group 2299 Bacon St Ste 7 Concord, CA 94520 (925) 676-6500 Hours: M-F 8:30 am - 5:30 pmsat 8:30 am - 12 pm Accessibility Indicator: L E EB IB P Plan Reference Number: 0007138 NPI: 1346283835 CA LIC: A83635 Accepting New Patients: Warren, Kaitlin, NP Diablo Valley Medical Group 2299 Bacon St Ste 7 Concord, CA 94520 (925) 676-6500 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: 0014107 NPI: 1932540705 CA LIC: NPF950007 Accepting New Patients: Yang, Lucia, MD Diablo Valley Medical Group 2299 Bacon St Ste 7 Concord, CA 94520 (925) 676-6500 Hours: M-F 8:30 am - 5:30 pmsat 8:30 am - 12 pm Accessibility Indicator: L E EB IB P Plan Reference Number: 0003802 NPI: 1407890205 CA LIC: A73199 Languages: MANDARIN SPANISH Accepting New Patients: This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 37

Primary Care Providers Proveedores de Atención Primaria Pediatría Elliott, Robert, MD La Clinica De La Raza 2000 Sierra Rd Concord, CA 94518 (925) 363-2000 Hours: M-F 8 am - 5 pmsat 8 am - 5 pm Accessibility Indicator: L E EB IB R Plan Reference Number: 0010785 NPI: 1982832531 CA LIC: A115935 Accepting New Patients: Risgalla, Habib, MD La Clinica De La Raza 2000 Sierra Rd Concord, CA 94518 (925) 363-2000 Hours: M-F 8 am - 5:30 pm Accessibility Indicator: L E EB IB R Plan Reference Number: 0005598 NPI: 1841410768 CA LIC: A49934 Accepting New Patients: Hercules Enz, Jose, MD Herculean Babies 500 Alfred bel Dr Ste 255A Hercules, CA 94547 (510) 964-9647 Hours: M-F 9 am - 5 pm Accessibility Indicator: L E EB IB P Plan Reference Number: 0005364 NPI: 1801998836 CA LIC: G51091 Accepting New Patients: Oakley Botelho, Barbara, MD La Clinica De La Raza 2021 Main St. Oakley, CA 94561 (925) 776-8200 Hours: Th 8:30 am - 5:30 pm Accessibility Indicator: L E EB IB P Plan Reference Number: 0005910 NPI: 1104925841 CA LIC: A51147 Orinda Dovichi, Jennifer, MD John Muir Physician Network 3 Altarinda Rd Ste 300 Orinda, CA 94563 (925) 254-9500 Hours: M-F 8 am - 5 pm Accessibility Indicator: L E EB P Plan Reference Number: 0011523 NPI: 1578666186 CA LIC: A66114 Accepting New Patients: Evans, James, MD John Muir Physician Network 3 Altarinda Rd Ste 300 Orinda, CA 94563 (925) 254-9500 Hours: M-F 8 am - 5 pm Accessibility Indicator: L E EB P Plan Reference Number: 0011303 NPI: 1972546166 CA LIC: A79671 Accepting New Patients: Meezan, Robin, MD John Muir Physician Network 3 Altarinda Rd Ste 300 Orinda, CA 94563 (925) 254-9500 Hours: M-F 8 am - 5 pm Accessibility Indicator: L E EB P Plan Reference Number: 0011524 NPI: 1750466090 CA LIC: A88662 Accepting New Patients: Wu, Pelen, MD John Muir Physician Network 3 Altarinda Rd Ste 300 Orinda, CA 94563 (925) 254-9500 Hours: M-F 8 am - 5 pm Accessibility Indicator: L E EB P Plan Reference Number: 0011304 NPI: 1194828707 CA LIC: A75735 Accepting New Patients: Pittsburg Graves, Gretchen, MD Gretchen Graves MD 2260 Gladstone Dr Ste 2 Pittsburg, CA 94565 (925) 427-0391 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: 0001082 NPI: 1306862040 CA LIC: G46185 Accepting New Patients: This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 38

Primary Care Providers Proveedores de Atención Primaria Pediatría Botelho, Barbara, MD La Clinica De La Raza 2240 Gladstone Dr Ste 4 Pittsburg, CA 94565 (925) 431-2100 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: 0005910 NPI: 1104925841 CA LIC: A51147 Accepting New Patients: Pleasant Hill Im, Carol, MD John Muir Physician Network 380 Civic Dr Ste 100 Pleasant Hill, CA 94523 (925) 682-7871 Hours: M-F 9 am - 5 pm Accessibility Indicator: L E EB IB Plan Reference Number: 0007376 NPI: 1518987825 CA LIC: A80693 Accepting New Patients: Morgan, John, MD John Muir Physician Network 380 Civic Dr Ste 100 Pleasant Hill, CA 94523 (925) 682-7871 Hours: M-F 9 am - 5 pm Accessibility Indicator: E EB IB Plan Reference Number: 0001900 NPI: 1669406708 CA LIC: A38226 Accepting New Patients: Rush, Philip, MD John Muir Physician Network 91 Gregory Ln Ste 15 Pleasant Hill, CA 94523 (925) 685-0843 Hours: M-F 8:30 am - 5 pm Accessibility Indicator: L E EB IB R Plan Reference Number: 0002020 NPI: 1922023993 CA LIC: G28043 Wagner, David, MD John Muir Physician Network 91 Gregory Ln Ste 15 Pleasant Hill, CA 94523 (925) 685-0843 Hours: M-F 8:30 am - 5 pm Accessibility Indicator: L E EB IB R Plan Reference Number: 0002182 NPI: 1700804077 CA LIC: G55652 Nuti, Elizabeth, MD Night Owl -Early Bird 425 Gregory Lane- Ste.- 201 Pleasant Hill, CA 94523 (925) 288-3600 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: 0005812 NPI: 1609982875 CA LIC: A68426 Accepting New Patients: Richmond Riley, Kristin, DO Brighter Beginnings Family Health Clinic 2727 Macdonald Ave Richmond, CA 94804 (510) 213-6681 Hours: M 8 am - 5 pmtu 8 am - 5 pm Accessibility Indicator: L E EB IB R Plan Reference Number: 0015159 NPI: 1851652689 CA LIC: 13272 Chatterton-Kirchmeier, Sam, MD LifeLong Medical Care 150 Harbour Way Richmond, CA 94801 (510) 237-9537 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: 0014911 NPI: 1326481540 CA LIC: A132095 Merchant, Kanwal, MD LifeLong Medical Care 150 Harbour Way Richmond, CA 94801 (510) 237-9537 Hours: M-F 9 am - 4 pm Accessibility Indicator: L EB IB P R Plan Reference Number: 0014450 NPI: 1790043347 CA LIC: A135837 This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 39

