l.a. care medi-cal · 2020. 8. 20. · l.a. care medi-cal provider directory . thank you for...
TRANSCRIPT
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The information in this Provider Directory is accurate as ofJuly 1, 2018. For the most up to date providerinformation, please visit our website lacare.org.
Toll Free: 1.888.839.9909 | TTY: 711 lacare.org
L.A. Care H
ealth PlanM
edi-Cal Program Provider D
irectory | Directorio de proveedores
2018
LA0266 10/18LAPD0266
L.A. Care Medi-Cal™Provider Directory
2020
Volume 2 of 2
The information in this Provider Directory is accurate as of August 1, 2020. For the most up to date provider information, please visit our website lacare.org.
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http://www.lacare.org
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L.A. Care Medi-Cal Provider Directory
Thank you for choosing L.A. Care Health Plan!
We are proud to give quality care to Medi-Cal program members in Los Angeles County. To make sure you receive the best care, L.A. Care has a large group of doctors who serve all of Los Angeles County. This provider directory lists clinics, doctors, pharmacies, hospitals and other providers who work with L.A. Care.
Your doctor is called a Primary Care Physician or “PCP” When you join L.A. Care, you choose a doctor or clinic for each member. If you did not, we
chose for you. This doctor is called a “Primary Care Physician” or “PCP.” This PCP will take care of most of your care unless it is an emergency or out of area urgent care services. Your PCP’s name and phone number are on your ID card.
How to choose a new doctor (PCP) You can request to change your doctor, clinic, or physician group at any time. To choose a
new doctor, follow what to do below. Or, if you have the Internet, you can go to lacare.org. Under, For Members, select Member Tools, click on Find a Doctor or Hospital. Click on Medi-Cal under Choose a Program. Then, click on, I want to find a Physician and follow what to do to choose a new doctor.
1. Find your city. In this provider directory, go to the city of your choice to find a list of clinics and doctors near you.
2. Check the list. To help you pick, we have listed doctor specialties and the language they speak.
You may choose this type of doctor… to care for… Family Practice All ages General Practice Ages 16 & older Internal Medicine Ages 16 & older Ob/Gyn (women only) Ages 16 & older Pediatrics Ages 21 & younger
3. Choose a doctor, clinic, or physician group. You can choose a new doctor for each member. But, if you do, we suggest that you choose one who works in the same clinic or office.
4. Call L.A. Care Member Services at 1.888.839.9909 (TTY: 711) when you make your choice. Let us know the name and the code number that is in the Provider Directory for that doctor or clinic.
If you get care right now from a doctor not listed in this provider directory and you want to keep getting care from that doctor, call L.A. Care. We will work with you and your doctor to help you get care.
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http://www.lacare.org
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L.A. Care Medi-Cal Provider Directory
LANGUAGE ASSISTANCE SERVICES
We offer no-cost interpreting services, including American Sign Language, 24 hours a day, 7 days a week. An interpreter can help you talk with your doctor during the health visit. You should never use friends, family, or children as interpreters.
Call L.A. Care at 1.888.839.9909 (TTY: 711) at least 10 business days before the doctor visit to request an interpreter.
ACCESS INFORMATION FOR PEOPLE WITH DISABILITIES
Many doctors’ offices and clinics have letters (P, B, W, A, E, S, L, R, GB) after their phone numbers. These letters mean the office has some kind of access for people with disabilities:
P = Parking: accessible (“Handicapped”) parking spaces, ramps and curb cuts between parking and office.
B = Building: accessible walkway and entrance to the building where ramps and stairs have handrails. Doors open wide and door handles and elevators are easy to use.
W = Wheelchair Access
A = Reception/Waiting Area: reception and waiting areas have wide aisles with enough room to turn around.
E = Accessible Exam Room & Table: clear path to exam room, doors open wide, are easy to open, and have enough room to turn around. Exam tables move up and down.
S = Scales: Scale has handrails and is accessible for people who use wheelchairs.
L = Lifts: Lifts are available to assist with patient.
R = Restroom & Stall: doors are wide, easy to open and have enough room to turn around. You
can grab bars and the sink is easy to get to. The faucets, soap and toilet paper are easy to reach and use.
GB = Grab Bars: Grab bars are available in restroom stalls and other areas
Some doctors’ offices and clinics may have these types of access but it is not in this Provider Directory. To get more information on this, call L.A. Care’s Member Services.
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L.A. Care Medi-Cal Provider Directory
Our Doctors’ Professional Qualifications
We are proud of our doctors and their professional training. If you have questions about their qualifications or would like to verify a doctor's address, call us at 1.888.839.9909 (TTY: 711). L.A. Care can tell you about the medical school they went to, their residency or board certification.
Important Information Some hospitals and other providers do not provide one or more of the following services
that may be covered under your plan and that you or your family member might need: • Family planning; • Contraceptive services, including emergency contraception; • Sterilization, including tubal ligation at the time of labor and delivery; • Infertility treatments; or • Abortion
Call your doctor, medical group, independent practice association or clinic, or call the health plan at 1.888.839.9909 to make sure you can get the health care services you need. Members with hearing or speech loss, call TTY: 711.
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L.A. Care Medi-Cal Provider Directory
L.A. Care 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. L.A. Care Health Plan does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
L.A. Care Health Plan:
• Provides free aids and services to people with disabilities to communicate effectively with us,such as:
○ Qualified sign language interpreters ○ Written information in other formats (large print, audio, accessible electronic formats,
other formats)
• Provides free language services to people whose primary language is not English, such as:
○ Qualified interpreters ○ Information written in other languages
If you need these services, contact our Member Services Department at 1.888.839.9909 (TTY 711).
If you believe that L.A. Care Health Plan has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance/complaint with the Civil Rights Coordinator of L.A. Care Health Plan. You have two options in which you may file a grievance/complaint:
You may call in a grievance/complaint at:
Member Services Department – 1.888.839.9909 (TTY 711)
Or you may send in a written grievance/complaint to:
Civil Rights Coordinator c/o Compliance Department L.A. Care Health Plan 1055 West 7th Street, 10th Floor Los Angeles, CA 90017 Email: [email protected]
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mailto:[email protected]
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L.A. Care Medi-Cal Provider Directory
You can file a grievance/complaint in person, by mail, by telephone, or by email. If you need help filing a grievance/complaint, the Civil Rights Coordinator via the Member Services Department is available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services, 200 Independence Avenue SW., Room 509F, HHH Building, Washington, DC 20201, 1-800–868–1019, 1-800-537-7697 (TDD).
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.
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http://www.hhs.gov/ocr/office/file/index.htmlhttps://ocrportal.hhs.gov/ocr/portal/lobby.jsf
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L.A. Care Medi-Cal Provider Directory
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L.A. Care Medi-Cal Provider Directory
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TABLE OF CONTENTS
Participating Specialty Care Physicians Accupuncture ...........................................................2 Adolescent Medicine ................................................6 Allergy .....................................................................6 Allergy/Immunology ..............................................15 Anesthesiology .......................................................16 Audiology ...............................................................53Cardiology .............................................................56 Cardiovascular Disease (Md) ...............................80 Certified Nurse Midwife ......................................130 Child Development ..............................................130 Chiropractor ........................................................130Dermatology ........................................................132 Dietician, Registered ...........................................150 Emergency Medicine ...........................................150 Endocrinology .....................................................166 Family Planning Center ......................................188 Family Practice ...................................................188 Gastroenterology (Md) ........................................198 General Dentist/Primary Care Dentist(Dds, Dmd) ..........................................................240 General Practice .................................................242 Genetics ...............................................................249 Geriatric Medicine ..............................................251 Gynecology (Do)..................................................254Hematology..........................................................258Hematology/Oncology (Mhc NurseAnesthetist) ..........................................................283 Infectious Disease ................................................317 Intensive Care ......................................................343 Internal Medicine ................................................344 Internal Medicine - Geriatric Medicine. .............................................................425 Licensed Midwife .................................................425 Mental Health Facility ........................................426 Neonatology .........................................................426Nephrology ..........................................................436 Neurology (Md) ...................................................492 Nuclear Medicine ................................................522 Obstetrics & Gynecology - Critical Care Medicine .....................................................524 Obstetrics (Do) ....................................................525 Obstetrics And Gynecology (Md) ........................527 Occupational Medicine .......................................613 Oncology..............................................................615Ophthalmology ....................................................646 Opthalmology, Otolaryngology,Rhinology (Do) ....................................................759 Optometry ............................................................767 Orthotics/Prosthetics ...........................................804 Other ...................................................................805 Otology, Laryngology, Rhinology .......................818 Pathologic Anotomy; ClinicalPathology (Md) ....................................................840Pathology (Md) ....................................................845
Pediataric Infectious Disease ..............................850 Pediatric Allergy .................................................851 Pediatric Cardiology (Md) ..................................853 Pediatric Critical Care Medicine ........................876 Pediatric Endocrinology .....................................879 Pediatric Gastroenterology .................................881 Pediatric Hematology/Oncology .........................886 Pediatric Nephrology ..........................................890 Pediatric Neurology ............................................892 Pediatric Orthopedics .........................................896 Pediatric Psychiatry- Child .................................898 Pediatric Pulmonology ........................................899 Pediatric Sports Medicine ...................................902 Pediatric Surgery.................................................903Pediatrics .............................................................906 Perinatology ........................................................959 Peripheral Vascular Disease OrSurgery (Do) ........................................................972 Physical Medicine And Rehabilitation ................976 Physical Therapist ...............................................993 Podiatry .............................................................1005 Preventive (Md) .................................................1034 Proctology (Colon And Rectal) .........................1035 Psychiatry ..........................................................1037 Psychiatry Neurology ........................................1058 Psychologist .......................................................1061Public Health .....................................................1063 Pulmonary Diseases (Md Only) ........................1063 Radiation Oncology ...........................................1088Radiation Therapy (Do) ....................................1114 Radiological Services ........................................1116 Radiology ...........................................................1117Rheumatology ....................................................1165 Speech Therapy .................................................1177 Surgery - Cardiothoracic ..................................1178 Surgery - Cardiovascular ..................................1184 Surgery - Colon/Rectal ......................................1196 Surgery - General ..............................................1201 Surgery - Hand ..................................................1256 Surgery - Neurological ......................................1259 Surgery - Oral....................................................1281 Surgery - Orthopedic .........................................1281 Surgery - Plastic ................................................1331 Surgery - Thoracic .............................................1347 Surgery- Traumatic ...........................................1359 Surgery-Head And Neck ....................................1360 Urology ..............................................................1362
L.A. Care Health Plan - Medi-Cal Provider Directory August 1, 2020 i
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Accupuncture Médicos Especialistas Participantes
L.A. Care Health Plan - Medi-Cal Provider Directory August 1, 2020
NPI= National Provider Identifier, PCMH= Patient Centered Medical Home, B=Wide Entry, W=Wheelchair
Access, E=Accessible Exam Rooms and Tables, L=Lifts, S= Scales, R=Bathrooms and Stall, GB=Grab Bars,
P=Parking, A=Waiting Area
To verify a doctor's address, call L.A. Care Health Plan at 1.888.839.9909 (TTY: 711).
Remember: Be sure to clearly print the doctor's name and I.D. number on your enrollment form.
Para verificar la dirección de un doctor, por favor llame a L.A. Care Health Plan al número de teléfono
1.888.839.9909 (TTY: 711).
Recuerde: asegúrese de escribir el nombre del doctor y número de identificación claramente en su forma de
inscripción.
