bnd provider group mangement - pdf report · and any plan cost sharing as payment in full. we have...

20202020Provider DirectoryProvider Directory

Brand New Day Harmony Choice Plan (HMO CSNP) 20Brand New Day Harmony Choice Plan (HMO CSNP) 20Brand New Day Bridges Care Plan (HMO CSNP) 28Brand New Day Bridges Care Plan (HMO CSNP) 28

Brand New Day Bridges Choice Plan (HMO CSNP) 29Brand New Day Bridges Choice Plan (HMO CSNP) 29Brand New Day Harmony Care Plan (HMO CSNP) 32Brand New Day Harmony Care Plan (HMO CSNP) 32

Brand New Day Classic Choice Plan (HMO) 33Brand New Day Classic Choice Plan (HMO) 33Brand New Day Classic Care I I Plan (HMO) 37Brand New Day Classic Care I I Plan (HMO) 37

Brand New Day Embrace Care Plan (HMO CSNP) 39-1 &Brand New Day Embrace Care Plan (HMO CSNP) 39-1 &39-239-2

Brand New Day Embrace Choice Plan (HMO CSNP) 40-1Brand New Day Embrace Choice Plan (HMO CSNP) 40-1& 40-2& 40-2

Brand New Day Select Care Plan (HMO ISNP) 41Brand New Day Select Care Plan (HMO ISNP) 41

This directory is current as of October 15,2019.

This directory provides a list of Brand New Day’s current network providers.

This directory is for Santa Clara County.

To access Brand New Day’s online provider directory, you can visit www.bndhmo.com .For any questions about the information contained in this directory (hardcopy or online),please call our Member Service Department at 866-255-4795, Monday through Fridayfrom 8:00 a.m. to 8:00 p.m. and weekends from 8:00 a.m. to 8:00 p.m. (between October1st and March 31st). TTY/TDD users should call 866-321-5955. Brand New Day is a HMOwith Medicare contract. Enrollment in Brand New Day depends on contract renewal. Theprovider network may change at any time. You will receive notice when necessary.ATTENTION: If you speak English, language assistance services, free of charge, areavailable to you. Call 1-866-255-4795 (TTY: 711). ATENCIÓN: si habla español, tiene a sudisposición servicios gratuitos de asistencia lingüística. Llame al 1-866-255-4795 (TTY:711).

1

https://bndhmo.com

Table of Content sTable of Content s

Sect ion 1 – Int roduct ionSect ion 1 – Int roduct ion 3

What is the service area for Brand New Day ? 4

How do you find Brand New Day providers in your area? 4

Sect ion 2 – List of Network ProvidersSect ion 2 – List of Network Providers 5

Vision, Dental and Ancillary Providers 5

Primary Care Physicians Affiliated with IPAs 7

Specialists Affiliated with IPAs 25

Hospitals 32

Skilled Nursing Facilities (SNF) 33

Urgent Care 35

2

Sect ion 1 – Int roduct ionSect ion 1 – Int roduct ion

This directory provides a list of Brand New Day network providers. To get detailedinformation about your health care coverage, please see your Evidence of Coverage(EOC).

Use this directory to find Brand New Day network providers for your care needs. Networkproviders are the doctors and other health care professionals, medical groups, hospitals,and other health care facilities that have an agreement with us to accept our paymentand any plan cost sharing as payment in full. We have arranged for these providers todeliver covered services to members in our plan.

It is important to know which providers are with our network because, with limitedexceptions, while you are a member of our plan you must use network providers toobtain your medical care and services. The only exceptions are emergencies, urgentlyneeded care when the network is not available (generally when you are out of the area),out-of-area dialysis services, and cases in which Brand New Day authorizes use of out-of-network providers.

You will have to choose one of our network providers listed in this directory to be yourPrimary Care Provider (PCP). Generally, you must get your health care services from yourPCP. Your PCP is a physician who meets State requirements and is trained to give youbasic medical care. Your PCP will provide most of your care and will help arrange orcoordinate the rest of the covered services you get as a member of our Plan. Thisincludes: x-rays, laboratory tests, therapy, care from doctors who are specialists, hospitaladmissions, and follow up care.

The “network providers” listed in this directory have agreed to provide you with yourHealth care and vision coverage. You may go to any of our network providers listed in thisdirectory; however, some services may require a referral and prior authorization fromBrand New Day.

If you have been going to one network provider, you are not required to continue to goto that same provider. Other physicians/providers are available in our network. In somecases, you may get covered services from non-network providers.

The “network providers” listed in this directory have agreed to provide you with yourmedical health care, vision and dental services. You may go to any of our networkproviders listed in this directory; however, some services require a referral and priorauthorization from Brand New Day.

If you have been going to one network provider, you are not required to continue to goto that same provider. Other physicians/providers are available in our network. In somecases, you may get covered services from non-network providers.

Med ical groups and Independent Pract ice Associat ionsMed ical groups and Independent Pract ice Associat ions

Brand New Day’s Network includes providers associated with Independent PracticeAssociations (IPAs) and Medical Groups. An IPA is a group of physicians under contract toprovide services to members. If you select a doctor that belongs to an IPA or medicalgroup as your PCP, you may be required to only use doctors that belong to that IPA orMedical Group for care. Additionally, you may need to obtain prior authorization for carefrom the IPA or medical group instead of from Brand New Day.

You must use network providers except in emergency or urgent care situations. If youobtain routine care from out-of-network providers, neither Medicare nor Brand New Daywill be responsible for the costs.

3

If you receive a bill from an out-of-network provider that gave you emergent or urgentcare (or out of area renal dialysis, do not pay the bill. Submit the bill to Brand New Dayfor review.

Mai l b i l l s f or Prescr ip t ion d rugs t o:Mai l b i l l s f or Prescr ip t ion d rugs t o:Brand New Day c/o Med Impact Claims Depart mentBrand New Day c/o Med Impact Claims Depart ment10181 Scr ipps Gat eway Court10181 Scr ipps Gat eway CourtSan Diego, CA 92131San Diego, CA 92131

Mai l b i l l s f or med ical care t o:Mai l b i l l s f or med ical care t o:Brand New Day Brand New Day P.O. Box 794 P.O. Box 794 Park Ridge, I l l inois 60068Park Ridge, I l l inois 60068

What i s t he service area f or Brand New Day ?What i s t he service area f or Brand New Day ?

The counties in our service area are listed below.Fresno, Imperial, Kings, Kern, Los Angeles, Orange, San Bernardino, Riverside, San Diego,San Mateo, Santa Clara, and Tulare Counties.

How do you f ind Brand New Day p roviders in your area?How do you f ind Brand New Day p roviders in your area?

You may look for a provider using this directory in several ways. To find a provider in yourarea, look for the county or area first. Then search the list of providers for that area. If youknow the name of the provider you are looking for, use our alphabetical index located inthe back of this directory. Our providers are listed according to their associated MedicalGroup or IPA.

Our directory includes Brand New Day contracted specialists, hospitals, urgent care, andskilled nursing facilities. In addition, the directory includes contracted dental providers(We are contracted with Delta Dental USA and Western Dental to use their network ofdentists) and vision providers (We are contracted with MES Vision Care to use theirnetwork of vision care providers).

If you have questions about Brand New Day or require assistance in selecting a PCP,please call our Member Service Department at 1-866-255-4795, Monday through Friday8:00 am to 8:00 pm and weekends from 8:00 am to 8:00 pm (between October 1st andMarch 31st). TTY/TDD users should call 711. Or, visit http://www.bndhmo.com.

4

https://bndhmo.com

Sect ion 2 – List of Network ProvidersSect ion 2 – List of Network Providers

Vision, Denta l and Anci l la r y Provider sVision, Denta l and Anci l la r y Provider s

FIT NESS AND HEALT HFIT NESS AND HEALT H

PROVIDER : SILVERSNEAKERSPROVIDER : SILVERSNEAKERSPhone: 888-423-4632

For Hear ing impair ed T T Y user s: 711For Hear ing impair ed T T Y user s: 711

T RANSPORAT IONT RANSPORAT ION

SCHEDULE ROUT INE T RANSPORT AT ION (T O AND FROM DOCT OR)SCHEDULE ROUT INE T RANSPORT AT ION (T O AND FROM DOCT OR)Monday-Friday 8:00am-6:00pmPhone: 855-804-3340

SCHEDULE MEDICAL T RANSPORT AT ION (NON-URGENT )SCHEDULE MEDICAL T RANSPORT AT ION (NON-URGENT )Monday-Friday 8:00am-6:00pmPhone: 855-804-3484

REQUEST A BUS PASSREQUEST A BUS PASSMonday-Friday 8:00am-6:00pmPhone: 855-804-3661


VISIONVISION

PROVIDER: MES VISIONPROVIDER: MES VISIONPhone: 833-240-7289Website: www.mesvision.com/bndhmo

For Hear ing impair ed T T Y user s: 877-835-2929For Hear ing impair ed T T Y user s: 877-835-2929

CHIROPRACT OR AND ACCUPUNCT URECHIROPRACT OR AND ACCUPUNCT URE

PROVIDER: AMERICAN SPECIALT Y HEALT H (ASH)PROVIDER: AMERICAN SPECIALT Y HEALT H (ASH)Phone: 800-678-9133Website: www.ashlink.com/ASH/brandnewday


5

https://www.mesvision.com/bndhmo

https://www.ashlink.com/ASH/brandnewday

Vision, Denta l and Anci l la r y Provider sVision, Denta l and Anci l la r y Provider s

T ELEHEALT HT ELEHEALT H

PROVIDER: T ELEDOCPROVIDER: T ELEDOCPhone: 855-835-2362Website: www.teladoc.com


DENT ALDENT AL

PROVIDER: DELT A CARE USAPROVIDER: DELT A CARE USAPhone: 844-282-7638Website: www.deltadental.com/DentistSearch/DentistSearchController.ccl


PROVIDER: WEST ERN DENT ALPROVIDER: WEST ERN DENT ALPhone: 800-992-3366Website: www.westerndentalbenefits.com


PHARMACYPHARMACY

PROVIDER: CONVEY OT CPROVIDER: CONVEY OT CPhone: 855-804-3555Website: www.bndotc.com


PROVIDER: MEDIMPACT (MAIL ORDER PHARMACY)PROVIDER: MEDIMPACT (MAIL ORDER PHARMACY)Phone: 855-873-8739Website: www.medimpactdirect.com


NURSE ADVICE L INENURSE ADVICE L INE

PROVIDER: BRAND NEW DAYPROVIDER: BRAND NEW DAYPhone: 888-687-7321

6

https://www.teladoc.com

http://www.deltadental.com/DentistSearch/DentistSearchController.ccl

http://www.westerndentalbenefits.com

https://www.bndotc.com

https://www.medimpactdirect.com

PRIMARYPRIMARYCARECAREPHYSICIANSPHYSICIANSAFFIL IATEDAFFIL IATEDWITH IPASWITH IPAS

Pr imary Care Physic ians Af f i l ia ted with IPAsPr imary Care Physic ians Af f i l ia ted with IPAs