Primary Care Providers Proveedores de Atención Primaria Pediatría Omotoso, Omoniyi, MD LifeLong Medical Care 150 Harbour Way Richmond, CA 94801 (510) 237-9537 Hours: M 12 pm - 4 pmtu 9 am - 4 pmth 9 am - 12 pm Accessibility Indicator: L EB IB P R Plan Reference Number: 0010184 NPI: 1871875344 CA LIC: A94033 Languages: YORUBA Accepting New Patients: San Pablo Merchant, Kanwal, MD LifeLong Medical Care 2023 Vale Rd Ste 207 San Pablo, CA 94806 (510) 215-9092 Hours: M 5 pm - 8 pm Accessibility Indicator: L IB Plan Reference Number: 0014450 NPI: 1790043347 CA LIC: A135837 O'Hearn, Kathleen, NP LifeLong Medical Care 2023 Vale Rd Ste 207 San Pablo, CA 94806 (510) 215-9092 Hours: M-F 8:30 am - 5 pmsat 8:30 am - 2:30 pm Accessibility Indicator: L IB Plan Reference Number: 0013758 NPI: 1386089449 CA LIC: NPF23060 Swope, Brian, MD LifeLong Medical Care 2023 Vale Rd Ste 207 San Pablo, CA 94806 (510) 215-9092 Hours: M-F 8:30 am - 5 pmsat 8:30 am - 2:30 pm Accessibility Indicator: L IB Plan Reference Number: 0005482 NPI: 1659410140 CA LIC: G70553 Desai, Manoj, MD Manoj Desai MD 2023 Vale Road Ste 1 San Pablo, CA 94806 (510) 237-3785 Hours: M 9 am - 5 pmtu 9 am - 5 pmth 9 am - 5 pmf 9 am - 5 pm Accessibility Indicator: L Plan Reference Number: 0001073 NPI: 1043237597 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 94583 (925) 275-3888 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: 0011560 NPI: 1194802512 CA LIC: A89825 Accepting New Patients: Lee, Erin, MD John Muir Physician Network 2305 Camino Ramon Ste 120 San Ramon, CA 94583 (925) 275-3888 Hours: M-F 8:30 am - 5 pm Accessibility Indicator: E EB IB P R Plan Reference Number: 0003608 NPI: 1316979602 CA LIC: A65587 Accepting New Patients: Saltzstein, Margaret, MD John Muir Physician Network 2305 Camino Ramon Ste 120 San Ramon, CA 94583 (925) 275-3888 Hours: M-F 9 am - 5 pm Accessibility Indicator: E EB IB P R Plan Reference Number: 0006029 NPI: 1144245580 CA LIC: G72669 Accepting New Patients: Hann, Cynthia, MD John Muir Physician Network 200 Porter Dr #300 San Ramon, CA 94583 (925) 838-6511 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: 0015203 NPI: 1750372389 CA LIC: G72970 Accepting New Patients: This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 40

Primary Care Providers Proveedores de Atención Primaria Pediatría Hogan, Colleen, MD John Muir Physician Network 200 Porter Dr #300 San Ramon, CA 94583 (925) 838-6511 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: 0015204 NPI: 1992795124 CA LIC: G48464 Accepting New Patients: Obrinsky, Allen, MD John Muir Physician Network 200 Porter Dr #300 San Ramon, CA 94583 (925) 838-6511 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: 0015205 NPI: 1831180132 CA LIC: G61060 Accepting New Patients: Ruiz, Michael, MD John Muir Physician Network 200 Porter Dr #300 San Ramon, CA 94583 (925) 838-6511 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: 0015206 NPI: 1588632673 CA LIC: A64848 Accepting New Patients: Trujillo, Tracy, MD John Muir Physician Network 200 Porter Dr #300 San Ramon, CA 94583 (925) 838-6511 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: 0015207 NPI: 1508856725 CA LIC: G72064 Accepting New Patients: Sachdeva, Suresh, MD Suresh K Sachdeva MD 1081 Market Pl Ste 800 San Ramon, CA 94583 (925) 275-0404 Hours: M-F 9 am - 5 pm Accessibility Indicator: B E EB IB P R Plan Reference Number: 0001074 NPI: 1326005422 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 94598 (925) 933-4383 Hours: M-F 9 am - 5:30 pm Accessibility Indicator: L E EB IB P R Plan Reference Number: 0007492 NPI: 1073577979 CA LIC: A85073 CANTONESE Accepting New Patients: Chang, Soter-Ming, MD S Ming Chang MD 1816 San Miguel Dr Walnut Creek, CA 94596 (925) 935-1298 Hours: M-F 9 am - 5 pm Accessibility Indicator: L E IB Plan Reference Number: 0003167 NPI: 1114996618 CA LIC: G47420 Accepting New Patients: This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 41

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 1-888-678-7277. * 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

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 1-888-678-7277. * 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

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 94509 (925) 754-4550 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 94520 (925) 676-0300 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: 1982763090 El Cerrito Planned Parenthood Family Planning 320 El Cerrito Plaza El Cerrito, CA 94530 (510) 527-5806 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 94565 (925) 439-1237 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 94806 (510) 222-5290 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: 1770641482 Planned Parenthood Family Planning 340 Marina Way Richmond, CA 94801 (510) 232-1250 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 94583 (925) 838-2108 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 94596 (925) 935-3010 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 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 44

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 94703 (510) 981-4100 Hours: M-F 8 am - 5 pm Accessibility Indicator: B E EB IB P R T Plan Reference Number: 0005165 NPI: 1558464990 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 94607 (510) 452-2388 Hours: M-F 9 am - 5 pm Accessibility Indicator: L E EB P R Plan Reference Number: 0003756 NPI: 1104873520 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 94509 (925) 303-4780 Hours: M-F 9 am - 5 pm Accessibility Indicator: L E EB IB P Plan Reference Number: 0015153 NPI: 1902895030 CA LIC: C146076 Obstetrics and Gynecology Zimmerman, Daniel, MD Obstetrics and Gynecology Daniel L Zimmerman MD 3737 Lone Tree Way Antioch, CA 94509 (925) 754-8070 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: 0001416 NPI: 1124121223 CA LIC: G44114 Obstetrics and Gynecology Stewart, Debra, DO Obstetrics and Gynecology Debra L. Stewart DO 3700 Sunset Ln Ste 7 Antioch, CA 94509 (925) 755-7300 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: 0004935 NPI: 1083689244 CA LIC: 20A7174 Accepting New Patients: Kim, Young, MD Obstetrics and Gynecology Youngs OB & GYN 3724 Lone Tree Way Ste A Antioch, CA 94509 (925) 778-0700 Hours: M-F 9 am - 5 pm Accessibility Indicator: L EB IB Plan Reference Number: 0005394 NPI: 1649236522 CA LIC: C51136 Obstetrics and Gynecology Languages: KOREAN ENGLISH Brentwood Barsten-Pascualy, Julie, PA Obstetrics and Gynecology Yaron Friedman MD. Inc. 2400 Balfour Rd Ste 230 Brentwood, CA 94513 (925) 301-9875 Hours: F 9 am - 5 pm Accessibility Indicator: B E EB IB P Plan Reference Number: 0005728 NPI: 1912050014 CA LIC: PA12879 Friedman, Yaron, MD Obstetrics and Gynecology Yaron Friedman MD. Inc. 2400 Balfour Rd Ste 230 Brentwood, CA 94513 (925) 301-9875 Hours: F 9 am - 5 pm Accessibility Indicator: B E EB IB P Plan Reference Number: 0004227 NPI: 1730104704 CA LIC: A74362 Obstetrics and Gynecology Languages: HEBREW SPANISH ENGLISH This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 45

