large group network comparison guide

20
118227CABENABC Rev. 03/21 Large Group Network comparison guide for health maintenance organizations (HMOs) Use this convenient guide to help you easily see which medical groups and independent practice associations are part of these Anthem Blue Cross (Anthem) networks: CaliforniaCare, Select HMO, Priority Select HMO and Vivity. Effective as of January 1, 2021

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Network comparison guide for health maintenance organizations (HMOs)
Use this convenient guide to help you easily see which medical groups and independent practice associations are part of these Anthem Blue Cross (Anthem) networks: CaliforniaCare, Select HMO, Priority Select HMO and Vivity.
Effective as of January 1, 2021
Useful definitions PMG/IPA
independent practice association (IPA) is a group
of physicians organized as a legal entity that
provides services to HMO members.
Prime code
County
offers services. A medical group’s primary location
or headquarters may be based in one county with
satellite offices in other counties.
CaliforniaCare
of California.
Select HMO
demonstrating the most efficient
Priority Select HMO
demonstrating the most efficient practice patterns
and hospital referrals in these Southern California
counties: Los Angeles, Orange, Riverside,
San Bernardino and San Diego.
Vivity
Vivity is a first—of—its—kind joint venture in
Southern California. Top—ranked health systems
have come together with Anthem to create
a value—based care model that delivers a
seamless member experience with high—quality,
coordinated, and affordable care. Vivity offers
unique features that expand access and choice of
providers within Vivity’s network of PMGs/IPAs.
California counties
1
Prime code PMG/IPA name CaliforniaCare Select HMO Priority Select HMO Vivity
Alameda County
OXW Affinity Medical Group — Alameda region
OXQ Affinity Medical Group — Bay Valley region
2K9 Affinity Medical Group—South Bay
GUO Brown & Toland Physicians
OPB Hill Physicians Medical Group
0UC Hill Physicians Medical Group — San Francisco
G2L John Muir Physician Network
0JM John Muir Physician Network
OVA Sutter East Bay Medical Foundation/SEBMF — ALL other sites

Amador County
Butte County
OXY Affinity Medical Group — West County region
0PG Brown & Toland Physicians — East Bay
0PB Hill Physicians Medical Group
OJM John Muir Physician Network
OVA Sutter East Bay Medical Foundation/SEBMF — ALL other sites

Del Norte County
0KR Humboldt IPA
El Dorado County
Fresno County
0JH Dignity Health Medical Network Central CA IMG
AED Key Medical Group
OKQ Sante Community Physicians
2
Information is current as of January 1, 2021, and will be updated periodically. Provider group names may have changed. For the latest information, use Provider Finder at anthem.com/ca by selecting Find a Doctor/Find Care.
Prime code PMG/IPA name CaliforniaCare Select HMO Priority Select HMO Vivity
Humbolt County
Kern County
XJE DHMN—CC
ZOZ Hispanic Physicians IPA Kern
Kings County
OMT Alamitos IPA
OHL Allied Pacific of California IPA
OBG Altamed Medical Group — Pico Rivera, Slauson
OXG Angeles IPA
0SI Applecare Medical Group — St. Francis region
OQ1 Axminster Medical Group — Slauson
ACD Axminster Medical Group-Little Company
of Mary IPA — San Pedro
ACC Axminster Medical Group—Little Company
of Mary IPA — Torrance
OTS Centinela Valley IPA
OT7 Community Medical Group of the
West Valley/Canoga Park/West Hills
OZM Community Medical Group IPA
9QC Crown City Medical Group IPA
6V7 Daehan Prospect Medical Group, Inc.
3
Information is current as of January 1, 2021, and will be updated periodically. Provider group names may have changed. For the latest information, use Provider Finder at anthem.com/ca by selecting Find a Doctor/Find Care.
