member directory ahmc parkview community medical …

139
MEMBER DIRECTORY AHMC Parkview Community Medical Center 3865 Jackson Street Riverside, CA 92503 County: Riverside Phone: 951-688-2211 OSHPD Facility Code: 331293 CCS NICU Level: Community Region: (5) Southern Inland Counties HRIF Program Onsite: No Hospital Providing HRIF Program Services: Riverside County Regional NICU CONTACTS HRIF CONTACTS Report Contact Gabriela Ayala, MSN, RNC-NIC NICU Clinical Nurse Coordinator NICU 3865 Jackson Street Riverside, CA 92503 (951) 688-2211 x3470 [email protected] Data Contact 1 Gabriela Ayala, MSN, RNC-NIC NICU Clinical Nurse Coordinator (951) 688-2211 x3470 [email protected] Transport Contact 1 Gabriela Ayala, MSN, RNC-NIC NICU Clinical Nurse Coordinator (951) 688-2211 x3470 [email protected] Quality Improvement 1 Thomas Santos, Chief of Quality 951-688-2211 [email protected] Admin Bill Alvarenga Interim CFO (951) 688-2211 x3261 [email protected] Neonatologist Daniel Saesim MD NICU Medical Director 951-352-5490 [email protected] Data Contact 2 Jennifer Ayala Director Maternal/Child Services (951) 688-2211 x2229 [email protected] Transport Contact 2 Sneha Taylor MD (951) 688-2211 ext2470 [email protected] Quality Improvement 2 Julie Curtis Chief Nusing Officer (951) 688-2211 [email protected] Contract Signer Douglas L. Drumwright Chief Executive Officer 951-352-5400 Coordinator Clinic Contact 1 Clinic Contact 3 NICU Discharge Contact Gabriela Ayala, MSN, RNC-NIC NICU/Pediatrics Clinical Nurse Specialist (951) 688-2211 [email protected] NICU Contact 2 Irma Merlan Case Manager (951) 688-2211 [email protected] Medical Director Clinic Contact 2 Clinic Contact 4 NICU Contact 1 Claudia Haro Case Manager (951) 688-2211 [email protected] NICU Contacts Last Updated By: Jennifer Ayala HRIF Contacts Last Updated By: Jennifer Ayala Last Modified Date: January 14, 2021 09:15am Download Date: November 5, 2021 09:13pm

Upload: others

Post on 06-Nov-2021

10 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

AHMC Parkview Community Medical Center3865 Jackson StreetRiverside, CA 92503

County: RiversidePhone: 951-688-2211

OSHPD Facility Code: 331293CCS NICU Level: Community

Region: (5) Southern Inland Counties

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

Riverside County Regional

NICU CONTACTS HRIF CONTACTS

Report Contact

Gabriela Ayala, MSN, RNC-NIC NICU Clinical Nurse Coordinator NICU 3865 Jackson Street Riverside, CA 92503 (951) 688-2211 x3470 [email protected]

Data Contact 1

Gabriela Ayala, MSN, RNC-NIC NICU Clinical Nurse Coordinator (951) 688-2211 x3470 [email protected]

Transport Contact 1

Gabriela Ayala, MSN, RNC-NIC NICU Clinical Nurse Coordinator (951) 688-2211 x3470 [email protected]

Quality Improvement 1

Thomas Santos, Chief of Quality 951-688-2211 [email protected]

Admin

Bill Alvarenga Interim CFO (951) 688-2211 x3261 [email protected]

Neonatologist

Daniel Saesim MD NICU Medical Director 951-352-5490 [email protected]

Data Contact 2

Jennifer Ayala Director Maternal/Child Services (951) 688-2211 x2229 [email protected]

Transport Contact 2

Sneha Taylor MD (951) 688-2211 ext2470 [email protected]

Quality Improvement 2

Julie Curtis Chief Nusing Officer (951) 688-2211 [email protected]

Contract Signer

Douglas L. Drumwright Chief Executive Officer 951-352-5400

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

Gabriela Ayala, MSN, RNC-NIC NICU/Pediatrics Clinical NurseSpecialist (951) 688-2211 [email protected]

NICU Contact 2

Irma Merlan Case Manager (951) 688-2211 [email protected]

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

Claudia Haro Case Manager (951) 688-2211 [email protected]

NICU Contacts Last Updated By: Jennifer Ayala HRIF Contacts Last Updated By: Jennifer AyalaLast Modified Date: January 14, 2021 09:15am Download Date: November 5, 2021 09:13pm

Page 2: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Adventist Health Bakersfield2615 Chester A venueBakersfield, CA 93301

County: KernPhone: (661) 395-3000

OSHPD Facility Code: 150788CCS NICU Level: NonCCS

Region: (3) San Joaquin-Central Valley-Sierra Nevada

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Magdee Hugais Quality Manager Organizational Performance 2615 Chester Avenue Bakersfield, CA 93301 (661) 637-8823 [email protected]

Data Contact 1

Kim Ince Quality (661) 637-8821 [email protected]

Transport Contact 1

Quality Improvement 1

Caroline Gardiner Maternal Child Director (661) 869-6439 [email protected]

Admin

Vadenhoven Adm Dir of Accounting & Finance (661) 869-6889 [email protected]

Neonatologist

Sudhir Patel Neonatologist (661) 395-3000 [email protected]

Data Contact 2

Kelly Zielsdorf NICU Manager (661) 869-6436 [email protected]

Transport Contact 2

Quality Improvement 2

Magdee Hugais Quality Manager (661) 637-8823 [email protected]

Contract Signer

Michael Lukens VP CFO (661) 395-3000 [email protected]

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Magdee Hugais HRIF Contacts Last Updated By: Last Modified Date: January 15, 2021 11:33am Download Date: November 5, 2021 09:13pm

Page 3: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Adventist Health Glendale1509 Wilson TerraceGlendale, CA 91206County: Los Angeles

Phone: (818) 409-8000

OSHPD Facility Code: 190323CCS NICU Level: Community

Region: (6) Central-North LA-Coastal Valley

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Randy Miller Nurse Manager NICU 1509 Wilson Terrace Glendale, CA 91206 818-409-8468 [email protected]

Data Contact 1

Randy Miller Nurse Manager 818-409-8468 [email protected]

Transport Contact 1

Randy Miller, RN MSN RN MSN Nurse Manager 818-409-8468 [email protected]

Quality Improvement 1

Randy Miller Nurse Manager 818-409-8247 [email protected]

Admin

Grace H. Kwasman, BSN, RNC-OB,C-EFM, MBA-HCA Director, Women's Services (818) 409-8243 [email protected]

Neonatologist

Bina Patel, MD Medical Director 818-409-8247 [email protected]

Data Contact 2

Karen Schroeder Occupational Therapist 818-409-8069 [email protected]

Transport Contact 2

Randy Miller Nurse Manager 818-409-8468 [email protected]

Quality Improvement 2

Dana Menedez, RN CNS Nurse Educator (818) 409-8448 [email protected]

Contract Signer

Lynda C. Alexander Director 818-409-8243 or 818-409-8325

Coordinator

Karen Schroeder, OTD, OTRIL,SWC 1509 Wilson Terrace NICU/HRIF Glendale, CA 91206 Ph: (818) 409-8069 Fax (secure): (818) 863-4916 [email protected]

Clinic Contact 1

Meg Nicholson, PT HRIF PT (818) 409-8069 [email protected]

Clinic Contact 3

NICU Discharge Contact

Randy Miller, RN, MSN Nurse Manager 818-409-8968 [email protected]

NICU Contact 2

Medical Director

Clinic Contact 2

Barbara Jonkey, PT HRIF PT 818-409-8069 [email protected]

Clinic Contact 4

Teny Ghazarian Clerical Assistant HIgh Risk Infant 818.409.8071 [email protected]

NICU Contact 1

NICU Contacts Last Updated By: Randy Miller HRIF Contacts Last Updated By: Karen Schroeder Last Modified Date: January 11, 2021 02:59pm Download Date: November 5, 2021 09:13pm

Page 4: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Adventist Health Ukiah Valley275 Hospital DriveUkiah, CA 95482

County: MendocinoPhone: (707) 463-7692

OSHPD Facility Code: 231396CCS NICU Level: NonCCS

Region: (1) North Coast East Bay

HRIF Program Onsite: Non CCSHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Ginger Bazzani Quality Analyst Quality Analyst 495 East Perkins St. Ukiah, CA 95482 (707) 467-5294 [email protected]

Data Contact 1

Ginger Bazzani Quality Analyst (707) 467-5294 [email protected]

Transport Contact 1

Taff Chenoweth Director of OB (707) 463-7551 [email protected]

Quality Improvement 1

Admin

Ginger Bazzani Quality Analyst (707) 467-5294 [email protected]

Neonatologist

Jill Bartolomie Director of OB (707) 463-7551 [email protected]

Data Contact 2

Taff Cheneweth Manager of OB (707) 463-7551 [email protected]

Transport Contact 2

Quality Improvement 2

Contract Signer

Judson Howe Finance Officer (707) 463-7692 [email protected]

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Ginger Bazzani HRIF Contacts Last Updated By: Last Modified Date: February 2, 2021 11:47am Download Date: November 5, 2021 09:13pm

Page 5: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Adventist Health White Memorial1720 E. Cesar E. ChavezLos Angeles, CA 90033

County: Los AngelesPhone: 323-268-5000

OSHPD Facility Code: 190878CCS NICU Level: Community

Region: (7) LA-San Gabriel-Inland Orange

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

LAC/USC Medical Center

NICU CONTACTS HRIF CONTACTS

Report Contact

Natasha Ocean Change Facilitator Process Improvement 1720 E. Cesar E. Chavez Los Angeles, CA 90033 (323) 268-5000 x3411 [email protected]

Data Contact 1

Jacqueline Hernandez Supervisor - NICU (323) 268-5000 x2116 [email protected]

Transport Contact 1

Quality Improvement 1

Carlos Munoz Director, OrganizationalPerformance (323) 268-5000 x1259 [email protected]

Admin

LuWanda Paggett, RN, MSN Director of Women's and Children'sServices 323-881-8828 [email protected]

Neonatologist

Soha Idriss, MD Medical Director (323) 268-5000 x1360 [email protected]

Data Contact 2

Transport Contact 2

Quality Improvement 2

Mara Bryant Sr. VP/COO (323) 268-5000 x1590 [email protected]

Contract Signer

Mara Bryant Sr. VP/COO (323) 268-5000 x1590 [email protected]

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

Jacqueline Hernandez NICU RN Supervisor (323) 268-5000 ext2116 [email protected]

NICU Contacts Last Updated By: Aileen Takeshita HRIF Contacts Last Updated By: HRIF SupportLast Modified Date: June 23, 2021 11:59am Download Date: November 5, 2021 09:13pm

Page 6: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Adventist Health and Rideout726 4th Street

Marysville, CA 95901County: Yuba

Phone: (530) 751-4105

OSHPD Facility Code: 580996CCS NICU Level: NonCCS

Region: (3) San Joaquin-Central Valley-Sierra Nevada

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Krista Minton Perinatal Director Perinatal 726 4th Street Marysville, CA 95901 (530) 751-4105 [email protected]

Data Contact 1

Jim Reese Associate Financial Analyst (530) 740-1945 [email protected]

Transport Contact 1

Deepika Sankaran Associate Physician Diplomate,Neonatology (916) 734-8672 [email protected]

Quality Improvement 1

Katherine Sisco Quality Performance Specialist -Perinatal (530) 635-3884 [email protected]

Admin

Krista Minton Perinatal Director (530) 751-4105 [email protected]

Neonatologist

Deepika Sankaran NICU Director (530) 751-4112 [email protected]

Data Contact 2

Katherine Sisco Quality Performance Specialist -Perinatal (530) 635-3884 [email protected]

Transport Contact 2

Erica Kroner NICU Ass. Nurse Manager/NICUTransport Coord. (916) 887-0780 [email protected]

Quality Improvement 2

Contract Signer

Richard L. Rawson President (530) 751-4242 [email protected]

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Fulani Davis (CPQCC) HRIF Contacts Last Updated By: Last Modified Date: March 11, 2021 10:02am Download Date: November 5, 2021 09:13pm

Page 7: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Alta Bates Summit Medical Center3011 Telegraph AveBerkeley, CA 94705

County: AlamedaPhone: 510-204-1648

OSHPD Facility Code: 010739CCS NICU Level: Community

Region: (1) North Coast East Bay

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Lotte Korshol, RNC Newborn Intensive Care Unit 2450 Ashby Ave, 4th Floor NICU Berkeley, CA 94705 510-204-1319 [email protected]

Data Contact 1

Lotte Korsholnm RNC 510-204-1319 [email protected]

Transport Contact 1

Monica Wilcox RNC 510-204-1319 [email protected]

Quality Improvement 1

Jeff Merrill Medical Director (510) 204-5315 [email protected]

Admin

Belinda Krstic Manager (510) 204-2775 [email protected]

Neonatologist

Jeff Merrill medical director 510-204-3969 [email protected]

Data Contact 2

Monica Wilcox, RN ABSMC RN, RNC 510-204-1319 [email protected]

Transport Contact 2

Lotte Korsholm, RN RNC (510) 204-1319 [email protected]

Quality Improvement 2

Alison Brooks, RN, CNS Clinical Nurse Specialist 510-204-5315 [email protected]

Contract Signer

Amarjit Singh Sandhu Medical Director 510-204-1626

Coordinator

Tali Pinkham, RN, PHN HRIF Coordinator 3011 Telegraph Ave Infant Follow-up Clinic Berkeley, CA 94705 Ph: 510-204-4379 [email protected]

Clinic Contact 1

Nieves Feied, RN HRIF Coordinator 510-204-4379 [email protected]

Clinic Contact 3

Veronica Daly, MD Developmental Pediatrician (510) 204-4379 [email protected]

NICU Discharge Contact

Belinda Krstic NICU Manager 510-204-2775 [email protected]

NICU Contact 2

Medical Director

James Anderson, MD HRIF Medical Director 510-204-4379 [email protected]

Clinic Contact 2

Marcia Gatson Administrative Assistant 510-204-4379 [email protected]

Clinic Contact 4

NICU Contact 1

Jeff Merrill NICU Medical Director (510) 204-1626 [email protected]

NICU Contacts Last Updated By: Lotte Korsholm HRIF Contacts Last Updated By: Tali Pinkham RNLast Modified Date: July 20, 2021 03:30pm Download Date: November 5, 2021 09:13pm

Page 8: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Anaheim Regional Medical Center1111 W. La Palma Avenue

Anaheim, CA 92801County: Orange

Phone: 714-774-1450

OSHPD Facility Code: 301098CCS NICU Level: Community

Region: (7) LA-San Gabriel-Inland Orange

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

Children's Hospital of Orange County (CHOC)

NICU CONTACTS HRIF CONTACTS

Report Contact

Christy Ray, RN CSM NICU 1111 W. La Palma Ave. Anaheim, CA 92801 (714) 999-3150 [email protected]

Data Contact 1

Christy Ray, RN CSM (714) 999-3150 [email protected]

Transport Contact 1

Christy Ray CSM (714) 999-3144 [email protected]

Quality Improvement 1

Lourdes Malunes, RN CSM 714-999-3144 [email protected]

Admin

Jean Schade Dept. Manager (714) 999-3144 [email protected]

Neonatologist

David Tio, MD Medical Staff 714-999-3150 [email protected]

Data Contact 2

Jean Schade Department Manager (714) 999-3144 [email protected]

Transport Contact 2

Christy Ray CSM (714) 999-3150 [email protected]

Quality Improvement 2

Contract Signer

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

Grace Cedano Discharge Case Manager 714-999-6181 [email protected]

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Angela Woolley, CSM HRIF Contacts Last Updated By: HRIF SupportLast Modified Date: June 7, 2021 02:52am Download Date: November 5, 2021 09:13pm

Page 9: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Anderson Lucchetti Women's and Children's Center (Sutter Memorial)2825 Capitol Avenue

Sacramento, CA 95816County: Sacramento

Phone: (916) 887-0000

OSHPD Facility Code: 341051CCS NICU Level: RegionalRegion: (2) Northeastern

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Amy Johnson, RN Clinical Data Coordinator Women's & Children's Administration 2825 Capitol Avenue Sacramento , CA 95816-6022 (916) 887-4562 [email protected]

Data Contact 1

Amy Johnson, RN Clinical Data Coordinator (916) 887-4562 [email protected]

Transport Contact 1

Amy Johnson, RN Clinical Data Coordinator (916) 887-4562 [email protected]

Quality Improvement 1

Jeanne Wilkins, RN, MS, CNS,NNP-BC Neonatal CNS (916) 887-0780 [email protected]

Admin

Christina Walsh, MHA, BSN, RN NICU Nurse Director (916) 887-0780 [email protected]

Neonatologist

Gustavo Sosa, MD NICU Medical Director (916) 887-0104 [email protected]

Data Contact 2

Transport Contact 2

Erica Kroner, MHA, BSN, RN, RNC Clinical Nurse Mgr/TransportCoordinator (916) 887-0780 [email protected]

Quality Improvement 2

Contract Signer

Coordinator

Teresa Androvich, PNP HRIF Coordinator 1625 Stockton Blvd Suite 112 Sacramento, CA 95816 Ph: (916) 887-4862 [email protected]

Clinic Contact 1

Samantha Lindquist Clerical Support (916) 887-4862 [email protected]

Clinic Contact 3

Teresa Rodriguez-Wargo, PNP RN PNP (916) 887-4836 [email protected]

NICU Discharge Contact

Case Manager Specialist (916) 887-1490

NICU Contact 2

Lisa Roberts Case Manager, Sutter Roseville (916) 781-1059 [email protected]

Medical Director

Gayatri Mahajan, MD HRIF Medical Director (916) 887-4837 [email protected]

Clinic Contact 2

Teresa Androvich per diem RN PNP (916) 887-4862 [email protected]

Clinic Contact 4

Kathern Kendall-Chapman Clerical Support (916) 887-4859 [email protected]

NICU Contact 1

Amy Johnson, RN Clinical Data Coordinator 916-733-0924 x12851 [email protected]

NICU Contacts Last Updated By: Amy Johnson HRIF Contacts Last Updated By: Teresa Androvich RN PNPLast Modified Date: January 25, 2021 11:36am Download Date: November 5, 2021 09:13pm

Page 10: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Antelope Valley Hospital1600 West Avenue J.Lancaster, CA 93534County: Los AngelesPhone: 661-949-5000

OSHPD Facility Code: 190034CCS NICU Level: Community

Region: (6) Central-North LA-Coastal Valley

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

Cedars-Sinai Medical Center

NICU CONTACTS HRIF CONTACTS

Report Contact

Jean Cummings RNC, MSN NICU Nursing Director NICU 1600 West Ave. J Lancaster, CA 93536 661-949-5386 [email protected]

Data Contact 1

Michelle Yurek Charge RN/Data contact 661-949-5373 [email protected]

Transport Contact 1

Michelle Yurek Data Contact/Charge RN 661-949-5373 [email protected]

Quality Improvement 1

Tricia Briones, RNC Assistant director/Interim Educator 661-949-5373 [email protected]

Admin

Jean Cummings, RNC MSN Nursing Director NICU and PEDS (661) 949-5386 [email protected]

Neonatologist

Murugesa Thangavel, MD Medical Director 661-949-5373 [email protected]

Data Contact 2

Monica Arceneaux Charge RN/ Data contact 661-949-5373 [email protected]

Transport Contact 2

Monica Arceneaux Data Contact/Charge RN 661-949-5373 [email protected]

Quality Improvement 2

Jean Cummings, RNC MSN Unit Director 661-949-5373 [email protected]

Contract Signer

Edward Mirzabegian CEO

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

Connie Cacanindin, RNC-NIC, MA NICU Discharge Coordinator 661-949-5373 x5651 [email protected]

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

Jean Cummings, RNC-NIC NICU Manager 661-949-5386 [email protected]

NICU Contacts Last Updated By: Michelle Yurek HRIF Contacts Last Updated By: HRIF SupportLast Modified Date: January 22, 2021 04:19am Download Date: November 5, 2021 09:13pm

Page 11: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Arrowhead Regional Medical Center400 North Pepper Avenue

Colton, CA 92324County: San BernardinoPhone: 909-580-1000

OSHPD Facility Code: 364231CCS NICU Level: Community

Region: (5) Southern Inland Counties

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Sheryl Wooldridge Clinical Director MCH 400 N Pepper Avenue Colton, CA 92324 (909) 580-3444 [email protected]

Data Contact 1

Joy Jalalon , RN Data Contact (909) 580-3425 [email protected]

Transport Contact 1

Aida Rodriguez, CNS Clinical Nurse Specialist 909-580-3446 [email protected]

Quality Improvement 1

Rebecca Garlinger, RNC, MSN Director Maternal Child Services 909-580-3419 [email protected]

Admin

Rebecca Garlinger Interim Unit Manager NICU (909) 580-3444 [email protected]

Neonatologist

Armea Botros Medical Director 909-580-6380 [email protected]

Data Contact 2

Aida Rodriguez, CNS Clinical Nurse Specialist 909-580-3446 [email protected]

Transport Contact 2

Joy Jalalon , RN Registered Nurse (909) 580-3425 [email protected]

Quality Improvement 2

Janneth Cortes Assistant Unit Manager II (909) 580-3445 [email protected]

Contract Signer

Paul Biane Chairman, Board of Supervisors 909-580-6180

Coordinator

Stephanie E. Lewis, MN, CPNP HRIF Program Coordinator 400 N. Pepper Ave HRIF Program Colton, CA 92324 Ph: 909-580-6380 [email protected]

Clinic Contact 1

Alyssa Rae Prodigalidad Pediatric Specialty Clinics Nurse 909-580-2510 [email protected]

Clinic Contact 3

Erin LaGreca, DPT Physical Therapist 909-580-1100 [email protected]

NICU Discharge Contact

Lidany Novoa Discharge Planner (909) 580-3356 [email protected]

NICU Contact 2

Medical Director

Armea Botros, MD NICU/HRIF Medical Director 909-580-6380 [email protected]

Clinic Contact 2

Mary Hebert Clinical Social Wokrer (909) 580-1080 [email protected]

Clinic Contact 4

Sarah Weber, RD Registered Dietician (909) 580-0030 [email protected]

NICU Contact 1

Lidany Novoa Discharge Planner (909) 580-3356 [email protected]

NICU Contacts Last Updated By: Janneth Cortes HRIF Contacts Last Updated By: Stephanie E. Lewis, CPNPLast Modified Date: September 16, 2021 11:17am Download Date: November 5, 2021 09:13pm

Page 12: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Asante Rogue Regional Medical Center2825 East Barnett Road

Medford, OR 97504County: Jackson

Phone: 541-608-4900

OSHPD Facility Code: 600001CCS NICU Level: Community

Region: (1) North Coast East Bay

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Patricia Jett, MD NICU - Neonatology Office 2825 E. Barnett Rd. Medford, OR 97504 541-789-4233 [email protected]

Data Contact 1

Lisa Oshiro 541-789-4233 [email protected]

Transport Contact 1

Barbara Herzog Taft 541-789-5976 [email protected]

Quality Improvement 1

Barbara Herzog Taft 541-789-5976 [email protected]

Admin

Jodi Bostwick Clinical Manager 541-789-3765 [email protected]

Neonatologist

Patricia Jett, MD 541-789-4233 [email protected]

Data Contact 2

Transport Contact 2

Quality Improvement 2

Contract Signer

Mark Folger Executive VP 541-789-5073

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: FD HRIF Contacts Last Updated By: Last Modified Date: November 29, 2018 01:53pm Download Date: November 5, 2021 09:13pm

Page 13: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Bakersfield Memorial Hospital420 34th Street

Bakersfield, CA 93301County: Kern

Phone: 661-327-4647

OSHPD Facility Code: 150722CCS NICU Level: Community

Region: (3) San Joaquin-Central Valley-Sierra Nevada

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

Kern Medical Center, UCLA

NICU CONTACTS HRIF CONTACTS

Report Contact

Brandy Johnson Director of Quality Quality Management 420 34th Street Bakersfield, CA 93301 (661) 541-0507 [email protected]

Data Contact 1

Beth Berry CPQCC Coordinator/Data (661) 541-0722 [email protected]

Transport Contact 1

Beth Berry, RN CPQCC/ Cpets data coordinator (661) 541-0721 [email protected]

Quality Improvement 1

Donna Jensen CNS (661) 541-0751 [email protected]

Admin

AP Invoicing (916) 851-2150 [email protected]

Neonatologist

Sudhir Patel NICU Medical Director (661) 541-0357 [email protected]

Data Contact 2

Bettina Kinsman NICU Interim Manager (661) 541-0721 [email protected]

Transport Contact 2

Bettina Kinsman, RN Transport coordinator (661) 541-0721 [email protected]

Quality Improvement 2

Beth Berry CPQCC Coordinator (661) 541-0722 [email protected]

Contract Signer

Janet Holdych Vice President, Quality

Coordinator

Madhu Bhogal MD NICU Medical Director and HRIFCoordinator 420 34th Street Bakersfield, CA 93304 Ph: (661) 541-0739

[email protected]

Clinic Contact 1

Beth Berry CPQCC & HRIF data coordinator (661) 541-0722 [email protected]

Clinic Contact 3

Bettina Kinsman Manager NICU and HRIF (661) 541-0721 [email protected]

NICU Discharge Contact

Beth Berry, RN CPQCC Coordinator/Data (661) 541-0722 [email protected]

NICU Contact 2

Medical Director

Madhu Bhogal, MD NICU Medical Director (661) 541-0739 [email protected]

Clinic Contact 2

Alisha Chairez HRIF Dept. secretary (661) 541-0777 [email protected]

Clinic Contact 4

NICU Contact 1

Joy Broder RN (661) 541-0073 [email protected]

NICU Contacts Last Updated By: Beth Berry HRIF Contacts Last Updated By: Beth BerryLast Modified Date: April 26, 2021 09:17am Download Date: November 5, 2021 09:13pm

Page 14: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

CHOC Children's Hospital1201 West La VetaOrange, CA 92868

County: OrangePhone: 714-997-3000

OSHPD Facility Code: 300032CCS NICU Level: Regional

Region: (7) LA-San Gabriel-Inland Orange

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Beverly Walti Clinical Nurse Specialist NICU 1201 W. La Veta Ave. Orange , CA 92868 (714) 509-4719 [email protected]

Data Contact 1

Ken Schubbert B.S.N. R.N.C. (714) 509-8540 [email protected]

Transport Contact 1

Ken Schubbert B.S.N. R.N.C. (714) 509-8540 [email protected]

Quality Improvement 1

Beverly Walti, RN, MSN C.N.S. (714) 509-4719 [email protected]

Admin

Jennie Sierra NICU Director (714) 509-4973 [email protected]

Neonatologist

Irfan Ahmad M.D. (714) 509-4373 [email protected]

Data Contact 2

Sudeep Kukreja, MD M.D. (714) 509-3096 [email protected]

Transport Contact 2

Reena Blackwell NICU Nurse Manager (714) 509-9392 [email protected]

Quality Improvement 2

Jennie Sierra NICU Director (714) 509-4973 [email protected]

Contract Signer

Janella Parucha

Coordinator

Ingrid Budd HRIF Coordinator/Social Worker 1201 W. LaVeta Ave. Orange, CA 92868 Ph: (714) 509-7896

[email protected]

Clinic Contact 1

Sally Johnson HRIF Coordinator (714) 509-4045 [email protected]

Clinic Contact 3

Tinoosh Eftekharian Manager of Specialty Clinics (714) 509-7680 [email protected]

NICU Discharge Contact

Tammy Yoon Case Manager, NICU (714) 509-8428 [email protected]

NICU Contact 2

Kushal Bhakta MD Neonatologist (714) 509-4373 [email protected]

Medical Director

Dilip Patel, MD HRIF Med Director 714-509-4373 [email protected]

Clinic Contact 2

Cheryl Arrieta HRIF Coordinator (714) 509-4019 [email protected]

Clinic Contact 4

Kassandra Pineda Case Manager Assistant [email protected]

NICU Contact 1

Erin Duggan Case Manager, NICU (714) 509-7816 [email protected]

NICU Contacts Last Updated By: Ken Schubbert HRIF Contacts Last Updated By: Ingrid BuddLast Modified Date: September 24, 2021 11:28am Download Date: November 5, 2021 09:13pm

Page 15: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

CHOC Children's at Mission Hospital27700 Medical Center Road

Mission Viejo, CA 92691County: Orange

Phone: 949-364-1400

OSHPD Facility Code: 304113CCS NICU Level: Community

Region: (7) LA-San Gabriel-Inland Orange

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

CHOC

NICU CONTACTS HRIF CONTACTS

Report Contact

Liz Drake NICU Clinical Nurse Specialist NICU 27700 Medical Center Rd. Mission Viejo, CA 92691 949-364-4863 [email protected]

Data Contact 1

Liz Drake NICU Clinical Nurse Speciaist 949-364-4863 [email protected]

Transport Contact 1

Quality Improvement 1

Liz Drake CNS 949-364-4863 [email protected]

Admin

Eva Esmaeili NICU Manager (949) 365-2262 [email protected]

Neonatologist

Stephen Hanten Medical Director/ NICU 949-365-2417 [email protected]

Data Contact 2

Taylor Parsons NICU Discharge Coordinator 949-365-2417 [email protected]

Transport Contact 2

Quality Improvement 2

Contract Signer

Marcia Folli VP & Chief Nursing Officer 949-365-2408

Coordinator

[email protected]

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

Taylor Parsons, RN NICU Discharge Coordinator/NHSPCoordinator (949) 364-1400 x4625 [email protected]

NICU Contact 2

Brook Bray NICU RN (949) 365-2417 [email protected]

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

Liz Drake, RN, CNS, NICU NICU CNS (949) 364-4863 [email protected]

NICU Contacts Last Updated By: Liz Drake HRIF Contacts Last Updated By: Liz DrakeLast Modified Date: January 15, 2021 10:43am Download Date: November 5, 2021 09:13pm

Page 16: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

California Hospital Medical Center - Los Angeles1401 S. Grand Ave.

Los Angeles, CA 90015County: Los AngelesPhone: 213-748-2411

OSHPD Facility Code: 190125CCS NICU Level: Community

Region: (7) LA-San Gabriel-Inland Orange

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

LAC/USC

NICU CONTACTS HRIF CONTACTS

Report Contact

Tony Marcelli NICU Director NICU 1401 S. Grand Ave. Los Angeles, CA 90015 213-742-5756 [email protected]

Data Contact 1

Stacy Johnson, RN CNS 213-742-5614 [email protected]

Transport Contact 1

Stacy Johnson, RN CNS 213-742-5614 [email protected]

Quality Improvement 1

Cindy Urbina NICU Manager (213) 742-5939 [email protected]

Admin

AP Invoicing (916) 851-2150 [email protected]

Neonatologist

Dr. Suha Newhide Medical Director 213-742-5716 [email protected]

Data Contact 2

Cindy Urbina NICU Manager (213) 742-5939 [email protected]

Transport Contact 2

Trixie Lim Staff Nurse (213) 742-5716 [email protected]

Quality Improvement 2

Stacy Johnson Clinical Nurse Specialist (213) 742-5939 [email protected]

Contract Signer

Janet Holdych Vice President, Quality

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

Ann Marie Uy-Pinkney Case Manger 213-742-6104 [email protected]

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

Stacy Johnson, RN 213-742-5614 [email protected]

NICU Contact 1

Kate Howard, RN NICU Supervisor 213.742.5939 [email protected]

NICU Contacts Last Updated By: Stacy Johnson HRIF Contacts Last Updated By: HRIF SupportLast Modified Date: January 6, 2021 11:30am Download Date: November 5, 2021 09:13pm

Page 17: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

California Pacific Medical Center Van Ness Campus1101 Van Ness Ave

San Francisco, CA 94109County: San FranciscoPhone: 415-600-6000

OSHPD Facility Code: 384176CCS NICU Level: Regional

Region: (1) North Coast East Bay

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Sonia Alleyne Director Women & Children Services 1101 Van Ness Ave San Francisco, CA 94109 (415) 600-2722 [email protected]

Data Contact 1

Rouquet, Mathilde RN Supervisor (415) 600-2270 [email protected]

Transport Contact 1

Marika Wright Pediatric Transport (415) 600-6227 [email protected]

Quality Improvement 1

Delene Richburg, MD Neonatologist (650) 804-1398 [email protected]

Admin

Sonia Alleyne Director of Women's Services (415) 600-2722 [email protected]

Neonatologist

Jane S. Lee, MD Medical Director of NICU (917) 553-9050 [email protected]

Data Contact 2

Terri Slagle Neonatologist (415) 990-2200 [email protected]

Transport Contact 2

Nancy Chorne, MD Neonatology (415) 600-6211 [email protected]

Quality Improvement 2

Lauren Blair Supervisor (925) 487-6244 [email protected]

Contract Signer

Grant Davies Senior VP 415-600-3790

Coordinator

Stephanie L. Collins, LCSW HRIF Coordinator 1625 Van Ness Avenue 3rd floor San Francisco, CA 94109 Ph: (415) 600-6272

[email protected]

Clinic Contact 1

Carolina P. Cook HRIF Program Staff, ClinicCoordiantor 415-600-0830 [email protected]

Clinic Contact 3

NICU Discharge Contact

Terri A. Slagle, MD 415-750-6227 [email protected]

NICU Contact 2

Medical Director

David M. Tejeda, MD Pediatric (415) 826-7575 [email protected]

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Slagle, Terri HRIF Contacts Last Updated By: Carolina P. CookLast Modified Date: April 3, 2021 01:06pm Download Date: November 5, 2021 09:13pm

Page 18: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Cedars-Sinai Medical Center8700 Beverly Blvd.