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 94519 Hours: M-F 8 am - 5 pm Accessibility Indicator: L ME EB R Plan Reference Number: 0000539 NPI: 1982781548 CA LIC: A60059 Accepting New Patients: Johnson, Sara, MD Obstetrics and Gynecology La Clinica De La Raza 2000 Sierra Rd Concord, CA 94518 (925) 363-2000 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: 0007524 NPI: 1811125016 CA LIC: A103367 Obstetrics and Gynecology Khan, Parveen, MD Obstetrics and Gynecology La Clinica De La Raza 2000 Sierra Rd Concord, CA 94518 (925) 363-2000 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: 0014445 NPI: 1194927392 CA LIC: A101696 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 94803 (510) 222-2098 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: 0002634 NPI: 1588765721 CA LIC: G33883 Obstetrics and Gynecology Accepting New Patients: Martinez Berletti, Charles, MD Obstetrics and Gynecology Martinez Health Center 2500 Alhambra Ave Martinez, CA 94553 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: 0000720 NPI: 1427128453 CA LIC: A32986 Languages: FRENCH Cavallaro, Grace, MD Obstetrics and Gynecology Martinez Health Center 2500 Alhambra Ave Martinez, CA 94553 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: 0005431 NPI: 1548342165 CA LIC: G80059 Obstetrics and Gynecology Dao, Huy, MD Obstetrics and Gynecology Martinez Health Center 2500 Alhambra Ave Martinez, CA 94553 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: 0004075 NPI: 1447333497 CA LIC: A60118 Obstetrics and Gynecology Languages: VIETNAMESE This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 46

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 94553 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: 0000539 NPI: 1982781548 CA LIC: A60059 Hajyan, Karine, DO Obstetrics and Gynecology Martinez Health Center 2500 Alhambra Ave Martinez, CA 94553 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: 0011175 NPI: 1154644425 CA LIC: 20A12220 Obstetrics and Gynecology Accepting New Patients: Hay, Sunthara, DO Obstetrics and Gynecology Martinez Health Center 2500 Alhambra Ave Martinez, CA 94553 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: 0004292 NPI: 1073696720 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 94553 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: 0015570 NPI: 1548472962 CA LIC: 55662 Obstetrics and Gynecology Accepting New Patients: Keller, Lisa, MD Obstetrics and Gynecology Martinez Health Center 2500 Alhambra Ave Martinez, CA 94553 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: 0006515 NPI: 1497780795 CA LIC: G38545 Obstetrics and Gynecology Macedo, Joseph, MD Obstetrics and Gynecology Martinez Health Center 2500 Alhambra Ave Martinez, CA 94553 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: 0002973 NPI: 1043354814 CA LIC: G84724 Mansouri, Jelriza, MD Obstetrics and Gynecology Martinez Health Center 2500 Alhambra Ave Martinez, CA 94553 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: 0011139 NPI: 1184762015 CA LIC: A97750 Obstetrics and Gynecology Languages: TAGALOG Mbanugo, Ogo, MD Obstetrics and Gynecology Martinez Health Center 2500 Alhambra Ave Martinez, CA 94553 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: 0000278 NPI: 1962572867 CA LIC: A44694 Murguia, Sandra, FNP Obstetrics and Gynecology Martinez Health Center 2500 Alhambra Ave Martinez, CA 94553 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: 0009516 NPI: 1518141886 CA LIC: NPF19688 Accepting New Patients: This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 47

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 94553 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: 0013091 NPI: 1447576723 CA LIC: A120956 Vanjani, Rachna, MD Obstetrics and Gynecology Martinez Health Center 2500 Alhambra Ave Martinez, CA 94553 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: 0013719 NPI: 1508165754 CA LIC: A136442 Pittsburg Cavallaro, Grace, MD Obstetrics and Gynecology Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA 94565 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: 0005431 NPI: 1548342165 CA LIC: G80059 Obstetrics and Gynecology Dao, Huy, MD Obstetrics and Gynecology Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA 94565 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: 0004075 NPI: 1447333497 CA LIC: A60118 Obstetrics and Gynecology Languages: VIETNAMESE Feierabend, Susan, MD Obstetrics and Gynecology Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA 94565 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: 0000539 NPI: 1982781548 CA LIC: A60059 Hay, Sunthara, DO Obstetrics and Gynecology Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA 94565 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: 0004292 NPI: 1073696720 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 94565 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: 0004627 NPI: 1205926367 CA LIC: G71388 Languages: FIJIAN GERMAN SPANISH Macedo, Joseph, MD Obstetrics and Gynecology Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA 94565 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: 0002973 NPI: 1043354814 CA LIC: G84724 Madlock, Michele, CNM Midwife Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA 94565 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: 0007088 NPI: 1427281781 CA LIC: NMF1763 This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 48

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 94565 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: 0000278 NPI: 1962572867 CA LIC: A44694 Murguia, Sandra, FNP Obstetrics and Gynecology Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA 94565 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: 0009516 NPI: 1518141886 CA LIC: NPF19688 Accepting New Patients: Richmond Lamberty, rman, MD Obstetrics and Gynecology Brighter Beginnings Family Health Clinic 2727 Macdonald Ave Richmond, CA 94804 (510) 213-6681 Hours: M-F 8:30 am - 5 pm Accessibility Indicator: L E EB IB R Plan Reference Number: 0015153 NPI: 1902895030 CA LIC: C146076 Obstetrics and Gynecology Summer, Jane, NP Obstetrics and Gynecology LifeLong Medical Care 1030 Nevin Ave Richmond, CA 94801 (510) 215-5001 Hours: M-F 8:30 am - 5 pm Accessibility Indicator: L E EB IB T Plan Reference Number: 0013734 NPI: 1225244734 CA LIC: 11303 San Pablo Lehman, Tara, MD Obstetrics and Gynecology 2023 Vale Rd Ste 207 San Pablo, CA 94806 (510) 215-9092 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: 0004732 NPI: 1881750081 CA LIC: 91139 Berletti, Charles, MD Obstetrics and Gynecology West County Health Center 13601 San Pablo Ave San Pablo, CA 94806 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: 0000720 NPI: 1427128453 CA LIC: A32986 Languages: FRENCH Hajyan, Karine, DO Obstetrics and Gynecology West County Health Center 13601 San Pablo Ave San Pablo, CA 94806 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: 0011175 NPI: 1154644425 CA LIC: 20A12220 Obstetrics and Gynecology Keller, Lisa, MD Obstetrics and Gynecology West County Health Center 13601 San Pablo Ave San Pablo, CA 94806 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: 0006515 NPI: 1497780795 CA LIC: G38545 Obstetrics and Gynecology Lehman, Tara, MD Obstetrics and Gynecology West County Health Center 13601 San Pablo Ave San Pablo, CA 94806 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: 0004732 NPI: 1881750081 CA LIC: A91139 Accepting New Patients: This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 49