Prime code PMG/IPA name CaliforniaCare Select HMO Priority Select HMO Vivity
Los Angeles County (continued)
0RQ Facey Medical Foundation
OGE Family Care Specialists
OCS Good Samaritan Medical Practice Association
2RQ Greater Newport Physician/Long Beach Memorial
GVO Health Care LA IPA
ACG Heritage Sierra Medical Group
OEZ High Desert Medical Group
OBJ Hispanic Physician IPA LA
OGM Korean American Medical Group
0RS La Salle Medical Associates
ODR Lakeside Central Valley
1CP Lakeside North Valley
OYW Lakeside Verdugo Hills
OMR Lakewood IPA, Inc.
GWX MemorialCare Medical Group
0RK Noble Ama IPA Medical Group
K4U Nuestra Familia/Prospect Medical
EWH Optum — South Bay
M0H Optum — South Bay
M3H Optum — South Bay
M4H Optum — South Bay
4
Information is current as of January 1, 2021, and will be updated periodically. Provider group names may have changed. For the latest information, use Provider Finder at anthem.com/ca by selecting Find a Doctor/Find Care.
Prime code PMG/IPA name CaliforniaCare Select HMO Priority Select HMO Vivity
Los Angeles County (continued)
T2P Optum Care Network — Little Company of Mary
T2F Optum Care Network — Long Beach
0DF Optum Care Network — Northridge
69U Optum Care Network — SGV/Glen/Bev
0T2 Optum Member Services Admin
7KJ Optum East Admin
0AF PIH Health Physicians — Group
OXM PIH Health Physicians — IPA
OLK Pioneer Provider Network — Long Beach
OSE Pomona Valley Medical Group
ONF Premier Physician Network — Valley Division
0WD Primary Care Associates Medical Group
0GK PrimeCare Medical Group of Chino Valley, Inc.
ABK PrimeCare Medical Group of Citrus Valley
0TX PrimeCare Medical Group of Inland Valley, Inc.
0V3 Prospect Gateway Medical Group
0WY Prospect Genesis Healthcare
0PY Prospect Medical Group, Inc.
0DN Prospect NWOC Medical Group, Inc.
OJS Prospect Professional Care Medical Group, Inc.
GWR Providence Saint Johns Medical Foundation
1AB Prudent Medical Group, Inc.
OYP Regal — Glendale Physicians Alliance, Inc.
OYC Regal Medical Group
OU1 Seaside Health Plan
OYA Seoul Medical Group
OYK St. Mary IPA
0RD St. Jude Heritage Medical Group
OJI St. VIncent IPA Medical Corporation
OEG Torrance Memorial Independent Practice Association
W57 UCLA Entertainment Independent Medical Group
5
Information is current as of January 1, 2021, and will be updated periodically. Provider group names may have changed. For the latest information, use Provider Finder at anthem.com/ca by selecting Find a Doctor/Find Care.
6
Prime code PMG/IPA name CaliforniaCare Select HMO Priority Select HMO Vivity
Los Angeles County (continued)
OFQ UCLA Medical Group
0YH Upland Medical Group
Madera County
Marin County
0XK Sutter Pacific Medical Foundation/SMGR
0JZ Meritage Medical Network
Monterery County
Nevada County
Orange County
0MT Alamitos IPA
9QB Altamed Medical Group — Anaheim
6X7 Altamed Medical Group — Anaheim Lincoln West
6X6 Altamed Medical Group — Garden Grove
6YQ Altamed Medical Group — Orange
6X0 Altamed Medical Group — Santa Ana Bristol
6X8 Altamed Medical Group — Santa Ana Main
OYY AMVI Medical Group, Inc.
0XG Angeles IPA
*Available in CalPERS Select HMO Only.
Information is current as of January 1, 2021, and will be updated periodically. Provider group names may have changed. For the latest information, use Provider Finder at anthem.com/ca by selecting Find a Doctor/Find Care.
7
Prime code PMG/IPA name CaliforniaCare Select HMO Priority Select HMO Vivity
Orange County (continued)
7SI Brookshire IPA
0HA Eastland Medical Group, Inc.