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Participating Specialty Care Physicians
ACCUPUNCTURE
ALHAMBRA
Chang, Chung (M) NPI: 1780842997 CA State License Number: AC8360 PCMH: N Board Certified: N Cultural Training: N
1000 S Garfield Ave Alhambra, CA 91801-1801 ☏Day and After Hours Phone:
(626) 281-3383 ⛍Y Accepting New Patients: Y
AC8360Z LA Care Direct Network
Chang, Gloria (F)
NPI: 1861802175 CA State License Number: AC6328 PCMH: N Board Certified: N Cultural Training: N
1000 S Garfield Ave Alhambra, CA 91801-1801 ☏Day and After Hours Phone:
(626) 281-3383 ⛍Y Accepting New Patients: Y
AC6328Z LA Care Direct Network
Chen, Jeng-Shiang (F) NPI: 1053592030 CA State License Number: AC10577 PCMH: N Board Certified: N Cultural Training: N
1000 S Garfield Ave Alhambra, CA 91801-1801 ☏Day and After Hours Phone:
(626) 281-3383 ⛍Y Accepting New Patients: Y
AC10577Z LA Care Direct Network
Hsueh, Chi-Chu (F) NPI: 1497836720 CA State License Number: AC4010 PCMH: N Board Certified: N Cultural Training: N
1000 S Garfield Ave Alhambra, CA 91801-1801 ☏Day and After Hours Phone:
(626) 281-3383 ⛍Y Accepting New Patients: Y
AC4010Z LA Care Direct Network
ARCADIA
Liu, Gailing (F)
NPI: 1942456306 CA State License Number: AC6753 PCMH: N Board Certified: N Cultural Training: N
650 W Duarte Rd Ste 203 Arcadia, CA 91007-1007 ☏Day and After Hours Phone:
(626) 380-6169 ⛍Y Accepting New Patients: Y
AC6753Z LA Care Direct Network AC6753Z2 LA Care Direct Network
CANOGA PARK
Chen, Ta (M)
NPI: 1548355423 CA State License Number: AC2193 PCMH: N Board Certified: N Cultural Training: N
23723 Roscoe Blvd Canoga Park, CA 91304-1304 ☏Day and After Hours Phone:
(818) 710-1566 ⛍Y Accepting New Patients: Y
AC2193Z LA Care Direct Network
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AccupunctureMédicos Especialistas Participantes
L.A. Care Health Plan - Medi-Cal Provider Directory August 1, 2020
NPI= National Provider Identifier, PCMH= Patient Centered Medical Home, B=Wide Entry, W=Wheelchair
Access, E=Accessible Exam Rooms and Tables, L=Lifts, S= Scales, R=Bathrooms and Stall, GB=Grab Bars,
P=Parking, A=Waiting Area
To verify a doctor's address, call L.A. Care Health Plan at 1.888.839.9909 (TTY: 711).
Remember: Be sure to clearly print the doctor's name and I.D. number on your enrollment form.
Para verificar la dirección de un doctor, por favor llame a L.A. Care Health Plan al número de teléfono
1.888.839.9909 (TTY: 711).
Recuerde: asegúrese de escribir el nombre del doctor y número de identificación claramente en su forma de
inscripción.
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Participating Specialty Care Physicians
CERRITOS
Park, Jun (M)
NPI: 1740584259 CA State License Number: AC13873 PCMH: N Board Certified: N Cultural Training: N
11821 Del Amo Blvd Cerritos, CA 90703-0703 ☏Day and After Hours Phone:
(562) 403-0127 ⛍Y Accepting New Patients: Y
AC13873Z LA Care Direct Network
COVINA
Joukar, Mehrdad (M) NPI: 1376963033 CA State License Number: AC15905 PCMH: N Board Certified: N Cultural Training: N
275 W San Bernardino Rd Covina, CA 91723-1723 ☏Day and After Hours Phone:
(626) 967-3553 ⛍Y Accepting New Patients: Y
AC15905Z3 LA Care Direct Network
DOWNEY
Yun, Sung (M)
NPI: 1659725984 CA State License Number: AC15957 PCMH: N Board Certified: N Cultural Training: N
7860 Imperial Hwy Ste A
Downey, CA 90242-0242 ☏Day and After Hours Phone:
(562) 869-8877 ⛍N Office Hours: M-F: 9:00 AM - 5:00 PM; Sat, Sun: Closed Accepting New Patients: Y
AC15957Z LA Care Direct Network
ENCINO
Martin, Randy (M) NPI: 1023176021 CA State License Number: AC2265 PCMH: N Board Certified: N Cultural Training: N
17000 Ventura Blvd Ste 220 Encino, CA 91316-1316 ☏Day and After Hours Phone:
(818) 905-6171 ⛍Y Accepting New Patients: Y
AC2265Z2 LA Care Direct Network
GLENDALE
Joukar, Mehrdad (M) NPI: 1376963033 CA State License Number: AC15905 PCMH: N Board Certified: N Cultural Training: N
411 N Central Ave Ste 610 Glendale, CA 91203-1203 ☏Day and After Hours Phone:
(818) 244-6792 ⛍Y Accepting New Patients: Y
AC15905Z2 LA Care Direct Network
LOS ANGELES
Lee, Gloria (F)
NPI: 1639297153 CA State License Number: AC11084 PCMH: N Board Certified: N Cultural Training: N
520 S Virgil Ave Ste 305
Los Angeles, CA 90020-0020 ☏Day and After Hours Phone:
(213) 389-8275 ⛍Y Office Hours: M-F: 9:00 AM - 5:00 PM; Sat, Sun: Closed Accepting New Patients: Y
AC11084Z2 LA Care Direct Network
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Accupuncture Médicos Especialistas Participantes
L.A. Care Health Plan - Medi-Cal Provider Directory August 1, 2020
NPI= National Provider Identifier, PCMH= Patient Centered Medical Home, B=Wide Entry, W=Wheelchair
Access, E=Accessible Exam Rooms and Tables, L=Lifts, S= Scales, R=Bathrooms and Stall, GB=Grab Bars,
P=Parking, A=Waiting Area
To verify a doctor's address, call L.A. Care Health Plan at 1.888.839.9909 (TTY: 711).
Remember: Be sure to clearly print the doctor's name and I.D. number on your enrollment form.
Para verificar la dirección de un doctor, por favor llame a L.A. Care Health Plan al número de teléfono
1.888.839.9909 (TTY: 711).
Recuerde: asegúrese de escribir el nombre del doctor y número de identificación claramente en su forma de
inscripción.
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Participating Specialty Care Physicians
Martin, Randy (M) NPI: 1023176021 CA State License Number: AC2265 PCMH: N Board Certified: N Cultural Training: N
12340 Santa Monica Blvd Los Angeles, CA 90025-0025 ☏Day and After Hours Phone:
(310) 979-6495 ⛍Y Accepting New Patients: Y
AC2265Z4 LA Care Direct Network
Yun,, Byung-Young (M) NPI: 1922187467 CA State License Number: AC8194 PCMH: N Board Certified: N Cultural Training: N
500 S Virgil Ave
Los Angeles, CA 90020-0020 ☏Day and After Hours Phone:
(213) 385-5356 ⛍Y Accepting New Patients: Y
AC8194Z LA Care Direct Network
PALMDALE
Reznikoff, Marc (M) NPI: 1083793053 CA State License Number: AC4547 PCMH: N Board Certified: N Cultural Training: N
819 Auto Center Dr Palmdale, CA 93551-3551 ☏Day and After Hours Phone:
(661) 267-6876 ⛍Y ‰Accessibility: R
Accepting New Patients: Y
AC4547Z LA Care Direct Network
POMONA
Koo, Ja (M)
NPI: 1023308947 CA State License Number: AC14254 PCMH: N Board Certified: N Cultural Training: N
2001 S Garey Ave
Pomona, CA 91766-1766 ☏Day and After Hours Phone:
(310) 280-4685 ⛍Y Accepting New Patients: Y
AC14254Z3 LA Care Direct Network
SAN GABRIEL
Lu,, Yue (F)
NPI: 1477678001 CA State License Number: AC8071 PCMH: N Board Certified: N Cultural Training: N
7220 Rosemead Blvd Ste 107B San Gabriel, CA 91775-1775 ☏Day and After Hours Phone:
(626) 283-9989 ⛍N Office Hours: M-F: 9:00 AM - 5:00 PM; Sat, Sun: Closed Accepting New Patients: Y
AC8071Z LA Care Direct Network
SAN PEDRO
Koo, Ja (M)
NPI: 1023308947 CA State License Number: AC14254 PCMH: N Board Certified: N Cultural Training: N
645 W 9th St San Pedro, CA 90731-0731 ☏Day and After Hours Phone:
(310) 220-4685 ⛍Y Accepting New Patients: Y
AC14254Z2 LA Care Direct Network
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AccupunctureMédicos Especialistas Participantes
L.A. Care Health Plan - Medi-Cal Provider Directory August 1, 2020
NPI= National Provider Identifier, PCMH= Patient Centered Medical Home, B=Wide Entry, W=Wheelchair
Access, E=Accessible Exam Rooms and Tables, L=Lifts, S= Scales, R=Bathrooms and Stall, GB=Grab Bars,
P=Parking, A=Waiting Area
To verify a doctor's address, call L.A. Care Health Plan at 1.888.839.9909 (TTY: 711).
Remember: Be sure to clearly print the doctor's name and I.D. number on your enrollment form.
Para verificar la dirección de un doctor, por favor llame a L.A. Care Health Plan al número de teléfono
1.888.839.9909 (TTY: 711).
Recuerde: asegúrese de escribir el nombre del doctor y número de identificación claramente en su forma de
inscripción.
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Participating Specialty Care Physicians
SOUTH EL MONTE
Chen, Shin-Cung (M) NPI: 1588074165 CA State License Number: AC4513 PCMH: N Board Certified: N Cultural Training: N
10414 Vacco St South El Monte, CA 91733-1733 ☏Day and After Hours Phone:
(626) 636-8706 ⛍Y Accepting New Patients: Y
AC4513Z LA Care Direct Network
Lai, Yi-Hsien (M)
NPI: 1255486544 CA State License Number: AC8087 PCMH: N Board Certified: N Cultural Training: N
10414 Vacco St South El Monte, CA 91733-1733 ☏Day and After Hours Phone:
(626) 636-8706 ⛍Y Accepting New Patients: Y
AC8087Z LA Care Direct Network
Wang, Chiao-Nien (M) NPI: 1801973920 CA State License Number: AC4403 PCMH: N Board Certified: N Cultural Training: N
10414 Vacco St South El Monte, CA 91733-1733 ☏Day and After Hours Phone:
(626) 636-8706 ⛍Y Accepting New Patients: Y
AC4403Z LA Care Direct Network
VALENCIA
Martin, Randy (M) NPI: 1023176021 CA State License Number: AC2265 PCMH: N Board Certified: N Cultural Training: N
23332 Valencia Blvd Valencia, CA 91355-1355 ☏Day and After Hours Phone:
(661) 312-9868 ⛍Y Accepting New Patients: Y
AC2265Z3 LA Care Direct Network
WILMINGTON
Lin, Chi-Yi (F)
NPI: 1538338280 CA State License Number: AC8867 PCMH: N Board Certified: N Cultural Training: N
1355 Broad Ave Wilmington, CA 90744-0744 ☏Day and After Hours Phone:
(310) 684-4466 ⛍Y Accepting New Patients: Y
AC8867Z LA Care Direct Network
Lin,, Steven (M)
NPI: 1124367388 CA State License Number: AC14534 PCMH: N Board Certified: N Cultural Training: N
1355 Broad Ave Wilmington, CA 90744-0744 ☏Day and After Hours Phone:
(310) 684-4466 ⛍Y Accepting New Patients: Y
AC14534Z LA Care Direct Network
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Adolescent Medicine Médicos Especialistas Participantes
L.A. Care Health Plan - Medi-Cal Provider Directory August 1, 2020
NPI= National Provider Identifier, PCMH= Patient Centered Medical Home, B=Wide Entry, W=Wheelchair
Access, E=Accessible Exam Rooms and Tables, L=Lifts, S= Scales, R=Bathrooms and Stall, GB=Grab Bars,
P=Parking, A=Waiting Area
To verify a doctor's address, call L.A. Care Health Plan at 1.888.839.9909 (TTY: 711).