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 13601 San Pablo Ave San Pablo, CA 94806 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: 0004131 NPI: 1639219876 CA LIC: A80812 Accepting New Patients: Macedo, Joseph, MD Obstetrics and Gynecology West County Health Center 13601 San Pablo Ave San Pablo, CA 94806 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: 0002973 NPI: 1043354814 CA LIC: G84724 Mbanugo, Ogo, MD Obstetrics and Gynecology West County Health Center 13601 San Pablo Ave San Pablo, CA 94806 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: 0000278 NPI: 1962572867 CA LIC: A44694 Radu-Radulescu, Ruxandra, MD Obstetrics and Gynecology West County Health Center 13601 San Pablo Ave San Pablo, CA 94806 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: 0013091 NPI: 1447576723 CA LIC: A120956 Vanjani, Rachna, MD Obstetrics and Gynecology West County Health Center 13601 San Pablo Ave San Pablo, CA 94806 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: 0013719 NPI: 1508165754 CA LIC: A136442 Accepting New Patients: Walnut Creek Crockett, John, MD Obstetrics and Gynecology John Muir Physician Network 1450 Treat Blvd #320 Walnut Creek, CA 94597 (925) 296-9880 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: 0002783 NPI: 1134221021 CA LIC: G23062 Lockwood, Lauren, CNM Midwife Women's Health Partners of California Inc. 112 La Casa Via Ste 300 Walnut Creek, CA 94598 (925) 239-0012 Hours: M-F 9 am - 5 pm Accessibility Indicator: L E EB IB P Plan Reference Number: 0011272 NPI: 1356777130 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 94598 (925) 239-0012 Hours: M-F 9 am - 5 pm Accessibility Indicator: L E EB IB P Plan Reference Number: 0010304 NPI: 1245492925 CA LIC: A121780 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 94598 (925) 239-0012 Hours: M-F 9 am - 5 pm Accessibility Indicator: L E EB IB P Plan Reference Number: 0013732 NPI: 1154321503 CA LIC: G74576 Obstetrics and Gynecology ENGLISH Accepting New Patients: This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 50

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 94598 (925) 239-0012 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: 0013733 NPI: 1063627362 CA LIC: A108156 Obstetrics and Gynecology Accepting New Patients: Klein, Louis, MD Obstetrics and Gynecology Women's Health Partners of California Inc. 1776 Ygnacio Valley Rd Ste 208 Walnut Creek, CA 94598 (925) 937-0995 Hours: M-F 9 am - 4:30 pm Accessibility Indicator: L E EB IB P Plan Reference Number: 0001409 NPI: 1598877698 CA LIC: G21120 Obstetrics and Gynecology Williams, Mary, NP Obstetrics and Gynecology Women's Health Partners of California Inc. 1776 Ygnacio Valley Rd Ste 208 Walnut Creek, CA 94598 (925) 937-0995 Hours: M-F 9 am - 5 pm Accessibility Indicator: L E EB IB P Plan Reference Number: 0013690 NPI: 1174602825 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 94598 (925) 301-9875 Hours: M-F 9 am - 5 pm Accessibility Indicator: L EB IB P Plan Reference Number: 0005728 NPI: 1912050014 CA LIC: PA12879 Friedman, Yaron, MD Obstetrics and Gynecology Yaron Friedman MD. Inc. 130 La Casa Via Bldg 3 Ste 112 Walnut Creek, CA 94598 (925) 301-9875 Hours: M-F 9 am - 5 pm Accessibility Indicator: L EB IB P Plan Reference Number: 0004227 NPI: 1730104704 CA LIC: A74362 Obstetrics and Gynecology Languages: HEBREW SPANISH ENGLISH This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 51

Contra Costa Health Plan Pharmacy by City Lista de Farmacias por Ciudad CONTRA COSTA Alamo Rite Aid Pharmacy 05907 130 Alamo Plaza Alamo, CA 94507 (925) 820-1233 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: 1205858891 Antioch Rite Aid Pharmacy 05908 20 East 18th Street Antioch Financial Center Antioch, CA 94509 (925) 757-7161 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: 1235248626 Rite Aid Pharmacy 05909 3353 Deer Valley Road The Crossings Antioch, CA 94509 (925) 757-3390 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: 1982713335 Rite Aid Pharmacy 06356 4100 Lone Tree Way Antioch, CA 94531 (925) 522-0150 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: 1124040191 Walgreens 4724 3416 Deer Valley Rd Antioch, CA 94531 (925) 978-8000 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: 1912912288 Bay Point Walgreens 13026 2700 Willow Pass Rd Bay Point, CA 94565 (925) 709-0317 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: 1356644504 Brentwood City Center Pharmacy Brentwood 50 Eagle Rock Way Ste C Brentwood, CA 94513 (925) 240-9777 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: 1235443672 Walgreens 6871 4520 Balfour Rd Brentwood, CA 94513 (925) 513-4055 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: 1316952641 Walgreens 9102 2271 Balfour Rd Brentwood, CA 94513 (925) 626-3491 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: 1629254446 Walgreens 9978 6570 Lone Tree Way Brentwood, CA 94513 (925) 240-6043 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: 1386859080 Clayton Walgreens 2112 5437 Clayton Rd Clayton, CA 94517 (925) 672-1334 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: 1689689952 This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 52

Contra Costa Health Plan Pharmacy by City Lista de Farmacias por Ciudad Concord Bacon East Pharmacy Inc. 2425 East Street Ste 5 Concord, CA 94520 (925) 687-0565 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: 1295746873 Oak Grove Pharmacy 785 Oak Grove Rd Concord, CA 94518 (925) 681-1823 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: 1821123456 Rite Aid Pharmacy 05913 1905 Monument Boulevard Lucky Center Concord, CA 94520 (925) 680-2845 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: 1245349737 Solano Pharmacy 1 2172 Solano Way Concord, CA 94520 (925) 332-5141 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: 1558765628 Sycamore Medical Pharmacy 2485 High School Avenue Ste 114 Concord, CA 94520 (925) 682-5600 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: 1497800825 Walgreens 15003 1990 Monument Blvd Concord, CA 94520 (925) 689-7812 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: 1275809568 Walgreens 3164 1800 Concord Ave Concord, CA 94520 (925) 674-9477 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: 1295740561 Danville Danville San Ramon Pharmacy 905 San Ramon Valley Blvd Ste 106 Danville, CA 94526 (925) 820-4603 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: 1720202237 Walgreens 2560 611 San Ramon Valley Blvd Danville, CA 94526 (925) 743-0160 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: 1437164704 El Cerrito Walgreens 3770 11565 San Pablo Ave El Cerrito, CA 94530 (510) 234-9300 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: 1588679856 El Sobrante Walgreens 4049 3630 San Pablo Dam Road El Sobrante, CA 94803 (510) 758-1294 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: 1952316242 Hercules Rite Aid Pharmacy 05923 1560 Sycamore Avenue Hercules, CA 94547 (510) 799-1252 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: 1992814321 This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 53