CAMPBELLCAMPBELL

FAMILYFAMILYPRACT ICEPRACT ICE

BORODULIN ,BORODULIN ,T AT YANA MDT AT YANA MDSanta Clara County IPA(M172)Provider # TABO1600 W CAMPBELLAVE, #202CAMPBELL, CA 95008408-378-3300408-378-3300

LOUIS, ELHAM DOLOUIS, ELHAM DOSanta Clara County IPA(M172)Provider # ELLO11580 WINCHESTER,BLVD #202CAMPBELL, CA 95008408-364-7600408-364-7600

INT ERNALINT ERNALMEDICINEMEDICINE

SHARMA, KAVIT ASHARMA, KAVIT AMDMDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # KASH12221 E HACIENDA AVE,#DCAMPBELL, CA 95008408-376-3380408-376-3380

CUPERT INOCUPERT INO


J AL IL IE , B SOFIAJ AL IL IE , B SOFIAMDMDSanta Clara County IPA(M172)Provider # BSJA20555 PROSPECTROAD,CUPERTINO, CA 95014408-996-9339408-996-9339

Z IT MAN, SHELDONZ IT MAN, SHELDONA MDA MDSanta Clara County IPA(M172)Provider # SHZI920555 PROSPECT, RDCUPERTINO, CA 95014408-996-9339408-996-9339


CHEN, T SUNG-CHEN, T SUNG-CHANG T MDCHANG T MDSanta Clara County IPA(M172)Provider # TCCT10430 SO DE ANZA,BLVD #220CUPERTINO, CA 95014408-257-8860408-257-8860

HSU, T HOMAS THSU, T HOMAS TMDMDPhysician MedicalGroup of San Jose(M149)Seoul Medical Group(M107)Provider # THHS20395 PACIFICA DR,#104CUPERTINO, CA 95014408-446-5353408-446-5353

KAR, ARADHANAKAR, ARADHANAMDMDSanta Clara County IPA(M172)Provider # ARKA1620555 PROSPECT RD,CUPERTINO, CA 95014408-996-9339408-996-9339

YOUNG, GABRIELYOUNG, GABRIELMDMDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # GAYO10011 N FOOTHILL,BLVDCUPERTINO, CA 95014408-366-0600408-366-0600

Gil r oyG il r oy


BARBARA, J OSEPHBARBARA, J OSEPHMDMDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # JOBA67880 WREN AVE,#C133Gilroy, CA 95020408-842-0278408-842-0278

J UMAGDAO-SAKAI ,J UMAGDAO-SAKAI ,MARIA MDMARIA MDSanta Clara County IPA(M172)Provider # MAJU19460 NO NAME UNO,#115Gilroy, CA 95020408-842-3134408-842-3134

7


KUMAR, SMIT HAKUMAR, SMIT HAMDMDSanta Clara County IPA(M172)Provider # SMKU9460 NO NAME UNO,#115Gilroy, CA 95020408-842-3133408-842-3133

MIT T AL, GUNJ ANMIT T AL, GUNJ ANMDMDSanta Clara County IPA(M172)Provider # GUMI9360 NO NAME UNO,#240Gilroy, CA 95020408-846-8100408-846-8100


PAT EL , KEVAL MDPAT EL, KEVAL MDSanta Clara County IPA(M172)Provider # KEPA179360 NO NAME UNO,#220Gilroy, CA 95020408-767-8632408-767-8632

WU, SAMUEL W MDWU, SAMUEL W MDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # SAWU97880 WREN AVE,#D143Gilroy, CA 95020408-846-1800408-846-1800

LOS GAT OSLOS GAT OS


CHEN, EST HER HCHEN, EST HER HMDMDPhysician MedicalGroup of San Jose(M149)Provider # ESCH12800 POLLARD RD,#B205LOS GATOS, CA 95032408-300-9298408-300-9298

CHOW, NORMANCHOW, NORMANDODOPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Seoul Medical Group(M107)Provider # NOCH98320 DARDANELLI LN,#10BLOS GATOS, CA 95032408-866-4576408-866-4576

DE F IGARD, MARYDE F IGARD, MARYMDMDPhysician MedicalGroup of San Jose(M149)Provider # MADE12555 KNOWLES DR,#203LOS GATOS, CA 95032408-377-9180408-377-9180

HOPNER, DAN DHOPNER, DAN DMDMDSanta Clara County IPA(M172)Provider # DAHO50340 DARDANELLILN,#24LOS GATOS, CA 95032408-378-8648408-378-8648

MARX, ROBERT MDMARX, ROBERT MDSanta Clara County IPA(M172)Provider # ROMA614911 NATIONAL AVE,#7LOS GATOS, CA 95032408-358-3511408-358-3511

RAMACHANDRAN,RAMACHANDRAN,DEEPA MDDEEPA MDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # DERA715195 NATIONAL AVE,#205LOS GATOS, CA 95032408-335-7640408-335-7640

RASHK IS, J OHN MDRASHK IS, J OHN MDSanta Clara County IPA(M172)Provider # JORA714901 NATIONAL AVE,#203LOS GATOS, CA 95032408-354-9200408-354-9200

VILL IVALAM, ARUNVILL IVALAM, ARUNMDMDSanta Clara County IPA(M172)Provider # ARVI915195 NATIONAL AVE,#205LOS GATOS, CA 95032408-502-6040408-502-6040

8


Z IMMER, J AMES KZ IMMER, J AMES KMDMDPhysician MedicalGroup of San Jose(M149)Provider # JAZI12555 KNOWLES AVE,#203LOS GATOS, CA 95032408-377-9180408-377-9180


AYER, MANDEEPAYER, MANDEEPMDMDSanta Clara County IPA(M172)Provider # MAAY114981 NATIONAL AVE,#6LOS GATOS, CA 95032408-358-1811408-358-1811

AYER, GOPI N MDAYER, GOPI N MDSanta Clara County IPA(M172)Provider # GOAY14981 NATIONAL AVE,#6LOS GATOS, CA 95032408-358-1811408-358-1811

MUNGEKAR, SWAT IMUNGEKAR, SWAT IH MDH MDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # SWMU15899 LOS GATOS,ALMADEN RDLOS GATOS, CA 95032408-358-3645408-358-3645

MILPIT ASMILPIT AS


BURKHEAD,BURKHEAD,SVELT LANA P MDSVELT LANA P MDPhysician MedicalGroup of San Jose(M149)Provider # SVBU1882 N HILLVIEW DR,MILPITAS, CA 95035408-272-1348408-272-1348

CEPE, J OANABEL SCEPE, J OANABEL SM MDM MDPhysician MedicalGroup of San Jose(M149)Provider # JOCE3995 MONTAQUE EXPY,#218MILPITAS, CA 95035408-942-0300408-942-0300

HOANG, SYLVIA HHOANG, SYLVIA HMDMDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # SYHO10500 E CALAVERASBLVD, #100MILPITAS, CA 95035408-942-0980408-942-0980

MECEDA, VICT OR JMECEDA, VICT OR JMDMDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # VIME500 E CALAVERAS,#100MILPITAS, CA 95035408-942-0980408-942-0980

Z HENG, HUI MDZ HENG, HUI MDPhysician MedicalGroup of San Jose(M149)Provider # HIZH500 E CALAVERAS,BLVD #100MILPITAS, CA 95035408-942-0980408-942-0980

GENERALGENERALPRACT ICEPRACT ICE

MART INEZ , DANIELMART INEZ , DANIELB MDB MDPhysician MedicalGroup of San Jose(M149)Provider # DAMA21854 N HILLVIEW DR,MILPITAS, CA 95035408-262-5223408-262-5223


J AIN , ASHIT MDJ AIN, ASHIT MDPhysician MedicalGroup of San Jose(M149)Provider # ASJA2500 E CALAVERAS,BLVD #100MILPITAS, CA 95035408-942-0980408-942-0980

NGUYEN, T RANGNGUYEN, T RANGJ ACQUELYN MDJ ACQUELYN MDPhysician MedicalGroup of San Jose(M149)Provider # TRNG8246 RANCH DR,MILPITAS, CA 95035408-263-9936408-263-9936

9


T HUKRAL, VIJ AYT HUKRAL, VIJ AYMDMDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # VITH995 MONTAGUEEXPRESS, WAY #213MILPITAS, CA 95035408-258-7400408-258-7400

T RAN, T OAN MDT RAN, T OAN MDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # TOTR61776 N MILPITASBLVD,MILPITAS, CA 95035408-956-9096408-956-9096

VECCHI , N ICOLEVECCHI , N ICOLEMDMDPhysician MedicalGroup of San Jose(M149)Provider # NIVE429 S MAIN STREET,MILPITAS, CA 95035408-935-9586408-935-9586

MORGAN HILLMORGAN HILL


BENNET T , ROBIN EBENNET T , ROBIN EDODOSanta Clara County IPA(M172)Provider # ROBE618550 DEPAUL DR#208,MORGAN HILL, CA95037408-776-8040408-776-8040

CEPE, J OANABEL SCEPE, J OANABEL SM MDM MDPhysician MedicalGroup of San Jose(M149)Provider # JOCE218181 BUTTERFIELD,BLVD #180MORGAN HILL, CA95037408-251-0835408-251-0835


NALAWADI ,NALAWADI ,SMRUT I MDSMRUT I MDSanta Clara County IPA(M172)Provider # SMNA18550 DEPAUL DR,#208MORGAN HILL, CA95037408-776-8040408-776-8040

NGUYEN, T AM HNGUYEN, T AM HDODOPhysician MedicalGroup of San Jose(M149)Provider # TANG518181 BUTTERFIELD,BLVDMORGAN HILL, CA95037480-258-5083480-258-5083

SHAH, DEVANG SSHAH, DEVANG SMDMDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # DESH218550 DE PAUL DR,#101MORGAN HILL, CA95037408-776-3900408-776-3900

SHAH, N IMISHA HSHAH, N IMISHA HMDMDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # NISH518550 DE PAUL DR,#101MORGAN HILL, CA95037408-776-3900408-776-3900

MOUNT AINMOUNT AINVIEWVIEW


CHEN, KENNY MDCHEN, KENNY MDPhysician MedicalGroup of San Jose(M149)Provider # KECH352485 HOSPITAL DR,#241MOUNTAIN VIEW, CA94040650-988-8460650-988-8460

COLL INGS,COLL INGS,CAT HERINE MDCAT HERINE MDSanta Clara County IPA(M172)Provider # CACO342490 HOSPITAL, DR#212MOUNTAIN VIEW, CA94040650-962-4370650-962-4370