ODJ Edinger Medical Group, IPA
OYR Family Choice Medical Group
XO8 Fountain Valley IPA
OZR Greater Newport Physicians
5KY Greater Newport Physicians/Saddleback Memorial
GVJ Healthcare Partners IIP — Little Company of Mary
0BJ Hispanic Physician IPA LA
Z64 Hoag Medical Group
9R7 Hoag Physician Partners
OV5 MemorialCare Costa Mesa
0MR Lakewood IPA, Inc.
V5M MemorialCare — Santa Ana
V5L MemorialCare Medical Group — Laguna Hills
K4T MemorialCare Medical Group — Tustin
AFN Mission Heritage Medical Group
OXL Mission Hospital Affiliated Physicians
OUW Monarch Healthcare Medical Group
QRK Noble AMA IPA Medical Group
Information is current as of January 1, 2021, and will be updated periodically. Provider group names may have changed. For the latest information, use Provider Finder at anthem.com/ca by selecting Find a Doctor/Find Care.
Prime code PMG/IPA name CaliforniaCare Select HMO Priority Select HMO Vivity
Orange County (continued)
ULU OPTUM —- Anaheim
OUL Optum — Harbor
0AF PIH Health Physicians — Group
0XM PIH Health Physicians — IPA
0LK Pioneer Provider Network — Long Beach
OV3 Prospect Gateway Medical Group
OWY Prospect Genesis Healthcare
ODN Prospect NWOC Medical Group, Inc.
0JS Prospect Professional Care Medical Group, Inc.
0YC Regal Medical Group
LJ8 RMG-NW Orange County
0U1 Seaside Health Plan
0YA Seoul Medical Group
1BG St. Joseph Heritage Medical Group Orange — Chapman
OWX St. Joseph Hospital Affiliated Physicians
0YK St. Mary IPA
ORD St. Jude Heritage Medical Group
ULY Talbert Medical Group/HCP-Cerritos
YVO UC Irvine — Orange
YVT UC Irvine — Tustin
YVS UCI University Physicians and Surgeons
Placer County
0MW UC Davis Medical Group
0WW Sutter Medical Group — Sacramento/Placer division
0XA Sutter Independent Physicians
0HN Beaver Medical Group, Banning
7FY Beaver Medical Group, Beaumont
Information is current as of January 1, 2021, and will be updated periodically. Provider group names may have changed. For the latest information, use Provider Finder at anthem.com/ca by selecting Find a Doctor/Find Care.
8
Prime code PMG/IPA name CaliforniaCare Select HMO Priority Select HMO Vivity
Riverside County (continued)
0GH Desert Oasis Healthcare
X6J Faculty Phys & Surg of Llusm-Moreno Valley Primary Care
X6F Faculty Phys & Surg of Llusm-Pediatrics-Moreno Valley
99R Graybill Medical Group
0BJ Hispanic Physician IPA LA
RSA La Salle Medical Assoc IPA - San Bernardino
K88 La Salle Medical Associates
0RS La Salle Medical Associates
0SY Lakeside Glendale
NLB Menifee Valley Community Medical Group
8VT Pediatrics & Adult Internal Medicine Loma Linda
Univ Hlth Care
0GK PrimeCare Medical Group of Chino Valley, Inc.
ABK PrimeCare Medical Group of Citrus Valley
0LJ PrimeCare Medical Group of Corona, Inc.
0TY PrimeCare Medical Group of Hemet Valley, Inc.
0NN PrimeCare Medical Group of Moreno Valley
0UA PrimeCare Medical Group of Redlands, Inc.
0LH PrimeCare Medical Group of Riverside, Inc.
0UG PrimeCare Medical Group of Sun City
0HY PrimeCare Medical Group of Temecula, Inc.
0SP Prospect Medical Group
ZM5 Rady Childrens Health Network
0YN Redlands Yucaipa Medical Group
0YC Regal Medical Group
0V9 Riverside Medical Clinic
V9F Riverside Medical Clinic-Corona
Z92 Riverside Medical Clinic-Eastvale
Information is current as of January 1, 2021, and will be updated periodically. Provider group names may have changed. For the latest information, use Provider Finder at anthem.com/ca by selecting Find a Doctor/Find Care.