Contra Costa Health Plan Pharmacy by City Lista de Farmacias por Ciudad Lafayette Walgreens 3614 Mt. Diablo Blvd. Lafayette, CA 94549 (925) 385-2385 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: 1205229754 Martinez Rite Aid Pharmacy 05927 1165 Arnold Drive Martinez, CA 94553 (925) 372-0945 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: 1124040621 Walgreens 06101 3655 Alhambra Ave Martinez, CA 94553 (925) 372-0337 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: 1013922392 Oakley Rite Aid Pharmacy 05931 2555 Main Street Oakley Town Center Oakley, CA 94561 (925) 625-7440 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: 1003925462 Orinda Medicine Shoppe Pharmacy 1718 282 Village Square Orinda, CA 94563 (925) 254-1211 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: 1477647873 Rite Aid Pharmacy 05933 27 Orinda Way Village Square SC Orinda, CA 94563 (925) 253-1904 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: 1770692188 Pinole Walgreens 11614 2750 Pinole Valley Road Pinole, CA 94564 (510) 222-9422 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: 1235306937 Whitecross Professional Pharmacy 2160 Appian Way Ste 102 Pinole, CA 94564 (510) 724-2333 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: 1861482580 Pittsburg City Center Pharmacy Inc 1270 E Leland Rd Ste 102 Pittsburg, CA 94565 (925) 432-9770 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: 1932374956 Rite Aid Pharmacy 05935 580 Bailey Road Pittsburg, CA 94565 (925) 458-0955 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: 1689696197 Walgreens 7376 2901 Railroad Ave Pittsburg, CA 94565 (925) 439-8575 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: 1841205937 Pleasant Hill Rite Aid Pharmacy 05915 2140 Contra Costa Boulevard Pleasant Hill, CA 94523 (925) 691-0164 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: 1164531554 This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 54

Contra Costa Health Plan Pharmacy by City Lista de Farmacias por Ciudad The Medicine Shoppe Pharmacy 2100 Monument Blvd Pleasant Hill, CA 94523 (925) 685-0147 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: 1376686089 Walgreens 5864 721 Gregory Lane Pleasant Hill, CA 94523 (925) 944-1592 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: 1679588768 Richmond Central Pharmacy 2300 MacDonald Ave Richmond, CA 94804 (510) 234-4381 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: 1881676450 Walgreens 2506 1150 MacDonald Ave Richmond, CA 94801 (510) 236-5748 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: 1235144510 San Pablo Brookvale Medical Center Pharmacy 2101 Vale Rd Ste 100 San Pablo, CA 94806 (510) 235-4443 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: 1720426893 Vale Road Pharmacy 2023 Vale Road San Pablo, CA 94806 (510) 232-2377 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: 1942397906 Walgreens 13796 14280 San Pablo Ave San Pablo, CA 94806 (510) 730-7000 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: 1356646178 Walgreens 15947 13751 San Pablo Ave San Pablo, CA 94806 (510) 233-9467 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: 1457367005 Walgreens 4491 15650 San Pablo Ave San Pablo, CA 94806 (510) 243-1100 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: 1942215215 San Ramon Diablo Pharmacy & Wellness 2301 Camino Ramon Ste 190 San Ramon, CA 94583 (925) 237-9939 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: 1881011633 Rite Aid Pharmacy 05940 3207 Crow Canyon Place Crow Canyon Commons San Ramon, CA 94583 (925) 866-0505 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: 1588773907 San Ramon Custom Care Pharmacy 124 Market Place San Ramon, CA 94583 (925) 830-0555 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: 1245241827 This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 55

Contra Costa Health Plan Pharmacy by City Lista de Farmacias por Ciudad Walgreens 2485 21001 San Ramon Valley San Ramon, CA 94583 (925) 803-0890 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: 1568477859 Walnut Creek Advance Medical Pharmacy 112 La Casa Via Ste 100 Walnut Creek, CA 94598 (925) 939-6311 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: 1063518082 Ridgecrest Pharmacy 1844 San Miguel Dr Ste 105 Walnut Creek, CA 94596 (925) 937-6800 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: 1164536132 Rite Aid Pharmacy 05947 1997 Tice Valley Boulevard Walnut Creek, CA 94595 (925) 932-0568 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: 1154430510 Rite Aid Pharmacy 05948 1526 Palos Verdes Mall Walnut Creek, CA 94596 (925) 939-8378 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: 1649389172 Walgreens 15078 2995 Ygnacio Valley Rd Walnut Creek, CA 94598 (925) 256-7253 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: 1962417246 Walgreens 4026 2900 N. Main St Walnut Creek, CA 94596 (925) 933-0307 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: 1386659662 This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 56

Contra Costa Health Plan Vision Care Cuidado de la Vista ALAMEDA Alameda Chin, Daniel, OD Optometry Daniel Chin OD 1409 1/2 Park St Alameda, CA 94501 (510) 523-1344 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: 0001551 NPI: 1003969254 CA LIC: OPT9785 Fremont Lo, Eileen, OD Optometry East Bay Vision Center 34420 Fremont Blvd Ste E Fremont, CA 94555 (510) 796-9600 Hours: M-F 10 am - 6:30 pmsat 10 am - 6:30 pmsun 10 am - 6:30 pm Plan Reference Number: 0001829 NPI: 1851355309 CA LIC: OPT8533 Languages: CHINESE Oakland Hoh, David, OD Optometry A Chinatown Optometrist 373 9th St Ste 201 Oakland, CA 94607 (510) 832-2020 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: 0001725 NPI: 1528017621 CA LIC: OPT7821 Siu, Arthur, OD Optometry Arthur Siu OD 290 Grand Ave Oakland, CA 94610 (510) 451-9157 Hours: M-F 9 am - 5 pmsat 9 am - 12 pm Plan Reference Number: 0002081 NPI: 1942228929 CA LIC: OPT5780 Languages: CHINESE SPANISH Lam, Man-Wa, OD Optometry East Bay Vision Center 388 9th St Ste 157 Oakland, CA 94607 (510) 268-9600 Hours: M-F 9:30 am - 6 pmsat 9:30 am - 6 pmsun 9:30 am - 6 pm Plan Reference Number: 0009738 NPI: 1043239742 CA LIC: OPT9783 Languages: CHINESE(SIMPLIFIED) CHINESE Lo, Eileen, OD Optometry East Bay Vision Center 388 9th St Ste 157 Oakland, CA 94607 (510) 268-9600 Hours: M-F 9:30 am - 6 pmsat 9:30 am - 6 pmsun 9:30 am - 6 pm Plan Reference Number: 0001829 NPI: 1851355309 CA LIC: OPT8533 Languages: CHINESE Lo, Eileen, OD Optometry East Bay Vision Center 1230 Harrison St Oakland, CA 94612 (510) 839-0938 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: 0001829 NPI: 1851355309 CA LIC: OPT8533 Languages: CHINESE Pao, Elsa, OD Optometry Elsa T Pao OD 405 9th St 1st Floor Oakland, CA 94607 (510) 238-9797 Hours: M-F 9:30 am - 6 pmsat 9:30 am - 6 pmsun 9:30 am - 6 pm Plan Reference Number: 0009528 NPI: 1932112612 CA LIC: OPT10522 Languages: CHINESE Le, Tuong-Vi, OD Optometry International Optometry Inc. 600 International Blvd Ste 101 Oakland, CA 94606 (510) 832-0908 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: 0006163 NPI: 1902895451 CA LIC: OPT12323 Languages: VIETNAMESE ENGLISH This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 57