Remember: Be sure to clearly print the doctor's name and I.D. number on your enrollment form.
Para verificar la dirección de un doctor, por favor llame a L.A. Care Health Plan al número de teléfono
1.888.839.9909 (TTY: 711).
Recuerde: asegúrese de escribir el nombre del doctor y número de identificación claramente en su forma de
inscripción.
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Participating Specialty Care Physicians
ADOLESCENT MEDICINE
LOS ANGELES
Belzer, Marvin (M) NPI: 1013009778 CA State License Number: G61403 PCMH: N Board Certified: N Cultural Training: N
4650 W Sunset Blvd Los Angeles, CA 90027-0027 ☏Day and After Hours Phone:
(323) 660-2450 ⛍Y Office Hours: M-F: 8:00 AM - 5:00 PM; Sat, Sun: Closed ‰Accessibility: E
Accepting New Patients: Y
Physician Languages: English
G61403Z2 Children's Hospital
Medical Group
Mackenzie, Richard (M) NPI: 1508951427 CA State License Number: A24378 PCMH: N Board Certified: Y Cultural Training: N
4650 W Sunset Blvd Los Angeles, CA 90027-0027 ☏Day and After Hours Phone:
(323) 669-2112 ⛍Y Office Hours: M-F: 9:00 AM - 5:00 PM; Sat, Sun: Closed ‰Accessibility: E
Accepting New Patients: Y
Physician Languages: English,
Spanish
A24378Z2 Children's Hospital
Medical Group
Warus, Jonathan (M) NPI: 1801153010 CA State License Number: A136495 PCMH: N Board Certified: N Cultural Training: N
5000 W Sunset Blvd Los Angeles, CA 90027-0027 ☏Day and After Hours Phone:
(323) 361-5153 ⛍Y Office Hours: M-F: 8:00 AM - 4:00 PM; Sat, Sun: Closed ‰Accessibility: E, R
Accepting New Patients: Y
Physician Languages: English
A136495Z Children's Hospital
Medical Group
ALLERGY
ALHAMBRA
Wong, Stephen (M) NPI: 1104977008 CA State License Number: G51644 PCMH: N Board Certified: N Cultural Training: N
330 S Garfield Ave Ste 116 Alhambra, CA 91801-1801 ☏Day and After Hours Phone:
(626) 284-3400 ⛍Y Office Hours: M-F: 9:00 AM - 5:00 PM; Sat, Sun: Closed Accepting New Patients: Y
Physician Languages: English
G51644Z10 Exceptional Care
Medical Group
G51644Z12 Family Care
Specialists IPA, A Medical Group
Inc. G51644Z20 Lakeside Medical Group
G51644Z21 Regal Medical Group
G51644Z25 Altamed Health Network Inc
ARCADIA
Ong, Peck (M)
NPI: 1659478865 CA State License Number: A64334 PCMH: N Board Certified: Y Cultural Training: N
468 E Santa Clara St Arcadia, CA 91006-1006 ☏Day and After Hours Phone:
(626) 795-7177 ⛍Y Office Hours: M-F: 8:00 AM - 4:00 PM; Sat, Sun: Closed Accepting New Patients: Y
Physician Languages: English
A64334Z2 Children's Hospital Medical Group
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Allergy Médicos Especialistas Participantes
L.A. Care Health Plan - Medi-Cal Provider Directory August 1, 2020
NPI= National Provider Identifier, PCMH= Patient Centered Medical Home, B=Wide Entry, W=Wheelchair
Access, E=Accessible Exam Rooms and Tables, L=Lifts, S= Scales, R=Bathrooms and Stall, GB=Grab Bars,
P=Parking, A=Waiting Area
To verify a doctor's address, call L.A. Care Health Plan at 1.888.839.9909 (TTY: 711).
Remember: Be sure to clearly print the doctor's name and I.D. number on your enrollment form.
Para verificar la dirección de un doctor, por favor llame a L.A. Care Health Plan al número de teléfono
1.888.839.9909 (TTY: 711).
Recuerde: asegúrese de escribir el nombre del doctor y número de identificación claramente en su forma de
inscripción.
7
Participating Specialty Care Physicians
BELLFLOWER
Baskin, Marc (M)
NPI: 1124035076 CA State License Number: G36097 PCMH: N Board Certified: Y Cultural Training: N
10234 Rosecrans Ave Bellflower, CA 90706-0706 ☏Day and After Hours Phone:
(562) 920-1632 ⛍Y Office Hours: M, Tu, Th, F: 8:00 AM - 5:30 PM; W, Sat, Sun: Closed ‰Accessibility: R
Accepting New Patients: Y
Physician Languages: English
G36097Z Applecare Medical Group, Inc. Select Region,
Downey And Whittier Region
G36097Z10 Regal Medical Group
G36097Z2 Apple Care Medical Group, St. Francis, Inc
BURBANK
Manoukian, Krikor (M) NPI: 1740519586 CA State License Number: A110222 PCMH: N Board Certified: Y Cultural Training: N
191 S Buena Vista St Ste 330 Burbank, CA 91505-1505 ☏Day and After Hours Phone:
(818) 561-4533 ⛍Y Office Hours: M-F: 8:00 AM - 4:00 PM; Sat, Sun: Closed Accepting New Patients: Y
Physician Languages: English
A110222Z3 Regal Medical Group
A110222Z4 Exceptional Care
Medical Group
Tachdjian, Raffi (M) NPI: 1447376454 CA State License Number: A88034 PCMH: N Board Certified: Y Cultural Training: N
191 S Buena Vista St Ste 330 Burbank, CA 91505-1505 ☏Day and After Hours Phone:
(818) 561-4533 ⛍Y Office Hours: M-F: 8:00 AM - 4:00 PM; Sat, Sun: Closed Accepting New Patients: Y
Physician Languages: English
A88034Z4 Regal Medical Group A88034Z5 Exceptional Care
Medical Group
CANYON COUNTRY
offenberger, Jacob (M) NPI: 1033121249 CA State License Number: A38800 PCMH: N Board Certified: N Cultural Training: N
27141 Hidaway Ave Ste 204
Canyon Country, CA 91351-1351 ☏Day and After Hours Phone:
(661) 298-1491 ⛍Y Office Hours: M, W, Th: 8:00 AM - 5:00 PM; Tu, F: 9:00 AM - 5:00 PM; Sat, Sun: Closed Accepting New Patients: Y
Physician Languages: English,
Hebrew, Italian, Spanish
A38800Z18 Lakeside Medical Group
A38800Z20 Regal Medical Group
-
Allergy Médicos Especialistas Participantes
L.A. Care Health Plan - Medi-Cal Provider Directory August 1, 2020
NPI= National Provider Identifier, PCMH= Patient Centered Medical Home, B=Wide Entry, W=Wheelchair
Access, E=Accessible Exam Rooms and Tables, L=Lifts, S= Scales, R=Bathrooms and Stall, GB=Grab Bars,
P=Parking, A=Waiting Area
To verify a doctor's address, call L.A. Care Health Plan at 1.888.839.9909 (TTY: 711).
Remember: Be sure to clearly print the doctor's name and I.D. number on your enrollment form.
Para verificar la dirección de un doctor, por favor llame a L.A. Care Health Plan al número de teléfono
1.888.839.9909 (TTY: 711).
Recuerde: asegúrese de escribir el nombre del doctor y número de identificación claramente en su forma de
inscripción.
8
Participating Specialty Care Physicians
CULVER CITY
Quel, Jorge (M)
NPI: 1700915311 CA State License Number: A24556 PCMH: N Board Certified: Y Cultural Training: N
3831 Hughes Ave Ste 606
Culver City, CA 90232-0232 ☏Day and After Hours Phone:
(310) 823-6766 ⛍Y Office Hours: Tu-F: 2:00 AM 5:00 PM; M, Sat, Sun: Closed Accepting New Patients: Y
Physician Languages: English,
Spanish
Hospital Affiliations: Southern
California Hospital At Culver City A24556Z12 Prospect
Healthsource Medical Group, Inc.A24556Z14 Regal Medical Group
DOWNEY
Nguyen, Roger (M) NPI: 1982625430 CA State License Number: A68125 PCMH: N Board Certified: N Cultural Training: N
8301 Florence Ave Ste 104 Downey, CA 90240-0240 ☏Day and After Hours Phone:
(562) 862-1991 ⛍Y Office Hours: M, Tu: 9:00 AM 5:00 PM; W-Sun: Closed ‰Accessibility: R
Accepting New Patients: Y
Physician Languages: English,
Spanish, Vietnamese
A68125Z Prospect Professional
Care Medical Group, Inc.
ENCINO
Parker, Peter Parviz (M) NPI: 1598783789 CA State License Number: A44924 PCMH: N Board Certified: N Cultural Training: N
17203 Ventura Blvd Ste 2 Encino, CA 91316-1316 ☏Day and After Hours Phone:
(818) 783-3344 ⛍Y Office Hours: M-F: 9:00 AM - 8:00 PM; Sun: 9:00 AM - 5:00 PM; Sat: Closed Accepting New Patients: Y
Physician Languages: Armenian,
English, French, Persian, Spanish
A44924Z25 Regal Medical Group
A44924Z31 Prospect Medical Group, Inc.
GLENDALE
Parker, Peter Parviz (M) NPI: 1598783789 CA State License Number: A44924 PCMH: N Board Certified: N Cultural Training: N
1100 W Glenoaks Blvd Glendale, CA 91202-1202 ☏Day and After Hours Phone:
(818) 546-2626 ⛍Y Office Hours: M-F: 8:00 AM - 4:00 PM; Sat, Sun: Closed ‰Accessibility: R
Accepting New Patients: Y
Physician Languages: English,
French, Spanish
A44924Z13 Family Care
Specialists IPA, A Medical Group
Inc. A44924Z26 Regal Medical Group
A44924Z28 Prospect
Healthsource Medical Group, Inc.A44924Z30 Prospect Medical Group, Inc.A44924Z32 Lakeside Medical Group
-
Allergy Médicos Especialistas Participantes
L.A. Care Health Plan - Medi-Cal Provider Directory August 1, 2020
NPI= National Provider Identifier, PCMH= Patient Centered Medical Home, B=Wide Entry, W=Wheelchair
Access, E=Accessible Exam Rooms and Tables, L=Lifts, S= Scales, R=Bathrooms and Stall, GB=Grab Bars,
P=Parking, A=Waiting Area
To verify a doctor's address, call L.A. Care Health Plan at 1.888.839.9909 (TTY: 711).
Remember: Be sure to clearly print the doctor's name and I.D. number on your enrollment form.
Para verificar la dirección de un doctor, por favor llame a L.A. Care Health Plan al número de teléfono
1.888.839.9909 (TTY: 711).
Recuerde: asegúrese de escribir el nombre del doctor y número de identificación claramente en su forma de
inscripción.