EPST E IN ,EPST E IN ,LAWRENCE A MDLAWRENCE A MDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # LAEP122500 HOSPITAL DR,BLDG 11 #EMOUNTAIN VIEW, CA94040650-625-0800650-625-0800

10


MADDINENI ,MADDINENI ,SUNEET HA MDSUNEET HA MDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # SUMA32500 HOSPITAL DR,BLDG 11 #EMOUNTAIN VIEW, CA94040650-625-0800650-625-0800

Pal o Al t oPal o Al t o


MOKAYA, DIANA MMOKAYA, DIANA MMDMDPhysician MedicalGroup of San Jose(M149)Provider # DIMO011885 BAY RD,Palo Alto, CA 94303650-330-7400650-330-7400

SHAW, J ONAT HANSHAW, J ONAT HANMDMDPhysician MedicalGroup of San Jose(M149)Provider # JOSH011885 BAY RD,Palo Alto, CA 94303650-330-7400650-330-7400

PALO ALT OPALO ALT O


GUPT A, ARUN MDGUPT A, ARUN MDPhysician MedicalGroup of San Jose(M149)Provider # ARGU3750 WELCH RD, #315PALO ALTO, CA 94304650-723-5711650-723-5711

SAN J OSESAN J OSE


BENSON,BENSON,FREDERICK P MDFREDERICK P MDSanta Clara County IPA(M172)Provider # FRBE15595 WINFIELD BLVD,#214SAN JOSE, CA 95123408-224-6211408-224-6211

BUI , VIET -HONGBUI , VIET -HONGMDMDPhysician MedicalGroup of San Jose(M149)Provider # VIBU696 E SANTA CLARA,ST #210SAN JOSE, CA 95112408-295-9839408-295-9839

BUI , RAU V MDBUI , RAU V MDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # RABU127 S 13TH ST,SAN JOSE, CA 95112408-298-6706408-298-6706

BURKHEAD,BURKHEAD,SVELT LANA P MDSVELT LANA P MDPhysician MedicalGroup of San Jose(M149)Provider # SVBU1060 SARATOGA AVE,SAN JOSE, CA 95129408-243-6911408-243-6911

BURKHEAD,BURKHEAD,SVELT LANA P MDSVELT LANA P MDPhysician MedicalGroup of San Jose(M149)Provider # SYBU651910 N CAPITOL AVE,SAN JOSE, CA 95132888-265-2120888-265-2120

CEPE, J OANABEL SCEPE, J OANABEL SM MDM MDPhysician MedicalGroup of San Jose(M149)Provider # JOCE1200 JOSE FIGUERES,AVE #260SAN JOSE, CA 95116408-251-0835408-251-0835

CHENG, EDDIE MCHENG, EDDIE MMDMDPhysician MedicalGroup of San Jose(M149)Provider # EDCH71060 SARATOGA AVE,SAN JOSE, CA 95129408-243-6911408-243-6911

EADULA, SEKHAR UEADULA, SEKHAR UMDMDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # SEEA200 JOSE FIGUERES,AVE #285SAN JOSE, CA 95116408-498-4567408-498-4567

HOPNER, DAN DHOPNER, DAN DMDMDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # DAHO112060 ABORN RD, #100SAN JOSE, CA 95121408-223-9055408-223-9055

11


KAMAT H, POORVAKAMAT H, POORVAMDMDPhysician MedicalGroup of San Jose(M149)Provider # KAPO22749 STORY RD, #50SAN JOSE, CA 95122408-975-2763408-975-2763

KAUR, RAMANDEEPKAUR, RAMANDEEPMDMDPhysician MedicalGroup of San Jose(M149)Provider # RAKA75138 MONTEREY HWY,#GSAN JOSE, CA 95111408-687-4806408-687-4806

KHAY, DARIT H SKHAY, DARIT H SMDMDPhysician MedicalGroup of San Jose(M149)Provider # DAKH10200 JOSE FIGUERES,AVE #315SAN JOSE, CA 95116408-254-1500408-254-1500

LE , ST EPHANIE MDLE, ST EPHANIE MDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # STLE401693 FLANIGAN DR,#100SAN JOSE, CA 95121408-274-3881408-274-3881

MAI , NHAT V MDMAI , NHAT V MDPhysician MedicalGroup of San Jose(M149)Provider # NHMA2641 SENTER RD,SAN JOSE, CA 95111408-294-1991408-294-1991

MASADA, MARVINMASADA, MARVINP MDP MDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # MAMA301569 LEXANN AVE,#128SAN JOSE, CA 95121408-274-1654408-274-1654

MOHAMMAD,MOHAMMAD,SOPHIA MDSOPHIA MDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # SOMO102728 ABORN RD,SAN JOSE, CA 95121408-270-2103408-270-2103

NARASIMHAMURT HY,NARASIMHAMURT HY,RASHMI MDRASHMI MDPhysician MedicalGroup of San Jose(M149)Provider # RANA99749 STORY RD, #50SAN JOSE, CA 95122408-975-2763408-975-2763

NGUYEN, KHOINGUYEN, KHOIDUC MDDUC MDPhysician MedicalGroup of San Jose(M149)Provider # KDNG1693 FLANIGAN DR,#101SAN JOSE, CA 95121408-274-1339408-274-1339

NGUYEN, PET ER LNGUYEN, PET ER LDODOPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # PENG1749 STORY RD, # 20SAN JOSE, CA 95122408-794-2088408-794-2088

NGUYEN, VUNGUYEN, VUHOANG MDHOANG MDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # VUNG4210 N JACKSON, AVE#20SAN JOSE, CA 95116408-251-6127408-251-6127

NGUYEN, QUYNHNGUYEN, QUYNHQUEEN A DOQUEEN A DOPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # QUNG221675 BURDETTE DR, #20SAN JOSE, CA 95121408-274-6944408-274-6944

12


NGUYEN, T UNG TNGUYEN, T UNG TDODOPhysician MedicalGroup of San Jose(M149)Provider # TUNG6621 TULLY RD, A105SAN JOSE, CA 95111408-279-2988408-279-2988

NGUYEN, J OANNNGUYEN, J OANNMDMDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # JONG11652 E SANTA CLARAST,SAN JOSE, CA 95112408-294-2868408-294-2868

NGUYEN, HAINGUYEN, HAIHOANG MDHOANG MDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # HANG10210 N JACKSON AVE,#20SAN JOSE, CA 95116408-251-6127408-251-6127

NGUYEN, T RUNGNGUYEN, T RUNGHOAI MDHOAI MDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # TRNG10280 N JACKSON AVE,SAN JOSE, CA 95116408-254-9192408-254-9192

PARK , MI RAN MDPARK , MI RAN MDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Seoul Medical Group(M107)Provider # MIPA35150 GRAVES AVE,#11BSAN JOSE, CA 95129408-293-0800408-293-0800

PARRA, GUST AVOPARRA, GUST AVOMDMDPhysician MedicalGroup of San Jose(M149)Provider # GUPA2820 ALUM ROCK,AVE 10SAN JOSE, CA 95127408-254-5040408-254-5040

PAT EL , MIT T AL MDPAT EL, MIT T AL MDPhysician MedicalGroup of San Jose(M149)Provider # MIPA12266 N JACKSON AVE,#5SAN JOSE, CA 95116408-358-4200408-358-4200

PAT EL , MIT T AL MDPAT EL, MIT T AL MDPhysician MedicalGroup of San Jose(M149)Provider # MIPA88749 STORY RD, #50SAN JOSE, CA 95122408-975-2763408-975-2763

PHAN, DUNG MDPHAN, DUNG MDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # DUPH1693 FLANIGAN DR,#100SAN JOSE, CA 95121408-274-3881408-274-3881

PHAN, T UAN MDPHAN, T UAN MDPhysician MedicalGroup of San Jose(M149)Provider # TUPH4159 LEXANN AVE,#120SAN JOSE, CA 95121408-270-4267408-270-4267

POSADA, J UAN MDPOSADA, J UAN MDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Seoul Medical Group(M107)Provider # JUPO2200 JOSE FIGUERES,#485SAN JOSE, CA 95116408-259-3022408-259-3022

RAHMAN, GALIBARAHMAN, GALIBAMDMDPhysician MedicalGroup of San Jose(M149)Provider # GARA2200 JOSE FIGUERES,AVE #260SAN JOSE, CA 95116408-251-8821408-251-8821

RAMACHANDRAN,RAMACHANDRAN,DEEPA MDDEEPA MDPhysician MedicalGroup of San Jose(M149)Provider # DERA233162 NEWBERRY DR,#30SAN JOSE, CA 95118408-995-7640408-995-7640

13


RAMIREZ ,RAMIREZ ,ALFREDO MDALFREDO MDPhysician MedicalGroup of San Jose(M149)Provider # ALRA32820 ALUM ROCKAVE, #20SAN JOSE, CA 95127408-729-2900408-729-2900

REYES-VILLA,REYES-VILLA,DANIEL MDDANIEL MDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # DARE542690 S WHITE RD, #95SAN JOSE, CA 95148408-223-8080408-223-8080

REYES-VILLA,REYES-VILLA,DANIEL MDDANIEL MDSanta Clara County IPA(M172)Provider # DATE53841 BLOSSOM HILLRD, #215SAN JOSE, CA 95123408-629-7095408-629-7095

SIAO, DONALD YSIAO, DONALD YMDMDSanta Clara County IPA(M172)Provider # DOSI92690 S WHITE RD,#200SAN JOSE, CA 95148408-223-7771408-223-7771

T HAI , MINH MDT HAI , MINH MDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # MITH260 N 13TH ST, #BSAN JOSE, CA 95112408-294-2616408-294-2616

T O, AN MDT O, AN MDPhysician MedicalGroup of San Jose(M149)Provider # ANTO287 NORTH 6TH ST,SAN JOSE, CA 95112408-279-1180408-279-1180

T O, R ICK MDT O, R ICK MDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # RITO87 NORTH 6TH ST,SAN JOSE, CA 95112408-279-1180408-279-1180

YUAN, CHIU J MDYUAN, CHIU J MDSanta Clara County IPA(M172)Provider # CHYU9475 N FIRST ST,SAN JOSE, CA 95112408-297-3200408-297-3200

Z HAO, WANGPINGZ HAO, WANGPINGMDMDPhysician MedicalGroup of San Jose(M149)Provider # WAZH33749 STORY RD, #50SAN JOSE, CA 95122408-975-2763408-975-2763

GENERALGENERALPRACT ICEPRACT ICE

MART INEZ , DANIELMART INEZ , DANIELB MDB MDPhysician MedicalGroup of San Jose(M149)Provider # DAMA221050 E SANTA CLARA,STSAN JOSE, CA 95116408-292-6006408-292-6006