Los Angeles, CA 90048County: Los AngelesPhone: 323-866-8504

OSHPD Facility Code: 190555CCS NICU Level: Regional

Region: (6) Central-North LA-Coastal Valley

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Kurlen Payton, MD Director of Neonatology Pediatrics/Neonatology 8700 Beverly Blvd, Suite 4311 Los Angeles, CA 90048 (310) 423-4434 [email protected]

Data Contact 1

Kristine Galsim Data/Report Systems Analyst (310) 423-6390 [email protected]

Transport Contact 1

Kristine Galsim Data/Report Systems Analyst (310) 423-6390 [email protected]

Quality Improvement 1

Kurlen Payton, MD Director of Neonatology (310) 423-4434 [email protected]

Admin

Constanza Shaffer Associate Director of Pediatrics (310) 423-4200 [email protected]

Neonatologist

Kurlen Payton, MD Director of Neonatology 310-423-4434 [email protected]

Data Contact 2

Transport Contact 2

Quality Improvement 2

Selma Braziel, MSN, RNC, NE-BC Associate Director, NeonatalIntensive Care (310) 423-4460 [email protected]

Contract Signer

Charles F. Simmons, Jr. Chairman 310-423-4434 [email protected]

Coordinator

Jyotirbala Ruparel, MD 8700 Beverly Blvd, Rm. 4311 Pediatrics/Neonatology Los Angeles, CA 90048-1804 Ph: 310-423-4151 Fax (secure): (310) 423-2114 [email protected]

Clinic Contact 1

Robert Leyba Data Control Coordinator (310) 423-8064 [email protected]

Clinic Contact 3

NICU Discharge Contact

Kristine Galsim Data/Report System Analyst (310) 423-6390 [email protected]

NICU Contact 2

Medical Director

Jyotirbala Ruparel, MD HRIF Medical Director (310) 423-4151 [email protected]

Clinic Contact 2

Kristine Galsim Data/Report System Analyst (310) 423-6390 [email protected]

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Kristine Galsim HRIF Contacts Last Updated By: Kristine Galsim Last Modified Date: July 22, 2021 02:41pm Download Date: November 5, 2021 09:13pm

Page 19: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Centinela Hospital Medical Center555 E. Hardy Street

Inglewood, CA 90301County: Los AngelesPhone: 310-673-4660

OSHPD Facility Code: 190148CCS NICU Level: Community

Region: (8) South Coastal LA-Orange

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

Harbor UCLA

NICU CONTACTS HRIF CONTACTS

Report Contact

Vicki Clark RN BSN MCH Director NICU 555 E. Hardy Street Inglewood, CA 90301 (310) 695-4798 [email protected]

Data Contact 1

Digna Beasley RN BSN Charge Nurse (310) 680-8378 [email protected]

Transport Contact 1

Digna Beasley RN BSN Charge Nurse (310) 680-8378 [email protected]

Quality Improvement 1

Xiomara Carpio Administrative Assistant (310) 680-8890 [email protected]

Admin

Paul Sennett CFO (310) 680-8747 [email protected]

Neonatologist

Margaret Nguyen, MD Medical Director, NICU (310) 680-8378 [email protected]

Data Contact 2

Elizabeth Doherty RN MSN Staff Nurse (310) 680-8378 [email protected]

Transport Contact 2

Elizabeth Doherty RN MSN Staff Nurse (310) 680-8378 [email protected]

Quality Improvement 2

Edly Atherley Director (310) 680-8482 [email protected]

Contract Signer

Linda Bradley CEO (310) 680-4514 [email protected]

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Digna Beasley HRIF Contacts Last Updated By: Last Modified Date: July 15, 2021 05:23pm Download Date: November 5, 2021 09:13pm

Page 20: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Children's Hospital Los Angeles4650 Sunset Blvd.

Los Angeles, CA 90027County: Los AngelesPhone: 323-660-2450

OSHPD Facility Code: 190170CCS NICU Level: Regional

Region: (6) Central-North LA-Coastal Valley

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Steven W. Chin, MD Medical Director, Quality &Performance Improvement Neonatology 4650 Sunset Blvd. MS 31 Los Angeles, CA 90027 (323) 361-7201 [email protected]

Data Contact 1

Yi Li Coordinator, Clinical Excellence (323) 361-7488 [email protected]

Transport Contact 1

Judy Sherif, RN, CPN, BSN, MNA Manager, Emergency Transport (323) 361-5844 [email protected]

Quality Improvement 1

Sonja Alli-Casella CS Manager, NICCU (323) 361-5185 [email protected]

Admin

Chandra Broadwater Director, Patient Safety andOperational Excellence (323) 361-6489 [email protected]

Neonatologist

Nair Srikumar, MD Medical Director Quality andPerformance Improvement , NICCU (323) 361-5074 [email protected]

Data Contact 2

Transport Contact 2

Yi Li Coordinator, Clinical Excellence (323) 361-7488 [email protected]

Quality Improvement 2

Contract Signer

Coordinator

Guadalupe Dominguez HRIF Data Entry 4650 Susnset Blvd. Los Angeles, CA 90027 Ph: (323) 361-9542

[email protected]

Clinic Contact 1

Sylvia Magallon DNP, RN Nurse Care Coordinator (323) 361-7208 [email protected]

Clinic Contact 3

Sonia Jahanbin Division Administrator (323) 361-4781 [email protected]

NICU Discharge Contact

NICU Contact 2

Medical Director

Douglas Vanderbilt, MD HRIF Medical Director 323-361-6994 [email protected]

Clinic Contact 2

Diana Villegas Financial Counselor/Scheduler (323) 361-7988 [email protected]

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Yi Li HRIF Contacts Last Updated By: Lupe DominguezLast Modified Date: November 2, 2021 11:00am Download Date: November 5, 2021 09:13pm

Page 21: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Clovis Community Medical Center2755 Hendon Avenue

Clovis, CA 93611County: Clovis

Phone: (559) 324-4000

OSHPD Facility Code: 100005CCS NICU Level: Intermediate

Region: (3) San Joaquin-Central Valley-Sierra Nevada

HRIF Program Onsite: NAHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Lori Kessler RNC Manager NICU 2755 Herndon Avenue Clovis, CA 93611 (559) 458-8692 [email protected]

Data Contact 1

Amanda Lodge Clinical Supervisor (559) 824-6463 [email protected]

Transport Contact 1

Lori Kessler RN Manager NICU (559) 459-4937 [email protected]

Quality Improvement 1

Lori Kessler Manager NICU (559) 324-4937 [email protected]

Admin

Lori Kessler Manager NICU (559) 324-4937 [email protected]

Neonatologist

Alok Kumar Medical Director 559-324-3527 [email protected]

Data Contact 2

Bernadette Neve Clinical Abstractor (559) 289-5010 [email protected]

Transport Contact 2

Quality Improvement 2

Mary-Ann Robson, MN, BSN, RN Director, Pediatrics CommunityMedical Center (559) 459-2730 [email protected]

Contract Signer

John R. Kass, RN Chief Nursing Officer 559-324-4741

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Bernadette Neve. RNC, BSN, MSN HRIF Contacts Last Updated By: Last Modified Date: January 15, 2021 01:06pm Download Date: November 5, 2021 09:13pm

Page 22: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Community Hospital of San Bernardino1805 Medical Center DriveSan Bernardino, CA 92411

County: San BernardinoPhone: 909-887-6333

OSHPD Facility Code: 361323CCS NICU Level: Intermediate

Region: (5) Southern Inland Counties

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

Loma Linda University Medical Center

NICU CONTACTS HRIF CONTACTS

Report Contact

Markeyta Sandoval Standards Coordinator Maternal Child Health 1805 Medical Center Drive San Bernardino, CA 92411 (909) 806-1488 [email protected]

Data Contact 1

Weston Smith Data Extractor (909) 806-1106 [email protected]

Transport Contact 1

Caroline Roesli Data Extractor (909) 806-1106 [email protected]

Quality Improvement 1

Lani Padios Quality Nurse Coordinator (909) 806-1585 [email protected]

Admin

AP Invoicing (916) 851-2150 [email protected]

Neonatologist

Theresa Yap MD Medical Director (909) 887-6333 [email protected]

Data Contact 2

Transport Contact 2

Quality Improvement 2

Contract Signer

Janet Holdych Vice President, Quality

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

Dharnel Combalecer Case Manager 909-887-6333 x3922 [email protected]

NICU Contact 2

Stephanie Gonzales Case Management Clerk (909) 806-1524 [email protected]

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

Rex Sia Social Worker (909) 887-6333 x7248 [email protected]

NICU Contacts Last Updated By: Lani Padios HRIF Contacts Last Updated By: Dharnel CombalecerLast Modified Date: July 30, 2021 12:10pm Download Date: November 5, 2021 09:13pm

Page 23: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Community Memorial Hospital of Ventura147 N. Brent StreetVentura, CA 93003

County: VenturaPhone: (805) 948-5011

OSHPD Facility Code: 560473CCS NICU Level: Community

Region: (6) Central-North LA-Coastal Valley

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

John Van Houten, MD Medical Director NICU 147 N. Brent Street Ventura, CA 93006 805-652-5692 [email protected]

Data Contact 1

Deborah J. Hill, RN Clinical Manager 805-667-2821 [email protected]

Transport Contact 1

Quality Improvement 1

Admin

Adam Y. Thunell Sr. VP of Operations 805-652-5005 [email protected]

Neonatologist

Ben Bengtsson, MD Neonatologist 805-652-5692 [email protected]

Data Contact 2

Transport Contact 2

Quality Improvement 2

Contract Signer

Kenneth Strople Sr. VP of Operations 805-652-5005 [email protected]

Coordinator

Deborah J HILL, BSN, RNC-NIC Clinical Manager NICU 147 N. Brent St Ventura, CA 93003 Ph: (805) 948-2821

[email protected]

Clinic Contact 1

Joy Tovey, MSN, RNC-NIC HRIF Clinic Organizer (805) 948-2820 [email protected]

Clinic Contact 3

NICU Discharge Contact

Joy Tovey, MSN, RNC-NIC HRIF Clinic Organizer (805) 948-2820 [email protected]

NICU Contact 2

Medical Director

John Van Houten, MD NICU/HRIF Medical Director (805) 948-8302

Clinic Contact 2

Daneen Medina, OTR/L (805) 948-5063 [email protected]

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Deborah J Hill HRIF Contacts Last Updated By: Deborah HillLast Modified Date: March 26, 2021 10:16am Download Date: November 5, 2021 09:13pm

Page 24: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Community Regional Medical Center2823 Fresno StreetFresno, CA 93721

County: FresnoPhone: 559-459-6000

OSHPD Facility Code: 100717CCS NICU Level: Community

Region: (3) San Joaquin-Central Valley-Sierra Nevada

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Donna Wyman, RNC, BSN Manager of NICU Neonatal Intensive Care Unit 3C &4W 2823 Fresno Street Fresno, CA 93721 (559) 459-6354 [email protected]

Data Contact 1

Bernadette Neve. RNC, BSN, MSN Clinical Abstractor (559) 289-5010 [email protected]

Transport Contact 1

Abby Van Den Broeke, NNP Nurse Practitioner - NICU 559-459-3961 [email protected]

Quality Improvement 1

Donna Wyman, RNC, BSN Manager of NICU (559) 459-6354 [email protected]

Admin

Donna Wyman, RNC, BSN Manager of NICU (559) 459-6354 [email protected]

Neonatologist

Anand Rajani, MD Medical Director (559) 577-6287 [email protected]

Data Contact 2

Amina Sopha Business Inteli-Knowledge Mgmt (559) 459-1643 [email protected]

Transport Contact 2

Donna Wyman, RNC, BSN Manager of NICU (559) 459-6354 [email protected]

Quality Improvement 2

Diana M. Cormier, DNP, MPH,RNC-NIC Clinical Nurse Specialist (559) 459-2763 [email protected]

Contract Signer

Kudzi Muchaka VP Women-Children Svc, (559) 459-2680 [email protected]

Coordinator

Kathy Costa Clinic Coordinator, HRIF RN, BSN 215 N FRESNO STREET STE 370 Fresno, CA 93701 Ph: (559) 459-4743 [email protected]

Clinic Contact 1

Kathy Costa HRIF Coordinator (559) 459-4743 [email protected]

Clinic Contact 3

NICU Discharge Contact

Jamie Gonzalez, RN NICU Discharge Coordinator 559-459-3961 [email protected]

NICU Contact 2

Medical Director

Krishnakumar Rajani, MD Medical Director of Neonatology (559) 459-2336 [email protected]

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

Donna Wyman, RN BSN NICU Nurse Manager (559) 459-6354 [email protected]

NICU Contacts Last Updated By: Bernadette Neve. RNC, BSN, MSN HRIF Contacts Last Updated By: Kathy CostaLast Modified Date: June 29, 2021 03:27pm Download Date: November 5, 2021 09:13pm

Page 25: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Desert Regional Medical Center1150 N. Indian Canyon Drive

Palm Springs, CA 92262County: Riverside

Phone: 760-323-6107

OSHPD Facility Code: 331164CCS NICU Level: Community

Region: (5) Southern Inland Counties

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Felicia Harris, RN, MSN, NNP-BC Neonatal Nurse Practitioner NICU 1150 N. Indian Canyon Drive Palm Springs, CA 92263 (760) 323-6430 [email protected]

Data Contact 1

Felicia Harris, RN, MSN, NNP-BC NNP 760-323-6430 [email protected]

Transport Contact 1

Felicia Harris RN, MSN, NNP-BC (760) 323-6430 [email protected]

Quality Improvement 1

Candice Carrillo Sr. Decision Support Analyst, Quality (760) 323-6416 [email protected]

Admin

Margaret Stulz Women's, NICU and PediatricsDirector (760) 416-4849 [email protected]

Neonatologist

Jamieson, James Medical Director 760-323-6430 [email protected]

Data Contact 2

Richard Terukina RN, MSN, MHA, NNP-BC (760) 323-6430 [email protected]

Transport Contact 2

Richard Terukina RN, MSN, MHA, NNP-BC (760) 323-6430 [email protected]

Quality Improvement 2

Lori Wood, RN, MSN, CNS CNS 760-323-6124 [email protected]

Contract Signer

Carolyn Caldwell, FACHE President & CEO 760-323-6774

Coordinator

Felicia Harris, NNP HRIF Coordinator 1150 N. Indian Canyon Drive Plam Springs, CA 92262 Ph: (760) 323-6430

[email protected]

Clinic Contact 1

Lucille Butkus, OTR Occupational Therapist (760) 323-6430 [email protected]

Clinic Contact 3

Juanito Novales Neonatologist (760) 323-6430 [email protected]

NICU Discharge Contact

Ida Cortes NICU HRIF Program (760) 323-6430 [email protected]

NICU Contact 2

Medical Director

James Jamieson, MD Medical Director (760) 323-6430 [email protected]

Clinic Contact 2

Ida Cortes RN [email protected]

Clinic Contact 4

Anna Salva, MD (760) 323-6430 [email protected]

NICU Contact 1

NICU Contacts Last Updated By: Felicia Harris HRIF Contacts Last Updated By: Ida CortesLast Modified Date: July 23, 2021 09:41am Download Date: November 5, 2021 09:13pm

Page 26: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Dignity Health Dominican Hospital1555 Soquel Drive

Santa Cruz, CA 95065County: Santa Cruz

Phone: 831-462-7700

OSHPD Facility Code: 440755CCS NICU Level: Community

Region: (4) Mid-Coastal

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

LPCH at Stanford

NICU CONTACTS HRIF CONTACTS

Report Contact

Michele Fahrner Nurse Director NICU 1555 Soquel Dr. Santa Cruz, CA 95065 831-462-7685 [email protected]

Data Contact 1

Jennifer Blanke Childbirth Education Coordinator (831) 462-7266 [email protected]

Transport Contact 1

Gloria Hum, RN 831-462-7682 [email protected]

Quality Improvement 1

Robin Courtney Interim CNS 831-462-7750 [email protected]

Admin

AP Invoicing (916) 851-2150 [email protected]

Neonatologist

Magdy Ismail, MD Medical Director 831-462-7765 [email protected]

Data Contact 2

Transport Contact 2

Quality Improvement 2

Contract Signer

Janet Holdych Vice President, Quality

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

Melissa Herceg Social Worker 831-462-7859 [email protected]

NICU Contact 2

Melissa Herceg social worker (831) 462-7859 [email protected]

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

Magdy Ismail Medical Director (831) 462-7682 [email protected]

NICU Contacts Last Updated By: Jennifer Blanke HRIF Contacts Last Updated By: HRIF SupportLast Modified Date: May 3, 2021 02:42pm Download Date: November 5, 2021 09:13pm

Page 27: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Doctors Medical Center of Modesto1441 Florida Ave.

Modesto, CA 95350County: Stanislaus

Phone: 209-578-1211

OSHPD Facility Code: 500852CCS NICU Level: Community

Region: (3) San Joaquin-Central Valley-Sierra Nevada

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Timothy Yao, MD Medical Director NICU 1441 Florida Ave. Modesto, CA 95350 209-576-3710 [email protected]

Data Contact 1

Amy Renfro Neonatal Nurse Practitioner (209) 576-3764 [email protected]

Transport Contact 1

Amy Renfro Neonatal Nurse Practitioner (209) 576-3764 [email protected]

Quality Improvement 1

Pamela Zachar Neonatologist (209) 576-3709 [email protected]

Admin

Angie Guignard WCC Manager (209) 576-3654 [email protected]

Neonatologist

Pamela Zachar Neonatologist (209) 576-3709 [email protected]

Data Contact 2

Pamela Zachar Neonatologist (209) 576-3709 [email protected]

Transport Contact 2

Timothy Yao Neonatologist (209) 576-3710 [email protected]

Quality Improvement 2

Amy Renfro Neonatal Nurse Practitioner (209) 576-3764 [email protected]

Contract Signer

Warren J. Kirk President / CEO (209) 576-3758 [email protected]

Coordinator

Melissa States, RN, MSN 1400 Florida Ave Perinatal Services Modesto, CA 95350 Ph: (209) 576-3956 Fax (secure): (209) 576-3958 [email protected]

Clinic Contact 1

Veronica Cervantez Secretary (209) 576-3956

Clinic Contact 3

NICU Discharge Contact

Amy Renfro, MSN, NNP Neonatal Nurse Practioner (209) 679-1263 [email protected]

NICU Contact 2

Medical Director

Timothy Yao, MD NICU/HRIF Medical Director 209-576-3710 [email protected]

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

Angie Guinard Director, NICU Patient Care Services 209-576-3706 [email protected]

NICU Contacts Last Updated By: Amy Renfro HRIF Contacts Last Updated By: Melissa States, RN, MSNLast Modified Date: March 7, 2021 06:38pm Download Date: November 5, 2021 09:13pm

Page 28: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Eisenhower Medical Center39000 Bob Hope Drive

Rancho Mirage, CA 92270County: Riverside

Phone: (760) 340-3911

OSHPD Facility Code: 331168 CCS NICU Level: Community

Region: (5) Southern Inland Counties

HRIF Program Onsite: Hospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Judy Ankney RN Quality OutcomesAnalyst-OB/Maternity/Peds Quality Department 39000 Bob Hope Drive Rancho Mirage, CA 92270 (760) 773-1896 [email protected]

Data Contact 1

Keith Chambliss Quality & Process ImprovementAnalytics Manager (760) 285-4690 [email protected]

Transport Contact 1

Julie Reaume Manager of NICU (760) 837-8258 [email protected]

Quality Improvement 1

Mary Sue McAslan Inpatient Quality & Safety Director (760) 837-8104 [email protected]

Admin

Kam Sisco Executive Secretary (760) 773-1693 [email protected]

Neonatologist

Dr. Jaime Tannenbaum NICU Medical Director (707) 583-4186 [email protected]

Data Contact 2

Julie Reaume Manager of NICU (760) 837-8258 [email protected]

Transport Contact 2

Veronica Williams Director of Maternity Services (760) 773-1308 [email protected]

Quality Improvement 2

Christine Johnstone Inpatient Quality & Safety Director (760) 837-8104 [email protected]

Contract Signer

Martin J. Massielo EVP/COO

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Fulani Davis HRIF Contacts Last Updated By: Last Modified Date: January 8, 2021 02:05pm Download Date: November 5, 2021 09:13pm

Page 29: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

El Camino Hospital2500 Grant Road

Mountain View, CA 94039County: Santa Clara

Phone: 650-940-7000

OSHPD Facility Code: 430763CCS NICU Level: Community

Region: (4) Mid-Coastal

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

LPCH at Stanford

NICU CONTACTS HRIF CONTACTS

Report Contact

Dharshi Sivakumar MD Medical director, NICU 561,Connemara Way Sunnyvale, CA 94087 (650) 940-7163 [email protected]

Data Contact 1

Merredith Bonham RN III (650) 940-7163 [email protected]

Transport Contact 1

Dharshi Sivakumar MD (650) 940-7163 [email protected]

Quality Improvement 1

Melinda Porter CNS/NP (650) 988-7978 [email protected]

Admin

Cheryl Reinking CNO (650) 940-7000 [email protected]

Neonatologist

Dharshi Sivakumar Medical Director 650-940-7163 [email protected]

Data Contact 2

Terri Muench RN III 650-940-7163 [email protected]

Transport Contact 2

Jody Charles Nurse Manager, NICU (650) 988-8242 [email protected]

Quality Improvement 2

Rachel Land MD (650) 940-7163 [email protected]

Contract Signer

Diane Russell VP 650-940-7300

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

Ronda Winton Perinatal Social Worker 650-988-7484 [email protected]

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Dharshi Sivakumar HRIF Contacts Last Updated By: HRIF SupportLast Modified Date: January 19, 2021 11:09am Download Date: November 5, 2021 09:13pm

Page 30: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Emanate Health Queen of the Valley Hospital1115 South Sunset Avenue

West Covina, CA 91790County: Los AngelesPhone: 626-962-4011

OSHPD Facility Code: 190636CCS NICU Level: Community

Region: (6) Central-North LA-Coastal Valley

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

Pomona Regional Medical Center

NICU CONTACTS HRIF CONTACTS

Report Contact

Nancy Simmons, MSN, CNS Clinical Nurse Specialist- NICU NICU 1115 South Sunset Avenue West Covina, CA 91790 626-813-2974 [email protected]

Data Contact 1

Helen Muallem, BSN, RN NICU Charge Nurse (626) 851-2713 [email protected]

Transport Contact 1

Nancy Simmons, BSN, RN Neonatal CNS (626) 813-2974 [email protected]

Quality Improvement 1

Nancy Simmons, BSN, RN Neonatal CNS (626) 813-2974 [email protected]

Admin

Anjanette Gaane Director NICU (626) 851-2782 [email protected]

Neonatologist

Clark Ochikubo, MD NICU Director (626) 851-2713 [email protected]

Data Contact 2

Transport Contact 2

Helen Muallem, BSN, RN NICU Charge Nurse 626-851-2713 [email protected]

Quality Improvement 2

Anjanette Gaane, MSN, RN Nursing Director MBCU, NICU, &Peds (626) 851-2782 [email protected]

Contract Signer

Margo Perusse Executive Director Maternal Child 626-813-2973 [email protected]

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

Marisa Martinez, MSW Social Worker 626-472-9016 [email protected]

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

Carla J. Ramos MSW 626-813-2801 [email protected]

NICU Contact 1

NICU Contacts Last Updated By: Nancy Simmons HRIF Contacts Last Updated By: Last Modified Date: February 25, 2021 10:54am Download Date: November 5, 2021 09:13pm

Page 31: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Fountain Valley Regional Hospital & Medical Center17100 Euclid Street

Fountain Valley, CA 92708County: Orange

Phone: 714-966-7200

OSHPD Facility Code: 301175CCS NICU Level: Community

Region: (7) LA-San Gabriel-Inland Orange

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Ann McCarthy Demaio DNP,RNC-NIC, CCNS Clinical Nurse Specialist NICU 17100 Euclid St. Fountain Valley, CA 92708 714-392-2823 [email protected]

Data Contact 1

Ann McCarthy Demaio DNP,RNC-NIC, CCNS Clinical Nurse Specialist 714-392-2823 [email protected]

Transport Contact 1

Ann McCarthy Demaio, DNP,RNC-NIC, CCNS (714) 392-2823 [email protected]

Quality Improvement 1

George Conahey Medical Director (714) 966-8110 [email protected]

Admin

Heather Goodall NICU Clinical Manager (714) 966-7295 [email protected]

Neonatologist

George Conahey Medical Director 714-966-8109 [email protected]

Data Contact 2

Heather Goodall Clinical Manager-NICU (714) 966-7295 [email protected]

Transport Contact 2

Quality Improvement 2

Ann McCarthy Demaio, DNP,RNC-NIC, CCNS CNS 714-966-7295 [email protected]

Contract Signer

B. Joseph Badalian CEO (714) 966-8011 [email protected]

Coordinator

Lisette Pedroncelli, BSN HRIF Coordinator 17100 Euclid Street HRIF - NICU Fountain Valley, CA 92708 Ph: 714-966-8110 [email protected]

Clinic Contact 1

Marcella Sisneros NICU/HRIF Admin Secretary 714-966-8110 [email protected]

Clinic Contact 3

Cindy Meeks MSW 714-966-7218 [email protected]

NICU Discharge Contact

NICU Contact 2

Medical Director

George Conahey D.O. NICU/HRIF Medical Director (714) 966-8109 [email protected]

Clinic Contact 2

Linda Adintori, MA, OT Clinic Staff 714-509-3086 [email protected]

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Ann McCarthy DeMaio HRIF Contacts Last Updated By: L Pedroncelli BSNLast Modified Date: January 20, 2021 10:25am Download Date: November 5, 2021 09:13pm

Page 32: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Garfield Medical Center525 N. Garfield Ave.

Monterey Park, CA 91754County: Los AngelesPhone: 626-307-2036

OSHPD Facility Code: 190315CCS NICU Level: Community

Region: (7) LA-San Gabriel-Inland Orange

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

LAC/USC

NICU CONTACTS HRIF CONTACTS

Report Contact

Kim Sandoval NICU Director NICU 525 N. Garfield Ave. Monterey Park, CA 91754 (626) 307-2199 [email protected]

Data Contact 1

Kim Sandoval, RNC NICU Director (626) 307-2199 [email protected]

Transport Contact 1

Kim Sandoval NICU Director (626) 307-2199 [email protected]

Quality Improvement 1

Kim Sandoval, RNC NICU Director (626) 307-2199 [email protected]

Admin

Kim Sandoval, RNC NICU Director (626) 307-2199 [email protected]

Neonatologist

Richard Meidell, MD Medical Director of NICU (626) 307-2036 [email protected]

Data Contact 2

Trixie Lim Registered Nurse (626) 307-2036 [email protected]

Transport Contact 2

Trixie Lim Registered Nurse (626) 307-2036 [email protected]

Quality Improvement 2

Contract Signer

Karen Lee, RN, DNP, FNP-C Senior Nursing Director (626) 307-6088 [email protected]

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

Kim Sandoval NICU Director (626) 307-2199 [email protected]

NICU Contact 2

Trixie Lim RN - CPQCC Data Contact (626) 307-2036 [email protected]

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

Kim Sandoval NICU Director (626) 307-2199 [email protected]

NICU Contacts Last Updated By: Kim Sandoval HRIF Contacts Last Updated By: Kim SandovalLast Modified Date: September 21, 2021 04:23pm Download Date: November 5, 2021 09:13pm

Page 33: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Glendale Memorial Hospital and Health Center1420 S. Central Ave.Glendale, CA 91204County: Los AngelesPhone: 818-502-1900

OSHPD Facility Code: 190522CCS NICU Level: Community

Region: (6) Central-North LA-Coastal Valley

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

LAC/USC (Los Angeles County, University Southern California Medical Center)

NICU CONTACTS HRIF CONTACTS

Report Contact

Leticia Castaneda RN,BSN-Unit Manager NICU 1420 S. Central Ave. Glendale, CA 91204 (818) 409-7607 [email protected]

Data Contact 1

Betty Tam RN (818) 502-2346 [email protected]

Transport Contact 1

Leticia Castaneda RN,BSN-Unit Manager (818) 409-7607 [email protected]

Quality Improvement 1

Sharon Fichera CNS (818) 409-7700 [email protected]

Admin

Leticia Castaneda RN,BSN-NICU Manager (818) 409-7607 [email protected]

Neonatologist

Bina Patel, MD Medical Director (818) 409-7700 [email protected]

Data Contact 2

Leticia Castaneda RN,BSN (818) 409-7607 [email protected]

Transport Contact 2

Leticia Castaneda RN,BSN-NICU Manager (818) 409-7700 [email protected]

Quality Improvement 2

Leticia Castaneda RN,BSN (818) 409-7607 [email protected]

Contract Signer

Janet Holdych Vice President, Quality 818-409-7700

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

Leticia Castaneda, BSN, RNC NICU Case Manager 818-502-4736 [email protected]

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

Kim Caner, BSN, RNC NICU Manager 818-409-7607 [email protected]

NICU Contacts Last Updated By: Betty Tam HRIF Contacts Last Updated By: Last Modified Date: January 20, 2021 04:37pm Download Date: November 5, 2021 09:13pm

Page 34: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Good Samaritan Hospital, San Jose2425 Samaritan DriveSan Jose, CA 95124County: Santa Clara

Phone: 408-559-2011

OSHPD Facility Code: 430779CCS NICU Level: Community

Region: (4) Mid-Coastal

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Sheri Smith, BSN, RN Director of Children's Services NICU 2425 Samaritan Drive San Jose, CA 95124 (408) 559-2589 [email protected]

Data Contact 1

Jenna Luu, BSN NICU Data Management Coordinator 408-559-2133 [email protected]

Transport Contact 1

Sheri Smith, BSN, RN Director of Children Services (408) 559-2589 [email protected]

Quality Improvement 1

Loc Le, MD NICU Medical Director 408-559-2262 [email protected]

Admin

Sheri Smith, BSN, RN Director of Children's Services (408) 559-2589 [email protected]

Neonatologist

Loc Le, MD NICU Medical Director 408-559-2262 [email protected]

Data Contact 2

Maris Whitney, MSN, RN Manager of Children's Services (408) 559-2158 [email protected]

Transport Contact 2

Jenna Luu, BSN NICU Data Management Coordinator (408) 559-2133 [email protected]

Quality Improvement 2

Sridevi Venigalla, MD Neonatalogist (408) 559-2262 [email protected]

Contract Signer

William Piche CEO 408-559-2315

Coordinator

Sumit Sen, MD 2425 Samaritan Drive NICU San Jose, CA 95124 Ph: 408-559-2145 Fax (secure): (408) 559-2694 [email protected]

Clinic Contact 1

Jenna Luu, BSN Assistant Coordinator 408-559-2145 [email protected]

Clinic Contact 3

Rachel Prabhu, LCSW Social Worker (408) 559-2145 [email protected]

NICU Discharge Contact

Jenna Luu, BSN NICU Data Management Coordinator (408) 559-2133 [email protected]

NICU Contact 2

Medical Director

Sumit Sen, MD HRIF Medical Director (408) 559-2145 [email protected]

Clinic Contact 2

Edith Elder, MS Physical Therapist (408) 559-2145 [email protected]

Clinic Contact 4

Barbara Gallien, LCSW Social Worker (408) 559-2145 [email protected]