9
Prime code PMG/IPA name CaliforniaCare Select HMO Priority Select HMO Vivity
Riverside County (continued)
YCG RM — Temecula
0YH Upland Medical Group
Sacramento County
OKY Mercy Medical Group
OXA Sutter Independent Physicians
OMW UC Davis Medical Group
San Benito County
San Bernardino County
K3E Beaver Medical Group
K3F Beaver Medical Group
0K3 Beaver Medical Group
K3C Beaver Medical Group, Cooley Ranch
K3D Beaver Medical Group, Highland
K3B Beaver Medical Group, Yucaipa
AFF BMG-Alliance Desert Physicans
Z1I Chaffey Medical Group-BMG
0DS Choice Medical Group
0GH Desert Oasis Healthcare
0HA Eastland Medical Group, Inc.
0MY Empire Physicians Medical Group
Information is current as of January 1, 2021, and will be updated periodically. Provider group names may have changed. For the latest information, use Provider Finder at anthem.com/ca by selecting Find a Doctor/Find Care.
10
Prime code PMG/IPA name CaliforniaCare Select HMO Priority Select HMO Vivity
San Bernardino County (continued)
X6E Faculty Physicians and Surgeons of Llusm-Pediatrics
K9S Heritage Victor Valley Medical Group
0BJ Hispanic Physician IPA LA
K88 La Salle Medical Associates
0RS La Salle Medical Associates
RSA La Salle Medical Associates IPA — San Bernardino
0RN Lake Arrowhead Network
0DR Lakeside Central Valley
X6H Loma Linda University Family Medical Group
0X6 Loma Linda University Health Care Administration
ECP Mercy Physicians Medical Group, Inc.
0SK My Family Medical Group
0FB Pinnacle Medical Group
0GK PrimeCare Medical Group of Chino Valley, Inc.
0LJ PrimeCare Medical Group of Corona, Inc.
0TX PrimeCare Medical Group of Inland Valley, Inc.
0NN PrimeCare Medical Group of Moreno Valley
0UA PrimeCare Medical Group of Redlands, Inc.
0LH PrimeCare Medical Group of Riverside, Inc.
ABJ PrimeCare Medical Group of San Bernardino
0HY PrimeCare Medical Group of Temecula, Inc.
0YN Redlands Yucaipa Medical Group
0YC Regal Medical Group
0YH Upland Medical Group
99R Graybill Medical Group
0TI Greater Tri Cities IPA
0RS La Salle Medical Associates
Information is current as of January 1, 2021, and will be updated periodically. Provider group names may have changed. For the latest information, use Provider Finder at anthem.com/ca by selecting Find a Doctor/Find Care.
11
Prime code PMG/IPA name CaliforniaCare Select HMO Priority Select HMO Vivity
San Diego County (continued)
ZM5 Rady Childrens Health Network
W9T Scripps Clinic La Jolla/Anderson
69S Scripps Clinic Medical Group — Del Mar
K77 Scripps Clinic Medical Group — Liberty Station
GQP Scripps Clinic Medical Group — Mission Valley #2
GQ2 Scripps Clinic Medical Group — Rancho San Diego #2
AAB Scripps Clinic Torrey Pines
ABB Scripps Coastal Medical Center — Encinitas #2
ABA Scripps Coastal Medical Center — Hillcrest
GQQ Scripps Coastal Medical Group — Encinitas #4
GQ3 Scripps Coastal Medical Group — Hillcrest #2
0ZN Scripps Physicians Medical Group
9QP Scripps Physicians Medical Group
LGT Sharp Community Medical Group
0HP Sharp Community Medical Group
Z42 Sharp Community Medical Group-Arch
24F Sharp Community Medical Group — Inland North
ZWM Sharp Rees-Stealy Medical Group, Del Mar
AWD Sharp Rees-Stealy Medical Group, Mira Mesa
AWF Sharp Rees-Stealy Medical Group, Point Loma
AWK Sharp Rees-Stealy Medical Group, San Diego
Y84 Simnsa - Sistemas Medicos Nacionales, S.A.