9
Participating Specialty Care Physicians
GRANADA HILLS
offenberger, Jacob (M) NPI: 1033121249 CA State License Number: A38800 PCMH: N Board Certified: N Cultural Training: N
10515 Balboa Blvd Ste 390 Granada Hills, CA 91344-1344 ☏Day and After Hours Phone:
(818) 366-8112 ⛍Y Office Hours: M, Tu: 9:00 AM 5:00 PM; W-Sun: Closed Accepting New Patients: Y
Physician Languages: English,
Hebrew, Spanish
A38800Z13 Prospect
Professional Care Medical Group,
Inc. A38800Z19 Lakeside Medical Group
A38800Z21 Regal Medical Group
A38800Z22 Citrus Valley
Physician Group
HACIENDA HEIGHTS
Wong, Stephen (M) NPI: 1104977008 CA State License Number: G51644 PCMH: N Board Certified: N Cultural Training: N
1850 S Azusa Ave Ste 206 Hacienda Heights, CA 91745-1745 ☏Day and After Hours Phone:
(626) 810-5450 ⛍Y Office Hours: M, Tu: 9:00 AM 5:00 PM; W-Sun: Closed Accepting New Patients: Y
Physician Languages: English,
Spanish
G51644Z16 Prospect
Professional Care Medical Group,
Inc. G51644Z19 Lakeside Medical Group
G51644Z22 Regal Medical Group
G51644Z26 Altamed Health Network Inc G51644Z9 Exceptional Care
Medical Group
INGLEWOOD
Williams, Ray (M)
NPI: 1144245838 CA State License Number: G32137 PCMH: N Board Certified: N Cultural Training: N
323 N Prairie Ave Ste 222 Inglewood, CA 90301-0301 ☏Day and After Hours Phone:
(310) 674-2876 ⛍Y Office Hours: M-F: 8:00 AM - 4:00 PM; Sat, Sun: Closed ‰Accessibility: E, R
Accepting New Patients: Y
Physician Languages: English
G32137Z Health Care LA, IPA G32137Z2 Exceptional Care
Medical Group
G32137Z4 Axminster Medical Group
-
Allergy Médicos Especialistas Participantes
L.A. Care Health Plan - Medi-Cal Provider Directory August 1, 2020
NPI= National Provider Identifier, PCMH= Patient Centered Medical Home, B=Wide Entry, W=Wheelchair
Access, E=Accessible Exam Rooms and Tables, L=Lifts, S= Scales, R=Bathrooms and Stall, GB=Grab Bars,
P=Parking, A=Waiting Area
To verify a doctor's address, call L.A. Care Health Plan at 1.888.839.9909 (TTY: 711).
Remember: Be sure to clearly print the doctor's name and I.D. number on your enrollment form.
Para verificar la dirección de un doctor, por favor llame a L.A. Care Health Plan al número de teléfono
1.888.839.9909 (TTY: 711).
Recuerde: asegúrese de escribir el nombre del doctor y número de identificación claramente en su forma de
inscripción.
10
Participating Specialty Care Physicians
LA MIRADA
Kim, Jungmee (F) NPI: 1669465225 CA State License Number: A46017 PCMH: N Board Certified: Y Cultural Training: N
15040 Imperial Hwy
La Mirada, CA 90638-0638 ☏Day and After Hours Phone:
(562) 903-1014 ⛍Y Office Hours: M-F: 9:00 AM - 6:00 PM; Sat, Sun: Closed Accepting New Patients: Y
Physician Languages: English,
Korean A46017Z Applecare Medical Group, Inc. Select Region,
Downey And Whittier Region
A46017Z2 Apple Care Medical Group, St. Francis, Inc
LANCASTER
Robinson, Lawrence (M) NPI: 1023037652 CA State License Number: C35069 PCMH: N Board Certified: N Cultural Training: N
1523 W Ave J Ste 7 Lancaster, CA 93534-3534 ☏Day and After Hours Phone:
(661) 945-2221 ⛍Y Office Hours: M-F: 9:00 AM - 5:00 PM; Sat, Sun: Closed ‰Accessibility: R
Accepting New Patients: Y
Physician Languages: English
Hospital Affiliations: Antelope
Valley Hospital
C35069Z19 Sierra Medical Group
LONG BEACH
Baskin, Marc (M)
NPI: 1124035076 CA State License Number: G36097 PCMH: N Board Certified: N Cultural Training: N
2220 Clark Ave Long Beach, CA 90815-0815 ☏Day and After Hours Phone:
(562) 597-4181 ⛍Y Office Hours: W: 8:00 AM - 5:30 PM; M, Tu, Th-Sun: Closed Accepting New Patients: Y
Physician Languages: English
G36097Z3 Applecare Medical Group, Inc. Select Region,
Downey And Whittier Region
G36097Z4 Apple Care Medical Group, St. Francis, Inc G36097Z9 Regal Medical Group
Kim, Kenneth (M)
NPI: 1205833563 CA State License Number: G61259 PCMH: N Board Certified: Y Cultural Training: N
2600 Redondo Ave Ste 400 Long Beach, CA 90806-0806 ☏Day and After Hours Phone:
(562) 997-7888 ⛍Y Office Hours: M-F: 8:00 AM - 4:00 PM; Sat, Sun: Closed Accepting New Patients: Y
Physician Languages: English
Hospital Affiliations: Long Beach
Memoril Medical Center - Miller Childrens Hospital
G61259Z11 Health Care LA, IPA G61259Z14 Citrus Valley
Physician Group
G61259Z16 Omnicare Medical Group
G61259Z17 Seaside Health Plan
-
Allergy Médicos Especialistas Participantes
L.A. Care Health Plan - Medi-Cal Provider Directory August 1, 2020
NPI= National Provider Identifier, PCMH= Patient Centered Medical Home, B=Wide Entry, W=Wheelchair
Access, E=Accessible Exam Rooms and Tables, L=Lifts, S= Scales, R=Bathrooms and Stall, GB=Grab Bars,
P=Parking, A=Waiting Area
To verify a doctor's address, call L.A. Care Health Plan at 1.888.839.9909 (TTY: 711).
Remember: Be sure to clearly print the doctor's name and I.D. number on your enrollment form.
Para verificar la dirección de un doctor, por favor llame a L.A. Care Health Plan al número de teléfono
1.888.839.9909 (TTY: 711).
Recuerde: asegúrese de escribir el nombre del doctor y número de identificación claramente en su forma de
inscripción.
11
Participating Specialty Care Physicians
Liu, Betty (F)
NPI: 1033301247 CA State License Number: A102490 PCMH: N Board Certified: N Cultural Training: N
2600 Redondo Ave Ste 400 Long Beach, CA 90806-0806 ☏Day and After Hours Phone:
(562) 997-7888 ⛍Y Office Hours: M-Th: 9:00 AM 6:00 PM; F: 9:00 AM - 5:00 PM; Sat, Sun: Closed Accepting New Patients: Y
Physician Languages: English
A102490Z Regal Medical Group
Meltzer, Steven (M) NPI: 1316915135 CA State License Number: G48365 PCMH: N Board Certified: N Cultural Training: N
3816 Woodruff Ave Ste 209 Long Beach, CA 90808-0808 ☏Day and After Hours Phone:
(562) 496-4749 ⛍Y Office Hours: M-F: 8:00 AM - 4:00 PM; Sat, Sun: Closed Accepting New Patients: Y
Physician Languages: English
G48365Z2 Memorial Children's Specialty Medical Group
LOS ANGELES
Braskett, Melinda (F) NPI: 1457313967 CA State License Number: A83104 PCMH: N Board Certified: Y Cultural Training: N
4650 Sunset Blvd Los Angeles, CA 90027-0027 ☏Day and After Hours Phone:
(323) 660-2450 ⛍Y Office Hours: M-F: 8:00 AM - 4:00 PM; Sat, Sun: Closed ‰Accessibility: E
Accepting New Patients: Y
Physician Languages: English
A83104Z2 Children's Hospital
Medical Group
Ferdman, Ronald (M) NPI: 1275626202 CA State License Number: G64356 PCMH: N Board Certified: N Cultural Training: N
4650 W Sunset Blvd Los Angeles, CA 90027-0027 ☏Day and After Hours Phone:
(323) 669-2501 ⛍Y Office Hours: M-F: 9:00 AM - 5:00 PM; Sat, Sun: Closed ‰Accessibility: E
Accepting New Patients: Y
Physician Languages: English
G64356Z3 Altamed Health Network Inc
Kimia, Tania (F)
NPI: 1295934826 CA State License Number: A70419 PCMH: N Board Certified: N Cultural Training: N
2010 Zonal Ave Opd 3P40
Los Angeles, CA 90033-0033 ☏Day and After Hours Phone:
(323) 226-3813 ⛍Y Office Hours: M, W, Th: 8:00 AM - 12:00 PM; Tu, F-Sun: Closed Accepting New Patients: Y
Physician Languages: Armenian,
English, French, Hebrew, Persian
Hospital Affiliations: LAC + USC
Medical Center A70419Z DHS - LAC+USC Medical Center (Hospital-Based
Clinic)
Li, Marilyn (F)
NPI: 1528260825 CA State License Number: A64596 PCMH: N Board Certified: Y Cultural Training: N
2010 Zonal Ave Opd 3P40
Los Angeles, CA 90033-0033 ☏Day and After Hours Phone:
(323) 226-3813 ⛍Y Office Hours: M, W, Th: 8:00 AM - 12:00 PM; Tu, F-Sun: Closed Accepting New Patients: Y
Physician Languages: English
Hospital Affiliations: LAC + USC
Medical Center A64596Z DHS - LAC+USC Medical Center (Hospital-Based
Clinic)
-
Allergy Médicos Especialistas Participantes
L.A. Care Health Plan - Medi-Cal Provider Directory August 1, 2020
NPI= National Provider Identifier, PCMH= Patient Centered Medical Home, B=Wide Entry, W=Wheelchair
Access, E=Accessible Exam Rooms and Tables, L=Lifts, S= Scales, R=Bathrooms and Stall, GB=Grab Bars,
P=Parking, A=Waiting Area
To verify a doctor's address, call L.A. Care Health Plan at 1.888.839.9909 (TTY: 711).
Remember: Be sure to clearly print the doctor's name and I.D. number on your enrollment form.
Para verificar la dirección de un doctor, por favor llame a L.A. Care Health Plan al número de teléfono
1.888.839.9909 (TTY: 711).
Recuerde: asegúrese de escribir el nombre del doctor y número de identificación claramente en su forma de
inscripción.