NICU Contact 1

Sheri Smith, BSN, RN Director of Children's Services (408) 559-2589 [email protected]

NICU Contacts Last Updated By: Jenna Luu HRIF Contacts Last Updated By: Jenna LuuLast Modified Date: February 5, 2021 09:01am Download Date: November 5, 2021 09:13pm

Page 35: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Grossmont Hospital, Women's Health Center5555 Grossmont Center Drive

La Mesa, CA 91942County: San Diego

Phone: 619-740-6000

OSHPD Facility Code: 370714CCS NICU Level: Community

Region: (9) San Diego and Imperial

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

Sharp Mary Birch Hospital for Women & Newborns

NICU CONTACTS HRIF CONTACTS

Report Contact

Bergen Folsom Medical Director NICU 5555 Grossmont Center Dr La Mesa, CA 91942 (619) 740-4920 [email protected]

Data Contact 1

Cathey Kelley Department Secretary (619) 740-3938 [email protected]

Transport Contact 1

Cathey Kelley Department Secretary 619-740-3938 [email protected]

Quality Improvement 1

Bergen Folsom, MD Medical Director 619-740-4920 [email protected]

Admin

Kari Bernet Director - Women's & Infant Services (619) 740-4962 [email protected]

Neonatologist

Bergen Folsom, MD Medical Director 619-740-4920 [email protected]

Data Contact 2

Lisa Diez Manager, NICU (619) 740-4920 [email protected]

Transport Contact 2

Quality Improvement 2

Lisa Diez Manager, NICU (619) 740-4234 [email protected]

Contract Signer

Lily Piseyna Director 619-740-4962 [email protected]

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

Kali Chosich, MSW Medical Social Worker 619-740-4911 [email protected]

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

Veronna Dizon, LCSW Social Worker 619-740-4911 [email protected]

NICU Contact 1

Jutta Maranto, LCSW Medical Social Worker 619-740-4906 [email protected]

NICU Contacts Last Updated By: Cathey Kelley HRIF Contacts Last Updated By: Last Modified Date: January 14, 2021 12:34pm Download Date: November 5, 2021 09:13pm

Page 36: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Henry Mayo Newhall Memorial Hospital23845 West McBean Parkway

Valencia, CA 91355County: Los AngelesPhone: 651-253-8000

OSHPD Facility Code: 190949CCS NICU Level: NonCCS

Region: (6) Central-North LA-Coastal Valley

HRIF Program Onsite: NAHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Lori Matzner RNC, MSN, BSN, LE Director Maternal Child Services 23845 McBean Pkwy Valencia, CA 91355 (661) 200-1510 [email protected]

Data Contact 1

Emily Lloyd NICU RN (661) 200-1370 [email protected]

Transport Contact 1

NICU Clinical Coordinator/ReliefCharge RN (661) 200-1370

Quality Improvement 1

Sonya Klaus P.I. Coordinator (661) 200-1430 x34300 [email protected]

Admin

Lori Matzner RNC, MSN, BSN, LE Director of Maternal Child Services (661) 200-1510 [email protected]

Neonatologist

Julia Mizener, MD NICU Medical Director (661) 200-1370 [email protected]

Data Contact 2

Lindsey Lucero NICU Clinical Coordinator (661) 200-1370 [email protected]

Transport Contact 2

Quality Improvement 2

Contract Signer

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Emily Lloyd HRIF Contacts Last Updated By: Last Modified Date: August 22, 2021 05:05pm Download Date: November 5, 2021 09:13pm

Page 37: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Hoag Memorial Hospital, PresbyterianOne Hoag Drive

Newport Beach, CA 92658County: Orange

Phone: 949-764-5518

OSHPD Facility Code: 301205CCS NICU Level: Community

Region: (8) South Coastal LA-Orange

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Julie Walker Department Director NICU One Hoag Drive Newport Beach, CA 92658-6100 (949) 764-6057 [email protected]

Data Contact 1

Tiffany Welbaum Clinical Nurse II (949) 764-8233 [email protected]

Transport Contact 1

Quality Improvement 1

Jennifer Rayner Project Management Value (949) 764-6395 [email protected]

Admin

Julie Walker Department Director (949) 764-6057 [email protected]

Neonatologist

Vladana Milisavljevic Chief of Neonatal Services (949) 764-8233 [email protected]

Data Contact 2

Gazelle Bahramianfard Clinical Data Coordinator (949) 764-1488 [email protected]

Transport Contact 2

Quality Improvement 2

Patti Bojakowski Executive Director of Maternal ChildHealth (949) 764-1620 [email protected]

Contract Signer

Rick Martin, MSN, RN Senior VP 949-764-8291

Coordinator

Linda Adintori, MA, OTR/L HRIF Coordinator One Hoag Dr. PO Box 6100 Newport Beach, CA 92658 Ph: 949-764-5499 [email protected]

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

NICU Contact 2

Medical Director

Vladana Milisavljevic NICU/HRIF Medical Director 949-764-8233 [email protected]

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Julie Walker HRIF Contacts Last Updated By: Linda AdintoriLast Modified Date: October 4, 2021 12:49pm Download Date: November 5, 2021 09:13pm

Page 38: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Hollywood Presbyterian Medical Center1300 N. Vermont Ave.

Los Angeles, CA 90027County: Los AngelesPhone: 213-413-3000

OSHPD Facility Code: 190382CCS NICU Level: Community

Region: (6) Central-North LA-Coastal Valley

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

Children's Hospital of Los Angeles

NICU CONTACTS HRIF CONTACTS

Report Contact

Steven Chin Medical Director NICU 4650 Sunset Blvd. Los Angeles, CA 90027 (323) 361-5932 [email protected]

Data Contact 1

Arlene Garingo Data Analyst (323) 361-5932 [email protected]

Transport Contact 1

Holly Castaneda Data Analyst (323) 913-4804 [email protected]

Quality Improvement 1

Yvette Boyce Perinatal Director (323) 913-4804 [email protected]

Admin

Devotion Brown AP Analyst (323) 644-4410 [email protected]

Neonatologist

Steven Chin Medical Director (323) 361-5939 [email protected]

Data Contact 2

Holly Castaneda Data Analyst 323-913-4804 [email protected]

Transport Contact 2

Holly Castaneda Data Analyst 323-913-4804 [email protected]

Quality Improvement 2

Concepcion Tumanut NICU, Nursery, Pediatric ClinicalCoordinator (323) 913-4559 [email protected]

Contract Signer

Shawn Bolouk Acting Chief Executive Officer 323-913-4812

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

Barbara Smith Case Manager 323-913-4800 [email protected]

NICU Contact 2

Vinisha, Singhi, MD NICU Medical Director (323) 361-5932 [email protected]

Medical Director

Clinic Contact 2

Clinic Contact 4

Holly K. Castaneda Data Entry CCS/CPQCC 323-913-4804 [email protected]

NICU Contact 1

Holly Castaneda Unit Secretary/Data Entry forCCS/CPQCC 323-913-4804 [email protected]

NICU Contacts Last Updated By: Holly Castaneda HRIF Contacts Last Updated By: holly k castanedaLast Modified Date: March 24, 2021 03:46pm Download Date: November 5, 2021 09:13pm

Page 39: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Huntington Memorial Hospital100 W. California Blvd., P.O. Box 7013

Pasadena, CA 91109-7013County: Los AngelesPhone: 626-397-8524

OSHPD Facility Code: 190400CCS NICU Level: Community

Region: (6) Central-North LA-Coastal Valley

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Jamie Powers, MD MD NICU 100 W. California Blvd. Pasadena, CA 91105 626-397-3826 [email protected]

Data Contact 1

Michelle Browne Unit secretary (626) 397-3826 [email protected]

Transport Contact 1

Alison Thomas, RN Transport Coordinator (626) 397-3327 [email protected]

Quality Improvement 1

Admin

Diana Bruno Director of Maternal Child Health (626) 397-8512 [email protected]

Neonatologist

Jaime Powers, MD Medical Director (626) 397-3826 [email protected]

Data Contact 2

Esther De La Torre HRIF Administrative Assistant (626) 397-8675 [email protected]

Transport Contact 2

Quality Improvement 2

Melanie Myers, RNC, MSN, CNS (626) 397-5915 [email protected]

Contract Signer

Gloria Sanchez-Rico VP, Chief Nurse Executive (626) 397-5058

Coordinator

Grace Dale, RN, MSN, CPNP 100 W. California Blvd Neonatal Department Pasadena, CA 91105 Ph: 626-397-3432 Fax (secure): (626) 397-2954 [email protected]

Clinic Contact 1

Grace Dale, RN, MSN, CPNP HRIF Coordinator (626) 397-3432 [email protected]

Clinic Contact 3

NICU Discharge Contact

Esther De La Torre (626) 397-8675 [email protected]

NICU Contact 2

Medical Director

Jamie Powers, MD, MBA/HCM,FAAP NICU & HRIF Medical Director 626-397-3826 [email protected]

Clinic Contact 2

Elise Holloway, OTR/MPH OT 626-397-8595 [email protected]

Clinic Contact 4

NICU Contact 1

Esther De La Torre (626) 397-8675 [email protected]

NICU Contacts Last Updated By: Michelle Browne HRIF Contacts Last Updated By: Grace DaleLast Modified Date: January 13, 2021 04:13pm Download Date: November 5, 2021 09:13pm

Page 40: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

John Muir Health, Walnut Creek Medical Center1601 Ygnacio Valley RoadWalnut Creek, CA 94598

County: Contra CostaPhone: (925) 947-5350

OSHPD Facility Code: 070988CCS NICU Level: Community

Region: (1) North Coast East Bay

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Kristin Hubert, MD Medical Director Birth Center 1601 Ygnacio Valley Road Walnut Creek, CA 94598 925-947-4274 [email protected]

Data Contact 1

Christine Broome, MSN,APRN-CNS, RNC-NIC Professional Development Specialist- NICU (925) 941-4309 [email protected] Transport Contact 1

Christine Broome, MSN,APRN-CNS, RNC-NIC Professional Development Specialist- NICU (925) 941-4309 [email protected] Quality Improvement 1

Christine Broome, MSN,APRN-CNS, RNC-NIC Professional Development Specialist- NICU (925) 941-4309 [email protected] Admin

Denise Johnson, MSN, RN Director of Women's & Children'sServices (925) 941-5009 [email protected]

Neonatologist

Stacie Bennett, MD Medical Director (925) 947-4273 [email protected]

Data Contact 2

Amanda Smith RN (925) 947-5350 [email protected]

Transport Contact 2

Quality Improvement 2

Melissa Johnson, BSN, RNC-NIC Community NICU Supervisor (925) 941-7980 [email protected]

Contract Signer

Coordinator

Erin Germond 1601 Ygnacio Valley Road Walnut Creek, CA 94598 Ph: (925) 947-5204 Fax (secure): (925) 941-7957

[email protected]

Clinic Contact 1

Erin Germond HRIF Nurse Coordinator (925) 947-5204 [email protected]

Clinic Contact 3

Patti White, RN, MSN, CNML NICU Nurse Manager (984) 204-0562 [email protected]

NICU Discharge Contact

Erin Germond Nurse Coordinator 925-947-5204 [email protected]

NICU Contact 2

Medical Director

Kathryn Ponder, MD Neonatologist, Medical DirectorHRIF Clinic (925) 947-5204 [email protected]

Clinic Contact 2

Amanda Smith RN (925) 947-5204 [email protected]

Clinic Contact 4

Pamela Knott Data User (925) 947-5350 [email protected]

NICU Contact 1

Amanda Smith CPQCC NICU Data Contact 925-947-5204 [email protected]

NICU Contacts Last Updated By: Amanda Smith HRIF Contacts Last Updated By: Amanda SmithLast Modified Date: October 15, 2021 11:20am Download Date: November 5, 2021 09:13pm

Page 41: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

KFH Baldwin Park1011 Baldwin Park Blvd.Baldwin Park, CA 91706

County: Los AngelesPhone: 626-851-1011

OSHPD Facility Code: 196035CCS NICU Level: Community

Region: (11) Kaiser South

HRIF Program Onsite: NAHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Kevin Litam Consultant SCPMG, Dept. of Clinical Analysis 393 E. Walnut Street, 3rd Floor Pasadena, CA 91188 (626) 405-7982 [email protected]

Data Contact 1

Paula Blake Sr. Analyst (626) 405-5762 [email protected]

Transport Contact 1

Leticia Dahlke, RN, NIC NICU Manager, Perinatal Services (626) 851-7341 [email protected]

Quality Improvement 1

Suszane Kaae, MSN, RN Staff Educator (626) 851-7751 [email protected]

Admin

Margo Gordon, PhD Manager 626-405-6653 [email protected]

Neonatologist

Maria Elena Mendoza, MD Neonatologist 626-851-7371 [email protected]

Data Contact 2

Tracy Delacruz, MSN, RNC-NIC,CNS Clinical Nurse Specialist (626) 851-6130 [email protected]

Transport Contact 2

Quality Improvement 2

Contract Signer

Asif Ahmad, MD Director 626-851-7370

Coordinator

TBD ,

Clinic Contact 1

Tamar Chorbadjian, DO, MPH,FAAP Medical Director, HRIF (626) 655-9592 [email protected]

Clinic Contact 3

NICU Discharge Contact

Valerie Willis, PhD, RN, PPCNP-BC,PCNS-BC Clinical Nurse Specialist-NICU (626) 851-6130 [email protected]

NICU Contact 2

Medical Director

Asif Ahmad, MD Medical Director, NICU (626) 851-7370 [email protected]

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

Leticia Dahlke, BSN, RNC-NIC Nurse Manager-NICU (626) 851-6738 [email protected]

NICU Contacts Last Updated By: Kevin Litam HRIF Contacts Last Updated By: Valerie WillisLast Modified Date: July 2, 2020 12:29pm Download Date: November 5, 2021 09:13pm

Page 42: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

KFH Downey9333 E. Imperial Highway

Downey, CA 90242County: Los AngelesPhone: 800-823-4040

OSHPD Facility Code: 196403CCS NICU Level: Community

Region: (11) Kaiser South

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Kevin Litam Consultant SCPMG, Dept. of Clinical Analysis 393 E. Walnut Street, 3rd Floor Pasadena, CA 91188 (626) 405-7982 [email protected]

Data Contact 1

Jeannette Santos-Deleon NICU Registered Nurse (562) 657-7630 [email protected]

Transport Contact 1

Afshan Abbasi, MD Neonatologist (562) 657-7550 [email protected]

Quality Improvement 1

Evelyn D'Abreo 562-461-6562 [email protected]

Admin

Margo Gordon, PhD Director (626) 406-6653 [email protected]

Neonatologist

Mandhir Gupta, MD NICU, Director 562-657-9793 [email protected]

Data Contact 2

Sheryl Schafer Clinical Analysis Consultant (626) 405-3948 [email protected]

Transport Contact 2

Dawn Sanchez, RN Parent Educator (562) 657-7699 [email protected]

Quality Improvement 2

Linda Wynsma CNS 562-657-8583 [email protected]

Contract Signer

Lisanne Sims, MD Neonatal Physician 562-461-6225 [email protected]

Coordinator

Ninu Varghese HRIF Coordinator Bellflower, CA 90706 Ph: (562) 461-4013

[email protected]

Clinic Contact 1

Ninu Varghese (562) 657-7630 [email protected]

Clinic Contact 3

NICU Discharge Contact

Jeannette.L.Santos-DeLeon NICU case manager (562) 657-7630 [email protected]

NICU Contact 2

Shirkera Soyoye NICU Case manager (562) 657-7630 [email protected]

Medical Director

Mandhir Gupta, MD NICU/HRIF Director 562-657-9793 [email protected]

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

Jeannette.L.Santos-DeLeon NICU case manager (562) 657-7630 [email protected]

NICU Contacts Last Updated By: Sheryl Schafer HRIF Contacts Last Updated By: Ninu VargheseLast Modified Date: July 14, 2021 04:22pm Download Date: November 5, 2021 09:13pm

Page 43: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

KFH Fontana9961 Sierra AvenueFontana, CA 92335

County: San BernardinoPhone: 909-427-5559

OSHPD Facility Code: 361223CCS NICU Level: Community

Region: (11) Kaiser South

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Kevin Litam Consultant SCPMG, Dept. of Clinical Analysis 393 E. Walnut Street, 3rd Floor Pasadena, CA 91188 (626) 405-7982 [email protected]

Data Contact 1

Sheryl Schafer Clinical Analysis Consultant (626) 405-3948 [email protected]

Transport Contact 1

Sunjeeve Weerasinghe Transport NNP (909) 302-2300 [email protected]

Quality Improvement 1

Lizette C. Sistoza, MD Physician (909) 278-2308 [email protected]

Admin

Margo Gordon, PhD Manager 626-405-6653 [email protected]

Neonatologist

Huy Truong, MD Director NICU (909) 992-8526 [email protected]

Data Contact 2

Erica Alvarado, RN NICU Transport RN (951) 302-4326 [email protected]

Transport Contact 2

Erica Alvarado Transport RN (951) 302-4360 [email protected]

Quality Improvement 2

Caroline Spoerl, RN NICU Transport RN (909) 302-2300 [email protected]

Contract Signer

Krystal Scott, RN, CNS, NNP 909-427-6378 [email protected]

Coordinator

Pheba Joseph, RN, MSN Case Manager Specialty RN, HRIFProgram 9985 Sierra Ave Pediatrics, MOB2, Module 3A Fontana, CA 92335 Ph: (909) 427-4225 [email protected]

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

Gloria Bagnerise, RN,BS,MBA,CCM Case Manager UtilizationManagement (909) 302-4955

NICU Contact 2

Medical Director

Rosa Victoria Chen, MD HRIF Medical Director (909) 427-4614 [email protected]

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Sheryl Schafer HRIF Contacts Last Updated By: Pheba Joseph Last Modified Date: May 20, 2021 10:37am Download Date: November 5, 2021 09:13pm

Page 44: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

KFH Los Angeles4867 Sunset Blvd.

Los Angeles, CA 90027County: Los AngelesPhone: 323-783-4011

OSHPD Facility Code: 190429CCS NICU Level: RegionalRegion: (11) Kaiser South

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Kevin Litam Consultant SCPMG, Dept. of Clinical Analysis 393 E. Walnut Street, 3rd Floor Pasadena, CA 91188 (626) 405-7982 [email protected]

Data Contact 1

Paula Blake Sr. Analyst (626) 405-5762 [email protected]

Transport Contact 1

Sharon Burdick RN ADA NICU Transport (323) 783-5960 [email protected]

Quality Improvement 1

Elena Ornelas - Pelaez, RNC-NIC,MSN, PNP, CNS (323) 783-7065 [email protected]

Admin

Margo Gordon, PhD Manager 626-405-6653 [email protected]

Neonatologist

Sukirtha K. Alagarsamy, MD HRIF MD 323-783-7761 [email protected]

Data Contact 2

Sharon Burdick ADA NICU Transport (323) 783-5960 [email protected]

Transport Contact 2

Quality Improvement 2

Marshall Blue NICU Department Administrator (323) 783-3863 [email protected]

Contract Signer

Coordinator

Rhodora B. Fernandez, RN, MSN,PHN 4700 Sunset Blvd, Pediatrics Los Angeles, CA 90027 Ph: (323) 783-3497 Fax (secure): (323) 783-1999

[email protected]

Clinic Contact 1

Sharon E. Burdick, MSN, PHN,CCRN, ADA CPQCC DATA CONTACT & NICUTransport Manager (323) 783-5960 [email protected]

Clinic Contact 3

Gloria Hsu, OT/L Occupational Therapist, ClinicalSpecialist (323) 783-5943 [email protected]

NICU Discharge Contact

Adreanna N. Dawson, RN, BSN Discharge Planner/UtilizationManagement (323) 783-6304 [email protected]

NICU Contact 2

Brenda Rosas, LCSW Medical Social Worker NICU (323) 783-8067 [email protected]

Medical Director

Maya K. Rosen, MD HRIF Program Medical Director (323) 783-5172 [email protected]

Clinic Contact 2

Victor W. Shen, PT Department Administrator ofPhysical Medicine (323) 783-5943 [email protected]

Clinic Contact 4

Arpi Mansourian, LCSW Medical Social Woker (323) 783-5175 [email protected]

NICU Contact 1

Arash Moghimi, MD Medical Director of NICU -Neonatologist (323) 376-4509 [email protected]

NICU Contacts Last Updated By: Kevin Litam HRIF Contacts Last Updated By: Rhodora B. FernandezLast Modified Date: May 6, 2021 11:53am Download Date: November 5, 2021 09:13pm

Page 45: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

KFH Modesto4601 Dale Rd.

Modesto, CA 95356County: Stanislaus

Phone: (209) 735-5000

OSHPD Facility Code: 504042CCS NICU Level: NonCCS

Region: (3) San Joaquin-Central Valley-Sierra Nevada

HRIF Program Onsite: Non-CCSHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Eileen Walsh, RN PRU Project Manager Perinatal Research Unit 2000 Broadway Oakland, CA 94612 (510) 891-5992 [email protected]

Data Contact 1

Brigid Acuna, BS, MPH NMDS Project Manager (510) 891-3245 [email protected]

Transport Contact 1

Quality Improvement 1

Tami Beckman NICU RN Manager [email protected]

Admin

Michael Kuzniewicz, MD MPH Director of Perinatall Research Unit (510) 891-5994 [email protected]

Neonatologist

Katherine Kempf Chief Neonatalogist (209) 557-1650 [email protected]

Data Contact 2

Eileen Walsh RN (510) 891-5992 [email protected]

Transport Contact 2

Quality Improvement 2

Contract Signer

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Brigid Acuna HRIF Contacts Last Updated By: HRIF SupportLast Modified Date: January 28, 2021 09:16am Download Date: November 5, 2021 09:13pm

Page 46: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

KFH Moreno Valley27300 Iris AveMoreno Valley

County: RiversidePhone: (951) 251-6734

OSHPD Facility Code: 334048CCS NICU Level: NonCCSRegion: (11) Kaiser South

HRIF Program Onsite: Non CCSHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Kevin Litam Clinical Analysis Consultant Clinical Analysis 27300 Iris Ave Moreno Valley, CA 92555 (626) 405-7982 [email protected]

Data Contact 1

Sheryl Schafer Clinical Analysis Consultant (626) 405-3948 [email protected]

Transport Contact 1

Krystal Scott Clinical Director (951) 353-5284 [email protected]

Quality Improvement 1

Alicia Reyes Clinical Manager (951) 353-6734 [email protected]

Admin

Margo Gordon Director of Clinical Analysis (626) 405-6653 [email protected]

Neonatologist

Sofronio Basical Chief of Pediatrics (951) 601-6183 [email protected]

Data Contact 2

Viviana Carreno LVN (951) 251-6735 [email protected]

Transport Contact 2

Alicia Reyes Clinical Manager (951) 353-6734 [email protected]

Quality Improvement 2

Glecy Lua Assistant Clinical Manager (951) 251-6741 [email protected]

Contract Signer

Marilyn T. Owsley Chief Financial Officer, SCPMG [email protected]

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Sheryl Schafer HRIF Contacts Last Updated By: Last Modified Date: January 21, 2020 10:00am Download Date: November 5, 2021 09:13pm

Page 47: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

KFH Oakland280 W. Mac Arthur Blvd.

Oakland, CA 94611County: Alameda

Phone: 510-752-1000

OSHPD Facility Code: 014326CCS NICU Level: RegionalRegion: (10) Kaiser North

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Eileen Walsh, RN, MPH PRU Project Manager Perinatal Research Unit, Division ofResearch 2000 Broadway 2nd Floor Oakland, CA 94612 510-891-5992 [email protected]

Data Contact 1

Brigid Acuna, BS, MPH NMDS Project Manager (510) 891-3245 [email protected]

Transport Contact 1

Quality Improvement 1

Dorothy Hutchinson, RN, MSN Clinical Nurse Specialist 510-752-9463 [email protected]

Admin

Michael Kuzniewicz, MD Director, Perinatal Research Unit 510-891-5994 [email protected]

Neonatologist

Anna Morgan, MD Nursery Director 510-752-6598 [email protected]

Data Contact 2

Eileen Walsh RN (510) 891-5992 [email protected]

Transport Contact 2

Quality Improvement 2

Ruth Adedeji NICU RN Manager [email protected]

Contract Signer

Coordinator

Bridget J Lawhon Coordinator RN, BSN 3701 Broadway, 1st floor Suite 105 Oakland, CA 94611 Ph: (510) 752-1487

[email protected]

Clinic Contact 1

Bridget J.Lawhon RN (510) 752-1487 [email protected]

Clinic Contact 3

NICU Discharge Contact

Sarah Jane Parker Data Researcher (510) 891-3651 [email protected]

NICU Contact 2

Medical Director

Shannon Alexander, MD NICU/HRIF Medical Director 510-752-9494 [email protected]

Clinic Contact 2

Debra Patrizi Director Pedi Rehab (510) 752-5684 [email protected]

Clinic Contact 4

NICU Contact 1

Allen Fischer, MD KP Regional Director 510-987-2785 [email protected]

NICU Contacts Last Updated By: Brigid Acuna HRIF Contacts Last Updated By: Bridget J Lawhon ,RN BSN-HRIF coordinatorLast Modified Date: January 28, 2021 09:15am Download Date: November 5, 2021 09:13pm

Page 48: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

KFH Ontario Campus2295 South Vineyard Avenue

Ontario, CA 91761County: San BernardinoPhone: (626) 405-0000

OSHPD Facility Code: 364265CCS NICU Level: NonCCSRegion: (11) Kaiser South

HRIF Program Onsite: NAHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Kevin Litam Consultant SCPMG, Dept. of Clinical Analysis 393 E. Walnut St., 3rd Floor Pasadena, CA 91188 (626) 405-7982 [email protected]

Data Contact 1

Sheryl Schafer Clinical Analysis Consultant (626) 405-3948 [email protected]

Transport Contact 1

Keya X. Stallings, RNC, MSN Clinic Director [email protected]

Quality Improvement 1

Keya X. Stallings, RNC, MSN Clinic Director [email protected]

Admin

Margo Gordon Phd/Manager 626-405-6653 [email protected]

Neonatologist

Bomae X. Kang, MD NICU Physician Director (909) 724-7083 [email protected]

Data Contact 2

Celia A. Elias, NNP Nurse Practitioner [email protected]

Transport Contact 2

Asha Parikh, MD Neonatologist (909) 724-5590 [email protected]

Quality Improvement 2

Patricia (Trish) Hart, RN Assistant Manager Maternal ChildHealth (909) 724-5568 [email protected]

Contract Signer

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Sheryl Schafer HRIF Contacts Last Updated By: Last Modified Date: July 29, 2020 11:08am Download Date: November 5, 2021 09:13pm

Page 49: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

KFH Orange County - Anaheim3440 E La Palma AveAnaheim, CA 92807

County: Orange CountyPhone: 714-644-2000

OSHPD Facility Code: 304409CCS NICU Level: Community

Region: (11) Kaiser South

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Kevin Litam Consultant SCPMG, Dept. of Clinical Analysis 393 E. Walnut Street, 3rd Floor Pasadena, CA 91188 (626) 405-7982 [email protected]

Data Contact 1

Paula Blake Sr. Analyst (626) 405-5762 [email protected]

Transport Contact 1

Maria Jamiela Garma Staff RN (714) 644-7040 [email protected]

Quality Improvement 1

Maria Abrantes, MD Neonatologist (714) 709-6899 [email protected]

Admin

Margo Gordon, PhD Manager 626-405-6653 [email protected]

Neonatologist

Marielle Nguyen, MD Director NICU (949) 763-1455 [email protected]

Data Contact 2

Crystal L Schaper, RN NICU Assistant Dept Administrator (714) 644-7061 [email protected]

Transport Contact 2

Maricris Medina Staff RN (714) 644-7040 [email protected]

Quality Improvement 2

Contract Signer

Claudie M. Alleyne, MD Director of NICU 714-279-5925 [email protected]

Coordinator

Kristine Atienza, RN HRIF Coordinator 411 N. Lakeview Ave Lakeview Medical Offices Anaheim, CA 92807 Ph: 714-279-5544 [email protected]

Clinic Contact 1

Bisrat Gebrekristos, MD HRIF Co-Medical Director,neonatologist (714) 644-7044 [email protected]

Clinic Contact 3

NICU Discharge Contact

Tran Phan, RN NICU Case Manager/DischargePlanner (714) 644-5472 [email protected]

NICU Contact 2

Medical Director

Steven S. Lu, MD HRIF Co-Medical Director,neonatologist (714) 644-7046 [email protected]

Clinic Contact 2

Prasanthl Mishra, MD HRIF Staff 714-644-7049 [email protected]

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Kevin Litam HRIF Contacts Last Updated By: Kristine AtienzaLast Modified Date: March 11, 2021 01:47pm Download Date: November 5, 2021 09:13pm

Page 50: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

KFH Orange County - Irvine6640 ALTON PARKWAY

IRVINE, CA, 92618County: Orange

Phone: 626-405-6035

OSHPD Facility Code: 304306CCS NICU Level: NonCCSRegion: (11) Kaiser South

HRIF Program Onsite: NAHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Kevin Litam Consultant SCPMG Dept. of Clinical Analysis 393 E. Walnut St. 3rd Floor Pasadena, CA 91188 (626) 405-7982 [email protected]

Data Contact 1

Paula Blake Sr. Analyst (626) 405-5762 [email protected]

Transport Contact 1

Marcia Batzloff, RN MPH Clinical Director 714-644-7041 [email protected]

Quality Improvement 1

Cathy Carroll, RNC, BSN (949) 932-2744 [email protected]

Admin

Margo Gordon PhD 626-405-6653 [email protected]

Neonatologist

Claudia M. Alleyene, MD Physician in Charge 714-644-7064 [email protected]

Data Contact 2

Transport Contact 2

Quality Improvement 2

Contract Signer

Claudia M. Alleyne, MD Director, NICU 714-279-5925 [email protected]

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Kevin Litam HRIF Contacts Last Updated By: Last Modified Date: January 21, 2020 09:58am Download Date: November 5, 2021 09:13pm

Page 51: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

KFH Panorama City13652 Cantara Street

Panorama City, CA 91402County: Los AngelesPhone: 818-375-2000

OSHPD Facility Code: 190432CCS NICU Level: Community

Region: (11) Kaiser South

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Kevin Litam Consultant SCPMG, Dept. of Clinical Analysis 393 E. Walnut Street, 3rd Floor Pasadena, CA 91188 (626) 405-7982 [email protected]

Data Contact 1

Sheryl Schafer Clinical Analysis Consultant (626) 405-3948 [email protected]

Transport Contact 1

Quality Improvement 1

Maria Fe Villosis, MD Director NICU 818-375-3186 [email protected]

Admin

Margo Gordon, PhD Manager 626-405-6653 [email protected]

Neonatologist

Maria Fe Villosis, MD Director NICU 818-375-3186 [email protected]

Data Contact 2

Maria Fe Villosis, MD NICU Director (818) 375-3186 [email protected]

Transport Contact 2

Quality Improvement 2

Adree R. Smith Department Administrator (818) 375-2047 [email protected]

Contract Signer

Coordinator

Yvonne Kazmer, RN, BSN, PHN,CPN HRIF Coordinator, Case Manager 13652 Cantara Street Building #6 - Pediatrics Panorama City, CA 91402 Ph: 818-815-5659 [email protected]

Clinic Contact 1

Katrina Madlansacay DPT Physical Therapist (818) 375-4023 [email protected]

Clinic Contact 3

Patricia Cook-Chambi, OTR Occupational Therapist (818) 719-2965 [email protected]

NICU Discharge Contact

Valerie Riddel, LCSW Medical Social Worker NICU&HRIFKFH-PC 818-375-2977 [email protected]

NICU Contact 2

Ma-Teresa Ambat, MD Neonatologist (818) 375-2822 [email protected]

Medical Director

Meriam Makary-Botros, MD HRIF Program Medical Director 818-375-4456 [email protected]

Clinic Contact 2

Karine Barseghyan, MD neonatologist (818) 375-2822 [email protected]

Clinic Contact 4

Randi Fabrick LCSW Medical Social Worker NICU & HRIFKFH-WH (818) 719-3785 [email protected]

NICU Contact 1

Maria-Fe Villosis, MD NICU Medical Director 818-375-2822 [email protected]

NICU Contacts Last Updated By: Kevin Litam HRIF Contacts Last Updated By: Yvonne KazmerLast Modified Date: June 21, 2021 01:43pm Download Date: November 5, 2021 09:13pm

Page 52: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

KFH Riverside10800 Magnolia Ave.Riverside, CA 92505

County: RiversidePhone: 951-353-2000

OSHPD Facility Code: 334025CCS NICU Level: Community

Region: (11) Kaiser South

HRIF Program Onsite: NAHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Kevin Litam Consultant SCPMG, Dept. of Clinical Analysis 393 E. Walnut Street, 3rd Floor Pasadena, CA 91188 (626) 405-7982 [email protected]

Data Contact 1

Sheryl Schafer Clinical Analysis Consultant (626) 405-3948 [email protected]

Transport Contact 1

Krystal Scott, RN Clinical Director (951) 353-5284 [email protected]

Quality Improvement 1

Sophia Hicks, RN Clinical Manager (951) 353-3077 [email protected]

Admin

Margo Gordon, PhD Manager 626-405-6653 [email protected]

Neonatologist

Edgar Chernin, MD Director NICU (951) 353-3176 [email protected]

Data Contact 2

Margaret Lindou, RN Registered Nurse (951) 353-3170 [email protected]

Transport Contact 2

Quality Improvement 2

Roberta Ross, RN NICU Clinical Nurse Specialist 951-353-5754 [email protected]

Contract Signer

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Margaret Lindou HRIF Contacts Last Updated By: Last Modified Date: January 21, 2020 09:56am Download Date: November 5, 2021 09:13pm

Page 53: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

KFH Roseville1600 Eureka Road

Roseville, CA 95661County: Placer

Phone: 916-784-4000

OSHPD Facility Code: 314024CCS NICU Level: RegionalRegion: (10) Kaiser North

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Eileen Walsh, RN, MPH PRU Project Manager Perinatal Research Unit, Division ofResearch 2000 Broadway 2nd Floor Oakland, CA 94612 (510) 891-5992 [email protected]

Data Contact 1

Brigid Acuna, BS, MPH NMDS Project Manager (510) 891-3245 [email protected]

Transport Contact 1

Christina Calvo, RN [email protected]

Quality Improvement 1

Julie Segers NIC Nurse Manager [email protected]

Admin

Michael Kuzniewicz MD Director, Perinatal Research Unit (510) 819-5994 [email protected]

Neonatologist

Thomas Lai, MD Director, Newborn Medical Services (916) 474-7469 [email protected]

Data Contact 2

Eileen Walsh RN (510) 891-5992 [email protected]

Transport Contact 2

Thomas Lai [email protected]

Quality Improvement 2

Katie Rott Clinical Nurse Specialist [email protected]

Contract Signer

Coordinator

Raquel Brekken, MD HRIF Coordinator 1600 Eureka Road Roseville, CA 95661 Ph: 916-474-2286

[email protected]

Clinic Contact 1

Cynthia Brosnahan Developmental Peds Case Manager (916) 474-2259 [email protected]

Clinic Contact 3

NICU Discharge Contact

Raquel Brekken, MD HRIF Coordinator 916-474-2286 [email protected]

NICU Contact 2

Medical Director

Thomas Lai, MD NICU/HRIF Medical Director (916) 474-7515 [email protected]

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Brigid Acuna HRIF Contacts Last Updated By: Raquel BrekkenLast Modified Date: May 31, 2021 01:58pm Download Date: November 5, 2021 09:13pm

Page 54: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

KFH San Diego9455 Clairemont Mesa Blvd.