Contra Costa Health Plan Vision Care Cuidado de la Vista Pleasanton Hom, Charles, OD Optometry Charles Hom OD 5679 Gibraltar Dr Pleasanton, CA 94588 (925) 463-3937 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: 0003733 NPI: 1023104296 CA LIC: OPT8496 CONTRA COSTA Antioch Vallejo, Greg, RDO Dispensing Optician Antioch Opticians 3714 Lone Tree Way Antioch, CA 94509 (925) 757-6677 Hours: M-F 9 am - 5:30 pmsat 9 am - 1 pm Accessibility Indicator: L EB IB P Plan Reference Number: 0002171 NPI: 1568557130 CA LIC: D2084 Huff, David, OD Optometry California Eye Clinic 3747 Sunset Ln Antioch, CA 94509 (925) 754-2300 Hours: M-F 8 am - 5 pmsat 8 am - 3 pm Accessibility Indicator: L EB IB R Plan Reference Number: 0005685 NPI: 1558405712 CA LIC: OPT12812 Lee, Meng, OD Optometry California Eye Clinic 3747 Sunset Ln Antioch, CA 94509 (925) 754-2300 Hours: W 8 am - 5 pmf 8 am - 5 pm Accessibility Indicator: L EB IB R Plan Reference Number: 0013561 NPI: 1538325139 CA LIC: OPT13714 Ong, Frances, OD Optometry California Eye Clinic 3747 Sunset Ln Antioch, CA 94509 (925) 754-2300 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: 0005686 NPI: 1942344197 CA LIC: OPT12787 Linder, Eileen, OD Optometry Eye to Eye Optometry Group 4051 Lone Tree Way Ste E Antioch, CA 94531 (925) 757-7676 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: 0007310 NPI: 1366584302 CA LIC: OPT9414 Ranola, Amanda, OD Optometry Family Optometric Vision Care 5163 Lone Tree Way Antioch, CA 94531 (925) 757-5560 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: 0013641 NPI: 1447698808 CA LIC: OPT14615 Jones, Mark, OD Optometry Mark Jones OD 2600 Somersville Town Cntr Antioch, CA 94509 (925) 778-5912 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: 0001745 NPI: 1073639001 CA LIC: OPT9438 Brentwood Huff, David, OD Optometry California Eye Clinic 1181 Central Blvd Ste F Brentwood, CA 94513 (925) 516-0888 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: 0005685 NPI: 1558405712 CA LIC: OPT12812 This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 58

Contra Costa Health Plan Vision Care Cuidado de la Vista Ong, Frances, OD Optometry California Eye Clinic 1181 Central Blvd Ste F Brentwood, CA 94513 (925) 516-0888 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: 0005686 NPI: 1942344197 CA LIC: OPT12787 Farinas, Ingrid, OD Optometry Eyecare Galleria 2300 Sand Creek Rd. Ste. G-2 Brentwood, CA 94513 (925) 240-8520 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: 0003747 NPI: 1841317344 CA LIC: OPT12123 Accepting New Patients: Velasquez, Rowena, OD Optometry Eyecare Galleria 2300 Sand Creek Rd. Ste. G-2 Brentwood, CA 94513 (925) 240-8520 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: 0009741 NPI: 1700855863 CA LIC: OPT10434 Accepting New Patients: Concord Blaylock, Cynthia, OD Optometry Cynthia Blaylock OD 1955 Monument Blvd Ste 4A Concord, CA 94520 (925) 326-0120 Hours: M 10 am - 5 pmw 10 am - 5 pmf 10 am - 5 pm Accessibility Indicator: L EB IB Plan Reference Number: 0014258 NPI: 1932133600 CA LIC: 14513 Languages: CHINESE Wang-Chen, Connie, OD Optometry East Bay Optometry 2425 East St Ste 4 Concord, CA 94520 (925) 689-2852 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: 0002189 NPI: 1972598910 CA LIC: OPT6578 Languages: MANDARIN Pham, Karen, OD Optometry Karen Pham OD 1812 Galindo St Concord, CA 94520 (925) 825-2020 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: 0011340 NPI: 1609920016 CA LIC: OPT12639 Languages: VIETNAMESE ENGLISH Diez Gonzalez, Yarigtnetzilem, OD Optometry La Clinica De La Raza 2000 Sierra Rd Concord, CA 94518 (925) 363-2000 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: 0010763 NPI: 1588913206 CA LIC: OPT14449 ENGLISH Kim, Yongson, OD Optometry La Clinica De La Raza 2000 Sierra Rd Concord, CA 94518 (925) 363-2000 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: 0014512 NPI: 1841389368 CA LIC: OPT11293 Languages: KOREAN Tai, Chien, OD Optometry La Clinica De La Raza 2000 Sierra Rd Concord, CA 94518 (925) 363-2000 Hours: M-F 8:30 am - 5:30 pm Accessibility Indicator: L E EB IB R Plan Reference Number: 0014572 NPI: 1316013394 CA LIC: OPT12363 Languages: MANDARIN SPANISH This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 59

Contra Costa Health Plan Vision Care Cuidado de la Vista Trifiletti, Christina, OD Optometry La Clinica De La Raza 2000 Sierra Rd Concord, CA 94518 (925) 363-2000 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: 0010172 NPI: 1720237050 CA LIC: OPT13592 Chahal, Resham, MD Optometry Mission Hills Eye Center 2338 Almond Ave Concord, CA 94520 (925) 685-1130 Hours: M-F 9 am - 5 pm Accessibility Indicator: L IB P Plan Reference Number: 0013818 NPI: 1023061959 CA LIC: G71732 Ophthalmology Sanchez-Salazar, Javier, OD Optometry Sears Optical 1001 Sunvalley Blvd Sears Building Concord, CA 94520 (925) 246-1961 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: 0002031 NPI: 1699989715 CA LIC: OPT6546 Makedonsky, Michael, OD Optometry Vision Care Optometry 2975 Treat Blvd Unit A4 Concord, CA 94518 (925) 602-2020 Hours: W 9 am - 5 pmth 9 am - 5 pm Accessibility Indicator: L EB IB P R Plan Reference Number: 0010263 NPI: 1093774150 CA LIC: OPT12463 Languages: RUSSIAN Discovery Bay Stellhorn, Frederick, OD Optometry Discovery Eye Care Optometry 1520 Discovery Bay Blvd Ste 600 Discovery Bay, CA 94505 (925) 516-0202 Hours: M-F 9 am - 6 pm Accessibility Indicator: L EB IB PD Plan Reference Number: 0007645 NPI: 1457346330 CA LIC: OPT5215 Accepting New Patients: Hercules Diez Gonzalez, Yarigtnetzilem, OD Optometry Optometry by the Bay 500 Alfred bel Dr Ste 117 Hercules, CA 94547 (510) 724-3937 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: 0010763 NPI: 1588913206 CA LIC: OPT14449 ENGLISH Respicio, S, OD Optometry Optometry by the Bay 500 Alfred bel Dr Ste 117 Hercules, CA 94547 (510) 724-3937 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: 0010764 NPI: 1851358717 CA LIC: OPT9510 Martinez Ko, Anita, OD Optometry Martinez Health Center 2500 Alhambra Ave Martinez, CA 94553 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: 0000516 NPI: 1821167321 CA LIC: OPT9943T Wong, Sharman, OD Optometry Martinez Health Center 2500 Alhambra Ave Martinez, CA 94553 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: 0001009 NPI: 1588747240 CA LIC: OPT6143 This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 60