MUNOZ DEMUNOZ DELABORDE, INESLABORDE, INESBARDIN MDBARDIN MDPhysician MedicalGroup of San Jose(M149)Provider # INMU1910 N CAPITOL AVE,SAN JOSE, CA 95132888-265-2120888-265-2120

NGUYEN,NGUYEN,MINHT AM S MDMINHT AM S MDPhysician MedicalGroup of San Jose(M149)Provider # MING91340 TULLY RD, # 309SAN JOSE, CA 95122408-993-8536408-993-8536

PHAM, AN MDPHAM, AN MDPhysician MedicalGroup of San Jose(M149)Provider # ANPH41693 FLANIGAN DR,#101SAN JOSE, CA 95121408-274-1339408-274-1339

SANT OS, PACIF ICOSANT OS, PACIF ICOMDMDPhysician MedicalGroup of San Jose(M149)Provider # PASA3200 JOSE FIGUERES,AVE #325SAN JOSE, CA 95116408-937-9000408-937-9000


14


ABALOS-GALIT O,ABALOS-GALIT O,MARIET T A F MDMARIET T A F MDPhysician MedicalGroup of San Jose(M149)Provider # MAAB1125 N JACKSON AVE,#206SAN JOSE, CA 95116408-258-7827408-258-7827

AHMED, NAT ASHAAHMED, NAT ASHAMDMDPhysician MedicalGroup of San Jose(M149)Provider # NAAH4325 JOSE FIGUERES,AVE #325SAN JOSE, CA 95116408-937-9000408-937-9000

AHMED, NAT ASHAAHMED, NAT ASHAMDMDPhysician MedicalGroup of San Jose(M149)Provider # NAAH5325 JOSE FIGUERES,AVE #325SAN JOSE, CA 95116408-937-9000408-937-9000

ARAVAMUT HAN,ARAVAMUT HAN,MANJ ARI MDMANJ ARI MDPhysician MedicalGroup of San Jose(M149)Provider # MAAR21569 LEXANN AVE,#220SAN JOSE, CA 95121408-929-6922408-929-6922

ASGHAR, FAYAZASGHAR, FAYAZMDMDPhysician MedicalGroup of San Jose(M149)Provider # FAAS135 N JACKSON AVE,#203SAN JOSE, CA 95116408-926-1202408-926-1202

ASGHAR, FAYAZASGHAR, FAYAZMDMDPhysician MedicalGroup of San Jose(M149)Provider # FAAS2173 N MORRISONAVE, #DSAN JOSE, CA 95126408-926-1202408-926-1202

BUI , HONG H MDBUI , HONG H MDPhysician MedicalGroup of San Jose(M149)Provider # HOBU1661 BURDETTE DR, #ISAN JOSE, CA 95121408-270-9642408-270-9642

BURBANO, EMIROBURBANO, EMIROMDMDPhysician MedicalGroup of San Jose(M149)Provider # EMBU2112 MCKEE RD #B,SAN JOSE, CA 95116408-258-5864408-258-5864

CAT HEY, R ICHARDCAT HEY, R ICHARDMMPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # RICA1175 N JACKSON AVE,#203SAN JOSE, CA 95116408-254-2107408-254-2107

CHAU, MAGGIE SCHAU, MAGGIE SDODOPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # MACH24200 JOSE FIGUERES,AVE #205SAN JOSE, CA 95116408-923-8098408-923-8098

CHEN, MAGGIE WCHEN, MAGGIE WMDMDPhysician MedicalGroup of San Jose(M149)Provider # MACH102360 MCKEE RD #10,SAN JOSE, CA 95116408-729-7128408-729-7128

COURT , SERGIOCOURT , SERGIOMDMDPhysician MedicalGroup of San Jose(M149)Provider # SECO225 N 14TH ST #870,SAN JOSE, CA 95112408-294-1967408-294-1967

CU, J OSEPH MDCU, J OSEPH MDPhysician MedicalGroup of San Jose(M149)Seoul Medical Group(M107)Provider # JOCU2680 S WHITE RD,#207SAN JOSE, CA 95148408-270-2107408-270-2107

15


DAM, DINH X MDDAM, DINH X MDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # DIDA2200 N JACKSON AVE,#CSAN JOSE, CA 95116408-923-8080408-923-8080

DANG, PHUC C MDDANG, PHUC C MDPhysician MedicalGroup of San Jose(M149)Provider # PHDA71692 TULLY RD, #10SAN JOSE, CA 95122408-531-8572408-531-8572

DANG, PHUC C MDDANG, PHUC C MDPhysician MedicalGroup of San Jose(M149)Provider # PHDA81879 LUNDY AVE,#166SAN JOSE, CA 95131408-531-8572408-531-8572

DO, CHRIST OPHERDO, CHRIST OPHERNGUYEN MDNGUYEN MDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # CHDO11569 LEXANN AVE,#206SAN JOSE, CA 95121408-531-8808408-531-8808

DO, T RANG U MDDO, T RANG U MDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # TRDO12114 SENTER RD, #15SAN JOSE, CA 95112408-975-9800408-975-9800

FISHENFELD, J ACOFISHENFELD, J ACOMDMDPhysician MedicalGroup of San Jose(M149)Provider # JAFI8150 N JACKSON AVE,#105SAN JOSE, CA 95116408-926-2200408-926-2200

GARRET T , FRANCISGARRET T , FRANCISMDMDSanta Clara County IPA(M172)Provider # FRGA10554 BLOSSOM HILLRD,SAN JOSE, CA 95123408-281-2772408-281-2772

GUANZ ON, J OSEGUANZ ON, J OSEMARIA MDMARIA MDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # JOGU142395 MONTPELIER DR,#4SAN JOSE, CA 95116408-272-3041408-272-3041

GUANZ ON,GUANZ ON,T ERESIT A V MDT ERESIT A V MDPhysician MedicalGroup of San Jose(M149)Provider # TEGU2395 MONTPELIER DR,#4SAN JOSE, CA 95116408-272-3041408-272-3041

HASHMI , NAEEM UHASHMI, NAEEM UMDMDPhysician MedicalGroup of San Jose(M149)Provider # NAHA12504 SAMARITAN DR,#20SAN JOSE, CA 95124408-356-1111408-356-1111

HLA, T IN T MDHLA, T IN T MDPhysician MedicalGroup of San Jose(M149)Provider # TIHL200 JOSE FIGUERES,AVE #430SAN JOSE, CA 95116408-929-6088408-929-6088

HOANG, T HUY MDHOANG, T HUY MDPhysician MedicalGroup of San Jose(M149)Provider # HOTY2593 S KING ROAD, #7SAN JOSE, CA 95122408-238-7390408-238-7390

HUT CHINS, MARYHUT CHINS, MARYJ ANE B MDJ ANE B MDPhysician MedicalGroup of San Jose(M149)Seoul Medical Group(M107)Provider # MAHU3125 N JACKSON AVE,#107SAN JOSE, CA 95116408-358-8998408-358-8998

16


HUYNH, MINH QHUYNH, MINH QMDMDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # MIHU1457 N 13TH ST,SAN JOSE, CA 95112408-998-3075408-998-3075

HUYNH, CHAU MHUYNH, CHAU MMDMDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # CHHU81865 ALUM ROCK AVE,#BSAN JOSE, CA 95116408-272-8814408-272-8814

HUYNH, DAT T MDHUYNH, DAT T MDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # DAHU181661 BURDETTE DR,#NSAN JOSE, CA 95121408-270-4582408-270-4582

J AIN , ASHIT MDJ AIN, ASHIT MDPhysician MedicalGroup of San Jose(M149)Provider # ASJA175 N JACKSON AVE,#103SAN JOSE, CA 95116408-272-1600408-272-1600

J AVID, AT HIYA MDJ AVID, AT HIYA MDPhysician MedicalGroup of San Jose(M149)Provider # ATJA2200 JOSE FIGUERES,AVE #320SAN JOSE, CA 95116408-729-8111408-729-8111

J OSHI , T ARLA PJ OSHI , T ARLA PMDMDPhysician MedicalGroup of San Jose(M149)Provider # TAJO2505 SAMARITAN DR,#405SAN JOSE, CA 95124408-356-8133408-356-8133

KARUPAIAH,KARUPAIAH,SUGHA MDSUGHA MDPhysician MedicalGroup of San Jose(M149)Provider # SUKA465 N 14TH ST,SAN JOSE, CA 95112408-279-1400408-279-1400

KORSUNSKY,KORSUNSKY,ALEXANDER MDALEXANDER MDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # ALKO5150 GRAVES AVE, #5BSAN JOSE, CA 95129408-517-0560408-517-0560

LE , T UAN MDLE, T UAN MDPhysician MedicalGroup of San Jose(M149)Provider # TULE21569 LEXANN AVE,#122SAN JOSE, CA 95121408-531-1555408-531-1555

LEE, RAYMOND MDLEE, RAYMOND MDPhysician MedicalGroup of San Jose(M149)Provider # RALE1200 JOSE FIGUERES,AVE #245SAN JOSE, CA 95116408-923-3388408-923-3388

L IANG, MARK MDLIANG, MARK MDPhysician MedicalGroup of San Jose(M149)Provider # MALI641870 LUNDY AVE,SAN JOSE, CA 95131408-573-9686408-573-9686

MANDREZ A,MANDREZ A,ROSALINDA S MDROSALINDA S MDPhysician MedicalGroup of San Jose(M149)Provider # ROMA142593 S KING RD, #11SAN JOSE, CA 95122408-274-2880408-274-2880

MYINT , SAN SANMYINT , SAN SANMDMDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # SAMY5105 N JACKSON AVE,#103SAN JOSE, CA 95116408-272-3580408-272-3580

NACIANCENO,NACIANCENO,SALLY E MDSALLY E MDPhysician MedicalGroup of San Jose(M149)Provider # SANA1175 N JACKSON AVE,#110SAN JOSE, CA 95116408-251-3364408-251-3364

17


NGA V PHAM,NGA V PHAM,URGENT CARE MDURGENT CARE MDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # NGPH31569 LEXANN AVE,#120SAN JOSE, CA 95121408-532-0105408-532-0105

NGUYEN, T AM HNGUYEN, T AM HDODOPhysician MedicalGroup of San Jose(M149)Provider # TANG62110 MCKEE RD,SAN JOSE, CA 95116408-258-5083408-258-5083

NGUYEN, T AM HNGUYEN, T AM HDODOPhysician MedicalGroup of San Jose(M149)Provider # TANG8200 JOSE FIGURES,AVE #180SAN JOSE, CA 95116408-258-5083408-258-5083

NGUYEN, CHAU TNGUYEN, CHAU TMDMDPhysician MedicalGroup of San Jose(M149)Provider # CHNG25200 JOSE FEGUERES,AVE # 325SAN JOSE, CA 95116408-259-0107408-259-0107