12
Participating Specialty Care Physicians
Lopez, Horacio (M) NPI: 1659430460 CA State License Number: A48199 PCMH: N Board Certified: N Cultural Training: N
2105 Beverly Blvd Ste 129
Los Angeles, CA 90057-0057 ☏Day and After Hours Phone:
(213) 353-3600 ⛍Y Office Hours: M, Tu, Th: 8:30 AM - 5:30 PM; W, F: 8:30 AM - 1:00 PM; Sat, Sun: Closed Accepting New Patients: Y
Physician Languages: English,
Spanish
Hospital Affiliations: Hollywood
Presbyterian Medical Center
A48199Z1 Preferred IPA of California
Ong, Peck (M)
NPI: 1659478865 CA State License Number: A64334 PCMH: N Board Certified: Y Cultural Training: N
4560 W Sunset Blvd Los Angeles, CA 90027-0027 ☏Day and After Hours Phone:
(323) 660-2540 ⛍Y Office Hours: M-F: 8:00 AM - 5:00 PM; Sat, Sun: Closed Accepting New Patients: Y
Physician Languages: English
A64334Z Children's Hospital
Medical Group
Patel, Sonal (F)
NPI: 1346376894 CA State License Number: A80378 PCMH: N Board Certified: Y Cultural Training: N
1700 E Cesar E Chavez Ave Ste 3000 Los Angeles, CA 90033-0033 ☏Day and After Hours Phone:
(323) 987-1200 ⛍Y Office Hours: M-F: 8:00 AM - 4:00 PM; Sat, Sun: Closed Accepting New Patients: Y
Physician Languages: English,
Spanish
A80378Z10 Angeles IPA A80378Z27 Altamed Health Network Inc
Scott, Lyne (F)
NPI: 1427193457 CA State License Number: A91589 PCMH: N Board Certified: N Cultural Training: N
2010 Zonal Ave Opd 3P40
Los Angeles, CA 90033-0033 ☏Day and After Hours Phone:
(323) 226-3813 ⛍Y Office Hours: M, W, Th: 8:00 AM - 12:00 PM; Tu, F-Sun: Closed Accepting New Patients: Y
Physician Languages: English
Hospital Affiliations: LAC + USC
Medical Center A91589Z DHS - LAC+USC Medical Center (Hospital-Based
Clinic)
Thobani, Salima (F) NPI: 1154561298 CA State License Number: A105230 PCMH: N Board Certified: N Cultural Training: N
2010 Zonal Ave Opd 3P40
Los Angeles, CA 90033-0033 ☏Day and After Hours Phone:
(323) 226-3813 ⛍Y Office Hours: M, W, Th: 9:00 AM - 12:00 PM; Tu, F-Sun: Closed Accepting New Patients: Y
Physician Languages: English
Hospital Affiliations: LAC + USC
Medical Center A105230Z DHS - LAC+USC Medical Center (Hospital-Based
Clinic)
MARINA DEL REY
Quel, Jorge (M)
NPI: 1700915311 CA State License Number: A24556 PCMH: N Board Certified: Y Cultural Training: N
4644 Lincoln Blvd Ste 410 Marina Del Rey, CA 90292-0292 ☏Day and After Hours Phone:
(310) 823-6766 ⛍Y Office Hours: M-F: 9:00 AM - 5:00 PM; Sat, Sun: Closed Accepting New Patients: Y
Physician Languages: English
A24556Z11 Axminster Medical Group
A24556Z13 Regal Medical Group
A24556Z2 Global Care IPA
-
Allergy Médicos Especialistas Participantes
L.A. Care Health Plan - Medi-Cal Provider Directory August 1, 2020
NPI= National Provider Identifier, PCMH= Patient Centered Medical Home, B=Wide Entry, W=Wheelchair
Access, E=Accessible Exam Rooms and Tables, L=Lifts, S= Scales, R=Bathrooms and Stall, GB=Grab Bars,
P=Parking, A=Waiting Area
To verify a doctor's address, call L.A. Care Health Plan at 1.888.839.9909 (TTY: 711).
Remember: Be sure to clearly print the doctor's name and I.D. number on your enrollment form.
Para verificar la dirección de un doctor, por favor llame a L.A. Care Health Plan al número de teléfono
1.888.839.9909 (TTY: 711).
Recuerde: asegúrese de escribir el nombre del doctor y número de identificación claramente en su forma de
inscripción.
13
Participating Specialty Care Physicians
A24556Z3 Exceptional Care
Medical Group
MISSION HILLS
Manoukian, Krikor (M) NPI: 1740519586 CA State License Number: A110222 PCMH: N Board Certified: N Cultural Training: N
15031 Rinaldi St Mission Hills, CA 91345-1345 ☏Day and After Hours Phone:
(818) 639-4333 ⛍Y Office Hours: M-F: 8:00 AM - 4:00 PM; Sat, Sun: Closed Accepting New Patients: Y
Physician Languages: English
Hospital Affiliations: Providence
Holy Cross Medical Center
A110222Z El Proyecto Del Barrio, Inc.
NORWALK
Trivedi, Anand (M) NPI: 1437599495 CA State License Number: A138513 PCMH: N Board Certified: N Cultural Training: N
11832 Rosecrans Ave Ste 200 Norwalk, CA 90650-0650 ☏Day and After Hours Phone:
(562) 864-4500 ⛍Y Office Hours: Tu: 1:00 PM - 7:00 PM; Th: 12:00 PM - 7:00 PM; M, W, F-Sun: Closed ‰Accessibility: R
Accepting New Patients: Y
Physician Languages: English
A138513Z Regal Medical Group A138513Z4 LA Care Direct Network A138513Z5 Altamed Health Network Inc A138513Z7 Crown City Medical Group
Trivedi, Divyang (M) NPI: 1265473730 CA State License Number: A42411 PCMH: N Board Certified: N Cultural Training: N
11832 Rosecrans Ave Ste 200 Norwalk, CA 90650-0650 ☏Day and After Hours Phone:
(562) 864-4500 ⛍Y Office Hours: M-F: 8:00 AM - 4:00 PM; Sat, Sun: Closed ‰Accessibility: R
Accepting New Patients: Y
Physician Languages: English
A42411Z33 Allied Pacific IPA A42411Z34 Preferred IPA of California A42411Z35 Bella Vista IPA A42411Z37 Health Care LA, IPA A42411Z39 LA Care Direct Network A42411Z40 South Atlantic Medical Group
A42411Z42 Altamed Health Network Inc
-
Allergy Médicos Especialistas Participantes
L.A. Care Health Plan - Medi-Cal Provider Directory August 1, 2020
NPI= National Provider Identifier, PCMH= Patient Centered Medical Home, B=Wide Entry, W=Wheelchair
Access, E=Accessible Exam Rooms and Tables, L=Lifts, S= Scales, R=Bathrooms and Stall, GB=Grab Bars,
P=Parking, A=Waiting Area
To verify a doctor's address, call L.A. Care Health Plan at 1.888.839.9909 (TTY: 711).
Remember: Be sure to clearly print the doctor's name and I.D. number on your enrollment form.
Para verificar la dirección de un doctor, por favor llame a L.A. Care Health Plan al número de teléfono
1.888.839.9909 (TTY: 711).
Recuerde: asegúrese de escribir el nombre del doctor y número de identificación claramente en su forma de
inscripción.
14
Participating Specialty Care Physicians
PALMDALE
Farhadian, Houshang (M) NPI: 1427152727 CA State License Number: A31355 PCMH: N Board Certified: Y Cultural Training: N
41230 11th St W Ste A Palmdale, CA 93551-3551 ☏Day and After Hours Phone:
(661) 266-3322 ⛍Y Office Hours: M-F: 8:00 AM - 4:00 PM; Sat, Sun: Closed Accepting New Patients: Y
Physician Languages: English
A31355Z7 Community Family Care
Tan, Ricardo (M)
NPI: 1255353629 CA State License Number: A52236 PCMH: N Board Certified: Y Cultural Training: N
41230 11th St W Ste A Palmdale, CA 93551-3551 ☏Day and After Hours Phone:
(661) 266-3322 ⛍Y Office Hours: M-F: 8:00 AM - 4:00 PM; Sat, Sun: Closed Accepting New Patients: Y
Physician Languages: English
A52236Z4 Community Family Care A52236Z5 High Desert Medical Group
POMONA
Trivedi, Anand (M) NPI: 1437599495 CA State License Number: A138513 PCMH: N Board Certified: N Cultural Training: N
180 W Willow St Pomona, CA 91768-1768 ☏Day and After Hours Phone:
(562) 864-4500 ⛍Y Office Hours: M, W: 1:00 PM 7:00 PM; Tu, Th-Sun: Closed ‰Accessibility: R
Accepting New Patients: Y
Physician Languages: English,
Gujarati
A138513Z6 Altamed Health Network Inc A138513Z8 LA Care Direct Network
Trivedi, Divyang (M) NPI: 1265473730 CA State License Number: A42411 PCMH: N Board Certified: Y Cultural Training: N
180 W Willow St Pomona, CA 91768-1768 ☏Day and After Hours Phone:
(909) 622-3000 ⛍Y Office Hours: M-F: 8:00 AM - 4:00 PM; Sat, Sun: Closed ‰Accessibility: R
Accepting New Patients: Y
Physician Languages: English
A42411Z19 Global Care IPA A42411Z25 Citrus Valley
Physician Group
A42411Z28 Regal Medical Group
A42411Z36 Bella Vista IPA A42411Z38 Health Care LA, IPA A42411Z41 Altamed Health Network Inc A42411Z44 LA Care Direct Network
SAN GABRIEL
Hsu, Yu-Luen (M)
NPI: 1720054000 CA State License Number: A91805 PCMH: N Board Certified: Y Cultural Training: N
207 S Santa Anita St Ste G18 San Gabriel, CA 91776-1776 ☏Day and After Hours Phone:
(626) 284-7000 ⛍Y Office Hours: M-F: 8:00 AM - 4:00 PM; Sat, Sun: Closed Accepting New Patients: Y
Physician Languages: English,
Mandarin A91805Z4 Regal Medical Group
-
Allergy Médicos Especialistas Participantes
L.A. Care Health Plan - Medi-Cal Provider Directory August 1, 2020
NPI= National Provider Identifier, PCMH= Patient Centered Medical Home, B=Wide Entry, W=Wheelchair
Access, E=Accessible Exam Rooms and Tables, L=Lifts, S= Scales, R=Bathrooms and Stall, GB=Grab Bars,
P=Parking, A=Waiting Area
To verify a doctor's address, call L.A. Care Health Plan at 1.888.839.9909 (TTY: 711).
Remember: Be sure to clearly print the doctor's name and I.D. number on your enrollment form.
Para verificar la dirección de un doctor, por favor llame a L.A. Care Health Plan al número de teléfono
1.888.839.9909 (TTY: 711).
Recuerde: asegúrese de escribir el nombre del doctor y número de identificación claramente en su forma de
inscripción.
15
Participating Specialty Care Physicians
SANTA MONICA
Tachdjian, Raffi (M) NPI: 1447376454 CA State License Number: A88034 PCMH: N Board Certified: Y Cultural Training: N
1301 20th St Santa Monica, CA 90404-0404 ☏Day and After Hours Phone:
(310) 828-8534 ⛍Y Office Hours: M-F: 8:00 AM - 4:00 PM; Sat, Sun: Closed Accepting New Patients: Y
Physician Languages: English
A88034Z Regal Medical Group
TORRANCE
Redjal, Nasser (M) NPI: 1154370302 CA State License Number: A41807 PCMH: N Board Certified: N Cultural Training: N
21840 Normandie Ave Ste 350 Torrance, CA 90502-0502 ☏Day and After Hours Phone:
(424) 306-6500 ⛍Y Office Hours: M, Tu: 8:00 AM 5:00 PM; W-Sun: Closed Accepting New Patients: Y
Physician Languages: English
Hospital Affiliations: LAC/Harbor
UCLA Medical Center A41807Z17 DHS - Harbor/
UCLA Family Health Center
A41807Z18 DHS - Harbor/
UCLA Medical Center (Hospital-
Based Clinic)
WEST HILLS
Shapiro, Joseph (M) NPI: 1528070737 CA State License Number: A77622 PCMH: N Board Certified: Y Cultural Training: N
7230 Medical Center Dr Ste 602 West Hills, CA 91307-1307 ☏Day and After Hours Phone:
(818) 769-5998 ⛍Y Office Hours: M, Tu: 8:00 AM 5:15 PM; W, Th: 9:00 AM - 5:30 PM; Sat: 9:00 AM - 11:45 AM; F, Sun: Closed Accepting New Patients: Y
Physician Languages: English,
Spanish
Hospital Affiliations: Providence
Tarzana Medical Center A77622Z5 Health Care LA, IPA
ALLERGY/IMMUNOLOGY
DOWNEY
Lira, Claudia (F)
NPI: 1699265348 CA State License Number: L8329 PCMH: N Board Certified: N Cultural Training: N
8615 Florence Ave Ste 212 Downey, CA 90240-0240 ☏Day and After Hours Phone:
(562) 818-1362 ⛍N Accepting New Patients: Y
L8329Z LA Care Direct Network
GLENDALE
Mckenzie, John (M) NPI: 1366422685 CA State License Number: G71752 PCMH: N Board Certified: N Cultural Training: N
660 W Broadway
Glendale, CA 91204-1204 ☏Day and After Hours Phone:
(818) 243-9600 ⛍Y Office Hours: M-F: 9:00 AM - 5:00 PM; Sat, Sun: Closed ‰Accessibility: R
Accepting New Patients: Y
Physician Languages: English,
Korean Hospital Affiliations: Glendale
Adventist Medical Center Wilson Terrace,Glendale Memorial Hospital And Health Center
G71752Z17 Global Care IPA
LOS ANGELES
Smith, Sabrena (F) NPI: 1174028930 CA State License Number: L6714 PCMH: N Board Certified: N Cultural Training: N
1350 N Highland Ave Ste A
Los Angeles, CA 90028-0028 ☏Day and After Hours Phone:
(818) 209-0967 ⛍N Office Hours: M-F: 8:00 AM - 5:00 PM; Sat, Sun: Closed Accepting New Patients: Y
L6714Z2 LA Care Direct Network
-
Anesthesiology Médicos Especialistas Participantes
L.A. Care Health Plan - Medi-Cal Provider Directory August 1, 2020
NPI= National Provider Identifier, PCMH= Patient Centered Medical Home, B=Wide Entry, W=Wheelchair
Access, E=Accessible Exam Rooms and Tables, L=Lifts, S= Scales, R=Bathrooms and Stall, GB=Grab Bars,
P=Parking, A=Waiting Area
To verify a doctor's address, call L.A. Care Health Plan at 1.888.839.9909 (TTY: 711).