Contra Costa Health Plan Vision Care Cuidado de la Vista Huber, Cheyenne, OD Optometry Martinez Optometry 835 Main St Martinez, CA 94553 (925) 228-3737 Hours: M-F 9 am - 5 pm Accessibility Indicator: L EB Plan Reference Number: 0011202 NPI: 1679861272 CA LIC: OPT14203 Tran, Nina, OD Optometry Martinez Optometry 835 Main St Martinez, CA 94553 (925) 228-3737 Hours: M-F 9 am - 5 pm Accessibility Indicator: L EB Plan Reference Number: 0014455 NPI: 1629082318 CA LIC: OPT13068 Nguyen, Tung, OD Optometry Tung Nguyen OD 1021 Arnold Dr Martinez, CA 94553 (925) 313-0278 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: 0010064 NPI: 1386965937 CA LIC: OPT13766 Languages: VIETNAMESE Pinole Tam, David, OD Optometry David Tam OD 1660 San Pablo Ave #200 Pinole, CA 94564 (510) 964-7816 Hours: M-F 9 am - 5 pm Accessibility Indicator: L EB P PD Plan Reference Number: 0002131 NPI: 1184649196 CA LIC: 7588 Hsieh, Park, OD Optometry Eye Love Optometry 2704 Pinole Valley Rd Pinole, CA 94564 (510) 222-6567 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: 0006465 NPI: 1730239559 CA LIC: OPT12680T Mozaffarieh, Nazak, OD Optometry Eyes and Smiles Optometry 1773 San Pablo Ave. Ste A1 Pinole, CA 94564 (510) 222-3020 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: 0006800 NPI: 1699710988 CA LIC: OPT12430 Languages: PERSIAN SPANISH ENGLISH Pittsburg Huff, David, OD Optometry California Eye Clinic 2260 Gladstone Dr Ste 3 Pittsburg, CA 94565 (925) 427-2111 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: 0005685 NPI: 1558405712 CA LIC: OPT12812 Ong, Frances, OD Optometry California Eye Clinic 2260 Gladstone Dr Ste 3 Pittsburg, CA 94565 (925) 427-2111 Hours: M-F 8 am - 4:30 pm Accessibility Indicator: L EB IB P PD Plan Reference Number: 0005686 NPI: 1942344197 CA LIC: OPT12787 Chahal, Resham, MD Optometry Mission Hills Eye Center 2260 Gladstone Dr Ste 4 Pittsburg, CA 94565 (925) 432-9300 Hours: M-F 8 am - 5 pm Accessibility Indicator: L EB IB P Plan Reference Number: 0013818 NPI: 1023061959 CA LIC: G71732 Ophthalmology This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 61

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 94565 (925) 432-6484 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: 0010295 NPI: 1104022110 CA LIC: OPT13917 Ko, Anita, OD Optometry Pittsburg Health Center 2311 Loveridge Rd Pittsburg, CA 94565 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: 0000516 NPI: 1821167321 CA LIC: OPT9943T Pleasant Hill Turcios, Robert, OD Optometry Advanced Eye Care Optometry 395 Civic Dr Ste G Pleasant Hill, CA 94523 (925) 676-8365 Hours: M-F 8 am - 5:30 pmsat 8:30 am - 2 pm Accessibility Indicator: L EB IB R PD Plan Reference Number: 0002772 NPI: 1124053152 CA LIC: OPT7077 Cheng, Eileen, OD Optometry Looking Glass Optometry 401 Gregory Ln Ste 110 Pleasant Hill, CA 94523 (925) 687-7638 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: 0006104 NPI: 1215907076 CA LIC: OPT10846 Languages: MANDARIN Dong, Kevin, OD Optometry Looking Glass Optometry 401 Gregory Ln Ste 110 Pleasant Hill, CA 94523 (925) 687-7638 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: 0004315 NPI: 1366411894 CA LIC: OPT12175 Rodeo Kopiko, Karen, OD Optometry Bradley Upshaw OD Inc. 671 Parker Ave. Rodeo, CA 94572 (510) 799-4258 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: 0006251 NPI: 1629005939 CA LIC: OPT11256 TAGALOG ENGLISH Upshaw, Bradley, OD Optometry Bradley Upshaw OD Inc. 671 Parker Ave. Rodeo, CA 94572 (510) 799-4258 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: 0004736 NPI: 1992731335 CA LIC: 11228 San Pablo Anaya, Juan, OD Optometry San Pablo Optometric Center 14240 San Pablo Ave San Pablo, CA 94806 (510) 232-3060 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: 0004894 NPI: 1619995800 CA LIC: OPT12274 Accepting New Patients: Ko, Anita, OD Optometry West County Health Center 13601 San Pablo Ave San Pablo, CA 94806 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: 0000516 NPI: 1821167321 CA LIC: OPT9943T This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 62

Contra Costa Health Plan Vision Care Cuidado de la Vista Wong, Sharman, OD Optometry West County Health Center 13601 San Pablo Ave San Pablo, CA 94806 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: 0001009 NPI: 1588747240 CA LIC: OPT6143 Walnut Creek Sutton, Brenda, OD Optometry Brenda Sutton OD 1599 Botelho Dr Walnut Creek, CA 94596 (925) 945-8300 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: 0014614 NPI: 1215020342 CA LIC: OPT11821 Lee, Meng, OD Optometry California Eye Clinic 301 Lennon Ln Ste 201 Walnut Creek, CA 94598 (925) 932-1123 Hours: M-F 8 am - 4:30 pm Accessibility Indicator: L EB P PD Plan Reference Number: 0013561 NPI: 1538325139 CA LIC: OPT13714 Accepting New Patients: Aceves, Angela, OD Optometry Walnut Creek Optometry 1844 San Miguel Dr Ste 312 Walnut Creek, CA 94596 (925) 934-4313 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: 0011575 NPI: 1841373834 CA LIC: OPT13177 Boe, Kathryn, OD Optometry Walnut Creek Optometry 1844 San Miguel Dr Ste 312 Walnut Creek, CA 94596 (925) 934-4313 Hours: Th 8 am - 5 pmf 8 am - 5 pmsat 9 am - 2 pm Accessibility Indicator: L EB IB P PD Plan Reference Number: 0014657 NPI: 1578630141 CA LIC: OPT11608 Nguyen, Bach Kim, OD Optometry Walnut Creek Optometry 1844 San Miguel Dr Ste 312 Walnut Creek, CA 94596 (925) 934-4313 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: 0003244 NPI: 1942235734 CA LIC: OPT10544 Languages: VIETNAMESE CHINESE Wong, Dianne, OD Optometry Walnut Creek Optometry 1844 San Miguel Dr Ste 312 Walnut Creek, CA 94596 (925) 934-4313 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: 0011576 NPI: 1750384061 CA LIC: OPT11780 SOLANO Vallejo Ogata, Wayne, OD Optometry Bayside Family Optometry 121 Plaza Dr Ste 505 Vallejo, CA 94591 (707) 643-8891 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: 0006469 NPI: 1538100953 CA LIC: OPT9705 Aceves, Angela, OD Optometry Vallejo Optometry Group 2103 Redwood St Ste 100 Vallejo, CA 94590 (707) 554-1773 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: 0011575 NPI: 1841373834 CA LIC: OPT13177 This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 63