San Diego, CA 92123County: San Diego

Phone: (858) 266-5000

OSHPD Facility Code: 374465CCS NICU Level: Community

Region: (11) Kaiser South

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Kevin Litam Consultant SCPMG Clinical Analysis 393 E. Walnut Street, 3rd Floor Pasadena, CA 91188 (626) 405-7982 [email protected]

Data Contact 1

Paula Blake Consultant (626) 405-5762 [email protected]

Transport Contact 1

Courtney Nicholas Neonatologist (858) 266-3400 [email protected]

Quality Improvement 1

James Mandani Department Administrator (858) 266-3400 [email protected]

Admin

Margo Gordon, PhD Manager 626-405-6653 [email protected]

Neonatologist

Carl Shangle Director NICU (858) 266-3400 [email protected]

Data Contact 2

Anthony Carrie Hospital Unit Coordinator (858) 266-3400 [email protected]

Transport Contact 2

Maggi Brock Hospital Unit Coordinator (858) 266-3400 [email protected]

Quality Improvement 2

Carl Shangle, MD Neonatologist (858) 266-3400 [email protected]

Contract Signer

Coordinator

Deborah Petruzzelli 9455 Clairemont Mesa Blvd San Diego, CA 92123 Ph: (858) 266-3170 Fax (secure): (858) 266-3165

[email protected]

Clinic Contact 1

Jill M. Killion Occupational Therapist (858) 266-3400 [email protected]

Clinic Contact 3

NICU Discharge Contact

Maricor Javier Attending Neonatologist (858) 266-3400 [email protected]

NICU Contact 2

Medical Director

Maricor C. Javier, MD HRIF Medical Director (858) 266-3400 [email protected]

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

Carl Shangle NICU Medical Director (858) 266-3400 [email protected]

NICU Contacts Last Updated By: Paula Blake HRIF Contacts Last Updated By: Deborah PetruzzelliLast Modified Date: April 20, 2021 10:52am Download Date: November 5, 2021 09:13pm

Page 55: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

KFH San Francisco2200 O'Farrell Street

San Francisco, CA 94115County: San FranciscoPhone: 415-833-2000

OSHPD Facility Code: 380857CCS NICU Level: Community

Region: (10) Kaiser North

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Eileen Walsh, RN, MPH PRU Project Manager Perinatal Research Unit, Division ofResearch 2000 Broadway, 2nd Floor Oakland, CA 94612 (510) 891-5992 [email protected]

Data Contact 1

Brigid Acuna, BS, MPH NMDS Project Manager (510) 891-3245 [email protected]

Transport Contact 1

Quality Improvement 1

Leo Valdez Nurse Manager [email protected]

Admin

Michael Kuzniewicz, MD Director, Perinatal Research Unit (510) 891-5992 [email protected]

Neonatologist

Carlos Botas, MD Nursery Director (510) 891-5994 [email protected]

Data Contact 2

Eileen Walsh RN (510) 891-5992 [email protected]

Transport Contact 2

Quality Improvement 2

Star Lynn Dris CNS [email protected]

Contract Signer

Coordinator

Shanna Sauer RN, BSN 2238 Geary Blvd. 5th Floor San Francisco, CA 94115 Ph: 4158333415

[email protected]

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

NICU Contact 2

Medical Director

Karen Bockli MD (415) 833-3415 [email protected]

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

Carlos Botas Neonatologist (415) 833-4281 [email protected]

NICU Contacts Last Updated By: Brigid Acuna HRIF Contacts Last Updated By: Shanna SauerLast Modified Date: January 28, 2021 09:14am Download Date: November 5, 2021 09:13pm

Page 56: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

KFH San Leandro2500 Merced Street

San Leandro, CA 94577County: Alameda

Phone: 510-454-1000

OSHPD Facility Code: 014337CCS NICU Level: Community

Region: (10) Kaiser North

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Eileen Walsh, RN, MPH PRU Project Manager Perinatal Research Unit, Division ofResearch 2000 Broadway 2nd Floor Oakland, CA 94612 510-891-5992 [email protected]

Data Contact 1

Brigid Acuna, BS, MPH NMDS Project Manager (510) 891-3245 [email protected]

Transport Contact 1

Quality Improvement 1

Barbara Mochizuki NICU RN Manager [email protected]

Admin

Michael Kuzniewicz, MD Director, Perinatal Research Unit 510-891-5994 [email protected]

Neonatologist

Katrina M Jhun, MD NICU Medical Director (510) 454-3547 [email protected]

Data Contact 2

Eileen Walsh RN (510) 891-5992 [email protected]

Transport Contact 2

Quality Improvement 2

Helen Nguyen Clinical Nurse Specialist [email protected]

Contract Signer

Coordinator

Noemi Sicherman, LCSW HRIF Coordinator Hayward, CA 94545 Ph: 510-784-4971

[email protected]

Clinic Contact 1

Norma Guzman, SR. M.A Scheduler, HRIF Clinic 510-784-4482 [email protected]

Clinic Contact 3

NICU Discharge Contact

NICU Contact 2

Medical Director

Francis Tambunting, MD HRIF Medical Director 510-454-3500 [email protected]

Clinic Contact 2

Linda Fong RN (510) 784-4358 [email protected]

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Brigid Acuna HRIF Contacts Last Updated By: SichermanLast Modified Date: January 28, 2021 09:13am Download Date: November 5, 2021 09:13pm

Page 57: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

KFH Santa Clara710 Lawrence Expressway

Santa Clara, CA 95051County: Santa Clara

Phone: 408-236-6400

OSHPD Facility Code: 434153CCS NICU Level: RegionalRegion: (10) Kaiser North

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Eileen Walsh, RN, MPH PRU Project Manager Perinatal Research Unit, Division ofResearch 2000 Broadway, 2nd Floor Oakland, CA 94612 (510) 891-5992 [email protected]

Data Contact 1

Brigid Acuna, BS, MPH NMDS Project Manager (510) 891-3245 [email protected]

Transport Contact 1

Daisy Portier, RN [email protected]

Quality Improvement 1

Christine Retta Clinical Nurse Specialist [email protected]

Admin

Michael Kuzniewicz, MD Director (510) 891-5992 [email protected]

Neonatologist

Preeti Patel, MD Chief of Neonatology (408) 851-7111 [email protected]

Data Contact 2

Eileen Walsh RN (510) 891-5992 [email protected]

Transport Contact 2

Quality Improvement 2

Jennifer Mora NICU RN Manager [email protected]

Contract Signer

Stephen A. Fernbach, MD

Coordinator

Cori Pardini HRIF Case Manager 710 Lawrence Expressway Department 190 Santa Clara, CA 95051 Ph: (408) 851-1136 [email protected]

Clinic Contact 1

Mary Fortin, PT Physical Therapist 408-851-8389 [email protected]

Clinic Contact 3

NICU Discharge Contact

Jennifer Mora NICU Director (408) 851-7110 [email protected]

NICU Contact 2

Medical Director

Micaela Jett, MD HRIF Medical Director (408) 851-1128 [email protected]

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

Karen Clampett, RN RN III (408) 851-7100 [email protected]

NICU Contacts Last Updated By: Eileen Walsh HRIF Contacts Last Updated By: Cori PardiniLast Modified Date: November 3, 2021 08:37am Download Date: November 5, 2021 09:13pm

Page 58: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

KFH South Bay25965 S. Normandie Avenue

Harbor City, CA 90710County: Los AngelesPhone: 310-325-5111

OSHPD Facility Code: 190431CCS NICU Level: NonCCSRegion: (11) Kaiser South

HRIF Program Onsite: NAHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Kevin Litam Consultant SCPMG, Dept. of Clinical Analysis 393 E. Walnut Street, 3rd Floor Pasadena, CA 91188 (626) 405-7982 [email protected]

Data Contact 1

Sheryl Schafer Clinical Analysis Consultant (626) 405-3948 [email protected]

Transport Contact 1

Suheilah Abdalla NICU RN (310) 517-3283 [email protected]

Quality Improvement 1

Admin

Margo Gordon, PhD Manager (626) 405-6653 [email protected]

Neonatologist

Rohit Passi, MD NICU Physician Director (310) 517-3283 [email protected]

Data Contact 2

Sarah Ceja, RN Nurse Manager FCC/NICU (310) 517-4296 [email protected]

Transport Contact 2

Cristina Del Rosario NICU Nurse (310) 257-6927 [email protected]

Quality Improvement 2

Contract Signer

Mandhir Gupta, MD 562-461-6230

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Sheryl Schafer HRIF Contacts Last Updated By: Last Modified Date: January 21, 2020 09:57am Download Date: November 5, 2021 09:13pm

Page 59: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

KFH Walnut Creek1425 S. Main Street

Walnut Creek, CA 94598County: Alameda

Phone: 925-295-4000

OSHPD Facility Code: 070990CCS NICU Level: Community

Region: (10) Kaiser North

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Eileen Walsh, RN, MPH PRU Project Manager Perinatal Research Unit, Division ofResearch 2000 Broadway, 2nd Floor Oakland, CA 94612 (510) 891-5992 [email protected]

Data Contact 1

Brigid Acuna, BS, MPH NMDS Project Manager (510) 891-3245 [email protected]

Transport Contact 1

Sherry Olmstead [email protected]

Quality Improvement 1

Andrea Hidalgo, RN, MSN Perinatal Nurse Manager [email protected]

Admin

Michael Kuzniewicz, MD Director 510-891-5992 [email protected]

Neonatologist

David J. Anderson, MD Nursery Director 925-295-4787 [email protected]

Data Contact 2

Eileen Walsh RN (510) 891-5992 [email protected]

Transport Contact 2

Quality Improvement 2

Contract Signer

Coordinator

Katie Lea RN HRIF Coordinator 1515 Newell Ave Pediatric Walnut Creek, CA 94596 Ph: (925) 295-4892 [email protected]

Clinic Contact 1

Katie Lea RN (925) 295-4892 [email protected]

Clinic Contact 3

NICU Discharge Contact

NICU Contact 2

Medical Director

Gavin J Henderson HRIF Medical Director 925-295-4787 [email protected]

Clinic Contact 2

Ann Ackerman MSN (925) 295-6125 [email protected]

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Brigid Acuna HRIF Contacts Last Updated By: Ann AckermanLast Modified Date: March 19, 2021 09:55am Download Date: November 5, 2021 09:13pm

Page 60: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

KFH West Los Angeles6041 Cadillac Avenue

Los Angeles, CA 90034County: Los AngelesPhone: 323-857-2201

OSHPD Facility Code: 190434CCS NICU Level: Community

Region: (11) Kaiser South

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Kevin Litam Consultant SCPMG, Dept. of Clinical Analysis 393 E. Walnut Street, 3rd Floor Pasadena, CA 91188 (626) 405-7982 [email protected]

Data Contact 1

Paula Blake Consultant (626) 405-5762 [email protected]

Transport Contact 1

Quality Improvement 1

Admin

Margo Gordon, PhD Manager 626-405-6653 [email protected]

Neonatologist

Hannaise Cruz, MD Director NICU (323) 857-2481 [email protected]

Data Contact 2

Hannaise Cruz, MD Director NICU (323) 857-2481 [email protected]

Transport Contact 2

Quality Improvement 2

Contract Signer

John B. D�Ambola, MD 323-857-2376 [email protected]

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

Sujane Pak Director of MCH (323) 857-4155 [email protected]

NICU Contact 2

Nicole Monk Assistant Nurse Manager (323) 857-2545 [email protected]

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

Stephanie Jimenez Assistant Nurse Manager (323) 857-1286 [email protected]

NICU Contacts Last Updated By: Kevin Litam HRIF Contacts Last Updated By: Sujane PakLast Modified Date: March 25, 2020 11:32am Download Date: November 5, 2021 09:13pm

Page 61: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

KFH Woodland Hills5601 De Soto Ave.

Woodland Hills, CA 91365County: Los AngelesPhone: 818-719-2000

OSHPD Facility Code: 191450CCS NICU Level: Community

Region: (11) Kaiser South

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

Kaiser - Panorama City

NICU CONTACTS HRIF CONTACTS

Report Contact

Kevin Litam Consultant SCPMG, Dept. of Clinical Analysis 393 E. Walnut Street, 3rd Floor Pasadena, CA 91188 (626) 405-7982 [email protected]

Data Contact 1

Paula Blake Senior Analyst (626) 405-5762 [email protected]

Transport Contact 1

Maria Fe Villosis, MD Peds Neonatologist (818) 375-3186 [email protected]

Quality Improvement 1

Ma Teresa Ambat, MD Director NICU (818) 375-3519 [email protected]

Admin

Margo Gordon, PhD Manager 626-405-6653 [email protected]

Neonatologist

Ma Teresa Ambat, MD Director NICU (818) 375-3519 [email protected]

Data Contact 2

Maria Fe Villosis, MD Peds Neonatologist (818) 375-3186 [email protected]

Transport Contact 2

Quality Improvement 2

Maria Fe Villosis, MD Peds Neonatologist (818) 375-3186 [email protected]

Contract Signer

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Sheryl Schafer HRIF Contacts Last Updated By: Last Modified Date: January 21, 2020 09:52am Download Date: November 5, 2021 09:13pm

Page 62: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Kaweah Delta Healthcare District400 West Mineral King Ave.

Visalia, CA 93291County: Tulare

Phone: 559-624-4200

OSHPD Facility Code: 540734CCS NICU Level: Community

Region: (3) San Joaquin-Central Valley-Sierra Nevada

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Tracie Plunkett Director Maternal Child Health MCH 400 West Mineral King Ave. Visalia, CA 93291 (559) 624-5338 [email protected]

Data Contact 1

Maybel Marcelo Discharge Care Coordinator (559) 624-5928 [email protected]

Transport Contact 1

Maybel Marcelo Discharge Care Coordinator (559) 624-5928 [email protected]

Quality Improvement 1

Admin

Tracie Plunkett, RN Director 559-624-2533 [email protected]

Neonatologist

Jose Dosado MD NICU Medical Director (559) 624-2245 [email protected]

Data Contact 2

Felicia Vaughn NICU Manager (559) 624-2171 [email protected]

Transport Contact 2

Felicia Vaughn Nurse Manager (559) 624-2171 [email protected]

Quality Improvement 2

Linda Ellison Clinical Nurse Specialist/ APN (559) 624-2102 [email protected]

Contract Signer

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

Maybel Marcelo, RN Discharge Coordinator 559-624-5928 [email protected]

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

Monty Anderson RN QA/PI (559) 624-2195 [email protected]

NICU Contacts Last Updated By: Felicia Vaughn BSN, RNC-NIC, Nurse Manager,559-624-2171, [email protected] Contacts Last Updated By: Monty AndersonLast Modified Date: June 4, 2021 10:44am Download Date: November 5, 2021 09:13pm

Page 63: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Kern Medical1700 Mt. Vernon AveBakersfield, CA 93306

County: KernPhone: 661-326-2000

OSHPD Facility Code: 150736CCS NICU Level: Community

Region: (3) San Joaquin-Central Valley-Sierra Nevada

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Marinda du Toit, RNC Clinical Director Maternal Child 1700 Mt. Vernon Ave. Bakersfield, CA 93306 (661) 326-2552 [email protected]

Data Contact 1

Vivian Cervantes Quality Coordinator, Maternal Child (661) 326-2784 [email protected]

Transport Contact 1

Eva Flanagan RNC Clinical Supervisor, NICU/Peds (661) 326-2087 [email protected]

Quality Improvement 1

Gurvir Khurana, MD Director of Neonatology (661) 326-2750 [email protected]

Admin

Toni Smith, RN Director, Inpatient (661) 326-2754 [email protected]

Neonatologist

Gurvir Khurana, MD Director of Neonatology (661) 326-2750 [email protected]

Data Contact 2

Laura Ragnetti NICU Educator (661) 326-5098 [email protected]

Transport Contact 2

Vivian Cervantes RNC Quality Coordinator Maternal Child (661) 326-2784 [email protected]

Quality Improvement 2

Vivian Cervantes Quality Coordinator, Maternal Child (661) 326-2784 [email protected]

Contract Signer

Coordinator

Diane Nicholls, RNC, MSN, NNP HRIF Coordinator 1700 Mt. Vernon Ave Neonatology Bakersfield, CA 93306 Ph: (661) 326-2746 [email protected]

Clinic Contact 1

Elaine Stinnett NICU discharge planner (661) 326-5094 [email protected]

Clinic Contact 3

NICU Discharge Contact

Elaine Stinnett, RN discharge planner 661-326-5094 [email protected]

NICU Contact 2

Medical Director

Sudhir Patel, MD NICU/HRIF Medical Director 661-326-2749 [email protected]

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

Eva Flanagan NICU Clinic Coordinator 661-326-2087 [email protected]

NICU Contacts Last Updated By: Vivian Cervantes RNC HRIF Contacts Last Updated By: Stinnett, ElaineLast Modified Date: November 11, 2020 10:17am Download Date: November 5, 2021 09:13pm

Page 64: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

LAC/Harbor - UCLA Medical Center1124 West Carson Street

Torrance, CA 90502County: Los AngelesPhone: 310-222-2345

OSHPD Facility Code: 191227CCS NICU Level: Regional

Region: (8) South Coastal LA-Orange

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Virender K. Rehan, MD Professor of Pediatrics/ChairDivision of Neonatology Pediatrics 1124 West Carson St. RB-3 Torrance, CA 90502 (310) 222-1965 [email protected]

Data Contact 1

Marlene Beranek, RNC,MN,NNP-BC Asst. Clinical Professor ofNursing/CPQCC/HRIF/VON/reportsand data (424) 306-6097 [email protected]

Transport Contact 1

Janet Landholm, RN, BSN Nurse Manager, NICU/PICU/PEDS (424) 306-5614 [email protected]

Quality Improvement 1

Dr. Guadalupe Padilla Neontaologist, Division ofNeonatology, Harbor UCLA MedicalCenter (562) 754-2707 [email protected]

Admin

Lucinda Santos Administrator (424) 306-5604 [email protected]

Neonatologist

Virender K. Rehan, MD Professor of Pediatrics/ChairDivision of Neonatology 310-222-1965 [email protected]

Data Contact 2

Transport Contact 2

Marlene Beranek, RNC,MN,NNP-BC Asst.Clinical Professor ofNursing/NNP NICU, Harbor UCLAMedical Center (424) 306-6097 [email protected]

Quality Improvement 2

Dr. Katherine Kuniyoshi Neonatologist, Division ofNeonatology, Harbor UCLA MedicalCenter (714) 642-8158 [email protected]

Contract Signer

Virender K. Rehan Director of NICU 310-222-1965

Coordinator

Maria Salazar, LCSW HRIF Coordinator 1000 W. Carson Street, Box 17 Torrance, CA 90509 Ph: (424) 306-6159

[email protected]

Clinic Contact 1

Lucinda Santos Administrative Coordinator (424) 306-5604 [email protected]

Clinic Contact 3

Marlene Beranek Neonatal NursePractitioner/HRIF/CPQCC data &reports (424) 306-6097 [email protected]

NICU Discharge Contact

Janet Landholm Nurse Manager, NICU/PICU/PEDS (424) 306-5614 [email protected]

NICU Contact 2

Medical Director

Lynne Smith, MD HRIF Physician (424) 306-5600 [email protected]

Clinic Contact 2

Connie Madrigal 310-222-1969 [email protected]

Clinic Contact 4

Spring Wettgen Nurse Practitioner (424) 306-6096

NICU Contact 1

Marlene Beranek Neonatal Nurse Practitioner/CPQCC& HRIF data and reports (424) 306-6097 [email protected]

NICU Contacts Last Updated By: Marlene Beranek, RNC,MN,NNP-BC HRIF Contacts Last Updated By: Marlene BeranekLast Modified Date: January 25, 2021 03:53pm Download Date: November 5, 2021 09:13pm

Page 65: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

LAC/Olive View - UCLA Medical Center14445 Olive View Drive

Sylmar, CA 91342County: Los Angeles

Phone: (747) 210-3000

OSHPD Facility Code: 191231CCS NICU Level: Community

Region: (6) Central-North LA-Coastal Valley

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Richard D. Findlay, MD Director of Newborn Services Cottage S 14445 Olive View Drive, Cottage S Sylmar, CA 91342 (747) 210-4463 [email protected]

Data Contact 1

Sue Cacic, RN, MSN Nurse Manager (747) 210-4464 [email protected]

Transport Contact 1

Richard Findlay, MD Division Chief Neonatology (747) 210-4473 [email protected]

Quality Improvement 1

Laurie Gelardi, RN, PhD Neonatal Nurse Practitioner (747) 210-4463 [email protected]

Admin

Sue Cacic, RN. MSN Nurse Manager (747) 210-4464 [email protected]

Neonatologist

Richard Findlay, MD Division Chief Neonatology (747) 210-4473 [email protected]

Data Contact 2

Kimberly Offoegbu RN (747) 210-4463 [email protected]

Transport Contact 2

Quality Improvement 2

Contract Signer

Maureeen Sims, MD Neonatologist 818-364-4473 [email protected]

Coordinator

Amy D. Paz, MD 14445 Olive View Drive Sylmar, CA 91342 Ph: (747) 210-4463 Fax (secure): (747) 210-4837

[email protected]

Clinic Contact 1

Sue Cacic, RN Nurse Manager (747) 210-4464 [email protected]

Clinic Contact 3

NICU Discharge Contact

Cathy Powers, RN Discharge Planner (747) 210-4463 [email protected]

NICU Contact 2

Medical Director

Amy D. Paz, MD HRIF Medical Director (747) 210-4463 [email protected]

Clinic Contact 2

Melissa Garcia RN (747) 210-4463 [email protected]

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Kimberly Offoegbu HRIF Contacts Last Updated By: Amy Paz, MDLast Modified Date: April 14, 2021 02:28pm Download Date: November 5, 2021 09:13pm

Page 66: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

LAC/USC Medical Center1200 N. State Street

Los Angeles, CA 90033County: Los AngelesPhone: 323-409-1000

OSHPD Facility Code: 191228CCS NICU Level: Regional

Region: (6) Central-North LA-Coastal Valley

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Lorayne Barton, MD, MPH Database Director Pediatrics, Neonatology 1200 N. State St., IRD Bldg., RM820 Los Angeles, CA 90033 (323) 409-3498 [email protected]

Data Contact 1

Debora Nance, RN Data Base Coordinator (323) 409-8699 [email protected]

Transport Contact 1

Michelle Odian, RN NICU Head Nurse 323-409-3322 [email protected]

Quality Improvement 1

Michelle Odian, RN Head Nurse NICU 323-409-3322 [email protected]

Admin

Bismarck Gutierrez Program Liason (323) 409-3406 [email protected]

Neonatologist

Rangasamy Ramanathan, MD Director of Neonatology (323) 409-3409 [email protected]

Data Contact 2

Cecilia Luevano, RN Database Coordinator 323-409-6043 [email protected]

Transport Contact 2

Michelle Odian, RN Head Nurse NICU (323) 409-3322 [email protected]

Quality Improvement 2

Fiona Wertheimer, DO Associate Database Director (323) 409-3406 [email protected]

Contract Signer

CEO 323-226-3501

Coordinator

Tommie Williams 2010 Zonal Ave OPD - 5E Los Angeles, CA 90033 Ph: (323) 409-6538 Fax (secure): (323) 226-3263 [email protected]

Clinic Contact 1

Maria Lemay HRIF/ CCS (323) 409-3225

Clinic Contact 3

NICU Discharge Contact

Rebecca Quintero, RN Discharge Planner 323-409-3182 [email protected]

NICU Contact 2

Medical Director

Lisa Guerra-Vargas, MD HRIF Med Director (323) 409-3237 [email protected]

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

Cecilia Luevano, RN NICU Data Entry (323) 409-3322 [email protected]

NICU Contacts Last Updated By: Lorayne Barton, MD HRIF Contacts Last Updated By: Daniel Pascual Last Modified Date: June 9, 2021 04:12pm Download Date: November 5, 2021 09:13pm

Page 67: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

LPCH Special Care Nursery at Sequoia Hospital170 Alameda de las PulgasRedwood City, CA 94062

County: San MateoPhone: 650-497-8000

OSHPD Facility Code: 410891CCS NICU Level: Intermediate

Region: (4) Mid-Coastal

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

LPCH at Stanford

NICU CONTACTS HRIF CONTACTS

Report Contact

Nilima Ragavan MD Medical Director Special Care Nursery @ Sequoia 170 Alameda de las Pulgas Redwood City, CA 94062 650-367-6106 [email protected]

Data Contact 1

Mary Anne Booth Administrative Coordinaator (650) 367-5679 [email protected]

Transport Contact 1

Vinod Bhutani MD (650) 723-6621 [email protected]

Quality Improvement 1

Yolanda Winters Clinical QI Coordinator (650) 725-9753 [email protected]

Admin

Sheryl Goldstein Director Patient Care ServicesJohnson Center (650) 736-8011 [email protected]

Neonatologist

Nilima Ragavan MD Medical Director 650-367-6106 [email protected]

Data Contact 2

Transport Contact 2

Quality Improvement 2

Jennifer Granger Patient Care Manager (650) 367-5654 [email protected]

Contract Signer

Fran Schafer Administrative Director

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Yolanda Winters HRIF Contacts Last Updated By: Last Modified Date: January 14, 2021 09:10am Download Date: November 5, 2021 09:13pm

Page 68: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Loma Linda University Children's Hospital11175 Campus StreetLoma Linda, CA 92354County: San BernardinoPhone: 714-824-4303

OSHPD Facility Code: 364502CCS NICU Level: Regional

Region: (5) Southern Inland Counties

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Larry Ngo, MD Neonatologist NICU 11175 Campus Street, Suite 11121 Loma Linda, CA 92354 909-558-7448 [email protected]

Data Contact 1

Melissa Culata Data Coordinator (909) 558-4403 x52888 [email protected]

Transport Contact 1

Rene Santiago, RN Transport Coordinator 909-558-4403 x42395 [email protected]

Quality Improvement 1

Elba Fayard, MD NICU Medical Director 909-558-4403 [email protected]

Admin

Cassondra Barnett Sr. Administrative Assistant (909) 558-7496 [email protected]

Neonatologist

Douglas Deming, MD Neonatologist 909-558-7448 [email protected]

Data Contact 2

Transport Contact 2

Quality Improvement 2

Contract Signer

Ricardo Peverini, MD Chief Div. of Nenonatolgy 909-558-7448 [email protected]

Coordinator

Sandy Devine 2195 Club Center Drive, Suite G Team Center San Bernardino, CA 92408 Ph: 909-835-1803 Fax (secure): (909) 558-0701 [email protected]

Clinic Contact 1

Claudia Rivera Patient Care Assistant 909-835-1804 [email protected]

Clinic Contact 3

NICU Discharge Contact

Jeannette Loriezo, RN Discharge Coordinator (909) 558-7083 [email protected]

NICU Contact 2

Medical Director

Maria Cristina Garberoglio, MD HRIF Medical Director 909-835-1803 [email protected]

Clinic Contact 2

Susan Taitague Data Entry Specialist 909-835-1875 [email protected]

Clinic Contact 4

Lynn Karman, RN Case Manager NICU 909-558-4000x82204 [email protected]

NICU Contact 1

Melissa Culata Administrative Associate (909) 651-5790 [email protected]

NICU Contacts Last Updated By: Melissa Culata HRIF Contacts Last Updated By: Sandy DevineLast Modified Date: June 22, 2021 12:20pm Download Date: November 5, 2021 09:13pm

Page 69: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Los Robles Regional Hospital & Medical Center215 West Janss Road

Thousand Oaks, CA 91360County: Ventura

Phone: 805-497-2727

OSHPD Facility Code: 560492CCS NICU Level: Community

Region: (6) Central-North LA-Coastal Valley

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Edward Evans, MD Medical Director NICU 215 West Janss Road Thousand Oaks, CA 91360 (805) 370-4529 [email protected]

Data Contact 1

Leslie Frederick-Griset, BSN,RNC-NIC Staff Nurse 805-370-4452 [email protected]

Transport Contact 1

Leslie Frederick-Griset, BSN,RNC-NIC Staff Nurse 805-370-4452 [email protected]

Quality Improvement 1

Donna Dichirico Clinical Manager (805) 871-6867 [email protected]

Admin

Donna Dichirico Clinical Manager (805) 871-6867 [email protected]

Neonatologist

Edward Evans, MD Medical Director (805) 370-4529 [email protected]

Data Contact 2

Transport Contact 2

Quality Improvement 2

Contract Signer

Coordinator

Leslie Frederick-Griset, RN, BSN HRIF Coordinator

Ph: (805) 370-4267

[email protected]

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

Alina Encinas, MSW Social Worker/Case Manager 805-370-4679 [email protected]

NICU Contact 2

Medical Director

Edward Evans, MD NICU/HRIF Medical Director 805-370-4452 [email protected]

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Leslie Frederick-Griset HRIF Contacts Last Updated By: Leslie Frederick-GrisetLast Modified Date: April 23, 2021 05:28pm Download Date: November 5, 2021 09:13pm

Page 70: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Lucile Packard Children's Hospital Stanford725 Welch Road

Palo Alto, CA 94304County: Santa Clara

Phone: 650-497-8000

OSHPD Facility Code: 434040CCS NICU Level: Regional

Region: (4) Mid-Coastal

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Alexis S. Davis, MD Clinical Assoc. Prof. of Pediatrics Division of Neonatal and Dev.Medicine 750 Welch Road #315 Palo Alto, CA 94304 (650) 723-5711 [email protected]