NGUYEN, NGAI XNGUYEN, NGAI XMDMDPhysician MedicalGroup of San Jose(M149)Provider # NGNG7696 E SANTA CLARA,ST #108SAN JOSE, CA 95112408-971-8441408-971-8441

NGUYEN, T UAN NNGUYEN, T UAN NMDMDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # TUNG55200 JOSE FIGUERES, #380SAN JOSE, CA 95116408-259-0737408-259-0737

NGUYEN, HANHNGUYEN, HANHMDMDPhysician MedicalGroup of San Jose(M149)Provider # HANG111692 TULLY RD, #10SAN JOSE, CA 95122408-531-8572408-531-8572

NGUYEN, HANHNGUYEN, HANHMDMDPhysician MedicalGroup of San Jose(M149)Provider # HANG121879 LUNDY AVE, #166SAN JOSE, CA 95131408-531-8572408-531-8572

NGUYEN, T HUY TNGUYEN, T HUY TMDMDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # THNG57200 JOSE FEGUERES,AVE # 395SAN JOSE, CA 95116408-791-6786408-791-6786

NGUYEN, T HINH VNGUYEN, T HINH VMDMDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # THNG562470 ALVIN AVE, # 70SAN JOSE, CA 95121408-223-0505408-223-0505

NGUYEN, VINH QNGUYEN, VINH QMDMDPhysician MedicalGroup of San Jose(M149)Provider # VING46200 JOSE FIGUERES,AVE #460SAN JOSE, CA 95116408-254-1794408-254-1794

NINH, HUNG V MDNINH, HUNG V MDPhysician MedicalGroup of San Jose(M149)Provider # HUNI1661 BURDETTE DR,#ESAN JOSE, CA 95121408-531-9735408-531-9735

PALMA, ROSE MDPALMA, ROSE MDPhysician MedicalGroup of San Jose(M149)Provider # ROPA45175 N JACKSON, AVE100SAN JOSE, CA 95116408-251-3364408-251-3364

18


PARVEEN, RAFIAPARVEEN, RAFIAMDMDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # RAPA58200 JOSE FIGUERES,390SAN JOSE, CA 95116408-929-0234408-929-0234

PAT EL , DUSHYANTPAT EL, DUSHYANTMDMDSanta Clara County IPA(M172)Provider # DUPA9200 JOSE FIGURESAVE, #340SAN JOSE, CA 95116408-923-1711408-923-1711

REYES, J OSE K MDREYES, J OSE K MDSeoul Medical Group(M107)Provider # JOKE331625 TULLY RD, #ASAN JOSE, CA 95122408-929-0606408-929-0606

ROD, J OE L MDROD, J OE L MDPhysician MedicalGroup of San Jose(M149)Provider # JORO15200 JOSE FIGURES,AVE #325SAN JOSE, CA 95116408-937-9000408-937-9000

SCHULZ , HAK IMASCHULZ , HAK IMAMDMDSanta Clara County IPA(M172)Provider # HASC22516 SAMARITAN DR,#ASAN JOSE, CA 95124408-357-9214408-357-9214

SHEN, ALBERT CSHEN, ALBERT CMDMDSanta Clara County IPA(M172)Provider # ALSH25316 ROSEWOOD AVE,SAN JOSE, CA 95117408-296-9800408-296-9800

SHIN, FRANK D MDSHIN, FRANK D MDSanta Clara County IPA(M172)Seoul Medical Group(M107)Provider # FRSH91440 S DE ANZA BLVD,#ASAN JOSE, CA 95129408-366-0405408-366-0405

SIDDIQ, SIMIN MDSIDDIQ, SIMIN MDPhysician MedicalGroup of San Jose(M149)Provider # SISI175 N JACKSON AVE,SAN JOSE, CA 95116408-272-1600408-272-1600

T AM, MICHELLET AM, MICHELLEMDMDPhysician MedicalGroup of San Jose(M149)Provider # MITA51870 LUNDY AVE,SAN JOSE, CA 95131408-573-9686408-573-9686

T EE, GRACE MDT EE, GRACE MDPhysician MedicalGroup of San Jose(M149)Seoul Medical Group(M107)Provider # GRTE2200 JOSE FIGUERES,AVE #450SAN JOSE, CA 95116408-929-8385408-929-8385

T HAI , N ICOLET HAI , N ICOLEHONG PHUONGHONG PHUONGMDMDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # NITH200 JOSE FIGUERES,AVE #355SAN JOSE, CA 95116408-928-5656408-928-5656

T ILLES, ST EVEN MT ILLES, ST EVEN MMDMDPhysician MedicalGroup of San Jose(M149)Provider # STTI2505 SAMARITAN DR,#405SAN JOSE, CA 95124408-356-8133408-356-8133

T OBBAGI , HABIB AT OBBAGI , HABIB AMDMDPhysician MedicalGroup of San Jose(M149)Provider # HATO2200 JOSE FIGUERES,AVE #260SAN JOSE, CA 95116408-259-2013408-259-2013

T RAM, T RACY MDT RAM, T RACY MDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # TRTR52360 MCKEE RD, #1SAN JOSE, CA 95116408-926-2420408-926-2420

T RAN, T UAN DOT RAN, T UAN DOPhysician MedicalGroup of San Jose(M149)Provider # TUTR3989 STORY RD, #8072SAN JOSE, CA 95122408-642-1243408-642-1243

19


T RAN, DON MDT RAN, DON MDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # DOTR325 N 14TH ST, #780SAN JOSE, CA 95112408-279-2377408-279-2377

T RAN, KHANH MDT RAN, KHANH MDPhysician MedicalGroup of San Jose(M149)Provider # KHTR2899 SENTER RD, #140SAN JOSE, CA 95111408-281-3889408-281-3889

T RAN, T HANG MDT RAN, T HANG MDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # THTR121569 LEXANN AVE,#114SAN JOSE, CA 95121408-223-8818408-223-8818

T RAN, T HANG MDT RAN, T HANG MDPhysician MedicalGroup of San Jose(M149)Provider # THTR34969 STORY RD, #6060SAN JOSE, CA 95121408-223-8818408-223-8818

T SE, PHILL IP MDT SE, PHILL IP MDPhysician MedicalGroup of San Jose(M149)Provider # PHTS1266 N JACKSON AVE,#7SAN JOSE, CA 95116408-937-7581408-937-7581

T SE, DANIEL MDT SE, DANIEL MDPhysician MedicalGroup of San Jose(M149)Provider # DATS3266 N JACKSON AVE,#7SAN JOSE, CA 95116408-937-7581408-937-7581

VET SA, SUREKHAVET SA, SUREKHAMDMDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # SUVE150 N JACKSON AVE,#105SAN JOSE, CA 95116408-258-0900408-258-0900

VU, CHUNG MDVU, CHUNG MDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # CHVU2593 S KING RD, #15SAN JOSE, CA 95122408-274-0226408-274-0226

WANG, SHENG-WANG, SHENG-YONG MDYONG MDPhysician MedicalGroup of San Jose(M149)Provider # SHWA52324 MONTPELIER DR,#8SAN JOSE, CA 95116408-272-8818408-272-8818

Z HANG, Z HENG-Z HANG, Z HENG-GANG MDGANG MDPhysician MedicalGroup of San Jose(M149)Seoul Medical Group(M107)Provider # ZHZH55 N 13TH ST,SAN JOSE, CA 95112408-993-8764408-993-8764

San J oseSan J ose


J ULAO, CHARLYNEJ ULAO, CHARLYNEP MDP MDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # JUCH12828 WINCHESTERBLVD,San Jose, CA 95128408-866-4000408-866-4000

KAMAT H, POORVAKAMAT H, POORVAMDMDPhysician MedicalGroup of San Jose(M149)Provider # POKA2400 MOORPARK AVE,#319San Jose, CA 95128408-975-2763408-975-2763

KAN, MICHAELKAN, MICHAELEDMOND MDEDMOND MDSanta Clara County IPA(M172)Provider # MIKA31390 S WINCHESTER,BLVD #FLOOR 1San Jose, CA 95128408-378-2900408-378-2900

20


KAPOOR, DHANUKAPOOR, DHANUMDMDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # DHKA2110 FOREST AVE, #ESan Jose, CA 95128408-241-2900408-241-2900

L IN , ROBERT K MDLIN , ROBERT K MDSanta Clara County IPA(M172)Provider # ROLI2888 N WINCHESTER,BLVDSan Jose, CA 95128408-243-1528408-243-1528

MOAZ AZ I ,MOAZ AZ I ,MAT HILDE MDMAT HILDE MDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # MAMO34828 WINCHESTER,BLVDSan Jose, CA 95128408-866-4000408-866-4000

NARASIMHAMURT HY,NARASIMHAMURT HY,RASHMI MDRASHMI MDPhysician MedicalGroup of San Jose(M149)Provider # RANA102400 MOORPARK AVE,#319San Jose, CA 95128408-975-2730408-975-2730

PARK , BYUNG-PARK , BYUNG-GOOK MDGOOK MDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # BYPA100 OCONNOR DR#11,San Jose, CA 95128408-885-0807408-885-0807

PAT EL , MIT T AL MDPAT EL, MIT T AL MDPhysician MedicalGroup of San Jose(M149)Provider # MIPA232400 MOORPARK AVE,#319San Jose, CA 95128408-975-2763408-975-2763

QURESHI , SHARMINQURESHI , SHARMINMDMDPhysician MedicalGroup of San Jose(M149)Provider # SHQU22040 FOREST AVE, #1ASan Jose, CA 95128408-279-9800408-279-9800

WONG, HUNG-WONG, HUNG-KWONG MDKWONG MDSanta Clara County IPA(M172)Provider # HUWO92020 FOREST AVE, #8San Jose, CA 95128408-295-1886408-295-1886

Z HAO, WANGPINGZ HAO, WANGPINGMDMDPhysician MedicalGroup of San Jose(M149)Provider # WAZH2400 MOORPARK AVE,#319San Jose, CA 95128408-975-2763408-975-2763


CAHN, MICHAEL SCAHN, MICHAEL SMDMDSanta Clara County IPA(M172)Provider # MICA5295 O'CONNOR DR,San Jose, CA 95128408-279-8171408-279-8171

CAT HEY, R ICHARDCAT HEY, R ICHARDMMPhysician MedicalGroup of San Jose(M149)Provider # RICA3454 N BASCOM AVE,San Jose, CA 95128408-254-2107408-254-2107

CHAU, MAGGIE SCHAU, MAGGIE SDODOPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # MACH2754 N BASCOM AVE,San Jose, CA 95128408-294-7179408-294-7179

CHUNG, HANKYUCHUNG, HANKYUMDMDSanta Clara County IPA(M172)Seoul Medical Group(M107)Provider # HACH72039 FOREST AVE#308,San Jose, CA 95128408-297-8600408-297-8600

21


DUDYALA, VIJ AYADUDYALA, VIJ AYAMDMDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # VIDU11828 S WINCHESTER,BLVDSan Jose, CA 95128408-866-4000408-866-4000