Remember: Be sure to clearly print the doctor's name and I.D. number on your enrollment form.
Para verificar la dirección de un doctor, por favor llame a L.A. Care Health Plan al número de teléfono
1.888.839.9909 (TTY: 711).
Recuerde: asegúrese de escribir el nombre del doctor y número de identificación claramente en su forma de
inscripción.
16
Participating Specialty Care Physicians
ANESTHESIOLOGY
ALHAMBRA
Chiu, Paul (M)
NPI: 1467440883 CA State License Number: A81278 PCMH: N Board Certified: Y Cultural Training: N
707 S Garfield Ave Ste 308 Alhambra, CA 91801-1801 ☏Day and After Hours Phone:
(626) 281-7246 ⛍Y Office Hours: M-F: 8:00 AM - 4:00 PM; Sat, Sun: Closed Accepting New Patients: Y
Physician Languages: English
A81278Z12 Superior Choice
Medical Group
A81278Z16 Superior Choice
Medical Group A81278Z7 Exceptional Care
Medical Group
AZUSA
Entezaralmahdi, Mahnaz (F) NPI: 1881005445 CA State License Number: A147204 PCMH: N Board Certified: N Cultural Training: N
830 S Citrus Ave Ste 201 Azusa, CA 91702-1702 ☏Day and After Hours Phone:
(626) 974-1441 ⛍Y Office Hours: M-Th: 8:00 AM 5:00 PM; F: 8:00 AM - 12:00 PM; Sat, Sun: Closed ‰Accessibility: R
Accepting New Patients: Y
Physician Languages: English,
Persian A147204Z2 LA Care Direct Network
Sawiris, Nader (M) NPI: 1720304207 CA State License Number: A131225 PCMH: N Board Certified: Y Cultural Training: N
830 S Citrus Ave Ste 201 Azusa, CA 91702-1702 ☏Day and After Hours Phone:
(626) 974-1441 ⛍Y Office Hours: M-Th: 8:00 AM 5:00 PM; F: 8:00 AM - 12:00 PM; Sat, Sun: Closed ‰Accessibility: R
Accepting New Patients: Y
Physician Languages: English
A131225Z2 El Proyecto Del Barrio, Inc. A131225Z3 Global Care IPA
A131225Z4 Health Care LA, IPA
BALDWIN PARK
Alupay, Pedro (M) NPI: 1184614125 CA State License Number: A40750 PCMH: N Board Certified: N Cultural Training: N
5345 Irwindale Ave Baldwin Park, CA 91706-1706 ☏Day and After Hours Phone:
(626) 960-5361 ⛍Y Office Hours: M-F: 8:00 AM - 3:00 PM; Sat, Sun: Closed Accepting New Patients: Y
Physician Languages: English,
Tagalog
Hospital Affiliations: Silver Lake
Medical Center A40750Z3 Exceptional Care Medical Group
-
Anesthesiology Médicos Especialistas Participantes
L.A. Care Health Plan - Medi-Cal Provider Directory August 1, 2020
NPI= National Provider Identifier, PCMH= Patient Centered Medical Home, B=Wide Entry, W=Wheelchair
Access, E=Accessible Exam Rooms and Tables, L=Lifts, S= Scales, R=Bathrooms and Stall, GB=Grab Bars,
P=Parking, A=Waiting Area
To verify a doctor's address, call L.A. Care Health Plan at 1.888.839.9909 (TTY: 711).
Remember: Be sure to clearly print the doctor's name and I.D. number on your enrollment form.
Para verificar la dirección de un doctor, por favor llame a L.A. Care Health Plan al número de teléfono
1.888.839.9909 (TTY: 711).
Recuerde: asegúrese de escribir el nombre del doctor y número de identificación claramente en su forma de
inscripción.
17
Participating Specialty Care Physicians
BEVERLY HILLS
Zarrini, Behnoush (M) NPI: 1932260031 CA State License Number: A80739 PCMH: N Board Certified: Y Cultural Training: N
9100 Wilshire Blvd Ste 363W Beverly Hills, CA 90212-0212 ☏Day and After Hours Phone:
(310) 967-0031 ⛍Y Office Hours: M-F: 9:00 AM - 5:00 PM; Sat: 9:00 AM - 2:00 PM; Sun: Closed ‰Accessibility: R
Accepting New Patients: Y
Physician Languages: English,
Persian Hospital Affiliations: Kindred
Hospital- Los Angeles (Thc-
Orange County, Inc.),Southern
California Hospital At Hollywood
A80739Z4 Prospect Professional
Care Medical Group, Inc.A80739Z5 Prospect
Healthsource Medical Group, Inc.
BURBANK
Ajakwe, Reginald (M) NPI: 1467485730 CA State License Number: A93702 PCMH: N Board Certified: Y Cultural Training: N
201 S Buena Vista St Ste 238 Burbank, CA 91505-1505 ☏Day and After Hours Phone:
(818) 325-2088 ⛍Y Office Hours: M-F: 9:00 AM - 5:00 PM; Sat, Sun: Closed ‰Accessibility: E, R
Accepting New Patients: Y
Physician Languages: English
Hospital Affiliations: Providence
Holy Cross Medical Center
A93702Z5 Exceptional Care
Medical Group
Fausett, Hilary (F) NPI: 1861468134 CA State License Number: G85360 PCMH: N Board Certified: Y Cultural Training: N
201 S Buena Vista St Ste 238 Burbank, CA 91505-1505 ☏Day and After Hours Phone:
(818) 325-2088 ⛍Y Office Hours: M-F: 9:00 AM - 5:00 PM; Sat, Sun: Closed ‰Accessibility: E, R
Accepting New Patients: Y
Physician Languages: English,
Spanish
Hospital Affiliations: Huntington
Memorial Hospital
G85360Z2 Exceptional Care
Medical Group
-
Anesthesiology Médicos Especialistas Participantes
L.A. Care Health Plan - Medi-Cal Provider Directory August 1, 2020
NPI= National Provider Identifier, PCMH= Patient Centered Medical Home, B=Wide Entry, W=Wheelchair
Access, E=Accessible Exam Rooms and Tables, L=Lifts, S= Scales, R=Bathrooms and Stall, GB=Grab Bars,
P=Parking, A=Waiting Area
To verify a doctor's address, call L.A. Care Health Plan at 1.888.839.9909 (TTY: 711).
Remember: Be sure to clearly print the doctor's name and I.D. number on your enrollment form.
Para verificar la dirección de un doctor, por favor llame a L.A. Care Health Plan al número de teléfono
1.888.839.9909 (TTY: 711).
Recuerde: asegúrese de escribir el nombre del doctor y número de identificación claramente en su forma de
inscripción.
18
Participating Specialty Care Physicians
Saifullah, Taher (M) NPI: 1871939587 CA State License Number: A153944 PCMH: N Board Certified: N Cultural Training: N
201 S Buena Vista St Ste 238 Burbank, CA 91505-1505 ☏Day and After Hours Phone:
(818) 325-2088 ⛍Y Office Hours: M-F: 8:30 AM - 5:30 PM; Sat, Sun: Closed ‰Accessibility: E, R
Accepting New Patients: Y
Physician Languages: English,
Spanish
Hospital Affiliations: Providence
Little Company of Mary - San Pedro,Providence Saint Joseph
Medical Center A153944Z Exceptional Care
Medical Group
Tatevossian, Raymond (M) NPI: 1184746968 CA State License Number: A87098 PCMH: N Board Certified: Y Cultural Training: N
201 S Buena Vista St Ste 238 Burbank, CA 91505-1505 ☏Day and After Hours Phone:
(818) 325-2088 ⛍Y Office Hours: M-F: 8:30 AM - 5:30 PM; Sat, Sun: Closed ‰Accessibility: E, R
Accepting New Patients: Y
Physician Languages: Armenian,
English
Hospital Affiliations: Providence
Holy Cross Medical
Center,Providence Little Company
of Mary - San Pedro,Providence Saint Joseph Medical Center
A87098Z5 Exceptional Care
Medical Group
COVINA
Furdik, Viliam (M)
NPI: 1689666265 CA State License Number: A53336 PCMH: N Board Certified: Y Cultural Training: N
236 W College St
Covina, CA 91723-1723 ☏Day and After Hours Phone:
(626) 608-7320 ⛍Y Office Hours: M-F: 8:00 AM - 4:00 PM; Sat, Sun: Closed Accepting New Patients: Y
Physician Languages: English,
Spanish
A53336Z8 Allied Physicians
Citrus Valley IPA
A53336Z9 Altamed Health Network Inc
Mehta, Dharmesh (M) NPI: 1114980760 CA State License Number: C52522 PCMH: N Board Certified: N Cultural Training: N
236 W College St
Covina, CA 91723-1723 ☏Day and After Hours Phone:
(626) 608-7320 ⛍Y Office Hours: M-Th: 8:00 AM 5:00 PM; F: 8:00 AM - 3:00 PM; Sat, Sun: Closed Accepting New Patients: Y
Physician Languages: English
C52522Z14 Health Care LA, IPA C52522Z16 Bella Vista IPA C52522Z18 Global Care IPA
-
Anesthesiology Médicos Especialistas Participantes
L.A. Care Health Plan - Medi-Cal Provider Directory August 1, 2020
NPI= National Provider Identifier, PCMH= Patient Centered Medical Home, B=Wide Entry, W=Wheelchair
Access, E=Accessible Exam Rooms and Tables, L=Lifts, S= Scales, R=Bathrooms and Stall, GB=Grab Bars,
P=Parking, A=Waiting Area
To verify a doctor's address, call L.A. Care Health Plan at 1.888.839.9909 (TTY: 711).
Remember: Be sure to clearly print the doctor's name and I.D. number on your enrollment form.