Data Contact 1

Yolanda Winters Prof Pract Eval Program Mgr (650) 725-9753 [email protected]

Transport Contact 1

Yolanda Winters Prof Pract Eval Program Mgr [email protected]

Quality Improvement 1

Lisa Bain, MD Neonatologist (650) 723-5711 [email protected]

Admin

Sheryl Goldstein Director Patient Care ServicesJohnson Center (650) 736-8011 [email protected]

Neonatologist

Lisa Bain Clinical Assoc. Prof. of Pediatrics (650) 723-5711 [email protected]

Data Contact 2

Annalie Colina Business Analyst [email protected]

Transport Contact 2

Quality Improvement 2

Jeanene Johnson Quality Improvement Advisor [email protected]

Contract Signer

Lori Armstrong/ Pam Wells Administration Director/ VP Nursing 650-498-4647 [email protected]

Coordinator

Sandra Lombardi-Lytle RN, BSN,CCM, PHN, IBCLC 750 Welch Rd Suite 212 Palo Alto, CA 94304 Ph: 650-724-5513 Fax (secure): (650) 724-6500 [email protected]

Clinic Contact 1

Sandy Lombardi-Lytle RN HRIF Program Nurse Coordinator (650) 725-8995 [email protected]

Clinic Contact 3

Johandra Sanchez-Rios HRIF Administrative Assistant (650) 725-8895 [email protected]

NICU Discharge Contact

Sandra Lombardi-Lytle RN, BSN,CCM HRIF Program Coordinator (650) 725-8995 [email protected]

NICU Contact 2

Medical Director

Dr. Lynn Huffman HRIF Medical Director 650-725-8995 [email protected]

Clinic Contact 2

Coral Oropeza HRIF Administrative Assistant (650) 725-8995 [email protected]

Clinic Contact 4

NICU Contact 1

Yolanda Winters Professional Practice Eval ProgramMgr [email protected]

NICU Contacts Last Updated By: Yolanda Winters HRIF Contacts Last Updated By: Sandy Lombardi-Lytle RNLast Modified Date: August 24, 2021 12:50pm Download Date: November 5, 2021 09:13pm

Page 71: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Marian Regional Medical Center1400 E. Church StreetSanta Maria, CA 93454County: Santa BarbaraPhone: 805-739-3000

OSHPD Facility Code: 420493CCS NICU Level: Community

Region: (6) Central-North LA-Coastal Valley

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Mary Richards, RNC, MS, CNS Newborn Clinical Nurse Specialist NICU 1400 East Church Street Santa Maria, CA 93454 805-332-8390 [email protected]

Data Contact 1

Bonnie Lyons, RN, BSN Quality/Patient Safety ProgramManager (805) 739-3125 [email protected]

Transport Contact 1

Mary Smith, RNC, NNP, ANM Assistant Nurse Manager (805) 332-8390 [email protected]

Quality Improvement 1

Bonnie Lyons RN BSN Quality Coordinator (805) 739-3125 [email protected]

Admin

AP Invoicing (916) 851-2150 [email protected]

Neonatologist

Luis Ochoa-Pelaez NICU Medical Director (805) 332-8390 [email protected]

Data Contact 2

Christopher Jakowchik, RN, BSN Director, NICU (805) 332-8390 [email protected]

Transport Contact 2

Frank Ortiz, RN, BSN, ANM Assistant Nurse Manager (805) 332-8390 [email protected]

Quality Improvement 2

Christopher Jakowchik RN Director, NICU 805-332-8390 [email protected]

Contract Signer

Janet Holdych Vice President, Quality

Coordinator

Susan Rasmussen, RNC-NIC, BSN 1400 E. Church Street Santa Maria, CA 93454 Ph: (805) 739-3197 Fax (secure): (805) 332-8040

[email protected]

Clinic Contact 1

Ramneek Kaur, ST Speech Therapist (805) 739-3197 [email protected]

Clinic Contact 3

Christopher Jakowchik, RN, BSN Director (805) 332-8390 [email protected]

NICU Discharge Contact

Susan Rasmussen, RNC, BSN High Risk Infant Follow UpCoordinator (805) 332-8740 [email protected]

NICU Contact 2

Mary Smith, RN, NNP, MSN NICU, Assistant Nurse Manager (805) 332-8390 [email protected]

Medical Director

Luis Ochoa-Pelaez, MD Neonatologist, Medical Director (805) 739-3197 [email protected]

Clinic Contact 2

Maribeth Durazo, PT Physical Therapy (805) 739-3197 [email protected]

Clinic Contact 4

Beth Vidmar, OT Occupational Therapist (805) 739-3197 [email protected]

NICU Contact 1

Chris Jakowchik, BSN NICU Manager (805) 332-8390 [email protected]

NICU Contacts Last Updated By: Bonnie Lyons HRIF Contacts Last Updated By: Susan RasmussenLast Modified Date: October 19, 2021 10:18am Download Date: November 5, 2021 09:13pm

Page 72: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

MarinHealth Medical Center250 Bon Air Road

Greenbrae, CA 94904County: Marin

Phone: 415-925-7000

OSHPD Facility Code: 211006CCS NICU Level: Intermediate

Region: (1) North Coast East Bay

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

UC San Franciso Medical Center

NICU CONTACTS HRIF CONTACTS

Report Contact

Rachel Hogan Director of Maternity and NICUServices WIC 250 Bon Air Road Greenbrae, CA 94904 (415) 925-7584 [email protected]

Data Contact 1

Stacy Wilcox RN111 (415) 686-0607 [email protected]

Transport Contact 1

Erin Kramarsic Assitant Unit Manager (415) 925-7910 [email protected]

Quality Improvement 1

Rachel Hogan Director (415) 925-7584 [email protected]

Admin

Tricia Lee WIC Systems Specialist (415) 925-7571 [email protected]

Neonatologist

Thomas Shimotake, MD Director, MGH NICU (415) 476-1888 [email protected]

Data Contact 2

Tricia Lee WIC Systems Specialist (415) 925-7571 [email protected]

Transport Contact 2

Anne Lupus Clinical Educator (415) 488-7414 [email protected]

Quality Improvement 2

Tricia Lee WIC Systems Specialist (415) 925-7571 [email protected]

Contract Signer

Michelle Martinez Chief Nursing Officer 415-925-7102

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Anne Lupus HRIF Contacts Last Updated By: Last Modified Date: July 7, 2021 02:59pm Download Date: November 5, 2021 09:13pm

Page 73: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Memorial Medical Center - Modesto1700 Coffee Road

Modesto, CA 95355County: Stanislaus

Phone: 209-526-4500

OSHPD Facility Code: 500939CCS NICU Level: Intermediate

Region: (3) San Joaquin-Central Valley-Sierra Nevada

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

Doctors Medical Center

NICU CONTACTS HRIF CONTACTS

Report Contact

Tiffany McElvy Director MCH MCH 1700 Coffee Road Modesto, CA 95355 (209) 530-7950 [email protected]

Data Contact 1

Bethany Owings Department Manager NICU (209) 530-3493 [email protected]

Transport Contact 1

NA NA (555) 555-5555 [email protected]

Quality Improvement 1

Tiffany McElvy FBC Director (209) 530-7590 [email protected]

Admin

Bethany Owings Department Manager NICU (209) 530-3493 [email protected]

Neonatologist

Dr Andrea Bataan Medical Director (312) 307-5691 [email protected]

Data Contact 2

Sonja Loehr NICU Educator (209) 530-3497 [email protected]

Transport Contact 2

Quality Improvement 2

Kathleen Ortega Family Birthing Center, AssistantDepartment Manager (209) 530-3497 [email protected]

Contract Signer

Sandra Proctor VP 209-526-4500 x7183

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

Tracey Cox RN Case Manager (209) 530-3660 [email protected]

NICU Contact 2

Jacquelyn Perez RN Case Manager (209) 530-3660 [email protected]

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

Michele Ellis RN Case Manager Supervisor (209) 857-6878 [email protected]

NICU Contacts Last Updated By: Bethany Owings, BSN, RNC HRIF Contacts Last Updated By: Tracey CoxLast Modified Date: May 13, 2021 12:14pm Download Date: November 5, 2021 09:13pm

Page 74: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Memorialcare Miller Children's and Women's Hospital Long Beach2801 Atlantic Avenue

Long Beach, CA 90806County: Los AngelesPhone: 562-933-5437

OSHPD Facility Code: 196168CCS NICU Level: Regional

Region: (8) South Coastal LA-Orange

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Antoine Soliman, MD Medical Director NICU 2801 Atlantic Avenue Long Beach, CA 90806 (562) 933-3273 [email protected]

Data Contact 1

Nina Jones, BSN, RNC-NIC Clinical Database Coordinator (562) 661-1905 [email protected]

Transport Contact 1

Stephanie Figueroa, MSN, RNC-NIC Director of Clinical Operations (562) 661-1010 [email protected]

Quality Improvement 1

Ching Ching Tay, RN, CNS Clinical Nurse Specialist (562) 933-8186 [email protected]

Admin

Stephanie Figueroa, MSN, RNC-NIC Director of Clinical Operations(NICU) (562) 661-1010 [email protected]

Neonatologist

Antoine Soliman, MD Medical Director (562) 933-3273 [email protected]

Data Contact 2

Ching Ching Tay, RN, CNS Clinical Nurse Specialist (562) 933-8186 [email protected]

Transport Contact 2

Quality Improvement 2

Ting-Yi Lin, MD, PhD Neonatologist (562) 661-1000 [email protected]

Contract Signer

Suzanne Reinsvold Chief Operating Officer

Coordinator

Robin Olson,RN HRIF Coordinator 2701 Atlantic Ave Suite 1 Long Beach, CA 90806 Ph: (562) 728-5049 [email protected]

Clinic Contact 1

Katherine O'Malley, RN HRIF Coordinator (562) 728-5048 [email protected]

Clinic Contact 3

NICU Discharge Contact

NICU Contact 2

Medical Director

Gary Feldman, MD HRIF Med Director 562-728-5037 [email protected]

Clinic Contact 2

Christina Pearce, MSN, CPNP Certified Pediatric Nurse Practitioner (562) 728-5034 [email protected]

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Nina Jones HRIF Contacts Last Updated By: Robin Olson Last Modified Date: March 25, 2021 04:39pm Download Date: November 5, 2021 09:13pm

Page 75: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Memorialcare Saddleback Medical Center​24451 Health Center Drive

Laguna Hills, CA 92653County: Orange

Phone: 949-837-4500

OSHPD Facility Code: 301317CCS NICU Level: NonCCS

Region: (8) South Coastal LA-Orange

HRIF Program Onsite: NAHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Angie Noel RN, BSN Manager Women's and Children's Services 24411 Health Center Drive #540 Laguna Hiills, CA 92653 (949) 452-3370 [email protected]

Data Contact 1

Rosalind Carrillo Neonatal Case Manager (949) 452-3935 [email protected]

Transport Contact 1

Rosalind Carrillo Neonatal Case Manager (949) 452-3935 [email protected]

Quality Improvement 1

Shiva Batchu Performance ImprovementCoordinator (949) 452-3686 [email protected]

Admin

Nika Carlson Executive Director, Quality (714) 378-7423 [email protected]

Neonatologist

Ronald Naglie Medical Director, NICU (949) 452-7165 [email protected]

Data Contact 2

Transport Contact 2

Quality Improvement 2

Laura Tyler Performance ImprovementAdministrative Assistant (949) 452-7348 [email protected]

Contract Signer

LaDonna Butler Chief Operating Officer 949-452-3850

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Rosalind Carrillo HRIF Contacts Last Updated By: Last Modified Date: January 15, 2021 05:36pm Download Date: November 5, 2021 09:13pm

Page 76: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Mercy Medical Center - Redding2175 Rosaline Ave.Redding, CA 96001

County: ShastaPhone: 530-246-3729

OSHPD Facility Code: 450949CCS NICU Level: Community

Region: (2) Northeastern

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

UC Davis Medical Center

NICU CONTACTS HRIF CONTACTS

Report Contact

Sharon Perry Nursing Director Maternal ChildServices Neonatal Services 2175 Rosaline Ave. Redding, CA 96001 (530) 225-7982 [email protected]

Data Contact 1

Sharon Perry Director Maternal Child Services (530) 225-7982 [email protected]

Transport Contact 1

Ashlee Smith, DO Medical Director NICU andPediatrics (530) 225-7386 [email protected]

Quality Improvement 1

Tomi Gibb Perinatal Safety Specialist (530) 225-7380 [email protected]

Admin

AP Invoicing (916) 851-2150 [email protected]

Neonatologist

Ashlee Smith, DO Medical Director NICU (530) 225-7386 [email protected]

Data Contact 2

Tomi Gibb Perinatal Safety Specialist (530) 225-7724 [email protected]

Transport Contact 2

Sharon Perry Maternal Child Nursing Director (530) 225-7982 [email protected]

Quality Improvement 2

Justin Sharp M.D. Neonatologist (530) 225-4440 [email protected]

Contract Signer

Janet Holdych Vice President, Quality

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Tanya Steffes HRIF Contacts Last Updated By: Last Modified Date: September 9, 2021 04:09pm Download Date: November 5, 2021 09:13pm

Page 77: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Mercy San Juan Medical Center6501 Coyle Avenue

Carmichael, CA 95608County: Sacarmento

Phone: 916-537-5000

OSHPD Facility Code: 340950CCS NICU Level: Community

Region: (2) Northeastern

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Robert A. Kahle, MD Medical Director of Women's &Children's Services Neonatology 6501 Coyle Avenue Carmichael, CA 95608 916-537-5340 [email protected]

Data Contact 1

Robert A. Kahle, MD Medical Director (916) 864-8466 [email protected]

Transport Contact 1

Donna Brotman NICU Nursing Manager (916) 864-8466 [email protected]

Quality Improvement 1

Carolyn Getman, MD NICU Medical Director (916) 537-5136 [email protected]

Admin

AP Invoicing (916) 851-2150 [email protected]

Neonatologist

Carolyn Getman, MD Medical Director (916) 537-5316 [email protected]

Data Contact 2

Lori Wolf HRIF Nursing Director (916) 537-5173 [email protected]

Transport Contact 2

Michelle Donahoo RCP, RRT-NPS Regional NICU Respiratory CareSpecialist (916) 537-3246 [email protected]

Quality Improvement 2

Gale Schmaltz, NNP Neonatal Nurse Practitioner (916) 537-5340 [email protected]

Contract Signer

Janet Holdych Vice President, Quality

Coordinator

Lori Wolf, RN Supervisor 6401 Coyle Ave, #418 Infant Developmental Clinic Carmichael, CA 95608 Ph: 916-537-5173 [email protected]

Clinic Contact 1

Diane Saeed, MD HRIF M.D. 916-537-5173

Clinic Contact 3

NICU Discharge Contact

Connie Sharp NICU RN (916) 537-5135 [email protected]

NICU Contact 2

Medical Director

Robert A. Kahle, MD HRIF Medical Director 916-537-5340 [email protected]

Clinic Contact 2

Connie Sharp NICU RN (916) 537-5135 [email protected]

Clinic Contact 4

NICU Contact 1

Christina Morgan Unit Assistant 916-537-5135 [email protected]

NICU Contacts Last Updated By: Robert Kahle HRIF Contacts Last Updated By: Lori WolfLast Modified Date: October 28, 2021 11:09am Download Date: November 5, 2021 09:13pm

Page 78: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Methodist Hospital of Sacramento7500 Hospital Drive

Sacramento, CA 95823County: Sacramento

Phone: 916-423-3000

OSHPD Facility Code: 340951CCS NICU Level: Intermediate

Region: (2) Northeastern

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

Mercy San Juan Hospital and

NICU CONTACTS HRIF CONTACTS

Report Contact

Robert A. Kahle, MD Medical Director Neonatology 7500 Hospital Drive Sacramento, CA 95823 916-423-6018 [email protected]

Data Contact 1

Robert A. Kahle, MD Medical Director 916-423-6018 [email protected]

Transport Contact 1

Michelle Donahoo RCP, RRT-NPS Regional NICU Respiratory CareSpecialist (916) 536-3246 [email protected]

Quality Improvement 1

Robert A. Kahle, MD Medical Director (916) 537-5340 [email protected]

Admin

AP Invoicing (916) 851-2150 [email protected]

Neonatologist

Robert A. Kahle, MD Medical Director 916-423-6018 [email protected]

Data Contact 2

Robert A. Kahle, MD Medical Director (916) 423-6018 [email protected]

Transport Contact 2

Quality Improvement 2

Lisa Melvin, RN Director Women's and Children'sServices (916) 681-1523 [email protected]

Contract Signer

Janet Holdych Vice President, Quality

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Robert Kahle, MD HRIF Contacts Last Updated By: Last Modified Date: March 22, 2021 09:27am Download Date: November 5, 2021 09:13pm

Page 79: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Methodist Hospital of Southern California300 W. Huntington Drive

Arcadia, CA 91006County: Los AngelesPhone: 626-898-8000

OSHPD Facility Code: 190529CCS NICU Level: NonCCS

Region: (6) Central-North LA-Coastal Valley

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

Huntington Memorial Hospital

NICU CONTACTS HRIF CONTACTS

Report Contact

Tracy Joseph NICU Manager NICU 300 W. Huntington Drive ARCADIA, CA 91007 (626) 462-2715 [email protected]

Data Contact 1

Kathleen Noonan RN (626) 574-3522 [email protected]

Transport Contact 1

Quality Improvement 1

Senene Owen, CNS, RNC CNS, RNC 626-574-2403 [email protected]

Admin

Tracy Joseph NICU manager (626) 462-2710 [email protected]

Neonatologist

Nader Bishara, MD MD (626) 574-3522 [email protected]

Data Contact 2

Tracy Joseph, RNC NICU Manager 626-462-2715 [email protected]

Transport Contact 2

Quality Improvement 2

Contract Signer

Carolyn J. Tadeja VP, Chief Nursing Officer 626-574-3691

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

Tracy Joseph NICU Manager 626-462-2715 [email protected]

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

Senene Owen CNS 626-462-2668 [email protected]

NICU Contacts Last Updated By: Tracy Joseph HRIF Contacts Last Updated By: Last Modified Date: March 18, 2021 11:00am Download Date: November 5, 2021 09:13pm

Page 80: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Natividad Medical Center1441 Constitution Blvd.

Salinas, CA 93906County: Monterey

Phone: 831-755-4111

OSHPD Facility Code: 274043CCS NICU Level: Community

Region: (4) Mid-Coastal

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Kathleen Hartnett NNP NICU 1441 Constitution Blvd. Salinas, CA 93906 (831) 759-6571 [email protected]

Data Contact 1

Kathleen Hartnett NNP (831) 759-6571 [email protected]

Transport Contact 1

Kathleen Hartnett NNP (831) 759-6571 [email protected]

Quality Improvement 1

Admin

April Ritchie, RN Director of L&D/MIU/NICU/Peds (831) 772-7577 [email protected]

Neonatologist

Martha Douglas-Escobar MD (831) 759-6571 [email protected]

Data Contact 2

Danielle Hester NICU Supervising Manager (831) 759-6571 [email protected]

Transport Contact 2

Danielle Hester NICU Supervising Manager (831) 759-6571 [email protected]

Quality Improvement 2

Maria Mata Quality Management 831-759-6571 [email protected]

Contract Signer

Gary Grey Acting CEO 831-755-4111

Coordinator

Toni Bravo 1441 Constitution Blvd Bldg 500 Salinas, CA 93906 Ph: 831-769-8691 Fax (secure): (831) 754-1522 [email protected]

Clinic Contact 1

Brenda Dutkiewicz NICU Interim Supervisor (831) 772-7503 [email protected]

Clinic Contact 3

Rosa Mendoza-Salazar MSW (831) 755-6396 [email protected]

NICU Discharge Contact

Toni Bravo RN HRIF Coordinator (831) 769-8691 [email protected]

NICU Contact 2

Medical Director

Mary Coleman M.D., MPH HRIF Medical Director (831) 783-2511 [email protected]

Clinic Contact 2

Diana Atsatt Pediatric Physical Therapy (831) 755-5570 [email protected]

Clinic Contact 4

Theresa A. Kuepfer R.D. (831) 783-2882 [email protected]

NICU Contact 1

Sylvia Torres CNS (831) 783-2539 [email protected]

NICU Contacts Last Updated By: Gary Gray D.O. HRIF Contacts Last Updated By: Toni BravoLast Modified Date: August 14, 2021 11:58am Download Date: November 5, 2021 09:13pm

Page 81: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

NorthBay Medical Center1200 B. Gale Wilson Blvd.

Fairfield, CA 94533County: Solano

Phone: 707-429-3600

OSHPD Facility Code: 481357CCS NICU Level: Community

Region: (2) Northeastern

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Steve Gwiazdowski, MD Medical Director, NICU Department of Pediatrics 1860 Pennsylvania Ave., Suite 145 Fairfield, CA 94533 (707) 646-4051 [email protected]

Data Contact 1

Alex M Espinoza, MD Neonatologist (707) 646-5023 [email protected]

Transport Contact 1

Jana Parkinson, RN NICU, CN IV (707) 646-5023 [email protected]

Quality Improvement 1

Steve Gwiazdowski, MD Medical Director, NICU (707) 646-4051 [email protected]

Admin

Katie Lydon, RN Director, Women and ChildrenServices (707) 646-5484 [email protected]

Neonatologist

Steve Gwiazdowski, MD Medical Director, NICU (707) 646-4051 [email protected]

Data Contact 2

Transport Contact 2

Alex M Espinoza, MD Neonatologist (707) 646-5023 [email protected]

Quality Improvement 2

Jenny Quinn, NNP Neonatal Nurse Practitioner 707-646-5427 [email protected]

Contract Signer

Kathleen Richardson VP, Chief Nursing Officer 707-429-7725

Coordinator

Monica Hernandez, MSN, RN Clinical Nurse II 1200 B Gale Wilson Blvd NICU Fairfield, CA 94533 Ph: 707-646-5418 [email protected]

Clinic Contact 1

Walter R. Berkheimer, MD Neonatologist (707) 646-4048 [email protected]

Clinic Contact 3

Margaret Dorcy,RN Clinical Nurse III (707) 646-5023 [email protected]

NICU Discharge Contact

NICU Contact 2

Medical Director

Steve Gwiazdowski, MD Medical Director, NICU (707) 646-4051 [email protected]

Clinic Contact 2

Daphnee Cineas, RN Clinical Nurse II (707) 646-5418 [email protected]

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Alex M Espinoza, MD HRIF Contacts Last Updated By: Daphnee CineasLast Modified Date: March 25, 2021 10:42pm Download Date: November 5, 2021 09:13pm

Page 82: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Northridge Hospital Medical Center18300 Roscoe Boulevard

Northridge, CA 91324County: Los Angeles

Phone: (818) 885-8500

OSHPD Facility Code: 190568CCS NICU Level: Community

Region: (6) Central-North LA-Coastal Valley

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

Olive View - UCLA Medical Center

NICU CONTACTS HRIF CONTACTS

Report Contact

Karen Overton Director Women's and Children's Services 18300 Roscoe Blvd. Northridge, CA 91328 (818) 885-8500 x4718 [email protected]

Data Contact 1

Jeannie Reyna Nurse Shift Manager (818) 885-5444 [email protected]

Transport Contact 1

Quality Improvement 1

Hessel-Altman, Holly Sr. Director, Process Improvment (818) 885-8500 x4686 [email protected]

Admin

AP Invoicing (916) 851-2150 [email protected]

Neonatologist

Saba Gaffar Neonatologist (818) 885-8500 x5444 [email protected]

Data Contact 2

Transport Contact 2

Quality Improvement 2

Lewis, Lisa Manager, Process Improvment (818) 885-8500 x2165 [email protected]

Contract Signer

Janet Holdych Vice President, Quality

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

Jeannie Reyna NICU Nurse Shift Manager (818) 885-5444 [email protected]

NICU Contacts Last Updated By: Jeannie Reyna HRIF Contacts Last Updated By: Jeannie ReynaLast Modified Date: May 1, 2021 03:15pm Download Date: November 5, 2021 09:13pm

Page 83: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

O'Connor Hospital - San Jose2105 Forest AvenueSan Jose, CA 95128County: Santa Clara

Phone: 408-947-2500

OSHPD Facility Code: 430837CCS NICU Level: Community

Region: (4) Mid-Coastal

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

Santa Clara Valley Medical Center

NICU CONTACTS HRIF CONTACTS

Report Contact

Nhuthuy Tran RN NICU 2105 Forest Avenue San Jose, CA , CA 95128 (408) 947-2705 [email protected]

Data Contact 1

Juniper Arnold, RN Nurse Manager The Family Center (408) 918-6255 [email protected]

Transport Contact 1

Sarah Howell RN, Transport Coordinator (408) 947-2705 [email protected]

Quality Improvement 1

Michael Thornton Quality Improvement Manager (408) 947-2889 [email protected]

Admin

Michelle Pimentel Interim Director of The Family Center (408) 947-3997 [email protected]

Neonatologist

SudhaRani Narasimhan Medical Director NICU (408) 947-2705 [email protected]

Data Contact 2

Maria Ruiz RN (408) 947-2705 [email protected]

Transport Contact 2

Maria Ruiz RN, Transport Coordinator Trainee (408) 947-2705 [email protected]

Quality Improvement 2

Machelnil Cormier Informatics Registered Nurse (408) 947-2759 [email protected]

Contract Signer

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

Cathy Marks, BSN, MHI RN 408-947-2705 [email protected]

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

Cathy Marks RN (408) 947-2705 [email protected]

NICU Contacts Last Updated By: Cathy Marks HRIF Contacts Last Updated By: Cathy Marks RNLast Modified Date: February 11, 2021 03:25pm Download Date: November 5, 2021 09:13pm

Page 84: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Orange County Global Medical Center1001 North Tustin Avenue

Santa Ana, CA 92705County: Orange

Phone: 714-953-3500

OSHPD Facility Code: 301566CCS NICU Level: Community

Region: (7) LA-San Gabriel-Inland Orange

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

Children's Hospital of Orange County (CHOC)

NICU CONTACTS HRIF CONTACTS

Report Contact

Kelina Son, RN Charge Nurse NICU 1001 North Tustin Avenue Santa Ana, CA 92705 714-953-3315 [email protected]

Data Contact 1

Kelina Son, RN Charge Nurse 714-953-3315 [email protected]

Transport Contact 1

Quality Improvement 1

K Tesmer MD medical director NICU (714) 953-3315 [email protected]

Admin

antonette cesarz nicu nursing director (714) 953-3315 [email protected]

Neonatologist

Katarzyna.Tesmer, MD Medical Director 714-953-3315 [email protected]

Data Contact 2

Antonette cesarz NICU nursing director (630) 750-5591 [email protected]

Transport Contact 2

Quality Improvement 2

antonette Cesarz nicu nursing director (714) 953-3315 [email protected]

Contract Signer

Suzanne Richards Chief Executive Officer 714-953-3610 [email protected]

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

Kelina Son, RNC Charge Nurse 714-953-3315 [email protected]

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

Sarah Martin Charge RN 714-953-3315 [email protected]

NICU Contact 1

Giselle Aberella Nursing Director 714-953-3949 [email protected]

NICU Contacts Last Updated By: Kelina Son HRIF Contacts Last Updated By: HRIF SupportLast Modified Date: January 12, 2021 09:54am Download Date: November 5, 2021 09:13pm

Page 85: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

PIH Health12401 Washington Blvd.

Whittier, CA 90602County: Los Angeles

Phone: (562) 698-0811

OSHPD Facility Code: 190631CCS NICU Level: Community

Region: (8) South Coastal LA-Orange

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Devang Patel, MD Medical Director NICU 12401 Washington Blvd. Whittier, CA 90602 562-698-0811 x17529 [email protected]

Data Contact 1

Maureen Campbell, BSN, RN Data Contact (562) 698-0811 x17547 [email protected]

Transport Contact 1

Judy Bremer, MSN, RN Transport Coordinator (562) 698-0811 x17529 [email protected]

Quality Improvement 1

Judy Bremer, MSN, RN Clinical Director 562-698-0811 x17252 [email protected]

Admin

Judy Bremer, RN, MSN Clinic Director (562) 698-0811 x17252 [email protected]

Neonatologist

Devang Patel, MD Medical Director 562-698-0811 x17529 [email protected]

Data Contact 2

Jennifer Hillhouse, MBA, MSN, RN Assistant Clinical Director (562) 698-0811 x17200 [email protected]

Transport Contact 2

Louise Mitchell, MSN, CNS, RN Clinical Nurse Specialist (562) 698-0811 x17676 [email protected]

Quality Improvement 2

Mary Dix, MSN, CNS, RN Clinical Nurse Specialist (562) 698-0811 x17676 [email protected]

Contract Signer

James R. West President & CEO (562) 698-0811

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

Cindy Parberry, LCSW NICU/HRIF Social Worker 562-698-0811 x17351 [email protected]

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

Cindi Burk RNCM NICU Casemanager (562) 698-0811 x16486 [email protected]

NICU Contacts Last Updated By: Maureen Campbell HRIF Contacts Last Updated By: Deborah FloresLast Modified Date: March 5, 2021 01:42pm Download Date: November 5, 2021 09:13pm

Page 86: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

PIH Health Good Samaritan Hospital1225 Wilshire Blvd.

Los Angeles, CA 90017County: Los AngelesPhone: 213-977-2121

OSHPD Facility Code: 190392CCS NICU Level: Community

Region: (6) Central-North LA-Coastal Valley

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

L'Tanya Simien-Robnett Director of Perinatal Services Perinatal Services 1225 Wilshire Blvd. Los Angeles, CA 90017 213-977-4102 [email protected]

Data Contact 1

Dr. Rangasamy Ramanathan Neonatologist (213) 919-7929 [email protected]

Transport Contact 1

Jennifer Wenzel NICU Manager (213) 977-4135 [email protected]

Quality Improvement 1

Joan Payne Supervisor (213) 977-4107 [email protected]

Admin

L'Tanya Simien-Robnett Director of Perinatal Services 213-977-4102 [email protected]

Neonatologist

Sardesai Smeeta, MD Medical Director (213) 977-4123 [email protected]

Data Contact 2

Jennifer Wenzel NICU Nurse Manager (213) 977-4135 [email protected]

Transport Contact 2

Stacy Miller Supervisor (213) 977-4123 [email protected]

Quality Improvement 2

Maria Alcazar Maternity Data Analyst (562) 698-0811 ext17566 [email protected]

Contract Signer

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

Teresa Alma Munoz-Bennett Coord. Resource - Case Mgmt. (213) 977-2025 [email protected]

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

Adolfo Monterroza NICU System Support (213) 977-4123

NICU Contacts Last Updated By: [email protected] HRIF Contacts Last Updated By: Adolfo MonterrozaLast Modified Date: October 18, 2021 09:06am Download Date: November 5, 2021 09:13pm

Page 87: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Pioneers Memorial Healthcare District207 West Legion Road

Brawley, CA 92227County: Imperial

Phone: (760) 351-4634

OSHPD Facility Code: 130760CCS NICU Level: Intermediate

Region: (9) San Diego and Imperial

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

Rady Children's Hospital San Diego

NICU CONTACTS HRIF CONTACTS

Report Contact

Martha Plancarte NICU Manager NICU 207 West Legion Road Brawley, CA 92227 (760) 351-4487 [email protected]

Data Contact 1

Martha Plancarte NICU Manager (760) 351-4487 [email protected]

Transport Contact 1

Quality Improvement 1

Carol Bojorquez Quality Director (760) 351-3484 [email protected]

Admin

Carly Loper Chief Financial Officer (760) 351-3590 [email protected]

Neonatologist

Ameen Alshareef Peds Neo Medical Director (760) 351-3247 [email protected]

Data Contact 2

Heather Munger Asst. Chief Nursing Officer (760) 351-3234 [email protected]

Transport Contact 2

Quality Improvement 2

Ana Cisneros RN III (760) 351-4485 [email protected]

Contract Signer

Lawrence E. Lewis CEO

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Heather Munger HRIF Contacts Last Updated By: Last Modified Date: January 25, 2021 02:44pm Download Date: November 5, 2021 09:13pm

Page 88: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Pomona Valley Hospital Medical Center1798 N. Garey Avenue

Pomona, CA 91767County: Los AngelesPhone: 909-865-9500

OSHPD Facility Code: 190630CCS NICU Level: Community

Region: (5) Southern Inland Counties

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Shahid Kamran, MD NICU Medical Director NICU 1798 North Garey Ave. Pomona, CA 91767 909-865-9703 [email protected]

Data Contact 1

Susan Wilkinson Quality Supervisor 909-630-7282 [email protected]

Transport Contact 1

Susan Wilkinson Quality Supervisor 909-630-7282 [email protected]

Quality Improvement 1

Margaretha Cash CNS 909-865-1594 [email protected]

Admin

Michele Atkins-Young, RN Director Childrens Services 909-865-9665 [email protected]

Neonatologist

Shahid Kamran, MD NICU Medical Director (909) 865-7739 [email protected]

Data Contact 2

Transport Contact 2

Quality Improvement 2

Contract Signer

Coordinator

Clinic Superviser/HRIF Coordinator 1770 North Orange Grove Suite 210 Children's Outpatient Center Pomona, CA 91767 Ph: (909) 469-9318

Clinic Contact 1

Laura Espinosa HRIF program assistant (909) 865-9501 ext6612 [email protected]

Clinic Contact 3

NICU Discharge Contact

Edda Mendez, RN Discharge Case Manager (909) 865-9703 [email protected]

NICU Contact 2

Medical Director

Shahid Kamran, MD HRIF Medical Director (909) 865-9839 #2 [email protected]

Clinic Contact 2

Airam Arce NICU/HRIF data entry assistant (909) 865-9501 ext6345 [email protected]

Clinic Contact 4

NICU Contact 1

Susan Wilkinson, RN CPQCC Supervisor 909.630.7282 [email protected]

NICU Contacts Last Updated By: susan wilkinson HRIF Contacts Last Updated By: HRIF SupportLast Modified Date: July 30, 2021 10:24am Download Date: November 5, 2021 09:13pm

Page 89: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Providence Cedars-Sinai Tarzana Medical Center18321 Clark St.