LEE, BOO W MDLEE, BOO W MDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # BOLE2040 FOREST AVE, #3San Jose, CA 95128408-977-1310408-977-1310

L IN , J IMMY J MDLIN , J IMMY J MDSanta Clara County IPA(M172)Provider # JILI42411 FOREST AVE,San Jose, CA 95128408-983-1012408-983-1012

LUONG, J EAN MDLUONG, J EAN MDSanta Clara County IPA(M172)Provider # JELU2295 OCONNOR DR,San Jose, CA 95128408-279-8171408-279-8171

NAKELCHIK ,NAKELCHIK ,MASHA MDMASHA MDSanta Clara County IPA(M172)Provider # MANA9295 O'CONNOR DR,San Jose, CA 95128408-279-0548408-279-0548

ORNELAS,ORNELAS,R ICHARD MDRICHARD MDPhysician MedicalGroup of San Jose(M149)Provider # RIOR828 S WINCHESTER,BLVDSan Jose, CA 95128408-866-4000408-866-4000

ORNELAS,ORNELAS,R ICHARD MDRICHARD MDSanta Clara County IPA(M172)Provider # RIOR1828 W WINCHESTER,BLVDSan Jose, CA 95128408-866-4000408-866-4000

T SE, PHILL IP MDT SE, PHILL IP MDPhysician MedicalGroup of San Jose(M149)Provider # PHTS4373 REDWOOD AVE,San Jose, CA 95128408-261-3739408-261-3739

T SE, DANIEL MDT SE, DANIEL MDPhysician MedicalGroup of San Jose(M149)Provider # DATS4373 S REDWOOD AVE,San Jose, CA 95128408-261-3739408-261-3739

YEH, GEORGE KYEH, GEORGE KMDMDSanta Clara County IPA(M172)Provider # GEYE9706 N WINCHESTER,BLVDSan Jose, CA 95128408-298-4495408-298-4495

YEH, J AMES H MDYEH, J AMES H MDSanta Clara County IPA(M172)Provider # JAYE6706 N WINCHESTER,BLVDSan Jose, CA 95128408-298-4495408-298-4495

SANT A CLARASANT A CLARA


CHUNG, PET ER KCHUNG, PET ER KDODOPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Seoul Medical Group(M107)Provider # PECH11470 HALFORD AVE,#168SANTA CLARA, CA95051408-260-7575408-260-7575

GANDHI , T R IPT YGANDHI , T R IPT YMDMDSanta Clara County IPA(M172)Provider # TRGA11080 SCOTT BLVD #5,SANTA CLARA, CA95050408-247-8100408-247-8100

KAUR, RAMANDEEPKAUR, RAMANDEEPMDMDPhysician MedicalGroup of San Jose(M149)Provider # RAKA103466 EL CAMINOREAL,SANTA CLARA, CA95051408-791-1210408-791-1210

22


PARIKH, NEESHEETPARIKH, NEESHEETDODOPhysician MedicalGroup of San Jose(M149)Provider # NEPA753375 SCOTT BLVD,SANTA CLARA, CA95054408-266-3100408-266-3100

SCOT T ,SCOT T ,J ONAT HAN DOJ ONAT HAN DOSanta Clara County IPA(M172)Provider # JOSC41150 SCOTT BLVD, #D-1SANTA CLARA, CA95050408-246-9915408-246-9915

WASHINGT ON,WASHINGT ON,ROGER MDROGER MDSanta Clara County IPA(M172)Provider # ROWA3885 SCOTT BLVD, #4SANTA CLARA, CA95050408-246-9926408-246-9926


CHO, K ISUK J MDCHO, K ISUK J MDSeoul Medical Group(M107)Provider # KICH42344 EL CAMINOREAL, #105SANTA CLARA, CA95050408-249-1212408-249-1212

CHO, YOON-J UNGCHO, YOON-J UNGMDMDSeoul Medical Group(M107)Provider # YOCH22344 EL CAMINOREAL, #105SANTA CLARA, CA95050408-249-1212408-249-1212

SON, J AMES C MDSON, J AMES C MDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # JASO151150 SCOTT BLVD, #B3SANTA CLARA, CA95050408-261-7245408-261-7245

SARAT OGASARAT OGA


WALT ERS, J OSEPHWALT ERS, J OSEPHMDMDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # JOWA412961 VILLAGE DR, #ASARATOGA, CA 95070408-253-4806408-253-4806


L IU , LEEWEN MDLIU , LEEWEN MDSanta Clara County IPA(M172)Provider # LELI1019040 COX AVE #1,SARATOGA, CA 95070408-973-8861408-973-8861

SUNNYVALESUNNYVALE


KHALILNEJ AD,KHALILNEJ AD,HEIDEH S MDHEIDEH S MDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # HEKH41210 E ARQUES AVE,#203SUNNYVALE, CA 94085408-738-0200408-738-0200


L IN , ANDREW Y MDLIN , ANDREW Y MDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Seoul Medical Group(M107)Provider # ANLI3500 E REMINGTONDR, #30SUNNYVALE, CA 94087408-739-5950408-739-5950

SANGWAN, SEEMASANGWAN, SEEMAMDMDPhysician MedicalGroup of San Jose(M149)Santa Clara County IPA(M172)Provider # SESA3877 W FREEMONTAVE, #N1SUNNYVALE, CA 94087408-900-8077408-900-8077

YASK IN , INNA DOYASK IN , INNA DOPhysician MedicalGroup of San Jose(M149)Provider # INYA500 E REMMINGTONDR, #20SUNNYVALE, CA 94087650-318-3384650-318-3384

23


YASK IN , INNA DOYASK IN , INNA DOPhysician MedicalGroup of San Jose(M149)Provider # INYA2500 E REMINGTONDR, #20SUNNYVALE, CA 94087650-318-3384650-318-3384

24

PHYSICIANPHYSICIANMEDICALMEDICALGROUP OFGROUP OFSAN JOSESAN JOSE(M149 )(M149 )AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS

Specialists Affiliated with IPAs

Physic ian Medica l Group of San Jose (M149)Physic ian Medica l Group of San Jose (M149)