KEO UC San Diego Health — Eastlake
K4N UC San Diego Health — Encinitas
KEN UC San Diego Health — One Medical La Jolla
K27 UC San Diego Health Downtown
KF2 UC San Diego Health One Medical Downtown
X8V UCSD Physician Network-Primary Care
San Fransisco County
GUO Brown & Toland Physicians
0KC Brown & Toland Physicians
ZO6 Mills Peninsula Medical Group (MPMG)
Information is current as of January 1, 2021, and will be updated periodically. Provider group names may have changed. For the latest information, use Provider Finder at anthem.com/ca by selecting Find a Doctor/Find Care.
12
Prime code PMG/IPA name CaliforniaCare Select HMO Priority Select HMO Vivity
San Fransisco County (continued)
5PN Mills Peninsula Site
0XR San Francisco Network
San Joaquin County
0KJ AllCare IPA
0ZV Medcore Medical Group
San Luis Obispo County
0L5 Physicians Choice Medical group of Santa Maria
San Mateo County
2K9 Affinity Medical Group — South Bay
XAH Asian American Medical Group
GUO Brown & Toland Physicians
0KC Brown & Toland Physicians
ZO6 Mills Peninsula Medical Group (MPMG)
5PN Mills Peninsula Site
Santa Barbara County
DGA Children's Medical Clinic — Santa Barbara Select X0K Jackson Medical Group — Carpinteria X0H Jackson Medical Group — Goleta X0J Jackson Medical Group — Santa Barbara 0L5 Physicians Choice Medical Group of Santa Maria 0X0 Sansum Clinic — 215 Pesetas Lane 0X3 Sansum Clinic — 1225 North H St X0G Sansum Clinic — 1919 State St 0X2 Sansum Clinic — 4806 Carpinteria Ave
X0D Sansum Clinic —
0DG Santa Barbara Select IPA Medical Group Santa Clara County
2K9 Affinity Medical Group — South Bay
XAH Asian American Medical Group
0KN Palo Alto Medical Foundation
Information is current as of January 1, 2021, and will be updated periodically. Provider group names may have changed. For the latest information, use Provider Finder at anthem.com/ca by selecting Find a Doctor/Find Care.
13
Prime code PMG/IPA name CaliforniaCare Select HMO Priority Select HMO Vivity
Santa Clara County (continued)
0MM Santa Clara IPA
GVL Montage Medical Group*
2NH Palo Alto Foundation — Watsonville Site
2NK Palo Alto Foundation — Westside Site
Shasta County
0JM John Muir Physician Network
K8Y St. Joseph Health Medical Network — Sonoma
0KK Sutter Medical Group — Yolo division
1CF Sutter Medical Group — Solano division
Sonoma County
0XA Sutter Independent Physicians
Stanislaus County
0WF Sutter Gould Medical Foundation
Sutter County
Tehama County
1CL Coastal Communities Physician Network — Tulare
*Available in CalPERS Select HMO Only.
Information is current as of January 1, 2021, and will be updated periodically. Provider group names may have changed. For the latest information, use Provider Finder at anthem.com/ca by selecting Find a Doctor/Find Care.
14
Prime code PMG/IPA name CaliforniaCare Select HMO Priority Select HMO Vivity
Tulare County (continued)
Z5R Imperial County Physicians Medical Group, Inc.
AED Key Medical Group
0KQ Sante Community Physicians
0LZ Community Medical Group of Ventura County — Simi Valley
0HA Eastland Medical Group, Inc.
8VN Facey Medical Foundation, at Simi Valley
0DR Lakeside Central Valley
0YC Regal Medical Group
W6C UCLA EIMG Community
LNN UCLA Medical Group
0FQ UCLA Medical Group
Yolo County
0XA Sutter Independent Physicians
0MW UC Davis Medical Group
0KW Woodland Clinic Medical Group
Information is current as of January 1, 2021, and will be updated periodically. Provider group names may have changed. For the latest information, use Provider Finder at anthem.com/ca by selecting Find a Doctor/Find Care.
Thank you for your partnership We appreciate your hard work and value our relationship with you. If you have any questions, please contact your Anthem Sales representative.
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