Para verificar la dirección de un doctor, por favor llame a L.A. Care Health Plan al número de teléfono
1.888.839.9909 (TTY: 711).
Recuerde: asegúrese de escribir el nombre del doctor y número de identificación claramente en su forma de
inscripción.
19
Participating Specialty Care Physicians
C52522Z23 Altamed Health Network Inc C52522Z9 Exceptional Care
Medical Group
CULVER CITY
Zarrini, Behnoush (M) NPI: 1932260031 CA State License Number: A80739 PCMH: N Board Certified: N Cultural Training: N
9808 Venice Blvd Ste 707 Culver City, CA 90232-0232 ☏Day and After Hours Phone:
(310) 967-0031 ⛍Y Office Hours: M, Tu: 9:00 AM 5:00 PM; W-Sun: Closed ‰Accessibility: R
Accepting New Patients: Y
Physician Languages: English,
Persian A80739Z2 Prospect Professional
Care Medical Group, Inc.
DOWNEY
Charbonnet, Christopher (M) NPI: 1225049968 CA State License Number: G79131 PCMH: N Board Certified: N Cultural Training: N
11411 Brookshire Ave Ste 205 Downey, CA 90241-0241 ☏Day and After Hours Phone:
(562) 622-0095 ⛍Y Office Hours: M-F: 8:00 AM - 5:00 AM; Sat, Sun: Closed Accepting New Patients: Y
Physician Languages: English
Hospital Affiliations: Glendale
Adventist Medical Center Wilson Terrace G79131Z7 Regal Medical Group
Patel, Ajay (M)
NPI: 1962636522 CA State License Number: A120793 PCMH: N Board Certified: Y Cultural Training: N
11525 Brookshire Ave Ste 402 Downey, CA 90241-0241 ☏Day and After Hours Phone:
(562) 869-3585 ⛍Y Office Hours: M-F: 8:00 AM - 5:00 PM; Sat, Sun: Closed Accepting New Patients: Y
Physician Languages: English,
Spanish
Hospital Affiliations: St. Francis Medical Center A120793Z4 Omnicare Medical Group
A120793Z6 Altamed Health Network Inc
DUARTE
Bonilla, Evelyn (F) NPI: 1306151857 CA State License Number: A121635 PCMH: N Board Certified: Y Cultural Training: N
1500 Duarte Rd Duarte, CA 91010-1010 ☏Day and After Hours Phone:
(626) 775-3514 ⛍Y Office Hours: M-F: 8:00 AM - 4:00 PM; Sat, Sun: Closed ‰Accessibility: E, R
Accepting New Patients: Y
Physician Languages: English,
Spanish
A121635Z LA Care Direct Network
Damle, Pradeep (M) NPI: 1770563116 CA State License Number: A36983 PCMH: N Board Certified: Y Cultural Training: N
1500 Duarte Rd Duarte, CA 91010-1010 ☏Day and After Hours Phone:
(626) 775-3514 ⛍Y Office Hours: M-F: 8:00 AM - 4:00 PM; Sat, Sun: Closed ‰Accessibility: E, R
Accepting New Patients: Y
Physician Languages: English
A36983Z10 LA Care Direct Network
-
Anesthesiology Médicos Especialistas Participantes
L.A. Care Health Plan - Medi-Cal Provider Directory August 1, 2020
NPI= National Provider Identifier, PCMH= Patient Centered Medical Home, B=Wide Entry, W=Wheelchair
Access, E=Accessible Exam Rooms and Tables, L=Lifts, S= Scales, R=Bathrooms and Stall, GB=Grab Bars,
P=Parking, A=Waiting Area
To verify a doctor's address, call L.A. Care Health Plan at 1.888.839.9909 (TTY: 711).
Remember: Be sure to clearly print the doctor's name and I.D. number on your enrollment form.
Para verificar la dirección de un doctor, por favor llame a L.A. Care Health Plan al número de teléfono
1.888.839.9909 (TTY: 711).
Recuerde: asegúrese de escribir el nombre del doctor y número de identificación claramente en su forma de
inscripción.
20
Participating Specialty Care Physicians
Leitner, Andrew (M) NPI: 1801038237 CA State License Number: A112734 PCMH: N Board Certified: Y Cultural Training: N
1500 Duarte Rd Duarte, CA 91010-1010 ☏Day and After Hours Phone:
(626) 775-3514 ⛍Y Office Hours: M-F: 8:00 AM - 4:00 PM; Sat, Sun: Closed ‰Accessibility: E, R
Accepting New Patients: Y
Physician Languages: English,
Spanish
A112734Z LA Care Direct Network
Toroussian, Robert (M) NPI: 1255575221 CA State License Number: A114999 PCMH: N Board Certified: N Cultural Training: N
1500 Duarte Rd Duarte, CA 91010-1010 ☏Day and After Hours Phone:
(626) 775-3514 ⛍Y Office Hours: M-F: 8:00 AM - 4:00 PM; Sat, Sun: Closed ‰Accessibility: E, R
Accepting New Patients: Y
Physician Languages: English
A114999Z LA Care Direct Network
West, Andrew (M) NPI: 1194082768 CA State License Number: A127758 PCMH: N Board Certified: N Cultural Training: N
1500 Duarte Rd Duarte, CA 91010-1010 ☏Day and After Hours Phone:
(626) 775-3514 ⛍Y Office Hours: M-F: 8:00 AM - 4:00 PM; Sat, Sun: Closed ‰Accessibility: E, R
Accepting New Patients: Y
Physician Languages: English
A127758Z LA Care Direct Network
EL SEGUNDO
Mehdizadeh, Ali (M) NPI: 1114151719 CA State License Number: A113137 PCMH: N Board Certified: N Cultural Training: N
222 N Sepulveda Blvd Ste 2175
El Segundo, CA 90245-0245 ☏Day and After Hours Phone:
(877) 878-3289 ⛍Y Office Hours: M-F: 8:00 AM - 4:00 PM; Sat, Sun: Closed Accepting New Patients: Y
Physician Languages: English
A113137Z Regal Medical Group
Taylor, Jamie (F)
NPI: 1437217767 CA State License Number: A86675 PCMH: N Board Certified: N Cultural Training: N
2040 E Mariposa Ave
El Segundo, CA 90245-0245 ☏Day and After Hours Phone:
(310) 400-0645 ⛍N Office Hours: M-F: 9:00 AM - 5:00 PM; Sat, Sun: Closed Accepting New Patients: Y
A86675Z Omnicare Medical Group
ENCINO
Morgan, Philip (M) NPI: 1548211931 CA State License Number: G56468 PCMH: N Board Certified: N Cultural Training: N
16500 Ventura Blvd Ste 375 Encino, CA 91436-1436 ☏Day and After Hours Phone:
(818) 788-0910 ⛍Y Office Hours: M-F: 9:00 AM - 5:00 PM; Sat, Sun: Closed ‰Accessibility: R
Accepting New Patients: Y
Physician Languages: English,
Spanish
G56468Z10 Regal Medical Group
G56468Z2 Health Care LA, IPA G56468Z3 El Proyecto Del Barrio, Inc. G56468Z4 Bella Vista IPA
-
Anesthesiology Médicos Especialistas Participantes
L.A. Care Health Plan - Medi-Cal Provider Directory August 1, 2020
NPI= National Provider Identifier, PCMH= Patient Centered Medical Home, B=Wide Entry, W=Wheelchair
Access, E=Accessible Exam Rooms and Tables, L=Lifts, S= Scales, R=Bathrooms and Stall, GB=Grab Bars,
P=Parking, A=Waiting Area
To verify a doctor's address, call L.A. Care Health Plan at 1.888.839.9909 (TTY: 711).
Remember: Be sure to clearly print the doctor's name and I.D. number on your enrollment form.
Para verificar la dirección de un doctor, por favor llame a L.A. Care Health Plan al número de teléfono
1.888.839.9909 (TTY: 711).
Recuerde: asegúrese de escribir el nombre del doctor y número de identificación claramente en su forma de
inscripción.
21
Participating Specialty Care Physicians
G56468Z8 Lakeside Medical Group
GLENDALE
Fausett, Hilary (F) NPI: 1861468134 CA State License Number: G85360 PCMH: N Board Certified: Y Cultural Training: N
1000 N Central Ave Ste 210 Glendale, CA 91202-1202 ☏Day and After Hours Phone:
(818) 325-2088 ⛍Y Office Hours: M-F: 9:00 AM - 5:00 PM; Sat, Sun: Closed Accepting New Patients: Y
Physician Languages: Armenian,
English, Spanish
Hospital Affiliations: Huntington
Memorial Hospital
G85360Z3 Exceptional Care
Medical Group
Saifullah, Taher (M) NPI: 1871939587 CA State License Number: A153944 PCMH: N Board Certified: N Cultural Training: N
1000 N Central Ave Ste 210 Glendale, CA 91202-1202 ☏Day and After Hours Phone:
(818) 325-2088 ⛍Y Office Hours: M-F: 8:30 AM - 5:30 PM; Sat, Sun: Closed Accepting New Patients: Y
Physician Languages: English,
Spanish
Hospital Affiliations: Providence
Little Company of Mary - San Pedro,Providence Saint Joseph
Medical Center A153944Z2 Exceptional Care
Medical Group
HAWTHORNE
Morgan, Philip (M) NPI: 1548211931 CA State License Number: G56468 PCMH: N Board Certified: N Cultural Training: N
4455 W 117th St Hawthorne, CA 90250-0250 ☏Day and After Hours Phone:
(310) 807-9410 ⛍Y Office Hours: M-F: 9:00 AM - 5:00 PM; Sat, Sun: Closed ‰Accessibility: E, R
Accepting New Patients: Y
Physician Languages: English,
Spanish
G56468Z7 Lakeside Medical Group
G56468Z9 Regal Medical Group
-
Anesthesiology Médicos Especialistas Participantes
L.A. Care Health Plan - Medi-Cal Provider Directory August 1, 2020
NPI= National Provider Identifier, PCMH= Patient Centered Medical Home, B=Wide Entry, W=Wheelchair
Access, E=Accessible Exam Rooms and Tables, L=Lifts, S= Scales, R=Bathrooms and Stall, GB=Grab Bars,
P=Parking, A=Waiting Area
To verify a doctor's address, call L.A. Care Health Plan at 1.888.839.9909 (TTY: 711).
Remember: Be sure to clearly print the doctor's name and I.D. number on your enrollment form.
Para verificar la dirección de un doctor, por favor llame a L.A. Care Health Plan al número de teléfono
1.888.839.9909 (TTY: 711).
Recuerde: asegúrese de escribir el nombre del doctor y número de identificación claramente en su forma de
inscripción.