ALLERGYALLERGY

BIERDERMANN,ARTHUR A MD

DEL MUNDO, JUDY TMD

GOLDSOBEL, ALAN BMD

KELLOGG, JOHN SMD

KISHIYAMA, JEFFERYMD

LEUNG, ROXANNE SMD

LEVENSON, TOBY MS

TORRANO, ROBERTMD

WOLFE, JAMES MD

XU, ANLIN MD

ALLERGY &ALLERGY &IMMUNOLOGYIMMUNOLOGY

NELSON, KATHARINEMD

RASSBACH, WHITNEYM MD

SACHDEVA, VIRENDERK MD

XU, ANLIN MD

ZHANG, JUNE Y MD

BARIAT RICBARIAT RICSURGERYSURGERY

HIRAI, THOMAS J MD

CARDIOLOGYCARDIOLOGY

ASAD, NAVAID MD

CARDIOVASCULARCARDIOVASCULARDISEASEDISEASE

AGAH, RAMTIN MD

AHMED, MOHAMMEDH MD

ALAVI, MUNAWAR MD

ASAD, NAVAID MD

AVULA, SILPA MD

BAVOR, CLAYTON MD

BINDRA, SANJAY MMD

CHOW, THEODOREMD

COGGINS, DWAIN MD

COLLINGS,CATHERINE MD

DANG, DAN V MD

DE, AJANTA MD

GALLI, FRANK C MD

IRANI, ADIL N MD

JOYE, JAMES D DO

KAYKHA, AMIR MD

LIEN, JOHN MD

MA, ADRIAN MD

NGUYEN, HOANG DO

RAFAEL, ALLON MD

REDDY, THIRUPATI MD

REZAEE, MEHRDADMD

SARNA, PUNIT MD

SCOTT, NEAL MD

SIDDIQUI, SHAHID MD

ST GOAR, FREDERICKMD

SUDAPATI, SURENDRAB MD

DERMAT OLOGYDERMAT OLOGY

BRITZ, MARIE B MD

CHANG, SHURONGMD

CLAYTON, SCHILTZ LDO

DHAWAN, SUNIL S MD

DO, HONG T N MD

DUONG, HOANG MMD

HSIEH, GEORGE C MD

KHUU, DUKE T MD

LUU, MYCHAEL MD

SANDHU, AMANDEEPMD

YEH, SANDRA MD

ENDOCRINOLOGYENDOCRINOLOGY

BINDRA, ARCHANA SMD

CABACCAN, JOSELITOMD

JUE, DYRON MD

LI, MING MD

FOOT SURGERYFOOT SURGERY

CERVANTES, HECTORL MD

GREENWALD,LEONARD MD

GAST ROENT EROLOGYGAST ROENT EROLOGY

CHOUDHARY,ABHISHEK MD

CHUI, DAVID W MD

DA SILVEIRA,EDUARDO MD

DACI, KUANG MD

FARR, HASHEM M MD

GANNAVARAPU,BHARGAVA MD

GARCIA, RUEL T MD

GOYAL, TRETA P MD

HURWITZ, ALFRED LMD

KIM, SUEJIN MD

KUTTY, GEETA MD

LEVITT, BRIAN S MD

NGUYEN, HUY A MD

25


NGUYEN, KHANH MD

RAJU, JAY S MD

SETHI, SAURABH MD

SHIEH, EUGENIE MD

TRINH, HUY MD

VITTAL, SUDIN MD

WEISMAN, STUARTMD

YU, ANDY MD

GYNECOLOGYGYNECOLOGY

BALLON, SAMUEL CMD

KIM, DAI J MD

GYNECOLOGYGYNECOLOGYONCOLOGYONCOLOGY

LIN, JEFF MD

HEPAT OLOGYHEPAT OLOGY

ROHANINEJAD,MOHAMMAD REZAMD

INFECT IOUSINFECT IOUSDISEASEDISEASE

CHARNEY, MICHAELMD

RAMACHANDRAN,RANI MD

MEDICALMEDICALONCOLOGYONCOLOGY

MOHAJER, ROOZBEHMD

NEPHROLOGYNEPHROLOGY

CARILLO, RAY R MD

CARRIE, BRIAN J MD

CHAWLA, VARUN MD

CHE, QILIN MD

DHAWAN, ARCHANAMD

ELAHI, RASHID S MD

FU, NING MD

KRISHNA, GOPAL GMD

LIN, CYNTHIA MD

MCCOY, IAN MD

PATEL, KAJAL P MD

PHAN, DENNIS MD

RANDALL,RASMUSSEN MD

ROSALES, MARIA CMD

SQUARER, ADDY MD

TING, GEORGE MD

WINETZ, JAN A MD

YARLAGADDA, PADMAMD

NEUROLOGYNEUROLOGY

AHMED, MOHAMMEDF MD

CARRINGTON, DAVIDMD

FUNG, PETER C MD

GUPTA, RAJ MD

IBRAHIMI, SAID MD

KOUYOUMJIAN,ZEPURE DO

LE, CHUONG M MD

LIN, PETER MD

PRABHU, DIVYA MD

SHAH, AKSHAY M MD

SUN, XIHUA MD

WANG, WEI MD

WU, JERWIN MD

OBST ET RICS &OBST ET RICS &GYNECOLOGYGYNECOLOGY

AZAD, SARAH P MD

BALASSIANO, ERIKAMD

BANGALORE VATSANSRI, LAKSHMI MD

BHANOT, PREETE MD

CAI, DUNG V MD

CAPULONG, DALE AMD

CHU, MARGARET WMD

CORDERO, MARIO NMD

DAMORE, ANTHONY JMD

FARYNO, VIOLETTAMD

GUPTA, POOJA MD

HOANG, HANH N MD

KHOO, MAUREEN OMD

NAYAK, SURESH MD

NGUYEN, PHUONGMD

NGUYEN, DAN ANHMD

NOH, TAE MD

PARK, HYUN KYO MD

PHAN, KENNETH TMD

PHAN, REBECCA B MD

PHELPS-SANDALL,BABARA MD

POLLARD, ANGELA MMD

RIVERA, VERONICA RMD

SOLIMANI, NEZHATMD

SOMERSILLE, CAROLMD

TENG, AMY MD

THANAPATHY,JUMNAH MD

TRAN, XUANANH MD

VU, GIAO MD

WATSON, JAMES MD

ONCOLOGYONCOLOGY

BALLON, SAMUEL CMD

MOHAJER, ROOZBEHMD

OPHT HALMOLOGYOPHT HALMOLOGY

BARSOUMIAN, KRIKORMD

26


CHEN, JESSICA MD

CHEN, HOWARD H MD

CHOI, HO SUN MD

CHOW, CLEMENT CMD

CONTRERAS,CLAUDIO S MD

DESSOUKI, AMR L MD

DUGGAN, JOHN WMD

FINN, AVNI MD

FUNG, BARRY Y MD

HE, LINGMIN MD

KULE, ROBERT MD

LUONG, DANNY MD

MONAHAN, PATRICKMD

NARAIN, KESHAV MD

NGUYEN, KHOA D MD

NGUYEN, LIEN MD

NGUYEN, LAN MD

NGUYEN, NGOC THIANH MD

PHAN, LAURA T MD

SASTRY, RAGHUNANDC MD

TAYERI, THOMAS MD

WANG, TIMOTHY MD

WARD, BRIAN MD

WARD, BRIAN MD

XIE, JOHN MD

OT OLARYNGOLOGYOT OLARYNGOLOGY(ENT )(ENT )

BURT, DONALD MD

CHAUNG, KATRINAMD

DINH, NGON H MD

FANN, KAREN Y DO

FREEHLING,DEBORAH MD

LAL, NIRAJ MD

NGUYEN, TRAN MD

TREVINO, RICHARDMD

PAINPAINMANAGEMENTMANAGEMENT

AACHI, VENKAT MD

CHEUNG, AL MD

FAYNBOYN, SEMYONMD

GWALANI, TULSIDAS RMD

HSIEH, RAYMOND MD

LI, GANG MD

LO, JUSTIN MD

MURAKAMI, MIKIKOMD

NAVANI, ANNU MD

SHTURMAN, INNA MD

SINGH, HARPEET MD

TSANG, JONELON MD

PODIAT RYPODIAT RY

ABE, RICHARD R DPM

AKHBARI, KAVEH DPM

DASTGAH, AZAR ADPM

DASTGAH, AMIR A MD

HO, TIMOTHY C MD

KARAMLOO, SARADPM

MOSTAGHIMI, BITAMD

PHAM, TIMOTHY DPM

SABIN, ADRIENNE MD

SLAMOWITZ, NEZHATDPM

VAN, HOAN DPM

WOOD, RACHEL DPM

PSYCHIAT RISTPSYCHIAT RIST

AWAAD, RANIA MD

PULMONARYPULMONARYDISEASEDISEASE

AGARWAL, SANJAY KMD

CHOSLOVSKY,SYDNEY C MD

LEI, THOMAS D MD

MURTHY, HARISH MD

SARA, MSALAM MD

SHETTY, MAHESH JMD

TRAM, VU MD

VEMULAKONDA,SRILAKSHMI MD

RADIOLOGYRADIOLOGYONCOLOGYONCOLOGY

COLBURN, GREGORYO MD

DO, LY V MD

DOWLATSHAHI,MORTEZA MD

WONG, GORDON MD

REHAB PHYSREHAB PHYSMEDICINEMEDICINE

GOWDA, ABISHEK MD

MUJUMDAR, MEENALPT

NG, KONRAD MD

NGO, TUYEN NGOCMD

PETROS, JAMES MD

RADU, FELICIA MD

RODEBACK, DEREK GDO

TRAN, SHERMAN MD

VAIDYA, PARISH ,D

RHEUMAT OLOGYRHEUMAT OLOGY

ABBASS, KHURRAMMD

ELIAS, CHRISTINE MD

KAO, LILY MD

SLEEPSLEEPMEDICINEMEDICINE

CLERK, ALEX A MD

MOLLAH,MOHAMMED MD

MURTHY, HARISH MD

QUINSAY, BRANDI SLP

SHETTY, MAHESH JMD

27


WANG, WEI MD

SPEECHSPEECHPAT HOLOGYPAT HOLOGY

HAUGHT, AMY C SLP

MEYER, JULIANNE SLP

MYERS, MELANIE SLP

SRIDHARAN, RAMYAMD

YOST, SARAH A SLP

YOST, SARAH SLP

SPORT SSPORT SMED,PEDIAT RICMED,PEDIAT RIC

MIRZA, FAISAL MD

SURGERY,SURGERY,CARDIOVASCULARCARDIOVASCULAR

YAZDY, HOSSEIN MD

SURGERY,SURGERY,COLON/RECT ALCOLON/RECT AL

DORIA, MIGUEL D MD

YOUN, PETER MD

SURGERY,SURGERY,GENERALGENERAL

AL HARAKEH, AYMANMD

AMENT, EMILY MD

BARRETT, IAN MD

GARTLAND, PATRICKF MD

GULESSERIAN, HRAIRMD

HIRAI, THOMAS J MD

JEYAPALAN-NOONE,MANJULA MD

KIM, CHRIST MD

LIU, MING MD

NGUYEN, RICHARDDO

NGUYEN, HUY DO

NGUYEN, NANG MD

ROHANINEJAD,MOHAMMAD REZAMD

SALCIDO, DENNIS MD

YEH, TZUOO-MINGMD

SURGERY, HANDSURGERY, HAND

CHAN, ERIC S MD

NGUYEN, HIEN MD

NGUYEN, TRAN MD

SURGERY,SURGERY,NEUROLOGICALNEUROLOGICAL

DEMBNER, JEFFREYMD

DO, NGUYEN T DO

HUA, SHERWIN MD

KHAN, FAHD R MD

NGUYEN, PETER H MD

RUSTAMZADEH,EDWARD MD

SINGEL, SOREN MD

SURGERY,SURGERY,ONCOLOGYONCOLOGY

SINGHAL, SHYAMALIMD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

ANDERSON, JEFFREYJ MD

APTEKAR, ROBERT MD

BARRETT, IAN MD

BUTCHER, MICHAELMD

CHEN, ELI MD

CLUCK, MICHAEL WMD

COE, JEFFREY D MD

DELLAMAGGIORE,EUGENE D MD

FARR, MORTEZA MDO

FARRIS, CHARISSA JMD

FOGLAR, CHRISTIANMD

GIDVANI, SANDEEPMD

GUSSOUS, YAZEED MMD

HUFFER, BRUCE R MD

KAHAN, JULIA S MD

KANEL, JEFFREY MD

KANEL, JEFFREY MD

MIRZA, FAISAL MD

MURALI-LARSON,JOTHI MD

ROUHIPOUR, VARQAMD

SAGOO, DALJEET SADO

SHARMA, SAMIR MD

WALL, WILLIAM MD

WONG, RODNEY MD

WONG, FRANK FOOKMD

SURGERY,SURGERY,PLAST ICPLAST IC

CHAN, ERIC S MD

COSTA, MELINDA AMD

NGUYEN, TRAN MD

SUTKIN, HOWARD MD

WEIBEL, TIMOTHY MD

SURGERY,SURGERY,VASCULARVASCULAR

BOULOM, VALY MD

KAPLAN, JEFFREY HMD

TAY, JAFAR MD

UROLOGYUROLOGY

HABIBI, HOSSEIN MD

HWONG, LAWRENCEY MD

KARPMAN, EDWARDMD

KONG, WESLEY G MD

KRETCHMAR, LARRY HMD

LAI, FRANK C MD

28


LEVINE, SARI R MD

LO, HAN MD

SULLIVAN, TERRY MD

29

SANTA CLARASANTA CLARACOUNTY IPACOUNTY IPA(M172)(M172)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS


Santa Clara County IPA (M172)Santa Clara County IPA (M172)

CARDIOVASCULARCARDIOVASCULARDISEASEDISEASE

CHOW, THEODOREMD

GYNECOLOGYGYNECOLOGY

COHEN, ERIK N MD

NEPHROLOGYNEPHROLOGY

ELAHI, RASHID S MD

MCCOY, IAN MD

SQUARER, ADDY MD

NEUROLOGYNEUROLOGY

HEKMAT, ANAHID MD

PRABHU, DIVYA MD


BAGGA, HARMOHINAMD

FINN, AVNI P MD

OT OLARYNGOLOGYOT OLARYNGOLOGY(ENT )(ENT )

CARTER, MARGARETMD

INSERRA, MICHELLEMD

KITA, MARK S MD

MAW, JENNIFER MD

MINGRONE,MATTHEW D MD

MURRAY, MICHAELMD

NELSON, LIONEL MD

SAMJI, HUSSEIN A MD


HEKMAT, ANAHID MD

SPEECHSPEECHPAT HOLOGYPAT HOLOGY

KINA, TAYLER SLP

SURGERY,SURGERY,GENERALGENERAL

KIM, CHRIST MD

SURGERY,SURGERY,ORT HOPEDICORT HOPEDIC

BARRETT, IAN MD

BUTCHER, MICHAELMD

GUSSOUS, YAZEED MMD

SURGERY,SURGERY,PLAST ICPLAST IC

LI, ERIC Y MD

30

SEOULSEOULMEDICALMEDICALGROUP (M107)GROUP (M107)AFFIL IATEDAFFIL IATEDSPECIAL ISTSSPECIAL ISTS


Seoul Medica l Group (M107)Seoul Medica l Group (M107)