Tarzana, CA 91356County: Los AngelesPhone: 818-881-9814

OSHPD Facility Code: 190517CCS NICU Level: Community

Region: (6) Central-North LA-Coastal Valley

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Roberta Wright Outcomes Manager Performance Improvement 18321 Clark Street Tarzana, CA 91356 (818) 708-4055 [email protected]

Data Contact 1

Megan Javidi Performance Improvement ReviewNurse (818) 708-5462 [email protected]

Transport Contact 1

Roberta Wright Outcomes Manager (818) 708-5434 [email protected]

Quality Improvement 1

Admin

Roberta Wright Outcomes Manager (818) 708-5434 [email protected]

Neonatologist

Roxanne Arcinue, MD Medical Director (818) 708-5570 [email protected]

Data Contact 2

Annabelle Anadeo Performance Improvement ReviewNurse (818) 401-4118 [email protected]

Transport Contact 2

Quality Improvement 2

Contract Signer

Steven Chin, MD Medical Director (818) 708-5466 [email protected]

Coordinator

Llysa Petralia 18321 Clark St. Tarzana , Ca 91356 Ph: (818) 708-5570 Fax (secure): (818) 708-5471

[email protected]

Clinic Contact 1

Astri Sorgaard-Hilton Pediatric Physical Therapist 818-708-5570 [email protected]

Clinic Contact 3

Alyssa Williams Clinical Social Worker (818) 822-2713 [email protected]

NICU Discharge Contact

Llysa Petralia RN Discharge Coordinator (818) 708-5570 [email protected]

NICU Contact 2

Medical Director

Hsiang-Fen F. Su, MD HRIF Medical Director 818-708-5466 [email protected]

Clinic Contact 2

Christy Hennessey OTR/L 818-708-5570 [email protected]

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Roberta Wright HRIF Contacts Last Updated By: llysa petraliaLast Modified Date: July 29, 2021 04:27pm Download Date: November 5, 2021 09:13pm

Page 90: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Providence Holy Cross Medical Center15031 Rinaldi Street

Mission Hills, CA 91345County: Los AngelesPhone: 818-365-8051

OSHPD Facility Code: 190385CCS NICU Level: Community

Region: (6) Central-North LA-Coastal Valley

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Susie Egami Manager NICU NICU 15031 Rinaldi St. Mission Hills, CA 91345 (818) 496-1908 [email protected]

Data Contact 1

Patricia Moreno HRIF Coordinator (818) 496-4260 [email protected]

Transport Contact 1

Patricia Moreno HRIF Coordinator 818-496-4408 [email protected]

Quality Improvement 1

Lynne Orlins Quality Managment Specialist (818) 496-4315 [email protected]

Admin

Bev Holland Maternal Child Health Director (818) 496-2064 [email protected]

Neonatologist

Keith Kolber Medical Director (818) 496-9579 [email protected]

Data Contact 2

Susie Egami NICU Manager (818) 496-1908 [email protected]

Transport Contact 2

Quality Improvement 2

Anna Munoz CNS 818-496-2380 [email protected]

Contract Signer

Coordinator

Patricia Moreno 11570 Indian Hills Road Mission Hills, CA 91346 Ph: (818) 496-4260 Fax (secure): (818) 496-2503

[email protected]

Clinic Contact 1

Patricia Moreno BSN RNC-NIC HRIF ClinicCoordinator (818) 496-4260 [email protected]

Clinic Contact 3

Juli Gish Occupational Therapist (818) 496-4408 [email protected]

NICU Discharge Contact

Emily Mendiola Case Manager 818-496-1445 [email protected]

NICU Contact 2

Medical Director

Keith Kolber Neonatologist (818) 496-4408 [email protected]

Clinic Contact 2

Grace Dale Nurse Practitioner (818) 496-4260 [email protected]

Clinic Contact 4

Brenda Munguia NICU Social Worker (818) 496-3415 [email protected]

NICU Contact 1

Susan Egami NICU Manager 818-496-1908 [email protected]

NICU Contacts Last Updated By: Susan Egami HRIF Contacts Last Updated By: Patricia MorenoLast Modified Date: October 7, 2021 09:12am Download Date: November 5, 2021 09:13pm

Page 91: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Providence Little Company of Mary Medical Center - Torrance4101 Torrance Blvd.Torrance, CA 90503County: Los AngelesPhone: 310-540-7676

OSHPD Facility Code: 190470CCS NICU Level: Community

Region: (8) South Coastal LA-Orange

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

Miller Children�s Hospital at Long Beach

NICU CONTACTS HRIF CONTACTS

Report Contact

Lisa Yauchzee RN Director of Women's and Children'sHealth NICU 4101 Torrance Blvd. Torrance , CA 90503 (310) 303-6370 [email protected]

Data Contact 1

Shauna Davis NICU Peds Educator (310) 303-6311 [email protected]

Transport Contact 1

Jennifer Massimo RN Transport Coordinator (310) 303-6301 [email protected]

Quality Improvement 1

Shauna Davis, CNS Nurse Educator 310-303-6311 [email protected]

Admin

Patti Hamaguchi, RN Director of PI 310-303-5445 [email protected]

Neonatologist

Jon Yamamoto, MD Director of NICU 310-303-6301 [email protected]

Data Contact 2

Lisa Yauchzee, RN Director (310) 303-6370 [email protected]

Transport Contact 2

Lisa Yauchzee, RN NICU Manager (310) 303-6370 [email protected]

Quality Improvement 2

Lisa Yauchzee, RN NICU Manager (310) 303-6370 [email protected]

Contract Signer

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

Lana Chiv Clinical Social Worker 310-303-5527 [email protected]

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

Emma De La Cerna RN Case Manager 310-365-7724 [email protected]

NICU Contact 1

Debbie Hudson RN Case Manager 310-303-6493 [email protected]

NICU Contacts Last Updated By: Lisa Yauchzee-Gac HRIF Contacts Last Updated By: Last Modified Date: January 29, 2021 12:00pm Download Date: November 5, 2021 09:13pm

Page 92: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Providence St. John's Health Center1328 22nd Street

Santa Monica, CA 90404County: Los AngelesPhone: 310-459-6773

OSHPD Facility Code: 190756CCS NICU Level: NonCCS

Region: (6) Central-North LA-Coastal Valley

HRIF Program Onsite: NAHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Teresa.Owens-Lim Director WHS NICU 2121 Santa Monica Blvd. Santa Monica, CA 90404 (310) 829-8443 [email protected]

Data Contact 1

Molano John WHC Manager (310) 829-8646 [email protected]

Transport Contact 1

John Molano NICUManager (310) 829-8646 [email protected]

Quality Improvement 1

John Molano NICU Manager (310) 829-8646 [email protected]

Admin

John Molano Manager NICU (310) 829-8646 [email protected]

Neonatologist

Fritzell . James Neonatologist 310-829-8177 [email protected]

Data Contact 2

Pari Ghaffari NICU Charge nurse (310) 829-8177 [email protected]

Transport Contact 2

Pari Ghaffari NICU Charge (310) 829-8646 [email protected]

Quality Improvement 2

Wendy Vance-Lee WHS manager (310) 829-8199 [email protected]

Contract Signer

Irena Zuanic Director WHS

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Pari Ghaffari HRIF Contacts Last Updated By: Last Modified Date: June 3, 2021 05:16pm Download Date: November 5, 2021 09:13pm

Page 93: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Providence St. Joseph Medical Center501 So. Buena VistaBurbank, CA 95204County: Los Angeles

Phone: (818) 847-6332

OSHPD Facility Code: 190758CCS NICU Level: Community

Region: (6) Central-North LA-Coastal Valley

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

Providence Holy Cross Medical Center

NICU CONTACTS HRIF CONTACTS

Report Contact

Bryan Homyak NICU Manager NICU 501 So. Buena Vista Burbank, CA 91505 (818) 847-6348 [email protected]

Data Contact 1

Lourdes Arteaga MSN, CNS 818-847-6335 [email protected]

Transport Contact 1

Debbie Camara NNP-BC, CCNS-CPNT (818) 847-6332 [email protected]

Quality Improvement 1

Lourdes Arteaga CNS (818) 847-6335 [email protected]

Admin

Robert Pickett Interim CNO (818) 847-4875 [email protected]

Neonatologist

Robert Gall, MD Medical Director 818-847-6332 [email protected]

Data Contact 2

Mary Fradis RN (818) 847-6332 [email protected]

Transport Contact 2

Quality Improvement 2

Debbie Camara NNP-BC, CCNS-CPNT (818) 847-6332 [email protected]

Contract Signer

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

Lourdes Arteaga CNS (818) 847-6335 [email protected]

NICU Contact 2

Kim Hauber RN (818) 847-6332 [email protected]

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

Lourdes Arteaga CNS (818) 847-6335 [email protected]

NICU Contacts Last Updated By: Lourdes Arteaga HRIF Contacts Last Updated By: Lourdes ArteagaLast Modified Date: January 21, 2021 12:12pm Download Date: November 5, 2021 09:13pm

Page 94: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Rady Children's Hospital San Diego3020 Children's WaySan Diego, CA 92123

County: San DiegoPhone: 858-576-1700

OSHPD Facility Code: 370673CCS NICU Level: Regional

Region: (9) San Diego and Imperial

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Linda Glenn, DNP, RNC-NIC,NE-BC Director, Neonatal Services NICU 3020 Children's Way, # 5008 San Diego, CA 92123 (858) 966-8893 [email protected]

Data Contact 1

Meghan Christiansen Clinical Data Coordinator (858) 966-1700 x225963 [email protected]

Transport Contact 1

Jose Honold, MD Neonatologist (858) 966-5818 [email protected]

Quality Improvement 1

Brian Lane, MD Neonatologist (858) 966-5818 [email protected]

Admin

Phillip J. Alvarez Business Unit Coordinator (858) 576-1700 x3499 [email protected]

Neonatologist

Mark Speziale, MD, PHD Medical Director, NICU 858-966-5818 [email protected]

Data Contact 2

Kirsten Sutherland Clinical Data Coordiantor (858) 966-1700 x225703 [email protected]

Transport Contact 2

Tim Nunemacher NICU CHET manager (858) 966-1700 x4142 [email protected]

Quality Improvement 2

Laurel Moyer, MD Neonatologist (858) 966-5818 [email protected]

Contract Signer

Margareta Norton Sr. VP/CNO 858-966-4006

Coordinator

Clinic Contact 1

Roxanne J Farjadi Administrative Coordinator 858-966-8801 [email protected]

Clinic Contact 3

NICU Discharge Contact

NICU Contact 2

Medical Director

Brian Lane, MD HRIF Medical Director 858-966-5818 [email protected]

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

Mark Speziale Medical Director, RCHSD 858-966-5818 [email protected]

NICU Contacts Last Updated By: Meghan Christiansen HRIF Contacts Last Updated By: Roxanne FarjadiLast Modified Date: July 30, 2021 09:12am Download Date: November 5, 2021 09:13pm

Page 95: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Rady Children's at Palomar Medical Center Escondido2185 Citracado PkwyEscondido, CA 92025

County: San DiegoPhone: 760-739-3000

OSHPD Facility Code: 370755CCS NICU Level: Community

Region: (9) San Diego and Imperial

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

Rady Children's Hospital San Diego (RCHSD)

NICU CONTACTS HRIF CONTACTS

Report Contact

Linda Glenn Director Neonatal Services Neonatology 3020 Children's Way San Diego, CA 92123 (858) 966-8893 [email protected]

Data Contact 1

Stephanie Boyd NICU Unit Supervisor (442) 281-3189 [email protected]

Transport Contact 1

Jose Honold, MD Neonatologist (858) 966-5818 [email protected]

Quality Improvement 1

Peggy Holub Clinical Nurse Specialist (858) 576-1700 ext6388 [email protected]

Admin

Phillip J. Alvarez Business Unit Coordinator (858) 576-1700 x3499 [email protected]

Neonatologist

David J. Golembeski, MD NICU Medical Director (442) 281-3193 [email protected]

Data Contact 2

Lynnore Johns NICU Satellite Manager (858) 966-7905 [email protected]

Transport Contact 2

Tim Nunemacher CHET Manager (858) 966-5973 [email protected]

Quality Improvement 2

Peggy Grimm Clinical Nurse Specialist (858) 576-1700 ext4099 [email protected]

Contract Signer

Margareta Norton Exce. Vice Pres. &Chief ofAdministrative Officer 760-739-3100

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

Stephanie Boyd CN III 760-739-3440 [email protected]

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

Peggy Graham, RN, CNS CNS/Discharge Contact 858-966-1700 x3040 [email protected]

NICU Contact 1

Chris Linderleaf Administrative Assistant 760-739-3757 [email protected]

NICU Contacts Last Updated By: Stephanie Boyd HRIF Contacts Last Updated By: HRIF SupportLast Modified Date: January 16, 2020 03:37pm Download Date: November 5, 2021 09:13pm

Page 96: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Rady Children's at Rancho Springs Medical Center25500 Medical Center Drive

Murrieta, CA 92562County: Riverside

Phone: (951) 677-1111

OSHPD Facility Code: 334068CCS NICU Level: Community

Region: (9) San Diego and Imperial

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

Rady Children's Hospital San Diego (RCHSD)

NICU CONTACTS HRIF CONTACTS

Report Contact

Linda Glenn Director of Neonatal Services Neonatology 3020 Children's Way San Diego, CA 92123 (858) 939-8993 [email protected]

Data Contact 1

Dawn Hesson, MSN, CPN, CCRN,NE-BC NICU Supervisor (951) 696-6135 [email protected]

Transport Contact 1

Richard Song MD Medical Director NICU (951) 696-6000 x7369 [email protected]

Quality Improvement 1

Peggy Holub MSN, RNC CNS (858) 966-6388 [email protected]

Admin

Phillip J. Alvarez Business Unit Coordinator (858) 576-1700 x3499 [email protected]

Neonatologist

Richard Song MD Medical Director NICU (951) 696-6000 x7369 [email protected]

Data Contact 2

Pam Herrscher, BSN, RN-NIC RN (951) 696-7370 [email protected]

Transport Contact 2

Tim Nunemacher NICU CHET Manager (858) 966-1700 x4142 [email protected]

Quality Improvement 2

Peggy Grimm MSN, RNC CNS (858) 966-4099 [email protected]

Contract Signer

janella parucha

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Dawn Hesson HRIF Contacts Last Updated By: HRIF SupportLast Modified Date: January 13, 2021 03:48pm Download Date: November 5, 2021 09:13pm

Page 97: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Rady Children's at Scripps Encinitas Memorial Hospital354 Santa Fe

Encinitas, CA 92024County: Encinitas

Phone: 760-633-7801

OSHPD Facility Code: 371394CCS NICU Level: Intermediate

Region: (9) San Diego and Imperial

HRIF Program Onsite: NAHospital Providing HRIF Program Services:

Rady Children's Hospital San Diego (RCHSD)

NICU CONTACTS HRIF CONTACTS

Report Contact

Linda Glenn Director of Neonatal Services NICU 3020 Children's Way San Diego, CA 92123 (858) 966-8893 [email protected]

Data Contact 1

Michelle Landy, RNC, MSN NICU Supervisor 760-633-6120 [email protected]

Transport Contact 1

Casey Cohenmeyer, MD Medical Director (858) 966-5818 [email protected]

Quality Improvement 1

Peggy Grimm, RN, CNS CNS (858) 966-4099 [email protected]

Admin

Phillip J. Alvarez Business Unit Coordinator (858) 576-1700 x3499 [email protected]

Neonatologist

Casey Cohenmeyer, MD Medical Director (858) 966-5818 [email protected]

Data Contact 2

Lynnore Johns NICU Satellite Manager (858) 966-7905 [email protected]

Transport Contact 2

Tim Nunemacher CHET Manager (858) 966-1700 x4142 [email protected]

Quality Improvement 2

Peggy Holub, RN, CNS CNS (858) 966-6388 [email protected]

Contract Signer

Margareta Norton Sr. VP/CNO 858-966-4006

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Lynnore Johns HRIF Contacts Last Updated By: HRIF SupportLast Modified Date: January 13, 2021 03:49pm Download Date: November 5, 2021 09:13pm

Page 98: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Rady Children's at Scripps La Jolla9888 Genesee AveLa Jolla, CA 92037

County: La JollaPhone: 858-626-6276

OSHPD Facility Code: 370771CCS NICU Level: Community

Region: (9) San Diego and Imperial

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

Rady Children's Hospital San Diego (RCHSD)

NICU CONTACTS HRIF CONTACTS

Report Contact

Linda Glenn Director of Neonatal Services Neonatology 3020 Children's Way, San Diego, CA 92123 (858) 966-8893 [email protected]

Data Contact 1

Janet Wirt NICU Supervisor (858) 626-5282 [email protected]

Transport Contact 1

Jane O'Donnell Medical Director 858-966-5818 [email protected]

Quality Improvement 1

Peggy Grimm, RNC, MSN CNS 858-966-7905 [email protected]

Admin

Phillip J. Alvarez Business Unit Coordinator (858) 576-1700 x3499 [email protected]

Neonatologist

Jane O'Donnell, MD Medical Director of NICU 858-966-5818 [email protected]

Data Contact 2

Lynnore Johns NICU Satellite Manager (858) 966-7905 [email protected]

Transport Contact 2

Tim Nunemacher NICU CHET Manager (858) 966-1700 x4142 [email protected]

Quality Improvement 2

Peggy Holub, RN, CNS CNS (858) 966-6388 [email protected]

Contract Signer

Margareta Norton Sr. VP/CNO 858-966-4006

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Janet Wirt HRIF Contacts Last Updated By: Last Modified Date: January 13, 2021 03:49pm Download Date: November 5, 2021 09:13pm

Page 99: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Rady Children's at Scripps Mercy Chula Vista435 H. Street

Chula Vista, CA 91910County: San Diego

Phone: (619) 691-7000

OSHPD Facility Code: 370658CCS NICU Level: Intermediate

Region: (9) San Diego and Imperial

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

Rady Children's Hospital San Diego (RCHSD)

NICU CONTACTS HRIF CONTACTS

Report Contact

Linda Glenn, DNP, RNC-NIC,NE-BC Director, Neonatal Services Neonatal Intensive Care Unit 3020 Children's Way #5008 San Diego, CA 92123 (858) 966-8893 [email protected]

Data Contact 1

Carol Castillo, BSN, RNC NICU Supervisor (619) 691-7405 [email protected]

Transport Contact 1

Jose Honold, MD Medical Director, NICU (858) 966-5818 [email protected]

Quality Improvement 1

Peggy Holub, MSN, RN Clinical Nurse Specialist (858) 966-6388 [email protected]

Admin

Phillip Alvarez Business Unit Coordinator (858) 576-1700 x3499 [email protected]

Neonatologist

Denise Suttner, MD Medical Director, NICU (858) 966-5818 [email protected]

Data Contact 2

Lynnore Johns NICU Satellite Manager (858) 966-7905 [email protected]

Transport Contact 2

Tim Nunemacher Manager, NICU CHET (858) 966-1700 x4142 [email protected]

Quality Improvement 2

Peggy Grimm, MSN, RN Clinical Nurse Specialist (858) 966-4099 [email protected]

Contract Signer

Margareta Norton Executive VP & Chief Admin Officer (858) 966-4006 [email protected]

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Lynnore Johns HRIF Contacts Last Updated By: Last Modified Date: June 4, 2021 03:57pm Download Date: November 5, 2021 09:13pm

Page 100: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Rady Children's at Scripps Mercy Hospital San Diego4077 Fifth Avenue

San Diego, CA 92103County: San Diego

Phone: (619) 294-8111

OSHPD Facility Code: 370744CCS NICU Level: Intermediate

Region: (9) San Diego and Imperial

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

Rady Children's Hospital San Diego (RCHSD)

NICU CONTACTS HRIF CONTACTS

Report Contact

Linda Glenn, DNP, RNC-NIC,NE-BC Director, Neonatal Services NICU 3020 Children's Way #5008 San Diego, CA 92123 (858) 966-8893 [email protected]

Data Contact 1

Stephanie Murdoch, MSN, RN NICU Supervisor (619) 260-7232 [email protected]

Transport Contact 1

Riad Mardoum, MD Medical Director, NICU (619) 260-7046 [email protected]

Quality Improvement 1

Peggy Holub, MSN, RNC Clinical Nurse Specialist (858) 966-6388 [email protected]

Admin

Phillip Alvarez Business Unit Coordinator (858) 576-1700 x3499 [email protected]

Neonatologist

Riad Mardoum, MD Medical Director, NICU (619) 260-7046 [email protected]

Data Contact 2

Lynnore Johns NICU Satellite Manager (858) 966-7905 [email protected]

Transport Contact 2

Tim Nunemacher CHET Manager (858) 966-1700 x4142 [email protected]

Quality Improvement 2

Peggy Grimm, MSN, RNC Clinical Nurse Specialist (858) 966-4099 [email protected]

Contract Signer

Meg Norton Executive VP & Chief AdministrativeOfficer (858) 966-4006 [email protected]

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Lynnore Johns HRIF Contacts Last Updated By: Last Modified Date: January 13, 2021 03:47pm Download Date: November 5, 2021 09:13pm

Page 101: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Redlands Community Hospital350 Terracina Blvd.Redlands, CA 92373

County: San BernardinoPhone: 909-335-5500

OSHPD Facility Code: 361308CCS NICU Level: Community

Region: (5) Southern Inland Counties

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

Loma Linda University Medical Center

NICU CONTACTS HRIF CONTACTS

Report Contact

Rochelle Bilgrei, RN, MSN, CNS NICU and Well Baby Clinical NurseSpecialist NICU 350 Terracina Blvd. Redlands, CA 92373 909-307-5088 [email protected]

Data Contact 1

Jessica Lopez RN Data Coordinator 909-335-6406 [email protected]

Transport Contact 1

Rochelle Bilgrei CNS (909) 307-5088 [email protected]

Quality Improvement 1

Rochelle Bilgrei, RN, MSN, CNS NICU and Well Baby Clinical NurseSpecialist 909-307-5088 [email protected]

Admin

Cathi Bell QMSS, Director 909-335-5606 [email protected]

Neonatologist

Allan Wolpe, MD Medical Director 909-335-6443 [email protected]

Data Contact 2

Rochelle Bilgrei, RN, MSN, CNS NICU and Well Baby Clinical NurseSpecialist (909) 307-5088 [email protected]

Transport Contact 2

Quality Improvement 2

Carolyn Arnold Director, Maternal Child HealthServices (909) 335-6444 [email protected]

Contract Signer

Madonna Coughenour, RN VP 909-335-6444

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

Jessica Lopez Maternal Child Data Coordinator 909-335-6406 [email protected]

NICU Contacts Last Updated By: Cathi Bell HRIF Contacts Last Updated By: Rochelle BilgreiLast Modified Date: January 13, 2021 12:26pm Download Date: November 5, 2021 09:13pm

Page 102: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Riverside Community Hospital4445 Magnolia AvenueRiverside, CA 92501

County: RiversidePhone: 951-788-3000

OSHPD Facility Code: 331312CCS NICU Level: Community

Region: (5) Southern Inland Counties

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

Loma Linda University Medical Center

NICU CONTACTS HRIF CONTACTS

Report Contact

Karen Hale, RN Director Women's and Children's 4445 Magnolia Ave. Riverside, CA 92501 (951) 788-3465 [email protected]

Data Contact 1

Sandra Gonzales NICU RN/Data collector (951) 788-3570 [email protected]

Transport Contact 1

Maria Arnobit NICU Manager (951) 788-3505 [email protected]

Quality Improvement 1

Maria Arnobit NICU Manager (951) 788-3505 [email protected]

Admin

Karen Hale Director (951) 201-2058 [email protected]

Neonatologist

Joseph Awadalla, MD Medical Director (951) 788-3570 [email protected]

Data Contact 2

Transport Contact 2

Jennifer Potts NICU CNC (951) 788-3570 [email protected]

Quality Improvement 2

Jennifer Potts NICU CNC (951) 512-5676 [email protected]

Contract Signer

Norene Bowers, RN, MN, CNAA VP 951-788-3430

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

Michelle Marshall Medical Social Worker (951) 512-4186 [email protected]

NICU Contact 2

Cindy Kiernan Case Manager (951) 512-4165 [email protected]

Medical Director

Clinic Contact 2

Clinic Contact 4

Audrey Lenon Case Manager (951) 512-4190 [email protected]

NICU Contact 1

Tifani-Crystal Hanley Medical Social Worker (951) 512-4157 [email protected]

NICU Contacts Last Updated By: Jennifer Potts HRIF Contacts Last Updated By: HRIF SupportLast Modified Date: October 7, 2021 02:19pm Download Date: November 5, 2021 09:13pm

Page 103: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Riverside University Health System Medical Center26520 Cactus Avenue

Moreno Valley, CA 92555County: Riverside

Phone: 951-486-4000

OSHPD Facility Code: 334487CCS NICU Level: Community

Region: (5) Southern Inland Counties

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Marybeth Maury-Holmes Director of Nursing Services NICU 26520 Cactus Ave. Moreno Valley, CA 92555 951-486-4885 [email protected]

Data Contact 1

Nancy Stelnick NICU Transition of Care Coordinator (951) 486-4886 [email protected]

Transport Contact 1

Sweta Patel Assistant Nurse Manager, Interim (951) 486-4892 [email protected]

Quality Improvement 1

Karen Testado Quality Analyst (951) 377-5586 [email protected]

Admin

Mary Virgen Associate Chief Nursing Officer (951) 486-5917 [email protected]

Neonatologist

Lily Martorell-Bendezu Medical Director (951) 486-4890 [email protected]

Data Contact 2

Transport Contact 2

Quality Improvement 2

Janet Jovero Clinical Nurse Specialist 951-486-4890 [email protected]

Contract Signer

John Tavaglione & Doulgas Bagley Chair & Board of Supervisor HospitalDirector 951-486-4000

Coordinator

Kristen Alexander, RN RUHS Pediatrics Clinic 26600 Cactus Ave Moreno Valley, CA 92555 Ph: (951) 988-9866 Fax (secure): (951) 571-8936 [email protected]

Clinic Contact 1

Kristen Alexander, RN RN (951) 988-9866 [email protected]

Clinic Contact 3

NICU Discharge Contact

Nancy Stelnick RN Discharge Planner (951) 486-4886 [email protected]

NICU Contact 2

Medical Director

Dianna Trupp, MD Medical Director 951-486-4890

Clinic Contact 2

Toni Cervantez RN (951) 988-9866 [email protected]

Clinic Contact 4

Melissa Charolla Director of Nursing Services,Ambulatory Care (951) 486-5158 [email protected]

NICU Contact 1

Nancy Stelnick (951) 486-4886 [email protected]

NICU Contacts Last Updated By: Marybeth Maury-Holmes HRIF Contacts Last Updated By: Toni Cervantez,RNLast Modified Date: June 30, 2021 02:52pm Download Date: November 5, 2021 09:13pm

Page 104: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Salinas Valley Memorial Hospital450 East Romie Lane

Salinas, CA 93901County: Monterey

Phone: 831-757-4333

OSHPD Facility Code: 270875CCS NICU Level: Community

Region: (4) Mid-Coastal

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

LPCH @ Stanford

NICU CONTACTS HRIF CONTACTS

Report Contact

Robert Castro, MD Medical Director, NICU NICU 450 East Romie Lane Salinas, CA 93901 831-759-3071 [email protected]

Data Contact 1

Karina Kessler, BSN, RNC-NIC,MBA NICU Clincal NurseManager/Educator (831) 757-4333 x2449 [email protected]

Transport Contact 1

Karina Kessler, BSN, RNC-NIC,MBA NICU Clinical Manager/Educator (831) 757-4333 x2449 [email protected]

Quality Improvement 1

Karina Kessler, BSN, RNC-NIC,MBA NICU Clinical Manager/ Educator (831) 757-4333 x2449 [email protected]

Admin

Annette Lindeman, RN Nursing Director Women andChildren Services (831) 757-4333 [email protected]

Neonatologist

Robert Castro, MD Medical Director, NICU 831-759-3071 [email protected]

Data Contact 2

Maura Baker, RN NICU Staff RN III (831) 755-0720 [email protected]

Transport Contact 2

Quality Improvement 2

Contract Signer

Christine Gonder RN, Cheif Nursing Officer (CNO)

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

Michaele Serasio NICU Case Manager 831-772-1382 - pager [email protected]

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

Rose Marie Maniwang Clinical Assistant Director 831-755-0720 [email protected]

NICU Contact 1

NICU Contacts Last Updated By: Robert Castro, M.D. HRIF Contacts Last Updated By: Last Modified Date: March 12, 2021 07:58am Download Date: November 5, 2021 09:13pm

Page 105: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

San Antonio Regional Hospital999 San Bernardino Road

Upland, CA 91786County: San BernardinoPhone: 909-985-2811

OSHPD Facility Code: 361318CCS NICU Level: Community

Region: (5) Southern Inland Counties

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Wendy Castanon Director, Infant's & Children'sServices Nursing/NICU 999 San Bernardino Road Upland, CA 91786 909-920-4898 [email protected]

Data Contact 1

Lisa Agraso, MPH RN Clinical Educator (909) 985-2811 x24212 [email protected]

Transport Contact 1

Lisa Agraso, MPH, RN Clinical Educator (909) 985-2811 x24212 [email protected]

Quality Improvement 1

Lisa Agraso, MPH, RN Clinical Educator 909-985-2811 x24212 [email protected]

Admin

Gigi Dhillon Chief Nursing Officer (909) 579-6703 [email protected]

Neonatologist

Yu-Sheng Wu, MD Neonatologist 909-920-4835 [email protected]

Data Contact 2

Transport Contact 2

Quality Improvement 2

Contract Signer

Liz Aragon Chief Nursing Officer 909-920-4898

Coordinator

Anna Alvarez HRIF Coordinator Upland, CA 91786 Ph: (909) 985-2811 x26828

[email protected]

Clinic Contact 1

Lisa Agraso, RN, MPH Clinical Educator (909) 985-2811 x24212 [email protected]

Clinic Contact 3

NICU Discharge Contact

Lisa Agraso, RN, MPH Clinical Educator 909-985-2811 x24212 [email protected]

NICU Contact 2

Medical Director

Yu-Sheng Wu, MD NICU/HRIF Medical Director 909-985-2811 [email protected]

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Lisa Agraso HRIF Contacts Last Updated By: Lisa AgrasoLast Modified Date: June 17, 2021 11:03am Download Date: November 5, 2021 09:13pm