Contra Costa Health Plan Vision Care Cuidado de la Vista Jones, Mark, OD Optometry Vallejo Optometry Group 2103 Redwood St Ste 100 Vallejo, CA 94590 (707) 554-1773 Hours: Tu 9 am - 5 pmw 9 am - 5 pmth 9 am - 5 pmf 9 am - 5 pm Plan Reference Number: 0001745 NPI: 1073639001 CA LIC: OPT9438 Nguyen, Bach Kim, OD Optometry Vallejo Optometry Group 2103 Redwood St Ste 100 Vallejo, CA 94590 (707) 554-1773 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: 0003244 NPI: 1942235734 CA LIC: OPT10544 Languages: VIETNAMESE CHINESE Wong, Dianne, OD Optometry Vallejo Optometry Group 2103 Redwood St Ste 100 Vallejo, CA 94590 (707) 554-1773 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: 0011576 NPI: 1750384061 CA LIC: OPT11780 This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 64

Contra Costa Health Plan Urgent Care Atencion Urgente ALAMEDA Berkeley Lifelong Urgent Care 2001 Dwight Way Berkeley, CA 94704 (510) 204-7979 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: 1518963693 CONTRA COSTA Brentwood John Muir Urgent Care- Brentwood 2400 Balfour Rd Ste 120 Brentwood, CA 94513 (925) 952-2701 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: 1225058019 Concord John Muir Urgent Care- Concord 2700 Grant St Ste 110 Concord, CA 94520 (925) 674-2500 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: 1497036735 STAT MED Urgent Care 901 Sunvalley Blvd Ste 100 Concord, CA 94520 (925) 234-4447 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: 1891132106 Lafayette STAT MED Urgent Care 970 Dewing Ave Ste 100-B Lafayette, CA 94549 (925) 297-6396 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: 1891132106 Pleasant Hill Night Owl 425 Gregory Lane Ste 203 Pleasant Hill, CA 94523 (925) 288-3600 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: 1558372177 San Pablo Lifelong Urgent Care 2023 Vale Rd Ste 107 San Pablo, CA 94806 (510) 231-9800 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: 1487696191 San Ramon John Muir Urgent Care - San Ramon 2305 Camino Ramon Ste 130 San Ramon, CA 94583 (925) 543-0290 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: 1134142078 Walnut Creek John Muir Urgent Care- Walnut Creek 1450 Treat Blvd- Ste 160 Walnut Creek, CA 94597 (925) 296-9000 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: 1942223995 This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 65

Hospital Listing by City Lista de Hospitales por Ciudad ALAMEDA Berkeley Alta Bates Summit Medical Center Alta Bates Campus 2450 Ashby Avenue Berkeley, CA 94705 (510) 204-4444 Plan Reference Number: HSABMC NPI: 1013906221 Oakland Alta Bates Summit Medical Center Summit Campus 350 Hawthorne Ave Oakland, CA 94609 (510) 655-4000 Plan Reference Number: HSMCO NPI: 1740279959 UCSF Benioff Children's Hospital Oakland 747 52nd St Oakland, CA 94609 (510) 428-3000 Plan Reference Number: HCHO NPI: 1003961251 CONTRA COSTA Antioch Sutter Delta Medical Center 3901 Lone Tree Way Antioch, CA 94509 (925) 779-7200 Plan Reference Number: HSDMC NPI: 1124135132 Concord John Muir Behavioral Health Center 2740 Grant St Concord, CA 94520 (925) 674-4100 Plan Reference Number: HJMBHC NPI: 1215962782 John Muir Medical Center Concord Campus 2540 East St Concord, CA 94520 (925) 682-8200 Plan Reference Number: HMDMS NPI: 1801821376 Martinez Contra Costa Regional Medical Center 2500 Alhambra Ave Martinez, CA 94553 Plan Reference Number: HCCRMC NPI: 1386770931 Walnut Creek John Muir Medical Center Walnut Creek Campus 1601 Ygnacio Valley Rd Walnut Creek, CA 94598 (925) 939-3000 Plan Reference Number: HJMMC NPI: 1740215219 SAN FRANCISCO San Francisco UC San Francisco Medical Center 505 Parnassus Ave San Francisco, CA 94143 (415) 476-1000 Plan Reference Number: HUCMCSF NPI: 1689772592 This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 66

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 94704 (510) 644-8292 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: 1538377445 CA LIC: 070000512 CONTRA COSTA Antioch Choice in Aging - Bedford Center for Adult Day Health Center 1811 C Street Antioch, CA 94509 (925) 778-4171 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: 1861513905 CA LIC: 0700000514 El Sobrante Guardian Adult Health Center of California 3905 San Pablo Dam Road El Sobrante, CA 94803 (510) 669-1007 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: 1821168402 CA LIC: 070000511 Pleasant Hill Choice in Aging - Mt Diablo Center for Adult day Health Care 490 Gold Club Rd Pleasant Hill, CA 94523 (925) 682-6343 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: 1164543294 CA LIC: 070000503 This list of providers is for your information, and current as of 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 67

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 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 68

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 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 69

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 1718 54 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 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 70

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 05907 52 Rite Aid Pharmacy 05908 52 Rite Aid Pharmacy 05909 52 Rite Aid Pharmacy 05913 53 Rite Aid Pharmacy 05915 54 Rite Aid Pharmacy 05923 53 Rite Aid Pharmacy 05927 54 Rite Aid Pharmacy 05931 54 Rite Aid Pharmacy 05933 54 Rite Aid Pharmacy 05935 54 Rite Aid Pharmacy 05940 55 Rite Aid Pharmacy 05947 56 Rite Aid Pharmacy 05948 56 Rite Aid Pharmacy 06356 52 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 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 71

INDEX W cont. Walgreens 54 Walgreens 06101 54 Walgreens 11614 54 Walgreens 13026 52 Walgreens 13796 55 Walgreens 15003 53 Walgreens 15078 56 Walgreens 15947 55 Walgreens 2112 52 Walgreens 2485 56 Walgreens 2506 55 Walgreens 2560 53 Walgreens 3164 53 Walgreens 3770 53 Walgreens 4026 56 Walgreens 4049 53 Walgreens 4491 55 Walgreens 4724 52 Walgreens 5864 55 Walgreens 6871 52 Walgreens 7376 54 Walgreens 9102 52 Walgreens 9978 52 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 2017-06-29. CCHP does not guarantee that providers are still in the network or accepting new members. Please contact Member Services at 1-877-661-6230 (press 2). Esta lista de Proveedores de Atención Primaria (PCP) es para su información y entra en vigencia a partir del 2017-06-29. 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 1-877-661-6230 (oprima 2). 72

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 1-877-661-6230 (press 2). Updates To report incorrect provider information, members can contact member services by calling 1-877-661-6230 option 2 or by email: cchp@hsd.cccounty.us and Providers or the general public can contact Provider Relations at providerrelations@hsd.cccounty.us or by calling 1-877-800-7423 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 1-877-661-6230 (oprima 2). Actualizaciones Para reportar errores en la información el proveedores, los miembros pueden comunicarse con Servicios para Miembros llamando al 1-877-661-6230 (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 1-877-800-7423 (opción 6). 73