DERMAT OLOGYDERMAT OLOGY

DUONG, HOANG MMD

GAST ROENT EROLOGYGAST ROENT EROLOGY

HURWITZ, ALFRED LMD

NEUROLOGYNEUROLOGY

WANG, WEI MD


CHEN, HOWARD H MD

CHOW, CLEMENT CMD

DESSOUKI, AMR L MD

HE, LINGMIN MD

MONAHAN, PATRICKMD

WARD, BRIAN MD

PAINPAINMANAGEMENTMANAGEMENT

CHEUNG, AL MD

LO, JUSTIN MD

PODIAT RYPODIAT RY

FANG, LEEHSIN DPM


WANG, WEI MD

31

HOSPITALSHOSPITALSGil r oyG il r oy

Saint Lou iseSaint Lou iseReg ional Hospit a lReg ional Hospit a lProvider #9400 No Name Uno,Gilroy, CA 95020(408) 848-8610(408) 848-8610

Saint Lou iseSaint Lou iseReg ional Hospit a lReg ional Hospit a lProvider # SALO9400 No Name Uno,Gilroy, CA 95020(408) 848-2000(408) 848-2000

SAN J OSESAN J OSE

Good Samar it anGood Samar it anHospit a l . LPHospit a l . LPProvider # GOSA22425 Samaritan Dr,SAN JOSE, CA 95124(408) 559-2011(408) 559-2011

San J oseSan J ose

O'Conner Hospit a lO'Conner Hospit a lProvider # OCHO2105 Forest Ave,San Jose, CA 95128(408) 947-2542(408) 947-2542

32

SKILLEDSKILLEDNURSINGNURSINGCUPERT INOCUPERT INO

CUPERT INOCUPERT INOHEALT HCARE &HEALT HCARE &WELLNESS CENT ERWELLNESS CENT ERProvider # CUHW22590 VOSS AVE,CUPERTINO, CA 95014408-253-9034408-253-9034

Gil r oyG il r oy

G ILROYGILROYHEALT HCARE &HEALT HCARE &REHAB CT RREHAB CT RProvider # GHRC8170 MURRAY AVE,Gilroy, CA 95020408-842-9311408-842-9311

Los Al t osLos Al t os

LOS ALT OS SUB-LOS ALT OS SUB-ACUT E & REHABACUT E & REHABCT RCT RProvider # LARC809 FREEMONT AVE,Los Altos, CA 94024650-941-5255650-941-5255

MORGAN HILLMORGAN HILL

PACIF IC HILLSPACIF IC HILLSMANORMANORProvider # PCHM370 NOBLE CT,MORGAN HILL, CA95037408-779-7346408-779-7346

Mount ain ViewMount ain View

CUEST A SUB-CUEST A SUB-ACUT E & REHABACUT E & REHABCT RCT RProvider # CSAR1949 GRANT RD,Mountain View, CA94035650-968-2990650-968-2990


MOUNT AIN VIEWMOUNT AIN VIEWHEAT LHCAREHEAT LHCARECENT ERCENT ERProvider # PEMV2530 SOLACE PL,MOUNTAIN VIEW, CA94040650-961-6161650-961-6161

Pal o Al t oPal o Al t o

PALO ALT O SUB-PALO ALT O SUB-ACUT E & REHABACUT E & REHABCT RCT RProvider # PASR911 BRYANT ST,Palo Alto, CA 94301650-327-0511650-327-0511

San J oseSan J ose

A GRACE SUBA GRACE SUBACUT E & SK ILLEDACUT E & SK ILLEDCARECAREProvider # AGSA1250 S WINCHESTER,BLVDSan Jose, CA 95128408-241-3844408-241-3844

EMPRESS CAREEMPRESS CARECENT ERCENT ERProvider # EMCC1299 S. BASCOM AVE,San Jose, CA 95128408-287-0616408-287-0616* Does not ac c ept* Does not ac c eptMed i-CalMed i-Cal

WHIT E BLOSSOMWHIT E BLOSSOMCARE CENT ERCARE CENT ERProvider # WHBL1990 FRUITDALE AVE,San Jose, CA 95128408-998-8447408-998-8447

SAN J OSESAN J OSE

CANYON SPR INGSCANYON SPR INGSPOST ACUT EPOST ACUT EProvider # CASP36180 N JACKSON AVE,SAN JOSE, CA 95116408-259-2343408-259-2343

VIST A MANORVIST A MANORNURSING CT R GHCNURSING CT R GHCOF SAN J OSEOF SAN J OSEProvider # VIMN120 JOSE FIGUERES,AVESAN JOSE, CA 95116408-272-1400408-272-1400

COURT YARD CARECOURT YARD CARECT RCT RProvider # COCC5340 NORTHLAKE DR,SAN JOSE, CA 95117408-249-0344408-249-0344

HERMAN HEALT HHERMAN HEALT HCARE CENT ERCARE CENT ERProvider # HEHE112295 PLUMMER AVE,SAN JOSE, CA 95125408-269-0701408-269-0701

WILLOW GLENWILLOW GLENCENT ERCENT ERProvider # WIGC1267 MERIDIAN AVE,SAN JOSE, CA 95125408-265-4211408-265-4211

MISSION DE LAMISSION DE LACASA NURSING &CASA NURSING &REHAB CT RREHAB CT RProvider # MCCF2501 ALVIN AVE,SAN JOSE, CA 95121408-238-9751408-238-9751

PLUM T REE CAREPLUM T REE CARECT R GHC OF LOSCT R GHC OF LOSGAT OSGAT OSProvider # GHLG2580 SAMARITAN DR,SAN JOSE, CA 95124408-356-8181408-356-8181


MISSION SK ILLEDMISSION SK ILLEDNURSG & SUB-NURSG & SUB-ACUT E CTACUT E CTProvider # COCM5410 N WINCHESTER,BLVDSANTA CLARA, CA95050408-248-3736408-248-3736

SUNNYVALESUNNYVALE

MANORCAREMANORCAREHEALT H SVCSHEALT H SVCS(SUNNYVALE )(SUNNYVALE )Provider # MACA331150 TILTON DR,SUNNYVALE, CA 94087408-735-7200408-735-7200

33

SUNNYVALE POSTSUNNYVALE POSTACUT E CENT ERACUT E CENT ERProvider # SPAC1291 S BERNARDOAVE,SUNNYVALE, CA 94087408-245-8070408-245-8070

34

URGENTURGENTCARECARECAMPBELLCAMPBELL

MINUT E CL IN ICMINUT E CL IN ICCVS CAMPBELLCVS CAMPBELLProvider # MICL181720 S BASCOM AVE,CAMPBELL, CA 95008866-389-2727866-389-2727

CUPERT INOCUPERT INO

MINUT E CL IN ICMINUT E CL IN ICCVS CUPERT INOCVS CUPERT INOProvider # MICL1410455 D DE ANZABLVD,CUPERTINO, CA 95014866-389-2727866-389-2727


MINUT E CL IN ICMINUT E CL IN ICCVS MOUNT AINCVS MOUNT AINVIEWVIEWProvider # MICL192630 W EL CAMINO,REALMOUNTAIN VIEW, CA94040866-389-2727866-389-2727

SAN J OSESAN J OSE

ALEXIANALEXIANEXT ENDED CAREEXT ENDED CAREMEDICAL CENT ERMEDICAL CENT ERProvider # AECM2350 MCKEE RD #1,SAN JOSE, CA 95116408-251-9100408-251-9100

FIRST HEALT HFIRST HEALT HCLIN IC URGENTCLIN IC URGENTCARECAREProvider # FHCU459 S CAPITOL AVE #4,SAN JOSE, CA 95127408-929-5505408-929-5505

MINUT E CL IN ICMINUT E CL IN ICCVS SAN J OSECVS SAN J OSEProvider # MICL162514 BERRYESSA RD,SAN JOSE, CA 95132866-389-2727866-389-2727

PHYSICIANSPHYSICIANSMEDICAL URGENTMEDICAL URGENTCARECAREProvider # PMUC1910 N CAPITOL AVE,SAN JOSE, CA 95132888-265-2120888-265-2120

NGA V PHAMNGA V PHAMURGENT CARE MDURGENT CARE MDProvider # NVPUC1569 LEXANN AVE#112,SAN JOSE, CA 95121408-532-0105408-532-0105

PHYSICIANSPHYSICIANSMEDICAL PR IMARYMEDICAL PR IMARYCARECAREProvider # PMPC1060 SARATOGA AVE,SAN JOSE, CA 95129408-243-6911408-243-6911


MINUT E CL IN ICMINUT E CL IN ICCVS SANT E CLARACVS SANT E CLARAProvider # MICL202700 HOMESTEAD RD,SANTA CLARA, CA95051866-389-2727866-389-2727

SUNNYVALESUNNYVALE

MINUT E CL IN ICMINUT E CL IN ICCVS SUNNYVALECVS SUNNYVALEProvider # MICL17576 E EL CAMINOREAL,SUNNYVALE, CA 94087866-389-2727866-389-2727

35

NOTICE OF NON-DISCRIMINATIONNOTICE OF NON-DISCRIMINATION

Brand New Day complies with applicable Federal civil rights laws and does notdiscriminate on the basis of race, color, national origin, age, disability, or sex. Brand NewDay does not exclude people or treat them differently because of race, color, nationalorigin, age, disability, or sex.

Brand New Day:

Provides free aids and services to people with disabilities to communicate effectivelywith us, such as:

Qualified sign language interpretersWritten information in other formats (large print, audio, accessible electronicformats, other formats)

Provides free language services to people whose primary language is not English,such as:

Qualified interpretersInformation written in other languages

If you need these services, contact the Brand New Day, Customer Service Department at:1-866-255-4795 (TTY 711). Hours are: October 1 – March 31: 7 days a week, 8 am – 8 pm,April 1 – September 30: Monday – Friday, 8 am – 8 pm.

If you believe that Brand New Day has failed to provide these services or discriminated inanother way on the basis of race, color, national origin, age, disability, or sex, you can filea grievance by calling our Customer Service Department or mailing a letter to:

Brand New Day

Attn: Appeals & Grievances Department

5455 Garden Grove Blvd,

Suite 500

Westminster, California 92683

Fax: 657-400-1217

Email: [email protected]

You can file a grievance in person or by mail, fax, or email. If you need help filing agrievance, our Customer Service Department is available to help you.

You can also file a civil rights complaint with the U.S. Department of Health and HumanServices, Office for Civil Rights, electronically through the Office for Civil RightsComplaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail orphone at:

U.S. Department of Health and

Human Services 200

Independence Avenue, SW,

Room 509F, HHH,

Building Washington,

D.C. 20201

1-800-368-1019, 1-800-537-7697

36

(TDD)

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

37

bnd provider group mangement - pdf report · and any plan cost sharing as payment in full. we have...

Documents