Page 106: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

San Gabriel Valley Medical Center438 West Las Tunas Drive

San Gabriel, CA 91778County: Los AngelesPhone: 626-289-5454

OSHPD Facility Code: 190200CCS NICU Level: Community

Region: (6) Central-North LA-Coastal Valley

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

Children's Hospital LA

NICU CONTACTS HRIF CONTACTS

Report Contact

Lydia Arroyo Director of Maternal-Child HealthDepartment NICU 438 West Las Tunas Drive San Gabriel, CA 91776 (626) 457-3234 [email protected]

Data Contact 1

Catherine Pondevida Charge Nurse 626-457-3239 [email protected]

Transport Contact 1

Shirley Santiago Clinical Educator 626-457-3239 [email protected]

Quality Improvement 1

Tarinder Khatkar CNO/Quality Director (626) 457-3226 [email protected]

Admin

Andrew J. Grim CFO (626) 300-7889 [email protected]

Neonatologist

Richard Meidell MD 626-570-6663 [email protected]

Data Contact 2

Michelle Lam Charge Nurse (626) 457-3239 [email protected]

Transport Contact 2

Quality Improvement 2

Shirley Santiago Clinical Educator (626) 457-3252 [email protected]

Contract Signer

Gail Maduri VP

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

Natalie Johnson Social Worker (626) 299-3165 [email protected]

NICU Contact 2

Kimberleigh Caner NICU coordinator [email protected]

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

Beatrice Caloza (626) 299-3124 [email protected]

NICU Contacts Last Updated By: Catherine Pondevida HRIF Contacts Last Updated By: HRIF SupportLast Modified Date: October 12, 2021 05:14am Download Date: November 5, 2021 09:13pm

Page 107: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

San Joaquin General Hospital (SJGH)500 West Hospital RoadFrench Camp, CA 95231

County: San JoaquinPhone: 209-468-6000

OSHPD Facility Code: 391010CCS NICU Level: Community

Region: (2) Northeastern

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Marilyn J Scheid RN, MSN Nursing Department Manager -SanJoaquin General Hospital NICU Intensive Care Nursery C/O Marilyn J. Scheid , 500 HospitalRd. French Camp, CA 95231 (209) 468-6440 [email protected]

Data Contact 1

Carolyn T Sanders HRIF Clinic Coordinator /PerinatalPatient Safety Coordinator (209) 468-7078 [email protected]

Transport Contact 1

Julie Rose RN Transport Coordinator (209) 468-6440 [email protected]

Quality Improvement 1

Kristen Scharp RN Asst. Nursing Department Manager (209) 468-6440 [email protected]

Admin

[email protected] Perinatal Patient Safety Coordinator (209) 468-7078 [email protected]

Neonatologist

Jeffrey Lindenberg, MD Director of NICU 209-468-6440 [email protected]

Data Contact 2

Stephanie Herbert RN Assistant Dept. Manager 209-468-6440 [email protected]

Transport Contact 2

Carolyn Sanders HRIF Clinic CAC/ Clinical Support forNICU (209) 468-7078 [email protected]

Quality Improvement 2

Myra Sandoval Ass. Nursing Department Manager (209) 468-6440 [email protected]

Contract Signer

Richard Aldred Chief Deputy Director 209-468-6600

Coordinator

Carolyn Sanders RN 500 Hospital Road 6861 Mary Graham Lane French Camp, California 95213 Ph: (209) 468-7078 [email protected]

Clinic Contact 1

Carolyn RN (209) 468-7078 [email protected]

Clinic Contact 3

NICU Discharge Contact

Julie Rose Discharge Coordinator (209) 468-6440 [email protected]

NICU Contact 2

Medical Director

Jeffery Lindenberg Neonatologist (209) 468-6000 [email protected]

Clinic Contact 2

Daisy RN CNS (209) 468-6448

Clinic Contact 4

NICU Contact 1

Daisy Otero, RN CNS 209-468-6448 [email protected]

NICU Contacts Last Updated By: Carolyn Sanders HRIF Contacts Last Updated By: Daisy OteroLast Modified Date: January 25, 2021 04:42pm Download Date: November 5, 2021 09:13pm

Page 108: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Santa Barbara Cottage Hospital320 W. Pueblo Street

Santa Barbara, CA 93102County: Santa BarbaraPhone: 805-569-7572

OSHPD Facility Code: 420514CCS NICU Level: Community

Region: (6) Central-North LA-Coastal Valley

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Katherine Chung MD Medical Director NICU 400 West Pueblo Street Santa Barbara, CA 93105 (805) 324-9450 [email protected]

Data Contact 1

Karen Rose Clinical Nurse Specialist (805) 569-7508 [email protected]

Transport Contact 1

Karen Rose Clinical Nurse Specialist (805) 569-7508 [email protected]

Quality Improvement 1

Karen Rose Clinical Nurse Specialist (805) 569-7508 [email protected]

Admin

Liz Lundquist Director of Children's Services 805-569-7509 [email protected]

Neonatologist

Katherine Chung, MD MD 805-569-7510 [email protected]

Data Contact 2

Jennifer Ferrick Clinical Manager NICU (805) 569-8250 [email protected]

Transport Contact 2

Jennifer Ferrick, RN Transport Coordinator (805) 569-8250 [email protected]

Quality Improvement 2

Jennifer Ferrick, NICU Mgr, RN Clinical Manager (805) 569-8250 [email protected]

Contract Signer

Liz Lundgrist Director 805-569-7509/805-569-7510

Coordinator

Jennifer Ferrick Clinical Manager NICU 400 W. Pueblo St Santa Barbara, CA 93102 Ph: (805) 569-8250

[email protected]

Clinic Contact 1

Michelle Marie Fierro Multi-Specialist Clinic Coordinator 805-569-7850 [email protected]

Clinic Contact 3

Karen Rose NICU Clinical Nurse Specialist (805) 569-7508 [email protected]

NICU Discharge Contact

Karen Rose NICU Clinical Nurse Specialist (805) 569-7508 [email protected]

NICU Contact 2

Medical Director

Katherine Chung MD NICU/HRIF Medical Director 805-569-7510 [email protected]

Clinic Contact 2

Liz Lundquist Children Services Director (805) 569-7509 [email protected]

Clinic Contact 4

NICU Contact 1

Karen Rose NICU Clinical Nurse Specialist (805) 569-7508 [email protected]

NICU Contacts Last Updated By: Karen Rose HRIF Contacts Last Updated By: Karen RoseLast Modified Date: August 24, 2021 02:40pm Download Date: November 5, 2021 09:13pm

Page 109: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Santa Clara Valley Medical Center (SCVMC)751 So. Bascom Avenue

San Jose, CA 95128County: Santa Clara

Phone: 408-885-5000

OSHPD Facility Code: 430883CCS NICU Level: Regional

Region: (4) Mid-Coastal

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Priya Jegatheesan Director of Neonatology NICU 751 South Bascom Ave San Jose, CA 95128 (408) 885-5423 [email protected]

Data Contact 1

Angela Huang RN Nurse Coordinator 408-885-6418 [email protected]

Transport Contact 1

Sonya Misra, MD Director of Transport (408) 885-6428 [email protected]

Quality Improvement 1

Priya Jegatheesan, MD Neonatologist 408-885-3748 [email protected]

Admin

Michael Perry Sr. Management Analyst (408) 885-6710 [email protected]

Neonatologist

Dongli Song, MD, PhD Associate Chief of Neonatology 408-885-5420 [email protected]

Data Contact 2

Priya Jegatheesan, MD Associate Director HRIF (408) 885-5423 [email protected]

Transport Contact 2

Anastassia Okin Transport Coordinator (408) 885-6428 [email protected]

Quality Improvement 2

Angela Huang RN Nurse Coordinator 408-885-6418 [email protected]

Contract Signer

408-885-6710

Coordinator

Rupalee Patel DNP, PNP-BC 751 S. Bascom Ave San Jose, CA 95128 Ph: 408-781-4075 Fax (secure): (408) 793-6075

[email protected]

Clinic Contact 1

Francisco Rodriguez HRIF Support Staff- Sr HSR (408) 793-6087 [email protected]

Clinic Contact 3

Julie Brooks RN HRIF Support Team- RN BSN (408) 885-7782 [email protected]

NICU Discharge Contact

Priya Jegatheesan, MD Chief and Medical DirectorNICU/HRIF 408-885-6418 [email protected]

NICU Contact 2

Angela Huang RN BSN Data and Research Coodinator (408) 885-6418 [email protected]

Medical Director

Priya Jegatheesan MD Medical Director HRIF 408-885-5420 [email protected]

Clinic Contact 2

Linda M Taylor, RN, BSN HRIF Support Staff- RN BSN (408) 885-7782 [email protected]

Clinic Contact 4

Cheryl Sidel Physical Therapist (408) 885-4113 [email protected]

NICU Contact 1

Dongli Song, MD, PhD Director, Newborn Neuroprotection 408-885-5420 [email protected]

NICU Contacts Last Updated By: Angela Huang HRIF Contacts Last Updated By: Linda M Taylor HRIF Support Staff -RNLast Modified Date: November 4, 2021 04:11pm Download Date: November 5, 2021 09:13pm

Page 110: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Santa Monica - UCLA Medical Center & Orthopaedic Hospital1250 16th Street

Santa Monica, CA 90404County: Los AngelesPhone: 310-825-9111

OSHPD Facility Code: 190687CCS NICU Level: Community

Region: (6) Central-North LA-Coastal Valley

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Cynthia Bell RNC-NIC, BSN, CLE NICU 757 Wesrwood Plaza Suite B 790AMC-74043 Los Angeles, CA 90095 (213) 703-6400 [email protected]

Data Contact 1

Cynthia Bell Data Analyst/ RN (213) 703-6400 [email protected]

Transport Contact 1

Cynthia Bell RNC-NIC, BSN, CLE (213) 703-6400 [email protected]

Quality Improvement 1

Juliet Sasinski RN, CNS (424) 319-4330 [email protected]

Admin

Heather Hackett NICU Nursing Unit Director (424) 259-8293 [email protected]

Neonatologist

Kalpashri Kesevan Medical Director NICU (310) 825-9436 [email protected]

Data Contact 2

Transport Contact 2

Quality Improvement 2

Heather Hacket RN, NICU Nursing Unit Director (424) 259-8293 [email protected]

Contract Signer

Brandon Koretz

Coordinator

Anna Copeland, RN, CCRN 1250 16th Street NICU Santa Monica, CA 90404 Ph: 424-259-8294 Fax (secure): (424) 259-6778 [email protected]

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

Anna Copeland, RN, CCRN NICU Discharge Coordinator (424) 259-8294 [email protected]

NICU Contact 2

Medical Director

Kalpashri Kesavan, MD NICU/HRIF Medical Director (424) 259-9253 [email protected]

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Cynthia Bell RNC-NIC, BSN, CLE 01-10-2021 HRIF Contacts Last Updated By: Anna CopelandLast Modified Date: August 12, 2021 05:14pm Download Date: November 5, 2021 09:13pm

Page 111: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Santa Rosa Memorial Hospital1165 Montgomery DriveSanta Rosa, CA 95405

County: SonomaPhone: 707-546-3210

OSHPD Facility Code: 491064CCS NICU Level: Community

Region: (1) North Coast East Bay

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

UC San Francisco Medical Center

NICU CONTACTS HRIF CONTACTS

Report Contact

Francesca Losito Director Women and Children'sServices Women and Children's Services 1165 Montgomery Drive Santa Rosa, CA 95405 (707) 525-5300 x3462 [email protected]

Data Contact 1

Anita Rupprecht RNC (707) 547-5484 [email protected]

Transport Contact 1

Anita Rupprecht RNC (707) 547-5484 [email protected]

Quality Improvement 1

Stacy Bischofberger, RN, CNL Nurse Educator (707) 525-5300 x6025 [email protected]

Admin

Francesca Losito Director, Women and Children'sServices (707) 525-5300 x3462 [email protected]

Neonatologist

Allison Murphy, MD Medical Director - ICN (707) 525-5368 [email protected]

Data Contact 2

Transport Contact 2

Quality Improvement 2

Contract Signer

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

Alan Shotkin, MD Medical Director, ICN 707-525-5250 [email protected]

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

Anita Rupprecht RNC (707) 547-5484 [email protected]

NICU Contacts Last Updated By: Anita Rupprecht HRIF Contacts Last Updated By: Alan ShotkinLast Modified Date: October 9, 2021 05:58pm Download Date: November 5, 2021 09:13pm

Page 112: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Sharp Chula Vista Medical Center751 Medical Center Court

Chula Vista, CA 91911County: San Diego

Phone: (619) 502-5800

OSHPD Facility Code: 370875CCS NICU Level: Community

Region: (9) San Diego and Imperial

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

Sharp Mary Birch Hospital for Women & Newborns

NICU CONTACTS HRIF CONTACTS

Report Contact

Kathleen Vestevich, RN, MSN Director Women's & Infant Services/NICU 751 Medical Center Court Chula Vista, CA 91911 (619) 502-5916 [email protected]

Data Contact 1

Vivian Lardizabal, RNC-NIC, MSN NICU Clinical Lead (619) 502-5382 [email protected]

Transport Contact 1

Meghan Christiansen Rady CPQCC Contact (858) 966-5963 [email protected]

Quality Improvement 1

Vivian Lardizabal, RNC-NIC, MSN NICU Clinical Lead (619) 502-5382 [email protected]

Admin

Kathleen Vestevich Women's & Infant Services/NICUDirector (619) 502-5916 [email protected]

Neonatologist

Jack Anderson, MD NICU Medical Director (858) 939-4185 [email protected]

Data Contact 2

Francis Arjona, RN NICU Staff (619) 502-5845 [email protected]

Transport Contact 2

Marna Morimoto Sharp Mary Birch Data Analyst (858) 939-4963 [email protected]

Quality Improvement 2

Contract Signer

Kathleen Vestevich, RN, MSN Director 619-482-5916

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

Katie Maldonado NICU Discharge Planner 619-502-3452 [email protected]

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

Katherine Routenberg Social Worker 619-502-3452 [email protected]

NICU Contact 1

Linda Stende NICU Discharge Planner 619-502-3452 [email protected]

NICU Contacts Last Updated By: Vivian Lardizabal HRIF Contacts Last Updated By: Last Modified Date: July 15, 2021 09:59am Download Date: November 5, 2021 09:13pm

Page 113: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Sharp Mary Birch Hospital for Women and Newborns3003 Health Center Drive

San Diego, CA 92123County: San Diego

Phone: 858-939-3400

OSHPD Facility Code: 370695CCS NICU Level: Community

Region: (9) San Diego and Imperial

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

David Kaegi, MD Medical Director, Neonatal Medicine Neonatology 3003 Health Center Drive San Diego, CA 92123 (858) 939-4198 [email protected]

Data Contact 1

Marna Morimoto Data Systems Analyst 858-939-4963 [email protected]

Transport Contact 1

Pat Tillson Nursing Supervisor 858-939-4298 [email protected]

Quality Improvement 1

Rachelle Sey, CNS Clinical Nurse Specialist (858) 939-4373 [email protected]

Admin

Carmen Colombo Chief Nursing Officer 858-939-4181 [email protected]

Neonatologist

Paul Wozniak, MD Medical Director, Neonatal Medicine 858-939-4232 [email protected]

Data Contact 2

Transport Contact 2

Quality Improvement 2

Contract Signer

Mary Henrikson Sr. VP and CEO 858-939-4128

Coordinator

Shauna Nuzzo, RN, MSN, CPNP 8010 Frost St. Suite 402 San Diego, California 92123 Ph: (858) 939-4286 Fax (secure): (858) 939-4386

[email protected]

Clinic Contact 1

Vanessa Hernandez Administrative Coordinator (858) 939-4286 [email protected]

Clinic Contact 3

Susan Davis Director of Women's and NeonatalServices (858) 939-4208 [email protected]

NICU Discharge Contact

Risa Demetrio LD Case Manager (858) 939-4942 [email protected]

NICU Contact 2

Medical Director

Anup Katheria M.D. HRIF Medical Director (858) 939-4170 [email protected]

Clinic Contact 2

Cynthia Banuelos Certified Medical Assistant (858) 939-4286 [email protected]

Clinic Contact 4

Daniela Sisneros Medical Social Worker (858) 939-4286 [email protected]

NICU Contact 1

NICU Contacts Last Updated By: Marna Morimoto HRIF Contacts Last Updated By: Vanessa HernandezLast Modified Date: April 28, 2021 11:17am Download Date: November 5, 2021 09:13pm

Page 114: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Sierra Vista Regional Medical Center1010 Murray Avenue

San Luis Obispo, CA 93405County: San Luis Obispo

Phone: 805-546-7600

OSHPD Facility Code: 400524CCS NICU Level: Community

Region: (4) Mid-Coastal

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Marina Vorobyov Interim Director Woman's & Children's Services 1010 Murray Ave. San Luis Obispo, CA 93405 (805) 546-7883 [email protected]

Data Contact 1

Brenda Borm RNC, BSN Nursing Supervisor 805-546-3055 [email protected]

Transport Contact 1

Brenda Borm, RNC, BSN Nursing Supervisor (805) 546-3055 [email protected]

Quality Improvement 1

Elisa Burgstahler-Furtado Chief Director of Quality (805) 546-5122 [email protected]

Admin

Pohlian Tan Manager, Contract Administration (805) 546-7727 [email protected]

Neonatologist

Steven Van Scoy, MD Medical Director 805-546-7899 [email protected]

Data Contact 2

Emily Hosford, RN WCS Manager (805) 546-7884 [email protected]

Transport Contact 2

Donna Loper, RN CNS (805) 546-7627 [email protected]

Quality Improvement 2

Art Dominguez CNO (805) 546-7687 [email protected]

Contract Signer

Mark P. Lisa, FACHE Chief Executive Officer (805) 546-7696 [email protected]

Coordinator

Michelle Mnich PT 1010 Murray Ave. San Luis Obispo, CA 93405 Ph: 805-546-7601 x7092

[email protected]

Clinic Contact 1

Jennifer Rubio PT 805-546-7601 x7092

Clinic Contact 3

Lori Cromer OT 805-546-7601 x7092

NICU Discharge Contact

Dea Woodman Discharge Planner (805) 546-7633 [email protected]

NICU Contact 2

Medical Director

Steven VanScoy, MD NICU Medical Director 805-546-7899 [email protected]

Clinic Contact 2

Devon Ruane PT (805) 546-7601 x7092

Clinic Contact 4

Maria Richey ST (805) 546-7601 x7092

NICU Contact 1

NICU Contacts Last Updated By: Brenda Borm, RN HRIF Contacts Last Updated By: Michelle MnichLast Modified Date: October 22, 2021 10:11am Download Date: November 5, 2021 09:13pm

Page 115: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

St. Bernardine Medical Center2101 N. Waterman Ave.

San Bernardino, CA 92404County: San BernardinoPhone: 909-883-8711

OSHPD Facility Code: 361339CCS NICU Level: Community

Region: (5) Southern Inland Counties

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

Arrowhead Regional Medical Center & Loma Linda University Medical Center

NICU CONTACTS HRIF CONTACTS

Report Contact

Lil Israel Patient Safety Program Manager Quality Services 2101 N Waterman Avenue San Bernardino, CA 92404 (909) 881-4405 [email protected]

Data Contact 1

Dawn Duffy Manager, Patient Safety/Accreditaion (909) 881-4373 [email protected]

Transport Contact 1

Kathryn Ankenman MCH Nurse Educator (909) 881-3988 [email protected]

Quality Improvement 1

Melinda Hager Manager, NICU/ L&D (909) 881-4310 [email protected]

Admin

Dawn Duffy Manager, Patient Safety/Accreditation (909) 881-4373 [email protected]

Neonatologist

Robert Posen, MD Medical Director, NICU (909) 790-5071 [email protected]

Data Contact 2

Linda Ruggio Senior Director, EmergencyServices/ MCH (909) 881-4431 [email protected]

Transport Contact 2

Robyn Miller Perinatal Safety Specialist (909) 881-4552 [email protected]

Quality Improvement 2

Mary Barrish Pediatric Care Coordinator, CaseManagement (909) 881-3771 [email protected]

Contract Signer

Janet Holdych Vice President, Quality

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

Mary Barrish, RN Case Manager 909-881-7687 [email protected]

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Lil Israel HRIF Contacts Last Updated By: Mary BarrishLast Modified Date: January 12, 2021 11:08am Download Date: November 5, 2021 09:13pm

Page 116: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

St. Francis Medical Center3630 E. Imperial Highway

Lynwood, CA 90262County: Los AngelesPhone: 310-900-8900

OSHPD Facility Code: 190754CCS NICU Level: Community

Region: (8) South Coastal LA-Orange

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

Children's Hospital of Orange County (CHOC)

NICU CONTACTS HRIF CONTACTS

Report Contact

Rebecca Coleman MD Medical Director of NewbornNurseries&NICU NICU/FLC 3630 E. Imperial Highway Lynwood, CA 90262 310-900-2004 [email protected]

Data Contact 1

Kelle Falbo NICU/Peds Manager (310) 900-2885 [email protected]

Transport Contact 1

Kelle Falbo NICU/Peds Manager (310) 900-2878 [email protected]

Quality Improvement 1

Barry Khan Director (310) 900-8900 [email protected]

Admin

Dan Jones President/CEO (310) 900-8900 [email protected]

Neonatologist

Rebecca Coleman Medical Director of NewbornNurseries&NICU (310) 900-2004 [email protected]

Data Contact 2

Madeleine Aquilo NICU/Peds Clinical Supervisor (310) 900-2039 [email protected]

Transport Contact 2

Quality Improvement 2

Kelle Falbo NICU/Peds Manager (310) 900-2878 [email protected]

Contract Signer

Marsha Chan, Pharm. D. Vice President 310-900-7313

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

Guadalupe Espinoza Unit Secretary (310) 900-2028 [email protected]

NICU Contact 2

Kelle Falbo NICU Clinical Supervisor (310) 900-2878

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

Guadalupe Espinoza NICU Unit Secretary (310) 900-2028 [email protected]

NICU Contacts Last Updated By: Kelle Falbo HRIF Contacts Last Updated By: Kelle FalboLast Modified Date: June 30, 2021 12:01pm Download Date: November 5, 2021 09:13pm

Page 117: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

St. John's Regional Medical Center1600 North Rose Avenue

Oxnard, CA 93030County: Ventura

Phone: 805-988-2500

OSHPD Facility Code: 560529CCS NICU Level: Community

Region: (6) Central-North LA-Coastal Valley

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Lisa Lima, MSN, PNP, CNS NICU CNS NICU 1600 N. Rose Ave. Oxnard, CA 93030 (805) 988-2834 [email protected]

Data Contact 1

Lisa Lima, MSN, PNP, CNS NICU CNS (805) 988-2834 [email protected]

Transport Contact 1

Lisa Lima, RN, MSN, PNP, CNS NICU CNS 805-988-2500 x3839 [email protected]

Quality Improvement 1

Admin

AP Invoicing (916) 851-2150 [email protected]

Neonatologist

Sajani Tipnis Medical Director NICU 805-988-2664 [email protected]

Data Contact 2

Jan Ayala, RN, MSN NICU Manager 805-988-2652 [email protected]

Transport Contact 2

Quality Improvement 2

Lisa Lima, MSN, PNP, CNS NICU Clinical Nurse Specialist (805) 988-2834 [email protected]

Contract Signer

Janet Holdych Vice President, Quality

Coordinator

Laura Waer, OT HRIF Coordinator 1600 N. Rose Ave NICU/OT Oxnard, CA 93030 Ph: 805-988-2793 [email protected]

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

Lisa Lima, MSN, PNP, CNS NICU Clinical Nurse Specialist 805-988-2500 x3839 [email protected]

NICU Contact 2

Medical Director

Sajani Tipnis, MD NICU/HRIF Medical Director 805-988-2664 [email protected]

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Lisa Lima HRIF Contacts Last Updated By: Laura WaerLast Modified Date: March 11, 2021 02:50pm Download Date: November 5, 2021 09:13pm

Page 118: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

St. Joseph's Medical Center - Stockton1800 North California Street

Stockton, CA 95204County: San JaoquinPhone: 209-943-2000

OSHPD Facility Code: 391042CCS NICU Level: Community

Region: (2) Northeastern

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Kristy Johnston-Fields Clinical Nurse Specialist NICU 1800 North California Street Stockton, California 95204 (209) 943-8723 [email protected]

Data Contact 1

Kristy Johnston-Fields Clinical Nurse Specialist (209) 943-8723 [email protected]

Transport Contact 1

Kristy Johnston-Fields Clinical Nurse Specialist (209) 943-8723 [email protected]

Quality Improvement 1

Kristy Johnston-Fields Clinical Nurse Specialist (209) 943-8723 [email protected]

Admin

AP Invoicing (916) 851-2150 [email protected]

Neonatologist

Philip Cheng NICU Medical Director (209) 467-6428 [email protected]

Data Contact 2

Marshall Blue NICU Manager (209) 943-8724 [email protected]

Transport Contact 2

Marshall Blue NICU Manager (209) 943-8724 [email protected]

Quality Improvement 2

Marshall Blue NICU Manager (209) 943-8724 [email protected]

Contract Signer

Janet Holdych Vice President, Quality

Coordinator

Kristy Johnston-Fields, RN, MSN,CNS HRIF Coordinator/NICU CNS 1800 North California Street NICU Stockton, CA 95204 Ph: (209) 943-8723 [email protected]

Clinic Contact 1

Kristy Johnston-Fields Clinical Nurse Specialist (209) 943-8723 [email protected]

Clinic Contact 3

NICU Discharge Contact

Kristy Johnston-Fields NICU CNS (209) 943-8723 [email protected]

NICU Contact 2

Kristy Johnston-Fields, CNS NICU Clinical Nurse Specialist (209) 943-8723 [email protected]

Medical Director

SF Cheng, MD NICU/HRIF Medical Director 209-467-6428 [email protected]

Clinic Contact 2

Marshall Blue NICU Manager (209) 943-8724 [email protected]

Clinic Contact 4

NICU Contact 1

Debbie Maltbie Material Child Director 209-461-5323 [email protected]

NICU Contacts Last Updated By: Kristy Johnston-Fields, RN, MSN, CNS HRIF Contacts Last Updated By: Kristy Johnston-FieldsLast Modified Date: July 30, 2021 07:42am Download Date: November 5, 2021 09:13pm

Page 119: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

St. Jude Medical Center101 E. Valencia Mesa Drive

Fullerton, CA 92835County: Orange

Phone: 714-871-3280

OSHPD Facility Code: 301342CCS NICU Level: Community

Region: (7) LA-San Gabriel-Inland Orange

HRIF Program Onsite: NAHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

David Hicks, M.D. NICU Medical Director NICU 101 E. Valencia Mesa Drive Fullerton, CA 92835 (714) 626-8522 [email protected]

Data Contact 1

Terry Zeilinger, RNC, MSN Clinical Educator (714) 626-8522 [email protected]

Transport Contact 1

Terry Zeilinger, RNC, MSN Clinical Educator (714) 626-8522 [email protected]

Quality Improvement 1

Lisa Dupree Clinical Data Analyst (714) 446-5084 [email protected]

Admin

Dawn Hernandez, MSN, RNC Director Women and Children'sServices (714) 469-2318 [email protected]

Neonatologist

David Hicks, M.D. NICU Medical Director (714) 626-8522 [email protected]

Data Contact 2

Coleen McNally-Astorga, MSN, RNC NICU Manager (714) 626-8522 [email protected]

Transport Contact 2

Coleen McNally-Astorga, MSN, RNC NICU Manager (714) 626-8522 [email protected]

Quality Improvement 2

Caroline Dessens Clinical Data Manager (714) 446-5041 [email protected]

Contract Signer

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Terry Zeilinger HRIF Contacts Last Updated By: Last Modified Date: January 22, 2021 04:25pm Download Date: November 5, 2021 09:13pm

Page 120: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

St. Mary Medical Center1050 Linden Avenue

Long Beach, CA 90813County: Los AngelesPhone: 562-491-9000

OSHPD Facility Code: 190053CCS NICU Level: Community

Region: (8) South Coastal LA-Orange

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

Miller Children's Hospital at Long Beach & Loma Linda Uni. Medical Center

NICU CONTACTS HRIF CONTACTS

Report Contact

Ellen Jaramillo QM Assistant Quality Management 1050 Linden Ave. Long Beach, CA 90813 (562) 491-9895 [email protected]

Data Contact 1

Edith Gonzales Director of Maternal Child Health (562) 491-9851 [email protected]

Transport Contact 1

NA NA (562) 497-9212

Quality Improvement 1

Nancy Hampton NICU Supervisor Night Shift 562-491-9211 [email protected]

Admin

AP Invoicing (916) 851-2150 [email protected]

Neonatologist

Nedal Machhor, MD CO-Medical Director 562-491-9866 [email protected]

Data Contact 2

Tina Moore-Yamron Shift Manager (562) 491-9866 [email protected]

Transport Contact 2

Quality Improvement 2

Niecy Hughey Perinatal safety specialist [email protected]

Contract Signer

Janet Holdych Vice President, Quality

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

Michelle Bryant, MSW Social Worker 562-491-9000 x2976 [email protected]

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Tina Moore-Yamron HRIF Contacts Last Updated By: HRIF SupportLast Modified Date: February 4, 2021 03:35pm Download Date: November 5, 2021 09:13pm

Page 121: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

St. Mary Medical Center in Apple Valley18300 Highway 18

Apple Valley, CA 92307County: San BernardinoPhone: 760-242-2311

OSHPD Facility Code: 361343CCS NICU Level: Community

Region: (5) Southern Inland Counties

HRIF Program Onsite: NAHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Shawna Leeper Manager NICU & Pediatrics NICU 18300 Hwy 18 Apple Valley, CA 92308 (760) 242-2311 x5003 [email protected]

Data Contact 1

Shawna Leeper Manager NICU (760) 242-2311 x5003 [email protected]

Transport Contact 1

Shawna Leeper NICU Manager (760) 242-2311 x5003 [email protected]

Quality Improvement 1

Shawna Leeper NICU Manager (760) 242-2311 x5003 [email protected]

Admin

Rosa Ortega, RN Director of Women & Children'sServices 760-242-2311 x5013 [email protected]

Neonatologist

Dr. Ravi Krishnan NICU Medical Director (760) 242-2311 x8158 [email protected]

Data Contact 2

Jessica Nordeck Quality Clinical Outcomes Specialist (760) 242-2311 ext5368 [email protected]

Transport Contact 2

Rosa Ortega, RN Director of Women & Children'sServices 760-242-2311 x5013 [email protected]

Quality Improvement 2

Contract Signer

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Shawna Leeper HRIF Contacts Last Updated By: Last Modified Date: November 13, 2020 01:23pm Download Date: November 5, 2021 09:13pm

Page 122: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Sutter Roseville Medical Center One Medical Plaza Drive

Roseville, CA 95661County: Placer

Phone: (916) 781-1000

OSHPD Facility Code: 311000CCS NICU Level: Community

Region: (2) Northeastern

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

Sutter Medical Center Sacramento

NICU CONTACTS HRIF CONTACTS

Report Contact

Megan Henderson, RN, BSN,RNC-NIC Clinical Educator NICU One Medical Plaza Drive Roseville, California 95661 (916) 781-1535 [email protected]

Data Contact 1

Megan Henderson, RN, BSN,RNC-NIC NICU Clinical Educator (916) 781-1535 [email protected]

Transport Contact 1

Megan Henderson, RN, BSN,RNC-NIC NICU Clinical Educator (916) 781-1535 [email protected]

Quality Improvement 1

Jennifer Schlager, RN, BSN, MBA Administrative Nurse Director,Women's & Children's Services (916) 781-1577 [email protected]

Admin

Jennifer Schlager, RN, BSN, MBA Administrative Nurse Director,Women's & Children's Services 916-781-1577 [email protected]

Neonatologist

Fernando Rosas, MD NICU Medical Director (916) 887-0104 [email protected]

Data Contact 2

Amy Johnson, RN Clinical Data Coordinator (916) 887-4562 [email protected]

Transport Contact 2

Amy Johnson, RN Clinical Data Coordinator (916) 887-4562 [email protected]

Quality Improvement 2

Contract Signer

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

Lisa Roberts RNCM (916) 751-6209 [email protected]

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

Lisa LaCara RNCM (916) 751-6209 [email protected]

NICU Contacts Last Updated By: Megan Henderson HRIF Contacts Last Updated By: Lisa RobertsLast Modified Date: September 16, 2021 08:24am Download Date: November 5, 2021 09:13pm

Page 123: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Sutter Santa Rosa Regional Hospital30 Mark West Springs Rd

Santa Rosa, CA 95403County: Sonoma

Phone: 707-576-4000

OSHPD Facility Code: 494106CCS NICU Level: Community

Region: (1) North Coast East Bay

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Tina Lubas, RN, BSN, RNC NICU Nurse Manager NICU 30 Mark West Springs RD Santa Rosa, CA 95403 (707) 576-4556 [email protected]

Data Contact 1

Anne Parker Neonatal Clinical Nurse Specialist (707) 576-4506 [email protected]

Transport Contact 1

Tina Lubas RN, BSN, RNC NICU Manager 707-576-4590 [email protected]

Quality Improvement 1

Tina Lubas RN, BSN, RNC NICU Manager 707-576-4590 [email protected]

Admin

TIna Lubas, RN, BSN, RNC NICU Manager 707-576-4556 [email protected]

Neonatologist

Pius James Powers, MD NICU Medical Director 707-576-4590 [email protected]

Data Contact 2

Transport Contact 2

Anne Parker Neonatal Clinical Nurse Specialist (707) 576-4506 [email protected]

Quality Improvement 2

Anne Parker, RN, MSN, CNS,NNP-BC Clinical Nurse Specialist (707) 576-4506 [email protected]

Contract Signer

Michael JPurvis Chief Administrator Officer (707) 576-4000

Coordinator

Anne Parker, RN, MSN, CNS,NNP-BC NICU CNS/HRIF Coordinator 30 Mark West Springs Road Santa Rosa, CA 95403 Ph: (707) 576-4506

[email protected]

Clinic Contact 1

Guadalupe Tovar Birth Certificate and CPQCC DataManager 707-576-4455 [email protected]

Clinic Contact 3

NICU Discharge Contact

NICU Contact 2

Medical Director

Muneesh Mehra, MD HRIF Medical Director/Neonatologist 707-576-4590 [email protected]

Clinic Contact 2

Tina Lubas, RN Manager - NICU (707) 576-4556 [email protected]

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Anne Parker HRIF Contacts Last Updated By: Anne Parker, RNLast Modified Date: April 15, 2021 11:47am Download Date: November 5, 2021 09:13pm

Page 124: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Torrance Memorial Medical Center3330 Lomita Blvd.