22
Participating Specialty Care Physicians
LA MIRADA
Alupay, Pedro (M) NPI: 1184614125 CA State License Number: A40750 PCMH: N Board Certified: N Cultural Training: N
16702 Valley View Ave
La Mirada, CA 90638-0638 ☏Day and After Hours Phone:
(714) 367-5360 ⛍Y Office Hours: M-F: 8:00 AM - 6:00 PM; Sat, Sun: Closed Accepting New Patients: Y
Physician Languages: English,
Tagalog
Hospital Affiliations: Silver Lake
Medical Center A40750Z6 Exceptional Care
Medical Group
LANCASTER
Birmingham, Sean (M) NPI: 1053382622 CA State License Number: A73012 PCMH: N Board Certified: N Cultural Training: N
335 E Ave I Lancaster, CA 93535-3535 ☏Day and After Hours Phone:
(661) 471-4000 ⛍Y Office Hours: M-F: 8:00 AM - 5:00 PM; Sat, Sun: Closed Accepting New Patients: Y
Physician Languages: English
Hospital Affiliations: Antelope
Valley Hospital
A73012Z DHS - L.A. County
High Desert Regional Health
Center (Formally High Desert
Health System Macc)
Dharma, Kalamani (F) NPI: 1023193646 CA State License Number: A40393 PCMH: N Board Certified: Y Cultural Training: N
43322 Gingham Ave Ste 104
Lancaster, CA 93535-3535 ☏Day and After Hours Phone:
(661) 874-4050 ⛍Y Office Hours: M-F: 9:00 AM - 5:00 PM; Sat, Sun: Closed Accepting New Patients: Y
Physician Languages: English
Hospital Affiliations: Antelope
Valley Hospital,Palmdale
Regional Medical Center
A40393Z3 Community Family Care - Antelope Valley
Hackworth, Robert (M) NPI: 1891757456 CA State License Number: A81852 PCMH: N Board Certified: Y Cultural Training: N
335 E Ave I Lancaster, CA 93535-3535 ☏Day and After Hours Phone:
(661) 471-4000 ⛍Y Office Hours: M-F: 7:00 AM - 3:30 PM; Sat, Sun: Closed Accepting New Patients: Y
Physician Languages: English,
Spanish
Hospital Affiliations: Antelope
Valley Hospital
A81852Z DHS - L.A. County High Desert Regional Health
Center (Formally High Desert
Health System Macc)
-
Anesthesiology Médicos Especialistas Participantes
L.A. Care Health Plan - Medi-Cal Provider Directory August 1, 2020
NPI= National Provider Identifier, PCMH= Patient Centered Medical Home, B=Wide Entry, W=Wheelchair
Access, E=Accessible Exam Rooms and Tables, L=Lifts, S= Scales, R=Bathrooms and Stall, GB=Grab Bars,
P=Parking, A=Waiting Area
To verify a doctor's address, call L.A. Care Health Plan at 1.888.839.9909 (TTY: 711).
Remember: Be sure to clearly print the doctor's name and I.D. number on your enrollment form.
Para verificar la dirección de un doctor, por favor llame a L.A. Care Health Plan al número de teléfono
1.888.839.9909 (TTY: 711).
Recuerde: asegúrese de escribir el nombre del doctor y número de identificación claramente en su forma de
inscripción.
23
Participating Specialty Care Physicians
Konikoff, Paul (M) NPI: 1033185657 CA State License Number: C39915 PCMH: N Board Certified: N Cultural Training: N
335 E Ave I Lancaster, CA 93535-3535 ☏Day and After Hours Phone:
(661) 471-4000 ⛍Y Office Hours: M-F: 8:00 AM - 4:30 PM; Sat, Sun: Closed Accepting New Patients: Y
Physician Languages: English,
Spanish
Hospital Affiliations: Antelope
Valley Hospital
C39915Z DHS - L.A. County
High Desert Regional Health
Center (Formally High Desert
Health System Macc)
Messerlian, Aram (M) NPI: 1891892121 CA State License Number: A56114 PCMH: N Board Certified: Y Cultural Training: N
335 E Ave I Lancaster, CA 93535-3535 ☏Day and After Hours Phone:
(661) 471-4000 ⛍Y Office Hours: M-F: 7:30 AM - 3:30 PM; Sat, Sun: Closed Accepting New Patients: Y
Physician Languages: English
Hospital Affiliations: Antelope
Valley Hospital
A56114Z DHS - L.A. County
High Desert Regional Health
Center (Formally High Desert
Health System Macc)
Nguyen, Thiendang (M) NPI: 1003056995 CA State License Number: A99080 PCMH: N Board Certified: Y Cultural Training: N
335 E Ave I Lancaster, CA 93535-3535 ☏Day and After Hours Phone:
(661) 471-4000 ⛍Y Office Hours: M-F: 8:00 AM - 4:00 PM; Sat, Sun: Closed Accepting New Patients: Y
Physician Languages: English
Hospital Affiliations: Antelope
Valley Hospital
A99080Z DHS - L.A. County
High Desert Regional Health
Center (Formally High Desert
Health System Macc)
Osibamiro-Sedun,Adebambo
(M)
NPI: 1114918026 CA State License Number: A64972 PCMH: N Board Certified: N Cultural Training: N
335 E Ave I Lancaster, CA 93535-3535 ☏Day and After Hours Phone:
(661) 471-4000 ⛍Y Office Hours: M, F: 8:00 AM 12:00 PM; Tu-Th: 8:00 AM - 5:00 PM; Sat, Sun: Closed Accepting New Patients: Y
Physician Languages: English
Hospital Affiliations: Antelope
Valley Hospital
A64972Z5 DHS - L.A. County
High Desert Regional Health
Center (Formally High Desert
Health System Macc)
Perdikis, George (M) NPI: 1336178128 CA State License Number: G59579 PCMH: N Board Certified: Y Cultural Training: N
1669 W Ave J Ste 308 Lancaster, CA 93534-3534 ☏Day and After Hours Phone:
(661) 940-5155 ⛍Y Office Hours: M-F: 8:00 AM - 4:00 PM; Sat, Sun: Closed Accepting New Patients: Y
Physician Languages: English
G59579Z Community Family Care
-
Anesthesiology Médicos Especialistas Participantes
L.A. Care Health Plan - Medi-Cal Provider Directory August 1, 2020
NPI= National Provider Identifier, PCMH= Patient Centered Medical Home, B=Wide Entry, W=Wheelchair
Access, E=Accessible Exam Rooms and Tables, L=Lifts, S= Scales, R=Bathrooms and Stall, GB=Grab Bars,
P=Parking, A=Waiting Area
To verify a doctor's address, call L.A. Care Health Plan at 1.888.839.9909 (TTY: 711).
Remember: Be sure to clearly print the doctor's name and I.D. number on your enrollment form.
Para verificar la dirección de un doctor, por favor llame a L.A. Care Health Plan al número de teléfono
1.888.839.9909 (TTY: 711).
Recuerde: asegúrese de escribir el nombre del doctor y número de identificación claramente en su forma de
inscripción.
24
Participating Specialty Care Physicians
Thiagarajah,
Chidamparanatha (M) NPI: 1982696944 CA State License Number: A33498 PCMH: N Board Certified: N Cultural Training: N
43839 15th St W Lancaster, CA 93534-3534 ☏Day and After Hours Phone:
(661) 945-5984 ⛍Y Office Hours: M-F: 8:00 AM - 5:00 AM; Sat, Sun: Closed Accepting New Patients: Y
Physician Languages: English,
Tamil Hospital Affiliations: Antelope
Valley Hospital A33498Z10 Sierra Medical Group
A33498Z11 LA Care Direct Network A33498Z7 High Desert Medical Group
A33498Z8 High Desert Medical Group
A33498Z9 Sierra Medical Group
Vo, Thuong (M)
NPI: 1760496574 CA State License Number: A104152 PCMH: N Board Certified: N Cultural Training: N
44215 15th St W Ste 203 Lancaster, CA 93534-3534 ☏Day and After Hours Phone:
(661) 726-6265 ⛍Y Office Hours: M-F: 8:00 AM - 6:00 PM; Sat, Sun: Closed Accepting New Patients: Y
Physician Languages: English,
Vietnamese Hospital Affiliations: Antelope
Valley Hospital
A104152Z4 Lakeside Medical Group
A104152Z5 Regal Medical Group
Williams, Freddie (M) NPI: 1255369450 CA State License Number: A53688 PCMH: N Board Certified: N Cultural Training: N
335 E Ave I Lancaster, CA 93535-3535 ☏Day and After Hours Phone:
(661) 471-4000 ⛍Y Office Hours: M, F: 8:00 AM 12:00 PM; Tu-Th: 8:00 AM - 5:00 PM; Sat, Sun: Closed Accepting New Patients: Y
Physician Languages: English
Hospital Affiliations: Antelope
Valley Hospital
A53688Z3 DHS - L.A. County High Desert Regional Health
Center (Formally High Desert
Health System Macc)
-
Anesthesiology Médicos Especialistas Participantes
L.A. Care Health Plan - Medi-Cal Provider Directory August 1, 2020
NPI= National Provider Identifier, PCMH= Patient Centered Medical Home, B=Wide Entry, W=Wheelchair
Access, E=Accessible Exam Rooms and Tables, L=Lifts, S= Scales, R=Bathrooms and Stall, GB=Grab Bars,
P=Parking, A=Waiting Area
To verify a doctor's address, call L.A. Care Health Plan at 1.888.839.9909 (TTY: 711).
Remember: Be sure to clearly print the doctor's name and I.D. number on your enrollment form.
Para verificar la dirección de un doctor, por favor llame a L.A. Care Health Plan al número de teléfono
1.888.839.9909 (TTY: 711).
Recuerde: asegúrese de escribir el nombre del doctor y número de identificación claramente en su forma de
inscripción.
25
Participating Specialty Care Physicians
LAWNDALE
Khoshsar, Rostam (M) NPI: 1336275007 CA State License Number: A88430 PCMH: N Board Certified: Y Cultural Training: N
15901 Hawthorne Blvd Ste 240 Lawndale, CA 90260-0260 ☏Day and After Hours Phone:
(424) 360-0066 ⛍N Office Hours: M-F: 8:00 AM - 6:00 PM; Sat, Sun: Closed Accepting New Patients: Y
Physician Languages: English
Hospital Affiliations: Providence
Little Company of Mary - Torrance A88430Z4 Axminster Medical Group
LONG BEACH
Alupay, Pedro (M) NPI: 1184614125 CA State License Number: A40750 PCMH: N Board Certified: N Cultural Training: N
5584 N Paramount Blvd Ste 100 Long Beach, CA 90805-0805 ☏Day and After Hours Phone:
(562) 920-8394 ⛍Y Office Hours: M-F: 8:00 AM - 6:00 PM; Sat, Sun: Closed Accepting New Patients: Y
Physician Languages: English,
Tagalog
Hospital Affiliations: Silver Lake
Medical Center A40750Z7 Exceptional Care
Medical Group
El-Khoury, George (M) NPI: 1215950829 CA State License Number: A40394 PCMH: N Board Certified: Y Cultural Training: N
2650 Elm Ave Ste 216 Long Beach, CA 90806-0806 ☏Day and After Hours Phone:
(562) 424-2900 ⛍Y Office Hours: M-F: 9:00 AM - 5:00 PM; Sat, Sun: Closed Accepting New Patients: Y
Physician Languages: Arabic
Hospital Affiliations: St. Mary Medical Center A40394Z Universal Care Medical Group
A40394Z21 Prospect Medical
Group Los Angeles, Inc.A40394Z24 Angeles IPA A40394Z25 LA Care Direct Network A40394Z26 LA Care Direct Network A40394Z28 Superior Choice
Medical Group
A40394Z29 Seaside Health Plan
Iqbal, Afzaal (M)
NPI: 1861782674 CA State License Number: A143130 PCMH: N Board Certified: Y Cultural Training: N
3620 Atlantic Ave Long Beach, CA 90807-0807 ☏Day and After Hours Phone:
(562) 595-0060 ⛍Y Office Hours: M-F: 8:00 AM - 4:00 PM; Sat, Sun: Closed Accepting New Patients: Y
Physician Languages: English
A143130Z2 Altamed Health Network Inc
-
Anesthesiology Médicos Especialistas Participantes
L.A. Care Health Plan - Medi-Cal Provider Directory August 1, 2020
NPI= National Provider Identifier, PCMH= Patient Centered Medical Home, B=Wide Entry, W=Wheelchair
Access, E=Accessible Exam Rooms and Tables, L=Lifts, S= Scal