Torrance, CA 90505County: Los AngelesPhone: 310-325-9110

OSHPD Facility Code: 190422CCS NICU Level: NonCCS

Region: (8) South Coastal LA-Orange

HRIF Program Onsite: NAHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Erlinda F. Valerio RN, BSN,RNC-NIC NICU 3330 Lomita Blvd Torrance, Ca 90505 (310) 784-8766 [email protected]

Data Contact 1

Erlinda F. Valerio RN,BSN, RNC-NIC (310) 784-8766 [email protected]

Transport Contact 1

Quality Improvement 1

Elizabeth Lowerison RN,BSN,PHN,RNC-NIC (310) 784-4859 [email protected]

Admin

Natalie Thorpe Interim Director Maternal ChildHealth Services (310) 325-9110 ext22305 [email protected]

Neonatologist

Dr. Jerry B. Schwartz Medical Director NICU (310) 517-4663 [email protected]

Data Contact 2

Stacey Kimura RN, BSN, RNC-NIC (310) 784-8766 [email protected]

Transport Contact 2

Quality Improvement 2

Rita Wadhwani Clinical Nurse Specialist (310) 325-9110 ext77619 [email protected]

Contract Signer

Jerry Schwartz, MD Medical Director 310-517-4663 [email protected]

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Erlinda Valerio HRIF Contacts Last Updated By: Last Modified Date: June 8, 2021 02:42pm Download Date: November 5, 2021 09:13pm

Page 125: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Tri-City Medical Center4002 Vista Way

Oceanside, CA 92056County: San Diego

Phone: 760-940-3675

OSHPD Facility Code: 370780CCS NICU Level: Community

Region: (9) San Diego and Imperial

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

UCSD Medical Center - Hillcrest

NICU CONTACTS HRIF CONTACTS

Report Contact

Melissa Terah NICU Manager NICU 4002 Vista Way Oceanside, CA 92056 (760) 940-5624 [email protected]

Data Contact 1

Rick Sanchez Decision Support Manager (760) 940-5609 [email protected]

Transport Contact 1

Melissa Terah NICU Manager (760) 940-5648 [email protected]

Quality Improvement 1

Melissa Terah NICU Manager (760) 940-5648 [email protected]

Admin

Candice Parras Chief Patient Care Services Officer (760) 940-5280 [email protected]

Neonatologist

Pedro Paz, MD, MPH, FAAP Associate Medical Director NeonatalServices 760-940-3386 [email protected]

Data Contact 2

Julie Daniels Quality Performance ImprovementCoordinator (760) 940-3969 [email protected]

Transport Contact 2

Quality Improvement 2

Contract Signer

Kim Marquardt Perinatal Clinical Data Analyst (760) 940-3303 [email protected]

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

Carol Sherman, LCSW Clinical Social Worker 760-940-3139 [email protected]

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Melissa Terah HRIF Contacts Last Updated By: HRIF SupportLast Modified Date: January 29, 2021 02:18pm Download Date: November 5, 2021 09:13pm

Page 126: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

UC Davis Medical Center2516 Stockton Blvd.

Sacramento, CA 95817County: Sacramento

Phone: 916-734-2011

OSHPD Facility Code: 341006CCS NICU Level: RegionalRegion: (2) Northeastern

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Catherine Rottkamp, MD Assistant Clinical Professor Neonatology - Pediatrics 2516 Stockton Blvd, Ticon II, Suite254 Sacramento , CA 95817 916-734-8672 [email protected]

Data Contact 1

Stanley Smith Analyst II 916-703-3046 [email protected]

Transport Contact 1

Catherine Rottkamp, MD Assisant Professor of Pediatrics (916) 734-8672 [email protected]

Quality Improvement 1

Sheryl Ruth RN, MS, NEA-BC NICU Manager 916-703-3058 [email protected]

Admin

Judie Boehmer, RN, MN, NEA-BC,FABC Director of Patient Care Services 916-734-5185 [email protected]

Neonatologist

Catherine Rottkamp, MD Assistant Clinical Professor (916) 734-8672 [email protected]

Data Contact 2

Transport Contact 2

Quality Improvement 2

Contract Signer

Annie Wong Manager, Health Systems Contract 916-734-3820

Coordinator

Robin Stewart LCSW 2825 50th Street Sacramento, CA 95817 Ph: 916-703-0411

[email protected]

Clinic Contact 1

Nicole Pinney Sr LVN, BS (916) 703-0411 [email protected]

Clinic Contact 3

NICU Discharge Contact

Sheryl Ruth, RN, MS Manager, NICU 916-703-3058 [email protected]

NICU Contact 2

Medical Director

Rosa Rodriguez, MD HRIF Medical Director (916) 703-0300 [email protected]

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Stanley Smith HRIF Contacts Last Updated By: Nicole PinneyLast Modified Date: October 28, 2021 11:08am Download Date: November 5, 2021 09:13pm

Page 127: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

UC Irvine Medical Center101 The City DriveOrange, CA 92868

County: OrangePhone: 714-456-7890

OSHPD Facility Code: 301279CCS NICU Level: Regional

Region: (7) LA-San Gabriel-Inland Orange

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Cherry Uy, MD MD Pediatrics/Neonatology 333 City Blvd, suite 850 Orange, CA 92868 714-456-6933 [email protected]

Data Contact 1

Pamela Aron-Johnson RN 714-456-8663 [email protected]

Transport Contact 1

Marlo Clemons RN 714-456-7530 [email protected]

Quality Improvement 1

Robin Koeppel CNS 714-456-5285 [email protected]

Admin

Cherry Uy, MD Clinical Professor/Medical Director 714-456-6933 [email protected]

Neonatologist

Cherry Uy, MD Clinical Professor/Medical Director 714-456-6933 [email protected]

Data Contact 2

Transport Contact 2

Quality Improvement 2

Nicole Jasso, RN Nursing Educator NICU 714-456-5592 [email protected]

Contract Signer

Cherry Uy Associate Clinical Professor 714-456-6933

Coordinator

Lisa Stablein, RN 333 City Blvd West 8th Floor, suite 850 Orange, CA 92868 Ph: 714-456-6736 Fax (secure): (714) 456-7526 [email protected]

Clinic Contact 1

Lisa Stablein HRIF Coordinator (714) 456-6736 [email protected]

Clinic Contact 3

NICU Discharge Contact

Debbie Mansueto NICU Case Manager (714) 456-5874 [email protected]

NICU Contact 2

Jenny Chavez Clinical social worker (714) 456-7534 [email protected]

Medical Director

Dr Thusa Sabapathy HRIF Med Director (949) 267-0400 [email protected]

Clinic Contact 2

Pam Aron Johnson RN CPQCC NICU (714) 456-8663 [email protected]

Clinic Contact 4

Robin Koeppel NICU-CNS 714.456.6528 [email protected]

NICU Contact 1

Branda Kepes OT II Neonatal 714.456.5957 [email protected]

NICU Contacts Last Updated By: Pam Aron-Johnson RN HRIF Contacts Last Updated By: Lisa StableinLast Modified Date: May 3, 2021 01:13pm Download Date: November 5, 2021 09:13pm

Page 128: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

UCLA Mattel Children's Hospital10833 Le Conte AvenueLos Angeles, CA 90095

County: Los AngelesPhone: 310-825-9111

OSHPD Facility Code: 190796CCS NICU Level: Regional

Region: (6) Central-North LA-Coastal Valley

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Cindy Bell, RNC-NIC, BSN, CLE Data Analyst Neonatal ICU 757 Westwood Plaza SuiteB790A/MC - 74043 Los Angeles, CA 90095 (213) 703-6400 [email protected]

Data Contact 1

Cindy Bell, RNC-NIC, BSN, CLE Data Analyst (213) 703-6400 [email protected]

Transport Contact 1

Cindy Bell, RNC-NIC, BSN, CLE CPQCC and CPeTS data contact 310-267-9578 [email protected]

Quality Improvement 1

Anahit Sarin-Gulian RN-MSN, Nursing Unit director NICU (310) 267-9576 [email protected]

Admin

Anahit Sarin-Gulian RN, MSN UCLA NICU Unit Director 310-267-9576 [email protected]

Neonatologist

Meena Garg MD Medical Director NICU 310-794-8864 [email protected]

Data Contact 2

Transport Contact 2

Quality Improvement 2

Nida Lovatanapongsa RN CNS [email protected]

Contract Signer

Brandon Koretz Interim CEO

Coordinator

Randi Shannahan, PT, DPT 10833 Le Conte Ave. Rm B2-375 MDCC Los Angeles, CA 90095 Ph: (310) 794-1565 Fax (secure): (310) 267-0154 [email protected]

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

Mary Vossberg, RN NICU Discharge 310-267-9571 [email protected]

NICU Contact 2

Lakeysha Pack, RN NICU Discharge (310) 267-9571 [email protected]

Medical Director

Suhas Kallapur, MD HRIF Medical Director 310-825-9314 [email protected]

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

Katie Haugh, RN NICU Discharge 310-267-9571 [email protected]

NICU Contacts Last Updated By: Cindy Bell RNC-NIC, BSN, CLE 01-10-2021 HRIF Contacts Last Updated By: Randi ShannahanLast Modified Date: August 12, 2021 04:03pm Download Date: November 5, 2021 09:13pm

Page 129: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

UCSD Health La Jolla - Jacobs Medical Center9300 Campus Point Drive

La Jolla, CA 92037County: San Diego

Phone: (858) 657-7000

OSHPD Facility Code: 374141CCS NICU Level: Regional

Region: (9) San Diego and Imperial

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Rona Silas NICU Quality Manager Neonatology 9300 Campus Point Drive, MSC7774 La Jolla , California 92037 (858) 249-1703 [email protected]

Data Contact 1

Ashley Gambhir Director of Quality at UCSD (858) 249-1703 [email protected]

Transport Contact 1

Erika Fernandez Transport medical director (858) 249-1703 [email protected]

Quality Improvement 1

Laurel Moyer QI Chair (858) 249-1703 [email protected]

Admin

Accounts Payable PO # BL20033 (619) 543-6050 [email protected]

Neonatologist

Denise Suttner Clinical/Medical Director (858) 249-1703 [email protected]

Data Contact 2

Rona Silas QI improvement specialist (858) 249-1702 [email protected]

Transport Contact 2

Quality Improvement 2

Jackie Iseri RN Assistant nurse manager (858) 249-1703 [email protected]

Contract Signer

Carmen Peak Procurement Services / Lead SeniorBuyer (619) 471-9133 [email protected]

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Erika Fernandez HRIF Contacts Last Updated By: Last Modified Date: May 27, 2021 04:29pm Download Date: November 5, 2021 09:13pm

Page 130: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

UCSD Medical Center - Hillcrest200 W. Arbor Drive

San Diego, CA 92103County: San Diego

Phone: 858-657-7000

OSHPD Facility Code: 370782CCS NICU Level: Intermediate

Region: (9) San Diego and Imperial

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Charlie Sauer NICU Clinical Director Pediatrics 9300 Campus point drive San Diego, CA 92037 (858) 354-1456 [email protected]

Data Contact 1

Rona Silas NICU Quality Manager (858) 249-1702 [email protected]

Transport Contact 1

Jackie Iseri Nurse manager (858) 249-1702 [email protected]

Quality Improvement 1

Laurel Moyer NICU Quality director (858) 249-1702 [email protected]

Admin

Accounts payable PO # BL20035 (619) 543-6050 [email protected]

Neonatologist

[email protected] NICU Medical Director (858) 249-1702 [email protected]

Data Contact 2

Ashley Gambhir UCSD Quality Director (858) 249-1702 [email protected]

Transport Contact 2

Quality Improvement 2

Rona Silas Quality Manager (858) 249-1702 [email protected]

Contract Signer

Carmen Peak Procurement Services / Lead SeniorBuyer (619) 471-9133 [email protected]

Coordinator

Melissa Brash, LCSW HRIF Program Coordinator 7910 Frost Street Suite 280 San Diego, CA 92123 Ph: (619) 543-3771

[email protected]

Clinic Contact 1

Rebecca Sox Pediatric Nurse Practitioner (619) 543-3771 [email protected]

Clinic Contact 3

NICU Discharge Contact

Frances Bowers Case Manager (858) 249-5800 [email protected]

NICU Contact 2

Medical Director

Carolyn Mariko Sawyer HRIF Medical Director (619) 543-3771 [email protected]

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

Erika Fernandez, MD NICU Medical Director (858) 249-1703 [email protected]

NICU Contacts Last Updated By: Erika Fernandez HRIF Contacts Last Updated By: Melissa BrashLast Modified Date: June 2, 2021 11:20am Download Date: November 5, 2021 09:13pm

Page 131: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

UCSF Benioff Children's Hospital Oakland747 52nd Street

Oakland, CA 94609County: Alameda

Phone: 510-428-3000

OSHPD Facility Code: 010776CCS NICU Level: Regional

Region: (1) North Coast East Bay

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Priscilla Joe MD Medical Director Neonatology 747 - 52nd Street Oakland, CA 94609 510-428-3276 [email protected]

Data Contact 1

Priscilla Joe, MD Medical Director 510-428-3276 [email protected]

Transport Contact 1

Arthur D'Harlingue, MD Medical Director 510-428-3276 [email protected]

Quality Improvement 1

Priscilla Joe, MD Neonatologist 510-428-3276 [email protected]

Admin

Teresa Proctor, MSN, CNS, NNP NICU Manager 510-428-3438 [email protected]

Neonatologist

Arthur D'Harlingue, MD Medical Director 510-428-3276 [email protected]

Data Contact 2

Rebecca Brumfield RRT NICU Data Coordinator 510-428-3763 [email protected]

Transport Contact 2

Arthur D'Harlingue, MD 510-428-3276 [email protected]

Quality Improvement 2

Priscilla Joe, MD 510-428-3276 [email protected]

Contract Signer

Arthur D�Harlingue, MD Medical Director 510-428-3276

Coordinator

Frances Merriweather HRIF Coordinator 747 52nd Street Neonatal Follow-up Oakland, CA 94609 Ph: (510) 428-3885 x2022 [email protected]

Clinic Contact 1

Lilia DeJesus Medical Director, HRIF Clinic (510) 428-3276 [email protected]

Clinic Contact 3

Asia M. Page Office Assistant 510-428-3885 x4301 [email protected]

NICU Discharge Contact

Jeanette Asselin Respiratory Therapy (510) 428-3763 [email protected]

NICU Contact 2

Medical Director

Arthur D'harlingue Medical Director of the NICU (510) 428-3276 [email protected]

Clinic Contact 2

Martha Gonzalez Administrative Assistant 510-428-3006 [email protected]

Clinic Contact 4

NICU Contact 1

David Durand, MD Neontaology 510-428-3763 [email protected]

NICU Contacts Last Updated By: Jeanette Asselin HRIF Contacts Last Updated By: Frances MerriweatherLast Modified Date: January 13, 2021 01:58pm Download Date: November 5, 2021 09:13pm

Page 132: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

UCSF Benioff Children's Hospital San Francisco1975 Fourth St

San Francisco, CA 94158County: San FranciscoPhone: (415) 502-7163

OSHPD Facility Code: 384200CCS NICU Level: Regional

Region: (1) North Coast East Bay

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Kristine Cannon BCH Quality Improvement Director BCH Quality Improvement 1975 Fourth St, C1808 San Francisco, CA 94158 (415) 502-9859 [email protected]

Data Contact 1

Jennifer Nguyen Clinical Database ProgramSpecialist, Neonatal & CPQCC (415) 476-1464 [email protected]

Transport Contact 1

Stacie Rohovit, RN, MS, NNP Manager Neonatal and PediatricNurse Practitioners (415) 353-1247 [email protected]

Quality Improvement 1

Katelin Kramer, MD Neonatologist, Director of QualityImprovement and Patient Safety [email protected]

Admin

Kristine Cannon BCH Quality Improvement Director (415) 502-9859 [email protected]

Neonatologist

Elizabeth Rogers, MD Neonatologist (415) 353-1565 [email protected]

Data Contact 2

Jeannie Chan, MS, RN, NNP-BC,CNS ICN Clinical Nurse Specialist (415) 353-9795 [email protected]

Transport Contact 2

Beverly Shoemaker, RN, MN, NNP Transport NNP (415) 514-3617 [email protected]

Quality Improvement 2

Jeannie Chan, MS, RN, NNP-BC,CNS ICN Clinical Nurse Specialist (415) 353-9795 [email protected]

Contract Signer

Greg VanRiper Director - USCF MC Procurement (415) 502-9859

Coordinator

Lydia Lee, RN, BSN HRIF Program Coordinator 550 16th Street Box 0734 San Francisco, CA 94158 Ph: 415-476-7324 [email protected]

Clinic Contact 1

Rebecca Rapoport, PNP Pediatric Nurse Practitioner 415-476-7324 [email protected]

Clinic Contact 3

Sandra Lopez Administrative Assistant (415) 476-4324 [email protected]

NICU Discharge Contact

Irma China Case Manager (415) 353-1825 [email protected]

NICU Contact 2

Medical Director

Elizabeth Rogers, MD Medical Director (415) 476-7324 [email protected]

Clinic Contact 2

Bridget Johnson, PhD Developmental Psychologist 415-476-7324 [email protected]

Clinic Contact 4

NICU Contact 1

Jessica Wendland Case Manager (415) 353-1824 [email protected]

NICU Contacts Last Updated By: Jennifer Nguyen HRIF Contacts Last Updated By: Rebecca RapoportLast Modified Date: October 4, 2021 02:50pm Download Date: November 5, 2021 09:13pm

Page 133: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Valley Children's Hospital9300 Valley Children's Place

Madera, CA 93638County: Madera

Phone: 559-353-3000

OSHPD Facility Code: 204019CCS NICU Level: Regional

Region: (3) San Joaquin-Central Valley-Sierra Nevada

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Stacie Venkatesan Director, NICU NICU 9300 Valley Children's Place Madera, CA 93636 (559) 353-8732 [email protected]

Data Contact 1

Andrea Beauchamp Data Specialist (559) 474-7773 [email protected]

Transport Contact 1

Stacie Venkatesan Director NICU (559) 353-8732 [email protected]

Quality Improvement 1

Jennifer Norgaard, CNS Clinical Nurse Specialist 559-353-5112 [email protected]

Admin

Stacie Venkatesan Director, NICU (559) 353-8732 [email protected]

Neonatologist

Patrick Nwajei Medical Director (559) 353-8038 [email protected]

Data Contact 2

Roberta Baranda CDI and Coding Director (559) 353-5401 [email protected]

Transport Contact 2

Laura Cooper Transport Manager (559) 353-5872 [email protected]

Quality Improvement 2

Stacie Venkatesan Director, Clinical Nurse Specialist (559) 353-8732 [email protected]

Contract Signer

Coordinator

Jessica Gates HRIF Coordinator 9300 Valley Children's Place (MS:SE20) Madera, CA 93636 Ph: 559-353-6733

[email protected]

Clinic Contact 1

Jessica Coles Developmental Specialist (559) 353-6513 [email protected]

Clinic Contact 3

Sarah Warkentin Social Worker (559) 353-6518 [email protected]

NICU Discharge Contact

NICU Contact 2

Elizabeth Moore Case Manager Liaison (559) 353-5272 [email protected]

Medical Director

Indira Chandrasekar, MD HRIF Medical Director (559) 353-8038 [email protected]

Clinic Contact 2

Cara Lea Nurse Practitioner (559) 353-6517 [email protected]

Clinic Contact 4

NICU Contact 1

Jennifer Norgaard Clinical Nurse Specialist (559) 353-5439 [email protected]

NICU Contacts Last Updated By: Andrea Beauchamp HRIF Contacts Last Updated By: Jessica GatesLast Modified Date: January 13, 2021 07:04am Download Date: November 5, 2021 09:13pm

Page 134: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Valley Children's Hospital at St. Agnes Medical Center1303 E. Herdon Ave.

Fresno, CA 93720County: Fresno

Phone: 559-353-3000

OSHPD Facility Code: 100899CCS NICU Level: Community

Region: (3) San Joaquin-Central Valley-Sierra Nevada

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

Valley Children's Hospital

NICU CONTACTS HRIF CONTACTS

Report Contact

Stacie Venkatesan Director NICU NICU 9300 Valley Children's Place Madera, CA 93636 (559) 353-8732 [email protected]

Data Contact 1

Andrea Beauchamp Data Specialist (559) 474-7773 [email protected]

Transport Contact 1

Stacie Venkatesan Director NICU (559) 353-8732 [email protected]

Quality Improvement 1

Jennifer Norgaard Clinical Nurse Specialist (559) 353-5439 [email protected]

Admin

Stacie Venkatesan Director NICU (559) 353-8732 [email protected]

Neonatologist

Anupama Patel Medical Director (559) 353-6261 [email protected]

Data Contact 2

Roberta Baranda CDI and Coding Director (559) 353-5401 [email protected]

Transport Contact 2

Laura Cooper Transport Manager (559) 353-5872 [email protected]

Quality Improvement 2

Leah Smith Manager (559) 353-5650 [email protected]

Contract Signer

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Andrea Beauchamp HRIF Contacts Last Updated By: Last Modified Date: January 14, 2021 08:27am Download Date: November 5, 2021 09:13pm

Page 135: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Valley Presbyterian Hospital15107 Vanowen StreetVan Nuys, CA 91405County: Los AngelesPhone: 818-782-6600

OSHPD Facility Code: 190812CCS NICU Level: Community

Region: (6) Central-North LA-Coastal Valley

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Sukshma Sreepathi, MD NICU Medical Director NICU 15107 Vanowen St Van Nuys, CA 91405 (818) 902-2943 [email protected]

Data Contact 1

Lisa Lima CNS, Children's Services (818) 902-5731 [email protected]

Transport Contact 1

Lisa Lima CNS, Children's Services (818) 902-5731 [email protected]

Quality Improvement 1

Debbie Paikos Director of Quality & PerformanceImprovement (818) 902-3941 [email protected]

Admin

Lisa Lima CNS,Children's Services (818) 902-5731 [email protected]

Neonatologist

Sukshma Sreepathi, MD NICU Medical Director (818) 902-2943 [email protected]

Data Contact 2

Belen Ceja administrative assistant (818) 902-5731 [email protected]

Transport Contact 2

Gina Rai NICU Manager (818) 902-2977 [email protected]

Quality Improvement 2

Contract Signer

Lori Burnell, PhD, RN, NEA-BC Sr. VP, CNO (818) 902-5702 [email protected]

Coordinator

Lisa Lima, MSN, PNP, CNS HRIF Coordinator 15243 Vanowen Street Suite 502 Van Nuys, CA 91405 Ph: (818) 902-5263 [email protected]

Clinic Contact 1

Belen Ceja HRIF secretary (818) 902-5263 [email protected]

Clinic Contact 3

Janet Quintero Registered Nurse (818) 902-5263 [email protected]

NICU Discharge Contact

Milagros Ramos Case Manager 818-902-5168 [email protected]

NICU Contact 2

Medical Director

Lawrence D. Shaw, MD NICU/HRIF Medical Director 808-902-2943 [email protected]

Clinic Contact 2

Xania Avitia HRIF secretary (818) 902-5263 [email protected]

Clinic Contact 4

NICU Contact 1

Gina Rai Manager, Children's Services (818) 902-2977 [email protected]

NICU Contacts Last Updated By: Lisa Lima HRIF Contacts Last Updated By: Lisa LimaLast Modified Date: January 13, 2021 07:24am Download Date: November 5, 2021 09:13pm

Page 136: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Ventura County Medical Center (VCMC)3291 Loma Vista Road

Ventrua, CA 93003County: Ventura

Phone: 805-652-6000

OSHPD Facility Code: 560481CCS NICU Level: Community

Region: (6) Central-North LA-Coastal Valley

HRIF Program Onsite: YesHospital Providing HRIF Program Services:

NICU CONTACTS HRIF CONTACTS

Report Contact

Siamak Safar, MD Medical Director NICU 3291 Loma Vista Rd. Ventura, CA 93003 (805) 652-6088 [email protected]

Data Contact 1

Linda Goodman Neonatal Nurse Practitioner (805) 652-6088 [email protected]

Transport Contact 1

Enriqueta Coronado, RN Nurse Manager 805-652-6014 [email protected]

Quality Improvement 1

Enriqueta Coronado, RN Nurse Manager (805) 652-6014 [email protected]

Admin

Enriqueta Coronado, RN Nurse Manager (805) 652-6014 [email protected]

Neonatologist

Siamak Safar, MD Neonatologist (805) 652-3362 [email protected]

Data Contact 2

Rene McMurray Discharge Coordinator (805) 652-6088 [email protected]

Transport Contact 2

Linda Goodman Neonatal Nurse Practitioner 805-652-6086 [email protected]

Quality Improvement 2

Jeanine Clay Senior Registered Nurse (805) 652-6088 [email protected]

Contract Signer

Terry Garman Director Contracts Management (805) 677-5146

Coordinator

Rene McMurray, BSN, RN HRIF Coordinator 300 Hillmont Ave Ventura, CA 93003 Ph: 805-652-3233

[email protected]

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

Rene McMurray, BSN, RN HRIF Coordinator 805-652-3233 [email protected]

NICU Contact 2

Medical Director

Siamak Safar, MD Medical Director (805) 648-9886 [email protected]

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

Enriqueta Coronado,MSN, RN Nurse Manager NICU (805) 652-6014 [email protected]

NICU Contacts Last Updated By: Linda Goodman HRIF Contacts Last Updated By: Rene McMurray BSN RN Last Modified Date: September 24, 2021 09:05pm Download Date: November 5, 2021 09:13pm

Page 137: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Washington Hospital - Fremont2000 Mowry Avenue

Fremont, CA 94538-1746County: Alameda CountyPhone: (510) 797-1111

OSHPD Facility Code: 010987CCS NICU Level: Intermediate

Region: (3) San Joaquin-Central Valley-Sierra Nevada

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

UCSF Benioff Children's Hospital

NICU CONTACTS HRIF CONTACTS

Report Contact

Joane Manantan Director of Maternal Child Health Special Care Nursery 2000 Mowry Avenue Fremont, CA 94538 (510) 818-5458 [email protected]

Data Contact 1

Joane Manantan Director of Maternal Child Health (510) 818-5458 [email protected]

Transport Contact 1

NA NA (510) 555-5555 [email protected]

Quality Improvement 1

Joane Manantan Director of Maternal Child Health (510) 818-5458 [email protected]

Admin

Joane Manantan Director of Maternal Child Health (510) 818-5458 [email protected]

Neonatologist

James McGuire, MD SCN Medical Director (541) 647-4169 [email protected]

Data Contact 2

Transport Contact 2

Quality Improvement 2

Contract Signer

Nancy Farber Chief Executive Officer (510) 797-1111

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Emily Gamboa HRIF Contacts Last Updated By: Last Modified Date: August 25, 2021 12:11pm Download Date: November 5, 2021 09:13pm

Page 138: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Watsonville Community Hospital75 Nielson Street

Watsonville, CA 95076County: Santa Cruz

Phone: 831-724-4741

OSHPD Facility Code: 444013CCS NICU Level: Intermediate

Region: (4) Mid-Coastal

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

LPCH at Stanford

NICU CONTACTS HRIF CONTACTS

Report Contact

Edward McNamara, MD Medical Director NICU 75 Nielson Street Watsonville, CA, CA 95076 831-768-6202 [email protected]

Data Contact 1

Heather Brown RN IICN Staff Nurse 831-761-5663 [email protected]

Transport Contact 1

Heather Brown RN IICN Staff Nurse 831-761-5663 [email protected]

Quality Improvement 1

Kimberly DeChicchio-Sanchez IICN Nurse Manager (831) 724-4741 x2069 [email protected]

Admin

Rachel Jones CFO (831) 724-4741 x6003 [email protected]

Neonatologist

Edward McNamara, MD Medical Director 831-768-6202 [email protected]

Data Contact 2

Kimberly DeChicchio-Sanchez IICN Nurse Manager (831) 724-4741 x2069 [email protected]

Transport Contact 2

Kimberly DeChicchio-Sanchez IICN Nurse Manager (831) 724-4741 x2069 [email protected]

Quality Improvement 2

Jessica Thomas Director of Perinatal Services (831) 763-1402 [email protected]

Contract Signer

Kaylor E. Shemberger, FACHE Chief Executive Officer 831-763-6040

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

Pamella Gallo, LCSW Midical Social Worker 831-761-5665 [email protected]

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

Erma Cortez Case Management AdministrativeAssistant [email protected]

NICU Contacts Last Updated By: Heather Brown RN HRIF Contacts Last Updated By: Last Modified Date: September 22, 2021 04:24am Download Date: November 5, 2021 09:13pm

Page 139: MEMBER DIRECTORY AHMC Parkview Community Medical …

MEMBER DIRECTORY

Zuckerberg San Francisco General Hospital and Trauma Center1001 Potrero Avenue

San Francisco, CA 94110County: San FranciscoPhone: 415-206-8000

OSHPD Facility Code: 380939CCS NICU Level: Community

Region: (1) North Coast East Bay

HRIF Program Onsite: NoHospital Providing HRIF Program Services:

UCSF Medical Center

NICU CONTACTS HRIF CONTACTS

Report Contact

Amber Pope Neonatologist Pediatrics 1001 Potrero Ave, MS6E San Francisco, CA 94110 (628) 206-9840 [email protected]

Data Contact 1

Amber Pope Neonatologist (628) 206-9840 [email protected]

Transport Contact 1

Amber Pope Neonatologist (628) 206-9840 [email protected]

Quality Improvement 1

Cindy Tran Medical Director SFGH NICU (628) 206-8363 [email protected]

Admin

Emily Leang Pediatric Administrator (415) 206-4359 [email protected]

Neonatologist

Amber Pope Attending Neonatologist (628) 206-8363 [email protected]

Data Contact 2

Cindy Tran NICU Medical Director (628) 206-8363 [email protected]

Transport Contact 2

Jill Thornton Perinatal Outreach Admin.Coordinator 415-353-1574 [email protected]

Quality Improvement 2

Shilu Romchand Clinical Nurse Specialist (628) 206-8363 [email protected]

Contract Signer

Coordinator

Clinic Contact 1

Clinic Contact 3

NICU Discharge Contact

NICU Contact 2

Medical Director

Clinic Contact 2

Clinic Contact 4

NICU Contact 1

NICU Contacts Last Updated By: Amber Pope HRIF Contacts Last Updated By: Last Modified Date: January 13, 2021 01:33pm Download Date: November 5, 2021 09:13pm